HomeMy WebLinkAbout09-23-101505610143
REV-1500 Ex`°'-,~>
PA De artment of Revenue OFFICIAL USE ONLY
p pennsylvania County Code Year File Number
Bureau of Individual Taxes oePr~nTMOrTOFReva~e
Po Box.28oso~ INHERITANCE TAX RETURN 21 10 0302
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
201 14 3485 02 20 2010
Decedent's Last Name Suffix
KERR
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's Social Security Number
Date of Birth
07 16 1922
Decedent's First Name MI
ESTHER B
Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
a 1. Original Retum ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise
(date of death after 12-12-82) ~ 5. Federal Estate Tax Retum Required
x^ 6 Decedent Died Testate
(Attach Copy of Will) ~ ~• AttaGenoMainteined aLiving Trust
C py of Trust) ~ 8. Total Number of Safe De osit Boxes
P
9. Litigation Proceeds Received ~ 10• b8tovveenP4v~~ Y~re~ddit jdat8es~f death
Z 99 1 ~ 11 •Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
MARY JO DILLON 724 283 2200
First line of address
128 W CUNNINGHAM ST
Second line of address
City or Post Office
BUTLER
Correspondent's a-mail address:
State ZIP Code
PA 16001
REGISTER O~I
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SIGNATUR PERS N SPONSIBLE FOR FILING RETURN DATE
Thomas S. Kerr q- l3 - ZQ J O
3825 Murry Highlands Circle. Murrysville, PA 15668
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE I
~1/~~ _ ,
~ ~-~ ~ Mary Jo Dillon 1-
ADDRESS
128 W. Cun S~, Butler, PA 16001
Slde 1
1505610143 1505610143
~~~
1505610243
REV-1500 EX
Decedent's Social Security Number
Decedents Name: Kerr, Esther B. 2 01 14 3 4 8 5
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................. 2. 5 , 8 O 1.16
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3.
4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4.
5• Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ............... 5.
150,921.23
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6.
7. later-Vivos Transfers 8 Miscellaneous I~.an; Probate Property
(Schedule G) u Separate Billing Requested............
7, 54 3 62.94
r
8. Total Gross Assets (total Lines 1-7> .......................................
..............................
8. 211, 085.33
9. Funeral Ex eases 8~ Administrative Costs Schedule H
p ( ) .......................................
9. 4 , 2 97.7 6
10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) .............................. 10.
10,752.39
11. Total Deductions (total Lines 9 & 10) ................................................................... 11 15 , 0 5 0.15
12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 19 6 , 0 3 5.18
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ...............................................
13. 1 9 60.3 5
~
14. Net Value Sub ect to Tax Line 12 minus Line 13
1 ( ) ...............................................
14. 19 4 , 0 7 4 . 8 3
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .00
15.
0 . 0 0
16. Amount of Line 14 taxable 19 4 0 7 4. 8 3
at lineal rate X .045 ~ ~ 6. 8 7 3 3. 3 7
,
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17. 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0. 0 0 18. 0. 0 0
19. Tax Due .................................................................................................................. 19. 8, 7 3 3. 3 7
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^
Side 2
1505610243 1505610243 .~
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-10-0302
DECEDENT'S NAME
Kerr, Esther B.
STREET ADDRESS
5225 Wilson Lane
CITY
Mechanicsburg STATE
PA ZIP
17055
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
6,000.00
315.79
3. Interest
4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
Total Credits (A + B)
(1) 8,733.37
(2) 6,315.79
(3)
(4)
(5) 2,417.58
Make Check Pa able to: REGISTER OF WILLS AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :............................................................................... ^ ^x
b. retain the right to designate who shall use the property transferred or its income :.................................. ^ x
c. retain a reversionary interest; or ............................................................................................................... ^ x
d. receive the promise for life of either payments, benefits or care? ............................................................ ^ ^x
If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .................................................................................................................... ^
Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ ^x
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? .................................................................................................................. 0 ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
'For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of
assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)].
. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)].
. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)]. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Rev-1503 EX+ (6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF I FILE NUMBER
Kerr, Esther B. 21-10-0302
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
1 1,667 shares of Credit Suisse Asset Management Income 3.48 5,801.16
Fund, Inc.
TOTAL (Also enter on Line 2. Recapitulation) 5.801.16
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1508 EXt {8-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF I FILE NUMBER
Kerr, Esther B. 21-10-0302
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
Copyright (c) 2002 form software only The Lackner Group, Inc. Forrn PA-1500 Schedule E (Rev. 6-98)
(If more space is needed, additional pages of the same size)
Rev-1510 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Kerr, Esther B. 21-10-0302
This schedule must lie completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH °~ OF DECD'S EXCLUSION TAXABLE
NUMBER THE DATE O ROANSFERSATTACIiTA COPY OF THE DEED FOOREREAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 Allstate Advantage Plus Annuity -Policy #GA0679465 54,362.94 54,362.94
Beneficiaries, decedent's children: John M. Kerr,
Marybeth K. Heathcote, Thomas S. Kerr and Daniel P.
Kerr
TOTAL (Also enter on Line 7, Recapitulation)
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
54,362.94
Form PA-1500 Schedule G (Rev. 6-98)
e~EV-1151 EX+(10-06)
r
COM IN~~tESIDE~~ECEDENANIA
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Kerr, Esther B. 21-10-0302
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
A, FUNERAL EXPENSES:
See continuation schedule(s) attached
1,768.00
B.
1. ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
Year(sl Commission paid
2. Attorney's Fees Dillon McCandless King Coulter & Graham 1,800.00
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zio
Relationship of Claimant to Decedent
4. Probate Fees 403.50
See continuation schedule(s) attached
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 326.26
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 4,297.76
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
, SCHEDULE H
~~ FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Kerr, Esther B. 21-10-0302
ITEM
NUMBER
DESCRIPTION
AMOUNT
1 Funeral ExRenses
Geibel Funeral Home
1,768.00
H-A 1,768.00
2 Probate Fees
Register of Wills -short certificates
12.00
3 Register of Wills -Petition for Grant of Letters Testamentary 60.00
4 Register of Wills -Will 15.00
5 Register of Wills -Renunciation 5.00
6 Register of Wills -short certificates 8.00
7 Register of Wills -JCS Fee 23.50
8 Register of Wills -Automation Fee 5.00
9 Register of Wills -inheritance tax return 15.00
10 Register of Wills -Inventory 15.00
11 Register of Wills -additional probate fee 200.00
12 Register of Wills -Family Settlement Agreement 20.00
13 Register of Wills of Butler County -commission for Cumberland County 25.00
H-B4 403.50
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
, SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Kerr, Esther B. 21-10-0302
ITEM
NUMBER DESCRIPTION AMOUNT
Other Administrative Costs
14 Cumberland Law Journal -Estate Notice 75.00
15 The Sentinel -Estate Notice 251.26
H-B7 326.26
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
Rev-1512 EX+ (12-08)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
ESTATE OF FILE NUMBER
Kerr, Esther B. 21-10-0302
Report debts incurred by the decedent prior to death that romained unpaid at the date of death, Including unroimburoed medical expenses.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1 AK Steel -pension benefit -returned 441.49
2 Bethany Skilled Nursing -final nursing home bill 7,781.32
3 Bonnie K. Miller, Treasurer -per capita tax 9.80
4 Commonwealth of Pennsyllvania - 2009 income tax 316.00
5 Continuing Care Rx Inc. 347.89
6 Pinnacle Health Hospitals 72,84
7 United States Treasury - 2009 income tax 846.00
8 West Shore EMS - ALS -ambulance transport to hospital 937.05
TOTAL (Also enter on Line 10, Recapitulation) I 10,752.39
(If more space is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08)
REV-1513 EX~ (11-08)
COMM_QID~~~~~~~R~AN IA
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
Kerr, Esther B. 21-10-0302
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$)
I TAXABLE DISTRIBUTIONS [include outright spousal
• distributions, and transfers
under Sec. 9116 a 1.2
Marybeth K. Heathcote Daughter one fourth of
90 Broadwell Lane 99% of the
Mechanicsburg, PA 17055 residue
Daniel P. Kerr Son one-fourth of
1715 Ridgeview Ave. 99% of residue
Lancaster, PA 17603
John M. Kerr Son one-fourth of
226 Bailey St. 99°!° of residue
New Cumberland, PA 17070
Thomas S. Kerr Son one fourth of
3825 Murry Highlands Circle 99% of residue
Murrysville, PA 15668
Total
Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 150 0 cover sheet as a r o riate.
NON-TAXABLE DISTRIBUTIONS:
II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1 St. Paul Roman Catholic Church 1,9so.35
TOTAL OF PART 11 -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF_REV-1500 COVER SHEET[ 7,96V.35
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08}
EXHIBITS TO THE PENNSYLVANIA INHERITANCE TAX RETURN
REV-1500
Estate of Esther B. Kerr
Dated of Death: 02/20/2010
Social Security Number: 201-14-3485
Pa. File Number: 21-10-0302
A. Last Will and Testament of Esther B. Kerr
Schedule B -Stocks & Bonds
1. Correspondence from Computershare setting forth the date of death share value of the Credit
Suisse Asset Management Income Fund.
~.~~t ~iYr ~~b ~Ge~tan~er~t
of
ESTHER B. KERR
I, ESTHER B. KERR, of the City of Butler, Butler County,
Pennsylvania, hereby declare this to be my Last Will and Testament and revoke
all wills which I have previously made.
FIRST: I order and direct that my Executors hereinafter named
pay all my just debts, medical expenses, and funeral expenses as soon as
conveniently possible after my decease.
SECOND: I give, devise and bequeath all my jewelry, sterling
silver, and china to my daughter, MARYBETH K. JACKSON, if living, but if
not, then to her issue.
THIRD: I give and bequeath to ST. PAUL'S ROMAN CATHOLIC
CHURCH, Butler, Pennsylvania, One (1%) Percent of my net distributable
estate, computed before inheritance tax deduction.
FOURTH: I give, devise, and bequeath all the rest, residue, and
remainder of my estate, of whatever nature and wherever situate, to my issue
living at the time of my death, per stirpes, presently being my four children,
JOHN M. KERR, MARYBETH K. JACKSON, THOMAS S. KERR and DANIEL
P. KERR.
FIFTH: Any share of my residuary estate which becomes
distributable to a minor shall be held in trust by my Executors, or their
successors during minority. They shall apply such amounts of income and
principal as they, in their sole discretion, deem proper for the support,
education and welfare of such minor and shall accumulate any unexpended
balance of income. Such amounts may be applied directly or may be paid to
the person with whom such minor resides or who has the care or control of
such minor, without the intervention of a guardian. My Executors shall not be
obliged to supervise or inquire into the application of such amounts by such
person, and the receipt of such person shall be a complete release of my
Executors.
SIXTH: 1 authorize my Executors and their successors to exercise
the following powers, in addition to those given by law, to be exercised in their
sole discretion:
(A) To retain any real or personal property which may at any time
form a part of my estate as long as they deem advisable.
(B) To repair, alter, improve or lease for any period of time not in
excess of one-year terms, any real or personal property.
(C) To sell at public or private sale, for cash or credit, with or
without security, any real or personal property.
(D) To compromise claims.
(E) To make distribution in kind.
(F) To exercise all power, authority and discretion given by this
Will after the termination of any trust created herein until the same is
fully distributed.
SEVENTH: I appoint my two sons, JOHN M. KERR and THOMAS
S. KERR, Executors of this Will. If either should, for any reason, fail to qualify
or cease to act as such during the administration of my estate, or as Trustees
of any minor beneficiaries, I appoint my daughter, MARYBETH K. JACKSON,
Successor Co-Executrix of this Will with the same duties, powers, and
discretion as if originally appointed. None of my Executors shall be required to
enter bond or furnish sureties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
.~ .,
this - ~ ~ ~~`-- day of ~~~ ~'~~__•. ,~_ Y, -- j . , 2005.
r
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_ , ,~
"~`' _ (SEAL)
Esther B. Kerr
SIGNED, SEALED, PLTBLISHED AND DECLARED by ESTHER ~B.
KERR, the Testatrix above named, as and for her Last Will in the presence of
us, who, at her request, in her presence and in the presence of each other,
have hereunto subscribed our names as witnesses hereto.
1 ~ ~,
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ACKNOWLEDGEMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF BUTLER
We, ESTHER B. KERR, the Testatrix in, and RnRFRT .T _ STO('K
and KRISTINA M. EDMISTON, undersigned witnesses to the attached or foregoing
instrument, being duly qualified according to law, do depose and say:
(a) that I, the Testatrix, do hereby acknowledge that I signed the
instrument as my last will, and that I signed it willingly and as my free and
voluntary act for the purposes therein expressed; and
(b) that we, the witnesses, were present and saw the Testatrix sign
the instrument as her last will, that she signed it willingly and executed it as
her free and voluntary act for the purposes therein expressed; that each of us
in the hearing and sight of the Testatrix signed the will as a witness and that to
the best of our knowledge the Testatrix was at that time 18 or more years of
age, of sound mind and under no constraint or undue influence.
._ .
. ;~
Esther B. Kerr
__._____
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Witness .,/
~~~
11 : ~ ~~~~,-z
~ ~'Uitness ~"
Sworn or affirmed to, subscribed and acknowledged before me by the Testatrix
and the aforementioned witnesses this 3~~-:~ day of / ~~f ;~~..F f~ ' , 2005.
Notary Public
My Commission Expires:
~'' a ~ ~ ~
,,~µ ~~ ~, No~cy ~tblic
Y o~ Butler. Butter County
My Corra~s~i,on Ex Ines Dec. 30. coos
MARY JO DILLON
DILLON MCCANDLESS KING COULTER &
GRAHAM LLP
ATTORNEYS AT LAW
128 WEST CUNNINGHAM STREET
BUTLER PA 16001
May 18, 2010
Company: CREDIT SUISSE ASSET MGMT INCOME FUND INC
Registration: ESTHER B KERR
Holder Account Number: 00000009873
Document I.D.: 10133WF00754665
Our Reference: CIK/0002884291/22/EG/66079
~omputershare
Computershare Investor Services
250 Royall Street
Canton Massachusetts 02021
www.computershare.com
Dear Sir/Madam:
Thank you for contacting Computershare, the transfer agent for CREDIT SUISSE ASSET MGMT INCOME
FUND INC. We appreciate the opportunity to be of service to you.
On Friday, February 19, 2010, account number CIK 00000009873 held 1,667 shares. On that date, the
closing price was $3.48 per share.
The account was established on June 5, 2001.
Note that we do not list beneficiaries on accounts.
Should you have other account related questions, please call us at (8001 730-6001 during regular business
hours. Please note that any available representative can assist you.
Sincerely,
Service Representative
Enclosure: US Holder-Deceased Transfer Package.pdf