HomeMy WebLinkAbout10-15-10-~ REV-1500Ex (°'-'°' , 1505610143
PA De artment of Revenue ~ OFFICIAL USE ONLY
p Pennsylvania County Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO 60X.280601 INHERITANCE TAX RETURN 2 1 1 0 ~~~;~ ~;
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
199 07 9934 O1 17 2010
Decedent's Last Name Suffix
LEESE
I(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's Social Security Number
Date of Birth
08 12 1916
Decedent's First Name MI
WILMA S
Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Return ^ 2. Supplemental Return ^ 3, Remainder Rel:urn (date of death
prior to 12-13-82)
^ 4. Limited Estate
^ 4a. Future Interest Compromise
^
5. Federal Estate Tax Return Required
(date of death after 12-12-82)
® 6. Decedent Died Testate
(Attach Copy of Will) ^ ~ Decedent Maintained a Living Trust
(Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes
^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit (date of death ^ 11, Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch, 0)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
TERRENCE J KERWIN 717 238 4765
r,,
First line of address
27 NORTH FRONT STREET
Second line of address
City or Post Office State ZIP Code
HARRISBURG PA 17101
Correspondent's a-mail address: T J K@ K e rw i n I a w f I r m. C O m
REGISTER QF-1~LLS US~NLY _~.
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Under penalties of perjury, t 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.
SIG ~ TURE OF PERSON RESPO SIBLE FOR FILING R N DATE
~~ ~~~ Marsha Wingard ,~~~ -- /' ~ -~ !
ADDR SS
26 Pine Ridge Circle, Enol PA 17025
SIGNA I URE OF PREPARER O~THA I~~SENTATIVE DATE
~~--t - i~% '---~-~r---=---_ Terrence J Kerwin ~ _ ~-
ADDRESS
27 North Front Street, Harrisburg, PA 17101
Side 1
1505610143 1505610143
J
1505610243
REV-1500 EX
Decedent's Social Security Number
oecedenc~s tvame: L E E S E, W I L M A S. 1 9 9 0 7 9 9 3 4
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3.
4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4.
5.
Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...............
5. 121,730.09
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested............ 7.
8. Total Gross Assets (total Lines 1-7) ..................................................................... g, 1 2 1, 7 3 0 0 9
9.
Funeral Expenses & Administrative Costs (Schedule H) .......................................
9. 13,061.07
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10.
9, 195.76
11. Total Deductions (total Lines 9& 10) .....................................................
..............
11. 2 2, 2 5 6 8 3
12. Net Value of Estate (Line 8 minus Line 11) ........................................................... 12, 9 9 , 4 7 3 2 6
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ............................................... 13, '7 4 , 4 7 3 2 6
14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 14. 2 5 , 0 0 0 0 0
- __
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.
16. Amount of Line 14 taxable
at lineal rate X .045 16.
17. Amount of Line 14 taxable
at sibling rate X ,12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 2 5, 0 0 0 0 0 1 g, 3, 7 5 0 0 0
19. Tax Due .................................................................................................................. 19. 3, 7 5 0. 0 0
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
1505610243 1505610243
a
J
REV-1500 EX Page 3 File Number 21 - 1 0
Decedent's Complete Address:
Leese, Wilma S.
__
__
STREET ADDRESS
340 Messiah Circle
CITY - __ - - -____ ~ STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A• Prior Payments
B. Discount
3,570.00
187.50
Total Credits (A + B)
(1) 3,750.00
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.
(2) 3,757.50
(3} 0.00
(4) 7.50
1;5)
Make Check Payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :................................................................................
b. retain the right to designate who shall use the property transferred or its income :..................................
c. retain a reversionary interest; or .............................................................................................................. ,-__
d. receive the promise for life of either payments, benefits or care? ............................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ....................................................................................................................
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death'a........
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ..................................................................................................................
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)J.
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 retturn 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)J.
• 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 bloodd or adoption
SCHEDULE E
~ CASH, BANK DEPOSITS, & MISC. '~
COMMONWEA~THOFPENNSYLVANIA i PERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Leese, Wifma S. 21 - 10
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.
ITEM
NUMBER DESCRIPTION
1 Certificate of Deposit, PNC Bank, account #31300328720
2 Certificate of Deposit, PNC Bank, account #31800213808
3 Certificate of Deposit, PNC Bank, account #31500240187
4 Certificate of Deposit, PNC Bank, account #31800239999
5 Certificate of Deposit, PNC Bank, account #31500287856
6 Certificate of Deposit, PNC Bank, account #31500309234
7 Checking Account, PNC Bank, account #5080030738
8 Money Market Savings Account, PNC Bank, account #5001902236
9 PA tax rebate/refund
TOTAL (Also enter on Line 5, Recapitulation)
VALUE AT DATE
OF DEATH
21,009.50
7,674.77
6,049.60
12,481.79
1,179.22
6,181.17
30, 535.29
36,396.75
222.00
121,730.09
SCHEDULE H
FUNEFt~L DAISES &
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN /~~~A'A'~T~/~~7~ /C ~'-/'1C7Y+
RESIDENT DECEDENT rY.A~~N,N ~ Iv\ ~ IYG VW ~ ~7
__ _ _ _
FILE NUMBER
ESTATE OF Leese, Wilma S. 21 - 10
Debts of decedent must be reported on Schedule I.
ITEM --___ __ -- _- - - -
NUMBER ,FUNERAL EXPENSES: DESCRIPTION AMOUNT
__
A. 1 Neill Funeral Home 329.83
B. ADMINISTRATIVE COSTS:
~ , Personal Representative's Commissions
Name of Personal Representative(s)
Marsha Wingard
6,086.51
Street Address 26 Pine Ridge Circle
City Enola State PA Zip 17025
Year(s) Commission paid 2010
2. Attorney's Fees Kerwin & Kerwin 6,086.51
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 319.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
1 Register of Wills -additional Short Certificates 8.00
TOTAL (Also enter on line 9, Recapitulation) 13,061.07
Sc~~edule H
Funeral E~ &
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN ~'~ Cay`~
RESIDENT DECEDENT
ESTATE OF Leese, Wilma S.
2 Cumberland Law Journal -estate notice
FILE NUMBER
21 - 10
75.00
3 The Sentine{ -estate notice 70.72
4 Notary Fee 5.00
5 Register of Wills -releases 30.00
6 Register of Wills -filing of Inheritance tax return and Inventory 30.00
7 Closing costs, e.g. copies, postage 20.00
Page 2 of Schedule H
SCHEDULEI
` DEBTS OF DECEDENT, MORTGAGE
COM NOHERTANCEOTAXRETURNANIA LIABILITIES, & LIENS
RESIDENT DECEDENT
_ _._
FILE NUMBER
ESTATE OF Leese, Wilma S. 21 - 10
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
___ _ __
ITEM DESCRIPTION
NUMBER AMOUNT
1 Roumm -doctor's bill 30.31
2 Alert -account payable 43.52
3 Messiah Village -account payable 5,202.32
4 Verizon -account payable 15.61
5 2009 incomes taxes 325.00
6 Messiah Village -account payable 3,579.00
TOTAL (Also enter on Line 10, Recapitulation) 9,195.76
REV-1513 EX+ (11-08)
SCHEDULE J~+
COMMONWEALTH OF PENNSYLVANIA BENEF~C~AR~ES
iNHER{TANCE TAX RETURN ~'I R
RESIDENT DECEDENT ! ~i
ESTATE OF FILE NUMBER
Leese, Wilma S.
21 - 10
_- -
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not list Trustee(s)
I TAXABLE DISTRIBUTIONS[include outright spousal
distributions, and transfers
under Sec. 9116 (a) (1.2)]
1 Mrs. William (Alberta K.) Stoops, 22 Courtyard friend 5,000.00
Drive, Carlisle, PA 17019
2 Marilyn Berlin friend 5,000.00
410 Blacklatch Lane
Camp Hill, PA 17011
3 Albert and Janet Wentz friends 5,000.00
909 Apple Drive
Mechanicsburg, PA 17055
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
1 Market Square Presbyterian Church
20 South Second Street, Harrisburg, PA 17101
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
74,473.26
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 74,473.26
REV-1513 EX+ (g-00)
m ~ SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES continued
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Leese, Wilma S.
21 - 10
______
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not List Trustee(s)
I TAXABLE DISTRIBUTIONS[include outright spousal
' distributions, and transfers
under Sec. 9116 (a) (1.2))
4 Marsha Wingard cousin
26 Pine Ridge Circle
Enola, PA 17025
5 Sharon M. Garcia friend
Note: Clara Jane Myers predeceased Wilma S.
Leese
6
5,000.00
5,000.00
Page 2 of Schedule J
KERWIN &KERWIN
ATTORNEYS AT LAW
4245 ROUTE 209 GOVERNORS' ROW
ELIZABETHVILLE, PA 17023 27 NORTH FRONT STREET
HARRISBURG, PA 17101
(717)362-3215
(717)896-9089 (717)238-4765
FAX (717) 362-4459 FAX (717) 238-8455
Please Reply To:
D ELIZABETHVILLE OFFICE
~ HARRISBURG OFFICE
MEMORANDUM
TO: PA Department of Revenue
FROM: Terrence J. Kerwin, Esquire
DATE: October 12, 2010
RE: Estate of Wilma S. Leese
Pennsylvania Inheritance Tax Return
PATRICK E. KERWIN (1913-1987)
GREGORY M. KERWIN - GMKerwin@hotmail.com
TERRENCE J. KERWIN - TJK@Kerwinlawtirm.com
JOSEPH D. KERWIN - JDK@Kerwiniawfirm.cam
HOLLY McCLURE KERWIN - HMK@Kerwinlawfirm.com
With respect to the Inheritance Tax Return being filed in the Estate of Wilma S. Leese,
payment of tax on the specific bequests totaling $25,000 has been paid at the fifteen percent (15%)
tax rate within the discount period. The amount of tax due has not been reduced by the expenses and
debts set forth on Schedules H and I. If the Department determines that the inheritance tax should
be reduced by the expenses and debts, which in turn would provide more funds to the residuary
charitable beneficiary, I would kindly request that the Department make such adjustment to the
return.
TJK:Iak
U:\MEMO\pa-dept-rev-leese-estate.wpd
KERWIN &KERWIN
ATTORNEYS AT LAW
4245 ROUTE 209 GOVERNORS' ROW
ELIZABETHVILLE, PA 17023 27 NORTH FRONT STREET
HARRISBURG, PA 17101
(717)362-3215
(717)896-9089 (717)238-4765
FAX (717) 362-4459 FAX (717) 238-8455
PATRICK E. KERWIN (1913-1987)
GREGORY M. KERWIN - GMKerwin@hotmail.com
TERRENCE J. KERWIN - TJK@Kerwinlawfirm.com
JOSEPH D. KERWIN - JDK@Kerwinlawfirm.com
HOLLY McCLURE KERWiN - HMK@Kerwinlawlirm.com
Please Repty To:
~ ELIZABETHVILLE OFFICE
~ HARRISBURG OFFICE
October 13, 2010
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
RE: Estate of Wilma S. Leese
Estate No.: 2110-D070
Dear Register of Wills:
Please find enclosed herewith for filing an original and two copies of an Inheritance Tax
Return and Cumberland County Inventory for filing. Also enclosed is a check in the amount of
$30.00, aswell as aself-addressed, stamped envelope for the return of the receipts and time-stamped
documents to me.
Thank you for your kind assistance.
Very truly yours,
.~----~ ~ ,c.,,~,~
C
TERRENCE J. KERWIN
TJK:Iak
Enclosures
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