HomeMy WebLinkAbout11-01-10 (4)' 1505607121
J
REV-1 v00 Ex (x-05, OFFICIAL usE ONLY
PA Department of Revenue County Code Year ~ File Number
Bureau of Individual Taxes
PO Box zsosol INHERITANCE TAX RETURN ^
- (- / ~ - ~ ~ o
Hamburg PA 17128-0601 RESIDENT DECEDENT
c7
ENTER DECEDENT INFORMATION BELOW
Soaal Security Number Date of Death Date of Birth
0 5 1 8 2 0 0 9 0 2 0 8 1 9 4 6
Decedent's Last Name Suffix Decedent's First Name MI
YOUNG JAMES H
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number _ - L
THIS RETURN MUST BE FILED IN DUPLICATE vy1TH THE
REGISTER OF 1N'ILLS '~
FILL IN APPROPRIATE OVALS BELOW
Q 1.Originai Return ~ 2. Supplemental Return ~ 3. Remainders tum (date of death
prior to 12-1 -82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. FederaP Esta a Tax Return Required
death after 12-12-82)
6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Numbe d of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust) i
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. ElediorA to under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMMT~ SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
H ANTHONY ADAMS 71 7 '~' 2 X27-~.
~ ~ ~~ .:_
"
Firm Name (If Applicable)
REGIST
US^rONLY G . _ ~;
.-r>.
First line of address
4 9 WES T ORANGE STRE ET
Second line of address
S U I T E 3
City or Post Office State ZIP Code
S H I P P E N S B UR G P A 1 7 2 5 7
correspondenes e-mail address: htadamslawCd~embargmall.com
.4 ~, `"
..
~~
DiA~E FILED
Under penalties of perjury, I dedare that I have examined this return, indud~g accompanying sd>edules and statements, and to the best of rhy knowledge and belief,
it is true, ~ and complete. Dederetion of preparer other than the personal representative is based on ati infonrration of which preparer his any know dye.
cy~ /Y~.~+NATURE OF PERSON RESPONSIBLE FO/R FILING RETURN) l ^ J / (~ ~ ~K/ i~/DATE?~•f ~e
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Side 1
L 1505607121 1505607121 J
I
1
1505607221
REV-1500 EX Decedent's Soaial Security Number
i~ecedenr:Name: JAMES H. YOUNG
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1.
2. Stocks and Bonds (Schedule B) .................................. 2.
3. Glossy Hekl Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
........................ 6 0 0 0 0. 0 0
4. Mortgages ~ Notes Receivable (Schedule D) 4.
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ....... 5.
6. Jointy Owned Property (Schedule F) ^ Separate Billing Requested ....... 8.
7. Inter-Vnros Transfers & Miscellaneous Ng~Probate Property
(Schedule G) U Separate Billing Requested ....... 7.
8. Total Gross Assets (total Lines 1-71 ........................... 8. 6 O 0 0 0. 0 0
9. Funeral Expenses & Administrative Costs (Schedule H) ................ 9•
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ..... ....... 10.
11. Total Deductions (total Lines 9 8 10) .................... ....... 11. ',
12. Net Value of Estate (Line 8 minus Line 11) .................. ....... 12. ~ ~ ~~ 0 ~ ~ .
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ........... ....... 13.
60'0 0 0 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) ........... ....... 14.
,
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
~
at the spousal tax rate, or ',
transfers under Sec. 9116
o
0
0
0
1
'
0
0
0
_
.
(a)(1.2) x . 5. , .
16. Amount of Line 14 taxable
6 0 0 0 0 0
~ ~i
7
Z I
0
0
0
0
at lineal rate X .045 16. , .
17. Amount of Line 14 taxable 0 0 0 ~ 0 0 0
at sibling rate X .12 17. •
18. Amount of Line 14 taxable
~ 0
~
0
~
at collateral rate X .15 18 •
2I 7 0 0. 0 0
19. Tax Due
........................................
.......
1s.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A ~tEFUND OF AN OVERPAYMENT ' ^
Side 2
L 1505607221 15056072211
Rf=V-1500 FCC Page 3
Decedent's Complete Address:
File Number
0 0
" "DECEDENTS NAME
JAMES H. YOUNG
STREET ADDRESS
CITY STATE ZIP
Tax Payments and Credits:
~• Tax Due (Page 2 Une 19) (1) '~ 2,700.00
2. Credits/Payments
A. Spousal Poverty Credit ',
B. Prior Payments
C. Discount
Total Credits (A + B + C) (2) ' 0.00
3. InteresUPenalty if applicable
D. Interest
E. Penalty
Total InteresUPenalty (D + E) (3) ' 0.00
4. If Une 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
FIII In oval on Page 2, Line 20 to request a refund. (4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) _T 2,700.00
A. Enter the interest on the tax due. (5q) I'i
B. Enter the total of Line 5 +5A. This is the BALANCE DUE. (5B) __ I'~ 2,700.00
Make Check Payable fo: REGISTER OF WILLS, AGENT
r s__
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPIROpRiATE 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 ~I
d. receive the promise for irfe 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? ....................................................................................... 'i
3. Did decedent own an 'intrust 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 benefiaary designation? ........................................... ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT q,S PART OF THE RETURN.
.. ~ ~.. -~~.- =s f~X~ .~~ ~ _.. ~'~. .~c'-, f ~~-,~~T.i~~ _ , ,.SKr!-
For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of tl~e surviving spouse
is three (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'zz~ro (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 disclos re of assets and
filing a tax return are still applicable even if the surviving spouse is the only benefiaary.
For dates of death on or after July 1,2000:
The tax rate imposed on the net v~ue of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a ~rakural parent, an
adoptive parent, or a stepparent of the chikl is zero (0) percent p2 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 four and one-half (4.5) percent, e~CC~pt as noted in
72 P.S. §9116(1.2) p2 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 twelve (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-1507 EX + (8-98)
SCHEDULE D
COMMONWEALTH OF PENNSYLVANIA MORTGAGES ~ NOTES
IN RESIDENT DECEDENTRN RECEIVABLE
ESTATE OF FILE NUMBER
JAMES H. YOUNG 0 0
All property joiMyowned with the right of survNorship must be discbsed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION I~' OF DEATH
1. BALANCE/COMPROMISE AMOUNT ACCEPTED UNDER AGREEMENT AND NOTE 60,000.00
DATED IN THE YEAR OF 2000 BETWEEN DECENDENT AND RICHARD CLUGH AS
ASSUMED JANUARY 24, 2005
TOTAL Also enter on line 4, Recapitulation = 60 000.00
(If nare space is needed, insert additional sheets of the same size)
REV-1513 EX + (9-00)
• SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JAMES H . YOUNG 0 0
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS pndude o M spousal distributions, and transfers under
9116
S
~
1
2
ec.
(a
(
.
)]
1. CHRISTINE WALLACE Lineal
1 /2
2. JAMES C. YOUNG Lineal
1 /2
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 18, AS APPROPRIATE, p REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ;
(If more space is needed, insert additional sheets of the same size)
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