HomeMy WebLinkAbout12-28-10 1505610140
REV-1500 EX ~°'-'°'
PA Department of Revenue
OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601
RESIDENT DECEDENT 2 1 1 0 0 7 8 5
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Deat h MMDDYYYY Date of Birth MMDDYYYY
0 8 4 5 6 1 5 8 9 0 7 1 0 2 0 1 0 1 2 0 8 1 9 4 6
Decedent's Last Name Suffix Decedent's Firs t Name MI
B y r n e K e v i n K
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
Q 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
^X 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
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. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
R o b e r t G T e e t e r 7 1 7 3 3 4 C -_~_~1 9 5
First line of address
1 0 8 W M i d d l e S t r e e t
Second line of address
City or Post Office State ZIP Code
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G e t t y s b u r g P A 1 7 2 5
Correspondent's a-mail address: bobCu~teeterlaw.net
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 d complete. Declaration of preparer oth than the personal representative is based on all information of which preparer has any knowledge.
SIGNAT F PERSON RESPONSIBL F RETURN DgTE
? Old Mill Road Gettysburg PA 1,7325
SIG R~AR R'OTF~tFZR''f~EPRESENTATIVE ATE
DRESS ~~ / ~ ~ ~ j U
1,08 W Middle Street Gettysburg PA 17325
PLEASE USE ORIGINAL FORM ONLY
Side 1
1,50561,01,40 1,50561,01,40 J
1,50561,0240
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Kevin K• B y r n e 0 8 4 ~ 6 1, 5 8 9
RECAPITULATION
1. Real Estate (Schedule A) .................. . ........................ 1. •
2. Stocks and Bonds (Schedule B) . , . , .... , , . ,
.......................... 2. L 0 0 5 8 1, . 3 4
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. •
4. Mortgages and Notes Receivable (Schedule D) .......................... 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... , . 5. 3 5 9 6 9 . 9 5
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. •
7. Inter-Vivos Transfers & Miscellaneous N -Probate Property
(Schedule G) ~ S
Billi
t
R
6
1
~
4
1
]
epara
e
ng
equested ....... 7. , , , . 6 9
8. Total Gross Assets (total Lines 1 through 7) ..................... . ..... 8. 2 9 9 9 6 2 . 9 6
9. Funeral Expenses and Administrative Costs (Schedule H) ........... ..... . . 9. 9 0 8 0 . 4 ~
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ... ... ..... .. 10. •
11. Total Deductions (total Lines 9 and 10) ..................... ... ..... .. 11. 9 0 8 0 . 4 ~
12. Net Value of Estate (Line 8 minus Line 11) .................. ... ..... .. 12. 2 9 0 8 8 2 . 4 9
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ............ ... ..... .. 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ............ ... ..... .. 14. 2 9 0 8 8 2 . 4 9
TAX CALCULATION -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 .0 0 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate X .045 2 9 0 8 8 2. 5 0 16. 1 3 0 8 9. 7 1,
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 1 g, 0. 0 0
19. TAX DUE ............................................. .. ..... .. 19. 1 5 0 8 9. 7 L
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^
Side 2
1,50561,0240 1,50561,0240 J
REV-1500 EX Page 3 File Number
Decedent's Complete Address: 21 10 0785
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fitl in oval 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 7AX DUE.
Total Credits (A + B) (2) 5, 578.94
(3)
(4)
0.00
(5) 7, 510.77
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 : ...................................................................... ^ 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
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ^ ^X
3. 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
3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 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 anc
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)]. Asibling is defined, and
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Tax Payments and Credits:
~ ~ Tax Due (Page 2, Line 19) (1) __ 13, 089.71
2. Credits/Payments 5, 300.00
A, Prior Payments
B. Discount 278.94
REV-1503 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF FILE NUMBER
Kevin K, Byrne 21 10 0785
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1, Stifel Nicolaus Securities Account # HX02 4891-0278 11,155.91
Money Market
2. 100 shares of Constellation Energy (Symbol CEG) @ 33.42 3,342.00
3. 38 shares of Frontier Communication Corp. (Symbol FTR) @ 7.35 279,30 II~
4. 200 shares of Kraft Foods (Symbol KFT) @ 28.96
5,792.00
5. 175 shares of PPL Corporation (Symbol PPL) @ 26.15 4,576.25
6. 20 shares of Tronox, Inc. C1 B (Symbol TRXBQ) @ .23
4.60
7. 160 shares of Verizon Comm. Inc. (Symbol VZ) @ 26.61 4,257.60
8. 569 shares of Agic Convert. & Income B. (symbol NCV) @ 9.17 5,217.73
9. 200 shares of Dow Chemical Co. (Symbol DOW) @ 25.64 5,128.00
10. 569 shares of ING Claarion Global (Symbol IGR) @ 6.56 3,732.64
11. 200 shares of Lowes Co. Inc. (Symbol LOW) @ 20.27 4,054.00
12. 125 shares of Masco Corp. (Symbol MAS) @ 11.30 1,412.50
13. 200 shares of Monsanto Company. New (Symbol MON) @ 50.59 10,118.00
14. 120 shares of Procter & Gamble (Symbol PG) @ 61.70 7,404.00
15. 24 shares of 3M Co. (Symbol MMM) @ 81.75 1,962.00
16. 225 shares of Transcanada Corp. (Symbol TRP) @ 35.40 7,965.00
TOTAL (Also enter on line 2, Recapi>~ulation) $ 100, 581.34
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Kevin K. Byrne
Decedent's Name Page 2
Schedule B -Stocks & Bonds
21 10 0785
File Number
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
17. 300 shares of UGI corp. New (Symbol UGI) @ 26.83 8,049.00
18. 183 shares of BCE Inc. New (Symbol BCE) @ 30.22 5,530.26
19. PA State Turnpike ETM Munipal Bond; 5.000 units 5,332.45
20. Philadephia PA Authority Municipal Bond; 5,000 units 5,268.10
SUBTOTAL SCHEDULE B 32,144.81
GRAND TOTAL SCHEDULE B $ 100, 581.34
REV-1508 EX + (6-98)
SCHEDULE E ++
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ M~~7C.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Kevin K. Byrne 21 10 0785
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1. Highmark Blue Shield; refund 410.12
2. Citizens Bank; checking account # 6203203203738 25,036.18
3. Manor Care; refund 15.00
4. Greystone Bank; Checking account # 1710001049 5,068.65
5 198 units in the John P. Brennen Family Trust dated 12/2/91. 5,439.98
The sole asset of the Trust is one undeveloped tract of land
consisting of 90 acres in Lower Tyrone Township, Fayette
County, Pennsylvania and 173.2 acres in Huntingdon
Township, Westmoreland County, Pennsylvania. Multiplying
the common level ratio for Fayette County of 1.23 times the
tax assessed value of $68,080.00 gives a fair market value of
$83,738.40 for the 90 acre tract in Fayette County. Multiplying
the common level ratio for Westmoreland County of 4.33 time
times the tax assessed value of $6,930.00 gives a fair market
value of $30,006.90. The total value of the two properties
owned by the John P. Brennen Family Trust is $113,745.30.
The decedent owned 198 units of 4,140 total units giving the
decedent a percentage ownership of 4.7826 percent.
Multiplying the percentage ownership times the fair market
value gives the decedent's shares a value of $5,439.98. The
shares pass to the decedent's children, Claire C. Gunnison
and Nicholas K. Byrne, children of decedent, by the terms of the
John P. Brennen Family Trust.
TOTAL (Also enter on line 5, Recapitulation) I $ 35, 969.9
(If more space is needed, insert additional sheets of the same size)
REV-1510 EX+ (08-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS AND
MISC. NON-PROBATE PROPERTY
ESTATE OF
FILE NUMBER
Kevin K. Byrne 21 10 0785
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes,
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER, ATTACH A COPY OF THE DEED FOR REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET
% OF DECD'S
INTEREST
EXCLUSION
(IF APPLICABLE)
TAXABLE
VALUE
1, TIAA CREF Retirement Account; beneficiaries are Claire C. 103,135.60 100.00 103,135.60
Gunnison and Nicholas K. Byrne, children of decedent.
2. Stifel Nicolaus Individual Retirement Account # HX02 8859- 60,276.09 100.00 60,276.09
6931; beneficiaries are Claire C. Gunnison and Nicholas K.
Byrne, children of decedent
TOTAL (Also enfer on Line 7, Recapitulation)I $ 163,411.6
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+ (10-09)
pennsylVania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
t5 I A i t ur FILE NUMBER
Kevin K. Byrne 21 10 0785
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Amariattios Catering; food for funeral reception 592.00
2. Sally Congleton; food for funeral reception 127.23
3. Cynthia Byrne; food for funeral reception 101.48
4. Nick Byrne; food for funeral reception 113.43
5. Chautuguan; obituary 91.80
B
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s) Kathleen Heidecker
Street Address 270 Old Mill Road
City Gettysburg State PA zIP 17325
Year(s) Commission Paid: 2010
2, Attorney Fees; Teeter, Teeter, & Teeter 1242.00 and 738.00 plus 1400.00
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: Kathleen B. Heidecker; reimburse filing fees Cumberland County Register
of Wills 95.50 plus 290.00 plus inventory fee 15.00
5 Accountant Fees:
6. I Tax Return Preparer Fees:
7. Teeter, Teeter, & Teeter; reimbursement for certified mailing fees
8. Cumberland Law Journal; legal advertising
9. The Sentinel; legal advertising
10. Linda Teeter; notary fee
11. Welty & Welty LLP; legal fees regarding Brennen Trust
3,000.00
3,380.00 ~
400.50
750.00
6.49
75.00
187.54
5.00
250.00
TOTAL (Also enter on Line 9, Recapitulation) I $
9, 080.47
If more space Is needed, use additional sheets of paper of the same size.
REV-151 EX+!01-10;
- pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Kevin K. Bvrne 21 10 O7f~5
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 [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1. Kathleen K. Heidecker, Trustee of the Kevin K. Byrne Lineal 127,470.80
Testimentery Trust for the decedent's children, Nicholas Kehoe
Byrne and Claire Cynthia Byrne Gunnison, children of the decedent.
270 Old Mill Road Lineal
Gettysburg, PA 17325
2. Claire C. Gunnison Lineal 81,705.85
5308 Deford Road
Virginia Beach, VA 23455
3. Nicholas K. Byrne Lineal 81,705.85
1511 Providence Glen Drive
Chapel Hill, NC 27514
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1, B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed, use additional sheets of paper of the same size.