Loading...
HomeMy WebLinkAbout02-25-114 V 3,505610101 REV-1500 Exl°°-°°' OFFICIAL USE ONLY PA Department of Revenue Pennsylvania Count Code Year Flle Number Bureau of Individual Taxes ~~'~`~"~~~"~' Y Po Box z8o6ot INHERITANCE TAX RETURN Harrtsburg PA i~tz6-o6oi RESIDENT DECEDENT 21 10 0722 ENTER DECEDENT INFORMATION BELOW Social Security Number Data of Death MMDDYYYY Dale of Birth MMDDYYYY 150-26-3058 05/31 /2010 05116!1933 Decedent's Last Name Suffix Decedent's First Name MI Taylor Charles 0 (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI _. _ .Taylor ;Suzanne p Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER QF WILLS FILL INAPPROPRIATE OVALS BELOW O1D 1. Original Retum O 2. Supplemental Retum O 3. Remainder Retum (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (dais of O 5. Federal Estate Tax Retum Required death after 12-12-82) O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. LRigation Proceeds Received O 1 D. Spousal Poverty Credft (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST 8E COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Howell C. Matte (717) 232-5000 First line of address P.O. Box 5950 Second line of address City or Post Office State Harrisburg pq ZIP Cade 17110-0950 REGISTER OF WILLS USE ONLY C t O ~:i ~ ~~ ~ ~~rn ~~ N ~ ~ r1T DATA ~ 2.. -T, --1 .. tsl r Sr ~~ '-I't ~ ~~ r~ c; ~, ,t:~ ri-. ~'+t _T :~ ~',~ __~~ ~`~ `^= ~~} rrt "~ O -.~ Correspondent's e-mail address: hcmette@mette. com 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. I. SIGNA RE OF PERSON RES NSI LE FO FILING RETURN DATE 02/22/2011 135 Edney Lane, Camp Hill, PA. 17011 P.O'Box 5950, Harrisburg, PA 17110-0950 ~ ~ PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101 J Il ~V ©~ ~ ~ ,\ ~. ~ ~ _J 1505610105 REV-1500 EX Decedent's Social Security Number oeoeae~rs Name: Charles J. Taylor ', 150-26-3058 RECAPITULATION 1. Real Es[ate (Schedule A) ............................................. t ', 0.00 2. Stocks and Bonds (Schedule B) ....................................... 2. 'I, 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. ', 2,803,545.00 ', 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. ' 0.00 ', 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. ' 0.00 ', 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. 0.00 ', 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property "-"'--" (Schedule G} O Separate Billing Requested..... ... 7. ______._ 1,542,076.00 8. Total Gross Assets (total Lines 1 through 7) .......................... ... 8. 4,345,621.00 9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. 74,626.00 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... ... 10. ' 0.00 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. I 74,626.00 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. ' 4,270,995.00 13. Charitable and Governmental BequestslSec 9113 Trusts for which "~w"~~ ~ ~""° ~ ~`" " " ""`~-" """" an election to tax has not been made (Schedule J) ..................... ... 13. 0.00 14. Net Value Subject to Tax (Line 12 minus line 13) ..................... ... 14. 4,270,995.00 TAX CALCULATION - 3EE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .OQ ', 2,921,535.00 15.' 0.00'' 16. Amount of Line 14 taxable at lineal rate x .0 45 1,349,460.00 ' 1B.' 60,725.70 '~, 17. Amount of Line 14 taxable ,,._.___..___.___ _ _._.__.._._ at sibling rate X .12 ' 17. 18. Amount of Line 14 taxable at collateral rate X ,15 ' ig, ", ', 19. TAX DUE .......................... ............................... 19. 60,725.70 I 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 L 1505610105 1505610105 J REV-'1500 EX Page 3 Decedent's Complete Address: File Number DECEDENTS NAME Charles J. Taylor STREET ADDRESS 135 Rodney Lane CITE Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 60,725.70 2. CreditslPayments A. Prior Payments 57,000.00 B. Discount _ 2,999.91 Total Credits (A + e) (2) 59,999.91 3. Interest (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. FIII in oval on Page 2, Llne 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 725.79 Make check payable to: REGISTER OF WILLS, AGENT. r-~ i-'~..bi'fi3.'~+' r; °'E1:1':"s: ~4 yHga, v:: AS ~ Ni., .~i,:`~,~~t ~~"`~..w,sir.~l"'~r`.~`~."~"{~'s:;,v°':~ru:~a~'(in.1ri.~'s, w.c'S,~ u4'1.~~r5Ws7.§~`°1'%?fI}.vexf,°S. rr`=+'l;s'::~`1U:, w3~i.''.rt'dLt ~a R f?,~Y.s?":..:~r. . 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 .............................................................................................................. ............ ^ (] d. receive the promise for life of either payments, benefits or care? .......................................................... ............ ^ x^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................... ........... ^ x^ 3. Did decedent own an "Intrust for" orpayable-upon-death bank account or security at his or her death? ... ........... ^ z^ 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. ,;;~ 2 'i'id^M1i ,@At~ c~ 'rsa ~4 7vs~"n.~`.'j`..t .rii' ~~hw'Ln r~wtA"i°"'~.~t,t A ~ r ~~' a p x~..~h s , , ~" a ad,`5'" '~ H.. a rvu d =~k. <. ..~'c~ !.E .h Tr6.r'e:'~'r P,.:'„ l.,s..-l~~w.. ,.~i¢~*a,^;7a..,Y:M~,Y°',.i°~k ~~'i5.pa5''{.`~ehi '?<, d i'..,t .~ ~.r,~ ~ ~+hE ..~~ ~t "~"+K ~`, n~'~~,,~{"r .:'C;~ 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 p2 P.S. §9116 (a) (1.1) (i)J. 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)j. 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. §91t6(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)]. Asibling 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-1504 EX+(e-ge) SCHEDULE C CLOSELY-HELD CORPORATION, COMMONWEALTH OF PENNSYLVANIA PARTNERSHIP OR INHERITANCE TAX RETURN RESIDENT DECEDENT SOLE-PROPRIETORSHIP ESTATE OF FILE NUMBER Charles J. Taylor 21-10-0722 Schedule C•1 or C-2 (including all supporting informagon) must be attached for each dosely-held corporationlpannership interest of the decedent, other than a sole-proprietorship. See insWctions for tha supporting Information to be submitted fw sole•propdetorahips. ITEM NUMBER VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• HenlorAssociates, ageneral partnership-50%, interest as a general partner 687,740.00 2• Taylor Enterprises, LP, a limited partnership, 42.900237% interest as a general partner 2,099,600.00 3. CJSPT Limited Partnership,1% interest as a general partner, sub nom "CJSPT, LLC," a disregarded entity solely owned by Decedent 16,205.00 TOTAL (Also enter on line 3, Recapitulation) I $ 2,803,545.00 (If more space is needed, insert addldonal sheets of the same size) REV-t 506 Ex * (&00) COMMONWEALTH OF PENNSriVANIA INHERITANCE TAX RETURN RESIDENT oECE~Nr SCHEDULE C-2 PARTNERSHIP INFORMATION REPORT FILE NUMBER Charles J. Taylor 21-10-0722 1. Name of Partnership Hanl or Associates Date Business Commenced f14~14~19R9 Address P.O_ Amr f,RFi Business Reporting Year Calendar Camp Hill, State pp Zip Code 1 7f11 1 City 2. Federal Employer I.D. Number 3. Type of Business Investment Real estate 4. Decedent was a ~J General ^ Limited partner. If decedent was a limited partner, provide initial investment $ 5. PERCENT OF PERCENT OF BALANCE OF PARTNER NAME INCOME OWNERSHIP CAPITAL ACCOUNT A Charles J. Taylor 50~ 50~ $183,176 oxcro t o ouse ssoc ates 50~ 50X $264,949 B. /T1......ae i.T /5.~..nh nrl C.. D. 6. Value of the decedent's interest $ 687, 740 7. Was the Partnership indebted to the decedent?, , , , , , , , ^Yes If yes, provide amount of indebtedness $ u No 8. Wes there life insurance payable to the partnership upon the death ofthe decedent? . ^Yes [~ No If yes, Cash Surrender Value $ Net proceeds payable $ Owner of the policy 9. Did the decedent sell or transfer an interest in this partnership within one year prior to death or within two years if the date of death was prior to 12-31-82? ^ Yes ®No If yes, ^ Transfer ^ Sale Percentage transferredlsold Transferee or Purchaser Consideration $ Attach a separate sheet for additional transfers andlor sales. Date 10. Was there a written partnership agreement in effect at the time of the decedent's death? ©Yes ^ No If yes, provide a copy of the agreement. 11. Was the decedent's partnership interest sold? .............................. ^Yes ~] No If yes, provide a copy of the agreement of sale, etc. 12. Was the partnership dissolved or liquidated after the decedent's death?, , , , , , , , , ^Yes ~ No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 13. Was the decedent related to any of the partners? ............................ ^Yes ~] No If yes, explain 14. Did the partnership have an interest in other corporations or partnerships? .. ..... ^Yes g] No If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest THE FOLLOWING INFORMATION MUST BE UBMITTED WITH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedenCs partnership interest. B. Complete copies of financial statements or Federal Partnership Income Tax returns (Form 1065) for the year of death and 4 preceding years. C. If the partnership owned real estate, submit a list showing the complete address/es and estimated fair market valuels. If real estate appraisals have been secured, attach copies. D. Any other information relating to the valuation of the decedents partnership interest. ProducUService 25-1599851 awessa t.ooo REV-7508 Ex+ (9.00) CDMMDNVYEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C-2 PARTNERSHIP INFORMATION REPORT Charles J. Taylor Name of Partnership Taylor Enterprises, L.P. Address 5015 E. Trindle Road City Mechanicsburg, 2. Federal Empbyer I.D. Number 26-0750226 FILE NUMBER 21-10-0722 Date Business Commenced 9/26/07 Business Reporting Year Calendar State PA Zip Code 17050 3. Type of Business Investment ProducUService Securities 4. Decedent was a [~ General ^ Limited partner. If decedent was a limited partner, provide initial investment $ 5. PARTNER NAME PERCENT OF PERCENT OF BALANCE OF INCOME OWNERSHIP CAPITAL ACCOUNT 7. Was the Partnership indebted to the decedent?, , , , , , , , , , , , , ,,,, ^ Yes ®No If yes, provide amount of indebtedness $ 8. Was there life insurance payable to the partnership upon the death of the decedent? , ^ Yes ®No If yes, Cash Surrender Value Owner of the policy Net proceeds payable $ 9. Did the decedent sell or transfer an interest in this partnership within one year prior to death or within two years if the date of death was prior to 12-31-82? ^ Yes ~] No If yes, ^ Transfer ^ Sale Transferee or Purchaser Attach a separate sheet for addftional transfers and/or sales. Percentage transferred/sold Consideration $ Date 10. Was there a written partnership agreement in effect at the time of the decedent's death? , , , , , , ®Yes ^ No If yes, provide a copy of the agreement. 11. Was the decedent's partnership interest sold? .............................. ^ Yes ®No If yes, provide a copy of the agreement of sale, etc: 12. Was the partnership dissolved or liquidated after the decedent's death?, , , , , , , , , , , , , , , , ^ Yes ~] No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 13. Was the decedent related to any otthe partners?. [~ Yes ^ No S ouse, children " " " " " " " ' If yes, explain P grandchildren 14. Did the partnership have an interest in other corporations or partnerships? .... .. [~ Yes ^ No If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest THE FOLLOWING INFORMATION MUST BE SUBMITTED WRH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedents partnership interest. B. Complete copies of financial statements or Federal Partnership Income Tax returns (Form 1065) for the year of death and 4 preceding years. C. If the partnership owned real estate, submit a list showing the complete address/es and estimated fair market values. If real estate appraisals have been secured, attach copies. D. Any other information relating to the valuation of the decedent's partnership interest. awasa9 ~.ooo 6. Value of the decedent's interest $ 2.099, 600 Rev-~sas ex. (o-ml COM#fONWEALTH OF PENNSriVANIA INHERITANCE TAX RETURN SCHEDULE C-2 PARTNERSHIP INFORMATION REPORT ca r..~ c yr FILE NUMBER Charles J. Taylor ~ 21-10-0722 1. Name of Partnership Address 5015 E CJSPT, L.P. Trindle Road Chy Mechanicsburg 2. Federal Employer I.D. Number _ 3. Type of Business Rental 25-1859292 Date Business Commenced 04/06/2007 Business Reporting Year Calendar Stete~~_ Zip Code 17050 ProducUService Real Estate 4. Decedent was a [j Generel ^ LimRed partner. If decedent was a limited partner, provide initial investment 5. PARTNER NAME PERCENT OF INCOME PERCENT OF OWNERSHIP BALANCE OF CAPITAL ACCOUNT A SEE ATTACHED SCHEDULE B. C. D. 6. Value of the decedent's interest $ 16, 205 7. Was the•Partnership indebted to the decedent?, , .. , ... , ... , ©Yes ®No If yes, provide amount of indebtedness $ 8. Was there life insurance payable to the partnership upon the death of the decederrt? ^ Y~ ~ No If yes, Cash Surrender Value Owner of the policy Net proceeds payabb $ 9. Did the decedent sell or transfer an interest in this partnership wthin one year prior to death or within two years if the date of death was prior to 12-31-827 ^ Yes [~ No It yes, ^ Transfer ^ Sale Percentage transferred/sold Transferee or Purchaser Attach a separate sheet far additional transfers and/or sales. Consideration $ Date 10. Was there a written partnership agreement in effect at the time of the decedent's death? , }~ Yes ^ No If yes, provide a copy of the agreement. ~ ' ~ ' 11. Was the decedent's partnership Interost sold? .................... ^ Yes ®No .......... If yes, provide a copy of the agroement of sab, etc. 12. Was the partnerohip dissolved or liquidated after the decadence death?, , , , , , , , , , , , , , , , ^ Yes [~ No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 13. Was the decedent related to any of the partners? , , , d Yes ^ No If yes, e~lain Limite partners are Decedent's adul't' ctiil'd=en: ' ~ ' ' ' 14. Did the partnership have an interest in other corporations or partnerships? ............. . ^ Yes )K] No If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedenYe partnership interest. 8. Complete copies of financial statements or Federal Partnership Income Tax returns (Form 1065) for the year of death and 4 praeeding years. C. If the partnership owned real estate, submit a list showing the complete addresses and estimated fair market valuels. If real estate appraisals have been secured, attach copies, D. Any other information relating to the valuation of the decedenYa partnership Interest. 4W4aea 1.000 REV-1510 EX+ (08-09) ~ Pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT earAre ur FILE NUMBER Charles J. Taylor 2110-0722 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 DESCRIPTION OF PROPERTY NUMBER INClUpETHE NAME OF 7HE iPANEFEREE, THEIR REUQ[DNSHIPTD DECEDENiANp TXE DATE of TRANSFER. ATTAal A CpPV aF TXE PEED FoR REAL EsrATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION F TAXABLE I APPUrABIE VALUE 1• Merrill Lynch IRA -Acct. #872-70119 364,565.00 100 364,565.0( 2 Merrill Lynch IRA -Acct. #872-71014 913,443.00 100 913,443.Of 3 Raynwnd James IRA -Acct. #62491263 264,068.00 100 264,068.OC Beneficiary Suzanne P. Taylor, Spouse TOTAL (Also enter on Line 7, Recapitulation) # I 1,542,076.00 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) Pennsylvania INMERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS eaiw~~ ~r FILE NUMBER Charles J. Taylor 21-10-0722 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. 4,700.00 B. 1. ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address Ciry ___ Year(s) Commission Paid: State __ ZIP Z• Attorney Fees: Mette, Evans ~ Woodside 55,000.00 3~ Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 3,500.00 claimant _Suzanne P. Taylor -------_.__-----_-----.--- .------------ __ __ Street Address 135 Rodney Laf18________ _- __ cry _ Camp Hill _ state PA zIP 170_11_ _ Relationship of Claimant to Decedent 4• Probate Fees: 1,674.00 5• Aaountant Fees: 6• Tax Return Preparer Fees: Waggoner Fruitiger & Daub 1,000.00 ~• Legal Advertisements 252.00 B. Appraisal, Walters Appraisal Services, Inc. 7,500.00 s. Estimated expenses to terminate estate 1,000.00 TOTAL (Also enter on Line 9, Recapitulation) ~; 74,626.00 If more space is needed, use additional sheets of paper of the same size. REV-1513 EX+ (O1-10) ~ Pennsylvania SCHEDULE DEPARTMENT OF REVENUE INNERrtANCE TAx RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Charles J. Ta for 21-10-0722 NUMBER NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE () Do Not List Truatar(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. 2. 3. 4. Jeffrey C. Taylor Lisa M. Shedlosky Karen T. Nunes Each child receives one-sixth (116th) of net intestate estate. Spousal distributions to Suzanne P. Taylor (see attached) Son Daughter Daughter Sub-Total Spouse TOTAL ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL D[STRIBUT10N5 UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARfTABLE AND GOVERNMENTAL DiSTRIBUTI0N5: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I; If more space is needed, use additional sheets of paper of the same size. $449,820 $449,820 $449,820 $1,349,460 $2,921,535 $4,270,995 Estate of Charles J. Tavlor Schedule J Beneficiaries Spouse -Suzanne P. Taylor Schedule G - $1,542,076 Intestate shaze $30,000 + yZ net estate 1 379 459 To Part I, #4 - $2,921,535 532141v1