HomeMy WebLinkAbout04-28-11J 1505610105
OFFICIAL USE ONLY
REV-1500~"~~"~'m
PA Department of Revenue ~ ~ eta County Code Year Flb Number
Bureau of Individual Taxes INHERITANCE TAX RETURN ': -_--, j/~R i
PO BOX ~806o„~~R~~ RESIDENT DECEDENT ~_ _',~ ~~ i( J V
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY
j 161-62-4370 ~ 107121 /2010
Decedent's Last Name Sufthc
Getgen
(If Appllcabls) Enter Surviving Spouse's Information Below
Spouse's Laet Name Suffix
.__ ~ ..__
Getgen
Date of Birth MMDDYYYY
09/09/1967
!__.__ __
Decedent's First Name MI
Todd _ _ .. D '
Spouse's Firsi Name MI
Stella ~ S i
spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
'i! 4so-s1-372s REGISTER OF WILLS
FILL IN APPROPRU\TE OVALS BELOW
(>p 1. Original Return O 2. Supplemental Return C 3. Remainder Return (Date of Death
Prior to 12-1382)
O 4. Limked Estate n~re2t a~ ;romise (date of
O 4a. ~u~re I O 5. Federal Estate Tax Return Required
~
D)d 6. Decedent Died Testate O 7. Decedent Malntalned a Living Trust ~ S. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
O 9. Likgadon Proceeds Received O 10. 9
a D~~
D1 t
31 81 a
l ~ 9113(A)
O 11
95
nd 1
e~een
2- (Attach Schedule O)
CORRESPONDENT - THIS SECTION MUST 8E COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Deyttme Telephone Number
Name __ .. ___.
~~.. _.~._... __. _..__ .. ._
Stella S. Getgen r
732-38~ r
~ (717)
_ ..
~-t
_ .. ,
REGISTER L8 USE ~LY
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'7 r
ra
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17
First Lina of Address ~
?
C
' 16 Sherwood Circle [mac-„ - -~~
~~
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Second LineotAddress __ _. ....,... __ ..... ~
- ---I - .
n
D ~,,
i ___.i DATE FILED C,
City or Poat Office State ZIP Code
Enola i ~ PA j ~ 17025
ComspondsM's e-mail address: Sgeigen(Q3gmall corn
Under penaltles ~ perJury, I dedero that I have examined ihle return, Indudlnp eaompenying schedules and statements, and to the beet of my Imnwledye and belief,
it la iru0. correct end compbb. Dedaretlon of proparer other than the personal representative b based on ell Intormatlan of which preperer hae arty knowledge.
SIONA F N ISLE FOR FILING RETURN J /~J_~ ~r/ATE
AD R SS /' n ~( Y-G/Q Q / / / r~J
SIGNATURE OF PREJPARER OTHER THAN REPRESENTATIVE V DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
L 1505610105
Side 1
1505610105
REV 1500 EX (FI)
Oacedent's Name: Todd D.
Decedents SoGal Securil
1 B i ~i~~37f1
Number
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.
I
4. Mortgages and Notes Receivable (Schedule D) ........................... 4. ',
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5.
6. Joint) Owned Pro ) p g e9
7. Inter-Vivos Transfers ~ Misceilanleous N~o~n-Probate Pro iperty R nested ....... 6.
(Schedule G) O Separate Billing Requested........ 7. ',
0.00 ':
0.00
0.00;
0.00
24,736.48
6,710.13 ,
140,501.73
8. Total Gross Assets (total Lines 1 through 7) ............................. 8. ; 171,848.34
9. Funeral Expenses and Administrative Costs (Schedule H) ................. .. 9..' 0.00
10. Debts of Decedent, Mortgage LIabIlfUes and Liens (Schedule q ............. .. 10. ! 0.00
11. Tots) Deductions (total Lines 9 and 10) ............................... .. 11. ! 0.00
12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. '~ 171,948.34
13. Chadtebla and Governmental BequestslSec 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. 171,848.34
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 8116
165,238.21 _ _. _ .__
! _ _,
O.0OI.
18. A lineal reteinX 104 taxable 6,710.13 ! 16. ' _ _~
301.96
17. Amount of Line 14 taxable
at sibling rate X .12 17,
18. Amount of Lme 14 taxable
at collateral rate X .15 1 g. ';
19. TAX DUE ......................................................... 19.E 301.86
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
1505610205
Side 2
L 1505610205 1505610205 J
REV-1b00 EX (FI) Payo 3
w_ __J__af_ A~..~.~IwLw Addr®ee•
File Number
YtlGtlYCU~ a vvn~Nw•~ .-..........~.
DCDNTS
Todd D. Getgen
STREETADDRESS
16 Sherwood Circle
CITY
Enola STATE
PA ZIP
17025
Tax Payments and Credits:
1. Tex Due (Page 2, Line 19)
2. CreditslPayments
A. Prior Payments
B. Discount
3. Interest
301.96
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill In,oval on Page 2, Line 20 to roquest a rotund.
5. If Line 1 + Llne 3 is greater than line 2, enter the difference. This is the TAX DUE.
Total Credits (A + B) (2)
(3)
(4)
(5)
301.96
301.96
0.00
Make check payable to: F7€~{STt~t ~ ~tiLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Dld decadent make a transfer and: Yes No
a. retain the use ar income of the propeAy transferred .......................................................................................... ^ ~
b. retain the right to designate who shall use the properly transferred or its income ............................................ ^
c. retain a reversionary interest .............................................................................................................................. ^
d. receive the promise for life of either payments, benefits or care? ...................................................................... ^
2. If death occurred after Dec. 12, 1982, did decedent transfer properly within one year of death
without receiving adequate consideretion? .............................................................................................................. ^
3. Did decedent own an 9n Wst for' or payable-upon~eath bank aarount or security at his or her death? .............. ^
4. Did decedent own an Individual retirement account, annuity or other non-probate properly, which
cxrntains a benefidary 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.
_ ,.. ,
~.: ~ _
Fw 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 Jan. 1, 1985, 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
fikng a tax return are still applicable evert if file surviving spouse is the only benefidary.
For dates of death on ar 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 nature) parent, an
adoptive parent or a stepparent of file child is 0 percent (72 P S. §9116(a)(1.2)}.
• The tax rate imposed on the net value of transfers b or for the use of the deodents lineal benefidaries is 4.5 percent, except as noted in [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,
under Section 9102, as en individual who has a- least one parent in common with the decedent, whetl-er by blood or adoption.
REV-i5o8 D(+ (Si-io)
pennsylvania SCM6pYLE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS =i MISC.
INNERrrANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEflENi
ESTATE OF: FILE NUMBER:
Todd D. Getgen
tnrhiel~ thi. nreeeP~s of litlaatlon and the date the Drooeeds were received by the estate.
[f more space is needed, use additional sheets of paper of the same site.
REV-i5o9 EX+ (oi-io)
p~nsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
SCNEpYLE F
JOINTLY-OWNED PROPERTY
ESTATE OF: FILE NUMBER:
Todd D. Getgen 21-10-0883
If an asset became jointly owned within one year of the decedent's date of death, it must be roported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A. Ethan C. Getgen
16 Sherwood Circle, Enola, PA 17025
Child
8.
C.
TATYTI V AWYCI- DDADFDTV•
FIEM
NUMBER LETTER
FOR ]DINT
TENANT DarE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR 101NTLV HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % of
DKEDENTS
INTEREST DATE or DEATH
VAWE Of
DKEDENT'S INTEREST
i. A. 04101/08 Members 1st FCU -Acct. 238019-42, CeltNicate of Deposit 11,031.28 50% 5,515.64
2. A 11121103 Members 1st FCU-Acct 238019-00 Savings atxount 2,388.97 50% 1,194.49
TOTAL (Also enter on Line 6, Recapltulatlon) I ~ 6,710.13
if more space is needed, use additional sheets of paper of the same size.
REV-1510 DC+ (08-09)
~pennsylvania SCHEDULE G
DEPARTMENTOF REVffNUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAx RETURN MISC. NON-PRORATE PROPERTY
RE4IDENT DECEDENT
ESTATE OF FILE NIIMEER
Todd D. Getaen 21-10-0883
Thl< «n.n~nA mni<M he mmeleted and filed If the answer t0 anv of Duestions i through 4 on page three of the REV•1500 Is yes.
ITEM
NUMBER IiESCRiPTION OF PROPERT!
iHCUroE THE NAlIE DF TIE TMlISFl3IEE, THaR REUITIONSIffP ro OECEDB1r Atm
TxffoA aFT-µsrEn.A~r~cxAtowaFTHenFaoracnFUarArE• DATE OF DEATH
VALUE OF ASSET % OF DECDS
INTEREST EXCLUSION
F TAXABLE
VALUE
1. Schmidt Kramer P.C. Retirement Plan (401 K) Stelle S. Getgen, spouse 140,501.73 100 140,501.73
beneficiary.
TDTAL (Also Enter on Line 7, RECapitulatton) # I 140,501.73
If more space Is needed, use edditloml sheets of paper of the same size.
RtV-1512 EX+ (12-08)
m Pennsylvania SCHEDULE I
DEPARTMENT OE REVHNUE DEBTS OF DECEDENT,
INHERITANCE TAX REIDRN MORTGAGE LIABILITIES Ee LIENS
RESIDENT DECEDt~lT
ESTATE OF FILE NUMBER
Todd D Getgen
If more space K needed, Insert addidonal sheets of the same sfu.
REV-1513 EX+ (O1-10)
~pennsylvania
OEPARTTtENT OF REVENUE
INHERTTANCE TAX RETURN
RESIDENT DECEDENT SCHEDULE 7
BENEFICIARIES
FILE NUMBER:
ESTATE OF:
21-10-0883
Todd D. Get en RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE D1STRiBUTI0N5 [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1. Stella S. Getgen Spouse 185,238.21
2. Ethan C. Getgen Child 6,710.13
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ O.Oo
If more space is needed, use additional sheets of paper of the same s(ze.