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HomeMy WebLinkAbout06-16-111505610105 REV-1500 Ex {o~-~~> ~Ft, enns tvania OFFICIAL USE ONLY PA Department of Revenue p Y ~~~.w.~.~~_~,~~~~~~~~ County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 28o6oi ~ ~ Harrisburg, PA ~y128-o6oi RESIDENT DECEDENT '- I f ~ ____ ~<~..- ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 185-26-2823 09/25/2010 03/17/1919 Decedent's Last Name Suffix Decedent's First Name MI :Oakes Velma E (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 C» 1. Original Return O O 4. Limited Estate O O 6. Decedent Died Testate O (Attach Copy of Will) O 9. Litigation Proceeds Received O 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-$2) 7. Decedent Maintained a Living Trust (Attach Copy of Trust.) 10. Spousal Poverty Credit (Date of Death Between 12-31-91 and 1-1-95) O 3. Remainder Return (Date of Death Prior to 12-13-82) O 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes O 11. Election to Tax under Sec. 9113(A) (Attach Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE. DIRECTED T0: Name Daytime Telephone Number John F. Lyons, Esquire (717) 238-4777 ,.~, First Line of Address 112 Walnut Street Second Line of Address City or Post Office State ZIP Cade Harrisburg PA 17101 Correspondent's a-mail address: ~-~ ---- _._ , ~, REGISTER O~IL I~' .i USE ONE ~ ~ : .L ... C"'' ...: .~ c:=. -_ ' - ~ ~ ----t CO .... DATE FILED "`" ~~, _~ ~ z"7 i -: , r;'7 ,'~r~ ,~ ---r-t ., _r r.~ ' ~'i v7 __ 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. IG ATURE OF PE~SON -SPONSIBLE FOR FILING RETURN DATE RESS 7 E , Carry Hill, PA 17011 ,. - URE OF P -.._ SAN REPRESENTATIVE DATE D E S - F 1 Walnut Street, Harries rq, PA 17101 PLEASE USE ORIGINAL FORM ONLY Side 1 1,50561,0105 1505610105 J ,-~ Lsos61o2os REV-1500 EX (FI) Decedents Name: Velma E. Oakes Decedent's Social Security Number 185-26-2823 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. Mortgayes and Notes Receivable (Schedule D) ......................... .. 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E}..... .. 5. 13,067.23 6. Jointly Owned Property (Schedule F} ~ Separate Billing Requested ..... .. 6. 608.00 7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested...... .. 7. 8. Total Gross Assets (total Lines 1 through 7) ........................... .. 8. 13,675.23 9. Funeral Expenses and Administrative Costs (Schedule H) ............ ....... 9. 12,183.89 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ........ ....... 10. 132,760.36 11. Total Deductions (total Lines 9 and 10) .......................... ....... 11. 144,944.25 12. Net Value of Estate (Line 8 minus Line 11 } ....................... ....... 12. -131,269.02 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. 0.00 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_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 45 0.00 1 ~,, 17. Amount of Line 14 taxable at sibling rate X .12 17, 18. Amount of Line 14 taxable at collateral rate X .15 1 g, 19. TAX DUE ....................................................... .. 19. 0.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p Side 2 1505610205 150561,0205 REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Velma E. Oakes Estate STREETADDRESS - -~ ----- --- ---------------.--- 785 Erford Road CITY STATE ZIP Camp Hill PA 17101 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments _______________ B. Discount 3. Interest Total Credits (A + B) (2) (3) 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 request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIIATE 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 ....................................................................................................................... ....... ^ d. receive the promise for life of either payments, benefits or care? ............................................................... ....... ^ 2. If death occurred after Dec. 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? ........ ...... ^ 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}]. 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 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. §9116(x)(1.2}J. • 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(x)(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(x)(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-1508 EX+ (11-io) ~~~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS & MISC. PERSONAL PROPERTY ESTATE OF: FILE (NUMBER: Velma E. Oakes 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. If more space is needed, use additional sheets of paper of the same size. REV-i5o9 EX+ (oi-io) ~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F )OINTLY-OWNED PROPERTY ESTATE OF: FILE NUMBER: Velma E. Oakes JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECEDENT'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1. A. 05/01/08 PNC Bank - 7063856 -Checking Account 1,215.99 5~0% 608.00 Monthly Staternent attached. Assessed and paid separately. TOTAL (Also enter on Line 6, Recapitulation) $ 608.00 If more space is needed, use additional sheets of paper of the same size. If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G. REV-I.S11 EX+ (10-09; V ~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Velma E. Oakes Decedent's debts must be reported on Schedule I. ITEM - NUMBER DESCRIPTION _ .AMOUNT A, FUNERAL EXPENSES: 1' Robinson-Lytle, Inc. -funeral bill 9,049.95 Malcolm's House of Flowers, Inc. -funeral flowers and urn for ashes 429.30 Shoemaker Monument Company 100.00 Fire Mountain of Indiana 234.72 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) __ _______ __ Street Address City _.__..._......_..-- - --------- - - -------- - - - - ------ .....-------- -- - - ---...._ _- ---- ---....-- State .------ ---ZIP Year(s) Commission Paid: 2~ Attorney Fees: 3• Family Exemption: (If decedent's address is not the same as claimant`s, attach explanation.) Claimant 4 5, 6. 7. Street Address City --------------- _...-._..._._ State _..---._.._.._ ZIP Relationship of Claimant to Decedent Probate Fees: Accountant Fees: Tax Return Preparer Fees: Cumberland Law Journal -Estate advertising The Sentinel -Estate advertising H&R Block - 2010 Tax Return TOTAL (Also enter on Line 9, Recapitulation) I $ If more space is needed, use additional sheets of paper of the same size. 1,88a.oo 98.00 75.00 176.92 140.00 12,183.89 ftE'/-1.51.2 E:xt ~12_pSj ~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDEfJT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Velma E. Oakes Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. 1t more space is needed, insert additional sheets of the same size.