HomeMy WebLinkAbout07-01-111505610143
REV-1500 Ex(°'-'°'
PA De artment of Revenue y OFFICIAL USE ONLY
P Penns Ivania County Code Year File Number
Bureau of Individual Taxes OEFARTMENT OF REVENUE
PO 60X.280601 INHERITANCE TAX RETURN 21 0 9 0 607
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
190 44 7768 06 12 2009 04 04 1952
Decedent's Last Name
WALKER
Suffix Decedent's First Name
DAVID
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
1. Original Retum
4. Limited Estate
^ g Decedent Died Testate
(Attach Copy of Wi11)
9. Litigation Proceeds Received
Spouse's First Name
MI
A
MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4a. Future interest Compromise ~ 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
~ Decedent Maint fined a Living Trust 8. Total Number of Safe De osit Boxes
(Attach Copy of~rrust) p
1 D S ousal Poverty Credit date of death 11. Election to tax under Sec. 9113(A)
b~tween 12-31 51 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
WAYNE M PECHT 717 691 9808,,
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REGISTEII~IIfILLS U3~ONL'f .m
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First line of address
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1205 MANOR DRIVE u _-~
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Second line of address o
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SUITE 200
City or Post Office
MECHANICSBURG
State ZIP Code
PA 17055
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DATE FILED ~°
Correspondent's a-mail address: H/peCht@peChtlaW.com
Under penalties of perjury, I deGare 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.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
Kathleen E
1615 23rd~Avenue. Altoona. PA 16601
JwrvHl{1K~KCrHt$gr<vInCJC~nHrvK K Crv IH11VC DATE
~ ~)//_]f t~Jf/V/[)yn Wayne M Pecht l? -'~,,~~' ~l
ADDRESS
1205 Manor Drive, Suite 200, Mechanicsburg, PA 17055
Side 1
1505610143 1505610143 J
i+
REV-1500 EX
Decedent's Name: Walk@f, David A
Decedent's Social Security Number
190 44 7768
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................ . 2. 85 , 22 9.61
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3.
4. Mortgages & Notes Receivable (Schedule D) ....................................................... . 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .............. . 5. 7 , 660 .27
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers & Miscellaneous I~nq Probate Property
(Schedule G) Lf Separate Billing Requested............ 7.
8. Total Gross Assets (total Lines 1-7) .................................................................... . g. 92 , 889.88
9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 23 , 023.8 6
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 12 , 545.75
11. Total Deductions (total Lines 9 & 10) .................................................................. . 11. 35 , 569.61
12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 57 , 32O . 27
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. 57 , 320 , 27
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
kransfers under Sec. 9116
15
O
OO
(a)(1.2) X .00 . .
16. Amount of Line 14 taxable rj 7
32 O . 2 7 16. 2 , 5 7 9.41
,
at lineal rate X .045
17. Amount of Line 14 taxable
O
O O
17
O
O O
.
at sibling rate X .12 . .
18. Amount of Line 14 taxable
O
OO
18
0
OO
.
at collateral rate X .15 . .
19. Tax Due ................................................................................................................. . 19. 2 , 5 7 9.41
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
1505610243
Side 2
1505610243 1505610243 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-09-0607
DECEDENT'S NAME
Walker, David A
STREET ADDRESS
82 Linda Drive ,Lot #30
Mechanicsburg
CITY STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
0.00
3. Interest
4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box 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 TAX DUE.
(1) 2,579.41
0.00
(3)
(4)
(5) 2,579.41
Make Check Pa able 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 ............................................................................................................... ^ 0
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? .................................................................................................................... ^ 0
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? .................................................................................................................. x
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 January 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. §9116 (a) (1.2)].
. The tax rate imposed on the net value of transfers to or for the use of the decedent's -ineal 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)]. 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.
Total Credits (A + B) (2)
Rev-1503 EX+ (6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Walker, David A 21-09-0607
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
1 Vanguard -Total Bond Market 6,532.12
2 Vanguard -Selected Value Fund 2,576.14
3 Vanguard Beneficiary IRA - Wellesely Income Fund 76,121.35
TOTAL (Also enter on Line 2, Recapitulation) 85,229.61
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98)
Rev-1508 EX+t6-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMON WEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
Walker, David A 21-09-0607
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
REV-1151 EX+(10-06)
COM INHERITANTCE T~ RETURN ANIA
RESIDENTT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF I FILE NUMBE
Walker, David A 21-09-0607
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
N MBE
A, FUNERAL EXPENSES:
See continuation schedule(s) attached
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Kathleen E Strong
Street Address 1615 23rd Avenue
City Altoona State PA zip 16601
Year(sl Commission paid 2011
2, Attorney's Fees Pecht 8a Associates, PC
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
10,000.00
10,000.00
4. Probate Fees 80.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 360.86
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 23,023.86
2,583.00
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Walker, David A 21-09-0607
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Ex en nses
1 Myers Funeral Home, Inc. 2,583.00
H-A 2,583.00
Other Administrative Costs
2 Cumberland Law Journal -Legal Advertisement -Estate Notice 75.00
3 Prothonotary, Cumberland County -Filing Fee - Inheritance Tax Return and Inventory 30.00
4 Prothonotary, Cumberland County -Filing Fee -Family Settlement Agreement 20.00
5 The Patriot-News Co. -Legal Advertisement -Estate Notice 235.86
H-B7 360.86
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
Rev-1512 EX+ (12-08)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Walker, David A 21-09-0607
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Andrews 8~ Patel, PC -Medical Services 160.00
2 Bank of America -Proof of Claim 553.02
3 CBCS for PPL Electric Utilities -Utility Service 104.81
4 Center for Kidney Disease -Medical Services 5.00
5 DCM Services 445.30
6 Kantor 8 Tkatch & Associates -Medical Services 1,118.00
7 Moffitt Heart Group -Medical Services 460.00
8 Quantum Imaging -Medical Services 7,446.00
9 RMS Vonage -Utility Service 98.45
10 Spirit Physician Services -Medical Services 422.00
11 Urology of Central Pennsylvania -Medical Services 142.00
12 Verizon Wireless -Utility Service 21.17
13 West Shore Pathology -Medical Services 1,570.00
TOTAL (Also enter on Line 10, Recapitulation) I 12,545.75
(If more space is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08)
REV-1513 EX+111-08)
SCHEDULE J
COMM_QR _, ENTEDECEDENTRNANIA BENEFICIARIES
ESTATE OF FILE NUMBER
Walker, David A ~ 21-09-06 07
NAME AND ADDRESS OF RELATIONSHIP TO
SHARE OF ESTATE
AMOUNT OF ESTATE
NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do of i tee
I TAXABLE DISTRIBUTIONS [include outright spousal
~ distributions, and transfers
under Sec. 9116 a 1.2
PA
Gail W Walker Mother One Hundred 57,320.27
1414 Aberdeen Street Percent
Altoona, PA 16602-4008
Total 57,320.27
Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 15 00 cover sheet, as a r o riate.
NON-TAXABLE DISTRIBUTIONS:
II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
See continuation schedule(s) attached
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-OS)
PECHT & ASSOCIATES, PC
Suite 200
1205 Manor Drive
Mechanicsburg, PA 17055
Wayne M. Pecht
Member of California Bar
CPA/LLM in Taxation
Rob Bleecher
June 30, 2011
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Re: Estate of David A. Walker, deceased
File No.: 21-09-0607
Dear Ms. Strasbaugh:
Telephone: 717-691-9808
Fax: 717-691-2070
www.pechtlaw.com
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Enclosed for filing with your office are the original and three (3) copies of the Inheritance Tax
Return and Inventory with regard to the above-referenced estate. Also enclosed is check number
1022 payable to Register of Wills, Agent in the amount of $2,579.41 representing the inheritance
tax due on this estate, and check number 1022 payable to the Register of Wills, representing the
filing fees for the Inheritance Tax Return and Inventory.
Please file the original and return two date-stamped copies to me in the enclosed self-addressed,
stamped envelope.
If you have any questions, please call me. Thank you for your continuing cooperation.
Very truly yours,
PECHT & ASSOCIATES, P.C.
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