HomeMy WebLinkAbout08-08-11 (2)-I Z5D561D7,D5
REV-15(30 =x~°~ :'"-~' ~~
OFFICIAL USE ONLY
PA Department of Revenue Pennsylvania
Bureau of Individual Taxes `"' ~ County Code Year File Number
INHERITANCE TAX RETURN ,~
PO BOX z8D6oi t' f ~ '
Harrisburg, PA 1'7128-0601 RESIDENT DECEDENT ~~ ~ t._ ~ r? (-
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Iti1P~1DDYYYY Date of Birth 11MDDY','YY
148-18-7493 11 /11 /2010 10/06/1924
Decedents Last Name Suffix Decedent's First Name MI
Fithian Bernice M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
N/A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER 4F WILLS
FILL 1N APPROPRIATE OVALS BELOW
~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return {Date of Death
Pror to 12-13-82)
p 4. Limited Estate Q 4a. Future Interest Compron?ise (date of O 5. Federal Estate Tax Return Required
death after 12-12-82j
t=3 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes
(Attach Copy of NJill) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 1i. Election to Tax under Sec. 9113(A}
Between 12-31-91 and 1-1-95} (Attach Schedule O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephonetuber
Jered L. Hock (717) 991-9889~~ -~-
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--~-, ,- -
REGISTER OFWIF~,~~ItSE ONW:'
- _ > ~'T'1 t
First Line of Address - -
C
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1
1334 Kiner Blvd. ~ -
~77 .
Second Line of Address _
- ~ ---i . .
Y>
City or Post Office State ZIP Code DATE FILED
Carlisle PA 17015
Correspondent's a-mail address: jeredhock@gmall.com
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Under penalties of penury, I decare that I have examined this return, including accompanying schedules and statements; and to the best of my know--ledge and belief;
it s true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
5 RE OF P RSO RESP NS LE FOR FI G RETURN DATE
~ 08/11/2011
~~~~
1334 Kiner Blvd., Carlisle PA 17015-9769
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
1,5D561,D1,D5 1,5D56ZD1~05
~~~ r
i
J
1505610205
REV-1500 EX (FI}
Decedent's Social Security Number
Decedents N~~,P: Bernice M. Fithian 148-18-7493
RECAPITULATION
1. Real Estate (Schedule A) ........................................... .. 1. 0.00
2. Stocks and Bonds (Schedule B) ..................................... .. 2. 1,681.43
3. Closely Held Corporation. Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 0.00
4. Ntortgages and Notes Receivable (Schedule D) ......................... .. 4. 0.00
5. Cash. Sank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 3,127.20
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 0.00
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested..... ... 7. 0.00
8. Total Gross Assets (total Lines 1 through 7) .......................... ... 8. 4,808.63
9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9: 2,378.99
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............ ... 10. 663,207.31
11. Total Deductions {total Lines 9 and 10} .............................. ... 11. 665,586.30
12. Net Value of Estate (Line 8 minus Line 11 j ........................... ... 12. 0.00
13. Charitable and Governmental Bequests,-Sec 9113 Trusts for ~.vhich
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. 0.00
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATE5
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
16. Amount of Une 14 taxable
at lineal rate X .0 16.
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. TAX DUE ...................................................... ... 19. 0.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
L 15056],0205 150561,0205 J
REV-1500 EX !Fi) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAA-0E
Bernice Fithian, aka Bernice M. Fithian
STREET ADDRESS
Sarah A. Todd Memorial Home
1000 West South St.
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
t Tax Due (Page 2, Line 19) (1} 0.00
2. CreddsiPayments
A. Priar Payments
B. Discount
Tatal Credits (A + B) (Z} 0.00
3. Interest ----_ ---- --
(3i _ 0.00
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. (~) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) _ 0.00
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 .................................................................................... ......
b. retain the right to designate who shall use the property transferred or its income ...................................._ ~_....,
....., iJ
c. retain a reversionary interest ........................................................................................................................ ...... J
d. receive the promise for life of either payments, benefts or care? ............................................................... _.
.......
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................................... ....... J
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ....... ....... '_J
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. §9110 (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(a)(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(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.
REV-15G3 EX+ ;;5-98j
SCHEDULE B
COMMONWEALTH OF PENNSY~V.4NIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Bernice Fithian, aka Bernice M. Fithian 21-10-1141
All oroaertv jointly-owned with right of survivorship must be disclosed on Schedule F.
(If more space is needed, insert additional sheets or the same size)
REV-i5o8 EX+ (ir-so)
,~ SCHEDULE E
• pennsylvania
DEPAP,rMENT or aEVENUE CASH, BANK DEPOSITS & MISC.
eNHERtraracE r~ax REruRN PERSONAL PROPERTY
RESIDENT DECECEN-
ESTATE OF: FILE NUMBER:
Bernice Fithian, aka Bernice M. Fithian 21-10-1141
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 s,ze.
y
~~ perms lvania SCHEDULE G
DE?An~MENT~F:'.EVENUE INTER-VIVOS TRANSFERS AND
cr,r:ER:TANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESICENT DECEDENT
ESTATE OF FILE NUMBER
Bernice Fithian, aka Bernice M. Fithian 21-10-1141
This schedule must be completed and fired if the answer to ony cf c:uestions 1 through 4 on page three of the REU-].500 is yes.
it more space is needed, use add`tior:al sheets cs paper or the same size.
f2GV-_SI I E; _ ~i-0°;
Pennsylvania
: De~°ART: MENT OF REVENUE
INHERITANCE TAX RETURN
RESIDEPJT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Bernice Fithian, aka Bernice M. Fithian 21-10-1141
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTIOPd Ah'OUNT
A. FUNERAL EXPENSES:
1 Hollinger Funeral Home, reserve for monument inscription 540.00
2. Giant, flowers for grave at burial 8.48
6. ADMINISTRATIVE COSTS:
1, Personal Represer:.tative Commissions:
Name(s) of Persor:.a! Representatives; Jered L. Hock
Street Address 1334 Kiner Blvd.
city Carlisle state PA ZIP 17015
Years; commission Paid: 2011 -Please see explanation attached for fee calculation
2. Attorney fees
~. Family Exemption: (If cecedent's address is na: the same as claimant's, attach explar:.atien.',.
Claimant Not applicable
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees:
5. Accounta~:t Fees:
6. Tax Return Preparer Fees;
Reimbursibles pd to Jered L. Hock for parking, mileage, postage, photocopy, certified letters, etc.:
these reimbursables are included here, as I didn't End another place for them. There are no separate
tax preparer's fees.
TOTAL (Also enter on Line 9, Recapitulation) $
if more space is needed, use add`tional sheets r` paper of the same size.
1.385.50
0.00
0.00
366.58
0.00
78.43
2,378.99
BERNICE FITHIAN, aka BERNICE M. FITHIAN
DOD 11 11 10
File No. 21-10 -1141
Statement regarding executor's fee:
I have kept contemporaneous records of time devoted to this matter, money advanced
for mailings, mileage, photocopy, etc. I did not hire a lawyer, as I am a retired lawyer who
settled many estates in Pennsylvania while engaged in private practice; accordingly, I thereby
saved money for the estate by not hiring a lawyer.
I charged $85 per hour, billed to the tenth of the hour. I know attorneys who are
charging $200-$225 per hour for themselves and $95 and $100 per hour for their paralegals, in
addition to what executors are paid. Accordingly, I feel that my $85 per hour, doing the work
of both the executor and attorney, was very reasonable.
This was a quite small estate. Nonetheless, performing all the tasks required took time
which, in many instances, was essentially the same as the time that would be expended on
comparable tasks with estates of considerable size. In addition, the decedent had no family,
except some nieces in Texas, who did not maintain contact with her, who did not perform any
services for their aunt, and who did not appear for the funeral or otherwise. In short, "it was all
up to me."
k CV -512. E) %-(>~.rj
~~ Pennsylvania SCHEDULE I
1~ ~=-ARri9ENT ~~ REvE^1~= DEBTS OF DECEDENT,
rnr.ERrarucE rax REruRV MORTGAGE LIABILITIES & LIENS
RESICENr DECEDENT
ESTATE OF FILE NUMBER
Bernice Fithian, aka Bernice M. Fithian 21-10-1141
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
iTEJ~1 I ! VALUE AT DATE
^JUM3ER ~ DESCRIPTIO~J i OF DEATH
1 ~ H. Romaine Sheaffer, POA, services provided, expenses reimbursed, for final six month's of decedent's
life (note: decedent had no family to perform these obligations on her behalf from June-Nov 2010). 390.00
2. I Commonwealth of Pennsylvania, Dept. of Public Welfare, Lien for medical expenses + related expen- I
ses for decedent in final six months of life. 32,367.15
3. I '
H. Romaine Sheaffer, POA, services provided, expenses reimbursed, on behalf of decedent, for the 12
months before the last six months of decedent's life (decedent had no family to perform these obli-
i
!
gations and attend to these matters on her behalf); this is for the period from July 2009 -June 2010). ! 500.00
4. ~ Commonwealth of Pennsylvania, Dept. of Public Welfare, Lien for medical expenses and related
I
expenses for decedent for period before the last six months of decedent's life).
629,950.16
TOTAL ;Also enter on Line 10, Recapitulation;; ~ 5 663.207.31
If more space is need?d, insert additiona sheets of the same size.