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HomeMy WebLinkAbout08-22-11--~ REV-1500 Ex (o1-10) 1505610143 PA Department of Revenue pennstyl ania OFFICIAL USE ONLY Bureau of Individual Taxes DEPARTMENT OF REVENUE County Code Year File Number PO 80X.280601 INHERITANCE TAX RETURN 21 10 012 2 2 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 199 05 7081 11 24 2010 12 22 1921 Decedent's Last Name Suffix Decedent's First Name MI GUTSHALL PAUL M (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 INAPPROPRIATE OVALS BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa Future Interest Compromise (date of death after 12-12-82) ^ 5. Federal Estate Tax Retum Re wired 4 ® g Decedent Died Testate (Attach Copy of Will) ^ ~ Decedent Maintained a Living Trust (Attach copy of Trust) __ _ 8. Total Number of Safe Deposit Boxes ^ 9. Litigation Proceeds Received ^ 1 p. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ^ 11. Election to tax under Sec. 9113 A ( ) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CO Name NFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Daytime Telephone Number HAMILTON C DAVIS 717 532x-.5713 First line of address 20 EAST BURD STREET Second line of address SUITE 6 City or Post Office State ZIP Code SHIPPENSBURG PA 17257 Correspondent'se-mail address: hdavis@Zullinger-DaVIS.COm _~ , REGISTER Oar ~~ r i~`III~~USE ONLY 'rte r.. y ~~' ~ ~ _._ C~ ~..i-T , =:.~ _` - `• ~ L DATE FILED 'z7 ,__-; ,, } ~~ '~ 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. SIC3NATURE OF PERSON RESPONSIB ~E FO FILING RETU N DATE ~~ .-~ (~ :- ~~ ,~~~.~ ~ ~ ~ PAUL E GUTSHALL ~ ~~ ~r ADDRESS 2476 RITNER HIGHWAY, CARLISLE, PA 17013 SIGNAT OF PREPARER OTHER THAN REPRESENTATIVE - DATE ~'• Hamilton C Davis ~ ADDRESS ~~ 20 East Burd Street, Shippensburg, PA 17257 Side 1 1505610143 1505610143 J ADDITIONAL Personal Representatives GUTSHALL, PAUL M SS# 199-05-7081 11/24/2010 Under penalties of perjury, the undersigned declare that they have examined this return, including accompanying schedules and statements, and to the best of their knowledge and belief, it is true, correct and complete. 2 Signature w ,~~~ Name LARRY UTSHALL Address 108 E. ORANGE STREET City, State, Zip Date 3 Signature Name Address City, State, Zip Date 4 Signature Name Address: City, State, Zip Date 5 Signature Name Address: City, State, Zip Date 6 Signature Name Address: SHIPPENSBURG PA 17257 k-~7-~/ City, State, Zip Date REV-1500 EX 1505610243 oeoedem~s Name. G U T S H A L L, PAUL M ---- - 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. Mortgages 8 Notes Receivable (Schedule D) ...................................................... .... 4. 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............ .... 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .......... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested .......... ... 7, 8. Total Gross Assets (total Lines 1-7) .................................................................... ... g, 9. Funeral Expenses & Administrative Costs (Schedule H) ...................................... ... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................. ... 10. 11. Total Deductions (total Lines 9 & 10) ................................................................... ... 11. 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... ... 12, 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. TAX COMPUTATION -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 .00 15. 16. Amount of Line 14 taxable at lineal rate X .045 1 1 5, 0 2 1 8 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. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1525610243 Decedent's Social Security Number 199 05 7081 53,448.18 139.56 30,767.30 36,343.30 120,698.34 5,489.50 187.04 5,676.54 115,021.80 115,021.80 5,175.98 5,175.98 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 10 - 01222 DE EDENT'S NAME GUTSHALL, PAUL M --- _ _ _ - STREETADDRESS - - 111 BROAD STREET -- - - _ _ __ -__- - _- cITY - - - - - ---_ - ~ - -- STATE ZIP NEWVILLE PA 17241 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A• Prior Payments 5,000.00 B. Discount 258.80 3. Interest (1) 5,175.98 Total Credits (A + g) (2) 5,258.80 (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check boz 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. (4) 82.82 (5) Make Check Payable to: REGISTER OF WILLS, AGENT. ,~,~ z .. ,~ 7 ,- _ ,~; - _ - - ~ u u ' .....~ . ~ _ ,-..tir e~:i~ ~~ - ~ ~'^` ark ~~ , .. 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 :.................................... ~' c. retain a reversionary interest; or .................................................................................................................. ~ I^~ d. receive the promise for life of either payments, benefits or care? ............... !~ ~~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................................ ~i 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... r- '. _~ 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. Far 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 Januarryy 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 stafute 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 lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. • sibengxs defined under Sectiont9102 as an individual whothasuat least onde padrent in common wit phe decedent wfiethe6 by blood oAadoption. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE -- -. - - _- ESTATE OF GUTSHALL, PAUL M FILE NUMBER 21 -10-01222 - -- - - - - All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wilting seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been sold. Include a copy of the deed showing decedent's interest if owned as tenant in common. -- -- --_ -- _ _ ITEM --- - -_ NUMBER DESCRIPTION VALUE AT DATE OF ---- - -- DEATH 1 109-111 BROAD STREET, NEWVILLE, PA 17241 (SEE ATTACHED SETTLEMENT SHEET). 53,448.18 SOLD TO AN UNRELATED THIRD PARTY AT ARM'S LENGTH PRICE AND TERMS. SALE NECESSARY TO SETTLE ESTATE. ONE-THIRD OF GROSS PROCEEDS OF $85,842.56 WENT TO CO-TENANT = $26,325.23, MINUS THE EXPENSES OF SALE $6,069.15 = $53,448.18 NET PROCEEDS PAYABLE TO ESTATE (SEE ATTACHED PROCEEDS CHECK) - - - TOTAL (Also enter on Line 1, Recapitulation) 53,448.18 • I SCHEDULE B COMMONWEALTH OF PENNSYLVANIA '. v • OC„S ~ BO~D~7 INHERITANCE TAX RETURN RESIDENT DECEDENT _ _ ESTATE OF GUTSHALL, PAUL M --_ 'FILE NUMBER 21 -10-01222 All property jointly-owned with right of survivorship must be disclosed on Schedule F. -- -- _ -- - ITEM _ _- -- -- _- NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF - -- - - - - _- DEATH -- - - - __ SERIES EE SAVINGS BOND - $50.00 DENOMONATION (SEE _ _ - _ _. --- ATTACHED VALUATION) 25.00 2 ACCRUED INTEREST ON 1 44.78 3 SERIES EE SAVINGS BOND - $50.00 DENOMONATION (SEE ' ATTACHED VALUATION) , 25.00 4 ', ACCRUED INTEREST ON 3 44.78 TOTAL (Also enter on line 2, Recapitulation) 139.56 I SCHEDULE E CASH, BANK DEPOSITS, & MISC. °DMM°NWEALT"DFPE"N&VLVA"'" PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT - -__ -_ ESTATE OF GUTSHALL, PAUL M FILE NUMBER _ '21 -10-01222 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. -- --- __ ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ._ ---- - _-- - - - _ - ---- - PNC BANK CHECKING ACCOUNT NO. 51-4040-8107 (SEE ATTACHED VALUATION) 29,575.31 2 ACCRUED INTEREST ON 1 18 99 3 MISCELLANEOUS PERSONAL PROPERTY 500.00 4 HAMILTON MYERS POST #6070 300.00 5 AMERICAN LEGION DEATH BENEFITS 100.00 6 FAILOR-WAGNER POST 421 HOME ASSOCATION 100.00 7 ERIE INSURANCE REFUND 173.00 TOTAL (Also enter on Line 5, Recapitulation) I 30,767.30 i COMMONWEALTH OF PENNSYLVANIA ~ SCHEDULE G INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS & RESIDENT DECEDENT ! MISC. NON-PROBATE PROPERTY ESTATE OF GUTSHALL, PAUL M FILE NUMBER _ 21 - 10 - 01222 - - _- - --- - This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. _- _ _ - - -- ~TEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF NUMBER Include the name of the transferee, their relationship to decedent DECD'S EXCLUSION ~-,gXABLE VALUE VALUE OF ASSET (IF APPL!CAHLE and the date of transfer. Attach a copy of the deed far real estate. INTEREST ~ _.- _ _ 1 GIFT TO SON, PAUL GUTSHALL, MADE WITHIN z1,171.65T 3,000.00 18,17'1.65 ONE YEAR OF DEATH ' 2 GIFT TO SON, LARRY GUTSHALL, MADE WITHIN 21,~7~.65 ' 3,000.00 18,171.65 ONE YEAR OF DEATH ' i ' ' j -- _ _ _ --- - i _ TOTAL (Also enter on line 7, Recapitulation) 36,343.30 SCHED~UI~+L~E H COMMONWEALTH OF PENNSYLVANIA ~~~ ~ " ~' ^~~ M INHERITANCE TAX RETURN /~~y~AI~'~w~~~ RESIDENT DECEDENT r'LLJ11~ K71fW ESTATE OF GUTSHALL, PAUL M -- - _ - -- - - Debts of decedent must be reported on Schedule I. - ---- - ITEM - NUMBER FUNERAL EXPENSES: DESCRIPTION -- - A• 1 PREPAID 2 EBY GRANITE WORKS FILE NUMBER 21 -10-01222 AMOUNT B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s) Commission paid 2. ', Attorney's Fees HAMILTON C. DAVIS, ESQUIRE 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 4. Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 5. ', Accountant's Fees 6. ! Tax Return Preparer's Fees 7. Other Administrative Costs 1 I LEGAL ADVERTISING 113.00 5,000.00 200.00 101.50 TOTAL (Also enter on line 9, Recapitulation) 5 489.50 C Schedule H COMMONWEALTH OF PENNSYLVANIA Funeral ~ '' INHERITANCE TAX RETURN Adrrllnlsa'ati1/e ~~. COnfinlled RESIDENT DECEDENT ~.VI ~U lICl7 ESTATE OF GUTSHALL, PAUL M FILE NUMBER _ _ __ 21 -10-01222 -- - - _ _ _ --- - --- 2 LEGAL ADVERTISING 75.00 Page 2 of Schedule H SCHEDULE I - DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA ~ LIABILITIES, & LIENS INHERITANCE TAX RETURN '~ RESIDENT DECEDENT ESTATE OF GUTSHALL, PAUL M ;FILE NUMBER 21 -10-01222 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. - -- ITEM NUMBER DESCRIPTION AMOUNT - - - -- - __ - STATE EMPLOYEE RETIREMENT SYSTEMS 169.29 2 PPL 17.75 TOTAL (Also enter on Line 10, Recapitulation) I 187.04 REV•1513 EX+ (~~-08) SCHEDULE) COMMONWEALTH OF PENNSYLVANIA ~ BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF - - GUTSHALL, PAUL M FILE NUMBER -- -- 21 -10-01222 NAME AND ADDRESS OF PERSONS RELATIONSHIP TO NUMBER ( ) D DE - -- -- SHARE OF ESTATE AMOUNT OF ESTATE Words ( ) RECEIVING PROPERTY Do N ot us N e(s) ($$$) I, .TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 PAUL E. GUTSHALL 'Son 1/3 OF RESIDUE 44 397 81 2476 RITNER HIGHWAY AND GIFT OF . CARLISLE, PA 17013 $18,171.65 2 ', LARRY W. GUTSHALL 'SON 1/3 OF RESIDUE ! 44 397 81 108 E. ORANGE STREET AND GIFT OF , . SHIPPENSBURG, PA 17257 : $18,171.65 3 ! TRACEY BARRICK GRANDDAUGHTER 1/3 OF RESIDUE ! 26 226 16 328 LAKE MEADE DRIVE , . EAST BERLIN, PA 17316 j 'Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN i li B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 LAST WILL AND TESTAMENT I, PAUL M. GUTSHALL, of the Borough of Newville, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM L I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and personal properly as may be set forth in a separate memorandum (which is or will be signed by me, dated and will make specific reference to this Will and memorandum, which (if any) I shall place with my Will or deposit with my attorney), to the persons therein designated. ITEM III: I devise and bequeath the residue of my estate of every nature and wherever situate as follows: A. One-third (1/3) thereof to my son, PAUL E. GUTSHALL. B. One-third (1/3) thereof to my son, LARRY W. GUTSHAL,L. C. One-third (1/3) thereof to my granddaughter, TRACEY BARRICK. ITEM Iti : Should any of my beneficiaries predecease me but leaving descendanls who do survive me, such descendants shall receive, per stirpes, the share that such predeceased beneficiary :~~~ ~~~~ would have received had he or she survived me. ITEM V: If any property passes outright (either under this Will or otherwise) to a minor (which shall be defined as anyone under twenty-one (21) years of age) and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, I decline to appoint a guardian but instead authorize my Executor to distribute such property to a Custodian selected by my Executor (and my Executor may act as such Custodian) as Custodian for the minor under the Pennsylvania Uniform Transfers to Minors Act. Provided, however, that this appointment shall not supersede the right of any fiduciary to distribute a share where possible to the minor or to another for the minor's benefit. ITEM VI: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM VII: I appoint my sons, PAUL E. GUTSHALL and LARRY W. GUTSIIALL, co- Executors of this my Last Will. ITEM VIII: I direct that my Executors or custodians or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM IX: My individual fiduciary shall be entitled to reasonable compensation for his services rendered from time to time and to reimbursement of out of pocket expenses. ITEM X: The interests of the beneficiaries hereunder shall not be subject to anticipation or ~~~~~ L to voluntary or involuntary alienation. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and '~ Testament, written. on four (4) sheets of paper, dated this ~ day of _ ~ 2009. `~~`'~`' ~ ""''' (SEAL) PAUL M. GUTSHALL The preceding instrument, consisting of this and three (3) other typewritten pages, each identified by the signature or initials of the Testator, was on the day and date thereof signed, published and declared by the Testator therein named, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed our names as witnesses hereto. residing at a ~' ~~~~ residing at ' ~.~%~( elm G~'-Ct ---~ COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, PAUL M. UUTSHALL, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. PAUL M. GUTSHALL Sworn to or affirmed and acknowledged before me by PAUL M. GUTSHALL, the Testator, this q'~ day of ~iK h~n.c .2009. Notary Public COM~OPlUV~RLI'H OF ~'E~1FlSYL~JF,.~?IA NaL3rial Seal ____ Hamilton C. Davis, Notary public ~ Shippensburg Soro, Cumberland Counni My Commission Expires__ epr 27. ~Jb} ' Member, Pennsylvania Associaiion o~ Nctan COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. We, ~rr ~ and ~j~h/ ~ ~~ ~S`jQ ~/ ,the witnesses whose names are signe to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind an der no constraint or undue influence. ,- ~ _ ~~~. Sworn to or affirmed d subscribed to before me by I`/ u ~i,2 /~ and Q / ,witnesses, this ~__ ay of ,,~ ~(~,~` , 2009. Y-J ~ ~. Notary Public CO~rti~riO,VLV~p,L~-Fi OF N , , ~s;~,s_rt~ti~,vi~ Notaral Seal ~~ Hamilton C. 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