HomeMy WebLinkAbout09-23-11 (3)
,~,;i~~;;~; 1505610105
REV-1500 EX (oz-ii)(FI) ~
PA Department of Revenue
Bureau of Individ ~
pennsytvania
°`°
ual Taxes
PO BOX 280601
Harrisbur
PA i "" "'
OFFICIAL USE ONLY
~ ° INHERITANCE T County Code Ye
~
,
iz8-o6oi
ENTER DECEDENT INFORMATION BELOW
Social Securit
N ar
RETURN File Number
RESIDENT DECEDENT ;~- ~
y
umber
206-14-8946 Dat
~ ~ '~~~~
e of Death MMDDYYYY
Date of Birth
0$/27/2010 MMDDYYYY
Decedent's Last N
ame 12/10/1922
FRANKLIN Suffix
Decedent's First Na
(If Applicable
)Enter Surviving Spouse's Infor
Spouse's Last Nam me
ALAN MI
mation Bel
e ow
D
FRANKLIN suffix
spouse's First N
Spouse's Social Security Number ame
KATHERINE MI
FILL A
THIS RETURN MUST BE FILED IN DUPLICAT
IN AppROpRIATE OVALS BELOW
~ E WITH THE
REGISTER OF
WIL
1. Original Return LS
O 2. Supplemental Return
O 4. Limited Estate O 3. Remainder Return (Date of Death
O 4a. Future Interest Compromise Prior to 12.13.82)
~ 6. Decedent Died Testate death after 12-12-82) (date of O 5. F
(Attach Copy of will)
O 7, Decedent Maintained a Livin ederal Estate Tax Return Required
O 9. Litigation Proceeds Received (Attach Copy of Trust.) g Trust __
8. Total Number of Safe Deposit Boxes
O 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIA
Name (Attach Schedule p) (A)
Ta for P L TAX INFORMATION SHOULD BE DIRECTED T0:
Y Andrews, Esq Daytime Telephone Number
(717) 243-0},2j3
First Line of Address
78 W Pomfret St
Second Line of Address
City or Post Office
Carlisle
State ZIP Cade
PA 17013
-- r~ : ~.- 'x~
ER p ~
ILLS USE OMLY
- -'? ~F~
' ~-
C
~ _
-~ r,-, _.
,,
..I; r .,)
~~
-,i_
_.' .i .. _ ._}
DATE FILED i Y~
Correspondent's a-mail address: t andrews a.net
Under penalties of perjury, I declare that I have examined this return, includin
it is true, correct and complete. Declaration of preparer other than the
SIGNATURE F PERSON RESPONSIB 9 accompanying schedules and statements, and to the best of m
s personal representative is based on all information of which preparer hao ,.... ~._
•: j FOR FILING RETURN y knowledge and belief,
1505610105
L 1505610105 Slde 1
...J
REV-1500 EX (FI)
150561D205
Decedent's Name: Decedent's Social Security Number
RECAPITULATION 206-14-8946
1 Real Estate (Schedule A)........... .
......
....
...
1.
2. Stocks and Bonds (Schedule B
.00
....
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)
4,268.70
. , 3.
4. Mortgages and Notes Receivable (Schedule D) .. , •
.... 0.00
.................
5. Cash, Bank Deposits and Miscellaneous Personal Pro ert 4
P
S
0.00
y (
chedule E)„ .. 5
6. Jointly Owned Property (Schedule F
o
0.00
7. Inter-Vivos Transfers & Miscellaneous No
lrt9 Requested ..... .
(Schedule G) 6.
n-probate Pro
'l
p
e
O Separate Billing Re
u 1,858.13
q
ested........ 7.
8. Total Gross Assets (total Lines 1 throu h 7
9 ) .........
6,649.65
.......
.. 8.
9. Funeral Expenses and Administrative Costs (Schedule H)
2,776.48
9
10. Debts of Decedent, Mortgage Liabilities and Liens (Sched
l
4,200.50
u
e I).... ,
11. Total Deductions (total Lines 9 and 10).... 10
0.00
..................... 11.
12. Net Value of Estate (Line 8 minus Line 11)
4,200.50
..
..... 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been mad
8,575
98
e (Schedule J) ...... .
.......... 13.
14. Net Value Subject to Tax (Line 12 minus Line 13
)
0.00
TAX CALCULATION -
" ~ ~ ~ " " ~ ~ ~ 14.
SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 ta
8,575.98
xable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0 0
16. Amount of Line 14 taxable 8575.98
15
.
at lineal rate X .0
0.00
17. Amount of Line 14 taxable 16
.
at sibling rate X .12
18. Amount of Line 14 taxable 17
.
at collateral rate X .15
8.
19. TAX DUE....,
.................
...........
1 s.
0.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A
REFUND OF AN OVERPAYMENT
O
L 1505610205
Side 2
1505610205
REV-1500 EX (FI) Page 3
Decedent's Complete Address:
DECFnFAirc ninr..r
Alan D. Franklin
STREETADDRESS
85 Plum Tree Circle
ciTV
Newville
Tax Payments and Credits:
1~ Tax Due (Page 2, Line 19)
2• Credits/Payments
A. Prior Payments ___
B. Discount ------
3. Interest
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.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
Flie Number
STATE
PA ziP
17241
(1) 0.00
Total Credits (q + g) (2)
(3)
(4)
0.00
0.00
(5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"
1. Did decedent make a transfer and: IN THE APPROPRIATE BLOCKS
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 .... Yes No
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 ro ert within ona ^
..................................................
without receiving adequate consideration? ............................ p. p y - Year of death
...........................................
3. Did decedent own an "in trust for" orpayable-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 beneficia desi nation? ..,.,.,....
.................... .
................
IF THE ANSWER TO ANY OF THE ABOVE QUES
.... ~ ^
TIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF T
For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the ne HE RETURN.
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 t value of transfers to or for the use of the surviving spouse
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax
filing a tax return are still applicable even if the surviving spouse is the only beneficislue of transfers to or for the use of the surviving spouse is 0 percent
and the statutory requirements for disclosure of assets and
For dates of death on or after July 1, 2000: ary'
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or oun
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 ben y ger at death to or for the use of a natural parent, an
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblin s is 12
under Section 9102, as an individual who has at least one parent in common eficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)j.
with the decedent, whether by bloodd os adopt ona)(1.3)]. A sibling is defined,
SCHEDULE B
STOCKS AND BONDS
ESTATE OF
ALAN D FRANKLIN
FILE NUMBER
X4,268.70
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
FILE NUMBER
ALAN D FRANKLIN
if an asset was made joint within one year of the decedent's death, it must be reported on Schedule G
Surviving Joint Tenant (s): ~ ~ ~ I ~-1059
NAME
ADDRESS
RELATIONSHIP TO
A DECEDENT
Katherine A Franklin 85 Plum Tree Circle, Newville, PA 17241
B Wife
C
Jointly-owned property;
ITEM NUMBER LETTER FOR DATE MADE DESCRIPTION OF PROPERTY INCLUDE NAME OF TOTAL VALUE OF DECD'S % INT.
JOINT TENANT JOINT INSTITUTION AND BANK ACCOUNT NUMBER OR DOLLAR VALUE OF DECEDENT'S
ASSET
SIMILAR IDENTIFYING NUMBER. ATTACH DEED INTEREST
FOR JOINTLY-HELD REAL ESTATE
I A pre 2008 ACNB Bank, Newville
$707.58 50%
2 A $353.79
pre 2008 ACNB Bank, Newville
$3,008.67 50%
$1,504.34
(also on line 6, Reca~ n~
1,858.13
SCHEDULE G
TRANSFERS
ESTATE OF
FILE NUMBER
ALAN D FRANKLIN
21-10-1059
ITEM This schedule to be completed and filed if the answer of the question on the reverse of the cover is yes
DESCRIPTION OF PROPERTY
MCLUDE THE NAME OF THE TRANSFEREE
THE
TOTAL VALUE
DECD.%
Excwsrorv .
TAXABLE
.
IR RELATIONSHIP TO DECEDENT
AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL
NUMBER EsTArE OF ASSET [NT
(if applicable)
VALUE
1 TIAA CREF Retirement Acct $6
649
65 100
0%
POD to Katherine A. Franklin ,
. . $6,649.65
Decedent's widow
(also on line 7, Recapitulation)
$6,649.65
SCHEDULE H
FUNERAL EXPENSES, ADMINISTRATIVE
COSTS AND MISCELLANEOUS EXPENSES
ESTATE OF
ALAN D FRANKLIN
Debts of decedent must be reported on Schedule 1.
iTTw
FILE NUMBER
21-10-1059
L"'1 DESCRIPTION
NUMBER
/~~ Funeral Expenses:
1
2
B• Administrative Costs:
1 Personal Representive Commissions
Name of Personal Representative(s)
Social Security Number of Personal Representative:
Street Address:
City: State: Zip:
Year(s) commissions paid:
2 Attorney fees to Andrews & Johnson
3 Family Exemption
Claimant Katherine A Franklin
Street: 85 Plum Tree Circle
City: Newville State & Zip PA 17241
Relationship of Claimant to Decedent:
4 Probate Fees to Register of Wills
5 Accountant Fees
6 Tax Return Preparer's Fees
7
8
9
10
11
12
13
l4
15
16
17
18
l9
TOTAL (also on line 9, Recapitulation)
AMOUNT
$500.00
$3,600.00
$100.50
a4,~uu.~u
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
ALAN D FRANKLIN
ITEM NAME AND ADDRESS OF BENEFICIARY
NUMBER
I TAXABLE DISTRIBUTIONS linclude outright spousal distributions. and transfers under Sec 91 I
I Katherine A. Franklin
85 Plum Tree Circle, Newville, PA ] 7241
2
3
4
21-10-1059
RELATIONSHIP AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
Wife entire estate
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
Charitable and Governmental Bequests:
AL CHARITABLE AND GOVERNMENTAL BEQUESTS (also enter on line l3, Recapitulation)
$0