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HomeMy WebLinkAbout10-27-11 (2)-..I REV-1500 E"(01-'°) 1505610143 OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number Bureau of Individual Taxes DEPMTAENT OF REVENUE Po Box.2sosol INHERITANCE TAX RETURN 21 - ~ ~ V' ~o I ~o Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 218 30 6489 05 14 2011 12 07 1934 Decedent's Last Name Suffix Decedent's First Name MI WALDRON RICHARD P (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 WILL$ FILL IN APPROPRIATE OVALS BELOW - ® 1. Original Retum ^ 2. Supplemental Retum ^ 3. Remainder Retum (date of death prior to T2-13-82) ^ 4. Limited Estate ^ qa. Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death attar 12-12-82) ® g Decedent Died Testate ^ ~, Decedent Maintained a Living Trust (Attach Copy of Will) (Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit (date of death ^ 11. Election to tax under Sec. 9113(A) between 12-31- 1 and 1-1-95) (Attach SCh. 0) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INIFOgMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number TERRENCE J RERWIN 717 238 4765 First line of address 27 NORTH FRONT STREET Second line of address City or Post Office HARRISBURG State ZIP Code PA 17101 REGISTER OF WILLS USE ONLY aO =t.:i ~~ f=? ~::~ ~ ~ '; ~ rTt nr' DAB ED - T., --t -°- -- .. ._ , n _,.- C~ ~. ~ T corresPonaent'se-mail address: tjk~kerwinlawfirm.com Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, end to he 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. Edward C. Malesic ~.~1.~-ei.~.D ~'' ra/Js,OI..~ 9/ai/doll ADDRESS P.O. Box 398, York Haven, PA 17370-0398 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ,~1~ srrwL~~Clllir~tiy Terrence J Kerwin 9f a1I ~0/l 27 North Front Street, Harrisburg, PA 17101 Side 1 1505610143 1505610143 ~ ,,- 1, - ~~ 1505610243 REV-1500 EX Decedents Name: W A L D R O N, RICHARD P. Decedent's Social Security Number a 18 3 0 6 4 8 9 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 & Notes Receivable (Schedule D) .......................................................... 4. 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ................ 5. 5 6 0. 8 51.4 4 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6. 7. Inter-~vos Transfers 8~ Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7. 1 6 8, 3 6 9. 7 4 8. Total Gross Assets (total Lines 1-7) ....................................................................... 8. 7 a 9 , a a 1.18 9. Funeral Expenses & Administrative Costs (Schedule H) ......................................... 9. 6 3 , a 91.9 5 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) ................................ 10. 11. Total Deductions (total Lines 9 & 10) ...................................................................... 11, 6 3 , a 91.9 5 12• Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. 6 6 5 • 9 a 9 • 2 3 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) ................................................. 13. 1 0 , 0 0 0 . 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) ................................................. 14. 6 5 5 , 9 a 9 . 2 3 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 16. 17. Amount of Line 14 taxable at sibling rate X ,12 5 9 5, 8 a 9. a 3 17. 18. Amount of Line 14 taxable at collateral rate X .15 6 0 , 10 0 . 0 0 18. 19. Tax Due ................................................................................................................... .. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 71,499.51 9,015.00 80,514.51 Side 2 L 1505610243 150510243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 Waldron, Richard P. STREET ADDRESS 310 Hertzler Drive CITY Mechanicsburg STATS PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A• Prior Payments 73,800.00 e. Discount 3,884.21 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) 80,514.51 Total Credits (A + B) (2) 77, 684.21 (3) 0.00 (4) (5) 2,830.30 Make Check Payable to: REGISTER OF WILLS, AGENT. y ,.: v . , r _ _,. ,. . ..~ . ~-.. ~..~,;~:. ~~ ~ rim.... -=~'~SRr :+..k.'~ ~":"1.'Ti~-E~~.-r`~''T. , , .. , ~$''_t; 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 :.................................... c. retain a reversionary interest; or .................................................................................................................. ^ d. receive the promise for life of either payments, benefits or care? .............................................................. ^ a 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................... ^ ^ ........................................................ x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... ^ 0 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. ~'~~ ~~~_ .ems % ~ =. _ ,.:?F _. - _, ~ d. ,~.. 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)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutary requirements for disclosure of assets and filing a tax re mare 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 21ye ars of age or younger at death to ar 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)]. • 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)1. 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. SCHEDULE E CASH, BANK DEPOSITS, 8~ MISC. °°"'"'°"""~'"T"OFPENNSYLVAN" PERSONAL PROPERTY IN"ERRANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Waldron, Richard P. 21 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 1 Chalice 10,000.00 2 Distribution from Estate of Francis Anthony Bach 1,544.92 3 PNC Bank -Checking Account #5001870692 37,434.94 4 PNC Bank -Money Market Account #5001971629 15,583.23 5 1995 2-door Buick Regal (112,000 miles) 1,475.00 6 Wells Fargo Investment Account #6423-8620 493,604.36 7 Gold Coin 195.00 8 Tax Refund -West Shore Tax Bureau 27.05 9 Cash 560.00 10 Books and items of priestly nature 100.00 11 Diocese of Harrisburg -salary check 247 29 12 Refund - Highmark 79.65 TOTAL (Also enter on Line 5, Recapituiat~on) I 560,851.44 COMMONWEALTH OF PENNSYLVANIA SCHEDULE G INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS & RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY ESTATE OF Waldron, Richard P. FILE NUMBER This schedule must be completed and filed if the answer to any of questions 1 through 4 on aafle 2 is ves. ITEM NUMBER DESCRIPTION OF PROPERTY Include the name of the transferee, their relationship to decedent and the date of transfer Attach a copy of the deed for real estate. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION TAXABLE VALUE pF APPLICABLE) 1 ,Fidelity Investments 94,141.74 100% 94 141.74 Plan Name: Catholic Diocese of Harrisburg , Plan 57506 (401 K) Beneficiary: Estate of Richard P. Waldron ~ i 2 I 'Wells Fargo IRA Account #6705-9902 ss,72s.oo 100% ' 65,728.00 Beneficiaries: Dorothy Plever (Sister) Patricia Boyle (Sister) 3 PNC IRA s,soo.oo 100% ~ 8 500.00 Account f~REA040....3921 , Beneficiary: Estate of Richard P. l i I (Waldron I i ~ I i ~ I i ~ i i i TOTAL (Also enter on line 7, Recapitulhti~n) ~ 168,369.74 SCFEDUL.E H COMMONWEALTH OF PENNSYLVANIA r~~ wG~ INHERITANCE TAX RETURN AryAM11C'}fl AT1-~ ^/x~~ RESIDENT DECEDENT !'VI~~A~1~7 ~ I~~1,YG W~7 ~ ~7 -_ - ESTATE OF Waldron, Richard P. FILE NUMBER - _ 21 Debts of decedent must be reported on Schedule I. ITEM -- NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT A. 1 Matpezzi Funeral Home 12,739.05 2 Funeral Mass stipend 250.00 I 3 Masses ~ 2,000.00 4 Grave Marker 1,712.70 B. 1 2. 3. 4. 5. 6. 7. 1 1DMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representatve(s) Edward C. Malesic William J. Sullivan Street Address P.O. BOX 398 city York Haven state PA zip 17370-039 Year(s) Commission paid 2011 Attorney's Fees Kerwin 8~ Kerwin, LLP -Terrence J. Kerwin 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 Probate Fees Accountant's Fees Tax Retum Preparer's Fees Other Administrative Costs Cumberland Law Journal -Estate Notice 20,000.00 20,000.00 473.50 75.00 TOTAL (Also enter on line 9, Recapitulation) 63,291.95 C Sd~ed~~ie H COMMONWEALTH OF PENNSYLVANIA Fur~al -r-"'~ INHERITANCE TAX RETURN ~~~~~~~, C+~l~ RESIDENT DECEDENT ESTATE OF Waldron, Richard P. FILE NWMBER 21 2 The Sentinel -Estate Notice 104.58 3 'Holy Spirit Hospital -pharmacy service 266.99 4 ~ Holy Spirit Hospital -pharmacy service i '~ 75.00 5 i Commonwealth of Pennsylvania -change of title and tags to car I 100.00 6 Hospice of Central PA -residential care 5,040.00 7 Holy Spirit Hospital -pharmacy service 244.63 8 Register of W ills -Releases 10.00 9 Register of Wills -additional probate fee i 50.00 10 i Register of Wills -filing fee for Inventory and Inheritance Tax Return 30.00 11 i ~ Verizon -speech device i 99.00 12 ; Register of Wills -additional Short Certificates 8.00 13 ~ Federal Express -overnight mail for inheritance tax payment in discount period ', 13.50 Page 2 of Schedule H REV•1513 EX+ (11.08) _ ~ _ SCHEDULE J COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF Waldron, Richard P. I FILE NUMBER 21 NUMBER NAME AND ADDRESS OF PERSON(S) RELATIONSHIP TO DECEDENT SHARE OF ESTATE (W©rds) AMOUNT OF ESTATE ($$$) RECEIVING PROPERTY Do Not Llst Trustee(s) I~ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 Rev. William J. Sullivan friend Book and personal 100.0( P.O. Box 2012 items of priestly Mechanicsburg, PA 17055 nature. 2 Suzanne M. Tonetti niece 10,000.0( 713 Dunmore Lane West Chester, PA 19380 3 David P. Bo e nephew 10,000.0( 13680 Independence Ridge Place i Nokesville, VA 20181 ~ I i ~ i Enter dollar amounts for distributions shown above on lines 1 5 through 18 on Rev 1500 cover I sheet, as appropriate. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 St. Elizabeth Ann Seton Parish, 310 Hertzler Road, 10,000.00 Mechanicsburg, PA 17055 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 GOVER SHEET 10,000.00 REV•151J EX+ (8.00) _ 1~ _ SCHEDULE J COMMONWEALTH OFPENNSriVANIA INHERITANCE TAX RETURN BENEFICIARIES continued RESIDENT DECEDENT ESTATE OF Waldron, Richard P. FILE NUMBER 21 NUMBER NAME AND ADDRESS OF PERSON(S) RELATIONSHIP TO DECEDENT SHARE qF ESTATE (Words) AMOUNT OF ESTATE ($$$) RECEIVING PROPERTY Do Not Llst Trusteels) I, TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 4 Julie M. Holstein niece 10,000.01 21393 Springwell Drive i Ashburn, VA 20148 5 Kristen Morrow niece ~ ~ 10,000.01 325 Bailey Street New Cumberland, PA 17070 6 Matthew Plever I nephew 10,000.0( 805 Cartres Road Etters, PA 17319 ; I, i 7 Andrew Plever nephew 10,000.0( 98 Oneida Road Camp Hill, PA 17011 8 Patricia M. Boyle sister 1/2 residue 7262 Ridgeway Drive j Manassas, VA 20112 9 Dorothy A. Plever sister ~ 1/2 residue 98 Oneida Road I Camp Hill, PA 17011 ~ i I i I - Page 2 of Schedule J