HomeMy WebLinkAbout10-27-11J 1505610145
REV-1500 ~``°'-'°'
PA Department of Revenue Pennsylvania OFFICIAL USE ONLY
Bureau of Individual Taxes °EP'~'"~+*°°r+ever~ue County Code Year File Number
Po eox 260601 INHERITANCE TAX RETURN
Harrisburg PA 17128-0601 RESIDENT DECEDENT ~ ~ ~ (~ ~~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
Name Suffix Decedent's First Name
MI
Mallios Vasiliki
(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
FILL IN APPROPRIATE BOXES BELOW REGISTER OF WILLS
® 1.Original Return ~] 2. Supplemental Return
Q 3. Remainder Return (date of death
4. Limited Estate Q 4a. Future Interest Compromise (date of Prior to 12-13-82)
Q 5. Federal Estate Tax Return Required
death after 12-12-82)
® 6. Decedent Died Testate [~ 7. Decedent Maintained a Livin Trust 0
(Attach Copy of Will) 9 ~ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Trust)
~] 9. Litigation Proceeds Received Q 10. Spousal Poverty Credit (date of death Q
11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach 9ch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED T0:
Name
Daytime Telephpne Number
Robert G. Frey 717-243-5838
REGISTEFt~ WILLS USE ® Y
[~ `_"
First line of address ~ '~ !~> -, ; ~-'~
~-i-j -p C'7 ~_,, ~ _~
r~ 17
5 South Hanover Street ' ~~ -+.~
~.,, r
Second line of address = ~'` ~= ~^ `" ~ ~• ` ~:"
--;
~ -- .w
-~ -,,
City or Post Office State ZIP Code ILED ~• ~ - ' r'
r. •. :~ ~ O
Carlisle PA 17013 ~°~~
Correspondent's e-mail address: r f reyCa?f reyt i 1 ey .corn
Under penalties of perjury, I declare that I have examined ih~s return, including accompanying schedules and statements, and to the best of m know
true coner:t and corn late. Declaration of re rer other than the al resentative is based on all infomta f, B is
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN
DATE
ADDRESS
SIGNATURE OF R P Tff /O
ESE VE
DAT
ADDRESS ~ ~® ~ ll
5 South Hanover Street, Carl s PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
',.~ 1505610145 1505610145
--_.__.
__
J
REV-1500 EX
1505610245
Decedent's Social Security Number
~ade~c'SName: Vasiliki Mallios
RECAPITULATION
1. Real Estate (Schedule A) ........................................... 1. 0 . 0 0
2. Stocks and Bonds (Schedule B) ...................................... 2. 9 0 2 3 2. 7 4
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. NONE
4. Mortgages and Notes Receivable (Schedule D) ....................... ... 4. NONE
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) ... ... 5. 4 4 2 4 3 . 0 0
6. Jointly Owned Property (Schedule F) QSeparate Billing Requested ...... .. 6. 0
0 0
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property .
(Schedule G) OSeparate Billing Requested ...... ..
NONE
7
8. Total Gross Assets (total Lines 1 through 7) ......................... .. 8. 13 4 4 7 5 . 7 4
9. Funeral Expenses and Administrative Costs (Schedule H) ................ .. 9. 3 4 6 7 . 0 0
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... .. 10. 4 5 9 . 0 0
11. Total Deductions (total Lines 9 and 10) ............................. .. 11. 3 92 6 . 0 0
12. Net Value of Estate (Line 8 minus Line 11) ........................... .. 12. 13 O 5 4 9
7 4
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which .
an election to tax has not been made (Schedule J) .
..................... . 1g. 0 . 0 0
14. Net Value Subisct to Tax (Line 12 minus Line 13) ... 14 13 0 5 4 9 7 4
TAX CALCULATION - $EE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable at
the spousal tax rate, or
transfers under Sec. 9116
(ax1.2) X .0 0 15. 0
0 0
16. Amount of Line 14 taxable .
at linealratex.0 45 130549.74 16, 5874
74
17. Amount of Line 14 .
18. taxable at sibling rate X • 12
Amount of Line 14 taxable 17, 0 . 0 0
at collateral rate x , 15 18. 0.0 0
19. TAX DUE .......................................................19. 5 8 7 4. 7 4
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVER
ide 2
L 1505610245 1505610245 J
.~
REV-1500 FJC Page 3
Decedent's Complete Address:
u~t,tutN I'S NAME
STREET ADDRESS
Flle Number
21-10-0790
161-32-5538
ZIP
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
5
(1) 5874 79
Total Credits (A + g) (2) 0 00
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3)
Fill in box on Page 2, Line 20 to request a refund.
(4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE
(5) 5874.74
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:
a. retain the use or income of the property transferred : ..................................................... Yes No
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? ..........................................................
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ........... ^
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 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)j.
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. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disGosure 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(1.2) [72 P.S. §9116(a)(1)j.
• 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)j. Asibling is
defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blpod or adoption.
~ REV-1502 EX+
(01-10)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF:
~GHEDULE A
REAL ESTATE
illllCl Mallios FILE NUMBER:
All real property owned solely or as a tenant In common must be re i'ted 21-10-0790
would be exchanged between a willing buyer and a will) ~ ~ fair market value. Fair market value is deftned as the ri
Real ro n9 seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevanrofacts,
P Party that Is jointly-owned with Hght of survivorship must be disclosed on Schedule F.
ITEM Attach a copy of the settlement sheet if the property has been sold.
NUMBER InGude a copy of the deed showing decedents interest if owned as tenant in common.
VALUE AT DATE
DESCRIPTION OF DEATH
~• 224 Heisers Lane, Caliisle, PA. Suspended pending sale of real estate
If more space is needed, use0additional sheetseof paperlof the same s ile.tion.) $
0
REV-1503 EX+ (8-98)
SCHEDULE B
COM"'ON1N~-THpFpE~SYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
TATE OF
siliki Mallios FILE NUMBER
All property jointly-owned with right of survivorship must be disclosed on 3 heduie F.
ITEM
NUMBER
1 • AT&T, 1000 shares, 26.215 average pric DESCRIPTION
2• Frontier Communications, 144 shares, 7.71 average price
3• M&T Bank Corp., 500 shares, 91.585 average price
4• Verizon Communications, 600 shares, 28.525 average price
(If more space is needed, insert additional sheetsiof theisame s ze)
VALUE AT DATE
OF DEATH
26,21
1,11
45, 79~
17,11:
REV-1508 EX+ (g_98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ea~Alt VF
Vasiliki Mal
SCHEDULE E
CASH, BANK DEPOSITS, $ MISC.
PERSONAL PROPERTY
~~ ~~~~~r me proceeos of litigation and the date the proceeds were received by the estate.
I Qroperty Jointly-owned with right of surviver~tic., .,,~~e. ~., ~~__~___ , _ _ _ _
1 M&T Bank checking account 1139754
2 M&T Bank savings account 15004218033188
3 Janney Montgomery Scott money market account
4 Highmark refund
5 Holy Sprit Hospital refund
6 Highmark refund
7 Refund
8 Country Meadows refund
9 Jewelry. Mountz appraisal attached
10 Miscellaneous household goods and furnishings
AT DATE
1EATH
30,825
2,880
4,245
65
28
412
12
776
5,000
FILE NUMBER
91 _~ n_mon
TOTAL (Also enter on line 5 Recapitulation) 3
(If more space Is needed Insert addltlonal sheets of the same size) 44 243
' REV-1509 EX+(Ot-70)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF:
SCHEDULE F
JOINTLY-OWNED PROPERTY
Vasiliki Mallios FILE NUMBER:
If an asset became Jointly owned within one year of the decedent's date of death, it must be r®ported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S)
A.
ADDRESS RELATIONSHIP TO DECEDENT
B
C.
aut7vrLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT
NUMBER TENANT DATE OF DEATH
JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST
~ • A.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
TOTAL (Also enter on Line 6 Recapitulation)
If more space Is needed, use addltlonal sheets of paper of the same size. $
REV-1511 EX + (10-09)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILEFILE gER
ITEM
VUMBE
A.
1.
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
21-1
Decedent's debts must be reported on Schedule I.
FUNERAL EXPENSES:
Carlisle Memorial Services, headstone engraving
209
B• ADMINISTRATIVE COSTS:
1 • Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
State ZIP
Year(s) Commission Paid:
2• Attorney Fees:
3• Family Exemptlon: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City
State Zlp
Relationship of Claimant to Decedent
4• Probate Fees:
5• Accountant Fees:
s• Tax Return Preparer Fees:
7• Expenses in connection with sale of real estate, suspended pending sale of real estate
8. US Postal Ervice
9. IBIS Appraisal
10. Mountz Jewelers, Appraisal
TOTAL (Also enter on Line 9, Re
If more space is needed, use additional sheets of paper of the same size.
1,936
211
480
631
REV-1512 EX+(12-08)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN DEBTS OF DECEDENT,
RESIDENT DECEDENT MORTGAGE LIABILITIES $ LIENS
ESTATE OF
Vasiliki Mallios FILE NUMBER
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, Including unrelrrMbursed medMa9e penses.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
1 • OF DEATH
West Shore EMS
2• Special Events EMS
3• Camp Hill Emergency Physicians
4• Country Meadows
5• West Shore EMS
6• West Shore EMS
7• Mortgage on 224 Heisers Lane, suspended pending sale of real estate
74
120
13
104
74
74
TOTAL (Also enter on Line 10 Recapitulation) I S
more space is needed insert additional sheets of the same size 459
REV-1513 EX+(01-10)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
1 Nicholas J. Mallios
431 Meeting House Road, Carlisle, PA 17013
2 Constantinos J. Mallios
715 Sand Bank Road, Mt. Holly Springs, PA 17065
3 Sia Maillios
715 Sand Bank Road, Mt. Holly Springs, PA 17065
4 Joanna Mallios
715 Sand Bank Road, Mt. Holly Springs, PA 17065
5 Vasiliki Mallios
52 Strayer Drive, Carlisle, PA 17013
6 Matthew N. Mallios
4066 Green Park Drive, Mt. Joy, Pq 17552
7 Sophia Nicole Mallios
4066 Green Park Drive, Mt. Joy, PA 17552
SCHEDULE)
BENEFICIARIES
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPER
~ TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
RELgTIONSHIP TO DECEDENT
Do Not List Tnistee(a)
ndson
great granddaughter
1
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
NON-TAXABLE DISTRIBUTIONS
A• SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
B• CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-15tH) COVER SHEET. t
20,000
20,000
20,000
20,000
5,000
FILE NUMBER:
1_1n117on
AMOUNT OR SHARE
OF ESTATE
~1/2 of residue
1 /2 of residue
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WSJ.com Stock Charting forT
(NYSE) U.S. Dollar
Date Price High Low Volume
7/27/10 26.15 26.41 26.02 26,093,900
No Splits
Get another quote any day after 1/2/1970
1 /2/1970
Symbol: ~ aE Date: ~ 7/27 QQ
2~.2~f ~~~~~e
,~~~..
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8/13/10 4:1~
Page 1 of 1
wSJ.com Stock Charting for MTB
Date
7/27/10
---- --•r ~......~
Price High
$9.85 93.47
2 Month (Daily]
i 95
__..
• ~
:
__. _ .
` sS
11 mo 2mo 3mo 6mo 1~rr Syr
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8/13/10 4:1
(NYSE) U.S. Dollar
Low Volume
89.70 621,700
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WSJ.com Stock Charting for FTR
• 8/13/10 4:11
Date
7/27/10
vv.nn~M~~1Yq~~V11~7 vvrF7 ~r 1 R~
(NYSE) U.S. Dollar
Price High Low Volume
7.74 7.84 7.58 24,642,300
No Splits
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1 /2/1970
Symbol: ~ Date: ~ 7/27/10 ~ C3a
'7.7 ~ cc,Y~s a, .~ ~
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Date
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nzon communications inc (VZ)
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28.59 28.75 28.30 22,732,100
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Page 1 of
08-20-' 10 09 , 47 Ff?OM-
499 Mitchell Road
Millsboro, DE 19966
Mail code DE-MB-12
Phone:888-502-4348
Fax: 302.934-2955
FaX
T-274 P0001/0002 F-154
M~TBank
To: Robert G Frey From: Sue Kimble
tFa:c 717-243-6441 Dete: August 18, 2010
Re: Estate of Vasiliki Mallios
Pages: 2
•Co~rrnents;"Attached, please find the information you requested for the Estate of Vasiliki Mallios, as
of July 27, 2010.
If I can be of further assistance, please do not hesitate to call me at 888-502-4349.
Thank you and have a great day!
Sue Kimble ®M 8~ T Bank
This conxnunication ca~rtains information which may be confidentiaal and Proprietary. You may not use, cf.9seminate,
distribute or copy aY or any part of this communication without the express cxartsent of M 8 T Bank, Allfirst Financial
Inc. or their respective subaid'~aries or affiliates. In addition, ff you are not the sddre~es (or are auQtorized ro receive
this information by the addresses, You are not authorized to receive or review the oont®rrts of thie commun~ation.
If You have received this communication in error, please return it to M 8~ T Bank at P.O. Box 1696, Baltimore, MD
2~ 203 and de{ete any copy of this communication from your systems. Thank you.
• 08-20-'10 09;47 FROM- T-274 P0002/0002 F-154
1. TypE Of Account Checking Account
Account Number 1139754
Ownership (Names o,~ Vasiliki Mallios
Opening Date 1123/g2
Balance on Date of Death ,530,824.95
Accrued Interest $ .OS
Total 530,82500
2. ~ Type of Account Savings Account
Account Number 15004218033188
Ownership (Names o, fl Vasilild MaUios
Opening. Dace 10/018
Balance on Date of Death 52,879.57
Accrued Interest $ .10
Total 52,879.67
3. Type of Account Checking Account
Account Number 9836718479
Ownership (Names ~ Vasiliki 1Vlallios, Signator
Consrantinos JMallios, Sigrtator
Subodh C Sharma, Signator
SHLM Pike Associares, Parnters
Opening Dare 1 Z/31~4
Balance ore Date of Death 5470.42
Accruedlnterest $ D.DO
Total 5470.42
For further aeenaat intoroa+tiotL, doeares and/or reimbetraeaxnt of Lands please call the xvfattot HoAy Springs Offix at M717~86-3438.
We were unable to locate any safe deposiR box for the above-meiationed decedent.
S' rely,
Su e M Kimble
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