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HomeMy WebLinkAbout11-02-11'J REV-1500 Exl°~-ttlcF~l 1505611180 PA Department of Revenue Pennsylvania Bureau of Individual Taxes °EP""'"'~"TOF~•+ue OFFICIAL USE ONLY Po Box 28oso1 INHERITANCE TAX RETURN cur, ode Year Harrisbu , pq 17128-0601 File Number ENTER DECEDENT INFORMATION BELOW Pr~......._ _ _ _ Social Security Number Date of Death 177-42-4751 Decedent's Last Name 12 2 8 2 010 KENNEDY (If Applicable) Enter Surviving Spouses Information Below Spouse's Last Name Spouse's Social Security Number .~- MMDDYYYY Date of Birth MMDDYYYY 05191951 Suffix Decedent's First Name MI CRAIG Suffix Spouse's First Name THIS RETURN MUST BE FILED IN DUPLICATE WITH THE FILL IN APPROPRIATE BOXES BELOW REGISTER OF WILLS © 1. Original Retum Q 2. Supplemental Retum Q 4. Limited Estate 0 3. Remainder Retum (Date of Death Q 4a. Future Interest Compromise (date of Prior to 12-13-82) Q 6. Decedent Died Testate death after 12-12-82) ~ 5. Federal Estate Tax Retum R squired (Attach SPY of WIII) ~• Decedent Maintained a Living Trust 1 Q g. Litigation Proceeds Received (ttach Copy of Trust) 8. Total Number of Safe Deposit Boxes [~ 10. Spousal Poverty Credit (Date of Death CDRRE3PONDENT- THIB SECTION MUST BE COMPLETED. ALL CORREgppNDENCE ANDICONFIDEN 5) ~ 11 Election to Tax under Sec. 9113(A) Name (Attach Schedule O) TIAI, TAX INFORM,gnpN SHOULD BE DIRECTED TO: Robert G . Frey Daytime Telephone Number 7172435838? First Line of Address 5 South Hanover Stree Second Line of Address City or Post Office Carlisle ComespondeM•$ e-mail address: R F R E Y a F R E Y T I L E Y. C O M Under penalties of perjury. I declare that I have it is true correct and examined this return, including accompanying corn ete. Declaration of 51G TORE OF PE pN arer other than the rsonal re resentalive ~jESPONSIBLE FOR FILING RETURN ADDRESS ~...... 2=~~_~~ Street ESS oath Hanover Str L 1505611180 arrisbur PA 17103 tEPRESENTATIVE ' Carlisle pA PLEASE USE ORIGINAL FORM OI Side 1 _°L3 ~ l 1 ~ // S MI ~y~ _. ::~~ 'i-I >~ 1505611180 State ZIP Code PA 17013. ~ ~ _.~ -, - - - .~~ Y~ t Ji ~~'i _a~ , ~ ~ and statements, and to the best of i all information of which ~...a..._ my k~ledge and belief, J REV-1500 EX (FI) Decedent's Name: CRAIG $ RECAPITULATION K E N N E D Y 1• Real Estate (Schedule A) • • • • ..................... 1. 2• Stocks and Bonds (Schedule B) , , • • , • 3• Closely Held Corporation, Partnership or Sole-Proprietorshi 2• NON E 4• Mortgages and Notes Receivable (Schedule p) P (Schedule C) ... 3. N 0 N E 5• Cash, Bank Deposits and Miscellaneous Personal Pro e ~ 4• N 0 N E P rty (Schedule E) • • • • 5. 6• Jointly Owner Property (Schedule F 7• Inter-Vivos Transfers 8, IUiscellaneo~s N~onSpParate Billing Requested .... , (Schedule G) robate Property • • 6• N 0 N E Separate Billing Requested ..... . 3. Tefal r_.,r_ . _ _ 7. P 9• Funeral Ex enses and Administrative Costs (Schedule H 8 )........ s. 10• Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ........ . 11. Total Deductions (total Lines 9 and 10) . • , • 10 .................... 11. 12. Net Value of Estate (Line 8 minus Line 11) . . 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .. • , 12 .......... ....13. 14. Nnr v~~.._ ~._~. TAX CALCULATION -SEE INSTRUCTIONS FOR AppLICABLE RATES 15• Amount of Line 14 taxable at 14 the spousal tax rate, or transfers under Sec. 811.6 (a)(1.2) x .0 0 16. Amount of Line 14 taxable at lineal rate X .0 4 $ 15. 17. Amount of Line 14 taxable at sibling rate X .12 1s. 18. Amount of Line 14 taxable at collateral rate X .15 17. 144404.00 18. 19. TAX DUE ... . ...................... 19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0.00 58856.00 106614.00 165470.00 20408.00 658.00 21066.00 144404.00 0.00 L44404.0^ 0.00 0.00 0.00 21660.60 21660.60 L 1505611280 Side 2 1505611280 Decedent's Social Security Number L77-42-4751 1505611280 J REV-1500 EX (FI) Page 3 Decedent's Complete Address: 1'1Cnr...-.._. _ CRAIG S KENN STREET ADDRESS CITY Tax Payments and Credits: 1 • Tax Due (Page 2, Line 19) 2• CredityPayments A. Prior Payments B. Discount File Number 21-11-ooos STATE 3. Interest Total Credits (A + B ) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Llne 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAx pU~ 177-42-4751 ZIP (1) 21660.60 (2) 0.00 (3) (4) 0.00 (5) 21660.60 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN " " 1. Did decedent make a transfer and: X IN THE APPROPRIATE BLOCKS a. retain the use or income of the property transferred ... b. retain the right to designate who shall use the roe ~~ ~ ~ ~ ~~ 0 N~o. P P rty transferred or its income .... c. retain a reversionary interest ......... • ... ..•.•.•..•.......•..•'....•..•~•~•~~~~•~~~~•~•"~~~~~ XJ ........... . d. receive the promise for life of either payments, benefits or care? ...... ^ 2. If death occun'ed after Dec. 12, 1982, did de ........................................................................ without receiving adequate consideration? ., cadent transfer ro ~ ' P Party within one year of death ................................... . ............. l~ 3. Did decedent own an "in trust for" orpayable-upon-death bank account or security at his or her de ~ 4. Did d ............... ecedent own an individual retirement account, annuity or other non-probate property ath ............. contains a beneficiary desi nation? .,.,,,•,_,• g ,which ....... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COM For dates of death on or after July 1, 1994, and before Jan. 1, 1995th PLETE SCHEDULE G AND FILE R AS pgRT OF THE RETURN. §9116 (a) (1.1) (i)]. spouse is 3 percent [72 P.S. a tax rate Imposed on the net value of transfers to or for the use of the survivin For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for [72 P.S. §9116 a ) ()] 9 ( ) (1.1 ii .The statute does not exempt a transfer to a surviving spouse from tax, and the statuto assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary, the use of the survivin s For dates of death on or after July 1, 2000: 9 Pouse is 0 percent ry requirements for disGosure of • The tax rate imposed on the net value of transfers from a deceased child 21 adoptive parent or a stepparent of the child is 0 percent [72 P.S. years °f age or younger at death to or for the use of a natural parent • The tax rate imposed on the net value of transfers to or for the use of the decedent's?ineal beneficiari an • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblin ses 1 4.5 defined, under Section 9102, as an individual who has at least one parent in common with the d~~epercent, except as noted in [72 P.S, §g116(a)(1)j, 9 2 percent [72 P.S. §91161a)(1.3)]. Asibling is t, whether by blood or adoption. REV-1502 EX+ (Ot_t0) Pennsylvania DEPARTMENT pF REVENUE INHERITANCE TiU( RETURN RESIDENT DECEDENT ESTATE OF: SCHEDULE A REAL ESTATE FILE NUMBER: All roast property owned sole would be exchanged be h' or as a tenant in common must be m 21-11-0008 tween a willing buyer and a willin ~~ ~ fa(r market value. Fair market value is defined as the Real ro 9 seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. P party that Is Jointly-owned wiUi right of survivorship must be disclosed on Sc Price at which property ITEM Attach a copy of the settlement sheet if the hedute F. NUMBER InGude a copy of the deed showin d property has been sold: 9 ecedent's interest if owned as tenant in common. ~' 116 West Big Spring Avenue, NewvilleEPA (House and Lot) -Suspended VALUE AT DATE OF DEATH pending sale If more space is needed, use0additional sheetseof papenof the same Itulation.) S size. REV-1508 EX+ (~ 1-10) Pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS ^~ INHERITgNCE T,qX RETURN f ~ IHISC, RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: ITEM InGude the proceeds of litigation and the date the proceeds were All property jointly own d FILE NUMBER 21-11-0008 UMBER e received b Y the estate. with right of survlvonship must be disclosed on 3ch edwle F. 1 2 2007 Honda CR-V. DESCRIPTION VALUE AT DATE 3 1997 Mazda Miata. Kelley Blue Book Val a OF DEATH ue c ched F&M savings acct 08-00859 15 765 4 5 F&M checking acct 34-32408 , 3,610 6 White Rose Credit Union acct. 260 7 ACNB Passbook Savings acct. 9626662 Net proceeds of l 2,219 8 9 sa e from Ye Olde Coun Net proceeds of sale from Marathon A u t n 151 140 uction S I es Federal income tax refund 8,198 25,024 3,489 TOTAL (Also enter on line 5, Recapitulation) $ If more space is needed, use additional sheets of paper of the same size. 58,856 REV-1510 EX+ (08-09) pennsylvalnia SCHEDULE G DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDE INTER-VIVOS` ~' RANS FERS NT DECEDENT ESTATE OF & MISC. NON-PROBATE PROP ERTY Crai S Kenned FILE NUMBER This schedule must be completed and flied if the answer ~ any of questions 1 through 4 on pa ITEM DESCRIPTION OF PRO th ge PERTY INCLUDE THE NAME OF THE NUMBER THE DATE OF TRANSFEREE, THEIR RELATIONSFIIP 70 DECEDENT gryp TRANSFER ATTACH A COPY OF ree of the Rte/-1500 Is Yes. THE DEED FOR REAL ESTATE. DATE OF DEATH 1 • F&M IRA acct, 000-0908592 VALUE OF ASSE F 2 % OF DECD'S EXCLUSION • B~M IRA acct. 025-2984349 3• F8~M IRA acct. 025-2984 T 25,492 INTEREST aFA~,c,~~, 100.00% 350 4• F&M IRA acct. 025-2984351 11,322 100.00% 5• FSM IRA acct. 025-2984352 11,467 100.00% 6• F&M IRA acct. 025-2984353 11,467 100.00% 7• F&M IRA acct. 025-2984354 11,577 100.00% 8• F&M IRA acct. 025-2984355 11,577 100.00% 11,869 100.00% 11,843 100.00% TAXABLE VAL-- U-~_ 25,492 11,322 11,467 11,467 11,577 11,577 11,869 11,843 If more space is needed, use additionaASheets of paper of the sameusazte! REV-1511 t=X+(1p-Og) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ' " "~"1ea FILE NUMBER D®cedent's debts must be reported on Schedule I.21-11-0008 ITEM NUMBER A• FUNERAL EXPENSES: DESCRIPTION 1• Funeral Bill AMOUNT 2. Grave Stone 8,087 3. Grave openning 3,015 4. Honoraria to pastor, singers and organist 1,550 5. Fee for use of church 275 150 B• ADMINISTRATIVE COSTS: ~ • Personal Representative Commissions: Name(s) of Personal Representative(s) SVeet Address City State ZIP Year(s) Commission Paid: ~- 2• Attorney Fees; 3• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 5,000 Claimant SVeet Address City State ZIP Relationship of Claimant to Decedent 4• Probate Fees: 5• Accountant Fees: 405 6• Tax Return Preparer Fees; ~• Advertising fees to Cumbetiand Law Journal and the Sentinel 180 8. Expenses of sale of real estate -suspended pending sale 287 Uhaul for auction items 459 If more space is needed, use additionaOl s beets of paper of the same i Recapitulation) a 20,408 REV-1512 EX+ (12-0g) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT rcr.~ --•.~~~. yr %raig S Kenned SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER Report debts Incurred by the decedent ~pr to death that remained unpaid at the date of death, Including unrelmbursed medlcal6expeng~ ITEM NUMBER DESCRIPTION VALUE AT DATE 1. F8~M Home Equity Loan, 705000879, suspended pending sale of house OF DEATH 2• F&M Line of Credit, 333567, suspended pending sale of house 3• Personal taxes owed 658 TOTAL (Also enter on Line 10, Recapitulation) ; more space is needed, insert additional sheets of the same size. 658 REV-1513 EX+ (01.10) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE) BENEFICIARIES NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1 Tara Houser 2745 Canby Street, Harrisburg, Pq 17103 RELATIONSHIP 70 DECEDENT Do Not Liat Trustee(s) Niece FILE NUMBER: 1 _ 11 _rlnno AMOUNT OR SHARE OF ESTATE 100% of residue ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS A tl NON-TAXABLE DISTRIBUTIONS PPROPRIATE. A• SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B• CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET. If more space is needed, use additional sheets of paper of the same size. a ter? January 19, 2011 Frey & Tiley Attorneys-At-Law 5 South Hanover Street Carlisle, PA 17013 RE: Craig S. Kennedy To Whom It May Concern: In reference to the above customer, our records show the en accurate as of today's date. If I may be of any further assistance!o leas~nformation to be p e contact me. Sincerely, Brenda Hahn Deposit Operations Clerk 717-261-3668 ` . TiT-X64-611 .' -F64,-818 F~.0. B~ax .• ., • y - . ~ ~ a ~,~"~ ,. ~<~~~~~ .~~~~ ~ X10 t Ch,y~ p~ 172Q1~10 ,, vy m o o ~ ~~ ~~ n 3 ~ D ~ ~ ~ b Z ] Z ,m ,o White Rose Cr dit Unio ammunlty re 1 nlan "?rusted F'amiCy Since 1950" Robert Frey 5 South Hanover Street Carlisle, PA 17013 RE: Estate of Craig S. Kennedy Dear Mr. Frey: Listed below is the account information you requested for Craig Kennedy: Balance at date of death: $150.82 y Interest accrued from January 2010 to date of death: $.25 A check was made payable to the Estate of Craig S. Kennedy on 1/4/2011 in the $150.84 and the account was then closed. amount of If you have any further questions, please feel free to contact me at 846-1156. Sincerely, ~~ Darla Kessler ll...~.,,a..----- .~...~. - - - ~~ •• u ~ii~ce East York Office PO Box 66 Main Office Red Lion Office 200 S George St 34981ndustrial Dr 13 Dairyland Squaze York PA 17405-0066 York PA 17402-9050 Red Lion PA 17356 717-846-1156 1-888-755-9773 or717-755-9773 717-244-4586 West York Office 1529 Rodney Rd York PA 17408 717-767-5395 ACNE BANK January 26, 1011 Frey & Tiley Attn: Robert G Frey 5 S Hanover St Carlisle PA 17013 RE: Estate of Craig S Kennedy Dear Mr. Frey: The following information is being provided as per your request Acct. Type Account No. Balance at Accrued D.O.D. Interest to FNB 9626662 D.O.D. Passbook $139.72 $0.03 Ownership Date Opened Individual 8/30/96 Inquiries concerning ACNB Corporation stock information should be directed to the R ' at 1-800-368-5948. If you need any additional information, please contact me at (717 339- egistrar and Transfer Company 5122. Barbara J Wa er ACNB Bank Deposit Services Representative II PO Box 3129, C'ETrYSBURG, PA 17325 I rHONe 717.334.3161 I Tou F~ 1.88g.334.2262 I acnb.com I acnbbusiness.com 2007 Honda CR-V -Private Party Pricing Report -Kelley Blue Book 1/3/11 5;17 Iy THE TRUSTED lESOURCE SEARCH __.. _ ...u. ~:ie~u rre=t~wned Used Cars Research Reviews & News Dealers 8c I:nventory Used Cars For Sate Used Car Values ~ Search Used Car Classifieds ~ Certified Pre-Owned ~ Compare Vehicles ~ Perfect Car Finder ~ Most Researched Vehicles Welwme Back ~ Sign In ~ Crea[e Account ~ My KBB ZIP Code: 17241 ~ CARFAX Vehicle History Recently Viewed "You Might Afso Like Free Dealer Price Quote 1-E~4RN MORE >aB0{~7' CREDIT ANp GET ~ • Y~1R SCORE! V~ • t W~n_-...,.-.. .u .... ._. ~' ~ ed ar ' 2Q4Z ' F{~ ' CR-V > EX sport usiiny aD 2007 Honda CR-V EX Sport Utility 4D Trade-In Value '" ' ""' °°~°" .... Pnvate Pa ~ -- . _. rty Value BLUE BOOK® PRfVATE PARTY VALUE .. _. ., ,... ,.. .. .,S WHGr; ._. 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This u may also be used to derive Fair Market Value for insurance and vehicle donatlon purposes, News More Car News 10 Coolest Cars Under $18,000 Used Car Prices Higher Than j Ever - AOL Autos i B Save Vehicle Print -- Email Iv~B00KMHRK d -_... .._~ edvertlserca.nt w ~~ ,Y a'p '., . s~w~< http://wwW,kbb.com/used-cars/mazda/miata-mx_5/ 1997/private-parry-value/prycing-report?condition=good&id=8030drmlleage=110000 Page 1 of 2 LAST RILL AND TESTAMENT CRAIG SOKENNEDY I, CRAIG S. Ii~NNEDy~ sin le Newville, Cumberland Coun g ~, of 116 West Big Spring Avenue, in the Borough of understanding, do hereb ty' Pennsylvatua, being of sound and dis sin hereby revoking and malan~a ~ Lsh and declare this as and for m~ g rtund; memory and y and all Wills by me at any time herotofore m~aldettd Testament ! • I direct my hereinafter named Executrix to pay all of m as soon after my death as may be found convenient to do so. I my burial lot located in the Y lust debts and funeral expenses Township near the Borough flCarjsle Pennsylvana. I ~~t fat my body be inter on estminster Cemetery, located in North Middleton succession, estate and death taxes, including interest and further duect that all inheritance on account of my death shall be penalties thereon, which ma 'transfer' assets upon which such taxes are based laerefirno IC ud~eed nsmue of my estate regardless of ~h~et~he atbhle 2 I give and bequeath tom Y Probate estate. wife, their heirs and assigns, all of my oil P n gs which the they not choose to receive any of them, then those notN cho~Sen s}utll be inK ud a ~O, husband and estate. Should both of them fail to survive me Y may desire to reCe~v°' but should issue as shall survive me b a ~ then I give and ueath the ° the residue of my . Y period of ninety (9p) days, their hebrs and assi ssme to such of their 3• All of the Bn per s6rpes. wheresoever the same m~a residue and remainder of my estate, real, perspnal and nlized, and heirs and seal ns, Y be situate, I give, devise and bequeath to my nice, TARA ROUSER, her g provided she shall survive me by a period of nine to so survive me then to my sister, SHERI ROUSER, her heirs and~assagns, provided she shall survive me by a period of ninety (9p) days, but should both of them fail to so survive me, give, devise and bequeath the same to my friends CYNTHIA and Pennsylvania, their heirs and seal s; then I nine y !~ provided at least one of theme 3~v~Lm~b fa peellsville, ty (90) da s, but should both of them fail to so survive me then to such of their issue, the rh ~S and assigns as shall survive me by a period of ninety (9p) days, per stirpes. 4• I hereby nominate, constitute and appoint m ni this my Last Will and Testament, but should she red Y ~' TARA ROUSER, as such, then in such event I nominate, constitute and a ecease me or fail to Executrix of qualify or cease serving as Y ERI ROUSER, as alternate or successor Execntrix, but should she fail to qualify or cease serving as such, then in such event I nominate, constitute and appoint my friends, CYNT D'IIRILLO, or either of them IIIA 1~'1IRILLO and her husband FRANK them shall be required to ' ~ ~~~~ or successor Executors, and I further direct that none of Commonwealth of Pennsyjvan1a or ~n~y o~ r~urisdi bonl perfom~ance of his or her duties in the IN WITNESS W~gEOF, I have hereunto set m Testament written on one (i) page, this ~ S y of Y hand ~ seal to this m /~ u , 2003y Last Will and CRAIG S. NN y (SEAL) Signed, sealed, published, and declared b as and for his Last Will and Testamen in our Y CRAIG S. KENNEDY, the Testator above named, the presence of each other, have hereu to subscribed our amoes as attesp~g witnesses.equest, and in MS ~ ~