HomeMy WebLinkAbout01-25-121505610105
-REV-1500 °"°'-11"~''~1
PA Department of Revenue Pennsylvania
Bureau of Individual Taxes a.~~~M~.E~.~
PO BOX z8D6ot INHERITANCE TAX RETURN
Harrtsbura. PA 17128-o6ot RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
204-03-9308 ',08/22!2011
___ _.
Decedent's Last Name
Wennch
_..
(If Applleable) Enter Surviving Spouse's Information Below
Spouse's Last Name
_. .
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
~ i. Original Return
OFFICIAL USE ONLY
County Code Year File Number
MMDDYYW Date of Birth MMDDYYW
:07/14/1918
Suffix Decedent's First Name MI
Ethel A
Suffix Spouse's First Name
MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
O 2. Supplemental Return O 3. Remainder Return (Date of Death
Prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (data of O 5. Federal Estate Tax Return Requ(red
death after 12-12-82)
O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9tt3(A)
Between t2-31-91 and 1.1-95) (Attach Schedule O)
CORRESPONDENT -THIS SECTH)N MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number w
Michael A. Scherer, Esq (717) 249-687 ^~
REGISTER SE Ofi{'C
First Lme of Address
_... __ , ~ {-~ ~ i
Baric Scherer LLC ~
_' ~
~
Second Lina of Address
,-.._. _._.._ _......m _- - - _ _ ~ _ - _ _... ___. -_. _ -.,._....., ~~
~ ~'~.
' 19 West South Street
City or Post Office
Carlisle
Correspondent's e-mail address:
.corn
Under penalties of per)ury, I dedere that I have examined thisretum, including accompanying schedules and statements, and to the best oT my knowledge and belief,
it is true, correct and complete. Dedaretlon of preparer other than the personal representative is based on all infortnatlon of which preperer has any knowledge.
SIGNATURE OF PF.ItSON12ESPONSIQI.E FOR FILING RETURN DATE ~
13 Chestnut Street, Mt. Holly Springs, PA 17065
SIGN {3E PREP~ARE~t j1THF,R THAN REPRESENTATIVE ~ ~ o~E
19 West South Street;:Carlisle, PA 17013
PLEASE USE ORIGINAL FORM ONLY
15056101D5
State ZIP Code ' ~""-
PA ~:, ;17013
Side 1
1505610105 J
REV-1500 EX (FI) Page 3
Decedent's Complete Address:
File Number
DECEDENT'S NAME
Ethel A. Weaver
STREETADDRESS
34 North Baltimore Avenue, Apt. 2
CITY STATE ZIP
Mt. Holly Springs PA 17065
Tax Payments and Credits:
2.
Tax Due (Page 2, Line 19)
Credits/Payments
A. Prior Payments _
B. Discount
3. Interest
Total Credits (A + B) (2)
(3)
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. (4)
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT.
~~ , L..
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 .............................................................................................................................. ^
d. receNe 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 "intrust fob' or payable-upon•death bank account or security at his or her death? .............. ^
4. Did decedent own an individual retirement account, annuity or other non-probate propeAy, 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.
J
1505610205
REV-1500 EX (FI)
Decedent's Social Security Number
Dacedenes Name: Ethel A. Wenrich ''.204-03-9308
RECAPRULATION
__ __,
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 and Notes Receivable (Schedule D) ........................... 4.
p P v ( ) 5,696.27
5. Cash, Bank De osits and Miscellaneous Personal Pro ert Schedule E ....... 5. ~~~„ ~-
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. ' 3,163.37 ',
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7. ',
8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 8,859.64
9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9.
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............... 10.
11. Total Deductions (total Llnes 9 and 10) ................................. 11.
12. Net Value of Estate (Line 8 minus Line 11) .............................. 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to lax has not been made (Schedule J) ........................ 13.
10,480.12
10,480.12
(1,620.48
14. Net Value SubJect to Taz (Line 12 minus Line 13) ................... ..... 14. ! (1,620.48
TAX CALCULATION • SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
..
transfers under Sec. 9116 ___ _
18. Amount of Line 14 taxable ~~~~ ~ ~~~~~~~~~~ ~~ ~~~~~~~~~ -~~~~~~_--~~
0
00
at lineal rate X .0 ~ .
16
17. Amount of Line 14 taxable ~--- - -~----__ _.__ _W _ .__
at sibling rate X .12 17.
~~~ ~--~~~ ~~-~
18. Amount of Lfne 14 taxable '
at collateral rate X .15 18. I.
19. TAX DUE .................................................... .....19.'
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
aide 2
L 1505610205 1505610205
REV-iSoaEX+(11-io)
pennsylvania
YJ DEPARTMENT Of REVENUE
INHERrrANCE TAX RETURN
RESIDENT DECEDENT
SCNEpULE E
CASH, BANK DEPOSITS & MISC.
PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Ethel A. Wenrich
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIP170N OF DEATH
1. Comcast Cable Refund 38.75
2, Highmark Refund 432.52
3. Cash in possession of Carol Weaver 5,000.00
4, Personal property-estimated yard sale value 225.00
TOTAL (Also enter on Line 5, Recapitulation) ; 5,696.27
If more space is needed, use additional sheets of paper of the same size.
REV-i5o9 EX+ (01-30)
pennsytvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCMiptlLE F
JOINTLY-OWNED PROPERTY
ESTATE OF: FILE NUMBER:
Ethel A. Wenrich
if an asset became jointty owned within one Year of the decedent's date of death, it must ba roported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A• Carol A. Weaver 13 Chesnut Street daughter
Mt. Holly Springs, Pennsylvania 17065
e.
C.
JOINTLY OWNED PROPERTY:
ITEM
NUMBER ~R
FOR JOINT
TENANT OAiE
MADE
JOINT DESCRIPTION OF PRODERTY
INCLUDE NAME OF F[NANCULL INSTITUnON AND BANK ACCOUNT NUMBER OR SIMILAR
iDFNTIFYING NUMBER. ATTACH DEED FOR JOINTLY HEIR REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % OF
DECEDENT'S
INTEREST DATE OF DEATH
VALUE DF
DEfFDEHTS INTEREST
1. A. 10112f95 M & T Checking Acct. No. 1283663 6,326.74 50 3,163.37
TOTAL (Also enter on Line 6, Recapitulation) I $ 3,163.37
If more space is needed, use additional sheets of paper of the same size.
REV-1521 EX+ (10.09)
~pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
1NHERTEANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Ethel A. Wenrich
Decedent's debts must 6a reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A, FUNERAL EXPENSES:
1' Hollinger Funeral Home 9,218.13
Luncheon 629.38
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State ZIP
Year(s) CDmmisslon Paid:
2. Attorney Fees: ---'--
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:
5. Accountant fees:
6. Tax Return Preparer Fees:
~, Metropolitan Edison......... 32.61
TOTAL (Also enter on Line 9, Recapitulation) #'_', 10,480.12
If more space Is needed, use additional sheets of paper of the same size.
REV-1513 EX+ (OS-10}
Pennsylvania SCHEDULE ~
DEPARTMENT ~f REVENUE
iNHERiTANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Ethel A. Wenrich
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not list Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec, 9116 (a) (1,2).]
1• Carol Weaver, 13 Chestnut Street, Mt. Holly Springs, PA 17065 daughter 1/4
2. Harold Wenrich, 306 Gibbons Road, Northumberland, PA 17857 !son 1/4
3. David Wenrich, 3 Emerald Circle, Carlisle, PA 17013 son 1/4
4. Joan Schrawder, 250 Union Street, Sunbury, PA 17801 daughter 1/4
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF 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:
L
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL HON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~
y
If more space is needed, use additional sheets of paper of the same size.