HomeMy WebLinkAbout03-07-121505610143
REV-1500 Ext°'-'°'
PA De artment of Revenue OFFICIAL USE ONLY
p pennsylvania county Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO Box.2so6ot INHERITANCE TAX RETURN 21 11 00182
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
213 24 0845 12 05 2010 07 25 1929
Decedent's Last Name
PARSONS
(If Applicable) Enter Surviving Spouse's Information Below
Suffix Decedent's First Name
ELAINE
Spouse's Last Name Suffix Spouse's First Name
PARSONS H.
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW ~~~
1. Original Retum ~ 2. Supplemental Retum
4. Limited Estate ~ 4a. Future Interest Compromise
(date of death after 12-12.82)
8 Decedent Died Testate
(Attacks Copy oT Will) ~ ~• ~AttacheCo aiot~rnuest a Living Trust
PY ff )
9. Llti ation Proceeds Received
g ~ 1 p. Spousal Povert Credit (date ~f death
between 12-31 ~J1 and i-1-95
MI
C
MI
F
3, Remainder Return (date of death
prior to 12-13-82)
5 Federal Estate Tax Return Required
8 Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
WM D SCHRACK III ESQ 71.7 432 9733
First line of address
124 W HARRISBURG STREET
Second line of address
City or Post Office
DILLSBURG
State ZIP Code
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REGISTER O~~AfilepS USE ONLY
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Correspondent's a-mail address: Schracklaw@comcast.net
Unde Wallies of perjury, I Clare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is t correct and comp to Demotion of preparer other than the persona-I representative is based on all information of which preparer has any knowledge.
SIGNA t E OF PERSON R SP NSI OR FILING RETUR DATE,
James A.
226 Union
SIGNATURE OF P
ATIVE
Wm. D. Schrack Esq.
124 W. Harrisburg Street, Dillsburg, PA 17019-1268
Side 1
L 1505610143 1505610143
1505610243
REV-1500 EX
Decedent's Name: ParSOnS, Elaine C.
Decedent's Social Security Number
213 24 0845
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1. 4, 5 0 0. 0 0
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.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers 8~ Miscellaneous Ilan; Probate Property
Se
arate Billin
Re
uested
S
h
d
l
G
p
g
) u
q
............
(
c
e
u
e 7,
8. Total Gross Assets (total Lines 1-7) ..................................................................... g, 4 , $OO . 00
9. Funeral Expenses&Administrative Costs (Schedule H) ....................................... 9. 10 , 236.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10.
11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 1 O , 2 3 6. O 0
12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12, -5 , 736. OO
13, Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ............................................... 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 14. -$ , 736.00
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
0
00
15
(a)(1.2) X .00 . .
16. Amount of Line 14 taxable
7 3 6. 0 0
- 5
16
at lineal rate X .045 , .
17. Amount of Line 14 taxable
at sibling rate X .12 0 . 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0.00 18.
19. Tax Due ................................................... .............................................................. . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
L 1505610243 1.505610243
0.00
-258.12
0.00
0.00
-258.12
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-11-00182
DECEDENT'S NAME
Parsons, Elaine C.
STREET ADDRESS
815 N. Walnut Street
CITY STATIE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments
B. Discount
(1) -258.12
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.
Total Credits (A + B) (2)
(3)
(4) 258.12
(5)
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: 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; or ............................................................................................................... x
d. receive the promise for life of either payments, benefits or care? ............................................................ ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .................................................................................................................... ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ ^x
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)].
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 statutory requirements for disclosure 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)].
. 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)]. 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.
Rev-1502 EX+(t1-08)
COMMONVYEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
Parsons, Elaine C. 21-11-00182
„- _ -. _ --._...- _-, -. -.._ _ .......... .......... ........o, .,-~~ ~ti .,,,~„No„o„ ,~ ,,,,y ~~ sm~, uvu~ navmg reasonaole KnrnNletlge of the relevant facts.
Real property which is Jointlyowned with right of survivorship must be diaclased on schedule F.
Attach a copy of the settlement sheet if the property has been sold
Include a copy of the deed showing decedent's interest if owned as tenant in common.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Contract sales price for property at 815 N. Walnut Street, Mechanicsburg, Cumberland 4,500.00
County, PA (Tax Parcel No. 18-22-0519-341) (see HUD-1) was $119,500.00; on original Return
filed September 16, 2011, value of real estate was listed as $115,000.00; the property sold for
$4,500.00 more than shown on original REV1500
TOTAL (Also enter on Line 1, Recapitulation) I 4,500.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08)
REV-1151 EX+(10-05)
COMMq~WEDENT DECEN~RNVANIA
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Parsons, Elaine C. 21-11-00182
Debts of decedent must be reported on Schedule I.
ITEM
N M R DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zip _
Year(s) Commission paid
2. Attorney's 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's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 10,236.00
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 10,236.00
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Parsons, Elaine C. 21-11-00182
ITEM
NUMBER DESCRIPTION AMOUNT
Other Administrative Costs
1 Additional home repairs to satisfy home inspection - Home Depot (supplies far contractor
Rice)
2 Additional home repairs to satisfy home inspection -Jeffrey Rice, contractor
3 Mechanicsburg Borough -additional charges for sewer and trash until time of settlement
4 PP&L -additional electrical charges until settlement
5 Settlement costs for sale of real estate (see HUD-1)
6 United Water -additional charges until time of settlement
HI-B7
36.80
404.18
130.15
48.51
9,565.44
50.92
10,236.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
NEH•,~~
'~ Ill lu ,r ~.
I
'~,N I~~II~b*,.~ A• Settlement Statement (FiUD-1)
~~'oaar~~ a
B. Type of Loan
OMB Approval IV O. 2502-G255
I i~ F~i4 2
0 RHS 3
C 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number-^
.
. ~
onv. Unms. 11102-108 0331265298
~-' ` -• 5. Q Conv. Ins.
~. Note: This lorm is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement a
ent are
h
Items markad "(p.o.c.)"were paid outs
ide the closing; they are sho g
s
own.
wn here for inlorrna6dnal purposes and are not fncludod in the tota;s.
D. Name and Address of Borrower. E. Name and Address of Seller: F. Name and Address of Lender
Doris ~ Waughtel Estate of Elaine C. Parsons Homesale Lending LLC
594 Center Road
Mlit!inwwn
PA 17059 226 Union Church Road 13675 Technology Drive
, Dillsburg, PA 17019 Eden Prairie, MN 55334
'v. Properly Location: H. Settlement Agent: 23-2332041
8? 5 fJ +Nalnul Street
Residential-Commercial
Abstract, Inc. I. Settlemen t Da!e
Machanicsburg, PA 17055 3621 North Front Street
Cumberland County, Pennsylvania Harrisburg, PA 17110
Ph. (717)901-8926 December 9, 2011
Place of Setttemenk
3621 North Front Street
Harrisburg, PA 17110
J. Summary of Borr
'
ower
s transaction K. Summary of Seller's transaction
70G cross Amount Due from Borrower 400. Gross Amount Due to Seller
101_Contract sales price
102. Pzrsonalpropeny 119,500.00 401. Contract solos price
119,5G0 00
103. aaulement Charges to Borrower (Line 1400)
5
061
64 402. Personal ro ert I
403
104. ,
. .
- 40a.
105. 405
-
Ad'ustnlents for items paid bv-Seller in advance
706. Cuy/Town Taxes .
Ad ustments for items aid b Seller in advance
to
10?. County Taxes 12/10/11 to O1lOVt2
705
Assessments
36.a6 406. CA !town Taxes I
to
407. Count Taxes 12!10/11 to 0170tr12
36
46
.
12/70;71 to 07lOtit2
t 09 4th puarter HOA Dues 12/10/11 to 01!01/12 803.14
28
70 408. Assessments _12110/11 to 07/01?12
40 .
803 t4
-
71c . 9. 4th Ouartar HOA Dues 12/10/17 to 01!01/12
I
410
~a
io
-
111 . I
411
;- ----
112. - . -
412. , -
120. Gross Amount Due from Borrower
I 125,429.94 i
420. Gross Amount Due to Seller
200_Amounts Paid by or in Behalf of Borrower 120,368.30
201. Deposit or earnest n7dnav 500. Reductions in Amount Due Seller.
202 Pr.nclpal amoum of new 1°an(s) I 2,000.00 501. Excess de dsil see instructions _
2G3__i;linq loan(s) talon subject l0 _ 84,000.00 502. Settlement charges to Seller Line 1400) 12,890.44
? J-' _. 503. Exislin loan(s) taken subject to
;J,_:--- - _-___-- _-_T 504. Payofl First Mortgage J-
- -- -----
''f
-
- 505. Pa olf Szcontl Mortgage ~
_-___ - __ 506. -
--
2JE 507. De osu dlsU. as roceeds) --f-
.
205. i 508.
Adjustments for items unpaid by Seller ~ 509.
'
2?0 GrnTown Taxes to
I Ad
ustments for items un aid b Seller
211
Cwnt Taxes '- 510. Cit !Town Taxes
1O
.
- tO
212. Assessments to 511. Count Taxes to
213 512. Assessments
to
513
214 .
2t~. 514.
2,6 515. I
2' 7 -- I 516. -~ - --
218 I
~ 517. ~ --
219 518. ~ - -----
519. --
220. Total Paid b /for Borrower i 86,000.00 520. Total Reduction Amount Due Seller
300. Cash at Settlement from/to Borrower
600. Cash at sottlement tolfrom S
ll 12,850.44
301. Gross amount due Iron Borrowar line 120
( )
3G2 L
I 125,429.94 e
er
601. Gross amount due to Seller (line 420
zss amount paid byi(or Borrower (line 2201
!( 86,000.00)
602. Less reductions due Seller (line 520) T( 120,3nd_30
0
'
3u?. cash X~ Frem ~ To Borrower
~--~ 39,429.9a 603. Casn ~ TO
From Seller j 12 8
0 44
107,477.86
itz un;:zrsigned hereby acKno,vlzdge receipt °f a completed copy of this statement & any allachmanls referred to herein
Borrower ~` '
~,a/\^-. ~ ~~ ~. I ~ ;.r~~~ Seller
Dons J. VV'aught ~ to of Elai C. sons
J es P.. Rogers, Ex for
T e -.::Y< {, t g aurper.',r U s ~n I inbrma~ en is act mat m~nul¢a per reaPOnae 1 ~ t.r,
n dt r torn Ness n use ays a :ar '~Ity vaiiC 0'd9 con(!o1 nun,bir ~'u ConrWZnd3lily is 85eur2n tr-s uis~lasure +r marwalory ~Tt'ts lea .]nzn to Drow0e lna Dances ro a RESRA caverea va saui0n wln inrJrrt ., cr
~. ~."a . 112mEni pr~C2as
Page 1 of 3 HUD-t
(NJAUGHTEL PFD/11 702-100/2 3 1
,aryes
,coraleoroKerrees - 57,565.00
,.,ri o/commission (line 700) as lollavs_ paiaFmm
eorrowen pa,dF,:,m
s
a
.,.980,00 to ReMax Really Associates
Tunas al e
e:,
F
~. S 3.585.00 to Prudential Homesale Services Grou
703. Commission aid at selllentenl
Semamem rmos at
Sememem
70.1. 3roker Fee
to Prudential Homesale Services Grou
705.
225.00 7,565.00
_
800. Items Pa able in Connection with Loan
EOt Our on ination char e S 595.00 (Iron GFE #1
E02 Your credit or charge (poirds) for the specific interest rate chosen $ (Irom GFE k2)
EO'_. Yeur adjustetl origination charges from GFE #A
804, A, sisal fee
P to RELS Valuation Irom GFE #3
805. Cradil Report to P.ELS Credit (from GFE #3
806. Tax service
(o
595.00
380.00
11.66
_
(from GFE #3)
807. ~V~od certification - to
(Irom GFE #3)
808 (from GFE r<?)
6C9 -
8t0 .~- (from GFE #3)
E17 -_ (Irom GFE a:3)
(Irom GFE #3)
900. Items Re wired b Lender to Be Paid in Advance -' -
907. D;~ly interest charges from 72/09;1 1 to 01/01.12 23 @ 59.780000/day (from GFE #10)
902. Mun~age insurance premium (or months to 224.54
from GFE #3
903. Homeowner's insurance for 1.0 years to Erie Insurance
(turn GFE #11) POC 6465.00
90:
905 - from GFE #11
(from GFE #11)
1000. Reserves Deposited with Lender
1007. Initial deposit far your escrow account (from GFE #9)
t 02-Flomeowners Insurance 4 0 moots
er m
th
999.66
p
on
1 _
t00~. tdort a e insurance
months 5
_
er month S
1004 Progeny taxes
5 1,445.48
_ County Taxes 12 000
months @ S 50
41
_
.
per month
SchoolTaxes 7.000 months @ S 120.08 per month
_ .;sessments Inunlhs
-
@ S per month
• ~ v
___
_0~6 __....___ In011Ih5 N S 5 -_
-- __ _ _ _ _ C per month S
~
_~007_,,:gregateAd(ustrlent
m:;nths C S per month S •600.62
:t
. ____ - ___. J
-
1 ~11C
5
1100, Title Char es
t 101. !'die services and lender's title insurance ifrom GFE #4j
t 102. Settlement or cWS:n fee
5
1,026.48
--
1103 Owner's title insurance (o Old Republic National Title Ins. Co. (from GFE #5)
110-1. Lender's title insurance to Old Republic National Title Ins. Co. S 886
48 176.40
.
t 105 Lender's title olio limit 5 84,000.00
110 Owner's title policy limit S 119,500.00
1167 A ent's onion of total title Insurance remwm to Re
id
i
l
C
s
enl
a
•
ommercial Abstract 5 914.07
110 Underwriter's portion of total title insurance premium
Old R
to
epublic National Title Ins Co
1109 5 148.81
Closing Proteclwn Letter
Ol
t
R
_
o
d
epublic National Title Insurance Comp y 75.00
1110. Notary Fee to Residential-Commercial Ab
t
I
s
ract,
nc.
1171 Tax Certification
to Residential-Commer
i
l Ab
t
10.00
c
a
s
ract, Inc.
111 10 00
1173.
1200. Government Recording and Transfer Charges
7?iii Government recording atarges to C
l
b
um
er
and County Recorder of Deeds (from GFE #7)
t?0? 6_ed S c200 A4ortga
e 5 )6
00 R
208.50
g
.
eleases 5 S
~~,.~_, ___ Other 50.50
L<+nsfer taxes
to
Cumberland C
t
R
_ _
_
oun
y
ecorder of Deeds (from GFE #8)
t2C4 C:;y/County laxistamps
- 1
195 1,195.00
_
,
.00 S
1205 Slate tax/stamps _
1,
195.00 S -
---.
_
_
721/0. t,1SS Jl)
-
1207. _
__ __
1300. Additional Settlement Char es
1301. Repuired services chat you can shop for prom GFE #6)
7302 Flood Life of Loan Fae
to WF Flood S
19.00
_
vcs S 19.00
1303. 4rn Quaver HOA Duas to W nnewood Park Townhouse Owners A
s
1304 A;torne Fee -Estate Administration to Law Office of W
D
h
S
120A0
m.
.
c
rock III
1305 Sce adtlil'I disb. exhibit tp 3,250 A0
1400. Total Settlement Charges (enter on lines 103 S
i 740.44
ect
on J and 502 Section K) 5.061.64 12.890 4.t
-, -..°°. •~y= ~ ~~ ~~~~+ xmenieni. m2 S~gnalon25 atknawiaag2 recwI cl a ccmplelaa copy al papa 1 d ? of INS mreeBa sea
moot.
esigerjt I I- Om is slracl, Inc., eltle t~enl
~e!ufied to be a true copy. /
Page 2 of 3 HUD-1
(W AUG HTE L. P FD/7110210E/23 j
LAW OFFICE OF
WNt. D. ScxRACx III
124 WEST HARRISBURG STREET
DILLSBURG, PA 17019-1268
Telephone 717-432-9733
Telefax 717-432-1053
March 6, 2012
Register of Wills
Cumberland County Court House
One Courthouse Square
Carlisle, PA 17013
Re: The Estate of Elaine C. Parsons
D/D: December 5, 2010
File #: 21-11-00182
Dear Register:
_.~
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E-N[ail Addre ~ ~
Sch:racklaw@co~` ~et ~
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You will find enclosed herewith two copies of a second Supplemental "Inheritance Tax Return
- Resident Decedent", Form REV-1500, filed on the above-noted Estate, accompanied by a cover page
marked "COPY", and my trust account check for the sum of $15.00 to cover the cost of filing. This
copy properly shows a negative net value of the estate.
Please accept the Return, and time-stamp and return to me the cover page, using the self=
addressed, stamped envelope which is enclosed.
Sincerely,
_ ~
Wm. . Schrack III
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