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HomeMy WebLinkAbout03-13-12'~ REV-1500 EX (02-11)(FI) PA Department of Revenue Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 1505611185 INHERITANCE TAX RETURN RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 1,96-L4-221,5 Decedent's Last Name 011720],0 WATKINS OFFICIAL USE ONLY County Code Year File Number 21, 10 0085 MMDDYYYY Date of Birth MMDDYYYY 061,01925 Suffix Decedent's First Name (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Social Security Number MARGARET Spouse's First Name THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS MI M MI FILL IN APPROPRIATE BOXES BELOW ^ 1. Original Return ^X 2. Supplemental Return ^ 3. Remainder Return (Date of Death ^ 4 Limited Estate ^ 4a F I t t t C ^ Prior to 12-13-82) . . ure n u eres ompromise (date of 5. Federal Estate Tax Return Required ^ 6 Decedent Died Testate ^ death after 12-12-82) 7 Deced nt M i i t d Li i T . (Attach Copy of Will) . e a n a ne a v ng rust (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 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO Name Daytime Telephone Number KEITH 0• BRENNEMAN, ESQ 71,7-697-8528 First Line of Address 44 WEST MAIN STREET Second Line of Address City or Post Office MECHANICSBURG State ZIP Code PA 27055 r-. REGISTFLRpF WILLS USE-ANLY T~ Y' p„ e ) '....i ~-- t s~ ~T7 f>rn;.. C+: - -- - ~~ ~ _U. 1 ~ .~' ~_~ ~ 1 f-r t1}ATE FILED .>=~ j - C. Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the 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. SIGNA ~ OF PERS©N RESPONSIBLE FOR FILING REZURN ~ no,~ - 3/~a~i ~ EASY ROAD, CARLISLE, PA 17013 SI; Tt~A URE OF PREPARER OTHER THAN REPRESENTATIVE ~/~3 T' ADDRESS 44 WEST MAIN STREET, MECHANISBURG~ PA 17055 PLEASE USE ORIGINAL FORM ONLY i 7 Side 1 1505611185 OM46473.000 1505611185 J 1505611285 REV-1500 EX (FI) Decedent's Social Security Number 196-14-2215 Decedent's Name: W A T K I N S MAR A R T f1 RECAPITULATION 1. Real Estate (Schedule A) 1 D • D D 2. Stocks and Bonds (Schedule B) . 2 D • D D 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3 D • D D 4. Mortgages and Notes Receivable (Schedule D) 4 D • D D 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 2 3 , 7 9 7 • 3 3 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested _ g D • D D 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. D • D D 8. Total Gross Assets (total Lines 1 through 7) 8 2 3, 7 9 7. 3 3 9. Funeral Expenses and Administrative Costs (Schedule H). g. 15 • D D 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10 D • D D 1 1 . Total Deductions (total Lines 9 and 10) , _ 11 15 • D D 12. Net Value of Estate (Line 8 minus Line 11) 12. 2 3 , 7 8 2 • 3 3 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) , 13 D • D ~ 14. Net Value Subject to Tax (Line 12 minus Line 13) 14 2 3 , 7 8 2 •3 3 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers un~er Sec. 9116 D•OD 16. Amount of Line 14 t xable at linealrateX 04~ . 2,378.23 16. 1,07.02 17. Amount of Line 14 taxable at sibling rate X .12 D• D D 17 D• D D 18. Amount of Line 14 taxable at collateral rate X .15 21, , 4 D 4 • 10 1 s. 3 , 21, D • 6 2 19. TAX DUE 19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505611285 Side 2 1505611285 3,317.64 iX lI OM4648 3.000 REV-1500 EX (FI) Page 3 Decedent's Complete Address' File Number 7l in nnar DECEDENT'S NAME WATKINS MARGARET (~ STREET ADDRESS R R V CUMBERLAND COUNTY CITY STATE ZIP CARLISLE PA 1,7Q1,5- Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 3 , 317 • 6 4 2. Credits/Payments A. Prior Payments Q . Q Q B. Discount Q . Q Q Total Credits (A + B) (2) Q . Q Q 3. Interest (3> 1,49.24 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) Q • Q Q 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) Q , 4 6 6 • 8 8 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 ^ 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" or payable-upon-death bank account or security at his or her death? ^ L~ i 4 Did decedent own an individual retirement account, annuity, or other non-probate property which , contains a beneficiary designation? ~~~II l~l ^ 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 ±ransfers to or for the use of the surviving spouse is 3 percent [72 P.S. X9116 (a) (1.1) (i)]. 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. X9116 (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(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. OM4671 2.000 REV-1508 EX+ (11-70) pennsylvania SCHEDULE E DEPARTMENTOF REVENUE CASH, BANK DEPOSITS, ~~ MISC. RESIDE TNDEC ENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Margaret M. Watkins 21 10 0085 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 DESCRIPTION OF DEATH ~. United States Teasury annuity benefits OW46AD 2.000 TOTAL (Also enter on line 5, If more space is needed, use additional sheets of paper of the same size. 23,797.33 $I 23,797.33 REV-1511 EX+(10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENiDECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Marcraret M. Watkins 21 10 0085 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~ None B. 1 ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City Year(s) Commission Paid: State ZIP 2. i Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) ', Claimant Street Address 4. 5. 6. 7. 1 j City State ZIP I Relationship of Claimant to Decedent Probate Fees: Accountant Fees: I I Tax Return Preparer Fees: Register of Wills filing fee for Supplemental Inheritance Tax Return 15.00 TOTAL (Also enter on Line 9 Recapitulation) ~ $ 15 00 gwasac z o0o If more space is needed, use additional sheets of paper of the same size. REV-1513 EX+(01-10) SCHEDULE J pennsylvania DEPARTMENTOF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Margaret M. Watkins 71 1n nns~~ NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Donald W. Watkins 1960 Country Road 130 P.O. Box 125 Bellefontaine, OH 43311 10$ of Residue: 2,378.23 Stepson 2,378.23 2 Brett A. Sherman 20 Tiffany Drive Carlisle, PA 17013 ; 30~ of Residue: 7,134.70 Great Nephew 7 134.70 ' 3 Connie L. Sherman 230 East Road ( Carlisle, PA 17013 30~ of Residue: 7,134.70 Niece 7,134.70 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1 8 OF REV-1500 COVER SHEET, AS APP ROPRIATE. II ~ NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. II I I I I I i B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. I TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF R_EV-1500 COVER SHEET If more space is needed, use additional sheets of paper 9W46AI 2.OOD 0.00 the same size. Estate of: Margaret M. Watkins Schedule J Part 1 (Page 2) Item No. Description 4 Robin N. Sherman-Witherow 230 Easy Road Carlisle, PA 17013 21 10 0085 Relation Amount 30~ of Residue: 7,134.70 Great Niece 7,134.70