Loading...
HomeMy WebLinkAbout03-16-121505610140 REV-1500 ~` (°'-'°' PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number Po sox 28oso1 2 1 1 1 0 3 1 3 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 6 4 3 4 8 5 5 2 1 1 2 7 2 0 1 0 1 2 2 7 1 9 4 1 Decedent's Last Name Suffix Decedent's First Name MI K U T Z J R D O N A L D E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI K U T Z B A R B A R A L Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ^X 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 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 Sch. O) CORR ESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number E - R A L P H G O D F R E Y E S Q 7 1 7 9 7 5 9 6 0 0 First line of address 1 0 1 1 M U M M A Second line of address S U I T E 2 0 1 City or Post Office L E M O Y N E R 0 A D State P A ZIP Code REGISTEgOF WILLS USE~NLY ~ - ; - o r~r, ~ ~. ~ r -~ .~ 7 -j- C7 r-- --' ~ r--~ --- ~-, .- ~ cJ, r L.~~~ `_ c~; -- - BpgtfklLED ~. ~ 1 7 0 4 3 Correspondent's a-mail address: RGODFREY(c~C-WLAW.COM J >~ -~ ~-r i 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. SIGNATU }RE OF PERSON RE,$PONSINLEFLING RETURN ~~ i A~ j ADDRESS 41 LTIMORE STREET MT. HOLLY SPRINGS PA 17065 SI A RE O REPARER OT R H EPR ENTATIVE DAT DR 1011 MUMMA ROAD UITE 01 LEMOYNE PA 17043 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J ,'_`, ,, i REV-1500 EX 1505610240 Decedent's Social Security Number Decedent's Name: D O N A L D E• K U T Z, J R• 1 6 4 3 4 8 5 5 2 RECAPITULATION 1. Real Estate (Schedule A) ......................................... .. 1. 9 2 0 0 0 0 0 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. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 5 7 1 8 4 8 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ..... .. 7. • 8. Total Gross Assets (total Lines 1 through 7) ......................... .. 8. 9 7 7 1 8 . 4 8 9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............. 10. 11. Total Deductions (total Lines 9 and 10) ............................... 11. 12. Net Value of Estate (Line 8 minus Line 11) ..................... ..... .. 12. 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. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2)x.o _ 3 5 5 0 7. 8 6 15. 16. Amount of Line 14 taxable at lineal rate X .045 3 5 5 0 7. 8 5 16. 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 18. 19. TAX DUE ....................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610240 2 2 8 2 5. 8 0 3 8 7 6. 9 7 2 6 7 0 2. 7 7 7 1 0 1 5. 7 1 7 1 0 1 5. 7 1 0. 0 0 1 5 9 7. 8 5 O. o 0 0. 0 0 1 5 9 7. 8 5 1505610240 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 11 0313 DECEDENT'S NAME DONALD E. KU_T_Z, JR. __ _ STREET ADDRESS 415 North Baltimore Street CITY STATE 'ZIP Mt. Holly Spring PA 17065 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount _ 0.00 3. Interest 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. Total Credits (A + B) (2) (4) (1) 1,597.85 (3) 0.00 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1,597.85 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 : ................................................................. ..... ^ X^ . . . . . .. . . . . b. retain the right to designate who shall use the property transferred or its income; . .. : :: :: : :: :: : : :: : c. retain a reversionary interest; or .......................................................... . : : ^ O 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? .................................................................................. ..... ^ X^ 3. Did decedent own an "intrust 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 i~ 3 percent [72 P.S. §9116 (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. §9116 (a) (1.1) (ii)J. 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)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)]. • 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)]. Asibling 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+ (01-10) pennsylvania I SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: DONALD E. KUTZ, JR. 21 11 0313 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 415 North Baltimore Avenue I 92,000.00 Mt. Holly Spring, PA 17065 (2010 tax assessment attached hereto) TOTAL (Also enter on Line 1, Recapitulation.) ~ $ 92,000.00 If more space is needed, use additional sheets of paper of the same size. Cumberlartl~ C~l~s~t~ 13~ar~ ®f Assessmel~t Appeals ®Id Courthouse, First Floor ®ne Courthouse Square ~ariisle, PA 1703 2300004.2-?a~-19890 deAellleoallleortlla~olrleaeallall'rlloaoilelrnrllelilnillal 29351 KUTZ, DONALD EDWARD JR T83 P1 415 NORTH BALTIMORE AVENUE MOUNT FIOLLI' SPRINGS, PA 17065-1605 Deadline for Scheduling an Informal Review Appointment: June 14, 2010 For details, please see the reverse side. NOTICE OF CHANGE OF ASSESSMENT The Cumberland County Board of Assessment Appeals is providing you with notice of the value on this property, determined as a result of the Cumberland County countywide reassessment completed this year. The countywide reassessment values each property at current Fair Market Value, as of January 1, 2010, equalizing and establishing a uniform tax base so that properties of like characteristics and the same actual Fair Market Value will be taxed the same. VALUE NOTIFICATION MAILING DATE; May 3, 2010 Munic.: 23 - MT HOLLY SPRINGS SORO School: 3 •- CARLISLE AREA SD Location; /S 15 AT EALTIMORE AVENUE LAND LESS THAN 1 ACRE Tazcable Property Land Size: .25 acres Property Type: R Residential (Under 10 Acres) Homestead Approved Parcel Identifier: 23-31-2187-0190 FORMAL APPEAL DEADLINE: _ _June 14 , 2 010 2010 Base Year Assessed Value Old Assessed Value Fair Market Value (2010 Market x 100%) (2004 Market) Land 42, 000 42, 000 20, 000 Buildings 50, 200 50, 200 52, 280 TOTAL 92,200 92,200 72,280 2010 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE .APPLICABLE TOTAL Clean and Green values apply to qualified farm and forest land and become effective only upon application and approval. Clean and Green applications must be received by the Assessment Office no later than 4:30 p.m. on October 15, 2u10. i hose previously approved for Clean and Green do not need to re-apply. The ESTIMATED impact statement printed below is our best estimate of change, based on 2010 COUNTY tax figures. THIS ESTIMATE DOES NOT INCLUDE ANY BOROUGH, TOWNSHIP, OR SCHOOL DISTRICT IMPACT. Current 2010 County mills = 2.579 Adjusted 2010 County mills 2.074 $ 186 0 2010 COUNTY Tax BEFORE Reassessment. $ 191 m 2010 COUNTY Tax AFTER Reassessment. (see reverse side) REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER DONALD E. KUTZ, JR. 21 11 0313 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 2 1986 Volkswagen Sirocco 1988 Toyota Truck 4wd 1,200.00 1,600.00 TOTAL (Also enter on line 5, Recapitulation) I $ 5 718.48 (If more space is needed, insert additional sheets of the same size) REV-1509 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF: FILE NUMBER: DONALD E. KUTZ, JR. 21 11 0313 If an asset was made jointly owned within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME(S) A. c. JOINTLY-OWNED PROPERTY: ADDRESS Mt. Holly Spring PA 17065 RELATIONSHIP TO DECEDENT pouse ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECEDENT'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST ~. A. ALL OTHER PROPERTY NOT LISTED IN THIS RETURN IS JOINT WITH SPOUSE TOTAL (Also enter on Line 6, Recapitulation) If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF DONALD E. KUTZ, JR. SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS FILE NUMBER 21 11 0313 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES ~. : Hollinger Funeral Home 10,140.00 B• ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Barbara L. Kutz 3,908.00 street address 415 North Baltimore Avenue pity Mt. Holly Springs state PA zIP 17065 Year(s) Commission Paid: 2. Attorney Fees: Cipriani & Werner P.C. , 4,500.00 3. Family Exemption: (If decedents address is not the same as claimant's, attach explanation.) 3 500 00 Claimant Barbara L. Kutz , . street Address 415 North Baltimore Avenue c;ty Mt. Holly Springs state PA zIP 17065 Relationship of Claimant to Decedent Spouse 4. Probate Fees: 269.50 5 Accountant Fees: 6. Tax Return Preparer Fees: 250.00 ~. Advertisement for Estate -Cumberland County Law Journal 8. Advertisement for Estate -Sentinel Newspaper 75.00 9. Inheritance Tax filing fee -Cumberland County Register of Wills 168.30 15.00 TOTAL (Also enter on Line 9, Recapitulation) I $ If more space is needed, use additional sheets of paper of the same size. 22,825.80 REV-1512 EX+ 112-08) pennsylvania SCHEDULE DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, S~ LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER DONALD E. KUTZ, JR. 21 11 0313 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~ . Mable R. Stratton -Tax Collector Real Estate 345.41 2 Mable R. Stratton -Tax Collector Per Capita Tax 11.00 3 Mable R. Stratton -Tax Collector Per Capita Tax 11.00 4. Silver Spring Dental Associates -Dental Treatment 177.46 5 Commonwealth of Pennsylvania 20.00 6 Leonard Magazine payment for item 72.87 7 Shipley Oil -heating 558.84 8. payment to Barbara Kutz 100.00 9. Tax payment 174.13 10. Car payment -Jamie Sheaffer 250.00 11 Century Link -Telephone 178.02 12. Dish Network -Television 101.75 13. Met-Ed Electric -Electric Bill 194.10 14. Americredit 306.39 15. Reserve 2010 Personal Taxes 1,376.00 TOTAL (Also enter on Line 10, Recapitulation) I $ 3,876.97 If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10; pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: DONALD E. KUTZ, JR. 21 11 0313 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 Barbara L. Kutz -Spouse spouses 50.00 , 415 North Baltimore Street Mt. Holly Springs, Pa 17065 2. Melissa Miller -Daughter Lineal 16.67 1005 Pheasant Drive -North Carlisle PA 17013 3. John D. Kutz -Son Lineal 16.67 272 Pine Road Pikeville, TN 37367 16.67 4. Ronald Kutz -Son Lineal 364 Fernwood Drive Waco TX 76712 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-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size.