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HomeMy WebLinkAbout04-23-12 (2) w 1505610105 REV-1500 ex (oz_~~, IFS, OFFICIAL USE ONLY PA Department of Revenue Pennsylvania Coun Code Year File Number Bureau of Individual Taxes "` "`~"`"~°"`°`"°` ~ PO BOx z8o6o>. INHERITANCE TAX RETURN Harrisburg, PA 1'7128-o6oi RESIDENT DECEDENT 21 12 0176 ENTER DECEDENT INFORMATION BELOW .Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 12/28/2011 07/02/1920 Decedent's Last Name Suffix Decedent's First Name MI 'BAKER ' WILLIAM M' (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return 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 (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust U 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. 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 O. BRENNEMAN (717) 697-8528 First Line of Address 44 WEST MAIN STREET Second Line of Address City or Post Office MECHANICSBURG State ZIP Code PA ' 17055 REGISTER OF WILLS USE QNIY n © r e, -gyp -~" , ':J - -r'' ~.7 ''ter-' .. . r~ ~... ` E~ILED '~ _ .~.~ .. ~ n ~t~ ~- --; l ^-i `-^.J dr ~ 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. SIGNATURE ERSON RESPONSIBL OR Nr, R¢TIIRN ...r.- ADDRESS ~ - 302 East Coover Street, Mechanicsburg, PA SIGNATURE PF ARER OTHER THAN REPRESENTATIVE DATE / ---ti yr~Z.T~jG. ADDRESS 44 West Main Street, Mechanicsburg, PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 1 L, 1505610105 1505610105 J J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decedent's Name: WILLIAM M. BAKER RECAPITULATION 1. Real Estate (Schedule A) .......................................... ... 1. 122,000.00 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. 159,220.72 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. 38,054.81 8. Total Gross Assets (total Lines 1 through 7) .......................... ... 8. 319,275.53 9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. 9,594.90 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............ ... 10. 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. 9,594.90 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 309,680.63 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. 309,680.63 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 .0_ 15. 16. Amount of Line 14 taxable at lineal rate x .0 45 309,680.63 16, 13,935.63 17. Amount of Line l4 taxable at sibling rate X .12 17 18. Amount of Line 14 taxable - at collateral rate X .15 18 19. TAX DUE ...................................................... ...19.' 13,935.63 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610205 O 1505610205 J REV-1500 EX (FI) Page 3 File Number 21-12-0176 Decedent's Complete Address: DECEDENT'S NAME WILLIAM M. BAKER ------------- -- TREETADDRESS --------- 302 EAST COOVER STREET CITY -- -..----..---- STATE ------..._- ZIP -...._.-_.. MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 13,935.63 2. Credits/Payments A. Prior Payments -_ _11,800.00 B. Discount 590.00 Total Credits (A + g) (2) 12, 390.00 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3) - Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1,545.63 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? .............. ^ 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 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)]. 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)]. 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+ (11-08) 7 1 Pennsylvania !~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ~ai>+i~ yr FILE NUMBER WILLIAM M. BAKER 21-12-0176 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 buv or sell, both havino reasonable knowledaa of tnP raiavanr fa~r~ u more space is neeaetl, insert atltlltional sheets of the same size. REV->So8 EX+ (u-io) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIC:T ESTATE OF: FILE NUMBER: William M. Baker 21-12-0176 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 1. 2003 Mecury Grand Marquis 4,554.00 2. PSECU Accounts a. Savings (S1) 7.53 b. Checking (S-4) 4,989.06 c. Money Market (S7) 842.64 d. Certificate of Deposit (S51) 30,000.00 e. Certificate of Deposit (S52) 25,108.51 f. Certificate of Deposit (S56) 35,288.94 g. Certificate of Deposit (S66) 23,219.66 3, Citizens Bank checking account No. 6100 702138 11,228.64 4, Citizens Bank time deposit account No. 6247 352293 20,386.74 5. Miscellaneous furniture, furnishings and personalty 3,595.00 TOTAL (Also enter on Line 5, Recapitulation) $ I 159,220.72 If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+ (OH-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER WILLIAM M. BAKER 21-12-0176 This schedule must be completed and filed if the answer to any of questions i through 4 on page three of the REV-1500 is ves, ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACHACOPYOFTHEDEEDFORREALESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION ([F APPLICABLE) TAXABLE VALUE 1• PSECU IRA Beneficiaries: Ronald L Baker and William M Baker II . . . , , Decedent's sons. Date of transfer: December 28, 2011 (date of death) 38,054.81 100 38,054.8• TOTAL (Also enter on Line 7, Recapitulation) $ ( 38,054.81 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) ~i Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS E57A7E OF FILE NUMBER William M. Baker 21-12-0716 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A• FUNERAL EXPENSES: 1. B. 1 ADMINISTRATIVE COSTS: WAIVED Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City _ ___ ___ Year(s) Commission Paid: State ZIP Z• Attorney fees: Snelbaker & Brenneman, P. C. 4,000.00 3• family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 3, 500.00 Claimant Ronald L. Baker Street Address 302 E. Coover Street City _Mechanicsburg _ _ _ state PA zIP 17055 Relationship of Claimant to Decedent SOn 4• Probate Fees: Initial fee: $198.50; additional fee: $175.00 373.50 5• Accountant Fees: miscellaneous filing costs, reserve 750.00 6• Tax Return Preparer fees: 250.00 ~• Real Estate appraisal fee to Central Penn Appraisals, Inc. 325.00 g . Advertise Grant of Letters: Cumberland Law Journal ($75.00); The Sentinel ($221.40) 296.40 9 . Chucker Bricker, Auctioneer, personal property appraisal 100.00 TOTAL (Also enter on Line 9, Recapitulation) $ 9,594.90 If more space is needed, use additional sheets of paper of the same size. f ~ REV-1513 EX+ (01-10) Pennsylvania '' DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE ~ BENEFICIARIES taiAit vF. FILE NUMBER: WILLIAM M. BAKER 21-12-0176 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• Ronald L. Baker, 302 Coover Street, Mechanicsburg, PA 17055 Son 1/2 of Estate 2. William M. Baker, II, 438 Mill Race Road, Carlisle, PA 17013 Son 1/2 of Estate 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: 1. 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. Main File Ng. ECOOVERST30~ge #1 SUMMARY OF SALIENT FEATURES Subject Address 302 E Coover St Legal Description Deed Book 0015c pagew 00053 City Mechanicsburg County Cumberland State PA Zip Code 17055 Census Tract 0115.00 Map Reference METRO 2846 h-7 Sale Price $ - Date of Sale Borrower N/A Lender/Client PRIVATE Size (Square Feet) 1,272 Price per Square Foot $ Location average Age 60 Condition average Tgtal Rooms 6 Bedrooms 3 Baths 1 Appraiser Robert K. Banzhoff Date of Appraised Value 1/23/2011 Opinion of Value $ 122,000 Farm SSD3 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE LAST WILL AND TESTAI\~TENT of WILLIAM M. BAKER I, WILLIAM M. BAKER, of the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all former wills, codicils aild other testamentary dispositions by me at any time heretofore made. 1. I direct my Executor, hereinafter named, to pay as soon as practicable after my decease all my legally enforceable debts and the expenses of my last illness and burial. I give, devise aiid bequeath all of my estate, whatsoever anal wheresoever situate, unto my unto my sons, William M. Baker, II and Ronald L. Baker, equally, share and share alike. ~. I appoint my son, Ronald L. Baker, Executor of this my Last Will and Testament. If Ronald L. Baker fails to qualify or ceases to act as Executor, then and in lus stead I appoint my son, William M. Baker, II, Executor of this my Last Will. 4. I direct that my personal representative, and his successor, shall. not be required to give bond. for the faithful perfonllance of their duties in any jurisdiction. I1'+J ~i~'~"6'l~ ~,~~ ETi1~F~'~,3Ti t~1P~i i ~AI~F ~.I ~ ~'n )~'~. e~ g ~.~rT~ <,iP -r• ~ , ~. r t.: ~ ~.,:~,, L. x CS~u.tOi, ,ra'v'e; here~mtc set my hand. and seal to this my Last Will and Testament on this ~~ °~~~~ day of f~~ Cr:-.~ ,~ , ?005. ~- , G~~!- ~' ~:r-~ - ~'? ~ ' 4~-....~,i (SEAL) WILLIAM M. BAKER 1 Sighed, sealed, published and declared by the above named WILLIAM M. BAKER, as and for his Last Will and Testament in the presence of us, who, at lus request and in. his presence and. in the presence of each other, have herewlto subscribed our names as witnesses thereto. Witness ~ , Witness ~i~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, WILIAM M. BAKER, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed asld executed the instrument as my Last Will, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Swoi71 to and acknowledged before me by WILLIAM M. BAKER, the Testator, this ~~~ day of __~,,~ ,~ ~- , 2005. ~~~^ ~ ~..-~-~G/ (SEAL} `,~fl Notary Public f -OIVItv101VVVEAL~rH OF PENNSYLI'ANIA Notarial Seal Dawn S. Sunday, Notary Public Mechanicsburg Boro, Cumberland County MY Commission Expires Oct. 1, 2008 Member Pennsylvania Association Of Notaries 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. We, William L. Sunday and and Elizabeth Batoha, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and sa.w the Testator, WILLIAM M. BAKER, sign and execute the instrument as his Last Will, that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed, that each of us in the hearing and sight of the Testator, signed the Will as witnesses, and that to the best of ot~r knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me by William L. Sunday and Elizabeth Batoha, witnesses, this ~~`~- d.ay of /~~.~.~ , 2005. 1 ,% Witness Witness Notary Public COf~iVI01VtNEALTH OF PENNSI'LVANIA m ~~, Ndtariai Seai Dawn S. Sunday, Notary Public i~:~echanicsburg Boro, Cumberland County ~ My Commission Expires Oct. 1, 2008 ^Aerntier Penns:%Ivania Association Oi Notaries 3