HomeMy WebLinkAbout05-09-12 (2)~...~,, 1505610140
REV-1500 EX co,_,o,
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes
PO BOX 28D601 INHERITANCE TAX RETURN County Code Year File Number
Harrisbur , PA 17128-0601 RESIDENT DECEDENT 2 1 1 1 0 9 4 6
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY
Date of Birth MMDDYYYY
0 8 2 8 2 0 1 1 1 1 2 7 1 9 5 0
Decedent's Last Name
Suffix Decedent's First Name
S T E R N E R MI
J A M E S A
(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
FILL IN APPROPRIATE OVALS BELOW REGISTER OF WILLS
^ 1. Original Return
^X 2. Supplemental Return ^ 3. Remainder Return (date of death
^ 4. Limited Estate ^ prior to 12 1
^ 6. Decedent Died Testate ^
(Attach Copy of Will)
^ 9. Litigation Proceeds Received ^
CORRESPONDENT -THIS SECTION MUST BE CO
Name
G E R A L D J S H E
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
NPLETED. ALL CORRESPONDENCE AND CONFIO
K L E T S K I E S Q
- 3-82)
^ 5. Federal Estate Tax Return Required
--_ 8. Total Number of Safe Deposit Boxes
^ 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
ENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Daytime Telephone Number
7 1 7 7 7 4 7 4 a~
___
REGISTER OF WILLS USE ONLY j
First line of address i n -
B R I D G E , ~- ~ ~- ;, '~
Second line of address r~ _
~
~ , _ :~, ;~
---z I `:
P 0 B 0 X E ~
i
' ~
- _.
, ,_;
City or Post Office ~,
,
; ~,
l
`
-
State ZIP Code
N E W _
I __ _._ DAB FILED _? _
C U M B E RL A N D
P A 1 7
0 7 0 v~ J
•• ~- ~~~
~~ ~~
Correspondent's a-mail address: S h e k ], e t S k l a~ S t 0 n e 1 8 ,~,, . ,
W• n e t
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules a
it is true, correct and complete. Ceclaration of preparer oth
nd statem
t
en
s, and to the best of my knowledge and belief,
er than the personal representative is based on all information of which preparer has any knowledge.
TURE OF PERSON RESPONSIBLE FOR FILING RETURN
~
ADDRESS DATE
-
PATRICIA STERPyER 230
~
~~
T 3RD ST
SIGNATUR ~D
. APT•20,WI
~
'!h" T ATIVE LLIAMSPORT PA 17701
R~r
A RESS "' LLL"' f
~ ~ qA
~! TE~~~-
l
GERALD J.
SHEKLETSKI,ESQ.414 BRIDGE
ST.,
NEW
PLEASE USE ORIGINAL FORM O CUMBERLAND PA 17070
NLY
i._._ Side 1
15056101,40
15D5610140 J
REV-1500 EX
1505610240
Decedent's Social Security Number
Decedent's Name: JAMES A STERNER
RECAPITULATION
1. Real Estate (Schedule A) ..................... . . . . . . . . . .
.. 1. •
2. Stocks and Bonds (Schedule B) ............................ . . 9 0 9 0 2 • $ 4
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. 1 0 0 0 5 3 • 5 2
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested
...
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property .... 6.
•
(Schedule G) ~ Separate Billing Requested
... .... 7.
8. Total Gross Assets (total Lines 1 through 7) ................ . . 8 1 9 0 9 5 6
..... ....
. , 3 6
9. Funeral Expenses and Administrative Costs (Schedule H) ......... . ... 9. 1 6 2 0 3 . 4 7
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .......... .. .
10.
11. Total Deductions (total Lines 9 and 10)
............................ ... 11. ], 6 2 0 3 • 4 7
12. Net Value of Estate (Line 8 minus Line 11)
.........
................
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
...1z. 1 ~ 4
~ 5 2 . 8 9
an election to tax has not been made (Schedule J) ..................
13.
.. .
,
14. Net Value Subject to Tax (Line 12 minus Line 13) .........
~ 1a 1 7
~ ......
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES ...
. 4 7 5 2. 8 9
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X.0 0 Q 0 15
16. Amount of Line 14 taxable .
0 • 0 0
at lineal rate X .0 D 0 0
17. Amount of Line 14 taxable 16. 0 0 0
at sibling rate x .12 1 7 4 7 5 2 8 9 17 2 0 9
18. Amount of Line 14 taxable . 7 0. 3 ,5
at collateral rate X .15 0 0 0
18
0. 0 0
19. TAX DUE .
................................................ ..19. 2 0 9 7 0• 3 5
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
0
Side 2
1505610240 1505610240
REV-1500 EX Page 3
File Number
Decedent's Complete Address: 21 1 L 0 9 4 6
DECEDENT'S NAME
JAMES A• STERNER
---
STREETADDRESS -
__
525 POPLAR CHURCH ROAD
_ _ _
CITY - _ _ _ _ __ _
__ - _
---
WORMLEYSBURG srarE ziP
PA ;1,7043
Tax Payments and Credits:
~~ Tax Due (Page 2, Line 19)
2. CreditslPayments (1) 2 0, 9 7 0. 3 5
A. Prior Payments
B. Discount
3. Interest Total Credits (A + g) (2) 0 • 0 0
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)
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5) 20, 970.35
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 .............................
d .....
^ 0
. receive the promise for life of either payments, benefits or care?
............................. .. X
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death ...
without receiving adequate consideration?
.............................................................................
3
D
"
^ ^
X
.....
.
id decedent own an
in trust for" orpayable-upon-death bank account or security at his or her death? .... .....
^
.. 0
4. Did decedent own an individual retirement account, annuity or other non-probate property, which ...
contains a beneficiary designation? ............................................................................................. ..... ^ 0
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
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)].
• 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, unde
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption,
REV-1503 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
tJrHlt Uh
JAMES A• STERNER
ITEM
NUMBER
1.
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
21 11 0946
All property jointlyowned with right of survivorship must be disclosed on Schedule F.
DESCRIPTION VALUE AT DATE
532 SHARES IBM COMMON STOCK OF DEATH
08/26/2011, CLOSING PRICE - $172.62 90,902.84
08/29/2011 CLOSING PRICE - $169.12
$172.62 + $169.12 = $341.74/2 = $170.87 X 532 =
A STATEMENT SHOWING THE TOTAL SHARES TRANSFERRED TO
PATRICIA STERNER IS ATTACHED.
TOTAL (Also enter on line 2, Recapitulation) $ 9 Q , 9 0 2 • 8 4
(If more space is needed, insert additional sheets of the same size)
REV-1508 EX+ t~ 1.10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, 8~ MISC.
PERSONAL PROPERTY
w~n~cvr':
JAMES A._ STERNER
FILE NUMBER:
ITEM
NUMBER
1.
~ncwae the proceeds of litigation and the date the proceeds were received by the estate. u
All property jointly owned with right of survivorship must be disclosed on Schedule F.
DESCRIPTION VALUE AT DATE
BM PERSONAL PENSION PLAN ACCOUNT NUMBER DB724265-001 OF DEATH
100,053.52
TOTAL (Also enter on Line 5, Recapitulation) $
If more space is needed, insert additional sheets of paper of the same size
100..,053.52
REV-1511 EX+ (10-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
JAMES A• STERNER
ITEM
NUMBER
A.
1.
B.
FUNERALEXPENSES:
2
3.
4
5
6
8•
9•
10•
11•
TOTAL (Also enter on Line 9, Recapitulation) $
If more space is needed, use additional sheets of paper of the same size.
SCHEDULE H
FUNERALEXPENSES AND
ADMINISTRATIVE COSTS
Decedent's debts must be reported on Schedule 1.
DESCRIPTION
FILE NUMBER
21 11
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
State Zlp
Year(s) Commission Paid:
AttomeyFees: GERALD J • SHEKLETSKI, ESQ
Family Exemption: (I(decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
Clty
State ZIP _
Relationship of Claimant to Decedent
Probate Fees:
Accountant Fees:
TaxRetumPreparerFees: KELLY FINANCIAL SERVICES, INC • - PREPARE
2010 AND 2011 FEDERAL INCOME TAX RETURNS
COMPUTERSHARE - SAFECO BOND REQUIRED TO REDEEM
LOST IBM STOCK CERTIFICATES
2011 FEDERAL INCOME TAX
2010 FEDERAL INCOME TAX
ADDITIONAL PROBATE FEE
FILING FEES - SUPPLEMENTAL INVENTORY AND
SUPPLEMENTAL INHERITANCE TAX RETURN
946
AMOUNT
2,000.00
559.00
684.47
453.00
12,427-DO
so.DO
30•DD
1,6,203.47
REV-1513 EX+ tp1.10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF;
JAMES A • STERNER FILE NUMBER:
21 11 0946
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
I.
TAXABLE DISTRIBUTIONS [Include outri ht spousal distributions and transfers under Do Not List Trustee(s) OF ESTATE
Sec. 9116 (a) (1.2).J
1. PATRICIA STERNER
23 WEST 3RD ST•, APARTMENT 20 Sibling 174,752.89
WILLIAMSPORT, PA 1771
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.
I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART 11 -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
If more space is needed, use additional sheets of paper of the same size.
. .
----
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~~ ~~~
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~~~~ . .
~~ ~~ . . .~
012910
I~~~Ilt~titllll~~~~ll'~'I"1~~1'l~'lll'll~l~tllltrltlllltlltll'll
PATRICIA STERNER
230 WEST THIRD ST APT 20
WILLIAMSPORT PA 17701
~omputershare
Computershare Trust Company, N.A.
PO Box 43078
Providence, RI 02940-3078
Within USA, US territories >7 Canada 888 IBM 6700
Outside USA, US territories fr Canada 781 575 2727
ibm@computershare.com
www.ibm.co~nvestor
(Go Oo Stockholder Services and than Registered Stockholder Access}
Irdemational Blnkresa Machines Corporation ia)ncolporated
order the laws of the State of NY.
Holder Account Number
00009020276
Comparty ID
IBM
fnterriatiorta~8~l~~ri s,~~e~~~t~~;Cor~~iC~iti~~-'~
Direcf:~eglsfratlon
(DRS}IA~vice~~ ~ ~:~• v ~
~t
~=
~
,
.. F . _.. ~
~
..,,< .. .
Transaction(s) _
Date I Transaction Description I Totai I CUSIP I Class
SharesNnits Description
09 Feb 2012 Transfer
532.000
459200101
Common Stock
Account Information; Date: 09 Feb 2012 (Excludes tra
ti
nsac
ons pending settlement)
Current Current
Dividend Direct Total
Shares/ Pnce Value
Reinvestment Registration Per Share (S)
CUSIP
Class
Balance Balance Units Description
0.000 532.00 532.000 193.130000 102,745.16 459200101
Common Stock
Tnk ~~ ~ IMPORTANT INFORMATION -RETAIN FOR YOUR RECORDS.
you recall of yr anere trereacyon in You aaara an the books d rare yetsn. Thk advice k neitlrer a
~a b the rodpient A elgl/d he kept vdyl Your krportant doctanents ea i record of Y~ ~wTler9111p ~ these shares. No ac0ols~Y~ D'~ n reQoir~sd n°9°oeWa irnt race a severity, and daliuay dR does not d itseM mnkx any
haw proossa~ed ~Ihal we report the cori bask of carfaln shaas aegrdrod aRw Jaramry 1. ZOtt. Y you shores wren covered by the !eghlatbn end you haw sokt a transkrrsd tlw shams and requested a specAlc wet bas4 caladatbn rneUtod, we
regrrasMd, y You dd not specYy a cost tmsk caln4tion rrptltod, we haw defauked b the Ant In. Arst ou (FIFO) method. pleas vkY ou wehaite a wmrYt your tart advkor Y yw need addieanl nbmratbn about wet bask.
Upon regrasL the Carrpary wW hankA to any sharehddw, witlaul chgge a iuli atatwrtera d the dselprretlonq dghn (kKhdkrO dyhk order
series aud,adzed b be inured, end the autMrity of the Board d Oiredon b divide yre shares into series and b determine and ~ s ~'~ ~~~' if any). preferences and Amwyons of the share or each Gass and
Assek ue not ~^ge . txeferentes and limitasarro of doss a series.
deposik d ~omDuknhare and aro nd insured the Federal ~
try Deposit Insuarre Crxporeyar, the Secvities Imesbr Profecyaf CarporaGOn, a arty other federal a stale agerrry.
N you do not keep in contact with ua a do not have any adivily In your aceoud for yw yore pedoda spedtied by shM IaK your propwty mould bseaM wbyad b stab undakned properly lotto and transhrred to tfr approplale state.
® 40UDR I B M
OOHSAA (Rev v„ 1 Please see Important PRNACY NOTICE on reverse stda of statement
'~
001 CSO(103.f).MIX_3313/OI2911p0161150
Hi, ferry Sign Out N~!p Previttw Mail wl Y! ~rooibar
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Get Quotes V'Jed, f~pr 4, 2012, 2:22pm EDT -
Dow 11.09% Nasdaq 11.74%
ETRAF3E `'~d° I B M
STAf~'T ~
Internation(a~l Business Machines Corp. (IBM)- NYSE.
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Date Open High Low Close Volume Adj Close'
Aug 29, 2011 170.58 172.72 170.36 172.62 5,293,400 171.26
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ESTATE: OFu~'JAMES~ ~ S'TERNEA.~ _ ~' r
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