HomeMy WebLinkAbout05-16-121505610101
REV-1500 Ix(°'-'°'
PA Department of Revenue P nsY~vaMa OFFICIAL USE ONLY
Bureau of Individual Taxes """" County Code Year File Number
PO BOXa8o6ot INHERITANCE TAX RETURN :%r f I I Y ~~~
Harrisburg, PA 17128-o6Dt RESIDENT DECEDENT / I
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
09/10/2011 07/31/1917
Decedent's Last Name Suffix Decedent's First Name MI
Prowell ,Esther E
(If Applicable) Enter Survlving 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 DUPLNCATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
m 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death
prior [0 12-1382)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
O 6. Decedent Died Testate O 7. Decedent Maintainetl a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
Litigation Proceeds Received O 10. Spousal Poverty Credit (data of death O 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
!'?-~~ ` Daytime Telephone Number
James W. Kollas (71T) 731-1600
REGISTER OF yDLLS USE ONLK.~
O ~
First line of address ~
frt ~~
.,
Kollas and Kennedy C ~;~ ~
c. C7
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Second line of address ~
C7._ 7 _
1104 Fernwood Avenue OL' ~ ~ r' T
City or Post Office DATE D
Stale ZIP Code -
..
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iT
Camp Hill 1 b _._
PA 1701 `~
~t+
correspondantb a-man addressaames@kollasandkennedy.com
Under penaMes of perjury, I dedere that I have examinetl this return, InUuding acmmpenying schedules and statements, and to the best of my knowledge and belle(,
it is true, tuned and complete. D§rJaretlon of preperer other then the personal representaave is based on all intormatbri of which preparer has any knowledge.
SIGN URE OF PERSON RE NSIBLE FOR FILING,RETURN DATE
:amp Hill, PA 17011
OTHER THAN REPRESENTATIVE
1104 Fernwood Avenue, Camp Hill, PA 17011
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610101 1505610101
I.~
r b
Lsas61o1os
REV-1500 EX
Decedent's Social Security Number
Daceeanrs Nama: Esther E. Prowell ..
RECAPITULATION
1. Real Estate (Schedule A) ........................................... .. 1. 156,000.00
2. Stocks and Bonds (Schedule B) ..................................... .. 2. 0.00 '.
3. Closely Held Corporeaon, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. '. 0.00 '..
4. Mortgages and Notes Receivable (Schedule D) ......................... .. 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 150.00 '.
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 42,647.59 ',
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested...... .. 7. 0.00
8. Total Gross Assets (total Lines 1 through 7) ........................... .. 8. 798,797.59
9. Funeral Expenses and AdminisUative Costs (Schedule H) ............. ...... 9. 24,511.00
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........ ...... 10.. 1,985.00
1i. Total Deductions (total Lines 9 and 10) ........................... ...... 11. 26,496.00
12. Net Value of Estate (Line 8 minus Line 11) ........................ ...... 12. 172,301.59 ',
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................. ...... 13. 0.00 '.
14. Net Value SubJect to Tax (Line 12 minus Line 13) .................. ...... 14. 172,307.59
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
16. Amount of Line l4 taxable
at lineal rate X .0 45 172,301.59
17. Amount of Line 14 taxable
at sibling rate X .12 '..
18. Amount of Line 141axable '..
15. '.
1s. 7,753.57
at collateral rate X .15 1g,
19. TAX DUE .. .......... ......... 19. '.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
7,753.57
O
Side 2
1505610105 1505610105
REV-1500 EX Page 3
nurnefenf's Cemolafe Address:
FIN Number
DECEDENTS NAME
Esther E. Prowell
STREET ADDRESS
277 Hillcrest Road
c C sTATEPA zIP17011
amp Hill
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. CreditsdPayments 0.00
A. Pdor Payments
B. Discount 0.00
3. Interest
4. If Line 2 is greaser than Line 1 + Line 3, enter the diRerence. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to roquest a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(g) 7,753.57
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER 7HE 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 trans(erred :.................................................................................... ...... ^ ^x
b. retain the dght to designate who shall use the propedy Uansiened or its income :..................................... ....... ^
c. retain a reversionary interest; or .................................................................................................................... ...... ^
^
d. receive the promise for life of etther payments, bene0ts or care? ............................................................... .......
2. If death occurred after Dec. 72, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................................... ....... ^ 0
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 re8rement account, annuity or other non-probate property, which
.................................................................................................................
contains a beneficiary designation?
....... ><
IF THE ANSWER TG ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R 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 bansfers 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 lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[/2 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 disdosure 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 delath to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent 172 P.S. §9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or far 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)].
e The tax rate imposed on the net value of Vansfers to or for the use of ttre decedent's siblings is 12 percent (/2 P,S. §9116(x)(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.
(1)
7, 753.57
Total Credits (A + B j (2) 0.00
(3)
0.00
(4)
REV-1502 EX+ (11-08)
~ Pennsylvania SCHEDULE A
INHERITANCE TA%REIURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Esther E. Prowell 21-11-1053
All real property owned solely or as a tenant in common mus! be reported a! fair market value. Fair market value Is defined as [he price at which property
would be exchanged between a willing buyer and a willing seller, nekher being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
Real property that is Jointly-owned with right of survivorehlp must be disclosed an 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 awned as tenant in common VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1 113 Fairview Drive, Camp Hill, PA 17011 156,000.00
TOTAL (Also enter on Line 1, Recapitulation.) I $ 156,000.00
If more space Is needed, insert additional sheets of the same size.
HUD-1 UNIFORM SETTLEMENT STATEMENT
OMB Approval No. 2502-0265
A. U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPM ENT SETTLEMENT STATEMENT
B. TYPE OF LOAN 6. File Number: 7. Loan Number:
1. ^FHA 2. ^FmHA 3. ^Conv. Unins ouse N A
4. ^ VA S. ~ Conv. [ns 8. Mortgage Insurance Case Number
C. NOTE: This form is famished to give you a smtement of acNal set0ement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)"
were aid outside the closin ~ the are shown here for informational u ores and are not included in the totals.
D. NAME AND ADDRESS OF BORROWER: E. NAME, ADDRESS AND TIN OF SELLER: F. NAME AND ADDRESS OF LENDER:
Michael J. Youse Estate of Esther E. Prowell None
G. PROPERTY LOCATION: H. SETTLEMENT AGENT NAME, ADDRESS AND TIN
113 Fairview Road
Fairview Twp, York Co. Robert P. Kline Esq 25-1797626
Camp Hill, PA 17011 PO Box 461 New Cumberland PA 17070
PLACE OF SETTLEMENT i. SETTLEMENT DATE 12/28/2011
Parcel # 27-000-OB-0138 714 Bridge Street FUNDING DATE 12/28/2011
New Cumberland PA 17070
J. SUMMARY OF BO OWER'S TRANSACFION
100. GROSS AMOUNT DUE FROM BORROWER:
101. Contract sales rice 156 000
.00 K. SUMMARI' OF SELLER'S TRANSACTION
400. GROSS AMOUNT DUE TO SELLER:
401. Contract sales rice 156
000.00
102. Personal roe 402. Personal ro e
103. Settlement char es to borower Line 1400 3 368 .25 403.
104. 404.
105. 405.
Ad'ustments for items aid b seller in advance Ad'ustments for items and b seller in advance
106. Ci /town taxes 406. Ci /town razes
107. Coun taxes l2 28 2011-12 31 2011 6. 95 407. Coun [aces l2 28 207.1-12 31 2011 6.95
108. Assessments 408. Assessments
109. Sewer & Refuse Ad'ustments 6. 46 409. Sewer & Refuse Aci'ustmente 6.46
110. School Tax 12 2B 11-06 30 12 824. 96 410. School Tax 12 28 r11-06 30 12 824.96
l l 1. 411.
112. 412.
120. GROSS AMOUNT DUE FAOM BORROWER 160 206 . 62 420. GROSS AMOUNT DUE TO SELLER 156 83 8 . 3 7
200. AMOUh"fS PAID BY OR IN BEHALF OF BORRO
201. De osi[ or somas[ mone WER:
2 000.00 500. REDUCTIONS IN AMOUbIT DUE TO SELLER:
501. Excess de sit
202. Princi al amount of new loans
203. Existin loans taken sub'ect to
204. 502. Setdement char es to seller Line 1400
503. Existin loans taken subbct to
504. 18 245.00
205. 505.
206. 506.
207. 507.
208. 508.
209. 509.
Ad'ustments for items un aid b seller Ad'ustments for items un laid b seller
210. Ci /town taxes 510. Ci /town taxes
211. Coun taxes Sl 1. Coun taxes
212. Assessments 512. Assessments
213. 513.
214. 514.
215. Credit from Seller 250.00 515. Credit to Bu er 250.00
216. 516.
217. 517.
218. 518.
219. 519.
220. TOTAL PAID BY/FOR BORROWER 2 250.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 18 495.00
300. CASH AT SETTLEMENT FROMlI'O BORROWER 600. CASH AT SETTLEMENT FROMlfO S LLER
301. Gross amount due from borower Line 120 16 0 2 0 6 . 6 2 601. Grass amount due to seller Line 420 15 6 8 3 8 . 3 7
302. Less amount aid b /for borrower ins 220 __ 2 x_2.50 . 00 602. Less reduction in amount dur. seller Lin 520 18 495.00
X03. Cash O From ^TO Borrower I 157,956 62 603 Cash Ox To ^F'rom Se ler 138 343.37
section 5 of me Real Estate Senlement Proeetlures Act (RESPA) requires tllaGOSUre of all charges imposed upon Me borrower antl seller. These are
the following: • HUD must tlevelop a Special Information Booklet ro help ihirtl parry disclosures that are tleaignsitl to provide the borower with
persons borcowing money to finance me purchase of residential real estate pertinent Informatlon tluring the settlement process in oroer to be a better
to better understand the nature antl coats of real estate settlement aervlces; shopper.
• Each lentler must provide the booklet to all apPllcents from whom 0 The Public Reporting Burtlen for this usllecdon of information is estimated
receives or for whom a prepares a wdtten application to borrow money to to average one hour par reaponae, Including the time for reviewing instructions,
finance the purcheae of residential real estate; • Lenders must prepare and searching existing tlata sources, gathering and maintaining the data
distribute with the Booklet a Gootl Faith Eatlmete of the settement coats needed, and completing antl reviewing the collection of information.
that the borrower la likely m incur In wnnection with the settlement. These This agency may not collect this information, and you are not equiretl to
disGosures are manadatory. complete this ions, unless it tlisplays a currency valitl OMB control number.
Section 4(a) of RESPA mantletea that HUD develop antl prescribe this The information requestetl does not lend itself to confitlentialiry.
standard forth to be used et the time of loan settlement to provide (all
m EASY SOFT 2008 Previous editions are obsolete Page 1 form HUD-1 (3/86) ref Handbook 4305.2
L. SETTLEMENT CHARGES
700. TOTAL SALESBROKER's COMMISSION based on ice $156 000.00 6.0001; PAID FROM PAID FAOM
Division of Commission line 700 as follows: BORROWER'S SELLER'S
70L$4 680.00 to ReMax Realt Associates FUNDS AT FUNDS AT
702.$4 680.00 to ReMax Realt Associates SE77LEMENT SETTLEMENT
703. Commission aid a[ Settlement 9 3 60.00
704. Broker Fee to ReMax Realt Associates 395.00 295.00
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Ori ina[ion Fee
802. Loan Di count
803. A raisal Fee to
804. Credit re ort to
805. Lender's Ins ection Fee to
806.
807.
808.
809.
810.
SI1.
512.
813.
900. ITEMS RE UD2ED BY LENDER TO BE PAH) IN ADVANCE
901. Interestfrom l2 20 2011-01 O1 2011
902. Mort Insurance Premium for
903. Hazard insurance Premium for
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard insurance
1002. Mort a e insurance
1003. Ci Pro a Taxes
1 04. Coun Pro a Taxes
1005. Annual assessments
106.
1007.
1008. A re ate Accountin Ad'ustment 0.00
1100. TITLE CHARGES
1101. Settlement or closin fee to
1102. Absvac[or title search toTri Count Abstract 150.00
1103. Title Examination to
1104. Title insurance binder to
1 I05. Document re aretion to
1106. No foes [o
1 ] 07. Attome 's fees to
includes line numbers:
1108. Tide Insurance mKline Law Office a ent for Securit Title
'ncludes line num rs:1101-1107
1 130.75
1109. Lender's covera a Premium 0.00
1110. Owner's covera a 156000.00 Premium 0.00
1111.
1112.
t 113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recordin fees; Deed 63.50 Mort a Release $ 63.50
1202. Ci /cn tax/stam s: Deed $ Mort e
1203. State tax/stem Deed $ Mort e
1204.R alt Transfer ax 1 560.00 1 560.00
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surve to
1302. Pest ins ection to
1303. Tax Certification to P. ordon
1304.2012 1st tr Sewer Refus to Fairview T
211.00 10.00
1305. Radon Miti ation to Mike Sheel Hom Ina ections
l3 6. Chimn Re air to Hunter's Mason
14 0. TOTAL SETTLEMENT CHARGES enter on lines 103 Section J aed 502 Section K
3 36B . 2 5 745.00
6 275.00
18 Z45 . 00
~~R~ rrn,h uvn: rnave carcruuy revrewes me nuud Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts an
disbursement`s made on my account or by a in this transaction. [further certify that i received n copy of the HUD-1 Setdement Statement.
Seller ~ s(E rate of Esther E. owe 1T-- Borrower Mi ael J. Youse
~( ~ 1
Seller Borrower
The HUD-I Sete ent Smtet pn t ~ I have prepared is a true and accurate account of the funds disbursed or to be disbursed by the undersigned as pan of the settlement o
this vansaction. i LA(~/}
1 12/28/2011
Settlement Agent Robert P. Kline Esq Datc
WARNING: I[ is a crime [o knowingly make false statements [o [he United Slates on [his or any other similar form. Penalties upon conviction can include a fine and
imprisonment. For details see: Ti[Ie 18 U.S. Code Section 1001 and Section 1010.
® EASY SOFT 2008 Previous editions are obsolete Page 2 form HUD-1 (3/86j ref Handbook 4305.2
REV-1508 EX+(8-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ES?ATE OF FILE NUMBER
Esther E. Prowell 21-11-1053
Include the proceeds of litigation and the date the proceeds were received by the est8le.
All propert/ Jolntlyowned with dpht of survivorship must be disclosed on Schedule F.
(M more space is needed, insert addflional sheets of the same size)
~ Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TA% RETURN
RESIDENT DECEDENT
SCNEpULE F
JOINTLY-OWNED PROPERTY
ESTATE OF: FILE NUMBER:
Esther E. Prowell 21-11-1053
If an asset became ~ointty owned within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING ]DINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A• Joyce E. Sweigard
277 Hillcrest Road
Camp Hill, PA 17011-1908
Daughter
8.
C.
JOINTLY OWNED PROPERTY:
REM
NUMBER LEfiFR
FOR JOINT
TENANT DATE
MADE
IDINT DESCRIPRON OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTRVTIDN AND &1N%A000UNT NUMBER OR SIMILAR
IDENTIMNG NUMBER. ATTACH DEED FOR 10INTLV HELD RFAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % DF
DECEDENT'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1. A. O ro ~09 Money Market Account; PNC Bank; Acct No. 50-0542-8543 67,182.69 50 33,591.35
2 A. O I ~,78 Interest Checking; PNC Bank; Accl No. 51-0005-0715 18,112.48 50 9,056.24
TOTAL (Also enter on Line 6, Recapitulation) I $ 42,647.59
If more space is needed, use additional sheetr of paper of the same size.
REV-1511 EX+ (10-09)
~ Pennsylvania
DERRRTMENT OF REVENUE
INHERRANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Esther E. Prowell 21-11-1053
Decedent's debts must be reported on Schedule I.
A. FUNERAL EXPENSES:
t' Myers-Buhrig Funeral Home, 37 East Main St., Mechanicsburg PA-funeral services
z JDK Catering, Inc., 1 Bishop Place, Camp Hill, PA 17011--catering services for repast
B.
1
z.
3.
4.
5.
6.
7.
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City __
Year(s) Commission Paid:
State __ ZIP
Attorney Fees:
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant Joyce E SWeioafd
street address 277 Hillcrest Road
city _Camp Hill state PA zIP 17011
Relationship of Claimant to Decedent Daughter
Probate Fees:
ACCODntant Fees:
Tax Return Preparer Fees:
8,000.00
3,500.00
515.00
0.00
0.00
TOTAL (Also enter on Line 9, Recapitulation) ; 24, 51 1.00
11,896.00
600.00
0.00
If more space is needed, use additional sheets of paper of the same size.
REV-1512 E%+ (12-08)
~ pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERfTANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE Of FILE NUMBER
Esther E. Prowell 21-11-1053
Report debts Incurred by the decedent prior to death du! remained unpaid at the date of death, including unrelmbureed medical ezpensas.
REM VALUE AT DATE
NUMBER DESCRIPTION OF DFATH
1• Sally Gethovas, ovemight caregiver services 160.00
2 Dylan Tumer, ovemight caregiver services 160.00
3 Mike Schindler, lawncare work for property at 113 Fairview Drive, Camp Hill, PA 320.00
4 Fairview Township, sewer and trash bill 198.00
5 Camp Hill Emergency Medical Services, emergency service 1,147.00
TOTAL (Also enter on Dne 10, Recapitulation) ; 1,985.00
If more space Is needed, insert additional sheets of the same size.
REV-1513 E%+ (Ol-3U)
~~~ ~~ Pennsylvania SCHEDULE J
INHERRANCE TAX REn1RN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Esther E. Prowell 21-11-1053
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do No! Lia! Tnualee(a) OF ESTATE
I I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1.
2
3
4
5
II
1.
1.
Carol J. Rottman, 706 W. Pine St., Palmyra, PA 17078
Joyce E. Sweigard, 277 Hillcrest Rd, Camp Hill, PA 17011
Joseph E. HoRman, 6332 Old Turnpike Rd, Mifflinburg, PA 17844
Yvonne W. Gettys, 1950 Chestnut St., Camp Hill, PA 17011
Shidey A. Sucic, 131 Sunset View Dr., New Cumberland, PA 17070
daughter
daughter
son
step-daughter
step-daughter
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON L1NE5 15 THROUGH 38 OF REV-1500 C(IVER 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:
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 CO`JER SHEET.
20%
20%
20%
20%
20%
If more space is needed, use additional sheets of paper of the same size.