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1505611180
.~ REV-1500 ~ 102 t1) (FI) OFFICIAL USE ONLY
PA De artment of Revenue Pennsylvania Count Code Year File Number
p oEPAR,~ENT~INHERITANCE TAX RETURN y]
Bureau of Individual Taxes ~'j
PO BOX 280601 ~~/ 1 / ~ / ~f ~~
Harrisburo PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
201-16-6895 10272011 11161922
Decedent's Last Name Suffix Decedent's First Name MI
LUDT f1ARGARET G
(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 BOXES BELOW
Q 1. Original Return ~ 2. Supplemental Return
Q 4. Limited Estate Q 4a. Future Interest Compromise (date of
death after 12-12-82)
Qx 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received Q 10. Spousal Poverty Credit (Date of Death
Between 12-31-91 and 1-1-95)
3. Remainder Return (Date of Death
Prior to 12-13-82)
5. Federal Estate Tax Return Required
1 8. Total Number of Safe Deposit Boxes
Q 11. Election to Tax under Sec. 9113(A)
(Attach Schedule O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
rv
ROBERT G. FREY 7172435~~ N
First Line of Address
5 S. HANOVER ST.
Second Line of Address
City or Post Office
CARLISLE
State ZIP Code
PA 17013
Correspondent's a-mail address: R F R E Y a F R E Y T I L E Y. C O M
1~ WILLS
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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 com lete. Declaration of re arer other than the ersonal re resentative is based on all information of which re arer has an knowled e.
SI6t~I~ATURE O ~ R~N SPO . OR FILI FtETU N ~ DATE
ADDRESS
5 SOUTH HANOVER STREET,
L 1505611180
RLISLE, PA 17013
LEASE USE ORIGINAL FORM ONLY
Side 1
1505611180
~~~ J
1505611280
REV-1500 EX (FI)
Decedent's Social Security Number
Decedent's Name: MARGARET G LUDT 201-16-6895
RECAPITULATION
1. Real Estate (Schedule A) ......................... . ........... . .. . 1. N 0 N E
2. Stocks and Bonds (Schedule B) . .................................. . 2. N 0 N E
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. . 3. N 0 N E
4. Mortgages and Notes Receivable (Schedule D) ...... ................ . 4. N 0 N E
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) ... . 5. 2 2 4 6 5 9 . 0 0
6. Jointly Owned Property (Schedule F) Separate Billing Requested ..... .. 6. N 0 N E
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested ..... .. 7• 1515 5 4 . 0 0
8 Total Gross Assets (total Lines 1 through 7) ... .. .. 8. 376213.00
9. Funeral Expenses and Administrative Costs (Schedule H) ............... . 9. 22206 • 00
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ........... . 10. 6 9 2 . 0 0
11. Total Deductions (total Lines 9 and 10) ..... . ...................... . 11. 2 2 8 9 8 • 0 0
12. Net Value of Estate (Line 8 minus Line 11) ...................... . ... . 12. 3 5 3 315.0 0
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
0
0 0
an election to tax has not been made (Schedule J) ............ . ...... . .. 13. •
14 Net Value Subject to Tax (Line 12 minus Line 13) .............. .. 14. 3 5 3 315.0 0
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 0 15. 0' 0 0
16. Amount of Line 14 taxable
at lineal rate X .0 4 5 16. 0. 0 0
17. Amount of Line 14
taxable at sibling rate X. 12 2 5 0 0 0. 0 0
17.
3 0 0 0. 0 0
18. Amount of Line 14 taxable
at collateral rate x .15 3 2 8 315.0 0 1 s. 4 9 2 4 7. 2 5
19. TAX DUE ............. ......................................... 19.
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
52247.25
1505611280 1505611280 J
REV-1500 EX (FI) Page 3 File Number 201-16-6895
I'lnrnrlnnt'c C'mm~lptp d~rlcirPSS'
DECEDENT'S NAME
MARGARET G LUDT
STREET ADDRESS
CITY
CARLISLE STATE
PA ZI P
17015
Tax Payments and Credits:
1, Tax Due (Page 2, Line 19) (1) 52247.25
2. Credits/Payments
A. Prior Payments 49800.00
B. Discount 2490.00
Total Credits (A + B) (2) 52290.00
3. Interest
(3)
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) 42.75
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5)
0.00
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-1508 EX+(~~-10) SCHEDULE E
Pennsylvania CASH, BANK DEPOSITS, 8~ MISC.
DEPARTMENT OF REVENUE PERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Margaret G Ludt
Include the proceeds of litigation and the date the proceeds were received by the estate.
If more space is needed, use additional sheets of paper of the same size.
REV-1510 EX+ (08-09) I SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS &
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Margaret G Ludt
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
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
(~FAPPLICABLE)
TAXABLE
VALUE
1. IRA cash account 50,776 100.00% 50,776
2. IRA American Express CD 25,024 100.00% 25,024
3. IRA Bank of America CD 35,162 100.00% 35,162
4. IRA MetLife CD 40,107 100.00% 40,107
5. Total accrued interest on above accounts 485 100.00% 485
TOTAL (Also enter on Line 7 Recapitulation) $I 151,554
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
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Maroaret G Ludt
Decedent's debts must be reported on Schedule I.
ITEM
NI IMRFR DESCRIPTION .AMOUNT
A. FUNERAL EXPENSES:
1 e Hoffman Roth Funeral Home
B.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
Year(s) Commission Paid: 2012
2. 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.
8.
City State
Relationship of Claimant to Decedent
Probate Fees:
Accountant Fees:
Tax Return Preparer Fees:
ertising in Cumberland Law Journal
ertisinq in the Sentinel
State ZIP
ZIP
8,557
11,000
2,000
384
included w/ atty fee
included w/ atty fee
75
190
TOTAL (Also enter on Line 9, Recapitulation) ~ $ 22,206
If more space is needed, use additional sheets of paper of the same size.
REV-1512 EX+ (12-08)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES 8~ LIENS
ESTATE OF FILE NUMBER
Margaret G Ludt
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
If more space is needed, insert additional sheets of the same size.