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HomeMy WebLinkAbout08-09-121505610105 REV-1500 Ex (oz-11)(FI) PA Department of Revenue Pennsylvania Bureau of Individual Taxes °F°"""`"'°`"`"`""` PO BOX z8o6oi INHERITANCE TAX RETURN Harrisbur , PA 1128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY r• Date of Blrth MMDDYYYY 056-01-7589 06/06/2012 02/26/1918 Decedent's Last Name Suffix Decedent's First Name Schwalb MI Joseph O (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name n/a MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICAT FILL IN E WITH THE REGISTER OF WILLS APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 4. Limited Estate O O 3. Remainder Retum (Date of Death Prior to 12-13-82) 4a. Future Interest Com romi C>D 6. Decedent Died Testate se date of death after 12-12-82) ( O 5. Federal Estate Tax Retum Required O (Attach Copy of Will) O 9 7. Decedent Maintained a Living Trust (Attach Copy of Trust ) $• Total Number of Safe De i . Litigation Proceeds Received O . pos t Boxes 10. Spousal Poverty Credit (D t CORRESPONDENT _ rwc ccrTV,.~ .., ,,._ __ _ _ _ a e of Death O 11. Election to Tax under Sec. 9113 A Between 12-31-91 and 1-1-95) (AMarh Gl...w..i_ ... ( ) Name --- ~ •-•• ••~~~ ~ ~~ wmr~t ~ tu. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TD: James W. Abraham, Esquire Daytime Telephone Number First Line of Address Abraham Law Offices LLC Second Line of Address 45 East Main Street City or Post Office Hummelstown OFFICIAL USE ONLY Counly Code Year File Number .~~ ~~ ~~/(.l State ZIP Code PA 17036 REGISTER OF WILLS USE ONLY C7 r-- ~^, f•J .i 17U ° t ~ ~ 7` 'e C, ms,,, ~ ' I ~ ~...; RATEI?ILED =~~ rv Correspondent's a-mail address: abelaW comcast net .~' Under penalties of perjury, I declarr that r h ~~ ~~ ~~ ter, wrrect and complete. Declaration of prepan;r other han tthe cluding accom an i sc OF PERSON RESP SI Y ledge and belief, personal representatie is based on all information ofwhich p pa er~hasn ny knowledge, --r-~R~ ETURN ADDRESS L C. 7-Z-~ ~ DATE Raymond J. Schw ,Executor, 133 S. 31st St., Camp Hill PA 17011 ~ \ ~~~v/~ SIGNATURE,bF PR OTHER THAN REPRESENTnTrvr ------•~-T' ~ ADDRESS DATE James W. Abraham, Esq., Abraham Law Offices, LLC, 45 E. Main St. Hummelstown PA 170 ~ 7~ PLEASE USE ORIGINAL FORM otv~ v 3G L. Side 1 1505610105 1505610105 J I -~ j °'~l .'~ `T (-i"9 c..~ _~' =r-s ~' -r. _~ ~~ J 1505610205 REV-1500 EX (FI) Decedent's Name: Decedent's Social Security Number RECAPITULATION 056-01-7589 1. Real Estate (Schedule A)...... . ......... . ...................... 2. Stocks and Bonds (Schedule B) ....... ..... 1. 0.00 3. Closely Held Corporation, Partnership or Sole-proprietorship (Schedule C) 2 0.00 4. Mortgages and Notes Receivable (Schedule D) .... . , . , , 3. 0.00 5. Cash, Bank De osits and Miscellaneous Personal Pro e P P rty (Schedule E) 4 0.00 .. , 6. Jointly Owned Property (Schedule F 7. Inter-Vivos Transf Requested o ~ l .... 5. 689,911.00 ... ers & Miscellaneous No n-probate pr p (Schedule G) e -tY ... , g, 0 00 O Separate Billing Requested.... . 7 . 8. Total Gross Assets (total Lines 1 through 7) ....... . ... . 58286.00 .................. 9. Funeral Expenses and Administrative Costs (Schedule H) . • .. ... 8. 740,197.00 ...... 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) 9. 31,316.00 ...... 11. Total Deductions (total Lines 9 and 10).... 10 11,071.00 ................ . 12. Net Value of Estate (Line 8 minus Line 11} ... 11. 42,387.00 .. ............... 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ..... . .. 12. 697,810.00 .............. 14. Net Value Subject to Tax (Line 12 minus Line 13 .. 13. 0.00 .............. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE 15• Amount of Line 14 taxable RATES .. 14. 697,810.00 at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 16. Amount of Line 14 taxable 697,$10.00 15 at lineal rate X .0 . 31,402 00 17. Amount of Line 14 taxable at sibling rate X 12 16. . . 18. Amount of Line 14 taxable 17 0.00 at collateral rate X .15 . 0.00 19. TAX DUE ....... ...... 18. 0.00 ................ 19. 31,402.00 20. FILL IN THE OVAL IF YOU ARE REQUESTIN G A REFUND OF AN OVERPAYM ENT O I_ 1505610205 Side 2 1505610205 REV-1500 EX (FI) Page 3 Decedent's Complete Address: FUe Number DECEDENTS NAME Joseph O. Schwalb STREETADDRESS Messiah Village cITY ---- Mechanicsburg STATE zIP PA Tax Payments and Credit 17055 s: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments (1) A. Prior Payments 31,402.00 B. Discount 1,570.00 3. Interest Total Credits (A + g) (2) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT Fill in oval on Page 2 (3) Line 20 to 1,570.00 , . request a refund. 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (4) 0.00 (5) 29,832.00 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWIN G QUESTIONS BY PLACING AN "X" 1 IN THE APPRO . Did decedent make a transfer and: P RIAT E BLOCKS a. retain the use or income of the property transferred Yes No ................... b. retain the right to designate who shall use the ro p ~~ 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 d • , , ecedent transfer ro p ~~ within one year of death without receiving adequate consideration? ............................ .. 3. Did decedent own an "in trust for" or po ..................................................................... 4. Did decedent own an individual retirement account annuity his or her death? .............. ~e k e ~ ^ o oth d r non probat contains a beneficiary designation? ......................................... p Perty, which ...... ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate im s ~ AND FILE IT AS PART OF THE RETURN. is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. Po ed on the net value of transfers to or for the use of the surviving spouse For dates of death on or after Jan. 1, 1995, the tax rate Imposed on the net value of transfers to or for the u [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statuto r filing a tax return are still applicable even if the surviving spouse is the only benefidary. se of the surviving spouse is 0 percent ry equirements for disclosure of assets and 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 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 benefidarie or for the use of a natural parent, an • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent 2 under Section 9102, as an individual who has at least one parent in common with the dec percent, except as noted in [72 P.S. §9116(a)(1)]. [7 P.S. §9116(a)(1.3)]. Asibling is defined, edent, whether by blood or adoption. ~, '.j r j ` , :~ ;~ ~~ i~ I ' c~ THE LAST WILL AND TESTAMENT ,~ ~' OF t JOSEPH 0. SCHWALB ~~ '` I, JOSEPH 0. SCHWALB now residing in East Northport, ~FLong Island, County of Suffolk, State o f New York, being of sound ',and disposing mind and memory, do hereb i~declare this Y make, publish and instrument as and for ~ ~ t?hereb mY Last Will and Testament, ~ ;~ y revoking all other former Wills and Codicils ' ;;time heretofore made: by me at any 1 ~ !' FIRST: I hereby direct that ' ~~ all my just debts ;funeral expenses be and paid as soon as practicable after my decease. c---- i ,' SECOND: I give, devise and bequeath all ;$propert of my {, Y, whether real Personal or mixed of whatsoever nature ~fkind and wheresoever situ or ate, owned by me at my death, to m beloved wife, DOROTHY R. SC HWALB Y , and if she ~I give devise and s does not survive pecifical me, ~•' lY bequeath all ;whether real °f mY property, Personal or mixed of whatsoever nature wheresoever situate owned or kind and ~~ by me at !~'SCHWALg and mY death RAYMOND tO mY sons ROBERT J, 1i J. SCHWALB, in equal shares i i~ !~ per stirpes. 1 ;; !; ii THIRD: I hereby nominate, const' ?{~wzfe, DOROTHY ALB Mute and appoint m R• SCHW y t the Executrix ~~Testament, and i^ °f this, my Last Will ~ the event that my wife shall not and i` ,~ survive me or ;i i S fj '~ r ;; ij ~X ~ I is tin that capacit !~ Y, I appoint my son RAYMOND J. SCHWALB and m Y ;,;brother-in-law ;; ARTHUR B. SEMLE as Co-Executors. 3 ,~ , ~; '' i• 1 ;a ~ i I direct that no bond or other securit , i~ ;;required of such Y shall be ~~ persons for the faithful ~ ~~ performance of their ;duties specified hereunder. ~ i, i i1 ~ ~i i ;i 'j i FOURTH: In addition to such ~~ powers as my Executor(s) ;may have by law, I authorize him with !j respect to an y and all ~ i ;;Property at any time ~~ constituting part of 1 ~; mY estate, to hold and retain such property, to sell and dis ose )3 P of the same at ~ ~ior private sale public ~~ at such rices and on such P terms as my '~ Executor f (s) shall deem proper; to borrow mone i ^' ~~ y and to pledge such ~ i' pro ert y P Y as security therefor; to invest ' and reinvest in any kind ~~of property, real and personal ' without limitation to the class ~ l~of investments in which trustees may be au l~ thorized 'rule of by statute or ! court; to exercise any option or privile ~ ge to convert ' ` ~~securities belongin to i g mY estate personally or by proxy; to J I ` ~~become a party to any reorganization E~ consolidation t other capital merger or 1 readjustment; to cause securities of my estate to ~;be registered in the ~~ name of the nominee ' of the Executor(s) to ' ;~emPl°Y a custodian or agent; to mana ~ ~ ge real ~ y Property belongin to ~~m estate; to lease any such real g ' i] r o ~ ~~that the P Perty regardless of the ~ term of any such lease fact ~~administration may extend beyond the period of , of ~ ±. mY estate; to borrow money for the 'mY estate and to g or wort benefit of ;' pled e gage any Propert ' security therefor; to make Y so held as ` I ;'j partition, divisio or ' n distribution of ij ~~i is i'~ i ~~ !~ my estate in kind or in cash or partly in kind and partly in ;t ii ~~cash; and to do all other acts which in their discretion ;j may be j necessary or appropriate for the proper and advantageous °i ;management, investment and distribution of m ~~ y estate, and no 'person dealin with m ~~ g y Executor(s) shall be under an y obligation to inquire into the propriety or validity of such sale or loan ;i r f ~~ So far as may be permitted b y law, my Executor(s) shall not be liable for any act or omission in connection with the administration of my estate, nor for any loss or injury to an property sold in or under m Y y estate, except only for their own actual fault. FIFTH: I hereby direct m ' y Executor(s) to perform and J carry into effect each and ever y one of the provisions of any partnershi j p or corporation agreement to which I the time of m may be a party at i~ y death, a SIXTH: In makin g this, my Last Will and am mindful of m Testament, I y daughter, JOANNE M. SCHWALB, and as I have provided for her by other ways and methods, I make no for her herein. Provision SEVENTH: ?. In the event that my wife and m ~~ die under such Yself shall -'~ circumstances that there 1 is not sufficient evidence to determine which predeceased '{ i the other, I direct that !~ it shall be deemed that.my wife shall ' have predeceased me and ;' I •'. ~ li ~; ~3 i ~~ ' ~~ l 'that this Will and an and all of ~~ Y its provisions shall be ~lconstrued on that assumption and bas' is . ,; ,\' .~ '\ i \„ a. i1 ;~ EIGHTH: Should any of the i; provisions or directions of ~jthis Will fail, or be held ineffectual or invali 7 d for any reason, '~it is my will that no other portion or '' provision of the Will be ~~invalidated, impaired or affected thereb Y, but that this Wi11 be `iconstrued as if such invalid provision or direction !iherein contained. had not been s,' NINETH: As used herein the term Executor i include the ~s) shall ~~ term Executrix. Whenever masculine ~iherein the nouns are used t y shall be deemed to include both the !feminine masculine and the ~+`the sin ugender, unless the context indicates otherwise; wh g lar has been used herein enever '~ it shall ' i~ be deemed to include i ,the plural, unless the context indicates ~~ otherwise. r ~ IN WITNESS WHEREOF, I si gn, seal, publish ' this my Last Will and Testament and declare in the presence of the witnessing it at Persons my request this ?3~ ' day of MaY, 1989. i %~ ~JOSESH 0. SCHWMLB~'-" The fore ~ sealed, published,gandg Will w~s,J the date Testator declared by JOSEPH thereof, signed, above named to be his 0• SCHWALB, the presence, and we at Last Will and Testament Presence of each his request, and °r.•-~eT' hereuntoln his presence, and °nr 'tnesses have subscribed the ~:_.. - ~ arm ~ f MaY, 1989. our names as residing at y~ /~~ a- ._ ~eco6.c _ residing at residing at ~ ' ~. r ~~ ii +~ li !~ I~ i st' STATE ~+ ~~ ';COUNTY i i 1 OF NEW YORK ) ss.: OF SUFFOLK ) ~/Y ~ TN Cr r~3 ~1YG ~L/ ~.~' ~ ~/F'LLl1 depose and say. ~ being duly sworn, SCHWALB They make this affidavit at the re the Testator whose Will dated May /,j .t;st °f JOSEPH 0, witnessed by them. 1989 was i~ JOSEPH 0. SCHWALB `his said Will dated May /~ ~~' executed and subscribed his name to ~~' 1989 ;tin the presence of the deponents ~ on that date at ~,x,-~,,,~a~ ~;same time. At the time of subscribin Were all ``~Y ~~ present at the ''O. SCHWALB declared the g his said Will jLast Will and Testament said Will so subscribed b said JOSEPH ~iof said Testator Immediatel Y him to be his in his Y thereafter, at the request Mother presence, and in the presence of each f each of the deponents signed his send of the said Will, and saw each of theaother a sign his name hereto. witness at the the said Testator was upwards ofine °f executin two witnesses the age of Twenthe said Will, ~andtunderstandinf each of deponents Y-one years was of sound ~ and iincompetent to makeand not under an mind, memory ~, a Will. Y restraint, or in any respect ~!`~7 -~- Severally~sworn to before this ~3ilday of May, 1989me 7~ ~, - NOTARY PPUBLIC ~~~"`-- DElRDRE IIA. BilTTERFIELD Notery Public, 8t~te of New Yat No. 461098.1 !]uaigied in Suffolk County Commission Expires December 31, / ~Y f ;a si ~S i~ i, REV-150$ EX+ (11-30) Pennsylvania SCHEDULE E ii7 DEPARTMENT Of REVENUE C~M, gANK DEPOSITS & MISC. INHERrfANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY FCrere ne. ~...... ~ vr. Schwalb, Joseph O. FILE NUMBER: InGude the proceeds of litigation and the date the proceeds were received by the estate. Aii Property jointly owned with right of survivorship must be disclosed on Schedule F. .ITEM 1. DESCRIPTION M&T Bank Checking Acct. No. -38432 VALUE AT DATE OF DEATH 2 M&T Bank Checking Acct. No. -8ti012 83,178.00 3 Edward Jones Investment Acct. No. -13054-1-7 5,676.00 4 Chase Bank Checking Acct. No. -58219 466,349.00 5 US Savings Bonds 4,945.00 6 Mortgage to decedent -133 S. 31st St. Camp Hill PA 15,000.00 7 Mort gage to decedent -101 St. Johns St. Camp Hil PA 70,698.00 44,065.00 TOTAL (Also enter on Line 5, Recapitulation) $ 689, 019 1 p If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+ (OS-09) jl Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ~~~.,~~ yr Schwalb, Joseph O. File NUMBER This schedule must be completed and filed if the answer to any of questions 1 through 4 on ITEM DESCRIPTION OF PROPERTY page t hree of the REV-1500 is yes. NUMBER INCLUDE THE MANE OF THE TRANSFEREE, THEIR REIATIDNSHIP TO DECEDENr AND THE DATE OF TRANSFER, ATTACH A Cppy OF THE DEED FOR REAL ESTATE. DATE OF DEATH V % OF DECD'S EXCLUSION TAXABLE I• Cash gift to Robert J. Schwalb, May, 2012 ALUE OF ASSET INTEREST (IF AN~LICABIE) VALUE 13.000.00 100 0.00 13 000 00 2 Cash gift to Raymond J. Schwalb, May, 2012 , . 13,000.00 100 0.00 13 000 00 3 Members 1st IRA Acct. to Robert J. Schwalb, July 2012 , . 24,286.00 100 0.00 24,286.00 TOTAL (Also enter on Line 7, Recapitulation) $ 50 286 00 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) ~ Pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF Schwalb, Joseph O. FILE NUMBER Decedent's debts must be reported on Schedule I. ITEM NUMBER A• FUNERAL EXPENSES: DESCRIPTION I' Cremation z Headstone engraving s Cemetery fee a Obituary publication costs/e xpenses B• ADMINISTRATIVE COSTS: I• Personal Representative Commissions: Name(s) of Personal Representative(s) Raymond J. Schwalb Street Address 133 S. 31st Street city Camp Hill State l'A ZIp 17011 Year(s) Commission Paid: -------- 2• Attorney Fees: Abraham Law Offices, LLC 3• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address City State ZIp Relationship of Claimant to Decedent ------ 4• Probate Fees: Register Of Wills Cumberland County 5• Accountant fees: 6• Tax Retum Preparer Fees: ~~ Legal Advertising TOTAL (Also enter on Line 9, Recaoit~~lar~~h~ ~ r 7~ ~]A/~ n 97.00 300.00 235.00 102.00 14,800.00 14,800.00 632.00 350.00 .~ ~iwre space is needed, use additional sheets of paper of the same size. ~ . "'," ~v.vu +2EV-1512 EX+ i12-O81 Pennsylvania SCHEDULE I OEPARiNENT of gEV~NUE INHERITANCE TAX RETURN DEBTS OF DECEDENT, RESIDENT DECEDENT MORTGAGE LIABILITIES ESTATE OF & LIENS Schwalb, Joseph O. Report debts incurred by the decedent prior to death that remained unpaid at the date of FILE NUMBER ITEM NUMBER death, including unreimbursed medical expenses, I DESCRIPTION Messiah Village -Facility costs VALUE AT DATE OF DEATH 2 Alert Pharrnac Y -medication 10,445.00 3 Capital Health Association -medical coverage 435.00 4 Philhaven -medical services 145.00 5 Center for Neurobehavioral Health - medical services 23.00 23.00 TOTAL (Also enter on Line 10 If more space is needed, insert additional sheets of the same size, Recapitulation) $ 11 071.00 REV-1513 EX+ (01-10) ~ Pennsylvania SCHEDULE DEPARTMENT OF REVENUE , INHERrrANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: Schwalb, Joseph O. FILE NUMBER: NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Do Not List Trustee(s) AMOUNT OR SHARE Sec. 9116 (a) (1.2).) OF ESTATE 1 • Robert J. Schwalb, Pleasantville, New York son 2 Raymond J. Schwalb, 133 S. 31st St. Camp Hill PA 17011 50% son 50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, I APPROPRIA II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: TE. 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1 TOTAL OF PART II -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. ~