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09-12-12
1505611180 ---~ REV-1500 ~ 102-11, IF., Pennsylvania OFFICIAL USE ONLY PA Department of Revenue pEpMTMENTOF REVENUE County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 Harrisbum. PA 17128-0601 RESIDENT DECEDENT ~ ~ - ~ Z ~ ~j ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY ~~v ~"Ce~- ~S 9 9 06152012 dsZS'(g S7 Decedent's Last Name Suffix Decedent's First Name MI STONE WILLIAM L (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 © 1.Original Retum Q 2. Supplemental Return Q 3. Remainder Retum (Date of Death Prior to 12-13-82) Q 4. Limfted Estate Q 4a. Future Interest Compromise (date of Q 5. Federal Estate Tax Retum Required death after 12-12-82) ® 6. Decedent Died Testate Q 7. Decedent Maintained a Living Trust D 8. Total Number of Safe Deposit boxes (Attach Copy of Wilq (Attach Copy of Trust) Q 9. Litigation Proceeds Received Q 10. Spousal Poverty CredR (Date of Death Q 11. Election to Tax under Sec. 9113(A) Behnreen 121-91 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 ROBERT G. FREY 7172435838 REGISTER OF WILLS First Line of Address 5 S HANOVER ST Second Line of Address City or Post Office CARLISLE Correspondent's e-mail address: R F R E Y a1 F R E Y 1 Under penalties of perjury, I dechare that I have examined this return, it is true correct and Isla. Declaret n of re rer other than the SIGN~1 E OFjPE R BLE FOR FILING RETURN Q State ZI P Code PA 17013 EY.COM hng accompanying schedules ~ ~C7 oa z-, cs3 , ~i ~--~ ~ ~ ~- : f , ~ -r~ ' ~ '~-; : ~, , , . r, .~~;~ N r- ILED - : ~~ ~__ r:- -,.,. , , ~ -- -~ D "i ~ r- r?-i _ c~ t.cs and statements, and to the best of my knowledge and belief, 120 WEST-HILLCREST DRIVE, CARLISLE, PA 17013 SIGNA OF P -~U ~ EPRESENTATIVE ATE ~ 4 to ADDRESS 5 SOUTH HANOVER STREE CARLISLE, PA 17013 L 1505611180 Side 1 150561118D J ~~ J 1505611280 REV-1500 EX (FI) Decedent's Social Security Number Decedents Name: WILLIAM L S T O N E 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. NON E 4. Mortgages and Notes Receivable (Schedule D) ....................... .. 4. N 0 N E 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) ... . 5. N 0 N E 6. Jointly Owned Property (Schedule F) OSeparate Billing Requested ..... .. 6. N 0 N E 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested ...... . 7, 0 . 0 0 8. Total Gross Assets (total Lines 1 throuoh 7) ..... 8 0 0 0 9. Funeral Expenses and Administrative Costs (Schedule H) ............... .. 9. N 0 N E 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ........... ..10. NON E 11. Total Deductions (total lines 9 and 10) ............................. . 11. 0 . 0 0 12. Net Value of Estate (Line 8 minus Line 11) ........................... . 12. 0 , 0 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ..................... . 13. 0 . 0 0 14. Net Value Subllect to Tax (Line 12 minus Line 13) . 14 0 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 0.0 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 # # is 17. 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X # # d 18. 0 . 0 0 19. TAX DUE ........................................................ 19. 0 . 0 0 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 ',~. 1505611280 1505611280 J REV-1500 EX (Fl) Page 3 File Number Decedent's Complete Address: 21-12-o~s~ DECEDENT'S NAME WILLIAM L STONE STREET ADDRESS CITY CARLISLE STATE PA ZI P 17013 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount Total Credits (A + B ) 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. FIII In box on Page 2, Une 20 to request a refund. (1) 0.00 (2) 0.00 (3) (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE (~ 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 QUES110NS 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)J. • The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4.5 percent, except as noted in 172 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)j. 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-1513 EX+ (01-10) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE) BENEFICIARIES ESTATE OF: FILE NUMBER: William L Stone 21-12-0736 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 [Indude outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1 Holly A. Stone 100% of Residue 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 s 0 00 If more space is needed, use additional sheets of paper of the same size. FREY 8~ TILEY ATTORNEYS-AT--LAW 5 South Hanover Street Carlisle, Pennsylvania 17013 ROBERT M. FREY RETIRED TELEPHONE (717) 243-5838 STEPHEN D. TILEY stiley@freytiley.com FACSIMILE (717) 243-6441 ROBERT G. FREY rfrey@freytiley.com September i2, 2oi2 Pennsylvania Department of Revenue Re: wllian Loyd Stone Fstate 21-12-0736 The estate was probated for the sole purpose of receiving life insurance proceeds on the life of the decedent. There was no beneficiary designated on the life insurance which necessitated the opening of the estate. Since life insurance proceeds are not a taxable asset, there are no assets reported on the return. Sincerely yours, Robert G. Frey RGF /