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Home My WebLink About09-25-12~ REV-1500Ex`01-'°' ~ 1505610143 OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT Ur REVENUE PO 60X.280601 INHERITANCE TAX RETURN 2 1 12 0 0 17 2 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 198 22 8892 O1 17 2012 08 11 1930 Decedent's Last Name Suffix Decedent's First Name MI TITZEL JAMES B (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouses Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 4. Limited Estate ^ 4a Future Interest Compromise (date of death after 12-12-82) ^ 6 Decedent Died Testate ^ ~ Decedent Maintained a Living Tius; (Attach Copy of Will) (Attach Cony of Truss) ^ 9. Litigation Proceeds Received ^ 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. ReCuired 8 Total Number of Sate ~eposlt Boxes ^ 11.Election to tax under Sec. 9113(Aj (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: r~ a Name . Daytime Tel one Numbed' ~ STEVEN P MINER ESQ 717 7 C~9821~ _ ~-~ REGISTER~~IILLS US~NLY'~ `_: ; ~ ?.~; .G Li-, .~. '~ ..._ j` : First line of address .~ C_. - ~ . '.. ~ _ ,. `{ i - -T`? ,--, 635 N 12TH STREET ~~~ ~ _ '~' -~~ ~ W ~ ` Q -T, Second line of address .~" City or Post Office State ZIP Code LEMOYNE PA 17043 Correspondent's a-mail address: s m i n e r@ d z m m g f a w. c o m 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 complete. Declaration of preparer other than the personal representative Is based on all information of which preparer nas any knowledge. ADDRESS 635 .12th Street, Lemoyne, PA 17043 Side 1 1505610143 DATE FILED 1505610143 J ~ l1~t,.> 1437 Brandton Road, Mechanicsburg, PA 17055 SIGNATURE OF P E RER OTHER THAN REPRES _NTATIVE DR, rE ~~~j Stewen P Miner Esq ~ ~~ ~~l y J 1505610243 REV-1500 EX Decedent's Social Security Number Decedenrs Name: T I T Z E L, J A M E S B __ 1 9 8 2 2 8 8 9 2 _ _ RECAPITULATION 128,000.00 1. Real Estate (Schedule A) .............................._.............................__........................ 1. 2. Stocks and Bonds (Schedule B) .............................__............................__............. 2. 2, 0 2 1 3 1 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) .............................._........................ 4. 5~ Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E.} .............. 5. 8 9 , 6 6 8 . 8 4 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7. 6 , 9 2 1 7 9 g. Total Gross Assets (total Lines 1-7) ..............................._............................_....., g. __ _ _ 2 2 6, 6 1 1 9 4 __ _ _ __ _ _ 9. Funeral Expenses & Administrative Costs (Schedule H) .................................... 9. 2 8, 6 7 3 0 2 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 5 , 614.9 4 11. Total Deductions (total Lines 9& 10) ..............................__...........................__.... 11. 3 4, 2 8 7 9 6 12. Net Value of Estate (Line 8 minus Line 11) ..............................__......................... 12. 1 9 2 , 3 2 3 9 8 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................__............... 13. 14. Net Value Subject to Tax(Line 12 minus Line 13) .................. ....._.............. 14. 1 9 2 , 3 2 3 9 8 _- - _ _ TAX COMPUTATION -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 .00 15. 16. Amount of Line 14 taxable 16 at lineal rate X .045 . 17 Amount of Line 14 taxable at sibling rate X .12 4 3, 2 7 2 8 9 17. 5, 19 2 7 5 18. Amount of Line 14 taxable at collatera- rate X .15 14 9, 0 51.0 9 18. 2 2, 3 5 7. 6 6 19. Tax Due ..............................__............................__............................__ ................. 19. 2 7, 5 5 0 4 1 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 1505610243 1505610243 REV-1500 EX Page 3 File Number 21 - 12 - 0 017 2 Decedent's Complete Address: Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 24,141.00 __ 1,270.58 Total Credits (A + B) (1) 27,550.41 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. (2) 25,411.58 (3) 0.00 (4) (5) 2,138.83 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 :........................................................................... x b. retain the right to designate who shall use the property transferred or its income :............................... x c. retain a reversionary interest; or ..............................._............................__..........................._................ x d. 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? ..............................._............................_.............................._................... '_ X_ ___ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death.?..,.... x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which _ contains a beneficiary designation? .............................................................................................................. x' IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETUR n . 3„r^„w~._, r+f. ... .z..r.':..~. ; »_. .. .:m. sue. a .. ~ _xi.. ._ ~~ 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 January 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 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)1. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the aecedent, whether by blood or adoption. SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT --- -- _ FILE NUMBER ESTATE OF Titzel, James B 21 - 12 - 00172 All real property owned sole)y or as a tenant in common must be reported at fair market valu~air market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been sold. Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 Real property located at 2014 Milltown Road, Camp Hill, Lower Allen Township, Cumberland 128,000.00 County, Pennsylvania (See attached HUD-1) ____ -_ TOTAL (Also enter on Line 1, Recapitulation) 128,000.00 SCHEDULE B ~' STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT -- _ - - - _ - FILE NUMBER ESTATE OF Titzel, James B 21 - 12 - 00172 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF NUMBER DEATH 1 37 shares of Prudential Financial, Inc. stock, account number ending in 54.63. 2,021.31 8244 TOTAL (Also enter on line 2, Recapitulation) 2,021.31 SCHEDULE E CASH, BpANK DEPOpSITS, &~/MISC. COMMONWEALTH OF PENNSYLVANIA PERSONA PROPERT 1 INHERITANCE TAX RETURN RESIDENT DECEDENT __ _ ___ FILE NUMBER ESTATE OF Titzel, James B 21 - 12 - 00172 __ - _. __ Include the proceeds of litigation and the date the proceeds were received by the estate411 property jointly-owned with the right of survivorship must be disclosed on schedule F. __ __ - _ _ __ __ _._ ___ -- ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 M&T Bank Checking Account No. 86066889 21,552.79 2 ~ Sovereign Bank Money Market Account No. 0574177639 I 47,355.03 3 ~ Accrued Interest on Sovereign Bank Money Market Account No. 0574177639 I 6.59 4 I Sovereign Bank CD Account No. 0575132931 I 20,000.00 5 ~ Accrued Interest on Sovereign Bank CD Account No. 0575132931 I 4.43 6 ~ Refund ~ 750.00 TOTAL (Also enter on Line 5, Recapitulation) 89,668.84 i ' SCHEDULE G COMMONWEALTH OF PENNSYLVANIA INTER-VIVOS TRANSFERS & INHERITANCE TAX RETURN RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY __ ---_ -- ESTATE OF Titzel, James B FILE NUMBER 21 - 12 - 00172 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. DESCRIPTION OF PROPERTY % OF TAXABLE V14LUE ITEM Include the name of the transferee, their relationship to decedent DATE OF DEATH DECD'S EXCLUSION NUMBER VALUE OF ASSET INTEREST (IF APPLICABLE) and the date of transfer. Attach a copy of the deed for real esiate. 1 I Prudential Discovery Plus Annuity No. 94587498 6.921.79 ' 100% 6,921.79 I TOTAL (Also enter on line 7, Recapitulation) x,921.79 SCHEDUI.F H ' FUNEt~L DCPENSES & COMMONWEALTH OF PENNSYLVANIA /~~'y~/~ '~~~++'~pp//~~~~/~ ^^~+ INHERITANCE TAX RETURN f'\LJIYI~Nh7 1 I~11 1 V G COSTS RESIDENT DECEDENT FILE NUMBER ESTATE OF Titzel, James B 21 - 12 - 00172 Debts of decedent must be reported on Schedule I. ___ __ DESCRIPTION AMOUNT NUMBER '' FUNERAL EXPENSES: A. 1 ~ Parthemore Funeral Home & Cremation Services, Inc. 30.17 2 Funeral Luncheon/Summit Family Restuarant 213.52 B. 'ADMINISTRATIVE COSTS: ~ . Personal Representative's Commissions Name of Personal Representative(s) John T. Titzel 8,400.00 Street Address 1437 Brandton Road city Mechanicsburg state PA zip 17055 Year(s) Commission paid 2012 2. Attorney's Fees Daley Zucker Meilton Miner & Gingrich, 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 5. Accountant's Fees 6. Tax Return Preparer's Fees H&R Block (income tax returns) 7, Other Administrative Costs 1 Miscellaneous administrative expenses 2,823.00 377.50 103.00 324.49 __ __- - TOTAL (Also enter on line 9, Recapitulation) 28,673.02 Schedule H ` Funeral E~ & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN Adenine /+ l.~Jl INn~ RESIDENT DECEDENT __ __ FILE NUMBER ESTATE OF Titzel, James B 21 - 12 - 00172 2 ,Pennsylvania American Water 65.26 3 PPL ' 148.41 4 ,Settlement Charges/Credit by Seller 15,916.85 5 2 Esther Titzel Death Certificates ( ) 18.00 6 'Legal Advertisment (Cumberland Law Journal) 75.00 7 ,Legal Advertisement (The Sentinel) 125.82 8 Additional Short Certificates 52.00 Page 2 of Schedule H SCHEDULE DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA LIABILITIES, ~ LIENS INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF Titzel, James B 21 - 12 - 00172 __._ Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 1 Cumberland Crossing (senior living community) 5,224.94 2 I Cumberland Goodwill Fire Rescue EMS 3 ~ Carlisle Regional Medical Center 4 I Reissued Christmas checks 150.00 90.00 150.00 __ __ --_ --- __ ___ TOTAL (Also enter on Line 10, Recapitulation) 5,614.94 REV-1513 EX+ (11-08) SCHEDULpE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Titzel, James B 21 - 12 - 00172 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER ', NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not List Trustee(s) _-_ ___ I~ (,TAXABLE DISTRIBUTIONS[include outright spousal i distributions, and transfers under Sec. 9116 (a) (1.2)] ~, 1 'Linda Hoerner Sister-in-Law ' 10% 12 Brenely Lane Mount Holly Springs, PA 17065 2 John T. Titzel 1437 Brandton Road Mechanicsburg, PA 17055 3 Helen M. Titzel 1437 Brandton Road Mechanicsburg, PA 17055 Brother 22.5% Sister-in-Law 22.5% ICI Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate. I',NON-TAXABLE DISTRIBUTIONS: II. ~A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEEfi O.OO _: __ REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES continued INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Titzel, James B 21 -12-00172 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$) RECEIVING PROPERTY Do Not List Trustee(s) I TAXABLE DISTRIBUTIONS[include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 4 ' John T. Titzel, Jr. 'Nephew 22.5% 600 Antler Drive ', Lewisberry, PA 17039 5 ,Arthur N. Titzel Nephew 22.5% 5 Scarsdale Drive Camp HiII, PA 17011