HomeMy WebLinkAbout10-31-12 (2)J 1505610140
REV-1500 Ex t°'-'°'
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
Po Box 26oso1 '> 1 1 2 0 0 9 7
Harrisburg PA 17128-0501 RESIDENT DECEDENT `-
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date Of Death MMDDYYYV Date Of Birth NIMDDYYYY
Decedent's Last Name Suffix Decedent's First Naame MI
Gen s l e r Sand r a
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
O 1. Original Retum ~ 2. Supplemental Return ~ 3. Remainder Retum (date of death
4. Limited Estate
~
4a. Future Interest Compromise (date of prior to 12-13-82)
~ 5. Federal Estate Tax Retum Required
6. Decedent Died Testate
~ death titter 12-12-82)
7. Decedent Maintained a Living Trust
~ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 'd 1. 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 TqX INFORMATION SHOULD BE DN2ECTED T0:
Name Da}Qime Telephone Number
Way n e F S h a de Es q ui r e 71 7 243 0220
First line of address
5 3 We s t
Second line of address
City or Post Office
Car l i s t e
State ZIP Code i
P A 1 7 0 1 3
REGIST~ OF WILLS USE.#
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-COAYE FILED
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correspondents a-mall address: waynefshade(a~comcast.net
Under penalties of perjury, I declare that 1 have examined this return, inclutling accompanying schedules and statements, antl to the best of my knowletlge antl belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all intormaticn of which preparer has any knovAedge.
S~ATUR~ AF PER§ON RESPONSIBLE FOR FILING RETURN ,...,-
~%-/Z
119 Hickorytown Road Carlisle PA 17015
SIGNATU(jE OF PREPARER OT THAN REPRESENTATIVE DATE
a~a~ ®- _ ia-~3o-ia
West
PLEASE USE
Side 1
1505610190
P o m f r e t S t r e e t
FORM ONLY
1.505610190
J~
1505610240
REV-1500 EX
Decedent's Social Security Number
Decedenfe Name: Sandra Gensler
RECAPITULATION '
1. Real Estate (Schedule A) ........................................... 1. 7 Z Z 5 , 0 0
2. Stocks and Bonds (Schedule B) ............................... ..... .. 2.
3. Closely Hekl Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3.
4. Mortgages and Notes Receivable (Schedule D) ................... ..... .. 4.
6 3 7 8 7 8
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) ..... .. 5. •
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6.
7. Inter-Vivos Transfers 8 Miscellaneous N n-Probate Property
(Schedule G) ~ Separate Billing Requested ..... .. 7.
8. Total Gross Asset (total Lines 1 through 7) .................... ..... .. 8. 1 3 6 0 3 , 7 8
9. Funeral E nses and Administrative Costs Schedule H 9. 8 8 7 5• 6 6
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ....... .... .. 10. 1 5 5 8. 5 4
11. Total Deductions (total Lines 9 and 10) ......................... .... .. 11. 1 0 4 3 4. 2 0
12. Net Value of Estate (Line 8 minus Line 11) ...................... .... .. 12. 3 1 6 9. 5 8
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ................ .... .. 13.
14. NM Value Subject to Tax (Line 12 minus Line 13) ................ .... .. 14. 3 1 6 9. 5 8
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.o _ 0. 0 0 t5. 0. 0 0
16. Amount of Line 14 taxable
045 3 1 6 9
5
8
1
4
2
6
3
.
at lineal rate x . 16. .
17. Amount of line 14 taxable
0
0
0
t7
0
0
0
.
at sibling rate X.12 . .
18. Amount of Line 14 taxable
0
0
0
0
0
0
.
at collateral rate X .15 18. •
19. TAX DUE ...................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
142.63
Side 2
1505610240 1505610240
REV-1503 EX Page 3
n_.....~....r~e !`...nnle4n Arlrlroec•
File Number
21 12 0097
vcarc~cna .~ .. ...p........_~..----
DECEDENT'S NAME
Sandra Gensler _ _ _ _- _ -- - -
STREET ADDRESS
9 East Lauman Street __ __ __ __ - _ _ - -
___ _ - -
__
- __
CITY _ - STATE ~ ZIP
Mt. Holly Springs IPA 17065
Tax Payments and Credits:
~. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Pdor Payments -
B. Discount -
Total Credits (A + B) (2)
142.63
0.00
3. Interest
(3) 1.75
4. If Line 2 is greater than Line 1 +Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00
5. If Line 1 +Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 144.38
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
i. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transfened : ................................................................. .....
X
b. retain the fight to designate who shall use the property transferred or its income : .......................... .....
^ 0
c. retain a reversionary interest; or ........................................................................................... .....
^
d. receive the promise for life of either payments, benefits or care? .................................................. .....
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
X
without receiving adequate consideration? ........................................................................
h?
d
" .....
^ ^X
....
eaat
or payable-upon-death bank account or security at his or her
3. Did decedent own an "intrust for .....
Did decedent own an individual retirement account, annuity or other non-probate property, which
4
.
contains a beneficiary designation? ............................................................................................ ...... ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE CI 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(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)]. 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-1562 EX+ (01-10)
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF: FILE NUMBER:
Sandra Gensler 21 12 0097
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defned as the price at which properly
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 prooeAV that is jolntty-owned with right of survivorship must be disclosed rrn 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 owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1. Net proceeds of house and lot of ground known and numbered as 9 Lauman 7,225.00
Street, Mt. Holly Springs, Pennsylvania
TOTAL (Also enter on Line 1, Recapitulation.) I S 7
If more space is needed, use additional sheets of paper of the same size.
OMB Approval No. 2:802-0295
A. Settlement Statement (HUD-1)
1. ^ FHA 2.^ RHS 3. ^ Corn. UnStc S. Flb Number. 7. Loan umber. S. Morlpepe neurartn Cew Number.
RowER1o•1z
4.^VA 5.^Conv. Ins.
C. Nob: TON brm b furrlbhatl b pNe ya a atabmaM of aGUel cwb Amounb alb b mtl aYOle setlbmsnl apena and shown IbrN tnenuat
'(p.o.eYwaa Palo ouaWa the rJOSlrrg weY ale aho+w lan for InbrmWOnal Purpawa and on na Included b tM tolaM
D. Name 6 Address of eonower: E. Nerrn 6 Address tN Seller: F. Neme 8 Address of Lantler.
ROBERT R ROWS, FL7ABETH At ROWS SANDRA OENCi FR
908 ARMSTRONG ROAD. CARLISLE, PA 17013 9lAUAMN STREET, MOUNT HOLLY SPRINGS,.
PA
G, PrWenY Locatlort H. SetllemaMApenL• I. SetllemeM Dale: 701002012
9 LAUMAN STEET 1651 REAL ESTATE SERVICES, I1.C Dbbursemenl DMw 1 W002012
McuM Holly Sprinp4 PA 77085 Wert POndtM Ptded0ltel Skip, W Wtbt POmdel StNw,
MPUM Holly Spdnps Boroupn Caleb, PA 17013
TaNpSalo 717-2A&2353 Fa:717-2188364
Place of Settlement T10eExPfeas
Wew PaNM PtdenlaW BIOp, 80WeN PaMNStraN, P f01002012M 3:49 pm
CerBW PA 17019 by JMR
;.. LN'Yn r:.'. aW ~r
1.
4e1e4 ,
102. PBIaOnBI 402. PalaalBl
f0A Setliwnetd dngrmbaraw(16a 1400) 2093.79 403.
,a. 404.
1as. 495.
uebtonblw 4wro aMlwbadvena Ad whnwde lorMwn t~lw in advana
108. CMyAam taw b 108. CMyAam Ww b
107. Counll'torn b 401. Caay tans b
10S Stlnd TOw b 40& Stdlad Tow b
t09. 109.
110. 410.
111. 411,
112.
120. Braes AmavdOwfnatt l3wroxer
aewnntttwtey
17J19179 N2
120. Otop AmaMOwbtWbr
tee
11A00.00
202 PNdpd etnaMOf new ban(e) 502. SetlbnleNdMrpabaenw(an.1400) 977.95
203, a bkwtw b 603. ExlsOn s bketl edb
204. 504. Pa ofBM ban
205, 505. daeand ban
206. 508
207. 10142011 tow 3,397.02 507. 20101011 tow 3,397.02
208. 509.
209. 509.
uamnbter Maws un b sslbr Ad ttsenewsforMms Sl aMbr
low b low b
211. CauMy bnw b 511. Carty iow b
212 Stlaal Tow b 512 Shcal Tow b
213. 513.
214. 514.
215. 515.
218 516.
217. 517.
z1e. s1e.
219. 319.
2M TPW Mld Borrower 3,297A2
-- ~ `a
301. anNadtlw San hatroe'w l8ns 120) 13.1N3.79
302. lan amatltb pttld Dy0a6ottower (9ne 210) 3,7.02
203. Cnh ®Fmm ^ To BarosAr 10,216.71
..,.~~. ...,.r,rerrrr.. a.~eraee,a~wewrr...ner.. st0. Tort Mtlutdbn AnutuM Due 8auw
801. onaM dbbsdbr(IWo 4101 ~
802 Lan roductlauln amouw due adbr(Ons510)
803, Cuh ®To ^ From BMbr
ervrea.a. e.a+.a.,ev.w..wruere,- `......, 4,37aA0
11, '.
4,375A0
7,225.00
..
Ptavbua etlltlons era: obso ape o 4 HUPl
~ ;. ,, ~
:.. . .
yOR= ~ I 1'190. ~ ~r
7 t 30.00 b fiG; sye~.t ~Z'
T ~ SOAO b Sbtmerth <
703, ssbn 1>HId at saWwnent From
t +$$I~Nr's-.
, Fiiqq~7(laae'.
''SeEffement
too;'Iduw .. ..
t. radghwtlontheNe udr InetlmPolnt a .W) (tn7m 11
Yourgedlt orMerye mal the epedflc lnlwtrele assn ( G o'2)
803. Yarad(usletl orlgln>dlon ahegee ( GF A)
gtp, ~ b hom GFE1q
805. Credo b ~ fmn GFE t3
806. Tas aervlce to from GFE t3
B07. Fbodoar8fira8on to ~ hom GFE S3
eoa b
ry Inlereet b 1 1y 1 r:F: ~ ~)
902. Imurmw um rmmmeb ham GFE w3
903. Homeoxnefe Insurance mOnlha b hom GFE N71
906, monms b hom GFE M11
1001. Inltlel hu resaow ecooum :i ham GFE
1002 HomeowrreA tnaurenoe months S Imantll
1003. IneuMnce montla hnonU
1006. few montlu hmnlh
1005. monlha Immfh
1008. SrAOd Tatcea momha O.OOlmomh S b
1001. AgOregeleAdhw6nent S b
.. ., .. .. ..: .... u":..,.r.a ... .:... ~.
11 GFE M4 .tuu .:.... ,:...
1102 SettlanentadoWp be b t
1103. Ownefa tltle Iiwurence M1en GFE
7104. LaMeh tltla Inwrence S
t 105. lsndefs title pdi~y IMtl 50.00
1108. Owneh tltle polby tlm8 577,800.00
1107. ApenYa paBOndlhe fdnltl~lnsuretce preMum E
7708. UMwwvBefa poNOndMe blal tltle huurartca premWm S
1108. Atlamey Fee to IRWINBMCKNIGHT P.C 5425A0
~
7201. GOVenmentnmdng thBgM S .. (ha)ll GFEO7) 8200
1202 peed 58200 a RdeaeeE bRemNerdpeeda
1203. Trelelertezea S (frunG~~l ~~
1204. ClrylCamry tadetempa Geed 5118.00 b Remrderd Deeds
7205. Slab Taalatampa Dee05118.00 bRecadedpeeM
1208. peed b
1 'rtl you ten - 1
1 bMOUnl Hdl n
130:1. b
t
1301. 20762011 TAXES bTAXCW BUREAU S 33 .02 P.p.C.S
1 bBARSARA ISE TAX COLLEC
.08
'PeW ouUlde d dalh9 W (Sl~oe'er, (B)elle, (Vender, pMveua, Blo(K)er. "Clef M Mrlder Blown on page 7. ^'Credll hY Wbr ahowrl an ppe 1.
revbus IUOns are o soleae Page 4 H Pl
Ch GoodFaNhf>rUmate' !NU6t
atgea
Com adwnofGwd!FehhoEaBmale GFEt antl•NUDd
Cha nThrtCannoFlnenaux , HUG.4UnaNUmher
OOrod inatlontch B9_~,.~«; +€~ R.. ,, , 'si.; -v ,hs 1 ri ,r`s~iMBW'!d? a *x ~ ~
~~ 0.00 0.00
~ - i'> =,.
~
Ywamedl8nhr BN ` IB d ~~ It16BB '~ 0.00 0.00
.
_Yqa •.'.dn&s~`1'.~uv~:. 0.00 0.00
ran ~ .a ,...~ ., &%, .,.. '•; 1" , 0 00 232.00
Ch nThrtin 2ahEAnhoElnarsau Nbreffhanlg5~ 'GootlFaNh Eatlmab "HU61
GevaRpllBM• ,iPg(GhAIggW~ ~ '~- I •...~4v1R1$Uhs r .+ 000 62.00
TWQ84' 9 9<dUAAfk'~`.'seA~ ^ X= .a'sX.rs ttiA+'3 .Y ~ 0.00 425.Oo
,~, ~¢ '~x kR,y~.x r :'~
~ 0.00 0.00
,
t' k'Km 3,.,9~v #trd ~"u~= F - ~ r , . vz:
, 0.00 3,397,02
~ i..
q„ -,y «n: ~ 0.00 1,374.79
., i. a..
0.00 5,258,81
r $ 5,258.81 o r 9999999%
Chs eadhat CerNCf~e ~ - c GdodIFaIN~~Eetlmrta- 4rHU6b:
Iniha4Gaa_a>NL kx .!as~capn4 ~ ~t ' t ,~. 'r.RQ~1~ar~e,~:- ,- o.oo o.oa
D'roteres l~ ,r.;, .~~<..~,iw.w~~ .~,1 0.00 0.00
Hpm99wiA9 nsamhiis~~ ~:n_~~m~y:sae x~x_z~:~et ,~~, ;•>a< o.og o00
n . w ~ ;~, ,:~,~ x : u~ gar x,: ~r~i o ao 000
_..~:
sxF .a9a ~+kR.., ~ .~
$
%
$ inGUtles
^ Pdncipal
n Interest
CaG,yoynaiitenas ~` `` s U No. U Yes, it can rise to amaximum of % The firs) change
a
~' ` ~ ~ ~ s ^'}~ # ~ ~ ` -will he on I I and can change again every years aver I I .Every
5§2
~ s
°' `~~
~3
~
~ ~
y,
~
-
-
a
\~+~
~ changedale, yourinlerest 2te can increase or decrease by %. Over lhalile of
`
~a9a7y~vY~r~~,Y yea,~~ tl~a ~
~~"~ 4theloan, yourlnlerest raleisquaranleed tonever helower then %or hlghcr
i Ihen %.
^X No. ^ Yes, it wn rise to a maximum of $
^X No. ^Yes, thefiust inuease can beon 1 I and the monthly
amOUm Owad tan dse tOS
,~! ~~-~. +~- The maximum it can ever dse to is S
^X No, ^ Yes, your maximum prepaymem penally is $
0 No. ^ Yes, you have a balloon payment of $ due in
'+„fy ~ . years on 1 I
~
T '~~ Q You tlo not have a monthly escrow payment for items, such as propedy taxes
~~`~~'~ r. -
=
~. antl homeownefs insurance. Vou must pay these items directly yourself.
I:,; ~ v"
,
:~ , ^ You have an adtlitional monWy escow payment of S
that results in a total initial monthly amount owetl of S .This includes principal interest,
«~,~j` _ any mwlgage insurarce and any Items checked belovr
_~ ~~ ~_y ^propedy taxes ^HOmeaxner'sinsurance
-g4, ,~q~ dw
~~k~T'* ~ * la ~" '^Flood insurance ^
,;g~ ^ ^
Nate: If you have any questions shout the Settlement Charges and Loan Terms listed on this form, please contact your lender.
Previous etlitions are obsolete Page 3 0(9 HUD-1
' HUD CERTIFICATION OF BUYER AND SELLER
I have carefully rewewetl the HUD1 Settlement Statement and to the best of my knOwletlge and belief. it is a true antl accurate statement of all receipts antl
tlisbursements matle on my account or by me in this transaction. I further certify that I have receivetl a copy of the MU61 Setgement Statement.
1
I i
n / /
-=,
ROBE . ROWE ELIZABETH M. ROWE ~
SANDRA GENSLER
S' l ~.r1'_
ERIC L. ENSLER, ADMINISTRATOR
The HUUt Settlement Statement which I nave Drepered is a true and accurate account pf this transaction. I Mve caused Dr will cause the hods to be
tlis0ursad in accoManca with thib statement.
Z~L.d ih ~L:a__ /t~' ~~ 9 /L
SETTLEMENT AGENT DATE
v'
WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010.
Previous editions are obsolete Page 4 of 4 HUD4
.r
Name d Sormxer: Name d Seller: File Number:
Prepared 101098012 al 3:49 pm
Nob: This page dbpbye an ibmisatlon of the ersdha shown in eeetlon200 of Me HUD7 8eltlement Sbbmam. This page
eeompeniw but Ie not a pert of the NU61 Settlement Sbbmen! If a dleerepency enieb, the informetlon on the HUD1 Settlement
bbmsnt epplbe.
Credit Cratltl
Nacre d 9onoaer:
ROBERT R ROWS
ELIZABETH M. ROWE Name d Shcer: FUe Number.
SANDRA GENSLER ROWERi0.12
' Prapend 101098012 at 3:49 pm
Nob: Thb pegs dbpbye m Ibmiretlon of the ed~wted odglnetlon ehergee shown In wetlon 800 of the NU61 BeWemwt Sbbmen
b pegs weompeniw but N not a MK of the HUD1 Settlement Sbbmam. If • dlecnpeney exists, the Infonnatlon on Illp HU61
ement SbbmeM appllee.
Your tone Od NWonCM a Borrronw Haller
1. rodgi Blge I odes dp nt a
to S
802 Youraedladurye lpdnblfarMe apadflc inlereat refs drown
a
803. YouradJusled od 6te8on duryec 0.00 0.00
Name d Baroeer. Name d SNhr: File Numbr:
ROBERT R ROWE SANDRA GENSIER ROWERi0.12
ELIZABETH M. ROWS
10AB8012 al 3A9
Nob: This papa dbDleye an Ibmlatlon of the charges ehoWn on Iine 1107 of the HUD•1 9ettlamard Sfebmenf. Thb page
ceompenlw but is note WK of the HU61 8etlbmeM Sb1emwt. if a diwrepenoy axlsb, the Inbnnetlon on the HU0.1 Sattlemerd
bbment appllee.
~ ....
11007 '.,. `
. 4 r
~`~ 4'.. , ;
'`F~.,,.~
1101. We rieaanw m
1102 Sa8emnladodn0 tee to E 0.00
1104.1endefa tltla hnurarlb to E 0.00
1109. Atlaney Fee N IRWI 8 MCIWIGHF P.C. E 428.00 425.00
To4N: 0.
PrevlouS onS are ob ate vnge 1 0 1 ~ U61
REV-1508 EX+ (11-1 D)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
InGude the proceeds of lifigatior
All property jolnty owned wdh i
ITEM DE
JMBER
~; ~"~3 uysT~e~nng
2. Estate of Harold V. Nace, inheritance
the
rort
FILE NUMBER:
21 12 0097
received by the estate.
celesed on Schedule F.
VALUE AT DATE
OF DEATH
263.78
TOTAL (Also enter on Line 5, Recapitulation) I $
If more space is nceded, insert additlonal sheets of paper of the same s re
REV-15, 1 EX+ (io-09)
pennsylvania
DEPARTMENT OF REVENDE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
Sandra Gensler 21 12 0097
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION
NUMBER
q, FUNERAL EXPENSES:
~, Hollinger Funeral Home & Crematory, Inc., funeral services
AMOUNT
2,935.00
g, ADMINISTRATIVE COSTS:
i, Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State 21P _
Year(s) Commission Paid:
p AttomeyFees: Wayne F. Shade, Esquire 1,900.00
g, Fatuity Exemption: (If decedents address is not the same as claimanPs, attach ezplanatton.) 3,$00.00
Claimant Eric L. Gensler
Street Address 119 Hickorytown Road
C;ry Cazlisle state PA Zlp 17015
Relationship of Claimant to Decedent SOri
4. Probate Fees: Register of Wills of Cumberland County 246.50
5 Accountant Fees:
b, Taz Retum Pmparer Fees
~, Register of Wills, Short Certificate 4.00
8. Register of Wills, filing inheritance tax return 15.00
9. Cumberland Law Journal, advertise Letters of Administration 75.00
10. The Sentinel, advertise Letters of Administration 200.16
TOTAL (Also enter on Line 9, Recapitulation) S
If more space b needed, use additional sheets of paper of the same sin=..
REV-1 S12 EX+ (12-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TA%RETURN
RESIDENT DECEDENT
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
Sandra Gensler 21 12 0097
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, Including unreimbursed medical expenses.
VALUE AT DATE
ITEM DESCRIPTION OF DEATH
NUMBER
real estate taxes
TOTAL (Also enter on Line 10, Recapitulation) I S
more space is needed, insen additlonal
same size.
1,558.54
REV-151 EX~(Ot-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBS
ESTATE OF: 21 12
Sandra Gensler
RELATIONSHIP TO DECED
NUMBER NAME AND ADDRESS OF PEtRnSgON(S) RECEIVING PROPERTY Do Not List Trustee(s)
I TAXABLE DISTRIBUTIONS [IncluSec. 91 i6 (aj (j p~lldistributions and transfers under
1, Eric L. Gensler Lineal
119 Hickorytown Road
Carlisle, PA 17015
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500
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.
OF ESTATE
3,169.58
AS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I S
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