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Pa. O.C. R~}ule 6.12 STA/TUS REPORT
REGISTER OF WILLS OF (. u-m leer` ~cc,r~ d COUNTY, PENNSYLVANIA
Name of Decedent: ~ ~ - Ct~n a ran e. ` ~j .
~..
Date of Death: MGU^fi~1 7. Zo ~ z. File Number: ~ ~ ~ ~ `- d 3 9 (O
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete :.................... Yes ^ No
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No. 1 is YES, state the following:
a. Did the personal representative file a final account with the Court? ....... ^Yes ^ No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
informally to the parties in interest? ............................... Yes ^ No
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe
filed with the Clerk of the Orphans' Court and may be attached to this report.
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Sirnnture ojPerv,:.7 Filins this Form
e
Capacity: Personal Representative ^ Counsel
_ Name ojPerson Filing tkis Form
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Telephone
Forrn RW-10 rev. !0.!3.06
a~
14 January 2013
John Cingranelli, Jr., 119 Daytona Avenue, Albany, NY 12203
Alecia A. Brognano, 4028 Gypsum Hill Rd, Haymarket, VA 20169
Richard L. Cingranelli, 11 Harvey Way, Averill Park, NY 12018
Carol L. Cingranelli, 203 South Court Street, #72, Harrisburg, PA 17104
Judith Dudley, 10509 Whitestone Rd, Raleigh, NC 27615
Reference: Final Account of Estate of Anne E. Cingranelli, File Number 21 12-0396
Beneficiaries of the Estate of Anne E. Cingranelli:
Enclosed please find a check in the amount of $607.00 which represents your share (20%) of the
checking account balance of the Anne Buchanan Cingranelli Estate. The administration of the
estate of Anne E. Cingranelli is now complete. As the personal representative for her estate, I
have attached a final accounting for your records. In addition, I will file a report with
Cumberland County, Register of Wills, notifying them of the completion of the administration of
the above referenced estate. If you have any questions, please contact me at any time.
Ct~,~,. Q ~ ~~°~'~
Alecia A. Brognano
Personal Representative for the Estate of Anne E. Cingranelli
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
ALECIA A BROGNANO
4028 GYPSUM HILL RD
HAYMARKET VA 20169-2404
Pennsylvania ,` .
DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-11)
DATE 09-17-2012
ESTATE OF CINGRANELLI ANNE E
DATE OF DEATH 03-07-2012
FILE NUMBER 21 12-0396
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-16-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ---- ~ RETAIN LOWER PORTION_ FOR YOUR RECORDS ~ _ ___
-------------------- ------------------- _________
REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CINGRANELLI ANNE EFILE N0.:21 12-0396 ACN: 101 BATE: 09-17-2012
TAX RETURN WAS: (X ) ACCEPTED AS FILED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets -
APPROVED DEDUCTIONS AND EXEMPTIONS: -
9. Funeral Expenses/Adm C t / "
C ) CHANGED
C1) .0 0 NOTE: To ensure proper
C2) .0 0 credit to your account,
(3) .0 0 submit the upper portion
of this form with your
C4) .00 tax payment.
Cs) 192,404.50
{6) .00
{7) 520,206.76
{B) 712 , 611.26
os s Misc. Expenses (Schedule H) {q) 4.0 4.
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10)_ 1,4 4 7.0 0
11. Total Deductions {ii) 5,501.23
12. Net Value of Tax Return C12) 707, 110.03
13. Charitable/Governmental Bequests; Non-elected 9113 Tr usts {Schedule J) C13) .00
14. Net Value of Estate Subject to Tax (14) 7D7, 110.03
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17 18 and 19
reflect figures that include the total of
ALL ,
,
returns assessed to d will
ate
ASSESSMENT OF TAX: .
15. Amount of Line 14 at Spousal rate C15) .0 0 X 0 0 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 707 . 1 l 0.03 x 045 = 31 , 819
95
17. Amount of Line 14 at Sibling rate Ci7) 0 0 X 12 = .
.OD
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = 00
19. Principal Tax Due .
TAX CREDITS {19)= 31,819.95
:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
06-05-2012 CD016061 1
591
0
,
.
0 30,228.95
TOTAL TAX PAYMENT 31,819.95
BALANCE OF TAX DUE .00
' INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
t
1505610205
REV-1500 EX (FI)
Decedent's Social Security Number
Decedent's Name: ANNE E CINGRANELLI 229-28-3358
RECAPITULATION
1. Real Estate (Schedule A) ............................................. 1. 0.00
2. Stocks and Bonds (Schedule B) ....................................... 2. 0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00
4. Mortgages and Notes Receivable (Schedule D) ........................... 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 192,404.50
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. 0.00
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7. 520,206.76
8. Total Gross Assets (total Lines 1 through 7) ............................. 8. 712,611.26
9. Funeral Expenses and Administrative Costs (Schedule H) ......... .......... 9. 4,054.23-
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ..... .......... 10. 1,447.00
11. Total Deductions (total Lines 9 and 10) ....................... .......... 11. 5,501.23
12. Net Value of Estate (Line 8 minus Line 11) .................... .......... 12. 707,110.03
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ........:. _ .... .......... 13. 0.00
14. Net Value Subject to Tax (Line 12 minus Line 13) ......' ~ ...... .......... 14. 707,110.03
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_ 15.
16. _.
Amount of Line 14 taxable
at lineal rate x .0 45 707,110.03 1B_
17. Amount of Line 14 taxable
at sibling rate X .12 17,
18. Amount of Line 14 taxable
at collateral rate X .15 18,
19. TAX DUE ......................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
31,819.95
31,819.95
O
Side 2
1505610205 1505610205 J
REV-1500 EX (FI) Page 3
Decedent's Complete Address:
` File Number
DECEDENTS NAME
ANNE E CINGRANELLI
STREET ADDRESS
BETHANY VILLAGE, MAPLEWOOD ASSISTED LIVING
5225 WILSON LANE
CITY STATE I ZIP
MECHANICSBURG PA ~ 17055.
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. CreditslPayments
A. Prior Payments
B. Discount
3. Interest
1,591.00
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.
5. li Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
Total Credits (A + g) (2) 1, 591.00
(3)
(4)
(5) 30,228.95
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 fol•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 ofthe decedent's lineal beneficiaries is 4.5 percent, except as noted in (l2 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.
31,819.95
REV-i5o3 EX+ (ii-io)
~ ~ pennsylvania
~c DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS & MISC.
PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
ANNE E CINGRANELLI 2012-00396
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly owned with right of survivorship must be disclosed on Schedule F.
Ir more space is needed, use additional sheets of paper of the same size.
.REV-151CEX+ ;08-09)
~ . Pennsylvania
' DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS AND
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
ANNE E CINGRANELLI 2012-00396
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.
DESCRIPTION OF PROPERTY
ITEM
UMBER INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD' S EXCLUSION TAXABLE
THE DATE OF TRANSFER. ATTACH A CDPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
I• TAX DEFERRED ANNUITY-INTEGRITY LIFE INS CO
ACCT #2100097011-EQUAL SHARE AMONG 5 BENEFICIARIES
263,159.92 100 263,159.92
2 TAX DEFERRED ANNUITY-INTEGRITY LIFE INS CO
ACCT #2100097012-EQUAL SHARE AMONG 5 BENEFICIARIES
124,643.83 100 124,643.83
3 TAX DEFERRED ANNUITY-INTEGRITY LIFE INS CO
ACCT #2100113089-EQUAL SHARE AMONG 5 BENEFICIARIES
132,403.01 100 132,403.01
TOTAL (Also enter on Line 7, Recapitulation) $ ( 520,206.76
If more space is needed, use additional sheets of paper of the same size.
.?EV-1511'EX+ (10-09)
r Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
ESTATE OF FILE NUMBER
ANNE CINGRANELLt 2012-00396
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
I" NELSEN FUNERAL HOME-412 SOUTH WASHINGTON HIGHWAY, ASHLAND VA 23005 1,337.45
ALECIA A BROGNANO -AFTER FUNERAL GATHERING 901.98
B.
1
City
Year(s) Commission Paid:
Z• Attorney Fees; `
3• Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
4.
5.
6.
7.
Street Address
City State
Relationship of Claimant to Decedent
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
State ZIP
ZIP
Probate Fees:
Accountant Fees:
Tax Return Preparer Fees:
CUMBERLAND COUNTY BAR ASSOCIATION- PUBLICATION
ADMINISTRATIVE EXPENSES -SUPPLIES, MAILINGS FEES AND MILEAGE
577.00
480.00
75.00
682.80
TOTAL (Also enter on Line 9, Recapitulation) I $ 4,054.23
If more space is needed, use additional sheets of paper of the same size.
iwEV-1512'EX+ (12-08)
.., •~,,
~ .ti pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
ESTATE OF FILE NUMBER
ANNE E CINGRANELLI 2012-00396
Report debts incurred by the decedent prior to death that remained unpaid at the date of death. including unraimhu~aod marliral pY~o~~e~
Ir more space is needed, insert additional sheets of the same size.
•kcV-151~EX+ (01-10)
~~ pennsylvania
DEPARTMENT DF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE
BENEFICIARIES
ESTATE OF: FILE NUMBER:
ANNE E CINGRANELLI 2012-00396
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY REDo~NotSList Trustee(s~NT AMOOF ESTATE ARE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (11).]
1• JOHN CINGRANELLI JR
119 DAYTONA AVENUE, ALBANY, NY 12203 SON
2 ALECIA A BROGNANO
4028 GYPSUM HILL ROAD, HAYMARKET, VA 20169 DAUGHTER
3 RICHARD L CINGRANELLI
11 HARVEY WAY, AVERILL PARK, NY 12018 SON
4 CAROL L CINGRANELLI
203 SOUTH COURT STREET #72, HARRISBURG, PA 17104 DAUGHTER
5 JUDITH DUDLEY
10509 WHITESTONE ROAD, RALEIGH, NC 27615 ~ - DAUGHTER
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 #
If more space is needed, use additional sheets of paper of the same size.
20%
20%
20%
20%
20%