Loading...
HomeMy WebLinkAbout02-15-13 (2)J 1505610140 REV-1500 Ex (°'-'°' OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number Po BOx zfiosol ~ ~ Harrisburg. PA 17128-0601 RESIDENT DECEDENT I ~ ~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYVY Date of Birth MMDDYYYY 8 2 1 2 1 1 2 7 1 9 5 5 Decedent's Last Name Suffix Decedent's First Name MI C H E S T N U T S T E P H E N C (If Applicable) Eller Surviving Spouse's Information Beiow Spouse's Last Name Suffix Spouse's First Name MI C H E S T N U T J U L I A L Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OPALS BELOW © 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a, Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) © 6. Decedent Died Testate [] 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 ~ 11. 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 TAX INFORMATION SHOULD BE DIRECTED T0: Nam e Daytime 11Ceephone Num~&n ~ ~ S E T H T M O S E B E Y 7 1~ °~ 4 3~, 3 ~T ~',' 1 re. i7 f?1 .°~. O First line of address M A R T S O N L A W Second line of address 1 0 E A S T H I G H City or Post Office C A R L I S L E O F F I C E S S T R E E T State ZIP Code a*a_m :'7J '- 4l nTrn am ~ l:J 4.} ~ n T ~ L7 O T„~n - ~ c3 c-.~ ~ n n J `' = ~ ~ = ci .r, -a ~ rn R'' cll f~ O w -r) DATE FILED P A 1 7 0 1 3 Correspondent's a-mail address: SMOSEBEYt~,MARTSONLAW.COM Under penalties of perjury. l declare that f have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belie(, it is true, correct end complete. Declaration of preparer other than the personal representative is based on all Information of which preparer has any knowledge. SICK ,URNS OF PFrR~SOf j f~2ES~0AS16~ (LING RETURN 2 1 t s/13 1 BUCHANAN STREET NEWVILLE PA 17241 SICaYOJlTUt~,O~r EP~ER Oi~R THAN REPRESENTATIVE ~ ~1S f ~3 T L 1sos61o14a PLEASE USE ORIGINAL Side 1 P 150561014 J~ 1505610240 REV-1500 EX oecedent's Name: STEPHEN C. CHESTNUT Decedents Social Security Number RECAPITULATION 1. Real Estate (Schedule A) ........................................ ... 1. • 2. Stocks and Bonds (Schedule B) ................................... ... 2. 3. Closely Held Corporation, Partnership or Sole-Propdetorship (Schedule C) .. ... 3. 4. Mortgages and Notes Receivable (Schedule D) ....................... ... 4. 3 0 0 ~ ~ 0 0 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. . 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .... ... 6. ~ • 0 ~ 7. Inter-~vos Trensfers & Miscellaneous N -Probate Property ~ a Q 0 Separate Billing Requested .... (Schedule G) . , . 7. . 8. Total Gross Assets (total Lines t through 7) ........................ . . . 8. 3 0 ~ 0 0 , 0 ~ 9. Funeral Expenses and Administrative Coss (Schedule H) ............... . . . 9. 6 4 4 2 . 1 8 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) .......... ... 10. ~ . 0 0 11. Total Deductions (total Lines 9 and 10) ............................ ... 11. 6 4 4 2 . 1 8 12. Net Value of Estate (Line 6 minus Line 11) ......................... ... 12. 2 3 5 5 7 . 8 2 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) ................... . . . 13. 14. Net Yatua Subjeet to Tax (Line 72 minus Line 13) .. ........... .. ..... .. 14. 2 3 5 5 7 . 8 2 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(t.2) x.o _ 1 1 7 7 8. 9 1 ts. D. 0 ~ 16. Amount of Line 14 taxable 1 1 7 7 8 9 1 s 5 3 D 0 5 at lineal rete x .045 . t . . 17. Amount of Line 14 taxable 0 0 0 17 0 0 ~ at sibling rata X .72 . . . 18. Amount of Line 14 taxable ~ 0 0 ~ ~ ~ at collateral rate X .15 18. • 19. TAX DUE .................................. ........... .. ..... ..19. 5 3 ~. 0 5 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Side 2 1505610240 1505616240 REV-1500 EX Page 3 File Number uecedent's Complete Address: 0 0 DECEDENT'S NAME STEPHEN C. CHES1'NU'I' STREET ADDRESS 1 BUCHANAN STREET CITY STATE ZIP NEWMLLE PA 17241 Tax Payments and Credits: t Tax Due (Page 2, Line 19) 2. Credds/Payments A. Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Une 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (t) 530.05 Total Credits (A + B) (2) 0.00 (8) (4) 0.00 5. It Line 1 + Line 3 is greater than Line 2, enter the difference, This is the TAX DUE. (5) 530.05 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; or .......................................................................................... ... .. ^ d. receive the promise for life of either payments, benefits or care? ................................................. . ...... 2. If death occurred after December 12,1982, did decadent transfer property within one year of death without receiving adequate consideration? ................................................................................. ...... ^ Q 3. Did decedent own an'in trust far' or payable-uporndeath bank account or security at his or her death? .... ..... ^ XQ 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. - ~ ... U For dates of death on or aRer 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 i; 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 tiling a tax return are still applicable even ii 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(x)(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(x)(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(x)(1.3)]. Asibling is defined, under Section 9102, as an individuai who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX+(~'-10? pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDEM ESTATE OF: FILE NUMBER: STEPHEN C CHESTNUT 0 0 Include the oceeds of IitlgaBon and the date the pproceeds were receNed by the estate. All pro of owrred with fight of aurvivorsMp must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. 1969 Chevrolet Camaro Z-28 30,000.00 * Per Will speciftcally devised to wife and son. TOTAL (Also enter on Line 5, Recapitulation) I $ If more space is needed, insert additional sheets of paper of the same size REV-1511 EX+(t0-0A) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TA% RENRN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER STEPHEN C CHESTNUT 0 0 DeeedenYa debts must be reported on Schedule t. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t. Egger Funeral Home 2,803.39 2. Lisa's Floral Shop 243.79 3. Ministerial donation 80.00 4. Newville First Church of God -meal provided for funeral 50.00 B. 1 ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Sbeet Address Ciry Year(s) Commission Paid: State _ _ __- ZfP 2. Attorney Fees: Manson Law Offices (estimtated) 3, FamiFy Exemption: (If decedents address is not the same as daimanl's, attach explanation.) Claimant Street Address Ciry State ZIP Relationship of Claimant l4 Decedent 4. I Probate Fees: 6 Accountant Fees: 6. Taz Rehun Preparer Fees: 7. ~ Register of Wills, filing fee of Inheritance Tax Return 3,250.00 15.00 TOTAL (Also enter on Line 9, Recapitulation) I $ If more space is needed, use additional sheets of paper of Ne same size. REV-1513 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TA%RETURN RESIDENT DECEDEM SCHEDULE J BENEFICIARIES ESTATE OF: FILE NUMBER: STEPHEN C. CHESTNUT 0 0 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 {Include outright sppousaldisMbuUOnsandtrar>sfersunder Sec. 9116 (a!(7.2J.J 1. Julia L. Chestnut Spousal ] 1,778.91 ] Buchanan Street Newville, PA 17241 2. Stephen R. Chestnut Lineal 11,178.41 1 Buchanan Street NewviLle, PA 17241 ENTER DOLLAR AMOUNTS FOR DISTRIBUTONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV•1500 COVER S HEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS; A. SPOUSAL DISTRIBUTKNS UNDER SECTION 9113 FOR NMICH AN ELECTION TO TAXIS 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. S If more space is needed, use additional sheets of paper of the same size. F-W LESCIicnm10]6tl Chcsmuelq]68.Lh.wi11 LAST WILL AND TESTAMENT I, STEPHEN C. CHESTNUT, of the Borough of Newville, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do herebymake, publish and declare this to be my Last Will and Testament, hereby revoking any and all former Wills or Codicils made by me. 1. I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and all death taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall be paid from my residuary estate as soon as practicable after my decease and as part of the administration of my estate. My Executrix shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. 2. In the event my wife shall predecease or fail to survive me by thirty (30) days, then I give such items of personalty as are itemized in a certain list, if any, to the persons named thereon, which list is signed and dated by me at the end thereof. 3. I give, devise and bequeath my 1969 Camaro Z-28 unto my wife, JULIE L. CHESTNUT, and my son, STEPHEN R. CHESTNUT. 4. I bequeath any automobiles or motor vehicles I may own at my death, my personal effects, such household goods if any as maybe my individual property and not the property of my spouse or owned jointly by me with my spouse, and other tangible personal groperty of like nature (not including cash or securities), together with any existing insurance thereon, to my wife, JULIE L. CHESTNUT, providing she survives me by thirty (30) days. Should my wife, JULIE L. CHESTNUT, predecease me or die on or before the thirtieth day following my death, I bequeath such tangible personal property and insurance thereon to my son should he be living on the thirty- first day after my death. ~~ [Initials] Page i of 4 Pages 5. I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal property, unto my wife, JULIE L. CHESTNUT, absolutely. 6. In the event my said wife does not survive me by thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal property, in equal shares unto my son, STEPHEN R. CHESTNUT, with substitution of issue. 7. I nominate, constitute and appoint my wife, JULIE L. CHESTNUT, as Executrix of my estate. In the event she shall be unable or unwilling to so serve, then I appoint my son, STEPHEN R. CHESTNUT, to act in such capacity. 8. I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. 9. I authorize and empower my Executrix, in her sole and absolute discretion, to purchase or otherwise acquire and retain any investments of which I die seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or grant options in regard to any or all property of any kind forming a part of my estate for such terms and such prices as they may deem advisable; to borrow money for any purposes connected with the protection and preservation of my estate; to mortgage or pledge any real or personal property forming a part of my estate or to join in or secure the partition of same; to compromise any claims or demands of my estate against others or of others against my estate; to make distribution in kind and to cause any shaze to be composed of cash, property or undivided fractional shazes in property different in kind from any other shaze; to employ agents, attorneys and proxies and to delegate to them such power as my Executrix considers desirable and to pay reasonable compensation for such services as may be rendered by such agents, attorneys and proxies; and to execute and deliver such instruments as ^~~- [Initials] Page 2 of 4 Pages maybe necessary to carry out any of these powers. In addition, I direct that my Executrix shall have the power to conduct an inventory of any safe deposit box necessary to the administration of my estate. IN WITNESS WHEREOF I have hereunto set my hand and seal this 27"' day of April, 2012. Stephe C~e tnut SEAL) SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for his Last Will and Testament, in the presence of us, who at his request, have hereunto subscribed our names as witnesses thereto, in the presence of the said Testator and of each other. Page 3 of 4 Pages COMMONWEALTH OF PENNSYLVANIA S5. COUNTY OF CUMBERLAND We, Stephen C. Chestnut, Seth T. Mosebey, and ~_ )~f1 P _ ~ , ~z U (~~ ,the Testator and the witnesses, respectively, whose names aze signed to the foregoing instrument, being first duly sworn, do hereby declaze to the undersigned authority that the Testator signed and executed the instrument as his last Will and that the Testator has signed willingly, and that the Testator executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as a witness and that to the best of hisfher knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. C. Chestnut, Testator ~~ J, Witness Witness / Subscribed, sworn to and acknowledged before me by Stephen C. Chestnut, the Testator, and subscribed and sworn to before me by Seth T. Mosebey and ~,l)(~~1~[, ~ ~2~ ,the witnesses, this 27"' day of April, 2012. r COMMONWEALTH of PEMMSYLVnMta ~~ - ~ , NofaAal Seal ~~ "' ~~` NOS Pib1i Not Public South MlCtlle[on Twp., CumbeAand County ~ My Commlaion Expires Tan. 19, 2014 Member. PennsvNanw Associatlon of NolaAes Page 4 of 4 Pages