Loading...
HomeMy WebLinkAbout03-11-13 1505610140 REV-1500 EX (01-10) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 1 2 8 0 7 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 2 0 8 4 2 4 5 4 1 0 7 0 3 2 0 1 2 0 6 2 2 1 9 5 5 Decedent's Last Name Suffix Decedent's First Name MI Y a r 1 e t t K e n n e t h E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Y a r 1 e t t D o n n a J Spouse's Social Security Number 1 8 4 3 8 0 3 3 4 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return 2. Supplemental Return ❑ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate E] 4a. Future Interest Compromise (date of EJ 5. Federal Estate Tax Return Required death after 12-12-82) 6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust 0 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 El 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 TO: Name Daytime Telephone Number W a y n e F S h a d e E s q u i r e 7 1 7 2 4 3 0 2 2 0 n - (REt8TER OF AOLLS USe AY First line of address rri -C n _-.0 01) Di 5 3 W e s t P o m f r e t S t r e e t'~,' Second line of address - ^r C> c, a a. ~ "•i C _w ` .7 City or Post Office State ZIP Code !4.; DAT~FILEP - , r C a r l i s l e P A 1 7 0 1 3 Correspondent's e-mail address: waynefshadeC7~,comcast.net 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 has any knowledge. SI A T RE OF P R N 2SPON4131. FOR FI G R T RN DATE kAhk^ C_ 3 ADDRESS 1518 McClures Gap Road Carlisle PA 17015 SIGNATURE OF PREYAR HER THAN REPRESENTATIVE ATE ADDRES 53 West Pomfret Street Carlisle PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J 1505610240 REV-1500 EX Decedent's Social Security Number Decedent's Name: Kenneth E. Yarlett 2 0 8 4 2 4 5 4 1 RECAPITULATION 1. Real Estate (Schedule A) 1. ' 2. Stocks and Bonds (Schedule B) 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 3. 4. Mortgages and Notes Receivable (Schedule D) 4. 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 & Miscellaneous N~-Probate Property (Schedule G) Separate Billing Requested 7. 8. Total Gross Assets (total Lines 1 through 7) 8. 9. Funeral Expenses and Administrative Costs (Schedule H) 9• 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) 10. 11. Total Deductions (total Lines 9 and 10) 11. 12. Net Value of Estate (Line 8 minus Line 11) 12. 11 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. 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 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate X .0 0. 0 0 16. 0. 0 0 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17. 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0 0 0 18. 0. 0 0 19. TAX DUE ....................................................19. 0. 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505610240 1505610240 REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 12 807 DECEDENT'S NAME Kenneth E. Yarlett STREET ADDRESS 1518 McClures Gap Road CITY STATE ZIP Carlisle PA 17015 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount Total Credits (A + B) (2) 0.00 3. Interest (3) 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) 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; ❑ X❑ b. retain the right to designate who shall use the property transferred or its income; ❑ 0 c. retain a reversionary interest; or ❑ 0 d. receive the promise for life of either payments, benefits or care? ❑ FR 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ❑ 0 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ❑ Q 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 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)]. A sibling 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-1510 EX+ (08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Kenneth E. Yarlett 21 12 807 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 INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE The persona representative i not administer any property which is, was, or may have been subject to Pennsylvania inheritance tax. A copy of the Will of the decedent is attached. TOTAL (Also enter on Line 7, Recapitulation) $ If more space is needed, use additional sheets of paper of the same size. REV-1513 EX+ (01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Kenneth E. Yarlett 21 12 807 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 spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Donna J. Yarlett Spousal 1518 McClures Gap Road Carlisle, PA 17015 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. $ If more space is needed, use additional sheets of paper of the same size. LAST WILL AND TESTAMENT I, KENNETH E. YARLETT, of the Township of Lower Frankford, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that all my just debts, funeral expenses and expenses in connection with administration of my Estate be paid by my personal representative or representatives, hereinafter named, as soon as conveniently may be done after my decease. I further authorize my personal representative to expend funds from my Estate in such amounts as my personal representative shall consider appropriate, for the disposition and memorial of my remains. SECOND. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate. I give, devise and bequeath unto my wife, DONNA J. Y ARLETT, if she survives me. THIRD. For the purposes of this m) Last Will and Testament, a person shall not be deemed to have survived me unless he or she shall have survived me by more than ninety (90) days. v►rAYN6 F. SHADE Attorney of Law FOURTH. If my wife, DONNA J. YARLETT, should fail to survive me, I give, 53 West Pomfret Street Carlisle, Pennsylvania 17013 devise and bequeath all of the said residue of my Estate unto my child or children now in being and my children hereafter born or adopted by final decree of adoption prior to my death, in equal shares. If either or both of my children should fail to survive me, I give, devise and bequeath the said residue of my ]:state unto such of my issue who shall survive me, in equal shares, by representation and not per capita. FIFTH. Should both my wife, DONNA J. YARLETT, and all of my issue fail to survive me, I give, devise and bequeath the said residue of my Estate unto SALEM STONE UNITED CHURCH OF CHRIST of 514 Stone Church Road, Carlisle, Pennsylvania, its successors or assigns. SIXTH. I order and direct that any estate, inheritance or similar tax due as a result 1 of my death with respect to any property passing as a result of my death, shall be paid from the residue of my Estate before its division into shares and prior to distribution as an expense of administration and that no part of the taxes should be prorated or apportioned among the persons or beneficiaries receiving the taxable property. It is my express intention that all inheritance taxes imposed as a result of my death be paid from the residue of my Estate whether or not the property passes under my Last Will and Testament. My personal representative shall have full power and authority to pay, compromise or settle any such taxes at anytime whether with respect to present or future interests. WAYNE F. SHADE Attomey at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 -2- SEVENTH. Any and all decisions, determinations or actions made or taken by a personal representative hereunder, if made in good faith, shall be final and conclusive on all persons who are or may become interested in my Estate. No fiduciary acting under this my Last Will and Testament shall be liable for any error in judgment or for any depreciation or reduction in value of any Estate assets at anytime, in the absence of willful default. EIGHTH. My personal representative or representatives hereinafter named shall, in addition to the powers vested in them by law and by other provisions of this my Last Will and Testament have, without the necessity of prior Court approval, the power to carry on alone or jointly with others any business in which I may have an interest at my death for whatever period of time they may think proper, without personal liability for any operating losses. In the operation of said business, they shall have the power to do any and all things they deem necessary or appropriate, including the power to merge or incorporate the business, the power to borrow and to pledge assets contained in my Estate as security for such borrowing, and the power to close out, liquidate or sell the business at such time and upon such terms as to them shall seem best. LASTLY. I nominate, constitute and appoint my wife, DONNA J. YARLETT, to be the Executrix of this my Last Will and Testament, but if, for any reason, she should fail to qualify as such Executrix or decline or cease so to serve, I nominate, constitute and WAYNE F. SHADE Attomey at Law 33 West Porarket Street Carlisle, Pennsylvania 17013 -3- appoint my daughter, CRYSTAL D. BROWN, and my son, BRANDON E. YARLETT, as successive alternate personal representatives hereof, all to serve without bond. IN WITNESS WHEREOF, I, KENNETH E. YARLETT, have hereunto set my hand and seal to this my Last Will and Testament which consists of six (6) typewritten pages to each of which I have affixed my signature, this 8th day of December , A.D. Two Thousand Six (2006). (SEAL) Kenneth E. Yarlett The preceding instrument, consisting of this and five (5) other typewritten pages, each identified by the signature of the Testator, was on the date thereof signed, sealed, published and declared by KENNETH E. YARLETT, the Testator therein named, as his Last Will and Testament, in the presence of us, who, at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. WAYNE F. SHADE Attomey at Law 53 West Pomrrct street Carlisle, Pennsylvania 17013 4- Acknowledgment COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) I, KENNETH E. YARLETT, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by KENNETH E. YARLETT, this 8th day of December , 2006. e7 Kenneth E. Yarlett , . 0,,, Not,uy P blic NOTARIAL SEAL CONNIE: J. TRITT, Notary PubliC Affidavit Carlisle E3ao.. Cumbedand County my Comm melon Expires Octow 5 2~Y18 - COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) We, Wayne F. Shade _ and Helen H. Shade , the witnesses whose names are signed hereto, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will and Testament; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that, to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound WAYNE F. SHADE Attorneyatlaw mind and under no constraint or undue influence. 33 West Pomfret Street Carlisle. Pennsylvania 17013 -5- i Sworn to or affirmed and subscribed to before me by Wayne F. Shade: and Helen H. Shade , witnesses, this 8th day of December 2006. Notary Pu is p - KJARIALSEAL -ONNIE: ,i TRI'M Notary Public Carlisle Eioro., Cumberland County Iv* -:,omrr ir%„ Fyoi es October 5, 2008 WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 -6-