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HomeMy WebLinkAbout11-01-13 II REV-1500 IV 1505610143 ii OFFICIAL USE ONLY Department of Revenue Pennsylvania county cone Year File Number Bu Bureau of Individual Taxes oevu+nneara+aereaae PO BOX.280601 INHERITANCE TAX RETURN 21 08 0447 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 01 15 2008 06 06 1937 Decedent's Last Name Suffix Decedent's First Name MI DURKISH VINCENT B (If Appiicabie)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI DURKISH CAROL M Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ❑ 1. Original Return ❑X 2. Supplemental Return ❑ 3. Remainder Return(Date of Death Prior to 12-13-92) ❑ 4. Limited Estate ❑ 4a.Future Interest Compromise 5. Federal Estate Tax Return Required (data of death after 12-12-82) ❑ 1XI 6, Decedent Died Testate 1:X1 Decedent Maintained a Living Trust B. Total Number of Safe Deposit LJ (Attach copy orwilp (Attach opy of Trust) posit Boxes 9. Litigation Proceeds Received ❑ 16.9=P1.21 IN traonot I 50)f Death © 11.Election to tax under Si 9113(A) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number EDWARD P SEEBER 71533 3280 %'o n CD t n to REMSTER OF WILLS US bIN& � 2> 1 l First Line of Address cn il ~ wu 7t 117 C3 SUITE 0400 ° c- -TT ' _n :73 Second Line of Address rrl 555 GETTYSBURG PIKE (n o City or Post Office DATE FiLE� State ZIP Code MECHANICSBURG PA 17055 Correspondent's e-mail address: eps@jsdc.com Under penalties of perjury,I declare that I have examined this return,including accompanyirn]schedules and statements,and to the best of my knowledge and belief, it is true,correct antl co plete.Declaration of preparer other than the personal representative is based on all information of which preparer has arty knowledge. RE OF PE PONSIBLE FOR FILING RETURN DATE �_ ILt"I c David Padden I 0 7_01 ;3 ADDRESS 91 Cu Berland ParkwayEllillechanicsburi 17055 SIGNATU OF REPAIi OTHER THAN REPRESENTATIVE DATE V Edward P.Seeber w t< ss Suite C-40011555 Gettysburg PikecMechaniesburglIPA 17055 Side 1 L 1505610143 1505610143 J 1505610243 REV-1500 EX Decedent's Social Security Number Decadem's Name, Durkish, Vincent B. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 46, 128 . 60 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. 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous h{oq Probate Property (Schedule G) u Separate Billing Requested............ 7. 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8, 46, 128 . 60 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 5 ,430 . 00 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 11. Total Deductions(total Lines 9 and 10)................................................................ 11 5, 430 . 00 12. Net Value of Estate(Line 8 minus Line 11)......................................................... 12. 40 , 698 . 60 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. 40 , 698 . 60 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 18 ,237 . 86 15. 0 . 00 16. Amount of Line 14 taxable at lineal rate x .045- 22 , 460 . 74 16. 1 , 010 . 73 17. Amount of Line 14 taxable at sibling rate X.12 0 . 00 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 0 . 00 18. 0 . 00 19. TAX DUE................................................................................................................ 19. 1, 010 . 73 20, FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 0 Side 2 L 1505610243 1505610243 REV-1500 EX Page 3 File Number 21-08-0447 Decedent's Complete Address: DECEDENT'S NAME Durkish,Vincent B. STREET ADDRESS i 704 East Robert Street CITY ii STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 1,010.73 2. Credits/Payments A. Prior Payments B, Discount Total Credits(A +B) (2) 3. Interest (3) 191.85 4, If Line 2 is greater than Line 1+Line 3,enter the difference. This is the OVERPAYMENT, (4) Check box on Page 2CLme 20 to request a refund 5, if Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 1,202.58 Make Check Payable to: REGISTER OF WILLSI 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._.....____...................................................._...._.............__............... x d. receive the promise for life of either payments,benefits or care?.....___.............-.................................. x 2. if death occurred after Dec. 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?............................................................................................................... ... ❑ ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESCNOU 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 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)(12)1. • 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(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 decedent,whether by blood or adoption. Rev-1503 EX.(6-98) SCHEDULE B STOCKS & BONDS CCMMON W EALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Durkish Vincent B FILE NUMBER 21-08-0447 All property Jointlyo med with right Df survivorship must be disclosed on Schedule F. ITEM CUSIP NUMBER NUMBER DESCRIPTION VALUE AT DATE UNIT VALUE OF DEATH 1 4,410 shares of Sovereign Bank common stock-valued per 10.46 46,128.60 public listing TOTAL(Also enter on Line 2, Recapitulation) 46,128.60 (If more space is needed,additional pages of the same size) Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule B(Rev.6-98) REV-1311 EX+(19-09) pennsylvania SCHEDULE H DEPARTME14TOFREVENUE FUNERAL EXPENSES AND MHERITANCE TAX RESIDENT DECEDENTTURN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER DurkishdVincent B. 1 21-08-0447 Decedent's debts must be reported on Schedule 1. ITEM DESCRIPTION AMOUNT NUMBER A- FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: f. Personal Representative's Commissions Name of Personal Representative(s) David Padden Street Address _91 Cumberland Parkway city Mechanicsburg State PA zio 17055 Year(s)Commission Paid 230040 2. Attorneys Fees JamesLtSmithLDiettenck&Connelly[LLP 31.000.00 3_ Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Zio Relationshio of Claimant to Decedent 4, Probate Fees 100.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 30-00 See continuation schedule(s)attached TOTAL(Also enter on line 9FRecapitulation) 5L430.00 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09) REV-1513 EX.(01-10) pennsyivania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Durkish,Vincent B. 21-08-0447 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSONS)RECEIVING PROPERTY DECEDENT (Words) ($$$) I• TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116(a)(1.2)] 1 Vincent B. Durkish Family Trust Trust Residue 40,698.60 3C Round Ridge Road Mechanicsburg, PA 17055 Total Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet as a ro ate. 40,698.60 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 SHEET, Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10) REV4514 Ex+i4-09) SCHEDULE K LIFE ESTATE, ANNUITY COMMONWEALTH OF PENNSYLVANIA $ TERM CERTAIN INHERITANCE TAX RETURN RESIDENT DECEDENT (Check Box 4 on Rev-1500 Cover Sheet) ESTATE OF FILE NUMBER Durkish,Vincent B. 21-08 044? This schedule should be used for all single life,joint or successive life estate and term-certain calculations.For dates of death prior to 5-1-89, actuarial factors for single life calculations Dan be obtained from the Department of Revenue. Actuarial factors can be found in IRS Publication 1457,Actuarial Values,Alpha Volume for dates of death from 5.1-89 to 4-30-99, and in Ateph Volume for dates of death from 5.1-99 and thereafter. Indicate the type of Instrument which created the future interest below and attach a copy to the tax return. Will N Intervivos Deed of Trust ❑ Other 11�E= AIE:INT12T4.`A[!GtJLATi NN............. NEAREST AGE AT TERM OF YEARS NAME OF LIFE TENANT DATE OF BIRTH DATE OF DEATH LIFE ESTATE IS PAYABLE Carol M.Durkish 1212211939 68 N Life or ❑Term of Years 0 Life or ❑Term of Years ❑ Life or ❑Term of Years Life or ❑Term of Years 1. Value of fund from which life estate is payable $ 40,698.60 2. Actuarial factor per appropriate table .44812 Interest table rate- 031/2% ❑6% ❑ 10% ❑Variable Rate 3. Value of life estate(Line 1 multiplied by Line 2) $ 18,237.86 wAN UITY 1NTEfEST,: A�CtIt ATItTN ,.. , NAME OF ANNUITANT DATE OF BIRTH NEAREST AGE TERM IS YEARS ANNUITY IS PAYABLE ❑Life or ❑Term of Years ❑ Life or ❑Term of Years ❑ Life or ❑Term of Years ❑ Life or ❑Term of Years 1. Value of fund from which annuity is payable $ 2. Check appropriate block below and enter corresponding number Frequency of payout-0 Weekly(52) 01911-weekly(26) ❑Monthly(12) ❑Ouarteriy(4) ❑ Sam!-annually(2) ❑Annually(1) ❑Other 3. Amount of payout per period $ 4. Aggregate annual payment. Line 2 multiplied by Line 3 5. Annuity Factor(see instructions) Interest table rate- [13112% ❑6% [110% ❑Variable Rate 6. Adjustment Factor(see instructions) $ 7. Value of annuity-If using 31/2%,6%, 10%or if variable rate and period payout is at end of period, calculation is:Line 4 x Line 5 x Line 6 $ If using variable rate and period payout is at beginning of period,calculation is: (Line 4 x Line 6 x Line 6)+Line 3 NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of the tax return.The resulting life or annuity interest(s)should be reported at the appropriate tax rate on Lines 13 and 15 through 18 of the return. Copyright(c)2009 form software only The Lackner Group,Inc. Fours PA-1500 Schedule K(Rev.4-09) Rev-1151 EX)04-12) Pennsylvania SCHEDULE 0 DEPARTMENT OF REVENUE ELECTION UNDER SEC. 9113(A) INNERiTANCE TAX RETURN RESIDENT DECEDENT SPOUSAL DISTRIBUTIONS ESTATE OF FILE NUMBER Durkish,Vincent B. 21-08-0447 PART A - DEFERRING STATEMENT For all trust assets reportable for Pennsylvania inheritance tax purposes for which a deferral of tax is being elected under Section 9113(a),the personal representative responsible for filing the return and the trustee(s)of the trust in question hereby acknowledge the department's Statement of Policy set forth at 61 Pa.Code§94.3 concerning any potential termination of the trust under 20 Pa.C.S.§7710.1 that occurs after the return was filed. Specifically,the signatories recognize each individual's assumption of liability for inheritance tax consequences that result from any termination of the trust under 20 Pa.C.S.§7710.1 that occurs after a return has been filed. Signature of Person Responsible for Filing Return Signature(s)of Trustee(s) PART B— ELECTION TO TAX AMOUNTS Complete this section only if making the election to tax available under Section 9113(a)of the Inheritance& Estate Tax Act. If the election applies to more than one trust or similar arrangement,a separate form must be filed for each trust. This election applies to the Vincent B. Durkish Family Trust Trust(marital,residual A,B,bypass, unified credit,etc.). Enter the description and value of all interests for which the Section 9113 (A) election to tax is made. DESCRIPTION VALUE See continuation schedule(s)attached Total 40,698.60 (If more space is needed,insert additional sheets of the same size) Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule 0(Rev.09.12) SCHEDULE O ELECTION UNDER SEC. 9113(A) (SPOUSAL DISTRIBUTIONS) continued ESTATE OF Durkish,Vincent B. FILE NUMBER 21-08-0447 ITEM NUMBER DESCRIPTION AMOUNT 9113A Tr r /Electwon Mad 1 Assets listed on Schedule B 46,128.60 2 Less: Expenses reported on Schedule H -6,430.00 01-B Subtotal 40.698.60 Copyright(c)2012 form software only The Lackner Group, Inc. Forth PA-1500 Schedule 0(Rev.09-12)