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HomeMy WebLinkAbout11-27-13 Pennsylvania EX(06-13) 1505610143 DEVARTMENT OF REVENUE REV-1500 OFFICIAL USE ONLY County Code Year File Number Bureau of Individual Taxes PO BOx.280601 INHERITANCE TAX RETURN 21 13 0292 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 02 27 2013 03 19 1947 Decedent's Last Name Suffix Decedent's First Name MI LANKFORD GLADYS S (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW a 1. Original Return 1:1 2. Supplemental Return 11 3. Remainder Return(Date of Death Prior to 12-13-82) ❑ 4. Limited Estate ❑ 4a.Future Interest Compromise 5. Federal Estate Tax Return Required (date of death after 12-12-82) ❑ 6 Decedent Died Testate Decedenqt Maintained a Living Trust 8. Total Number of Safe Deposit Boxes X❑ (Attach Copy of Will) ❑ (Attach Copy of Trust) p ❑ 9. Litigation Proceeds Received ❑ 10.Spousal P4pvert Credit{Date of Death ❑ 11,Election to tax under Sec.9113(A) tw beeen 12-31. 1 and chedule 0) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JESSICA L FISHER 717 697 3223 First Line of Address f7 C==' C © w '�o rn 555 GETTYSBURG PIKE rf c3 Second Line of Address lTa C STE C100 Cn r1 Cn City or Post Office State ZIP Code p O CD MECHANICSBURG PA 17055 � �� _ R�FOfSTER OF VWIS U L„ONUY REGISTER OF WILLS USE ONLY Cn O DATE FILED M M D Q Y Y Y Y Correspondent's e-mail address: Jessica ke stoneelderlaw.com DATE FILED STAMP 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 reparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN,�TUR OF PERSON RESPONSIBLE F0. I G RETURN ATE Daniel S. Lankford,Jr. �I al a o t� ADDRESS 24 Farm House Lane, Carlisle, PA 17013 SIGNATURE OF PREP.A.RRER OTHER THAN REPRESENTATIVE DATE Jessica L Fisher ��,&-1 13-0 13 AD MESS 555 Gettysburg Pike , Mechanicsburg, PA Side 1 1505610143 1505610143 1505610243 REV-1500 EX Decedent's Social Security Number Decedent's Name: Lankford, Gladys S. RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 60 , 382 . 44 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. 342 , 475 . 63 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous NtProbate Property (Schedule G) Separate Billing Requested............ 7. 501 , 371 . 87 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 904 ,22 9 . 94 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 38 , 824 .23 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 3-2 , 076 . 22 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 50 , 900 . 45 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 853, 329. 49 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. 853 , 329. 49 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 15. 0 . 00 16. AmountX .0 45 taxable rate at lineal rate e X .0 853, 329 . 49 16. 38 , 399. 83 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. 38 , 399 . 83 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑ Side 2 L 1505610243 1505610243 REV-1500 EX Page 3 File Number 21-13-0292 Decedent's Complete Address: DECEDENT'S NAME Lankford, Gladys S. STREET ADDRESS 24 Farmhouse Lane CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 38,399.83 2. Credits/Payments A. Prior Payments 875.41 B. Discount 46.07 Total Credits(A +B) (2) 921.48 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2,Line 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) 37,478,355 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............................................................................................I.................. ❑ 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?.................................................................................................................... ❑ n 3. Did decedent own an"in trust for' or payable upon death bank account or security at his or her death?....... ❑ ❑x 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 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)(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(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-1503 EX+i6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Lankford, Gladys S. 21-13-0292 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF.DEATH 1 12.789 shares of AT&T Common Stock 35.68 456.31 2 2003ON101 25.941 shares of Comcast Corp-CMCSA 39.89 1,034.79 3 846.487 shares of Fidelity Fund-FFIDX-Acct No.XXXXX 37.95 32,124.18 -4958 4 322.457 shares of Fidelity Value-FDVLX-Acct No.XXXXX 83.01 26,767.16 -4940 TOTAL(Also enter on Line 2,Recapitulation) 60,382.44 (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-1508 EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Lankford, Gladys S. 21-13-0292 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate Sales Agreement on real estate located outside of PA,for sale prior to death but 201,193.32 settlement occurred after death 2 Bank of America Certificate of Deposit last 4 digits-3838 22,038.92 3 Bank of America Checking Account last 4 digits-4106 95,873.45 4 Bank of America Savings Account last 4 digits-1961 4,381.29 5 Citi Mortgage Escrow Account 1,844.80 6 Nissan Sentra 2009 11,087.00 7 Cigna-Insurance payment for ambulance service reimbursement 3,969.30 8 Comcast Utility Bill Refund 6.20 9 PSE&G-gas company refund 31.70 10 Unuum Long Term Disability Benefit Refund 2,011.74 11 Verizon Wireless Utility Refund 37.91 TOTAL(Also enter on Line 5, Recapitulation) 342,475.63 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10) Rev-1510 EX+(08-09) SCHEDULE G pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE �■ INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Lankford, Gladys S. 21-13-0292 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. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % DECD'S EXCLUSION TAXABLE NUMBER THE DA E OF TRANSFERSATTAC THEIR COPY OF THHE RELATIONSHIP FOR EAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 Fidelity 401 K 327,936.84 327,936.84 2 Nationwide Annuity Contract No.last 4 digits-9569 157,510.89 157,510.89 3 Wells Fargo IRA 15,924.14 15,924.14 TOTAL(Also enter on Line 7, Recapitulation) 501,371.87 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09) REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RESIDENT DEC DENTTURN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Lankford, Gladys S. 21-13-0292 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s)attached 7,060.58 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address laoie'A City State Zi0 �" Year(s)Commission Paid 2. Attorney's Fees Keystone Elder Law P.C. 30,877.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State ZiD Relationshio of Claimant to Decedent 4. Probate Fees 428.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 458.15 See continuation schedule(s)attached TOTAL(Also enter on line 9, Recapitulation) 38,824.23 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Lankford, Gladys S. 21-13-0292 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 After Funeral Dinner Reception at TGI Friday's 416.18 2 Funeral Service Flowers 265.00 3 M.J. Murphy Funeral Home 6,348.00 4 Miscellaneous Funeral Expenses 31.40 H-A 7,060.58 Other Administrative Costs 5 Fed Ex Fee for Probate Items sent to NJ 16.41 6 Home News Tribune Estate Publication Notice 8/15/13,8/19/13,8/21/13 35.00 7 Post Office Fees in relation to death certificates 19.95 8 Postage Fees for various accounts getting DOD balances 25.70 9 Postage For Estate Items through Fed Ex and USPS 45.65 10 The Home News Tribune, New Jersey -Notice of Adminstration 61.52 11 The Sentinel -Notice of Administration 178.92 12 Vital Records for Death Certificate Change 63.00 13 Wells Fargo Bank fee-reverse check fee 12.00 1-1-137 458.15 Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98) Rev-1512 EX+(12-05) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Lankford, Gladys S. 21-13-0292 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 American Express-final bill 35.00 2 Chase Credit Card-final bill 74.89 3 Discover Card -Final Bill 69.13 4 Manor Care-final bill 3,862.00 5 Medical Express EMS-final ambulance bills 4,123.24 6 MSHMC Physician's Group-Final hospital bills 90.00 7 Nissan Company-payoff of loan for car 3,110.31 8 Penn State Hershey Medical Center-Final hospital bills 125.00 9 Penn State Hershey Medical Center-Final hospital bills 150.00 10 Special Events EMS-Ambulance bill 436.65 TOTAL(Also enter on Line 10, Recapitulation) 12,076.22. (If more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-08) REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Lankford, Gladys S. 21-13-0292 RELATIONSHIP TO NUMBER PERSON(S)AND ADDRESS OF DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE PERSOS)RECEIVING PROPERTY 0 of List Trustee(s) (Words) ($$$) I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116(a)(1.2)] Daniel S. Lankford,Jr. Son 426,664.75 24 Farmhouse Lane Carlisle, PA 17013 Michael R. Lankford Son 426,664.75 957 Bristol Pike Apt C5 Bensalem, PA 19020 Total 853,329:50 Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate. 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)