HomeMy WebLinkAbout11-13-13 (2) 1505610140
REV-1 500 EX (02-11)(FI)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
PO BOX 280601 2 1 1 3 0 2 3 8
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
0 2 1 0 2 0 1 3 1 1 0 5 1 9 5 8
Decedents Last Name Suffix Decedent's First Name MI
S E I L E R R A Y M O N D L
(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
Q 1.Original Return 2.Supplemental Return 3.Remainder Return(Date of Death
Prior to 12-13-82)
4.Limited Estate El 4a.Future Interest Compromise(date of Q S.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 E] 10.Spousal Poverty Credit(Date of Death F1 11.Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
D A V I D R G A L L O W A Y E S Q 7 �7., 7 6 -H7 1P 5 0
m
EMTER OF tI LS =LY
"D C 4t1
M C-> icy
First Line of Address r_ � M W m o
u>
5 4 E - M A I N S T R E E T � C, Q -1
Second Line of Address o ,�-
�
"O
City or Past Office State ZIP Code DAT - ED -n_�
M E C H A N I C S B U R G P A 1 7 0 5 5
Correspondent's e-mail address: DAVID51WALTERSGALLOWAY-COM
Under penalties of perjury,I declare th have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct an/c9mplyh/11peclagnon of preparer other than the personal representative is based on all Information of which preparer has any knowledge.
SIGNATURE OF S P SIBLE FOR FILING RETURN DATE,r y
ADDRESS
MURREL A
- LTERS,III 54 E- MAIN ST- MECHANICSBURG PA 17055
SIGNATU EPARER OTHER THAN REPRESENTATIVE DA
�✓ �l I
ADDRESS
DAVID R- GAL AY, ESQ• 54 E-MAIN ST- MECHANICSBURG PA 17055
PLEASE USE ORIGINAL FORM ONLY
Side'I
L 1505610140 1505610140 f
l�
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
RAYMOND L.SEILER 21 73 423$
Decedent's Name Page 2 File Number
Correspondents
Name Daytime Telephone Number
First line of address
Second line of address
City or Post Office State ZIP Code
Correspondent's e-mail address:
Under penalties of perjury,I declare that f 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.
Sl TURE PERSON RkSPOySIBLE F FILING RETURN DATE
ADDRESS rXfl"
BARBARA J . COOKE 7624 TANEY PLACE MERRILLVILLE IN 46410
J 1505610240
REV-1500 EX(Fl)
RECAPITULATION
1. Real Estate(Schedule A) .. . .. . . . . .. . .. . .. . . . . .. . . . . . . . . . . . . .. . . . . . . 1. 1 2 0 0 0 0 . 0 0
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 0 2 3 , 2 9
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. 1 2 6 0 2 3 , 2 9
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . .. . . .. . . . . . . 9. 2 4 2 9 2 . 7 9
10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) . . . . . .. . . .. . . 10. 5 1 3 2 . 5 6
11. Total Deductions(total Lines 9 and 10) .. . . . . . . . . .. . . . . . . . . . .. . .. . . .. . 11. 2 9 4 2 5 . 3 5
12. Net Value of Estate(Line 8 minus Line 11) . .. . . . . . . . . .. . . .. . .. . . . . . .. . 12. 9 6 5 9 7 . 9 4
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. 9 6 5 9 7 . 9 4
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 9 6 5 9 7 . 9 4 17. 1 1 5 9 1 . 7 5
18. Amount of Line 14 taxable
at collateral rate X.15 0 0 0 18. 0 . 0 0
19. TAX DUE .. . .. . . .. . .. . .. . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . .. . . .. . 19. 1 1 5 9 1 . 7 5
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
1505610240 1505610240 J
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 21 13 0238
DECEDENT'S NAME
RAYMOND L . SEILER _
STREET ADDRESS
704 S . BROAD STREET
CITY STATE ZIP
MECHANICSBURG PA 117055
Tax Payments and Credits:
I. Tax Due(Page 2,Line 19) (1) 11,1 591.75
2. Credits/Payments
A.Prior Payments
E.Discount
Total credits(A+B) (2) 11-00
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) 11,5 91 .7 5
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 ......................... ❑ OX
c. retain a reversionary interest ..................................................................................................... ❑ R
d, receive the promise for life of either payments,benefits or care? ....................................................... ❑ 1
2. If death occurred after December 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ❑
3. Did decedent own an'intrust 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 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
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)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 172 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-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
RAYMOND L . SEILER 21 13 0238
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1 . RESIDENCE SITUATED AT 704 S . BROAD STREET, 120,000 .00
MECHANICSBURG, PA 17055
VALUE IS ACTUAL SALE PRICE
TOTAL(Also enter on Line 1,Recapitulation.) $ 12M O d-0 0
If more space Is needed,use additional sheets of paper of the same size.
SETTLEMENT STATEMENT TITLEPROI
Brian C. Linsenbach, Esq.
B.TYPE OF LOAN
8 North Baltimore Street ❑/.FHA ❑2.FMHA ❑3.CONV.UNINS.
Dillsburg, PA 17019 ❑4.VA ❑5.CONY.INS.
6.FILE NUMBER: 7.LOAN NUMBER
Phone(717)432-2089 Fax(717)432-0158 3165
MORT.INS.CASE NO.:
C NOTE:This form is furnished to give you a statement of actual settlement costs.Amounts paid to and by the settlement agent are shown.
Items marked"(p.aa)"were paid outside the closing:they we shown here for information purposes and are not included in the totals.
D.NAME AND ADDRESS OF BORROWER: E.NAME AND ADDRESS OF SELLER F.NAME AND ADDRESS OF LENDER
ASSET EXCHANGE COMPANY.AS OI FOR Berbera J.Cooke,Administratrix of the Estate Of Angeline Seiler
HARRY H.FOX JR
Barbera J.Cooke 8 Muoel R.Walters,III.
Co-Administrators of the Estate of Raymond L Seiler
G.PROPERTY LOCATION: H.SETTLEMENTAGENT: BRIAN C.UNSENBACH,ESQ. L SETTLEMENT DATE:
704 S.BROAD STREET PHONE: (717)432-2089 Aug 23 2013
MECHANICSBURG.PA 17055 Friday
Mechanicsburg Bore,Cumberland County PLACE OF SETTLEMENT: 8 N.BALTIMORE STREET 10:00 AM
TAX PARCELY20-24-0785-127 DILLSBURG,PA 17019
J.SUMMARY OF BORROWER'S TRANSACTION K.SUMMARY OF SELLER'S TRANSACTION
100. Gross Amount Due From Borrower 400. Gross Amount Due to Seller
101. Contract sales price 120.000.00 401. Contract sales price 120.000.00
102, Personal Property 402. Personal Property
103. Settlement Changes(line 1400) 3,174.50 403.
104. 404.
105. 405.
Adjustments for items paid in advance by seller(s) Adjustments for items paid in advance by seller(s)
106. City/To.tax to 406. CiWrowa tae to
107. County/Citytex 8/23/2013 to 12/31/2013 266.17 1 407. Couny/Ciytax 0/23/2013 to 12/31/2013 266.17
10B. Assessments to 1 408. Assessments to
109. School Tax 812312013 to 6/30/2014 1,510.94 409, School Tax 8/23/2013 to 6/30/2014 1,510.94
110. to 410. to
111. to 411. to
112. TRASH 8/23/2013 to 9/3012013 16.93 412. TRASH 0/23/2013 to 9/30/2013 16.93
120. Gross Amount Due from Borrower 124,968.54 420. Grass Amount Due to Seller 121.794.04
200. Amounts Paid By Or In Behalf Of Borrower 500. Reductions In Amount Due To Seller
201. Deposit or earnest money 501. Excess deposit(see instructions)
202. Principal Amount of new loan(s) 502. Settlement charges to seller Qine 1400) 1783.29
203. Existng loan(s)taken subjectto 501 Existing loans)taken subject to
U504. Payoff Of First Mortgage Lcan
505. Payoff of Second Mortgage Loan
NGE PROCEEDS 124.968.54 506 507.
508.
509.
Adjustments for items unpaid by seller Adjustments tar items unpaid by seller
n tax to 510. aty/Town tax to
itylax to 511. Counylay tax to
ents to 512. Assessments to
213. School Tax to 513. School Trot to
214. to 514. to
215. to 515. to
216. to 516, w
217. 517.
218. 516.
219. 519,
220. Total Paid by/for Borrower 124,968.54 520. Total Reduction in Amount Due Seller 1.783.29
300, CASH AT SETTLEMENT From/To BORROWER 600. CASH AT SETTLEMENTTo/From SELLER
301. Gross a mount due from borrower(line 120) 124.966.54 601. Gross Amount due Seller(line 420) 121.794.04
302. Less amounts paid by/for borrower(line 220) 124.968.54 602. Less reduction in amt due seller Qine 520) 1.783.29
303. Cash® F-1 TO orrower 0.00 603. Cash®TO ❑FROM Seller 120.010.75
Qpt v¢ r
eurer o.Bon-ers signature seven si,.'- HUD-1
L SETTLEMENT CHARGES Case#3165
70(1 Total Real Estate Broker Fees $ Paid From Paid From
I Division of commission{line 70Q)as tallowa) Borrower's Seder's
701' to Funds At Funds At
702' to Settlement Settlement
703. Commission Paid al Settlement
704. to -
800. items Payable in Connection With Loan
801. Our odgintacm charge _ (from(GFE 01)
802. Youroredit or charge(points)farina iatered7me chose o$ (from(GFE#2)
803. Your adjustetl originntiort charges; to ...........(frorn(GFE A) 000 1 000
804- Appraisal Fee to
(ham(GFE 03)
805. Credit Report to (from(OFF*3)
806. Tax Service to (from(GFE#3)
007. Flood certification to (from(OFF#3)
80& to
809. to
010. to
811. to
812. to
913. to
87 4. to "
900. Items Required by Lender to Be Paid in Advance
981. Daily laterestcharges from to @ $ 0.0000 /day (from(GFE#Y D}
902. Mortgage insurance premiurrf°r 0months to (from(GFE#3)
903. Homeowner's insurance premium trial years to (foci, E#il)
904. to
1000. Reserves Deposited with Lender
1001_ initial deposit foryour escrow account (from(GFE#9) 0,05 0.00
1002. Homeowners insurance 0 Months @$ JMonth
1003, Mortgage Insurance 0 Months @$ /Month
1004. Propertytaxes 0 Months @$ /Month
1095. 0 Months C2f$ (Month
1006. C Months(a$ /Month
1007. Aggregate Adjustment I
1100. Title Charges
1101. Ttle services and lander'stitte insurance (from(GFE#4) 0.00
1102 Se0lameni or dosing fee to Stone,Dundm&Linsenbech
11103. Owner's title insurance to Stone.Duacan&Linsenb v h (from(GFE#5)
1104. Lender's title insurance to FIRST AMERICAN TITLE
1105. Lender's title policy limit $
1106. Owner's title policy limit $
1177. Agent's portion of the total 00e insurance premium
1100. Undolwnter's portion of the total Mle insurance premium
1109. TITLE SEARCH to NrVEN J.EWRD 105.00
1110. TITLECERTIRCATION to Stone.DUncnn&Unsenbath 600.00
1111_ to
1200. Government Recording and Transfer Charges
1201. Government recording charges Recorder of Deeds (from(GFEN7) 69.50
1202. Deed $ 69.50 Mortgage$ Release$
1203. Toluene,taxes (tram(GFE#8) 24pQ.00
1204. City/Couniytar5tstamps Deed$ 1,200,00 Mortgage$ Retarder of Deeds
1205. State lox/stamps Deed$ 1200.00 Mortgage$ Recorderol Deeds _
1206. to
1300. Additional Settlement Charges
1301. Required sendcce that you can shop for (fram(GFE#6) 0.09
1302. to
1303. to
1304. to
1305. EXCHANGE SERVICES to Asset Exchange Company$250.00 POC
1306, 2013-2014 SCHOOL TAXES to Barry L Hackard,Tax Collector 1,773.29
1307. TAX CERTIFICATION to BARRY L HECKARD,TAX COLLECTOR 10.00
1400. Total Settlement Charges(enter on lines 103.Sections J and 502.Sections K) 3,174.50 1,783.29
P.M.agree that no uabtliK is assumed by Seeiament Agent for Me acwrecy otin{onnation ivmtzhetl 6y oiheek SA.on the HUD-1 Seitiamant Statement
I have carefully reviewed the HUDA Sa mant Statement and to the best of my know?ad ar b ,it is rue and accurate statement of all receipts and and ,disbursements matle on my a unt b e'n this fro cti I further certify that I hear o ,ne p the HUD-1 Settlement Statement.f.
'ad _. �._..-
Buyer or 8azmwe{s Signature Seita{s Signatur
Buyer's Address&Phone: Seller's New Address&Phone:
The HUDA Settlement Statame which I M1ave red IS o Uua.ialcc..r laacceura or this fr cib . i have causetl 4f will rouse the MMS la be di5bursetl in attortlance wiN this
statement ' �QQ
Settlement Agent ISete -
WARNING! It Is a crime to knoeingly make false statements to ale United States on this cram,similar form. Penalues upon conviction can Include a fine and imprisonment Fordatalls
see Tide te:U.S.Code sedmi real and Seotlon 1010.
i
REV-1508 EX-(08-12)
pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
RAYMOND L . SEILER 21 13 0238
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.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. MEMBERS 1st FEDERAL CREDIT UNION 52 . 05
SAVINGS ACCOUNT #XXX49-00
2 . ALLSTATE INSURANCE COMPANY 17.81
AUTO POLICY - REFUND
3 . VERIZON 19 .79
PHONE SERVICE - REFUND
4 - PERSONAL PROPERTY - GROSS SALES 41063 . 25
CHUCK BRICKER,AUCTIONEER
5 . ALLSTATE 20 . 41
HOMEOWNERS POLICY - REFUND
6 . COMCAST 55 . 94
XFINITY TV - REFUND
7 . PRO-RATION OF CNTY/TWNSHP TAX - SALE OF REAL ESTATE 266 . 17
8 . PRO-RATION OF SCHOOL TAX - SALE OF REAL ESTATE 11510 . 94
9 . PRO-RATION OF TRASH SERVICE - SALE OF REAL ESTATE 16 .93
TOTAL(Also enter on Line 5,Recapitulation) $ 6,023 - 29
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX-(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RAYMOND L . SEILER 21 13 0238
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. MYERS BUHRIG FUNERAL HOME & CREMATORY 17,976 . 00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s) BARBARA J • COOK E
Street Address 7624 TANEY PLACE
city MERRILLVILLE State IN Zip 46410
Year(s)Commission Paid: (RENOUNCED)
p. AttomeyFees: DAVID R . GALLOWAY, ESQUIRE 41200 .00
3. Family Exemption:(If decedents address is not the same as claimant's,attach explanation.)
Claimant
Street Address
city State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: REGISTER OF WILLS OF CUMBERLAND COUNTY 333 . 50
6 Accountant Fees:
6. Tax Return Preparer Fees:
T. REDUCTION ON SALE OF REAL ESTATE 11783 . 29
2013-14 SCHOOL TAX & NOTARY FEE
TOTAL(Also enter on Line 9,Recapitulation) $ 241292 - 79
If more space is needed,use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
RAYMOND L. SEILER 21 13 023$
Decedent's Name Page 1 File Number
Schedule H-Funeral Expenses&Administrative Costs-BI
ITEM
NUMBER DESCRIPTION
AMOUNT
B. ADMINISTRATIVE COSTS:
Personal Representative Commissions:
2. Name($)of Personal Representative(s) MURREL R- WALTERS, III
Street Address 54 E . MAIN STREET
city MECHANICSBURG state PA ZIP 17055
Years)Commission Paid: (RENOUNCED)
SUBTOTAL SCHEDULE H-B7
REV-1512 EX+(12-12)
pennsylvania SCHEDULE 1
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCETAXRPURN MORTGAGE LIABILITIES&LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RAYMOND L. SEILER 21 13 0238
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unrelmbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. MEMBERS 1st FEDERAL CREDIT UNION 14 .75
ESTATE CHECK FEE
2 . ALLSTATE INSURANCE COMPANY 209. 44
HOMEOWNERS POLICY
3 - UNITED WATER PENNSYLVAIA 134 .14
WATER SERVICE
4 - BARRY L - HECKARD, TAX COLLECTOR 747 . 31
2013 STATEMENT OF REAL ESTATE TAXES
5- BARRY L - HECKARD, TAX COLLECTOR 9 .80
2013 STATEMENT OF PER CAPITA TAXES
6 . BOROUGH OF MECHANICSBURG 82 .00
SEWER/REFUSE BILL
7- COMCAST 221.81
XFINITY TV
8- PPL ELECTRIC UTILITIES 207.04
ELECTRIC SERVICE
9- VERIZON 113.30
PHONE SERVICE
10- CLEANING SERVICES 270-00
ORGANIZATION & PREP FOR AUCTION
11 - VISAGGIOS 212 . 47
DINNER TO NEGOTIATE SALE OF REAL ESTATE
12. WALMART 35.16
CLEANING SUPPLIES
13. RITTER' S TRUE VALUE HARDWARE 18 . 54
CLEANING SUPPLIES
14- ADVANCED DISPOSAL - BOYD E. DILLER, INC. 234 .75
REFUSE REMOVAL
15. PERSONAL PROPERTY - EXPENSES & COMMISSIONS 11290.75
CHUCK, BRICKER, AUCTIONEER
TOTAL(Also enter on Line 10,Recapitulation) $ 5,13 2 - 5 6
If more space Is needed,insert additional sheets of the same size.
Continuation of REV-1500 inheritance Tax Return Resident Decedent
RAYMOND L.SEILER 21 13 0238
Decedeffs Name Page t File Number
Schedule i -Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
16 • LAND LOVERS LANDSCAPING 402 .80
LAWN CARE
17. CAPITOL CITY OIL 928 . 50
HEATING OIL
SUBTOTAL SCHEDULE l 1,3 31.3 0
GRAND TOTAL SCHEDULE $ 5,132.56
REV-1513 EX+(01-0e)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
RAYMOND L . SEILER 21 13 0238
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).j
1. BARBARA J . COOKE Sibling 0 .50
7624 TANEY PLACE
MERRILLVILLE, IN 46410
2• LESTER W. SEILER, JR . Sibling 0. 50
7624 TANEY PLACE
MERRILLVILLE, IN 46410
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
A. 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.