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HomeMy WebLinkAbout11-13-13 1 1505610140 •�•1 REV-1 500 Ex Ie2-"1IFI} OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 284601 INHERITANCE TAX RETURN 2 1 1 3 0 4 0 0 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW 0 2 1 5 2 0 1 3 1 1 2 3 1 9 3 9 Decedent's Last Name Suffix Decedent's First Name MI R E N Z 0 F R A N K (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI R E N Z 0 J 0 A N A Spouses Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL M APPROPRIATE OVALS BELOW © 1.Original Return E] 2.Supplemental Return 3.Remainder Return(Date of Death Prior to 12-13.82) 4. Limited Estate 4a. Future Interest Compromise(date of El S.Federal Estate Tax Return Required death after 12-12-82) ® 6. Decedent Died Testate F] 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 n 11.Election to Tekjrndei�geeCt 113(A) Between 12-31-91 and 1-1-95) Attach Schedate O}rr1 M CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAW TION&UL tj�ECTED TO: Name DaytiA'_?eehyne df ombeT, C7 1`11 D A V I D R - G A L L O W A Y , E S Q 7 rt 9� V E' 5 0 nrn QC:,by ezcC STk OF S U C7 O First Line of Address r" _V C�) CO 5 4 E M A I N S T R E E T Second Line of Address City or Post Office State ZIP Code �- DATE FILED M E C H A N I C S B U R G P A 1 7 0 5 5 Gorrespondenfse-mail address: DAVID@WALTERSGALLOWAY-COM Under penalties of pedu Clare that I hav amined this return,inau accompanying schedules and statements,and to the best of my krwxdedge and belief, it is true,ponect ompiet Declaration preparer other than the person i reprosen[aNve is based on all information of which preparar has any knowledge. NAT OUERSON RE$PONSIBL FOR FILING RETURN - ATE -20 ADDRESS FEN A • RENZO 107—C S - CHESTNUT ST. MECHANICSBURG P 17055 SIGNATU ARER OTHER THAN REPRESENTATIVE DAT ADDRESS DAVID R . GALLOWAY, ESQ • 54 E. MAIN ST - MECHANICSBURG PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J 1505610240 REV-1500 EX(Fl) RECAPITULATION 1. I. Real Estate(Schedule A) . . . . . . . .. . . . . . . . . . . .. . . . . . . . 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. 3 2 1 2 1 7 0 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Properly (Schedule G) ❑ Separate Billing Requested . . . .. .. 7. 4 2 8 2 9 , 5 3 8. Total Gross Assets(total Lines 1 through 7) 8. 7 4 9 5 1 2 3 9. Funeral Expenses and Administrative Costs(Schedule H) . .. . . 0 1 5 . 5 3 10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule 1) . . . . .. . . .. . . . 10. 9 0 9 . 9 1 11. Total Deductions(total Lines 9 and 10) . . . . . . . .. . . . . . . . . . . . . . . . . . . .. .. 11. 1 2 9 2 5 4 4 12. Net Value of Estate(Line 8 minus Line 11) . . . .. . . . . . . . . . . . . . . . 12. 6 2 0 2 5 7 9 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. 6 2 0 2 5 . 7 9 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 • 00 6 2 0 2 5 . 7 9 15. 0 . 0 0 16. Amount of Line 14 taxable at lineal rate X - 0 0 . 0 0 16 17. Amount of Line 14 taxable 0 . 0 0 at sibling rate X.12 0 . 0 0 17. 18. Amount of Line 14 taxable 0 . 0 0 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 L 1505610240 1505610240 J REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: 21 13 0400 DECEDENT'S NAME FRANK RENZO _ STREETADDRESS 6 CEDAR ROAD CITY STATE ZIP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 0 . 00 Z 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,enterthe 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 ...................................................................... 171 b. retain the right to designate who shall use the property transferred or its income ....................... 171 c. retain a reversionary interest ..................................................................................................... ❑ nX d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ nX 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ nX 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?.................................................................................................. © ❑ 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)(11)(1)]. 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)(it)].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 V2 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-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE INHERITANCE TAX RETURN CASH, BANK DEPOSITS & MISC. RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: FRANK RENZO 21 13 0400 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 NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1 • fPNC CHECKING ACCOUNT 94 . 59 XXXXXX6625 2 . CHECKING ACCOUNT 87. 37 XXXXXX4284 3 • PNC SAVINGS ACCOUNT 27,291.74 XXXXXX7045 4 • 1999 FORD RANGER - KELLEY BLUE BOOK VALUE 21832 .00 5 • 2002 CHEVROLET IMPALA - KELLEY BLUE BOOK VALUE 11816 . 00 TOTAL(Also enter on Line 5,Recapitulation) $ 321121 -70 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsylvania SCHEDULE G DEPARTMCNT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER FRANK RENZO 21 13 0400 This schedule must be completed and flied if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. I DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % DEWS EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST OF AFRICA&E} VALUE 1- PIMCO IRA 421829 - 53 100 .00 0 . 00 42,829 . 53 XXXXXX1116 - JOAN ANN RENZO, SPOUSE TOTAL (Also enter on Line 7,Reca itulation) $ 421829 - 53 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 FRANK RENZO 21 13 0400 Decedents debts must he reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERALEXPENSES: 1 . MYERS—BUHRIG FUNERAL HOME & CREMATORY 9,960 .06 2 . MYERS—BUHRIG FUNERAL HOME & CREMATORY 123 .00 MERCHANDISE 3. FUNERAL RECEPTION 76.38 R ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representatives) Street Address city State ZIP Year(s)Commission Paid: 2• AtfomeyFees: DAVID R • GALLOWAY, ESQUIRE 1,500 . 00 3, Family Exemption:(If decedents address is not the same as claimants,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4 • Probate Fees: REGISTER OF WILLS 178 . 50 5. Accountant Fees: 6 . Tax Return Preparer Fees: 7 • ESTATE NOTICE PUBLICATION—CUMBERLAND LAW JOURNAL 75.00 8 . ESTATE NOTICE PUBLICATION—THE PATRIOT NEWS 102 . 59 TOTAL(Also enter on Line 9,Recapitulation) $ 121015- 53 It more space is needed,use additional sheets of paper of the same size. REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER FRANK RENZO 21 13 0400 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 . CITIBANK, NA 400 .00 SEARS GOLD MASTERCARD 2 • VERIZON 174 . 96 PHONE BILL 3. SOLLENBERGERS 92 . 00 VEHICLE REGISTRATION/NOTARY FEES 4 . LOWE ' S 85 .69 CREDIT CARD 5. SEARS MASTERCARD 80 ,00 CREDIT CARD 6. CONSUMER CELLULAR 77.26 CELL PHONE TOTAL(Also enter on Line 10,Recapitulation) $ 909 - 91 If more space is needed,insert additional sheets of the same size. REV-1513 EX-(01-10) pennsylvania SCHEDULE J I DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: FRANK RENZO 21 13 0400 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 flnclude outright spousal distributions and transfers under Sec.9116(a)(1.2).) 1• JOAN ANN RENZO Spousal 6 CEDAR ROAD MECHANICSBURG, PA 17055 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1560 COVER SHEET,AS APPROPRIATE. jj. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1 • B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 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.