HomeMy WebLinkAbout12-31-13 1505610105
REV-1500°`(02-11)(FT)
OFFICIAL USE ONLY
PA Department of Revenue pennsytvania County Code Year File Number
nflwrtnert a.neveHUe
Bureau 2I0dividuatTaxes INHERITANCE TAX RETURN
Ha BOX 280�� 0 I l 3 Io 5a
Harrisburg,PA a,7sz8-o6oa, RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
09/03/2013 10/03/1946
Decedent's Last Name Suffix Decedent's First Name MI
RICE WALTER W
(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
m 1.Original Return p 2.Supplemental Return p 3. Remainder Retum(Date of Death
Prior to 12-13-82)
O 4.Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
O 6.Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 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
SALLY J. WINDER
M
RE09TERPF WILLS,USSE 0*CO
First Line of Address M -r n c —4
r-- W rrt i
221 DOUBLING GAP ROAD
i
Second Line of Address
P.O. BOX 341 `�', °
City or Post Office State ZIP Code DATE FILED co D
NEVWlLLE PA 17241 p
Correspondents e-mail address:
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 betlef,
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.
SIG�FATUR F PERSON RESPONSIBLE FOR FIUUCLRETURN DAT
�^( 1 ADDRESS 2.
v,4l'n� � a�
�G TURE OF RE A E OTHER THAN REPRESENTATIVE DATE
ADDRESS 2— 3 d
�,w�r�l L6
' i�LEASE USE ORI ISINA L FORM ONLY
Side 1
1505610105 1505610105
.j 1505610205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: WALTER W. RICE
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. 51,984.26
6. Jointly Owned Property(Schedule F) O Separate Billing Requested ..... .. 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets(total Lines 1 through 7)... ... ............. ... ..... .. 8. 51,984.26
9. Funeral Expenses and Administrative Costs(Schedule H)........ ........... 9. 15,574.75
10. Debts of Decedent,,Mortgage Liabilities and Liens(Schedule 1)..... . ......... 10. 118,902.79
11. Total Deductions(total Lines 9 and 10).... .. .. ......... ........ ..... ... 11. 1349477.54
12, Net Value of Estate(Line 8 minus Line 11) . ..... ................... ..... 12. 51,984.26
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. -82,493.28
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_ 15.
16. Amount of Line 14 taxable
at lineal rate X.0_ 16
17. Amount of Line 14 taxable
at sibling rate X.12 17
18. Amount of Line 14 taxable
at collateral rate X.15 18
19. TAX DUE............................................... .......... 19. 0.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0
Side 2
L 1505610205 1505610205
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENTS NAME
WALTER W. RICE
STREETADDRESS
193 CONIFER ROAD
CITY STATE ZIP
NEVVVILLE PA 17241
Tax Payments and Credits:
I. Tax Due(Page 2,Line 19) (1) 0.00
2. Credits/Payments
A.Prior Payments
8.Discount
Total Credits(A B) (2)
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)
5. If Line I +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...................................................................................... ❑
b. retain the right to designate who shall use the property transferred or its income............................................ ❑ ■
c. retain a reversionary interest........................................................................................................................... ❑
d. receive the promise for life of either payments,benefits or care?..........................--................—.............
2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death
without receiving adequate consideration?............................................................................................................ ❑
3. Did decedent own an'in trust form or payable-upon-death bank account or security at his or her death?.............. ❑
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 6 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)(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
172.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 decedents 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 decedents 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-i5o8 EX+(11-io)
Pennsylvania SCHEDULE E
t DEPARTMENT Of REVENUE CASH, BANK DEPOSITS & MISC.
RESIDENT DE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
WALTER W. RICE 21-13-1052
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. CASH,ON HAND
16.27
2. PA TURNPIKE COMMISSION,balance of EZPASS account 32.77
3. PEOPLE'S BANK,checking account 1220000703,date of death balance 3,606.22
4. DELLA,percheron horse,net sale proceeds 1,793.00
5. KATE,percheron horse,net sale proceeds 2,500.00
6. FEATHERLITE SLANT TRAILER
5,700.00
7. FEATHERLITE STOCK TRAILER
6,300.00
g. ENCLOSED BOX TRAILER
5,000.00
9, 2007 DODGE RAM TRUCK
13,400.00
! 10. NET PROCEEDS FROM PUBLIC SALE(HELD 11/30/13) OF OTHER PERSONAL PROPERTY 13,636.00
r
TOTAL(Also enter on Line 5, Recapitulation) $ 51,984.26
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(10-09)
pennsylvania SCHEDULE H
' DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
WALTER W. RICE 21-13-1052
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' AUER CREMATION SERVICE OF PA,INC,cremation etc 1,870.00
2. MEMORIAL SERVICE,hall rental,fellowship,and obituary 1,092.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)_
Street Address
City State ZIP
Year(s)Commission Paid:
2. Attorney Fees:
5,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: 500.00
51 Accountant Fees:
6. Tax Return Preparer Fees: 250.00
7• DEHARTS AUCTION,commission and fees for sale of personal property 6,862.75
8.
9.
10.
11.
12.
TOTAL(Also enter on Line 9,Recapitulation) $ 15,574.75
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(12-08)
pennsytvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN
RESIDENT DECEDENT MORTGAGE LIABILITIES & LIENS
ESTATE OF FILE NUMBER
WALTER W. RICE 21-13-1052
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,Including unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
OF DEATH
1. MEMBERS 1ST FEDERAL CREDIT UNION,ACCT NO.386712,BALANCE DUE
4,310.01
2. FREEDOM FEDERAL CREDIT UNION,ACCT NO.77803,BALANCE DUE 18,160.43
3. KEYSTONE INSURERS GROUP, INC.,PREMIUM DUE
84.25
4. PERCHERON ASSOCIATION,TRANSFER FEES 100.00
5. CAPITOL ONE,CREDIT CARD ACCT-3748,DATE OF DEATH BALANCE 4,961.08
6. CAPITOL ONE,CREDIT CARD ACCT-1089,DATE OF DEATH BALANCE 3,379.55
7. SPRINGLEAF,REVOLVING CREDIT LOAN,DATE OF DEATH BALANCE 89915
8. BENCHFIELD FARMS,HORSE BOARDING,date of death to November 5,320.00
9. YELLOW PAGES,BUSINESS AD 828.88
10. SHUGHART'S GARAGE,vehicle repair account outstanding 832.65
11. MOUNTAIN VIEW VETERINARY CTR,outstanding vet bill 73.86
12. LINDA BUNNING,past due board and feed bill 79,952.93
TOTAL(Also enter on Line 10,Recapitulation) $ 198,902.79
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
WALTER W. RICE 21-13-1052
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• KENNETH L.RICE,540 WALNUT ST,APT 3,LEMOYNE,PA 17043 SON 100%NET
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 Q—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ONLINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.