Loading...
HomeMy WebLinkAbout01-13-14 1505610105 REV-1500 EX(Mli)(FI) OFFICIAL USE ONLY PA Department of Revenue pennsytvania County Code Year File Number POBureau 28o6ot of Individual Taxes INHERITANCE TAX RETURN BOX Harrisburg,PA i7i28-o601 RESIDENT DECEDENT ZI tZ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1110212013 #09/2911933 Decedent's Last Name Suffix Decedent's First Name MI Davidson Jay F (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 C=) 2.Supplemental Return C=) 1 Remainder Return(Date of Death Prim to 12-13-82) C=) 4.Limited Estate p 4a.Future Interest Compromise(date of CZD 5. Federal Estate Tax Return Required death after 12-12-82) C=) 6.Decedent Died Testate CD 7.Decedent Maintained a Living Trust 6. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) C=) S.Litigation Proceeds Received C=1 10.Spousal Poverty Credit(Date of Death CZ:) 11. Election to Tax under Seo.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule 0) CORRESPONDENT- THIS SECTION MUST BE COMPLETED,ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Anthony J. Nestico, Esq. (717) 533-5406 ................. REGI=R�qlr WILLS USt ONM C> C, __j First Line.of-Address rri C'> r- = M 1135 East Chocolate Ave C) 'Second Line of Address C�) -Yj Suite 300 o C_- _-C r- ri City or Post Office State ZIP Code PATE FILED'ZD I- .......... f111--------- Hershey PA 17033 crt ............ ............. Correspondent's e-mail address:tnestico@hersheypalaw.com 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 mm late.Dectaration of prepater oth�pr than the personal representative is based on all information Of which preparer has any knowledge. SIGNATURE FIL14FILTURN DATE 116� ADDRESS 7 gol [,�/ , SIGNATURE OF ER 7HEf T R P E DATE ADDRESS 1135 E. Chocolate Ave66fte 300, Hershey, PA 17033 PLEASE USE ORIGINAL FORM ONLY Side I L 1505610105 1505610105 1505610205 REV-1500 EX(FI) Decedent's Social Security Number Decedent's Name: Jay F. Davidson % RECAPITULATION ........._. _ _ _..._................ _._ ,... I. Real Estate(Schedule A). ................. 1 240 000.00 2. Stocks and Bonds(Schedule B) . ...................................... 2. 0.00 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) .... 3 0.00 4. Mortgages and Notes Receivable(Schedule D)... .. ...................... 4. 0.00 ._..._......_.-._'_ .........._._......_..�._.---------. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).... . .. 5. 145,064.92 6. Jointly Owned Property Schedule F O Separate Billing Requested ....... 6. ! 0.00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 200,128.10 .__........._...._.._.....................-_._--- -_..., __.._..............i 8. Total Gross Assets(total Lines 1 through 7)............................. 8. 585,193.02 9. Funeral Expenses and Administrative Costs(Schedule H). .................. 9. 37,418.53 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)...... .... ..... 10. ! 0.00 11. Total Deductions(total Lines 9 and 10)..................... ............ 11. _._......._..,.._:..::..,..:... ._,:..,...:..,,::.,,..,.:...... ._. .......,.., 37,41818.53 12. Net Value of Estate(Line 8 minus Line 11)....... .. ..................... 12. 547,774.49 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which "' " ""---"°"""`""""'"'-' -- an election to tax has not been made(Schedule J) ...................... .. 13. . 0.00 14. Net Value Subject to Tax(Line 12 minus Line 13) ................... . .. .. 14. 547,774.49 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 45 547,774.49 16. 24,849.86 17. Amount of Line 14 taxable ...... -- ----.-_, .. ............. ........ .. at sibling rate X.12 17. i_.___........_._._.._..___�_____._...._..... 18, Amount of Line 14 taxable at collateral rate X.15 19 19. TAX DUE ........ ..... ........................... ................. 19 24,649.86 ......... 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OFAN OVERPAYMENT O Side 2 1505610205 1505610205 REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Jay F. Davidson STREET ADDRESS _ 1411 Longfellow Court CITY STATE ZIP New Cumberland PA 17070 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 24,649.86 2. Credits/Payments A.Prior Payments 0.00 B.Discount 1,232.49_ Total Credits(A+B) (2) 1,232.49 3. Interest (3) 0.00 4. If tine 2 is greater then 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 DOE. Of 23,417.37 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN `W` 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 ft right to designate who shat)use the property transferred or its income......................................._.. [,_( c. retain a reversionary interest...............................................................__...................................__................... 0 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 for"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? .................................................__...__............................____...................... © N 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)(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 F.S.§9116(a)(1.1)(i)].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 t,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. • The tax rate imposed on the net value of transfers to or for the use of the decedenPs lineal beneficiaries is 4.5 percent,except as noted in(72 P.S.§911 6(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-1502 EX+(11-06) r ru A pennsylvania SCHEDULE A WDEPARTMENT DFREVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Jay F. Davidson 2213-01242 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. REM Include a copy of the deed showing decedent's interest IF owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1' 1411 Longfellow Court,New Cumberland,PA(Comparative Market Analysis attached) 240,000.00 TOTAL(Also enter on Line 1, Recapitulation.) $ 240,000.00 If more space is needed,insert additional sheets of the same size. REV-1508 EX+(o8-1a) 1 r 7 pennsylvania SCHEDULE E DEPARTMENTOF REVENUE CASH, BANK DEPOSITS & MISC. RESIDENT INHERUANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Jay F. Davidson 2213-01242 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. 2001 Chrysler LHS(sold) 3,400.00 2, Furniture and clothes 500.00 3, Nationwide Insurance refund 340.38 4. PSECU S1 Savings(acct.#8227185502654) 952.59 5. PSECU S4 Money Handler(accL#8227185502654) 27,176.19 6, Santander Checking(acct.#4539929623) 4,499.17 7, Santander Certificate of Deposit(acct.#4539929623) 24,057.03 8, Morgan Stanley-personal investment account(acct.#912-105685.025) 84,139.56 TOTAL (Also enter on Line 5, Recapitulation) $ 145,064.92 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+ (08-09) Pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Jay F. Davidson 2213-01242 This schedule must be completed and fled if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE,THEIR REUMONSHM TO DECEDENT AND DATE OF DEATH % DECD'S EXCLUSION TAXABLE NUMBER THE DALE OFTRIN9FE8.ATTADI A COPY OF ME DEED FOR REAL ESTATE, VALUE OF ASSET INTEREST (IFAP CAIXEI I VALUE 1. Morgan Stanley-Traditional IRA account(acct.9912-106732-025) 200,128.10 100 0.00 200,128.10 TOTAL(Also enter on Line 7, Recapitulation) $ 200,128.10 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+ (10-09) ® Pennsylvania SCHEDULE H •'�'t.DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Jay F. Davidson 2213-01242 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Fogelsanger-Bricker Funeral Home-funeral expenses 8,898.31 2. Glenda Davidson-Funeral refreshments 100.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 23,407.72 Name(s)of Personal Representative(s) Frank W. Davidson Street Address 362 Pleasant View Road city New Cumberland state PA Zip 17070 Year(s)Commission Paid: 2014 2. Attorney Fees:Nestico .Druby, P.C. 2,500.00 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: 633.50 S. Accountant Fees: 6. Tax Return Preparer Fees: y. Reimburse Frank W.Davidson-expense to return Phillips Lifeline equipment. 11.62 B. Reimburse Deb Rotz-cat relocation 500.00 9. The Patriot News-final bill 31.37 10. Discover Credit Card payment 597.08 11. Birds and Blooms books bill 25,98 12. Lowe's-house repair hardware 34.81 TOTAL(Also enter on Line 9, Recapitulation) $ 37,418.53 If more space is needed,use additional sheets of paper of the same size. Estate of Jay F.Davidson File Number:2213-01242 Schedule H continued 13. Vital Records- Additional death certificates $27.00 14. PA Fish & Boat Commission-title transfer $18.00 15. The Mail Room-notary fees $26.60 16. UGI $105.76 17. Verizon $285.53 18. PPL $105.07 19. PA Water Company $42.60 20. Lifeline- final bill $48.18 21. Consumer Cellular- final bill $19.40 $678.14 REV-1513 EX+(01-10) e pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERRANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Jay F. Davidson 2213-01242 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).] I. Frank W.Davidson Son 114 2. Jeffrey C.Davidson Son 1/4 3. Deborah J.Rotz Daughter 1/4 4. Jennifer E.Young Daughter 1/4 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 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. `ember 27, 2013 Estate of Jay F. Davidson 1411 Longfellow Court New Cumberland,PA 17070 To Whom It May Concern: The attached Comparative Market Analysis has been completed by Re/Max 1st Advantage by Diane H. Leslie & Eugene Costello, Broker of Record, for the Estate of Jay F. Davidson.. In going back one year from today, there have been no Ranch homes sold in Lower Allen Township, West Shore School District, where subject home is Located. We have used Two Story and Cape Cod homes sold in same neighborhood by same builder in one year. The average price of the (3) sold homes would be approximately $258,000.00, average price per square footage would be $116.00 and approximately$10,450.00 in Buyer closing costs help... The homes that were available were all four bedroom homes and average Square footage would be approximately 2,225 sf. Subject home has 1600 sf and is a Ranch home with a partially finished walk out lower level with 500 sf. In our opinion, based on the attached information, the subject home would be worth approximately $240,000.00 Sincerely, Eugene Costello, Broker Re/Max 1st Advantage 6375 Mercury Drive Mechanicsburg, PA 17050 ^ RVAAW (717)591-5555 1st Advantage k a : The Leslie Team/Diane Leslie ; 6375 Mercury Dr.,Ste 101 Mechanicsburg,PA 17050 Direct(717)938-8276 Office:(717)591-5555 Fax:(717)591-7273 www.lestieteam.com dianeleslie @remax.net ff ecn arrce mxreanmrawnw am�.aua COMPARATIVE MARKET ANALYSIS PREPARED BY: EUGENE COSTELLO, Broker DIANE LESLIE, Agent Re/Max ist Advantage 6375 Mercury Drive Mechanicsburg, PA 17050 (717)591-5555 —--------- 10245320 10243529 10233959 PIZ'! 7m. YI, Ytb Il Z7 Crnnay 1624 Lowell Lane 1401 Longfellow Ct Beacon Hill Beacon Hill Beacon Hill ge—stShore i West Shore West Shore Lower l Lower Allen g� I Lower Allen New Cumberland N-6vii-C—um-berl a nd N6i­C9Fn6erIand 17070 17070 I t 17070 F 1- J rigin b- AM ��rrd'WaT $149,960 List Price $269,900 j List Price $264,800 List Price $247,900 Sold Price Sold Price $267,000 I IR!g Price_ e $246,500 Seller Help O Seller Help 9 Son no- Seller Help 11,438.18 —lose Date Close Date Close Date 12/3/2013 i C �� am- -111111� RPJ�'Acres 0.2100 Yr Built 199,8 (gj�O�i Acres 9.1900! YrBuflt 200i 0��D� 13 .360 yi 0,360 ---__Acres 0 .oz' Sq Fit 2,108 $�gqFt Sq Ft 2,057 $/SqFt Sol Ft 2,144 $/SqFt (::-$1� _4.97- rBRIFB/HB/FP I 7-2­1-1--t-0---- ORIFB/HB/FP_ Type Detached Type Detached Type Detached Design Traditional Design Traditional i Design Cape Cod Stvle style 2 Story 2 Stor- Style 2 Story wtr/swr Public Sewer, Public Wate' Wtr/S-r Public Sewer, Public Wate Vii Public Sewer, Public Wateq Ext Vinyl Ext Vinyl Ext Stone, Vinyl 2 Car Garage 2 Car Garag ij e,Attached i parking Parking 2 Car Garage, Attached Parking Heat Forced Air, Natural Gas O Heat Forced Air, Natural Gas Heat Forced Air, Natural Gas Coal Central Air I ii Cool Ceiling Fan, Central Air Coal Central Air Full l� Exposed/Walkout, Full, Interior Access, Partially Bsnhent Sumnent Bstrient Const Frame Const Stick Built Const Stick Built Tax $4,085 13/14est ,I Tax $4,355 2013 Tax $3,739 2011 i DIR:83 South to e)dt 40 unitemin Rd to L/[Jmkiln Rd to DIB&South to Linneldhi Road E)dt,L)limekiln, I lre o;n,� Beacon DIR: 83Soedt6B,L=k11n I eZ-n L'=e"' Lleamn Hill OW o LLowell Lane V, q,n tum t 6, L='I, , R1 L. J. 1 .rZ..t way, Great opportunity to live in the popular GREAT BEACON HILL HOME offers 2-story Gorgeous 4 bedroom cape cod on nice comer convenient neighborhood dose to main foyer,HW floors through most of main level, lot leadin to private col de sac.Beautiful commuting routes and West Shore schools. butler pantry,new appliances&breakfast hardwood floating on main level.Ceramic tile Nice 2-story home with picket fence great for area wl access to d=overlooking nicely In baths and kitchen.First floor master suite containing small children and their pets. i landscaped mar yard&built in BBQ pit makes 1 boasts custom shower/bath.Very bright& Comfortable 4 bedroom plan w/open kitchen i entertaining a breeze. Formal DR. 1st floor I open floor plan thru out.Home has beautiful to family oom featuring cozy fireplace.Very I MBR also has access to deck perfect for i views off front porch as well as privacy off reasonable utilities.One owner winding down the day. 2nd MBR on 2nd floor. covered rear patio.Economical utilities, All bedrooms have walk-in closets.finished Partial partially finished lower level.Tour today! ii nished LL has access to covered rear patio. I 10233807 1 1 K� Sold 1434 Sconsett Way Beacon Hill West Shore Lower Allen New Cumberland 17070 Original ,9 0 List Price $269,900 Sold Price $257,000 Seller Help 0.00 C ose a 13� Yr Built 2001 OM 8 Acres 0.1700 Sq F"t 2,476 $/SgFt $103.80 BR/FB/HO FIX / I Type Detached Design Traditional Stale 2 erg.., Wtr/Swr Public Sewer, Public Watei ext Brick, Vinyl Parking 2 Car Garage, Paved Drive Heat Natural Gas Coal Ceiling Fan, Central Air Bement Concrete Floor, Full, LConst Stick Built Tax $4,200 2012 DIR1-83 South to bat 40 Umeldln Road.TL on umeldln Road.TL on Beacon HUI Blvd.TL on Lowell Lane.At stop,TR on SconsMt Way.House on RHS. Beauti ful,Move-in-read 2-Storryy home in desirable nelghborb Conveniendy located to interstates/maln roads,shopping and entertainment D2matk vaulted ceilings with telling fans and fan LARGE eat-in kitchen with upgraded appliances,nand,and butlers pantry. BRAND NEW paint and floorin in many rooms.Basement has finished oNce, workshop,storage area,and ample unfinished space for future rec room.