HomeMy WebLinkAbout02-14-14 � 1505610140
REV-1500 EX (02-11)(FI)
OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
Po Box 2soso� INHERITANCE TAX RETURN 2 1 1 3 0 5 8 4
Harrisbur9, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYV Date of Birth MMDDVYYY
0 5 1 2 2 0 1 3 0 9 1 3 1 9 6 6
. DecedenYs Last Name . Suffix DecedenYs First Name MI
R u n k S c o t t A
(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 � 4a. Future Interest Compromise(date of � 5. 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 � 10.Spousal Poverty Credit(Date of Death ❑ 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 T0:
Name Daytime Telephone Number
;�.a
S t e p h e n J . H o g g , E s q - 7�], 7 2 :4= 5 �2r�� 9 8
� � .-�, c�> c,
RE�dISTER O�-' LLS USE;'Ry LY
[}'� '�J � . .,.r
rn � c' �.,'k -��
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First Line of Address �° � � " �, ST�,
.��,-v. � i`� ..-� ^�1 ���
1 9 S • H a n o v e r S t - , S t e • ,�, �, s-, � �� �
Second Line of Address � � `� �� ; � �-rt
� x
_ _..; �� � Ca
� DATE l�.�D
City or Post Office State ZIP Code %f'
C a r 1 i s 1 e P A 1 7 0 1 3
CorrespondenYs 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 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.
SIGNATURE PERSON RESPONSIBLE FOR FILING RETURN DATE
I
ADDRESS
553 West Street Carlisle PA 17013
SIGNATURE OF R PRESENTATIVE DA E
2 �
ADDRE
19 S • Hanover Str et, Ste • 101 Carlisle PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610140 1505610140 J � '
�d
� 1505610240
REV-1500 EX(FI)
DecedenYs Social Security Number
DecedenPs Narr�e: S c o t t A • R u n k
RECAPITULATION
1. Real Estate Schedule A 1. 1 1 7 5 � � . � �
( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
• 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. 4 � 4 6 0 . 9 7
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. •
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) � Separate Billing Requested . . . . . . . 7.
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
1 5 7 9 6 0 . 9 7
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9• 3 1 7 8 1 . 7 0
10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 2 7 9 7 2 . � 3
��. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . 11. 5 9 7 5 3 . 7 3
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 9 8 2 � � . 2 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 8 2 � 7 . 2 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 15. � . � 0
16. Amount of Line 14 taxable
at lineal rate X .045 9 8 2 0 7 . 2 4 �6. 4 4 1 9 . 3 3
17. Amount of Line 14 taxable
at sibling rate X.12 � . � � 17. � . 0 �
18. Amount of Line 14 taxable
at collateral rate X.15 � • 0 0 1 g. � . � �
19. TAX DUE . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 4 4 1 9 . 3 3
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
Side 2
� 150561024� 15�561�240 J
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 2� 13 0584
DECEDENT'S NAME
Scott A. Runk
STREET ADDRESS
CITY STATE ZIP
Tax Payments and Credits:
�• Tax Due(Page 2,Line 19) (1) 4,419.33
2. CreditslPayments
A.Prior Payments 3,200.00
B.Discount 168.42
Total Credits(A+B) (2) 3,368.42
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) 1,050.91
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 December 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?.................................................................................................. ❑ ❑
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 aftel July 1,2000: .
• The tax rate imposed on the net value of trans#ers from a deceased child 21 yea�s 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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in p2 P.s.§s��s(a)(�p.
• The tax rate imposed on the net value of transfers to or for the use of the decedenYs 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 blootl or adoption.
REV-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Scott A. Runk 21 13 0584
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 OFDEATH
DESCRIPTION
1. 16 West Main Street, Piainfield, PA 17081 117,500.00
TOTAL(Also enter on Line 1,Recapitulation.) $ 117 500.00
If more space is needed,use additional sheets of paper of the same size.
REV-1508 EX+(OS-12)
pennsyivania SCHEDUL� E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS 8� MISC.
INHERITANCE TAX RETURN
RESIDENTDECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Scott A. Runk 21 13 0584
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 Checking Account#128844-11 591.74
2. Members 1 st Savings Account#128844-00 6,055.70
3. Susquehanna Checking Account#10010598893 19.00
4. May 31 Dividend 0.04
5. Deposit 42.24
6. Deposit 2.00
7. May 28 Dvidend 0.65
8. I RA 11,759.51
9. Erie Insurance Exchange 199.98
10. Erie Insurance Exchange 1,054.62
11. Dan Hershey Auction Service proceeds 15,916.25
12. Erie Insurance- Payment for removal services 408.45
13. Vanguard Fiduciary Trust Company refund 4,157.94
14. M&T Bank Stock � � � 251.10
15. June Dividend 0.25
16. July Dividend 0.29
TOTAL(Also enter on Line 5,Recapitulation) $ 40 460.97
If more space is needed, use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Scott A. Runk 21 13 0584
DecedenYs Name Page 1 File Number
Schedule E -Cash, Bank Deposits, 8 Misc. Personal Property
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
17. August Dividend 0.14
18. October Dividend 0.33
19. November Dividend 0.39
20. December Dividend 0.35
SUBTOTAL SCHEDULE E 1.21
GRAND TOTAL SCHEDULE E $ 40,460.97
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Scott A. Runk 21 13 0584
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hoffman-Roth Funeral Home& Crematory, Inc. 10,666.32
2. Mechanicsburg Cemetery Lot& Care 940.00
3. Gingrich Memorials 4,100.00
4. Food for Service 200.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s) Loretta Runk 7,897.96
Streetaddress 553 West North Street
ciry Carlisle state PA ZiP 17013
Year(s)Commission Paid:
2. Attomey Fees: Stephen J. Hogg, Esquire 4,000.00
3, Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4• Probate Fees: 293.50
5 Accountant Fees:
6. Tax Retum Preparer Fees:
7. Advertising: Law Journal 75.00
The Sentinel 178.92
8. Accounting (est) 200.00
. 9. � Tax Return and Inventory . � . � . � 30.00
10. Inheritance Tax Payment 3,200.00
TOTAL(Also enter on Line 9,Recapitulation) $ 31 781.70
If more space is needed,use additional sheets of paper of the same size.
REV-1512 EX+(12-12)
pennsylvania SCHEDU�E I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT�
INHERITANCETAXRETURN MORTGAGE LIABILITIES 8� LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Scott A. Runk 21 13 0584
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. Deb Piper, Tax Collector 331.84
2. WPTMA-Sewer 5/28/13 61.00
3. Centurylink 31.08
4. Home Depot 415.61
5. Sadler Heaith Center 325.17
6. Direct TV 32.78
7. PPL- May 95.58
8. Visa 93.42
9. PPL-June 31.29
10. WPTMA-Sewer 6/17/13 64.05
11. Material to Repair Steps 46.40
12. Labor Cost for Cleaning of House for pending sale 870.00
13. Food Costs for Cleaners 142.63
14. WPTMA- Sewer 7/9/13 61.00
15. PPL-July 46.58
TOTAL(Also enter on Line 10,Recapitulation) $ 27 g72.03
If more space is needed, insert additional sheets of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Scott A. Runk 21 13 0584
DecedenYs Name Page 2 File Number
Schedule I -Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
16. Home Equity Loan - Members 1st 11,401.75
17. Visa Credit Card 8�2.�2
18. Auctioneer Commission 3,979.07
19. Auctioneer Expenses: Real Estate Advetising 950.00
20. WPTMA-Sewer 8/5/13 61.00
21. PPL-August 42.87
22. 2013 Real Estate Tax 1,327.08
23. Donald Bender-Trash 150.00
24. PPL-September 31.30
25. PPL- October 36.06
26. PPL- November 43.37
27. Kough's Oil Service 653.78
28. WPTMA-Sewer 9/16/13 61.00
29. WPTMA-Sewer 10/8/13 61.00
30. WPTMA-Sewer 11/18/13 64.05
SUBTOTAL SCHEDULE I 19,665.05
, �
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Scott A. Runk 21 13 0584
DecedenYs Name Page 3 File Number
Schedule I -Debts of Decedent, Mortgage Liabilities, & Liens
ITEM
NUMBER DESCRIPTION AMOUNT
31. Erie Insurance Group- Homeowners Insurance 735.00
32. Larry Smith -Supplies/Labor 658.25
33. Charles Smith - Labor 150.00
34. Joyce Pittenger- Labor 1,870.00
35. Lowe's-Supplies 48.79
36. Home Depot-Supplies 11.64
37. Walmart-Supplies 74.28
38. WPTMA- Sewer 12/10/13 61.00
39. Sarah Runk-Cleaning 130.00
40. Larry Smith -Carpet Laying/Repairs 580.00
41. PPL- December 40.93
42. PPL-January 69.95
43. WPTMA-Sewer 12/09/13 61.00
44. B.T. Brenneman Electric 792.00
45. Kough's Oil Service 360.00
SUBTOTAL SCHEDULE I 5,642.84
, .
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Scott A. Runk 21 13 0584
DecedenYs Name Page 4 File Number
Schedule I -Debts of Decedent, Mortgage Liabilities, 8� Liens
ITEM
NUMBER DESCRIPTION AMOUNT
46. Home Depot-Supplies 15.71
SUBTOTAL SCHEDULE I 15.'1
GRAND TOTAL SCHEDULE I $ 27,972.03
REV-1513 EX+(01-10)
pennsyivania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Scott A. Runk 21 13 0584
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. Loretta Runk Lineal
553 West North Street
Carlisle, PA 17013
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 LIN�13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.