HomeMy WebLinkAbout04-21-14 (2) � 1505610105
REV-1500 EX(oz-u)(FI) .�R
OFFICIAL USE ONLY
PA Department of Revenue pennsyLvania Co ode Ye File Nurg��r
oEP.w.ME�.o,NE�E��E
Bureau of Individual Taxes INHERITANCE TAX RETURN � � � j,rj
PO BOX z8o6oi RESIDENT DECEDENT ' � �
Harrisbur ,PA 1'7128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
. , 04/02/2011 04/28/1983 '
DecedenYs Last Name Su�x DecedenYs First Name MI
MCKENRICK ? BRIAN j 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
1 REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
p 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 Mai�tained a Living Trust _ 8. Totat 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 T0:
Name Daytime Telepho�Number d
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GREGORY M. PALUMBO _� � _.�,. �;Q
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REGISTEI�F y,�Ll4?USE 9�ILY 7�7
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First Line of Address ` ''`.'
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10-12 W. FRONT ST. � �' -n � � `'�
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Second Line of Address ' � � �
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, __ DATE FILED � �
City or Post Office State ZIP Code
MEDIA 3 � PA �19063
CorrespondenYs e-mail address:
Under penaities of pe' ,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 a co plete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF ERSON RESPONSIBLE F G RETURN DATE
04/17/2014
ADDRESS
10-12 W. FRONT ST. MEDIA PA 19063
SIGNATURE PREPARE T EPRESENTATIVE DATE
04/17/2014
ADDRESS
10-12 W. FRONT ST. MEDIA PA 19063
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 150561�105 1505610105 J
V
�
� 1505610205
REV-1500 EX(FI) DecedenYs Social Security Number
oecedent's rvame: BRIAN F. MCKENRICK ' '
RECAPITULATION _ _
0.00
1. Real Estate(Schedule A). . ... . ....... ... .......... .. . .......... ..... . 1. ,
2. Stocks and Bonds(Schedule B) 2. � 0.00
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. � 0.00 ,
4. Mort a es and Notes Receivable Schedule D 4. 0.00 '
9 9 � ) ...... . .. . .............. . ..
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). ...... 5. ' 0.00
6. Jointty Owned Property(Schedule F) O Separate Billing Requested ... . ... 6. 0.00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property 0.00 '
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets(total Lines 1 throu h 7 .......... ..... ... 8. , 0.00
9 )..... ... ...
9. Funeral Expenses and Administrative Costs(Schedule H)............. . ..... 9. 0.00
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I). ............ .. 10. � 0.00
11. Total Deductions(total Lines 9 and 10)...... ............. ..... ........ . 11. 0.00
12. Net Value of Estate(Line 8 minus Line 11) .......... ............... ..... 12. : 0.00
13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which 0.00 '
an election to tax has not been made(Schedule J) .. .......... . .... . ...... 13.
14. Net Value Subject to Tax(Line 12 minus Line 13) ... .. ....... ...... .. . ... 14. ', 0.00 '
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or _ _ _
transfers under Sec.9116 0.00 ! 15 0.00
(a)(1.2)X.0� _
16. Amount of Line 14 taxable 0.00 ''
at lineal rate X A� 0.00 16.
17. Amount of Line 14 taxable 0.00 '
at sibling rate X.12 ; 17. _ -
.. r
18. Amount of Line 14 taxable 0.00 ' 0.00
at collateral rate X.15 ' �8�
0.00
19. TAX DUE ..... .... .... . .. ....... . .. . ....... .. ........ . .... . ....... 19.' J
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0
Side 2
L 1505610205 15056102D5 J
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
BRIAN F. MCKENRICK
STREETADDRESS
2829 SHIPPENSBURG ROAD
CITY STATE Z�P
BIGLERVILLE PA 17307
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 0.00
2. Credits/Payments
A.Prior Payments 0.00
B.Discount 0.00
Total Credits(A+B) (2) 0.00
3. Interest
(3) 0.00
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) 0.00
Make check payable to: REGISTER OF WILLS, AGENT.
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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 properry 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 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
containsa 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.
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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)(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 imposetl 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[72 P.S.§9116(a)(1)).
. The tax rate imposetl 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,
untler Section 9102,as an indivitlual who has at least one parent in common with the decedent,whether by blood or atloption.
GREGORY M. PAL UMBO
PAL UMBO &ASSOCIATES
10-12 WEST FRONT STREET
MEDIA PA 19063
(610) 891-0246
(610) 891-1995 Fascimile
April 17, 2014
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Register of Wills of � �
Cumberland County Pennsylvania � � � �
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Suite 102 rn � � �' � � >
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Carlise PA 17013 �' � � � '� �' ��` - ��� �������
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Re: Estate of Brian F. McKenrick ,`� � � � � ?' ,�
No: 23-13-0354 0 � � `
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Dear Sir/Madam:
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As per your request, for the referenced estate please find original and two copies of:
a) Inheritance Tax Return;
b) Inventory;
c) Rule 6.12 Status Report; and
d) a check in the amount of$30.00 for your filing fee.
Thanking you, I am,
ery t y yours,
M. PALUMBO
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