HomeMy WebLinkAbout07-22-14 J 1505610140
REV-1500 EX (02-11)(FI)
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisbur4 PA 17128-0601 RESIDENT DECEDENT 2 1 1 3 D 5 5 1
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
Suffix DecedenYs First Name MI
N A G Y W I L L I A M q
(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
� 1.Original Return a 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
H U B E R T X . G I L R 0 Y 7 1 7 2 4 3 3 3 4 1
,..,
REGISTEI�QF WILLS US�i�NLY I �-?
c_� =_- _�; --,-,
First Line of Address
�� � -��, ....
rn�_=_ r---- .':.k
1 0 E A S T H I G H S T R E E T I �t�.=� � ` -� _:
Second Line of Address Q t :; y„ --
C�� :,.: � -
O� _ -�:
--1 �fJ r,_ r r1
City or Post Office State ZIP Code �____ �TE FILED � � C�
C A R L I S L E P A 1 7 0 1 3 �
CorrespondenYs e-mail address: HGILROY(n�MARTSONLAW.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 complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGN E OF PERSON RESPO IBLE FOR FILING RETURN DATE
ADDRES
- a- ��
109 CHOOLFI LD DRIVE CARLISLE PA 17013
SIG P AR ER THAN REPRESENTATIVE DATE
A s f�� —i`/
10 EAST HI STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610140 1505610140 J �
�
J 1505610240
REV-1500 EX(FI)
DecedenYs Social Security Number
�eoedent's Narr�e: W I L L I A M A • N A G Y
RECAPITULATION
1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 1 6 1 5 � 0 , 0 0
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 0 • � �
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. 1 7 6 2 . 2 9
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. 0 . � 0
7. Inter-Vivos Transfers&Miscellaneous N n-Probate Property
(Schedule G) � Separate Billing Requested . . . . . . . 7. � . � �
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 1 6 3 2 6 2 . 2 9
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9• 2 8 8 � 8 . � 3
10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 2 2 5 3 . � 0
11, Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 3 1 � 6 1 . 0 3
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 1 3 2 2 � 1 . 2 6
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. 1 3 2 2 � 1 . 2 6
TAX CA�CULATION-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 . 0 0
16. Amount of Line 14 taxable
at►inea�rate X.045 1 3 2 2 0 1 . 2 6 �s. 5 9 4 9 . D 6
17. Amount of Line 14 taxable
at sibling rate X.12 � . ❑ � 17. � . Q �
18. Amount of Line 14 taxable
at collateral rate X.15 � . 0 0 ig. Q . � �
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 5 9 4 9 . 0 6
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
Side 2
� 1505610240 1505610240 J
_
.
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 2i i3 ossi
DECEDENT'S NAME
WILLIAM A.NAGY
- -- — - --- _ __—
----__--__ _ _. _- --_._
. -- - _ _—
TREET ADDRESS
2 STRAWBERRY DRIVE
CITY STATE ZIP
CARLISLE PA 17013
Tax Payments and Credits:
�� Tax Due(Page 2,Line 19) (1) 5,949.06
2. Credits/Payments
A.Prior Payments 6,224.87
B.Discount
Total Credits(A+B) (2) 6,224.87
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) 275.81
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 ...................................................................... ❑ �
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 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 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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in p2 P.s.§s��s(a)(�)�.
• 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 blood or adoption.
REV-1502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
WILLIAM A.NAGY 21 13 0551
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 jointlyowned 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 OF DEATH
DESCRIPTION
1. Real Estate located at 22 Strawberry Dr., So. Middleton Twp.,Cumberland Co.,PA, 161,500.00
known as Tax Parcel No.40-23-0600-012,being described in Deed dated 9/29/06 and recorded in
Cumberland Co.,PA Deed Bk 246,Page 4965 and being conveyed to William A.Nagy,Decedent
herein. Value is proposed sale value. See attached Seller's Estimated Costs
TOTAL(Also enter on Line 1,Recapitulation.) $ 161,500.00
If more space is needed,use additional sheets of paper of the same size.
__ .
REV-1508 EX+(OS-12)
pennsylvania SCHEDULE E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS 8� MISC.
INHERITANCE TAX RETURN
RESIDENTDECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
WILLIAM A.NAGY 21 13 0551
Include the proceeds of litigation and the date the proceeds were received by the estate.
Ail property jointiy owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PA Bureau of Unclaimed Property,Erie Insurance,refund 306.00
2. School Tax Proration 1,290.97
3. County Real Estate Tax Proration 165.32
TOTAL(Also enter on Line 5,Recapitulation) $ 1 762.29
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
WILLIAM A.NAGY 21 13 0551
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
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: Martson Law Offices(estimated) 8,210.00
3. Family Exemption:(If decedenYs address is not the same as claimanPs,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4• Probate Fees:
5 Accountant Fees:
6. Tax Retum Preparer Fees:
7. 1%Realty Transfer Tax 1,615.00
8. Prudential Home Sale Services,commission 9,195.00
9. Certificate of Resale 75.00
10. Notary fees 40.00
11. Robert C.Cairns,2013 School Taxes 1,453.78
12. Strawberry Court Condo Association,fees pending sale of real estate 3,040.10
13. PPL Electric, service pending sale of real estate 1,188.62
14. SMTMA,sewer/water service pending sale of real estate 634.37
15. Tuckey Mechanical,furnace maintenance pending sale of real estate 75.00
16. Ken Evans,home repairs pending sale of real estate 350.00
17. Tyke Delp,home repairs pending sale of real estate 500.00
18. Tax Certification fee 10.00
TOTAL(Also enter on Line 9,Recapitulation) $ 2g g08.03
If more space is needed,use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
WILLIAM A. NAGY 21 13 0551
DecedenYs Name Page 8 File Number
Schedule H -Funeral Expenses &Administrative Costs -B7.
ITEM
NUMBER DESCRIPTION AMOUNT
19. Ken Evans,home repairs pending sale of real estate 350.00
20. Tyke Delp,home repairs pending sale of real estate 500.00
21. Tax Certification fee 10.00
22. PA Deparhnent of Revenue,2013 PA41 tax due 22.00
23. Additional probate fee 50.00
SUBTOTAL SCHEDULE H-67 932.00
REV-1512 EX+(12-12)
pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT�
INHERITANCETAXRETURN MORTGAGE LIABILITIES& LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
WILLIAM A.NAGY 21 13 0551
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. US Treasury,2013 1040 ta�c due 2,253.00
TOTAL(Also enter on Line 10,Recapitulation) $ 2 253.00
If more space is needed, insert additional sheets of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
BENEFICIARtES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
WILLIqM A.NAGY 21 13 0551
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. Amy K.Nagy Powless Lineal 44,067.09
109 Schoolfield Drive
Carlisle,PA 17013
2. Elizabeth M.Nagy Lineal 44,067.09
129 Gale Avenue
River Forest,IL 60305
3. Jennifer A.O'brien Lineal 44,067.08
220 N.Oak Park Avenue,3 V
Oak Park,IL 60302
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.
1.
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
1.
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.
SELLER'S ESTIMATED COSTS SEC
This form recommended and epproved for,but not restricted to use by,the members of the Pennsylvania Associadon of REALTORS�(PAR).
1 PROPERTY 22 Strawberry Drive, Carlisle, Pa. 17013
2 SELLER Estate of wiiiiam A. Naciv, C/O Amv Powless Exect.
3 BUYER John S. Steel , rtancv J. steei
4 SETTLEMENT DATE Aua.l5th 2014 PURCHASE PRICE$ $161,500.00
5
6 1. Broker's Fee 6� + $225.00 $ 9,915.00
7 2. Preparation of Deed EsT $ 300.00
8 3. Transfer Tax 1� $ 1,615.00
9 4. Seller's AssisdCredit to Bnyer $
10 5. Home Warranty $
11 6. Municipal Certitication(s) $
12 7. Certificate of Resale(Condominium/Homeowner's Association)�st $ 75.00
13 8. Settlement Fee $
14 9. Notary Fees EST. $ 40.00
15 10. Survey �
16 11. On-lot Sewage System Pumping $
17 12. Property Repairs $
18 13. Tax Certitications $
19 14. Overnight/Express Mail Charges $
20 15. Domestic Lien Search $
21 16. "Patriot AcY'Search �
22 17. Other $
23 18. Other $
24
25 ESTIMATED COSTS (subtotal) $ 11,945.00
26
27 Adjustments(+/-)(e.g.,real estate taxes,association fees,utilities)+ - Taxes � Condo Fee $
28
29 TOTAL ESTIMATED COSTS/ADJUSTMENTS $ 11,945.00
30
31 Purchase Price $ $161,500.00
32
33 Total Estimated Costs/Adjustments(from above) $ 11,945.00
34 •
35 ESTIMATED PROCEEDS(before loan payoffs) $ 149,555.00
36
37 Seller's Estimate of Mortgages,Equity,and Other Loan Balances
38 (including prepayment penalties),liens,assessments,etc. $
39
40 ESTIMATED NET PROCEEDS TO SELLER $ 14 9,555.00
41
42
43 The estimated proceeds do not take into account any other undisclosed mortgage obligations,liens,assessments,judgments
44 or other obligations levied against the Property or Seller.
45
46 Seller understands that the estimated costs stated above are based on the best information available at signing and may be
47 higher or tower at settlement.
48
49 Selter understands and has received a copy of these estimated closing costs before signing the Agreement of Sale.
50
51 SELLER Estate of willism A. Na DATE
52 SELLER `� c/o Am powless Exect. DAT�� '�1�
53 SELLER ' DATE
54
55 BROKER(Company Name) Prudenti o s Services Grou
56 PROVIDED BY(Licensee) DATE ��
� Gary Shulenberger
' I Pennsylvania Association of REALTORS` COPYRIGHT PENNSYLVANIA ASSOCIATION OF REALTORS�2005
12/OS
CHANGE IN TERMS ADDENDUM TO AGREEMENT OF SALE CTA
This form recommended and approved for,but not restricted ro use by,the members of the Pennsylvania Association of RealtorsB(PAR).
1 PROPERTY 22 3trawberry Drive, Carlisle, Pa. 17013
2 SELLER Estate of William A Nagy, C/O Amy Powless Exect.
3 BUYER John S Steel , Nancv J Steel
4 DATE OF AGREEMENT June 3, 2014
5 The following terms of the Agreement of Sale are changed as stated below:
6 1. PURCHASE PRICE
7 Purchase price is changed from$ 165,000.00 to$161,500.00
$ 2. SELLER ASSIST
9 Seiler Assist is changed to$ ,or %of the Purchase price,maximum,toward Buyer's costs as
10 permitted by the mortgage lender, if any. Seller is oniy obligated to pay up to the amount or percentage which is approved by mortgage
11 lender.
12 3. ACCEPTANCE&SETTLEMENT
13 (A)Written acceptance of ail parties will be on or before:July 15, 2014
14 (B)Settlement Date is changed from August 1, 2014 to Auaust 15, 2014
15 4. FIXTURES AND PERSONAL PROPERTY
16 (A)The following items aze INCLUDED in this sale:
17 (B)The following items are LEASED:
18 (C)The following items are EXCLUDED in this sale:
19 5. MORTGAGE TERMS
20 (A)Mortgage Type is changed from to
21 (B)Mortgage amount
22 1. First mortgage amount is changed from$ 132,000.00 to$ 123,200.00
23 2. Second mortgage amount is changed from$ to$
24 (C)Mortgage Lender
25 1. First mortgage lender is changed to
26 2. Second mortgage lender is changed to
2'7 3. Buyer will submit a completed, written mortgage application to the idendfied lender(s) according to the terms of the
28 Mortgage Contingency pazagraph of the Agreement of Sale on or before:
29 (D)Loan-To-Value(LTV)ratio(For non-FHA/VA loans)
30 1. First mongage LTV ratio not to exceed °lo
31 2. Second mortgage LTV ratio not to exceed %
32 (E)Mortgage Cotnmitment Date is changed from �o
33 6. TIl�ZE PERIOD CONTINGENCIES
34 (A)Contingency Periods
35 1. T'he conungency period for ,elected in the Agreement of Sale is changed to
36 2. The concingency period for ,elected in the Agreement of Sale is changed to
37 3. The conangency period for ,elected in the Agreement of Sale is changed to
38 (B)Additional Time Periods
39 1. The time period in paragraph ,line of the Agreement of Sale is changed to
40 2. The time period in paragraph ,line of the Agreement of Sale is changed to
41 3. 'The time period in paragraph ,line of the Agreement of Sale is changed to
42 7. OTHER
43
44
45
46
47
48 All other terms and conditions of the Agreement,including all other time periods,remain unchanged and in full force and effect.
49 BUYER DATE
John S. Steel
50 BUYER DATE
Nancy J. Steel
51 BUYER DATE
52 SELLER � `��,� ���._DATE �� '�/ `I`�
Est e of ' liam 1�1. agy
53 SELLER DATE
C O Amy Powless Exect.
54 SELLER DATE
�� I Pennsylvania Association of Realtors� COPYRIGHTPENNSYLVANIAASSOCIATIONOFREALTORS�2010
04l14
Prudrntial HomesaldCar]isk,8 Brookwood Ave.Ste.A Caziiste,PA I70I3 Phone:717-243•2100 Fax: 717-245-0683 Nagy Estste to Steel
Gary Shulenberger Produced with zipForm�by zipLOgix 18070 Ffteen Miie Road,Fraser,Michigan 48026 www.zioLoaix.com