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HomeMy WebLinkAbout02-0793 REV-1500 EX ~ (6-00) , CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R D E E S N T C o M P T U A T X A T I o N REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT D E C E o E N T COMMONWEAlTH OF PENNSYL.... ANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (lAST, FIRST, AND MIDDLE INITIAL) Rin er Alice L. DATE OF DEATH (t.tM-OD~YEAR) / OFFICIAl. USE ONLY FILE NUMBER 21-02- ..,q:3 COUNTY CODE YEAR NUMBER SOCIAl. SECURITY NUMBER 176-16-0082 THIS RETURN MUST BE ALED IN DUPLICATEwrTH THE REGISTER OF WILLS IALS C RI YNU E o 3 ate of death . RemalnderReturn prlorto 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes DATE OF BIRTH (MM-DD-YEAR) OL I ITIAL o 11. Election to tax under Sec. 9113(A) AME (Attach Sc.h 0) ."."!.........".(tkf" ...~.... '.' .....,,-_.......:1.. COMPLETE MAILING ADDRESS ..DIliiECl1it'to>.:, Copyright (c) 2000 form software only The Lackner Group, Inc:. Rin er, William P. X 1. Original Return 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) o 9. Utlgatlon Proceeds Received 2. Supplemental RetlJl'n 4a. Future Interest Compromise (date of dealh after 12-12-82) 7. Decedent MaintaIned a Living Trust (Attach copy of Trust) 0'0. Spousal Poverty Crltdlt (dale of death between 12~31.91 and 1-1-95) i';:Hml$($~'l:M_tle'C~if,:'_,~tj;i"'_~ NAME 60 West Pomfret Street West Pomfret Professional Carlisle, PA 17013 Bldg. 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable {Schedule oJ 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) B. Total Gross Asset. (total Lines 1-7) 9. Funera! Expenses & Administrative Costs (Schedule H) (9) 10. Oebls of Oecedent, Mortgage Liabil~ies, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Eslate (Line B minus Line 11) 13. Charitable and Governmental8equestslSec 9113 Trusts tor which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) IRWIN McKNIGHT & HUGHES TELEPHONE HUMBE~ (I) (2) (3) R E C A P I T U L A T I o N (4) (5) None None None OFFICIAL USE ONLY (6) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(aX1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 0.00 166,656.47 0.00 0.00 None None 75,030.14 98,185.83 6,559.50 None (B) 173,215.97 (11) 6.559.50 (12) 166,656.47 (13) (14) 166 656.47 x X X X .0 0 .045 .12 .15 (IS) (16) (17) (IB) (19) 0.00 7,499.54 0.00 0.00 7,499.54 FormREV-1500 EX {Rev. 6~OO' Decedent's Complete Address: STREET ADDRESS 877 Alexander Snrin~ Road CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 374.98 Total Credits (A + B + C) (2) 7,499.54 374.98 TotallnteresVPenalty ( D + E) (3) 4. It Line 2 is greater than line 1 ... line J. enter the difference. This;s the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2. enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line S + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT ." ':::;::/i:::;;'>"iH!!!!!!!H!!i!H!. ::!!!;:\::l::'~i:i!j:, i!!!i:!ii:Wi!::iii::m!1@\: ";"';:;:'::;:;::~:::;;;i;:;:":::;::::!::i:!:;:::~;:~;'::, ,~::::!!:!!!i' ;:~~;i::::::m::;::::::::::. "':".:."":"": ':q!11:~;:::i:;i: !!i,. !~:!::r[[[[[r[ri[i[mWi!:: !::WWW::i:;:!':'i"~"':':':::. "::'., . ,",',' " ._ ':; :!i:i>ii PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 7,124.56 0.00 7,124.56 Did decedent make a transfer and: 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 or . ...,..... ....... 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 fo( 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. Yes No ~~ [K] o o o rn rn Under penaltJes of perJuty, J declare that I have examIned thIs return, Including accompanying sc:hedules and statements, and to the best of my knowledge and belief, It Is true, correct and camplete. Declaration of preparer other than the personal representative Is based on all InformatIon of whIch p4"eparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FlUNG RETURN Jean R. Lewis .. .~?? _~~~?'_~~<:l~.".:. ~P_".:!!ljL~9.a.g. _.......... _ _... _. Carlisle PA 17013 IRWIN McKNIGHT & HUGHES 60 West Pomfret Street ------~--------------------------------~------------- Carlisle PA 17013 DATE J,h'7/}v DATE t 8'/.:l9' k For dates of death on or a r J " 1994 and before January " 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S, 9116(a)(1,1)(;)J For dates of death on or after January ,. 1995, the tax rate imposed on the net value of transfers to or tor the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) (Un 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 " 2000: The tax rate imposed on the net value of transfers from a deceased chifd twenty-one 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% [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%, except as noted in 72 P.S. 9116( 1.2) [l2P.S.9116(aXl)j. The tax rate imposed on the net value of transfers to orforthe use of the decedent's siblings is 12% [72 P.S. 9116(aX1.3)]. 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. CopyrIght (c) 2000 form software only The Laclcner Group, Inc. Form REV-1500 EX (Rev. 6-00) ,!:lEV-1509 EX + (1 ~97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Alice L. Ringer SCHEDULE F JOINTL V-OWNED PROPERTY 551, 176-16-0082 08/01/2002 FILE NUMBER 21-02- If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT( S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Jean R. Lewis 877 Alexander Spring Road daughter Carlisle, PA 17013 B. [Spouse] c. JOINTLY-OWNED PROPERTY' LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financIal instftutlon and bank DATE OF DEATH DECD'S VALUE OF aeeOl.lnt number or similar identifyIng number. NUMBER TENANT JOINT Atta1::h deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTERES 1 A 08/16/00 Orrstown Bank, certificate 50,060.27 50.00% 25,030.14 2 A 08/17/98 Waypoint Bank, certificate 100,000.00 50.00% 50,000.00 ~8000044429 TOTAL (Also enter on line 6, Recapitulation) $ 75,030.14 T (If more space is needed insert additional sheets of the same size) COpYright (el 1996 form software only CPSystems, Inc. Fonn REV-1509 EX (R"". 1-97) ~EV-1510 EX -+ (1-97) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Alice L. Ringer 08/01/2002 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. 55!f 176-16-0082 FILE NUMBER 21-02- DES~RIPTION OF PROP~RTY %OF ITEM INCLUOETH NAMEOFTHETRANS EREE THEIR DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE RELATIONSHIP TO OEC~OENT ANO V~E OATE OF 'tRANSFER. NUMBER ATTACH A COpy 0 THE OEED OR REAL ES ATE. VALUE OF ASSET INTEREST (IF APPLICABLE) 1 Orrstown Bank, checking 101,185.83 100.00% 3,000.00 98,185.83 acct. !f106002441 - 02/15/2002; Jean R. Lewis, daughter TOTAL (Also enter on line 7, Recapitulation) S 98 185.83 (It more space is needed, insert additional sheets of the same size) Copyright (cl 1996 form software onty CPSystems, Inc. Form REV-1510 EX (Rev. 1-97) ,REV~15'11 Ex + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDEN.T SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Alice L. Ringer 551; 176-16-0082 08/01/2002 FILE NUMBER 21-02- Debt. of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES, 1 Hoffman-Roth Funeral Home 5,692.50 2 Hoss's Steak & Seafood 102.00 B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Numben.s) I EIN Number of P~rsonal Representative(s} Street Address City State - Zip Year{s) Commission Paid: 2. Attorney's Fees IRWIN McKNIGHT & HUGHES 750.00 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 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Register of Wills - filing fee 15.00 TOTAL (Also enter on line 9, Recapitulation) $ 6,559.50 (If more space is needed, insert a.dditional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97) , ' "lWay~qi!1Kt lOOK FOR US. WE'll GET YOU THERE. W"'i f? '. e. i.s: n \\17 fE,'~"l~ J..'JI'I"'<' -~. .,1.1 ~.J ,,--; , ,;~, 'c... .- ... .~, ;'.:;.'i' 'v ~'I.J ,:;\. ... I 7 2002 08/16/2002 IRWIN MCKNIGHT & HUGHES 60 W POMFRET ST CARLISLE PA 17013 IRWIN, McKNiGtff & HUGHES The information which you requested on the account(s) of ALICE RINGER (Social Security Number 176-16-0082) is/are as follows: llccount~urnber 8000044429 8000045384 90695024 Class of Account CERTIFICATE CERTIFICllTE CHECKrnG Date Opened 08/17/98 10/02/98 09/04/90 Principal Balance 100000.00 100000.00 36243.89 Accrued Interest Balance at Date of 100000.00 100000.00 36243.89 Death llccount Ownership ITO ITO ITO ~ame of Joint JEA~ LEWIS WILLIllM WILLIAM Owner, if any RrnGER RrnGER Date Ownership 08/17/98 10/02/98 09/04/90 Was Established llccount ~urnber Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership ~arne of Joint Owner, if any Date Ownership Was Establisbed lldditional Information Requested ~ierelY~ atUiJ' ~1'<. TllY 0 SENIOR SE ICES REP. PO. Box 1711. HARRISBURG. PeNNSYlYANIA 17105-1711 Toll FreE 1-866-WAVPOINT (1-866-929-7646) . IN YORK AREA 717/815-4500 . www.waypointbank.com j' ~~ ORRSTOWN BANK , . TO: Law Offices Irwin McKnight & Hughes 60 West Pomfret Street Carlisle, PA 17013 FROM: ORRSTOWN BANK P.O. BOX 250 SHIPPENSBURG PA 17257-0250 RE: ESTATE OF Alice L Ringer ~~t~awoc~ AUG 24 2002 IRWIN, McKNIGHT & HUGHES DECEASED DATE OF DEATH: August 1, 2002 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD, ON THE ABOVE DATE, THE FOLLOWING ACCOUNTS WITH ORRSTOWN BANK: (1) CHECKING ACCOUNTS ACCOUNT NO. 405612 106002441 TITLE OF ACCOUNT William P Ringer Alice L Ringer Jean R Lewis DATE OPENED 8/3/95 2/15/02 (2) SAVINGS ACCOUNT DATE OF DEATH PRINCIPLE & ACCRUED INTEREST 42.45 101,185.83 182.97 DATE OF DEATH ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED PRINCIPLE & ACCRUED INTEREST (3) CERTIFICATES OF DEPOSIT ACCOUNT NO. TITLE OF ACCOUNT DATE OPENED 5060059617 Alice L Ringer 8/16/00 Jean R Lewis Date: 08/23/02 By: Timothea Customer Service Operator . P.O. BOX 250 . SHIPPENSBURG, PA 17257 DATE OF DEATH PRINCIPLE & ACCRUED INTEREST 50,000.00 60.27 TEL. (717) 532-6114 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA iJ126-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001585 MCKNIGHT MARCUS A III ESQUIRE 60 W POMFRET STREET CARLISLE, PA 17013 -------- ,oIJ ESTATE INFORMATION: ssrv: ns-t6-oosz FILE NUMBER: 2102-0793 DECEDENT NAME: RINGER ALICE L DATE OF PAYMENT: 08/30/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/01/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 57,124.56 REV-1162 EX~11-961 TOTAL AMOUNT PAID: REMARKS: JEAN R LEWIS C/O MARCUS A MCKNIGHT III ESQ CHECK# 237 INITIALS: JA SEAL RECEIVED BY: 57,124.56 MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX GIVISION DEPT. 280601 HARRISBURG, PA I]128-0601 MARCUS A MCKNIGHT ESQ IRWIN ETAL 60 W POMFRET ST CARLISLE PA 17.013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX CUT ALONG THIS LINE------- RETAIN REV-1547 EX AFP (01-02) NOTICE OF IN REY-1562 n RFI (O1-021 DATE 10-14-2002 ESTATE OF RINGER ALICE L DATE OF DEATH 08-01-2002 FILE NUMBER 21 02-0793 COUNTY CUMBERLAND ACN 101 Anount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER DF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 LOWER PORTION FOR YOUR RECORDS t DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RINGER ALICE L FILE N0. 21 02-0793 ACN 101 DATE 10-14-2002 TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule Al 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Oaned Property (Schedule F) 7. Trensfiers (Schedule G) 8. Total Assets (1) .OD NOTE: To insure proper (2] .00 credit 4o your account, [3) .00 submit the upper portion [y) .DO of this Porn with your [5) .00 tax payment. (6) 75,030.14 (7) 98,185.83 (B) 173,215.97 APPROVED DEDUCTIONS AND EXEMPTIONS: 6,559.50 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 30. Debts/Mortgage Liabilities/Liens (Schedule I] (30) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (11] (12) 166,656.47 a3) .00 f14) 166,656.47 NOTE: If an assessment Was issued previously, lines 14, 15 andiDr 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Anount of Line 14 at Spousal rate (15) •00 X 00 = .DO 16. Anount of Line 14 taxable at Lineal/Class A rate (16) 166,656.47 g 045= 7,499.54 17. Anount of Line 14 at Sibling rata (17) .00 X 12 = .00 18. Anount of Line 14 taxable at Collateral/Glass B rate [18) •00 X 15 = .00 19. Principal Tax Due (19)= 7,499.54 TAY CR FOTTRe GATE NUMBER ~ INTEREST/PEN PAID l-) AMOUNT PAID 08-30-2002 CD001585 374.98 7,124.56 ING FUTURE INTEREST - SEE TOTAL TAX CREDIT 7,499.54 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 m IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)