HomeMy WebLinkAbout02-1091
LAW OFFICE S
SAIDIS, SHUFF, FLOWER & LINDSAY
A PROFESSIONAL CORPORATION
2109 MARKET STREET
CAMP HILL, PENNSYLVANIA 17011
JOHN E
SLIKE TELEPHONE: (717) 737-3405 -FACSIMILE: (77.7) 737-3407
.
ROBERT C
SAIDIS EMAIL: attorney@ssfl-law.com
.
GEOFFREY S. SHUFF wwwssfl-law. om
JAMES D. FLOWER, JR.
CAROL J. LINDSAY
KARL M. LEDEBOHM
JOSEPH L. HITCHINGS
THOMAS E. FLOWER
December 3, 2002
Register of Wills
Cumberland County Courthouse
Carlisle, PA 1.7013
Re: The Estate of John R. Hart
Dear Sir or Madam:
CARLISLE OFFICE:
26 W. HIGH STREET
CARLISLE, PA 17013
TELEPHONE: (717)243-6222
FACSIMILE: (717)243-6486
REPLY TO CAMP HILL
Enclosed please find an original and two copies of an inheritance tax return to be filed in
regard to the above estate along with a check in the ;Imount of $15.00 for the filing fee. This
estate has not been probated because the only asset listed on the return is anon-probate
retirement account. Please find a Dept, of Revenue Information Sheet so that a file number may
be assigned.
Kindly return atime-stamped copy of the tax return in the envelope provided.
Very truly yours,
SAIDIS, SHUFF, FLOWER & LINDSAY
.Shelby L. ~ filing, Estate Paralegal _, .
/sly
Enclosures
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
"EV-1500 EX t (6~OO)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128~0601
DECEDENT'S NAME (LAST, FIRST, AND MIQDLE INITIAL)
Hart John R.
DATE OF OEATH (MM~DD-YEAR)
DATE OF BIRTH (MM-DD-YEAA)
Hart, Gloria S
X 1. OrIgInal Return
4. Lhnlted Estate
X 6. Decedent Died Testate
(Attach copy of WW)
o 9. LItigatIon Proceeds Received
2.
4a.
7.
010.
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NAME
Geoffre S. Shuff
FlAM NAME (If Applicable)
Saidis, Shuff, Flower & Lindsa
TELEPHONE NUMBER
2109
Camp
1/
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--
OFFICIAL USE ONLY
I tJ!)
;i!J...
/09/
NUMBER
FILE NUMBER
:1.1
COUNTY CODE YEAR
SOCIAL SECUAITY NUMBER
O~
197-20-1105
THIS RETURN MUST BE ALED IN DUPLICATE wtTH THE
REGISTER OF WILLS
SOCIAL SECU ) Y NUMBER
3. date of deat
. Remainder Return prlor to 12-13-82)
S. Federal Estate Tax Return Required
8. Total Number at Safe Deposit Boxes
OFFICIAL USE ONLY
(8) 160,626.34
(11) 0.00
(12) 160,626.34
(13)
(14) 160,626.34
(15)
(16)
(17)
(18)
(19)
0.00
0.00
0.00
0.00
0.00
Supplemental Return
Future Interest Compromise (date of death after 12-12-82)
Decedent Maintained a living Trust
(Attach copy of Trust)
Spousal Poverty Credit 0 11. Election to tax under See. 9113(A)
(dateot death between 12-31-91 and 1-1-95} (Attach Sch 0)
.l,l(~~NllENC.E &.cONFll)J'I:\'~It4I./NfloaM~:r.
COMPLETE MAILING ADDRESS
3 -305
,. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule O)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. tnter- Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G ar LI
B. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule tJ {10}
11. Total Deductions (tatal Lines 9 & 10)
12. Net Value of Estate (Une 8 minus Une 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Sub'ect to Tax (Line 12 minus Line 13)
(1)
(2)
(3)
o
Market Street
Hill, PA 17011
None
None
'None
None
None
None
160,626.34
None
None
x
X
X
X
o 0
o 45
.12
,15
R
E
C
A
P
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T
U
L
A
T
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o
N
(4)
(5)
(6)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxab~ at the spousal tax
rate. ar transfers under Sec. 9116(a)(1.2) 160,626.34
16. Amount of line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
1B. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.
Copyright{c)2000 form softwa.re only The Lackner Group, 1m:.
Form REV-1500 EX (Rev, 6-00)
Decedent's Complete Address:
STREET ADDRESS
1106 Coover Street
CITY I STATE TZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
Total Credits ( A + B + C) (2)
0.00
3. InterestlPenafty if applicable
D. Interest
E. Penalty
TotallnteresVPenalty ( D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is 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 5 + SA. This is the BALANCE DUE. (5B)
Make Check Payabfe to: REGISTER OF WILLS, AGENT
0.00
0.00
0.00
0.00
0.00
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Yes No
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Under penalties of perjury, f declare that f 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 OF PERSON RESPONSIBLE FOR FlUNG REWR
-!~~~<--~~---~--------------
DATE
1I/2;V-~.z.
OAl'E I
Saidis, Shuff, Flower & Lindsay
2109 Market Street
-- -C~- uilil-i; - PA - - ii6ii - - - - -- - - - -- - - - - --
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 PS. 9116 (a) (1.1) (il].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 I=I.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 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 $. 9116(1.2)
[72P.S.9116(aX1J).
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(a)( 1.3)]. A sibling is defined, uhder
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 Lackner Group. Inc.
Form REV-1500 EX (Rev. 6-00)
RIiV-1S10 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
John R. Hart
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
SSlf 197-20-1105
08/05/2002
This schedule must be completed and filed it the answer to any of questions 1 through 4 on page 2 is yes.
DESCRIPTION ~F P,\jOPERTY %OF
ITEM INCLUOE THE NAME OF T E T ANSFEREE THEIR DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE
RelATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER.
NUMBER ATTACH ACOPYOF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE)
1 Fidelity Investments 160,626.34 100.00% 160,626.34
Retirement Acct. 1045549223
(spouse is primary benef.)
TOTAL (Also enter on line 7, Recapitulation) $ 160,626.34
(If more space IS needed, Insert addltronal sheets of the same size}
"~~.....ftware only CPSystems, lnc.
Fotm REV-1510 EX (Rev. 1-9
P.~V-1513 EX -I- (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
John R. Hart
SS11 197-20-1105
08/05/2002
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS Iinclude outright spousal distrIbutions, and
transfers under Sec. 9116{a)(1.2)]
RELATIONSHIP TO DECEDENT
Do Not list Trust..(s}
1
Gloria S. Hart
1106 E. Coover St.
Mechanicsburg, PA 17055
spouse
FilE NUMBER
AMOUNT OR SHARE
OF ESTATE
Retirement
Acct. as
primary benef.
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II, NON- TAXABLE DISTRIBUTIONS,
A, SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART" - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
r>~...wi""'ht Id 2000 form software only The Lackner Group.lnc
0.00
Form REV-1513 EX (Rev. 9-00)
Fidelity
Investments.
November 14, 2002
SAID IS, SHUFF, FLOWER & LINDSAY
2109 MARKET ST
CAMP HILL P A 17011
Dear Sirs:
Thank you for your letter requesting information about John Hart's accounts with Fidelity. The
table below lists the account value as of August 5, 2002.
Brokeral!e account- - -
Securitv descriution Quantitv Unit value Market Value
FIDELITY INVESTMENT GRADE 0 6,331.353 $7.44 $47,105.27
FIDELITY SHORT TERM BOND lD 3,413.328 $8.83 $30,139.69
FIDELITY GINNIE MAE ~ 4,251.625 $11.16 $47,448.14
FIDELITY CASH RESERVES 0 35,933.240 $1.00 $35,933.24
Total Value $160,626.34
345 549223 JOHN R HART TRADITIONAL IRA
1. Accrued but unpaid interest from 08/0112002 to 08/05/2002: $26.48
2. Accrued but unpaid interest from 08/01/2002 to 08/05/2002: $17.52
3. Accrued but unpaid interest from 08/0112002 to 08/05/2002: $30.03
4. Accrued but unpaid interest from 08/01/2002 to 08/0512002: $7.68
Mutual Fund account-2BP-403407: JOHN R HART - TRADITIONAL IRA *
Securit descri tion Quantit Unit value
Total Value
'Closed 08/0512002, transferred to 345-549223.
Market Value
$ 0.00
I hope this information is helpful. For questions concerning account holdings or instructions on
how to transfer the ownership of the accounts, please call our Inheritor Services Group at 800-
544-0003 between 9:00 A.M. and 7:00 P.M. Eastern time Monday through Friday or visit our
website at www.fidelitv.com.
Sincerely,
1,L~
Jennifer Ruddock
Account Re-Registration Services
Our file: W002944-l4NOV02
Customer Service Group
~. ~-tea ~ i~
BUREAU OF INDIVIDUAL TAXES COMMONWEALTH OF PENNSYLVANIA
INHERITANCE rnx DIVISION DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 1~1z8-oboe NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REY-1547 EN OFV (01-037
DATE 01-28-2003
ESTATE OF HART JOHN R
DATE OF DEATH 08-05-2002
FILE NUMBER 21 02-1091
GEOFFREY S SHUFF COUNTY CUMBERLAND
2109 MARKET ST ACN 101
CAMP HILL PA 17011 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETA_IN LOWER PORTION FOR YOUR RECORDS -.~
-------------------
REV-1547 EX AFP (01-031 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
-----------------------------------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HART JOHN R FILE N0. 21 02-1091
ACN 101 DATE 01-28-2003
TAX RETURN WAS: [ Xl ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
(1) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C) (2) .00 credit to your account,
(3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
(4) .00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E! (5)
6. Jointly Owned Property (Schedule F) •00 tax payment.
(6) .00
7. Transfers (Schedule G) (7) 160,626 34
8. Total Assets
(8) 160,626.34
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) •00
10. Debts/Mortgage Liabilities/Liens (Schedule I)
(lo) .00
11. Total Deductions
12. Net Value of Tax Return (11) DD
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 160,626:00
14. Net Value of Estate Subject to Tax
(14) 160,626.34
NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate 160,626.34 X 00 _ .00
(15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 X 045 - .00
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due
TAX CREDITS: (19)= .00
DATE
INTEREST/PEN PAID (-) ~ AMOUNT PAID
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERVATION: grsitpossessioncoreen]oYment to ClassfBr(collateral)2beneficiariesaof theudecedent after the expirationtofnanYrestate for
atftherlawfuleClasstBeCcollateral)hrate on anyrsuchyfuturavinterestight to appraise and assess transfer Inheritance Taxes
PURPOSE OF
NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P. .
Secticn 9140).
PAYMENT: Detach the top portion of this Notice and submit with Yaur payment to the Register of Wills printed on the reverse side.
--Make check or money order payable to: REGISTER OF NILLS~ AGENT
REFUND CCRI: fo~eRefund of PennsylvaniawInheritancetandgEstate Taxth(REVX1313)rn~ApplicationsearedavailableeatnthanOfficeication
of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour
answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and / or
speaking needs: 1-800-447-3020 (TT only).
OBJECTIONS: ofytaxr(includingrdiscountsorlinterest)hashshownronsthistNaticewmust~objectswithinnsixty (60)cdayssof receiptsofnt
this Notice by: OR
--written protest to the PA Department of Revenue, Board of Appeals, Oapt. 281021, Harrisburg, PA 17128-1021,
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department o avenue,
PA 17128-0601
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg,
Phone (7171 787-6505. See page 5 of the bcaklet ^Instructians far Inheritance Tax Return for a Resident
Decedent" CREV-1501) for an explanation of administratively correctable errors.
DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of
the tax paid is allowed.
PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as You would appeal the tax and interest
that has been assessed as indicated on this notice.
INTEREST: Interest is charged beginning with first day of delinquency, or nine (9l months and one (1) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
January)1Pe1982twi11 bearminteresttat atrateawhich willfvaOrvOfrom calendareYearlto calendareyearuwith thatdrateer
Interest Daily
announced by the PA Department of Revenue. The appliInteeesttarestDailyes for 1982 through 200 are:
Interest Daily Year Rate Factor
Rate Factor Year Rate Factor
Year 7% , 000192
1987 9% .000247 1999
1982 20% .000548 ,000301 2000 8% .000219
1983 16% .000438 1988-1991 11% 2001 9% ,000247
.000301 1992 9% .000247 6~ ,000164
1984 11% 1993-1994 7% .000192 2002
1985 13% .000356 ,000247 2003 5% .000137
1986 10% .000274 1995-1998 9%
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.