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REV-1500 EX (02-17)(FI)
OFFICIAI USE ONLY
PA Department of Revenue Counry Code Year Fi1e Number
Bureau of Individuai Taxes �NHERITANCE TAX RETURN
Po aox 2soso� 2 1 1 3 0 9 0 5
Harrisbu .PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY DBiC Of Bitih MMDDYYYY
3 1 2 3 2 3 2 4 5 0 8 0 6 2 0 1 3 0 3 1 7 1 9 1 7
Decedent's Last Name Su�x Decedent's First Name M�
B I L L I N G S J U L I A E
(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.Originai Return o 2.Supplementai Return � 3.Remainde�Return(Date of Death
Priorto 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.Oecedent Maintained a Living Trust _ 8.Total Number of Safe Deposit Boxes
(Attach Copy ot 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 COMPLETEU.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
I V 0 V • 0 T T 0 I I I ? 1 ? 2 4 3 3 3 4 1
REGISTER Of WIIIS U�NIY -a
f"� c n r7 I';'1
� C� —r� ��
r�'�
First Line of Address �:� -,, � ;.�
1 0 E A S T H I G H S T R E E T �� N � � ��
_ ..,,, c�.s ,
Second Lme of Address
"t�7 �
OATE FlLED 'i �
Ciry or Post Office State ZIP Code � �,=Y
C A R L I S L E P A 1 ? 0 1 3 �,� � , �,�
s
CorrespondenYs e-mail address: 10"fTO�MARTSONI.AW.CUM
Under penalUes of perjury.I deGare that I have examined this retum,inciuding accompanying schedules and statements,and to the besl of my knowfedge and beGel.
it�s true.correct and complete.Declaration oi preparer other than the personal representaUve is based on ati information ot which preparer has any knowledge.
SIGNA URE OF PERSQN ESPON$IBLE FOR FILIN RETURN DATE
� �� i�� � ��i � � � � 's
A ESS
P •0 • BOX 7? TRACYS LANDING MD 20779
SIGNA RE\�PR ER OTHER THAN REPRESENTATIVE <� �D/�T� ( -`\,c���
� I �(.
ADDRESS
10 EAST NIGH STREET CARLISLE PA 17013
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1505610140 1505610140 J
Continuation of REV-15001nheritance Tax Return Resident�ecedent
JULIA E.BILI.INGS 21 13 0905
Decedent's Nart� Page 1 File Number
Correspondents
Name Daytime Telephone Number
1 V O V . O T T O I I I 7 1 7 2 4 3 3 3 4 1
First fine oi address
1 U E A S T H I G H S T R E E T
Second Iine of address
City or Past Office State ZIP Code
C A R L I S L E P A 1 7 0 1 3
CorrespondenYs e-mait a�lress:IOTTO(�a MARTSONLAW.COM
U�ler penaliies af perjury.t dedare tl�at 1 have euamined th retum,im�uding s000mpanying schedules artd statemertts,arri to tlie besl of rtry Inwwtedge snd be5ef,
it is true.corted and oompte�e. don of preparer oth tha t representaWe!s based on aIl irt�rrr�aUon oi which preparer hac any krwwledge.
SI6NA E F P`SON R N FOR FIUNG A�
� �� �,�
ADDRESS
1219 HOUSE HOLLOW R AD SPERRYVILLE VA 22740
� 1505610240
REV-1500 EX(FI) DecedenYs Social Security Number
oecedent'sName: JULIA E • BILLINGS 3 1 2 3 2 3 2 4 5
RECAPITULATION
0 , 0 0
1. Real Estate(Schedule A) �•
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Z•
� . � �
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 4 4 2 . 5 �
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. � • � �
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) � Separate Billing Requested . . . . . . . 7. � • 0 0
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 1 4 4 2 . 5 �
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9• 1 1 5 . � �
10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. � • � �
��, Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 1 1 5 . � �
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12� 1 3 2 7 . 5 �
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . �3• •
14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . 14. 1 3 2 � . 5 �
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 _ � . � � 15. � . � �
16. Amount of Line 14 taxable
at lineal rate X.045 • 16. � • � �
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 � 17. � • � 0
18. Amount of Line 14 taxable ], 9 9 . 1 3
at collateral rate X.15 1 3 2 7 . 5 � 18.
19. TAX DUE 1 9 9 • 1 3
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
� 1505610240 150561024� J
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 2i t3 0905
DECEDENT'S NAME
JULIA E. BILLINGS
STREET ADDRESS
86 PLUM TREE CIRCLE
CITY STATE ZIP
NEWVILLE PA 17241
Tax Payments and Credits: ��� 199.13
1. Tax Due(Page 2,Line 19)
2. CreditslPayments
A.Prior Payments 5.08
B.Discount
Total Credits(A+B) (2) 5.08
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) 194.05
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 decetlent 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 imposetl 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 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 decedent's 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-1508 EX+(08-12)
pennsylvania SCHEDULE E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCETAXRETURN pERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
JULIA E.BILLINGS 21 13 0905
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
�. Cordier Auctions&Appraisals-additional proceeds from sale of personal property 1,442.50
TOTAL(Also enter on Line 5,Recapitulation) $ 1,442.50
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
JULIA E. BILLINGS 21 13 0905
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 Attomey Fees: Martson Law Offices(estimated) 100.00
3, Family Exemption:(If decedenrs address is not the same as claimanYs,attach explanation.)
Claimant
Street Address
��� State Z�P
Relationship of Claimant to Decedent
4. Probate Fees:
5 Accountant Fees:
6, Tax Return Preparer Fees:
7, Register of Wills,Cumberland County-filing fee for Supplemental Return 15.00
TOTAL(Aiso enter on Line 9,Recapitulation) $ 115.00
If more space is needed,use additional sheets of paper of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
JULIA E.BILLINGS 21 13 0905
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. Sibyl A.Grundberg Collateral 221.25
52 Warham Road 1/6 of residue
London N41 ST England
2. John Andrew Grundberg Collateral 221.25
1219 House Hollow Road 1/6 of residue
Sperryville,VA 22740
3. Carl Grundberg Collateral 221•25
2320 Parker Street,Apt.A 1/6 of residue
Berkeley,CA 94704
4. George C.Billings Collateral 221.25
707 Olde Central Way 1/6 of residue
Mt. Pleasant,SC 29466
5. Jennifer B. Walge Collateral 221•25
P.O. Box 77 1/6 of residue
Tracys Landing,MD 20779
6. Michael J.Billings Collateral 221.25
9 North Summit Avenue 1/6 of residue
Chatham,NJ 07928
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
I�. NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
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.