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Home My WebLink About04-16-15 . pennsytvania 1505614105 .j .erroFnevexue EX(03-14)(FI) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN I 1 I Fi ;,..� rt��Harrisbur8, PA 17128-0601 RESIDENT DECEDENT pJ `J `! ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYWY Date of Birth MMDDYYYY 10192015 [08�O6934 Decedent's Last Name Suffix Decedent's First Name MI Sanderson Nancy D (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return p 2.Supplemental Return p 3. Remainder Return(date of death prior to 12-13-82) C=:) 4.Agriculture Exemption(date of O 5. Future Interest Compromise(date of O 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) (W 7. Decedent Died Testate p 8.Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes (Attach copy of will.) oUIr-Aqd$' (Attach copy of trust.) O 10. Litigation Proceeds Received p 11.Non=Probate Transferee Return p 12.,Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) O 13. Business Assets O 14..Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Gary L Sanderson, Executor +301.552.4795 First Line of Address t 7039 Hunter Lane Second Line of Address City or Post Office State ZIP Code Hyattsville J MD C 20782-1115 Correspondent's email address: gary@sandersoncomputer.com REGISTER OF WILLS USE ONLY --, REMOTER_OF WILLS USE ONLY T`TDA—TE FILED MMIDDYYYY r� o � rn `—acs ca O DATEFILl TAM15-- frl C> -q tE TI PLEASE USE ORIGINAL FORM ONLY C-5 W Side 1 .7- -� +^^ [mom Y �✓ V l T i 111111 11111 11111 iii��ii��i�iiii�i��oiii 11111 ilii ilii ' 1 4 1505614105 J 1505614205 REV-1500 EX(FI) Decedent's Social Security Number Decedent's Name: RECAPITULATION 1. Real Estate(Schedule A). .. . .... .... .... ............. ... ..... ... .. ... 1. I $174,000.00 2. Stocks and Bonds(Schedule B) ...... ....... ............... ..... ...... 2. $1,310,295.72 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. $79,105.51 i 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... .. . 7. 8. Total Gross Assets(total Lines 1 through 7). ...... .... ..... ......... .... 8. $1,563,401.23 9. Funeral Expenses and Administrative Costs(Schedule H)................ ... 9. I $772.00 l 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)... ..... .... ... 10. $8,000.00 11. Total Deductions(total Lines 9 and 10).... .... .... ............ . ........ 11. $8,772.00 12. Net Value of Estate(Line 8 minus Line 11) ...... ........ ........ ........ 12. $1,554,629.23 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. $1,554,629.23 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_ 1 15. 16. Amount of Line 14 taxable at lineal rate X.0 45 Children , 16.1 $69,958.32 17. Amount of Line 14 taxable I at sibling rate X.12 I 17. 18. Amount of Line 14 taxable at collateral rate X.15 19. TAX DUE .. ... .. . ... ....... .... ... ....................... ....... .. 19. , $69,958.32 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Under penalties of perjury,I declare 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 person responsible for filing the return is based on all information of which preparer has any knowledge. SIGNATURE O ERSO ;oRfflSPOWIBLE FOR FILING RETURN DTE � _ o&-Grn.'�-W e(LSlS ADDRESS 7030) 9%A -T-6rz (-l7A-i�svZ`C� Mz0-7,�7 SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE ADDRESS Side 2 4ii�i�i�iiiii 1505614205 J REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Nancy D Sanderson STREETADDRESS 14 Redbud Drive CITY STATE ZIP Mechanicsburg PA 17050 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) $69,958.32 2. Credits/Payments A.Prior Payments B.Discount $3,497.92 (See instructions.) Total Credits(A+B) (2) $3,497.92 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) 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) $66,460.40 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.......................................................................................... ❑ 0 b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ E 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 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 step-parent 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 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. ] pennsylvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Nancy D Sanderson 2015-00408 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 jointly-owned 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 14 Redbud Drive; Mechanicsburg, PA 17050 $174,000 TOTAL(Also enter on Line 1, Recapitulation.) $ $174,000.00 TF...n.n nnenn.n—AHA ..nn eAA;H; el nk—*,nF--nF 0—n—nen pennsytvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Nancy D Sanderson 2015-00408 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH I. Chevron Stock 1,064 Shares $111,847.68 2 Farmers&Merchants Bank of Long Beach Stock 8 Shares $47,600 3 Washington Gas Light Stock Stock 150 Shares $8,608.50 4 Exelon Stock 93 Shares $3,476.34 5 PEPCO Stock 186 Shares $5,077.80 6 T Rowe Price Dividend Growth $116,398.04 7 T Rowe Price Equity Income $133,177.65 8 T Rowe Price Growth&Income $150,021.58 9 T Rowe Price Health Sciences $83,257.11 10 T Rowe Price Specturm $104,901.12 11 T Rowe Price Summit Cash Reserves $263,777.87 12 TIAA-CREF Growth&Income $18,195.28 13 NY Life $32,017.25 14 Series E/EE Savings Bonds $1,367.40 TOTAL(Also enter on Line 2, Recapitulation) $1,310,295.72 r� aJvv r.• �v�r ark j7pennsytvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Nancy D Sanderson 2015-00408 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 1 Orrstown Bank $79,105.51 TOTAL(Also enter on Line 5, Recapitulation) $ $79,105.51 TF —4,4;F;—1 rhnnFr nF--nF 4-k^moo..+.. ;— L pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Nancy D Sanderson 2015-00408 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Cocklin Funeral Home, Inc $772.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: $0.00 Name(s)of Personal Representative(s) Gary L Sanderson Street Address 7039 Hunter Ln City Hyattsville State MD ZIP 20782 Year(s)Commission Paid: 2. Attorney Fees: 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 Fees: 6. Tax Return Preparer Fees: 7. TOTAL(Also enter on Line 9, Recapitulation) $ $772.00 TF ....xA1 A .�..>AA;1 :-1 k-. ,�F..>.......F Fk, >..,.. ;- pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Nancy D Sanderson 2015-00408 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 Misc Expenses due to Dana L Crites $8,000.00 TOTAL(Also enter on Line 10, Recapitulation) $ $8,000.00 Ti .n nnn.ln.l innn.F A—*,nG H.n —n;-,n