HomeMy WebLinkAbout01-0006
REV-1500 Ef i~-IIO)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
/ C;:,' - /9 <P'- II
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FI~ NUMBER
~.i-C>~ OO'OOG.
COUNTY CODE YEAR NUMBER
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OFFICIAL USE ONLY
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
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DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
(}t-2-/-~0<90 d~-.J-S-/7'//
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
SOCIAL SECURITY NUMBER
5'03 - /0
3tf30
~1,OriginaIReturn
o 4. Limited Estate
06. Decedent Died Testate (Allach oopy of Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a, Future Interest Compromise (dale of death after 12-12-82)
07. Decedent Maintained a Living Trust (Attach copy of Trust)
o 10. Spousal Poverty Credit(d.ateol..w.a\hbe~ \1-31-91 arnl1-1-95)
o 3. Remainder Return (date of death \ll"io[ to 12-1~a2)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11, Election to tax under Sec. 9113(A) (Altacl1 Sell 0)
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FIRM NAME (If Applicable)
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COMPLETE MAILING ADDRESS
"5/0 ~ cr
#66, /J4 /71'//
TELEPHONE NUMBER
717- 6-/S"-
2. 1;,-
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
(1)
(2)
(3)
(4)
(5)
OFFICIAL SI:' ONLY
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3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inler-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule GorL)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
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(6)
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(7)
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(9)
(10)
(8)
/ / 95. () 0
-73-1. 0,/
(11)
(12)
(13)
12. Net Value of Estate (line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(14)
.:'5 '/. .<,-05"",3.6
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15, Amount of Line 14 taxable althe spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
i) ,.0_ (15)
3 <-/, S-oS: X ,0 ~(16)
o ,.12 (17)
Cl
, .15 (18)
/;-'Jo",z.7</
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 141axable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
(19)
/6-5.;(.7</
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS P-"J S )I /I/J i) J ~ oS T .4 2- /1
CITY
CA USee:
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
Total Credits (A + 8 + C) (2)
3. InteresUPenally if applicable
D. Interest
E. Penalty
TotallnteresUPenally ( 0 + E ) (3)
4. ~Une 2 is greater than Une 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
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ZIP / 7()/..:3
/Q"S'';;; ,771'
5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE.
IS5';? . 7';/'
A. Enter the Interest on the tax dUe.
(5)
(SA)
8. Enter the total of Une 5 + SA. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
/oS';?,7<<
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
No
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1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;................... ...m.............., ...........................................
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? ........... .................... ............. .............................. 0
3. Did decedent own an "in trust fa!' or payable upon death bank account or security at his or her death? .............. 0
4. Did decedent own an Individual Retirement Account, annuity, or otner non-probate property which
contains a beneficiary deSignation? .... .................... .. ...................
...................0 1:0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
SIGNATURE
Under penalties of perjury, I declare tI1atl have examined this return, incruding accompanying schedules and statements, and to the best of my knowJecJge and beljef, it is true, correct
and complete.
Declaration of preparer other than tI1e personal representative is based on all information of which pre parer has any knowledge.
DATE
/2 -00
ADORE S
4-S-/0 ~Ce.. ~ ///-5'tY-, A
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
/? // I
ADDRESS
DATE
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 P.S. ~9116 (a> (1.1) (i)).
For dates of death on or affer 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 P.S. ~9116 (a) (1.1) (ii)].
The statute does not exemot a transfer to a surviving spouse from lax, 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 dales 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 sfepparent of the child Is 0% [72 P.S. 99116(a)(1.2)].
The lax 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) [72 P.S. 99116(a)(1)].
The tax rate imposed on Ihe 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, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV.''''''''''.9n.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
R SlDENl DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
rJU~/r., iZt...Sl€.. IC,
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with the right of sUlVivol'Ship must be disclosed on Schedule F.
ITEM
NUMBER
1.
I-IAI<.iVS
PD. Bo K
VALUE AT DATE
DESCRIPTION OF DEATH
sA II 11U<i.-:S oA/.l/(; Gi/e-eJ(/NG.- 1/6tlr.i: /~ ~o:531&':2- /0,337.413
17//, NEGr,;C:A /71-5- 1711
2,
fe-Rb6/JA L C J. () 7;/1 N G-/ ,j €Z<.JeL-ICy
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3.
C LlI!./J I ru,<€-
4.sD . IJ 0
4.
. ReruR. AJ l! t:= pe;OoSIT F i<.C/H (! If c/l!.cH .:1-..- 6-0 D
,fo; AI /I /fIJ!J i/&/Z 57> CA,et-/5LI?, A /70/3
Ifc,fiY€
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TOTAL (Also enter on line 5, Recapitulation) $ 3':;', "f!:J 7. -'/3
(If more space is needed, insert additional sheets of the same size)
R~S
Leaving Our Mark.
Harris Savings Bank
PO Box 1711
Harrishurg, PA l71lY>.171l
MembtlrfDlC
ElSIE K INRIG
825 N HANOVER ST # 211
CARLISLE PA 17013.1539
STATEMENT DATE
8/18/00
1127
iAGE 1
ACCOUNT NUMBER TYPE OF ACCOUNT:
2100033162 FIFTY PLUS FREE
INTEREST PAlO
YEAR 10 DATE
13.56
ANNUAL PERCENTAGE YIELD
EARNED (APYEl
1.10 J
DAYS IN CYCLE
i VERAGE BALANCE
31
9,IB3.79
---------------------------------~-----------------------------------------------------------------------------------------
PREVIOUS BALANCE DEPOSITS WITHDRAWALS CHARGES lNlEREST ENDING BALANCE
B07,5B 10.699.00 U77 .63 .00 8.48 10,337.43
DATE ACTIVITY DESCRIPTION DEPOSITS WITHDRAWAL S aALANCE
7/24/00 MONEY ACCESS SER/OOA 1R6046 60 .00 141.58
921 CAVALRY RD CARLISLE. ?A
7/24/00 CHECK #1108 86.69 660.19
7/25/00 MONEY ACCESS SERIDDA TR3269 9.825,00 10.485.89
6075 ALLENTOwN BLV HARRISBURG. PA
IlmOD CHECK *1:09 121.00 ID.364.89
7131/00 CHECK 11110 74.18 10,290,11
8/02/00 US TREASURY 303/S0C SEC 874.00 11.164.11
8/02100 CHECK 11112 13,30 11.150,81
8/03/00 CHECK 111ll 500.00 10,650,81
8/04/00 CHECK 1l1l3 40.73 10.610.08
8/07/00 AAR? HEALTH CARE/?REMIUM 127,0~ 10,483,08
8/07100 CHECK #1115 85. )) 10,397,31
8/11/00 CHECK tlll6 5o.GO 10.341.31
8/16/00 CHECK 11117 18.36 10.328,95
8/18/00 INTEREST EARNEG 8.48 10.331.43
CHECK SUMMARY
, indicates skip in check numbers AMOCNT
DATE CHECK NO. AMOUNT OATE CHECK NO, AMOUNf DATE CHECK NO.
7(24/00 1108 86,69 SlD3iOO 1111 5,0,Oj 8/07/00 ll15' 85. ))
7/17/00 1lO9 111.00 8/02/CJ 111" 13.30 8/ll/00 ll16 50.00
....l
7/3l100 IlIO 74.78 8104/00 l' ~ ~ JU3 8/16/CO 1"" 18,36
.,. I"
-------------------------1i'ed-'asiinippTy-foi'-' .Rarrls-loeii-Hoiid'y-tiii'oilgh7i'tilay-before------------------- . -------------
2:00 p,m. and we guarantee you a creoit answer that sam. d,y or we'll
p'y you 1100.00 tn cash! Apply tOday'
Customer .ltknri..-e 1.80Q..232-6995 . HarnsAccess JjIW ("'17) 731-IB5 Of TOI.L ~'REE 1-800~2"".7991 . w\\v.'_l1arrissavin: ....bank,com
POO.S02 (7/99!
AEV;1511 EX+ (12-99) _
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
flJ /ZIG
FILE NUMBER
,tZ"L5/€ K.
) -
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. f'A
eX? €1?1AT/'(),u \5Oc/ETY if? /Iy,?- p-o
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s}
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State ~ Zip
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's Fees
6. Tax Return Preparer's Fees
7.
TOTAL (Also enler on line 9, Recapitulation) $ //pgc;o
(If more space is needed, insert additional sheets of the same size)
~
REV.1$12 EX' P-9?)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETUR~J
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
EST ATE OF
I/l/R./"=, eL.-$/,E /C '
FILE NUMBER
Include unreimbursed medical expenses.
ITEM
NUMBER
1.
DESCRIPTION
W8/J)f /fote'O<:!14 (C.K:e-1Nr C,",,{'.llJ
BR-Oe..J(/€ jJ/I,qRmAT€Z?~
AMOUNT
"/D,~ 0
2,
.3.
c~u I2..C/-I tT/- G 02:> ,H'oi/?€
..3"/. 73
is -I. .:5 '/
TOTAL (Also enter on line 10, Recapitulation) $ 7 if> t.I- ~ 7
(If more space is needed, insert additional sheets of the same size)
RE"~1513 EX+ (9-00)
'. '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
rA/R/C;, ELs/e ..K
FILE NUMBER
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSONIS) RECEIVING PROPERTY Do Not List Trustee{s} OF ESTATE
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 la) 11.2)J
1 t: //f-/Py L. 73E?/t.J/?7AI?I A:_s 612.A/Jj;,bI\U611'7l':7f. 00.%
/? o. ,<SO)<. 2-SSC
0/L<.ES - 'BAI2-"'€, /'.11 / <f;74..3
2. ?J4RB-41f!JI :T. ,B,<2fiPt!-c=y 'DAV6-/fn=:-re:. ~
(;SIO T~CE CT
rll'Il2i?./S'bUl2fd, ft /7,01
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV.1500 COVER SHEET
II NON.TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - 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)
\;/6-/9J7-//
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
c/-
7)
C/
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
BARBARA L BRADLEY
6510 TERRACE CT
HBG
, ,
t...I1
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-27-2001
INRIG
08-21-2000
21 01-0006
CUMBERLAND
101
,
II
'*
REV-15~7 EX lFP 112-10)
ELSIE
K
PA ,Ull1
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REv=is4'-Ex--AFP--f12=OOY-NoYicE--oF-YNHEifiTAifcE-YAx-jrpPRjrisEifENT~-ALrOWANCE-OR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF INRIG ELSIE K FILE NO. 21 01-0006 ACN 101 DATE 02-27-2001
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
U)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
36,437.43
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
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
(9)
UO)
1,198.00
734.07
Ul)
(2)
(3)
(4)
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this form with your
tax paYllent.
36,437.43
1.932 07
34,505.36
.00
34,505.36
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. Allount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CREDITS:
US) .00 X 00 = .00
(6) 34,505.36 X 045 = 1,552.74
un .00 X 12 = .00
(8) .00 X 15 = .00
(9)= 1,552.74
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-02-2001 AA477837 .00 1,552.74
TOTAL TAX CREDIT 1, 552 . 74
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, 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.)
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