HomeMy WebLinkAbout05-27-15 (3) Pennsylvania 1505618403
DEPARTMENT OFREVEN'EX(03-14)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisburg,PA 17128-0601 RESIDENT DECEDENT 21 15 0 414
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
03 31 2015 09 23 1915
Decedent's Last Name Suffix Decedent's First Name MI
KATZ EDITH K
(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
❑X 1. Original Return 2. Supplemental Return 3. Remainder Return(date of death
prior to 12-13-82)
4. Agricultural Exemption(date of 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
n7. Decedent Died Testate 8. Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes
(Attach copy of will) (Attach copy of trust.)
10. Litigation Proceeds Received 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
13. Business Assets ❑ 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
JAMES D HUGHES ESQ 717 249 6333
First Line of Address
354 ALEXANDER SPRING RO
Second Line of Address
City or Post Office State ZIP Code C)
CARLISLE PA 17015 r ; c
t71.
Correspondent's email address: ihughes(M-salzmannhughes.com r 3
REGISTER-OF WILLS U ONLY T1
—rI
REGISTER OF WILLS USE ONLY
DATE FILED MMDDYYYY ` 1 ~
DATE FILED STAMP
Side 1
111111111111111 II II 1111 IN
1505618403 1505618403
1505618411
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Katz, Edith K
RECAPITULATION
1. Real Estate(Schedule A).................................................................I..................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2.
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. 51706 - 00
6. Jointly Owned Property(Schedule F) F� Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested............ 7. 476 ,466 - 42
8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 482,172 . 42
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 13,719 . 3a
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 1,816 - 06
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 15 ,535 . 36
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 4661637 . 06
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. 4661637 - 06
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.00 15. 0 . 00
16. Amount of Line 14 taxable
at lineal rate X .045 466,637 . 06 16. 20,998 . 67
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 00
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0 0 18. 0 . 110
19, TAX DUE................................................................................................................ 19. 20 ,998 . 67
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
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 OF PERSON RESPONPIBL OR FILING RETURN Kath K an DATE
ADDRESS
1112 Acre Drive, Carlisle, PA 17013 /5
SIGNATURE OF PREPARER OTHER THAN REPRE NTATIVE J eS . Hughes Esq. PATE
ADDRESS
354 Alexander Spring Road, Suit 1, Carlis A
I III'I II��I I III��I�I�III��I� II��I I� II��I II��I IIII III Side 2
1505618411 1505618411
REV-1500 EX Page 3 File Number 21-15-0414
Decedent's Complete Address:
DECEDENT'S NAME
Katz, Edith K
STREET ADDRESS
Green Ridge Village
210 Big Spring Road
CITY STATE ZIP
Newville PA 17241
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 20,998.67
2. Credits/Payments
A. Prior Payments 19,948.74
B. Discount 1,049.93
Total Credits(A +13) (2) 20,998.67
3. Interest (3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 0,00
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;............................................................................... ❑ ❑x
b. retain the right to designate who shall use the property transferred or its income;.................................. ❑ ❑x
c. retain a reversionary interest;or............................................................................................................... ❑ ❑x
d. receive the promise for life of either payments,benefits or care?............................................................ ❑ ❑x
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................... ❑ ❑x
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑x ❑
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?.................................................................................................................. ❑ ❑x
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 January 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.
Rev-1508 EX+(08-12)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF
AX RET PERSONAL PROPERTY
INHERITANCE TAX RETURNRN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Katz, Edith K 21-15-0414
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Federal Tax Refund -2014 refund 5,646.00
2 PA Department of Revenue-2014 state tax refund 60.00
TOTAL(Also enter on Line 5, Recapitulation) 5,706.00
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev.08-12)
Rev-1510 EX+(08-09)
SCHEDULE G
-. pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Katz, Edith K 21-15-0414
This schedule must be completed and filed if the answer to any of questions t through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % DECD'S EXCLUSION TAXABLE
NUMBER THE DA E OF DE RANSFER. ATTACH A COTHEIRPY OF THE RELATIONSHIP
FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 Ameriprise Financial -Account#00044085630 133, 476,466.42 476,466.42
transfer on death to decedent's daughter, Kathryn K.
Aberman
TOTAL(Also enter on Line 7, Recapitulation) 476,466.42
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09)
Ameriprise (D"
Financial
Account Summary for the Estate Settlement of Edith Katz, Client ID 20429155
1)Type of investment: Ameriprise Brokerage/Ameriprise ONE Account
Product Name:Ameriprise ONE Financial Account
Total Account Value(as of Date of Death): $476,466.42
Account Number: 00044085630 133
Account Registration: Edith Katz Tod
Beneficiary Designation:
PRIMARY BENEFICIARY
KATHRYN ABERMAN DAUGHTER 100.00%
SECONDARY BENEFICIARY
HUGH ABERMAN SON-IN-LAW 100.00%
How the account(s)proceeds will be settled:
We will transfer assets in this account to an account for the beneficiary(ies).
Important Details about this account:
ONE features do not carry over to the new account. If Ameriprise ONE Financial Account features are desired, please submit
Brokerage Account Features(Form 15028).
BUREAU OF INDIVIDUAL TAXES Pennsylvania Inheritance TaxT_",
pennsyLvania
PO BOX 280601 Y
HARRISBURG PA 17128-0601 Information NoticeDEPARTMENT OF REVENUE
REV-15630 EX DocEXEC (00-12)
And Taxpayer Response FILE NO.2115-0414
B G G. E D G F F;G E Q F ACN 15504168
r' n 14c;) r.r; W" { LS` DATE 05-13-2015
?015 ( fly 18 FM ?
PART
2 Debts and Deductions
Allowable debts and deductions must meet both of the following criteria:
A. The decedent was legally responsible for payment,and the estate is insufficient to pay the deductible items.
B. You paid the debts after the death of the decedent and can furnish proof of payment if requested by the department.
(If additional space is required,you may attach 8 1/2"x 11"sheets of paper.)
Date Paid Payee Description Amount Paid
Total Enter on Line 5 of Tax Calculation $
PART Tax Calculation
3 If you are making a correction to the establishment date(Line 1)account balance(Line 2), or percent taxable(Line 3),
please obtain a written correction from the financial institution and attach it to this form.
1. Enter the date the account was established or titled as it existed at the date of death.
2. Enter the total balance of the account including any interest accrued at the date of death.
3. Enter the percentage of the account that is taxable to you.
a. First,determine the percentage owned by the decedent.
i. Accounts that are held"intrust for"another or others were 100%owned by the decedent.
ii. For joint accounts established more than one year prior to the date of death,the percentage taxable is 100%divided
by the total number of owners including the decedent. (For example:2 owners=50%, 3 owners=33.33%,4 owners
=25%,etc.)
b. Next,divide the decedent's percentage owned by the number of surviving owners or beneficiaries.
4. The amount subject to tax is determined by multiplying the account balance by the percent taxable.
5. Enter the total of any debts and deductions claimed from Part 2.
6. The amount taxable is determined by subtracting the debts and deductions from the amount subject to tax.
7. Enter the appropriate tax rate from Step 1 based on your relationship to the decedent.
If indicating a different tax rate,please state Official Use Only ❑AAF
your relationship to the decedent: PA Department Of Revenue
1. Date Established 1
2. Account Balance 2 $ PAD
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 $ 3
5. Debts and Deductions 5 - 4
6.• Amount Taxable 6 $ 5
7. Tax Rate 7 X b
8. Tax Due 8 $ 7
8
9. With 5 Discount(Tax x .95) 9 X
Step 2: Sign and date below.'Return TWO completed and signed copies to the Register of Wills listed on the front of this form,
along with a check for any payment you are making. Checks must be made payable to"Register of Wills,Agent." Do not send
payment directly to the Department of Revenue.
Under penalty of perjury, I declare that the facts 1 have reported above are true,correct and complete to the best of my knowledge and
belief.
/ Work
Home 3— —•l
Taxpayer qgnature Telephone Number Date
IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA DEPARTMENT OF REVENUE
DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT 717-787-8327. SERVICES FOR
TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS ONLY: 1-800-447-3020
REV-1511 EX+(08-13)
f' pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX
RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Katz, Edith K 21-15-0414
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 4,773.88
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Kathryn K.Aberman -
Street Address 112 Acre Drive
city Carlisle State PA zio 17013
Year(s)Commission Paid Waived
2. Attorney's Fees Salzmann Hughes, P.C. 7,450.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State Zio
RelationshiD of Claimant to Decedent
4. Probate Fees 140.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 1,354.92
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 13,719.30
Copyright(c)2013 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.08-13)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Katz, Edith K 21-15-0414
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Exl2enses,
1 Wetzler Funeral Service, Inc. -funeral service 4,773.88
H-A 4,773.88
Other Administrative Costs
2 Cumberland Law Journal-legal advertising 75.00
3 Reserve-to be held for any miscellaneous expenses necessary to administer the estate 600.00
4 Smith Elliott Kearns&Company LLC -fiduciary income tax preparation fee 500.00
5 The Sentinel-legal advertising 179.92
H-B7 1,354.92
Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12-12)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OFMORTGAGE LIABILITIES AND LIENS
RET
INHERITANCE TAXAXRETURRNN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Katz, Edith K 21-15-0414
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 Green Ridge Village-nursing home services rendered prior to death 1,005.86
2 Green Ridge Village-monthly telephone service prior to death 24.46
3 Millenium Pharmacy-pharmacy services rendered prior to death 98.34
4 Millenium Pharmacy-pharmacy services rendered prior to death 47.40
5 Smith Elliott Kearns&Company LLC-2014 income tax return preparation fee 320.00
6 Smith Elliott Kearns&Company LLC-2015 final life income tax return preparation fee 320.00
TOTAL(Also enter on Line 10, Recapitulation) 1,816.06
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-12)
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Katz, Edith K 21-15-0414
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$)
Do Not 's rustee s
ITAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.91 16a 1.2
Kathryn K Aberman Daughter 100%of residue
1112 Acre Drive
Carlisle, PA 17013
Total
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10)
LAST WILL AND TESTAMENT
I, EDITH K. KATZ, of Bellefonte, Centre.County, Pennsylvania, make this my
Will and revoke all of my former Wills and Codicils. I am a widow and have one child,
KATHRYN K. ABERMAN.
SECTION ONE
I give all of my personal effects, goods, and chattels to my daughter, KATHRYN
K. ABERMAN, if she survives me.. Notwithstanding the foregoing bequest, I may leave a list
to be found with my copy of this Will in which I distribute certain items of tangible property to
named individuals, and although I realize that this list has no legal significance I direct that my
executrix hereafter named to follow my wishes inasmuch as possible.
SECTION TWO
I give, devise and bequeath, the rest, residue and remainder of my estate, to my
daughter, KATHRYN K. ABERMAN, should she survive me. Should my daughter,
KATHRYN K. ABERMAN, fail to survive me, then I give, devise and bequeath, the rest,
residue and remainder of my estate, to her issue who so survive per stirpes.
SECTION THREE
No person named or described in this Will shall be deemed to have survived me
unless he or she is living on the thirtieth (30th) day after my death.
SECTION FOUR
I name my daughter, KATHRYN K. ABERMAN, as Executrix of my Will. If
1
for any reason my daughter, KATHRYN K. ABERMAN, fails or ceases to act as executrix, I
name my son-in-law, DR. HUGH ABERMAN, as successor executor.
A. I direct my executrix to pay from the residue of my estate passing
hereunder, without apportionment or reimbursement, all of my debts, all expenses of
administration of property wherever situated passing under this Will or otherwise and all estate,
inheritance, transfer, and succession taxes other than any tax on a generation-skipping transfer
that is not a liability of my estate (including interest and penalties, if any)that become due by
reason of my death.
B. I direct that no bond or security thereon be required of any executor,
administrator or personal representative of my estate.
C. I give my executrix those powers conferred by law except to any extent
inconsistent herewith, and the following powers and discretions, in each case to be exercisable
without court order:
1. To settle claim in favor of or against my estate;
2. To make such elections affecting taxes as the executrix deems
advisable, without regard to the relative interest of the beneficiaries and with or without
making any compensation adjustments therefor.
3. To sell at public or private sale, to retain, to lease, to borrow
money and for that purpose to mortgage or to pledge, all or part of the real property of.my
estate;
4. To distribute the residue of my estate in cash or in kind or partially
2
in each or to allot different kinds or disproportionate shares or undivided interests in
property among the distributed shares; and
5. To execute and deliver any deeds, contracts, mortgages,bills of
sale, or other instruments necessary or desirable for the exercise of his/her powers and
discretions.
SECTION FIVE
I have signed this Will consisting of three pages,this page included,this 31st day
of August, 2009.
EDITH K. KATZ, Testatrix
ATTESTATION CLAUSE:
Signed, sealed, published and declared by the above named Testatrix, as and for
her Last Will and Testament, in the presence of us, who at her request and in her presence and in
the presence of each other, have hereunto set our hands as witnesses hereto.
W.. ess
Witness
3
STATE OF PENNSYLVANIA
ss.
COUNTY OF CENTRE
We the Testatrix, and witnesses, respectively, whose names are signed to the
attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument as her Last Will and Testament
and that she had signed willingly, and that she executed it as her free and voluntary act for
purposes herein expressed, and that each of the witnesses, in the presence and hearing of the
Testatrix, signed the Will as witnesses and that to the best of their knowledge, the Testatrix,was
at the time eighteen years of age or older of sound mind and under no constraint or undue
influence.
TESTATRIX
W ESS
WITNESS
Subscribed, sworn to and acknowledged before me by EDITH K. KATZ,the
Testatrix, and Subscribed and sworn to before me by the above witnesses this 31St day of August,
2009.
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal I
Deborah Ann Bezilla,Notary Public
State College Boro,Centre County
My Commission Expires Feb.10,2012 Notary Public
Member,Pennsylvania Association of Notaries-
4
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