HomeMy WebLinkAbout09-21-15 September 13, 2015
PA Department of Revenue
Bureau of Individual Taxes
Inheritance Tax Division-Ref
P.O. Box 280601
Harrisburg, PA 17128-0601
RE: PA File No. 21-13-0605
Supplemental Inheritance Tax Return and Request for Refund
Dear Sir or Madam,
Please accept the enclosed Supplemental Inheritance Tax Return for my mother,Theresa G. Munson. I am
requesting a refund of overpayment of taxes. With regard to a time limitation for refunds, please consider the
following information:
• My mother passed away on September 2, 2012 after a long illness. Due to the nature of her illness, she
required full time care for 8 years, and for much of that time,was confined to her home. It was in her
best interest to enable her to remain in her home (a condominium in Carlisle)during her final years, and
provide her care with the help of home health aides.
• Because my only sibling lives in New Mexico, I was left with the task of preparing her home for sale on my
own,which was difficult to accomplish because I live in New Jersey and am a single mother of three.
• After actively managing my mother's care for 8 years and making countless trips back and forth from NJ to
Carlisle, I could not physically or emotionally bring myself to begin the task of cleaning and selling her
home until August 2013.
• After emptying the property and completing the necessary repairs, I was able to place the home on the
market on April 1, 2014. Due to the housing market in Carlisle, I did not receive any offers on the home
until April 6, 2015, after actively marketing the property with two separate agents and making two price
reductions. I accepted the first offer I received which was almost 20% below the original asking price.
The property closed on May 29, 2015. The settlement statement is enclosed. The original asking price
was the value shown on Schedule A of the original return.
• The Supplemental Return includes the decreased value of the home when it sold,the settlement costs, as
well as the additional carrying costs of the property above the amount estimated on Schedule H of the
original return.
I respectfully request that you waive the time limitation for refunds in this case.
Sincerely,
Hedy DiS oni
501 Ewing Street
Princeton, N1 08540
(646)552-8218 (cell)
(609)430-2370 (home)
(908)474-2273 (office)
yJ'
J . pennsytvania 1505614105
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN � 1�O�
Harrisburg, PA 17128-0601 RESIDENT DECEDENT J 1 Fi
21 J (1J
ENTER DECEDENT INFORMATION BELOW
Social Security Number ��DD—a~~te of Death MMDDYYYY Date of Birth MMDDYYW
109022012 1
12171924 T� ^�
Decedent's Last Name Suffix Decedent's First Name MI
MUNSON _ THERESA
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
F1
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
p 1. Original Return m 2.Supplemental Return p 3. Remainder Return(date of death
prior to 12-13-82)
p 4.Agriculture Exemption(date of G 5. Future Interest Compromise(date of C 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
C=D 7.Decedent Died Testate p 8. Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes
(Attach copy of will.) I (Attach copy of trust.)
C=:) 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
HEDY DISIMONI (646) 552-8218
First Line of Address
501 EWING STREET
Second Line of Address
City or Post Office State ZIP Code
PRINCETON NJ 08540 ��
Correspondent's email address: Hedy.DiSimoni@lnfineum.com
0
REGISTE"F WILLS US -ONLY rn
O ttl
REGISTER OF WILLS. USE ONLY 70 O
_ __ --.--
DATE FILED MMDDYYYY n -t7 1=7
o
DATE'FIL''ED STAMP
T cr) CJ
r t� n
PLEASE USE ORIGINAL FORM ONLY
Side I
L 111111111111111111�1�1�11��11411�1� 111111111111111111 1505614105
9�
1505614205
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: THERESA G. MUNSON
RECAPITULATION
1. Real Estate(Schedule A). ............. .......... ... .. . .............. . 1. 98,000.00
2. Stocks and Bonds(Schedule B) 2. 0.00
..... .. .... ....... .. .. ....... ........ ..
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . .... 3. 0.00
4. Mortgages and Notes Receivable(Schedule D) ...... ......... .. .... ...... 4. 0.00
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E).. .... . 5. 0.00
6. Jointly Owned Property(Schedule F) O Separate Billing Requested .. ..... 6. 0.00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested... .... . 7. 0.00
8. Total Gross Assets total Lines 1 through 7 8. 98,000.00
9. Funeral Expenses and Administrative Costs(Schedule H)....... ... ........ . 9. 17,519.36
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1)............. .. 10. 0.00
11. Total Deductions(total Lines 9 and 10)... .... ... ..... ...... .. .......... 11. 17,519.36
12. Net Value of Estate(Line 8 minus Line 11) . ...... .. .. ..... . .. ... .. .. .... 12. 80,480.64
13. Charitable and Governmental Bequests/Sec.9113 Trusts for which
an election to tax has not been made(Schedule J) .. ........... .. ....... .. 13. 0.00
14. Net Value Subject to Tax(Line 12 minus Line 13) ......... .... ....... .... 14. 80,480.64
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_ 0.00 15. 0.00
16. Amount of Line 14 taxable
at lineal rate X.0 45 80,480.64 16. 3,621.63
17. Amount of Line 14 taxable 0.00
at sibling rate X.12 0.00 17,
18. Amount of Line 14 taxable
at collateral rate X.15 0.00 18. 0.00
19. TAX DUE ... ..... ...... ..... ... .. .. ........ .... ... .. ..... ......... 19. 3,621.63
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.
SIGN T RE OF PE IBLE FOR FILING RETURN
i
ADDRESS
501 Ewin treet, Princeton, NJ 08540
SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE
ADDRESS
111111111111111111111gill[i�111yJ11111111111111111111 Side 2 J
4 1505614205
REV-1500 EX (FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
THERESA G. MUNSON
STREETADDRESS
33 Cambridge Court
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 3,621.63
2. Credits/Payments
A.Prior Payments 8,345.89
B.Discount
(See instructions.) Total Credits(A+B) (2) 8,345.89
3. Interest
(3) 0.00
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) 4,724.26
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.......................................................................................... ❑
b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ N
c. retain a reversionary interest .............................................................................................................................. ❑ N
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?.............................................................................................................. ❑ 0
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.
REV-1502 EX+(02-15)
Zpennsylvania SCHEDULE A
' DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
THERESA G. MUNSON -Supplemental Return 21-13-0605
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' 33 Cambridge Court,#33,Deed Book 30V Page 1097,Carlisle,PA 17013 98,000.00
TOTAL(Also enter on Line 1, Recapitulation.) $ 98,000.00
If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+ (02-15)
pennsylvania SCHEDULE H
` DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
THERESA G. MUNSON -Supplemental Return 21-13-0605
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
i.
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)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 Fees:
6. Tax Return Preparer Fees:
7. Property Maintenance 2,336.66
8. Condominium Fees 2,989.29
9. Utilities 1,770.54
lo. Insurance 535.00
11. Property Taxes 2,399.05
12. Settlement Costs 7,488.82
TOTAL(Also enter on Line 9, Recapitulation) $ 17,519.36
If more space is needed,use additional sheets of paper of the same size.
h nvi nUitiaA are Obsolete form I•rl11) I nfsq rat ngnpAOJK 7305.2
A. Settlement Statement U.S, Depariment of Housing anct Urpan Development
B,Type of Loan OMBApproval No.2502.0265
1. ❑FHA 2. OFmHA 3, OConv,Unins, 6.File Number 7.Loan Number 8.Mortgage Insurance Case Number
4. OVA 5. ❑Conv.Ins. 1 15.75
A's T01M Is twiTs4shed to give you a stalleffien o u u y o servernem agent ares awn.
C.Note: items marked^(p.o.c.)"were paid outside the Clpsinp;Ihgy aro shown here for information purposes and are not included in the totals. TltleExpress Settlement System
WARNING:It is a crime to knowingly make false statements to the United States on this or any other Similar form.Penalties upon
conviction can include a fine and imprisonment For details see:Tice 18 u.S.Code Section 1001 and section to1o. Printed 05/2912015 at 10:27 SDD
D,NAME OF BORROWER: Carlisle-Cambridge Partners,LLC
ADDRESS: 780 Rosewood Avenue Winnetka IL 60093
E.NAME OF SELLER, Estate of Theresa G.Munson
ADDRESS:
F.NAME OF LENDER:
ADDRESS:
G.PROPERTY ADDRESS; 33 Cambridge Court,Carlisle,PA 17013
Carlisle Borough
H.SETTLEMENT AGENT: The Law Office of Andrew H.Shaw,PC
PLACE OF SETTLEMENT: 200 S.Spring Garden Street Suite 11 Carlisle PA 17013
I.SETTLEMENT DATE; 0512912015
J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION:
100.GROSS AMOUNT DUE FROM BORROWER 400.GROSS AMOUNT DUE TO SELLER.
101. Contract sales price 98 000.00 401. Contract sales Qrice 98,000-00
102. Personal properly 402. Personal Property
103. Settlement char es to borrower line 1400 11 958.00 403,
104. 404,
105. 405.
Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance
106. Cit ltown taxes 406. Cit /town taxes
107. County,taxes 05!29115 to 12131(15 399.10 407, County taxes 05129115 to 12131115 399.10
108, School taxes 05129115to06130115 137.05 408, School taxes 05/29115 06130115 137,05
109. 2nd Quarter HOA Dues 05129115 to 06130115 235.71 409. 2nd Quarter HOA Dues 05129115 to 06!30115 235.71
110, 410,
111. 411.
112. 412.
120.GROSS AMOUNT DUE FROM BORROWER 100 729.86 420.GROSS AMOUNT DUE TO SELLER 98 771.86
200.AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500.REDUCTIONS IN AMOUNT DUE TO SELLER
201. Deposit or earnest money 4,900.00 501. Excess Deposit see instructions
202. Principal amount of new loans 502. Settlement charges to seller line 1400 17 488.82
203, Existing loans taken sub'ect to $03, Existing loans taken sub ect to
204. 504. Payoff of First Mortgage Loan
205, 505. Payoff of second mortgage loan
206. 506.
207. 507.
208. 508,
209, 509,
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. Cit /town taxes 510, Cit /town taxes
211. CLunty taxes 511. County taxes
212. School taxes 512. School taxes
213. 513,
214. 514,
215. 515,
216. 516,
217. 517.
218. 518.
219. 519,
220.TOTAL PAID BYIFOR BORROWER 4,900.00 520,TOTAL REDUCTION AMOUNT DUE SELLER 11488.82
300,CASH AT S T LEMENT FROM OR TO BORROWER 600,CASH AT SETTLEMENT TO OR FROM SELLER
301. Gross amount tl e from borrower line 120)_ 100 729.86 601. Gross amount due to seller line 420 98 771.86
302. Less amounts paig by/for borrower line 220 4 900.00 602. Less reduction amount due seller line 520 17 488,82
303.CASH FROM BORROWER 95 829.86 .603,CASH TO SELLER 81,2'83.04
SUBSTITUTE FORM 1099 SELLER STATEMENT: The information contained heroin is important tax information and Is being furnished to the Internal Revenue Service. it you are requiroo to file a return,
'ravi�ao;tiv are obnointr forol MUD-1(9106)rr.!Hannhnok 4305.2
-U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number:15-75 PAGE 2
SETTLEMENT STATEMENT TitleEx ress Settlement S stem Printed 05129/2015 at 10:27 SOD
L. SETTLEMENT CHARGES PAID FROM PAID FROM
700. TOTAL SALES/BROKER'S COMMISSION based on price$98,000.00=5,880.00 BORROWER'S SELLER'S
Division of commission line 700 as follows: FUNDS AT FUNDS AT
701. 5,880.00 to Wolfe&Ct)rripany Realtors SETTLEMENT SETTLEMENT
702. to
703, Commission 2aid at Settlement 5$80.00
800.ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Ori ination Fee %
802. Loan Discount %
803, Appraisal Fee
804, Credit Report
805. Tax service
806. Flood certification
807,
808.
809.
810.
811.
900.ITEMS REQUIRED BY LENDER TO BE PAID 1N ADVANCE
901, Interest From to /day
902. Mon a e Insurance Premium for 0 Mont to
903. Hazard Insurance Premium for years to
904.
905.
1000,RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insurance mo. $ Imo
1002. Mortgage Insurance Mo_o0$__ /mo
1003. City ProQerty Tax mo. Imo
1004. County PrQporty Tax mo. Imo
1005, School taxes mo. Imo
1009.Aggregate Anal sis Adjustment 0,001 0.00
1100.TITLE CHARGES
1101. Settlement/Preparation Fee to Wolf and Wolf 275.00
1102. Abstractor Title Search
1103. Title Examination
1104. Title Insurance Binder
1105, Document Preparation to Wolf and Wolf 175.00
1106, Notary Fees to Sarah Dieckman 10.00
1107. Attorney's fees
includes above items No:
1108. Title Insurance to AHSWLTIC 889.00
includes above items No:
1109. Lender's Policy
1110. Owner's Policy 98,000.00 -889.00
1111. Tax Certification to Law Office of Andrew H.Shaw Tax Account 2.00
1112.
1113,
1200.GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees Qeed$79.00 ;Mortgage - - ;Release$ 79.00
1202. Cit /Count tax/stamps Deed 980.00 ;.Mora e$ 980.00
1203. State Tax/stamps Deed$980.00 -Mort a e 980.00
1204. Satisfaction of Mortgage to Cumberland County Recorder of Deeds 67.50
1205, Deed Mort a e Release
1300.ADDITIONAL SETTLEMENT CHARGES
1303. Final Water/Sewer to Borough of Carlisle 109.32
1304. Escrow for Estate to Wolf and Wolf 10 000.00
1400.TOTAL SETTLEMENT CHARGES enteron lines 103 Section J and 502 Section K 1,958.00 1T488.82
HuD CERTIFICATION OF BUYER AND SELLER
1 nav*4orefoly reviewed the MUD-1 Settlement Statement and to the best of my knowledge and belief,It is a true and accurate statement of all receipts and dlaburaemerll4 m206 06 my account
oy rip in this transaction.11Urther Cgrtlty that I have received a copy or the HUD-1 Settlement Statement.
et / 6
U POSTAGE
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AMOU
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17013 000
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;Princeton,NJ 08540-2705
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