HomeMy WebLinkAbout10-28-05
REV-1500 EX + (6.00)
*
OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV.1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
II 05
COUNTY CODE YEAR
0754
NUMBER
DECEDENTS NAME (LAST. FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
I- Garone, Helen Mae 267-40-7845
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w DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
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W 08-06-2005 01-10-1927 REGISTER OF WILLS
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w (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
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[!J1 Original Return D 2. Supplemental Return D 3. Remainder Return (date of death prior to 12-13-82)
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!;i:Ul 4. Limited Estate 4a. Future Interest Compromise (date of death after 5. Federal Estate Tax RetUrn Required
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12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10 Spousal Povertv Credit (date of death between
. 12-31-91 and 1-1-95)
D
o 8. Total Number of Safe Deposit Boxes
~ 6. Decedent Died Testate (Attach
copy of Will) .
D 9. Litigation Proceeds Received
D
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NAME
Robert C. Said is, Esq.
FIRM NAME (If applicabie)
Said is, Shuff, Flower & Lindsay
TELEPHONE NUMBER
(717) 737-3405
COMPLETE MAILING ADDRESS
2109 Market Street
Camp Hill, PA 17011
(1 ) None
(2) None
(3) None
(4) None
(5) 920.00
(6) 13,600.44
(7) None
(8)
(9) 2,519.46
(10) 8,278.68
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OFFICIAL SE ONLY
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L) D Separate Billing Requested
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
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10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
14,520.44
(11 )
10,798.14
3,722.30
0.00
(12)
(13)
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)
3,722.30
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
20. D
0.00
167.50
0.00
0.00
167.50
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
15. Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15)
z or transfers under Sec. 9116(a)(1.2)
0 (16)
i= 16. Amount of Line 14 taxable at lineal rate 3,722.30 x .045
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c.. 17. Amount of Line 14 taxable at sibling rale 0.00 x .12 (17)
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0
u 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18)
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19. Tax Due (19)
Copyright 2002 form software only The Lack.ner Group, Inc.
Form REV-1500 EX (Rev. 6-00:
Decedent's Complete Address:
STREET ADDRESS
820 Lisburn Road, Camp Hill
~--._-----~--------~--
I STATE PA
!ZIP
--~~-~-
CITY
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
167.50
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + 8 + C)
(2)
0.00
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 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.
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3)
(4) ____~~_
(5)
(5A)
(58)
167.50
167.50
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;.................................................................................. [!J II
b. retain the right to designate who shall use the property transferred or its income;.................................... D [!J
c. retain a reversionary interest; or.................................................................................................................. D [!J
d. receive the promise for life of either payments, benefits or care?.............................................................. [J [!J
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
D I:X-~'
receiving adequate consideration? .......... ......................................... .......................... .................................. ....... ~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... [J [!J
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which .
contains a beneficiary designation?..................................................................................................................... D L!J
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of pe~ury, I declare that I have examined this return. including accompanying schedules and statements. and to the best of my knowledge and belief, it is true. correct and
",,-~e. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. _~___. __ ._
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
Mary M. Lentz 42 Longwood Drive
Mechanicsburg, PA 17050
ADDRESS
\ 0- 2.D-OS-
--------oATE--
I (J/ll /O;J-"
DATE
ADDRESS
2109 Market Street
Camp Hill, PA 17011
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. 99116 (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%
[72 P.S. 99116 (a) (1.1) (ii)). The statute does not exemot 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 twenty-one 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% [72 P.S. 99116 (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%, except as noted in 72 P.S.
99116 1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's Siblings is 12% [72 P.S. 99116 (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.150S EX+ (6-9S)
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Garone, Helen Mae
IFILE NUMBER
21-05-0754
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property Jolntly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Sovereign Bank, Christmas Club Acct. 1054020928
VALUE AT DATE
OF DEATH
420.00
2 Small amt. of personal property including a 1990 Chevy Cavalier in very poor
condition
500.00
TOTAL (Also enter on Line 5, Recapitulation)
920.00
(If more space is needed, additional pages Df the same,size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule E (Rev. 6-98)
Rev-1509 EX+ (6-98)
*'
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Garone, Helen Mae
FILE NUMBER
21-05-0754
If an asset was made Joint within one year of the decedent's date of death, It must be reported on schedule G.
SURVIVING JOINT TENANT(S) NAME
A. Mary M. Lentz
ADDRESS
42 Longwood Drive
Mechanicsburg, PA 17050
RELATIONSHIP TO DECEDENT
Daughter
B.
c.
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENTS INTEREST
JOINTLY-HELD REAL ESTATE.
1 A /.p II f/9v Sovereign Bank, joint checking acct. 27.200.88 50.000% 13.600.44
#1051071127 - joint with Mary M. Lentz
TOTAL (Also enter on Line 6, Recapitulation) 13.600.44
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule F (Rev. 6-98)
REV.1151 EX+ (12-99)
.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Garone, Helen Mae
Debts of decedent must be reported on Schedule J.
FILE NUMBER
21-05-0754
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 179.57
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees 1,500.00
See continuation schedule(s) attached
3. Family Exemption: (If decedenfs address is not the same as claimanfs, 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. Other Administrative Costs 839.89
See continuation scheduJe(s) attached
TOTAL (Also enter on line 9, Recapitulation) 2,519.46
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev.1502 EX+ (6-98)
.
SCHEDULE H.A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Garone, Helen Mae
FILE NUMBER
21-05-0754
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Church memorial service
100.00
2
Malpezzi Funeral Home
79.57
Subtotal
179.57
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H.A (Rev. 6-98)
-
Rev-1502 EX+ (6-98)
*'
SCHEDULE H-82
ATTORNEY'S FEES
continued
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Garone, Helen Mae
FILE NUMBER
21-05-0754
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Saidis, Shuff, Flower & Lindsay
1.500.00
Subtotal
1.500.00
Copyright (cl 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule H-B2 (Rev. 6-98)
-
Rev-1502 EX+ (6-98)
*'
SCHEDULE H.B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Garone, Helen Mae
FILE NUMBER
21-05-0754
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Misc. long distance phone calls, obituary, etc.
125.00
2
Moving costs
480.87
3
storage expenses
234.02
Subtotal
839.89
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
Rev-1512 EX+ (6-98)
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Garone, Helen Mae
FILE NUMBER
21-05-0754
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1 2004 income taxes (due to a dist. from an IRA)
VALUE AT DATE
OF DEATH
4,121.00
2 Boscov's charge acct.
3 Capital Care
4 Hospice Residence
5 Mastercharge balance
6 PPL, electric bill, 2 months
7 Verizon, phone bill
21.49
144.38
3,000.00
896.15
74.42
21.24
TOTAL (Also enter on Line 10, Recapitulation)
8,278.68
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV 1513 EX+ (9-llD)
*'
SCHEDULE ...
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Garone, Helen Mae
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
Clistributions, and transfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
Do Not List Trusteets)
FILE NUMBER
21-05-0754
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
Mary M. Lentz
42 Longwood Dr.
Mechanicsburg, PA 17050
Daughter
joint owner on
bank acct.
Total
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
ll. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (e) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
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JOHN E. SUKE
ROBERT C. SAlOIS
GEOFFREY S. SHUFF
JAMES D. FLOWER, JR
CAROL J. UNDSA Y
BRIAN C. CAFFREY
GEORGE F. DOUGLAS, III
MA TIHEW J. ESHELMANt
THOMAS E. FLOWER
MARYLOU MATAS
SUZANNE C. HIXENBAUGH
LAW OFFICES
SAIDIS, SHUFF, FLOWER & LINDSAY
A PROFESSIONAL CORPORA nON
2109 MARKET STREET
CAMP HILL, PENNSYLVANIA 17011
TELEPHONE: (717) 737-3405 - FACSIMILE: (717) 737-3407
EMAIL: attorney@ssfl-Iaw.com
www.ssfl-Iaw.com
CARLISLE OFFICE:
26 WEST HIGH STREET
CARLISLE, PA 17013
TELEPHONE: (717)243-6222
FACSIMILE: (717)243-6486
tBoard Certified Creditors'
Rights Representation
REPLY TO CAMP HILL
October 27, 2005
Register of Wills
Cumberland County Courthouse
Courthouse Square
Carlisle, PA 17013
Re: The Estate of Helen Mae Garone
File No. 21-05-0754
Dear Ladies:
Enclosed is an original and copies of an Inheritance Tax return in regard to the above
estate. Also enclosed are checks for the filing fee and the tax due. Kindly return a time-stamped
copy of the return in the envelope provided. Thank you.
/sly
Enclosures
Very t. I:llJy\yours,
/ I . /
SAIDl~, ~HUFF, ,rowER & LINDSAY
,f;" /
/ II /'
~ ish8'~7yingling, Estate Paralegal
r'-' ",
('...~ :G
;_I'} E ~.~ J=!D ~;~UZ
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
LENTZ MARY M
42 LONGWOOD DRIVE
MECHANICSBURG, PA 17050
_hun_ fold
ESTATE INFORMATION: SSN: 267-40-7845
FILE NUMBER: 2105-0754
DECEDENT NAME: GARONE HELEN MAE
DA TE OF PAYMENT: 10/28/2005
POSTMARK DATE: 10/27/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 08/06/2005
NO. CD 005941
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $167.50
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TOTAL AMOUNT PAID:
REMARKS: HELEN M GARONE
CHECK# 1962
SEAL
INITIALS: CM
RECEIVED BY:
REGISTER OF WILLS
-
$167.50
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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