HomeMy WebLinkAbout11-01-05
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REV-1500
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
OFFICIAL USE ONLY
COUNTY CODE
21 05 899
NUMBER
SOCIAL SECURITY NUMBER
209-12-9528
THIS RETURN MUST BE FILED IN D PUCATE WITH THE
REGISTER OF WILLS
DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIALl
Lynch, Phyllis J.
DATE OF DEATH (MM-DD-YEAR)
August 4, 2005
DATE OF BIRTH (MM-DD-YEAR)
4/13/23
YEAR
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
X
1. Original Return
4. Limited Estate
2. Supplemental Return
4a. Future Interest Comprise (date of death after 12-12-82)
6. Decedent Died Testate (Attach copy of Will)
9. Litigation Proceeds Received
7. Decedent Maintained a Living Trust (Attach a copy of Trust)
10. Spousal Poverty Credit (date of deeth between 12-31-91 and 1-1-95)
3. Remainder Retumi(""".._...."'2.1:>82)
5. Federal Estate T~x Return Required
8. Total Number of Safe Deposit Boxes
11. Election to tax~nder Sec. 9113(A)
f.6.tt"'..h_~,.hn\
THIS SECTION MUST BE COMPLETED.
NAME
Frances H. Del Duca
FIRM NAME (If Applicable)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD Ba IRECTED TO:
COMPLETE MAILING ADDRESS
10 West High Street
Carlisle, PA 17013
TELEPHONE NUMBER
717-249-1323
1. Real Estate (Schedule A \
(1\
70.000.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
(8)
5,374.00
$ 0.00
(11)
(12\
(13)
(14)
2. Stocks and Bonds (Schedule B)
(2)
(3)
(4)
(5)
(6)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Misc. Personal Properly (Schedule E)
6. Jointly Owned Properly (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Misc. Non-Probate Properly
(7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
(9)
(10)
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 \
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
m:::ui~ (~rhj:lrtlllj:l .1\
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x
(15)
(16)
(17)
(18)
16. Amount of Line 14 taxable at lineal rate
x
17. Amount of Line 14 taxable at sibling rate
x 4.5
18. Amount of Line 14 taxable at collateral rate
x .15
19. Tax Due
20.D
(19\
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
(-)
OFFICIA~~E ONLY
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70,000.00
5,374.00
$ 0.00
$ 0.00
64,626.00
$ 0.00
$ 0.00
2,908.17
$ 0.00
2.908.17
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
,Dec~dent's, Complete Address
STREET ADDRESS
Phyllis J. Lynch - 419 Chestnut St.
CITY
Mt. Holly Springs
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
STATE
PA
ZIP
17065
(1 )
2,908.17
145.41
Total Credits (A + 8 + C) (2)
145.41
3. InterestlPenalty if applicable
D. Interest
E. Penalty
4.
TotallnterestlPenalty (D + E) (3)
If line 2 is oreater than line 1 + line 3. enter the difference. This is the OVERPAYMENT
Check box on Page 1 Line 20 to request a refund (4)
2,762.76
$ 0.00
5.
If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5)
2,762.76
A. Enter the interest on the tax due.
(5A)
8. Enter the total of Line 5 + 5A. This is the BALANCE DUE (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
$ 0.00
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Did decedent make a transfer and: Yes
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;
c. retain a revisionary interest; or
d. receive the promise for life of either payments, benefits or care?
If death occurred after December 12,1982, did decedent transfer property within on year of death
without receiving adequate consideration? CJ
3. Did decedent own an "in trust for" or payable upon death bank acoount or security at his or her death? c=J
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? c=J ~
IFTliEANSWERTONff OFTliEJiBOIE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE GAND ALE IT AS PART oF TliE RETURN.
1.
No
2.
~
Ea
Under penalties of perjury, I declare that I have examined this retum, 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 personal representative is based on all the information of which preparer has any knowledge.
DATE
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ADD
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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 after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse isO% [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 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. 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%, except as noted in 72 P .S. '9116(1.2) [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% [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-1502EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
Phyllis J. Lynch
FILE NUMBER
]'
21-05.899
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 which is jointly-owned with right of
survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
Residence - 419 Chestnut Street, Mt. Holly Springs, PA, 17065
Appraisal Attached
TOTAl (Also enter on line 1, Recapitulation)
(If more space is needed. insert additional sheets of the same size)
!VALUE AT DATE
I OF DEATH
70,000.00
70,000.00
REV.1511 EX + (12.99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Phyllis J. Lynch
FILE NUMBER
21-05-899
Debts of decedent must be reported on Schedule I.
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ITEM I
NUMBER DESCRIPTION I AMOUNT
A. FUNERAL EXPENSES:
1. Eric Hollinger, Funeral Director 659.00
2. Pastor Dick Reese 100.00
3. Mt. Holly Church of God - lunch 50.00
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 FRANCES H. DEL DUCA 500.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Francis J. Lynch 3,500.00
Street Address 419 Chestnut St.
City Carlisle State PA Zip 17241
-
Relationship of Claimant to Decedent Son
4. Probate Fees 165.00
5. Accountant's Fees
6. Tax Retum Preparer's Fees
7. Appraisal 250.00
8. Reserve 150.00
TOTAL (Also enter on line 9, Recapitulation) 5,374.00
. .
(If more space IS needed, Insert additional sheets of the same size)
REV.1513 EX + (9-0,0))
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Phyllis J. Lynch
SCHEDULE J
BENEFICIARIES
I'
FILE NUMBER
21-05-899
RELATIONSHIP TO DECEDENT AMOUNTOR
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) SHARE
OF FiITA1F
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
I transfers under Sec. 9116 (a) (1.2)]
1. Francis J. Lynch Child One-Fifth
. 419 Chestnut St.
Mt. Holly Springs, PA 17065
2. Earl K. Lynch Child One.Fifth
51 Mountain St., Lot 1
Mt. Holly Springs, PA 17065
3. Donald S. Lynch Child One-Fifth
201 Horseshoe Rd.
Carlisle, PA 17013
4. Patricia Ann Thomas Shatto Child One.Fifth
44 Burgners Mill Rd.
Carlisle, PA 17013
5. Anna May Morrison Rudy Child One-Fifth
116 Frytown Rd.
Carlisle, PA 17013
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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
$ 0.00
. .
(If more space IS needed, Insert additional sheets of the same size)
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WOl.fE&SHEARER APPRAISAL SERVICES
FIleNo. 05-107
APPRA'SAL OF
SUMMARY APPRAISAl REPORT
LOCATED AT:
419 Chl'lllnut Street
MOUllt Holly Spfinga. PA "17013
FOR:
Fl1lInGes H. Del Duca, Attomey AI Law
10 West High Slre6l
Carlilile, fA 17013
BORROWER:
NlA
AS OF:
Septlill11ber 22, 2005
BY:
William A. Bessell
PA General Certified AppralBllf
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WOln':.&t\HfAHER APPRAISAL SERVICFS
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!'ile No. 05-107
September 27. 2005
Frances H. Del DUCBi Al\\lrnty {\( L6W
10 West High Street
~~fllil'l Ff\ 1lOtu
FilfJ Number: 05.107
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In iJccordance with your reqUElst, I have personally Inspected and appraised tile rsal property at:
419 Chestnut Street
Mount Hotly Splin\l$. PA 17013
The purpose of this appraisal is to estimate the market value of the subject property. as Improved.
The properly rights appraised are the fee simple interest in Ihe sile and improvements.
In my opin/on. the f.l5timated market value of the property as of September 22.2005 Is.
70.000
Seventy Thousand Do!lar~
The attached report contaIns Ihe rloscrlplioll, analysis and supportive data for tlie conclusions,
final estimate of value, descriptive photographs, Ilmltlng conditions and 8ppropriat0 certifications
Sincurely '(ours
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William A, Basselt
PA General Ct'lrtified Appraiser
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