HomeMy WebLinkAbout03-27-81
RFV.4.1Q (I-aD)
COM~Ol'lWEAL TH OF PENNSYLVANIA
D::PAPTME~T OF REVENUE
TRAN~!"ER INHERITANCE TAX
RESiN'Nl DECEDENT
AFFIDAvn OF
FIDUCIARY
(Inst.uctions on Reverse Side)
>>.--. ~,--_.-
-_.__..--
_.__..__L.
_....
E~~].~ of J. :!'lc~,'(.~ I:~-~rricl.:
Date of Death
:C-1;-72
LJst 1\drlress t;Fpr::r. Franl(forc.: Tc\mship
Social Security No.
Bureau File No.
;-'1-7S-C63"i'
(CITY)
(STA TE)
(l.lPi
County File No.
;':-78-0637
1. D"cedent died:
( .,
.1.
Intestate (without a will)
Te~tate (leaving a last will--copy attached)
2. Is the filing of a Federal Estate Tax Return required for this estate?
Yes
No
3.
Execu to r/Executrix
Administrator! Administratrix
Nome
l'~":'i..ry :. TI1UmI'!1[:L
, ... r'"l
..:;.,nna {.l;:~e 1 rC':.cc
Address 2C8 York LOELd
50S E. ::.sxblc St.
CarlL;le, 1;2..
(CI TY)
17013 ;~echr,nic:;burs, J::"'.
(STATE) (ZIP)
17055
4. All correspondence should be mailed to (
Attorney
) Fiduciary.
5. If an attorney is representing the estate, indicate:
Name
II~milton s. D~vis
Address
Shipoensburg. Fa. 17257
(CiTY) (STATE) (ZIP)
List 011 safe deposit boxes registered in the decedent's individual namer or jointly with,or as an aoent 0' deputy
of another, or in decedent's individual name with right of access by another as agent or deputy. Include the name
and arldress of the bank or other iinstitution where the safe deposit box is located, the nome (s) in whieh I'.,a box
is re9iSterE"1 al"'d the relationship of the joint holders to the decedent.
,-_.~._._---- --_._.-
--.~,,-,._-~._-_..~-
NAME AND AODRESS OF BANK OR OTHER IINSTlTUTION NAME OR NAMES IN WHICH RELATIONs.:!r Of JOINT
IN WHICH DECEDENT MAINTAINED A SAFE IDEPOSIT BOX SAFE DE POSIT BOX IS REGISTERED HOLDERS TO O::CE ')ENT
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U"cer pencdties of perjury, I declare that I have examined this return, including accompanying schedules rm~
statements, and to the best of my knowledge and belief it is true, correct and complete.
SIGNATURE OF FIDUCIARY
OA 1 E
PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
Section 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file
a retu rn : .. ,
a. The personal representative of the estate of the decedent as to property of the decedent administered by him
and such additional property which is or may be subject to Inheritanr:e Tax of which he/she shail have or
acquire knowledge;
b. The transferee of property upon the transfer of which Inheritance L::x is or may be imposed by the 1961 Statute,
including a trustee of property transferred in trllst, provided that no separate return need be made by the transferee
of property included in the return of a personal representative.
2. PLACE FOR FILING
The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided.
1 TIME FOR FILING
The return is due nine months after the decedent's death, unless an extension for filing has been applied for and
granted by the Secretary of Revenue within the nine-month period.
4. FAILURE TO FILE RETURN
Section 791 of the 1961 Statute provides that I< . . .any person who willfully fails to file a return or other report
required of him. . .shall be personally liable. . .to a penalty of 25% of the tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by
law."
5. TAX RATES
Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such asfather, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as to all others.
6. PAYMENTOFTAX
The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest
at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any
interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED.
All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are
received subject to the final determination of the Department of Revenue.
7. FAILURE TO PAY
The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's
estate or against any property belonging to a transferee liable for the tax.
8. FILING OF FALSE RETURN
Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the
1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or both.
REV-451 (1-80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
Supplemental
SCHEDULE "B"
PERSONAL PROPERTY
(Instructions on Reverse Side)
Estate of J. Floyd Barrick, File ft 21-78-0637
ESTI MA TE D DEPARTMENT
ITEM DESCRIPTION UNIT MARKET VALUATION
NO. VALUE VALUE (OFFICIAL USE ONL )
l. Waived executor's commission, deducted on
statement of debts and deductions filed
August 1, 1979. $2,388.10
TOTAL THIS PAGE $2 ,388 10 ,j, .3 r f, Ie
.~Jf
INSTRUCTIONS FOR COMPLETING SCHEDULE "B"
Schedule '8" must include all tangible and intangible personal property
owned individually bV the decedent at the time of death. Property owned
jointly vvith another party or parties should be listed on Schedule liE" - - Jointly
Owned Property. intangible personal property, titled in the name of the decedent,
but pavable at dea+.h to another party or parties, including but not limited to
P O. D. U. S. Savings Bonds and Tentative Trust Accounts, must be listed on
SC!l~;,j~..jle "Bf.'
T;:;ngible [JPrsonal property should be listed first. Examples of tangible
personiJi property are jewelry, wearing apparel, household goods and furnishings,
books, paintings, automobiles, boats, snowmobiles, aircraft, etc.
Intangible personal property includes cash-on-hand and in the bank, stocks,
dividends, bonds, mortgages, treasury certificates, notes, together with accrued
interes'", salaries or wages, insurance payable to the estate or fiduciary in said
capacity, partnership interest, etc. An interest in any undistributed estate or
income from any property held in trust under the will or agreement of another
even thou:jh located outside of Pennsylvania at the time of death should be
listed on Schedule "B"
Po completed Partnership Interest Report (REV-894) must be attached for
each Dartnership orioint venture, and a completed Closely Held Corporate Stock
Information Fleport (REV-893) must be attached for each closely-held business
interest or sole proprietorship reported on Schedule "B".
File Number
INHERIT ANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-78-0637
REV-4B4 EX+ \5-BO)
Estate Name
J. Floyd Barrick
o Original
[] Supplemental
o Remainder
Date of Death
October 9, 1978
Social Security Number
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Apprai ser in and for the County of Cumberland
Pennsylvania, do respectfully report 1~hat I nave appraised the real and pltrsonal property as reported in the foregoing
return at the values set forth opposite~ each item in the last column to the right in Schedules "A", "B", "C", and "E"
Dated: March 2 7, 1981
, )
PI/JNJi'I j....1f Ita;) t1 J( J
INHERITANCE TAX APPRAISER
_.
ADJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
~-_..
Real Property (Schedu Ie A) $ none 00+ 92+
".--
Personal Property (Schedule B) $2,388 0 10+
~. -.-,
Joint-Held Property (Schedu Ie E) none 20+
~.__.
Transfers (Schedule C) none 30+
-_......
TOTAL GROSS ASSETS -----. $2,388 ~~ --
Less Debts and Deductions 40- 93-
(SCHEDULE F) . .-
CLEAR VALUE OF ESTATE
o Life Estate
o Annuity
RA "TE
FACTOR
PRINCIPLE
VALUE
CODE
FOR USE OF REGISTER ONLY
CODE
COMPU,TATlON OF TAX
$
$
$
$
$
Tax an $
6%
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
.- -
-
--,-
.
-
Tax an $
15%
Tax an $
Tax on $
Tax on $
Exemptions
Total Estate
Less Credits
DATE OF PAYMENT
$
DISCOUNT INTEREST TAX CREDIT
+ $ $ :: $
+ ;:
BALANCE $
TO $
$
AMOUNT PAID
INTEREST FROM
BALANCE DUE
REV-SIB FO (7-BO)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
NOTICE OF FILING OF APPRAISEMENT
Mary I. Thumma
208 York Road
Carlisle, PA 17013
Anna Mae Trace
505 East Marble Street:
Mechanicsburg, PA 17055
RE: Estate of
County of
File No.
J. Floyd Barrick
Cumberland
21-78-0637
Dear Ms. Thumma and Ms. Trace:
You are hereby notified that the supplemental
appraisement in the estate elf J. Floyd Barrick
has been filed in the office of the Register of Wills of Cumberland
County on March 27 , 19 81 . Said appraisement reflects the following valuations:
Real Estate
Personal Property
Jointly Owned
T ransflHs
Total
none
$2,388.10
none
none
$2.388.10
As to such tax that is paid within three months from date of death, a five (5%) percent
discount is allowable. As t.o any tax that remains unpaid after nine (9) months (fifteen months
when death occurred from December 22,1965 to June 16, 1971, inclusive; and twelve months when
death occurred prior to Decl~mber 22, 1965) from date of death, interest at the rate of six (6%) percent
per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within sixty days
after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of
1961,72 P.S. 2485-1001, P.L. 373.
Date
March 27. 1981
Si gned
~~ J--1 .J1f14' IlA f( j)
Title Chief Appraiser
NOTE: This is not a bill.
REV-457 (1-80)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX
APPRAISEMENT
Estate of
J. Floyd Barrick
File No.
21-78-0637
County
Cumberland
Date of Death
October 9, 1978
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any
estate for fife or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inher,tance taxes at the lawful collateral rate
on any such future interest.
PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S
APPRAISED VALUE
1. TOTAL REAL PROPERTY - SCHEDULE "A" none
2. TOTAL PERSONAL PROPERTY - SCHEDULE "8" $2,388.10
3. TOTAL TRANSFERS - SCHEDULE "C" none
4. TOTALJOINTL Y OWNED PROPERTY -- SCHEDULE "E" none
TOTAL REPORTED PROPERTY $2,388.10
-
PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH
-
TOTAL UNREPORTED PROPERTY
TOT AL GROSS ASSETS $2,388.10
LIFE ESTATE OR ANNUITY CALCULATION
I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day
with the Register of Wills. )
r,.~ , 7f:>c.' i/
.-//J,1.'""f.l:l./ / CI'( tL/t. .
APPRAISER
March 27, 1981
DATE
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