HomeMy WebLinkAbout12-14-05
r REV-I500 EX (6-00)
FILE THIS RETURN WITH:
C0M\10NWEAL TH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
Rev-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
21
COUNTY CODE
05
YEAR
0291
NUMBER
SOCIAL SECURITY NUMBER
172-24-9439
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
3. Remainder Return (dSe ofdeeth prior to 11-13-81)
5. Federal Estate Tax Return Required
9. Litigation Proceeds Received
7. Decedent Maintained a Living Trust (Attoch 0 copy of Trust) 8. Total Number of Safe Deposit Boxes
10 Spousal Poverty Credit (date ofdeolh between 12-31-91 ond 1-1-95) 011. Election to tax under Sec. 9113(A)
. (8ll&ch Sch 0)
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
COMPLETE MAILING ADDRESS
1822 Market Street
Camp Hill, PA 17011
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(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
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$1,046,523.58
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$1,046,523.58
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$47,843.56
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOUDER, Fay E..
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
March 14, 2005 December 26, 1916
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
N/A
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X 10 Original Return
4. Limited Estate
2. Supplemental Return
4a. Future Interest Comprise (dote of deoth ofter 12-12-82)
X 6. Decedent Died Testate (Attach copy of Will)
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THIS SECTION MUST BE COMPLETED.
NAME
William E. Miller, Jr., Esquire
FIRM NAME (If Applicable)
Miller & Associates, PC
TELEPHONE NUMBER
717/737-9210
1. Real Estate (Schedule A)
(1)
(2)
(3)
(4)
(5)
(6)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
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5. Cash, Bank Deposits & Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Misc. Non-Probate Property
(Schedule G or L)
8. T olal Gross Assets (Iolal Lines 1-7)
(7)
9. Funeral Expenses & Administrative Costs (Schedule H)
(9)
(10)
10. Debts of Decedenl, Mortgage Liabilities & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charilable 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)
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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
16. Amount of line 14 taxable allineal rate
$1,036,523.58 x
4.5%
17. Amount of line 14 taxable at sibling rate
$10,000.00 x
.12
18. Amount of line 14 taxable at collateral rate
x
.15
19. Tax Due
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
"Decedent's Complete Address:
STREET ADDRESS 1050 Tunberry Court
CITY I~TATE I~IP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
$47,843.56
Total Credits (A + B + C) (2)
$000
3. Interest/Penalty if applicable
D. Interest
E. Penalty
4.
Total Interest/Penalty (0 + E) (3)
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 (4)
If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5)
$0.00
5.
$47,843.56
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
(5A)
(5B)
A. Enter the interest on the tax due.
$47,843.56
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN X IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
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?
2. If death occurred after December 12, 1982, did decedent transfer property within on year of death
without receiving adequate consideration?
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? c=J C2:]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Yes No
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B EE
Under pena"ies of perjury, 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 complete.
Declaration of preparer other than the personal representative is based on all the information of which preparer has any knowledge.
DATE
05
1050 Tunbe y Court, Mechanlcsburg, PA 1 50
~~P~~THE~~:~TIVE
ADDRESS
Miller & Associates, PC, 1822 Market Street
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 orfor 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 is 0% [72 P.S. ~9116 (a) (1.1) (iilf 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)
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SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Fay E. Souder
FILE NUMBER
21-05-0291
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
Rental property located at 6325 Locust Lane, Mechanicsburg, PA
Value used is proceeds from sale of property on September 20. 2005
(See HUD-1 attached)
VALUE AT DATE
OF DEATH
$104,774.48
2.
6000 Creekview Road, Commercial Vacant Land, Lot 1. Although this land does have a cellular tower erected on it,
the decedent owns only the land. A cellular tower had been constructed on the land several years ago by the
predecessor to Verizon. Currently. Verizon owns, and pays taxes on the cellular tower. Upon termination of the
lease by either party, the cellular tower would be removed from the lot. Valuation based on the Cumberland County
Tax Assessment Office assess fair market value.
$39,860.00
TOTAL (Also enter on line 1 , Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$144,634.48
~ REV-1503EX + (6-98)
.
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Fay E. Souder
FILE NUMBER
21-05-0291
All property jolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
The Vanguard Group - Account No. 9918818835 (including accrued dividends)
VALUE AT DATE
OF DEATH
$645,411.62
TOTAL (Also enter on line 2, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$645,411.62
"REV-1507 EX + (&-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES & NOTES
RECEIVABLE
ESTATE OF
Fay E. Souder
FILE NUMBER
21-05-0291
All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
Mortgage from Michael E. Souder and Janet F. Souder dated 8 November 1995 and recorded on
13 November 1996 in Cumberland County Mortgage Book 1351, Page 242, in the principal amount of $75,000
VALUE AT DATE
OF DEATH
$36,000.00
TOTAL (Also enter on line 4, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$36,000.00
. REV-1508 EX + (6-88)
.
COMMONWEALTH OF PENNSYL VANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Fay E. Souder
FILE NUMBER
2105-0291
Include the proceeds of litigation and the dale the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
PA State Bank Checking Account No. 10007698
Accrued Interest
VALUE AT DATE
OF DEATH
$25,933.10
$5.48
2.
PA State Bank Savings Account No. 26006742
Accrued interest
$197,073.86
$98.44
TOTAL (Also enter on line 5, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
$223,110.88
.. REV-1509 EX ... (&-98)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fay E. Souder
FILE NUMBER
2105-0291
SCHEDULE F
JOINTLY-OWNED PROPERTY
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
ADDRESS
RELATIONSHIP TO DECEDENT
A. Paul H. Souder
B. Joyce A. Kinney
C.
203 Ridge Road
Carlisle, PA 17013
1050 Tunberry Court
Mechanicsburg, PA 17050
Son
Daughter
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY DATE OF DEATH %OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. DECD'S VALUE OF
NUMBER TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENrS INTEREST
1. A. 2001 Pennsylvania State Bank Checking Account No. 21500442 $52,265.50 50.0% $26,132.75
2. B. 1981 M&T Bank Checking Account No. 978507 $58,164.88 50.0% $29,082.44
TOTAL (Also enter on line 6, Recapitulation) $55,215.19
(If more space is needed, insert additional sheets of the same size)
. REV-1511 EX+(12-99)
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SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fay E. Souder
FILE NUMBER
2105-0291
ITEM
NUMBER
A.
1.
2.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
Malpezzi Funeral Home
Meal following funeral
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) Linford N. Kinney
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address 1050 Tunberry Court
City Mechanicsburg
Year(s) Commission Paid:
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
State P A
Zip 17050
2005
City
Relationship of Claimant to Decedent
State
Zip
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
Newspaper notice regarding estate
Loyalton of Creekview - Invoice received after death of decedent for nursing home care
Medical bills received after death of decedent
Cellular tower 2005 real property taxes, paid after death of decedent
Sewer and trash removal for 6325 Locust Lane property paid after death of decedent
Electric bills for 6325 Locust Lane property paid after death of decedent
Water bills for 6325 Locust Lane property paid after death of decedent (caused by vandals leaving water running)
Short certificates
Loss, after insurance proceeds, incurred from vandalism to 6325 Locust Lane property
Administration expenses including filing fees, photocopying charges, etc.
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
AMOUNT
$9,631.82
$457.33
$10,000.00
$25,000.00
co:.
$764.00
$172.10
$3,095.00
$298.32
$1,108.11
$241.50
$108.03
$224.20
$20.00
$6,628.18
$1'00.00
$57,848.59
. REV-1513 EX + (9-00))
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SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Fay E. Souder
FILE NUMBER
21-05-0291
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116 (a) (1.2)]
1. Linford N. Kinney Son-in-law 1%
1050 Tunberry Court, Mechanicsburg, PA 17050
2. Ray M. Souder, Jr. Son 25% of Residue
411 E Third Street, Birdsboro, PA 19508
3. Joyce N. Kinney Daughter 25% of Residue
1050 Tunberry Court, Mechanicsburg, PA 17050
4. Shirley Ann Snyder Daughter 25% of Residue
122 Locust Point Road, Mechanicsburg, PA 17050
5. Paul H. Souder Son 25% of Residue
203 Ridge Road, Carlisle, PA 17013
6. Ruth E. Wevodau Sister $10,000.00
6280 Carlisle Pike, Mechanicsburg, PA 17050
7. Linford N. Kinney, Trustee for Trust UNV for cellular tower tract and lease. The Trust for children $39,860.00
beneficiaries of the Trust are the decedent's four children
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 T P\X IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- 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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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MILLER WILLIAM E JR
1822 MARKET STREET
CAMP HILL, PA 17011
___n___ fold
ESTATE INFORMATION: SSN: 172-24-9439
FILE NUMBER: 2105-0291
DECEDENT NAME: SOUDER FAYE
DATE OF PAYMENT: 1 2/ 1 4/2005
POSTMARK DATE: 1 211 3/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 03/14/2005
ACN
ASSESSMENT
CONTROL
NUMBER
101
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 1029
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 006104
AMOUNT
--------
I $47,843.56
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$47,843.56
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
LAW OFFIces OF
MILLER & ASSOCIATES, PC
William E. Miller, Jr.
Anthony E. Marrone
1822 MARKET STREET. CAMP HILL, PA 17011
TEL: (717) 737-9210. FAX: (717) 737-9215
Direct Dial Number:
12 December 2005
CERTIFIED MAIL -
RETURN RECEIPT REQUESTED
Cumberland County Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Re: Estate of Fay E. Souder, Deceased
File Number 21-05-0291
Dear Sir/Madam:
Enclosed herewith for the above referenced estate are the following items:
1. Original and one copy (without attachments) of the REV-1500, Inheritance
Tax Return Resident Decedent, as well as additional copies of pages 1
and 2 marked "copy" ..
2. Check number 1029 from the Estate of Fay E. Souder in the amount of
$47,873.56 representing the tax due for the REV-1500.
3. Check number 1030 from the Estate of Fay E. Souder in the amount of
$690 representing additional probate fees due. .
4. Our firm's check number 4120 in the amount of $15 representing the filing
fee for the REV-1500 tax return.
Please send the time-stamped copies to me in the envelope provided. If you
have any questions or require additional information, please call me at 7.17/737-9210.
Thank you for your assistance with this matter.
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Michelle E. Miller . "", ~.
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Enclosures
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cc: Linford N. Kinney, Executor
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