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HomeMy WebLinkAbout12-19-05 REV-1500 EX (6-00) I- Z W C w U w C W I- ll:::!!;rn UO::ll:: WD..U J:OO UO::...J D..llJ D.. <I: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Zeigler, t~arian O. DATE OF DEATH (MM-DD-YEAR) 07-09-2005 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DATE OF BIRTH (MM-DD-YEAR) 07-29-1920 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) IX.] 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate (AtlachcopyofWill) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Mach copy ofTrust) D 10. Spousal Poverty Credit (date of death between 12.31-91 and 1-1-95) FILE NUMBER Ll-D-L COUNTY CODE YEAR D- 1L ....6- l l NUMBER SOCIAL SECURITY NUMBER 204 03 - 2072 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Return (date of death prior to 12-13-82) D 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Mach Sch 0) I- Z W C Z o D.. rn W 0:: 0:: o U FIRM NAME Jlf Applicable) aw Offlces of Joseph TELEPHONE NUMBER (717) 249-2448 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) D. Buckle 4. Mortgages & Notes Receivable (Schedule D) 3 Closely Held Corporation, Partnership or Sole-Proprietorship 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) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 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) z o ~ ..J ::J !:: Q. c( U w ~ 1237 Holly Pike Carlisle, PA 17013 (1) 149,000.00 (2) (3) (4) (5) 11,984.00 (6) (7) (9) 22,484.00 (10) 5,779.00 13 Charitable and Governmental Bequests/Sec 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) z o ~ ~ ::J Q. :!: o u >< ~ 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) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 132.721.00 x.O _ (15) x .0 II (16) x12 (17) x .15 (18) 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT C) C":O ", J ~-"J i i_! ; (j ! : ... ,; I..:::J , . ) , i c.) (8) 160,984.00 (11) (12) (13) 28,263.00 132,721.00 (14) 132,721. 00 5.972.45 (19) 5,972.45 Decedent's Complete Address: STREET ADDRESS 37 Garland Court II .- CITY Carlisle I STATE PA T ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 5,972.45 Total Credits (A + B + C ) (2) -0- 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( 0 + E ) (3) 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 (4) -0- 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 5,972.45 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 5,972.45 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;.......................................................................................... D [K] b. retain the right to designate who shall use the property transferred or its income; ........................................... D [K] c. retain a reversionary interest; or.......................................................................................................................... D [K] d. receive the promise for life of either payments, benefits or care? ...................................................................... D [K] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. D [K] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ............. D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........... ............................................................................................................ D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. DATE DATE /1- cJf 0 .- /70 (.J 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)l. 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. 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. S9116(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-1502 EX+ (12-85) '* SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Marian O. Zeigler 21-05-0633 (Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value which is defined al the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled ~o buy or sell, both having reasonable knowledge of the relevant facts. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Residence 37 Garland Court II, Carlisle, PA 17013 (see attached apprai~al) 149,000.00 TOTAL (Also enter on line 1, Recapitulation) (If mare space is needed, insert additional sheets of same size.) S149, 000.00 APPRAISAL REPORT 37 GARLAND COURT CARLISLE, PENNSYLVANIA PREPARED FOR THE ESTATE OF MARIAN O. ZEIGLER BY LARRY E. FOOTE DIVERSIFIED APPRAISAL SERVICES 35 EAST IDGH STREET, SUITE 101 CARLISLE, PENNSYLVANIA 17013-3052 (717) 249-2758 SUMMARy OF IMPORTANT FACTS AND CONCLUSIONS LOCATION: 37 Garland Drive Carlisle, Pennsylvania TAX PARCEL NUMBER: 40-23-0602-159 IMPROVEMENTS: One-story semi-attached single-family dwelling. PROPERTY RIGHTS: Fee simple interest. OWNERSHIP IDSTORY: The subject property is owned by Marian O. Zeigler. The property was purchased on March 30, 1999 for a reported consideration of $112,000 and ownership transferred on Deed Book 196, Page 700. SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an estimation of the property's highest and best use, consideration of all three approaches to value, and the application of those relevant to the valuation of the subject. OBJECTIVE: To estimate the market value of the subject property as unencumbered. EFFECTIVE DATE: July 9,2005. IDGHEST AND BEST USE: Continued use as a single-family residence. COST APPROACH: N.A. SALES APPROACH: $149,000 INCOME APPROACH: N.A. FINAL VALUE CONCLUSION: $149,000 2 APPRAISAL CERTIFICATION I hereby certify that upon application for valuation by: THE ESTATE OF MARIAN O. ZEIGLER the undersigned personally inspected the following described property: All that certain piece or parcel of land, with the improvements thereon erected, situate in South Middleton Township, Cumberland County, Pennsylvania, bounded and described as follows: Beginning at the northeast comer of Lot No. 37, said comer being located North 83 degrees, 14 minutes, 30 seconds West, a distance of 157.31 feet; thence North 67 degrees, 40 minutes, 10 seconds West, a distance of 194.05 feet; then North 32 degrees, 40 minutes 10 seconds West, a distance of 169.62 feet, then North 57 degrees, 19 minutes, 50 seconds East, a distance of289.00 feet, then South 32 degrees, 26 minutes, 10 seconds East, a distance of85.12 feet, then South 57 degrees, 30 minutes, 50 seconds West, a distance of 0.27 feet from a concrete monument which marks the common property comer of land now or formerly of Stonehedge Developers, Inc. and S & A Custom Built Homes, Inc., herein, and from the northeast comer of Lot No. 37, South 06 degrees, 45 minutes, 30 seconds West, a distance of 35 feet to a point, then North 83 degrees, 14 minutes, 30 seconds West, a distance of 116.00 feet, then North 06 degrees, 45 minutes, 30 seconds East, a distance of35.00 feet, then South 83 degrees, 14 minutes, 30 seconds East a distance of 116.00 feet to the place of beginning. To the best of my knowledge and belief the statements contained in this report are true and correct, and that neither the employment to make this appraisal nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of July 9,2005 IS: ONE HUNDRED FORTY~NINE THOUSAND DOLLARS $149,000 The property was appraised as a whole, subject to the contingent and limiting conditions outlined herein. /~ Larry E. Foote Certified General Appraiser GA~000014~L 3 REV-15Ol1 EX. (1-97) ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Marian O. Zeigler FILE NUMBER 21-05-0633 Include the proceeds of litigation and the date 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. 2. 3. 4. 5. DESCRIPTION VALUE AT DATE OF DEATH Savings Account - M&T Bank 8,459.92 C~ecking Account - M&T Bank 1,108.81 Various refunds (cable, newspaper, health insurance,...) 364.94 Various hosehold items (see attached list) 1,000.00 1992 Pontiac sedan (fair condition - see attached statement of value) 1,050.00 TOTAL (Also enter on line 5, Recapitulation) $ 11, 984 . 00 (If more space is needed, insert additional sheets of the same size) ITEM VALUE Living Room Desk with chair 25.00 Stereo (Sanyo) rack system turn table cassette equilizer amp tuner 100. 00 Couch 25.00 Swivel Rocker (2) 10 . 00 End Table 5.00 TV Samsung 20" 30.00 TV Stand 5.00 VCR RCA 15.00 Dry Sink 50.00 Dining Room Table Chair (6) Hutch 100.00 Master Bedroom Bed (full) 50.00 Dresser with Mirror 50.00 Chest of Drawers 50.00 Night Stand (2) 20.00 Cedar Chest 25.00 Drop-leaf table 20.00 Wooden Rocking Chair 25.00 Entry Hall Deacon Bench 50.00 Grandmother Clock 100.00 Bedroom 2 Sewing Machine wi cabinet 25.00 Bed (twin) 25.00 Night Stand 10.00 Chest of drawers 20.00 Kitchen Microwave Oven 10.00 Misc. small appliances 10 . 00 Flatware (service 18) 20.00 Dishes (service 18) 100.00 Mise pots/pans/bakeware 25.00 $1,000.00 Kelley Blue Book - Private Party Pricing Report - Pontiac, Grand Prix Page 1 of2 .~!!~~~ 0'1/<:75) cars of (I' .::""'''~''' advertisement USED CARS (;J. Quick Dealer Price Quote ~) Search Used Car Listings {} Lis REVIEWS & RATINGS ADVICE FINANCING BLUE BOOK~ PRIVATE PARTY REPORT Pennsylvania · November 8, 2005 1992 Pontiac Grand Prix LE Sedan 40 . BLUE BOO~ Semen Used (, .,.-' L~" 1 ~.---,...,....... '.' ....-.. . . n.-' ........,.. ' '-'" ...... . '" ~H c-- _~.~ ,..... ,.. . - - . ,-.',;", ;''''.''~ Search ListinQs for This Car; List Your Car For Sale Online: Quick New Car Price Quote ! Free CARF~ Record Check Auto Loans from 5.29% APR Insurance Quote Print "For Sale" Sign Payment Calculator Q t 6 ve fi nd exact you want. Engine: V6 3.1 Liter Trans: Automatic Drive: FWD Mileage: 48,000 -adv Air Conditioning Power Steering Tilt Wheel AM/FM Stereo Equipment Consumer Rated Condition: Fair "Fair" condition means that the vehicle has some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. This vehicle has a clean title history, the paint, body and/or interior need work performed by a professional. The tires may need to be replaced. There may be some repairable rust damage. Private Party Value Search Local Listings I List This Car for Sale $1,050 Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Get a Used Car Trade-In Value Get Invoice & MSRP on New Cars Get a 15 Minute Response When You Apply for a Blank Check@ Auto Loan REV~1511 EX+ 17~881 ~ w SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Please Print or Type FILE NUMBER 21-05-0633 COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marian O. Zeigler ITEM NUMBER A. DESCRIPTION AMOUNT Funeral Expenses: 1. Hoffman-Roth Funeral Home 6,828.00 B. Administrative Costs: 1. Personal Representative Commissions Jo Ann Garman Social Security Number of Personal Representative: ';;'0 'f Year Commissions paid 2006 s(, .3S 82- 4,800.00 2. Attorney Fees Joseph D. Buckley, Esquire 8,000.00 3. Family Exemption Claimant Address of Claimant at decedent's death Relationship Street Address City State Zip Code 4. Probate Fees 500.00 C. Miscellaneous Expenses: 1. Larry Foote Appraisals 275.00 2. Beckolt Carpet Cleaning 144.45 3. Anderson Windows 176.70 4. South Middleton Municipal Authority 132.10 5. The Sentinel - Legal Ad 151. 55 6. Cumberland County Bar Journal - Legal Ad 75.00 7. Transfer tax on sale of home 1,400.00 8. TOTAL (Also enter on line 9, Recapitulation) $ 22,484.30 (If more space is needed, insert additional sheets of same size.) REV-1512 EX+ (1-93) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or Type FILE NUMBER COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Marian O. Zeigler 21-05-0633 ITEM NUMBER DESCRIPTION AMOUNT 1. M&T Bank - personal loan 5,324.67 2. PPL - electric 145.59 3. Stonehedge Homeowners Association 300.00 4. Sprint 8.59 TOTAL (Also enter on line 10, Recapitulation) $ 5, 77 8. 85 (If more space is needed, insert additional sheets of some size.) RfY-15IJ EX + (2-87) *' COMMONWEALTH OF p~NNSnYANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHED'ULE J BENEFICIARIES ESTATE OF FILE NUMBER ITEM NUMBER 2. 3. 4. 5. 6. 7. 8. Marian O. Zeigler NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequests: 1. Jo Ann Garman 5515 Westbury Drive, Enola, PA 17025 Stephen l.Jhite 655 N. East St., Carlisle, PA 17013 Cheryl White 640-13 Geneva Drive, Mechanicsburg, PA 17055 Michael White 41 Stafford Drive, Las Vegas, NV 89115 Shawn Austin 175 Kreidler Avenue, York, PA 17402 Lance Zeigler 11404 Beehive Court, Germantown, MD 20876 Danielle Zeigler 7465 Carlisle Road, Wellsville, PA 17365 Dustin Zeigler 600 Luther Drive, Apt. 705, Georgetown, TX 78628 21-05-0633 RELATIONSHIP AMOUNT OR SHARE OF ESTATE granddaughter 1/8 grandson 1/8 granddaughter 1/8 grandson 1/8 grandson 1/8 grandson 1/8 granddaughter 1/8 grandson 1/8 ITEM NUMBER AMOUNT OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICIARY 1. B. Charitable and Governmental Bequests: TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ (If more space is n.ed.d, insert additional sheets of same size) ,--..-,,--_...._~--"''''.__. 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 GARMAN JO ANN 5515 WESTBURY DRIVE ENOLA, PA 17025 __h_n_ fold ESTATE INFORMATION: SSN: 204-03-2072 FILE NUMBER: 2105-0633 DECEDENT NAME: ZEIGLER MARIAN 0 DATE OF PAYMENT: 12/19/2005 POSTMARK DATE: 1 2/1 9/2005 COUNTY: CUMBERLAND DATE OF DEATH: 07/09/2005 NO. CD 006120 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $5,972.45 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JO ANN GARMAN CHECK#125 SEAL INITIALS: CM RECEIVED BY: REGISTER OF WILLS $5,972.45 GLENDA FARNER STRASBAUGH REGISTER OF WILLS