HomeMy WebLinkAbout01-31-06 (2)
r{EV.1500 EXii3-00:,
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21 05
00561
COUNTY CODE YEAR
NUMBER
I-
Z
W
Cl
W
U
w
Cl
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Faust, Heather M.
SOCIAL SECURITY NUMBER
204-48-6873
DATE OF DEATH (MM-DD-YEAR)
04/18/05
DATE OF BIRTH (MM-DD-YEAR)
05/15/71
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
UJ
:.::~(I)
ua::.::
Uja.U
zOO
ua:...J
a.lll
a.
<(
~ 1. Original Return
o 4. Limited Estate
o 6. Decedent Died Testate (At!.Gh copy of Wiil)
o 9. Litigation Proceeds Reoeived
o 3. Remainder Return (dalB of death pnorto 12-1J.82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Scn 0)
o 2. Supplemental Return
o 4a. Future Interest Compromise (dale ofdealf1 afte, 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy of Trust)
o 10. Spousal Poverty Credit (date of death betNeen 12-31-91 and 1-1-95)
I-
Z
UJ
C
z
o
a.
(I)
UJ
a:
a:
o
u
NAME
Benita T. Craig
FIRM NAME (If Appiicable)
COMPLETE MAILING ADDRESS
411 West Centre Street
Mahaney City, PA 17948
TELEPHONE NUMBER
(570) 773-1441
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
(1)
(2)
1,250.00
28,670.00
0.00
0.00
24,053.00
""""1
3. Closely Held Corporation, Partnership or Sole-Proprietorship
(3)
z
o
~
..J
::::>
l-
e.
oe:(
U
w
0:::
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
~ Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
(4)
--""""\
(5)
0.00
(6)
r..)
(7)
0.00
9. Funeral Expenses & Administrative Costs (Schedule H)
(9)
(8)
1,914.00
0.00
53,973.00
(10)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
(11)
(12)
(13)
'''''''"='"'''''''''~'"''''"~'''~~~~'"'''''''''""~,,!.,,~~,,~~.~,,=-
52,059.00
0.00
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
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(14)
52,059.00
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
z
o
~
~
::::>
e.
::i
o
U
><
~
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x .0 (15)
16. Amount of Line 14 taxable at lineal rate
X .Om__ (16)
52,059.00
x .12 (17)
6,247.00
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
x .15 (18)
19. Tax Due
(19)
6,247.00
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS
230 Faith Circle
CITY Carlisle I STATE I ZIP
PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
6,247.00
0.00
4,400.00
232.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C ) (2)
4,632.00
0.00
0.00
Total Interest/Penalty ( D + 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)
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(SA)
(5B)
1,615.00
0.00
A. Enter the interest on the tax due.
1,615.00
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
........0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred:................ ................................ ...................................... 0
b. retain the right to designate who shall use the property transferred or its income; ...................................... ..... 0
c. retain a reversionary interest; or........................................... ...................................."... ......................."........." 0
d. receive the promise for life of either payments, benefits or care? ......................"..".........................."............. 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ... .......................................................". ............................. ..... 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ......".................."..."................................... ................. .......................
No
[iJ
[iJ
[iJ
[iJ
[iJ
~
[iJ
Under penalties 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 information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE F R FILING RETURN
_~O~ -r ~ ' .. ___
ADDRESS
fll(_~~f~~~C-:_ IYJV~~L::A:iD_I_
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE (f' (/
DATE
1_ '') S- -(} (:;
-~------~..~--------
po-- /79'1e:
DATE
ADDRESS
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) (i1)].
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. 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-1502 ~X+ (609.
. COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
FILE NUMBER
Faust, Heather M.
21-05-0561
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.
Aeal property which Is Jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
25% interest in 501 West Pine St., Mahanoy
City, PA. Tax parcel No. 48-8-135
The following is an explanation
Decedent's interest in this premise.
of
the
Frank and Lillian Davidavage obtained
title to the premises on December 17, 1948.
Frank died in 1975. By operation of law
the property passed to his surviving spouse
Lillian.
Lillian died intestate on May 26, 1992.
Lillian had 2 children - Phyllis (Davidavage)
Faust and Francis Davidavage. Phyllis
predeceased intestate Lillian on February 14,
1977. Phyllis was survived by 2 children
Bonita T. (Faust) Craig and Heather Faust.
$1,250.00
TOTAL (Also enter on line 1, Recapitulation) $
(II more space is needed, insert additional sheets of the same size)
C1 ,)CJ\ no
REV-1503 Ex + (1-97)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Faust, Heather M.
FILE NUMBER
21-05-0561
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
Quanti ty (3) United States Saving Bonds,
$1,000 Denominations, Series E, Issued April
1977, Mature April 2007, Interest Rate 4.00%,
Serial Nos. M204220537E, M204220538E,
M204220540E
$15,303.60
Quanti ty (2) United States Saving Bonds,
$1,000 Denominations, Series E, Issued March
1977, Mature March 2007, Interest Rate 4.00%,
Serial Nos. M202644479E, M202644480E
$10,202.40
Quanti ty (1) United States Saving Bond,
Denomination, Series E, Issued July
Mature July 2007, Interest Rate 4.00%,
No. D203175184E
$500
1977,
Serial
$2,530.20
Quantity (1) United States Saving Bond, $50
Denomination, Series E, Issued June 1971,
Mature June 2001, Interest Rate 4.00%, Serial
No. L814419446E $253.90
Quantity (1) United States Saving Bond, $50
Denomination, Series E, Issued December 1972,
Mature December 2002, Interest Rate 4.00%,
Serial No. L1022545944E $256.66
Quantity (1) United States Saving Bond, $50
Denomination, Series EE, Issued December 1980,
Mature December 2010, Interest Rate 4.00%,
Serial No. L35328825EE $123.40
TOTAL (Also enter on line 2, Recapitulation) $ ;;).g i b 76,00
(If more space is needed, insert additional sheets of the same size)
REV-l508 EX + (l-9n
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Faust, Heather M.
21-05-0561
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.
DESCRIPTION
VALUE AT DATE
OF DEATH
2005 Federal Income Tax Refund
$2,778.00
Settlement from lawsuit
Horace Mann Insurance
Docket No. 2004-EQ-0008
(Heather M. Faust v.
Co., Dauphin County,
$21,275.00
yLLl, U:J..J.VU"
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
Writer's Direct Email: tas@shollianlaw.com
HEATHER FAUST
L1 c,,""
UIM Settlement Distribution Sheet
NET RECOVERY:
$30,000.00
LESS:
1. Attorneys' Fees [27%]
$ 8,100.00
$ 625.29
2. Costs Reimbursement to Shollenberger & Januzzi, LLP
TOTAL DEDUCTIONS:
-$ 8,725.29
BALANCE TO CLI ENT:
$21,274.71
And Now this (>>f~ day of \. JUNe 2005, the above Distribution Sheet
has been read, understood, and the receipt of a copy thereof acknowledged. I
warrant that my attorney discussed with me all elements involved in my case,
including possible verdict at the time of trial. I warrant that I enter into the above
settlement without threat, mental reservation ' a result of any coercion. I
understand that there may be some outst sts which have not been
received by my attorney and that, whe ey will be my responsibility.
NAME
Witness
G:IGLOBAL\WPDATAIDOCSIDori's files\FORM LETTERSIDISTRUBUTION SHEET.doc
REV-1509 EX+ (6-98)
SCHEDULE F
JOINTlY-OWNED PROPERTY
ESTATE OF
FILE NUMBER
1
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.
Robert A. Sallaway
230 Faith Circle
Carlisle, PA 17013
Boyfriend
B.
C.
JOINTLY-OWNED PROPERTY:
2 .
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCiAL INSTITUTiON AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT .JOINT IDENTifYING NUMBER. ATTACH DEED FOR JOiNTI.HIf:.l.D REAl. ESTATE. VAI.UE OF ASSET INTEREST DECEDENTS iNTEREST
1. A.
9/20/94 Tax Parcel No. 29-14-0868-146 $111,450 50~ $55,725
Property at 230 Faith Circle
Carlisle, PA 17013
A. 9/13/99 Members 1st Federal Credit Union
Savings Acct. #187476-00 $2,359.00 500 $1,180.
A. 9/13/99 Members 1st Federal Credit Union
Checking Acct. #187476-11 $655.00 500 $328.00
A. 4/30/04 Members 1st Federal Credit Union
Supplemental Savings #187476-01 $6.00 50~ $3.00
A. Unk. 2003 Bayliner Boat $8,000.00 50~ $4,000.
Pa. Reg. No. 3014CN
A. Unk. 2004 Chevy Colorado
Pa. Plate No. YNX-6723 $10,000.0 50~ $5,000.
CONTINUED ON SEPARATE PAGE
TOTAL (Also enter on line 6, Recapitulation) $ CC)l~+' ",v. et\ (J~J N €x+ r
.00
00
3.
4.
5
00
6
00
()~~
J
(If more space is needed, insert additional sheets of the same size)
REV.1509 EX. (1-97)
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Faust, Heather M.
FILE NUMBER
21-05-0561
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.
Robert A. Sallaway
230 Faith Circle
Carlisle, PA 17013
Boyfriend
B.
c.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY '10 OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
CONTINUED FROM PREVIOUS PAGE
7 . A. Unk. 2002 Pontiac Firebird Trans-Am
Pa. Dare Plate PIA 703K $13,000.00 50% $6,500.00
8. A. Unk. 2001 Pontiac Grand Am $6,000.00 50% $3,000.00
9. A. Unk. Boat Trailer $500.00 50% $250.00
TOTAL (Also enter on line 6, Recapitulation) $ '75) 9~(, .00
(If more space is needed, insert additional sheets of the same size)
f")aQ -~,~
0(0 ~a~ ) \ RJ j
Parcel # 29-14-0868-146
THIS DEED
HADE THE ~o -14 day of ~'r:i the
ninety-four (1994).
year nineteen hundred
BETWEEN
IAN D. McCREDIE and DEANNE E. McCREDIE,. husband and
wife, of Lewes, Delaware, hereinafter referred to as
"Grantors"
AND
ROBERT A. SALLAWAY and HEATHER K. FAUST, single
persons, of Carlisle, Pennsylvania, as Joint Tenants
with the right of surviorship, hereinafter
referred to as
"Grantees"
WITNESSETH, that in consideration of the sum of Eight-Five
($85,000.00) Dollars, in hand paid, the receipt whereof is hereby
acknowledged, the said Grantors do grant and convey in fee simple
to said Grantees, their heirs and assigns,
ALL that certain lot of land with the improvements thereon
erected situate in North Middleton Township, Cumberland County,
Pennsylvania, bounded and described as follows:
BEING Lot No. 19 on the Plan of Kingsbrook, Section "5", as
'recorded in the Office of the Recorder of Deeds for Cumberland
County in Plan Book 37, Page 1301 containing 91.70 feet along the
South along Faith Circle1 containing 235.04 feet along the East
along Lot No. 181 containing 159.86 feet along the North along
lands now or formerly of John B. Crum, Jr., Daniell. Thomas and
Samuel J. Burdette and containing 174.26 feet along the West
along Lot No. 20, and containing 23,949 square feet.
HAVING erected thereon
numbered as 230 Faith
Pennsylvania.
a single
Circle,
family style home known and
Carlisle, Cumberland County,
BEING the same property which George O. Lebo, granted and
conveyed to Ian D. McCredie and Deanne E. McCredie, Grantors
herein, by deed dated July 31, 1987, and recorded in the office
aforesaid in Deed Book "V", Volume 32, Page 531.
~Or5K 112 PACE 146
-_/
_.,~..........
...<ll'.....,.....
BEING SUBJECT to the building and use restrictions as recorded in
the Office aforesaid in Miscellaneous Book 184, Page 763.
AND the said Grantors hereby covenant and agree that they will
warrant specially the property hereby conveyed.
IN WITNESS WHEREOF, said grantors have hereunto set their hands
and seals the day and year first above written.
SIGNED, SEALED AND DELIVERED
~_~_~~~ O~ // .s:----
('~c;L..-
~~,9<),'/1J '- 'j 4i!.~ r)( ../
b'1 (j) ;t;;:;:./
IAN D. McCREDIE
~~ f.~h-
DEANNE E. McCREDIE
(SEAL)
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
55.
COUNTY OF CUMBERLAND ~beY"
On this, the ~ day of ~, 1994, before me, a notary
public in and for the County of Cumberland, Commonwealth of
Pennsylvania, the undersigned officer, personally appeared Ian D.
McCredie and Deanne E. McCredie known to me (or satisfactorily
proven) to be the persons whose names are subscribed to the
within instrument, and acknowledged that they executed the same
for the roses therein contained.
";11
WHEREOF, I hereunto set my hand and official
.~{J;t;,v (SEAL)
post
C:)~c./t:',
eby certify that the precise residence and complete
address of the within nameq grantees is ",2S'.tJ ,t7P.,';?t-J
~);:s/e fJ/1- 17&/3
. {
;;0 -7 ~
Grantor Grantee
"-
~OOK 112 PACE 147
,. ...
-//
COMKONWEAL'l'H OF PENNSYLVANIA
COmrrT OF CUMBERLAND
SS.
~ORDED on this ~\ day
19 IJ , in the ReCOrder] Office of
Book 01. \\'L. , Page _Yip .
Given under my hand and the seal of the said office, the
date above written.
~~e~1d County,
,
in
A.D.
Deed
~~~
, Recorder
~ n
<::
;n
en 0' nl 'u
,..., ,.., C"> <:>
"'1: ::::u C> ( ~I
N ,- :u '"
<:> ;:1
I-' ~. ", -;
<:> ;0 :u
-0 C"> C> t--, ,
3 0 ~l ./
C <:> PI
1-1: ,.., ""'
r
-i ", rn
. Cl -< 0 ;0
, (f)
I.D ."
>
a'~9 ~~6m~ f .....
~
[.8; on
.. q- ~
:i!..... ... '"
." I I [ ... ..
if~~ i3~,.,.c !
~:r>=l~ ~
.......... ~
..... -.:I co -i ..
< ,..,fl'l.,,-i ..... , ,~
!i a'"";;! 5 co ~o..
... ;;;l ~ [ ~I?
..,. '" '"
~ !ct
..
'" ....1:;'
..... -nn
~ ~ ... 0
........
;::: ..... ;.jt
'" C> .. ...
....
.t> ~
- lii'
.....
- -- ""
;;;~Ri ........co '"
tHH~ ::: tit
88g 8g8~~ ." 800K 112 PAC( 148 .~
<it
'"
111& ."......
REV-1511 EX+ (12-99) .
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
Funeral Dinner $1,100.00
Flowers $451. 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
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State _Zip
Relationship of Claimant to Decedent
4. Probate Fees
$144.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Legal Advertisement Fees $219.00
$1,914.
TOTAL (Also enter on line 9, Recapitulation) $
Faust, Heather M.
Debts of decedent must be reported on Schedule 1.
21-05-0561
00
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Faust, Heather M.
NUMBER
I
RELATIONSHIP TO DECEDENT
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not ListTrustee(s)
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1.
Bonita T. Craig
411 West Centre Street
Mahanoy City, PA 17948
Sister
21-05-0561
AMOUNT OR SHARE
OF ESTATE
100%
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 $
(If more space is needed, insert additional sheets of the same size)