HomeMy WebLinkAbout04-24-06
OFFIClftL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
REV-l500 EX + (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT 280001
HARRISBURG, PA 1712S-0601
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FILE NUMBER
21 -0 5 0 837
COiMYCOOE -~ - - iiiiiER- -
SOCIAL SECURITY NUMBER
DECEDENrs NAME (lAST, FIRST, AND MIDDLE INITIAL)
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1 6 1 - 5 4 - 1 983
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WIllS
Ho er Mildred L.
DATE OF DEATH (MM.D[).Year)
DATE OF BIRTH (MM-D[)'Yeer)
07/2212005 09/23/1964
(IF APPLICABLE) SURVMNG SPOUSE'S NAME (lAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
o 3. Remainder Return (diteofderihpriorto12-13-82)
D 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposn Boxes
o 11. Election to tax under Sec. 9113(A) (AIlach Sch 0)
o 2. Suwlemental Return
D 4a Future I nterest Compromise (dale of de"'" alIer 12-12-82)
D 7. Decedent Maintained a Living Trust (AIlach copyolTlUli)
o 10. Spousal Poverty Credit (dale of deaIh between 12-31-91 and 1-1-95)
[&] 1. Original Return
D 4. Limited Estate
D 6. Decedent Died Testate (ltIachcopydWl)
D 9. Litigation Proceeds Received
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THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
Tor uato Christo her R. uire 127-129 West Market Street, PO Box 751
FIRM NAME (~ApPic~)
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TELEPHONE NUMBER
248-4976
PA 17044
Lewistown
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
OFFICIAL USE ONLY
0.00
0.00
0.00
0.00
4,984.06
1. Real Estate (Schedule ,A)
2. Stocks and Bonds (Schedule B)
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3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Nctes Receivable (Schedule D)
5 Cash, Bank Deposits & Misoellaneous Personal Property
(Sche<iJle E)
6. Jointly Owned Property (Schedule F)
D S~rate Billing Requested
7. Inter.Vivos Transfers & Misoellaneous Non-Probate Property
(ScheciJle G or L)
8 Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Sche<iJle H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Sche<iJle I)
11. Total Deductions (total Lines 9 & 10)
12. Net Vllue of Estne (Line 8 minus Line 11)
13 Charnoole and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
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4,984.06
6,567.14
0.00
6,567.14
-1,583.08
(11)
(12)
(13)
-1 ,583.08
14 Net V.lue Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
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15. Amount of Line 14 taxoole at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
0.00 X _(15) 0.00
0.00 X _(16) 0.00
0.00 X 12 (17) 0.00
0.00 X .15 (18) 0.00
(19) 0.00
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
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
20. 0
> > BE SURE TO ANSWER All QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's Complete Address:
STREET ADDRESS 120 W' t D'
inS on rive
I STATE PA
I ZIP 17055
CITY . b
I Mechamcs urg
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
0.00
Total Credits (A + B + C)
(2)
0.00
3.
InterestlPena~y if applicable
D. Interest
E. Penally
5.
Total Interest/Penalty ( D + E)
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT,
Check box on Page 1 Une 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)
A. Enter the interest on the tax due. (SA)
8. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
(3)
0.00
0.00
0.00
4.
0.00
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;......................................................................... 0 00
b. retain the right to designate who shall use the property transferred or its income;...................................... 0 00
c. retain a reversionary interest;.or.................................................................................................. 0 00
d. receive the promise for life of either payments, benetits or care?......................................................... 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?. ..... .... ......... .............. ........ .......... ... .... ..... ........... .... ... ........ 0 00
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death2............... 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?.. .......... ...... ......... ....... ......... ........ .... ...... ...... ... ... ....... .... ....... ....... 0 00
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare Ihall have examined this return, inckJding actOmpany!ng schedues and statements, and to the best of my knowledge and beIef, n is true, correct and complete.
Declaration of preparer other than the personal representaliYe is based OIl aI informafun of whICh preparer has any knowledge.
DATE
04/19/2006
PA 17044
DATE
04/19/2006
ADDRESS
PA 17044
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 is 0% [72 P.S. ~9116 (a) (1.1) (ji)),
The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and tiling a tax retum are still applicable even if
the surviving spouse is the only beneticiary.
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 fO( the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(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 .5. ~116(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-15G8 EX + (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Hoyer. Mildred L.
FILE NUMBER
21 05
Include !he proceeds of litigation ald !he date the proceeds were received by the estate.
All property jolntly-owned with right of survivorship must be disclosed on Schedule F.
0837
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
1,500.00
1995 Chrysler Cirrus, 122,500 miles.
2.
M& T Bank Checking Account
1,436.58
3.
Refund - Federal Income Tax (IRS Refund)
1,919.00
4.
Refund - State Farm Auto Insurance premium
112.48
5.
Spousal support arrears payment
16.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same Si7" \
4 984.06
REV-1511 EX+(12-99)
.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21 05
ESTATE OF
Hover. Mildred L.
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
FUNERAL EXPENSES:
Heller-Hoenstine Funeral Home
1.
B.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(syElN Number 01 Personal Representative(s)
Street Address
1.
State
Zip
2.
3.
City
Year(s) Commission Paid:
Attorney Fees Torquato Law Offices
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Tori Coleen Hoyer
Street Address 404 Princeton Street
City Lewistown State PA
Relationship 01 Claimant to Decedent Daughter
Zip 17044
4.
Probate Fees Cumberland County Register of Wills
5.
Accountant's Fees
6.
Tax Return Preparer's Fees
7.
8.
9.
10.
11.
12.
Short Certificate (1) - Cumberland County Register of Wills
Inheritance Tax Return filing fee - Cumberland County Register of Wills
Reserve for expenses
Estate Notice publication expense - Cumberland County Law Journal
Postage - Certified mail, letter to PA Dept. of Public Welfare
Estate checking account check charge - The Juniata Valley Bank
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets 01 the same size)
0837
AMOUNT
2,000.00
600.00
3,500.00
51.00
8.00
10.00
300.00
75.00
4.64
18.50
6567.14
''''''''''', "''*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
Hnver Mildred L. 21 n!'\ nR~7
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 pnclude outright ~sa1 distributions, and troosfers under
Sec. 9116 (a) (1. )]
1. Tori Coleen Hoyer Lineal
404 Princeton Street 100%
Lewistown, PA 17044
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 11- 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)
TORQUATO LAW OFFICES
127-129 WEST MARKET STREET
P.O. Box 751
LEWISTOWN, P A 17044
THOMAS M. TORQUATO
CHRISTOPHER R. TORQUATO
TELEPHONE: (717) 248-4976
FAX: (717) 248-4978
April 19, 2006
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
Cumberland County Register of Wills
One Courthouse Square
Carlisle, P A 17013
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Re: Estate of Mildred L. Hoyer
Estate File No. 21-05-00837
Dear Ms. Strasbaugh:
Enclosed for filing please find the original and two copies of the Inheritance Tax Return,
and a check payable in the amount of$IO.00 for the filing fee with respect to the above
estate. Please return one time and date stamped copy to me in the enclosed return
envelope.
Thank you for your attention in this matter.
Christop er R. Torquato
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Enclosures
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TORQUA TO LAW OFFICES
127-129 WEST MARKET STREET
P.O. Box 751
LEWISTOWN, PA 17044
THOMAS M. TORQUATO
CHRISTOPHER R. TORQUATO
TELEPHONE: (717) 248-4976
FAX: (717) 248-4978
April 21, 2006
Glenda Farner Strasbaugh
Cumberland County Orphans' Court
One Courthouse Square
Carlisle, P A 17013-3387
Re: Estate of Mildred L. Hoyer
Estate File No. 21-05-00837
Dear Ms. Strasbaugh:
Enclosed please find this firm's check in the amount of$5.00 for payment of the balance
owed on the filing fee for the Inheritance Tax Return in the above estate.
Sincere....1Y~
U'l;;~ / (3
Christopher R. Torquato
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