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HomeMy WebLinkAbout05-11-06 --1 15056051058 REV-1500 EX (06-05) PA Department of Revenue ~" Bureau of Individual Taxes . PO BOX 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Vear File Number 21 05 0771 MINICH SR. Date of Birth 02/20/1943 Decedent's First Name MI CHARLES N Spouse's First Name MI PATRICIA L 186-34-0034 08/16/2005 Decedent's Last Name Suffix (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix MINICH Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW . 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o 8. Total Number of Safe Deposit Boxes . 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CHARLENEFEUCHTENBERGER (717) 530-2614 Finm Name (If Applicable) REGISTEF or WILLS USE ONLY First line of address 129 BEETEM HOLLOW ROAD Second line of address City or Post Office State ZI P Code DATE FILED NEWVILLE PA 17241 .-.-, J ! ') , .11 Correspondent's e-mail address:CFEUCHTENBERGER@ORRSTOWN.COM Under penalties of perJury, I declare that I have examined thiS return, including accompanying schedules and statements, and to the besi.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 knO~E}qge. mTURE ~F .~ERSO~ ~SPONSIBL~ FOR ,FILING RETURN .~ /. Czl?.1 Zie~~<z< X,) -0/1 i (dl.o S;!;!~~~ IYJcC(lU'~S Cr~ /Z; ,~s-lt fA /76\2 ~~ R"R'''N~A''V'. ' S 'Q1 2:J D:L 1jfSk);Zt WJI// /~ PLEASE USE ORIGINAL FORM 0 . , Side 1 L 15056051058 15056051058 --1 -.--J 15056052059 REV-1500 EX Decedent's Name' RECAPITULATION Real estate (Schedule A). 2. Stocks and Bonds (Schedule B) . 3 Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) 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) Separate Billing Requested. . 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) . 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 10. 11. . . . . 12 13. 14 Net Value Subject to Tax (Line 12 minus Line 13) . . . . 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15 Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X 0_ 137,258.11 15. 16. Amount of Line 14 taxable at lineal rate XO 45 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 100.00 19. TAX DUE. .19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 L Decedent's Social Security Number 1. 35,663.25 2 3 88,528.00 4. 5 14,43947 6 100.00 7. 8,339.84 8. 147,070.56 9 9,71245 9,712.45 137,358.11 000 16. 500 17. 18. 5.00 15056052059 ---.J REV-1500 EX Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME CHARLES N MINICH STREET ADDRESS 1200 MCCLURES GAP ROAD 21 05 0771 DECEDENT'S SOCIAL SECURITY NUMBER 186-34-0034 CITY CARLISLE, STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 5.00 Total Credits ( A + B + C ) (2) 000 3 Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT 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 [i] d receive the promise for life of either payments, benefits or care? ...... ................. ............ D 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . ...................... ........ D 00 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. 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 three (3) percent [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 zero (0) percent [72 P.S. ~9116 (a) (1.1) (ii)]. 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 zero (0) percent [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 four and one-half (4.5) percent, except as noted in 72 PS. ~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 twelve (12) percent [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. REViS02 EX+ (6-98; . ~~.~. .,,;;Jt: r... '~.~. .~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF CHARLES N. MINICH, SR. FILE NUMBER 21-05-0771 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 DESCRIPTION VALUE AT DATE OF DEATH 1. REAL ESTATE-306 EAST LOUTHER STREET, CARLISLE, PA 17013 1/2 SHARE INTEREST VALUED @ $71,326.50 35.663.25 TOTAL (Also enter on line 1, Recapitulation) $ 35,66325 (If more space is needed, insert additional sheets of the same size) REV-1504 EX+ (6-98) _Si..: :.Jt: t",~... ~~ ESTATE OF CHARLES N. MINICH, SR. SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21-05-0771 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships ITEM NUMBER NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1/3 SHARE OF CORPORATION REAL PROPERTY-730 NORTH COLLEGE STREET, 2 CARLISLE, PA 17013 VALUED@CORPORATEASSET@ $131,775 4700 SHARES CORPORATE STOCK VALUED @ $9,49/SHARE 43,92500 44,60300 TOTAL (Also enter on line 3, Recapitulation) $ 88,52800 (If more space is needed, insert additional sheets of the same size) REV-1505 EX + (6-98) SCHEDULE C-1 CLOSELY-HELD CORPORATE STOCK INFORMATION REPORT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CHARLES N MINICH, SR. Name of Corporation N.L. MINICH (a) SONS, INCORPORATED Address 730 NORTH COLLEGE STREET FILE NUMBER 21-05-0771 State of Incorporation PJNNSYLVANIA_ City CARLISLE, State~ Zip Code 17013 Date of Incorporation ~2 / 30/813___ Total Number of Shareholders 4 2. Federal Employer 10. Number 3 Type of Business CONCRETE/EXCAVATION Business Reporting Year 2005 Product/Service CONCRETE/EXCA VA TION STOCK 4 TOTAL NUMBER OF SHARES OUTSTANDING PAR VALUE NUMBER OF SHARES OWNED BY THE DECEDENT VALUE OF THE DECEDENT'S STOCK Common 9.49 4700 $ $ 44,60300 Preferred Provide all rights and restrictions pretaining to each class of stock 5 Was the decedent employed by the Corporation? If yes. Position OWNER/OPERATOR 45,000 Annual Salary S KI Yes 0 No Time Devoted to Business 40 HRS/Wf\.. 6 Was the Corporation indebted to the decedent? If yes, provide amount of indebtedness S DYes Kl No 7. Was there life insurance payable to the corporation upon the death of the decedent? 0 Yes Kl No If yes, Cash Surrender Value S Net proceeds payable S Owner of the policy 8. Did the decedent sell or transfer stock in this company within one year prior to death or within two years if the date of death was prior to 12.31.82? DYes J[] No If yes. 0 Transfer 0 Sale Number of Shares Transferee or Purchaser Attach a separate sheet for additional transfers and/or sales Consideration S Date 9 Was there a written shareholder's agreement in effect at the time of the decedent's death? If yes. provide a copy of the agreement. IXI Yes 0 No 10 Was the decedent's stock sold? If yes, provide a copy of the agreement of sale etc. iiCl Yes 0 No 11 Was the corporation dissolved or liquidated after the decedent's death? 0 Yes KJ No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received 12 Old the corporation have an IIlterest in other corporations or partnerships? 0 Yes KJ No If yes. report the necessary information on a separate sheet. including a Schedule C.1 or C.2 for each interest THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A Detailed calculations used in the valuation of the decedent's stock. B. Complete copies of financial statements or Federal Corporate Income Tax returns (Form 1120) for the year of death and 4 preceding years C If the corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals have been secured, attach copies. o List of principal stockholders at the date of death, number of shares held and their relationship to the decedent. E. List of officers, their salaries, bonuses and any other benefits received from the corporation. F Statement of dividends paid each year. List those declared and unpaid G. Any other information relating to the valuation of the decedent's stock. (If more space is needed, insert additional sheets of the same size) REV-15G8 EX+ (6-98) _~_"lt,R. ~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISe. PERSONAL PROPERTY ESTATE OF CHARLES N. MINICH, SR. FILE NUMBER 21-05-0771 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH MEMBERS FIRST CHECKING ACCOUNT 2,57861 2 CASH BONUS FROM EMPLOYER 6,00000 3 1996 DODGE INTREPID ES SEDAN 4,40000 4 WAGES OWED TO DATE OF DEATH FROM EMPLOYER 830.86 5 VACATION/SICK TIME EARNED 630.00 TOTAL (Also enter on line 5, Recapitulation) $ 14,43947 (If more space is needed, insert additional sheets of the same size) REV-1509 EX + !6-98 i , f Jl' ~ ~~~ COMMONWEALTH OF PENNSYLVANIA II~HERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF CHARLES N. MINICH, SR FILE NUMBER 21-05-0771 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. CHARLES N. MINICH, JR 411 EASY ROAD, CARLISLE, PA 17013 SON B. C. JOINTLY-OWNED PROPERTY: LUTlcri ITEf" FUR JUINT NUMBER TENI~.NT DME Mf...DE JOINT DESCRIPTION OF PROPERTY INCUJDE NP,ME OF FINANCIAllNsnrUTION AND 8t<.NK ACCOUNT Nur'.18ER OR Slr,/lILP,R DATE OF DE/;fH _______.~~~iyING ~~iMBER. fI..TTACH D~J~[:?!--2.~.2!!.~TLY-~~~~~.~.L ESTATE _______ _.___~~~i..~~~~?2~-!..._..._.._. INT ERE ~_: y Gf- ~ED[Nl S j"jTf::Pf"~ A 09/05/00 1978 HAULETTE TRAILER 200.00 50 10000 2 TOTAL (Also enter on line 6, Recapitulation) $ 10000 (If more space IS needed, insert additional sheets of the same size) r<eV-l~lO eX+ (5-98) ~ ~jn COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CHARLES N. MINICH, SR. SCHEDULE G J INTER-VIVOS TRANSFERS & MISe. NON-PROBATE PROPERTY . -., ',- - FILE NUMBER 21-05-0771 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET IS yes ._~ DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECDS EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER ATTACH A COPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST {IF APPLICABLE I VALUE 1. ING ANNUITY; CONTRACT # 90063578 8,33984 100 8.339.84 TOTAL (Also enter on line 7 Recapitulation) $ 8,339.84 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) f '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF CHARLES N. MINICH, SR. FILE NUMBER 21-05-0771 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: HOFFMAN-ROTH FUNERAL HOME CUMBERLAND VALLEY MEMORIAL GARDENS, PRE-PAID CASKET 5.66960 3,501.60 2 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 314.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. CUMBERLAND LAW JOURNAL, ADVERTISING LETTERS 7500 8 THE SENTINEL, ADVERTISING LETTERS 11525 9 MICHAEL BANGS LAW OFFICE, PREPARING DEED 3700 TOTAL (Also enter on line 9, Recapitulation) $ 9.71245 (If more space IS needed, Insert additional sheets of the same size) RE\I-1513 EX-+- (9-0m ~~ SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF CHARLES N. MINICH, SR. FILE NUMBER 21-05-0771 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)] PATRICIA L. MINICH SPOUSE 100% ESTATE 1200 MCCLURES GAP ROAD, CARLISLE, PA 17013 RESIDUE 2 CHARLES N. MINICH, JR SON 1978 HAULETTE 411 EASY ROAD, CARLISLE, PA 17013 TRAILER ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET m II NON- TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 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)