HomeMy WebLinkAbout05-31-06
cnr\'1rv1Ci\jV\/EAL TH PENNSYLVANIA
DEFf1RTr'v1ErJT Of RE/Ef\JUE
8Ur:EAU OF I~'JDI\JIDUAL TAXES
=E~T 2B06Cl
F',L.. 17! 2b-060 1
REV-1162 EX(11-96)
R~C~IV~D FROM:
PENNSYLV ANIA
INl-lmITANC~ AND ~STAT(; TAX
OFFICIAL RECEIPT
LEPRO DA VI D L
1360 W L1SBURN ROAD
MECHANICSBURG, PA 17055
ESTATE INFORMATION: SSN: 129-03-9847
FILE NUMBER: 2106-0224
DECEDENT NAME: LEPRO BEULAH I
DA TE OF PAYMENT: 05/31/2006
POSTMARK DATE: 05/31/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 03/04/2006
NO. CD 006765
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $12,085.18
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TOTAL AMOUNT PAID:
$12,085.18
REMARI<S:
CHECI<# 103
INITIALS: MG
SEAL
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
R"2V-1500 EX + (6-00)
'*
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
21 -0 6
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
LEPRO BEULAH
DATE OF DEATH (MM-DD-Year)
I.
DATE OF BIRTH (MM-DD-Year)
03/04/2006 05/30/1917
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
1 29- 0 3 - 9 847
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
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[XJ 1. Onginal Return
D 4. Limited Estate
[XJ 6. Decedent Died Testate (Attach copy of Will)
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 (Attach copy of Trust)
D 10, Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
D 3. Remainder Return (date of death poor!o 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) (Attach Sch 0)
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
MURREL R. WALTERS III, ESQUIRE
FIRM NAME (If Applicable)
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54 EAST MAIN STREET
TELEPHONE NUMBER
717-697-4650
MECHANICSBURG
2,106.64
PA 17055
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1. Real Estate (Schedule A)
2 Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
(1)
(2)
(3)
(4)
(5)
OFFICIAL USE ONLY
I
99,333.66
(6)
(7)
101,440.30
(9)
(8)
4,224.46
842.86
(11)
(12)
(13)
(14)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
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)
14. Net Value Subject to Tax (Line 12 minus Line 13)
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
X _(15)
X _(16)
9,637.30 X .12 (17)
77,098.38 X .15 (18)
(19)
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
9,637.30
86,735.68
1,156.48
11,564.76
12,721.24
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> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's Complete Address:
STREET AClDRESS
2100 BENT CREEK BOULEVARD
CITY I STATE I ZIP
MECHANICSBURG PA 17050
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
12,721.24
636.06
Total Credits (A + B + C)
(2)
636.06
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)
5. 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. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
12,085.18
12,085.18
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 [R]
b. retain the right to designate who shall use the property transferred or its income; ........................................ D [R]
c. retain a reversionary interest; or ...................................................................................................... D [R]
d. receive the promise for life of either payments, benefits or care? ............................................................. D [R]
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .......... ....... ... ..... ..... ............... .......... ..... ........................ .......... D [R]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. D [R]
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... D [R]
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 peri~ry. I declare that I have examined this u ,.n nc ding accompanying schedules and statements. and to the best of my knowledge and belief. it is true, correct and complete.
Declaration of prepa~lr er than the personal representatl is e on all information of which preparer has any knowledge.
SIGNATURE P ON RESPO~IBLE F. tt:T ETUf3N DATE
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MURRELIR. WALTERS III
54 EAST MAIN STREET, MECHANICSBURG
ADDRES
ADDRESS
PA 17055
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 PS. S9116 (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. S9116 (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 0% [72 PS s9116(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. S9116(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. s9116(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-1503 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
LEPRO
FILE NUMBER
BEULAH
I.
21
06
0224
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
u.s. SAVINGS BONDS - NET REDEMPTION VALUE
EE - $1,000
EE - $200
EE - $500
VALUE AT DATE
OF DEATH
2,106.64
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
2,106.64
REV-1508 EX + (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
LEPRO
FILE NUMBER
BEULAH I. 21 06
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.
0224
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
42,747.75
ORRSTOWN BANK
CHECKING ACCOUNT
2.
PARTNERS TRUST BANK
CERTIFICATE OF DEPOSIT
12,716.49
3.
HSBC
CHECKING ACCOUNT
29,416.97
4.
HSBC
IRA
11,302.77
5.
ROBC LIMITED PARTNERSHIP
REFUND. THE BRIDGES. RESIDENTIAL CARE
3,149.68
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
99,333.66
REV-1511 EX + (12-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
LEPRO
FILE NUMBER
BEULAH
I.
21
06
0224
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
2.
FUNERAL EXPENSES:
HETRICK FUNERAL HOME. PREPAID
GANNETT NEWSPAPERS, NEW YORK - OBITUARY
82.46
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) DAVID I. LEPRO . RENOUNCED
B.
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address 1360 W. LISBURN ROAD
City MECHANICSBURG
State PA
Zip 17055
Year(s) Commission Paid:
2.
3.
Attorney Fees MURREL R. WALTERS III, ESQUIRE
3,750.00
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 REGISTER OF WILLS. CUMBERLAND COUNTY
296.00
5.
Accountant's Fees
6.
Tax Return Preparers Fees
7.
EXTRA DEATH CERTIFICATES
96.00
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4,224.46