HomeMy WebLinkAbout07-11-06 (2)
RE\I.1500EX+ (6-OD)
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21 06
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
00128
NUMBER
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of death after
12-12-82)
o 7. Decedent Maintained a Living Trust (Attach
copy of Trust)
o 10. Spousal Poverty Credit (date of death between
j2,~_9J_and 1-1,9~)n
THIS SECTION MUS~!l~COMPLETED. ALL CORRE5PONOENCE AND CONFIOENTIALTAXINFORMAlIiloN SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
Hillary A. Dean, Esquire
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SADLER, LILLAIN H.
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DATE OF DEATH (MM-DD-YEAR)
DATE OF BIRTH (MM-DD-YEAR)
202-20-6080
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Return (date of death prior to 12-13-82)
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5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
10 East High Street
Carlisle, PA 17013
(1 ) 142,500.00
(2) None
(3) None
(4) None
(5) 4,080.87
- .
(6) None
(7) 59,455.69
(9) 39,889.87
(10) 5,602.60
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(8)
206,03656
02/03/2006
04/11/1915
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(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
(11 )
45,492.47
181 1 Original Return
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181
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4. Limited Estate
6. Decedent Died Testate (Attach copy
of Will)
9 Litigation Proceeds Received
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C1.
FIRM NAME (If applicable)
Martson Deardorff Williams & Otto
(12)
160,54409
TELEPHONE NUMBER
717/243-3341
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
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)
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)
(13)
(14)
160,54409
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
20. 0
15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a)(1.2)
z x .045 (16)
0 16. Amount of Line 14 taxable at lineal rate
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C1. 17. Amount of Line 14 taxable at sibling rate 128,435.27 x .12 15,412.23
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x 18. Amount of Line 14 taxable at collateral rate
<( 32,108.82 x .15 (18) 4,816.32
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19. Tax Due (19) 20,228.55
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)
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
>> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH <<
Copyright 2000 form software only The Lackner Group; Inc.
Form REV-1500 EX (Rev_ 6-00)
L
Decedent's Complete Address:
STREET ADDRESS
1515 Spring Road
CITY
Carlisle
STATE PA
ZIP 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 )
20,228.55
18,000.00
947.37
Total Credits (A + B + C)
(2)
18,947.37
3. Interest/Penalty if applicable
D. Interest
E. Penalty
TotallnterestiPenalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is theBALANCE DUE
(3) 0.00
(4)
(5) 1,281.18
(5A)
(5B) 1,281.18
Make Check
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;...........................................................n................ D ~
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d. receive the promise for life of either payments, benefits or care?.......................................................... D ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?...... ...................... ........... .... ............... .n..................... ......... ..... ................ D ~
D ~
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3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.........
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?........................... ..n............................ n............................n....................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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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
preparer other than the personal representati\ie IS based, on all informalionoflNhich preparer has al11'.kl1l)""lecjge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
L. Reed
DATE
424 South Fayette Street
Shippensburg, P A 17257
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DATE
ADDRESS
5 Shady Lane
Mechanicsburg, PA 17055
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ADDRESS
DATE
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)]. The statutedoes not exempta 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
12) [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.
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SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SADLER, LILLAIN H.
FILE NUMBER
21 - 06 - 00128
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 excnanged 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
1
DESCRIPTION
VALUE AT DATE OF
DEATH
142.500.00
Residence situate at 1515 Spring Road, Carlisle, Cumberland County, PA, known as Parcel No.
29-18-1369-032, being described in Deed dated May 19, 2000, and recorded in Cumberland County, PA,
Deed Book 221, Page 746, being conveyed to Lillain H. Sadler. Value is actual sale price. See attached
settlement sheet
TOTAL (Also enter on Line 1, Recapitulation)
142,500.00
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONweALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SADLER, LILLAIN H.
FILE NUMBER
21 - 06 - 00128
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 Highmark Blue Shield, refund of premium
DESCRIPTION
VALUE AT DATE OF
DEATH
56752
2
Comcast, refund
133.g4
3
Sprint, refund
19.36
4
Chuck Bricker Auction Services, Inc., proceeds from sale of personal property
2.81500
5
Yark Waste Disposal, refund
26 70
6
Travelers, refund of homeowner's insurance
95.00
7
T ax proration
423.45
TOTAL (Also enter on Line 5, Recapitulation)
4,080.87
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SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SADLER, LILLAIN H.
FILE NUMBER
21 - 06 - 00128
ITEM
NUMBER
This schedule must be cOrnp_IEl!eclCin~fiIElc:lif the answer toa_n~ of qUElstions 1 through 4 on page 2 is yes.
DESCRIPTION OF PROPERTY DATE OF DEATH % OF
Include the name of the transferee. their relalionshlp to. decedent and the date of transfer.. S DECO'S EXCLUSION TAXABLE VALUE
Attach a copy of the deed for real estate. VALUE OF A SET INTEREST (IF APPLICABLE)
PNC Bank checking account #5003193496: made joint with
Janet L. Reed (sister) on 2/18/2005
19,976.80 100%
19,976.80
2
PNC savings account #5003177103: made joint with Janet
L. Reed (sister) on 2/18/05
39,478.89 100%
39,478.89
TOTAL (Also enter on line 7, Recapitulation)
59,455.69
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SCHEDULE H
FUNERAL EXPENSES &
ADIVIINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SAD LER, LILLA IN H.
FILE NUMBER
21 - 06 - 00128
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
FUNERAL EXPENSES:
Ewing Brothers Funeral Home, Inc., Carlisle, PA
B.
ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Janet L. Reed Douglas W. Reed
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address 424 South Fayette Street
City Shippensburg State P A
Year(s) Commission paid 2006
Zip 17257
2
Attorney's Fees Martson Deardorff Williams & Otto (estimated)
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
Cumberland County Register of Wills
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
The Sentinel, advertising Letters Testamentary
2
Cumberland Law Jouranal, advertising Letters Testamentary
Total of Continuation Schedule(s)
TOTAL (Also enter on line 9, Recapitulation)
8,709.40
9J)9000
10,000.00
302.00
144.29
75.00
11,569.18
39,889.87
Schedule H
Funeral Expenses &
Pdninistrative Cos1s cootinued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SADLER, LILLAIN H.
3
Certified mailing, Department of Public Welfare
4
Register of Wills, filing fee, Inheritance Tax return
5
Register of Wills, Short Certificate .
6
Register of Wills, additional probate fee
7
Sprint, phone service pending dispostion of real estate
8
Comcast, service pending dispostion of real estate
9
Dauphin Oil Company, Inc., fuel oil pending disposition of real estate
10
PPL Electric Utilities, electic pending disposition ofreal estate
II
Black's Water Conditioning, service pending disposition ofreal estate
12
Edward's Appliance Repair, house repairs pending disposition ofreal estate
13
North Middleton Authority, sewer/water, pending disposition of real estate
14
Derr's Trash Hauling, clean up of property pending disposition of real estate
15
York Waste Disposal, weekly trash service, pending disposition of real estate
16
Re/Max Realty Associates, real estate commission
17
ERA-NRT, Inc., commission
18
ERA-NRT, Inc., transaction fee
19
Tri County Abstract Serivce, Deed copy
20
Notary fee, real estate transaction
21
Tax certification
22
American Home Shield, home warranty
23
Robin K. Sollenberger, 2005 County/Twp. real estate taxes
24
County of Cumberland, 1 % realty transfer tax
25
Reserved for filing fees and miscellaneous expenses
FILE NUMBER
21-06-00128
Page 2 of Schedule H
4.64
15.00
4.00
50.00
3208
50.52
358.12
104.58
10.60
524.50
98.54
350.00
40.05
3.587.50
3,537.50
125.00
1000
1000
1000
425.00
296.55
1,425.00
500.00
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SADLER, LlLLAIN H.
FILE NUMBER
21 - 06 - 00128
Include unreimbursed medical expenses.
ITEM
NUMBER
I Comcast, account payable
DESCRIPTION
AMOUNT
47.S2
2
PPL Electric Utilities, account payable
64.36
3
Sprint, account payable
32.77
4
United Church of Christ Homes, account payable
4.77132
5
Guistwite Family Practice, account payable
115.60
6
North Middleton Authority, account payable
79.90
7
PharMerica, account payable
48243
8
Associated Cardiologists, account payable
840
TOTAL (Also enter on Line 10, Recapitulation)
5,602.60
REV-1513 EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SADLER, LILLAIN H.
FILE NUMBER
21 - 06 - 00128
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
RELATIONSHIP TO
DECEDENT
.00 Not List Trust..(s)
AMOUNT OR SHARE
OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Janet L. Reed
424 South Fayette Street
Shippensburg, P A 17257
Sister
60% of estate residue
2 Betty L. Hess
c/o 348 A Street
Carlisle, P A 17013
Sister
20% of estate reSidue
3 Douglas W. Reed
5 Shady Lane
Mechanicsburg, PA 17055
Nephew
5% of estate residue
4 Robyn Lee Hess
477 Winsley Street
Morgantown, WV A 26505
Niece
5% of estate reSIdue
See Continuation Schedule(s) attached
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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SADLER, LILLAIN H.
SCHEDULE J
BENEFICIARIES continued
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
[include outright spousal distributions, and transfers under
Sec. 9116(a)(1.2)]
NUMBER
5
TAXABLE DISTRIBUTIONS
Barbara J. Lohman
348 A Street
Carlisle, P A 17013
6
James F. Reed, Jr.
424 South Fayette Street
Shippensburg, P A 17257
FILE NUMBER
21 - 06 - 00128
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
Niece
Brother-in-Law
AMOUNT OR SHARE
OF ESTATE
5% of estate residue
5% of estate residue
Page 2 of Schedule J