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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPl 280601
HARRISBURG, PA 17128-0601
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENTS NAME (LAST FIRST AND MIDDLE iNITIAL)
Smith, Ruthie E.
DATE OF DEATH (MM-DD-YIOAR)
02-04-2006
I DATE OF BIRTH (MM-DD-YEAR)
03-06-1920
(IF APPLICABLE) SURVIVING SPOUSES NAME (lAS I. FIRST AND MIDDLE INiTIAL)
[KJ 1. Original Return
D 4. Limited Estate
D 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 01 dea',h between 12-31-91 and 1-1-95)
FILE NUMBER
/7100- /'\ 0>
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COUNTY ODE YEAR
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NUMBER
SOCIAL SECURITY NUMBER
164 - 16
3859
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
D 3. Re"1ainder Return (date 01 death prior to 1213-82)
D 5. Federal Estate Tax Return Required
8. Tolal 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
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Jerry A. Weigle, Esquire
FIRM NAME (IIAPPI1'W~IGLE & ASSOCIATES, P. C.
TELEPHONE NUMBER
717-532-7388
126 East King Street
Shippensburg, PA 17257
(1)
(2)
(3)
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(4) I
- ----,
(5)
0,
(6) 3,173.39
(7) 0
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--.;
(8) 3,173.39
(9) 105.00
(10)
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)
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)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15 Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x .0_ (15)
45 (16)
x .0_
x .12 (17)
x .15 (18)
(19)
16 Amount of Line 14 taxable at lineal rate
3,068.39
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19 Tax Due
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH <: <
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20
(11)
(12)
(13)
105.00
3,068.39
(14)
3,068.39
138.08
138.08
Decedent's Complete Address:
STREET ADDRESS
Green Ridge Village
CITY
210 Big Spring Road
Newville
I STATE
PA
I ZIP
17241
Tax Payments and Credits:
1. Tex Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
138.08
Total Credits ( A + B + C ) (2)
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)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(5B)
A. Enter the interest on the tax due.
138.08
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;................ ............................................................. 0 []
b. retain the right to designate who shall use the property transferred or its income; ........................... .. 0 IKJ
c. retain a reversionary interest; or..................................................................................................................... .... 0 IKJ
d. receive the promise for life of either payments, benefits or care? .............. ........................................... ..... 0 IKJ
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ................................... ..................... ................. .............. 0 IKJ
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? ............... ............................ ................................................................. 0 IKJ
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 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 info mation of which pre parer has any knowledge.
SIGNATU
DATE
$ -- 3/-0{;
Linda L. Will
DATE
Jerry A. Weigle, Esquire
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Street, Shippensburg, PA
17257
For dates of death on or after July 1, 1994 and before January ,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
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 paren
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 ai
individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV~1509 EX. (1~97)
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Ruthie E. Smith
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 DECEDEN
A. Linda L. Will
199 Zion Road
Newburg, PA 17240
Daugh ter
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 INTERE
1. A. 2000 Farmers National Bank Checking Account
1119-134-5 6,346.78' 50% 3,173.39
TOTAL (Also enter on line 6, Recapitulation) $ 3,173.39
REV-1511 EX+ (7-881
ESTATE OF
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or Type
CUMBER
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Ruthie E. Smith
ITEM
NUMBER
A.
1.
B.
1.
2.
DESCRIPTION
AMOUNT
Funeral Expenses:
Administrative Costs:
Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commissions paid
Attorney Fees
Weigle & Associates, P.C.
3. Family Exemption
Claimant
Address of Claimant at decedent's death
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
Relationship
Street Address
75.00
30.00
City
State
Zip Code
105.00
Probate Fees
Miscellaneous Expenses:
Register of Wills, Cumberland County - file PA Inheritance Tax
Return
TOTAL (Also enter on line 9, ReCClpitulation)
s
(If more space is needed, insert additional sheets of same size.)
REV-1513 EX + (2-871
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF P~NNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
Ruthie E. Smith
I
ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR
NUMBER SHARE OF ESTATE
A. Taxable Bequests;
1. Not relevant as probate estate is insolvent.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequests:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S
(If more space is needed, insert addiHonal sheets of same size)
~ FARMERS NATIONAL BANK
OF NEWVILLE A .Di/iisiOIl of/It/mas Cor!il~V JV~lf':cmit/ Bmd(
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May 2, 2006
Jerry A. Weigle, Esquire
Weigle & Associates, P.C.
126 East King Street
Shippensburg, FA 17257
HAY - 4 2006
RE: Estate of Ruthie E. Smith
Dear Mr. Weigle:
Ms. Smith had a checking account #19-134-5 with this bank in hername
joint with Linda L. Will which was opened August 10,2000. The balance as
of February 4, 2006, the date of her death, was $6,346.78.
Sincerely yours,
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,/ Carolyn ~ugh' j- ,7
/ Executive Vice President
PO, Box 156, Newville, PA 17241 . (717) 776-5312