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HomeMy WebLinkAbout08-01-06 REV-1500 FILE lIIUMBER 2 1 0 5 INHERITANCE TAX RETURN RESIDENT DECEDENT 00603 NUMBER COUNTY CODE YEAR SOCIAL SECURITY NUMBER i 203-10-9286 -- -------~-+- THIS RI:TURN MUST BE FILED IN DUPLICATE WITH THE i REGISTER OF WILLS . +- ------- SOCIAI_ SECURITY NUMBER DECEDENTS NAME (LAST FIRST AND MIDDLE INITIAL) Ford Gerald H. I- Z UJ o UJ U UJ o DATE OF DEATH (MM-DDYEAR) DATE OF BIRTH (MM-DD-YEAR) 06-02-2005 I 08-16-1919 (IF APPLICABLE) SURVIVING SPOUSES NAME ILAST FIRST, AND MIDDLE INITIAL) [] 3 Remainder Return CJ 5 Federal Estate Tax Return Reql.lred 8 Total Nurnber of Safe Deposit BJxes CJ 11 Election to tax under Sec 9113iAi D 2 Supplemental Return D 4a Future Interest Compromise idate of death after 12-12-821 D 7. Decedent Maintained a Living Trust iAttace of hsli D 10. Spousal Poverty Credit of death belweec 12-31-91 1-1-951 [] 1 Original Return D 4. Limited Estate Decedent Died Testate W I- ::<:~r/) uCl:::<: wO-u IOO uCl:-' O-CO 0- <l: '-] L Litigation Proceeds Received THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS I- Z W o z o 0- r/) W ex: ex: o u Jo_~~p~]). Bucl<:~~hEs_quirg___ FIRM NArvlE ,If AOPI!Cablei Law Offices of Joseph D. Buckley -- ..---.---....... -------- ---.------ ------_.,..~-- TELEPHONE NUMBER (717) 249-2448 1237 Holly Pike Carlisle, FA 17013 (1) -0- (2) -0- (3) -0- (4) -0- (5) 252,211. 60 (6) -0- -0- (7) (8) (9) 37,239.11 (10) 1 Real Estate (Schedule A) Stocks ar.d Bonds (Schedule B) Closely Held Corporation. Partnership or Sole-Proprietorship Mortgages & Notes Receivable (Schedule D) Cash. Bark Deposits & Miscellaneous Personal Property (Schedule E) c., z o ~ ...J ::::l l- e.. <( u UJ ~ Owned Property (Schedule F) Separate Billing Requested Inter-VIvos Transfers & Miscellaneous Non-Probate Property (Schedule G or l.) Total Gross Assets (total Lines 1-7) 252,211. 60----, 9 Funeral Expenses & Administrative Costs (Schedule H) W Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I) (-.11 37,239.11G:' 2 14 , 9 72 . L: 9 -0- (11) (12) (13) 11 Total Deductions (total Lines 9 & 10) 12 Net Value of Estate (Line 8 minus Line 11) '3 Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been maoe (Sci1edule J) (14) 214,972.49 14 Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z 15 Amount of Line 14 taxable at the spousal tax 0 ~ rate. or transfers under See 9116 (a)(1.2) ."mount of Line 14 taxable at lineal rate ._}61_~}?9. ~~ I- 16 ::::l e.. 17 .-\mount of Line 14 taxable at sibling rate :E 53,743.13 0 U 18 Amount of Line 14 taxable at collateral rate X 19 Tax Due ~ ~ 20 xO (15) x 0 45 (16) 7,255.32 x .12 (17) x .15 (181 8,061.47 (19) 15,316.79 ~ > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedent's Complete Address: STREET ADDRESS 72 Country View Estates CITY STATE Newville PA Tax Payments and Credits: Tax Due (Page 1 line 19) 2 Credits/Payments A. Spousal Poverty Credit B. Prior Payments C Discount (1) 15,316.79 ~T6--:-000. 00--- ... -7~Elf--.- 3 Interest/Penalty If applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) 16 , 765 . 8!f Total Interest/Penalty ( D + 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) ZIP I 17241 1,449.05 5 If line 1 + Line 3 IS greater than line 2. enter the difference. This is the TAX DUE. (S) A. Enter the interest on the tax due. (SA) B Enter the total of line 5 + 5A This IS the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Did decedent make a transfer and a. retain the use or Income of the property transferred;. b. retain the nght to designate who shall use the property transferred or ItS Income: . c. retain a reversionary Interest: or... d. receive the promise for life of either payments, benefits or care? .... . If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .. 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? . ............. Yes o o o o o o o IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 2 No ~ ~ ~ ~ ~ ~ ~ SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN JYlCM1~ V. u)~ I\DDRESS 72 Country View Estates Newville, PA .1]241 EPARER OT ER T. AN REPRESENTATIVE Under penalties of perJury. I declare that I have examined thiS return. Including accompanying schedules and statements. and to the besl of my knowledge and belief, II is true, correcl and complete Declaration at preparer other than the personal representative IS based on all information of which preparer has any knowledge. - ~~Q/~ 586 Pt. RO{{Road _ Newville,..l'A112ttl_ DATE ~ ~ ;;"5', ^DO~ DATE ,ni1S; u,j" FA 17013 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% i72 PS S9116 ',a) (11) (i)]. 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 PS 99116 (a) (11 rne 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 'r,e survIving spouse is the only benefiCiary. eor 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 aooptive parent or a stepparent of the child IS 0% [72 P.S. 139116(a)(1.2)J. 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 PS 99116(12) [72 PS 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 PS. 139116(a)(13;] A Sibling IS defined. under Section 9102. as aT Individual who nas at least one parent 111 common with the decedent whether by blood or adoption. ",",,,,,,.,,,,,,,, . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Gerald H. Ford 21-05-0603 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. DESCRIPTION VALUE AT DATE OF DEATH Prudential ~ interest 61,936.26 5,931.80 19,043.45 129,810.58 33,365.21 304.15 80.38 1,108.94 94.10 500.00 36.73 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Cornerstone Credit Union - Savings Account Bank of Landisburg - Checking Account Sovereign Bank - Savings Account Sovereign Bank - Money Market Sovereign Bank - Money Market P.E.B.T.F. - retirement payment Sovereign Bank - interest payment U.S. Treasury - payment Cornerstone Credit Union - interest Prudential - insurance TOTAL (Also enter on line 5, Recapitulation) $ 252,211.60 (If more space is needed, insert additional sheets of the same size) REY-1511 EX+ (7-88) ESTATE OF Please Print or Type JFIil NUMBER L 21-05-0603 ~ - SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Gerald H. Ford ITEM NUMBER A. 1. B. 1. 2. 3. 4. C. 1. 2. 3. 4. 5. 6. 7. 8. DESCRIPTION Funeral Expenses: Ronan Funeral Home Administrative Costs: Personal Representative Commissions Social Security Number of Personal Representative: 2005-2006 Year Commissions paid Attorney Fees Joseph D. Buckley, Esquire Family Exemption CI. t Margaret V. Welsh alman Relationship daughter Address of Claimant at decedent's death Street Address 72 Country View Estates Newville City State J'~ Zip Code 17241 Probate Fees Miscellaneous Expenses: Advertising Letters of Testamentary (Sentinel and Cumberland County Law Journal) Bureau of Vital Records TOTAL (Also enter on line 9, Recapitulation) AMOUNT 9,050.30 12,000.00 12,000.00 3,500.00 410.00 233.81 45.00 1$37,239.11 (If more space is needed, insert additional sheets of same size.) REV-151J EX+ (2-87) '* SCHEDULE J BENEFICIARIES COMMONWEALTH OF P~NNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ITEM NUMBER 1. 2. 3. 4. 5. 6. Gerald H. Ford 21-05-00603 NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE RELATIONSHIP A. Taxable Bequests: Margaret Viola Welsh 72 Country View Estates Newville, PA 17241 Timothy James Strine 586 Mt. Rock Road Newville, PA 17241 Richard Lee Adams P.o. Box 832 Carlisle, PA 17013 Patrick Linn Strine 407 North Pitt Street Carlisle, PA 17013 Stephen Lee Strine 845 Pleasure Road B-24 Lancaster, PA 17601 Mary Hummel 446 Pisgah State Road Shermansdale, PA 17090 daughter 25% grandson 25% nephey;r 12.5% grandson 12.5% grandson 12.5% niece 12.5% ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 1. B. Charitable and Governmental Bequests: TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S (If more space is needed, insert additionol sheets of same size) REV-1313 EX (9-96) . APPLICATION FOR REFUND Official Use Only OF PENNSYLVANIA INHERITANCElESTATE TAX COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG. PA 17128-0601 TO: PA Department of Revenue Bureau of Individual Taxes Dept. 280601 Harrisburg, PA 17128-0601 Official Representative Decedent Data Name of Decedent Gerald H. Ford FROM: Name Joseph D. Buckley, Esquire Address 1237 Holly Pike File Number 21-05-00603 Carlisle, PA 17013 Date of Death . . 203-10-9286 SocIal Secunty Number June 2, 2005 Phone Number (717) 249-2448 The undersigned requests a refund in the amount of $ 1,449.15 referenced decedent's estate. for the above REFUND REQUESTED ON: IXJ Original or Supplemental 0 Joint/Trust Assets 0 Remainder Return 0 Estate Tax Probate Return EXPLANATION OF OVERPAYMENT Did not know funeral bill would be so high 2..-0( WD-Jo Dale Please allow four to six weeks for the processing of your refund request. Last Will and Testament of Gerald H. Ford I, GERALD H. FORD, of South Middleton Township, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. ITEM I: I direct that my Executrix or alternate Co-Executors arrange for my funeral and burial. ITEM II: I direct that my funeral expenses, grave marker and the costs of the administration of my estate be paid out of my residuary estate as soon as may be convenient after my death. ITEM III: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the administration thereof, to the end that no beneficiary hereunder, or any other person, shall be charged with or required to pay any part of such taxes. ITEM IV: I devise and bequeath my entire estate of every nature and wherever . \. situate, whether real, personal or mixed, to my wife, Sylvia A. Ford, provided she shall I survive me by thirty (30) days. ITEM V: Should my wife, Sylvia A. Ford, predecease me or die on or before the 1\ I!I thirtieth (30th) day following my death, then and in that event, I devise and bequeath my \ I \ entire estate of every nature and wherever situate, whether real, personal or mixed, as follows: A. One quarter (114) to my daughter, Margaret Viola Welsh; II One quarter (1/4) to my grandson, Timothy Jam(~s Strine; B. C. One eighth (118) to my nephew, Richard Lee Adams; D. One eighth (118) to my grandson, Patrick Linn Strine; and E. One eighth (118) to my grandson, Steven Lee Strine. F. One eighth (118) to my niece, Mary Hummel. Should any of the residuary legatees hereinbefore mentioned predecease me, then and in that event I direct that the share of such deceased residuary legatee be divided among the surviving residuary legatees hereinbefore mentioned in their respective shares. ITEM VI: I authorize and empower my hereinafter named Executrix or alternate Co-Executors to convert any property that I may own at my death, whether real, personal or mixed, at either private or public sale, whichever in their opinion is deemed best, hereby vesting in said Executrix or alternate Co-Executors full power and authority to make, execute, acknowledge and deliver good and sufficient deeds or assurances of title thereof, taking into consideration what would be best for any of my beneficiaries who may then be minors. ITEM VII: I appoint my wife, Sylvia A. Ford, Executrix of this my Last Will. Should my wife, Sylvia A. Ford, fail to qualify or cease to act as Executrix, I appoint my daughter, Margaret Viola Welsh, and my grandson, Timothy James Strine, alternate Co- Executors of this my Last Will. ITEM VIII: I direct that my Executrix or alternate Co-Executors shall not be required to give bond for the faithful performance of their duties in this or in any other jurisdiction. IN WITNESS WHEREOF, I hav. e hereunto set my ha; ~ day of September, 2002. , ~~~~ Gerald H. Ford The preceding instrument, consisting of this and two other typewritten pages, each identified by the signature of the Testator, was on the day and date thereof signed, published and declared by Gerald H. Ford, the Testator therein named" as and for his Last Will, in the presence of us, who at his request, in his presence and in the presence of each other, have subscribed our names as witnesses hereto. Lfu?{j)d~ &~ (j .-~e~1LU}I\- REV.1313 EX (9.96) '*' APPLICATION FOR REFUND Official Use Only OF PENNSYLVANIA INHERITANCElESTATE TAX COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 TO: PA Department of Revenue Bureau of Individual Taxes Dept. 280601 Harrisburg, PA 17128-0601 Official Representative Name Joseph D. Buckley, Esquire Decedent Data Name of Decedent Gerald H. Ford FROM: Address 1237 Holly Pike Carlisle, PA 17013 File Number 21-05-00603 Date of Death . . 203-10-9286 SocIal Secunty Number June 2, 2005 Phone Number (717) 249-2448 The undersigned requests a refund in the amount of $ 1,449.15 referenced decedenfs estate. for the above REFUND REQUESTED ON: EJ Original or Supplemental 0 Joint/Trust Assets 0 Remainder Return 0 Estate Tax Probate Return " ~ EXPLANATION OF OVERPAYMENT Did not know funeral bill would be so high f.-'r ~~ ~k Dati Please allow four to six weeks for the processing of your refund request.