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
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THIS RI:TURN MUST BE FILED IN DUPLICATE WITH THE
i REGISTER OF WILLS
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SOCIAI_ SECURITY NUMBER
DECEDENTS NAME (LAST FIRST AND MIDDLE INITIAL)
Ford Gerald H.
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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
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Litigation Proceeds Received
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
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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)
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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
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(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
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~ rate. or transfers under See 9116 (a)(1.2)
."mount of Line 14 taxable at lineal rate ._}61_~}?9. ~~
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e.. 17 .-\mount of Line 14 taxable at sibling rate
:E 53,743.13
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U 18 Amount of Line 14 taxable at collateral rate
X 19 Tax Due
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20
xO (15)
x 0 45 (16) 7,255.32
x .12 (17)
x .15 (181 8,061.47
(19) 15,316.79
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> > 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
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o
o
o
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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
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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.
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586 Pt. RO{{Road
_ Newville,..l'A112ttl_
DATE
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DATE
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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.
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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
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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
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thirtieth (30th) day following my death, then and in that event, I devise and bequeath my
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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~
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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
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Dati
Please allow four to six weeks for the processing of your refund request.