HomeMy WebLinkAbout07-31-06 (2)
14. Net Value Subject to Tax (Line 12 minus Line 13)
15. Amount of line 14 taxable 3 0 8 5 8 7 .0 5 X
Z at the spousal tax rate
0 See instructions on reverse side for applicable percentaqe
i= 16. Amount of line 14 taxable
X<( at 6% rate X .06
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I-~ 17. Amount of line 14 taxable 3 3 9 5 8 7 0 5 X .15
:2 at 15% rate
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U 18. Tax Due
19.
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
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 information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS 100 Barnstable Rd.
Carlisle
ADDRESS
P. Douglas,
REV-1500 EX + (1-97)
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OFFICIAL USE ONLY
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
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DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) use a blank block to separate words
Cop e
R u
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B
SOCIAL SECURITY NUMBER
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
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8 11 9 7
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772
4 -6 3
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001. Original Return D 2. Supplemental Return [J 3. Remainder Return (date at death prior to 12-13-82)
D 4. Limited Estate D 4a. Future Interest Compromise (date of death after 12-12-82) [J 5. Federal Estate Tax Return Required
D 6. Decedent Died Testate (Atlach copy at Will) D 7. Decedent Maintained a Living Trust (Mach copy ofTrust) ._ 8. Total Number of Safe Deposit Boxes
D 9. Litigation Proceeds Received D 10. Spousal Poverty Credit (date at death between 12-31-91 and 1-1-95) [J 11. Election to tax under Sec. 9113(A)(Atlach Sch 0)
THIS SECTION .MUST BEiCOMPLETEO.ALLCORRESPQNDENCS~NDCQNFIDENTIALTAXINFQaMATIQNSHOULDBEOlaEctEDTO:
NAME COMPLETE MAILING ADDRESS
William P. Dou las 27 W. High St.
FIRM NAME (If Applicable)
Dou las Law Office
TELEPHONE NUMBER
717-243-1790 Carlisle PA 17013
1. Real Estate (Schedule A)
(1)
(2)
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OFFICIAL USE ONLY
1
2. Stocks and Bonds (Schedule B)
4
4
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
(5)
(6)
(7)
, 1
2
(8)
713
7 6 9 .2 4
9. Funeral Expenses & Administrative Costs (Schedule H)
(9)
(10)
6 4 ,
1
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10) (11)
6 4 5 9 5 4
,
6 4 9 1 7 4 0
, 0 0 0 . 0 0
l 6 4 8 , 1 7 4 . 1 0
3 7 ,O 3 0 . 4 5
12. Net Value of Estate (Line 8 minus Line 11) (12)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13)
made (Schedule J)
(14)
(15)
(16)
(17)
(18)
5 0 ,9 3 8.0 6
8 7 9 6 8 .5 1
DATE
PA
7/24/06
17013
DATE
Esquire, 27 W. High St., Carlisle, PA 17013
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Add
Dece ents ompl ete ress:
STREET ADDRESS
915 Hamilton 8t.
CITY I STATE I ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 18)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
87,968.51
80.000.00
4.000.00
Total Credits (A + B + C) (2)
84,000.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
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 19 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. (5)8)
Make Check Payable to: REGISTER OF WILLS, J~GENT
3,968.51
3,968.51
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 [X]
b. retain the right to designate who shall use the property transferred or its income; ................. D [X]
c. retain a reversionary interest; or .............................................................................................. D [X]
d. receive the promise for life of either payments, benefits or care? ........................................... D [X]
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death occurred
after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ................................................................................................ D [X]
3. Did decedent own an "in trust for" or payable upon death bank account or security
at his or her death? ....................................................................................................................... D [X]
4. Did decedent own an individual retirement account, annuity, or other non-probate property? ..... D [X]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
72 P.S. S9116 (a) (1.1) (i) provided for the reduction of the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1 9195.
72 P.S. S9116 (a) (1.1) (ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the surviving
spouse from 3% to 0% for dates of death on or after January 1, 1995. 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 JANUARY 1,1995 - Please answer the following question by placing an "x" in the
appropriate space.
Did the decedent create a trust or similar arrangement which is soley for the surviving spouse's benefit for his or her entire
lifetime? Yes D No D
If you answered yes to the above question, the tax on the trust or similar arrangement is postponed until the death of the second
spouse, at which time it will be fully taxable at the rate(s) applicable to the remainder beneficiary(ies). Enter the value of the trust on
Schedule J, Part II, in order to remove it from the calculation of the tax due in this estate. You may wish to file Schedule 0 in order to
make the election available under Section 9113. If the election is made, the trust or similar arrangement is taxed in the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse is taxed at the zero tax rate,
and the remainder is taxed at the rate(s) applicable to the remainder beneficiary(ies). If you choose to make the election, you must
attach Schedule 0 to a timely-filed tax return, along with Schedule(s) K and/or M in order to show the apportionment of the trust or
similar arrangement between the surviving spouse and the remainder beneficiary(ies).
REV-1502EX t (1-97)
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYl V ANJA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Cope. Ruth B. 21 05 1086
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 exchanged
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
915 Hamilton St., Carlisle, Pa 17013, selling price, see attached settlement sheet
VALUE AT DATE
OF DEATH
184,900.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
184,900.00
REV-1503 EX, (1-97)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
CODe. Ruth B.
All property jointly-owned with right 01 survivorship must be disclosed on Schedule F.
FILE NUMBER
21 05
1086
ITEM
NUMBER DESCRIPTION
1. MFS municipal bonds
2. MFS municipal bonds
3. Putnam American Govt. Class A
4. Putnam Tax Exempt Class A
5. Van Kampen U.S. Mortgage Fund
6. Van Kampen MV A Income Fund
7. Franklin Income Fund, Class A
8. Alliance, redemption of SGA
9. Alliance Gov. Ins.A
10. Pershing Funds
11. Met Life Investors
12. Carlisle Corp stock/Computershare
13. Homestead Trust NO.5 - See attached Release
VALUE AT DATE
OF DEATH
89,207.78
31,853.00
15,787.61
43.335.30
12,165.51
8,137.27
71,357.42
14,178.97
6,580.61
36,420.56
52,074.98
27,142.98
6,632.99
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
414,874.98
""'~".,,~ .-
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Cope. Ruth B.
FILE NUMBER
21 05
1086
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
77,180.83
M& T checking
2.
State Farm Mutual, refund
86.39
3.
Met Life, withdrawal
137.33
4.
Pershing Funds, withdrawal
159.56
5.
Pershing Funds, withdrawal
55.99
6.
Alliance Funds, withdrawal
120.00
7.
Pershing Funds, withdrawal
115.97
8.
Tax proration received on sale of 915 Hamilton St.
915.04
9.
Cash given to nephews, Thomas, Aaron, Steven Bloser on October 31, 2005
25,000.00
10.
Cash given to brother, Marlin, on October 31,2005
10,000.00
11.
North Middleton Township, refund water and sewer
79.90
12.
AARP, refund on insurance
143.25
TOTAL (Also enter on line Ei, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
113,994.26
"""""'''00 .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
CODe. Ruth B.
FILE NUMBER
21
05
1086
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hoffman Roth 7,550.50
2. Grave Opening 1,045.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Douglas Law Office 35,681.00
3. 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 370.00
5. Accountant's Fees John Klingler & Associates, filing Decedent's tax return 600.00
6. Tax Return Preparer's Fees
7. PP&L 166.95
8. Gilbert Landscaping 79.50
9. Realtor's Commission on sale of real estate, 915 Hamilton St., Carlisle 11,094.00
10. Realty Transfer tax on sale of real estate 1,849.00
11. Joseph Breitenbach, svc. of house, 915 Hamilton St. 100.00
12. PP&L 194.99
13. North Middleton Twp. Authority, Water and Sewer 79.90
14. West Shore EMC 60.62
15. Sentinel, estate ad 151.55
16. M& T Bank Charge 40.00
17. Cumberland Law Journal, estate ad 75.00
18. North Middleton Twp. Water and Sewer 101.21
TOTAL (Also enter on line 9, Recapitulation) $ 64,595.14
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Cope, Ruth B.
~~1
05
1086
Paqe 1
Schedule H - Funeral Expenses & Administrative Costs - 87
ITEM
NUMBER
DESCRIPTION
AMOUNT
19.
20.
21.
22
23.
24.
25.
26.
Cumberland County Tax Claim Bureau, 2005 School Taxes
Tax proration on sale of 915 Hamilton St., 2006 county real estate
Continuing Care Rx
Cumberland Crossings
U.S. Treasury, 2005 income tax
PA. Dept. or Revenue, 2005 income tax
Computershare, brokers fee
Reserved for filing final account and inventory and appraisement
1,956.06
13.31
616.27
33.28
836.00
1,630.00
41.00
230.00
SUBTOTAL SCHEDULE H-B7
5,355.92
"".""M" '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
C R th B
FILE NUMBER
21
ODe u 05 1086
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1. Ruth Blaser sister in law $1,000.00
135 Heron Way
Carlisle, Pa 17013
2. Steve Blaser nephew $10,000.00
150 Barnstable Road
Carlisle, PA 17013
3. Tom Blaser nephew $10,000.00
210 Barnstable Road
Carlisle, Pa 17013
4. Robert Coburn nephew $10,000.00
10024 Preswich Terrace
Jansville, MD 21754-9601
5. Dorothy H. Blaser sister in law 1/2 of residue
100 Barnstable Road
Carlisle, PA 17013
6. Marlin L. Blaser brother 1/2 of residue
100 Barnstable Road
Carlisle, PA 17013
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, 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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1. First Presbyterian Church, Carlisle, PA 1,000.00
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 1,000.00
(If more space is needed, Insert additional sheets of the same size)