HomeMy WebLinkAbout06-27-06 (2)
REIJ-' -\on F'~ + (6- ['"l)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
'*
COMMONWEAL TH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT 280601
HARRISBURG, PA 17128-0601
FILE NUMBER
2 -05 1 0 6 9
--couNTY~ ~AP:-- - - Nli'M8'ER- -
DECEDENT'S NAME (LAST FIRST. AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
I-
Z
W
C
W
(.)
W
C
Rutherford, Mar"orie R.
DATE OF DEMH (MMDD-Year)
2 0 7 - 0 7 - 6 1 3 4
THIS RETURN MUST BE FilED IN DUPLICATE WITH THE
REGISTER OF WILLS
DATE OF BIRTH (MM-DD-Year)
10/14/2005 OS/22/1919
(IF APPLlC!\BLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
[X] 1. Original Return
o 4. limited Estate
[X] 6. Decedent Died Testate (AtlachcopyofVIiII)
o 9. Litigation Proceeds Received
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 01 Trust)
o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
o 3. Remainder Return (date of death prior to 12-13-82)
o 5_ Federal Estate Tax Return Required
Q.. 8 Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
w
....
~~(I)
u~~
w g,u
:c ~g
UCl.lXl
Cl.
<(
THIS SECTION MUST BE COMPLETED. AlL CORRESPONDENCE AND CONFIDENTiAl TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
P. Daniel Altland, Es uire 3631 North Front Street
FIRM NAME (If Applicable)
CALDWELL & KEARNS
TELEPHONE NUMBER
717 232-7661 Harrisbur PA 17110
....
z
w
o
z
o
Cl.
(I)
W
~
~
o
u
I
I
i
!
OFFICIAL _USE ONLY
1_ Real Estate (Schedule A)
(1)
(2)
(3)
(4)
(5)
2 Stochs and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. MortlJages & Notes Receivable (Schedule D)
162,807.34
5 Cash. Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. JOintly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
z
o
t=
<
....J
::>
I-
0..
<
(.)
W
0:::
(6)
(7)
162,807.34
8. Total Gross Assets (total Lines 1-7)
(8)
11,137.99
9. Funeral Expenses & Administrative Costs (Schedule H)
(9)
10. Debts of Decedent, Mortgage liabilities, & liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus line 11)
11,137.99
151,669.35
(11)
(12)
(13)
13. Chal'itable 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
151,669.35
(14)
z
o
t=
<
I-
::>
0..
~
o
(.)
><
<
I-
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(l.2)
0.00 X _(15) 0.00
151,669.35 X .045 (16) 6,825.12
0.00 X .12 (17) 0.00
0.00 X .15 (18) 0.00
(19) 6,825.12
16. Amount of line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of line 14 taxable at collateral rate
19. Tax Due
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
20. [J
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's Complete Address:
STREET ADDRESS
5225 Wilson Lane
CITY I STATE I ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. T ax Due (Pane 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
6,825.12
Total Credits (A + B + C)
(2)
000
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E ) (3)
4. If Line 2 is nreater 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 nreater 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. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
0.00
6,825.12
6,825.12
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 [Xl
b. retain the rinht to desinnate who shall use the property transferred or its income; ........................................ 0 [Xl
c. retain a reversionary interest; or ...................................................................................................... 0 [Xl
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 [Xl
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receivinn adequate consideration?.. ............. ..... ...... ...... ....................... ........................................ 0 [Xl
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 [Xl
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... 0 [Xl
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
") (, U., r
~ cl ~
,
PA 17011
DATE
S'. 2~
D6
PA 17110
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 PS. S9116 (a) (1.1) (i)l
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 PS. 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 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. 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 an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1508 EX. (6-"'81
1*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEAL TH OF PENNSYL Vi\NIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Rutherford. Mariorie R.
FILE NUMBER
21 05
Include the proceeds of litigation and the date the proceeds were received by the estate
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
1069
ITEM
NUMBER
1
DESCRIPTION
Citizens Bank Checking Account #610068-298-6 - Date-of-death balance
VALUE AT DATE
OF DEATH
6,22516
2.
Mellon Bank, Marjorie R. Rutherford Irrevocable Trust Under Agreement Account
#10171042BN3 - Date-of-death value
156,582.18
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
162,807.34
REV 1511 EX' (1299)
C~J~
1~
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Rutherford. Mariorie R.
FILE NUMBER
21
05
1069
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1 Neill Funeral Home, Inc., 3501 Derry St., Harrisburg, PA 17111-1817 - Statement dated
October 31 , 2005 9,616.70
B. ADMINISTRA TIVE COSTS
1 Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Caldwell & Kearns 1,000.00
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 Cumberland County Register of Wills 302.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7 Advertising Grant of Letters 144.29
8. Cumberland Law Journal 75.00
TOT AL (Also enter on line 9, Recapitulation) $ 11,13799
(If more space is needed, insert additional sheets of the same size)
'''''''".,'.
COMMONWEI\L TH OF PENNSYLVANIA
INHERITI"NCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
f M
FILE NUMBER
Ruther ord anorie 21 05 1069
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, and transfers under
Sec. 9116 (a)(1.2)]
1. Thomas M. Rutherford, Jr. (50%) Lineal 75,83468
425 Allendale Way
Camp Hill, PA 17011
2. Judith Hoover (50%) Lineal 75,83467
16130 Clover Lane
York, PA 17403-4012
ENTER DOLLAR AMOUNTS FOR DiSTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON- T MABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX is NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
R
(If more space is needed, insert additional sheets of the same size)