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HomeMy WebLinkAbout09-26-06 REV-1500 ~ + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) I- Z W C w U w C BUTCHKO VIOLET DATE OF DEATH (MM-DD-Year) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 2 1 -0 6 0 0 4 4 COUNTYCOOE ---y~ - - NuMBER- - SOCIAL SECURITY NUMBER D. DATE OF BIRTH (MM-DD-Year) 1 90- 0 1 - 8 8 2 5 THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS 12/25/2005 11/23/1918 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) W I- ~~(I) U a::~ w&U :x: Ik: g U a.. IX! a.. 0( lKl1. Original Return D 4. Limited Estate lKl 6. Decedent Died Testate (AllachcopyofWiIl) D 9. Litigation Proceeds Received SOCIAL SECURITY NUMBER D 2. Supplemental Return D 4a. Future Interest Compromise (datBofdeath aller12-12-82) D 7. Decedent Maintained a Living Trust (Allach copy ofTrust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 3. Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required ~ 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113{A) (Attach Sch 0) ::imlS;sEt)}jQl,iiJil*8E8~1"~C"~;"""" NAME MURREL R. WALTERS III, ESQUIRE FIRM NAME (If Applicable) "'l~""""'C"!liBIIi11lll..ui)ii;)_I1Epijit" COMPLETE MAILING ADDRESS 54 EAST MAIN STREET 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts ofDecedent, Mortgage Liabilities, & Liens (Schedule I) (10) 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) I- Z W o z o Q. (I) w Ik: a:: o u TELEPHONE NUMBER 717-697-4650 z o i= ~ ...J ~ I- 0: ~ u W 0::: MECHANICSBURG PA 17055 OFFICIAL USE ONLY 136,331.19 ~ c::::> .:;:::'.) c.... (/) rTJ v N a) 17,580.20 ;r."" -:-;/.. :::0 ,I'I (J C) ::rJ C.J f:3 :; C') , i-T') -n (=) ._ nl 143,109.88 co N -..r (8) 297,021.27 14,492.42 2,628.08 (11) (12) (13) 17,120.50 279,900.77 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) 279,900.77 z o i= <( I- ~ Q. ~ o o ~ I- 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 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 x _ (15) X _(16) 296,719.58 X .12 (17) 35,606.35 X .15 (18) (19) 35,606.35 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L. o d t' C I t Add ece en s omple e ress: STREET ADDRESS , 102 W. CLEARVIEW DRIVE CITY I STATE I ZIP CAMP HILL PA 17011 Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2, Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 35,606.35 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 T AA DUE. (5) A, Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + SA. This is the BAlANCE DUE. (58) 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 00 b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00 c. retain a reversionary interest; or ............... ...: .......................... ...... ........... ..... ................ .............. ..... 0 00 d. receive the promise for life of either payments, benefits or care? ............................................................. 0 00 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration?.......... .................. .............. ...... ................... ...... ...................... 0 00 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which . contains a beneficiary designation? ..................................................... n............................... ................. 0 00 0.00 35,606.35 35,606.35 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 o1her than the personal representative is based on aU information of which preparer has any knowledge. SIGNATURE OF P N RESPON LE FOR FILING RETURN DATE ~ 1? G )~ .' . ~d' .L-"J -06 ADDRESS ADDRESS MURREL R. WALTERS III, ESQ. 54 EAST MAIN STREET, MECHANICSBURG PA 17055 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 fc [72 P.S. ~9116 (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 survivin The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets a 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 or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)]. ~00 lie) i)vJ fJ/'rVO if :nt, 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 nol"u n. . - I )J. 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. 99116(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-1~02 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER BUTCHKO VIOLET D. 21 06 0044 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 prODertv which is iointlv.owned with right of survivorship must be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NUMBER 1, DESCRIPTION VALUE AT DATE OF DEATH 136,331.19 102 WEST CLEARVIEW DRIVE CAMP HILL, PA 17011 TOTAL (Also enter on line 1. Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 136,331.19 REV-1508 EX + (6-98) 'w SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BUTCHKO VIOLET FILE NUMBER D. 21 06 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of sUNivorship must be disclosed on Schedule F. 0044 ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 137,650.88 MERRILL LYNCH ACCOUNT 2. 1998 BUICK CENTURY APPRAISED VALUE 3,300.00 3. DIAMOND RING APPRAISED VALUE 2,159.00 TOTAL (Also enter on line 5. Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 143,109.88 REV-1509 EX + (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y.OWNED PROPERTY ESTATE OF BUTCHKO VIOLET D. FILE NUMBER 21 06 0044 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 DECEDENT A. FRANK C. ALBANESE 424 LAKEVIEW DRIVE WILMINGTON, DE 19711 BROTHER B c JOINTL y-oWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 6/24/98 PNC BANK 9,803.28 50. 4,901.64 CHECKING ACCOUNT 2. A. 6/30/03 PNC BANK 25,357.12 50. 12,678.56 SAVINGS ACCOUNT TOTAL (Also enter on line 6, Recapitulation) $ 17,580.20 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) 'w COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BUTCHKO VIOLET D. Debts of decedent must be reported on Schedule I. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 06 0044 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. MALPEZZI FUNERAL HOME 8,290.00 2. GRAVE OPENING 775.00 3. GINGRICH MEMORIALS. GRAVE MARKER 1,500.00 4. FUNERAL LUNCHEON 367.42 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) FRANK C. ALBANESE . RENOUNCED Social Security Numbe~s)JEIN Number of Personal Representative(s) Street Address 424 LAKEVIEW DRIVE City NEWARK State DE Zip 19711 Yea~5) Commission Paid: 2. Attomey Fees MURREL R. WALTERS III, ESQUIRE 3,150.00 3. Family Exemption: (If decedenrs address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees REGISTER OF WILLS. CUMBERLAND COUNTY 410.00 5. Accountanfs Fees 6. Tax Return Preparers Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ 14,492.42 (If more space is needed, insert additional sheets of the same size) . REV-1511 EX + (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF BUTCHKO VIOLET D. FILE NUMBER 21 06 0044 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1, TELEPHONE 173.39 2. NATURAL GAS 613.70 3. ELECTRIC SERVICE 159.51 4. TV CABLE 138.20 5. WATER SERVICE 93.31 6. TERMITE TREATMENT FOR SALE OF HOUSE 265.00 7. IBM HEALTH INSURANCE PREMIUM 98.00 8. BANKCARD SERVICES 48.29 9. WAGGONER, FRUTIGER & DAUB TAX SERVICE 250.00 10. DEFENSE FINANCE 182.00 11. USAA AUTO INSURANCE 99.08 12. HUMIDIFIER REPLACEMENT 75.00 13. LAWNCARE 30.00 14. TIMER FOR LIVING ROOM 5.28 15. CARLISLE GLASS SERVICE REPLACE BROKEN WINDOW 186.40 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,628.08 ~_~5~3a:'{* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BUTCHKO NUMBER 1. SCHEDULE J BENEFICIARIES VIOLET D. FILE NUMBER 21 06 RELATIONSHIP TO DECEDENT Do Not list Trustee(s) BROTHER 100% 0044 AMOUNT OR SHARE OF ESTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET n. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. FRANK C. ALBANESE 424 LAKEVIEW DRIVE NEWARK, DE 19711 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART n - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size)