HomeMy WebLinkAbout12-14-06
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15056041147
REV-1500 EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes ~
PO BOX.280601 ~
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
INHERITANCE TAX RETURN 2 1 0 6
RESIDENT DECEDENT
File Number
00862
571935812
08282006
Date of Birth
10081981
Decedent's Last Name
ALANIZ
Suffix
Decedent's First Name
SANDRA
MI
L
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
0 1. Original Return 0 2. Supplemental Return 0 3. Remainder Return (date of death
prior to 12-13-82)
D 4. Limited Estate 0 4a. Future Interest Compromise 0 5. Federal Estate Tax Return Required
(date of death after 12-12-82)
[!] 6. Decedent Died Testate 0 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
0 9. Litigation Proceeds Re(:eived 0 10 Spousal pove\% Credit {date of death 0 11. Election to tax under Sec. 9113(A)
. between 12-31- 1 and -1-95) (Attach Sch. 0)
~ORRESPONDENT . THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number
EDMUND G. MYERS 7177614540
301
MARKET
STREET
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rn
REGISTEI(~==o ILLS U.wNL.,reS 8
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DATE FILED ......
Firm Name (If Applicable)
JOHNSON DUFFIE
First line of address
Second line of address
City or Post Office
LEMOYNE
State
PA
ZIP Code
17043
Correspondent's e-mail address:
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, and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. '
SIGNATURE PERSON RESPONSIBLE OR FILING RETURN DATE
Sandra L Merlini
6 Box Elder Court, Enola, PA 17025
SURE OF PREPARER OTHER THAN REPRESENTATIVE
Johnson Duffie Stewart & Weidner
DATE
IL/{Jlo~
301 MARKET STREET, LEMOYNE, PA 17043
Side 1
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15056041147
15056041147
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15056042146
REV-1500 EX
Decedent's Name:
SANDRA
L ALANIZ
Decedent's Social Security Number
571935812
RECAPITULATION
1. Real Estate (Schedule A).......................................................................................... 1.
2. Stocks and Bonds (Schedule B)............................................................................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3.
4. Mortgages & Notes Receivable (Schedule D).......................................................... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)................ 5.
4,746.24
6. Jointly Owned Property (Schedule F) D Separate Billing Requested............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) D Separate Billing Requested............. 7.
8. Total Gross Assets (total Lines 1-7)....................................................................... 8.
4,746.24
4,186.66
220.76
4,407.42
338.82
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)...................................................................... 11.
12. Net Value of Estate (Line 8 minus Line 11)............................................................. 12.
13. Charitable and Govemmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J)................................................. 13.
14. Net Value SubjecttQ Tax (Line 12 minus Line 13)................................................. 14.
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
(a)(1.2) X ~
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
338.82
o . 00
15. o . 00
16. 15.25
17. 0.00
18. o . 00
19. 15.25
338.82
o . 00
o . 00
19. Tax Due......................... .............. ......... .......... ........................................ ...................
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
D
Side 2
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15056042146
15056042146
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REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-06-00862
DECEDENT'S NAME
Sandra L ALANIZ
STREET ADDRESS
6 Box Elder Court
CITY I STATE ,ZIP
Enola PA 17025
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
15.25
0.00
3. InterestlPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
0.00
TotallnteresUPenalty (D + E)
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
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 +
(3)
(4)
15.25
D [!J
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
1. Did decedent make a
a. retain the use or i
b. retain the right to
c. retain a reversion
d. receive the promi
2. If death occurred after
receiving adequate con:
3. Did decedent own an "ir
4. Did decedent own an In OHARlAND2000 .
contains a beneficiary d~"'~l'allull r ......................................................................................................................
~J~;;.~; 1d~~-"~~ ii;fu..:.l;lJ" ~I ~ j t. ;, ..;, "'~." 1!:8 '-' l'l>-~~ 1'<" ~,1rC
PLEASE ANSWER THE
1:0 3 ~ 3088 ~Ol:
~61~
~~m0005?~Oq~ ~~~3
II'
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 three (3) percent [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 surviving spouse is zero
(0) percent [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot 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 zero (0) percent [72 P.S. ~9116 (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 four and one-half (4.5) percent,
except as noted in 72 P.S. ~9116 1.2) [72 P.S. ~9116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116 (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.
RtV-,1101 EX+ (I-H)
*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ALANIZ, Sandra L
FILE NUMBER
21-06-00862
ESTATE OF
Include the proCllllds of Htigation and the date the proceeds were received by the estate.
All proptrty jolntly-owntd with tht right of lurvlvorshlp must bt dllcloltd on Ichldul. F.
ITEM
NUMBER DESCRIPTION
1 Stepping Stones Daycare - Final Paycheck
VALUE AT DATE
OF DEATH
635.54
2 Members First Federal Credit Union Checking Account 261617-11
3,102.04
3 Members First Federal Credit Union - Regular Savings Account 261617-00
1,008.66
TOTAL (Also enter on Line 5, Recapitulation)
4,746.24
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
REV-1111 EX+ (12-n)
*
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ALANIZ, Sandra L
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21-06-00862
ESTATE OF
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 3,369.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State lip
-
Year(s) Commission paid
2. Attorney's Fees Johnson Duffie 500.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State lip
Relationship of Claimant to Decedent
4. Probate Fees 80.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 237.66
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 4,186.66
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
ReY.1HZ EX+ (6-18)
*
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ALANIZ, Sandra L
FILE NUMBER
21-06-00862
ESTATE OF
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Church Donation for Funeral Service
100.00
2
Shaw Funeral Home
2.546.00
3
Sullivan Funeral Home
723.00
Subtotal
3.369.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1M2 EX+ (6-t8)
*
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMO~THOFPENNSYlVAN~
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ALANIZ, Sandra L
FILE NUMBER
21-06-00862
ITEM
NUMBER
1
DESCRIPTION
Cumberland County Register of Wills Office. Filing Fee for Inheritance Tax Return
and Inventory
AMOUNT
30.00
2
Cumberland County Reporter. Notice of Estate Administration
75.00
3
The Patriot News. Notice of Estate Administration
132.66
Subtotal
237.66
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
R.v-1112 EX+ (1-11)
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SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECeDENT
ALANIZ, Sandra L
FILE NUMBER
21-06-00862
ESTATE OF
Includ. un...lmbu....d medlcll .xp.n....
ITEM
NUMBER DESCRIPTION
1 Boscoy'S Department Store
VALUE AT DATE
OF DEATH
41.54
2 Verizon Wireless
179.22
TOTAL (Also enter on Line 10, Recapitulation)
220.76
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
REV 1613 EX+ (1-00)
*
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
ALANIZ, Sandra L
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
C1istributions, and transfers
under Sec. 9116(a)(1.2)]
Abby Nicole Alaniz-Davenport
clo Jack Davenport
1350 Forest Hill Road
Stevens, PA 17578
RELATIONSHIP TO
DECEDENT
Do Not List TrustH(s)
FILE NUMBER
21-06-00862
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
I.
Daughter
Entire Estate
Total
Enter dollar amounts for distributions shown above on lines 5 through 18, as appropnate. 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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group. Inc.
Form PA-1500 Schedule J (Rev. 6-98)
,.
~
Register of Wills, Cumberland County, Pennsylvania
INVENTORY
I Deceased
No. 21-2006-00862
Date of Death 08/28/2006
Social Security No. 571-93-5812
Estate of Sandra L ALANIZ
also known as
Sandra L Merlini
The Personal Representatlve(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of
the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except
that which appears In a memorandum at the end of this Inventory. I/We verify that the statements made In this Inventory
are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S.
Section 4904 relating to unsworn falsification to authorities.
1.0. No.:
EDMUND G. MYERS
20558
Personal ReDresentative
Signature:
Attorney:
Signature:
Sandra L Merlini
~,,~
Firm:
Signature:
Johnson Duffie
301 MARKET STREET
Address: POBOX 109
LEMOYNE, PA 17043
Telephone: (717) 761-4540
Address: 6 Box Elder Court
Enola, PA 17025
Telephone: 717-728-5453
Dated: JJlBj 0~
Personal ProDertv
Cash.............................................................................................. .
Personal Property ....... ........ .... ..................... ..... ......... .... ........... ....
Stocks/Listed........................................... ...... ....... ...... ...................
Stocks/Closely Held......................................................................
Bonds............................................................................................ .
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property. ......... ............ ...... ......... ....... ................... ..........
T~
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Total Personal Property.........................................
4,746.24
Total Real Property................................................
Total Personal and Real Property.........................
'4,146.i4l
Total Out-of-State Real Property..........................
'7
r"
Register of Wills, Cumberland County, Pennsylvania
INVENTORY
Estate of Sandra L ALANIZ
also known as
No.
Date of Death
Social Security No.
I Deceased
21-06-00862
08/28/2006
571-93-5812
Cash
Members First Federal Credit Union Checking Account 261617-11
Members First Federal Credit Union - Regular Savings Account 261617-00
Stepping Stones Daycare - Final Paycheck
Total Cash
3.102.04
1.008.66
635.54
4.746.24
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
4.746.24