HomeMy WebLinkAbout95-00903
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CD""OHWUllll or prHNSVl VANIA
O(PARIH[HT ~ R[V[NU(
ftUR[t or INJ1VIDUAl lurs
PtPl.- 1110601
IIARAlumm, PA Hila-OUt
-
/'; it: ,If
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
.
'"-Ihl''''' I'.'"
FILE
ACN
DATE
NO. 21 .,.q-S ~q03
951',9063
10-11-95
TYPE OF ACCOUNT
o SAVINGS
IX] CIlECK ING
o TRUST
o CERTIF.
EST, OF MARY EBERT
5.5, NO. 184-28-1112
DATE OF DEATH 06-20-95
COUNTY CUMBERLAND
DONNA E SAXON
108 RIDGEWOOD DR
CAMP HILL PA 11011
REIlIT PAYIlENT AND FDRIlS TD.
REGISTER OF WILLS
CUMBERLAND CO COURT IIOUSE
CARLISLE, PA 11013
,~ JI /) - l, 5 )/ !J-
PNC BANK hIlS provided the OeplItt..n, with the In'nt..tlon lhted below which hu b..n u..d In cl'llculntlno the
potent lei ,.. du.. th.l, r.cord. Indlel'. thlt .t the a..th 0' thl nbOVI dlcldent, you ...r. ft Joint owner/beneflcl.ry of Ihl. I'Iccount.
I' you '..1 thl, In'or..tlon I. Incorr.ct. pl.... obl.ln ..rltt.n corr.ctlon fro. thl ,lnanel.1 Institution, attach. copy to thl. for.
and r.turn It to the above addr.,., This BelCOURt I. 1..Bble In accordanc' wlth the Inheritance Ta_ law. of th. Co..onw..lth of P.nn.ylvanle.
".,...;...". ".1 lor. ..u...,rr.J bV ,"ulllr'lI (71ll 1t.l :!:;O.
5.113.95
50.000 Jl
.1 ","
2.586.98 "XI);
.15 ", t) "-,
3BB.05 '''-~;,:l.1
TAXPAYER RESPONSE
FAILUR! TO R!SPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNE
COHPLETE PART 1 BELOW
Account No. 5140166996
. . . SEE REVERSE SIDE FOR
D.t. 05-01-86
Establhh.d
Account Balanc.
P.rc.nt Tuabl.
Anount Subj.ct to
Tax R.t.
Pot.ntlal Tax Dua
x
r..
K
PART
[TI
FILING AND PAYMENT INSTRUCTIONS
To In.ur. prop.r cr.dlt to your account, two
(Zl copl.. of thl. notlc. .u.t acco.pany your
pay..nt to the A.gI.t.r of will.. "aka check
~Y.bla tOI "A.gl.t.r of Will., Ag.nt".
,~U/
NOIEI If taM paye.ntl ar. .ad. within thr..
eS) eonth. of the d.c.d.nt., date of d..th,
you .ay d.duct . S~ dl.count of th. taM du..
Any Inh.rltanc. ta_ due wlll b.co.. d.llnqu.nt
nln. (91 .onth. aft.r the data of d.ath.
1
T BAS!D ON THIS NOTIC!
.. 0 Th. above Infar.atlan and ta_ due I. corr.ct.
1. You .ay choo.e to r..lt pav..nt to the A.gl.t.r 0' Will. with two capl.. 0' thl. notlc. to obtain
a dl.count or avoid Inl.r..t, or YOU .ay check bo_ "A" and r.turn Ihl. notice 10 Ihe Aegl.ter of
Will. .nd .n afflclal ........nt will be 1"U.d by th. PA C.part.ent of Revenue.
a. E:J The above a...t ha. b..n or will b. r.port.d and ta_ paid with the P.nnlylvanl~ Inh.rltanc. Ta_ return
to b. fll.d by the dec.dent'. r.pr...ntallv..
C. c=J Th. above Infor..tlon l~ncorr.ct and/o~.bt. and deductlonl w.r. paid by you.
You .Ult co.plat. PAAI ~ and/or PART ~ b.low.
[CHECK ]
ONE
BLOCK
ONLY
If you indicate a diff.r.nt tax rat., pl.... .t.t. your
r.lation.hip to d.c.d.nt,
PART
~
TAX RETURN . COMPUTATION OF
LINE 1, D.t. E.t.blt.h.d 1
2. Account Oal.nc. 2
3. P.rc.nt Tax.bl. 3 X
4. A"ount Subj.ct to T.x 4
S. D.bt. and D.duction. 5
6. A"ount Tax.bl. 6
7. Tax R.t. 7
8. Tax Du. 8
TAX ON JOINT/TRUST ACCOUNTS
K
PART
~
DATE
DEBTS AND DEDUCTIONS
PAID
PAYEE
DESCRIPTION
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
PAD
1
2
3
4
5
6
1
8
CLAIMED
AMOUNT PAID
,~~
J (' ',J" !-:1
TOTAL IEnt.r on Lin. 5 0 T...-: C put.Uon) t
Under p.n.ltl.. of p.rjury, I d.cl.r. th.t the fact. I
conpl.t. to the b..t of ny knoMI.dg. and b.li.f.
C .,."
'1\ 11::"'" tL /"+"-:--('1 '-.,'7,.
T~AYER SIGNA URE
h.v. r.port.d above ar. tru., corr.ct and
~~~~ : ~111-)) '~7;{' 1"-- 'I If r
_ __ oJ 'elf' Z -; .
TELEPH NE NUMB DATE'
1 "
GENERAL INFORMATION
,
1. FAILURE TO RESPOND WILL RESULT IN AN OFfiCIAL TA)( ASSESSHENT with ftpplleabla Int.,.., bll..d on 1",o,..UOI'I
lubelttlld bll' th. flnllnclal Institution.
2. Inharlt."u In blleo... delinquent nln. 1I0nlh. IIUU thll dlle-d.nt" d... 0' d..th.
s. A Joint account I. '..abl. IIvan though thll dacadant" "ft.. WII. edded .. II 1I.lt., of convenlenc..
~. Account, (Includlnu that. hald blll...n hulbllnd ~d wi'.' which Ih. dacadant put In Joint n.... wllhln on. '11'..' prior to
d..th .,. fully t..abl. .. tran.'.",
5. Account. ..tablhhed Jolntlv bat....n husband IN1d wU. 1I0r. Ih,," on. YU, prior to d..th .t. not ta..bl,.
.. Account. h.l~ by II dlcldlnl "In trult for" flnothar or ath.r. ar. t..able fully.
REPORTING INSTRUCTIONS - PART
1
- TAXPAYER RESPONSE
.. BLOCK A . I' the tn'or..tlon and co.putallon In thl notlcl .t. corr.et And deduction, .re not b.lna clele'd, pllce In "M"
In block "l" of Part 1 of the "...pe.,.ar R..pon,." ,action. Slgl'I two copla. end ,ub.U th.. wUh .,our ch.ck for the .~t 0'
t,ll to the R.ghter of '11111 of the county Indlnhd. The Pl D,pllrl..nl of Rev.nu. will I..u. fin oUlcll1 1I......"'t
IFor. REV-1S~' EM. upon receipt 0' the r.turn fro. the R.gl.t.r of Mill..
I. BLOCK B - If the ....t .p.clfled on this notice hili b.en or will b. ,.ported Bnd t.. p.ld with the PMW1I.,.lvanl. Inherlt.nce
T.ll R.turn fll.d b.,. tha decadent', repr..ant.tlv., plllc, 111'1 "M" In block "B" of Pert I of tha "Ta.pI.,..r R.,pon,.- 'Ictlon. Sian one
cop.,. end return to the PA Dlpart..nt of RIVlnul, Bure", of Individual h.e" Dept 110601, Il.rrlsbura, Pi 11111-0601 In Ihe
anyelope provided.
1. BLOCK C - If Ihe notice Infor..tlon I. Incorr.ct andlor daducllon. .ra baing cllleld, chick black "C" and co.plltl Plrt. I and J
according to lhe In.tructlon. below. Slgl'I two capla. and .ub.lt tha. with .,our chack for tha ..ounl of tall p..,.abla to I~e Ragl.tar
of Will. of the county indiclt.d. Tha PA D,parteent 0' kav.nua wiil l'lua 111'1 olllcl.i ....II.ant 'tar. MlV-1S~' l~1 upon racaJpt
of the return fro. the Raal.ter of Mill..
TAX RETURN - PART
2
- TAX COMPUTATION
UHf
I. Cnt.r the dlt. tha account orlgln.llY w.. e.tabll'hed or titled In the .ann.r e.lstlng .t d.t, of d..lh.
NDTCI For I dlcadant dying .ftlr 12/1l/lZ1 Account. which the d.c.danl put In Joint naae' wllhln on. II) "I.r of dalth ar.
ta..ble 'ully .. tran.h,.. tlow.yer, thara Is an e.clullon not to ..c.ed 15,000 p., Iran.'"" ,.glrdh.. 01 the y.lue 0'
the .cco~t or the nueber 01 account. h.ld.
If . double ..terlsk C.... .ppurs bafore your first n.u In the Iddu" portion D' thh notln, the 15,000 ..elution
already h.. baen dlductad frDa the account b.lanc. I' r.port.d by the 'Inanclal In,tllullon.
I. [nt.r the totll b.lanca 0' the .ccount Including Inl.r..t .ccrued to thl dlt. 0' da.th.
J. Thl p.rc.nt of thl .ccount that I. tllllbl. for .ech .urvlvor I. dlt.r.lnld .. follow'l
A. th. p.rcent t...bl. for Joint ....1. I.t.bll.hld lOr. than one VI.r prior to Ih. dlcadlnl'. d..thl
DIVIDED BV tOTAL HUHBER OF
JDINT OWNERS
E...plll A Joint ....t raght.red
DIVIDED BV TOTAL NUMIER OF K 100 . PERCENT TAXAILE
SURVIVING JOINT OWNERS
In the n'll of thl dlc.dlnt end two oth.r Plr.on..
I DIVIDED BV 1 (JOINT OWNERS I DIVIDED BV l CSURVIVORS) . .167 . 100 . 16.7% ItAMAll[ rDR EACH SURVIVOR 1
B. Th. p.rclnt t..abl_ for ....t. crl.t.d within on. .,.I.r of the dlcld.nt'. dlllth or accounl. own.d b.,. the dlc.dant but hlld
In tru.t for enothlr Individuate.) Ctru.t blnlflcl.rll.lr
I DIVIDED BV totAL NUMBER or SURVIVING JOINT
OWNERS DR tRUST BENEFICIARIES
X 100 . PERC["t TAMABLE
[...pll' Joint account ragl.t.r.d In the n... 0' Ih. d.cad.nt and two othlr p.r,on. and I.tabll'hld within on. yl.r of d..th b.,.
thl dlcldlnt.
I DIVIDED BV l ISURVIVORS) . .SD M 100 . SOle CUXABLE fOR CACII SURVIVORI
~. thl alOunt .ubJlct to t.. Cllnl ~. I. dll.r.lnld by .ultlplylng thl accounl b.lenc. (Ill'll ZI by thl p.rc.nt tellabl. Illn. )1.
S. Enllr thl tot.1 of thl dlbts and dlductlon. Ihtld In Pari 1.
I., lhl 1lI0un' tllubl. IIlna 6J II d.tar.lnld b.,. lubtractlng thl d.bts and dlductlon. IIIi'll SI fro. thl ..aunt .obJlct to tIll fill'll ~I.
7. Ent.r the approprlat. tIll r.t. (Ill'll 7) .. dlt.r.ln.d b.low.
A. for dltu of dnth occurring aftar 6/!0/9", the tl. ret.. far tran.flrs to Ipaull' Ira II follo.1I
I. D.tu of dllth on or .fhr 71119~ .nd blfor. 1/I19S thl r.t. II n.
l. D.t.. of dl.th on Dr aft.r 1/I/9S tran.flr. to IPOU'I' will b. tlllld at Ole t.. r.,.,
Notl' for dlt.. DI dlath prlDr to 7/1/9~ tran.flr. to ,poula, .r. t..abl. It 6le.
B. tran.flr. to 111'1..1 dl.candant. InclUding f.lh.r, lothlr, ,on, daughtlr, grandchlldr.n, .0n-In"law,
daught.r-In.llw, .t.pchlld and th.lr I.IUI ftr. tl.abll It II. p.rclnt (6:(1.
C. tr.....far. to .11 others Including brothar, .ht.r, t.ncl., aunt, n.phaw and nllcl lire Ill.abll .t '"1.." parcent IIS:0.
o. I' you changl thl t.. r.t., pll'" ,plclfV .,.our r.lltlon.hlp to the d.cldlnt In thl ar'l proyld.d,
.. th. ..ount of ta. due Cllna BI h dlhr.ln.d b.,. .ultlplylna thl IIlD1JRt t...bll 1111'1' 61 b.,. the t.. ret. IIIi'll 1).
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEOUCTIONS CLAIMED
Allowabl. dlbts end daductlon. ara d.hr.ln.d III 101l0wII
A. Vou hg.11y Ir. re.pon.lbl. for Pl.,...nt, or thl ..tlta .obJact to adllnhtratlon b.,. . plrton.1 rapr..."htlva h In,ufflclant
to p.y tha d.ductlbl. It....
.. Vou actually plld the d.bl. .,t.r dl.th 0' the dlcldlnt nnd can furnllh proof 0' pI.,.lant.
C. Dlbt. bllng clll..d .u.t b. Ulllnd 'ulIY In Part S. If addltlonll Iplca Is nlldld, u.. plain PllPar a Ill" . II". Proo' 0'
p.yeent ..y ba r.qul,tad bW thl PA Dlp.rtl.nt 0' R.w.nu..
TAXPAYER ASSISTANCE
IF YOU NEEO FURTHER ltlFORHATlON OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327. TDDI (717) 772-2252 (HEARINO IHPAIRED ONLY)
/
,-
. .
108 Ridgewood Drive
Camp 1Iill, Pa. 17011
November 25, 1995
Register of Wills
Cumberland County Court House
Carlisle, Pa. 17013
File 0 21
ACN 95149063
Date 10-11-95
Re: Estate of Mary Ebert
ssO 184 28 1112
Date of Deeth 06-20-95
County Cumberland
Gentlemen:
This is in reply to the enclosed form.
After consulting with Mr. Riedman at the Department of Revenue,
Bureau of Individual Taxes and the PNC Bank, I was sssured thst
the notes on the form as well as the copies of cancelled checks
would cla~tfy your questions.
Please let me hear from you.
Sincerely. /
c}:j~~ ~ f<1/{~
Donna E. Saxon
~Mrs. Joseph G. Saxon)
d
enclosurea 3
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JOSEPH Q, SAXON. M.D. ,2 6 j
DONNA E, SAXON I'
PII.117.70',2141 _.. ~.
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\ DATE
12-25-95
'v
NOTICE or INHERITAHcE TAX
APPRAIBEnENTL ALLOMAHCE OR DI8ALLOMANCE
or DEDUCTIOHa It AND ASBEBBKENT OF TAX ON
JOINTLY ELD OR TRUBT A8BETB
R!yo1548 !X AFP (12095>*1
cQtMONWEAllH Of PEHHS'tl VANIA
OEPARlttlNT Of RtYEtfJE
IURUU OF INDIVIDUAL fAl(U
PEPT. zaO.Ol
UAARlsaURG. PA l1ua~O'DI .
DATE OF DEATH 06-2D-95
COUNTY
CUMBERLAND
ESTATE DF EBERT MARY
,J../- 9:J~ 90.3
FILE NO,..,( I q 5 - ?fdfJ" 'S,S/D.C.
NO, 184-28-1112
ACN
95149063
REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
DONNA E SAXON
108 RIDGEWOOD DR
CAMP HILL PA 17011
f
AMOunt R...s.thd
CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R-{v:iSiri-iii-AFji-ri1i:9si-.--...__._.._..__....._......--......--..-....---....---.-.--..-..-.-..-.---...-...
NOTIC! OF INHERITANC! TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE l' -95
ESTATE OF EBERT
MARY
DATE OF DEATH 06-20-95
COUNTY
CUMBERLAND
FILE NO. S,S/D.C. NO. 184'28'1112
TAX RETURN WAS. (X) ACCEPTED AS FILED ( ) CHANGED
JOINT DR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION, PNC BANK ACCDUNT NO,
ACN 95149063
5140166996
TYPE OF ACCOUNT, () SAYINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 05-01-86
Account Balance
Percent Taxable X
Amount Subject to Tox
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
5,173.95
0,500
2.586,98
3,299.35
.00
.06
.00
NOTEl TO INSURE PROPER CREDIT TO
YOUR ACCOUNT. SUBMIT THE
UPPER PORT10N OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABoYE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TOl
"REGISTER OF WILLS, AGENT."
TAX CRF.DXTS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST (-)
AMOUNT PAID
/ :'-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DU!
IF PAID ArTER THIS DATE,.~EE REVERSE rOR CALCULATION OF ADDITIDHAL INTEREST, ·
IF TOTAL DUE IS LESS THAn 'I, NO PAynENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CR), YOU nAY BE DUE A REFUND,
SEE REVERSE SIDE or THIS FDRn FOR INSTRUCTIONS. )
.00
,00
.00
.00
i.f . /.)
.
<.()
PUIIPOU Of
NOTICE I
To fulflll the requlr...nt. of Sectlon 2140 of t~ I~rlt~e ~ E.tat. Ta. Act, Act 21 of 1"1. (71 P.I.
s.cUon 1140).
PAMHTI
OtItllCh the top porUon of thh NoUca ~ IUtMIlt with your P'YNnt to the bglst." of WU" p"lnt.. on tha
r.ver.. .Id..
._ H.... chtck a" acney order p.yMiI. tal RE;lSTER Of' NILLS, AGENT,
All p.....".. recalved stMlll fir" be ~l1ed to ....y Int.,...t which ..y be due, with eny r...lnlSer ~l1ed to the h..
REflJlDCCAJI
A r.ftnf of . tu credit, which w.. not reque.t" on the taM raturn, ..y be requa.tlld by cOllPI.Una .... "Appl1utlon
for R.fund of Penn,ylvanl. Inherltanca ~ E.t.t. Tu" (REV-ISIS). application. .ra .vallMiI. .t the Off lea of
the RIII.tar 0' Will., eny of the 25 R.v~ DI.trlot Dfflc.. or by c'lllna the .pecl.1 24-hour en.warlna ,.rvlc.
nuaber. for fora. orderlna. In penn.ylvanl. l-IDD-561-20SD, out.lde Pann.ylvanl. ~ within local
>>-rrlaburg .r.. (717) 717-1094, IDDI (717) 771-2252 CHe.rlng lap. Ired Only).
OBJECTIONS, Any p.rty In Interut not nthfllld with the appr......nt' nllowfW'ICe or dlnUowanca of deducUofn or ...........t
of t.. Clncludlna dl.count or Int.,...t) .. ahown on thl. Notlc. ..y object within .1.ty C6D) ~y. of ,.~Ipt of
thh Hotlca byr
..wdu.... prot..t to th. PA D.p.,.taant of R.venue, Ba.rd of App..... Dept. UIDU, ttarrhbura. PA 17121-1021, OR
--.I~tlng to ~va the .attar dat.ralned .t thl IUdlt of the account of the par~1 rep,.e.entatlve, OR
..appa.1 to the O,.ph...... Cou,.t
ADMIN.
ISTRATlYE
CORRECTIONSI
rectusl .,.ror. dl.cov.,.ad on thl. .......-nt .hould be Ddd,....ad In writing tal PA Dep.,.t.....t 0' R.v~,
au,..., of Individual Ta..., ATTHI po.t A......."t A.vl... Unit, DEPT, 280601, ."rrhbu"a, PA 17121-0601
Phona (717) 717-6505, 5.. page S 0' the bookl.t "In.tructlon. for Inherltanc. Ta. A.tu,.n 'or a R..ldant
Decadent" (REY-lSOl) for en .JIlph.'1'Uon of adIIln"tratlv.1Y correctBbI. .,.,.or..
DISCOUNT r
., any t.. due 1. p.ld wIthin th,... (1) c.l~r sonth. .,t.r the deced.ot'. death, . flv. p.rcant C5X)
dlllCaunt 0' the to p.ld II allowed.
INTEREST .
Int.,...t I. cn.re-d b.. Inning with flr.t day of delinquency, or nIne ('J .unth. and one (I) d.y
'rOIl the d.ta of duth, ta tN date 0' payMnt. ,.... which becaM dalll'lqUlf'lt ba'or. J.....ry I, 1912
bI." Intar..t .t the rat. of .1. C6XJ ,.,.cant ,.r annul c.lculated .t a dally ,.at. of ,000164.
All t.... which bac... delinquent on or .,t.r January I, I'IZ will b.ar Int.,...t at . r.t. which will v.ry froe
c.l~r y..r to c.ltndar ya.r with thet r.t. ennounc.d by the PA D.p.,.tsent of R.venua, T~ appllc~l.
Int.,...t rat.. for 1.12 through 1'96 .ra.
'till: Int.ra.t A.t. Dallv Int.r..t Factor Xu!' Int.,...t R.t. D.llv Int.,...t Feetor
1'12 ZD~ .DOOMI "17 .. .000247
1915 16~ ,ODO"S! 1911-1991 llX .000501
"84 IU .aoosol 199' .~ ,oonu
..as U~ .000156 1'91"199" ,. ,0001'Z
I... IO~ .00DZ7" 1995.1996 .~ .oaozu
--Intar..t .. c.lculltlld II follow.r
IHTEREBT . BALANCE OF TAX UNPAID X NUnDER OF DAYS DELINqUENT X DAlLY IHTEREBT rACTDR
u,,"y Notice luued .ft.r thl taJll blCOM' delinquent .,111 nflect Ian Inta,.ut celculatlon to flft.-n CIS) day.
beyond thl d.t. of the ......-.ot, If p.yaent I. -.de aft.r the Int.,...t coeput.tlon d.t. .hown on the
Hatlc.. eddltlonal Int.,...t lU.t be c.lculat.d.