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Home My WebLink About03-14-07 (2) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 *' INFORMATION NOTICE AND TAXPAY~~r~ESPONSE FILE ACN DATE NO.21 0-' OZ~~ 07108397 03-02-2007 REV-15'i3 EX NP (09-00) .. TYPE OF ACCOUNT o SAVINGS [i] CHECKING o TRUST o CERTIF. MARY LIPLES 824 LISBURN RD 410 CAMP HILL PA 17011 2001MAR 1~1iT.,Jp~.P,A~LINE LIPLES '.s~lk~: ~ 190-14-1466 DATE OF DEATH 01-16-2007 C',EBt:lUNlTY CUMBERLAND 0"- CU~ REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANK has provided the Depart.ent with the info,..ation listed below which hIlS been used in calculating the potential tax due. Theil' records indicate that at the death of the above decedent. you were a joint owner/beneficial'Y of this account. If you feel this infor.ation is incorrect. please obtain written correction fro. the financial institution. attach a copy to this fo,.. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of Pennsylvania. Questions .all be answe..ed by calling 017> 787-il327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5140038441 Date 08-01-1964 Established To insure p..ope.. c..adit to you.. account. two (2l copies of this notice .ust acco.pany YOUI' pay.ent to the Register of Wills. Make check payable to: "Registe.. of Wills. Agent". Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due 2,598.85 X 16.667 433.15 X .12 51. 98 TAXPAYER RESPONSE NOTE: If tax pay.ents a..e .ade within th..ee (3l .onths of the decede~'s date of death, you .ay deduct a 5X disco~nt of the tax due. Any inhe..itance tax due will beco.e delinquent nine (9l .onths afte.. the date of death. PART ill [CHECK ] ONE BLOCK ONLY A. rl1 The above info...ation and tax due is co....ect. ~ 1. You .ay choose to re.it pay.ent to the Registe..of Wills with two copies of this notice to obtain a discount 01' avoid interest. 0" you .ay check box "A" and ..eturn this notice to the Register of Wills and an official assess.ent will be issued by the PA Depa..t.ent of Revenue. 8. [] The above asset has been 0" will be reported and tax paid with the Pennsylvania Inheritance Tax ..etu..n to be filed by the decedent's rep..esentative. C. [] The above info...ation is incorrect and/o.. debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. TAX ON JOINT/TRUST ACCOUNTS PART ~ TAX RETURN - COMPUTATION OF If you indicate a different tax rate, please state your relationship to decedent: Q..u..to Doc\<-eb ~v IS4<;( On. ~~ mo...r K 'l:::td-~ l::xoc-I<e,i: ~nh~r 3\ \ 2.. Cy, )EBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID JAA ~ TAL (Enter on Line 5 of Tax Computation) . \./' ,are that the facts I have reported above are true, correct and ld belief. HOME ('7/7) '737-tfflf,:J- WORK ( ) TELEPHONE NUMBER 3k/tJ ( tJ '1 D TE GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable inte..est based on info...ation sub.itted by the financial institution. 2. Inhe..itance tax beco.es delinquent nine .onths afte.. the decedent's date of death. 3. A joint account is taxable eVen though the decedent's na.,e was added as a .atte.. of convenience. 4. Accounts (including those held between husband and wife) which the decedent put in joint naMes within one yea.. p..io.. to death a..e fully taxable as t..ansfe..s. 5. Accounts established jointly between husband and wife .O..e than one yea.. p..io.. to death a..e not taxable. 6. Accounts held by a decedent "in t..ust fo.." anothe.. 0.. othe..s a..e taxable fUlly. REPORTING INSTRUCTIONS PART 1 TAXPAYER RESPONSE 1. BLOCK A - If the info...ation and co.putation in the notice a..e co....ect and deductions a..e not being clai.ed, place an "X" in block "A" of Pa..t 1 of the "Taxpay... Response" section. Sign two copies and submit the. with you.. check fo.. the a.ount of tax to the Registe.. of Wills of the county indicated. The PA Depa..tment of Revenue will issue an official ass.ss..nt (Fo... REV-1548 EX) upon ..eceipt of the ..etu..n f..o. the Registe.. of Wills. 2. BLOCK B - If the ass.t sp.cified on this notice has been 0.. will be ..epo..ted and tax paid with the PennSYlvania Inhe..itance Tax R.tu..n fil.d by the decedent's ..ep...sentative, plac. an "X" in block "B" of Pa..t 1 of the "Taxpaye.. R.spons." s.ction. Sign one copy and ..etu..n to the PA D.pa..t.ent of R.venue, Bu...au of Individual Tax.s, D.pt 280601. Ha....isbu..g, PA 17128-0601 in the env.lope p..ovided. 3. BLOCK C - If the notice infol'Mation is inco....ect and/o.. deductions a..e b.ing clai..d, ch.ck block "C" and co.pl.te Pa..ts 2 and 3 acco..ding to the instructions b.low. Sign two copi.s and sub.it theM with you.. ch.ck fo.. the a.ount of tax payable to the Registe.. of Wills of the county indicated. The PA Depa..t.ent of R.venu. will issue an official asseSSMent (Fo... REV-1548 EX) upon ..ec.ipt of the ...tu..n f..o. the Registe.. of Wills. LINE 1. Ente.. NOTE. TAX RETURN - PART 2 - TAX COMPUTATION the date the account o..iginally was established 0.. titl.d in the .anne.. existing at date of death. Fo.. a dec.dent dying afte.. 12/12/82. Accounts which the decedent put in joint na.es within one (1) yea.. of taxable fully as t..ansfe..s. How.v..., th...e is an .xclusion not to exce.d .3,000 pe.. t..ansf...ee ..ega..dl.ss the account 0.. the nUMbe.. of accounts h.ld. d.ath a... of the value of If a double ast...isk (1I11) app.a..s befo..e you.. fi..st na.e in the add..ess po..tion of this notice, the .3,000 exclusion al..eady has been deduct.d f..o. the account balance as ..epo..ted by the financial institution. 2. Ente.. the total balance of the account including inte..est acc..u.d to the date of death. 3. Th. pe..c.nt of the account that is taxable fo.. each su..vivo.. is dete...ined as follows. A. The pe..cent taxable fo.. joint assets established .O..e than on. yea.. p..io.. to the d.cedent's death. 1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS EXa.ple. A joint asset. ..egiste..ed.in the na.e of the deced.nt and two othe.. pe..sons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100 16.7X (TAXABLE FOR EACH SURVIVOR) B. The p...cent taxable fo.. assets c...ated within one yea.. of the decedent's d.ath 0.. accounts owned by the d.ced.nt but held in t..ust fo.. anoth... individual(s) (t..ust b.n.ficia..ies). 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES X 100 PERCENT TAXABLE Exa.ple. Joint account ..egiste..ed in the na.e of the decedent and two othe.. pe..sons and established within one y.a.. of death by the decedent. 1 DIVIDED BY 2 (SURVIVORS) = .50 X 100 SOX (TAXABLE FOR EACH SURVIVOR) 4. Th. a.ount subj.ct to tax (lin. 4) is dete...ined by .ultiplYing the account balance (line 2) by the pe..c.nt taxable (line 3). 5. Ente.. the total of the debts and deductions listed in Pa..t 3. 6. Th. a.ount taxable (line 6) is d.te...in.d by sUbt..acting the debts and deductions (line 5) f..o. the aMount subject to tax (line 4). 7. Ente.. the app..op..iat. tax ..ate (lin. 7) as d.t....ined below. liTh. tax ..ate l.posed on the n.t value of t..ansf...s f..o. a d.ceas.d Chlld twenty-one y.a..s of age 0.. young... at death to 0.. fo.. the us. of a natu..al pa..ent, an adoptive pa..ent, 0.. a steppa..ent of the child is OX. The lin.al class of h.i..s includ.s g..andpa...nts, pa...nts, child..en. and lineal descendents. "Child..en" includes natu..al child..en whet he.. 0" not they have been adopted by othe..s, adopted child..en and step child..en. "Lineal descendents" includes all child..en of the natu..al pa..ents and thei.. descendents, whethe.. 0.. not they have been adopted by othe..s, adopted d.scend.nts and thei.. d.scendants and step-descendants. "Siblings" a..e defin.d as individuals who have at least one pa..ent in co..on with the decedent, whethe.. by blood 0.. adoption. The "Collate..al" class of h.i..s includes all othe.. beneficia..ies. Date of Death Spouse Linea:). Sibling Collateral 07/01/94 to 12/31/94 3% 6% 15% 15% 01/01/95 to 06/30/00 0% 6% 15% 15% 07/01/00 to present 0% 4.5%1l 12% 15% CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions a... dete...ined as follows. A. You legally a..e ..esponsibl. fo.. payment, 0.. the estate subject to administ"ation by a pe..sonal ..ep..es.ntative is insufficient to .pay the .d.ductible items.. B. You actually paid the d.bts afte.. d.ath of the dec.d.nt and can fu..nish proof of pay..nt. C. O.bts b.ing clai.ed .ust be iteMiz.d fUlly in Pa..t 3. If additional space is needed, use plain pape.. 8 1/2" x 11". P..oof of pay..nt .ay be ...qu.st.d by the PA D.pa..tment of Revenue.