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Home My WebLink About10-17-07 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG. PA 1712B-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO.21 01 q3~ 07140073 10-09-2007 REV-IS4! EX AFP ~09.00) ': : f (" ',' II""). (l'iC.' to . EST. OF VERNA V PERRY S.S. NO. 160-16-2902 DATE OF DEATH 08-02-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS iii CHECKING o TRUST o CERTIF. ~" ., ,,'I J ". I,.. .,,0' , , Ct REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BARBARA SHAFFER 60 WESTWOOD CT ENOLA PA 17025-1515 PSECU has p..ovided the Depa..tllent with the info...ation listed below which has been used in calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent. you we..e a ioint owne../beneficiar-y of this account. If you feel this info...ation is inco....ect. please obtain w..itten co....ection f..o. the financial institution. attach a copy to this fo... and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the COllmonwealth of Fennsylvania. Questions may be a"swe..ed by calling e71 7) 767-6327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0160162902 Date 10-28-1998 Established To insu..e p..ope.. c..edit to you.. account. two (2) copies of this notice IIUst accompany you.. payment to the Registe.. of Wills. Make check payable to. "Registe.. of Wills. Agent". Account Balance Pe..cent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART [!] 1,391.80 X 50.000 695.90 X .045 31. 32 TAXPAYER RESPONSE NOTE. If tax paYllents a..e .ade within th..ee (3) .onths of the decedent.s date of death. you may deduct a 5% discount of the tax due. Any inhe..itance tax due will becolle delinquent nine (9) months afte.. the date of death. [CHECK ] ONE BLOCK ONLY A. [] The above info..mation and tax due is co....ect. 1. You may choose to ..ellit paYllent to the Registe.. of Wills with two copies of this notice to obtain a discount 0.. avoid inte..est. 0.. YOU lIay check box "A" and ..etu..n this notice to the Registe.. of Wills and an official assessment will be issued by the PA Depa..tllent of Revenue. B. [] The above asset has been 0.. will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax ..etu..n to be filed by the decedent's ..ep..esentative. C. ~he above info..mation is inco....ect andlo.. debts and deductions we..e paid by you. You IIUSt co.plete PART ~ andlo.. PART ~ below. OF TAX ON JOINT/TRUST ACCOUNTS PART ~ TAX RETURN - COMPUTATION If you indicate a different tax rate, please state your relationship to decedent: LINE l. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART @J 1 2 3 X 4 5 6 7 X 8 '~9 L <60 (,.~~ :,G : /e-q (3,60 ~19~ ~~? S4 DEBTS AND DEDUCTIONS CLAIMED L>-- AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) * perjury, I declare that the facts my knowledge and belief. have reported above a..e t..ue, correct and HOME C7 /7 ) 7 bl ~ -/CDSO WORK ( ) TELEPHONE NUMBER DATE GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable inte..est based on info..mation submitted bY the financial institution. 2. Inhe..itance tax becomes delinquent nine months afte.. the decedent's date of death. 3. A joint account is taxable even though the decedent's name was added as a matte.. 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 mo..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 inforllation and computation in the notice are correct and deductions are not being claiMed, place an "X" in block "A" of Pa..t 1 of the "Taxpaye.. Response" section. Sign two copies and submit them with you.. check fo.. the amount of tax to the Registe.. of Wills of the county indicated. The PA Depa..tment of Revenue will issue an official assessment (Fo..m REV-1548 EX) upon ..eceipt of the ..etu..n f..om the Registe.. of Wills. 2. BLOCK B - If the asset specified on this notice has been 0" will be ..epo..ted and tax paid with the Pennsylvania Inhe..itance Tax Retu..n filed by the decedent's ..ep..esentative. place an "X" in block "B" of Pa..t 1 of the "Taxpaye.. Response" section. Sign one copy and ..etu..n to the PA Depa..tment of Revenue. Bu..eau of Individual Taxes. Dept 280601. Ha....isbu..g. PA 17128-0601 in the envelops provided. 3. BLOCK C - If the notice info..mation is inco....ect and/o.. deductions a..e being claimed. check block "C" and complete Pa..ts 2 and 3 acco..ding to the inst..uctions below. Sign two copies and submit them with you.. check fo.. the amount of tax payable to the Registe.. of Wills of the county indicated. The PA Depa..tment of Revenue will issue an official assessment (Fo..m REV-1548 EX) upon ..eceipt of the ..etu..n f..om the Registe.. of Wills. TAX RETURN PART 2 TAX COMPUTATION LINE 1. Ente.. NOTE. the date the account o..iginally was established 0.. titled in the manne.. existing at date of death. Fo.. a decedent dying afte.. 12/12/B2. Accounts which the decedent put in joint names within one (1) yea.. of taxable fully as t..ansfe..s. Howeve... the..e is an exclusion not to exceed $3.000 pe.. t..ansfe..ee ..ega..dless the account 0.. the numbe.. of accounts held. death a..e of the value of If a double aste..isk (00) appea..s befo..e you.. fi..st name in the add..ess po..tion of this notice. the $3.000 exclusion al..eady has been deducted f..om the account balance as ..epo..ted by the financial institution. 2. Ente.. the total balance of the account including inte..est acc..ued to the date of death. 3. The pe..cent of the account that is taxable fo.. each su..vivo.. is dete..mined as follows. A. The pe..cent taxable fo.. joint assets established mo..e than one yea.. p..io.. to the decedent's death: DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Example: A joint asset ..egiste..ed in the name of the decedent and two othe.. pe..sons. I DIVIDED 8Y 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100 16.7% (TAXABLE FOR EACH SURVIVOR) B. The pe..cent taxable fo.. assets c..eated within one yea.. of the decedent's death 0" accounts owned by the decedent but held in t..ust fo.. anothe.. individua1(s) (t..ust beneficia..ies): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES X 100 PERCENT TAXABLE Example: Joint account ..egiste..ed in the name of the decedent and two othe.. pe..sons and established within one yea.. of death by the decedent. 1 DIVIDED BY 2 (SURVIVORS) = .50 X 100 50% (TAXABLE FOR EACH SURVIVOR) 4. The amount subject to tax (line 4) is dete..mined by multiplying the account balance (line 2) by the pe..cent taxable (line 3). 5. Ente.. the total of the debts and deductions listed in Pa..t 3. 6. The amount taxable (line 6) is dete..mined by subt..acting the debts and deductions (line 5) f..om the amount subject to tax (line 4). 7. Ente.. the app..op..iate tax ..ate (line 7) as dete..mined below. oThe tax ..ate lmposed on the net value of t..ansfe..s f..om a deceased Chlld twenty-one yea..s of age 0.. younge.. at death to 0.. fo.. the use of a natu..al pa..ent. an adoptive pa..ent, 0.. a steppa..ent of the child is 0%. The lineal class of hei..s includes g..andpa..ents, pa..ents. child..en, and lineal descendents. "Child..en" includes natu..al child..en whether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the natu..al pa..ents and thei.. descendents, whethe.. 0.. not they have been adopted by othe..s, adopted descendents and thei.. descendants and step-descendants. "Siblings" are defined as individuals who have at least one parent in common with the decedent, whether bY blood or adoption. The "Collateral" class of heirs includes all other beneficiaries. Date of Death Spouse Lineal Sibling Collate..al 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%* 12% 15% CLAIMED DEDUCTIONS PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions a..e dete..mined as follows: A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. B. You actually paid the debts afte.. death of the decedent and can fu..nish p..oof of payment. C. Debts being claimed must be itemized fully in Pa..t 3. If additional space is needed, use plain pape.. 8 1/2" x 11". P..oof of payment may be ..equested by the PA Depa..tment of Revenue. ~ p