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Home My WebLink About12-10-07 (4) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDU~c- ~"Ji,~~r'r::'1 r';'.Ti'!: DEPT. 280601 \.:_ ."'" , ' \.' 1-"...,.. HARRISBURG. PA 17128-0601'-'" ....:~,,~,:r.. ... I :~\.::.\.),.,.. '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO.21 0, 1\ 11 07149175 11-23-2007 REV-lS"3 EX AFP (09-DOl ZOOl DEe 10 PM t: 58 EST. OF ALICE K GEL NETT S.S. NO. 575-14-8703 DATE OF DEATH 10-15-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT [i] SAVINGS o CHECK I NG o TRUST o CERTIF. CLERK OF ORPHAN'S COURT CUllSEP'J",\:c '-:0., PA CAROLYN SIMPSONBROWN 6 PAMELA DR MECHANICSBURG PA 17050 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MEMBERS 1ST FCU has p..ovided the Depa..t.ent with the infoNlation 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 joint owne../beneficia..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..m and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of the Com.onwealth of Pennsylvania. Questions .ay be answe..ed by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 151139-00 Date 04-27-1995 Established To insure proper credit to your account, two (2) copies of this notice .ust accompany you.. pay.ent 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 5,361.67 X 16.667 893.63 X .045 40.21 TAXPAYER RESPONSE NOTE: If tax payments a..e made within th..ee (3) months of the decedent's date of death. you may deduct a 57. discount of the tax due. Any inhe..itance tax due will beco.e delinquent nine (9) months afte.. the date of death. PART [!] he above info..mation and tax due is co....ect. 1. You .ay choose to ..e.it pay.ent to the Registe.. of Wills with two copies of this notice to obtain a discount 0.. avoid inte..est, 0.. you .ay check box "A" and ..etu..n this notice to the Registe.. of Wills and an official assessment will be issued by the PA Depa..tment of Revenue. [CHECK ] ONE BLOCK ONLY 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. [] The above info...ation is inco....ect and/o.. debts and deductions we..e paid by you. You .ust co.plete PART ~ and/o.. PART ~ below. X PART ~ TAX If you indicate a different tax rate, please state your relationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS UN!::. l. Date Establ1shed 2. Account Balance 2 3. Pe..cent Taxable 3 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 8. Tax Due 8 PART [!] DATE PAID PAYEE X DEBTS AND DEDUCTIONS CLAIMED DESCR I PTI ON AMOUNT PAID TOTAL (Ente.. on Line 5 of Tax Computation) $ Unde.. penalties of perju..y, I declare that the facts to the best of my knowledge and belief. -~ SIGNATURE have repo..ted above are t..ue, HOME (~rr) hY1-X6-g WORK (+11') #-nu- TELEPHONE NUMBER correct and v /;?/O=! /0"7 D'A T E . GENERAL INFORMATION 1. FAI LURE TO RESPOND WI LL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information submitted by the financial institution. 2. Inheritance tax becomes delinquent nine months after the decedent's date of death. 3. A joint account is taxable even though the decedent's name was added as a matter of convenience. 4. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taxable as transfers. 5. Accounts established jointly between husband and wife more than one year prior to death are not taxable. 6. Accounts held by a decedent "in trust for" another or others are taxable fully. REPORTING INSTRUCTIONS PART 1 TAXPAYER RESPONSE 1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "X" in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and submit them with your check for the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. 2. 8LOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an "X" in block "B" of Part 1 of the "Taxpayer Response" section. Sign one copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept 280601. Harrisburg, PA 17128-0601 in the envelope provided. 3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C" and complete Parts 2 and 3 according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. TAX RETURN PART 2 TAX COMPUTATION LINE 1. Enter NOTE: the date the account originally was established or titled in the manner existing at date of death. For a decedent dying after 12/12/82: Accounts which the decedent put in joint names within one (1) year of taxable fullY as transfers. However, there is an exclusion not to exceed .3,000 per transferee regardless the account or the number of accounts held. death are of the value of If a double asterisk (..) appears before your first name in the address portion of this notice, the .3,000 exclusion already has been deducted from the account balance as reported by the financial institution. 2. Enter the total balance of the account including interest accrued to the date of death. 3. The percent of the account that is taxable for each survivor is determined as follows: A. The percent taxable for joint assets established more than one year prior 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 registered in the name of the decedent and two other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED 8Y 2 (SURVIVORS) = .167 X 100 16.7% (TAXABLE FOR EACH SURVIVOR) B. The percent taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held in trust for another individual(s) (trust beneficiaries): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES X 100 PERCENT TAXABLE Example: Joint account registered in the name of the decedent and two other persons and established within one year 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 determined by multiplYing the account balance (line 2) by the percent taxable (line 3). 5. Enter the total of the debts and deductions listed in Part 3. 6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line 4). 7. Enter the appropriate tax rate (line 7) as determined below. 'The tax rate lmposed on the net value of transfers from a deceased Chlld 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 0%. The lineal class of heirs includes grandparents, parents, children. and lineal descendents. "Children" includes natural children whether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the natural parents and their descendents. whether or not they have been adopted by others, adopted descendents and their 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 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%* 12% 15% CLAIMED DEDUCTIONS PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are determined 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 after death of the decedent and can furnish proof of payment. C. Debts being claimed must be itemized fUlly in Part 3. If additional space is needed, use plain paper 8 1/2" x 11". Proof of payment may be requested by the PA Department of Revenue. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SIMPSON BROWN CP 6 PAMELA DR MECHANICSBURG, PA 17050 __u_n_ fold ESTATE INFORMATION: SSN: 575-14-8703 FILE NUMBER: 2107-1117 DECEDENT NAME: GELNETT ALICE K DATE OF PAYMENT: 12/10/2007 POSTMARK DATE: 12/08/2007 COUNTY: CUMBERLAND DATE OF DEATH: 10/15/2007 NO. CD 009061 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07149175 I $40.21 I I I I I I I I TOTAL AMOUNT PAID: $ 40.21 REMARKS: RECEIPT MAILED TO CP SIMPSON-BROWN CHECK# 3089 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS