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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21-t01-~/t:)
01130164
06-20-2001
,
REV-1545 EX AFP <09-00)
\) .
.j,-,.
EST. OF GLADYS M ALLEMAN
5.5. NO. 186-07-5178
DATE OF DEATH 03-10-2001
CO~TY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[X] CHECKING
D TRUST
D CERTIF.
FRED R ALLEMAN
C/O 101 S 18TH ST
CAMP HILL PA 17011
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PSECU has provided the Depart.ent with the infor.ation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this infor.ation is incorrect, please obtain written correction fro. the financial institution, attach a copy
to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the C~.onwealth
of Pennsylvania. Questions .ay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0186075178 Date 01-07-1983
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
439.10
50.000
219.55
.045
9.88
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice .ust acco.pany your
pay.ent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax pa~ents are .ade within three
(3) .onths of the decedent's date of death,
you .ay deduct a 5% discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
c=J The above info~ation and tax due is correct.
1. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of
Wills and an official asses~ent will be issued by the PA Depart~nt of Revenue.
c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
c=J The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co~lete PART ~ and/or PART ~ below.
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTAT%ON
LINE 1. 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
OF
1
2
3
4
5
6
7
8
x
TAX ON JOINT/TRUST ACCOUNTS
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
$
I
TOTAL CEnter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts I
complete to the best of my knowledge and belief.
~ j( aiL-
TAXPAYER SIGNATURE
have reported above are
HOME (1/7 ) 1CI
WORK (111) 1~3
TELEPHONE NUMBER
true, correct and
O'7R"
2. ? S".k
G/.;L?lc;/
DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL 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 co~tation 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. BLOCK 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 andlor 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 death are
taxable fully as transfers. However, there is an exclusion not to exceed $3,000 per transferee regardless of the value of
the account or the number of accounts held.
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:
1 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 BY 2 (SURVIVORS) = .167 X 100
16.77. (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 100 507. (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 ~mposed on the net value of transfers from a deceased ch~ld 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 07..
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%lE 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.
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J;OMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
No.AA 496776 REV.1162 EX (11-96)
RECEIVED FROM:
I
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
",
FRED R ALLEMAN
01130164
$C;:> . 88
101 S 18TH STREET
CAMP HILL. PA 17011
ESTATE INFORMATION:
FILE NUMBER
21-2001-0610 SSN186-07-5178
NAME OF DECEDENT (LAST) (FIRST) (MI)
ALLEMAN FR~'p-R
DATE OF PAYMENT
6/28/2001
POSTMARK DATE
6/27/2001
/--....,
'i/0\
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FOLD HERE
FOLD HERE ---
COUNTY
CUr1BERLAND
Sc;\.88
TOTAL AMOUNT PAID
DATE OF DEATH
3/10/2001
REMARKS FRED R ALl.EMAN
AC
CH[Cf<*, 2090
SEAL
RECEIVED BY
MARY C. LEWIS
REGISTER OF WILLS
.-'I'his ,receipt is being ~laced with REGISTER OF WILh~ laser ~~ts_7__~1pt CD 1
I
C~MONWEALTH OF PENNSYLVANIA
..' OEPARTMENT OF REVENUE
BUREAU OF INOIVIDUAL TAXES
qFPT. 2B0601
HARRISBURG. PA 1712B-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
FRED ALLEMAN
101 S 18TH STREET
CAMP HILL, PA 17011
n_n___ fold
EST A TE INFORMATION: SSN: 186-07-5178
FILE NUMBER: 21-2001- 0610
DECEDENT NAME: ALLEMAN GLADYS M
DATE OF PAYMENT: 07/03/2001
POSTMARK DATE: 06/28/2001
COUNTY: CUMBERLAND
DA TE OF DEATH: 03/10/2001
NO. CD 000001
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
01130164 I $9.88
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: FRED A ALLEMAN
CHECK# 2090
SEAL
INITIALS: AC
RECEIVED BY:
$9.88
MARY C. LEWIS
REGISTER OF WILLS
THIS RECEIPT REPLACES RECEIPT AA 496776
REGISTER OF WILLS
\, I t - c:;."';/ ~ . ..2-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENTL ALLONANCE OR DISALLONANCE
OF DEDUCTION5, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
IEV-1548 EX AFP (l2-OIl
FRED R ALLEMAN
C/O 101 S 18TH ST
CAMP HILL PA 17011
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
09-17-2001
ALLEMAN
03-10-2001
21 01-0610
CUMBERLAND
186-07-5178
01130164
AlIOUnt R..itted
GLADYS
M
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rifv;is~i-E)f-AFP--(i2-:oo1------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-17-2001
ESTATE OF ALLEMAN
GLADYS
M DATE OF DEATH 03-10-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-0610
TAX RETURN WAS:
S.S/D.C. NO. 186-07-5178
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
01130164
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0186075178
TYPE OF ACCOUNT: () SAVINGS (>0 CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 01-07-1983
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
439.10
0.500
219.55
.00
219.55
.45
9.88
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-27-2001 CDOOOOOl .00 9.88
TOTAL TAX CREDIT 9.88
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l
PURPOSE OF
NOTICE:
PAVMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENAL TV:
INTEREST:
To fulfill the requir~ents of Section Z140 of the Inheritance and Estate Tax Act. Act Z3 of ZOOO. (7Z P.S.
Section 9140).
Detach the top portion of this Notice and sub.it with your pa~ent to the Register of Wills printed on the
reverse side.
-- Make check or ~y order payable to: REGISTER OF WIllS. AGENT.
A refund of a tax credit. which was not requested on the tax return. .ay be requested by c~leting an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of
the Register of Wills. any of the Z3 Revenue District Offices or by calling the special Z4-hour answering service
for for.s ordering: 1-800-362-Z050; services for taxpayers with special hearing and or speaking needs:
1-800-447-30Z0 (TT only).
Any party in interest not satisfied with the appraise.ent. allowance. or disallowance of deductions or assess..nt
of tax (including discount or interest) as shown on this Notice .ay Object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Depart.ent of Revenue. Board of Appeals, Dept. 2810Z1. HarriSburg. PA 171Z8-10Z1. OR
--electing to have the .atter deter.ined at the audit of the account of the personal representative. OR
--appeal to the Orphans' Court
Factual errors discovered on this assess.ent should be addressed in writing to: PA Depart.ent of Revenue.
Bureau of Individual Taxes. ATTN: Post Assess.ent Review Unit. DEPT. 280601. Harrisburg. PA 171Z8-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of ad.inistratively correctable errors.
If any tax due is paid within three (3) calendar .onths after the decedent's death. a five percent (5X)
discount of the tax paid is allo_d.
The l5X tax ~nesty non-participation penalty is co.puted on the total of the tax and interest assessed, and not
paid before January 18. 1996, the first day after the end of the tax a~esty period. This non-participation
penalty is appealable in the sa.. .anner and in the the sa.. ti.e period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency. or nine (9) .onths and one (1) day
fro. the date of death, to the date of pay..nt. Taxes which bsca.. delinquent before January I. 1982
bear interest at the rate of six (6X) percent per annu. calculated at a daily rate of .000164.
All taxes which b~ delinquent on or after January I. 1982 will bear interest at a rate which will vary froa
calendar year to calendar year with that rate announced by the PA Depart.ent of Revenue. The applicable
interest rates for 1982 through 2001 are:
Vear Interest Rate Daily Interest Factor Vear Interest Rate Daily Interest Factor
1982 ZOX .000548 1992 9X .000247
1983 16X .000438 1993-1994 ]X .000192
1984 llX .000301 1995-1998 9X .000247
1985 13X .000356 1999 7X .000192
1986 lOX .000274 2000 8X .000219
1987 9X .000247 ZOOl 9X .000247
1988-1991 llX .000301
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NURBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any NOtice issued after the tax becoaes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the asses~t. If pay..nt is .ade after the interest coaputation date shown on the
Notice. additional interest .ust be calculated.