HomeMy WebLinkAbout01-0585
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
I ~ ~c13f"-i
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
::A1-D/--S9^5
FILE NO. 21
ACN 01123463
DATE 05-09-2001
REV-1541 EX AFP (09-00l
EST. OF DONALD B CORNISH
5.S. NO. 176-16-2908
DATE OF DEATH 03-05-2001
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
[X] CERTlF .
DONALD B,CORNISH, JR
103 LINDEN DR '
CAMP HILL PA 17011
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Depart.ent with the infor.aUon 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 Co..onwealth
of Pennsylvania. Questions .ay be answered b~ COlling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 21001028072 Date 04-10-1995
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
30,092.44
50.000
15,046.22
.045
677.08
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 pay.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
ill
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
~ The above infor.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 assess.ent will be issued by the PA Depart.ent of Revenue.
[] 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.
[] The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.plete 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
[3]
TAX RETU~N - COMPUTATION
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 (Enter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts I
comPle~n~/rcl b~ ~ c; ;;Xl/ge and belief.
TAXPAYER SIGNATURE
have reported above are
HOME (1 i1 )
WORK ( )
TELEPHONE NUMBER
correct and
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on inforllation
subllitted by the financial institution.
2. Inheritance tax becolles delinquent nine 1I0nths after the decedent's date of death.
3. A joint account is taxable even though the decedent's nalle was added as a matter of convenience.
4. Accounts (including those held between husband and wife) which the decedent put in joint nalles 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 inforllation and colIPutation in the notice are correct and deductions are not being clailled, place an "X"
in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and subllit thell with your check for the allount of
tax to the Register of Wills of the county indicated. The PA Departllent of Revenue will issue an official assessllent
(Forll REV-1548 EX) upon receipt of the return froll 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 Depart.ent of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-0601 in the
envelope provided.
3. BLOCK C - If the notice inforllation is incorrect and/or deductions are being claimed, check block "C" and cOllplete Parts 2 and 3
according to the instructions below. Sign two copies and submit them with your check for the allount of tax payable to the Register
of Wills of the county indicated. The PA Department of Revenue will issue an official assessllent (Forll 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 lIanner existing at date of death.
For a decedent dying after 12/12/82: Accounts which the decedent put in joint nalles 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 (MM) appears before your first nBlle in the address portion of this notice, the $3,000 exclusion
already has been deducted froll 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 1I0re 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
Exallple: A joint asset registered in the nalle of the decedent and two other persons.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100
l6.7Z (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):
DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100
PERCENT TAXABLE
Example: Joint account registered in the nalle 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 50Z (TAXABLE FOR EACH SURVIVOR)
4. The amount subject to tax (line 4) is determined by lIultiplying 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 deterllined by subtracting the debts and deductions (line 5) froll the amount subject to tax (line 4).
7. Enter the appropriate tax rate (line 7) as determined below.
MThe tax rate I.posed on the net value of transfers froll a deceased ChIld 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 OZ.
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 12131/94 3% 6% lS% lS%
01/01/9S to 06/30/00 0% 6% lS% lS%
07/01/00 to present 0% 4.S%lE 12% lS%
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 clailled lIust be itemized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x II". Proof of
payment lIay be requested by the PA Department of Revenue.
~-'-'..............~,----~
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
No.AA 496754 REV-1162 EX (11-96)
RECEIVED FROM:
I'
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
CORNISH DONALD B JR
{) llC'::Y..[,::'1
~6T7. 08
103 LINDEN DRIVE
CAMP HILL. PA 17011
FOLD HERE
FOLD HERE
ESTATE INFORMATION:
FILE NUMBER
e 1 c'C!O 1 05iJ~)
SSN I '7b- 16-'c'908
NAME OF DECEDENT (LAST)
C OF:N 1 'E,H DONAL. D [J
DATE OF PAYMENT
(FIRST)
(MI)
.~:.. ;' ::? 1 ,/ i:~()() l
,
'J #"
POSTMARK DATE
COUNTY
C l.~i'i DE r::L. A 1'1 D
TOTAL AMOUNT PAID
,
.
"
"~
$,:, ~7~ ..;'~
.S / C'(.t /2('(\ 1
REGISTER OF WILLS
DATE OF DEATH
.3 ../ i)::) / i?()i) J
REMARKS TERr.::v J COF(f\) I SH
C/O DONALD 8 CORNISH JR
[HEel<" (376
SEAL
-----"------"----._~.~---_._------,--._-------_.--_.._-~
. / ) -, c' II
/ l/ -(./\.:) J ~ 7
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
':;L
~-
NOTICE OF INHERITANCE TAX
APPRAISEKENTL ALLOMANCE OR DISALLOMANCE
OF DEDUCTIONs, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1541 EX AFP 1I2-00l
DONALD B CORNISH JR
103 LI NDEN DR
CAMP HILL PA17011
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
09-03-2001
CORNISH
03-05-2001
21 01-0585
CUMBERLAND
176-16-2908
01123463
DONALD
B
Allount Rellitted
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 ~
RE-i=is4ji-Ex--AFP--fi2-:oo1------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 09-03-2001
ESTATE OF CORNISH
DONALD
B DATE OF DEATH 03-05-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-0585
TAX RETURN WAS:
S.S/D.C. NO. 176-16-2908
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
01123463
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
21001028072
TYPE OF ACCOUNT: () SAVINGS ( ) CHECKING ( ) TRUST (>0 TIME CERTIFICATE
DATE ESTABLISHED 04-10-1995
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
30,092.44
0.500
15,046.22
.00
15,046.22
.45
677 . 08
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 (-)
06-20-2001 AA496754 .00 677 . 08
TOTAL TAX CREDIT 677 . 08
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 PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDI~' ( CR), YOU ~Y BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. )
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
Detach the top portion
reverse side.
-- Make check or money
of this Notice and submit with your pay~nt to the Register of Wills printed on the
order payable to:
REGISTER OF WILLS, AGENT.
A refund of a tax credit, which was not requested on the tax return, may be requested by completing 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 23 Revenue District Offices or by calling the special 24-hour answering service
for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and or speaking needs:
1-800-447-3020 (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment
of tax (including discount or interest) as shown on this Notice may object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--electing to have the matter determined at the audit of the account of the personal representative, OR
--appeal to the Orphans. Court
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, DEPT. 280601, Harrisburg, PA 17128-0601
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 administratively correctable errors.
If any tax due is paid within three (3) calendar months after the decedent.s death, a five percent (5X)
discount of the tax paid is allowed.
The 15X tax amnesty non-participation penalty is computed 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 amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time 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) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six (6X) percent per annum calculated at a daily rate of .000164.
All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2001 are:
Year Interest Rate DailY Interest Factor Year Interest Rau Daily Interest Factor
1982 20X .000548 1992 9X .000247
1983 16X .000438 1993-1994 7X .000192
1984 llX .000301 1995-1998 9X .000247
1985 13X .000356 1999 7X .000192
1986 lOX .000274 2000 8X .000219
1987 9X .000247 2001 9X .000247
1988-1991 llX .000301
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.