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Home My WebLink About01-16-08 .. f ! I ~ \ 1 ;" \ \\\\\: } J f L . ' . / { ll! ,j ll{fr \\\l.\ \\\'\\ ~c.-:: !'~-- :"(-::: ~';" J ..':"'l - L . ~ ({1 "...) 'X:.~ b t\J ~} <:- rit ~: w:.. r'! ;;,:"1" l,.n ~"'- ':~ o .... "" _ 0 - It! I I: C'l '~ ~ I: N -a~~ ~ ~i t, r..r.1 Vl 8 ~ ~ [3 o VlU(<j ~o- ~.~~ a~OS ~ c2 r..r.1~ ~r..r.1e;3 6~~ gjuu ....1 iYI f') fr) +- f') .,-1 () I'" .,.~ lU;' 11 ('_::J '. III ~', 'J" (' I . , "j! t! tr ~""'''''''''''''-'V-.JU C L Johnston II POBox K Marion, P A 17235 15 January 2008 To whom it may concern. I have enclosed a check in the amount of$6.44 for payment due. I spoke with one of your staff and they instructed me to include this note of information. The account balance as stated is correct and the subsequent payments were paid out and have reduced the amount by $425.52. There are still two outstanding bills that I have disputed. One is from a local doctor in the amount of$12.39 and one is from the hospital for $1007.50. If these have to be paid out it will deplete the entire balance and my brother and I will have to make up the difference. I will then contact your office for a refund of my taxes. Sincerely, CLJII u-:> .l.' _ ....::~,-.: '-.D " " "'_ I ;-,~_ ce. o c....,~ COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' -INFORMATION NOTICE . AND TAXPAYER RESPONSE FILE ACN DATE NO.21 0, OOSS 07151001 12-06-2007 REV-lSli3 rx AFP (09-00) j p..] I f) ,-".,t r,H I!: st, EST. OF DOROTHY M JOHNSTON S.S. NO. 186-05-1499 DATE OF DEATH 10-08-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS [i] CHECKING o TRUST o CERTIF. CLAYTON L JOHNSTON II 3402 WAYNE RD CHAMBERSBURG PA 17202 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ORRSTOWN BANK has provided the Department with the information 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 information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylv~nia. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 103001753 Date 01-10-2005 Established To insure proper credit to your account, two (2) copies of this notice must acco.pany your payment to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due 1,137.23 X 50.000 568.62 X .15 85.29 TAXPAYER RESPONSE NOTE: If tax payments are made within three (3) months of the decedent's date of death. you may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. PART [!] A. [] The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. [CHECK ] ONE BLOCK ONLY B. [] 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. ~e above information is incorrect and/or debts and deductions were paid by you. You must co.plete PART ~ and/or PART ~ below. PART @] TAX If YOU indicate a different tax rat~~fease state your relationship to decedent: ~/V DEBTS AND DEDUCTIONS CLAIMED RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS -7 LINE 1. Date Established 2. Account Balance 2 3. Percent 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 @J DATE PAID PAYEE X i}37. L3 50 S{,b'. (,.:; 1Z),')2- il.{ 3./D ,~'I~ (p, 'IV X DEseR I PTI ON AMOUNT PAID perjury, I declare that the facts my knowledge and belief. have reported above are true. correct and HOME (717) U7_ OISz- WORK ( ) TELEPHONE NUMBER OctcJ-'" , ;, tiNt- f}oC(TYL 61l..( 'f i( (Ent~t onlLine 5 of Tax Computation) $ 01.11. oS 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 computation in the notice are correct and deductions are not being claimed, place an I~" 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% (TAXA8LE FOR EACH SURVIVOR) 8. 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 NUM8ER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES X 100 PERCENT TAXA8LE 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 Imposed on the net value of transfers from 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 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.2B0601 HARRISBURG, PA 17128-0601 REV-1162 EXI11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT JOHNSTON CLAYTON L II 3402 WAYNE RD CHAMBERSBURG, PA 17202 ____nn fold ESTATE INFORMATION: SSN: 186-05-1499 FILE NUMBER: 2108-0055 DECEDENT NAME: JOHNSTON DORORTHY M DATE OF PAYMENT: 01/16/2008 POSTMARK DATE: 01/15/2008 COUNTY: CUMBERLAND DATE OF DEATH: 10/08/2007 NO. CD 009182 ACN ASSESSMENT CONTROL NUMBER AMOUNT 07151001 I $6.44 I I I I I I I I TOTAL AMOUNT PAID: $6.44 REMARKS: CHECK#1520 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS