HomeMy WebLinkAbout05-05-08
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COMHD*EAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
W,.. ,f"':"Ir'~A"1::ION NOTICE
\.} .nL. r.:U vrrrV~-\"'.ND
HE '.\STEff~fM.tGR RESPONSE
FILE NO. 21 08-0246
ACN 08114780
DATE 04-10-2008
REV-1S43 EX AFP C09-00)
2008 HAY -5 PH 12: ~; I
EST. OF LUKE S BASSLER
CLEft< ()IS.S. NO.
()RPfJ/~~'S C. OF DEATH 02-08-2008
cuMBERLA:'l) \S9YtfW CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
IiJ CHECKING
D TRUST
o CERTIF.
HARRY J BASSLER
36 WOBURN ABBY AVE
CAMP HILL PA 17011-1011
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PSECU has provided the Depart.ent with the info~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 info~ation is incorrect, please obtain written correction fro. the financial institution, attach a COpy
to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COMMonwealth
of Pennsylvania. Qu.sti~ns.ay ~e answered by calli~~ (7I7l ?87-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 890029.9853
Date 10-24-2001
EstabUshed
To insure proper credit to your account, two
(2) copies of this notice .ust aCCOMPany your
pay.ent to the Register of Wills. Make check
payable tOI "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
PotentIal Tax Due
4,419.06
X 50.000
2,209.53
X .045
99.43
TAXPAYER RESPONSE
NOTE I If tax paYMents are Made within three
(3) Months of the decedent's date of death,
you .ay deduct a 5X discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
PART
[!)
[CHECK ]
ONE
BLOCK
ONLY
A. D The above infor.ation and tax due is correct.
1. You.ay choose to reMit 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 DepartMent of Revenue.
B. D 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. D The above infor.ation is incorrect and/or debts and deductions were paid by you.
You Must COMPlete PART ~ and/or PART ~ below.
x
PART
[!l
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
If you indIcate a diffe~ent tax ~ate, please state your
relatIonship to decedent:
LINE 1- Da~e ~3tab11$h.d
2. Account Balance 2
3. Percent Taxable 3
4. A.ount Subject to Tax 4
5. Debts and Deductions 5
,. Amount Taxable ,
7. Tax Rate 7
8. Tax Due 8
PART
[!]
DATE PAID PAYEE
x
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on LIne 5 of Tax ComputatIon)
.
Under penaltIes of perjury, I declare that the facts I have reported above a~e true, correct and
complete to the best of my knowledge and belief.
HOME ( )
WORK ( )
TELEPHONE NUMBER
DATE
~
TAXPAYER SIGNATURE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on infor.ation
sub.itted by the financial institution.
2. Inheritance tax beco.es delinquent nine .onths after the decedent's date of death.
3. A joint account is taxable even though the decedent's na.e Was ad~ed as a .at~er of convenience.
4. Accounts (including those held between husband and wife) which the decedent put in joint na.es within one year prior to
death are fullY taxable as transfers.
5. Accounts established jointly between husband and wife .ore 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 infor.ation and co.putation in the notice are correct and deductions are not being clai.ed, place an '~"
in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and sub.it thell with your check for the a.ount of
tax to the Register of Wills of the county indicated. The PA Depart.ent of Revenue will issue an official assess.ent
(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 infol'1lation is incorrect and/or deductions are being clai.ed, check block "C" and cOIIPlete Parts 2 and 3
according to the instructions below. Sign two copies and sub.it the. with your check for the amount of tax payable to the Register
of Wills of the county indicated. The PA Depart.ent of Revenue will issue an official assess.ent (Forll REV-1548 EX) upon receipt
of the return froll the Register of Wills.
TAX RETURN - PART
2
TAX COMPUTATION
LINE
1. Enter the date the account originallY was established or titled in the .anner existing at date of death.
NOTE I For a decedent dYing after 12/12182, Accounts which the decedent put in joint na.es 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 nUllber of accounts held.
If a double asterisk (..) appears before your first na.e in the address portion of this notice, the .3,000 exclusion
already has been deducted fro. 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 dete,...ined as follows:
A. The percent taxable for ioint 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
Exa.ple: Aioint asset registered in the na.e of the decedent and two other persons.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 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
ExallPlel Joint account registered in the na.e 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 50X (TAXABLE FOR EACH SURVIVOR)
4. The ..ount subject to tax (line 4) is deter.ined by .ultiplYing 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 a.ount taxable (line 6) is deter.ined by subtracting the debts and deductions (line 5) fro. the a.ount subject to tax (line 4).
7. Enter the appropriate tax rate (line 7) as deter.ined below.
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%
_The tax rate i.posed on the net value of transfers fro. a deceased child twenty-one years of age or y
ounger at
death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is OX.
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 co..on with the decedent. whether by blood
or adoption. The "Collateral" class of heirs includes all other beneficiaries.
CLAIMED DEDUCTIONS
PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are deter.ined as follows:
A. You legallY are responsible for pay.ent, or the estate subject to ad.inistration by a personal representative is insufficient
to pay the deductible ite.s.
B. You actually paid the debts after death of the decedent and can furnish proof of pay.ent.
C. Debts being clai.ed .ust be ite.ized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x 11". Proof of
paYllent .ay be requested by the PA Depart.ent of Revenue.
-
COMMD*EAL TH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280&01
HARRISBURG, PA 17128-0601
--.-.----"T-,r-....:-":'~:<"-~:-""'.-'"'-.~ -
_('\' OEi\I~, .F~~~:..:TION NOTICE
."Ji 0 ' ~ i AND
iEGJ rER ,..,f ~~~0 ER RESPONSE
REV-1543 EX AFP (Of-On
FILE NO. 21 08-0246
ACN 08114779
DATE 04-10-2008
TYPE OF
ACCOUNT
[i] SAVINGS
o CHECKING
D TRUST
o CERTIF.
2008 KAY -5 PM 12: II
EST. OF LUKE S BASSLER
S.S. NO.
ORP.... .~..\)........~....fh.~ TE OF DEATH 02-08-2008
,CUMBERtJ~!()ccr~1TY CUMBERLAND
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HARRY J BASSLER
36 WOBURN ABBY AVE
CAMP HILL PA 17011-1011
PSECU has provided the nepart.ent with the inforaation 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 inforaation is incorrect, please obtain written correction fro. the financial institution, attach a copy
to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Co..onwealth
of Penl1$Ylvania. Question::'a.ay be answered by callir!g (717) 787-8327.
COMPLETE PART 1 BELOW
Account No. 8900299853
Account Balance
Percent Taxable
A.ount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
. .
. SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Date
Established
10-24-2001
To insure proper credit to your account, two
(2) copies of this notice .ust acco.pany your
pay.ent to the Register of Wills. Make check
payable tOI "Register of Wills, Agent".
x
692.32
50.000
346.16
.045
15.58
TAXPAYER RESPONSE
NOTE I If tax pay.ants are .ade within three
(3) .onths of the decedent's date of death,
YOU .ay deduct a 5X discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
x
~:n~~~~J:j:r]~n~!~~-r:r~-!fr~T~~T\rt'-ftl)~21~!~~~:r~~ft:r~~~:~'11~~
P-n-:';:-ii>.""';a!!'-_'ili<'.Ellii:~_=::?l-_""~.",.:~-;:;:.;;-:::-:-""_.,,;:.,,.:m-:-m;_;m"'_-""'lli_.;r:**ij:;ilf~~~~'!lil!:~_::fJ:;;,".,.:-x*.-1ili.ifu.$.-!/:.,,_ii1f_:n:~:ffi!l:~~.Jl;:3irti~-.itl::ilJ:.J1!lili::~""'tfi?l-:~~
[CHECK ]
ONE
BLOCK
ONLY
A. 0 The above infor.ation and tax due is correct. .
1. You .ay choose tore.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 nepart.ent of Revenue.
B. 0 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. 0 The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.pleh PART 0 and/or PART ~ below.
1
2
3 X
4
5
6
7 X
8
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1- Dat. 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
[!]
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
I
TOTAL CEnter on Line 5 of Tax COMPutation)
.
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief.
TAXPAYER SIGNATURE
HOME ( )
WORK ( )
TELEPHONE NUMBER
~
DATE
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 IDatter 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 1I0re 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 cOMPutation in the notice are correct and deductions are not being clai.ed, 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 Mount 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 DepartMent of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-0601 in the
envelope provided.
3. BLOCK C - If the notice infor_ation is incorrect and/or deductions are being clailled, check block "e" and COMPlete Parts 2 and 3
according to the instructions below. Sign two copies and sub_it the_ with your check for the allount of tax payable to the Register
of Wills of the county indicated. The PA Departllent of Revenue will issue an official asseSSMent (Forll REV-1548 EX) upon receipt
of the return froll the Register of Wills.
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
1. Enter the date the account originally was established or titled in the Manner existing at date of death.
NOTE: For a decedent dying after 12/12182: Accounts which the decedent put in ioint n..es 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 na.e in the address portion of this notice, the .3,000 exclusion
already has been deducted fro. 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 ioint 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 BY 2 (SURVIVORS> = .167 X 100
16.1X (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 SOX (TAXABLE FOR EACH SURVIVOR)
4. The allount SUbject to tax (line 4> is deter.ined 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.
,. The aIIount taxable (line 6> is deterMined 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.
-The tax rate 1.posed on the net value of transfers fro. a deceased Ch1ld 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 OX.
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 Or. 6% 15% 15%
07/01/00 to present Or. 4.5%* 12% 15r.
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 itellized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x U". Proof of
paYMent .ay be requested by the PA Departllent of Revenue.
COMMONWEAL TH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
~ 'a'-''''T'~ ~__"_'~_'a"_'_"'_"'"_"""",,,-- "...,..---~- ..-,..
_'7C/\t)~.:ma~lIDVA~!f'ON NOTICE
tt,~'..", ',,_,l~ tt.}~.?~)~~I:~,...
F'. ;ISTEtAX~~ttANBESPONSE
FILE NO. 21 08-0246
ACN 08114781
DATE 04-10-2008
TYPE OF ACCOUNT
Ii] SAVINGS
o CHECKING
D TRUST
D CERTIF.
L
EST. OF LUKE S BASSLER
ClERK OfS.s. NO.
ORPH^~S CO\ftt OF DEATH 02-08-2008
CtJMBERLA.ND te.Ctuaty CUMBERLAND
HARRY J BASSLER
36 WOBURN ABBY AVE
CAMP HILL PA 17011-1011
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PSECU hu provided the DepartMent with the info~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 inforMation is incorrect, please obtain written correction frOM the financial institution, attach a copy
to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the COM.onwealth
of Pennsylvania. Questions May be an~ered by ~al11ng (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
10-24-2001
To insure proper credit to your account, two
(2) copies of this notice Must aCCOMpany your
paYMent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account No. 8900299853-S7MM Date
Established
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due'
PART
[!]
x
8,925.03
50.000
4,462.52
.00
.00
TAXPAYER RESPONSE
NOTE: If tax paYMents are Made within three
(3) .onths of the decedent's date of death,
you .ay deduct a 5X discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
x
A. [] 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 assess.ent will be issued by the PA Depart.ent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=l 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. ~ The above inforMation is incorrect and/or debts and deductions were paid by you.
You .ust COMPlete PART 0 and/or PART ~ below.
1
2
3 X
4
5
,
7 X
8
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
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
PART
[!I
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
I
TOTAL CEnter on line 5 of Tax Computation)
.
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief.
TAXPAYER SIGNATURE
HOME ( )
WORK ( )
TELEPHONE NUMBER
~
DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on inforntion
subllitted by the financial institution.
2. Inheritance tax becollos delinquent nine 1I0nths after the decedent's date of death.
3. A joint account is taxable even though the decedent's n..e was a_dedas . .atter of convenience.
4. Accounts (including those held between husband and wife) which the decedent put in joint na.es within one year prior to
death are fully taxable as transfers.
S. Accounts established jointly between husband and wife .ore 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 cOIIPutation in the notice are correct and deductions are not being clai.ed, place an "X"
in block "A" of Part I of the "Taxpayer Response" section. Sign two copies and subllit the. with your check for the Hount of
tax to the Register of Wills of the county indicated. The PA Depart.ent of Revenue will issue an official assessllent
(Fo~ 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 DepartMent of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-0601 in the
envelope provided.
3. BLOCK C - If the notice info~ation is incorrect and/or deductions are being chilled, check block "C" and co.plete Parts 2 and 3
according to the instructions below. Sign two copies and subllit thell with your check for the a.ount of tax payable to the Register
of Wills of the county indicated. The PA Departllent of Revenue will issue an official assess.ent (For. REV-lS48 EX) upon receipt
of the return froll the Register of Wills.
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
1. Enter the date the account originally was established or titled in the lianneI' existing at date of death.
NOTEl For a decedent dying after 12/12/821 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 nUllber of accounts held.
If a double asterisk (..) appears before your first nalle in the address portion of this notice, the $3,000 exclusion
already has been deducted fro. 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 dete~ined as follows:
A. The percent taxable for joint assets established 1I0re than one year prior to the decedent's deathl
DIVIDED BY TOTAL NU"BER OF DIVIDED BY TOTAL NUMBER OF X 100 ~ PERCENT TAXABLE
JOINT OWNERS SURVIVING JOINT OWNERS
Exa.plel A joint asset registered in the naae of the decedent and two other persons.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100
16.7X (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)l
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100
PERCENT TAXABLE
Exaaplel 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 50X (TAXABLE FOR EACH SURVIVOR)
4. The a.ount subject to tax (line 4) is dete~ined by .ultiplYing 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 a.ount taxable (line 6) is det.rained by subtracting the debts and deductions (line 5) froll the allount subject to tax (line 4).
7. Enter the appropriate tax rate (line 7) as det.rained below.
Date of Death Spouse lineal Sibling Collateral
07/01/94 to 12/31/94 3% '" 15" 15%
01/01/95 to 06/30/00 0% ,% 15" 15"
07/01/00 to present 0" 4.5%* 12% 15"
-The tax rate illposed on the net value of transfers froll a deceased child twenty-one years of age or Y
ounger at
death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is OX.
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 co_on with the decedent, whether by blood
or adoption. The "Collateral" class of heirs includes all other beneficiaries.
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are deterained as follows I
A. You legally are responSible for payaent, or the estate subject to adllinistration by a personal representative is insufficient
to pay the deductible itells.
B. You actually paid the debts after death of the decedent and can furnish proof of payllent.
C. Debts being clai.ed lIust be ite.ized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x 11". Proof of
pay.ent lIay be requested by the PA Departaent of Revenue.
William R. Kaufman
-Atlol'ne,/ at ofaw
940 untwy Drive
~echanicsburg,PJ\17055
717-766-7702
Fax: 717-790-9031
Email: wrkaufman.wrklaW@comcast.net
April 29, 2008
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Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
1 Court House Square
Carlisle, P A 17013
Re: Luke S. Bassler, Deceased
File No. 2008-00246
Dear Ms. Strasbaugh:
Enclosed please find an inheritance tax prepayment in the amount of $1 0,000 for the
above-referenced decedent's estate.
WRK/pab
Enclosure
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COMMONWEAL1H ~F 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
BASSLER MARIAN J
36 WOBURN ABBEY AVENUE
CAMP HILL, PA 17011
-------- fold
ESTATE INFORMATION: SSN: 189-66-1534
FILE NUMBER: 2108-0246
DECEDENT NAME: BASSLER LUKE S
DA TE OF PAYMENT: 05/05/2008
POSTMARK DATE: 04/29/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 02/08/2008
NO. CD 009660
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08114780 I $99.43
08114779 I $15.58
101 I $9,884.99
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TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO A TTY
CHECK# 21 5
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
$10,000.00
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS