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Home My WebLink About05-09-08 COMMONWEALTH OF PENNSYLVANIA OEPARTMENT 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 BEaUETH DEANNA 1 22 KNOCH RD SAXONBURG,PA 16056 -------- fold EST A TE INFORMATION: SSN: 184-50-5335 FILE NUMBER: 2108-0523 DECEDENT NAME: KEEBAUGH TIMOTHY M DATE OF PAYMENT: 05/12/2008 POSTMARK DATE: 05/09/2008 COUNTY: CUMBERLAND DATE OF DEATH: 00/00/0000 NO. CD 009698 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08119002 I $17.15 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 7521 SEAL INITIALS: AKK RECEIVED BY: REGISTER OF WillS $17.15 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 * t.J.....r..i:f"ti:..~f*+' REY-1S/i3~: 't) ~~ INFORMATION NOTICE OFF~i ,..,,- AND .~ t\l *.PAYER RESPONSE FILE NO. 21 ACN 08119002 DATE 05-05-2008 OF \:VIlt'J TYPE OF ACCOUNT D SAVINGS o CHECKING D TRUST [Xl CERTIF. 2008HAY 12 AHII:itr. OF TIMOTHY M KEEBAUGH S.S. NO. 184-50-5335 CLERK OF DATE OF DEATH 03-12-2008 ORPHAl'J'S COURT COUNTY CUMBERLAND CUM2:r:~t~!J~\JO CO" PA REMIT PAYMENT AND FORMS TO: REGISTER OF WillS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DEANNA BEQUETH 122 KNOCH RD SAXONBURG PA 16056 FIRST NATIONAL 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 by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 000-0014065 Date 07-21-2006 Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 3,008.27 5.000 150.41 .12 18.05 TAXPAYER RESPONSE To insure proper credit to your account, two (2J copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Wills, Agent". Established x NOTE: If tax pay.ents are .ade within three (3J .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 (9J .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. ~h. above infor.ation and tax due is correct. 'I. 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. r=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.plete PART 0 and/or PART 0 below. t.r nE 1- Date Established 2. Account Balance 3. Percent Taxable 4. Amount SUbject to Tax 5. Debts and Deductions ,. Amount Taxable 7. Tax Rate 8. Tax Due PART [!] DATE PAID PAYEE 1 2 3 X 4 5 6 7 X 8 PART [!] TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS If you IndIcate a dIfferent tax rate, please state your relationshIp to decedent: DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) . perjury, I declare that the facts knowledge and belief. have reported above are true, correct and HOME ('1~ If ) 3.r~- 3 4 ~ '-I WORK ( ) TELEPHONE NUMBER i\-8-og 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 ioint 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 I. BLOCK A - If the information 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 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 I 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 I. Enter the date the account originally was established or titled in the .anner existing at date of death. NOTE: 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: 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 na.e of the decedent. and two other persons. I DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .1&7 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): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES X 100 PERCENT TAXABLE Example: 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 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 deter.ined below. -The tax rate Imposed 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 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. Date of Death Spouse Lineal Sibling Collateral 07/01/94 to 12/31/94 3r. 'X 15r. 15% 01/01/95 to 06/30/00 OX 'X 15% 15r. 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 ad.inistration 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 .ay be requested by the PA Department of Revenue. ,_ ..__........,-..:'i~~~,~....-.--"-; ,."r ('~~f' .m ;.,;,,:~,.\ji>f~Jrl) OfHCE (l~ . 'F"""'Y'~'l'" ,_,J. i..' _, ~i\. \ I t- ' ' ~ t _\~A'h.) I ~..I~ ~v~t 2608 HAY I 2 AM": 51 CLERK OF ORP1j,~N'S COURT CUMS: ,~." 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