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COMHONWEALTH OF PENNSYLVANIA '*
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL T~1,,~r\,C\,QC)~("\; O~F\C!'",., '
DEPT. 280&01 I".rl , !\ l ,...U /i
HARRISBURG, PA 17128- 060'1:.:,-,,: ;:'\'~Tq~: (\~ It)>
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INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO.
ACN
DATE
21.0~. 52 ~
08117375
04-21-2008
**
LOIS
51 OLIVER
ENOLA
zoua H'AY \ 2 PM \2: 06
CLERK Of
ORP~AN'? .P9U~1 D
CUtdP,LDl b'\: J/.;.. I 'A
1~',~,,)L.: 1-,' ., ~'..-..
KEIM
RD
EST. OF ELIZABETH ENGLE
S.S. NO. 202-20-6742
DATE OF DEATH 02-13-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKINC
o TRUST
[iJ CERTIF.
PA 17025
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST FCU has provided the Depart_ent with the infor.ation listed below which has bun 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 froM 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 l.~s of thp Common~palth
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. 312147-40
Da te 08- 1 7 - 2007
Established
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 to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
48,265.92
X 100.00
48,265.92
X .045
2,171.97
TAXPAYER RESPONSE
NOTE: If tax paYMents are .ade within three
(3) .onths of the decedent's date of death,
you may deduct a 5X discount of the tax due.
Any inheritance tax due will becoMe delinquent
nine (9) .onths after the date of death.
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. c=J The above infor.ation and tax due is correct.
1. You .ay choose to re.it paYMent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you Ilay 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.
B~he above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
.~~~ be filed by the decedent's representative.
C. c=J The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust COMPlete 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
I!]
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
4. Amount SUbject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8.
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
t
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts I have reported above are true, ~rect and
.~t:..:~ best of my knowledge and belief. HOME (/)11) St...tf-S'7, ~ I /
~~7 . WORK () ~/qllJ i
TAVDAv~n C'T,.....AT.lnr- ....._. __..._.._ ......___ ___
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on inforution
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 "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 and/or deductions are being clailled, 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 f~o. 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 12/12/82: 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 t3,000 per transferee regardless of the value of
the account or the number 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 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.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100
16.7Y. (TAXABLE FOR EACH SURVIVOR)
B. The percent taxable for assets c~eated within one yea~ of the decedent's death or accounts owned by the decedent but held
in trust for anothe~ 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 50Y. (TAXABLE FOR EACH SURVIVOR)
4. The a.ount 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 dete~mined 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 o~ for the use of a natural parent, an adoptive parent, o~ a stepparent of the child is OX.
The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Child~en" includes natural children
whether or not they have been adopted by others, adopted child~en and step children. "lineal descendents" includes all child~en 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 fo~ payment, or the estate subject to administration by a pe~sonal 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 II". Proof of
paYMent may be requested by the PA Department of Revenue.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KEIM LOIS
51 OLIVER RD
ENOLA, PA 17025
------.- fold
ESTATE INFORMATION: SSN: 202-20-6742
FILE NUMBER: 2108-0524
DECEDENT NAME: ENGLE ELIZABETH
DATE OF PAYMENT: 05/12/2008
POSTMARK DATE: 05/12/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 02/13/2008
NO. CD 009699
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08117375 I $3, 137.84
I
I
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I
I
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I
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK# 1196
SEAL
INITIALS: AKK
RECEIVED BY:
REGISTER OF WILLS
$3, 137.84
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
Marc A. Scaringi
Melanie Walz Scaringi
Virginia H. Henning*
Frank C. Sluzis
Susan K. Pickford
Debra R. Mehaffie
*Also licms~d in MD
S ~aringi
S caringi
Attorneys and. Counselors at Law
A Professional Corporation
Mary 1. Snyder
Law Clerk
Robert D. Turgyan
Paralegal
Amanda 1. Emerson
Paralegal
May 9, 2008
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
Re:
Estate of Elizabeth Engle
(") ~
~ 0 c;;::;,
To Whom It May Concern: '-=:0::0 ~
, - ., :s;? ..-- :tJ-
:-,,...L..."-J -<
Enclosed herewith please find a check in the amount of$3,137.84 which ~~ts ~
estimated Inheritance Tax Payment with respect to the above referenced estate. ~~~eturn a
receipt to our office in the enclosed envelope. 88" ~
: =E: N
~ ..
If you have any questions or concerns, please do not hesitate to contact me. Thank ~
for your time and attention in this matter. ........
~C7~
Amanda L. Emerson, Paralegal
Cc: Lois Keim, Executrix
Enclosures: Check No. 1196
SASE
2000 Linglestown Road, Suite 106. Harrisburg, PA 17110
Phone (717) 657-7770. Fax (717) 657-7797
www.scaringilaw.com
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