HomeMy WebLinkAbout05-06-08
COMMONWEALTH OF 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
BAIR BARBARA L
4030 CAISSONS CT
ENOLA, PA 17025
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ESTATE INFORMATION:
FILE NUMBER: 2108-0503
DECEDENT NAME: LEDERERE DOROTHY C
DATE OF PAYMENT: 05/06/2008
POSTMARK DATE: 05/06/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 01/31/2008
NO. CD 009666
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
08117582 I $21 .75
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2998
SEAL
INITIALS: AKK
RECEIVED BY:
REGISTER OF WILLS
$21.75
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 ,O~'~3
ACN 08117582
DATE 04-21-2008
&v-lSlill EX AFP C09-00l
EST. OF DOROTHY C LEDERERE
S.S. HO.
DATE OF DEATH 01-31-2008
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
(i] CHECKING
D TRUST
o CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013 N
c:::> ::.U
go ~ :X<l iTl
s:o :x $8
i~;g -oio ~ rn eg
?2 f;; , c:v4 rn
MEMBERS 1ST FCU has provided the Departllent with the inforllation listed below which:'1)8 Oil use~ ::.Ll CJ
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were ~~~ner/benefic~~~
this account. If YOU feel this inforMation is incorrect, please obtain written correction froll the financial'~rt~on, ~ach ~..EO~.
to this fOri! and return it to the above address. This account is taxable in accordance with the Inheritance:~ of tQI:.Co.. ..~ .. ~--".-
of Pennsylvania. Questions May be answered by calling (717) 787-8327. ~c:: ~~ r-r1
COMPLETE PART 1 BELOW. . ~ SEE REVERSE SIDE FOR FILING AND PAYMENT RUCTIONS ~~;,~)
BARBARA L BAIR
4030 CAISSONS CT
ENOLA
Account No. 202436-11
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[!]
PA 17025
Date 02-28-2001
Established
To insure proper credit to your acc~t, two
(2) copies of this notice Must aCCOIIPany your
paYllent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
1,017.67
X 50.000
508.84
X .045
22.90
TAXPAYER RESPONSE
NOTE: If tax paYllents are lIade within three
(3) 1I0nths of the decedent's date of death,
you lIay deduct a 5X discount of the tax due.
Any inheritance tax due will becolle delinquent
nine (9) 1I0nths after the date of death.
A. c=J The above inforllation and tax due is correct.
1. You lIay choose to rellit paYllent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or YOU lIay check box "A" and return this notice to the Register of
Wills and an official asses silent will be issued by the PA DepartMent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=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. c=J The above inforllation is incorrect and/or debts and deductions were paid by you.
You IIUSt cOIIPlete PART ~ and/or PART ~ below.
1
2
3 X
4
5
(I
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 l. 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
~
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
I
.
have reported above are true, correct and
HOME (7/7) 7.3~ Lbz.s
WORK ( )
TELEPHONE NUMBER DATE
perjury, I declare that the facts I
my knowledge and belief.
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 Gne 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 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 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 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 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 deter.ined as follows:
A. The percent taxable for joint assets established .ore than one year prior to the decedent's death:
DIVIDED BY TOTAL NUHBER OF DIVIDED BY TOTAL NUHIER OF X 100 PERCENT TAXABLE
JOINT OWNERS SURVIVING JOINT OWNERS
Exallple: 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
16.7X (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 NUHBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100
PERCENT TAXABLE
Exallple: 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 SOX (TAXABLE FOR EACH SURVIVOR)
4. The a.ount subject to tax (line 4) is deter.ined by .ultiplying the account balance (line 2) by the percent taxable (line 3).
~ 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 allount subject to tax (line 4).
7. Enter the appropriate tax rate (line 7) as deter.ined below.
~The tax rate I.posed 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 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 cOII.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 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 deter.ined 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 iteu.
B. You actually paid the debts after death of the decedent and can furnish proof of payment.
C. Debts being clai.ed must be ite.ized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x 11". Proof of
pay.ent may be requested by the PA Depart.ent of Revenue.
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200811AY -6 PI1 ~2,
CLERK OF
ORPHAN'S COURT
CUMDcPLi',t4D [0" PA
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