HomeMy WebLinkAbout06-23-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SABULSKI LINDA M
5 HEMLOCK DR
MECHANICSBURG, PA 17055
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ESTATE INFORMATION: ssN: 032-o5-o3s1
FILE NUMBER: 2108-0665
DECEDENT NAME: BARNARD MARGARET A
DATE OF PAYMENT: 06/24/2008
POSTMARK DATE: 06/23/2008
CouNTY: CUMBERLAND
DATE OF DEATH: 05/04/2008
REV-1162EX111-96)
ENO. CD 009922
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08128635 ~ 5240.02
TOTAL AMOUNT PAID:
REMARKS: LINDA SABULSKI
CHECK# 6302
SEAL
INITIALS: AKK
5240.02
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA I N F O R M AT I O N NOTICE F I L E N o. 2 1 ~~ ~~~~
DEPARTMENT OF REVENUE AN D
BUREAU OF INDIVIDUAL TAXES ACN 08128635
DEPT. 280601 TAXPAYER RESPONSE DATE 06-19-2008
HARRISBURG, PA 17128-0601
REV-1543 E%AFP (09-00) TYPE OF ACCOUNT
SAVINGS
EST. OF MARGARET A BARNARD CHECKING
S.S. N0. 032-05-0391 ^ TRUST
DATE OF DEATH 05-04-2008 ~ CERTIF.
COUNTY CUMBERLAND
RE=MIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
** LINDA M SAMBULSKI CUMBERLAND CO COURT HOUSE
5 HENLOCK DR CARLISLE, PA 17013
MECHANICSBURG PA 17055-4712
PNC BANK NA 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 Pennsylvania. Questions may be answered by calling (717) 787-8327•
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FDR EYEING AND PAYMENT INSTRUCTIONS
Account No. 000005004460568 Date 08-15-2007 (2)lcopiespofpthisrnoticeomustraccompany your
Established payment to the Register of Wills. Make check
Account Balance 5,333.82 payable ta: "Register of Wills, Agent".
Percent Taxable X 100.00 NOTE: If i:ax payments are made within three
Amount Subject to Tax 5,333.82 (3) months of the decedent's date of death,
X . 0 4 5 you may deiiuct a 5% discount of the tau due.
Tax Rate Anv inheritance tax due will become delinquent
Potential Tax Due 240 • 02 nine C9) months after the date of death.
RT TAXPAYER RESPONSE
PA
.............::::::::::.:-:::::::.::::::::.:-:.;:::.;::::.::~.;~ :~:~:::.:::: ~ ~:: ~:~:...::: ~~ ° :::~ ~. ~ .:. •:::: :ASSE~~ENT , SA~Eii DN fiNIS NOfiI ...
A, The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with i:wo 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
CHECK Wills and an official assessment will be issued by the PA Department of Revenue.
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
C ONE
0 N L Y to be filed by the decedent's representative.
C. ~ The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART 2^ and/or PART 3^ below. ?~ ,
PART If you indicate a different tax rate, please state your
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 V
4. Amount Subject to Tax 4
5. Debts and Deductions 5 -
6. Amount Taxable 6
7. Tax Rate ~
8. Tax Due 8
DEBTS AND DEDUCTIONS CLAIMED
PART
PAYEE DESCRIPTION AMOUNT PAID
DATE PAID
TOTAL CEnter on Line 5 of Tax Computation) $
Under penalties of perjury, I declare that the facts I have reported abov//e are t~ryue, c'or/rect and
complete to the best of mY knowledge and belief. HOME 0"117 j 4~(~ J 7'Zt~
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X AYER SIGN URE
~tNERAL 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 comvutation 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. BLDCK 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 280b01, Harrisburg, PA 17128-0601 in the
envelope provided.
3. BLDCK 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 CFOrm REY-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 12/12J82: 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 53,000 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 S3,000 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:
1 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 DWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X lOD = 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 X 100 = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
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 SURVIVORI
4. The amount subject to tax (line 4) is determined by multiplying the account balance (line 2) by the percent taxable Cline 3).
5. Enter the total of the debts and deductions listed in Part 3.
6. The amount taxable Cline 6) is determined by subtracting the debts and deductions Cline 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.
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.
8. 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.
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%
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