HomeMy WebLinkAbout06-30-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMA AND NOTICE FILE No. 21 'Q ~'-~c:32
BUREAU OF INDIVIDUAL TAXES ACN 08124281
DEPT. 280601 TAXPAYER RESPONSE
HARRISBURG, PA 17128-0601 DATE 06-03-2008
REV-1543 E% AFP C09-00)
EST. OF LOUIS S EDWARDS
S.S. N0. 160-14-3848
DATE OF DEATH 05-20-2008
COUNTY CUMBERLAND
LUCILLE EDWARDS
3709 FALKSTONE DRIVE
MECHANICSBURG PA 17050
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST FCU 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 ?enrwlisnia. ::::.~tiaos may be answered by calling (717: 787-~3~7.
rnwoirTr aeQT 7 AFLOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 255280-11 Date 12-03-2004 To insure proper credit to your account, two
Established (2) copies of this notice must accompany your
payment to the Register of Wills. Make check
Account Balance 15 ~ 108 • 87 payable to: "Register of Wills, Agent".
Percent Taxable X 16.667
NOTE: If tax payments are made within three
Amount Subject to Tax 2 ~ 518 • 20 (3) months of the decedent's date of death,
Tax Rate X , O O you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
Potential TaX DUe 00 nine (9) months after the date of death.
PART TAXPAYER RESPONSE
:;::'fiI.
~~~~E
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• ...::. ~::~ .:: :~; :: ~: :; .;:. :~i'ANi q.FFI~~1lL "f/~ ~f~:~E~S~1E~:T:: ~ASE~ DN .............::::~:::::::::.:.:
^ ,: ~ e ~~::~~~~. °'r~__ ~2~~~?!~1~~...~1.iI.. L_ _~E.E~.~1.E.fi.....~N... _....... .............. ..........
A. The above information and tax due is correct.
1. Vou may choose to remit payment to the Register of Wills with two 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.
C ONE
B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
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. ~
lease state your ~~°':( i~~::
ou indicate a different tax rate, p ::: ~~~~••~~~~~•••~~~
I f Y ::::;~ .:' :. ~~iisiE .........................
PART
dent:
ece
o d
t
nshi
r e 1 P €''~ i;i;i':i':siSsi~~ €~;'~Ai~D::. iisi.:..... ; :'~.,. ` ...:....
2 .......:..
ON JOINT/TRUST ACCOUN ~ ``~~~`` `~~~~"'~~~~~''" ~ '"
TAX RETURN - C ...................................... ......
' :... r ............................................. .
OMPUTATION OF TAX ~1'*~4€i=€~:;~ ~:~::~:::::::.::.~: ; :...._ ::.:.:::.:.:._::~.......:.:.:.:::.:.:...;...
:~ :a :::::::::::::::~ :::::::::::::::::::::::::::::::::. :... ...............
LINE 1. Date Established 1 ~~~ ~°•'~'N~•~•~~~:~
,,=
...........
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a
2. Account Balance '•'•":*'*:':*:':.
:::::::::: ,~~::~::~::~:::... ........:..........x-:::::
:.,
~i~:
.:.:. :.:.:.:.:.:.. ~ :::::::: r
.:.:.:.:.:.:
Y "ijiiFl" "
3 . Percent Taxable 3 ::'__'~~~ ..:............................:.........::.... :~ .."ar'•,9';1
4. Amount Subject to Tax 4 '``
~i~€si€~ li;si€s:~ i;:~
;:;::
Debts and Deductions 5 -
5.
unt Taxable 6
6. Amo
ax Rate ~ X
7. T
8. Tax Due B -
PART DEBTS AND DEDUCTIONS CLAIMED
0
nerc pern PAYEE DESCRIPTION AMOUNT PAID
TOTAL LEnter on nine s or iax ,.ompu ~a Diu,,,
Under penalties of perjury, I de late that the facts I have reported above are true, cor^r~ect and
co ete to the b my knowl dge and belief. HOME ~ )~~ ~~ /
~ WORK ( ) ~ 7~
XPAYER SI N URE TELEPHONE NUMBER ATE
~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 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 (Farm 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 12/12/82: 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 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 53,000 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 near 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 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 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 SURVIVOR)
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 (line 5) from the amount subject to tax (line 4).
7. Enter the appropriate tax rate Cline 7) as determined 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 imposed on the net value of transfers from a deceased child_twenty-oneyears of aee or younger at
death to or far 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.
B. You actually paid the debts after death of the decedent and can furnish proof of Davment.
C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use plain paper B 1/2" x 11". Proof of
payment may be requested by the PA Department of Revenue.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE FILE NO. 21 `~ '~"~
BUREAU OF INDIVIDUAL TAXES AND ACN 08124283
DEPT. 280601 TAXPAYER RESPONSE
HARRISBURG, PA 17128-0601 DATE 06-03-2008
REV-1543 EX RFP (09-00)
LUCILLE EDWARDS
3709 FALKSTONE DRIVE
MECHANICSBURG PA 17050
TYPE OF ACCOUNT
EST. OF LOUIS S EDWARDS ® SAVINGS
$,$, D10. 160-14-3848 ^ CHECKING
DATE OF DEATH 05-20-2008 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT H OUSE
CARLISLE, PA 17013
MEMBERS 1ST FCU 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 point 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 Tau Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling C717i 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
AXPA ER SIGNAT TELEPHONE NUMBER HATE
IUTAL ltnier on amine ~ ui ~a ~~~r..~=~+~~~-
U r perLalties of per- ry, I declare that the facts I have reported above~areAtrue, corm and
,co-mjp~te to thne~st of ledge~a~nd~b nief. HOME /~ ~~f~ ~ '
i~~~ ,~- ~ ~ /! . // (/!I ~~p.~L~i2%LGY~£.!/ W O R K C ) /(,~ ~ ~ G,
VtNERAL 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 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 12/12/82: Accounts which the decedent put in joint names within one C1) 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 (xx) appears before your first name in the address portion of this notice, the 53,000 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 SURYIVING 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 = 16.7% (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 SURVIVOR)
4. The amount subject to tax Cline 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 Cline 4).
7. Enter the appropriate tax rate (line 7) as determined 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
The tax rate imposed on the 0%
net value of rr~n 4.5%~
~co~~ c_~_ a_____ 12%
_~ _,_~, . 15%
death to or for the use of a natural parent, an adoptive parent,'or a~stepparent ofetheachild ise0%r younger at
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.
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 may be requested by the PA Department of Revenue.
COMMDNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE I N F O R M AT I O N N O T I C E
BUREAU OF INDIVIDUAL TAXES AN D
DEPT. 280601
HARRISBURG, PA 17128-0601 TAXPAY E R R E S P O N S E
REV-1543 EX RFP (09-00)
LUCILLE EDWARDS
3709 FALKSTONE DRIVE
MECHANICSBURG PA 17050
FILE N0. 21 ~®~' 1c~2
ACN 08124278
DATE 06-03-2008
TYPE OF ACCOUNT
EST. OF LOUIS S EDWARDS ® SAVINGS
S.S. N0. 160-14-3848 ^ CHECKING
DATE OF DEATH 05-20-2008 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT H OUSE
CARLISLE, PA 17013
MEMBERS 1ST FCU 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 ioint 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. Vuestions may be answered by calling C717) 787-8327.
COMPLETE PART 1 BELOW ~ * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 255280-0 0 Date 12-03-2004 7o insure proper credit to your account, two
Established (2) copies of this notice must accomvany your
Account Balance 13, 408.76 payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Percent Taxable X 16.667
NOTE: It tax payments are made within three
Amount Subject to Tax 2,234.84 (3) months of the decedent's date of death,
Tax Rate X , 00 you may deduct a 5Y. discount of the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due .00 nine (9) months after the date of death.
PART TAXPAYER RESPONSE
i ~ /k_tF.i;:;~ltl:C.,.,:Tt'1.;s~ldC~lL~fi'Ilil'Ef :::,Ll'!`t :~~::r1S ~~ F1 F:::T.::::'Fil'%:~:1@~~~:;'~'f'~C:C~T:~f'.~'E~'E~1@~t~~ :?i'T~lk3i"~~~ AIL:ICI:i'~:~~i'~`.Sl~'ii`.~~'i1'1`:~ <1l~A~i'l~C~:~ lf~'ii:~i:~C':E1~T:~~ ~:fi~~:T'.F:k'~~C~~'~:~:
A. ~ The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or you may 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.
ONE
B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
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 ^ and/or PART ^ below.
. c a ' f r t t r a t l e s e s tat a o u r :::::::::::::::::::::::::::::::::-:::~ ::::::::::::::::::;:::...., :::::;:;:;:;:::; :::::::::::;:;:;: .:;:::::;:;:;:; :.....,;.
If you indi at a di fe en ax e, p a y
PART
€€s=~i~~ii=~~`i~===€iii=~i~~"ii~.'':..: i~t~`i~i~. ~`~~i~s~ai'ssiii:
relationshi to decedent: :::::::::::~::::::::::~::::::- :::::::::::::::::::~::~::::::: ::~::::-
r=s::::; ~: ~ s: .....
_ ~~~::::
TAX RETURN COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ;~D;;;~;;;;;;;;,,,,,,,,,, .,....
LINE 1. Late Established i ..............:..................................... ..::::•:
~;~~~.:
........:.:::.:.:.:.................:::s: • u
:::::::::~:::::::::'~;€i~~..:::::.:::. ~waaa.:.:::~
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductiohs
6. Amount Taxable
7. Tax Rate
8. Tax Due
2
3 X
4
5
6
7 X
8
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
WORK C )
TOTAL CEnter on Line 5 of Tax Computation) S
Under penalties of perjury, I declare that the facts I have reported above are true, coo-srrle~ct and
c~plete, too ~he be~f/'i~y knowledg~ and pelief. HOME C~/7 ~2~°~~0~'
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 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 17128-0661 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.
LINE TAX RETURN - PART 2 - TAX COMPUTATION
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 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 53,000 exclusion
already has been deducted from the account balance as reported 6y 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
JOINT OWNERS X 100 = PERCENT TAXABLE
Example: A joint asset registered in the name of theVdecedentOlandOtwoRother persons.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7% (TAXABLE FOR EACH SURVIVOR)
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 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 Cline 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 Cline 7) as determined below.
Date of Death I Spouse Lineal Siblin
9 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 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.
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 may be requested by the PA Department of Revenue.
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• COMMONWEALTH 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
N0. CD 009962
EDWARDS WILLIAM
3709 FALKSTONE DRIVE
MECHANICSBURG, PA 17050
fold
ESTATE INFORMATION: ssN: i so-l4-ss4a
FILE NUMBER: 2108-0702
DECEDENT NAME: EDWARDS LOUIS S
DATE OF PAYMENT: 07/02/2008
POSTMARK DATE: 06/30/2008
couNTY: CUMBERLAND
DATE OF DEATH: 05/20/2008
REMARKS: WILLIAM EDWARDS
CHECK# 2123
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08124282 ~ 588.47
REV-1162 EX(11-96)
TOTAL AMOUNT PAID:
INITIALS: WZ
RECEIVED BY:
588.47
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE FILE NO. 21_ ~~-
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601 TAXPAYER RESPONSE ACN 08124282
HARRISBURG, PA 17128-0601 DATE 06-03-2008
REY-1543 EX AFP C09-00)
TYPE OF ACCOUNT
EST. OF LOUIS S EDWARDS ® SAVINGS
$.$, N0. 160-14-3848 ~ CHECKING
DATE OF DEATH 05-20-2008 ~ TRUST
COUNTY CUMBERLAND ~ CERTIF.
REMIT PAYMENT AND FORMS T0:
WILLIAM EDWARDS REGISTER OF WILLS
3709 FALKSTONE DRIVE CUMBERLAND CO COURT HOUSE
MECHANICSBURG PA 17050 CARLISLE, PA 17013
IGNATURE TELEPHONE NUMBER
TOTAL CEnter on Line 5 of Tax l;omputation~ s
Under penalties of pe jury, I d e th the facts I have reported above are true, corm-sect and
complete to the best of m kno e a be f. HOME C~ ) ~ ~~~~ /
WORK CJ/'7 )6~7~" ~~ ~ 7
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 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. 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 ane
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 12/12/82: 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 03,000 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 53,000 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 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 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 SURVIVOR)
4. The amount subject to tax Cline 4) is determined by multiplying the account balance Cline 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 determined 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
^Tho 4w nto va 0% 4.5%~ 12% 15%
- --- ---~---- -•• -••.. •••-. •..=..o ..~ a~ o~~~~ a~ ~ ~ ~-um a ueleaseU Cn110 LW enLy-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.
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 may be requested 6y the PA Department of Revenue.
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