HomeMy WebLinkAbout02-0079 EV- 1500 EX. ($-00)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENT'S NAME (LAST, FIRST,AND MIDDLE INITIAL)
LivingsTon Ralph W.
DATE OF DEATH (MM-DO-YEAR) I DATE OF BIRTH (MM-OD-YEAR)
07/02/2001 03/27/1939
(IF APPLICABLE) SURV V NG SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
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OFFICIAL USE ONLY
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FILE NUMBER
COUNTYCODE YEAR NUMBER
SOCIAL SECURITY NUMBER
197-30-2751
THIS RETURN MUST BE RLED IN DUPUCATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
Livingston, Shirley A.
4, Limited Estate · Future Interest Compromise (date of death after 12-12
6. Decedent Died Testate Decedent Maintained a Living Trust
· (Attach copy of Will) (Attach copy of Trust)
~'-~ 9. Litigation Proceeds Received I--~ 10. Spousal Poverty Credit
(date of death between 12-31-91 and 1-1-95)
NAME
Donna M. Mullin Esq.
FIRM NAME (If Applicable)
JAMES, SMITE, DURKIN & CONNELLY, LLP
TELEPHONE NUMBER
717/533-3280
1. Real Estate (Schedule A) (1)
Z. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or (3)
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D) (4) None
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) None
(Schedule E)
6. Jointly Owned Property (Schedule F) (6) NOne
~ Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedl~le H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
1Z. Net Value of Estate (Line 8 minus Line 11 )
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not bean
made (Schedule J)
14. Nat Value Subject to Tax (Line 12 minus Line 13)
(d.ste of aeath
3. Remainder Return prfor to lZ-13-82)
5. Feoeral Estate Tax Return Required
~[. Tota] Number of Safe Deposit Boxes
11. Elf.etlon to tax under Sec. 9113(A)
(Attach Sch O)
COMPLETE MAILING ADDRESS
134 Sipe Avenue
Hummelstown, PA 17036
QNbne
one
545,611.34
15,864.50
None
--O
OF~.~ USE ONLY
(8) 545,611.34
(11) 15~864.50
(12) 529,746.84
(13) 209,183.53
(14) 320,563.31
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116(a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
320,563.31
x .0 0 (lB): 0.00
X .0 45 (15)' 0.00
X .12 (17) 0. O0
x .is (18) 0.00
19. Tax Due (19) 0.00
Copyright (c) Z000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev, 6-00)
Decedent's Complete A~'.,ess:
STR~-E7 ADDRESS
402 Orchard Lane
CITY I STATE
Mechanicsbur$ PA
~Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit 0.00
B. Prior Payments
C. Discount
3. Interest/Penalty if applicable
D. interest
E. Penalty
Total Credits ( A + B + C )
Total Interest/Penalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line $ + SA. This is the BALANCE DUE. (SB)
ZIP
17055
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING GUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ......... : ............... ~'] [--']
b. retain the right to designate who shall use the property transferred or its income; ...........
c. retain a reversionary interest; or ....................................
d. receive the promise for life of either oavments benefits or caret
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his
or her death?
4. Did decedent own an individual Retirement Account, annuity, or other non-probate property
which contains a benef ciary designationq
IF THE ANSWER TO ANY OF THE ABOVE GUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have ex~i.4,ed this return, Including accompanying schedules anti statements, and to the best of my knowledge and belief, It is true,
0.00
0.00
0.00
0.00
0.00
0.00
0.00
correct and complete. Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Sh'irJ. ey A. Livingslgon DATE
~ ~ - ~ -'~ -- 402 Orchard Lane
' O c~ ..........
~.===~,.'~,/~,// .,~/~.~ ~ / Mechan~7~;-~--~6~- ....................
'~SIGNATUR~EPAR~HERT~REPRE~ENTATIVE J~S, SMI~, DU~IN & C0~7 ~p
'-Z .......................
:,,'~" ,,,~" '~"~ ......... ~"i"i ...... ~"~T'"T"'I ..... i'i ..... i .... i ii ~ ' ~ ~ ~ .... ~ , .....
for Gates of death on or after July 1 1994 and before Janua~ 1 1995
· . ,, r- - , ~, ,,.~, .~ , ,that ........ "~,,,,,~-ecvalueo~wansremtoorTortneuseofthe
su~vmg spouse ~ 3zo [/2 ~.S. 9116 (a) ~1.1) tUJ.
For dates of death on or a~er Janua~ 1, 199~, the ~x rate imposed on the net value of tran~em to or for the use of the sumiving spouse is
[72 P.S. 9116 (a) (1.1) (ii)]. The ~atute does not exempt a tran~er to a sullying spouse from ~x, and the statuto~ require~n~ for disclosure of assam
and filing a tax return are still applicable even ~ the surviving spouse is the only beneficial.
For dates of death on or a~er July 1, 2000:
The mx rate imposed on the net value of tran~ers from a deceased child twang-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a ~epparent of the child is 0% [72 P.S. 9116 (a)(1.2)].
The mx rate imposed on the net value of tran~ers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2)
[72 P.S. 9~
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(aX1.3)]. A siblin9 ~ defined, under
Section 9102, as an individual who has at least one parent in common w~h the decedent, whether by blood or adoption.
Co.right (c) 2000 ~orm software only The Lackner Grou~, Inc. Form R~V-I~00 ~ {R~. 6-00)
REV- 1510 EX * (1-97)
COMMONWEALTH OF'PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Ralph W. Livingston SS~/
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
197-30-2751 07/02/2001
FILE NUMBER
This schedule must be completed and flied if the answe~ to any of questions 1 through 4 on page 2 is yes.
DESCR PTION OF PROPERTY % OF
ITEM INCLUDETHE NAME OF THETRANSFERE~THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
RELATIONSHIP TO DECEDENT AND THE DATE OFTRANSFER.
NUMBEF ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET I INTEREST (m APPLICABL~
1 American Express Financial 4,163.99 i100.00% 0.0C 4,163.99
Advisors - AXP Managed
Allocation Fund, IRA
account ~05260978602 6 002,
owned by decedent;
beneficiary is decedent's
spouse; valued per death
settlement processing team
letter.
2 American Express Financial 8,975.06 100.00% 0.00 8,975.06
Advisors - CNL Income Fund
VII Limited Partnership,
IRA contract #99871266002 1
048; owned by decedent;
beneficiary is decedent's
spouse; valued per
quarterly statement.
3 American Express Financial 8,152.03 100.00% 0.00 8,152.03
Advisors - IRA Cash
Management Fund account
#01130978602 5 002;
decedent is owner;
beneficiarY is decedent's
spouse; valued per death
settlement processing team
letter.
4 American Express Financial 4,840.67 100.00~ 0.0( 4,840.67
Advisors - IDS Life
Flexible Annuity contract
#93002419058 7 004, owned
jointly with spouse as
joint tenants with rights
of survivorship; valued per
death settlement processing
team letter; one-half (1/2)
of asset's value is
reported.
5 American Express Financial 11,687.09 100.00% 0.00 11,687.09
Advisors IDS Life Fixed
Retirement Annuity - Value
Plus contract #93003259729
4 004; decedent is
Total of Continuation Schedule(s) 507,792.50
TOTAL(AlsoenteronlineT, Recapitulation) $ 545,611.34
more space ~s needed, insert additional sheets of the same size)
Copyright ('c) 1996 form software only CPSystems. Inc. Form REV-1510 EX (Rev. 1-97)
Estate of: Ralph W. Livingston
Soc Sec #: 197-30-2751
Date of Death: ~07/02/2001
Continuation of Schedule G
(Inter-Vivos Transfers & Misc. Non-Probate Property)
Item Description of Property
Date of Death % Decd Exclusion
Value of Asset Intrst
Taxable Value
8
annuitant; owned jointly
with spouse as joint
tenants with rights of
survivorship; valued per
death settlement processing
team letter; one-half (1/2)
of asset's value is
reported.
American Express Financial
Advisors IDS Life
Flexible Portfolio Annuity
contract #93005214977 8
004; decedent is annuitant
and owner; beneficiary is
decedent's spouse; valued
per death settlement
processing team letter.
American Express Financial
Advisors IDS Life
Flexible Annuity TSA
contract #93105194331 0
004; decedent is annuitant
and owner; beneficiary is
decedent's spouse; valued
per death settlement
processing team letter.
American Express Financial
Advisors - IDA Life
Retirement Annuity contract
#093002294320 1 004;
decedent is annuitant;
owned jointly with spouse
as joint tenants with
rights of survivorship;
beneficiary is decedent's
spouse; valued per death
settlement processing team
letter; one-half (1/2) of
asset's value is reported.
161,742.69 100.00% 0.00
28,638.85 100.00% 0.00
30,362.78 100.00% 0.00
161,7~2.69
28,638.85
30,362.78
9 Ohio National Financial 56,423.25 100.00% 0.00 56,423.25
Estate of: Ralph W. Livingston
Soc Sec #: 197-30-2751
Date of Death: 07/02/2001
Continuation of Schedule G
(Inter-Vivos Transfers & Misc. Non-Probate Property)
Item Description of Property Date of Death % Decd Exclusion
# Value of Asset Intrst
Taxable Value
10
11
12
13
Services - IRA contract
#E5024121; decedent is
owner; beneficiary is
decedent's spouse; valued
per financial advisory
services letter.
Ohio National Financial
Services - Annuity contract
#E5023740; decedent is
annuitant; beneficiary is
decedent's spouse; valued
per financial advisory
services letter.
American Express Financial
Advisors Mutual fund AXP
Stock Fund account
#01030978602 7 002, titled
in the name of the Ralph W.
Livingston Living Trust
dated 5/1/1996, valued per
death settlement processing
team letter.
American Express Financial
Advisors - Mutual fund AXP
Selective Fund account
#01050978602 5 002, titled
in the name of the Ralph W.
Livingston Living Trust
dated 5/1/1996, valued per
death settlement processing
team letter.
American Express Financial
Advisors - Mutual fund AXP
Bond Fund account
#01120978602 6 002, titled
in the name of the Ralph W.
Livingston Living Trust
dated 5/1/1996, valued per
death settlement processing
team letter.
5,576.90 100.00%
10,392.24 100.00%
56,110.02 100.00%
28,100.07 100.00%
0.00
0.00
0.00
0.00
5,576.90
10,392.24
56,110.02
28,100.07
Estate of: Ralph W. Livingston
oSoc Sec #: 197-30-2751
Date of Death: 07/02/2001
Continuation of Schedule G
(Inter-Vivos Transfers & Misc. Non-Probate Property)
Item Description of Property Date of Death % Decd Exclusion
# Value of Asset Intrst
Taxable Value
15
16
17
American Express Financial
Advisors Mutual fund AXP
Extra Income Fund account
#01250978602 1 002, titled
in the name of the Ralph W-
Livingston Living Trust
dated 5/1/1996, valued per
death settlement processing
team letter.
American Express Financial
Advisors Mutual fund AXP
High Yield Tax-Exempt Fund
account #03150978602 1 002,
titled in the name of the
Ralph W. Livingston Living
Trust dated 5/1/1996,
valued per death settlement
processing team letter.
American Express Financial
Advisors Corporate
Property Associates: 12,
Real Estate Investment
Trust account #99872307414
7 057; owned by the Ralph
W. Livingston Living Trust
dated 5/1/1996; valued per
quarterly statement.
Decedent's residence -
House and lot situate at
~02 Orchard Lane, Upper
Allen Township, Cumberland
County, PA, titled in the
names of Ralph W.
Livingston and Shirley A.
Livingston, Trustees, or
their successors in trust,
under the Ralph W.
Livingston Living Trust
dated May 1, 1996 and any
amendments thereto, and
15,317.59 100~00% 0.00
24,028.11 100.00% 0.00
21,'000.00 100.00% 0.00
'70,100.00 IO0.OOX 0.00
15,317.59
2~,028.11
21,000.00
70,100.00
Estate of: Ralph W. Livingston
Soc Sec #: 197-30-2751
Date of Death: 07/02/2001
Continuation of Schedule G
(Inter-Vivos Transfers & Misc. Non-Probate Property)
Item Description of Property Date of Death % Deed Exclusion
~ Value of Asset Intrst
Taxable Value
Shirley A. Livingston and
Ralph W. Livingston,
Trustees, or their
successors in trust, under
the Shirley A. Livingston
Trust dated May 1, 1996 and
any amendments thereto, as
tenants in common; tax map
parcel #42-28-2423-087;
deed reference Book 138,
Page 1101; valued per
county assessment
($140,200) times common
level ratio factor for
Cumberland County (1.00);
one-half (1/2)of asset's
value is reported..
507,792.50
REV-1511 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
_ RESIDENT DECEDENT
ESTATE OF
Ralph W. Livingston SS~ 197-30-2751 07/02/2001
Debts of decedent must be reported on Schedule I.
ITEM
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
NUMBER DESCRIPTION AMOUNT
A.
1 Inc. Funeral goods and services including 9,244.50
3
FUNERAL EXPENSES:
Cocklin Funeral Home,
cemetery lot and grave
opening
Honorarium to four (4) pastors
Eichelberger, A1 Hayden and Frank Miller
Honorarium to six (6) pallbearers
Total of ContinUation Schedule(s)
ADMINISTRATIVE COSTS:
Randy Eichelberger, Brian
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City State
Year(s) Commission Paid:
Zip
Attorney's Fees JAMES, SHIT[I, 'DURKIN & CONNELLY, LLP
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State -- Zip
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
Other Administrative Costs
Cumberland County Register of Wills Filing .fee for inheritance
tax return
James, Smith, Durkin & Connelly, LLP - Reserved for closing cost.,
TOTAL (Also enter on line 9, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
325.00
150.00
1,530.00
4,500.00
15.00
100.00
$ 15,864.50
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1S11 EX (Rev. 1-97)
Estate of: Ralph W. Livingston
Soc Sec #: 197-30-2751
Date of Death: 07/02/2001
Continuation of Schedule H-A
(Funeral Expenses)
Item Description
Mount
Range End Golf Club - Post-funeral luncheon for family and
friends
1,530.00
1,530.00
Estate of: Ralph W. Livingston
Soc Sec #: 197-30-2751
Date of Death: 07/02/2001
Continuation of Schedule H-B2
(Attorney's Fees)
Item Description
Amount
James, Smith, Durkin & Connelly, LLP - Attorney fees
4,500.00
4,500.00
REV- 1S13 lEX ~. (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Ra W. Livingston
NUMBER
SCHEDULE J
BENEFICIARIES
197-30-2751 07/02/2001
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
i. · TAXABLE DISTRIBUTIONS [inr. Jucte autrlgh! spousal dlstrli=utions, and
transfers un¢ler Sec. 9116(aXl.Z)]
1 Shirley A. Livingston
402 Orchard Lane
Mechanicsburg, PA 17055
I!.
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Wife
FILE NUMBER
AMOUNT OR SHARE
OF ESTATE
IRAs and
annuities
209,183.53
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN, 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
Ralph W. Livingston Family Trust U/A dated 5/1/1996 - Shirley A.'
LivingstOn, Trustee; EIN 25-6789225; spouse is income beneficiary
during her lifetime.
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET
(If more space is needed, insert additional sheets of the samesize)
$ 209,183.53
Copyright (c)ZOO0 form software only The Lack:her Group, inc. Form REV-1513 EX (RBv. S-00)
BUREAU OF INDIVIDUAL TAXES
ZNHER/TANCE TAX DZVTSTOH
DEPT. 180601
HARRTSBURG, PA 17118-060!
DONNA Fl FIULLI'N'0~
JAFlES ETAL
134 STPE AVE~:
HUFIFIELSTONN
17036
COFIFIONNEALTH OF PENNSYLVANIA
DEPARTFlENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAZSENENT, ALLOHANCE OR DZSALLO#ANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
REV-II47 EX AFP (D1-02)
i DATE 05-13-2002
ESTATE OF LZVZN$STON
DATE OF DEATH 07-02-Z001
FILE NUNBER 21 01-0079
? ~ :~ 1 COUNTY CUHBERLAND
ACN 101
Amount Remitted
RALPH
FLAKE CHECK PAYABLE AND RENIT PAYNENT TO:
REGISTER OF HILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLONANCE OR
DISALLONANCE OF DEDUCTIONS AND ASSESSFlENT OF TAX
ESTATE OF LTVTNGSTON RALPH NFILE NO. 21 01-0079 ACN 101 DATE 05-13-2002
TAX RETURN NAS: (X) ACCEPTED AS FTLED { ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedulo A) (1)
2. Stocks end Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
4. Hortgegos/Notos Receivable (Schedule D)
5. Cash/Bank Daposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEFIPTIONS:
9. Funeral Exponses/Adm. Costs/Nisc. Expenses (Schedule H) (9)
10. Dabts/Nortgage Liabilltlas/Liens (Schedule Z) (10)
11. Total Deductions
12. Not Value of Tax Return
13.
Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J)
Net Value of Estate Subject to Tax
· 00 NOTE: To /nsura proper
· 00 credit ~o your account,
· O0 subeit the upper portion
· O0 of this form with your
· O0 tax payment.
.00
545~611
(8)
15,864.50
.00
NOTE:
545,611.34
(11) ]5.86~.. 50
(12) 529,746
(~$) 209,183.53
(l~) 320,563· 31
18 and 19 will
(15) 320,563.31 x O0 = .00
(16) .00 X 045 = .00
(17) .00 x 12 = .00
(18) .00 x 15 = .00
(19)= . O0
If an assessment Nas Issued previously, lines 14, 15 and/er 16, 17,
reflect figures that include the total of ALL returns assessed to date.
ASSESSFlENT OF TAX:
1.6. Amount of Line 1~ et Spousal rate
16. Amount of Line 1~ ~axabla et Lineal/Class A rate
17. Amount of Line lr* et Sibling rate
18. Amount of Line lr~ taxable et Collateral/Class B rate
19. Principal Tax Duo
TAX CR_~PITS:
PAYMENT RECEIPT DISCOUNT (+)
DATE NUNBER /NTEREST/PEN pAID (-)
ZF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
AHOUNT PAID
TOTAL TAX CREDIT I .00
BALANCE OF TAX DUEI . O0
INTEREST AND PEN. .00
TOTAL DUE . O0
( 1F TOTAL DUE 1S LESS THAN $1, NO PAYHENT IS REQU[RED.
1F TOTAL DUE 1S REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCT/ONS.)
RESERVATION:
PURPOSE OF
NOTICE:
PAYNENT:
REFUND (CR):
OBJECTIONS:
ADNZN-
[STRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December 12, 1982 -- if any futura interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Coeeonxealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
To ~ulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit aith your payment to the Register of Hills printed on the reverse side.
--Hake check or money order payable to: REGISTER OF RILLS; AGENT
A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (RE¥-1313). Applications arm available at the Office
of tho Register of Nills, any of the 23 Revenue District Offices, or by calling the special 24-hour
answering service for forms ordering: 1-800-362-Z050; services for taxpayers with special hearing and / or
speaking needs: 1-500-447-3020 (TT only).
Any party in interest nat satisfied aith the appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object aithin sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021,
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
OR
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes; ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601
Phone (717) 767-6505. See page 5 of tho booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
If any tax due is paid within three (3) calendar months after the dacedant's death, a five percent (52) discount of
the tax paid is allowed.
The 152 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
six (6X) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January 1, 1962 will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOOZ are:
Year Interest Rata Daily Interest Factor Year Interest Rate Daily Interest Factor
1982 207. .000548 1992 92 .000247
1983 162 .000438 1993-1994 72 . O0019Z
1984 llZ .000301 1995-1998 92 .000247
1985 132 .000356 1999 7Z .000192
1986 IOZ .000274 2000 82 .000219
1987 9Z .000247 2001 9Z .000247
1988-1991 117. .000301 2002 62 .000164
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID
X NUNBER OF DAYS DELINiWENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.