HomeMy WebLinkAbout04-0375COMMONMEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG, PA 17128-0601
I ZNFORMATZON NOTZCE
AND
TAXPAYER RESPONSE
REV-I$¢S EX AFP (09-00)
LOIS C LOZ
1516 CARLISLE RD
CAMP HILL
ACN Oq1159q7
BATE Oq-O6-2OOq
EST. OF CRYSTLE MCGRAIL
S.S. NO. 071-$2-1705
DATE OF DEATH 08-Z$-2005
COUNTY CUMBERLAND
PA 1701!
TYPE OF ACCOUNT
[] SAVINGS
[] CHECKING
[] TRUST
[] CERTTF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF HILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 1701::5
PNC BANK 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 ware a joint Donor/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach e copy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax LaNe of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART [ BELON x # # SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 51q0Z86581 Date 08-25-1991
Established
Account Balance Z, 58q. 07
Percent Taxable X 16. 667
Amount Subject to Tax 597.55
Tax Rate X . Oq5
Potential Tax Due 17.88
To insure proper credit to your account, two
(Z) copies of this notice must accompany your
payment to tho Register of Mills. Make check
payable to: "Register of Mills, Agent".
NOTE: If tax payments are made within three
(3) months of the dacadont's date of death,
you may deduct a 5Z discount of tho tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART TAXPAYER RESPONSE
A.~The above information and tax due is correct.
1. You may choose to remit payment to the Register of Mills 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
E CHECK -'1 ,ills and an official assessment will be issued by the PA Department of Revenue.
ONE
BLOCK D. ~The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
ONLY ~ to be filed by tho decedent's representative.
~Tha above information is incorrect and/or debts and deductions ware paid by you.
C.
You must complete PART ~l and/or PART ~] below.
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS iii?iiiiiiiii!!!! !
LINE 1. Date Established
2. Account Balance
$. Percent Taxable
q. Amount Subject to Tax q
S. Debts and Deductions S
6. Amount Taxable 6
7. Tax Rate 7 ~
8. Tax Due 8
PART
DATE PAID
DEBTS ANB BEDUCTZONS CLAIMED
PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) $
Under penalties of perjury, I declare that the facts T have reported above are true, correct and
co~te to the bast o,_~knowladge and belie,. HOME ('"~(?) ~ ~.~/ ~ - ~ ~ ~
TAXPAYER SIGNATURE ~ TELEPHONE NUMBER DATE
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2806O1
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 003846
LOIS C LOZ
1316 CARLISLE ROAD
CAMP HILL, PA 17011
........ fold
SSN: 071-32-1703
I ESTATE INFORMATION:
FILE NUMBER: 2104-0375
|DECEDENT NAME: MCGRAIL CRYSTLE
DATE OF PAYMENT: 04/19/2004
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 08/23/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
04113947 $17.88
.REMARKS:
LOIS C LOZ
SEAL
CHECK# 1 22
TOTAL AMOUNT PAID:
INITIALS: AC
RECEIVED BY:
917.88
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
E-143 EX (399)
Attention: T/C 340
Zip Code
PA DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 28O6O1
HARRISBURG PA 171284)601
I,,,llh,,h,,ll,,hlh,hlh,,,Ih,lh,,,,,Ihh,II
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
JOSEPH J HCGRAIL
1516 CARLISLE RD
CAHP HILL
COHHONNEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF XNHERXTANCE TAX
APPRAISEHENT. ALLONANCE OR DISALLOHANCE
OF DEDUCTIONS, AND ASSESSNENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
F .
PA 17,011
REV-i~$ EX AFP (01-05)
DATE 05-10-2004
ESTATE OF HCGRAIL CRYSTLE
DATE OF DEATH 08-Z3-ZO05
COUNTY CUHBERLAND
SSN/DC 071-32-1703
ACN 04113946
Amount Remi~ed
HAKE CHECK PAYABLE AND REHXT PAYHENT TO:
REGISTER OF NILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG TH/S L/NE
~.- RETAXN LONER PORT/ON FOR YOUR RECORDS
REV-15&8 EX AFP (01-03)
NOT/CE OF /NHER/TANCE TAX APPRA/SEHENT, ALLONANCE OR D/SALLONANCE OF
DEDUCT/ONS, AND ASSESSHENT OF TAX ON JO/NTLY HELD OR TRUST ASSETS
DATE 05-10-2004
ESTATE OF HCGRAIL
CRYSTLE
DATE OF DEATH 08-23-2003 COUNTY CUHBERLAND
FILE NO. S.S/D.C. NO. 071-32-1703 ACN 04113946
TAX RETURN HAS: (X) ACCEPTED AS FILED ( ) CHANGED
JO/NT OR TRUST ASSET XNFORHAT/ON
FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO.
5140286381
TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TINE CERTIFICATE
DATE ESTABLISHED 08-23-1991
Account Balance 2,384.07
Percent Taxable X 0.166
Amount Subject to Tax 397.35
Debts and Deductions .00
Taxable Amount 397.35
Tax Rate X .00
Tax Due .00
NOTE:
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBHIT THE
UPPER PORTION OF THIS NOTICE
NITH YOUR TAX PAYHENT TO THE
REGISTER OF HILLS AT THE
ABOVE ADDRESS. HAKE CHECK
OR HONEY ORDER PAYABLE TO:
"REGISTER OF HILLS, AGENT."
TAX CREDZTS:
PAYHENT RECEIPT DISCOUNT (+) AHOUNT PATD
DATE NUHBER INTEREST/PEN PAID ¢-)
TOTAL TAX CRED/T I
BALANCE OF TAX DUE
/NTEREST AND PEN.
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REgUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. )
.00
.00
.00
.00
PURPOSE OF
NOTICE:
To fulfill the requirements of Section Zl4O of the Inheritance and Estate Tax Act, Act Z3 of 2000. (TI P.S.
Section 9160).
PAYHENT:
REFUND (CR):
OBJECTIONS:
ADNZN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the
reverse side.
-- Hake check or money order payable to: REGISTER OF HILLS, AGENT.
A refund of a tax credit, ahich ams nat requested on the tax return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of
the Register of #ills, any of the ZS Revenue District Offices or by calling the special Ze-hour answering service
for fores ordering: 1-800-36Z-ZO50; services for taxpayers Hith special hearing and or speaking needs:
1-BOO-647-30ZO (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment
of tax (including discount or interest) as shown on this Notice may object within 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, OR
--electing to have the matter determined et the audit of the account of the personal representative, OR
--appeal to the Orphans' Court
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Reviea Unit, DEPT. Z80601, Harrisburg, PA 171Z8-0601
Phone (717) 787-6505. See page 5 of the 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 decedent's death, a five percent (SI)
discount of the tax paid is alloaed.
The 15Z 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 bean 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 ahich became delinquent before January 1, 198Z
bear interest at the rate of six (el) percent per annum calculated at a daily rate of .000164.
AIl taxes ehich became delinquent on or after January 1, 198Z mill 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 198Z through 2004 are:
Interest Daily lnterest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20Z .000568 198'-~-1991 llZ .000301 2001 9Z .000247
1983 16Z .000438 199Z 9Z .000247 2002 6Z .000219
1984 Ill .000301 1993-1996 7Z .OOOZgZ 2003 5Z .000137
1985 13Z .000356 1995-1998 9Z .000247 2004 6Z .OOOllO
1986 ZOZ .O00276 1999 7Z .OOOlgZ
1987 9Z .000Z47 2000 8Z .000Z19
--Interest is calculated as follows:
ZNTEREST= BALANCE OF TAX UNPAZD X NUNBER OF DAYS DELINQUENT X DAZLY ZHTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. Xf payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
LOIS C LOZ
1516 CARLISLE RD
CANP HILL
PA 17011
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTXCE OF INHERITANCE TAX
APPRATSEI~ENT. ALLONANCE OR DXSALLONANCE
OF DEDUCTXONI~j AND ASSESSHENT OF TAX ON
JOTNTLY HELD OR TRUST ASSETS
DATE 06-21-2004
ESTATE OF MCGRAIL
DATE OF DEATH 08-25-2005
FILE NUMBER 21 04-0575
COUNTY
SSN/DC
ACN
I
CUMBERLAND
071-52-1705
04113947
Amount Remitted
REV-lB46 EX AFP (01-05)
CRYSTLE
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS '~
REV-1548 EX AFP C01-05)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-21-2004
ESTATE OF MCGRAIL
CRYSTLE
DATE OF DEATH 08-25-2005 COUNTY CUMBERLAND
FILE NO. 21 04-0575 S.S/D.C. NO. 071-52-1705 ACN 04115947
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK ACCOUNT NO. 5140286581
TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TINE CERTIFICATE
DATE ESTABLISHED 08-25-1991
Account Balance 2,584.07
Percent Taxable X 0.166
Amount Sub§mcr to Tax 597.35
Debts and Deductions .OO
Taxable Amount 597.55
Tax Rate X .45
Tax Due 17.88
TAX CREDTTS:
NOTE:
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE. ADDRESS. MAKE CHECK
OR MoNEy ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-19-2004 CD005846 .00 17.88
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
17.88
.00
.00
.00
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN 91, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
PURPOSE OF
NOTICE=
PAYMENT=
REFUND CCR)=
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST=
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S.
Section
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the
reverse side.
-- Make check or money order payable to= REGISTER OF WILLS, 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°° (REV-ISIS). Applications are available at the Office of
the Register of Wills, any of the 25 Revenue District Offices or by calling the special 24-hour answering service
for forms ordering: 1-800-562-2050; services for taxpayers with special hearing and or speaking needs:
1-800-447-$020 (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment
of tax (including discount or interest) as shown on this Notice may object u/thin sixty (60) days of receipt of
this Notice by:
--uritten protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--electing to have the matter determined at the audit of the account of the personal representative, OR
--appeal to the Orphans' Court
Factual errors discovered on this assessment should be addressed in ur/ting to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN= Post Assessment Revieu Unit, DEPT. 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" CREV-1501) for an explanation of administratively correctable errors.
If any tax due is paid within three ($) calendar months after the decedent's death, a five percent
discount of the tax paid is aliowed.
The 15X 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 uith first day of delinquency, or nine (9) months and one (1) day
from the date of death~ to the date of payment. Taxes uhich became delinquent before January 1, 1982
bear interest at the rate of six (&X) percent per annum calculated at a daily rate of
All taxes which became delinquent on or after January 1, ]982 uill bear interest at a rate uhich will vary from
calendar year to calendar year uith that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2004 are=
Interest Daily Interest Daily Znterest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20~ .0005~8 1988-1991 11X .000501 2001 9~ .0002~7
1983 16X .000~38 1992 9~ .000247 2002 6~ .000219
1984 11~ .000301 1993-1994 7~ .000192 2003 5~ .000137
1985 15~ .00035& 1995-1998 9~ .000247 200~ 4X .000110
198& lOX .00027~ 1999 7X .000192
1987 9~ .000247 2000 8~ .000219
--Interest is calculated as follows=
TNTEREST = BALANCE OF TAX UNPA'rD X NUNBER OF DAYS DELXNI]UENT
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 shoun on the
Notice, additional interest must be calculated.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Robert L. Blosser
Date of Death: 5/24//2004
Will No. 21-04-0375
Admin. No.
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Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate.
1. State whether administration of the estate is complete:
Yes
No
x
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
9/1/06
3. lfthe answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes
No
b. The separate Orphans' Court No. (if any) for the personal representatives
account is:
c. Did the personal representative state an account informally to the parties in
interest?
Yes
No
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date: 4/28/06
. riffie, Esquire
orth Hanover Street
Carlisle, PA 17013
(717) 243-5551
(800) 347-5552
Capacity: _ Personal Representative
l Counsel for personal representative
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