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HomeMy WebLinkAbout11-06-08 pR gpYLE .'1 & ELEA1`i 9 10~,„,,,,. , ~ ..~'-~399-1009 ~ _~_ -- ,.. ai-6-~-aa3 ~~e~"".w i._A. W -` o z- f CJ~ ~ ©~ t {~''~' v. ? '~;) Cray i. ~. .~ } . C Sry (,~ y Cn t1 ~- ~7 Q ~ , ~~ -r ` ' ~tat~{~tta~~~attttt~~aa~~att~~ttt~~t~t~tatt~t~~a~aa~tltate~~a~ COMMONWEALTH OF PENNSYLVANIA DEPARTME'N~ OF REVENUE B~IREi~U' OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND. r ~,'~7#~f~1fER RESPONSE REV-1543 IX AFP (D9-007 FILE N0. 21 07-0233 ACN 08004932 DATE 09-11-2008 TYPE OF ACCOUNT „, ~~,~, w~ ~ I~65 OF FRANCES BOYLE ^ savINGs S.S. N0. 205-05-2863 ^ CHECKING ~~ DATE OF DEATH 03-08-2007 ^ TRUSr Ct~ COUNTY CUMBERLAND ^ CERTIF. ", REMIT PAYMENT AND FORMS T0: JAMES BOYLE REGISTER OF WILLS 109 RAINBOW DRIVE CUMBERLAND CO COURT HOUSE PO BOX 969 CARLISLE, PA 17013 LIVINGSTON TX 77399 AMERICAN SKANDIA ANNUITY has provided the Departwent with the inforwation 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 inforwation is incorrect, please obtain written correction frow the financial institution, attach a copy to this forty and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Cowwonwealth of Pennsylvania. Questions way be answered by calling C717) 787-8327. COMPLETE PART 1 BELOW * ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS C. ^ Tha above inforwation is incorrect and/or debts and deductions were paid by you. You roust cowplete PART 2^ and/or PART 3^ below. PART If you indicate a different tax rate, please state your ` relationship to decedent: 5 TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS . LINE 1. Date Established 1 '°" 2. Account Balance 2 ~%" ~r~:; ;? 3. Percent Taxable 3 X ~? 4. Amount Subject to Tax 4 ~, 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 X 8. Tax Due g PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Un r penalties of perjury,//~~I declare that the facts I have repor complete o the best of~ know~$dge and belief. ..,,.,~ ,G rue, cosrgct and ~~ - ~' ~"'~ WORK ( ) TAXPAYER SPGNATURE TELEPHONE NU ~V~AL .enter on Line s or Tax Computation) $ ~` GENERAL INFORMATION ~~ 1 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 point 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 point manes 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 far" 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. Sien two copies and submit then with your check far the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REY-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 Soint 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 nuwber 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 point assets established pore than on= 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 point 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 = 16.7Y. (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 = 50Y. (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 (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 OY.. The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children whether or not then 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: 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% 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. 00000225 ( ~~~ Prudential ~+ } Prudential Annuities Lite Assurance Corporation - Cj/ /e`j/f, ~7(a(~rr~~nl Annuity Service Center P.O. Box 73888 Philadelphia, PA 19778 Date• OCTOBER 20 2008 1380934135 Owner: FRANCES BOYLE JAMES BOYLE 109 RAINBOW DRIVE 969 Annuitant: FRANCES BOYLE LIVINGSTON TX 77399 Contract #: E0361267 Product: AS LifeVestll Market Type: Non Qualified Page 1 of 1 I sted above~The tabplet~below provides a brelakdown ofrhowswe detderrrhnednthet net checkeamountct Taxable amounts are reported to you and the Internal Revenue Service. The federal taxable amount of your payment is $ 9.01. The state taxable amount is $ 9.01. We have presented this information based on our knowledge of tax law. You may wish to consult your tax adviser if you have any tax questions. Because each situation is unique, neither the Company nor its representatives can provide tax advice. Financial Breakdown Information GROSS FUND WITHDRAWL AMT FEDERAL TAX WITHHOLDING DELAYED CLAIM INTEREST INVESTMENT GAIN LOSS NET AMOUNT OF CHECK 6443.08 0.90 18.29 -9.01 6469.48 S V~ z~t.,~:3 -~n. ~.A-x (VPAS d065982) PLEASE DETACH CHECK KEEP STATEMENT FOR RECORDS - - x =~~~°~~ , ~_ ,_ ~~ ~ ~ . ~ ~ `'. - 1380934135 Prudential Annuities Life Anurance Corporation ~» Prudential Annuity Service Center Wachovia Bank of Delaware, N.A. P.O. l3ox 73686 Wilmington, DE 19803 62-22 Philadelphia, PA 79176 31 f Contract No. E03612 ] Pay:.: ~~*~*>ti>ti>~c>r>t>ti;~S l X THOUSAN FOUR HUNDRED 51 XTY-NINE OCT 20 :2008 $~ti~**~6469.48 I ~>rt>ti~>ti:~~>k~~>ti~~:>ti~>ti>Ytt:~sti>r >t~>ti>ti~>r ND 48/100. LLARS Plea cash within 780 days Dollars Cents. To the ic~:c'.c~F:k >~itsY>C4c *t .~c7F7'c>ti~~t7Y4nY~c order of: JAMES BOYL a~.r..~~$~~' 1.09 RAINBOW RIVE 969 ** *~****~~** TREA URER LIVINGSTON TX 739 ....~ CONTROLL __ - - --_----- _-__ _ ~.-...._,r,r,~_~r.•-~nnnoLnrlIIl~FlLl18 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 010497 BOYLE ELEANOR 109 RAINBOW DR #969 LIVINGSTON, TX 77399-1009 fold ESTATE INFORMATION: ssN: 205-05-2863 FILE NUMBER: 2107-0233 DECEDENT NAME: BOYLE FRANCES DATE OF PAYMENT: 1 1 /06/2008 POSTMARK DATE: 1 1 /03/2008 COUNTY: CUMBERLAND DATE OF DEATH: 03/08/2007 REMARKS: CHECK# 2464 SEAL ACN ASSESSMENT CONTROL NUMBER REV-1162 EX111-961 AMOUNT 08004932 ~ 5292.09 TOTAL AMOUNT PAID: 5292.09 INITIALS: JN RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS