The URL can be used to link to this page

Home My WebLink About12-12-08COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIYIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. ~~~~ ~~C' 2 P~ ~L~~ ~~ST. OF GLADYS P MATTER S.S. N0. 164-30-3520 C~E,~'{~ 1;~ DATE OF DEATH 03-17-2008 OR~^-t-';'^,;4°~f';~ ~OI.IR~ COUNTY CUMBERLAND EUGENE MATTER 400 POPLAR AVE NEW CUMBERLAND PA 17070 REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 P S E C U 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 Tax Laws of the Commonwealth of Pennsylvania. puestions may be answered by calling 0717) 787-8327• COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS INFORMATION NOTICE FILE N0. 21 08-0363 !^~~-~- ~ • ACN 08122085 ;,'t-~TN-~PAYER RESPONSE - DATE 05-16-2008 ~~ ._ TOTAL (Enter on Line 5 or iax compuca a one ~ Under penalties of perjury, I declare that the facts I have reported above are ~t/rue, correct and complete to the t of _my knowledge and belief. HOME C7~7 ) ~ 7 / ~ ~ ~7 ~~ ~`~~ WORK C ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE 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 REY-1548 IX) 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 (~^) 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 = 16.7Y. (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 Cline 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 Cline 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-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. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 ~~ _,. ,~ , REV-1543 E%~ jfV.gO,; INFORMA AND NOTICE FILE N0. 21 08-0363 -~. ~~-~p1~X~tAYER RESPONSE ACN 08122086 ~.~'r~~,_:,. ,} DATE 05-16-2008 i ~ ~ _. __ TYPE OF ACCOUNT 1QQ$ QED ~ 2 ~~ ~2. T. OF GLADYS P MATTER ® SAVINGS ~~. N0. 164-30-3520 ^ CHECKING DATE OF DEATH 03-17-2008 ^ TRUST C~~R'~ ~~' COUNTY CUMBERLAND ^ CERTIF. ORPH,~",~' a ~r~U~T ~ Iq;'f'.r-;-j;. ,., ;, -.~ ,~ hn REMIT PAYMENT AND FORMS T0: EUGENE MATTER REGISTER OF WILLS 400 POPLAR AVE CUMBERLAND CO COURT HOUSE NEW CUMBERLAND PA 17070 CARLISLE, PA 17013 P S E C U 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 paint 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 nay be answered by calling C717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0 16430 3520-$7 Date 09-27-1985 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 384.44 payable to: "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax 192.22 C3) months of the decedent's date of death, Tax Rate X .045 You may deduct a 5% discount of the tax due. Any inheritance tax due will became delinquent Potential Tax Due 8.65 nine (9) months after the date of death. PART TAXPAYER RESPONSE iii€ .:~ €:: €~ ..:..... ..... ~ .. ~ ' :~~ i:.:• :,; .............................. R.....,........................ ......:.......................... _......... ~~ . ~ fi:'°:~~I.....A~i,....#~~f:~.I.~.~At......'_E`1....A~~E:~`.E~Ifi...HA~.E~t:..~....fiHI. .:.~1~fiI,~'."~::. .............. 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 a discou nt or avoid interest, or you may check box "A" and return this notice to the Register of CHECK Wills an d an official assessment will be issued by the PA Department of Revenue. ONE /' B L 0 C K C S,,( B. ~,I The above as set 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 void by you. Yau must complete PART ^ and/or PART ^ below. PART If you indicate a different tax rate, please state your ~'~'~~~ ~~~?iig~~~~`ji 2 relationship to decedent: ~ i€~~ ~iiii~€~ ~i~~~i~ii~'~=!si ~iiii~ ii€~ €~~ iii - COMPUTATION OF TAX RETURN T/TRUST ACCOUNTS T X ON JOIN A ..~s~€~€~='•.~€~~~"€~€~€~€~~~s~€€~€€~s"i~i~~~ ~~~isii~iii~ii~€~i~iii 1 IN 1. Date Established L E Pi 2 2. Account Balance !~€'"~~€[~€~iii~i~ii~i`ii~~~~~i^; Ei~ii~ii~ii[~iyiiii~ ~is=iii~~'•.~~~i1ii€=i 3 3. Percent Taxable X ~ii~ ~€~€~€~iiii~~~~~~ii~ii~_~~[~iii~'~~~;~~~~~`:~i~€~€~iPi~i~iii :::::::::::::: j o ax 4 4. Amount Sub ect t T :-•:•:•::•- si~~.~.Iii'"``'~~'~"~E~~~~f€~€'s~!=~~~~~€€~~i~~~~si~~~!~f 5. Debts and Deductions 5 - - '•.i€€€ 6 6. Amount Taxable tiiiiiii''`~'i~iisii~iiiii~i~ii~i~iiiiiiiiiiiii~i~~iiiisi~liii€l€!~[iiii€i`"ii~;~iiz 7 7. Tax Rate X iii~i=€€ 8 e 8 Tax Du `~i€~'iiii~ i€~ iiiiiii~ ~=i=i'iiii ~~iiiii ~`iiiisi= _iii~ iii iiii~ ~E~i~ii~i€~ iIi€~€€€~iii~ iii;; PART DEBTS AND DEDUCTIONS C LAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) 8 Under penalties of perjury, I declare that the facts I have reporyt.ed above are true, correct a~n/d complete to the best of my knowledge and belief. HOME C~~7 ) 71 7 ~3 8'~z ~~ ~~~/~_ WORK C ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE 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 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 joint names within one year prior to death are fully taxable as transfers. 5. Accounts established jointly between husband and wife mare 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 (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 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 parsons. 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 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. ^The tax rate imposed on the net value of transfers from a deceased child twenty-ane years of age or younger at death to or for the use of a natural parent, an adoptive parent, ar a stepparent of the child is B%. 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 ar 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. 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% COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-06D1 REV-1543 E% INFORMATION NOTICE ;,....., , . AND 'Li ,,;1Tipf%1,~1(ER RESPONSE .,i . _~ FILE N0. 21 08-0363 ACN 08122087 DATE 05-16-2008 ~~Q$ D~~ ~ 2 PM ~2~'8. OF GLADYS P MATTER S.S. N0. 164-30-3520 C~ER~~; DATE OF DEATH 03-17-2008 O~if~~"('i,~n,~'~ ~,~'(J~j COUNTY CUMBERLAND !~ r TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. C~'~`• ~i.,~~•r~~ REMIT PAYMENT AND FORMS T0: EUGENE MATTER REGISTER OF WILLS 400 POPLAR AVE CUMBERLAND CO COURT HOUSE NEW CUMBERLAND PA 17070 CARLISLE, PA 17013 P S E C U 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 Tax Laws of the Commonwealth of Pennsylvania. Cuastions may be answered by calling 0717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0164303520 Date 09-27-1985 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 1 , 097 • 83 payable to: "Resister of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to TaX 548.92 (3) months of the decedent's date of death, Tax Rate X .045 You may deduct a 5Y. discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 24 • 70 nine (9) months after the date of death. PART TAXPAYER RESPONSE :::.:. : ~: :: .:.:. :.:. ~:::: : :..... .:.: :~:~ :::. ~ .:::::::::::::::: •::~;: ~.: ; :: ;::~::: :..:::~,. €~'~ CHI€€`~'fl~'`•I` ~~€ ^ :.:-: :- ::: :,:::::: ::.: :.:. :.....:.:.: . ~ :.:.:...: ,.: :~:::D:FF:I:SAE.:.:.fiA'N:...~~~:E~~~I~Ifi::~A~3~:.:~:.:: "~................:.::~:~:::~:~:::::~:: ~::::::: ...~.1~i~A~Bri~.....'T~.....B~~i?!~~iD:..1t~~LL..-_ ~'#!.!'I~.....I~l...llt~. :..........._ ............................... ........................................ A. ~ The above information and tax due is correct. 1. You may choose to resit vavment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, ar vau 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. he 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 vou. You must complete PART 2^ and/or PART ~ below. ease state our Lf au indicate a different tax rate, P1 Y PART Y :::::::mac::::::::: ~:::::::;::::~::..... ::: .:.:.:.:.:::::..., ~~~•~•~•~•••••~~•••~•~•~•~••~• ~ ~ ;_: . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ~ ' ~ 2 re lationship to decedent: .aa[!tt r~ :a<::.;...st~, ~~ ?~i~ef~i ~"'' i °ii€i ~~ i€<:~ <<< t:~ ~<:;[:~ t: ~s=s:~:: _-_..... _..p~_•.,~~~•Ag~~~~y{~•.•IyI„*_,_~~~~I.~~.,: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 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 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 or iax compuca a on, ~ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. HOME f7/7 ) 77 `/~ ~ ~~~ Y ~~ j~~~ WORK C ) TAXPAYER SIGNATURE TELEPHONE NUMBER DATE 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 out 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 CForm 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 CForm 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: Far 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 (**) 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. I DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 CSURVIYORS) _ .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 lOD = 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 Cline 2) by the percent taxable Cline 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 avpropriate 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: 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.