HomeMy WebLinkAbout01-23-09PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES _AND FILE ND. 21 ~~ ~C7
PO BDX 28D601 ~'~ , i .y. '~,,l,.,~
HARRISBURG PA 17128-06D1 - 1 A'JI~C"A~~'R_j'~ESPONSE ACN 09104451
REV-1543 E% AFP (OB-OB) "I~"'{ ~-- i '~: ,'~~,~` .-~ DATE 01 - 19 - 20 09
2~~9.1A~ 23 P~ ~~es~1 OF MERLE R SHARPE
SSN 160-12-5681
~~ ~~~{ rc DATE OF DEATH 11-29-2008
~'~p` ~~` ', '~~~,'g~OUNTY CUMBERLAND
~~~ ' '~..~ '~ FAIT PAYMENT AND FORMS T0:
LAURAY A KOENIG REGISTER OF WILLS
7580 MOWERSVILLE RD CUMBERLAND CO COURT HOUSE
NEWBURG PA 17240 CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
AMERISERV FINANCIAL provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a Joint owner/beneficiary of this account.
If you feel the 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. Please call (717) 787-B327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 50771841 Date 07-21-2006
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 6,667.75 payment to the Register of Wills. Make check
Percent Taxable X 16.667 payable to "Register of Wills, Agent".
Amount Subject to Tax $ 1, 111 .31 NOTE: If tax payments are made within three
months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Potential TeX DUe $ 50. O1 Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
1
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
BLOC 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 estate representative.
PART If indicating a different
relationship to decedent:
TAX RETURN - COMPUTATION OF
L'iNt 1 ll -
tax rate, please state
TAX ON JOINT/TRUST ACCOUNTS
ate 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 B $
PAD
1
2
3
4
5
6
7
8
OFFICIAL USE ONLY ~ AAF
PA DEPARTMENT OF REVENUE
'""' DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) g
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 C 11 ) Z, '
-- ~ ~,. n L~ ~~ WORK C ) q
TAXPAYER SIGN RE TELEPHONE NUMBER
- - DATE
C. The above infarma ion is incorrect and/or debts and deductions were paid.
omplete PART 2~ and/or PART 3^ below.
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 when the decedent's name was added as a matter of convenience.
4. Accounts (including those held between husband and wife) the decedent put in joint names within one year prior to
death are fully taxable.
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 fully taxable.
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 a 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 estate's representative, place an "X" in Block B of Part I of the "Taxpayer Response" section. Sign one
copy and return to the register of wills of the county indicated.
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 dea
NOTE: For a decedent who died afterl2/12/82, accounts the decedent put in joint names within one near of death are
fully taxable. However, there is an exclusion not to exceed S3,000 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
was 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 percentage of the account that is taxable to each survivor is determined as follows:
A. The Percentage taxable of joint assets established more than one year Prior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY SURYIYINGBJOINT OWNERS MULTIPLIED BY 100 = PERCENT TAXABLE
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 percent (TAXABLE TO EACH SURVIVOR)
B. The percentage 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 JDINT MULTIPLIED BV 100 = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
4
5
6
7
t
The tax rate imposed on the net value of transfers from a deceased c
death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent.
The lineal class of heirs includes grandparents, parents, children and other 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 are legally 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 the 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 8 1/2" x 11" sheet of paper. Proof of
payment may be requested by the PA Department of Revenue.
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY REGISTER DF 4lILLS,
PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR THE BUREAU OF INDIVIDUAL TAXES, AT
0717) 787-8327. SERVICES FOR TAXPAYERS WITH SPECIAE HEARING AND/DR SPEAKING NEEDS
ONLY: 1-8~~-447-3020.
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 percent (TAXABLE FOR EACH SURVIVOR)
The amount subject to tax (Line 4) is determined by multiplying the account balance (Line 2) by the percent taxable (Line 3).
Enter the total of the debts and deductions listed in Part 3.
The amount taxable (Line 6) is determined by subtracting the debts and deductions (Line 5) from the amount subject to tax (Line 4).
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 percent 6 percent 15 percent 15 percent
01/01/95 to 06/30/00 0 percent 6 percent 15 percent 15 percent
07/01/00 to present 0 percent 4.5 percent ~ 12 percent
hild 21 Years 15 percent
of age or younger a
., ~. `` I 1 ~ ..,.... ~ /
-r'~':i.. 51~
WILLIAM KISIEL FUNERAL HOME
1015 GRAHAM AVENUE WINDBER, PA 15963-1~9 JAI 23 Ph! 12~ 37
(814) 467-7500
Lois Sharpe
1262 Frances St.
Johnstown, PA 15904
Funeral of Merle Sharpe
CLERK ~r
ARP'-Er=,~F~ 01Jf~T
Cl'~ r - ~,~~, PA
r,
November 29, 2008
Services Selected $ 3,665.00
Casket Selected 1,595.00
Grave Opening 600.00
Wilbert Crypt 495.00
Vault Service Fee 250.00
Tent Setting 120.00
Newspaper Obituary 130.00
Clergy 75.00
Organist 50.00
8 Certified copies of Death Certificate ($6.00 Each) 48.00
Register Book, Prayer Cards, & Thank You Cards 50.00
Headstone Lettering NO CHARGE
Veterans Donation 25.00
7,103.00
Visitation Allowance -200.00
Total Due $6,903.00
Payment December18, 2008 (Ameriserve) -501
46
t3v~GA~(- ~~~~"~~ .
Balance 6,401.54
Payment January 17, 2009 6,401.54
Balance Due - 0 -