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Home My WebLink About01-27-09 (2)I15A FIRST Lg55 {OR.~VEIj UR L kA [T f g ,#,? R ? r $ q~ r~ .f~ :d ~F ~' r' e 1 ~ ~ ~~ ~ ,F . .~}.. ;~ ~: ~°` ~s f._ ~... r. _..._ _4. ., _, .. ~ ' ~~~ '7 p g ~~ J~k~ ~ 1 f ~f ~~' 0~ ~.iLL ~ ~ ClJ''~~ ~` :~q d ~ _ ~~ r ~ 1 ~~ d q_ ~_ 0 0 0 y N GL ~ V1 Q ~~nw ~,~ cn aaaa°.° 3 Paz ~ _ nO J 0 0 .../ d V L~ L •rJ {~1 ~,~ } tit `7M i1'~i~ .~., .,~, PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES ~^;~~.QN D Po Box zaocol TAXPAY~~R ~~$RUMSE HARRISBURG PA 17128-0601 REV-1543 EX AFP (09-OB) FILE N0. 21 ~~ ~>~-~ ACN 08160343 DATE 12-11-2008 BETTY M SIPE 16 W MAIN ST NEWBURG PA 17240 e'(~~ ~ ,,ds~ ~~ 2 sz~'~1 ~: ~ORAH A BLACK SSN 163-44-0418 ~~ ..~ ~~r~~,` ~~~l~A~ OF DEATH 09-14-2008 U1J ~~- ;~ ~c~p~'~' CUMBERLAND REMf~ PpJMENT AND FORMS TD: REGI'STE~ OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. ORRSTOWN BANK 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 ioint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to tY(is 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) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 531413 Date 10-01-2001 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance 76 payment to the Register of Wills. Make check $ 2, 611 . payable to "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax $ NOTE: If tax payments are made within three 1,305 88 . months of the decedent's date of death, TaX Rate ~( ~ lrj deduct a 5 percent discount on the tax due. Potential TaX Due $ 1 9 5.8 8 Any Inheritance Tax due will become delinquent nine months after the date of death. P T TAXPAYER RESPONSE ~ ~ FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX A55E55MENT 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 H E C K 0 N E a discount or avoid interest, or check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. [ B L 0 C 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. C. The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3~ below. PART It indicating a different tax rate, lease state ~ OFFICIAL llSE ONLY relationship to decedent: _ ~~1~~~_ Q AAF PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Dctc Established 1 f ~ - O ~- a.0 0 _ ~ 2. Account Balance 2_ +fi a.. ~O ( ~ .7 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ _~ ~ ~ S . 4 5. Debts and Deductions 5 _ ~ '~ 5 6. Amount Taxable 6 $ ~ ~ 6 7. Tax Rate 7 X ~ a • 7 8. Tax Due g $ ~ $ PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct anGd complete to the best of my knowledge and belief. HOME C -] 1 ~ ) ~'~' p~. 3 -O ~ O _~ WORK ( ) ~ _ .~ ~ cj TAXPAYER S NATURE TELEPHONE NUMBER DATE :u:q~ .mincer on nine 5 or (ax computation) 8 -• O -. 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 CForm 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 1 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 after l2/12/82, accounts the decedent put in joint names within one year 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 C^~) 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 SURVIVNNGBJOINT 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 CJOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7 percent (TAXABLE TO EACH SURVIVOR) 4 5 6 7 t The tax rate imposed on the net value of transfers from a deceased 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. Yau 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 OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR THE BUREAU DF INDIVIDUAL TAXES, AT C717) 787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS ONLY: 1-8~0-447-320. ~ ` The percentage taxable for assets created within one near 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 MULTIPLIED BY 100 = PERCENT TAXABLE DWNERS 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 percent (TAXABLE FOR EACH SURVIVOR) The amount subject to tax CLine 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 tau 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 child 21 years 15 percent of age or younger a COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 010823 SIPE BETTY M 16 WEST MAIN STREET P O BOX 75 NEWBURG, PA 17240 -------- fold ESTATE INFORMATION: ssN: is3-44-o4~s FILE NUMBER: 2109-0086 DECEDENT NAME: BLACK DEBORAH A DATE OF PAYMENT: 01 /27/2009 POSTMARK DATE: 01 / 1 6/2009 couNTY: CUMBERLAND DATE OF DEATH: 09/ 1 4/2008 REMARKS: SEAL CHECK# 6922 ACN ASSESSMENT AMOUNT CONTROL NUMBER 08160343 ~ 558.76 TOTAL AMOUNT PAID: REV-1162 EX(11-961 558.76 INITIALS: JN RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS