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Home My WebLink About03-31-09 PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES INFORMATION NOTICE PO BOX 280601 HARRISBURG PA 1 7128-0601 - - A N D TAXPAYER RESPONSE FILE N0. 21 09-0166 REV-1543 E% AFP (09-bB7~ ~ _.. ~ ACN ,:, 09113644 DATE 03-09-2009 r~ gg 7~`~7 ~rii~ ~ I iipp hheC ~li'~ I I' UU TYPE OF ACCOUNT EST. OF WILLIAM J OTSTOT ^ SAVIN ~'~ ~ ~ ~,~p SSN 174-05-3820 i , T DATE OF DEATH 01- GS ® CHECKING ~ ~~ ~~ •- , f 20-2009 ''' COUNTY CUMBERLAND ^ rRUST JANIE R BAKER ~~h! REMIT PAYMENT AND FORMS T0: ^ CERTIF. 883 SIDDONSBURG LEWISBERRY RD REGISTER OF WILLS PA 17339-9748 CUMBERLAND CO COURT HOUSE CARLISLE , PA 17013 PNC BANK NA po ential tax due. Records indicate that at the death of the above-named decedent, provided the Department with the information below, which has been used in calculating the If you feel the information is incorrect, joint owner/beneficiary of this account. p ease obtain written correction from the financial institution, attach a co 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 C717) 787-8327 with questions. PY to this form COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAVMFUr run•r.,.._____ Acceun* u., nn.. .. .. __ _ Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART CHECK ONE BLOCK ONLY -~~~~~i4uCC3b59 Date Established 06-18-2002 ••.• ...vv ~ 1Un1J To ensure proper credit to the account, two copies of this notice must accompany Payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent nine months after the date of death. $ 4,715.38 X 50.000 $ 2,357.69 X .15 $ 353.65 --~ R ~ CR rctsr''ONSE ~ATLURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX A55ES5MENT A• ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or check box "A" and return this notice to the Re Wills and an official assessment will be issued by the PA Department of Revenue. gister of B• ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the estate representative. C• ~ The above informs ion is incorrect and/or debts and deductions were Complete PART Z~ and/or PART 3^ below. Paid. PART If indicating a different tax ra , please relationship to decedent:~~ tate a uGF~ 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 y $ D ~U 5. Debts and Deductions 5 - C~v 6• Amount Taxable 6 $ ~. `_~ 7. lax Rate 7 X (L' 8. Tax Due B $ / ~<~ a~ PART 0 DATE PAID Iln rln .. I PAD I 2 3 4 5 6 7 8 AIMED DESCRIPTION TOTAL CEnter on Line 5 of Tax r ~,.,,.4_~___. AMOUNT PAID •-~-- ~ wT per0ury, I declare that ~ complete to the best of m the facts I have reported above are true, Y knowledge and belief. correct and ~ /~ . ~~ HOME (~~~ ~ ~77 - ~jiS~S/ ~C~ TAXPA R SIGNATURE /` WORK ( ~ J ~- ~, ~ ~ __ TELEPHONE NUMBER DAT DEBTS AND DEDUCTIONS CL PAYEE DFFICIAL USE DNLY ~ AAF PA DEPARTMENT DF REVENUE GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESUiTonIN AN OFFICIAL TAX ASSESSMENT wit thPplicable interest based on information submitted by the financial institut 2. Inheritance Tau becomes delinquent nine months after the decedent's date of dea 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 establishedecedenty"inttrusthfobananotherlor othershare fullyataxable,to death are not tauab e. 6. Accounts held by a - TAXPAYER RESPONSE - PART 1 REPORTING INSTRUCTIONS - If the information and comPURation in the notice are correct and deductions are not being claimed, Place an "X' 1. BLOCK A espouse" section. Sign two copies and submetwillmissue ancoff3cial assessment of in Block A of Part 1 of the "Taxpayer tax to the register of wills of the county indicated. The PA Department of evenu (Form REV-1546 EX) upon receipt of the return from the register of wills• „Taxpayer Response" section. Sign one - If the asset specified on this notice has been or will be reported and tax Paid with the Pennsylvania Inheri ante 2. BLOCK B "X" in Block B of Part 1 of the Tax Return filed by the estate's representative, Place an copy and return to the register of wills of the county indicated. claimed, check Block C and comPlatablerto thenregister 3, BLOCK C - If the notice information is incorrect and/or deductions are being according to the instructions below. Sign two copies and submit them with your check for the amount of tax P Y wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of of the return from the register of wills. - PART 2 - TAX COMPUTATION TAX RETURN 1. Enter the date the account originally was established or titled in the manner existing at date of dea LINE NOTE: For a decedent wHowever,athere 2is en6 a accounts the decedent put in joint names within one year of death are xclusion not to exceed 53.000 per transferee, regardless of the value of fully taxabl the account or the number of accounts held. If a double asteriYhe(accountebalanceoas reportedsbYnthe financialdinstitutionn of this notice, the 53,000 exclusion was deducted from 2. Enter the total balance of the ointuassetslestablishedemorecthandone Yea rdPriorftoethe decedent's death: 3, The percentage of the account that is tau able to each survivor is determined as follows: _ PERCENT TAXABLE A, The percentage taxable of 7 TOTAL NUMBER OF MULTIPLIED BY 100 1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY JOINT OWNERS SURVIVING JOINT OWNERS 16.7 percent (TAXABLE TO EACH SURVIVOR) Example: A joint asset registered in the name of the decedent and two other person 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ •167 X 100 g, The percentage taxable for asal(s)c<trust beneficiaries)e of the decedent's death or accounts owned by the decedent but held in trust for another individu MULTIPLIED BY 100 = PERCENT TAXABLE 1 DIVIDED BY OWNERSNORSTRUST BENEFICIARIESNT Example: Joint account registered in the name of the decedent and tw°EACHeSURVIVOR) and established within one year of death by the decedent. 50 percent (TAXABLE FOR 1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 4. The amount subject to tax Csian 4) is determined by multiPlYineb{he account balance (Line 2) by the percent taxable (Line d deductions listed in Part 3. s and deductions (Line 5) from the amount subject to tax (Line 4). 5. Enter the total of the debt 7. Entermthetapa opriateltaxbrate CLinem7)easbdeterminedlbelowe Collateral Lineal Sibling SPOUSe Date of Death 15 percent 15 percent 3 percent 6 percent 07/01/94 to 12/31/94 15 percent 15 percent 6 percent 01/01/95 to 06/30/00 0 percent * 12 percent 15 percent 0 percent 4.5 percent 07/01/00 to present ^The tax rate imPOSed on the net value of transfers from a deceased child 21 Years of age or Younger arent, an adoptive Parent or a stepparent of the child is 0 percent. death to or for the use of a natural P The lineal class of heirs includes grandparents. parents, children nn ad Pted byneal descendents. 'Chilhren" includes natural chi re t adopted children and step children. Lineal descendents" includes all children of the ed by others, others; adopted descende the decedent .~ whetherabysblood whether or not they have been adoD whether or not they have bee natural parents and their descendents, and step-descendants. "Siblings" are defined as individuals who have at least one parent in common or adoption. The Collateral class of heirs includes PARTer 3 neficiaDEBTS AND DEDUCTIONS CLAIMED CLAIMED DEDUCTIONS a personal representative is insufficient Allowable debts and deductions are determined as follows: A. You are legally responsible for payment, or the estate subject to administration by to pay the deductible items. g, You actually Paid the debts after the death of the decedent and can furnish proof of payment. , Debts being claimed must be itemPAeDepartment ofrRevenuef additional space is needed> use 6 1/2" x 11" sheet of paper. Proof o C payment may be requested by the TAXPAYER. ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONLACT ANY REGISTER OF WIL DISTRICT OFFICE OR THE BUREHEARINGNAND/ORASPEAKING NEEDS PA DEPARTMENT OF REVENUE (717? 787-8327. SERVICES FOR TAXPAYERS WITH SPECI ONLY: 1-800-447-3020.