HomeMy WebLinkAbout03-24-09 (2)COMMONWEALTH OF PENpiSYLVANIA
DECAgTMENT OF REVENUE
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RECEIVED FROM: PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 011033
SAVIDGE GEORGE
101 N 36TH STREET
CAMP HILL, PA 1701 1
ACN
ASSESSMENT AMOUNT
CONTROL
-- -'°'° NUMBER
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 141-12-6695
2109-0282
SAVIDGE MARGARET M
03/24/2009
03/23/2009
CUMBERLAND
01/10/2009
REMARKS: GEORGE SAVIDGE
TOTAL AMOUNT PAID:
CHECK#642
INITIALS; WZ
SEAL
RECEIVED BY:
$514.32
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INOIVIOUAL TA%ES
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HARRISBURG PA 17128-BSgl
REV-1543 E% EYP [OB-OB)
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21 - Q~ _ ~r6 C~
ACN 09108149
DATE 02-12-2009
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GEORGE SAVIDGE
101 NORTH 36TH STREET
CAMP HILL PA 17011
EST. OF MARGARET M SAVIDGE
SSN 141-12-6695
DATE OF DEATH 01-10-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provitled the Department with the infprnati on below, which has been usetl in calculating the
potential tax tlue. Records indicate that at the tleath of the above-named tlecetlent, you were a ]oink owner/beneficiary of this account.
If you feel She inf am ation is incorrect, please obtain written correction from the financial institution, attach a copy to This torn
and return it to the above address. This account is Taxable in accordance with The Inheritance Tax laws of the Cpmn onw ealth of
Pennsylvania. Please call OI7) 787-8327 wikh questions.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FDR FILING AND PAYMENT INSTRUCTIONS
Account No. 182503-42
Account Balance
Parc ant Taxable
Amount Subject to
Tax Rate
P otantial Tax Dua
PART
Date 08-13-2007
Established
$ 24,061.89
X 50.000
- _ ~`, 12, 030.95
To ensure proper credit ko the account, two
copies of this notice must attom pam
pave ant to the Register of Wills. Make check
payable ko "Ragisk er of Wills, Agent".
NOTE: If Yax payments are made within three
months pf the tlecedent's date of death,
tleducY a 5 percent discount on the tax tlue.
Anv Inheritance Tax due will become delinquent
nine months after the tlate pf tleath.
A.~The above information and tax due is correct.
(fE~ Ramik payment to the Reeister of Wills with two copies of this notice to obtain
C HEC K a tliscounk ar avoid interest, or check box "A" and return This notice to the Register pf
ONE Wills antl an official assessn ant will be issuetl by the PA Oapartn enk of Revenue.
BLOCK ~ B. ~ The above asset has been or will be reported antl tax paitl with the Pennsylvania Inheritance Tax return
ONL Y to be filed by the estate represent alive.
C. ~ The above inf orna ton is incorrect and/or debts and detlucti ons were paid.
C ompl ate PART ~ and/or PART ~ below.
PART If Sndicatin9 a tlifferent Tax rate, please state ~~ '°~'
relationship to deco tle nt:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Cate Established 1 ~' e
2. Account Balance 2 +~`
3. Percent Taxable 3 X a
4. Amount Subject to Tax 4 $ a a
5. Debts and DetlucYf ons 5 ~~
6- Amount Taxable 6
7. Tax Rate 7 X I
8. Tax Due n $ aP .. ,,
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on LSne 5 of Tax ComputatloN g
Under penalties of perjury, I declare that the facts I have repo rtetl a-fbove are true, correct and
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'"/f~'~l//'. WORK ('Ii7) ~f-St///Z/U
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DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information
submitted by the Hnancial institution.
2. Inheritance Tax becomes delinquent nine months after the decedent's date of death.
3. A ioint account is taxable e n when the decedent's name was added as a matter of convenience.
4. Accounts Gnclutling those held between hu sbantl and wife) the decedent puk in joint names within one year prior to
death are fully taxable.
5. Accounts est ablishetl 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 fully taxable.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notice a correct and deductions are not being claimed, place an "X"
in Block A of Part 1 of the "Taxpav er Response" secki on. Sign two copies and submit them wikh 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. BLOCK B - If the asset specified on this notice has been or will be reported and tax void with the Pennsylvania Inheritance
Tax Ratu rn fil etl by the estate's representative, place an "X" in Block B of Part 1 of the "T axpav er Response" section. Sign one
copy and return to the register of wills of the country indi toted.
3. BLOCK C - If the notice information is into neck 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 Then with your check for the amount of tax payable to the register
of wills of the county indicated. The PA Deparkm ent of Revenue will issue an official assessment (Porn REV-1548 E%) upon receipt
of the return from the register of wills.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Enter the data the a count on ginally was established or titled in the manner ex istine at dake of tleat h.
NOTE: For a decedent who died after 12/12/82, accounks the tlecetlent out in joink names within one year of death are
fully taxable. Haw eve r, there is an exclusion nok to exceed 53,000 per transferee, regartll ess of The value of
the account ar the number of accounks held.
If a double asterisk (~~) appears before your first name in Yha address portion of this notice, the 63,000 exclusion
was deducted from the account balance as repo rtetl by the financial institution.
2. Enter the Total balance of the a count including interest accrued to the date of death.
3. The pe rcenkage of the account that is taxable to each survivor is tlete rmi ned as follows:
A. The percentage taxable of joint assets established more than one year prior to the tlecedenk's death:
1 DIV IDEO BV TOTAL NUMBER DF DIV IDEO BY TOTAL NUMBER DF MULT IPLIEO BV 100 = PERCENT TAXABLE
JOINT OWNERS SURVIVING JOINT OWNERS
Example: A ioint asset reeiste red in the name of the decetlenk and two other persons:
1 DIVIDED BV 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 gf the decedent's death or accounts owned by the tlecetlent but held
in Yru st for another individual(s) (trust beneficiaries):
1 OIV IDED BV TOTAL NUMBER OF SURVIVING JU [NT MULTIPLIED BV 100 = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
Ex amyl a: Joint account registered in The name of the decedent and two other persons and established within one year of death by
the tlecetlent.
1 DIVIDED BY 2 (SURVIVORS] _ .50 X 100 = 50 percent (TAXABLE FOR EACH SURVIVOR)
4. The an ount subject to tax (Line 4) is dete rminetl by multiplying the account balance (Line Z] by the percent taxable (Line 3).
5. Enter the total of the debts and deductions li stetl in Part 3.
6. The amount taxable (Line 6) is determined by subtracting The debts and deductions (Line 5) from the amount subie ck to tax (Line 4).
7. Enter the appropriate tax rate (Line 7) as determined below.
sT he tax rate inpasetl on the net value gf transfers from a deceased child 21 years of age or younger at
death to or far the use of a nakural parent, an adoptive parent or a stepparent of the child is 0 De rcenY.
The lineal class of heirs includes grandpa rants, parents, children and other lineal descendents. "Children" includes natural children
whether o not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the
nakural parents and their tlmscen dent s, whether or not they have been adopted by others; adopted descendents and Their descendants;
and step-descendants. "Siblings" are defined a individuals who have at least one parent in common with the tlecetlent, whether by blood
or adopkion. The Collateral class of heirs includes all other beneficiaries.
CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and detluctigns are determined as follows:
Date of Death Spouse Lineal SiblSng Collateral
07/01/94 to 12/31/94 3 pe reent 6 percent 15 percent 15 percent
01/01/95 to 06/30/00 0 percent 6 percent 15 percent 15 percent
07/01/00 tp present 0 percent 4.5 percent ~ 12 pe rc eni 15 percent
A. You are legally responsible for pave ent, or the estake subject to atlmini st ration by a personal representative is insufficient
to pay the deductible items.
B. Vau actually paid The debts after the death of the decedent and can furnish proof of paYm ent.
C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use B 1/2" x 11" sheet of paper Proof of
payment nay be requested by the PA Department of Revenue.