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Home My WebLink About04-08-09BUREAU DF INDIVIDUAL TAXES PD Box zaocal HARRISBURG PA 17128-0601 acv-asa a Kp ion ou PENNSYLVANIA INHERITANCE T INFORMATION NOTICE „~;-~ ter- ~ , .;_ AND t}4'fCPAYER RESPONSE FILE N0. 21 08-1099 ACN 09114553 DATE 03-16-2009 2009 APR -8 AM 10~ 08 EST. OF MARY SHAFFER CLERK OF ssN ORPHANS GOIJRj DATE OF DEATH 10-23-2008 CUMCacRL~?~7L ~.~0- PA COUNTY CUMBERLAND REMIT PAYMENT AND FORMS TD: VERNON J SHAFFER II REGISTER OF WILLS 1860 ROSSTOWN RD CUMBERLAND CO COURT HOUSE LEWISBERRY PA 17339 CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. CITIZENS BANK OF PA Provided the Oepartaant with the inforaation below, which has been used in ealeulatinp the potankial tax due. Race rtls indicate that at the death of the abava-naaed tlaeadant, you ware a joint owner/banef iciam of this account. If you foal the inforaation is incorrect, Please obtain written correction troy the financial insti4ution, attach •copv to this fora and rata rn it to kha above address. Tnis account is taxable in aeco rdanee with the Inharf fence Tex laws of the Coromaalth of Pennsylvania. Pl+asa call C711J 787-8327 with auastionp. COMPLETE PART 1 BELOW B SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6100770680 Date Esta611shetl 12-13-1984 To ensure praaer credit to the account, two copies of this notice aunt aeeoaoam Account Balance Percent Taxable g X 2, 638.28 50.000 pevaank 4o the Rapistar of Wills. Make chock oaveble to "Rapistar of Wills, Apant". Amount Sub3eet to Tax Tax Rate $ X 1,319.14 . 15 NOTE, If tax pavsants era lade within three aonths of the tlaeedent's data of tleath. d~d~ct a 5 paront discount on tM tmo dw. Potential Tax Ou• S 197 87 Am Inheritance Tax due will baeose tlalinquent nine aonths of tar the date of deatn. A. ~ The above inforaation and taz due 1s correct. Reait payaant to the Repiskar of W113s with two copies of this notiea to obtain CHECK a discount or avoid fnteras4, or check box "A" and return this notiea to the Rapistar of ONE ...{ Wills and an official assessaant will be issued by the PA Oepa rtaant of Revenue. BL DCK ~ B. D[~ The abava asset has boon ar will ba reported antl tax paitl with the Penn svlvania Inn aritanea Tax return ONLY /i-y to be filed by the estate rap resentative. C. ~ The above into roe eon is ineorract and/or debts and daduetf ons ware paid. CoaPLte PART 2~ and/or PART 3^ below. PART If intlieatine a different tax rate, please state relationship to decadent: 7AX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Dat• Estah llshed 1 2. Account Balance 2 S 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deduet3ons 5 6. Amount Taxable 6 S 7. Tax Rate 7 X e. Tax Due g $ PART DEBTS AND DEDUCTIONS CLAIMED 3 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on L1n• 5 of Tax Computation) ~ penalties of p•r3 ry, I~d'eelare the facts I have report ad abyava are true, eo rppr ae t' a~ to to th• ba of ICno belief. HOME ( /~' ) 9sz' 703 S ~M ~ WORK ( ) (O,YC~G-~ ~` ~:R SIGNA RE TELEPHONE NUMBER DATE GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on inf orwa4lon subwitted by the financial institution. 2. Inh eritence Tax becowes tlalinauent nine won4hs after the decetlen4's date of death. 3. A Joint account is taxable oven when the decedent's name was added es a setter of convenience. 4. Aecoun4s (including those held betty ears husband and wife) the decedent out in ioint nanas within one year prior to death ere fully taxable. 5. Accounts established jointly battyaen husband and wife pore than one year prior to death ere not taxa63a. 6. Accounts held by a decadent '•in trust for" another or others are fully taxable. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A - If the inf orwation and eowpu4ation in the notice are correct and deductions are net bainp elaiwed. place an "X" in Block A of Part 1 of the "Taxpayer Response" section. Sign two copies and subwit then with a check for the awount of tax to the register of wills of 4he county indicated. Tha PA Depar4nenk of Revenue will issue an official assasswent (Fors REV-1548 EX) upon raceipk of the return frow the register of wills. 2. BLOLK B - If the asset speeif ied on khis notice has been or will be reported and tax paid with the Pannsvlvania Inheritance Tax Ratu rn filed by the esta4a•s representative, place an "X" in Block B of Part 1 aF the "T axpaver Response" section. Si pn one copy and return to the register of wills of the county indicated. 3. BLOCK L - If the notice inf ors ation is into rra c4 and/or deductions era being claiwetl, check Block C and cowplete Parts 2 and 3 according to the instructions below. Sign two copies and subwit thes wi4h your check For the awount of to payable to the register of wills of the county indicated. The PA Oepartsant of Revenue will issue an official assasswent [Forty REV-1548 FX) upon raeelpt of the return frow the register of wills. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter the date the account originally was established or titled in the wanner ezistinp at tla4• of death. NOTE: For a daeaden4 who died of tar 12/12/82, aecoun4s the decedent out in ioint newas within one veer of tlea4h are fully tax a63e. Xoweve r, there is an azelusion not to exceed 03.000 per 4ransf arse, rapartlless of the value of 4he account or the nuwber of accounts held. If a double asterisk (ss) appears before your first nawe in the address porkion of this notice, 4he P3,000 exclusion was deducted frow the account balance as raporked by the financial institution. 2. Enter the total balance of the accoun4 inelutlinp interest accrued 4o the date of death. 3. The ve rcentapa of the account khe4 is taxable to each survivor is deterwinetl as follows: A. The pa rcentapa taxable of ioint asse4s established wore khan one year prior 4o the decedent's tlaeth: 1 OIVI DED BV TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF MULTIPLIED BY 100 = PERCENT TAXABLE JOINT PYNERS SURVIVING JOINT OWNERS Exawpla: A joint asset registered 3n the news of the decedent and two other persons: 1 DIYI OEO BY 3 (JOINT OWNERS) DIV IOED BY 2 (SURVIVORS) _ .167 % 100 ~ 16.7 pe remk (TAXABLE TD EACXSURVIVOR) B. The pe rcan4ape taxable for assets created within one veer of the decedent's death or accounts awned by the deeetlan4 but held in trust for another individual(s) (trust beneficiaries): I DIYI OED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BV 100 = PERCENT TAXABLE OWNERS OR TRUST BENEFICIARIES Exanplev Joint account repiste red in the nave of the decetlen4 and two other persons and es4ablishetl within one Year of death by the decedenk. 1 OIVI OED BY 2 (SURVIVORS) _ .50 X 100 = 50 portent (TAXABLE FOR EACH SURVIVOR) 4. The amounk subject to 4ax (Line 4) is tle4e nin atl by nultiplvinp the account balance [Line 2) by the percent taxable (Line 3). 5. Enter the total of the tleb4s end tletluc tlons listed in Pert 3. 6. Tha awount taxable (L3ne 6) is date n3netl by subt ratting the debts and deductions (Line 5) fron the awount subiact to tax (Line 4). 7. Enter the appropriate tax rata (Line 7) as tlaterwined below. s e tax ra a iwposa on the na value of tran t daakh to or for the use of a natural parent, en adoptive paren4 or a steooaren4 of the child is 0 percent. Tha lineal class of hairs Snelutles grandpa rants. parents, child ran and other lineal descendants. "Children" includes natural children whether or not than have boon edopte0 by others, adopted children and step children. "Lineal deacenden4a" includes sll chlltl ran of the natural parents and their descendents, whether or not they have bean adapted by others; adapted tleseendents and their descendants; end step -descendants. "Siblings" are def inetl as intlivitluels who have at least one parent in cowwon with the decedent, whether by blood or adoption. Tha Collateral clew of hairs includes all other beneficiaries. CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are tleterwined as follows: Date of Ooath $DOUae Lineal SS b11np Collateral 07/01/94 to 12/S1/94 3 percent 6 pereont 15 percent 15 pereont 01/01/95 to 06/30/00 0 DercenY 6 percent 15 percent 15 part ant 07/01/00 to present 0 pareenY 4.5 s ors percent ~ fron a deceas 12 pereont ed chz d 21 years 15 of ape portent ar younger a A. Yau era legally rasp onsibl• for paywent, or 4he asta4e subject to atlwinist ration by a personal rap resentative is insuffie3en4 to pay the deduetlblr itn s. B. You actually paid the debts after the tlaeth of the decadent and can furnish proof of pavwent. L. ochre bainp elaisad oust b• i4asiz atl fully in Part 3. IF additional space is needed, use 8 1/2•' x 11'• shoat of papa r. Proof of pavwent way ba reaues4ad by the PA Departwent of Revenue.