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Home My WebLink About04-08-09 (2)BUREAU OF INDIVIDUAL TA%ES PD BOX 280601 -' '"+-~r", ~, HARRISBURG PA 17128.0601 '.;. T ~ -M.^j"isca oa wir ,oa-ou PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE NO. 21 OB-1099 TAXPAYER RESPONSE AcN 09114554 DATE 03-16-2009 t +,~ pr,~ .g µ~q~p: n6 ",~ ,, CLEARS pURT OF~i~?' aP.~ rp„ PA VERNON J SHAFFER II 1860 ROSSTOWN RD LEWISBERRY PA 17339 EST. OF MARY SHAFFER SSN DATE OF DEATH 10-23-2008 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS TD: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST ® CERTIF. CITIZENS BANK OF PA prov3tlad the Oepa rtaant with the information below, which has boon usetl in ealeulatinp the potential tax due. Recortls intlicate that e4 the death of the above-named decedent, You ware a iv in4 owner/beneficiary of this account. if you feel the info nation is incorrect, please obtain written correction from the financial institution, attsch a cove to this form end return it to the above atld ress. This account is taxable in aeeordanea with khe Inha ritanca Tax laws of the Loaaomoaalth of Pennsylvania- Please call OLJ) 7BT-8327 with questions. COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6241286833 Data 04-01 -2003 To ensure vropar credit to the accoun4. two Established copies of this notiea aunt aceoapam vayment to 4ha Register of Wills. Make check A«ount Bolan<e $ 56,495. 79 vavable to •'Repister of Wills, Aoant". Percent Taxable J( 50. 000 NOTE: If tax vaymants era aade within throe Amount Sub3e<t to Tax g 28,247. 90 aonths of the tlecetlent's tlate of tleath, Tax Rate X • lrj deduct a 5 percent discount on the tax duo. Anv Inhe ritanca Tax duo will become delinquent Potential Tax Due $ 237. 4 , 1 9 nine aonths after the tlate of death. Pear TAYPAVCQ QRSDftYSC A. ~ Tha above information and tax tlua is correct. Remit Payment 4o the Re6istar of Wills with two envies of this notiea to obtain r CHECK a discount or avoid i nterest. or check cox "A•' and rata rn this notice 4o the Register of Wills and an official assessment will ba issued by the PA Dapa rtm ant of Revenue. I ONE ~ L BLOCK B. The above essa4 has been or will be reported and tax paid with the Pennsylvania Inheritance tax return ONL Y to be (ilea by the estate representative. C. ~ The above inf orma ion is into rr ct and/or debts antl deductions ware paid. Complete PART 2~ and/or PART 3~ below. PART If 3ntl3eat 3nB a tl3fferant fax rate, please state relatlonshlp to decedent: 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 Su D3 act to Tax 4 5. Debts antl Detluct3ons 5 6. Amount Taxable 6 S 7. Tax Rata 7 X 8. Tax Due 8__._~.. PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computatign) f Un r penalties pf p I declare that the facts I have reported abov~ey era/fit rua• c/~o rrect antl c plate to too ha of {~a and belief. HOME (7~/ ) 7 1~~9~ WORK C ) Q -d -09 GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on inf orwetion subwitted by the financial institution. 2. Inheritance Tax becowes dal inauent nine wonths of ker 4ha tleceden4's tlate of death. 3. A joint aeeoun4 is taxable even Then the tleceden4's nano was atldetl as a natter of convanienea. 4. Accounts (including those heltl between husbantl and wife) the decedent out in joint naves within one veer prior 40 death are fully 4ax able. 5. Accounts established jointly between husband antl wife nare than one year prior to death are no4 taxable. 6. Accounts held by a decedent •'in trus4 for" another or others are fully taxable. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A - If khe inf ornetian and cosputation in the notice are correct and deductions are not bainp claiwad, place an "X•' in Block A of Pert 1 of khe "Taxpayer Respons e•' section. Sion two copies and zubwit thee with a cheek for the awount of kax to 4ha reBisker of wills of the county indicated. The PA Depa rtwent of Revenue will issue an official assesswant (Porn REV-1548 IX) upon receipt of the return from the register of wills. 2. BLOCK B - If the asset specified on this nokica has been or will be reported antl 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" sackion. Sign one coPV and return to the register of wills of the county intlieated. 3. BLOCK C - If the notice info rwation is incorrec4 and/or deductions era being clainetl. check Block C and cowp let' Paris 2 antl 3 aeeordine to the instructions below. Sion two topics antl subwi4 than with your check for the awount of tax payable to the resister of wills of the county indicated. Tha PA Oaoa rteen4 of Revenue will issue an official assesswant (F orw REV-1548 IX) upon receipt of the return frow the register of wills. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter the tlata the account originally was established or titled in the wanner existing at date of death. NOTE: For a decedent who died of ter 12/12/82, accounts 4ha tlacadent pu4 in joint naves within one year of tlaath are fully tazeble. However, Ohara is an exclusion not to excaetl ti,000 per transferee, repartlless of the value of khe account or the nuwber of accounts heltl. If a tlouble asterisk (..) aPPaa rs before Your first nawe in the edtlrass portion of this notice, khe 33,000 ax elusion was deductatl iron the account balance es reported br 4ha financial institution. 2. Enter the total balance of the account including interest accrued to the tlat• of death. 3. The percentage of the account that 4s 4axable to each survivor is tlaterwinetl as follows: A. The percentage taxable of joint assets establishetl nore than ova year prior to the decedent's tlaath: 1 DIVIDED BV TOTAL NUMBER OF DIVI DEO BV TOTAL NUMBER OF MULTIPLIED BY 100 = PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Ex ewplev A joint asset rag iota nd 3n the news of the tleeadent and two other persons: , 1 OIV IDED BY 3 (JOINT OWNERS) DIVI OEO BY 2 (SURVIVORS) _ .167 X 100 = 16.7 vdreant (TAXABLE TO EACH SURVIVOR) B. The Pereentaae taxablefor assets created within ova year of the decedent's tlaath or accounts owned by the decedent but heltl in trust for another intlivitlual(s) (trust benaf iciaries): 1 DIVI OED BY TOTAL NUMBER OF BURVIVING JOINT MULTIPLIED BV 100 =PERCENT TAXABLE OWNERS OR TRUST BENEFICIARIES Exaa ple, Joint account repiste red in the name of the decedent antl two other persons and esf eblishatl within one veer of death by the daeatlent. 1 DIVI OED BY 2 CS URVIVORS) _ .50 X 100 = 50 percent (TAXABLE FOR EACH SURVIVOR) 4. The awount subject to tax [Line 4) is date rwinetl by wultiPlvinp the account balance [Line 2) by 4ha percent taxable [Line 3). 5. Enter 4ha total of the debts and detluetions listed in Part 3. 6. Tha awount taxable (Line 6) is dates inetl by subt rac4ina the tlebts and deductions (Line 5) froe the anoun4 subj act to tax (Line 4). 7. Enter the approp riatetax raH (Line 7) as daterwinetl below. Date of Death Spouse LS Veal SSb13 np Collateral 07/01/94 to 32/31/94 3 poreant 6 percent 15 pa reont 15 percent 01/01/95 to 06/30/00 0 percent 6 percent 15 portent 15 percent 07/01/00 tm present 0 percent 4.5 pareent a 12 pareent 15 percent aThe kax rate ~wposed on • na ve ue of trans ors ros a deceased c years of ape or younger at tlaath to or far the use of a natural parent, an atloptiva parent or a stepparent of the chiltl is 0 Dereant. Tha lined class of hairs includes grandpa rants, Parents, chiltlran and other lineal dascentlants. "Children" includes nakurel children whether or not they have boon atlopted by othersr etlaptetl child ran and stop children. "Lineal tlescentlenks" includes all child ran of the natural parents and their desundenta. whether or not than have been atlopted br othe rap adopted descendants and 4heir tlescantlants; and step-descendants. "Sibllnps" ere tlef inetl as 1ndlviduals who have a4 least ana parent in cowwon with the tlecetlant, whether br blaotl ar adoDtf on. Tha Collateral class of heirs includes sll other benaf iciaries. CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED Allowable debts antl tlaductions are tletarnined as follows: A. You aro legally responsible for pavw ant, or the estate subject to adwinist ration by a parson al repro santative is insufficient 4p pay the deductible itews. B. Yau actually paitl tM tlebts after the tlaath of the tlacetlant andean furnish proof of pavwent. C. Debts bainp claiwad oust be itawlzed fully in Part 3. If atlditional space is needed, use B 1/2•' x 11'• shoat of papa r. Proof of Pavunt way ba re4uestad by the PA Owartmm4 of Revenue.