HomeMy WebLinkAbout04-20-09PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE /
BUREAU OF INDIVINVAL TAXES AND FILE N0. 21~(J~ - G~t3~7
PO BOX 200601 ~ '
W+RRIO BURG PA nlze-B SOl _. TAXPAYER RESPONSE ACN 09117607
0cv-ssce ex ue ne: v:r~, ~..-~ :. _ DATE 03-19-2009
209 APR 20 Afi~ I I ~ 2 I TYPE OF ACCOUNT
EST. OF WILLIAM F JAHN ® SAVINGS
SSN 330-32-9955 ~ CHECKING
CLERK~~F DATE OF DEATH o3-01-2009 ~ TRUST
ORPH;~N'S COURT COUNTY CUMBERLAND ~ CERTIF.
CUMP~I'L "~~,': C~ P.A
'~ ~';-' ~... REMIT PAYMENT AND FORMS To:
STEPHEN JAHN REGISTER OF WILLS
5 ASHLEY DRIVE CUMBERLAND CO COURT HOUSE
DILLSBURG PA 17019 CARLISLE, PA 17013
MEMBERS 1ST FCU provided the Department with the information below, which has been usetl in calculating khe
potential tax tlue. Recortls intli cafe that at the tleakh of the above-nametl decedent, you were a joint owner/beneficiary of this account.
If vpu feel the iota rm atipn is incorrect, please obtain written correction from the Financial institution, attach a copy to this form
and return it to the above atld ress. This account is taxable in accq rtlance with the Inheritance Tax laws pf the Cpmmpnw eel Th of
Penn rylvania. Please call OP) 787-0327 with questions.
- COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 150139-00 Date 03-11-1995
To ensure proper cretlit to the acc Dunk, two
Established copies ofi this notice must accomoanv
Account Balance xya 1,705.75 payment tp the Register of Wills. Make check
Percent Taxable X pav able to "Register of Wills, Agent".
50.000
Amount Subject to TaX $ 892.88 NOTE: If taz payments are made within three
Tax Rate months of the tlecetlent's date of death,
X . 0 45 deduct a 5 percent discount on the tax due.
Potential TaX Due ~• 40.10 Any Inheritance Tax due will become delinquent
nine months after the tlate of death.
PART TAXPAYER RESPONSE
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A. ~ The above information and tax due is correck. °~
Remit pavm ant to the Register of Wills with iwo copies of this notice to obtain
CH EC K a discount or avoid interest, ar check box "A •' antl return this notice to the Register of
ONE Wills and an official assessment will be issuetl by She PA Departmenk of Revenue.
BLOCK ~ 0. \~Ky-y'The above asset has been or will be reportetl and tax paitl with the Pennsylvania Inheritance Tax return
ONL Y ~C to be fil atl by the estate representative.
C. //~ The above information is incorrect and/or debts and tleducti ons were paid.
Complete PART 2^ and/or PART 3^ below.
PART If indicating a different tax rate, please state ,,°~
relationship to decedent: -~ 1 +~~d ~~ a~',~,~~}-~zjt~°I L~aIe,I Pe, ~."
n r ~
P ~ aer pxx ~ a § r s aa~fL+ ~~aP
ds41
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TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS rs'L+~'pq "i~~,~~ ~~~,~ ~~;7~,~~~~~U~"~
a''fllp p~a! ~in~r d.. lava ~~ Ise x
LINE 1. Date Established 1 d~ t~~Ie°dafai, ~hsp 1di@rrsr s „~g~.a~p IT~`~+I
2. Account Balance 2 $ ATE e~fe"~: ~`~ 19"~a Arta ~d~~[e tlr~ z I~ i~ ~ 'U
f~,P~II~ .:J~ ~.,-.=~.,,'~.e-~P /~~ a as d ;e rr~~,
3. Percent Taxable 3 X i~~e~"~~~ e T~ a `~ ~~d~dt ~°e,I9 °# aJ'~2>a c2g~'3"~Sa sY~'s~Ir
4. Amount Subject to Tax 4 $ ny + ae e~
a~'~!''~d~ F~r~~. ~P,~,rdyt ~~~ ,~ 3 ~ rv~ Bpd ri ~~~h~:~
5. Debts and Detluetions 5 - ~".fn ~t~~~"e~,i! ~a~ (~.~ y~,e ~I~T al e~ rT ,~ ~;y
$ `9 s t rzr r i~iJ"~) "•°
6. Amount Taxable 6 ~r rer~ a?}.~ ~sPs f Mrq' ',~ aPE+a~ ,rsl8i~~"r ~,~'~ fi
7. Tax Rate e~
7 X ~~r~~~g~~ P~Ya ~i IAI~ P°ee~~ "~4 ~?: r~W~Pt e" F ~d8~~~p8~
8. Tax Due B $ '3 1 ~
,.f, w mI.I~P:a P~ r ~rtlrs~~ ~~' t ~ ! ~~~wlsml; ~ v!aa! p" r.
Pr'as~d ~~`~, r s a +' ~ 4a~
PART DEB7S AND DEDUCTIONS CLAIMED ~~~ ~
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
~ tcncer on Line 5 of Tax Computation) 8
Under penalties of perjury, I declare that khe facts I have reported above are true, correct antl
~lete to the best of my knowledge and belief.
,~~ _ HOME ( 0
~LO C'Sl.Q.~ ~ L.S~~~ WDRK c 'l ~7 ~ 01- & 17~ 1 ~~
TAXPAYER SIGNATURE TELEPHONE NUMBER
^ATF ~2
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based qn information
submitted by the financial in stiY Ution.
2. Inheritance Tax becomes delinquent nine months after the decedent's date of death.
3. A Joint account is taxable even when the tlece de nt's name was added as a matter of canoe nience.
4. Accounts (including those held between husband and wife) the decedent out in ioint names within one Year pfl or to
death are ful lv taxable.
5. Accounts established Jointly between husband and wife more than one year prior to death are not taxable.
6. Accounts held by a tlece dent "in trust for" another or others are fully taxable.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - Zf the information and com vutati on in the noki ce are correct and tletluctiens are not being claimed, Glace an "X"
in Block A of Part 1 of the "T axp av er Response" section. Sign two copies and submit them with a check for the amount of
tax to the register aF wills of the county indicated. The PA Depa rtmenY of Revenue will issue an official assessment
(Farm REV-1540 EX) upon rece ivk of the return from the register of wills.
2. BLOCK B - If the asset sae cifietl 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 "T ax vaver Response" section. Sign one
copy and return to the register of wills of the county in tlicated.
3. BLOCK C - If khe notice information is incorrect and/or deductions are being claimed, check Block C and comelete Parts 2 and 3
according to the instructions below. Sign two copies and submit them with your check for Me amount of tax payable to the reoister
of wills of [he county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1540 EX) upon receipt
of the return from the register of wills.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
I. Enter the date the account on ginally was established or tikled in the manner ezisti n9 aT date of death.
NOTE: For a decedent who died after 12/32/82, accounts the tlece dent put in ioint names within one near of death are
fully taxable. How even there is an exclusion not to ex teed 53,008 per transferee, regardless of the value of
the account or the number of accounts held.
Tf a double askew sk <.a> appears before your first name in the address vo rti on of this notice, the 53,000 ez cl usion
was deducted from the account balance as re port etl 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 kax able 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 DIVIUED BV TOTAL NUMBER OF MULTIPLIED BY 100 = PERCENT TAXABLE
JOINT OWNERS SURVIVING JUINT UWNERS
Example: A Joint asset registered in The name of the de cedenk and Ywo other persons:
1 DIV IDEA BV 3 (JOINT OWNERS) OIV IDED BV 2 (SURVIVORS) _ .16] X 100 = 16.] percent (TAXABLE TD EACH SURVIVOR)
B. The percentage taxable far assets created within one year of the decedent's death or accounts ow netl by the decedent but held
in trust for another individual(s) (trust beneficiaries):
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BV 100 = PERCENT TAXABLE
DWNERS OR TRUST BENEFICIARIES
4
5
6
]
*The tax rate imposed on the net value of kran sf ers from a deceased chald 21 Y t
death to or for khe use of a natural parent, an adoptive parent or a stepparent of tfie child is 0 percent.
The lineal class of heirs includes grandparents, parents, children and other lineal tle scendenks. "Children" includes naY Ural children
whether or not they have been adovtetl by others, adovtetl chi ltlren and stev children. "Lineal descendents" includes all children of the
natural parents and [heir descendents, whether or not they have been adovtetl by others; adopted descendents and their tle sc en tlant s;
and step-descendants. "Sibling s^ are tlef toed as individuals who have at least one varent in common with the tlecetlen4 whether by blood
or atlovki on. The Collateral class of heirs includes all other beneficiaries.
CLAIMED DEDUCTIONS - PART 3 - DEBTS AND ^EDUCTIONS CLAIMED
Allowable debts and deductions are determined as follows:
Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by
the tle cedenk.
1 OIV LDED BY 2 (SURVIVORS) _ .50 % 100 = 50 percent (TAXABLE FOR EACH SURVIVOR)
The amount subJ ect to tax (Line 4) is determined by multiplying the account balance (Line 2> by khe percent taxable (Line 3).
Enter the Total of the debts and deductions listed in Part 3.
The amount taxable (Line 6) is determined by subt racki ng the debts and deductions (Line 5) from the amount subJ e<t to tax (Line 4).
Enter the appropriate tax rake (Line ]) as dete rminetl 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
edrs 15
OF age percent
Or YOUn9er a
A. Vou are le golly responsible for payment, or the estate subJe ck to administration by a personal revre sentative is insufficient
to pay the deductible items.
B. Vou actually paid the debts of Ter khe tle ath of the decedent and can furnish vropf 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 paver. Proof of
______. __.. ... .......... ~•n,l 6., fho PE nwoartment of Revenue.