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04-20-09 (3)
BUREAU DF INDIVI pDAL TAXES Pp Bpx 280601 HARRISBURG PA 1]128-0601 REV-1a G5 EX 4FP (La-O el PENNSYLVANIA INHERITANCE T INFORMATION NOTICE AND ..TAXPAYER RESPONSE ~( ~ FILE N0. 21 _(J~ ~ 6c~~~ / ACN 09117609 DATE 03-19-2009 2QQ9 APR 20 Aft I I ~ 21 CLERi! ~3~ ORPHAN'S COURT STEPHEN JAHN 5 ASHLEY DRIVE DILLSBURG PA 17019 EST. OF WILLIAM F JAHN SSN 330-32-9955 DATE OF DEATH 03-01-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FDRMS TD: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCDUNT © SAVINGS CHECKING TRUST CE RTI E. MEMBERS 1ST FCU provided the Depa rtmenY with the information below, which has been used in cal culatine the potential tax due. Records indicate That at the tle ath of the above-named tle cedent, you were a ioint owner/benefice arv of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copv to This form and return it tp the above address. This a«ount is taz able in accordance with the Inheritance Tax laws of the Comm onw eal kh of Pennsylvania. Please call OP1 ]8]-832] with Questions. C DMPLETE PART 1 BELOW 1~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 150139-05 Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due Date 04-28-2003 Established $ 10,463.89 X 50.000 $ 5,231.95 X .045 To ensure prpper credit to the account, two copies of this notice must accpmpanv payment ko the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are made wiThin three months of the tlece dent's tlafe of death, deduct a 5 percent discount on the tax due. Any inheritance Tax due will become tlelinauent nine months after the date of tle ath. -~~ IAAYAYEK KESPONSE FA~LUIkE ~~'pcER~SPI~11U;1a~~4~'e'~~~~;,`I#I,ANe'¢~~~CI/~ TA)K`~R~,~S§t't~W"T A. ~ The above inforn ation and tax due is correct. Remit payment to The Register of Wills wish two copies of this notice to obtain C H EC K a discount or avoid interest, pr check boz "A" and return this notice to the Register of ONE ~~--nn Wills and an official assessment will be issued by the PA Department of Revenue. BLOC K ~ B. IXI The above asset has been or will be reported and tax paid with The Pennsylvania Inheritance Tax return O N L Y o be filed by the estate representative. C. ~ The above information is incorrect and/or debks and tletlucti ons were paid. Complete PART ~ and/or PART ~ below. PART If indicating a different tax rate, please state + x,e 8 ttr~~ ~ W ~* it relationship to tleceden k: ~~a P~ rt~~ ~~¢~~~~4,)~p °~7~fe~~A~~~L~~~~~ t , ~ ~P~~T'°N`~~ a~~~ k~D~~r~e~ ~ E TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS ~~~e ~~~ eta r teaµleai~a,p'd~„d w, toff ,ln p"'~ , ~~i`t~,,~ a s a" Pd fTi P rv p fl y LINE 1. Date Established 1 pIP@~~ P dfF ~r at "p et ,$~~m~, roaii;i ~d~.A 2. Account Balance 2 ~` d~~I ~~~~~i i~atrat ~'`"ie ti~tae: s~ET'P i~ ~ ri ~~°,i"'.. 3. Percent Taxable 3 X ,1 rrip:a~ gEal L,Y,g a i:tn~~'f ~ ~,~ pr.~p dta a ~ p ~,~~ ~a 4. Amount Subject to Tax 4 $ art ~I rt °¢ '., tal p<kJpa t ~ z s,.3 rdr ~ g;v~ e~ " ~ y3t o +a s ~ :~ : Im "R a at w' I e iS e 5. Debts and Deductions 5 - ~ si i~~i edi~iL T~@t ei ^rj dif r~,a :tr ,e~dtP ra eft 1- a p sR 94s 6. Amount Taxable 6 $ y°s ~iga~ ~af.r ~e~ rLtl V?'r tax ! ~ti P t~tot~~f,~et, 7. Tax Rate 7 X €~ eat t a ~ Ft US J s + u r~ °rs r~~ ~s7e~`d~ ms a P'~ a a' i t " It s, ~ of , ,,~^tagd~#,~,¢ t.~ 8. Tax Due B $ ~'%ta 4~ d Pm'y ,d ~I j~~l e'"e r °t s~ft~ I~idd3~f~tl~.y_ ~yk Et t. : d" _y,e , .~ , PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID iD1Al (Enter on Line 5 of Tax Computation) 5 Under penalties of perjury, complete to th b t I declare that the facts I have reported above are true, correct and '.1 e es of my knowledge and belief. ~ HOME ( ) _ , j~ ~-~,~Q V`__ ~, . °w'1 T cY7 XPAVER SIGN T J~ ~~ ~ ~(~ ~ _ ~f-~l4"L~ v.-~T~ ~.5~ WORK ('-~ l1 ) v-'3FS t~3 ~ ~ ~~~~~,~ _S A URE TELEPHONE NUMBER DA GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information submiTted by the financial institution. 2. Inheritance Tax becomes delinquent nine months after the decedent's date of death. 3. A joint account is taxable even when the dece dent's name was added as a matter of convenience. 4. Accounts (inclutli ng those held between husband and wife) the decedent put in faint names within one year poor to death are fully taxable. 5. Accounts est abl ishetl jointly between husband and wife more 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 "Taxpayer Response" section. Sign two copies and submit them with a check for the amount of taz to the register of wills of the county iodic at etl. 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 speafied on this notice has been or will be reported and tax paid with khe Pennsylvania Inheritance Tax Return Filed by the estate's representative, place an "X" in Block B of Part 1 qF the "Tax paver Response" section. Sign one copy and return to the register of wills pf the county indicated. 3. BLOCK C - If the notice information is incorrect and/pr tle tluctions are being claimed, check Block C and complete Parts 2 and 3 according to the instructions below. Sign two copies and submit them with spur check for the amount of tax payable to the register of wills of the county indicat etl. The PA Department of Revenue will issue an official assessment (Form REV-1548 IX) upon receipt of the return from the register pF wills. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter the date the account on ginally was established or titled in the manner existing ak date of tle ath. NOTE: For a decedent who died after 12/12/82, accounts the tle cedent out in joint names within one year of death are fully taxable. However, there is an exclusion not to exceed 53,000 per transferee, regardless of the value of the account or the number of accounts hel tl. If a double asterisk (ar) appears before your first name in the address pp Mion pf this notice, the 53.800 exclusion was deducted from the account balance as reported by the financial instituki on. 2. Enter the total balance of the account including interest accrued to the date of death. 3. The percentage of the account that is taxable to each survivor is determined as fellows: A. The percentage taxable of joint assets established more than one year prior to the dece dents death: 1 DIVIDED BY TOTAL NUMBER OF DIV IDED BV TOTAL NUMBER OF MULTIP LI EO BV 100 = PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Example: A joint asset registered in the name of the decedent and Ywo other persons: 1 DIVIDED BV 3 (JOINT OWNERS) OIV IDED BV 2 (SURVIVORS) _ .167 X 100 = 16.7 percent (TAXABLE TD EACH SURVIVOR) B. The percentage taxable for assets c Bated within pne year of the decedent's death or accounts ow netl by the tlecetle nt but held in trust for another individual(s) Rrust beneficiaries): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BY 180 = PERCENT TAXABLE OWNERS ^R TRUST BENEFICIARIES Example: Joint account registered in the name of the decedent and twp other persons and established within one year of tle atfi by the tlecetle nt. 1 OIV IDED BY 2 (SURVIVORS) _ .50 X 100 = 50 percent (TAXABLE FOR EACH SURVIVOR) 4. The am ~Unk subject to tax Cline 4) is tleterminetl by multiply ing the account balance (Line D by the percent taxable (Line 3). 5. Enter the total of khe debts and deductions listed in Part 3. 6. The amount taxable Cline 6) is determined by subtracting the debts and deductions (Line 5) from khe amount subject to tax (Line 4). 7. Enter the appropriate tax rake (Line T) as tleterminetl below. cT he fax rake imposed on the nek value of kransf ers from a deceased ch¢ltl 21 years of age pr younger at death to or for the use of a natural parent, an adoptive parent or a stepparent pf the child is D percent. The lineal class of heirs includes grandparents, parents, ch3l dren and Other lineal descendents. "Chil the n" includes natural ch3l tlren whether or not they have been adopted by others, adopt etl children and step children. "Lineal de scentlents" includes all children of the natural parents and their tle scentlents, whether pr not Yhey have been adapted by pt he rs; adopted descendents and their descendants; and step-descendants. "Siblings" a def toed as individuals who have ak least one parent an common wi tfi the decedent, whether by blood or atlovtion. The Collateral cl assaof heirs incl odes all ptfi er beneficiaries. CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED Allowable tle bts and tleductipns are tlete rmined as Follows: 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 15 percent A. Vou are legally responsible for pavm ent, or the estate subject kq administration by a personal representative is insufficient to pay the deductible items. B. You actually paid the debts after the death of the decedent and can furnish proof of payment. C. Debts being claimed must be itemized fully in Part 3. If adtliti onal space is needed, use B 1/2" x I1" sheet of paper. Proof pf payment may be requested by khe PA ^epartm ent of Revenue.