HomeMy WebLinkAbout02-0151CUHAONNEALTH OF PENNSYLVANIA
DEPARTNENT OF REVENUE
BUREAU DF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURO~ PA 171Z8-0601
REV-IISi3 EX &FP (09-00)
'02 F£8-8 P3:46
ROBIN WASELEWSK,I,
250 WINDY HILL RD
SHERMANS DALE PA
ZNFORHATZON NOTZCE
AND
TAXPAYER RESPONSE
I FTLE NO. 21 "0 2"/3--/
ACN 02100997
DATE 01-18-2002
TYPE OF ACCOUNT
EST. OF GLORIA E KING [] SAVINGS
$.$. NO. 16Z-22-6627 [] CHECKING
DATE OF DEATH 11-27-2001 [] TRUST
COUNTY CUMBERLAND [] CERTTF.
REMTT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
MEMBERS 1ST FEDERAL CRED/T UN has provldad the Department eith the information listed below ahich has been used in
calculating the potentiat tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction free the financial institution, attach a copy
to this form and return Jt to the above address. This account is taxable in accordance aith the Inheritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-&3Z7.
COMPLETE PART I BELOW N N N SEE REVERSE SIDE FOR FILING AND PAYMEMT INSTRUCTIONS
Account No. 199157-00
Data 11-27-2000
Established
Account Balance 13 i~ .00
Percent Taxable X 100. 0 0
Amount Subject to Tax ~3l~ .O0
Tax Rate X . Oq5
Potential Tax Due ~-C~ . O0
To insure proper credit to your account~ two
(Z) copies of this notice must accompany your
payment to the Register of gills. Wake check
payable to: "Register of gills, Agent". ~.b~
NOTE: If tax payments are made within three
(3) months of the d,cedent's date of death,
you may deduct a 5Z discount of the tax due.
Any inheritance tax due wil! become delinquent
nine (9) months after the date of death.
PART TAXPAYER RESPONSE
A. ~ Tho above information and tax due is correct.
1. You may choose to remit payment to the Register of gills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
m CHECK ~ gills and an official assessment will be lssued by the PA Department of Revenue.
ONE
J
BLOCK s. [] The above asset has been or w111 be reported and tax paid with the Pennsylvania Tnheritanca Tax return
ONLY to be filed by the decedent's representative.
C. [] The above information is incorrect and/or debts and deductions .ere paid by you.
You must complete PART ~ and/or PART ~
PART Zf you indica*e a differen* *ax re*e, please s*a*e your
PART
DATE PAID
DE~TS AND DEDUCTIONS CLAIMED
PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line $ of Tax Computation)
Under penalties of perjury, Z declare that the facts Z have reported above are true~ correct and
complete tp the bast of my kno_wledge a~nd belief. HOME (r~ll]) ~'g~,* L~LI~~
, ,, - ~3 o~
TAXPAYER SZGNATU~E TELEPHONE NUN~ER D E
GENERAL INFORHATION
1. FA/LURE TO RESPOND NZLL RESULT ZN AN OFFICIAL TAX ASSESSNENT with applicable interest based on information
submitted by the financial institution.
Z. Inheritance tax becomes delinquent nine months after the dacedent's date of death.
3. A joint account is taxable even though the dacadent's name was added as a matter of convenience.
4. Accounts (including those held between husband and wife) ahich the decedent put in joint names within one year prior to
death are fully taxable as transfers.
S. Accounts established jointly betaaan husband and eJfs more than one year prior to death ara not taxable.
6. Accounts held by a decedent "in trust far" another or others are taxable fully.
REPORTING INSTRUCTIONS - PART ! - TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notice ara correct and deductions are not being claimed, place an "X"
in block "A" of Part ! of the "Taxpayer Response" section. Sign too copies and submit thee with your check ~or the amount of
tax to the Register of Hills of the county indicated. The PA nepartasnt of Revenue mill issue an official assessment
(Fora REV-IS48 EX) upon receipt of the return from the Register of Hilts.
Z. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance
Tax Return filed by the dacadsnt's representative, place an "X" in block "S" of Part 1 of the "Taxpayer Response" section. Sign cna
copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dspt 180601, Harrisburg, PA 17118-0601 in the
envelope provided.
3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C" and complete Parts Z and 3
according to the instructions baloa. Sign too copies and submit thee with your check for the amount of tax payable to the Register
of Hills of the count~ indicated. The PA Department of Revenue ail[ issue an officio! assessment (Fora REV-1548 EX) upon receipt
of the return from the Register of Hills.
TAX RETURN - PART Z - TAX CONPUTATION
LINE
I. Enter the date the account originally was established or titled in the manner existing at date of death.
NOTE: For a decedent dying after 1Z/1Z/BZ: Accounts ahich the decadent put in joint names within one (l) year of death ars
taxable fully as transfers. However, there is an exclusion not to exceed $3,000 par transferee regardless of the value of
the account or the number of accounts held.
Ifa double asterisk (xx) appears before your first name [n the address portion of this notice, the $3,000 exclusion
already has been deducted frua tho account balance as reported by the financial institution.
Enter the total balance of the account including interest accrued to the date of death.
3. The percent of the account that is taxable for each survivor is determined as follows.'
A. The percent taxable for joint assets established aero than one year prior to the dacsdent's death:
! DIVIDED BY TOTAL NUNBER OF DIVIDED DY TOTAL NUNBER OF X ZOO = PERCENT TAXABLE
JOINT O#NERS SURVTVING JOINT ONNERS
Example: A joint asset registered in the nasa of the decedent and too other persons.
I DIVIDED BY 3 (JOINT ONNERS) DIVIDED BY 2 (SURVTVORS) = .167 X 100 = 16.71 (TAXABLE FOR EACH SURVIVOR)
B.The percent taxable for assets created aithin cna year of the decedsnt's death or accounts caned by the decedent but held
in trust for another Jndividual(s) (trust beneficiaries):
I DIVIDED BY TOTAL NUHBER OF SURVIVING JOINT X 100 = PERCENT TAXABLE
ONNERS OR TRUST BENEFICIARIES
Example.' Joint account registered in the name of the decedent and two other persons and established within cna year of death by
the decedent.
I DIVIDED BY Z (SURVIVDRS)= .50 X LO0 = SOl (TAXABLE FOR EACH SURVTVOR)
The amount subject to tax (line 4) is determined by multiplying the account balance (line Z) by the percent taxable (line 3).
S. Enter the tote! of tho debts and deductions listed ]n Part $.
6. The amount taxable (1ina 6) is determined by subtracting the debts and deductions (Line 5) from the amount subject to tax (line 4).
7. Enter the appropriate tax rate (l~na 7) as determined bsloa.
De~e of Death Spouse I Lineal Sibling Collateral
07/01/9q ~o 12/$1/94 $Z 6X lSX
01/01/95 ~o 06/$0/00 OX 6Z 152 15X
07/01/00 ~o presen~ OX 4.$Xx 122
;Tho tax rate isposed on the nat value of transfers from a deceased child twenty-one years of age or younger at
death to or for the use of a natural parent, an adoptive parent, or a stapparant of the child is OX.
The lineal class of heirs includes grandparents, parents, children, and lineal descendants. "Children" includes natural children
ahather or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the
natural parents and their descendents, ahether Dr not they have been adopted by others, adopted descendents and their descendants
and step-descendants. "Siblings" are defined as individuals who have at least one parent in colson #ith the decedent, whether by blood
or adoption. The "Collateral" class of heirs includes all other beneficiaries.
CLAIHED DEDUCTIONS - PART :5 - DEBTS AND DEDUCTIONS CLAIHED
Allowable debts and deductions are determined as folloas:
A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient
to pay the deductible items.
B. You actually pald the debts after death of the decedent and can ~urn~sh proof of payment.
C. Debts being claimed must be italizad fully in Part 3. If additional space is needed) use plain paper 8 1/2" x 11". Proof of
payment lay be requested by the PA Department of Revenue.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 000842
DUPLICATE
WASELEWSKI ROBIN
250 WINDY HILL ROAD
SHERMANS DALE, PA 17090
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
........ fold
02100997 $56.34
ESTATE INFORMATION: SSN: 162-22-6627
FILE NUMBER: 2102-01 51
DECEDENT NAME: KING GLORIA E
DATE OF PAYMENT: 02/08/2002
POSTMARK DATE: 02/04/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 11/27/2001
TOTAL AMOUNT PAID'
$56.34
REMARKS: ROBIN WASELEWSKI
SEAL
CHECK# 2682
INITIALS: CW
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
17 -
BUREAU OF TNDIVTDUAL TAXES
INHERITANCE TAX
DEPT. 28O601
HARRTSBURG, PA 17128-0601
ROBIN WASELENSKI
250 WINDY HILL RD
SHERHANS DALE
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTXCE OF TNHERTTANCE TAX
APPRAXSEHENT. ALLONANCE OR DXSALLOHANCE
OF DEDUCTTONS, AND ASSESSI~ENT OF TAX ON
JOXNTL¥ HELD OR TRUST ASSETS
!~ . DATE 04-08-2002
ESTATE OF KING
DATE OF DEATH 11-27-2001
FILE NUMBER 21 02-0151
'02 ~?i:~-5 !¥1I :(]~)COUNTY CUMBERLAND
SSN/DC [62-22-6627
ACN 02[00997
:. Amount Remitted
REV-1548 EX AFP (01-02)
GLORIA
r
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE
~ RETAIN LONER PORTION FOR YOUR RECORDS
REV-1548 EX AFP C01-02)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-08-2002
ESTATE OF KING
GLORIA E DATE OF DEATH 11-27-2001 COUNTY CUMBERLAND
FILE NO. 21 02-0151 S.S/D.C. NO. 162-22-6627 ACN 02100997
TAX RETURN NAS: CX) ACCEPTED AS FILED C > CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FEDERAL CREDIT UN ACCOUNT NO. 199157-00
TYPE OF ACCOUNT: C ~ SAVINGS C ) CHECKING C ) TRUST C ) TIME CERTIFICATE
DATE ESTABLISHED 11-27-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 1.000
.00
- .00
.00
X .45
.oo
NOTE:
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
02-04-2002 CD000842 .00 56.~4
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
TF PATD AFTER THTS DATE, SEE REVERSE FOR CALCULATTON OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS LESS THAN 41, NO PAYHENT IS REQUTRED.
TF TOTAL DUE TS REFLECTED AS A "CREDIT" ¢ CA), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THTS FORH FOR TNSTRUCT[ONS. ~
56.54CR
.00
56.54CR
PURPOSE OF
NOTICE=
PAYMENT=
REFUND
OBJECTIONS=
ADMIN-
ISTRATIVE
CORRECTIONS=
DISCOUNT=
PENALTY=
INTEREST=
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 91~0).
Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the
reverse side.
-- Make check or money order payable to= REGISTER OF NILLS, AGENT.
A refund of a tax credit, which was not requested on the tax return, may be requested by coapleting an "Application
for Refund of Pennsylvania Inheritance and Estate Tax*' CREV-1313). Applications are available at the Office of
the Register of Wills, any of the 23 Revenue District Offices or by calling the special 2~-hour answering service
for forms ordering= 1-800-362-2050; services for taxpayers with special hearing and or speaking needs=
1-800-447-3020 CTT only).
Any party in interest not satisfied with the appraiseaent, allowance, or disallowance of deductions or assessment
of tax Cincludtng discount or interest) as shown on this Notice pay ob§act within sixty C&O) days of receipt of
this Notice by=
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17126-1021~ OR
--electing to have the matter determined at the audit of the account of the persona/ representative, OR
--appeal to the Orphans' Court
Factual errors discovered on this assessment should be addressed in writing to= PA Department of Revenue,
Bureau of Individual Taxes, ATTN= Post Assessment Review Unit, DEPT. 280&O1, Harrisburg, PA 17128-0&01
Phone (717) 787-&505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" CREV-1501) for an explanation of adainistratively correctable errors.
If any tax due is paid within three Cb) calendar months after the decedent's death, a five percent
discount of the tax paid is a11o~ed.
The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 199&, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the saae manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six C&X) percent per annum calculated at a daily rate of .0001&4.
All taxes which becaae delinquent on or after January 1, 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable
interest rates for 1982 through 2002 are=
Year Interest Rate DaiIy Interest Factor Year Interest Rate
Daily Interest Factor
1982 20X .000548 1992 9X .000247
1983 lAX .000438 1993-1994 7X .000192
1984 11X .000301 1995-1998 9X .0002~7
1985 13~ .00035~ 1999 7X .000192
1986 lOX .000274 2000 8X .000219
1987 9X .000247 2001 9X .000247
1988-1991 11~ .000301 2002 &X .OOOl&4
--Interest is calculated as follows:
XNTEREST = BALANCE OF TAX UNPAXD X NUNBER OF DAYS DBLXN~UENT X DAXL¥ XNTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. [f payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.