HomeMy WebLinkAbout05-22-09PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES _ AND FILE N0. 21
PD Box zaoeol ~ 7AXF~AYER RESPONSE ACN 09124502
HARRISBURG PA 17128-0601
DATE 04-15-2009
REV-1543 EX AFP (OB-OB) ._ _.. - --_ ~ ~ ~-
<~C~~i C~~Y 2Z ~;~E ~' ~~. OF ROBERT J YINGER
SSN 179-30-4032
~ r~-~<< `.ii- DATE OF DEATH 03-01-2009
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e1,J~L~~ '_ ~ ,.. _._ PAdEMIT PAYMENT AND FORMS T0:
CATHY COHILL REGISTER OF WILLS
231 FROST ROAD CUMBERLAND CO COURT HOUSE
GARDNERS PA 17324 CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a point owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
and return it to the above address. This account is taxahle in accordance with tho Inheritance Tax laws of the Commonwealth of
Pennsylvania. Please call C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 153628-44
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
Date 12-24-2007
Established
$ 106,085.51
X 16.667
$ 17,681.27
X .045
$ 795.66
To ensure proper credit to the account, two
copies of this notice must accoapany
payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
months of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
nine months after the date of death_
C. ~ The above informs ion is incorre~ct and/or debts and deductions were paid.
Complete PART ~2 and/or PART 3LJ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
~v:nL icnter on Llne 5 or iax computation) g
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. HOME C 7
WORK C
/L/ TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
DATE PAID PAYEE DESCRIPTION eMniiNT perm
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 decedent's name was added as a matter of convenience.
4. Accounts (including those held between husband and wife) the decedent put in joint names within one near prior to
death are fully taxable.
5. Accounts established 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 are 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 the^ with a check for the amount of
tax to the register of wills of the county indicated. The PA Department of Revenue will issue an official assessment
(Form REY-1548 EX) upon receipt of the return from the register of wills.
2. 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 estate's representative, place an "X" in Block B of Part 1 of the "Taxpayer Response" section. Sign one
copy and return to the register of wills of the county indicated.
3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check Block C and complete Parts 2 and 3
according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the register
of wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt
of the return from the registe~^ of wills.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Enter the date the account originally was established or titled in the manner existing at date of death.
NOTE: For a decedent who died after 12/12/82, accounts the decedent put 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 held.
If a double asterisk C^~) appears before your first name in the address portion of this notice, the 53,000 exclusion
was deducted from the account balance as reported 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 taxable 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 DIVIDED BY TOTAL NUMBER OF MULTIPLIED BY 100 = PERCENT TAXABLE
JOINT OWNERS SURVIVING JOINT OWNERS
Example: A joint asset registered in the name of the decedent and two other persons:
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7 percent (TAXABLE TO EACH SURVIVOR)
B. The percentage taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held
in trust for another individual(s) (trust beneficiaries):
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BY 100 = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
Example: Joint account registered in the name of the decedent and two other persons and established within one near of death by
the decedent.
1 DIVIDED BY 2 (SURVIVORS) _ .50 X lOD = 50 percent (TAXABLE FOR EACH SURVIVOR)
4. The amount subject to tax (Line 4) is determined by multiplying the account balance (Line 2) by the percent taxable (Line 3).
5. Enter the total of the debts and deductions listed in Part 3.
6. The amount taxable (Line 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 (Line 7) as determined below.
^The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at
death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent.
The lineal class of heirs includes grandparents, parents, children and other lineal descendents. "Children" includes natural children
whether 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, whether or 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 common with the decedent, whether by blood
or adoption. The Collateral class of heirs includes all other beneficiaries.
CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are determined 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. You are legally responsible for payment, or the estate subject to 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 additional space is needed, use 8 1/2" x 11" sheet of paper. Proof of
payment may be requested by the PA Department of Revenue.
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To the Register of Wills:
Date G ~ I ~. 0 Q
I, Cathy A. Cohill, born on September 29, 1961, Social Security Number 173-56-9663,
residing at 231 Frost Road, Gardners, PA 17324, do hereby do a disclaimer and do not
want any money from the Certificate of Deposit, Account Number 153628-44, from my
deceased father, Robert J. Yinger, Social Security Number 179-30-4032, whose residence
was 7 Village Lane, Newville, PA 17241.
All money goes to my mother, Shirley A. Yinger, Social Security Number 177-30-8101,
who resides at 7 Village Lane, Newville, PA 17241.
I am also notifying Members 1st to remove my name from the Certificate.
In witness whereof the parties here to have hereunto set their hands and seals the day and
year above written.
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Cathy A. Co ill
Shirley A. Y ger
Witnessed and Notarized by
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NOTARIAL
CAMELA J MAN6ES
Notary public
HAMILTON TWP, fRANKLiN COUNIy
My Commiaaion Expirsa Jun 21, X010
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Date ~ ~'`y ~-1 ~ '~. 0 O
To Members lst:
I, Cathy A. Cohill, born on September 29, 1961, Social Security Number 173-56-9663,
residing at 231 Frost Road, Gardners, PA 17324, do hereby do a disclaimer and do not
want any money from the Certificate of Deposit, Account Number 153628-44, from my
deceased father, Robert J. Yinger, Social Security Number 179-30-4032, whose residence
was 7 Village Lane, Newville, PA 17241.
All money goes to my mother, Shirley A. Yinger, Social Security Number 177-30-8101,
who resides at 7 Village Lane, Newville, PA 17241. Please remove my name from the
Certificate.
The Register of Wills has been notified. Please see attached letter as per instructions
from the Department of Revenue, Harrisburg, PA.
In witness whereof the parties here to have hereunto set their hands and seals the day and
year above written.
~`
Cathy A. ohill
Shirley A. Yi er
Witnessed and Notarized by
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NOTARIAL SEAL
CAMEIA J MAN6ES
Notary public
HAMILTON iWR FRANKLIN COUNTY
My Commiaalon Explrss Jun 21, 2010