HomeMy WebLinkAbout04-0537CONHONNEALTH OF PENNSYLVANZA
DEPARTNENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARR/SBURG) PA 171Z8-0601
REV-~¢5 EX AFP (09-00)
ZNFORNATZON NOTICE
AND
TAXPAYER RESPONSE
FZLE NO. 21~/~z/' /-~ ''
ACN 0~119772
DATE 05-25-200~
TARA L LEHNAN
69~ CENTER RD
NENV[LLE PA 17Z~1
TYPE OF ACCOUNT
EST. OF VTOLET N SHONAKER [] SAVZNeS
S.S. NO. 168-Z~-~7~$ [] CHECKING
DATE OF DEATH OZ-I$-2OOR [] TRUST
COUNTY CUNBERLAND [] CERTZF.
REHZT PAYHENT AND FORHS TO:
REGTSTER OF NTLLS
CUNBERLAND CO COURT HOUSE
CARLISLE, PA 17015
HEHBERS 1ST FCU has provided tha Department Nith the information listed baloN Nh/ch has been used in
calculating tho potential tax duo. Their records indicate that at tho death of the above decedent, you wera a joint owner/beneficiary of
this account. Zf you feel this information is incorrect, please obtain Nr]tten correction from the financial institution, attach a copy
to this form and return it to the above address. This account is taxable in accordance with tho Inheritance Tax Laws of the CommonNaalth
of Pennsylvania. Questions may be ensnared by calling (717) 787-8~Z7.
CONPLETE PART i BELO# x x x SEE REVERSE SIDE FOR FILING AND PAYNENT INSTRUCTIONS
Accoun~ No. ~351Z-00 De~e 01-07-1985
Established
Accoun~ Balance 1,075.29
Percen~ Taxable X 50.000
Amoun~ Subjec~ ~o Tax 556.65
Tax Ra~e X .0~5
Potential Tax Due
To insure proper credit
(Z) copies of this not~
payment to the Register
payable to: "'Ragistar
NOTE: If tax pay;ants
($) months of fha dacK
you may deduct a SZ dis
Any inharitanca tax due
nine (9) months after
to your account, two
must accompany your
of Nil[s. Hake check
NilIs, Agent".
re made within three
ant's date of death,
count of the tax due.
ail! become delinquent
he date of death.
PART TAXPAYER RESPONSE
A.I~ The above information and tax due is correct.
i i
1. You may choose to remit payment to the Register of #ills with two copies of this notice to obtain
a discount or avoid interest) or you may check box "A" and return this noU~:a to tho Register of
CHECK ~ Hills and an o;HcJal assessment ~ill be issued by the PA Department of Revi~nue.
ONE
BLOCK s. ~ The above asset has been or ~111 be reported and tax paid uJth the Pennsylvania Inheritance Tax return
ONLY to be filed by ~e decedent's representative.
~ The above information is incorrect and/or debts and deducUons ~ere paid by you
C.
You must co~plete PART ~ and/or PART ~ below.
PART
TAX RETURN - COHPUTATZON OF TAX ON JOZNT/TRUST ACCOUNTS I~~ ~~~~
LINE 1. De~e Established 1
2. Accoun~ Balance 2
$. Percen~ Taxable $ ~
~. Amoun~ Subjec~ ~o Tax ~
5. Debts and Deductions $. -
6. Amoun~ Taxable 6
7. Tax Re~e 7 ~
8. Tax Due ~
DEBTS AND DEDUCTIONS CLAIMED
PART
DATE PAID
PAYEE DESCRIPTION
TOTAL (Enter on Line $ of Tax Computation)
Under penalties of perjury) T decZare ~ha~ ~he fac~s I have reported above are ~rue) correc~ and
complete ~o ~he bes~ of my knowledge and belief. HONE ( )
NORK (
TAXPAYER SIGNATURE TELEPHONE NUHBER DATE
GENERAL INFORNATION
1. FA/LURE TO RESPOND N/LL RESULT ZN AN OFF/CIAL TAX ASSESSHENT aith applicable interest based on information
submitted by the financial institution.
Z. Inheritance tax becomes delinquent nine months after the decadent's date of death.
3. A joint account is taxable even though the dacedent's name Nas added as a matter of convenience.
4. Accounts (including those held between husband and mile) which the decedent put Jn joint names within one year prior to
death ara fully taxable as transfers.
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 ara taxable fully.
REPORT[NS INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - If the information and computatian in the notice are correct and deductions are not being claimed, place an
in block "A" of Part I of the "Taxpayer Response" section. Sign tmo copies and submit thee aith your check for the amount of
tax to the Register of Rills 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 Register of Hills.
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 decedant's representative, place an "X" in block "B" of Part I of the "Taxpayer Response" section. Sign one
copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept Z80601, Harrisburg, PA 171Z8-0601 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
according to the instructions below. Sign tad copies and submit thee with your check for the amount of tax payable to the Register
of Nills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt
of the return from tho Register 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 dying after 1Z/1Z/BZ: Accounts ah[ch tho decedent put in joint names aithin one (1) year of death are
taxable fully as transfers. However, there is an exclusion not to exceed $5,000 par transferee regardless of the value of
the account or the number of accounts held.
If a double asterisk (ex) appears before your first name in the address portion of this notice, the $3,000 exclusion
already has been deducted from the 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 more than one year prior to the decedent's death:
I DIVIDED BY TOTAL NUHBER OF DIVIDED BY TOTAL NUNBER OF X 100 PERCENT TAXABLE
JOINT OHNERS SURVIVING JOINT OHNERS
ExampLe: A joint asset registered Jn the nasa of the decedent and two other persons.
I DIVIDED BY 3 E JOINT OHNERS) DIVIDED BY Z (SURVIVORS) = .167 X 100 = 16.7Z (TAXABLE FOR EACH SURVIVOR)
B.Tho percent taxable for assets created within one year of the decedant's death or accounts owned by the decedent but hold
in trust for another individual(s) (trust beneficiaries):
1 DIVIDED BY TOTAL NUHBER OF SURVIVING JOINT X 100 = PERCENT TAXABLE
OHHERS OR TRUST BENEFICIARIES
Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by
the decedent.
I DIV/DED BY Z (SURVIVORS) = .50 X 100 = 50Z (TAXABLE FOR EACH SURVIVOR)
The amount subject to tax (line 4) is determined by multiplying the account balance (line Z) 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
7. Enter the appropriate tax rate (line 7) as atarainad below.
Date of Death J Spouse Lineal [ Sibling [ Collateral
07/01/9q to 12/31/9q 3X 6X
01/01/95 to 06/30/00 OX 6Z
07/01/00 to present OX
younger at
~Tha tax rate imposed on the net value ransfars ~
death tc or far the use of a natural parent, an adoptive arant, or a stepparent of the child is OZ.
The lineal class of hairs includes grandparents, parents, children, and 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 mhD have at least one parent in common with the decedent, ahather by blood
or adoption. The "Collateral" class of heirs includes a11 other beneficiaries.
CLA/HED DEDUCTIONS - PART $ - DEBTS AND DEDUCTIONS CLAZHED
Allowable debts and deductions are determined as follows:
A. You legally ara 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 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 plain paper 8 1/2" x 11". Proof of
payment may be requested by the PA Department of Revenue.
COMMONNEALTH OF PENNSYLVANXA
DEPARTMENT OF REVENUE
BUREAU OF XNDIVIDUAL TAXES
DEPT. Z80601
HARR/SBURG, PA 171ZB-0601
REV-1G~iS EX AFP C09-0O)
TARA L LEHMAN
69q CENTER RD
NENVXLLE PA 172ql
ZNFORHATZON NOTICE
AND
TAXPAYER RESPONSE
FZLE NO. 21~'
ACN 0q119775
DATE 05-25-200q
TYPE OF ACCOUNT
EST. OF VXOLET M SHONAKER [--]SAVXNGS
S.S. NO. 168-~q-~7~ ~-ICHECK~NG
DATE OF DEATH 02-15-200q I---~TRUST
COUNTY CUMBERLAND ]--]CERT/F.
REMIT PAYMENT AND FORMS TO:
REGXSTER OF NXLLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
MEMBERS 1ST FLU has provided the Department Nith the information listed beloN whlch has been used in
caXculating the potential 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 from the financial institution, attach a copy
to this form and return it to tho above address. This account is taxable in accordance ~ith the tnheritance Tax Laws of the Commonwealth
of PunnsyXvenia. Questions may be answered by caXling (717) 787-8327.
COMPLETE PART 1 BELON x x x SEE REVERSE SXDE FOR FXLXNG AND PAYHENT XNSTRUCTZONS
Account No. ~551Z-11 Date 01-07-1985
Established
Account Balance 57 7.71
Percent Taxable X 5 0 · 0 0 0
Amount Subject to Tax :)88.86
Tax Rata X .0(~5
Potential Tax Due 15. O0
To insure proper credit to your account, two
(Z) copies of this notice must accompany your
payment to the Register of Hills. Make check
payable to: "Register of NilXs, Agent".
NOTE: Xf tax payments are made within three
(3) months of the dacadant's date of death,
you may deduct a 5X discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART TAXPAYER RESPONSE
A. [] The above information and tax due is correct.
1. You may choose to remit payment to the Register of NiXIs 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
CHECK ~ Hills and an official assessment mill be issued by the PA Department of Revenue.
ONE
BLOCK a. [] The above asset has been or will be reported and tax paid ~ith the Pennsylvania Inheritance Tax return
ONLY to ba filed by the dacedant's representative.
C. [] The above information is incorrect and/or debts and deductions Mere paid by you.
You must complete PART ~ and/or PART ~
TAX RETURN -COMPUTATZON OF TAX ON JOZNT/TRUST ACCOUNTS
2. Account Balance 2.
3. Percent TaxabXe $ ~
q. Amoun~ SubSact to Tax q
5. Debts and Deductions 5 -
6. Amount Taxable 6
7. Tax Rata 7 ~
8. Tax Due 8
PART
DEBTS AND DEDUCTXONS CLAXMED
[~]
DATE PATD PAYEE DESCRXPTTON
AMOUNT PAiD
TOTAL (Enter on LZna$ of Tax Computation)
Under panaXtias of parjury~ Z decXara that the facts T have reported above ara true, correct and
complete to the best of my knowXadga and belief. HOME ( )
NORK ( )
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
6ENERAL INFORHATION
1. FA/LURE TO RESPOND HILL RESULT IN AN OFFZC/AL TAX ASSESSHENT mith applicable interest based on information
submitted by the financial institution.
Z. Inheritance tax becomes delinquent nine months after the dacedent's date of death.
5. A joint account is taxable even though the decedent's name mas added as a matter of convenience.
4. Accounts (including those held bateeen husband and wife) which the decedent put in joint names within one year prior to
death are fully taxable as transfers.
5. Accounts established jointly between husband and eife 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 [NSTRUCTZONS- PART I - TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notlcs are correct and deductions are not being claimed; place an "X"
in block "A" of Part I of the "Taxpayer Response" section. Sign two copies and submit them with your check for the amount of
tax to the Register of Hills of the county indicated. The PA Department of Revenue will issue an officiaL assessment
(Fora REV-154B EX) upon receipt of the return from tho Register of Wills.
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 decedent's representative, place an "X" in block "8" of Part 1 of the "Taxpayer Response" section. Sign one
copy and return to the PA Department of Revenue, Bureau of Individual Taxes; Dept 260601; Harrisburg, PA 17128-0601 in the
envelope provided.
BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C"' and complete Parts Z and 5
according to the instructions below. Sign two copies and submit thee with your check for the amount of tax payable to the Register
of Hills 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 Register of Hilts.
TAX RETURN - PART Z - TAX CONPUTATTON
LINE
1. Enter the date the account originally was established or titled in the manner existing at date of death.
NOTE: For a decedent dying after 12/1Z/BI: Accounts which the decedent put in joint names within one (1) year of death are
taxable fuIly as transfers. However, there is an exclusion not to exceed $5,000 par transferee regardless of the value of
the account or the number of accounts heId.
If a double asterisk (aa) appears before your first name in the address portion of this notice, the $5;000 exclusion
already has been deducted from the account balance as reported by the financial institution.
Z. Enter tho total balance of the account including interest accrued to the date of death.
5. The percent of the account that is taxable for each survivor is determined as folIows:
A. The percent taxable for joint assets established more than one year prior to the decedent's death:
I DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUNBER OF X 100 = PERCENT TAXABLE
JOINT ONNERS SURVIVING JOINT ORNERS
Example: A joint asset registered in the name of the decedent and two other persons.
I DIVinED BY 5 [JOINT OHNERS) OIVIDEO BY Z [SURVIVORS) = .167 X 100 = I6.71 [TAXABLE FOR EACH SURVIVOR)
B.The percent 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):
I DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT X 100 = PERCENT TAXABLE
ONNERS OR TRUST BENEFICIARIES
Example: Joint account registered in the name of the decadent and tee other persons and established within one year of death by
the decedent.
Z DIVIDED BY Z (SURVIVORS) = .SO X lO0 = 50Z (TAXABLE FOR EACH SURVIVOR)
4. The amount subject to tax (line 4) is determined by multiplying the account balance (line Z) by the percent taxable (line
5. Enter the total of the debts and deductions listed in Part 5.
6. The amount taxable [line 6) is determined by subtracting the debts and deductions [line 53 from the amount subject to tax [line
7. Enter the appropriate tax rate [line 7) as determined
Da{e of Death Spouse I Lineal I Sibling I Collateral
07/01/9q to 12/31/9q 3X 6X
01/01/95 to 06/30/00 OX 6X
07/01/00 to present OX
eTha tax rate imposed on the nat value of transfers frae a deceased :y-one years age younger at
death to or for the use of a natural parent; an adoptive parent; or a stapparent of the child is OZ.
The Lineal cIass of heirs incLudes grandparents, parents; chiIdran, and lineaI descendents. "ChiIdren" includes natural chiLdren
whether or not they have been adopted by others, adopted children and step children. "LineaL descendents" includes ali children of the
naturaL parents and their descendants, 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 Ieast one parent in common with the decedent; whether by blood
or adoption. The "Collateral" class of hairs includes all other beneficiaries.
CLAIMED DEDUCTIONS - PART 5 - DEBTS AND DEDUCTIONS CLAIMED
AlIowable debts and deductions are determined as follows:
A. You LegalLy are responsibLe for payment, or the estate subject to administration by a personal representative is insufficient
to pay the deductible items.
S. You actually paid the debts after death of the decedent and can furnlsh proof of payment.
C. Debts being claimed must be itemized fully in Part 5. If additional space is needed; usa plain paper 8 1/2" x 11". Proof of
payment may be requested by the PA Department of Revenue.
.............. ~~ ~ ~~ 9~fi~ ~fi~ ~'~ ~'~' ~'~ ...... ~ ~ ~ ~1
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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 004020
LEHMAN TARA L
694 CENTER RD
NEWVILLE, PA 17241
........ fold
ESTATE INFORMATION: SSN: 168-24-4743
FILE NUMBER: 2104-0537
DECEDENT NAME: SHOWAKER VIOLET M
DATE OF PAYMENT: 06/08/2004
POSTMARK DATE: 06~07~2004
COUNTY: CUMBERLAND
DATE OF DEATH: 02/13/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
04119772 $24.15
04119773 $13.00
TOTAL AMOUNT PAID:
$37.15
REMARKS:
SEAL
INITIALS: AC
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS