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Home My WebLink About02-17-10,i USA FIR -(~.AS~S F~jRE ER F' f, f~ l~ ' M Y ti' `i jfia ~ 't S [ i~ ~* ~ S ~If f `~ f.. :C [ 3 e. ~ ~~~~~ ~_~ y{~ ~ J.. i .~t~ x~~ ?~. { •... ,r; ' r !~! ~{ , ~. r~,l~!{~ ~s~ .ea ~:a: ~ ~ ~'. x D ~~ psi! f 4~ '.~& t';: '` k y,; .~ ~ , . e"~ '"~ r.: - .twy .p; Ay€ 0 cD a~i .~ ~'~ ~~ ~ ~- -~ a ~, a c ~ •- C~ .Q 0o m ~ ~, W a r~ ._ m r- .~ -~ N (A }~ _M `JN V O ~' O O 1.~ {= ~ 'WA N ~ N •~ O •` ~UU .Y,~ ,.~~ Gig ~ .. ~~~~~ ~;~.~ ~~, i'i'i 2 ='~ i f~~ .:,~ a;; t .,.~ PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES __ - A N D F I L E PO BOX 280601 f : ` `~~ `_' ~ i ,` HARRISBURG PA ln2s-o6o1 ~ ' TA`XP~A~dhER RESPONSE ACN -, i , , :, DATE REV-1543 EX AFP (08-OB) - ~ '" N0. 21 09-1175 10103405 01-18-2010 ~~~~ ~~ ~ ~ ~ ~~ EST. OF INA M KELLER SSN 175-10-7404 ~LC~~ ~-'~ DATE OF DEATH 12 - 0 9 - 2 0 0 9 ~~'~~~;~,i`~~~ ~~~~.~~ ~ COUNTY CUMBERLAND ~,~,j~~~ci~'~~_;',':`'.' ~,~., ~~REMIT PAYMENT AND FORMS T0: LARRY BISTLINE REGISTER OF WILLS 217 E GARFIELD ST 1 COURTHOUSE SQUARE SHIPPENSBURG PA 17257-2001 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. PN C BANK NA 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 joint 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 taxable in accordance with the Inheritance Tax laws of the Commonwealth of Penncylvania. Please call (717) 7R7-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Under penalties of perjury, I declare that the facts I have reported above are true, correct and c plate to the best of my knowledge and belief . HOME C ?~ ~ ~ Z ".~~~~ ~, WORK C 7i ? ) ~~o .- 3 40.3 ~- /5" old ~XPA R SIGNATURE TELEPHONE NUMBER DATE IUTAL ctnter on Line 5 of Tax Computation) S 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 year 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 them 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 REV-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 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 who died afterl2/12/82, 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 near 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 year of death by the decedent. 1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 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 then 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. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: BISTLINE LARRY D 217 E GARFIELD ST SHIPPENSBURG, PA 17257 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-96) NO. CD 012354 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: SSN: 175-10-7404 FILE NUMBER: 2109-1 175 DECEDENT NAME: KELLER INA M DATE OF PAYMENT: 02/ 1 7/2010 POSTMARK DATE: 02/ 1 6/2010 COUNTY: CUMBERLAND DATE OF DEATH: 1 2/09/2009 REMARKS: CHECK# 7830 SEAL 10103405 ~ $1,498.93 TOTAL AMOUNT PAID: INITIALS: JN $1,498.93 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS