HomeMy WebLinkAbout03-09-10 (2)
¢ d O
~
~
O
Jl
~2 M
~o
NN
O
f
7
~~-+Jo00~
¢~-+f~o0
viacn.1~¢ •Q
(D
~ - /o
{~o
} ¢
~ ~' ~
¢
"*--
~~
~~~
~.
~~i
~~
M
~
„~
".;'
~.~
~~ ~
~ N
~•
`~~ i ,,,,,,,,
...
`\~Q
`` vv •+•
....
o .,
i a
`'
""'
'` ~ ..;
v
M ..~
.=
a
~. ~ ._
~ ~ ~
h
~~ ~~~
m
o
~ ~'
~
{, ~
O
~
'~.~ i7~
t
(LP
~ ~ ~+ i
Q" C ~ ••
O
C~
~ ~ 'dd ~` .~ F s ~,
~~ ~~~~ I~
~ ~
~ ~~ ~z : ~ R ~~ 6-~ ~~ o~ot
~ -a
~~
/ J ~,, ~ ~rr~t ~, ~I ,Y
..
~
(/
,
'
V v ~i r. ~, '
~~ ~~~~ ~ t
,~~+
~~
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND FILE N0. 21 09-0736
BUREAU OF INDIVIDUAL TAXES ,.~.. "~ ~ ~~'
Po BOX 280601 '~~_._ ~~ ' -r TAXPAYER RESPONSE ACN 09163769
HARRISBURG PA 17128-0601 ~, ,' ~~' } `
t{~~ ! ~~~, ~ ~ < :w; ~ < << ~ ,. DATE 10 - 0 7 - 2 0 0 9
RE1-=1~i "bc AFP (OB-08) -
~~~~ ~~~ "'~ ~~ ~~ ~ z~
~L~~~, ~~~~T
C)RPN~~k`~ ~ ~f
KIMBERLY SCHARDT
605 S MAIN ST
MARYSVILLE PA 17053
EST. OF MARIAN BRUDOWSKY
SSN 179-14-8711
DATE OF DEATH 07-24-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
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 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
Pennsylvania. Please call C717) 787-8327 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 abojve are Qt rue, correctrand
fomplete to the best of my nowledge and belief . HOME C ~ ! ~ ) -l ~~ - ~.5~.]
n~--,~,1, WORK C ) -3 -- - f 0
-XPAYER S GNATURE TELEPHONE NUMBER DATE
TOTAL CEnter 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 X3,000 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 &3,000 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 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 Cline 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 Cline 5) from the amount subject to tax (Line 4).
7. Enter the appropriate tax rate (Line 7) as determined below.
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
a.T L... ~~ ~~.. -., i~_ 0 percent 4.5 percent * 12 percent 15 percent
c v~ ~~a~~~~e~~ ~,-Vm n uecea~ea Cn11O L1 years OT 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:
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.
REV-1162 EX111-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT N 0 . C D 012431
SCHARDT KIMBERLY D
605 S MAIN ST
MARYSVILLE, PA 17053
-------- fold
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
ESTATE INFORMATION: SSN: 179-14-8711
FILE NUMBER: 2109-0736
DECEDENT NAME: BRUDOWSKY MARIAN L
DATE OF PAYMENT: 03/09/2010
POSTMARK DATE: 03/08/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 07/ 24/ 2009
09163769 ~ S1 19.33
TOTAL AMOUNT PAID: S 1 19.33
REMARKS:
SEAL
CHECK# 1 177
INITIALS: JN
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS