HomeMy WebLinkAbout08-11-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0801
RECEIVED FROM:
HAYS C ELMIRA
201 N PRINCE STREET
SHIPPENSBURG, PA 17257
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- ,ova
ESTATE INFORMATION: ssN: 208-2a-2ass
FILE NUMBER: 2110-0815
DECEDENT NAME: SHRADER JOHN E
DATE OF PAYMENT: 08/ 1 1 /2010
POSTMARK DATE: 08/10/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 06/10/2010
REMARKS: C ELMIRA HAYS
SEAL
CHECK# 8679
10139980 ( 584.31
REV-1182 EXI11-961
NO. CD 013194
TOTAL AMOUNT PAID:
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
584.31
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
' PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE Q ~ Q G ~~
BUREAU OF INDIVIDWL TAXES AND FILE N0. 21 ~ o
Po Box zaosol TAXPAYER RESPONSE ACN 10139980
NARRISBUR6 PA 1712a-0601
DATE 07-07-2010
aEY-I56b E% AFP (1a •ta]
C ELMIRA HAYS
201 N PRINCE ST
SHIPPENSBURG PA 17257-1319
EST. OF JOHN E SHRADER
SSN 208-24-2466
DATE OF DEATH 06-10-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
FARMERS 6 MERCHANTS TRUST CO provided the Departaent with the information bales, which has bean used in calculating the
Dotentiel tax due. Records indicate that at the death of the above-naaed decadent. you ware a Soint owner/banal iciary of this account.
If you feel the information is incorrect, please obtain written correction frog the financial institution, attach a copy to this forty
entl return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cwaonwealth of
Pennsvlvani a. Please cell C717) 7a7-x327 with qua stions.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 50-06414 Date 10-10-2006 To ensure proper credit to the account, two
Established copies of this notice oust accomparw
pavaent to th• Raaistar of Wills. Make check
Account Balance ~` 1 , 124.13 payable to ••Raaistar of Wills. Anent".
PercanL Taxable X
5 0. 0 r~
NOTE: If tax payaent a aede with three
Amount Subject to Tax $ 562.07 aonths of the deeeden (ate of da~. ri
te
R
T
X
• 15 deduct a 5 percent di on the ~( tlue.Ti ~""~1
{
ax
a ,:a~
Aro InMritenee Tax dDi1 •eoaa(~,alinq
~
Potential Tax Due $ 84 • 31 deetlG7 ~ ~:; "r-~
nine aonths after the:
PART TAXPAYER RESPONSE ?'crime' -- ~~~"~ -.~~i
~~ ~;
"'p C._., ..7
A. ~ Tha above infonat ion and tax due is correct. ~ ~ ~_ ~-~
Remit pavaent to the Raaistar of Wills with two copies of this notice to a'i~n IV r.`..~:'Ti
CHECK a discount or avoid interest. or chock box "A" and return this notice to' •Raaistar ~E, ;~;7 Cv)
Wills and an off iciai assassaent will be issued by the PA Department of Revenue. ~ r.~
C ONE
BLOCK B. ~ Tha above asset has been or will ba reported and tax paid with the Pennsylvania Inheritance Tax return
ON L Y to ba filed by the estate representative.
C. ~ Tha above info
r bon is incorrect and/or debts and deductions were paid.
Coaplet• PART
2 and/or PART ~ below.
PART If indieatina a different taz rate, please state
relationship to decodant:
TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 S
3. Percent Taxable 3 X
4. Amount Sublact to Tax 4 ~
5. Debts and Detluctions 5
6. Amount Taxable 6 ~
7. Tax Rate 7 X
9. Tax Due a S
PART DEBTS AND DEDUCTIONS CLAIMED
^3
DATE P AID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are true, correct snare true, correct and
complete to the bolt of mY knowledge and belief. HOME C )
WORK C ) l
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on inforaetion
subwitted by the financial institution.
2. Inheritance Tax bacowes delinquent nine wonths after the decedent's date of death.
3. A joint account is taxable even when the decedent's nave was added as a wetter of convenience.
4. Accounts (including those heltl between husband and wife) the decedent put in joint naves within one veer prior to
death are fully taxable.
5. Accounts •stablishad jointly between husband and wife sore than one year prior to death are not taxable.
6. Accounts held by a decedent "in trust for" another or others era fully taxable.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - If the inforaetion and cowoutation in the notice are correct and deductions ere not being claiwed, place en ^X"
in Block A of Pert 1 of the "Taxpayer Response" section. Sign two copies antl subait than with a check for the awount of
tax to the register of wills of the county indicated. The PA Departaent of Revenue will issue an official assesswant
(Fora REV-1548 EX) upon receipt of the return frog the register of wills.
2. BLOCK B - If the asset speeif ied on this notice has been or will 6e 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 L - If the notice inf orwati on is incorrect and/or deductions are being elalwad, cheek Block C and cwDlete Parts 2 and 3
according to the instructions bal ow. Sign two copies and subait then with your cheek for the awount of tax payable to the register
of wills of the county indicated. The PA Departaent of Revenue will issue an official assesswent (Fora REV-1545 EX) upon receipt
of the return frog the register of Mills.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Enter the date the account originally was established or titled in the wanner existing at date of death.
NOTE: For a decadent who died of ter l2/12/82, accounts the decedent put in joint naves within one year of death are
fully taxable. However, there is an exclusion not to exceed 13,000 per transferee, regardless of the value of
the account or the nuwber of accounts held.
If a double asterisk (rs) appears before your first nave in the address portion of this notice, the 03,000 exclusion
was deducted frow the account balance as reported by the financial institution.
2. Enter the total balance of the account including iota re st accrued to the date of death.
3. The percentage of the account that is taxable to each survivor is deterwinetl as follows:
A. The percentage tazable of joint assets established wore than one year prior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL HUMBER OF MULTIPLIED BY 100 = PERCENT TAXABLE
JOINT DWNERS SURVIVING JOINT OWNERS
Exawple: A joint asset registered in the nave of the decadent and Mo other parsons:
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 tSURYIVORS) _ .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
Exawple: Joint account registered in the nave of the decedent and two other persons and established within one Year of death 6y
the decedent.
1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 50 percent (TAXABLE FOR EACH SURVIVOR)
4. The awount subject to tax (Line 4) is deterwined by wultiplvine the account balance (Line 2) by the percent taxable Cline 3).
5. Enter the total of the debts antl deductions listed in Part 3.
6. The awount taxable (Line 6) is deterwinetl by subtracting the debts and deductions (Line 5) frow the awount subject to tax (Line 4).
7. Enter the appropriate tax rate (Line 7) as detenined below.
Data 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
'The Lax rate iwDOSed on the net value of transfers frow a deceased child 21 Years of age or younger at
death to or for She uze 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 antl other lineal descendents. "Children" includes natural children
whether or not they have been adopted by others, adoptetl children and stop children. "Lineal descendents" includes all children of the
natural parents and their descendents, whether or not they have been adopted by others; atlopted descendents and their descendants;
and step-descendants. "Siblings" are defined as individuals who have at least one parent in eowwon with the decedent, whether 6y 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 deterwined as follows:
A. You era legal lv responsible for vaywent. or the estate subject to adwinistration by a personal representative is insufficient
to pay the detluctible itews.
B. You actually paid the debts after the death of the decedent and can furnish proof of paywant.
C. Debts being elaiwetl wust ba itewized fully in Part 3. If atltlitional space is neetletl, use B 1/2" x 11" sheet of paper. Proof of
paywant way be requested by the PA Departaent of Revenue.
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