HomeMy WebLinkAbout10-27-10 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128.0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 013562
NACE DAVID A
2650 GLENCHESTER DR
WEXFORD, PA 15090
,oa
ESTATE INFORMATION: ssN: ~ e3-i 2-ao2s
FILE NUMBER: 2110-0166
DECEDENT NAME: NACE ELWOOD ALBERT
DATE OF PAYMENT: 10/27/2010
POSTMARK DATE: 10/27/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 02/10/2010
REMARKS: DAVID NACE
CHECK# 4664
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10114753 ~ $103.03
TOTAL AMOUNT PAID:
INITIALS: WZ
REV-1162 EX111-96)
S 103.03
GLENDA EARNER STRASBAUGH
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE /~
BUREAU OF INDIVIDUAL TAXES ~~ v,n -~ ~.._. c AND FILE NO. 21 -!di Or~~
Po emc zeaeol ~` ~ tA7((?~)-`~R RESPONSE ACN 10114753
FNRRISBURG PA 17128-0601 ~ 1 n
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ZOIO OCT Z7 PPS ~ ~ j TYPE OF ACCOUNT
EST. OF ELWOOD A NACE ^ savlNSs
SSN 193-12-4026 ® cHECKINs
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DAVID A NACE REGISTER OF WILLS
2650 GLENCHESTER DRD 1 COURTH OUSE SQUARE
WEXFORD PA 15090-7903 CARLISLE PA 17013
NEW CUMBERLAND FCU provided the Deaartaent with the inforaation below, which has been used in calculative the
potential tax due. Records indicate that at the death of the abovo-naaed decedent, you ware a ioint owner/benaf ieiary of this account.
If You foal the inforaation is incorrect, please obtain written correction frog the financial institution, attach a tom to this fora
and roturn it to the abovo addra ss. This aecourt is texebla in accordance with th• Inhsritene• Tax laws of the Coaaonwealth of
Pennsylvania. Please call (717) 7a7-8327 with vuestions.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 11899 Date 09-17-1984
Established
Account Balance ~ 13 ~ 737.34
Percent Taxable X 16.667
Amount Subject to Tax ~ 2,289.60
Tax Rat• X .045
Potential lax Duo $ 103.03
PART
n
CHECK
C ONE
BLOCK
ONLY
To ensure proper credit to the account, two
copies of this notice oust accoapara,
p ayaent to the Re9lster of Wills. Make check
payable to "Register of Wills. Agent".
NOTE, If tax peyaents are wade within three
aanths of the decedent's date of death.
deduct a 5 portent discount on the tax due.
Any Inheritance Tax due will becoae delineuant
nine aonths of tar the data of death.
A. The above infonstian and tax due is correct.
Resit pageant to the Register of Wills with two copies of this notice to ob}sin
a discount or avoid interest, or check box "A" and return this notice to the Register of
Wills and an official assessaent will be issued by the PA Departaent of Revenue.
B. ~ The ebova asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax roturn
to be filed by the estate representative.
C. ^ The above inforaa ion is incorrect and/or debts and deductions ware paid.
Coaplete PART 2~ and/or PART 3^ below.
PART If indicating a different tax rate, plaesa state
relationship to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 $
3. Pereant Taxable 3 X
4. Amount Sub~eet to Tax 4 ~
5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rata 7 X
B. Tax Dua e ¢
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) ;
Under penalties of perjury, I declare that the facts I have reported '~7b^ov/a' ar~_tr`ya,^egrra~t and
~Ompl`ta^to,'tluro ~, of my knowledge and belief. HOME ( 1ctT ) 3a oA-GWI.I .
WORK C Af/L ) (¢/,,,L.
GENERAL INFORMATION
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on inforwation
subwitted by the financial institution.
Inheritance Tax becomes delinquent mina sonths after the decedent'a date of death.
A joint account is taxable even when the decedent's nave was added as a natter of convenience.
Accounts (including those held between husband and wife) the decedent put in joint novas within one year prior to
death are fully taxable.
Accounts established jointly between husband and wife wore than one year prior to death era not taxable.
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 inforwation end cowputation in the notlee are correct and deductions are not being claiaad, place an "X"
in Block A of Part 1 of the "Taxpayer Response" section. Sign two copies and subwit thew with a check for the awount of
tax to the register of wills of the county indicated. Tha PA Department of Revenue will issue an official asses scent
(Fora REV-1548 EX) upon receipt of the return frow the register of wills.
2. BLOCK B - If the asset specified on this notice has bean or will ba 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 inforwation is incorrect and/or deductions era being claiaad, chock Block C and eowplete Parts 2 and 3
according to the instructions below. Sign two copies and subwit thew with Your chock for the awount of tax payable to the register
of wills of the county indicated. Tha PA Department of Revenue will issue an officielassesswent (Fora REV-1548 EX) upon receipt
of the return frow the register of wills.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Enter th• data the account on pinally was established or titled in the wanner ax fisting at date of death.
NOTE: For a decedent who died after 12/12/82, accounts the decedent out in joint naves within one near of death era
fully taxablo. However, there is an exclusion not to exceed 03,000 per transf area, regardless of the value of
the account or the nuwber of accounts hold.
If a double asterisk (..) appears before your first naae in the address portion of this notice, the 03.000 exclusion
was deducted froa the account balance as reported 6t' 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 datarwinad as follows:
A. Tha percentage taxable of joint assets established sore than one year Drior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUIHER DF MULTIPLIED BV 100 = PERCENT TAXABLE
JOINT OWNERS SURV IVIN6. JOINT OWNERS
Exawple: A joi r.t asset registered in the nave of the dacadant and two other persons:
1 DIVIDED BY 3 [JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 ~ 16.7 percent (TAXABLE TD EACH SURVIVOR)
B. The percentage taxable for assets created within one year of the decedent's death or accounts owned 6ythe decedent but held
in trust for another individual(s) Ct rust 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 by
the decedent.
1 DIVIDED BY 2 [SURVIVORS) _ .50 X 100 = 50 percent (TAXABLE FOR FACH SURVIVOR)
4. The awount subject to tax (Line 4) is date rw ined 6t' multiplying the account balance CL inn 2) by the percent taxable CL ine 3).
5. Enter the total of the debts and deductions listed in Part 3.
6. Tha awount taxable (Line 6) is deterwined by subtracting the debts and deductions (Lino 5) frow the awount subject to tax CL ine 4).
7. Enter the appropriate tax rata (Line 7) as datarwinad Gel ow.
s e ax ra a iwposa on t a no va ue of transfers froa a deceased chi d 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.
Tha lineal class of hairs 3ncludas grandparents, parents, children and other lineal descendent s. "Children" includes natural children
whether or not that' have boon adopted by others, adopted children and step children. "Lineal descendents" includes all children of the
natural parents and their descendents, whether ar not they have bean adopted by others; adopted descendants and their descendants;
and step-descendants. "Siblings" era defined as individuals who have at least one parent in eowwon with the decedent, whether by blood
or adoption. Tha Collateral class of hairs includes all other 6enaf iciaries.
CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are determined as follows:
Dato 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 portent 6 percent 15 portent 15 percent
07/01/00 to present 0 portent 4.5 percent ~ 12 percent 15 percent
A. Vou are legally responsible for payaent, or the estate subject to adwinistration by a personal representative is insufficient
to pay the deductible iteas.
B. Vou actually paid the debts of tar the death of the dacadant and can furnish proof of payaent.
C. Debts being claiaad oust be iteaized fully in Part 3. If additional space is needed, use 8 1/2" x 11" sheet of paper. Proof of
payaent say ba requested by th• PA Department of Revenue.
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