HomeMy WebLinkAbout01-13-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MULINARI SUSAN T
5930 COVE LANDING RD APT 101
BURKE, VA 22015
-------- fold
ESTATE INFORMATION: SSN: 216-01-7873
FILE NUMBER: 2111-0059
DECEDENT NAME: MULINARI EGIDIO J
DATE OF PAYMENT: 01/13/2011
POSTMARK DATE: 01 / 1 1 /201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 07/15/2010
REV-1162 EXI11-961
N0. CD 013889
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11100637 ~ 51,680.70
TOTAL AMOUNT PAID:
REMARKS: SUSAN MULINARI
CHECK# 5189
SEAL
INITIALS: WZ
RECEIVED BY:
51,680.70
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
w.
BUREA mwr TAX
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND FILE N0. 21 ~- ~~~' ~'~
TAXPAYER RESPONSE ACN 11100637
DATE 01-05-2011
eEV-1543 E% AFP (31-46)
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CLERK OF
ORPHANS COi1RT uLi naRi E- ~drr~~ last
CUMPERL ~Nl~ CO.,
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~* SUSAN T NYIUBARU ~_
5930 COVE LAND//IN~6 RD ~n~~~tC
BURKE VA 22015 ~~+ namc
EST. OF EGIDIO J MULINARI
SSN 216-01-7873
DATE OF DEATH 07-15-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
M 8 T BANK 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 deeetlent, You were a ioint owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction frog the financial institution, attach a copy to this form
and return it to the above address. This account is taxable in accordsnu with the Inheritance Tax laws of the Commonwealth of _ ___.
--.. Pan*rarlwnia.--~Piyesatatl-(71fi3-i'M'•a3@9~t1'ltlr-4aastiaffs. ~ "--' _ _..,. _.. _. _ ~ _.._. ...r- _. _ -
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 15004221438672 Data 03-05-2010 7o ensure proper credit to the account, two
Established Copies of this notice must accompany
6 0 3.58 payment to the Resister of Wills. Make check
Account Balance $ 4 5 , payable to "Resister of Wills, Asent".
Percent Taxable X 100.00
NOTE, If tsx payments are made within three
Amount Subject to Tax ~ 45,603.58 months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent di seount on the tax due.
Arty Inheritance Tax due will become delineuent
Potential Tax Duo ~ 2, 052.16 nine months after the date of death.
PART TAXPAYER RESPONSE
1^
A. ~ The above inforaation and tax du• is correct.
Remit payment to the Resister of Wills with two eooies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Resister of
Wills and an official assessment will be issued by the PA Depsrtment of Revenue.
C ONE
BLOCK B. ~ The above asset has been or will be reported and tax Deid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. ~he above informs ion is ineorree^t and/or debts and deductions were paid.
omplet• PART 2 and/or PART 3 below.
PART If indieatin9 a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Dato Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Taz Due
Under penalties of perjury, I tlecla re that the facts I have reported above are true, correct and
Complete to the best of my knowledge and belief. HOME C ) 2 ~ lV
WORK C9tlZ) -'[Ill ^lU~i'
1~
al 09- Zul o
DATE
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
GENERAL INFORMATION
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information
subwitted by the financial institution.
Inheritene• Tax becowes delinquent nine months after the decedent's date of death.
A Joint account is taxable even when the decedent's name was added as a matter of convenience.
Accounts (including those held between husband and wife) the decedent put in joint names within one year prior to
death are fully taxable.
Accounts established jointly between husband and wife more than one near prior to death are not taxable.
Accounts hold 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 cowputetion 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 thew with a check for the amount of
tax to the register of wills of She county indicated. The PA Departwent of Revenue will issue an off ieial assesswent
(Forty REV-1548 IX) upon receipt of the return frow 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, vlace 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 inf orwation is incorrect and/or deductions are being claiwed, cheek Block C and complete 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. The PA Departwent of Revenue will issue an official assesswent (Forty REV-1548 IX) upon receipt
of the return frow the ragistar of wills.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
1. Enter the date the account original lv was established or titled in the wanner existing at date of death.
NOTE: For a decedent who died after l2/12/82, accounts the decedent put in joint naves within one near of death are
fully taxable. However, there is an exclusion not to exceed F3,000 per transferee, regardless of the value of
the account or the nuwber of accounts held.
If a double asterisk C.s) appears before your first name in the address Do rtion of this notice. the 13,000 exclusion
vas deducted from the account balance as reported by the financial institution.
2. Enter the total balance of the account including interest accrued to the dat• 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 wore 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
Exawple: A joint asset registered in the nave 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 SURV IYOR)
B. The Dercentage 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 tlecetlent antl two other persons and established within one year of death 6y
the decedent.
1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 50 Dercent (TAXABLE FOR EACR SURVIVOR)
4. The amount subject to tax (Line 4) is determinetl by multiplying the account balance (Line 2) by Lhe percent taxable (Line i).
5. Enter the total of the debts and deductions listed in Psrt 3.
6. Ths aaount taxable (Line 6) is dste Wined by subtracting the debts and deductions (Lino 5) frow the awount subject to tax (Line 4).
7. Enter the appropriate tax rate (Line 7) as Bete rw ined belay.
Date of Death Spouse Lineal -:. - Sib ling. -... .. Gollat e.eal.
07/01/94 to 12/31/94 3 percent 6 percent 15percent 15 percent
01/01/95 to 06/30/00 0 percent 6 percent 15 percent 15 percent
07/O1/00-to present 0 percent 4.5 percent * 12 percent 15 percent
.The tax rate iwposetl on the net value of transfers frow a tleeaasetl child 21 years of ape 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 atloptetl by others, atlopted children and step children. "Lineal descendents" includes all children of the
natural parents end their descentlsnts. whether or not they have been adopted by others; adopted descendents and their descendants;
antl steD-descandant s. "Siblings" era defined as individuals who have at least one parent in cowmon with the decedent, whether by blood
or adoption. The Collateral class of heirs inelutles all other benef ieia rigs.
CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED
Allowable debts antl tletluctions are determined as follows:
A. You ere legally responsible for payment, or the estate subject to adwinistration by a personal representative is insufficient
to pay the deductible itews.
B. You actually paid the debts after the death of the decedent and can furnish proof of payment.
C. Debts being claiwed ^ust be itewized fu11Y in Part 3. If additional space is needed, use B 1/2" x 11" sheet of paper. Proof of
payment way be requested by the PA Departwent of Revenue.
Welcome to M&T Online Banking Page 1 of 1
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JANUARY 10, 2011 Sign Off
Ac~urAS Transfers BIU Pay Customer Service
gCCOUNT 8UMAMRY> TRANSFERS TRI4NSACTION HFSTORY
Transaction History ~"~''
Rslabd Links: VewlEdit Transactions ~ Transfers & Loan Payments ~ Pav a Bill ~ Status Alerts
From AlI Accounts ~ To AlI AccotmtslPayees ~ ~ Shaw Last 6 Months ~ '~ GO
To SENt dick en column narne.
TransferslMbT Loan Paymens
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33809933 09/05/2010 Mrkt Advantage 8672 Cbssk Checking 8275
32716275 0721/2010 Mrikt Advantage 8872 Classic Chedkirg 8275
32718809 07212010 Mrkt Advantage 8672 Cbssic Cttedkir-g 8275
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58553201 09/02/2010 09108/'1010 Classic Ctledking 8275 Darryl K GuishNde, DO., Inc.
58195220 08/23/2010 08/26/2010 Classic Checking 8275 Carusb Regional Medkoal Carrier
58000939 06/162010 08/1912010 Classic Ctteckirp 8275 Continuing Care RX
57785670 98/092019 08H 22019 Classic Cheddng 8275 Carlisle 1i1rU41otrysic®n Managemen
57558270 08/022010 08/05/2010 Cbssic Checking 8275 CWnberbnd Crossing
57557761 08/02!2010 08!052010 Cbssic Ctreckirtg 8275 Abxartder Springs Emer Phys
57316006 07262010 07/292010 Classic Chadcing 8275 Carlisb Regional Medical Center
57331813 07262010 97292010 Cbssk: Checking 8275 lCtrtefic hnaging
57213698 07222010 07272010 Cbssk Checking 8275 Cumberland Crossings (1)
57213906 07222010 07272010 Cbssic Checking 8275 West Shtxe EMS - Carlab
57214001 07222010 07272010 Classic Checking 8275 Cumbsdand GoodwiN EMS
57214180 07222010 07272010 Classic Checking 6275 Carfisie HMA Physicen Managemen
F77177d'2 mn~nn~n mri72nm Classic Chedcim 8275 - CorttirltHrw Care RX
Total ror Md~T vlkb BIU Payments
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Total for Transfers and Paymerds
9uasunt
550.70
522.82
555.20
5110.b2
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$887.80
521.77
5538.58
512.92
58,547.13
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