HomeMy WebLinkAbout03-25-11PENNSYLVANIA INHERITANCE TAX
_ (~}}INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES ,y ~ ~'~.i~. V~ AND
Po Box 260601 ' `! ` C TAXPAYER RESPONSE
HARRISBURG PA 17128-0601 _+~ "~. /
REV-1543 EX AFP COB-08)
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DAVID CAREY
322 SOMERSET DR
SHIREMANSTOWN PA 17011-6538
FILE'. N0. 21 10-0926
ACN 11114650
DATE'. 03-03-2011
EST. OF DORIS D CAREY
SSN 197-05-7081
DATE OF DEATH 06-08-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
CITIZENS BANK OF PENNSYLVANIA 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/benefi.ciary 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 I:ommonwealth of
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 6100941345 Date 04 - O 1 - 1984 To ensure proper credit i:o the account, two
Established copies of this notice must accompany
3, 063.94 payment to the Register of Wills. Make check
Account Balance ~` payable to "Register of 41i11s, Agent
Percent Taxable X 50.000
NOTE: It tax payments are made within three
Amount Subject to Tax $ 1 , 531.97 months of the decedent's date of death,
Tax Rate ~( lj deduct a 5 percent discount on the tax due.
Any Inheritance Tax due grill become delinquent
Potential Tax Due $` 229.80 nine months after the da1:e of death.
PART TAXPAYER RESPONSE
~ FALLURE T~7 RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT`
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or check box "A" and return this notice to the F;egister of
0 N E Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. ~ The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3~ below.
PART If indicating a different tax,~r~a~e, please state OFFICIAL USE ONLY ~ AAF
relationship to decedent: ~~ PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX O JOIC.I~~T/TRUST ACCOUNTS PAD
i_IIVE 1 . Late Established 1 +"{ ~ I ~ ~~
1
2. Account Balance 2 •~ ~ ~tv _3 ~ , 2
3. Percent Taxable 3 X ~ 3
4. Amount Subject to Tax 4 $ ~ .~ ~1 ~ ~ ~ 4
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 $ ~
7. Tax Rate 7 X ~ -~~'.~ 7
8. Tax Due 8 ~` $
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
der p nal ies of perjury, I declare that the facts I have reported abpove ar~ejtrue, correct and
compl/e~fe~ t the st of y knowledge and belief. HOME C~ 1 ~ ) -(~~ t~ ~~
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE ~ Y';
.r
IUTAL ctnter on Line 5 of Tax Computation) $
REV-iso9 EX+ (oi-1o)
~ pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDt~LE F
]OINTLY-OWNED PROPERTY
ESTATE OF: FILE NUMBER:
Doris D. Carey 21-10-0926
If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A• David Carey 322 Somerset Drive Son
Shiremanstown, PA 1 701 1-6538
B.
C.
]OINTLY OWNED PROPERTY:
ITEM LETTER
FOR JOINT DATE
MADE DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
DATE OF DEATH % OF
DEC'EDENT'S DATE OF DEATH
VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A• 05/08/08 Merrill Lynch Wealth Management Account No: 882-10617 182,446.42 50 91,223.21
2 A. 05/21/08 Citizens Bank Acct. 610117-455-0 63.01 50 31.51
3 A 05/21/08 Citizens Bank Acct. 622594-611-3 204,152.85 50 102,076.43
4 A 05/21/08 Citizens Bank Acct. 610094-134-5 3,063.70 50 1,531.85
TOTAL (Also enter on Line 6, Recapitulation) I $ 194,863.00
If more space is needed, use additional sheets of paper of the same size.
F-:-
~ ~_
NOTICE OF INHERITANCE TAX pennsylvan~a ~ ~ _:;;~~
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE ~
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX '`---- ---'
REV-1547 IX AFP (12-09)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 12-06-2010
ESTATE OF CAREY DORIS D
DATE OF DEATH 06-08-2010
FILE NUMBER 21 10-0926
COUNTY CUMBERLAND
EDMUND J BERGER ESQ ACN 101
2104 MARKET ST APPEAL DATE: 02-0 4-2011
CAM P H I L L P A 17 011 (See reverse side under Objections )
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE _ --~ R_ETA_IN LOWER POR
TION
FOR YOUR RECORDS ~--
_
REV-1547 EX AFP ~i2-09? ~!OTIC~ OF INHERITANCE _
_
-TAX APPRAISEMENT, ALLvti'iyi~CE
O^---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CAREY DORIS DFILE N0 .:21 10-0926 ACN: 101 DATE: 12-06-201_0
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN ""
1. Real Estate (Schedule A) C1) .0 0 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) ,0 Q credit to your account,
3. Closely Held Stock/Partnership Interest [Schedule C) C3) .0 0 submit the upper portion
4.
Mortgages/Notes Receivable (Schedule D)
(4) .0 0 of this form with your
tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 1,8 21.2 6
6. Jointly Owned Property (Schedule F) C6) 194,863.00
7. Transfers (Schedule G) C7) 46,557.07
8. Total Assets C8) _ 243 241.33
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)_ 19,9 8 5. 9
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 3,4 8 8.0 0
11. Total Deductions C11) _ 23,473.39
12. Net Value of Tax Return C12) 219, 767.94
13. Charitable/Governmental Bequests; Non-elected 911 _
3 Trusts (Schedule J) C13) _ .0 0
14. Net Value of Estate Subject to Tax C14) _ 219,767.94
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17,, 18 and 19 will
__ __ refl_ect_ figures. that__ i~clude the. total of ALL_ _retu.~rns assessed to date, - -
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .0 0 X 0 0 = .0 0
16. Amount of Line 14 taxable at Lineal/Class A rate C16) ?1 9 , 767.94 x 045 = 9,8.89.56
17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 = .0 0
18. Amount of Line 14 taxable at Collateral/Class B ra te C18) .00 X 15 .0 0
19. Principal Tax Due C19)= 9,889.56
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
09-08-2010 CD013319 382.50 7,267
50
09-24-2010 CD013409 .00 .
2,239.57
TOTAL TAX PAYMENT __ 9,889.57
BALANCE OF TAX DUE .O1CR
INTEREST AND PEN. .00
TOTAL DUE .O1CR
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR .CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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