HomeMy WebLinkAbout03-0277COHHONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF ZNDIVIDUAL TAXES
DEPT. 280601
HARRISBURg, PA 17128-0601
EUGENE D PENTZ
207 RAINBON DR
JOHNSTONN
REV-1543 EX AFP (09-00)
ZNFORHATZON NOTICE
AND
TAXPAYER RESPONSE
FILE NO.
PA 15904-2255
ACN 03109338
DATE 05-17-2005
TYPE OF ACCOUNT
EST. OF ANNA V PENTZ [] SAVINGS
S.S. NO. 200-05-5589 [] CHECKING
DATE OF DEATH 01-04-200:$ [] TRUST
COUNTY CUMBERLAND [] CERT'rF.
REMIT PAYHENT AND FORHS TO:
REGISTER OF HILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 1701:5
FIRST NATIONAL BANK OF PA has provided the Department with the information listed below ahich has been used in
calculating the potential tax due. Their records indicate that at tho death of the above decedent, you were a joint oener/benaficiary of
this account. Zf you feel this information is incorrect, please obtain written correction from tho 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. Questions may be answered by calling [717) 787-B327_
COHPLETE PART ! DELON x # # SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 100161781 Date 07-19-1999
Established
Account Balance 1,875.88
Percent Taxable X 50.000
Amount Subject to Tax 957.94
Tax Rate X .045
Potential Tax Duo 42.21
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Mills. Hake check
payable to: "Register of Nills, Agent".
NOTE: If tax payments are made within three
(5) months of the dacedant's date of death,
you may deduct a SZ discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the data of death.
PART TAXPAYER RESPONSE
CHECK
ONE
BLOCK
ONLY
PART
TAX
LINE
A.N The above information and tax due is correct.
L~
1. You nay choose to remit payment to the Register of Hills with ted copies of this notice to obtain
e discount or avoid interest, or you may check box "A" and return this notice to the Register of
#ills and an official assessment will be issued by the PA Department of Revenue.
B. r~JThe above asset has been or will ba reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
~]The above information is incorrect and/or debts and deductions were paid by
C.
you.
You must complete PART []and/or PART [] below.
Zf you indicate a different tax rate, please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
1. Date Established 1
2. Account Balance 2
3. Percent Taxable $ X
~. Amount Subject to Tax 4
5. Debts and Deductions 5 -
6. Amount Taxable 6
7. Tax Rate 7 ~
8. Tax Due 8
PART
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE DESCRIPTION AHOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
Under ponaltios~_~f perjury; I declare that the facts I have reported above are true; correct and
coeple~,~ to the ?~'l:y~. ay kno, ledg. and bol/ef. HOHE (~ F )~ K - ~J ~ ~
~ O. ~~ WORK ( ) '
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
GENERAL INFORMATION
1. FA/LURE TO RESPOND #/LL RESULT /N AN OFF/C/AL TAX ASSESSMENT with applicabls interest based on information
submitted by the financial institution.
Z. Inheritance tax becomes delinquent nine months after the decadsnt's date of death.
$. A joint account is taxable even though the decedant's name was added as a matter of convenience.
4. Accounts (including those held between husband and wife) which the decedent put in joint names aithin one year prior to
death are fulZy taxabZe as transfers.
S. 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 ars taxable fully.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notice are correct and deductions ara not being claimed, place an "X"
in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and submit thee eith your check for the amount of
tax to tho Register of Hills of the county indicated. The PA Department of Revenue mill issue an official assessment
(Form REV-1548 EX) upon receipt of ihs return from the Register of Hills.
Z. BLOCK S - If the asset specified on this notice has been or will ba reported and tax paid with the Pennsylvania Inheritance
Tax Return filed by the decedsnt's representative, place an "X" in block "B" of Part 1 of the "Taxpayer Response" section. Sign one
copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 171Z8-0601 in the
envelope provided.
S. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C" and complete Parts 2 and
according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register
of Mills of the county indicated. The PA Department of Revenue mill issue an official assessment (Fore REV-154& EX) upon receipt
of the return from the Register of Hills.
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 dying after 12/12/82: Accounts ehich the decedent put in joint names within one (I) year of death ara
taxable fully as transfers. However, there is an exclusion not to exceed $3,000 par transferee regardless of the value of
the account or the number of accounts held.
If a double asterisk (se) appears before your first name in the address portion of this notice, the $5,000 exclusion
already has been deducted from the account balance as reported by the financial institution.
Z. Enter the total balance of the account including interest accrued to the date of death.
5. The percent of the account that is taxable for each survivor is determined as follows:
A. The percent taxable for joint assets established more than one year prior to the decadent's death:
I DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X lO0 = PERCENT TAXABLE
JOINT OMNERS SURVIVING JOINT ONNERS
Example: A joint asset registered in the name of the decedent and two other persons.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY g (SURVIVORS) = .167 X 100 = 16.7Z (TAXABLE FOR EACH SURVIVOR)
B.The percent taxable for assets created within one year of the decadent's death or accounts Darted by the decadent but held
in trust for another individual(s) (trust beneficiaries):
I DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT X 100 PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
Example: Joint account registered in the name of the decedent and two other persons end established within one year of death by
the decedent.
I DIVIDED BY Z (SURVIVORS) = .50 X 100 = 50Z (TAXABLE FOR EACH SURVIVOR)
The amount subject to tax (line 4) is determined by multiplying the account balance (line Z) by the percent taxable (line
5. Enter the total of the debts and deductions listed in Part 5.
6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line S) from the amount subject to tax (line
7. Enter the appropriate tax rate (line 7) as determined below.
Da~o of Doeth Spouse I Lineal I Siblin= Collo~oral
07/01/9q ~o 12/$1/9q
01/01/95 ~o 06/$0/00 OX 6Z
07/01/00 ~o proson~ OX
xThs tax rate /epossd on the nat value of transfers from a deceased chlld twenty-one years of age or younger et
death to or for the usa of a natural parent, an adoptive parent, or a stapparant of the child is OZ.
The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children
whether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the
natural parents and their descendants, ehethar or not they have been adopted by others, adopted descendents and their descendants
and stap-descendants. "Siblings" are defined as individuals mhd have at least one parent in common with the decedent, whether by blood
or adoption. The "Collateral" class of hairs incZudas all other beneficiaries.
CLAIMED DEDUCTIONS PART $ - DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are determined as folloms:
A. You legally are 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 death of the decedent and can furnish proof of payment.
C. Debts being claimed must be itemized fully in Part 5. If additional space is needed, use plain paper 8 l/Z" x 11". Proof of
payment may be requested by the PA Department of Revenue.
Eugene D. Pentz
207 Rainbow Dr.
Johnstown, PA 15904
,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 002357
PENTZ EUGENE D
207 RAINBOW DRIVE
JOHNSTOWN, PA 15904-2253
fold
ESTATE INFORMATION: SSN: 200-05-5389
FILE NUMBER: 2103-0277
DECEDENT NAME: PENTZ ANNA V
DATE OF PAYMENT: 03/28/2003
POSTMARK DATE: 03/26/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 01/04/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
03109338 $42.21
TOTAL AMOUNT PAID:
$42.21
REMARKS: EUGENE D PENTZ
SEAL
CHECK# 533
INITIALS: AC
RECEIVED BY'
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF IND[V[DUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 28660!
HARRISBURG, PA 17128-0601
EUGENE D PENTZ
207 RAINBOW DR
JOHNSTOWN
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAXSEHENT. ALLOHANCE OR DXSALLOHANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
_.COUNTY
'03 JUH 20 /tll :3~SN/DC
ACN
PA 159 I~i,g2253 ,
DATE 06-23-2003
ESTATE OF PENTZ
DATE OF DEATH 01-04-2003
FXLE NUHBER 21 03-0277
CUHBERLAND
200-05-5389
03109338
Amount Remitted
REV-l~48 EX AFP (01-05)
ANNA V
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~>' RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1548 EX AFP C01-03)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-23-2003
ESTATE OF PENTZ ANNA V DATE OF DEATH 01-04-2003 COUNTY CUMBERLAND
FILE NO. 21 03-0277 S.S/D.C. NO. 200-05-5389 ACN 03109358
TAX RETURN NAS: CX} ACCEPTED AS FILED C } CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: FIRST NATIONAL BANK OF PA ACCOUNT NO. 100161781
TYPE OF ACCOUNT: C ) SAVINGS C ) CHECKING ( ) TRUST C~ TIME CERTIFICATE
DATE ESTABLISHED 07-19-1999
Account Balance 1,875.88
Percent Taxable X 0.500
Amount Subject to Tax 937.94
Debts and Deductions .00
Taxable Amount 937.94
Tax Rate X .45
Tax Due 42.21
TAX CREDXTS:
NOTE:
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
03-26-2003 CD002357 2.11 42.21
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
TF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATTON OF ADDTTTONAL TNTEREST. .
C TF TOTAL DUE TS LESS THAN ,1, NO PAYHENT TS REQUTRED.
TF TOTAL DUE TS REFLECTED AS A "CREDTT" (CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THTS FORH FOR TNSTRUCTTONS. ~
44.32
2.11CR
.00
2.11CE
PURPOSE OF
NOTICE=
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S.
Section 9140).
PAYMENT=
Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the
reverse side.
-- Hake check or money order payable to= REGISTER OF NILLS, AGENT.
REFUND CCR)=
OBJECTIONS=
ADMIN-
ISTRATIVE
CORRECTIONS=
DISCOUNT=
PENALTY=
INTEREST=
A refund of a tax credit, which was not requested on the tax return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1SISI. Applications are available at the Office of
the Register of Wills, any of the 25 Revenue District Offices or by calling the special 24-hour answering service
for forms ordering= 1-800-$&2-2050; services for taxpayers with special hearing and or speaking needs=
1-800-447-$020 (TT only).
Any party in /nterest not sat/sf/ed with the appra/sement, allowance, or d/sallowance of deductions or assessment
of tax C/ncludtng discount or interest) as shown on th/s Not/ce may object w/th/n s/xty C60) days of rece/pt of
this Not/ce by=
--wr/tten protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--electing to have the matter de/era/ned at the audit of the account of the personal representer/ye, OR
--appeal to the Orphans' Court
Factual errors d/scovered on th/s assessment should be addressed in wr/t/ng to= PA Department of Revenue,
Bureau of Individual Taxes, ATTN= Post Assessment Rev/mw Un/t, DEPT. 280601, Harrisburg, PA 17128-0601
Phone C717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Res/dent
Decedent" (REV-IS01) for an explanation of admin/strat/vely correctable errors.
If any tax due is paid w/th/n three ($) calendar months after the decedent's death, a f/ve percent CSX)
d/scount of the tax pa/d /s allowed.
The 15X tax amnesty non-part/c/pat/on penalty /s computed on the total of the tax and /nterest assessed, and not
pa/d before Januar~ 18, 1996, the first day after the end of the tax amnesty period. Th/s non-partic/patton
penalty is appealable /n the same manner and /n the the same time period as you would appeal the tax and /nterest
that has been assessed as ind/cated on th/s not/ce.
Interest /s charged beg/nn/ng w/th f/rs/ day of del/nquencY, or n/ne (9) months and one (1) day
from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982
bear interest at the rate of six C&X) percent per annum calculated at a da/ly rate of .000164.
Al! taxes which became delinquent on or after Januar~ 1, 1982 w/l! bear interest at a rate wh/ch wi1! vary from
calendar year to calendar year w/th that rate announced by the PA Department of Revenue. The appl/cable
interest rates for 1982 through 2003 are=
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20X .000548 1987 9~ .000247 1999 7~ .000192
1983 I&X .000458 1988-1991 11~ .000301 2000 8X .000219
1984 11~ .000301 1992 9~ .000247 2001 9X .000247
1985 15X .000356 1995-1994 7~ .000192 2002 6X .0001&4
2003 5X .000137
1986 10~ .000274 1995-1998 9X .000247
--Interest is calculated as follows=
/NTI~REST = BALANCE OF TAX UNPAXD X NUI~BER OF DAYS DELXNI~UENT X DAXLY XNTERBST FACTOR
--Any Not/ce issued after the tax becomes delinquent w/il reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Not/ce, addtt/onal /nterest must be calculated.
BUREAU OF TNDZVZDUAL TAXES
TNHERTTAHCE TAX DTVZSTON
DEPT. 280601
HARRTSDURG, PA 171Z&-0601
CAROL A TRABOLD
1103 GUNSTOCK LN
HECHANICSBURG
CONNONWEALTH OF PENNSYLVANIA
DEPARTNENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRA/SEHENT. ALLO#ANCE OR DZSALLO#ANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-15~i8 EX AFP C01-05)
PA 17050'~,,2009
DATE 11-05-2005
ESTATE OF PENTZ
DATE OF DEATH 01-0~-Z005
FILE NUHBER 21 05-0277
. .C~UNTY CUNBERLAND
· -'SSN/DC 200-05-5589
ACN 05106256
Amoun~ Rem/~ed
ANNA
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS
REV-Z548 EX AFP
NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 11-05-2005
ESTATE OF PENTZ ANNA V DATE OF DEATH 01-0~-2005 COUNTY CUHBERLAND
FILE HO. 21 03-0277 S.S/D.C. NO. 200-05-5589 ACN 03106256
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORNATION
FINANCIAL INSTITUTION: ALLFIRST BANK ACCOUNT NO. 006~115~6
TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TIHE CERTIFICATE
DATE ESTABLISHED 0~-22-1999
Account Balance 1,786.71
Percent Taxable X 0.500
Amount Subject to Tax 893.36
Debts and Deductions - 1,786.71
Taxable Amount .00
Tax Rate X .15
Tax Due .00
TAX CREDITS:
NOTE:
TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYHENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. HAKE CHECK
OR HONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
PAYHENT RECEIPT DISCOUNT (+)
DATE NUHBER INTEREST/PEN PAID (-) ANOUNT PAID
ZF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( ZF TOTAL DUE ~S LESS THAN $1, NO PAYNENT ZS REQUIRED.
ZF TOTAL DUE 1S REFLECTED AS A "CREDIT' (CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. )
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
i
PURPOSE OF
NOTICE=
To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act 13 of ZOO0. (72 P.S.
Section 9140).
PAYMENT:
Detach the top portion of this Notice end submit with your payment to the Register of NJlls printed on the
reverse side.
-- Make check or money order payable to: REGISTER OF NILLS, AGENT.
REFUND
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
iNTEREST:
A refund of a tax credit, mhJch was nat requested on the tax return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of
the Register of Nills, any of the 25 Revenue District Offices or by calling the special Z4-hour answering service
for forms ordering: 1-800-561-Z050; services for taxpayers eith special hearing and or speaking needs:
1-800-447-3010 (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallomanca of deductions or assessment
of tax (including discount or interest) as shown on this Notice may object mithin sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 181021, Harrisburg, PA 171Z8-1011, OR
--almcting to have the matter determined at the audit of the account of the personal representative, OR
--appeal to the Orphans' Court
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Reviem Unit, DEPT. 180601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (SI)
discount of the tax paid is allowed.
The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the sams time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning uith first day of delinquency, or nine (9) months and one CZ) day
from the data of death, to the date of payment. Taxes mhich became delinquent before January I, 1981
bear interest at the rate of six (61) percent per annum calculated at a daily rate of .000164.
All taxes which became delinquent on or after January 1, 1982 will bear interest at a rate which will vary from
calendar year to calendar year with that rata announced by the PA Department of Revenue.
The applicable
interest rates for I981 through ZOOS are:
Interest Daily Interest Daily Interest OaiZy
Yea._...r Rate Factor Year Rate Factor Year Rate Factor
198Z 201 .000548 1987 91 .0002~7 1999 7X .00019Z
1985 161 .000458 1988-1991 11Z .000501 ZOO0 81 .000219
1984 111 .000301 1991 91 .000247 2001 91 .000147
1985 132 .000356 1993-1994 7Z .000192 2002 6Z .000164
1986 lOX .000274 1995-1998 9Z .000247 ZO0~ 52 .0001~7
--Interest is caXcuXatad as foXlows:
INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. Xf payment is made after the interest computation date shown on the
Notice, additional interest must bm calculated.