HomeMy WebLinkAbout03-0284COHNONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAl TAXES
DEPT. Z80601
HARRISBURG, PA 17128-0601
REV-Nq$ EX
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
ACN 05115415
])ATE 05-28-2005
CAROL P BONGART
76 OLD FEDERAL RD
CAMP HILL PA 17011
TYPE OF ACCOUNT
EST. OF MIRIAM D RANCE I---I SAVINGS
S.S. NO. 189-Z6-351Z I~-ICHECKING
DATE OF DEATH 0Z-06-Z003 r--]TRUST
COUNTY CUHBERLAND ~-~CERTZF.
REHZT PAYMENT AND FORHS TO:
REGISTER OF HILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
FNB BANK has provided tho Deportment with the information listed beloe uhich has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you wore a joint owner/beneficiary of
this account. If you feel this information Es 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 tho /nharitanca Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELO~I # # # SEE REVERSE SZ])E FOR FILING AN]) PAYMENT INSTRUCTIONS
Account No. 0077-73846 Date 02-01-1985
Estebl/shed
Account Balance Z, 896. OZ
Percent Taxable X 50.000
Amount Subject to Tax [, 448.0 [
Tax Rate X · 045
Potent/al Tax Due 65.16
To insure proper credit to your account, two
(Z) copies of this notice must accompany your
payment to the Rog[star of Mills. Hake check
payable to: "Register of Niils) Agent".
NOTE: If tax payments are made within three
($) months of the decedent's date of death,
you may deduct a 5Z discount of tho tax duo.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PART TAXPAYER RESPONSE
A. [] The above information and tax due is correct.
1. You may choose to remit payment to the Rag[star of Mills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
CHECK -~ #i11; and an officiat assessment will ba issued by the PA Department of Revenue.
ONE
BLOCK B. [] Tho above asset has been or will be reported and tax paid with the Pennsylvania /nheritanco Tax return
ONLY to be filed by the decedent's representative.
C. [] The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART [] and/or PART [] below.
2. Account Balance
$. Percent Taxable
~. Amount Subject to Tax
S. Debts and Dmductlons
6. Amount Taxable
7. Tax Rate
8. Tax Due
7 A
PART
DATE PAID
])EBTS AND DEDUCTIONS CLAIME])
PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
Under penalties of perjury, Z declare that the facts ! have reported above ere true, correct and
complete to the best of m, kno.ledge and belief. HOME (7/x7) 7~/ -4~g~ ~
TAXPAYER SIGNATURE ~ TELEPHONE NUH~ER DATE
GENERAL INFORHATION
1. FAILURE TO RESPOND HILL RESULT IN AN OFFICIAL TAX ASSESSHENT with applicable interest based on information
submitted by the financial institution.
Z. Inheritance tax becomes delinquent nine months after the dscedent's dote of death.
3. A joint account is taxable even though tho decedant's name was added as a matter of convenience.
q. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to
death are fully taxable as transfers.
5. Accounts established jointly between husband and wife more than one year prior to death are not taxable.
6. Accounts held by a decedent "ln trust for" another or others are taxable fully.
REPORTING INSTRUCTIONS - PART I - TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notice are correct and deductions ara not being claimed, place an
in block "A" of Part I of the "Taxpayer Response" section. Sign two copies and submit thee with your check for the amount of
tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment
(Form REV-15q8 EX) upon receipt of the return from tho Register of Wills.
2. BLOCK B - If tho asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance
Tax Return filed by the dscedsnt'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 ZBg6nl, Harrisburg, PA l?lZB-0601 in the
enveX ope provided.
3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed) check block "C" and complete Parts Z 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 Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-15~8 EX) upon receipt
of tho return from the Register of Wills.
TAX RETURN - PART 2 - TAX CONPUTATION
LINE
I. Enter tho date tho account originally was established or titled in tho manner existing mt date of death.
NOTE: For a decedent dying after IZ/1Z/B2: Accounts which tho decedent put in joint names within one ([) year of death ars
taxabIe fully as transfers. However) there is an exclusion not to exceed $3)000 per transferee regardless of the value of
the account or tho number of accounts held.
If a double asterisk (xx) appears before your first name in the address portion of this notice, the $3,000 exclusion
already has been deducted from the account baIanca as reported by the financial institution.
Z. Enter the total balance of the account including interest accrued to the date of death.
Tho 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 decedent's death:
I DIVIDED BY TOTAL NUNBER OF DIVIDED BY TOTAL NUNBER OF X 100 = PERCENT TAXABLE
JOINT OWNERS SURVIVING JOINT OWNERS
Example: A joint asset registered in the name of the decadent end two other persons.
I DZVTDED BY 3 (JOINT OWNERS) DIVIDED BY Z (SURVIVORS) = .167 X 100 = 16.77. (TAXABLE FOR EACH SURVIVOR)
B. Tho percent taxable for assets created within cna year of tho dacedant's death or accounts owned by the decadent but hold
in trust for another individual(s) (trust beneficiaries):
[ DIVIDED BY TOTAL NUNBER OF SURVIVING JOINT X ZOO = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by
the decedent.
I DIVIDED BY Z (SURVIVORS) = .50 X ZOO = 507. (TAXABLE FOR EACH SURVIVOR)
The amount subject to tax (line q) is determined by muItiplyJng the account balance (line Z) by the percent taxable (line
5. Enter the total of the debts and deductions listed in Part 3.
6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line ~).
7. Enter the appropriate tax rate (line 7) as determined below.
Date of Death Spouse Lineal I Sibling I Collateral
07/01/9q to 12/$1/9q
01/01/95 to 06/30/00 OX 6X
07/01/00 to present OX q.SX~ 12Z
wThe tax rate imposed on the nat va[ua of transfers from a deceased child twenty-one years of ago or younger at
death to or for tho use of a natural parent, an adoptive parent, or a stepparent of the chi[d 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 descendants'" includes all children of tho
natural parents and their descendants) whether or not they have been adopted by others) adopted descendents and their descendants
and step-descendants. "Siblings" ara defined as individuals who have at least one parent in common with the decedent, whether by blood
or adoption. The "Collateral" class of heirs includes all other beneficiaries.
CLAIMED DEDUCTIONS - PART $ - DEBTS AND DEDUCT[ONS CLA[MED
Allowable debts and deductions are determined as follo~s:
A. You legally are responsible ~or payment) or the es~te subject to admin[stration by a personal representative is insufficient
to pay the deductible items.
B. You actually pa~d the debts after death of the decedent and can ~rnJsh proo~ o~ payment.
C. Debts being claimed must be ~temized fully in Part 5. [f additional space is needed, use plain paper 8 1/2" x 11". Proof of
payment may be requested by the PA Department of Revenue.
Ms. Carol Bongart
76 Old Federal Rd.
Camp Hill, PA 17011-2047
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 002372
BONGART CAROL P
76 OLD FEDERAL ROAD
CAMP HILL,, PA 17011
........ fold
ESTATE INFORMATION: SSN: 189-26-3512
FILE NUMBER: 21 03-0284
DECEDENT NAME: RANCE MIRIAM D
DATE OF PAYMENT: 04/01/2003
POSTMARK DATE: 03/31/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 02/06/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
03113415 $61.90
REMARKS:
CAROL P BONGART
TOTAL AMOUNT PAID'
$61.90
SEAL
CHECK# 773
INITIALS: AC
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
I /-
BUREAU OF TNDZVZDUAL TAXES
INHERITANCE TAX DXVTS/ON
DEPT. 2806nl
HARRTSBURG, PA 17128-0601
CONHONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTXCE OF XNHERXTANCE TAX
APPRAXSEHENT. ALLO#ANCE OR DXSALLOHANCE
OF DEDUCTXONS, AND ASSESSHENT OF TAX ON
JOXNTL¥ HELD OR TRUST ASSETS
Recorded Office of
Re~_~-,~r ~:~ Wiils
CAROL p BONGART'Q3 APR 28 P3:07
76 OLD FEDERAL RD
CAMP HILL P~!_~O~ 1 .:::
C~.~mberian~
'~0., PA
REV-16,~8 EX AFP
DATE 0q-28-2005
ESTATE OF RANCE MIRIAM
DATE OF DEATH 02-06-2005
FILE NUMBER 11 05-028q
COUNTY CUMBERLAND
SSN/DC 189-26-5512
ACN 05115~15
Amoun~ Remi~ed
MAKE CHECK PAYABLE AND REHIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THXS LXNE
~ RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1548 EX AFP (01-03)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 0~-28-2005
ESTATE OF RANCE
MIRIAM D DATE OF DEATH 02-06-2005 COUNTY CUMBERLAND
FILE NO. Z10$-OZ8R S.S/D.C. NO. 189-26-5512 ACN 05115~15
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
dOXNT OR TRUST ASSET XNFORMATZON
FINANCIAL INSTITUTION: FNB BANK ACCOUNT NO.
0077-758q6
TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 02-01-1985
Account Balance
Percent Taxable X 0.500
Amount Subject to Tax 1,R~8.01
Debts and Deductions .00
Taxable Amount 1,~8.01
Tax Rate X .q5
Tax Due 65.16
TAX CRED'rTS:
2,896.02 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
DATE
05-$1-2005
RECEIPT
NUMBER
CD002572
DISCOUNT (+)
INTEREST/PEN PAID (-)
5.26
AMOUNT PAID
61.90
TOTAL TAX CREDIT I
I
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
ZF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' ( CR}, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
65.16
.00
.O0
.O0
PURPOSE OF
NOTICE;
To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (7Z P.S.
Section 9140).
PAYHENT:
REFUND (CR}:
OBJECTIONS:
ADH/N-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the
reverse side.
-- Hake check or money order payable to: REGISTER OF HILLS, AGENT.
A refund of a tax credit, which was not requested on the tax return, amy 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 Hills, any of the Z3 Revenue District Offices or by calling the special Z4-haur answering service
far forms ordering: 1-800-36Z-ZOSO; services for taxpayers with special hearing and or speaking needs:
Z-80D-4~7-30ZO (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment
of tax (including discount or interest) as shown on this Notice may object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Oapart~ant of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 171ZS-lOZi, OR
--electing 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 ]n writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, DEPT. Z80601, Harrisburg, PA 17128-060!
Phone (717) 787-6505. Sam 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 (3) calendar months after the dacedant's death, a five percent
discount of the tax paid is allowed.
The 1SI tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, [996, the first day after the and of the tax amnesty period. This non-participation
penalty is appealable in the s-ama manner and in the the same tiaa period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day
free the date of death, to the date of payment. Taxes which became deIinquent before January 1, 198Z
bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164.
All taxes which became delinquent on or after January 1, 198Z will bear interest at a rate which wil! vary fram
calendar year to calendar year with that rate announced by the PA geparMent of Revenue. The applicable
interest rates for 198Z through 2003 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20Z .000548 1987 9Z .000247 1999 7Z .OOOi92
1983 16Z .000438 1988-1991 X1Z .000301 ZOO0 8Z .000219
1984 11Z .000301 199Z 9Z .000Z47 ZOO1 9Z .000247
1985 13Z .000356 1993-1994 7Z .000192 200Z 6Z .000164
1986 IOZ .000274 1995-1998 92 .000247 ZOO3 5Z .000137
--Interest is calculated as follows:
ZNTEREST= BALANCE OF TAX UNPAZD X NUNBER OF DAYS DELZNQUENT X DAZLY ZNTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (IS) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.