HomeMy WebLinkAbout03-0625CONNONNEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT, za0601
HARRISBURG, PA 171za-060I
RI:V-I~qS FX AFP
ZNFORHATZON NOTZCE
AND
TAXPAYER RESPONSE
ACN 05127159
DATE 07-25-2005
'03 AGO-1
ANTHONY F VALENTINO
q917 SHASTA WAY
MECHANICSBURG PA 170~
EST. OF FIORE A VALENTIN0
S.S. NO. 197-05-qZ87
DATE OF DEATH 0~-05-Z003
TYPE OF ACCOUNT
[] SAVINGS
[] CHECKZNG
[] TRUST
:?COUNTY.
CUMBERLAND [] CERTTF.
REMZT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLTSLE, PA 17013
CITIZENS BANK OF PA has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. Zf you faa1 this information is incorrect, please obtain written correction from tho financial institution, attach a copy
to this fora and return it to tho above address. This account is taxable in accordance Pith the Inheritance Tax Lees of the Comaoneealth
of Pennsylvania. Uuestlons may be answered Dy calling [717J 787-B~7.
COMPLETE PART 1 BELOW # # # SEE REVERSE SIDE FOR FZLZNG AND PAYMENT INSTRUCTIONS
Ao¢oun~ No. 6100766837 Data 01-08-1988
Established
Accoun~ Balance 3 0 2.0 7
Psrcen~ Taxable X 5 0.0 0 0
Amoun~c Sub~ec~ ~o Tax IS1. Oq
Tax Ra~e X .15
Po~en~ial Tax Due 22.66
To insure proper credit to your account~ two
El) copies of this notice must accompany your
payment to the Register of Wills. Hake check
payable to: "Register of Wills, Agent".
NOTE: If tax payments are made within three
(3) months of the decadant's date of death,
you amy deduct a SZ discount of the tax due.
Any inheritance tax due NiJl 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 Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or you amy check box "A~ and return this notice to the Register of
~ ONE ~ Wills and an official assessment ~ill b. issued by th. PA D.parta.nt of R.v.nu..
BLOCK B. [] The above asset has been or ~ill be reported and tax paid Pith the Pennsylvania Inheritance Tax return
ONLY to be filed by tho decadent'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.
PART Tf you indicate a differen~ ~ax ra~asa s~a~e your
rela~ionship ~o deceden~:
TAX RETURN -COMPUTATZON OF TAX ON JOZNT/TRUST ACCOUNTS
LZNE 1. Oa*e Established !
2. Accoun~ Balance 2
$. Percen~ Taxable $ X e~,,~
q. Amount Subjec~ to Tax
~. Debts and Deduc~/ons
7. Tax Rate 7 X ,~
8. T.~ Du. 8 ~, gO
PART
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line $ of Tax Computation) $
Under penalties of perSury, Z declare ~ha~ ~he fac~s Z have reported above are ~rus, corrac~ and
coeple~, to the best of .y kno. ledge end belief. HOME (~17) 7~7--0~/~
, . WORK ( ~ ~
~XPAYER SI~URE TELEPHONE NUHBER
GENERAL INFORMATION
1. FAILURE TO RESPOND #ILL RESULT ZN AN OFFICIAL TAX ASSESSHENT eith applicable interest based on information
submitted by the financial institution.
Z. Inheritance tax becomes delinquent nine months after the decadent's data of death.
3. A joint account is taxable even though the decadent's name was added as a matter of convenience.
4. Accounts (including those held betaeen husband and mile) which the decedent put in joint names within one year prior to
death ara fully taxable as transfers.
S. Accounts established jointly between husband and mile more than one year prior to death are not taxable.
6. Accounts hold by a decedent "in trust for" another or others ara taxable fully.
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - If the information and computation in the notice ara correct and deductions ara not being claimed, place an "X"
in block "A" of Part 1 of the "Taxpayer Response" section. Sign too copies and submit thee with your check for the amount of
tax to the Register of Mills of the county indicated. The PA Department of Revenue will issue an official assess~ant
(Fore REV-1548 EX) upon receipt of the return from tho Register of #ills.
Z. BLOCK B - If the asset specified on this notice has been or eel1 ba reported and tax paid aith the Pennsylvania Inheritance
Tax Return filed by the dacedant'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 17128-0601 in the
envelope provided.
3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "C" and complete Parts 2 end
according to the instructions below. Sign two copies and submit thee with your check ~or the amount of tax payable to the Register
of Mills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt
of the return from the Register of Hills.
TAX RETURN - PART Z - TAX COMPUTATION
LINE
1. Enter the date the account originally was established or titled in the manner existing et date of death.
NOTE: For a decedent dying after 1Z/II/BI: Accounts which the decedent put in joint names eithin one (1) year of death ara
taxable fully as transfers. However, there is an exclusion not to exceed $3,000 per transferee regardless of the value of
the account er tho number of accounts hold.
If a double asterisk (Ne) appears before your first naea in the address portion of this notice, the $3,000 exclusion
already has been deducted from the account balance as reported by the financial institution.
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 folloes:
A. The percent taxable for joint assets established more than one year prior to tho decedont's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 = PERCENT TAXABLE
JOINT ONNERS SURVIVING JOINT ONNERS
Example: A joint asset registered in tho name of the decedent end two other persons.
I DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY Z [SURVIVORS) = .167 X 100 = 16.7Z [TAXABLE FOR EACH SURVIVOR)
B.The percent taxable ~or assets created within one year of the dacadont's death or accounts awned by the decedent but held
in trust for another individual(s) (trust beneficiaries):
I DIVIDED BY TOTAL NUHBER OF SURVIVING JOINT X 100 = PERCENT TAXABLE
OHNERS OR TRUST BENEFICIARIES
Example: Joint account registered in the name of the decedent and too other persons and established aithin one year of death by
the decedent.
1 DIVIDED BY Z (SURVIVORS) = .SO X 100 = 50Z [TAXABLE FOR EACH SURVIVOR)
The amount subject ta tax (line 4) is determined by multiplying the account balance (line Z) by the percent taxable (1ina
5. Enter the total of the debts end deductions listed in Part 3.
6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) free the amount subject to tax (line
7. Enter tho appropriate tax rate (line 7) as determined below.
I Date of Death I Spouse Lineal Sibling Coilateral
07/01/9~ ~o 12/$1/9~ iX 6Z liX
01/01/96 ~o 06/30/00 OX 6X
07/01/00 ~o presen~ OX
aThe tax rate imposed on the net value of transfers from a deceased child teenty-ane years of age ar younger at
death to ar far the use of a natural parent, an adoptive parent, or a stepparent of the child is
The lineal class of hairs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children
ehether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the
nature! parents end their descendents, ahether or not they have been adopted by others, adopted descendents and their descendants
and step-descendants. "Siblings" are defined as individua[s who have et least one parent in common mith the decedent, whether by b[ood
or adoption. The "Collateral" class of heirs includes a~[ o~er beneficiaries.
CLA~MED DEDUCTIONS PART ~ - DE~TS AND DEDUCTIONS CLAIMED
Allo~able debts and deductions are determined as follo,s:
A. You legally ara responsible for payment, or ~e estate subject to administration by a personal reprasentat[ve Js insufficient
to pay the deductible
S. You ac~a11v paid ~e debts after death of the decedent and can ~rnJsh proof of payment.
C. Debts being claimed must be itemized ;uZ[y in Part ~. [; add Jr Jena( space Js needed, use p]aJn paper 8
payment may be requested by the PA Department o~ Revenue.
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 002865
VALENTINO ANTHONY F
4917 SHASTA WAY
MECHANICSBURG, PA 17050
........ fold
ESTATE INFORMATION: SSN: 197-03-4287
FILE NUMBER: 21 03-0625
DECEDENT NAME: VALENTINO FIORE A
DATE OF PAYMENT: 08/01/2003
POSTMARK DATE: 07/31/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 04/05/2003
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
03127159 $6.80
REMARKS'
TOTAL AMOUNT PAID:
ANTHONY F VALENTINO
$6.80
SEAL
CHECK# 534
INITIALS: AC
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
ANTHONY F VALENTINO.
4917 SHASTA WAY
HECHANICSBURG PA 17050
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRATSENENT. ALLOWANCE OR DTSALLONANCE
OF DEDUCTION~, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
DATE 12-08-2003
ESTATE OF VALENTINO
DATE OF DEATH 04-05-2003
FILE NUMBER 21 03-0625
COUNTY CUMBERLAND
-.. .. SSN/DC 197-03-4287
ACN 03127159
Amount Remitted
REV-15~8 EX AFP C01-05)
FIORE A
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA I7015
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 12-08-2005
ESTATE OF VALENTINO
FIORE
A DATE OF DEATH 04-05-2003 COUNTY CUMBERLAND
FILE NO. 21 05-0625 S.S/D.C. NO. 197-05-4287 ACN 05127159
TAX RETURN NAS: CX) ACCEPTED AS FILED C } CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: CITIZENS BANK OF PA ACCOUNT NO. 6100766837
TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING ( } TRUST ( } TIME CERTIFICATE
DATE ESTABLISHED 01-08-1988
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
302.07
0.500
151.04
°00
151.04
.45
&.80
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 C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
07-31-2003 CD0028~5 .00 6.80
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
[F PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADD]'TI'ONAL I'NTEREST. ~
C I'F TOTAL DUE IS LESS THAN ~:1, NO PAYNENT IS REQUTRED.
IF TOTAL DUE 'rs REFLECTED AS A "CRED'rT" (CA), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR ]'NSTRUCTIONS. )
6.80
.00
.00
.00
PURPOSE OF
NOTICE=
PAYNENT:
REFUND (CRI=
OBJECTIONS=
ADMIN-
ISTRATIVE
CORRECTIONS=
DISCOUNT:
PENALTY:
INTEREST=
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the
reverse side.
-- Make check or money order payable to: REGISTER OF NILLS, AGENT.
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-ISIS). Applications are available at the Office of
the Register of Nills, any of the 25 Revenue District Offices or by calling the special 24-hour answering service
for forms ordering= 1-800-562-2050; services for taxpayers with special hearing and or speaking needs:
1-800-447-3020 (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 Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, 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 in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, DEPT. 280&01, Harrisburg, PA 17128-0601
Phone C717) 787-6505. See page 5 of the booklet °*Instructions for Inheritance Tax Return for a Resident
Decedent" CREV-1501) for an explanation of administratively correctable errors.
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent
discount of the tax paid is allowed.
The 15X tax amnesty non-participation penalty is computed on the tota! 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 same time 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
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 (6X) percent per annum ca!culated at a daily rate of .000]64.
A!l 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 rate announced by the PA Department of Revenue. The applicab!e
interest rates for 1982 through 2003 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1982 20~ .000548 1987 9X .000247 1999 7~ .000192
1985 16X .000438 1988-1991 11X .000301 2000 8~ .000219
1984 11X .000301 1992 9~ .000247 2001 9X .000247
1985 13~ .00035& 1993-1994 7X .000192 2002 ~ .000164
1986 10~ .000274 1995-1998 9~ .000247 2003 5~ .000137
--Interest is calculated as follows:
TNTEREST = BALANCE OF TAX UNPATD X NUNBER OF DAYS DEL/NQUENT X DAXLY XNTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date sho~n on the
Notice, additional interest must be calculated.