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HomeMy WebLinkAbout01-12-12 (4)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0801 RECEIVED FROM: COOK DALLAS E 100 HUNKEY HOLLOW ROAD DUNCANNON, PA 17020 1oa PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1182 EXI11-961 NO. CD 015445 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: iss-az-a~oa FILE NUMBER: 211 1-1294 DECEDENT NAME: STONER SHIRLEY C DATE OF PAYMENT: 01 / 1 2/201 2 POSTMARK DATE: 01 / 1 1 /201 2 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 / 1 2/ 2011 REMARKS: DALLAS COOK CHECK# 2849 SEAL 111.77304 ~ 5304.09 TOTAL AMOUNT PAID: INITIALS: WZ 5304.09 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ PENNSYLVANIA INHERITANCE TAX [ ~.NFORMATION NOTICE FILE N0. 21 - 1 ~ ~ ~a9y BUREAU OF INUIV IDWIL TAXES ~ '_~ i~ 1:, fly, AND PD aDx zag6gl penr~fl~~ ~jt ACN 11177304 HARRISBURG PA 17128-0601 bEpARTNENr~F,awENUe r',~! ~ TAXPAYE R RE S P O N S E ~~~ DATE 11-24-2011 aEY-1563 ~i~~aFP'~ita5-1~11 Cl.ERi~ t.i!' ORPC~AN t,,r ~(7U~~Pa ~~~i ~' ~. ,~~ DALLAS E COOK 100 HUNKEY HOLLOW RD DUNCANNON PA 17020-9728 EST. OF SHIRLEY STONER SSN 188-32-4704 DATE OF DEATH 11-12-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMSTO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAYINGS CHECKING TRUST CERTIF. RIVERVIEW NATIONAL BANK provided the department with the information below, which was used in caicuiating the inheritancetax due. Records indicate that at the death of the above-named decedent, you were a ,1 Dint owner/beneficiary of this account. If y0U are the Sp0U5e Of the deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may be due, but you must notify the department of your relationship to the deceased by checking Box C 1n PART 1 below and writing "spouse" in PART 2. If yyou believe the information is incorrect please obtain written correction from the financial fnstituti on, attach a copy to this form and return ~_,- _ it to the. above address .. Please cg~.11 717-787-8327 yi th gues ti ons.__ -. _ _ .._.- ---_ COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 3067664 Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due Date 06-03-2008 Established $ 15,204.40 X 16.667 $ 2,534.12 X .12 $ 304.09 To ensure proper credit to the account, two copies of this notice oust aeeompa3ry payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are matle within three months of the decedent's date of death. deduct a 5 percent df scount on the tex due. Any inheritance tax tlue will become dalineuent nine months after the data of death. C. ~ Th• above inf orma ion is incorrect and/ordebts and detluctions ware paid. Complete PART ~2 and/or PART 3~ below. PART If Sndlcating a different tax rate, please state relationship to decedent: TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 ~ S. Percent Taxab l,e - - 3 - X ~ - ~. - -- - ~.- -_ - 4. Amount Subject to Tax 4 ~ 5. Debts and Deductions 5 6. Amount Taxable 6 7. Taz Rate 7 X 8. Tax Due 8 ~ PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE P AID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that tho facts I reported above are true, correct and c eta the bast o y kn wledge and belief. ~ ~ p ~/~' HOME C ~~~ ) }~ 3 / 7Z DATE A. ~ Tha above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or return this notice to the Register of Wills and ONE an official assessment will be issued by the PA Department of Revenue. B L DC K B. ~ Tha above asset has been or will 6e reported and tax paid with the Pennsylvania inhe ritanee tex return ON L Y filed by the estate representative. GENERAL INFORMATION FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information submitted by the financial institution. Inheritance tax becowes tlalinquent nine months after the decedent's date of death. A joint account is taxable even when the decedent's name was added as a wetter 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 wore than one year prior to death are not taxable. Accounts hold by a decedent "in trust for" another or others are fully taxable. REPORTING INSTRUCTIONS - PART I - TAXPAYER RESPONSE 1. BLOCK A - If the information and calculation 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 them with a 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-1548 IX) upon receipt of the return from the register of wills. 2. BLOLK B - If the asset specified on this notice has been or will be reported and tax Daid with the Pennsylvania inheritance tax return filed by the estate's representative, place an "X" in Block B of Part 1 of the "Taxpayer Response" section. Sign two copies and return to the register of wills of the county indicated. 3. BLOCK C - If the notice inf oreatipn is incorrect and/or deductions are being claimed, check Block C and complete Parts 2 and 3 according to the instructions below. Sign two copies and subeit thew with your check for the awount of tax payable to the register of wills of the county indicated. The PA Department of Revenue will issue an official assesswent IFOrw REV-1548 IX) upon receipt of the return frog the register of wills. TAX RETURN - PART 2 - TAX CALCULATION LINE 1. Enter the date the account originally was established or titled in the manner existing at date of death. NOTE: For a decedent who died of ter l2/12/82, accounts the decedent put in joint names within one year of death are fully taxable. However, there is an exclusion not to exceed C3.O06 per transferee, regardless of the value of the account or the nuwber of accounts held. If a double asterisk Isr) appears before your first Wawa in the address portion of this notice, the 13.000 exclusion was deducted frow the account balance as reported by the Financial institution. 2. Enter the total balance of the account including interest accrued to the date of death. 3. The percentage of the account that is taxable to each survivor is date Wined as follows: A. The percentage taxable of joint assets established more than one year prior to the decedent's death: 1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF MULTIPLIED BY 188 = PERCENT TAXABLE JDI NT OWNERS SURVIVING JOINT OWNERS Exawple: A joint asset registered in the name of the dacadant and two other persons: 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 = 16.7 percent (TAXABLE TD EACH SURVIVOR) B. The percentage taxable for assets created within one near 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 106 = PERCENT TAXABLE OWNERS OR TRUST BENEFICIARIES Exawple: Joint account registered in the nave of the. decedent and two other ve rsons and establishod within one year of death by the decedent. 1 DIVIDED 8V 2 CSURV IVORS) _ .50 X 100 = 56 percent (TAXABLE FOR EACH SURVIVOR) 4. The awount subject to tax (Line 4) is tleterwined by multiplying the account balance (Line 2) by the percent taxable (Line 3). 5. Enter the total of the debts and deductions listed in Part 3. 6. The awount taxable (Line 6) is date reined by subtracting the debts and deductions (Line 5) frow the awount subject to tax Qine 4). 7. Enter the appropriate tax rate Cline 7) as date rwinetl below. ^The tax rate imposed on the net value of transfers frow a deceased child 21 Years of age 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 hairs includes grandparents, parents, children and other lineal descendants. "Children" includes natural children whether or not they have been adopted by others, adopted children and stab children. "Lineal de scentlent s" includes all children of the natural parents and their descendents, whether or not they have been adopted by others; adopted descendents and their descendants; and step-de scandants. "Siblings" are defined as individuals who have at least one Derent in cowwon with the decedent, whether by blood or adoption. The Collateral class of heirs includes all other beneficiaries. CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are detereined as follows: Date of Death Spouse Lineal Sibling Collateral 07/O1/94 to 12/31/94 3 percent 6 Percent 15 percent 15 percent 01/01/95 to 06!30/00 0 percent 6 percent 15 percent 15 percent 07/01/00 to present 0 percent 4.5 percent + 12 percent 15 percent A. You are legally responsible for payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. B. You actually void the debts after the death of the decedent and can furnish proof of payment. C. Debts being claimed must be itewized fully in Part 3. If additional space is needed, use 8 1/2" x 11" sheet of paper. Proof of paywent way be requested by the PA Depa rtwent of Revenue.