HomeMy WebLinkAbout03-06-12BUREAU OF INDIVIDUAL TAXES
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HARRISBURG PA 17126-0601
DEPARTMENT OF p
REV-1565 EY YFP
PENNSYLVANIA INHERITANCE TAX o2~
INFORMATION NOTICE FILE N0. 21 ' (~r
~;~~~ ~~~F~~~ AND ACN 12113761
AVER RESPONSE DATE 02-24-2012
211 ~9AR -b Phi I: 27
ORPH~ANR'S OUR r
CUMf3~R! AIVt? CO , PA'
EVA J STOLTZ
48 ROUND RIDGE RD
MECHANICSBURG PA 17055-9200
EST. OF DONALD H STOLTZ
SSN 257-22-2192
DATE OF DEATH 02-08-2012
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU Drovidetl the department with the information below, wht ch was used in calculating the inheritance tax due.
Records indicate that at the death of the above-named decedent. you were a joint owner/beneficiary of this account. If you ere the Spouse Of the
deceased end any amount other than zero 1s 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 in PART 1 below and writing "spouse" in PART 2.
If you believe 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. Please call 717-787-8327 with puestions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 101762-00
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
1^
TAXPAYER RESPC
To ensure Droper credit to the account, two
copies of this notice oust accompany
payment to the Reaistar of Wills. Make check
paYabl• to "Register of Wills, Agent".
NOTE: If tax payments are made within three
months of the decedent's data of death.
deduct a 5 percent discount on the tax due.
Arai inheritance tax due will become delinquent
nine months after the data of death.
A. The above information end tax due is ciorrect.
Remit payment to the Register of Wei lls with two copies of this notice to obtain
C H E C K a discount or avoid interest, or rieturn this notice to the Register of Wills and
ONE an official assessment will be issued by the PA Department of Revenue.
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
0 N L Y filed by the estate representative.
C. ~ The above infor~ms ion is incorrect and/or debts and deductions ware paid.
Complete PART IJ and/or PART ~ below.
PART If indicating a different tax rata, please state
relationship to decedent:
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balanco 2 ~
3. Poreont Taxable ~ 3 X
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. Amount Taxable 6 $
7. Tax Rate 7 X
8. Tax Duo 8 ~
PART DEBTS AND DEDUCTIONS
DATE PAID PAYEE
pate 05-04-1988
Establishetl
$ 32,625.75
X 16.,667
$ 5,437.:.73
X .00
DESCRIPTION
AMOUNT PAID
Under penalties of perjury, I daclaro that the faetsI reported above are true, correct and
co plate to the Qbos~t- oAf my knowledge and belief. HOME C ?/rJ ) ~ (~_'~? (pd
~/IIY.~ ~. .U.UK~~3,. WORK C ~ f ~l~/!
TA AVER S GNATURE TELEPHONE NUMBER DATE
GENERAL INFORMAtIDN
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information
submitted by the financial institution.
2. Inheritance tax becomes delinwuent nin• months after the decedent's date of death.
3. A joint account is taxable even when the decedent's name was added as a matter of convenience.
4. Accounts (including those held between husband and wife) the decedent out in joint names within one year prior to
death are fully taxable.
5. Accounts established iointly between husband and wife more than one year prior to death are not taxable.
6. Accounts held by a decadent "in trust for" another or others are fully tax able. '
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK A - If the information and calculation in the notice are correct and deductions era not being claimed, Dl ace an "X"
in Block A of Part 1 of the "Taxpayer Response" section. Sipn 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 Mill issue an official assessment
(Fors REV-1548 IX) upon receipt of the return from the register of wills.
2. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania inheritance
tax return filed by the estate's representative, place an "X" in Block B of Part lof the "Taxpayer Response" section. Sign two
copies and return to the register of wills of the county indicated.
3. BLOCK C - If the notice inforaation is incorrect and/or deductions are being claimed, check Block C and complete Parts 2 and 3
according to the instructions below. Sion two copies and submit thew with your check for the asount of tax payable to the register
of wills pf the county indicated. The PA Department of Revenue will issue an official assessment (Forty REY-1548 IX) upon receipt
of the return from 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 data of death.
NOTE: For a decedent who died of ter l2/12/82, accounts the decedent Dut in joint names within one year of death are
fully taxable. However, there is an exclusion not to exceed 03,000 per transferee, regardless of the value of
the account or the number of accounts held.
If a double asterisk C}•) appears before your first nose in the address portion of this notice, the 13,000 exclusion
was deducted frog 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 determined as follows:
A. The percentage taxable of joint assets established sore than one year prior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF MULTIPLIED BY 100 PERCENT TAXABLE
JOINT OWNERS SURVIVING JOINT OWNERS
Exasple: A joint asset registered in the nose of the decedent and two other De rsons:
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .167 X 100 16.7 Dereent (TAXABLE TO EACH SURVIVOR)
B. The percentage taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held
in trust for another individual(s) Ct rust benef ieiarias):
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BY 100 = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
Exasple: Joint account registered in the name of the decedent and two other persons and established within one year of tleath by
the decedent.
1 DIVIDED BY 2 (SURVIVORS) _ .50 X 100 = 50 percent (TAXABLE FOR EACH SURVIVOR)
4. The amount subject to tax (Line 4) is determined by ^ultiplyine the account balance (Line 2) by the percent taxable (Line 3).
5. Enter the total of the debts and tlaductions listed in Part 3.
6. The asount taxable Cline 6) is determined by subtracting the debts and deductions (Line 5) Eros the amount subject to tax (Line 4).
7. Enter the appropriate tax rate (Line 7) as date rm fined below.
'The tax rate isposed on the net value of transfers from 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.
Tha lineal class of heirs includes Grandparents, parents, children and other lineal descendents. "Children" includes natural children
whether or not they have bean adopted by others, adopted children and stet/ children. "Lineal descentlent 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;
end step-descendants. "Siblings" are 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 benef icia rigs.
CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are detersined as follows:
Date of Death Spouse Lineal Sibling Collateral
07/01/94 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 paysent, or the estate subject to adsinist ration by a personal representative is insutf icient
to pay the deductible itess.
B. You actually Deid the debts after the death of the decedent and can furnish proof of DaYSent.
C. Debts being claimed lust be itemized fully in Part 3. If additional space is needed, use B 1/2" x 11" sheet of paper. Proof of
paysent ^ay be requested by the PA Department pf Revenue.
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