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05-07-12 (2)
BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128.0601 r~Q_nn~+Vivania ~ ~ , , AND DEPAPTMENT OF NEVENUE ~~~~~1'~I-A~Q~ RESPONSE eEY-153 EY •FP (05-11J „t~ ~ 7 ~~ f~'~ 1 ': i 10 9378 CLERK OF DATE OF DEATH 06-02-2011 rpf~~~~y~, ('~(~ prCOUNTY CUMBERLAND Cl ~~(-R' ~rj ^~il'~REAMI~~. PAYMENT AND FORMS T0: TONI A SEMANKO L_ L 1 REGISTER OF WILLS 818 SYCAMORE CIR 1 COURTHOUSE SQUARE CAMP HILL PA 17011-1634 CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. PSECU provided the department with the information below, which was used in calculating the inherltan ce tax due. Retord5 indicate that at the death of the above named decedent. you were a joint owner/beneficiary of this account. If you are the Spouse 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 reletlonship to the deceased by checking Box C 1n PART 1 Delow and writing "spouse" in PART 2. If you believe the information is incorrect, please obtain written carrecti on from the financial institution, attach a copy to this form and return it to the above address. Please call 717-787-6327 with Questions. COMPLETE PART 1 BELOW ~ SEE'REVERSE SIDE FOR FILING AND PAYMENT INSTRIfCTIDNS Account No. 05781©9378-S4 Date 11-17-1992 To ensure proper credit to the account, two Established copies of this notice aunt accoapany AeCOUnt Balance ~ 3Y171.17 Payaent to the Resister of Wills. Hake cheek payable to "Resister of Wills, AOent". Percent Taxable X 50.000 Amount Subject to TeX $ 1 585 59 NOTE: If tax par^ents are aatle within three . , months of the decedent's data of death, Tax Rate X . 15 tleduct a 5 percent discount on the tax due. Potential Tax Due g 237 84 Anv inheritance tax duo will becoae delinquent . nine aonths after the date of death. C. ~ The above inforaa Yon is incorrect antl/or debts and deductions ware paid. Caaplete PART 2~ and/or PART ~ below. PART If indicating a different tax rate, please state relationship to tlecedent: TAX RETURN - CALCULATION OF TAX ON JDINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 ~ 3. Percent 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 Due 8 $ PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TDTAL (Enter on Line 5 of Tax Computation) A 14 i 2 ~ Under penalties of pa rjury, I declare that the facts I reported above are true, correct and complete to the bast of my knowledge and belief. HOME C 1 11 ) 1 L3 _'1 I'F'J ~Lf..~ ~ ~lc.ti,~ _ C~c~ WsRK c 't ~Z ~ ~E 3 ~~sa i~ PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE FILE NO. 211^' T~~T- ACN 12125467 DATE 04-16-2012 ~QEZ~fAY "] PM ~Sf~ OF TESSA A ARMSTRONG SSN 578- - DATE A. ^~, The above infenation and tax d:w 3s correct. Resit parient to the Resister of Wills with two copies of this notice to obtain CHECK a discount or avoid interestb'er''raturn th;s notice to the Register of Wills and ONE an official sssgssaent will 'be issued by the PA Departaent of Rwanue. BLOCK 9. ~ The above asset has bean or will ba reported and tax paid with the Pennsylvania inheritance tax return ON L Y filed by the estate representative. GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on inforwation subwitted by th• financial institution. 2. Inheritance tax 6ecwes delinquent nine wonths after the decedent's date of tleath . 3. A joint account is taxable even when the decedent's nawe was added as a wetter of convenience. 4. Accounts (including those held between husband and wife) the decedent put in joint naves within one year prior to death are fully taxable. 5. Accounts established jointly between husband end wife wore than one year prior to death are not taxable. 6. Accounts held by a decedent "in trust for" another or others are fully taxable. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A - If the inforwation and calculation in the notice are correct and deductions are not being claiwed, place an "X" in Block A of Part 1 of the "TaxDayar Response" section. Sign two copies and subwit thew with a check for the awount of tax to the register of wills of the county indicated. The PA Departwent of Revenue will issue an official assesseent (Forty REY-1548 IX> upon receipt of the return frow 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 Pannrilvania inheritance tax return filed by the estate's representative, place an "X" in Block B of Part 1 of the "TaXpeYer Response" section. Sign two copies and return to the register of wills of the county indicated. 3. BLOCK C - If the notice inf orwation is incorrect and/or deductions are being claiwed, check Block C and cowDlate Parts 2 and 3 according to the instructions below. Sign two copies and subwit thew with your check for the awount of tax Dayable to the register of wills of the county indicated. The PA Departwent of Revenue Mill issue an official assesswent CFe rw REY-1548 IX) upon receipt of the return frow the register of wills. TAX RETURN - PART 2 - TAX CALCULATION LINE 1. Enter the date the account originally was establishedor titled in the wanner existing et date of death. NOTE: For a decadent who tliad of ter l2/12/82. accounts the decedent put in joint naves within one year of death are fully taxable. However, there is an exclusion not to exceed 13,000 par transferee, regardless of the value of the account or the nuwber of accounts held. If a double asterisk Cr}) appears before your first nawe 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 th• account including interest accrued to the date of tleath. 3. The percentage of the account that is taxable to each survivor is Bete Twined as follows: A. The percentage taxable of ioint assets established sore than one year prior to the decedent's death: 1 DIYIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF MULTIPLIED BY 100 = PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Exawple: A joint asset registered in the nawe of the decedent and two other parsons: 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 CSURV IYORS) _ .167 X 100 = 16.7 percent (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 ru st beneficiaries): 1 DIVIDED BY TOTAL NUMBER OF SURVIYING JOINT MULTIPLIED BY 100 = PERCENT TAXABLE OWNERS OR TRUST BENEFICIARIES Exaaple: Joint account registered in the nawe of the decedent and two other persons and established within ono year of death by the decadent. 1 DIVIDED BY 2 CSURV IVORS) _ .50 X 100 = 50 percent (TAXABLE FOR EACH SURVIVOR) 4. The awount subject to tax (Line 4) is daterwined by wultiplving the account balance (Line 2) by the percent taxable (Line 3). 5. Enter the total of the debts and deductions listedin Part 3. 6. Tha awount taxable (Line 6) is daterwined by subtracting the debts and deductions (Line 5) frow the awount subject to tax (Line 4). 7. Enter the appropriate tau rate Cline 7) as daterwined below. .The tax rata iwposed on the not value of transfers frow a deceased child 21 years of ape 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 heirs includes grandparents, Da rent s, children and other 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 end their descendents, whether or not they have been adopted by others; adopted descendents and their descendants; and stop-descendants. "Siblings" are defined as individuals who have at least one parent in eowwon 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 tlebts and deductions are daterwined as toll ows: Datg 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 pereont 07/01/00 to present 0 percent 4.5 percent :r 12 percent 15 percent A. You are legally resvonsible for pavwent. or the estate subject to adwinistration by a personal representative is insufficient to pay the deductible itews. B. You actually paid the debts after the death of the decedent and can furnish proof of pavwent. C. Debts being claiwed wust be itewized fully in Part 3. If additional space is needed, use B ]/2" x 11" sheet of paper. Proof of paywent ^av be requested by the PA Departwent of Revenue.