HomeMy WebLinkAbout04-26-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
MATTERN JERRY A JR
1204 CAPITAL ST
HARRISBURG, PA 17102
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ESTATE INFORMATION: SSN: 197-50-8383
FILE NUMBER: 2112-0372
DECEDENT NAME: GERACI TAMMY M
DATE OF PAYMENT: 04/26/2012
POSTMARK DATE: 04/25/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 1 0/31 /201 1
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
12123909 ~ 542.32
REV-1162 EX(11-961
NO. CD 015895
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
REMARKS: JERRY A MATTERN JR
CHECK# 942
542.32
INITIALS: WZ
SEAL RECEIVED BY: GLENDA EARNER STFiASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX _
INFORMATION NOTICE FILE NO. 21 .- ~ ,1 - ~,` -~~ ~~~-
BUREAU OF INDIVIDUAL TAXES t +~~ ~~ AND ACN 12123909
PD BDX 280601 Pen~~~ ~ 'i,i
HARRISBURG PA lrizB-o6ol oernaTrvler{roF.AEVeNUL: ~ `-i,l r ~, AXPAYER RESPONSE DATE 04-06-2012
REV-1543 i-C~(.AF~~i („CS -11~(~ - "~J
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SANDRA L MATTERN
245 GLENN RD
CAMP HILL PA 17011-1134
EST. OF TAMMY M GERACI
SSN
DATE OF DEATH 10-31-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
METRO BANK provided the department with the information below, which 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 dre 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 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 questions.
C`J1+SPLETE PART 1 BEL04'd ?~ SEE REVERSE SIDE FOR FI~.ING ANA PAYMENZ-INSTRUCTIONS
Account No. 536042237 Date 08-01-2002 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 564.25 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 282 • 13 months of the decedent's dlate of death.
Tax Rate X 15 deduct a 5 percent discour~t on the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due $ 42 • 32 nine months after the dates of death.
P~T TAXPAYER RESPONSE --~~
~ FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX AS5ESSMENT~
A. ~ The above information and tax due is correct. --
Remit payment to the Register of Wills with two copies of this notice to obta iin
a discount or avoid interest, or return this notice to the Register of Wills and
C H E C K an official assessment will be issued by the PA Department of Revenue.
C ONE
B L 0 C K 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 informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state OFFICIAL USE, ONLY U AAF
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 1
2. Account Balance 2 `~ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 $ 4
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 $ ~
7. Tax Rate 7 X 7
8. Tax Due B $ 8
PART DEBTS AND DEDUCTIONS CLAIMED
neTF pern PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I reported above are true, correct and
qomplete to the est of my knowledge and belief. H OME C ~ _
/~ ~ ~ , rn ~~ '°~~i'YT~~C1 ra,.,, 1 WORK ( )
TAXPAYER SIGNATURE TELEI
NUMBER
DATE
IUTAL ltnier an LlI1C ~ ,,,r ... ~•
GENERAL INFORMATION
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 delinquent nine 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 put in joint names within one year prior to
death are fully taxable.
5. Accounts established jointly between husband and wife more 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 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 EX) 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 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 information 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 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-1548 EX) 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 date of death.
NOTE: For a decedent who died after 12/12/82, accounts the decedent put in joint names within one year of death are
fully taxable. However, there is an exclusion not to exceed 53,000 per transferee, regardless of the value of
the account or the number of accounts held.
If a double asterisk C^~) appears before your first name in the address portion of this notice, the 53,000 exclusion
was deducted from 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 more 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
Example: A joint asset registered in the name of the decedent and two other persons:
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) _ .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) (trust beneficiaries):
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BY 100 = 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.
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 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 amount taxable (Line 6) is determined by subtracting the debts and deductions (Line 5) from the amount subject to tax (Line 4).
7. Enter the appropriate tax rate (Line 7) as determined below.
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
^Thc tar atn e~ •ti.. 0 percent 4.5 percent ~ 12 percent 15 percent
-_-- -"'----- -" - - ••-- -~~ ~ ~~ •~ - m e ueceasep Cn110 C1 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 heirs includes grandparents, parents, 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 and their descendents, whether or not they have been adopted by others; adopted descendents and their descendants;
and 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 beneficiaries.
CLAIMED DEDUCTIONS - PART 3 - DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are determined as follows:
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 paid the debts after the death of the decedent and can furnish proof of payment.
C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use B 1/2" x 11" sheet of paper. Proof of
payment may be requested by the PA Department of Revenue.
TAXPAYER ASSISTANCE
TF YpU NEED FURTHER INFORMATiflN OR ASSISTANCE, CONTACT ANY REGISTER OF ti+1ILLS,
PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR THE BUREAU DF INDIVIDUAL TAXES, AT
t7I7) 787-8327.... SERVICES FDR TAXPAYERS WITH SPECIAL HEARING ANDlOR SPEAKING NEEDS
ONLY: 1-SU0-447-3020.
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