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HomeMy WebLinkAbout05-31-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-C601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 016045 FREEMAN LARRY L 829 N WEST ST CARLISLE, PA 17013 iold ESTATE INFORMATION: ssN: 274-2n-osa3 FILE NUMBER: 211 2-0391 DECEDENT NAME: WELTON MARY LOU DATE OF PAYMENT: 05/31 /201 2 POSTMARK DATE: 05/31 /201 2 COUNTY: CUMBERLAND DATE OF DEATH: 03/ 1 1 /201 2 REMARKS: SEAL CHECK# 1001 ACN ASSESSMENT AMOUNT CONTROL NUMBER 12120688 ~ 8145.71 TOTAL AMOUNT PAID: REV-1162 EX111-961 8145.71 INITIALS: DMB RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~ PENNSYLVANIA INHERITANCE TAX ~' INFORMATION NOTICE ~ ~ ~ :~('~ BUREAU OF INDIVI ~ (TyotES- j~~ ~ F I LE ND . 21- PD Box zao6ol ~` ~ e, '(~ ' Lvania AND HARRISBURG PA 171 bfjBl'i , ~ ~ ~ ACN 121206$$ ~~.,,, oeaN~7r~yroFaEVeNUe TAXPAYER RESPONSE DATE 03-23-2012 REV-1543 E% AFP (05-I1) e_; r ~ ~ f~i' J ~ ~~ L' ! i L TYPE OF ACCOUNT EST. OF MARY L WELTON ^ SAVINGS r' ..r" SSN 274-24-0983 ® CHECKING C1Ftt~',-„~1~,~~~ , ;~~ I,~jT DATE OF DEATH o3-11-2012 ^ TRUST CUM(3tRLN11lJ CG., PA COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: GAY D FREEMAN REGISTER OF WILLS 829 N WEST ST 1 COURTHOUSE SQUARE CARLISLE PA 17013-1435 CARLISLE PA 17013 MEMBERS IST FCU 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 art 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. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 326503-11 Date 03-28-2008 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 8 ~ 203 • 33 payment to the Register of Wills. Make check payable to "Register of Wi:Lls, Agent". Percent Taxable X 50.000 4 ~ 1 ~ 1.67 NOTE: If tax payments are made within three Amount Subject to Tax $ months of the decedent's date of death, Tax Rate )( . 045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 184.58 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. ONE BLOC K ~ g, ^ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return O 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 ^ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JO INT/TRUST ACCOUNTS PAD LINE QQ 1. Date Established 1 ~l~C7~2~fZ. 1 2. Account Balance 2 $ S.~~P /i l3 2 3. Percent Taxable 3 X ~~~©Qf~ 3 3 4. Amount Subject to Tax 4 $ ~W J~~ ~ 4 r 5. Debts and Deductions 5 - ~~ ~ ~~. ~w 5 6. Amount Taxable 6 $ 3,238/or 6 7. Tax Rate 7 X EoyS 7 8. Tax Due 8 $I7J.7~ 8 PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT PAID ~ 701Z C~ n!S HE ~' EN ~ 00 z e. ~ , av ~' E s m a o vF c~ 5 w~v-. Sl'F0,2.1- C~iyFu,~d:~x //) , 5c~ r uIAL (Enter on Line 5 of Tax Computation) S r r9si96 Under penalties of perjury, I declare that the facts I reported above are true, correct paned c mplete~yto a best of my knowledge and belief. HOME (717 ) Z~~~Z.-// ., / ~ '?mac ~,,,_.`_ WO R K C / 7 ~ Z• ~ "_ I ~Z-f .~ ~ Z TAXPA R SIGNATURE TELEPHONE NUMBER A~ 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 vear prior to death are fully taxable. 5. Accounts established jointly between husband and wife more than one vear 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 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-1546 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-1546 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 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 (~*) 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 CLine 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. >The tax rate imposed 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. 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 IF YOUNEED FURTHER INFOR~ATLON OR ASSISTANCE, CONTACT ANYREGISTER OF ~ILLS~, PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR THE BUREAU OF INDIVIDUAL TAXES, AT f717) 787-8327. SERVICES FDR TAXPAYERS WITH S~ECIAL,HEARING ANDlOR_SPEAKiNG NEEDS ONLY: 1-8flfl-447-3020, 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 PART 3 ADDITIONAL DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID 04/01/2012 PPL Check#1155 Electric utility $32.42 04/04/2012 Century Link Check #1161 Telephone Service $9.44 04/11/2012 Sarah Todd Nursing Home Check #1168 Medical ointments & medications $42.92 04/11/2012 PPL Check #1169 Electric utility _ $7.08 TOTAL = $1195.96