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Home My WebLink About08-27-12 (3)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: KOONS MICHELLE C 121 N SAINT JOHNS DRIVE CAMP HILL, PA 1701 1 REV-1162 EX(11-961 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 016432 ACN ASSESSMENT AMOUNT CONTROL NUMBER told ESTATE INFORMATION: ssN: i si-i 2-52s1 FILE NUMBER: 211 2-0686 DECEDENT NAME: PFLUGER MAGDALEN M DATE OF PAYMENT: 08/27/2012 POSTMARK DATE: 08/25/201 2 COUNTY: CUMBERLAND DATE OF DEATH: 06/08/2012 12137429 ~ 5562.69 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK#105 INITIALS: DMB RECEIVED BY: 5562.69 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ' ; ~"-;'"" PENNSYLVANIA INHE~tITANCE TAX (~?~ BUREAU 0~ INDIVID `~ ' itiMi; ~ ; INFORMATION NOTICE FILE No. 21 -' ~o~- Po Box zsocol ~~-~~'`"" ~ AND HARRISBURG PA vlza h:, ' ,:~ V8C118 ACN 12137429 t~~~:,..,C_, gEPARP or REVENUE TAXPAYER RESPONSE DATE 06-25-2012 REY-3543 EX AFP (03 -13] 2d l ~ AUG 27 PM !2~ ! 5 0l~PH~iN'~ ~~,u~RT CUMBERt{WD CO., PA MICHELLE C KOONS 121 N SAINT JOHNS DR CAMP HILL PA 17011-1932 EST. OF MAGDALEN M PFLUGER SSN 191-12-5281 DATE OF DEATH 06-08-2012 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. MEMBERS 1ST F CU 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 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 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 coDY 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. 400790-42 ~o/n ~ 3oAA?~-wl S Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due Date 03-20-2012 Established $ 7,897.34 X 100.00 $ 7,897.34 X .15 $ 1,184.60 To ensure proper credit to the account, two copies of this notice oust accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are Wade within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent nine months after the date of death. P~T TA PAYER RESPONSE ~ xxt~,'<~,~t~n ~~~t:r~t~s~s~:x, ~r~' . ~x.~l;'~ s~ss~~~r A. ~ The above inforwation and tax due is correct. Remit vayment 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 C 0 N E ~ an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return D N L Y filed by the estate representative. C. The above inforna ion isincorr~ect and/or debts and deductions were paid. Complete PART 2~ and/or+ PART IJ below. PART If indicating a different tax rate, please state _~F~t~w•~~~., ~~~ ~~~~ }~ .relationship to decedent: ~~ ~OLUN ,, E ' ~..FA`<ii~~t TAX RETURN - CALCULATION OF TAX R ON JbIN T / T U ST ACCOUNTS r~ p'/~ LINE 1. Date Established 1 0 ~ . ~, ~, ~ j 3 ~.~ - Gw / _ .~~ .~ ~= '=' ~^'.~.ti~ 2. Account Balance 2 $ ~~ ~3 ~~:x ~~" 3. Percent Taxable 3 X 50, DOD ~ ~ ' ~' 1 ° '"x 4. Amount Subject to Tax 4 ~ 3. g4~~ ~ b~ ~ ~~~; ~` 5. Debts and Deductions 5 ~ :; ,~ ,~-w 6. Amount Taxable 6 $ 31~Y~. (p~ 7. Tax Rate 7_ X ~ ~~ ~ y' ~~~~~ 8. Tax Due 8 ~ 5 /(i~30 ?$ PART DEBTS AND DEDUCTIONS C LAIMED 3^ DATE PAID PAYEE DESCRIPTION >~~ n ' ' AMOUNT PAID IUTAL ctnser on Lin@ 5 of Tax Computation) S Under p@na ties of perj y I declare that the facts I reported above are true, correct and c to th st o knowledge and belief. HOME C f ) '- ~~ J~.J- WORK f 7 a ~~ A PAYER SIGNATURE TEL PHONE NUMBER D TE 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 ioint account is taxable even when the decedent's nave was added as a natter of convenience. 4. Accounts (including those held between husband and wife) the decedent put in ioint oases within one year prior to death are fully taxable. 5. Accounts established jointly between husband and wife pore 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 thew 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 (Forty 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. N07E: For a decedent who died after 12/12/82, accounts the decedent put in point names within one near 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 nave in the address portion of this notice, the 83,000 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 deterwined as follows: A. The percentage taxable of joint assets established ^ore 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 point 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 subiect to tax (Line 4) is deterwined 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 Cline 5) from the amount subiect to tax (Line 4>. 7. Enter the appropriate tax rate (Line 7) as determined below. ^The tax rate iwposed 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 ar 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 oust be itemized fully in Part 3. If additional space is needed, use 8 1/2" x 11" sheet of paper. Proof of payment may be requested by the PA Department of Revenue. I~ .Xfltl.,:~1£~.~.~~aT#4~$ IH~.t~R~!#,~'~L't#~ .~II~ .< ~ ~ ~i~:; . '.~ ~ PA DEPAB'i`ME OF R~YEi~UE pIST42ICT OAS 'E~ _ i ., HT , ~ 3 - C717) 3$~ .$327' SERVICES FOR T1tXPAYEfSITN'~ :~`# ' , ` O~d.Y:~~ 1 *'~BiFfl=4~i7-3D28. t, 1 , :. {` . ~.~ T,,..,~ „ . 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 _~, <--~- ti~ .,. ~-=3 ~ r r; 'C '_n i7 rn 9 ~ f ',7 'T G C' Q ,~ ~ 7. cn ice. -~ ~ - {{ S;5 Q\~_ ibJ' ^ #~~ / ` M µ~ ~ r i ~. .~..' r r P .~..~~ ~ ~ 3}~ li l R .~[ ~,,, r K r• \ ~ 4 '~\J 11E~ ~ ~ ~ i r~A r k'N. r.iti r ~, ~ , t f, i' 1 f ~M' ~ i~~~. x r~, oz