HomeMy WebLinkAbout09-04-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
MURRAY MARY A
1375 CREEK RD
BOILING SPRINGS, PA 17007
fold
REV-1162 EXI11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN:
FILE NUMBER: 2112-0953
DECEDENT NAME: MURRAY CHARLES E
DATE OF PAYMENT: 09/04/201 2
POSTMARK DATE: 09/01 /201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 07/05/201 2
ACN
ASSESSMENT
CONTROL
NUMBER
NO. CD 016464
AMOUNT
12144892 ~ 5586.45
TOTAL AMOUNT PAID:
REMARKS:
5586.45
CHECK# 2094
INITIALS: DMB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
`~` PENNSYLVANIA INHERITANCE TAX (l
;..;,_~, ~ ~ INFORMATION NOTICE FILE N0. 21 •IZ-'{~3
AND ACN 12144892
~i ~F~E~~~~ ~ ~ C TAXPAYER RESPONSE DATE 08-14-2012
REV•1545 E% AFi (OS -11)
2 SEP -4 P~ 1 ~ S i
EST. OF CHARLES E MURRAY
SSN
ORPHw1d~J L;t.3lJi~ ~ DATE OF DEATH 0 7 - 0 5 - 2 012
CUMBERLAND CO., PA COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
MISTY L HERSH REGISTER OF WILLS
509 GETTYSBURG PIKE 1 COURTHOUSE SQUARE
MECHANICSBURG PA 17055-5154 CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
ORRST OWN BANK provided the department with the information Delow, 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 y0U 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 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. 146001633 Date 07-20-2009 To ensure proper credit to the account, two
Established copies of this notice wust accowpany
payment to the Register of Wills. Make elieck
Account Balance $ 78, 192.77 payable to "Register of Wills, Agent".
Percent Taxable )( 16.667
NOTE: If tax payments are ^ade within three
Amount Subject to Tax $` 13, 032.39 wonths of the decedent's date of death,
Tax Rate X ~ lrj deduct a 5 percent discount on the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due $ 1 , 954.86 nine months after the date of death.
PART TAXPAYER RESPONSE
FAIi1.vRf Tfl RESPOND.: WILL; REST}~~;:ICI;~+A#i,-aF~,I~CIAL,.TJUCw~.SS~SS~1
A. ~ The above inforwation 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.
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 inforwa ion is incorrect and/or debts and deductions were paid.
Cowplete PART 2~ and/or PART a below.
PART If indicating a different tarx„rate~ plc a state
relationship to decedent: ~'+~
TAX RETURN - CALCULATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
DATE PAID PAYEE
flFF2CI.AL,; iISE?rlt-~ ~iAF,
.+.
Ph~~EpARTM~#aT nF~~t~x~~au~
,, -~". ,
OF TAX NT/TRUST
ON JO
I ACCOUNTS ~ PAD ~
:
2 $ ~'
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$ ~ 0 ~~ - :attic ;~'"*~'~' .. t~'~:
6 b
7 X .~}Q~S 7 -i~;wn,~y;~~
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
Under penalties of perjury, I declare that the facts I reported above are true, correct and
complete to the best of my knowledge and belief. HOME C )
WORK C )
TAXPA S G ATURE TELEPHONE NUMBER AT
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN DFFICIAL 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 then 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 then 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 naves within one year of death are
fully taxable. However, there is an exclusion not to exceed 03,D00 Der transferee, regardless of the value of
the account or the number of accounts held.
If a double asterisk (^~) appears before your first nave in the address portion of this notice, the 03,000 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 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)
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 Cline 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 detanined by subtracting the debts and deductions (Line 5) frog 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 D percent 6 percent 15 percent 15 percent
07/01/00 to present 0 percent 4.5 percent * 12 percent 15 percent
--.-- ---- ---__-- -.. _.._ ..__ ...-_- ,,. ..o„„~,~ .. ,,~ a „~,;r anru cniaa a rears or age or younger ac
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 DEDUCTIDNS - 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 roust 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.
Tl1~~IC~fR ASSi3TA~1C~;
IF YOU.,,NEED. FURTHER>, INFDRFIATIDH~::DR. ASSIST'AN~E~ CONTACT_ AtJY :REGISTER OF- WILi_S,
PA DEPARTMIENT OF R£YE~'IUE-.DISTRICT . OFFICE OR THE BUREAI3 OF> INDil/IDUAt SAXES, AT -
C7i73 787-8327, SERVICES~FDR TAXPAYERS WITH SPECIAL HEARING)AND/OR SPEAKING NEEDS
ONLY:-1-80fl-447-3820.
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