HomeMy WebLinkAbout09-05-12BUREAU OF INDIVIDUAL TAXES FILE N0. 21 - IZ 'U~CQ~
PO BOX 280601 pen
HARRISBURG PA 17126-0601 ACN 12146557
DEPART
REV-1 DATE 08-23-2012
~_ PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
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TYPE OF
EST. OF RALPH W FINKENBINDER
SSN
DATE OF DEATH 08-12-2012
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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 5poU5e 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. 293758-48 Date 10-14-2009
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 100,059.67 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 16.667
Amount Subject t0 Tax $ 16,676.95 NOTE: If tax payments are lade within three
months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 75U . 46 Any inheritance tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
C CHECK
0 N E ~ A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with
a discount or avoid interest, ar return this
an official assessment will be issued by the
two copies of
notice to the
PA Department
this notice to obtain
Register of Wills and
of Revenue.
B L 0 C K
0 N L Y B. ~ The above asset has been or will be reported and
filed by the estate representative. tax paid with the Pennsylvania inheritance tax return
C. The above informs ion is incorr~ect and/or debts and deductions
Complete PART 2~ and/or PART lJ below. were paid.
PART If indicating a different
relationship to decedent: tax rate, plea a tote
S
p0C1~-~n[_' ,o~ r~~cr1rl~ p~
h
TAX
RETURN - CALCULATION OF II
7A~N JOINT/TRUST ACCOUNTS ,
.
~'"'
fr~lY
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
1 <s
2 $
3
X
f
4
;f
5 -
6 $ }~
7 X
B ~ i
PART DEBTS AND DEDUCTIONS CLAIMED
0 se.~ a~.~ned C~~sc,10.~Vv.er Ierrs
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) $
Under penalties of perjury, I declare that the facts I reported above are true, correct and
co to to the st o my knowledge and belief.
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TA AYER IGNATURE TELEPHONE NUMBER
AT
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 near prior to
death are fully taxable.
5. Accounts established jointly between husband and wife more than one near 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 "Tax paver 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 IX) 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 nanner existing at date of death.
NOTE: For a decedent who died after 12/12/82, accounts the decedent put in joint 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 (^*) 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 ^ore than one year prior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY SURVIVINGBJOINT OWNERS MULTIPLIED BY 100 = PERCENT TAXABLE
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.
t
^The tax rate imposed on the net value of transfers from a deceased child 21 years o g
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 then 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 Daywent, or the estate subject to administration by apersonal 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 8 1/2" x 11" sheet of Paper. Proof of
_~_~ ~.. .~_ o• ne..n ~*.nn4 of Revenue.
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
f a e or younger a
Glenda Earner Strasbaugh
Register of Wills and Clerk of Orphan's Court
1 Courthouse Square, Room 102
Carlisle, PA 17013
RE: PA Inheritance Tax Information Notice
File# 21
ACN# 12146557
Dated: 08-23-2012
Dear Ms. Earner Strasbaugh,
I, Cindy L. Grove, never owned or contributed funding to the Certificate of Deposit
account# 293758-48, and hereby disclaim any and all interest as beneficiary to the funds
from this account.
Also please reference the attached letter signed, August 16, at Members 1 S` Federal Credit
Union, Walnut Bottom Branch, confirming the same. Jean I Finkenbinder, wife of the
decedent, Ralph W. Finkenbinder, received 100% of the funds from this account.
Please file this letter, as necessary, with the court and to the PA Department of Revenue.
Attachments: PA Inheritance Tax Information Notice and Taxpayer Response
Letter dated 08-16-12, Members ls` Walnut Bottom Branch
Signature: c
Cin L. Grove
NOTARY:
State of Pennsylvania
County of Cumberland
On ~~{ `~ , 2012, Cindy L. Grove personally appeared before me to be
the signer of the above document.
Notary Public: .~,~, ~. ~.Q,Q,`.
My Commission Expires:_ a/ ~~ ~D /~'
COIrAti NWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Eileen M. Bear, Notary Public
Carlisle Boro, Cumberland Coumy
ooos~an 03,1(115
8-16-12
To Whom This May Concern:
RE: 293758-0048
I, Cindy L. Grove, agree on this date, 8-16-12 to relinquish 1009'0 ownership of share account 293758-
0048 to Jean I. Finkenbinder.
Forward all monies to account 473892 in the form of the same certificate of deposit with existing
maturity date and interest rate in the name oflean I Finkenbinder.
% `
X---- - -- -- ------ =--6 ~%~ ~/6~ / 2
Cindy L. Grove
X C1iyt
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lean I. Finkenbinder
Witness: Daune M. Evans, MSR 1, WALNUT BOTTOM BRANCH
St
MEMBERS 1't
FEDERAL CREDIT UNION
I, T.e
Beneficiary Name _
Beneficiary Address
Office Use Only
Date Recd
Symitar ;Y
Bran ch/Dept
as primary/joint request
the designated in trust for, the following individual/ non profit organization as beneficiary(s). A
maximum of two benefciaries can be designated per account/certificate.
Account Number.__ ~ 3 S 9 „~
~_
^ Beneficiary on]y on the above account
Beneficiary only on certificate(s) suffix(s): _
*List any applicable Certificates listed under the above account number
^ Beneficiary on the account and on the certificate(s) suffix(s): __
^ Beneficiary on the account and all certificate(s)
Beneficiary SSN
Designation of Beneficiary
In Trust For
_ J~ J "' :/ x' 15 ~ /~ `~' Beneficiary Birth Date: _ f pZ, -- ~ ~ !~ 8'
Distribution percentage for a single beneficiary is 100%. Distribution percentage for a maximum of two
beneficiaries is 50% each.
Beneficiary Name
Beneficiary Address
Beneficiary SSN
Beneficiary Birth Date:
The grantor (~ and its beneficiary(s) agree to hold Members Ist Federal Credit Union harmless from any loss
incurred by theto~s) or its beneficiaries resu]ting from Members 1st Federal, Credit Union's good faith reliance
on any of the information in this memorandum or upon any instructions regarding the account received by the Credit
Union from the grantor(s) and its beneficiaries. Upon the death of the undersigned account owner, any sum
remaining on deposit belongs to the named beneficiaries. However, it is the express intent of the undersigned that
the sums remaining on deposit in any and all In Trust For accounts are subject to Members Ist Pledge/Statutory Lien
as defined in the Members 1st Federal Credit Union Membership Account Agreement and that-such
Pledge/Statutory Lien will have p~ rity over the interests of the named beneficiaries.
Primary or Joint Signature
h Date - Z(~ -~
Revision Date: 04/19/11