HomeMy WebLinkAbout09-19-12COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI1 7-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 016514
LUCAS MARK A
77 BUSHEL CIRCLE
MAGNOLIA, DE 19962
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssrv: i ~0-24-9432
FILE NUMBER: 2112-1020
DECEDENT NAME: LUCAS MELVIN F
DATE OF PAYMENT: 09/19/2012
POSTMARK DATE: 09/17/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 04/07/2012
REMARKS:
CHECK# 2224
SEAL
12141378 ~ 56.94
12141379 ~ 56.94
TOTAL AMOUNT PAID:
513.88
INITIALS: DMB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
PENNSYLVANIA INHERITANCE TAX
BUREAU OFINDIVIDUALTAXES
PO BOX 280601
, ;(, ((
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l
i INFORMATION NOTICE
AND FILE N0. 21 ~ iZ-~(~Zd
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HARRISBURG P/r'I' 1T12B BKBl sy
van
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ACN 12141378
- ;pE~~iTMENTOFpEVENUE
FF
,, TAXPAYER RESPONSE
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REV-1543E%4FP (OS -11] DATE
07-23-2012
~OfY SEP 19 PM f2~ 04
EST. OF MELVIN F LUCAS
SSN 170-24-9432
DATE OF DEATH 04-07-2012
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
OtlN`+pH NO'S Gt~Rrp~
~~~Pl~D ""..
JANI E M LUCAS
77 BUSHEL CIR
MAGNOLIA DE 19962-3639
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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 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 farm 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. 128902-11 Date 09-12-1995
To ensure proper credit to the account, two
Established copies of this notice ^ust accowpany
Account Balance $ 925.71 paywent to the Register of Wills. Make check
"
payable to
Register of Wills, Agent".
Percent Taxable X 16.667
Amount Subject t0 TaX
$
1 5 4.2 9 NOTE: If tax paywents are wade within three
wonths of the decedent's date of death,
Tax Rate )( .045 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 6.94 Any inheritance tax due will becowe delinquent
nine wonths after the date of death.
P~r
1 TAXPAYER RESPONSE
~ ..
A. ® The above inforwation and tax due is correct.
Rewit paywent to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or return this notice to the Register of Wills and
0 N E an official assesswent will be issued by the PA Departwent of Revenue.
B L 0 C K ~
0 N L Y g, ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
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 3~ below. .
PART If indicating a different tax rate, please state -
relationship to decedent: r~z ~~£.~ - F
~~
;i u
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS p`4
~ ~
LINE 1 . Date Established 1 `~~~ i~~, +~ "~"" ;~s'~y,~.,;,
2. Account Balance 2 $ '~ x;~~d ' ~ ~} ~,
3. Percent Taxable 3 X ; ~,'~ p,
f Ps ~- }~~ ~' ~'T
4.
Amount Subject to Tax
4
$ ~~ ,
s
-'"i c
.,,;~,, ~ ;_,'
5. Debts and Deductions 5 - .~ + ai rl: ~ ~;.~%~~;`
i
6. Amount Taxable 6 $ ,~ r'-~ ,, i_. `~~ .gyp may[
d n{ .If j,~ '
7. Tax Rate 7 X `~`` ?. 3:a
i~~ 1 ~~Nk__, ~.
8. Tax Due g $ :
~,'
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Comoutatien~ a
Under penalties of perjury, I declare that the facts I reported above are true, correct and
complet to the best of my knowledge and belief. HOME
f~ WORK C ~
AXPA ER URE TELEPHONE NUMBER DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT wlth 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., x i
4. Accounts (including those held between husband and wife) the decedent put in joint naves witFiln:one:~eYlttprbR t"a '.
death are fully taxable.
5. Accounts established jointly between husband and wife no re 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 R,~SPONSE
t. '
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 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 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 Wore 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 nave 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 veer 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 Cline 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.
^The tax rate imposed on the net value of transfers from a deceased chil v t
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 Darent 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 8 1/2" x 11" sheet of Daper. Proof of
payment ^ay be requested by the PA Depar~t~m/enti of Revenue.
IF 'TOkt ~~H6fP1° ~t1RTf~~R' ~tiFil-itl14f1~t'1 OR ~~SSI~S'I~~~C(3~i~, ~-~~ ~~°"~~'"
~ DfQ1~ItT'lIE~tT ~~ ~~+~ ;~~~~~~i~~ ~~~~~ ~~ Yx~~u~4~° ~ ~~
~7i~~ 7.e~-sa2~. s~~~~cc~~ ~r~ Tr-X~~x~~s ~rx~t~.,s~crx~ ~~1~&. ~NDlg3t ~ `~~. ~~
ONLY : 1`~ BQfl-~i47 ~"~8zd
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
" d 21 ears
of 15
age percent
or younger a
~ PENNSYLVANIA INHERITANCE TAX
BUREAU DF v TpxE ,,, ~ INFORMATION NOTICE FILE N0. 21 " I~ -IUZG
Po Box z~~~~ ~~1.~~ ~iennsylvania AND
HARRISBURI i, o ;l TAXPAYER RESPONSE ACN 12141379
(/~1 ` _ , ~ ;t ~.y}~n~ EPARTMENT OF REVENUE
~~~~1~4;1 1'~ 5F!~~
REV-1543 EX AFP (OS-I1) DATE 07-23-2012
2t-i1 SEP 19 PM t2~ 04
til.~? '
W1~Ill~1f`I~ W.,
MARK A LUCAS
77 BUSHEL CIR
MAGNOLIA DE 19962-3639
EST. OF MELVIN F LUCAS
SSN 170-24-9432
DATE OF DEATH 04-07-2012
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
^ savlNGs
® CHECKING
^ TRUST
^ CERTIF.
MEMBERS 1ST 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 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 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. 128902-11 Date 09-12-1995
To ensure proper credit to the account, two
Established copies of this notice oust accompany
Account Balance $ 925.71 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 16.667
Amount Subject to Tax g 154.29 NOTE: If tax payments are Wade within three
Tax Rate months of the decedent's date of death,
X . 0 4 5 deduct a 5 percent discount on the tax due.
Potential Tax Due ~ 6.94 Any inheritance tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
J ~ ~~\ I~~
A. ~1i The above information and tax due is correct.
L~]
Remit paywent to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or return this notice to the Register of Wills and
0 N E
~ an official assessment will be issued by the PA Department of Revenue.
B L 0 C K
0 N L Y g, ^ The above asset has been or will be reported and tax paid with the Penns
l
i
i
filed by the estate representative. y
van
a
nh
eritance tax return
C. ^ The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3^ below.
PART If indicating a different tax rate, please 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
a
DATE PAID PAYEE
OF TAX ON JOINT/TRUST ACCOUNTS
1
2 $
3 X
4 +~
5 -
6
F
7 X ~,
8
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) ;
Und penalties of perjury, I declare that the facts I reported above are true, correct and
om lete to the best of my knowledge and belief.
HOME C )
TAYPAVCD crruwr„n~ WORK ( ~
TELEPHONE NUMBER DATE
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 name was added as a matter of convenience. ,_, ,._
4. Accounts (including those held between husband and wife) the decedent put in joint names within ore ye~r%pFidr Mf
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 RESPANSE
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 point names within one near of death are
fully taxable. However, there is an exclusion not to exceed 03,000 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 point assets established more than one near prior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF MULTIPLIED BY 100 = PERCENT TAXABLE
JOINT OWNERS SURVIYING JOINT OWNERS
Example: A ioint asset registered in the name of the decedent and two other persons:
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURYIVORS) _ .167 X 100 = 16.7 percent (TAXABLE TD EACN 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 DIYIDED BY TOTAL NUMBER OF SURVIVING JOINT MULTIPLIED BY 100 = PERCENT TAXABLE
OWNERS OR TRUST BENEFICIARIES
4.
5.
6.
7.
^The tax rate imposed on the net value of transfers from a deceased child 21 y t
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 8 1/2" x 11" sheet of paper. Proof of
,,..+ ... do ~ uosted 6v the PA Department of Revenue.
~ - 4n~s w
c7 a.» ~~-ec~z~v _'s ~~ , ~F~x. ~~-atP,~~...
o~t..~t~ ~-~t^~~~-~$~a . ~ ~:
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)
The amount subject to tax (Line 4) is determined by multiplying the account balance (Line 2) by the percent taxable (Line 3).
Enter the total of the debts and deductions listed in Part 3.
The amount taxable (Line 6) is deteroined by subtracting the debts and deductions Cline 5) from the amount subject to tax (Line 4).
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 0 percent 4.5 percent ~ 12 percent
ears 15
of age percent
or younger a
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