HomeMy WebLinkAbout10-31-12 (2)BUREAU OF INDIVIDUAL raxES Pennsylvania Inheritance Tax
Po Box zBB6o1 Information Notice
HARRISBURG PA 17128-0601 ~/~`/rI ~,4TI ~
~f.~~ ~ d Taxpayer Response
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CAROL CUTLIP
85 COURTYARD DR
CARLISLE PA 17013-4903
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DEPARTMENT FREVENUE
--' REV-1543 EX DocEX C (OB-12)
FILE NO. 2170
ACN 12156838 ',
DATE 10-16-2012
Estate of BETTY F MORRIS
SSN
Date of Death 03-11-2012
County CUMBERLAND
WELLS FAR60 provided the department with the information below indicating that at the
above-named decedent you were a joint owner or beneficiary of the account identified.
Remit Payment and Forms to:
Account No. 1010198621160
Date Established 02-15-2008 REGISTER OF WILLS
Account Balance $ 4,193.00 1 COURTHOUSE SQUARE
CARLISLE PA 17013
Percent Taxable X 50
Amount Subject to Tax $ 2,096.50
Tax Rate X 0.150 NOTE': If tax payments are made w
Potential Tax Due $ 314.48 decedent's date of death, deduct a 5
With 5% Discount (Tax x 0.95) $ (see NOTE`) due. Any inheritance tax due will bey
after the date of death.
of Account
Savings
Checking
Trust
Certificate
of the
three months of the
ent discount on the tax
delinquent nine months
PART Step 1: Please check the appropriate boxes below.
1
A ~ No tax is due. I am the spouse of the deceased or I am the parent of
21 years old or younger at date of death.
Proceed to Step 2 on reverse. Do not check any other boxes ar
shown above as Potential Tax Due.
g ~ The information is
correct.
C The tax rate is incorrect.
(Select correct tax rate at
'ght, and complete Part
3 on reverse.)
D ~ Changes or deductions
listed.
The above information is correct, no deductions are being taken, and I
with my response.
Proceed to Step 2 on reverse. Do not check any other boxes.
4.5% I am a lineal beneficiary (parent, child, grandchild,
~12% I am a sibling of the deceased.
15% All other relationships (including none).
The information above is incorrect andJor debts and deductions were
Complete Part 2 and part 3 as appropriate on the back of this
decedent who was
disregard the amount
will be sent
of the deceased.
E ~ Asset will be reported on The above-identified asset has been or will be reported and tax paid wi the PA Inheritance Tax
inheritance tax form Return filed by the estate representative.
REV-1500. Proceed to Step 2 on reverse. Do not check any other boxes.
Please sign and date the back of the form when finished.
PART
z Debts and Deductions
Allowable debts and deductions must meet both of the following criteria:
A. The decedent was legally responsible for payment, and the estate is insufficient to pay the deductible items.
B. You paid the debts after the death of the decedent and can furnish proof of payment if requested by the department.
(If additional space is required, you may attach 8 1/2" x 11"sheets of paper.)
Date Paid
P9 V PP.
- ---"r"-• • Al11VUl ll rC.IIU
Total Enter on Line 5 of Tax Calculation) $
PART Tax Calculation
3 If you are making a correction to the establishment date Line 1 account balance Line 2 or
please obtain a written correction from the financial institution and attach it to this form. )~ percent taxable (Line 3),
1. Enter the date the account was established or titled as it existed at the date of death.
2. Enter the total balance of the account including any interest accrued at the date of death.
3. Enter the percentage of the account that is taxable to you.
a. First, determine the percentage owned by the decedent.
i. Accounts that are held "in trust for" another or others were 100% owned by the decedent.
ii. For joint accounts established more than one year prior to the date of death, the percentage taxable is 100% divided
by the total number of owners including the decedent. (For example: 2owners = 50%, 3 owners = 33.33%, 4 owners
= 25%, etc.)
b. Next, divide the decedent's percentage owned by the number of surviving owners or beneficiaries.
4. The amount subject to tax is determined by multiplying the account balance by the percent taxable.
5. Enter the total of any debts and deductions claimed from Part 2.
6. The amount taxable is determined by subtracting the debts and deductions from the amount subject to tax.
7. Enter the appropriate tax rate from Step 1 based on your relationship to the decedent.
If indicating a different tax rate, please state ~~,
your relationship to the decedent: 5~pst.1 ~1 tY ~ ~ ~~"
1. Date Established 1 ~ -~~,,~ d~'.
2. Account Balance 2 $ A~3 `~ ~ ~ ~'~~ ~ ~~~ ~~
3. Percent Taxable 3 X ~ ~ ~`~ ~ ~ ~~`j. ~'~ ~~~ ~'
2 ~'
4. Amount Subject to Tax 4 $ _
5. Debts and Deductions 5 - ;.~ ,~~
6. Amount Taxable g $ ; ;`
7. Tax Rate 7 X ~ t Z ~p ~ ~~ ~'
z
Q.n
8. Tax Due 8 $ 2 ~fj . ~$
`1~ I E
i ~J~fik, ~ ~~ `: l
9. With 5% Discount (Tax x .95) 9 X `~ ~ ` . ~
Step 2: Sign and date below. Return TWO completed and signed copies to the Register of Wills listed on the front of this form,
along with a check for any payment you are making. Checks must be made payable to "Register of Wills, Agent." Do not send
payment directly to the Department of Revenue.
Under penalty of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and
belief.
work N)~,
Taxpayer Signature Telephone Number Date
IF YOU NEED FURTHER ASSISTANCE, CONTACT CUMBERLAND COUNTY REGISTER OF WILLS, ~
DEPARTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION
717-787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING N'
ONLY: 1-800-447-3020