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HomeMy WebLinkAbout11-19-12BUREAU OF INDIVIDUAL rAxES Pennsylvania Inheritance Tax PO BOX 280601 (} HARRISBURG PA 17128-0601 ~E~(~Pi i~'.; ~,'rFlllF ~~ information Notice hL,~ r ~ ,p i c.~ And Taxpayer Response ~i~lf'i'~~`~„ „LIJ~(' CUMgERI /~JVD CO., PA MARY E SNOKE RM 416 222 MESSIAH CIR MECHANICSBURG PA 17055-8619 Estate of MARY D KIEFFEI3 SSN 168-36-6416 Date of Death 08-14-2012 County CUMBERLAND Type of Account Savings Checking Trust Certificate CITIZENS BANK OF PENNSYLVANIA provided the department with the information below indicating that at the death of the above-named decedent you were a joint owner or beneficiary of the account identified. Remit Payment and Forms to: Account No. 6100681882 Date Established 06-06-1966 REGISTER OF WILLS Account Balance $ 5,432.88 1 COURTHOUSE SQUARE CARLISLE PA 17013 Percent Taxable X 50 Amount Subject to Tax $ 2,716.44 Tax Rate X 0.150 NOTE': If tax payments arE~ made within three months of the Potential Tax Oue $ 407.47 decedents date of death, deduct a 5 percent discount on the tax With 5% Discount (Tax x 0.95) $ (see NOTE') due. Any inheritance tax due will become delinquent nine months after the date of death. PART Step 1: Please check the appropriate boxes below. 1 A ~No tax is due. g The information is correct. C ~ The tax rate is incorrect. (Select correct tax rate at right, and complete Part 3 on reverse.) D ~ Changes or deductions listed. E Asset will be reported on inheritance tax form REV-1500. pennsylvania ~ .~ 1 DEPARTMENT OF REVENUE vEV-~su xx no~Excc ,ae-~x~ FILE NO. 2170 ACN tf!161296 DATE 11-06-2012 011 ' / a - I am the spouse of the deceased or I am the parent of a decedent who was 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. The above information is correct, no deductions are being taken, and payment will be sent 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, etc.) of the deceased. 12% I am a sibling of the deceased. 15% All other relationships (including none). The information above is incorrect and/or debts and deductions were paid. Complete Part 2 and part 3 as appropriate on the back of this form. The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax Return filed by the estate representative. 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 6 1 /2" x 11"sheets of paper.) uate raid Payee Description Amount Paid 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 (Lin , or ~?) percent taxable (Line 3), please obtain a written correction from the financial institution and attach It to this form. _ 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. your relationship to the decedert 1. Date Established 1 2. Account Balance E 3. Percent Taxable 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7 8. Tax Due A X X 9. With 5% Discount (Tax x .95) 9 .St@p 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 Home 7/7-69~-ozo8 /i-/5=/z Taxpayer Signature Telephone Number Date IF YOU NEED FURTHER ASSISTANCE, CONTACT CUMBERLAND COUNTY REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT 717-787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS ONLY: 1-800-447-3020 BUREAU OF INDIVIDUAL TAXES Pennsylvania Inheritance Tax PD BOX 280601 IVIRRISBURG PA 17128-0681 formation Notice ' - C~~ITaxpayer Response MARY E SNOKE RM 416 222 MESSIAH CIR MECHANICSBURG PA ~~ ,;rtiPH~r ~ ~'~,"'P ,u~~aEP~ ~I, .,,, ; 17055-8619 CITIZENS BANK OF PENNSYLVANIA provided the de the death of the above-named decedent you were a Pennsylvania DEPARTMENT OF REVENUE asvasu ez oa.exec ,oeaa FILE MD. 2170 ACN 1:?161297 DATE 'I 1-06-2012 Estate of MARY D KIEFFER SSN 168-36-6416 Date of Death 08-14-2012 County CUMBERLAND Type of Account Savings Checking Trust Certificate Went with the inforrriation below indicating that at owner or beneficiary of the account identified. Remit Payment and Forms to: Account No. 6230557316 Date Established 06-11-2010 REGISTER OF WILLS Account Balance $ 6,288.68 1 COURTHOUSE SOUARE CARLISLE PA 17013 Percent Taxable X 50 T ax Amount Subject to $ 3,144.34 Tax Rate X 0.150 made within three months of the If t N TE' s are tax paymen : O Potential Tax Due $ 471.65 decedent's date of death, deduct a 5 percent discount on the tax With 5% Discount (Tax x 0.95) $ (see NOTE') due. Any inheritance tax due will become delinquent nine months after the date of death. PART Step 1: Please check the appropriate boxes below. 1 A ~ No tax is due. g ~ The information is correct. C ~ The tax rate is incorrect. (Select correct tax rate at right, and complete Part 3 on reverse.) D ~ Changes or deductions listed. E Asset will be reported on nheritance tax form REV-1500. I am the spouse of the deceased or 1 am the parent of a decedent who was 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. The above information is correct, no deductions are being taken, and payment will be sent 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, etc.) of the deceased. 12% I am a sibling of the deceased. 15% All other relationships (including none). The information above is incorrect and/or debts and deductions were paid. Complete Part 2 and part 3 as appropriate on the back of this form. The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax Return filed by the estate representative. Proceed to Step 2 on reverse. Do not check any othher boxes. Please sign and date the back of the form when finished. l PART z f. 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 Payee Description Amount Paid PART Tax Calculation 3 If you are making a correction to the establishment date Line 1 account balance Line 2 , or ( ) ( ) percent taxable (Line 3), please obtain a written correction from the financial institution and attach it to this form. 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, pl your relationship to the decedent: 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions state 6. Amount Taxable 6 $ 7. Tax Rate 7 X 8. Tax Due g $ 9. With 5% Discount (Tax x .95) 9 X Step 2: Sign and date below. Return TWO completed and signed copies to [he 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 [o "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. Taxpayer Debts and Deductions Work Home Telephone Number v-/s-/z Date Ir YoU NEED FURTHER ASSISTANCE, CONTACT CUMBERLAND COUNTY REGISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT 717-787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS DNLY: 1-800-447-3020 r~ _ :-!- '@ (~' La ;,i ""i ~+}~i '~~ ;; _ z ;,u;. Nh u'1 O r Y f o d c t o Q' m & H Z'E c ~ S ~ CN M 0 n r ~ . ~~ t o m ~ ~r ty r•• ~ ,, Hd ~ ~~ ~ ~ iy,r-I'c3cYd(1J ~I f ~Zr ~~~ El ~ ,~~OP! 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