HomeMy WebLinkAbout01-31-13BUREAU OF INDIVIDUAL TAXES
PD BOX 290601
HARRISBURG PA I]129-0601
Pennsylvania Inheritance Tax
Information Notice
And Taxpayer Response
REGISTER JEFFREY
452 YORKSHIRE DR
SEVERNA PARK MD 21146-1653
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Savings
Checking
Trust
Certificate
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ANERIPRISE FINANCIAL 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.
Account No. 19307099
Date Established
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
With 5°/, Discount (Tax x 0.95)
$ 332,403.64
X 33.333
$ 110,800.11
X 0.045
$ 4,986.00
$ (see NOTE")
~ Pennsylvania
DEPARTMENT OF REVENUE
0.EV-156;p E% -ocEMEG lOB-131
FILE NO. 2112-1242
ACN 13500017
DATE 01-03-2013
Estate of PEARL REGISTER
SS
Date of Death 06-23-2012
County CUMBERLAND
Remit Payment and Forms to:
REGISTER OF WILLS
1000RTHOUSESOUARE
CARLISLE PA 17013
NOTE`: It tax payments are made within three months of the
decedent's date of death, deduct a 5 percent discount on the tax
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 ~sset will be reported on
inheritance tax form
REV-1500.
1 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 o/this lorm.
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
2
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 81/2" x 11"sheets of paper.)
Date Paid Payee Description amount Paid
Total Enter on Line 5 of Tax Calculation $
PART Tax Calculation
y g ( ) ( ) percent taxable (Line 3),
3 If ou are makin a correction to the establishment date Line 1 account balance Line 2 , or
please obtain a written correctlon 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, please state
your relationship to the decedent:
1. Date Established 1
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
6. Tax Due 8 7
9. With 5% Discount (Tax x .95) 9 x
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 p ally of perju , I d Clare that the facts I have reported above are true, correct and complete to the best of my knowledge and
belief. /~ ''II q/ ~ 7
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a er ignat a Telephone Number D to
I~1"Ol~ NEED FURTHER ASSISTANCE, CONTACT CUMBERLAND COUNTY REGISTER OF WILLS, PA
PA$$II~RTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT
17-7 7-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS
ONLY: 1-800-447-3020
BUREAU OF INDIVIDUAL TAXES
PD BOX 280601
HARRISBURG PA 11128-0601
REGISTER JEFFREY
452 YORKSHIRE DR
SEVERNA PARK MD 21146-1653
Pennsylvania Inheritance Tax
Information Notice
And Taxpayer Response
~ Pennsylvania
DEPARTMENT OF REVENUE
pEV-ISa3p EN UecExEG <n8-Ei)
FILE NO. 2112-1242
ACN 13500020
DATE 01-034013
Estate of PEARL R
Date of Death 06-23-2012
County CUMBERLAND
Type of Account
Savings
Checking
Trust
Certificate
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AMERIPRISE FINANCIAL 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. 55583348
Date Established REGISTER OF WILLS
Account Balance $ 228
222,14 1 COURTHOUSE SQUARE
, CARLISLE PA 17013
Percent Taxable X 33.333
Amount Subject to Tax $ 76
406
62
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,
Tax Rate X 0.045 f
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: If tax payments are made w
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NOTE
Potential Tax Due $ 3,438.30 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 St6p 1: Please check the appropriate boxes below.
1
A ~No tax is due. 1 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.
g ~ The information is
correct.
C ~ The tax rate is incorrect.
(Select correct [ax rate at
right, and complete Part
3 on reverse.)
D ~ Chan es or deductions
list
E Asset will be reported on
inheritance tax form
REV-1500.
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 o/this /orm.
The above-identified asset has been or will be reported and [ax 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 IegaNy responsible for payment, and the estate is insufficient [o 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 t/2" x 11"sheets of paper.)
Date Paid
Payee
Description
Amount Paid
Total (Enter on Line 5 of Tax Calculation $
PART Tax Calculation
3 If ou are makin a correction to the establishment date Line 1 account balance Line 2 , or
Y g ( ) ( ) percent taxable (Line 3),
please obtain a written correction from the financial institution and attach it to this farm.
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 [o you.
a. First, determine the percentage owned by the decedent.
i. Accounts that are held "intrust 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 [he acceunt 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.
Under penalty of perjur~l d~lare that the facts t have reported above are true, correct and complete to the best of my knowledge and
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Telephone Number
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YOU NEED FURTHER ASSISTANCE, CONTACT CUMBERLAND COUNTY REGISTER OF WILLS, PA
PARTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT
7-787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS
JLY: 1-800-447-3020
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.
BUREAU OF INUIVIOUAL TAXES
PO BOX 280601
HARRISBURG PA 1]128-0601
Pennsylvania Inheritance lax
Information Notice
And Taxpayer Response
~ Pennsylvania
DEPARTMENT OF REVENUE
aev-~san ex oo~exec ,oeaa
FILE NO. 2112-1242
ACN 13500023
DATE 01-03-2D13
Type of Account
Es[ate of PEARL REGISTER Savings
SSN Checking
Date of Death 06-23-2012 Trust
REGISTER JEFFREY County CUMBERLAND Certificate
452 YORKSHIRE DR
SEVERNA PARK MD 21146-1653
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AMERIPRISE FINANCIAL provided the department with the information below`~rldicating~t at th~death
of the above-named decedent you were a joint owner or beneficiary of the account identified.
Account No. 279155378021
Date Established
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
With 5% Discount (Tax x 0.95)
$ 79,000.00
X 33.333
$ 26,333.07
X 0 045
Remit Payment and Forms to:
REGISTER OF WILLS
1000RTHOUSESOUARE
CARLISLE PA 17013
$ 1,184 99 NOTE`: If tax payments are made within three months of the
decedent's date of death, deduct a 5 percent discount on the tax
$ (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.
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. De 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 torm.
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 8 t/2" x 11" sheets of paper.)
Date Paid
Payee
Description
Amount Paid
Total (Enter on Line 5 of Tax Calculation $
PART Tax Calculation
3 If ou are makin a correction to the establishment date Line f account balance Line 2 , or
Y 9 ( ) ( ) percent taxable (Line 3),
please obtain a written cortection from the financial instRution 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 "intrust 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
= 259'°, 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, pleas
your relationship to the decedent: _
1. Date Established 1
2. Account Balancee
3. Percent Taxable
4. Amount Subject to Tax 4
5. Debts and Deductions 5
state
6. Amoun[ Taxable 6 ~
7. Tax Rate 7 X
8. Tax Due 8 $
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 enalty of per' I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and
belie
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Home b "54~ -Q~1S 2- 281..3
~ e ign ~ ure Telephone Number Dat
IFJ NOu NEED FURTHER ASSISTANCE, CONTACT CUMBERLAND COUNTY REGISTER OF WILLS, PA
PARTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT
17-787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS
DNLY: 1-800-447-3020
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