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HomeMy WebLinkAbout02-27-13 (18)ritance Tax ~ Pennsylvania BUREAU OF INDIVIDUAL TAXES Pennsylvania Inhe DEPARTMENT OF REVENUE CCC PO BOX 280601 Information Notice REY-1543 EX DocEXEC (08-12) HARRISBURG PA 17128-0601 ~ ,~~ And Taxpayer Response FILE NO:-6~?0 Z ~ I2J ACN 13105955 DATE 02-06-2013 R REGISTER ~~ ~~j~~S Type of Account ~~~~ ~~B ~~ t # ~ ~ ~7Estate of LAURA R SHOAFF Savings SSN Checking Date of Death 01-28-2013 X Trust ~ ~' E ~ X ~ ~ County YORK Certificate MAE K PETERSON t}RPHA~IS' COURT 1520 S MOUNTAIN RD DILLSBURG PA 17019-880~~jg:Ffl'~q~~ (; Q,, ~A rovided the department with the information below indicating that at the death of the MEMBERS 1ST FCU p ove-named decedent you were a joint owner or beneficiary of the account identifie . ab Remit Payment and Forms to: Account No. 212725 REGISTER OF WILLS Date Established 04-12-2011 45 NORTH GEORGE STREET Account Balance $12,047.18 YORK PA 17401-1240 Percent Taxable X 50 Amount Subject to Tax $ 6,023.59 Tax Rate X 0.045 NOTE*: If tax payments are made within three months of the Potential Tax Due $ 271.06 decedent's date of death, deduct a 5 percent discount on the tax ° iscount Tax x 0.95) $ (see NOTE'`) due. Any inheritance tax due will become delinquent nine months With 5 /° D ( after the date of death. PART Step ~ ;Please check the appropriate boxes below. 1 A ~ No tax is due. g The information is correct. 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. e is incorrect. 4.5% I am a lineal beneficiary (parent, child, grandchild, etc.) of the deceased. C ~ The tax rat ^ (Select correct tax rate at right, and complete Part ~ 12% I am a sibling of the deceased. 3 on reverse.) 15% All other relationships (including none). Chan es or deductions The information above is incorrect as for dob~ ate o n the back of this form. D g Complete Part 2 and part 3 app P fisted. ed on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax E Asset will be report nheritance tax form Return~roceed to Step 2 onpeverseatfDo not check any other boxes. REV-1500. 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 b the de artm (If additional space is required, you may attach 8 1 /2" x 11 "sheets of paper.) y p ent. •• ~~M ~.~ ~~~a~~~~y 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% divi by the total number of owners including the decedent. (For example: 2owners = 50%, 3 owners = 33.33% 4 owned = 25%, etc.) ers 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: Official Use Only [~ AAF 1. Date Established 1 PA Department Of RevQnue 2. Account Balance 2 $ PAD 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 $ 2 5. Debts and Deductions 5 - 3 6. Amount Taxable 4 6 $ 5 7. Tax Rate ~ X ~ 8. Tax Due 8 $ ? 9. With 5% Discount (Tax x .95) 9 X Step 2: Sign and date below. Return TWO com leted along with a check for an p and signed copes to the Register of Wills listed on the front of this form y 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 b belief. est of my knowledge and Taxpayer Signature IF YOU NEED FURTHER AS; DEPARTMENT OF REVENUE 717-787-8327. SERVICES FOR ONLY: 1-800-447-3020 Work Home / 7 3z ~ ~~ z ~7 .ze~J ~ Telephone Number Date DISTANCE, CONTACT YORK COUNTY REGISTER OF WILLS, PA DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS Date Paid PaVP.P.