HomeMy WebLinkAbout06-13-13 COMMONWEALTk OF PENNSYLVANIA REV�i 162 EX{t t-g6)
�EPAflTMENT OFREVENVE
BURE4U OF WDINOUAt TAXES
�EPT.2B0801
HARPISBUNG,pA i1128�9807
PENNSYLVANiA
RECElVED�PROM: INHERITANCE AND ESTATE TAX
OFFlCIA� RECEIPT
NC?. CD Q17740
KERR ANNE M
4]9 BRER AVENUE
HANOVER, PA 17531
ACN
ASSESSMENT AMOUNT
CdNTROL
NUt�IBER
________ f� _.. ... ..
1Q1 f 553.44
ESTATE 1NFORMATION: ssrv: ( �
FILE NUMBER: 217 3-0478 �
aECEQENT NAtwE: KERR HEIEN M �
DATE OF PAYMENT: 06f 13f 2013 �
POSTMARK DA7E: 06/1 2/2013 !
COUNTY: CUMBERLAND �
DA7E OF DEATN: 04J46/2013 �
�
TOTAL AMOUNT PAID: 553.40
REMRRKS:
CHECK#4996
INITIALS: DB1
sea� RECEIVED BY; GLENDA FARNER STRASBAUGH
REGISTER QF WILlS
REGISTER OF WILI.S
6URFAU OF INDIVIDWL 7AXES Penns ivania inheritance T� � Pennsylvania
Pp boX 28tl601 y DEPARTMENT OF RfVENUE
NARRISBURG PA 17128-Od01 information Notice �¢v�uax Ex oasezec ue�4>
� And T�payer Respanse FIIE NO,2113-d478
� ACN 13128318
DATE 05-28-2018
Type of Account
Estate af HELEN M KERR Sarrings
Checking
Date of Death 04-06-20i3 Trust
ANNE KERR County CUMBERI.AND Certificate
419 BAF�iFy AVE .ei
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pNC snNx r��► pravided the department with the information belaw indicating that at the death of the
above-named decedent ou were a 'oint owner or beneficia of the aCCOUnt identifieti.
Aaeount Mo.5005468353
Remli Payrt�ent and Farms#o:
DaM Established 70-26-2009 REGI$TER OF WILLS
Account 8alance $2,49$.00 1 COURTHOUSE SQUARE
Fercent Taua6le X�p CARI.ISLE PA 1T813
Amount Subject to TaY $1,249.OQ
7auc Rate X 0.045
Potentia!Tax Due ��,p� NOTE': If tax payments are made within three monihs of the
dc�cedenYs date of death,dedud a 5 percent discourrt an the tax
With 5%Discourrt{Ta�c x 0.95} $(see NOTE`} � �3.y,p due. Any inheritance tax due wiii become delinquent nine months
after the date of death.
�'A� Step 1: Ptease check the appropriate baxes belaw.
t
A ❑No tax is due. i am tt►e spouse of the deeeased or i am tfie parent of a deeedent who was
21 years otd or younger at date of death.
Proceed to Step 2 on reverse. Da not check any other boxes and disreqard fhe amaunt
shown above as Potential Tax Due.
$ �The information is The above infarmation is corcect,na deductions are kreing takan,a�d payment wili be sent
correct. with my response.
Pmceed to Step 2 on reverse. Do not check any other boxes.
� ❑The tax rate is Incorrect. � 4.5°t, I am a Iineat beneficiary(parent,chiid,grandchi�d,etc.}af the deceased.
{Seiect correct ta�c rate at
right, and complete Part � �p/, I am a sibling of the deceased.
3 on reverse.)
� 15% AII otfier rela6onships(includirrg none}.
p ❑Changes or deductions The information abave is incorract and(or debts and deductions were paid.
iisted. Complete Part 2 arrrt part 3 as appropriate an the back of fhis farm.
E �Asset will be reported on The above-identified asset has heen or will be reported and tax paid with the PA Inheritance Tau
inheritance tax torm Re#urn filed by the estate representative.
REV-i 50Q. Pro�eed to Sfep 2 on raverse. Do not check eny aiher boxes.
Please sign ar�d date the back of the farm when finished.
PAq7 Debts and Deductians �
z
Aliowabls debts and deductions must meet both of the following criteria:
A. The decedent was legaily responsible for payment,and the estata is insufficient to pay the deductibie items.
B. You paid the deMs after the death of the decedent and can furnish proof of payment if ree�uested by the department.
{if addfianal space is required,you may attach 8 112"x t 1"sheets of paper.}
Date Paid Payee Description Amount Peid
Total EMer on line 5 af Ta�c Galculaiion $
PART Tax Calculation
3 1#ya�are rn�CNtq s cor►BCUGn#o�e�iaMrt�ent d�Ns(IJne 1}�couM�{I.pts
Riease obtatn a wrUbn comection irom the 8naneiai insNhrtia�emd altech R io tMs Rttf�'or percent ta�{t.&�3),
1. Enter the dete the axount was est�ablished or titled as it existed at the date of death.
2. Er�ter the tatal baiance of the�count inciuding any interast accrued at the date of death.
3. Enter the percentage of the accourti that is taxable ta you.
a. First,determine the perceMage owned by the decedent.
i. Accounts ihat sre held"i�trust for"another or others were 100%owned by the decedent.
ii. Far joint aa^ounts esitl6#ehed mwe fhan one year prior to the date of death,the percent2tpe taa�able is 144°fa divi�d
by the totai number of owners inciuding the dacedent. (For example:2 owners�509'0,3'tS�thets=35.33%,A Owners
=25°/a,etc.)
b. Next divide the deced�M's perceMa�a ow�ed by[he number of surviving owners br beneficiaries.
4. The amount subject ta ta�c is detewr�in�fiy muidplylrtg the account beisnce by the pa�Cent tauebie.
5. Enter the totai of any debts and deductions ciaimed from Part 2.
8. The amount tazable is determined by subtracting the debts and deductions frpm the amount subject to tax.
7. Enter the approFniste tax rate-frs�en 3tgp t based on yaur rekationship to the deceQent.
if indicatinp 1 dffferent tau rate;p1e9Se state
your relation�hip to the decedent:
t. Date Established 1
2. Account Balance 2 �
3. Percent Taxable 3 X
4. Amaunt Subject to Tsu 4 $
5. Debts and deductions 5 -
6. Amount Ta�cable 6 $
7. T�Rate 7 x
8. Ta�c due 8 $
9. With 5% piscount(Tax x.95) 9 x
.�l�8�} �« Sipn and date bebw. RsWm'iWO,campiet�i and signed capies to the�ter af WiIIs Gsted on the frottt oE this form,
along with a check for any payment you are making. Checks must be made payable to"Register of VWlIs,Agent" Do not send
payment directly to[he Department of Revenue.
Under penairy of per�ury, I declare tha#khe facGs i have reparted abave are true,correct and oampiete[a the t�st of my Knowledge and
pefief.
WOfk � /
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TaxpayeTr Signature Telephone Number Date7
IF YOlI NEECI Fl1R7HE� ASSISTftiNGE� GOt�2TAGT GllAAAt3ERL�AiCt Gt�A�TY FiE�I�TEFi C?F YttIL{.S; PA
DEPARTMENT CYF REV�NUE DISTRICT OFFICE, QR TliE I1�FNERITANCE TAX DIVtSlC1N AT
717-787-8327. SERVICES FOR TAXPAYERS WITH SPECIAL HEARING AND/QR SPEAKING NEEDS
ONLY: 1-800-447-3020
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