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Home My WebLink About09-19-13 BUREAII OF INDIVIDW� TAXES Pennsylvania lnheritance Tax �� PennS�/�V8111a PO BOX 2H0601 DEPARTMENTOFREVENUE HARRISBURG PA 17128-0601 Information Notice . --- � aevasaen[x oe�exEC �oeazo And Taxpayer Response FILE NO.21 - �3-�� ACN 13503450 DATE 08-29-2013 Type of Account Estate of WILLIAM C ZIMMERMAN Security SSN SEC Acct Date of Death OS-042013 Stock WILLIAM S ZIMMERMAN CountyCUMBERLAND � Bonds 720 SOUTHBROOK DR � � � LOMPOC CA 93436-8106 C'> C O �% 9 � ^'�� --� - �� 1 y� y. � � �....'.: . � � . � ..._FT �" ��.i � � �(] � � , - � �� '� .. EDWARD JONES provided the department with the information below indicating tlaat�the d,eath of the above-named decedent you were a joint owner or beneficiary of the account id ti ' d. _ v :;� �� Remit Payme�t and Forms to: Account No.270 Date Established REGISTER OF WILLS Account Balance $809,242.41 1 COURTHOUSE SQUARE CARLISLE PA 17013 Percent Taxable X 50 Amount Subject to Tax $404,621.21 Tax Rate X 0.045 Potential Tax Due $18,207.95 NOTE*: If tax payments are made within three months ot the decedenYs 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. PA� Step 1 : Piease check the appropriate boxes below. i A �No tax is due. I am the spouse of the deceased or I am the parent of a decedent who was 21 years oid or younger at tlate 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 �7he information is The above information is correct, no deductions are being taken, and payment will be sent correct. with my response. Proceed to Step 2 on reverse. Do not check any other boxes. C �The tax rate is incorrect. � 4.5% I am a lineal beneGciary(parent,child,grandchild,etc.) of the deceased. (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). p �Changes or deductions The information above is incorrect and/or debts and deductions were paid. listed. Complete Part 2 and part 3 as appropriate on the back of this form. E �Asset will be reported on The above-identif ed asset has been or will be reported and tax paid with 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. ,\„\, ay� PART Debts and Deductions 2 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 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 w�itten corcectlon from the financlal 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 deceden[. i. Accounts tha[are held"in trust for"another or others were 100qo 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:2 owners=50%, 3 owners=33.33%,4 owners =25%,etc.) b. Next, divide the decedenYs percentage owned by the number of surviving owners or beneficiaries. 4. The amount subject to tax is detertnined 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. En[er the appropriate tax rate from Step 1 based on your relationship to[he decedent. If indicating a different tax rete, please state your relationship to the decedent: 1. Date Established 1 2. Account Balance 2 $ 3. PercentTaxable 3 x 4. Amount Subject to Tax 4 $ 5. Debts and DeducHons 5 - 6. Amount Taxable 6 $ 7. Tan 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 an the front of this form, along with a check for any payment you are making. Checks must be made payable to"Register of Wiils,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. wo� 7/�- �<37-f37(� l 0� Home 9 � Taxp yer S `�'"• � ��"�`x�"'`u-'�I'ephone Number Date IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA DEPARTMENT OF REVENUE DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT 717-787-8327. SERV�CES FOR TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS ONLY: 1-800-447-3020