HomeMy WebLinkAbout11-01-13 IMEAU OF INDIVIDUAL TAXES Pennsylvania Inheritance Tax pennsytvania
PO Box 289601 y
NARRISSUR6 PA 17128-0601 Information Notice DEPARTMENT OF REVENUE
And Taxpayer Response REV-1543 EX D..EXEC(48-12)
FILE NO.2113-0649
ACN 13142105
DATE 08-06-2013
Type of Account
Estate of ROBERT E POWELL Savings
SSN Checking
Date of Death 06-01-2013 Trust
JACQUELIN P TURLEY County CUMBERLAND Certificate
211 ZION RD
MT HOLLY SPAS PA 17065-1416
70 rn
C'> rvi
C= C) G
rrt -c :' t
-..
c'>
PNC BANK NA provided the department with the information below indicating tha atthe dei tb'of fijefTl
above-named decedent you were a joint owner or beneficiary of the account idei*fie"ki. w
Account No.5140188725 Remit Payment and Forms to:
Date Established 11-05-2009 REGISTER OF WILLS
Account Balance $14,193.00 1 COURTHOUSE SQUARE
Percent Taxable X 50
CARLISLE PA 17013
Amount Subject to Tax $7,096.50
Tax Rate X 0.045 NOTE*: If tax payments are made within three months of the
Potential Tax Due $319.34 decedent's date of death,deduct a 5 percent discount on the tax
With 50/6 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.
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 Tau Due. _
Vg�The 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 F]The tax rate is incorrect. ❑ 4.5% 1 am a lineal beneficiary(parent,child,grandchild,etc.)of the deceased.
(Select correct tax rate at
right,and complete Part ❑ 12% 1 am a sibling of the deceased.
3 on reverse.)
15% All other relationships(including none).
D F�Changes or deductions The information above is incorrect and/or debts aid deductions were paid.
listed. Complete Part 2 and part 3 as appropriate oh the back of tfx's fonn.
E r___'Asset will be reported on -The above-identified 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,
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),
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:2 owners=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 2 $
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 $
5. Debts and Deductions 5 -
6. Amount Taxable 6 $
7 Tax Rata 7 X
8. Tax Due 8 $
IN 11
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 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 717-486-5848
TaUpay rignature Telephone Number Date
IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA 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
"UREAU OF INDIVIDUAL TAXES Penns Ivania Inheritance Tax Ir pennsylvania
PO RIS 280601 Pennsylvania
OF REVENUE
w►turISBIN2S PA 17128-0601 Information Native
REY-1543 EX DoeEXEC(06.12)
And Taxpayer Response FILE NO.2113-0649
ACN 13142106
DATE 08-06-2013
Type of Account
Estate of ROBERT E POWELL Savings
SSN Checking
Date of Death 06-01-2013 Trust
JACIQUELIN P TURLEY County CUMBERLAND Certificate
211 ZION RD
HT HOLLY SPGS PA 17065-1416 rte=
C>
CC> w rCi�C">
r n
r�
PNC BANK NA provided the department with the information below indicating that at he death the
above-named decedent yqu were a joint owner or beneficiary of the account identified.
Account No.5112937159 Remit Payment and Farms to:
Date Established 05.02-2011 REGISTER OF WILLS
Account Balance $5,995.00 1 COURTHOUSE SQUARE
Percent Taxable X 50
CARLISLE PA 17013
Amount Subject to Tax $2,997.50
Tax Rate X 0.045 NOTE*: If tax payments are made within three months of the
Potential Tax Due $134.89 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
AF-1 No tax Is due. I am the spouse of the deceased or f 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
B FIThe 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% 1 am a lineal beneficiary(parent,child,grandchild,etc.)of the deceased.
(Select correct tax rate at
right,and complete Part ❑ 12% 1 am a sibling of the deceased.
3 on reverse.)
15% All other relationships(including none).
D 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 R Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tai
inheritance tax form Return filed by the estate representative.
REV-1500. Proceed to Step 2 on reverse. Do not check any other boxes. f
Please sign and.date the back of the form when finished. io�
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 8112"x 11"sheets of paper.)
Date Paid Payee Description Amount Paid
Total (Enter on Line 5 of Tax Calculation) , $
PART Tax Calculation
If you are making a correction to the establishment date(Line 1)account balance(Line 2),or percent taxable(Line 3),
! a iiii itte emection ftem!he fine ancl-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:2 owners=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 2 $
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 $
5. Debts and Deductions 5 -
6. Amount Taxable 6 $
-7- Tay Batp 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 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.
4 Work
Home 717-486—5848
-6&pa;g�Signature e Telephone Number Date
IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA 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
r-
al
0
tr)00
(0
U) il- co
<
ST
eve
i so
uj cr-
C-rl
0 0 —
C C4,4 CL
C:)
0 W
E
0
0 C:
0 fn
tn
U')
0
2 z z
>
ZU
m 0
u
LU
7. X 0
eZ
<