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Home My WebLink About04-15-14 REV-1162 EX(11-96) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OFREVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 019022 LOVETT BRUCE J 1142 SOUTH FORGE ROAD PALMYRA, PA 17078 ACN ASSESSMENT AMOUNT CONTROL NUMBER -- -------- fold 101 � 549,245.00 ESTATE INFORMATION: SsN: 036-�8-6435 � FILE NUMBER: 2114-0223 I DECEDENT NAME: LOVETT JAMES H � DATE OF PAYMENT: 04/1 5/2014 I POSTMARK DATE: 04/1 1/2014 I couNTV: CUMBERLAND � DATE OF DEATH: 01/1 9/201 4 I � TOTAL AMOUNT PAID: 549,245.00 REMARKS: CHECK# 1002 INITIALS: HMW SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS n . � . ._ . BUREAU OF INDIVIDUAL TAXES PO BOX 280601 Pennsylvania lnheritance Tax � pennsylvania HARRISBURG PA 17128-0601 II�1fOCIT1atIOY1 NQtICe DEPARTMENT OF REVENUE And Taxpayer Response REV-1543 E%DocE%EC �oe-,Z> FILE NO.38 ACN 14106610 DATE 02-07-2014 Type of Account Estate of JAMES H LOVETT Savings SSN 036-18-6435 Checking BRUCE J LOVETT 2014 Trust 1142 S FORGE RD County LEBANON n Ce�fi�te PALMYRA PA 17078-3414 � rn o � � � -�p '�tt ., O "' x c-� � c�� n � � � o � � v, -� -� .rn � :�. . � .-�, c� c� o 0 3 -�� `n o c � -� �,—�,a � �r N r �-�.- - - "D —1 t'-. , •�, -��. ,;.�--.....�--,- ------ �}� ;,,�t .;Prtn. �W � r'..'�, 'f�y-'... -+T ._: ��i MEMBERS isT Fcu provided the department with the information below indicat�� above-named decedent you were a joint owner or beneficiary of the account ide�ntif ed at the death of the Account No.391639 Remit Payment and Forms to: Date Established 07-28-2010 ! REGISTER OF WILLS j Account Balance $ 13,423.56 400 SOUTH EIGHTH STREET RM 105 � Percent Taxable X 16.667 LEBANON PA 17042 � Amount Subject to Tax $2,237.30 Tax Rate X 0.045 Potential Tax Due $100.68 NOTEk: If tax payments are made within three months of the With 5%Discount(Tax x 0.95) $(see NOTE') decedenYs 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 a p � ppro riate boxes below. A �No tax is due. 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. B �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 �The tax rate is incorrect. � 4.5% I am a lineal beneficiary(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 art 3 as a p ppropriate on the back of this form. Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax � 'nheritance 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 8 1/2"x 11"sheets of paper.) Date Paid Payee Description Amount Paid Total (Enter on Line 5 of Tax Calculation $ PART ` � Tax Calculation � If .ou are making a correction to the establishment date(Line 1)account balance(Line 2),or percent taxable(Line 3), Y._. . please obtain a written correction from the financial institution and attach if io ihis orm. r 1. Enter the date the account was established or titled as it existed at the date of death. 2. Enter the totai 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. borthe totalcnumber of olwners ncl d ng the decedent r(Fo hexamplef 2 ne se p50%n3 ownersbl 33.33°%/4 owneas =25%, etc.) b. Next,divide the decedenYs 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 reiationship to the decedent. �� ` �� If indicating a different tax rate,please state � � your relationship to the decedent: � 1. Date Established � � 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 Rate 7 �� ...o:�.� � � .:� .�� 8. T� Due 8 $ � , , �,, � � g. With 5%Discount(Tax x .95) 9 X �� :.�� W: �� ' � Stepit2a chleck for any paymentyotu areTmaOk ng Che ks musgbed ade payable oegReg s�e ofIWillseAge the Donn t sendorm, along 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 � 3 � (.� ��x-ec��— Home 3 � .r `773�' `�` l! / Taxpayer Signature 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 BURFAU OF INDIVIDUAL TAXES Pennsylvania lnheritance Tax � pennsylvania PO BOX 280601 HARRISBURG PA 17128-0601 Information Notice DEPARTMENT OF REVENUE And Taxpayer Response "E"-'S`3 E'°°`ExE` `°°-'z� FILE NO.38 ACN 14106612 DATE 02-07-2014 Type of Account Estate of JAMES H LOVETT Savings 19-2014 Trust 1142 S FORGE RD County LEBANON Certificate PALMYRA PA 17078-3414 � o C .,,�c � °� t'k7 � � r",�j n 'T' z c� � ° ciy � a � m � mndi ;,� cn � —C ::� o � �` '�3 � �- _ C7 O -�, � "Y7 '"� � ,C7 � � � MEMBERS isr Fcu provided the department with the information below indicatir�that at t �e � � above-named decedent you were a joint owner or beneficiary of the account identified. w� � �the Account No.391639 Remit Payment and Forms to: Date Established 07-28-2010 REGISTER OF WILLS Account Balance $264,078.77 400 SOUTH EIGHTH STREET RM 105 Percent Taxable X 16.667 LEBANON PA 17042 Amount Subject to Tax $44,014.01 Tax Rate X 0.045 Potential Tax Due $ 1,9g0.63 NOTE*: If tax payments are made within three months of the With 5%Discount(Tax x 0.95) $(see NOTE') decedenYs 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. A �No tax is due. 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 othe�boxes and disregard the amount shown above as Potential Tax Due. B �fihe 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 reve�se. Do not check any other boxes. C �The tax rate is incorrect. � 4.5% I am a lineal beneficiary(parent,child, grandchild, etc.)of the deceased. (Select correct tax rate at right,and complete Part � y 2��o 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-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 8 1/2"x 11"sheets of paper.) Pa ee Description Amount Paid Date Paid Y Total (Enter on Line 5 of Tax Calculation) $ �PART TaX CaICUIatI0C1 If ou are makin a correc+�ion to the establishment date(Line 1)account balance.(Line 2),or perce�t taxable(Line 3), — please otsiain a written carrection from the financial institution and attach 9t 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 to you. a. Firsti 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. byrthe rotalcnumber of olwners nclud ng the decedent r(Fo hexamplef 2 o ne se P50%n3 ownersbl 33.33°%/4 owneas =25%,etc.) b. Next, divide the decedenYs 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 `� ` a � ''�� '� �� 4. Amount Subject to Tax ��o 5. Debts and Deductions 5 - ; 6 $ : �:� . 6. Amount Taxab�e � � � 7. Tax Rate 7 _X_ ° � ��:`s�� :��a° �� S 8 $ � �. �� 8. Tax Due � � �� . ti 9. With 5%Discount(Tax x .95) 9 X `�°��`��"��.:��°�s\ �� :� � .\ � 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 �j 3 �! -3� �-�- � � l �x�c.�.��' Home 8 � — 773 � � �� /`f Taxpayer Signature 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 April 11,2014 � Attn: Lisa M.Grayson, Esq. c � � rn Register of Wills � �° � v-�-, � Cumberland County Courthouse rn � �, � cn �a 1 Courthouse Square,Suite 102 ° � � rn —� � v Carlisle, PA 17013 � � �' � � � c> � 'v -�� `n Re: Estate of James H. Lovett, PA file#21-14-0223 � � "� � -� � '� � N � �. Dear Ms.Grayson, � �� v' -� c.a Enclosed is a check in the amount of$49,245.00. This represents an early payment for the estimated taxes for my late Father's Estate. As such we wish to take advantage of the 5%discount on the ir�heritance taxes due on the Estate. All assets will be repQrted on inheritance tax form REV-1500. I have also enclosed 2 sets of"Information Notice and Taxpayer Response"from the PA Department of Revenue concerning a savings and a checking account with Members 15Y. The above check includes these amounts in the Estate's estimated taxes. Those forms direct the payment to be made to the Register of Wills, Lebanon County. However,since my late Father's Estate was filed in Carlisle,Cumberland County and the PA file number was assigned there, my attorney advises that I send the check to you. I will send the Register of Wills, Lebanon County a copy of this letter along with a copy of the check for their records accordingly. Thank you for your help in this matter and please me if you need additional information or have any questions. Sincerely, � � � � j �c�� U�� o�ett 1142 South Forge Road Palmyra, PA 17078 717.832.3322 Enclosures CC: Register of Wills, Lebanon, PA _ _ r M � .ti �, � '� r � "AC N .� O Cr7 � � � 0 � .d x C , '� °�"� 9 'z] �-3 .d �D `' 7' � �. ,i�w o��o � r � � � � � d � � � � �.. � � j �.1 O �'� E-' �� t-' �� i.a• �� ..,� � _ l..,l � �� • �� +' p �� ,��,,i "•'q O ° dj p �� .�? o _� t�? n � n � y � __ `� �� -��s n � � � �� o � ar?. � u' =�f fn � � N "� �� f�t � � � � r "'� � s�Y � � -s in �' �� ra' � � � .0.� � O � � � � �� v � C� �, ,C� "`� �� Cn ..n W � � y � � `G� O n � �n o � � � � y � � � N 0 � �+ b N p C . '�' N ? N �m . �0 O N y� p Ap S y ti � T N - -� J -�� ;'�: , . , 3�� — �_--- � i�(iUJ .��,vr��NiQ� = �0 ��31� �5 Z lJd hI � _ �... o � D �n 0 3 �'-V-3CD• C�-o�..-,-p S�{��1 :.:v . y;.�,�•,�DOO ` ' � .�O 3�I��D ��L.�b '� D �