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Home My WebLink About04-21-14 BUREAU OF INDIVIDUAL TAXES Pennsylvania Inheritance Tax pennsylvania PO BOX 280601 DEPARTMENT OF REVENUE HARRISBURG PA 17129-0601 Information Notice xev-xsas cx 000cxcc <ae-,n And Taxpayer Response FILE NO.21 -14 -2ZU ACN RECORDED OF r6edt DATE0 -04-2 VISED NOTICE ' ' ' DATE 03-04-2014 WILLS UP 2014 APR 21 PM 12 24, Type of Account Estate of STANLEY A SEESESR Savings CLERK OF SSN Checking Date of Death 02-05-2014 Trust DONNA LINDQUIST ORPHANS' COURT County CUMBERLAND Certificate 2102 LOGAN ST (�IIAtRU AND Co., PA . CAMP HILL PA 17 6' MEMBERS 1sT FCU provided the department with the information below indicating that at the death of the above-named decedent you were a joint owner or beneficiary of the account identified. Remit Payment and Forms to: Account No.225713 Date Established 01-10-2003 REGISTER OF WILLS Account Balance $2,965.82 1 COURTHOUSE SQUARE CARLISLE PA 17013 Percent Taxable X 50 Amount Subject to Tax $1,482.91 Tax Rate X 0.045 NOTE': If tax payments are made within three months of the Potential Tax Due -$66.73 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 A F-]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. :;�The information is The above-informatiomis 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 F-]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 Ind 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. tDebts 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 by the department. (if additional space is required,you may attach 8112"x i 1"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 written correction from the financial institution and attach it to this form. I. 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 Official Use Only 0 AAF your relationship to the decedent: PA Department of Revenue t. Date Established 1 2. Account Balance 2 $ PAD 1 Percent Taxable 3 X 1 4. Amount Subject to Tax 4 $ 2 3 5. Debts and Deductions 5 - 4 6. Amount Taxable 6 $ 5 7, Tax Rate 7 X 6 8, Tax Due 8 $ 7 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. Work �— .A V Home � 599-5035 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 DISSINGER DISSINGER RECORDED OFFICE Of REGISTER OF WILLS Attorneys at Law 2014 R?R 21 P(R 12 24 CLtWX o ORPHAN'S COURT ,, April 16, 2014 CUMBE LA'ND CO.; Register of Wills of Cumberland County Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013-3387 RE: Estate of Stanley A. Seese, Sr. a/k/a Stanley A. Seese File No. 2014-00226 Dear Madame: Enclosed please find one (1) set of executed Taxpayer Response in the Estate of Stanley A. Seese, Sr. . If you have any questions, please feel free to contact me at my office. Very truly ,yours, William C . Dissinger Attorney at Law WCD:drs Encl : 1 cc: Donna Lindquist File: 1-14-122 28 North Thirty-Second Street •Camp Hill,Pennsylvania 17011 • 717,975.28401voice• 717,975.39241faz 400 South State Road•Marysville,Pennsylvania• 17053 717.9573474/voice• 717,957.2316/fax Dissingerlaw.com 11.. 1 ri — r J U) t0 r; a L1 O _ K 4 r j o I u - U m y G l4 M I} to �5 ?` rt —4 0 4 :3O r-1 U C V t'- f �4a ro U U a n O .-4 T3 ( u c o in s4 (D M c a 4J B z4 N �v! (T) V) ::; m .14 i*J .H U S} O .-t tr E U s4 oy Q z°