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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z8060l
HARRISBURG~ PA l71Z8-060l
*'
INFORMATION NOTICE
, ," ,.AND
TAXpAYER RESPONSE
FILE
ACN
DATE
NO.21 OS
05106392
03-01-2005
~~I
REV-1543EXAfPI09-llG)
r
EST."lYF HILDA A FUHRER
s. S. NO. 202-20-4320
DATE OF DEATH 10-31-2004
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
IX] CHECKING
D TRUST
D CERTIF.
ROBERT S FUHRER
656 MOUNTAIN ST
ENOLA PA 17025
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Department with the infor.ation listed below which has been used in
calCUlating the potential tax due. Their records indicate that at the death of the above decedent~ YOU were a joint owner/beneficiary of
this account. If YOU feel this infor.ation is incorrect~ please obtain written correction from the financial institution~ attach 8 copy
to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140306469 Date 09-04-1985
Established
To insure proper credit to your account~ two
(Z) copies of this notice .ust acco~pany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent...
Account Balance 2 , 712 . 1 0
Percent Taxable X 16 . 667
A.ount Subject to Tax 452.03
Tax Rate X .00
Potential Tax Due . 00
PART TAXPAYER RESPONSE
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NOTE: If tax payments are made within three
(3) months of the decedent's date of death~
you may deduct a 52 discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
[CHECK ]
ONE
BLOCK
ONLY
A. D The above information and tax due is correct.
1. You may choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest~ or you ~ay check box "An and return this notice to the Register of
Wills and an official assassment will be issuad by the PA Departmant of Revenue.
B. D Tha abova asset has been or will ba raported and tax paid with the Pennsylvania Inheritanca Tax return
to be filed by the dacedant's representativa.
c. D Tha abova infor.ation is incorract and/or debts and deductions wera paid by you.
You must complate PART 0 and/or PART @] below.
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PART
[!]
TAX RETURN - COMPUTATION
If you indicate a different tax rate, please state your
relationship to decedent:
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Co~utation)
I declare th.t the facts I have reported above
II- and belief. HOME
WORK
TELE
I
$
AXPAYE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESUlT IN AN OFFICIAL TAX ASSESSHENT with applicable interest based on infonation
sub~itt8d by the financial institution.
Z. Inharitance tax beCD_es delinquent nine months after the decedent"s d~tB of death.
3. A joint account is taxable even though the decedent's oa.8 was added as a _attar of convenience.
4. Accounts (includ~ng those held between husband and wife) which the decedent put in joint names within one year prior to
death are fully taxable as transfers.
5. Accounts established jointly between husband and wife mora than one year prior to death are not taxable.
6. Accounts held by a decedent win trust for" another or others ara taxable fully.
REPORTING INSTRUCTIONS - PART
1
TAXPAYER RESPONSE
1. BLOCK A - If the info~ation and cOA'putation in the notice are correct and deductions are not being claimed~ place an "X"
in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and submit tha~ with your chack for tha a.ount of
tax to the Register of Wills of the county indicated. The PA Depart~ent of RavQnua will issue an official assess.ent
(Form REV-1548 EX) upon receipt of the return from the Register of Wills.
Z. BLOCK B - If the asset specified on this notice has bean or will ba reportad and tax paid with tha Pennsylvania Inharitanca
Tax Return filed by tha decedent~s rBPresentative~ place an "X" in block "B" of Part I of the "TaxpaYer Response" section. Sign ona
COpy and return to the PA Department of Revenua~ Bureau of Individual Taxas~ Dept Z80601~ HarriSburg, PA 111Z8-0601 in tha
envelope provided.
3. BLOCK C - If the notice infor.ation is incorrect and/or deductions are being clai.ed, check black "c" and co.pleta Parts Z and 3
according to the instructions below. Sign two copIes and sub. it tha. with your check for tha a.ount of tax payable to the Register
of Wills of the county indicated. The PA Departmant of Revenue will issue an official assQssment (Forla REV-1548 EX) upon receIpt
of the return fro. tha Registar of Wills.
LINE
1. Enter
NOTE:
TAX RETURN - PART
2
- TAX COMPUTATION
the date the account originally was established or titled in the manner eXisting at dats of death.
For a decedant dying after lZ/lZ/8Z: Accounts which the decedent put in joint na.es within one (1) year of death are
taxable fully as transfers. However~ there is an exclusion not to exceed $3~OOO per transfaree regardless of the value of
the account or the nuaber of accounts held.
If a doubla asterisk (MM) appears before your first n~e in the address portion of this notice, the $3~000 exclusion
already has been deducted frOM the account balance as reported by the financial Institution.
Z. Enter the total balance of tha account inCluding intarest accrued to the date of death.
3. The percent of the account that is taxable for each survivor is deter.ined as follows:
A. The pbrcent taxable for joint assets astabllshed .ore than one year prior to the decadent.s daath:
1 DIVIDED BY TOTAL NUMBER OF
JOINT OWNERS
Example: A joint asset registered
DIVIDED BY TOTAL NUMBER OF X 100 = PERCENT TAXABLE
SURVIVING JOINT OWNERS
in tha na.e of the decedent and two other persons.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY Z (SURVIVORS) = .161 X 100
16.1~ (TAXABLE FOR EACH SURVIVOR)
B. Tha percant taxable for assets created within one year of the decedent"s death or accounts owned by the decedent but held
in trust for another individual(s) (trust beneficiaries):
1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100
PERCENT TAKABLE
Example: Joint account registered
the decedent.
1 DIVIDED BY Z (SURVIVORS) . .50
in the name of the decedent and two other parsons and established within one YBar of death by
X 100
50~ (TAXABLE FOR EACH SURVIVOR)
4. The 1!I.ount subject to tax Uine 4) is dater.ined by llIultiplying the account balanca nine Z) by the percant taxable (line 3).
5. Entel'" the total of the debts and deductions listed in Part 3.
6. The &mount taxable (line 6) is determined by subtracting tha debts and deductions (line 5) fro. the aMount subject to tax (line 4).
7. Enter the appropriate tax rate Uine 7) as dater.ined below.
Oat. of Death Spouse Lineal Sibling Collateral
07/01/94 to 12/31/94 37- 67- 157- 157-
01/01/95 to 06/30/00 07- 67- 157- 157-
07/01/00 to present 07- 4.5%_ 127- 157-
MThe tax rat'e IlIPond on the net value of transfers frOllJ a deceased ChIld twenty-one years of aga 0' y
ounger at
death to or for the use of a natural parent~ an adoptive parent, or a stepparant of the child is 07..
Tha lineal class of hairs includes grandparants, parents, children, and lineal descendents. "Children" includes natural childran
whether or not they have been adopted by others, adoptad children and step children. -lineal descendents" inclUdes all children of the
natural parents and thaiI'" descendents~ whether or not they have been adopted by others, adopted descendents and thair dascendants
and stsp~descendant5. "Siblings" are defined as individuals who have at least one parent in co_man with tha decadent, whether by blood
or adoption. The "Collataral" class of heirs includas all other beneficiaries.
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
Allowable debts and deductions are detarminad as follows:
A. You legally are responsible far p8y.ent, or the astate subject to ad_lnistration by a personal representativQ is insufficient
to pay the deductibla items.
B. You actually paid the debts after death of the decedent and can furnish proof of payment.
C. Debts baing clai_ed must ba lte.lzlKl ftJlly in Part 3. If additional space is ne8ded~ use phlin paper 8 112" x n". Proof of
pay_ent .ay be requested by the PA Dapartment of Revenue.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. ZS0601
HARRISBURG; PA 17128-0601
'*'
INFORMATION NOTICE
AND
TAXPAYER R~~PONSE
FILE
ACN
DATE
NO.21 05 d:gJ
05106392
03-01-2005
REV~15~5 EX iFP <O'~OOl
EST.. OF .Hl~DA A FUHRER
S.S. NO:" u202-20-4320
DATE OF DEATH 10-31-2004
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
IX] CHECKING
D TRUST
D CERTIF.
ROBERT S FUHRER
656 MOUNTAIN ST
ENOLA PA 17025
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Deparbent with the inforllation listed below which has bean usad in
calculating the potential tax due. Their records indicate that at tha daath of tha above decedent; YOU were a joint owner/beneficiary of
this account. If yOU feel this infor.ation is incorrect; pleasa obtain writtan correction fro. the financial institution; attach a copy
to this for. and return it to the above address. This account is taxable in accordance with the Inharitance Tax Laws of the Co..onwealth
of Pennsylvania. Questions .ay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140306469 Oat. 09-04-1985
Established
Account Balance
P....cent Taxable
A.ount Subiect to
Tax Rate
Pot.ntial Tax Due
x
2,712.10
16.667
452.03
.00
.00
To insura proper credit to your account; two
(2) copies of this notice must accompany your
pay.ent to the Register of Wills. Make check
payable to: "Register of Wills; Agantn.
x
NOTE: If tax paYllents are .ada within three
(3) months of the decedent's date of death;
you may deduct a 5" discount of the tax due.
Any inheritance tax due will bacome delinquent
nine (9) months after the date of death.
Tax
PART TAXPAYER RESPONSE
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[CHECK ]
ONE
BLOCK
ONLY
A. D The above information and tax due is correct.
1. You may choose to rellit pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest; or yoU may check box "An and return this notice to the Register of
Wills and an official assessment will be issuad by the PA Department of Revenua.
B. D The above asset has baen or will be reported and tax paid with the Pannsylvania Inheritanca Tax return
to be filed by the decedent's representativa.
C. D The above infor.ation is incorrect and/or debts and deductions were paid by you.
You IIUst complBts PART 0 and/or PART ~ below.
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a diff....ent tax ...ate, please state you...
relationship to dec.dent:
PART
~
\X RETURN - COMPUTATION
e 1. Da~p Establi$hed
2. Account Balance
~. Percent "Taxable
Amount Subiect to Tax
Debts and Deductions
'mount Taxable
'x R.te
~ Du.
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
x
x
PAYEE DESCRIPTION
AMOUNT PAID
I
TOTAL (Ent.... on Line 5 of Tax Computation)
I
$
...y, I d.cl..... that the facts I have repo...ted abovs a.... true, correct and
owledge and belief. HOME (
WORK (
TELEPHO
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSI1ENT with ilpplicablB interest based on infor.ation
sub~itted by the financial institution.
2. Inheritance tax beco.e$ dBlinquent nine months after the decedent~s date of death.
3. A joint account is taxable aven though the decedent's n~e was added as a _attar of convenience.
4. Accounts (inclUding those held between husband and wife) which the dacadant put in joint na.es within one year prior to
~ath are fUlly taxable as trensfsrs.
5. Accounts established jointly between husband and wife .ore than one year prior to death are not taxable.
6. Accounts held by a decedent "in trust for" another or othQrs are taxable fully.
GENERAL INFORMATION
REPORTING INSTRUCTIONS - PART
1
TAXPAVER RESPONSE
1. BLOCK A ~ If the infor.ation and co.putation in the notice are correct and deductions are not being clai.ed~ place an "X"
in block "An of Part 1 of the "Taxpayer Response" section. Sign two copies and sub. it them with your check for the amount of
tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official asseSSMent
(Form REV-1548 EX) upon receipt of the return fro. the Register of Wills.
2. BLOCK 8 - If ths asset $pecifhrd on this noHce has be$n or will be rsparted and tax paid with the PennSYlvania Inheritance
Tax Return filed by ths decedent"s rspresentaUvs.. place an "Xn in blOck '"B" of Part 1 of the "Taxpayer RBsponss" section. Sign ons
copy and rsturn to ths PA Departmsnt of Rev8nue~ Bursau of Individual Taxes~ Dept 28D60l~ Harrisburg~ PA 17l28~D6Dl in ths
envelope provided.
3. BLOCK e - If the notice infer.ation is incorrect and/or deductions are being clai.ed~ chsck block "en and co.plate Parts 2 and 3
according to the instructions bslow. Sign two copies and sub. it the. with your check for the a.ount of tax payabls to the Register
of Wills of the county indicated. The PA Department of Revenue will issue an official asseSSMent (Fo~ REV-1548 EX) UPon rsceipt
of the return frail the Register of Wills.
lINE
1. Enter
NOTE:
TAX RETURN - PART
2
- TAX COMPUTATION
the date the account originallY was established or titled in the .anner existing at date of d.i!lth.
For a decsd.nt dying after 12/12182: Accounts which the dscedent put in joint na~es within one (1) ysar of de~th are
taxable fully as transfers. HowBver~ thBre is an exclusion not to excsed $3~OOO per transferee rsgardless of the valus of
the account or the number of accounts held.
If a double asterisk (MM) appears before your first na.e in the address portion of this notice~ ths $3~DQO exclusion
alrsl!ldY has been deducted fro. the account balance liS reported by the f.fnancial institution.
2. Enter the total balance of ths account Including interest accrued to the date of death.
3. The psrC8nt of the account that is taxable for each surviVor is deter.ined as follows:
A. The percent taxable for joint assets estabUshsd more than one year prior to the decsdBnt" s death:
DIVIDED BY TOTAL NUMBER OF
JOINT OWNERS
EXl!lIllPh: A joint asset regishred
DIVIDED BY TOTAL NUM8ER OF X 100 PERCENT TAKABLE
SURVIVING JOINT OWNERS
in ths name of the dscedent and two other persons.
1 DIVIDED BY 3 (JDINT OWNERS) DIVIDED BY Z (SURVIVDRS) _ .167 X 100
16.7:! CTAXABLE FOR EACH SURVIVOR)
B. ThB percsnt taxable for assets creatsd within one year of the decedsnt's death or accounts owned by the decedent but hsld
in trust for another individual(s) (trust beneficillrles):
I DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT
OWNERS OR TRUST BENEFICIARIES
X 100
PERCENT TAXABLE
Example: Joint account registersd
the dscedent.
1 DIVIDED BV Z (SURVIVORS) ~ .5D
X lDD
in the na.e of the dscedent and two other persons and esti!lblishsd within one year of death by
50:! (TAXABLE FOR EACH SURVIVOR)
4. The a.ount subject to tax (line 4) is dstsrllined by multiplying the account balance (line 2) by ths psrcent taxable (line 3).
5. Enter the total of the debts and deductions listed in Paf"t 3.
6. The Dount taxable (line 6) is deter-mined by subtracting the debts and deductions (lins 5) fro. the amount subject to tax (line 4).
7. Enter the IIppropriate tax rate (line 7) as deter.ined bsioN.
MThe tax rate l.posed on the net value of transfers frail a deceased chIld twsnty-one ysars of age or ~ounger at
death to or for the use of 8 natural parent.. an adoptive parent~ Dr a steppersnt of the child is 0%.
The lineal class of heirs inCludes gnBndparents~ p.rsnts~ chl1dren~ and lineal descendants. "ChJldren" includes natural childrsn
whether or not they have besn adoptsd by othsrs.. adopted children and stsp children. "Lineal dsscsndentsn includes all children of ths
natural parents and their descendents~ whether or not they havs been adopted by othsrs~ adopted descendsnts and their descendants
IInd stap-descendants. "Siblings" are defined as individuals who have at least one parent in c~on with the dscedant.. whether by blood
or adoptiDn. The "Collatsr!ll"" c1ess of heirs includes all other beneficiaries.
o.t. at o..th Spouse Lineal Sibling Collateral
07/01/94 to 12131/94 3% 6% 15% 15%
01/01/95 to 06/30/00 0% 6% 15% 15%
07/01/00 to present 0% 4.57,_ 12% 15%
CLAIMED DEDUCTIONS - PART
3
DEBTS AND DEDUCTIONS CLAIMED
AllowablB debts and deductions are detsr.ined as follows:
A. You legally are rssponsible for paY.ent~ or the estate SUbject to ad.inistration by a personal repressntative is insufficient
to pay the deductible ite.s.
8. You actually paid the debts after death of the decedent bnd can furnish proof of paYllent.
C. Debts being clahed IIUst bs itellized fully in Part 3. If addithmal space is needed~ use plain papBr 8 1/2" x 11". Proof of
paY.ent may be requestsd by the PA Department of Revenue.