HomeMy WebLinkAbout05-19-14 (2) BUREAU 28 INDTYIOUAL TAXES Pennsylvania Inheritance Tax - enns tvania
PO Box 2BB601 Y P J
HARRISBURG PA 17128.0601 Information Notice DEPARTMENT OF REVENUE
And Taxpayer Response
FILE NO.M� �_
RECORDED OFFI E OF ACN 1412354
DATE 05-07-2014
v .� wn . . r
2014 MY 19 R1 9 55 Type of Account
Estate of LAURA C ILLIAMS Savings
CLERK OF SSNa387,; }, — S Checking
LANNE LEHMER ORPHANS' COURT Date of Death 03-20.20 4 Trust
County YORft^ Certificate
PA
`D'Nbnl?K [Zorq
PNC BANK NA 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.
Account No.5140069205 Remit Payment and Forms to:
Date Established 03-18.2003 REGISTER OF WILLS
Account Balance $95,398.40 45NGXT ;GRGE—STREETF l Wit T\�1nA JQ .
Percent Taxable X 50 C j&C�(j ist PT%. �rr 1/alt
Amount Subject to Tax $47,699.20 t
Tax Rate X 0.045
Potential Tax Due $2,145 NOTE': If tax payments are made within three months of the
With 5%Discount{T x 0.95 ax decedent's date of death,deduct a 5 percent discount on the tax
) $(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 taxis due. i am the spouse of the deceased or i am the patent of a decedent who was
2i 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 D; - ' 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. 04.5% 1 am a lineal beneficiary(parent,child,grandchild,etc.)of the deceased.
(Select correct tax rate at
right, and complete Part F—] 12% 1 am a sibling of the deceased.
3 on reverse.)
15%a 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-
Esset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax
nhentance tax form Return filed by the estate representative.
EVA 500. 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 8 112"x 11"sheets of paper.)
Date Paid Payee Description Amount Paid
Total Enter on tine 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.
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"in trust 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 ❑AAF
your relationship to the decedent: PA Department of Revenue
1. Date Established 1
2, Account Balance 2 $ PAD
3. Percent Taxable 3 X 1
2
4. Amount Subject to Tax 4 $
3
5. Debts and Deductions 5 - 4
6, Amount Taxable 6 $ 5
7. Tax Rate 7 X 8 ,
17
8. Tax Due 8 $ 8
9. With 56%Discount(Tax x .95) 9 X
SJ' tep 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
ttua r P Home I1-7-434-110 IA1ixt
Taxpayer Signa ure Telephone Number Date
E NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA DEPARTMENT OF REVENUE
T OFFICE, OR THE INHERITANCE TAX DIVISION AT 717-787-8327. SERVICES FOR
ERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS ONLY: 1-800-447-3020