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HomeMy WebLinkAbout08-29-14 (4) Pennsylvania lnheritance Tax � pennsylvania BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE Po Box Zao6o� Information Notice HARRISBURG PA 1712S-O6O1 REV-1543 EX DocEXEL (OB-121 And Taxpayer Response FILE NO.2113-0441 ACN 13141428 * * '' REVISED NOTICE " " '` DATE06-24-2014 Type of Account Estate of BARBARA S BEISTLINE Savings SSN 188-32-3703 X Checking o ust County CUMBERLAND � s rtificate MICHELE MOTTER � � � � Q 104 E SIMPSON ST MECHANICSBURG PA 17055-3866 �D '� G�-? c1� � � � n � � � b, f" n} ,.� i'+'t r-. =� m � � ° -."_' G? �,; c� c� . � �-j � :?J °Y2 `� � � 3 � � t�� �-° � n . � pp ? �" � � � "�.: �` � . � PsECU 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. 188323703 REGISTER OF WILLS Date Established 03-14-1985 1 COURTHOUSE SGIUARE Account Balance $14,699•12 CARLISLE PA 17013 Percent Taxable X 50 Amount Subject to Tax $7,349.56 Tax Rate X 0.045 NOTE': If tax payments are made within three months of the Potential Tax Due $330.73 decedent's date of death,deduct a 5 percent discount on the tax With 5%Discount(Tax x 0.95) $(see NOTE') after the dateeof death ax due will become delinquent nine months PART Step 1 : Please check the appropriate boxes below. 1 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 amounr shown above as Poteniial Tax Due. . g �The information is 7he 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 inf�oml lete Part 2 and part 3aas approprate o nthe back of th s Porl m. listed. P 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�roceed to Step 2 onpeverseatiDo not check any other boxes. REV-1500. Please sign and date the back of the form when finished. _�..-�,..�.�.--a� _ �: PART 2 Debts 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 8 1/2"x 11"sheets of paper.) Date Paid Payee Descri tion p Amount Paid Total (Enter on Line 5 of Tax Calculation $ PART ' T$X (;a�CUIatI0C1 3 ' If you are making a correction to the establishment date(Line 1)account balance Line 2 or ' please obtain a written correction from the fin�ncial ir�stitution anci attach it to this form.�� �rcent 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"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 � � � � , : your relationship to the decedent: � � `� � � 1. Date Established y � � 2. Account Balance 2 $ 3. Percent Taxable 3 X ., � 4. Amount Subject to Tax 4 $ �� � � _ 5. Debts and Deductions 5 - `� 6. Amount Taxable g $ � � . � 7. Tax Rate 7 X -- ----------_—_-------- `, , �_. , 8. T� Due g $ `� ��� � ����: 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 re tr e,correct and complete to the best of my knowledge and bel' f. � � � Home �-� � � 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 BUREAU OF INDIVIDUAL TAXES Pennsylvania lnheritance Tax � pennsylvania PO BOX 280601 Information Notice DEPARTMENT OF REVENUE HARRISBURG PA 17128-0601 eev-is4s EX DocEXEC roean And Taxpayer Response FILE NO.2113-0441 ACN 13141427 * * " REVISED NOTICE " * * DATE 06-24-2014 Type of Account Estate of BARBARA S BEISTLINE Checking SSN 188-32-3703 �, Trust Count CUMBERLAND � ° C�tificate MICHELE MOTTER y � Q '� � � 104 E SIMPSON ST MECHANICSBURG PA 17055-3866 � � � C�t7 � � Q f'tl �- f7 � C!� � � X. fi"' N -'� � f^" � � ,rr7 f�l C�i � '.'�7 C� � +� G� � ��' �d� -�'' � 'ti C� �J •�t�y � '�rl �`:� C_' � � . �v op r-- rn s --i �- � �.,�., c'^' °� - ' PsECU 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.188323703 Date Established 03-14-1985 REGISTER OF WILLS 1 COURTHOUSE S�UARE Account Balance $3,033.19 CARLISLE PA 17013 Percent Taxable X 50 Amount Subject to Tax $1,516.60 Tax Rate X 0.045 NOTE*: If tax payments are made within three months of the Potential Tax Due $68.25 decedenYs 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 �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. g �The information is The above informaiion is correct, no deductions are k�eing taken, and payment will be sent correct. with my response. Proceed fo 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). � �I stedges or deductions The inf Comp/ete Part 2 and part 3 a sappropriate o nthe back of th s for�m. 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 ReturnProceed to Step 2 onpeverseatiDo not check any other boxes. REV-1500. Please sign and date the back of the form when finished. PART 2 Debts 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 8 1/2"x 11"sheets of paper.) Date Paid Payee Description Amount Paid Total (Enter on Line 5 of Tax Calculation $ PART TaX (�$ICUIatI0C1 , 3 �--,If�you are making a correction to the establishment date(Line 1)account balance Line 2 or . pl�ase ot�►tain a writt�n correction from the financial institution and attach 9t to this form.)� �rcent 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 "in trust for"another or others were 100%owned by the decedent. ii. For joint accounts estab�ished 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 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 � 2. Account Balance 2 $ 3. Percent Taxable 3 X , , �� � „ , 4. Amount Subject to Tax 4 $ ��� \���� ` � � �` �. .. ., 5. Debts and Deductions 5 - � �" � � ��� � ` � ' o� 6. Amount Taxable g $ � ; 7. Tax Rate 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 Wilis 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 bel' f ' Work � .� Home `�� � Tax ayer 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