HomeMy WebLinkAbout09-25-14 BUREAU OF INDIVIDUAL TAXESPenns Ivania Inheritance Tax pennSytvan18
PO BOX 280601 Y
HARRISBURG PA 17128-0601 Information NoticeDEPARTMENT OF REVENUE
REV-1543 E%OocEXEL (08.72)
And Taxpayer Response FILE No.2114-0769
ACN 14150298
DATE 09-09-2014
Type of Account
Estate of JANE STEPHENSON Savings
SSN Checking
Date of Death 08-06-2014 X Trust
THOMAS G STEPHENSON County CUMBERLAND Certificate
15 CRAIG RUN RD
DUNCANNON PA 17020-9653
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PNC BANK NA provided the department with the information below indicating that at the death q-'127alhe
above-named decedent you were a joint owner or beneficiary of the account identified.
Account No.31400355042 Remit Payment and Forms to:
Date Established 11-20-2010 REGISTER OF WILLS
Account Balance $20,370.02 1 COURTHOUSE SQUARE
Percent Taxable X 100
CARLISLE PA 17013
Amount,Subject to Tax $20,370.02
Tax Rate X 0.045
Potential Tax Due $ 0.04 5 NOTE': If tax payments are made within three months of the
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.
13 D The information is The above information is correct, no deductions are being taken,and pavment 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 F_� 12% 1 am a sibling of the deceased.
3 on reverse.)
15% 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.
EFVAsset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax
L-Ainheritance 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
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 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 \\
IAF
your relationship to the decedent: KAO �
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1. Date Established 1 � w �a .� o O
2. Account Balance 2 $ "�" V` ii
y`�� V�\V v
3. Percent Taxable 3 x �` opo y�
A��
4. Amount Sub'ect to Tax 4 $ 11
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5. Debts and Deductions 5 - 4 ` 2 �
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6. Amount Taxable 6 $ 01, �� v, v
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7. Tax Rate 7 x e
5. Tax Due --- -:. g $ w v�
9. With 5% Discount(Tax x .95) 9 x uL,. � -:7-`:U mmUR 7MUN,
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 a facts I have reported above are true,correct and complete to the best of my knowledge and
belief.
Work
Home ---� Y
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 TAXESPenns Ivania Inheritance Tax j pennsylvania
PO BOX 280601 y
HARRISBURG PA 17128-0601 Information Notice DEPARTMENT OF REVENUE
REV-1543 EX D..EXE[ (08-12)
And Taxpayer Response FILE NO.2114-0769
ACN 14150299
DATE 09-09-2014
Type of Account
Estate of JANE STEPHENSON Savings
SSN Checking
Date of Death 08-06-2014 X Trust
THOMAS G STEPHENSON County CUMBERLAND Certificate
15 CRAIG RUN RD
DUNCANNON PA 17020-9653
ry �
co rn
PNC BANK NA provided the department with the information below indicating that at-tl edeatrl thy:
above-named decedent you were a joint owner or beneficiary of the account ident%f W
Remit Payment and Forms to: .. > c',a Z3 "I
Account No.31800355843
Date Established 01-28-2011 REGISTER OF WILLS - ru r M
Account Balance $7,103.27 1 COURTHOUSE SQUARE O cr) p
Percent Taxable X 100 CARLISLE PA 17013 t-A _n
Amount Subject to Tax $7,103.27
Tax Rate X 0.045
Potential Tax Due $319.65 NOTE*: If tax payments are made within three months of the
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
AF-]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 D 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 F�The tax rate is incorrect. F-1 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 ❑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.
EAsset 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.
A
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
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"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 ` � � a, se F \
your relationship to the decedent: to t t R ve�U
1. Date Established 1 �\ \° � '`R! \`
SME
2. Account Balance 2 $ perV "�A
\\\\
3. Percent Taxable 3 X vv�`
4. Amount Subject to Tax 4 $ \ �` "
J \ O\,
5. Debts and Deductions 5 '4 N2 4 AM` X� 3
\ \ .
6. Amount Taxable 6 $ �v y` y
` ` �
�� \�\
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 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
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 Penns lvania Inheritance Tax W
pennS�/LVa�'lla
PO BDX 280601 YInformation Notice DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 REV-1543 E%DocEXEC (oe-iz)
And Taxpayer Response FILE NO.2114-0769
ACN 14150300
DATE 09-09-2014
Type of Account
Estate of JANE STEPHENSON Savings
SSN Checking
Date of Death 08-06-2014 X Trust
THOMAS G STEPHENSON County CUMBERLAND Certificate
15 CRAIG RUN RD
DUNCANNON PA 17020-9653
i
ry
n m
rn
J) ? C)
co --o C!)
Crl
PNC BANK NA provided the department with the information below indicating that at the"death �the�', Ti
above-named decedent you were a joint owner or beneficiary of the account identified`-:
- ry
Remit Payment and Forms to:
Account No.5113728631
Date Established 08-09-2011 REGISTER OF WILLS
Account Balance $38,526.10 1 COURTHOUSE SQUARE
CARLISLE PA 17013
Percent Taxable X 100
Amount Subject to Tax $38,526.10
Tax Rate X 0.045
Potential Tax Due $ 0.045 67 NOTE*: If tax payments are made within three months of the
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
1 Step 1 : Please check the appropriate boxes below.
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.
1? 0 The information is The above.information is correct, no deductionsare being taken,and payment%Trill be sent
correct. with my response.
Proceed to Step 2 on reverse. Do not check any other boxes.
C F—]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 F—] 12% 1 am a sibling of the deceased.
3 on reverse.)
15% 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.
117
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
Allowable debts and deductions must meet both ofthe 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 iorequired,you may attach 81/2^x11^sheets ofpaparj
Date Paid Payee Description Amount Paid
Total (Enter on Line 5 of Tax Calculation) , $
Tax Calculation
�--�--| Ifyou are making ocorrection to the establishment date(Line 1)account balance(Line 2).wrpercent taxable(Line 3)`
_
please obtain a written correction from the financial institution and attach it to this form.
1. Enter the date the ac6ount was established or titled as it existed at the date of death.
2. Enter the total balance ofthe account including any interest accrued o1the date ofdeath.
3. Enter the percentage of the account that ietaxable 1oyou.
a. First,determine the percentage owned bythe 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 0othe date ofdeath,the percentagetaxable io1U0%divided
. bythe total number ofowners including the decedent. (For example:2owners=5U%. 3owners=3333%.4owners
=2G%,etn.)
b. Next,divide the decedent's percentage owned by the number of surviving owners or beneficiaries.
4. The amount subject hotax iadetermined bymultiplying the account balance bythe percent taxable.
S. Enter the total of any debts and deductions claimed from Part 2.
G. The amount taxable is determined by subtracting the debts and deductions from the amount subject to tax.
7. En8yrtheappnophatntaxatehdmStnp1bomedonyourre|odnnahipVo1hedecednmd.
If indicating a different tax rate,please state Official Use Only 0 AAF
your relationship to the decedent: PA Department of Revenue
2. Account Balance 2 $ PAD
3. Percent Taxable 3 X
4. Amount Sub ect to Tax 4 $
5. Debts and Deductions 5 - 4
'
Step 2: Sign and date below. Return TWO completed andoigned copies to the Register cdWills listed onthe front ofthis form,
along with acheck for any payment you are making. Checks must bemade payable 10"Register ofWills,AgenL^ Donot send
payment directly Vuthe Department ofRevenue.
Under penalty cfperjury, |declare that the facts |have reported above are true,correct and complete(othe best ofmyknowledge and
belief.
WILLIAM R. BUNT
ATTORNEY AT LAW
P: O. Box 336
109 SOUTH CARLISLE STREET
NEW BLOOMFIELD, PA 17068
TEL (717) 582-8195
FAX (717) 582-7521
August 26, 2014
Lisa M. Grayson, Esquire
Register of Wills
Cumberland County Courthouse
1.Courthouse Square, Suite 102
Carlisle, PA 17013
RE: Estate of Jane G..Stephenson
No. 21-14-00769
Dear Attorney Grayson:
I am enclosing herein two (2) copies of each of three (3) triplicate forms sent to Thomas
G. Stephenson with regard to the Estate of Jane G. Stephenson. Please be advised
that the Estate will be reporting said assets on the Pennsylvania Inheritance Tax Return
and will be responsible for the payment of the tax thereon.
Very tru yours,
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Willi R. Bunt o in 70
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