HomeMy WebLinkAbout12-23-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96)
DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARFiISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 020059
LAMARCA RICHARD M
523 PENN AYR RD
CAMP HILL, PA 1701 1
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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""""'_ "'_"_'
14139507 � 5591 .11
ESTATE INFORMATION: sstv: � I
FILE NUMBER: 2114-0318 �
�ECE�ENT rvAME: MURRAY DOROTHY LOUISE �
DATE OF PAYMENT: 1 2/23/2014 I
POSTMARK DATE: 12/18/2014 I
COUNTY: CUMBERLAND �
DATE OF DEATH: 03/1 9/201 4 I
�
TOTAL AMOUNT PAID: 5591 .1 1
REMARKS: RECEIPT TO ATTY
CHECK# 127
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
��,� oF INDIVIDUAL TAXES Pennsylvania lnheritance Tax �, pennsylvania
PO BOX 280601 Information Notice DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 ��� �-��� aev-isaa ex uo�exEc coe-iz�
And Taxpayer Response FILE NO.2114-0318
ACN 14139507
DATE 07-09-2014
Type of Account
Estate of DLOUISE MURRAY Savings
SSN 184-26-2945 Checking
Date of Death 03- 2014 X Trust
RICHARD LAMARCA County CUMBERLAND � � � Certificate
523 PENN AYR RD �
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CAMP HILL PA 17011-2056 � �
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WELLS FARGO 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.247022058119934
Date Established 04-29-1996 REGISTER OF WILLS
1 COURTHOUSE S�UARE
Account Balance $47,542.66 CpRLISLE PA 17013
Percent Taxable X 100
Amount Subject to Tax $47,542.66
Tax Rate X 0.150 NOTE`: If tax payments are made within three months of the
Potential Tax Due $7,131.40 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 �s The abeve informaticn is corr�ct, nc de�uvtio^s are h�iny iaken,and pay�re�t.�.fl!b� s�nt
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).
� �I stedges or deductions The inf Complete Part 2 and part 3 as approprate o athe back oW th's forl 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
'nheritance tax form Return�roceed to Steta2 onPeverseatiDo nof check any other boxes.
EV-1500. p
Please sign and date the back of the form when finished.
x
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 �,�����o ����
your relationship to the decedent: �" � ��\������� � \ �`�����`�����"�`���
� �������������� \��� ��`�������\\������� ���������\
�\\ �� �� � ������ ��� ����� \�,�����������\ �������
1. Date Established 1 �`��������\\�\� �;. ` ��Y� �. :.� � ��\����������
.;�,\������������\\���\\\��������\�\`�\'�\\����`��\��
2. Account Balance 2 $ � ��� .�\\���\�\�\\��\��������0��\���\�\������\\����\\�
���\\�����\�\\�����\\\��� �y� �\�\�� \ ��\��@` ���� ��
3. Percent Taxable 3 X �:���� � �����\��������\���\\\���\����������������
�` ���,�\� ����\�o�\\\
� \��\���\��\\������\\���\\\���\\\��\�\��������\���������������
4. Amount Subject to Tax 4 $ ��� � `�`�a� ����������������������\�����`���`���
����
\��\�\\\���\�\����\�\\���\��\���\�\ ��\\�\\��\\�����\\�\�����"\������a
5. Debts and Deductions - �� ��\ ���\����\�������� � ���������������\\������������`��`\�`������
5 �����\a����\���\��\����\\�\�����`�������\����\\\��y��\\\\\����������\�
6. Amount Taxable g $ ���,� �� �����\\\���`������������
��������\ ��� ��\\\ ���\�� \� \-�\\ \�\���� � � .
�\\\"\�\�\\��\�\��\\���\\\�\\���������\\����\����������\��������\���������
7. Tax Rate X ������ � � � �� �\�� ���� �
7 ,� � \ � \��� ���
�`��������A��VVA�� ��������� \ ���� ��y��� �.�A��\\�\ \`��
� `�� ���A����� ��\�A������A y ��\������A�`�����\��� �� �
8. i ax D u e � \��� \�\��� o��\��� \\\� �\����\�\\�\\\\\�\\��\�\`��`�
8 $ � � �ti\� ��� ���oo\
\\ \\\ \\�� ��������\� 0�����\�\� \�\\ \� O� ��� �
'�� ��\�\\ \�\����\���\\\\����� \. ����\��\�\\\� �� �� \�
9. With 5°/ Discount(Tax x .95) 9 X ��'�` �" �. ` �A\` �� �" �` , ��`\\\�\ ;������
a � ��\�� \\�� \��\�
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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
.._ .,a.��
STROKOFF Sz COWDEN, P.C.
ATI'ORNEYS AT LAW
TELEPHONE 132 STATE STREET FAX
(717)233-5353 (717)233-5806
HARRISBURG,PENNSYLVANIA 17101
www.strokoffand cowd en.com
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December 18, 2014
Via Overnight UPS
�
Lisa Grayson, Esquire � �, � � rn
C u m b e r l a n d C o u n t y R e gister of Wills � � � c� a
One Courthouse Square '�" � �' c' "' �'
Carlisle, PA 17013 �. 4= '�'' w �y; �
c.� -
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RE: Estate of Dorothy Louise Murray � �; �"� � '? -�
, �---
a/k/a D. Louise Murray, Deceased , _,; ►--+ '=� c�
No. : 2014-0318 .,, =�-j o � m
;w:,. N U'� a
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Dear Register Grayson:
Enclosed please find: (1) an original and 2 copies of the
Inheritance Tax Return (Rev-1500) for the above captioned Decedent, (2)
Estate check #127 in the amount of $591.11 representing the balance due for
the Inheritance Tax, and �3) Rev-1543 reflecting that the payment of the
Inheritance Tax for Wells Fargo Account #247022058119934 will be reported
on the Estate's inheritance t� form.
I would ask that you clock in one of the copies of the Rev-1500
and return to me in the self-addressed stamped envelope provided herewith.
Naturally, if you have any questions, please do not hesitate to
contact me.
,,..yery truly y,ours,
� F% r" � .-a�' �, { . i;
_,, :W
;,�3 � �"�• !, ��r"vul��
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Elliot A. Strokoff
EAS/crd
Enclosure
cc:: Richard M. Lamarca, Executor
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