HomeMy WebLinkAbout02-13-15 BUREAU OF INDIVIDUAL TAXES Penns lvania Inheritance Tax �af
pennSytvanla
PO BOX 280601 y DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 Information Notice
REV-1543 E%DocEXEC (08-12)
And Taxpayer Response FILE NO.211
90
ZED C, DAT 02-03 2
FFICE OE
DATE 02-03-2015
R RLr
FEB 13 liType of Account
t tlZf ADELE K RITTER Savings
SSN X Checking
CLEP,,•`� r Date of Death 01-18-2015 Trust
ROBIN M RITTER / F,F C W,', Eounty CUMBERLAND Certificate
6441 CARLISLE PIKE C� ���fj !
MECHANICSBURG PA 17050-2385
CENTRIC BANK 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. 1094838 Remit Payment and Forms to:
Date Established 01-22-2002 REGISTER OF WILLS
Account Balance $20,907.04 1 COURTHOUSE SQUARE
a Percent Taxable X 8.333
CARLISLE PA 17013
Amount Subject to Tax $ 1,742.18
Tax Rate X 0.045
Potential Tax Due $78.40 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 ❑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 ahove as Potential Tax Due.
B ❑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 FThe 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 12% 1 am a sibling of the deceased.
3 on reverse.)
❑ 15% All other relationships (including none).
DF-]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.
E FXJ 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. Wl(
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 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 2
4. Amount Subject to Tax 4 $ 3
5. Debts and Deductions 5 - 4
6. Amount Taxable 6 $ 5
7. Tax Rate 7 X 6 t
8. Tax Due 8 $ 8 1
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 717-774-7435
Home 2-11-2015
Gera J. S etski, Es
Taxpayer Signature `tblephone 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 Ivania Inheritance Tax '" pennsyLVdn18
PO BOX 280601 Y
HARRISBURG PA 17128-0601 Information Notice DEPARTMENT OF REVENUE
REV-1543 E%Doc EXEC ( ��)
And Taxpayer Response FILE NO.21 -1,5
ACN 15105891
R CORD LD r P r. DATE 02-03-2015
K 1, vTL" .i ;+lt
'
L�..
2015 FEB 13 �' Type of Account
f l� �Qa{e3f ADELE K RITTER Savings
SSN X Checking
C? Date of Death 01-18-2015 Trust
Count CUMBERLAND Certificate
PRISCILLA RITTER � P){/ rlS' y
1821 HUNTER DR {��+ u
MECHANICSBURG PA 17050-164UPAIISE l
3
CENTRIC BANK 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. 1094838 Remit Payment and Forms to:
Date Established 01-22-2002 REGISTER OF WILLS
Account Balance $20,907.04 1 COURTHOUSE SQUARE
Percent Taxable X 8.333 CARLISLE PA 17013
Amount Subject to Tax $1,742.18
Tax Rate X 0.045
Potential Tax Due $78.40 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 FJ 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 r)ue.
B ❑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 ❑The tax rate is incorrect. F—] 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.
E 7X 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
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 Official Use Only ❑AAF
your relationship to the decedent: PA Department of Revenue {
1. Date Established 1 {
2. Account Balance 2 $ PAD
1 '
3. Percent Taxable 3 X I
2
4. Amount Subject to Tax 4 $ 3
5. Debts and Deductions 5 - 4
6. Amount Taxable 6 $ 5
7. Tar. Rate 7 X 6
8. Tax Due 8 $ 7 f
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 717-774-7435
Home 2-11-2015
Taxpayer Sign ure Gerald J. Shekletski, Esq 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 Inheritance Tax
pennsytvania
PO BOX 280601 y
HARRISBURG PA 17128-0601 Information Notice DEPARTMENT OF REVENUE
'— -"-'-"r REV-1543 EX DocEXEC (08-12)
And Taxpayer Response FILE NO.21 t�j—►
ACN 15105892
DATE 02-03-2015
+tin [
Type of Account
3 tate of ADELE K RITTER Savings
'�
'Dei 01-18-2015 Trust
NANCY P JULIAN �(_:=; -County CUMBERLAND Certificate
35 MAYBERRY LN
MECHANICSBURG PA 17050-2763 ,
CENTRIC BANK 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. 1094838 Remit Payment and Forms to:
Date Established 01-22-2002 REGISTER OF WILLS
Account Balance $20,907.04 1 COURTHOUSE SQUARE
Percent Taxable X 8.333 CARLISLE PA 17013
Amount Subject to Tax $1,742.18
Tax Rate X 0.045
Potential Tax Due $78.40 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.
B 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. ❑ 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.)
7 15% All other relationships(including none).
D F�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.
E X❑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. }(�
V
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"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 \ Offia USe
our relationship to the decedent: \\
i � o
Y p \ � Aepar# let t cit\Rue
1. Date Established 1 ,H,\ \\ \ O
2. Account Balance 2 $ ON� y 1 �� j
;\ \\ z
3. Percent Taxable 3 Xggzg
4. Amount Subject to Tax 4 $ 2 f-r
\ \\ neo,AMF
5. Debts and Deductions 5 - \\ \\
6. Amount Taxable 6 $ o
all �o\ ���� A
X
7. Tax Rate 7
8. Tax Due 8 $ 7 ` \\ ,Hoftow 111
9. With 5/°
Discount Tax x .95) 9 X _.�o�d���
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 717-774-7435
Home 2-11-2015
Taxpayer Sig ture Gerald J. Shekletski, EsgFelephone 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
STONE L.AFAVER & SHEKLETSKI
ATTORNEYS AT LAW
414 BRIDGE STREET
DAVID H.STONE POST OFFICE BOX E OF COUNSEL
GERALD J.SHEKLETSKI NEW CUMBERLAND.PA 17070 CHARLES H.STONE
www.stonelaw.net JON F.LAFAVER
TELEPHONE(717)774-7435
FACSIMILE (717)774-3869
February 11, 2015
Cumberland County Register of Wills
1 Courthouse Square
Room 102
Carlisle, PA 17013
Re: Estate of Adele K. Ritter
File No. 21-15-0111
Greetings:
We represent the Estate of Adele K. Ritter.
Please find attached three (3) original Pennsylvania Inheritance Tax Information Notice
and Taxpayer Response for the following ACN Nos.: 15105890, 15105891 and 15105892.
Please time-stamp one original for each account and return them to us in the enclosed
self-addressed, stamped envelope we have provided for your convenience.
Thank you for your attention in this matter. Please do not hesitate to contact us should
you have any questions regarding this matter.
Very truly yours,
STONE LaFAVER& SHEKLETSKI
1
_ 9
Gerald J. Shekletski, Esquire
GJS/jam
Enclosures
cc: Nancy P. Julian, Co-Executrix
Robin M. Ritter, Co-Executrix
Priscilla P. Ritter, Co-Executrix �,� ± r
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