HomeMy WebLinkAbout06-15-15 PEV-1162 FXII 1-961
C�MMONWENLTX OF PENNSYLVPNiP
DEPAFiMENT OF FEVENVE
9VFEAV OF IN�NIOUALTp%ES
�EFT.380B01
naAaiseuac.Pa�n�e oso, pENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT NO. CD 020833
KALEITA DEBRA K
6331 BRANDY LANE
LOT 43
MECHANICSBURG, PA 17050-8125
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
--- ---
� � 15125511 � $� �14'�g
ESTATE WFORMATION: ssN: iea-
15125512 � 51 ,174.79
FILE NUMBER: 2115-0439
101 � 516,500.00
DECEDENT NAME: BRAUND LUELLA E I
DATEOFPAYMENT: 06/15/2015 I
POSTMARK DATE: 06/12/2015 I
couNrv: CUMBERLAND �
DATE OF DEATH: 03/31 /2015 I
�
TOTAL AMOUNT PAID: $�$•$49'S$
REMARKS: RECEIPT TO ATTY
CHECK# 1783
INITIALS: CJ
RECEIVED BY: LISA M. GRAYSON, ESQ.
SEAL
REGISTER OF WILLS
REGISTER OFWILLS
"'� pennsylvania
o�q�� oF ,xp,�,o,�, ..,Es Pennsylvania lnheritance Tax oePanrneNroF ne�er,ue
Po .ox �ao<o, Information Notice ,,.-,,,,,.�o...t� �ao �_�
NPR"1SB0RG °" 11zB-�`�' And Taz ayer Response
__, J�„� FILE NQ 2115-0439
�t�,^,����' � . � � ACN15125511
r��„-. � - - � �i I !: DATE05-11-2015
��i5 J' �� 15 ` fl 3 i0 rypeorn��ou�t
r , i Eslate of LUELLA E BFAUNO Savings
� SSN194-28-8705 �Checking
^ � i �� Date 2015 Tmst
� ' `� Counry Cl1MBERLAN� Certificate
GEORGIANN BRAUNO CUiS=G� �� - -� � '
13 MARSHALL OR
CpMP HILL PA 17011-1146
rnc eANK NR provided [he 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.
Remil Paymenl and Forms to:
Account No.5112025563 qEGISTER OF WILLS
Date Established OS-11-1999 7 COURTHOUSE SQUARE
qccount Balance $164,88052 CARLISLE PA 17013
Percen�Taxable X 16.667
Amount Subject to Ta�c $27,480.64
Taz Rate X 0.150 NOTE': If tax payments are made within ihree months of the
Potential T� Due $4•�Z2.�0 decedenYs date of death,deduct a 5 percenl discount on the ta+
With 5%Discount(Tax x 0 95) �� NOTE'1 after tlhe dateeof�deae„ax due will become delinquent nine months
PART StEP 1 : Please check lhe appropriale boxes below.
1
n ❑No tax is due. I I am the spouse of Ihe 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 bozes and tlisregard the amount
Shown abOVE a5�otenbdi lax Uua.
�The information is The above informa�ion is correct, no deductions are being taken,antl payment will be sent
B carrect. wi�h my response.
Proceetl ro Srep 2 on reverse. Do not check any other bozes.
� �7he lae rate is incorrec�.
� q.5% I am a lineal beneficiary (parent,child,9randchild, elc.)of the deceased.
(Select correct lax rate at
right,and complete Part � 12/ I am a sibling of the deceased.
3 on reverse.)
� 15% All other relationships(includin9 none).
p ❑Changes or deductions The inbComplefe Part 2 and part 3aas appropnzfe on he back o/Ihis Porl m.
Ilsted.
E ❑Asset will be reported on The above-identified assel has been or will be reported and tax paid with lhe PA Inheritance Tax
inheritance�ax form ReWrn�roceed ro�Step 2 0o everse��Do not check any other boxes. ��
REV-1500. ���
f
Please sign and date ihe back of the form when finished. �
PART
z Debts and Deductions
Allowable debts and deductions mus�meet bo�h o�the following criteria:
A. The decedent was legally responsible for payment, and the estate is insu(ficient to pay the tleduciible items.
B. You paid the debts aRer the death o�ihe decetlent and can fumish pmof of payment if requested by the department.
Qf addi(ional space is requireQ you may attach 8 1/2"x 7�^sheets of paper.)
Date Paid Payee
Description Amoun� Paid
To�al En�er on Line 5 of Tax Calculation) $
PART
a Tax Calculation
i�you are makin3 a^orrection�o the establishment tlate(Line 1)aecounS 4elanve(Lfne 2),cr pereen!taxable(L'ne 3),
please obfain a wnpen correction from the financial institution and attach it to this form.
L Enter the date the account was establishetl or titled as it existetl at the date of death.
2 Enter the total balance af the accaun�including any interest accmed at the date of tleath.
3. Enter the percentage of ihe account that is taxable to you.
a. First, tle�ermine(he percen(age ownetl by�he decetlen�.
i. Accounts tha�are heltl"in�mst for"another or o�hers were 100%ownetl by the tlecedent.
ii. Forjoint accounts establishetl more than one year prior to the date of death,the percentage tazable is 100%divided
by the total number of owners indutling the decetlent (For example:2 owners=50/, 3 owners=33.33%,4 owners
=25%, etc.)
b. Next,tlivide Ihe decedenYs percentage owned by the number of survivinq owners or beneficiaries.
4. The amount subject to tax is determined by multiptyinq�he account balance by the percent taxable.
5. Enter Ihe[otal of any debts and detluctions claimed 6om Part 2.
6. The amoun�taxable is determined by subtraqing Ihe debts antl detluc�ions trom the amoun�subjec�to�ax.
7. Enter the appropriate tax rate from Step 1 based on your relationship b Ihe decedent.
If indiceting a different tax rate,please tate
your relationship to the decedent: ' �( t�l 0((qy(rJ�Q��y��F
1. �ate Established pq pgpar#myM of�.qyy��g `
z. Account Baiance p g PAp :�: t"
3. Percen�Taxable 3 X �
4. Amount Subject to Tax q $ '� 7 �p. ( �� 2
5. Debts and Deductions �— 3
5 4
6. AmountTaxable 6 _$ �' 7 �(�• � 5
7. 7�c Rate 7 X . O�(I� 6
e. T� Due 8 $ /J. . 6 3 7
9. With 5%Discount(Tax x .95) 9 X ���c% �'�9 $
/ ..�.; � � .. :� �'� ,�;
Step 2; Sign and date below. Return TV✓O comple�ed and signed copies to the Register of Wills hsted on the(ront of ihis form ���
along with a check for any payment you are making. Checks mus�be made payable to Register of Wills,Agent Do not send
payment directty to the Department o(Revenue.
be d fr p nalty of peryury. I tleclare[hat�he facis I have reported above are tme, correct and complete to the best o�my knowletlye antl
� work �/-7 7-3 �
� Home 7�2 ��/�� �i��/ /�'
Taxpa er Sgnature
Telephone Number Date
IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA DEPARTMENT OF REVENUE
DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT 717-7g7-g3p7 SERVICES FOR
TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS ONLY: 1-g00-447-3020
�� pennsylvania
Pennsylvania lnheritance Tax , oEpqqrneHr or Aeve�ue
euauu or ixmv�owi uxes �Il10fR13�100 NOIICB .�. 3.��,o�•u�°'"• �•,
vo eox zaosai
�RR15°°"� "• "'�°-0601 And Taxpayer Response Fi�E No.zi is-oase
r��"^,_- , .,,_ J ACN15125512
�._".: . ._.. DATE OS-11-2015
C'�1 � �Q Type of Accounl
:.6�5 J�^� � I � �Savin9s
� Estale o�LUELLA E BFAUND Checking
' SSN 194-2&b7�5 Tmst
�� ! � DateofDealh03-3t-20�5 Ceniflcate
G; „
_.. ,_ , . _ ,..,.. -, �
OEBRA K KALEITA CU���%�- �� � '
30 GEORGE LIH
MECHANICSBUHG PA 17055-4�50
above-named decVeden�t youdweae a join olwneeor benefi�ary of he ac otun�t dentf iede death of the
Remil Paymenl antl Forms to:
Accounl No.5112025563 pEGISTER OF W�LLS
Date Established 05-11-1NB 1 COUATHOUSE SOUARE
AccountBalance $ �64•geo�52 CARLISLE PP �7U79
Percen[Taxable X16.fi67
Amount Subject to Tax $27 480.64
Tax Rate X 0.045 NOTE': 15 tax payments are made within three months of the
Potenlial Ta<Due $1,236.63 duee Anys herei�ance tax due w'JI becomeedelmquent�nine monlhs
With 5%Discount(Tax x 0 95) $( e NOTE') (!'I �1 � after the da�e o�death.
PAHT S[eP 1; please check the appropriate boxes below.
1
n ❑No tax is due. I I am the spouse of the deceased or I am the parent of a decedent w o was
21 years old or younger at dale of death.
Proceed to S[ep 2 on reverse. Do not check any oMer boxes and disregard the amount
shown abwe as Potznnal!ax Uoe.
g �The inbrmalion is
The above in�orma�ion is correcl, no deductions are being taken,and payment will be sent
correct. with myresponse.
Proceed to Step 2 on ieverse. Do nol check any other oxes.
� ❑The laz rale is incorrect.
� 4.5% I am a lineal beneficiary(parent,child,grandchild,etc.)o�the deceased.
(Select correct tax rele ai
righ�,and complete Part � 12% I am a sibling of the deceased.
3 on reverse.)
� �5/ All olher relationships (including none).
p Complete Part 2 and part 3 as appropriate on the back ot fhis/o�m.
�Changes or deductions The information above is incorrect andbr debts and deductions were pai .
listed.
E ❑psset will be reported on The above-identified asset has been or will be reported and tae paid with the PA Inhentance Tax
inheritance Iax brm Return��oceed ro�Step Z onPreverse���Do mt 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 legalty responsible for payment, and the estate is insuRicient to pay the deductible items.
B. You paid ihe debts atter(he death of the tlecetlent antl can furnish pmof of payment it requestetl by the department.
Qf additional space is required,you may atlach 8 1/2"x 7 7°sheets o(paper.)
Da[e Paitl Payee
Description
Amount Paid
To�al Enter on Line 5 of Tax Calculation $
PAHT
3 !f you are makin Tax Calculation
please obGin a wr tle correctlon from the'fin nNal�nstdutioo antl attachbt to this form? '��
t Enter the date the account was established or titletl as it existed at the date o�death. � ��eent taxable(Lne g),
2 Enter the total balance of the account inclutling any in�eres�accrued a�the date of death.
3. Enter Ihe percentage of the account ihat is taxable to you.
a Firet,determine the percentage owned by the deceden�.
i Accounts that are heltl "in tms�for"another or others were 100%ownetl by the decedent.
ii. Forjoint accounts established more than one year prior to Ihe date ot death,�he percentage t�able is 100%divided
by the�otal number of owners inclutling the decedent (For example:2 owners=50%,3 owners=33.33%,4 owners
=25%, etc.)
b. Nex�, divide the tlecetlen�'s percen�age owned by the number of surviving owners or beneticiaries.
4. The amount subject to tax is tletermined by multiplying the account balance by the percent taxable.
5. Enter Ihe to�al o�any tlebts and tletluctions claimetl from Part 2.
6. The amount taxable is determinetl by subhacting the debts and deductions�rom the amount subject to taz.
7. Enter the appropriate tax rate from S�ep 1 based on your relationshi
If indicating a different tax ra�e, please state P�o the tlecetlent.
your relationship to the tlecetlenC �p� U������
�. Date Established � PA bep�men�� � Y
2. Account Balance �e��� �^`��-" �
z S PAD r s � „r,.
3. PercentTaxable �"`.„�, ���
3 X �
4. Amoun�Subject to Tax q $ 2 `
5. Debts and Deduc�ions 3 � fr r . x�""���
5 4
6. Amount Taxable g g
7. Tat Ra(e 7 X S
8. Tav Due B $ 7
9. With 5%Discount(Tax x .g5) 9 X $
SteF1 2: Sign and date below. ReNrn TWO completetl and signed copies to�the Register of Wills listetl on the front ot this form ��
along with a check for any payment you are making. Checks must be made payable to"Register of Wills,AgenL' Do nof send
payment directly to the Department of Revenue.
Under penalty of perjury, I declare ihat the facts I have reported above are tme,correci and complete to the best o/my knowletlge and
belief.
�� // /1 / Work
N��j( �S �,C��
Taxpayer Signature Home 7 i --r'jU3 � a�/t/�
Telephone Number Date 6
IF YOU NEED FURTHER ASSISTANCE, CONTACT PENNSYLVANIA DEPqRTMENT O R VENUE
DISTRICT OFFICE, OR THE INHERITANCE TAX DIVISION AT 717-7g7_832� SERVICES FOR
TAXPAYERS WITH SPECIAL HEARING AND/OR SPEAKING NEEDS ONLY: 1-gpp-qq7_3020
JOHN F. LYONS
ATTORNEY AT LAW
��p Walnut Street
Harrisburg, PA 17�o�
TelePhone'. p17)238-4777
Faz'. (717)238-4793 a
o u� % m
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June 11, 2015 � � - � �-� �. _'�
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Cumberland County Cu�rthouse
Attn� Reaister of Wills
One CoJ°Use Square
Carlisle, PA 17013
Re: Estate of Luella E. Braund
File No. 21-15-0439
Dear Ms. Grayson:
Enclosed please find the following:
�, 3 Pa Department of Revenue Inheritance Tax forms reporting the payment
of inheritance tax due on decedenYs interest in an account owned with Debra
Kaleita;
2. Pa Department of Revenue forms for the repoRing payment of inheritance
tax on decedenYs interest in a joint account owned with Georgianna Braund; and
3, Check in the amount of $18,849.58 payable to the Register of Wills, Agent,
for payment of the Inheritance taxes due on the joint account and prepayment of
the estimated taxes owed by the Estate.
Please docket the Pa Inher�ents toameoin then nclosed stalmped seH addressed
each and a receipt for the tax pay
envelope.
June11, 2015
Page Two
Should you require any further information, please do not hesitate to contact me.
Very truly yours,
Jo F. L
JFL(Ik `
Enclosures
cc: Debra K. Kaleita, Co-Executrix
Georgianna Braund, Co-Executrix
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