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Home My WebLink About08-04-15 (3) . :_ a�RE^� �� "'��'•� '°'Fs Pennsylvania lnheritance Tax �� pennsylvania �0 BOX �911fi01 pEPAPTMENTOFREVENIIE RRISlYRG PA ll100�0601 Information Notice And Taxpayer Response "�-"�,""�"'�``�• ", RLE NO.2i i a-osss ACN 15138600 DATE 07-16-2075 Type af Account Es[ate of SALVATORE J VALVO Savings Checking Date of Dea�h OB-30-2014 Tmst RANDOLPH P VALVO CountyCUMBERLAND Certitica�e 212 ALLENOALE WAY CAMP HILL PA 170L1-8402 � � a a � � � � � a c_ o T Y n +n rn Z1 i � "_ -- - L :-i rn 7 ' ' , O �= � T SANTANOER BANK provided the department with the information below indicating that at tFe de"�a h otJh� above-named decedent you were a joint owner or beneficiary oi the account identified;� � �— m S V� � Remit Payment antl Forms to: '-' p -n AccountNo.574403085 Oate Establishetl 12-20-2007 REGISTER OF WILLS Accowt Balance $q21.51 1 COURTHOUSE SOUARE PercentTaxable X50 CARLISLE PA t7013 Amoun[Sublecl ro Tax $210.76 Tax Fate X 0.150 Potential Tax Due $31.61 NOTE': If�ax payments are made within three months of Ihe decedenYs date of death. deduct a 5 percent discounl on ihe tax Wi�h 5%Discoun� (Tax x 0.95) $(see NOTE') due. Any inheri�ance tax due will become delinquent nine months after�he da�e o�death. PART St2p 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 ot death. Proceed to Step 2 on reverse. Oo not check any othe�6oxes and disregard the amount shown above as Potential Tax Due. g ❑The information is The above information is correcl, 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. � �The tax rete is incorrect. � 4.5% I am a lineal beneficiary(parent, child.grandchild, etc.) oi the deceased. (Selectcorrec�tax ra�e at right, and complete Part � 7 p o I am a sibling ot Ihe deceased. 3 on reverse.) � 15% All other relatlonshlps(including none). p �Changes or deduc[ions The intormation above is incorrec[andior debts and deductions were paid. listed. Complete Part 2 and part 3 as appropriate on the back ol this lorm. E �Asset will be repohed on The above-identified asset has been or will be reported and tax paitl 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 ofher boxes. � �Please sign and date the back ot the form when finished. PART Debts and Deductions 2 Allowable deb�s and deductions mus�mee�both of Ihe following criteria: A The tlecedent was legally responsible for payment,and ihe estate is insufficient to pay the deductible items. B. Vou paid ihe debis after the death of the decetlent and can furnish pmof of payment it requesled by the department. Qf adtlitional space is required.. you may a�tach 8 1/2"x 11"sheets of paper.) Date Paid Payee Description Amount Paid To�al (Enter on Line 5 of Tax Calculation) $ PART Tax Calculation 3 H ou are makin a correction to ihe establishment tlate Line 1 account balance l.ine 2 , or Y 9 ( ) ( ) percen�taxable(L+ne 3), please obtain a written correction from the tinancial ins�itution and atlach it to this tortn. t Enter the date[he account was established or[itled as it existed at the date of death. 2 Enter the total balance of the account indutling any interest accrued at the date oi death. 3 Enter�he percentage ofthe accounithatis taxable to you. a. First,determine the percentage owned by the decedent. i. Accounts�ha�are held "in tms�for"another or o�hers were 100%owned by�he tlecedent. ii. Porjoint accounts established more ihan one year prior to Ihe tlate of death, Ihe percen[age taxahle is 100%divided by ihe total number of owners induding ihe tlecedent. (For example:2 owners=50%.3 owners=33.33%, 4 owners = 25%, etcJ b. Next,divide ihe decedenPs percentage owned by the number of surviving owners or beneficiaries. 4. The amount subject to tax is determined by multiplying Ihe accoun[balance by the percent taxable. 5. Enter�he total of any debts and deduc[ions claimed from Part 2. 6. The amount taxable is determined by sub�rac�ing the tlebts and deductions irom the amount subject ta tax. 7. Enter�he appmpriate�ax rate from Step 1 based on your relationship to the deceden[. If indicating a differen�tax rate.please sta�e �(fICIdI.�JSB 0ll�Y ❑ApF � � your rela�ionship�o the decedenC PA Depaifffl0nt Of REYCtIUB 1. Date Es�ablished 1 . 2 Account Balance 2 $ PA� . 3. Percen�Taxable 3 X � �� 4. Amount Subject lo Tax 4 $ Z . , � . . 3 5. Deb�s and Deductions 5 - q 6. Amoun[Taxable 6 S 5 7. Tax Rate 7 X 6�` � e. Tax Due 8 $ � 8 9. Wlth 5% Discount (Tax x .96) 9 X . .StEP 2: Sign and da�e below. ReWm TVJO completed and signed copies to the Register of Wills listed on the front of ihis form, along with a check for any payment you are making. Checks must be made payable to"Register of Wills,AgenC' Do not send paymen[directly to the Depanment of Revenue. Under penalry of perjury, I declare tha�Ihe facis I have reported above are ime,wrrec[and complete to the bes�of my knowledge and belief. �/��j7 Work .� 1/CL Home ��/f 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