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HomeMy WebLinkAbout09-14-15 BUREAU OF INDIVIDUAL TAXES Penns Ivania Inheritance Tax '' ennS Lvania PO BOX 280601 y P Y HARRISBURG PA 17128-0601 Information Notice DEPARTMENT OF REVENUE -- REV-1543 EX DocE%EL (08-12) ' And Taxpayer Response FILE NO.2115-0166 ACN 15136907 RECORDED X11=I ICE DATE 07-07-2015 GISTE;" C ;'ILLS HIS SEP 1 �'Ostldt�0^19ONNA L SCHORR Type of Account Savings SSN Checking C L E R'� Date of Death 02-06-2015 X Trust JODI RINEER ORPF AV,' ("County CUMBERLAND Certificate 32 CHERISH DR CAMP HILL PA 17011-1025 CUMBER L,", METRO 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.537561995 Remit Payment and Forms to: Date Established 05-21-2007 REGISTER OF WILLS Account Balance $19,800.5 1 COURTHOUSE SQUARE Percent Taxable X100 CARLISLE PA 17013 Amount Subject to Tax $ 19,800.52 Tax Rate X 0.150 Potential Tax Due $ 0.1 0.08 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 I : 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. B El 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 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 F�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 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 (Line 3), y g ( ) ( ) percent taxable 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: (`�{�04{ _. PA Department of Revenue 1. Date Established 1 2. Account Balance 2 $ 7od&--7 3 PAD 3. Percent Taxable 3 X )00 1 4. Amount Subject to Tax 4 $ rI I? 1,3 2 3 5. Debts and Deductions 5 - 4 6. Amount Taxable 6 $ `70 3(o .33 5 7. Tax Rate 7 X7 S 8. Tax Due 8 $ 3/6 •d 7 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 �Id i Z Home . . 0 � T payer Signature Telephone Number D to 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 Ind. Taxes PO Box 280601 Harrisburg PA 17128-0601 To whom it may concern: The Metro Bank account balance of 19800.52 was incorrectly reported on the REV 1500 in the amount of 12773.79. The difference of 7026.73 is the correct amount to be assessed additional tax. Enclosed find the bank statement showing both the amount reported and the correct amount.As well as the Schedule E showing the account and the amount reported on the original return. The correct tax rate is 4.5%which calculates to additional tax of 316.20 Thank you, Jodi Rineer � rn G C>CO rtl j r w CJ �y ►_, r— rn { r" d ct� ETRO Metro Bank M3801 Paxton Street Harrisburg PA 17111-1418 1-888-937-0004 BANK mymetrobank.com 100 3 >02677 5005511 001 092140 DONNA L SCHORR 103 HAMPDEN AVE CAMP HILL PA 17011 We're here to assist you 7 days a week,365 days a yearl Call us Monday-Friday:6AM-Midnight Saturday.8AM-8PM,Sunday:10AM-8PM at 1-888-937-0004. PERS ULTRA MONEY MARKET 0537561995 Statement Balance as of 01/11/15 $21,450.52 Plus Deposits and Other Credits $0.00 Less 4 Checks and Other Debits $8,680.00. Plus Interest Paid $3.27 Statement Balance as of 02/11/15 $12,773.79 Transactions By Date Date Description Debit Credit Balance 01/12/15 CHECK#'244 _ $1,000.00 $2a•asu 5z 01/12/15 CHECK#243 $650.00 1_$�9 800.52 ,02109/15 CHECK#239 - - i _ $3,000.06 _16,800. 52 02/10/15 CHECK#238 - _ -$4,030.00 $1277052 PAYMENT .52 12f11M5 INTER ST Check Transactions Number Date Amount Number Date Amount Number Date Amount 238. 02110X4,030.00 239 02/09 $3,000.00 243', y y 01/Q2, $650.00, 244 01112 _ $1,000.00 --_ _- 0 S Items denoted with an"E"are electronic entries and will not have a check image. Items denoted with an""'indicate processed checks out of sequence. Interest Summary Number of Days in this Statement Period M f Interest Earned this Statement Period $3.27 Annual Percentage Yield Earned this Statement Period(APY) 0.20% o Interest Paid Year to Date $. 14 T.14 _ N La Fees Summary 8 Total Overdraft Fees this Statement Period $0.00 Total Overdraft Fees Year to Date $0.00 Total Returned Item Fees this Statement Period $0.00 Total Returned Item Fees Year to Date $0.00 For your convenience,a summary of overdraft and returned item fees appears on your monthly statement. Please note that the overdraft fee summary includes non-sufficient funds fees,uncollected funds fees and unavailable funds fees. The summary does not reflect refunded or waived items credited to your account. 11 Cycle Page 1 of 2 92140 ROLL 07/11 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENT Of:REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Include the proceeds of litigation and the date the proceeds were received by the estate. —TT—EM All property jointly owned with right of survivorship must be disclosed on Schedule F. VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 'Metro Bank Checking Acct.#513147835 3,854.30 2.( Metro Bank W Acct#537561995 12,773-7= 3. Metro Bank CD #30119 1,605.02 4. IRA Acct Metro Bank 12,841.53 5. IRA Acct M&T Bank 35-004201788790 and 35-004201830153 6,873.36 6. 2003 Toyota Rav4 6,315.00 7. Household Belongings-Hardees Auction 1,425.90 TOTAL(Also enter on Line 5, Recapitulation) $ 45,688.90 If more space is needed,use additional sheets of paper of the same size.