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HomeMy WebLinkAbout06-17-05 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION N TICE AND TAXPAYER RESP NSE FILE ACN DATE NO. 21 05- 05L{~ 05119275 05-31-2005 REV.1545 EX AFP <09-00> EST. OF DOR THY A FAESEL S.S. NO. 201-18-3014 DATE OF DEA H 02-04-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT iii SAVINGS o CHECKING o TRUST o CERTIF . DENNIS W FAESEL 895 LEWISBERRY RD LEWISBERRY PA 17339 REHIT PAYHENT AND FORHS TO: EGISTER OF WILLS UMBER LAND CO COURT HOUSE ARLISLE, PA 17013 PNC BANK has provided the Department with the information Hsted below which has been used in calculating the potential tax due. Their records indicate that at the death of the above de edent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction f om the financial institution, attach a COpy to this form and return it to the above address. This account is taxable in accordance wit the Inheritance Tax Laws of the Commonwealth of Penr.syl~~nia~ Qu~sticns may ba answered by cal!ins (711) 787-8327, COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR Account No. 5002172925 Date 04-28-2000 Established IU) PAYMENT INSTRUCTIONS x 11,461.51 50.000 5,730.76 .045 257.88 TAXPAYER RESPONSE nsure proper credit to your account, two (2) copies of this notice must accompany your pay ent to the Register of Wills. Make check pay ble to: "Register of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due x NOT: If tax payments are made within three (3) months of the decedent's date of death, yo may deduct a 5% discount of the tax due. An inheritance tax due will become delinquent ni e (9) months after the date of death. PART ill [] The above information and tax due is correct. 1. You may choose to remit payment to the Register of Will with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" nd return this notice to the Register of Wills and an official assessment will be issued by the A Department of Revenue. [CHECK ] ONE BLOCK ONLY B. [] The above asset has been or will be reported and tax paid w'th the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. C. ~The above information is incorrect and/or debts and deduct" ns were paid by you. You must complete PART ~ and/or PART ~ below. PART If you indicate a different tax rate, please state your @] relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST LINE l- Oots Established 1 04/-i).8- ~,,()O 2. Account Balance 2 1'.4C,1.5"1 3. Percent Taxable 3 X ::5~ ' 0 0 4. Amount Subject to Tax 4 5,,30,7 " 5. Debts and Deductions 5 \I, ..., (~ I . 51 6. Amount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 -0- DEBTS AND {<oo.... ... -R190 t( 4-- Under penalties of perjury, I declare that the mplete to ~~~ my ~ledge and belief. ~~ I'?r~~ TAXPAYER SIGNATURE facts I $ TOTAL (Enter on Line 5 of Tax C mputationJ :r- HOME WORK TELEP rted above are true, '717 ) q J &'-:, il7 ) ONE NUMBER correct and o~8 a /1~2 oar- B'AT GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with applicable interest based on information submitted by the financial institution. 2. Inheritance tax becomes delinquent nine months after the decedent's date of death. 3. A joint account is taxable even though the decedent's name was added as a matter of convenience. 4. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taxable as transfers. 5. Accounts established jointly between husband and wife more than one year prior to death are not taxable. 6. Accounts held by a decedent "in trust for" another or others are taxable fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "x" in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and submit them with your check for the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. 2. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an "X" in block "B" of Part 1 of the "Taxpayer Response" section. Sign one copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-0601 in the envelope provided. 3. BLOCK C - If the notice information is incorrect andlor deductions are being claimed, check block "C" and complete Parts 2 and 3 according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. LINE 1. Enter NOTE: TAX RETURN - PART 2 - TAX COMPUTATION the date the account originally was established or titled in the manner existing at date of death. For a decedent dying after 12/12/82: Accounts which the decedent put in joint names within one (1) year of death are taxable fully as transfers. However, there is an exclusion not to exceed $3,000 per transferee regardless of the value of the account or the number of accounts held. If a double asterisk (MM) appears before your first name in the address portion of this notice, the $3,000 exclusion already has been deducted from the account balance as reported by the financial institution. 2. Enter the total balance of the account including interest accrued to the date of death. 3. The percent of the account that is taxable for each survivor is determined as follows: A. The percent taxable for joint assets established more than one year prior to the decedent's death: 1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUM8ER OF X 100 PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Example: A joint asset registered in the name of the decedent and two other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100 16.7% (TAXABLE FOR EACH SURVIVOR) B. The percent taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held in trust for another individual(s) (trust beneficiaries): DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES X 100 PERCENT TAXABLE Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by the decedent. 1 DIVIDED BY 2 (SURVIVORS) = .50 X 100 50% (TAXABLE FOR EACH SURVIVOR) 4. The amount subject to tax (line 4) is determined by mUltiplying the account balance (line 2) by the percent taxable (line 3). 5. Enter the total of the debts and deductions listed in Part 3. 6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount sUbject to tax (line 4). 7. Enter the appropriate tax rate (line 7) as determined below. MThe tax rate lmposed on the net value of transfers from a deceased Chlld twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0%. The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children whether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the natural parents and their descendents, whether or not they have been adopted by others, adopted descendents and their descendants and step-descendants. "Siblings" are defined as individuals who have at least one parent in common with the decedent, whether by blood or adoption. The "Collateral" class of heirs includes all other beneficiaries. Date of Death Spouse Lineal Sibling Collateral 07/0l/94 to l2/31/94 3% 6% l5% l5% 01/01/95 to 06/30/00 0% 6% l5% l5% 07/01/00 to present 0% 4.5%lE 12% l5% CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are determined as follows: A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. B. You actually paid the debts after death of the decedent and can furnish proof of payment. C. Debts being claimed must be itemized fUlly in Part 3. If additional space is needed, use plain paper 8 1/2" x II". Proof of payment may be requested by the PA Department of Revenue. , ... REV-1545 EX AFP <09-00) FILE ACN DATE NO.21 05 - 0 5l{~ 05119274 05-31-2005 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION N TICE AND TAXPAYER RESP NSE ,. EST, OF DOR THY A FAESEL S.S. NO. 201-18-3014 DATE OF DEA H 02-04-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVINGS iii CHECKING o TRUST o CERTIF . DENNIS W FAESEL 895 LEWISBERRY RD LEWISBERRY PA 17339 REHIT PAYHENT AND FORHS TO: EGISTER OF WILLS UMBER LAND CO COURT HOUSE ARLISLE, PA 17013 PNC BANK has provided the Department with the information I" sted below which has been used in calculating the potential tax due. Their records indicate that at the death of the above de edent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction om the financial institution, attach a COpy to this form and return it to the above address. This account is taxable in accordance wi the Inheritance Tax Laws of the Commonwealth of rennsylvani~. Quastions may be ensNared by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING Account No. 5003213338 Date 04-28-2000 Established ND PAYMENT INSTRUCTIONS x 2,065.88 50.000 1,032.94 .045 46.48 TAXPAYER RESPONSE To 'nsure proper credit to your account, two (2) copies of this notice must accompany your pa ent to the Register of Wills. Make check pa ble to: "Register of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x NO E: If tax payments are made within three (3 months of the decedent's date of death, yo may deduct a 5% discount of the tax due. An inheritance tax due will become delinquent ni e (9) months after the date of death. Tax PART ill PART @] DATE ~ [] The above information and tax due is correct. 1. You may choose to remit payment to the Register of Will with two copies of this notice to obtain a discount or avoid interest, or you may check box "A" nd return this notice to the Register of Wills and an official assessment will be issued by the A Department of Revenue. [CHECK ] ONE BLOCK ONLY B. [] The above asset has been or will be reported and tax paid ith the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. C. ~ The above information is incorrect and/or debts and deduct ons were paid by you. You must complete PART ~ and/or PART ~ below. PART @] TAX RETURN - COMPUTATION If you indicate a different tax rate, please state your relationship to decedent: LINE !. Data E;t&blished 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON 1 2 3 4 5 6 7 8 x JOINT/TRUST ACCOUNTS Dl( -).8- :1.000 ~, ()tJ,7' 02- Sb . ()O \,033,,S'{ ;)...,0(..7.D2 x -0- DEBTS AND Se~\f..~E: PAID $ 0' Under penalties omplete to the best ~~/7. SIGNATURE I declare that the facts I dge and belief. above are true, correct and )Q3<J-. OJ..~ ) NUMBER GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with applicable interest based on information submitted by the financial institution. 2. Inheritance tax becomes delinquent nine months after the decedent's date of death. 3. A joint account is taxable even though the decedent's name was added as a matter of convenience. 4. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taxable as transfers. 5. Accounts established jointly between husband and wife more than one year prior to death are not taxable. 6. Accounts held by a decedent "in trust for" another or others are taxable fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "x" in block "A" of Part 1 of the "Taxpayer Response" section. Sign two copies and submit them with your check for the amount of tax to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. 2. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an "X" in block "B" of Part 1 of the "Taxpayer Response" section. Sign one copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-0601 in the envelope provided. 3. BLOCK C - If the notice information is incorrect and/or deductions are being claimed, check block "c" and complete Parts 2 and 3 according to the instructions below. Sign two copies and submit them with your check for the amount of tax payable to the Register of Wills of the county indicated. The PA Department of Revenue will issue an official assessment (Form REV-1548 EX) upon receipt of the return from the Register of Wills. LINE 1. Enter NOTE: TAX RETURN - PART 2 - TAX COMPUTATION the date the account originally was established or titled in the manner existing at date of death. For a decedent dying after 12/12/82: Accounts which the decedent put in joint names within one (1) year of death are taxable fully as transfers. However, there is an exclusion not to exceed $3,000 per transferee regardless of the value of the account or the number of accounts held. If a double asterisk (MM) appears before your first name in the address portion of this notice, the $3,000 exclusion already has been deducted from the account balance as reported by the financial institution. 2. Enter the total balance of the account including interest accrued to the date of death. 3. The percent of the account that is taxable for each survivor is determined as follows: A. The percent taxable for joint assets established more than one year prior to the decedent's death: 1 DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT OWNERS Example: A joint asset registered in the name of the decedent and two other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100 16.7% (TAXABLE FOR EACH SURVIVOR) B. The percent taxable for assets created within one year of the decedent's death or accounts owned by the decedent but held in trust for another individual(s) (trust beneficiaries): 1 DIVIDED BY TOTAL NUMBER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES X 100 PERCENT TAXABLE Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by the decedent. 1 DIVIDED BY 2 (SURVIVORS) = .50 X 100 50% (TAXABLE FOR EACH SURVIVOR) 4. The amount subject to tax (line 4) is determined by multiplying the account balance (line 2) by the percent taxable (line 3). 5. Enter the total of the debts and deductions listed in Part 3. 6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line 4). 7. Enter the appropriate tax rate (line 7) as determined below. MThe tax rate lmposed on the net value of transfers from a deceased Chlld twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0%. The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children whether or not they have been adopted by others, adopted children and step children. "Lineal descendents" includes all children of the natural parents and their descendents, whether or not they have been adopted by others, adopted descendents and their descendants and step-descendants. "Siblings" are defined as individuals who have at least one parent in common with the decedent, whether by blood or adoption. The "Collateral" class of heirs includes all other beneficiaries. Date of Death Spouse Lineal Sibling Collateral 07/01/94 to l2/3l/94 3% 6% l5% l5% Ol/Ol/95 to 06/30/00 0% 6% l5% l5% 07/01/00 to present 0% 4.5%lE l2% l5% CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions are determined as follows: A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. B. You actually paid the debts after death of the decedent and can furnish proof of payment. C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x II". Proof of payment may be requested by the PA Department of Revenue. '.. EST. of Dorothy A. Faesel S.S. No. 201-18-3014 DATE PAID PAYEE DESCRIPTION AMOUNT PAID 3/07/2005 SUSQUEHANNA SURGEONS INSURANCE DEDU TIBLE 110.00 3/21/2005 PNC BANK SERVICE CHARGE 15.00 4/06/2005 CLAREMOUNT ROOM & BOARD 1,294.50 4/15/2005 ARLENE F AESEL TAX PREP 25.00 4/21/2005 PNC BANK SERVICE CHARG 15.00 5/21/2005 PNC BANK SERVICE CHARG 15.00 5/27/2005 BRAD F AESEL EXECUTORSHIP E 360.20 INTEREST 21.50