HomeMy WebLinkAbout06-21-05 (2)
- -
COMMONWEALTH OF PENNSYLVANIA '*
DEPARTMENT OF REVENUE INFORMATION NOTICE FILE NO. 21 oes- - ~
BUREAU OF INDIVIDUAL TAXES AND
DEPT. 280601 ACN 05116497
HARRISBURG, PA 17128-0601 TAXPAYER RESPONSE
DATE 05-27-2005
REV-1545 EX lFP [09-001
TYPE OF ACCOUNT
EST. OF HARRY M LEREW o SAVINGS
~J"S i: Ii~ 195-07-6386 o CHECKING
DATE d DEATH 01-20-2005 o TRUST
COUNTY CUMBERLAND IXl CERTIF,
t: REHIT PAYHENT AND FORHS TO:
MARY LERE~,' REGISTER OF WILLS
331 EVERGREEN ST CUMBERLAND CO COURT HOUSE
NEW CUMBERLAND ~J 17070 CARLISLE. PA 17013
WAY POINT BANK
calculating the potential tax dl B. it",'
this account. If you feel this j nf "m,'
to this forll and return it to tl B JIl',
Clf PAnnsylvania.. Questions lIay be an'
COMPLETE PART 1 BtL",IW
Account No, 710009111 I~r
Account Balance
Percent Taxable
Amount Subject to Tal
Tax Rate
Potential Tax Due
PART
[!]
-.,
t"
_II
A. 0 n .1
1- {
a
W
B. [ TI a
tc be
C. [ TI I ,
YI I n
[CHECK ]
ONE
BLOCK
ONLY
has provided the Departllent with the inforMation listed below which has been used in
. records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
ion is incorrect, please obtain written correction from the financial institution, attach a COpy
address. This account is taxable in accordance with the Inheritance Tax Laws of the COllmonwealth
.red by calling (717) 787-8327.
f . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Date 04-11-2003
Established
x
21.035.53
16.667
3.505.99
.00
.00
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accollpany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent'..
x
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you lIay deduct a 5% discount of the tax due.
Any inheritance tax due will becolle delinquent
nine (9) months after the date of death.
.e inforllation and tax due is correct.
may choose to reMit paYMent to the Register of Wills with two copies of this notice to obtain
iscount or avoid interest, or you lIay check box "A" and return this notice to the Register of
Is and an official assessMent will be issued by the PA DepartMent of Revenue.
ve asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
iled by the decedent's representative.
,ve inforMation is incorrect and/or debts and deductions were paid by you.
;t complete PART 0 and/or PART 0 below.
If you indicate';- i.1 erent tax rate. please state your
relationship to Ie Be Int:
TAX ON JOINT/TRUST ACCOUNTS
PART
~
TAX RETURN - COHPU11,1 :0
LINE 1. Date Establishec
2. Account Balance
3. Percent Taxable
4. Amount Subject
S. Debts and Deduc l IS
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
[!]
DATE
PAID
Under ,~al til ;f
complete to( Ze be. t I .f
/7;, ()A A
TAXPAYER SIGNATUf~
\J
,...l _ ou,
il
OF
1
2
3
4
S
6
7
8
x
x
-4
I
DEBTS AND DEDUCTIONS CLAIMED
A ~E
DESCRIPTION
AMOUNT PAID
\
$
I
TOTAL (Enter on Line S of Tax Computation)
erjury. I declare that the
y ~=d belief,
facts I have reported above are true. correct and
HOME (7/7 ) 774- (, (;.1 S
WORK ( )
TELEPHONE NUMBER
r.;,- / Y - ".'J'
DATE
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with applicable interest based on infomation
subllitted 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 nalle was added as a lIatter 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 inforllation and computation in the notice are correct and deductions are not being clailled, 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 allount 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 Departllent 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 clailled, check block "C" and complete Parts 2 and 3
according to the instructions below. Sign two copies and subllit 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 (Forll REV-1548 EX) upon receipt
of the return froll 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 lIanner existing at date of death.
For a decedent dying after 12/12/82: Accounts which the decedent put in joint nalles 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 nalle in the address portion of this notice, the $3,000 exclusion
already has been deducted froll 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
Exallple: 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 Il1posed on the net value of transfers from a deceased ChIld 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 cOllmon with the decedent, whether by blood
or adoption. The "Collateral" class of heirs includes all other beneficiaries.
Date of Death Spouse Lineal Sibling Collateral
07101/94 to 12/31/94 3% 6% 15% 15%
01/01/95 to 06/30/00 0% 6% 15% 15%
07101/00 to present 0% 4,5%11 12% 15%
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 paYllent.
C. Debts being claimed must be itemized fUlly in Part 3. If additional space is needed, use plain paper 8 l/Z" x II". Proof of
payment may be requested by the PA Department of Revenue.
""0'lriI_
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU DF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 171Z8-0601
'*
INFORMATXON NOTXCE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 0 5 SI.o ~
05116499
05-27-2005
REY-1545 EX lFP {o9-001
TYPE OF
ACCOUNT
o SAVINGS
o CHECKING
o TRUST
IXl CERTIF .
.~ J"
E~T;.. . QF1 rARRY M LEREW
sl,g,l'Rd, 195-07-6386
DATE OF DEATH 01-20-2005
COUNTY CUMBERLAND
REHIT PAYMENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
MARY F" LEREW
331 EVERGREEN ST
NEW CUMBERLAND PA 17070
WAY POINT BANK has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a COpy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Comllonwealth
o~ pennsylvania. Questions lIay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No, 9600013811 Date 06-24-2003
Established
x
52.182,62
16.667
8.697.28
.00
.00
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accollpanY your
payment to the Register of WillS. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax paYllents are made within three
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
~ The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
[:] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed bY the decedent's representative.
[:] The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART 0 and/or PART 0 below.
x
If you indicate a different tax rate. please state your
relationship to decedent:
Pt.Rl
~
TAX RETURN - COMPUTATION
LINE 1. Date Established
2, Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5, Debts and Deductions
6, Amount Taxable
7, Tax Rate
8. Tax Due
TAX ON JOINT/TRUST ACCOUNTS
OF
1
2
3
4
5
6
7
8
x
DEBTS AND DEDUCTIONS CLAIMED
PART
[!]
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
perjury. I declare that the facts I
knowledge and belief.
$
have reported above are true. correct and
HOME (717) 77'-1 - (. c 15
WORK ( )
TELEPHONE NUMBER
c;lt(oe;
DAT
\r
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 subllit them with your check for the amount of
tax to the Register of Wills of the county indicated. The PA Departllent 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 "8" of Part 1 of the "Taxpayer Response" section. Sign one
copy and return to the PA Departllent of Revenue, Bureau of Individual Taxes, Dept 280601, Harrisburg, PA 17128-0601 in the
envelope provided.
3. BLOCK C - If the notice inforllation is incorrect and/or deductions are being clailled, check block "C" and cOllplete Parts 2 and 3
according to the instructions below. Sign two copies and subllit 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 assessllent (Forll 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 lIanner 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 1I0re than one year prior to the decedent's death:
1 DIVIDED BY TOTAL NUMBER OF DIVIDED 8Y TOTAL NUMBER OF X 100 PERCENT TAXABLE
JOINT OWNERS SURVIVING JOINT OWNERS
Exallple: A joint asset registered in the name of the decedent and two other persons.
1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY Z (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 nalle 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 deterllined 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 deterllined 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 Imposed on the net value of transfers froll a deceased ChIld 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 12/31/94 3% 6% 15% 15%
01/01/95 to 06/30/00 0% 6% 15% 15%
07/01/00 to present 0% 4.5%11 12% 15%
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 itells.
B. You actually paid the debts after death of the decedent and can furnish proof of payment.
C, Debts being claimed lIust be itellized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x II". Proof of
paYllent lIay be requested by the PA Departllent of Revenue.
-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'*
INFORMATION NOTICE
.- ... AND
TAXPAYER RESPONSE
FILE NO. 21 05
05117915
05-31-2005
5lo.::)
ACN
DATE
REV-1545 EX AFP 109-00' I
.....1
tsi,i OF HARRY M LEREW
5.S. NO, 195-07-6386
DATE OF DEATH 01-20-2005
qOUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
o CHECKING
o TRUST
IXl CERTIF.
,.,... f
REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
MARY E. LEREW
331 EVERGREEN ST
NEW CUMBERLAND PA 17070
WAYPOINT BANK has provided the Department with the infomation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this inforllation is incorrect, please obtain written correction from the financial institution, attach a COpy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth
!If Penn"ylv.."i... Q"..s+io"" .."y h.. answRrAd bv calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 768237422 Date 03-01-1993
Established
x
100.204,58
16,667
16.701.10
,00
.00
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice IIUSt accompany your
payment to the Register of Wills. Make check
payable to: "Register of WillS, Agent".
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax payments are made within three
(3) months of the decedent's date of death,
you may deduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
EQ The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you lIay check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
[] The above information is incorrect and/or debts and deductions were paid by you.
You IIUSt complete PART 0 and/or PART 0 below.
LINE
1. DatA EstablishAd
2, Account Balance
3. Percent Taxable
4, Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8.
x
PART
~
TAX RETURN - COMPUTATION
If you indicate a different tax rate. please state your
relationship to decedent:
TAX ON JOINT/TRUST ACCOUNTS
Tax Due
OF
1
2
3
4
5
6
7
8
x
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
$
TOTAL (Enter on Line 5 of Tax Computation)
of perjury. I declare that the facts I have reported above are true. cor~ct and
my knowledge and belief. HOME (7/7) 7 7 ~-? c., I .5
WORK ( )
TElEPHONE NUMBER
? /1[10 .t;'
DATE
0'
.
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 1I0nths after the decedent's date of death.
3. A joint account is taxable even though the decedent's name was added as a lIatter 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 8 - 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 Z and 3
according to the instructions below. Sign two copies and subllit 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 (Forll 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 individualCs) (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 deterllined below.
MThe tax rate Il1posed on the net value of transfers from a deceased ChIld 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 12/31/94 3% 6% 15% 1.5%
01/01/95 to 06/30/00 0% 6% 15% 15%
07/01/00 to present 0% 4.5%11 12% 15%
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.