The URL can be used to link to this page

Home My WebLink About07-05-05 : I \\ \ \ ~ ~-;, \..i . -::: -; =; -:. -; ,-, ~ ~ \ " -.) ~ ~ ~ 1 ,/ ~ (,J r- ,~ .~ ~1 ~ ~ q-- \ <:::::'\' ~. ~~ ~ ,~ 1j' '-? . '0 ~ .~ i~ ~~) <::\J ~~ $ ~ ~ ~~t;E %'a.ot;: o..~g~ :'6~:1 Ul t)(" :r~ <!. .....- :c:'::iC'lo.. ~ %\ -:. :. ~ -::. -::: -:. - -; -::;. .. ~ -::: -:. .. - ,'\ \~, ';:t '::\' \ (".' ...., ''', '... f" ....\ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 * INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 05 - OEFl(p 05128242 06-13-2005 REV-154S EX AFP (09-00) EST. OF TEDDY AUGUSTYN S.S. NO. 129-07-7909 DATE OF DEATH 03-18-2005 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS IX] CHECKING D TRUST D CERTIF. STELLA J PLACZEK 2100 BENK CREEK BLVD MECHANICSBURG PA 17050-1835 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 SUSQUEHANNA BANK PA 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 Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1046504906 Date 07 -13-1998 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 17,822.33 16.667 2,970.45 .15 445.57 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany 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 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 ~ and/or PART ~ below. TAX ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate, please state your relationship to decedent: PART [3J 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 OF 1 2 3 4 5 6 7 8 x x PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line 5 of Tax Computation) I declare that the facts I dge and belief. I $ and .-' ~~ DATE GENERAL INFORMATION 1. FAILURE TO RESPOND WIll RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information submitted by the financial institution. 2. Inheritance taK becomes delinquent nine months after the decedent's date of death. 3. A joint account is taKable even though the decedent's name was added as a matter of convenienca. 4. Accounts (including those held between husband and wife) which the decedent put in joint names within one year prior to death are fully taKable as transfers. 5. Accounts established jointly between husband and wife more than one year prior to death are not taKable. 6. Accounts held by a decedent "in trust for" another or others are taKable fUlly. REPORTING INSTRUCTIONS - PART 1 - TAXPAVER 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 "TaKpayer Response" section. Sign two copies and submit them with your check for the amount of taK 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 taK paid with the Pennsylvania Inheritance TaK Return filed by the decedent's representative, place an "x" in block "B" of Part 1 of the "TaKpayer Response" section. Sign one CUpy and return to the PA Department of Revenue, Bureau of Individual TaKes, Dept 280601, Harrisburg, PA 17128-0601 in the e'lvelope 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 taK 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. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter NOTE: the date the account originally was established or titled in the manner eKisting 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 taKable fUlly as transfers. However, there is an eKclusion not to eKceed $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 eKclusion 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 taKable for each survivor is determined as follows: A. The percent taKable 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 EKample: 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 taKable 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 EKampIe: 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 taK (line 4) is determined by multiplying the account balance (line Z) by the percent taKable (line 3). 5. Enter the total of the debts and deductions listed in Part 3. 6. The amount taKable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to taK (line 4). 7. Enter the appropriate taK rate (line 7) as determined below. MThe taK rate Imposed 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 Spousa lineal Sibling Collateral 07101/94 to 12131/94 370 670 1570 1570 01101/95 to 06/30/00 OX 670 1570 1570 07101/00 to present OX 4.570. 1270 1570 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 l/Z" K II". Proof of payment may be requested by the PA Department of Revenue. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EXI11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005522 PLACZEK STELLA J 2100 BENK CREEK BLVD MECHANICSBURG, PA 17050-1835 ACN ASSESSMENT CONTROL NUMBER AMOUNT n______ fold 05128242 $445.57 ESTATE INFORMATION: SSN: 129-07-7909 FILE NUMBER: 2105-0596 DECEDENT NAME: AUGUSTYN TEDDY DA TE OF PAYMENT: 07/05/2005 POSTMARK DATE: 06/30/2005 COUNTY: CUMBERLAND DATE OF DEATH: 03/18/2005 TOTAL AMOUNT PAID: $445.57 REMARKS: CHECK# 651 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS