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1 !
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
>"'.. AND
~TAXrp.. ,'Avea:';,-R-ESPONS E
"'. '...: , ., "'."_ 1
FILE
ACN
DATE
NO.2
o
o
05o~
124465
-02-2005
REV-1545 EX iFP 109-001
DANIEL W MULL
201 BIRCH LN
CARLISLE PA 17013
TYP OF ACCOUNT
-E~T F'Op-"JOv.cE L MULL 0 SAVINGS
s.s~ 'NO: J I 176-34-9052 [X] CHECKING
- :-:-I)ATE OF DEATH 03-13-2005 0 TRUST
COUNTY, CUMBERLAND 0 CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SOVEREIGN BANK has p..ovided the Depa..tment with the info..mation listed below which has been used' in
calculating the potential tax due. Thei.. ..eco..ds indicate that at the death of the above decedent, you we..e a joint owne../~eneficia..y of
this account. If you feel this info..mation is inco....ect, please obtain w..itten co....ection f..om the financial institution, attach a COPy
to this fo..m and ..etu..n it to the above add..ess. This account is taxable in acco..dance with the Inhe..itance Tax Laws of t~e Commonwealth
of Pe~n~ylvanic. Qucsticns may be ensw2red by :311ir.g (717) 787-9327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0771026935 Date 10-27-1990 To insu..e p..ope.. c..edit to you.. acC:Ount, two
Established (2) copies of this notice must acco!npany you..
payment to the Registe.. of Wills. Maka chack
payable to: "Ragister of Wills, Agent".
Account Balance
Parcent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
4,592.21
50.000
2,296.11
.15
344.42
TAXPAYER RESPONSE
NOTE: If tax payments a..e made wit~in th..ee
(3) months of the decedent.s date of death,
yoU may deduct a 57. discount of theltax due.
Any inhe..itance tax due will becomeldelinqUent
nine (9) months after the date of death.
Tax
x
PART
m
[CHECK ]
ONE
BLOCK
ONLY
A. c=J The above information and tax due is cor..ect.
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 "An and ..etu..n this notice to the Reg.ster of
Wills and an official assessment will be issued by the PA Department of Revenue.
B. c=J The above asset has been 0.. will be ..epo..ted and tax paid with the PennSYlvania Inheritance lax retu..n
to be filed by the decedent's ..ep..esentative.
C.~The above information is incor..ect and/o.. debts and deductions were paid by you.
~YoU must complete PART ~ and/o.. PART ~ below.
If you indicate a different tax rate, please state your
relationship to decedent:
PART
[!]
TAX RETURN - COMPUTATION OF TAX ~ ~..?/TRUST ACCOUNTS
LINE 1. Data Established 1 / ~ '/9' 90
2. Account Balance 2 0..s- Y.:2... ..:l. /
3. Percent Taxable 3 X ~
4. Amount Subject to Tax 4 ~ 94 / J
5. Debts and Deductions 5 - ") '? ~ 7 ,0&
6. Amount Taxable 6 -~
7. Tax Rate 7 X ~~
8. Tax Due 8 ~
PART
I!J
DATE PAID
PAYEE
DESCRIPTION
AMOUINT
TOTAL (Enter on Line 5 of Tax Computation) $
Under penalties of perjury, I declare that the facts I are true, correct Iland
complete to the best of my knowledge and belief.
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with applicable interest based on information
submitted by the financial institution.
Z. 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 nin 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 nxn
in block nA" of Part 1 of the nTaxpayer Responsen 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.
Z. 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 nTaxpayer Response" section. Sign one
copy and return to the PA Department of Revenue, Bureau of Individual Taxes, Oept Z8060l, Harrisburg, PA l71Z8-060l in the
envelope provided.
3. BLOCK C _ If the notice information is incorrect and/or deductions are being claimed, check block ncn and complete Parts Z 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.
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
1. Enter
NOTE:
the date the account originallY was established or titled in the manner existing at date of death.
For a decedent dying after lZ/lZ/8Z: 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.
Z. 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 Z (SURVIVORS) = .167 X 100
16.77. (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 Z (SURVIVORS) = .50 X 100 507. (TAXABLE FOR EACH SURVIVOR)
4. The amount subject to tax (line 4) is determined by multiplying the account balance (line Z) 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 07..
The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Childrenn includes natural children
whether or not they have been adopted by others, adopted children and step children. nLineal 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. "Siblingsn are defined as individuals who have at least one parent in common with the decedent, whether by blood
or adoption. The "Collateraln class of heirs includes all other beneficiaries.
Date of Death Spouse Lineal Sibling Collateral
07101194 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%. 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 l/zn x II". Proof of
payment may be requested by the PA Department of Revenue.