The URL can be used to link to this page

Home My WebLink About09-01-05 ,Jj 1; I P;1 I: 05 -",. ~ . ./ i . (- - T PlI II \ :.1 : ,,":~ ~ m p o tI: 8 mE3 M P:;HO ..-I ~HUOO ~H mr-- ~O ..-I U~ fxlfxl m.a:: OQpP! ~P:;~@~ Z~~8....:1 ~8P:;P:;m ....:Im~PH C)H~O....:l ~~8~5 i ro .~ ;;.. en ~ V ..... en ><: ~ ~~~ 9 '" s:: ___ 00 ,..... v ro N (;..., ;;.. =' ..... OV--o t--- ~ ez:::'>.-. ..... (;..., .- 0 -" cao"Q\O,::;'< v.........o...... ~ s::::: 00 OIl s:: Cl) 0 N ;... 05=,><:] 5 ~ ro ~ .~ ~fr~o~ UClC:Oo..::r: - - - - - - - fr) ...., o f'o. ~.1 !,';t 00::." ."~ III [i Cj .1' '..t.. l.;i \...... . ~ ~ . '. \.\ . '.. \ \ \ \ ~ '\ ; \ : \ Ii \ 1 I _ r;:: ('r:-") - 1 , , :: 05 1ST ~! .". ~<.~'~._ ~;~ J~ :.." Z co' 0- ""~ .(' 'i ~.~~ UJta ='z ~ z i .... 0 =. UJ,,",,_ Gi~~ ~ o:='~ .... u.oo t: O~~ f "'0..- ffi~UJ....~ :&u.U$=, ~O~ilD ct='t:N~ fb~ffi\i~ O~::CUJ::c 4""zo ~-- i ~ ~ III ~ o i:: C o 'i ! 4 == -= - -= - - - - -: - - - - - - - - - -= - - -= - -= - - -= - - ~ - - l!@ 00 .:rz mr- 0-< ~c: of<< 0;:-1 r-X 0- o(/) ;7\~ .1:1I ~ ~5 =:{;N -- '1l ~ 6 ;bi c: ~ ~ c: o o 2 ~ i '" ~ ih ~ ~ t- O ;g :;j ~ c: > iR f i5 ~ > l ~ ~ '-I ." ..: w 0 ~ ... ... .... G) -' 4: .5 ::l Q G) :> :I 0 c: G) ~ > G) .... 0::: 0 .... ::l 0 4: - w c: "" G) ::l OIl E 1: 0 c.. G) 0 G) .c - 4: Z 4: ?;w >::l ."z zw i~~ ........ 00 . ,:E:z ~w 4:~ w.... ~"" z:' oW ~Q ~ o u >- ..a -0 G) > 'ij u G) ... G) ... G) )~ on -U)e '-'::>> .cro ~ ~p ~,:8: :!O-: c: ...... G)O E. Ei a 0 .0, c: -00 0; _ c: ~;; )i~8 ...c:u u 0 .. -g UI .. en = -0 ; :> .!: u ;> .... 0 .... ... o 'j c.. ... G) G) :I..a 1;; ~ >- '0, -0 0 ~ G) E III _ ... ...2 ex o U G) G) c: .c o WI- M ~ e. 'l) 'l) )( ... c ... ::>> o >- c: o ... o G) c.. c.. o - III :I E -0 G) '" o U c: G) III .:!It U G) .c U >- c: o o - -0 G) .c ,,<> U r~3 ~ ;~.~ o G) c.. ...21 G) >- c: G) \J c: . o -, UI - ,'-; to- r-, ~U:i ~ ~ c( ~ t- en o a. G) ...c:.; I-c.. .. -Q; 9i ~ cO:: Zo i:Q UI~ ~O >:. ""'i ... G) U c: Vi c: o 'Ii; 't; :~ :CO u)(c; ...ON >-1- ..0 .c G) I c..u....... "'C:CIO :10....... ~.'!: c:~" ...c:.c.... oc:....... "-\ - - :I o >- .:!It c: o .c I- , I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 17128-0601 NO. 21 05 078'Y 05136596 08-05-2005 TVPE' OF ACCOUNT -! P;'i Esfl.5oF ROSALIE V ElLIOTT [i] SAVINGS S.S. NO. 163-32-0700 o CHECKING DATE OF DEATH 05-08-2005 0 TRUST COUNTY CUMBERLAND I 0 CERTIF. REMIT PAYMENT AND FO*MS TO: REGISTER OF WILLS CUMBERLAND CO COURT H USE CARLISLE, PA 17013 INFORMATION NOTICE _,._~,,_,- r,,' AND :::t-AXPAYER RESPONSE FILE ACN DATE 1'17" r KEVIN L GOSHORN 6319 BASEHORE RD MECHANICSBURG PA 17055 MEMBERS 1ST FCU has provided the Department with the information listed below which has been used .n 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 P~~n~Jlvyniaw Qu~~t!cr.s rn~y bo gnsw~r~d by c?l!in~ (7171 7!7-8~27 COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTI~NS Account No. 165514-00 Date 01-31-1997 Established x 438.55 50.000 219.28 .15 32.89 TAXPAYER RESPONSE To insure proper credit to your acco nt, two (Z) copies of this notice must accom any your payment to the Register of Wills. M ke check payable to: "Register of Wills, Agen ". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x Tax NOTE: If tax payments are made with n three (3) months of the decedent.s date of death, you may deduct a 5% discount of the ax due. Any inheritance tax due will become elinquent nine (9) months after the date of de tho 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 t obtain a discount or avoid interest, or you may check box "A" and return this notice to the Regi ter of Wills and an official assessment will be issued by the PA Department of Revenue. I [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance T~x 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. ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate, please state your relationship to decedent: PART @J TAX RETURN - COMPUTATION LINE 1. Date Establis~ed 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 1_ 2 3 X 4 5 6 7 X 8 PART ~ DATE PAID PAYEE DESCRIPTION AMOU~T PAID I TOTAL (Enter on Line 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts I have reported above are true, correct c nd _rr~tvo (mest G~kWt7J1 i"vbelief. TAXPAYER SIGNATURE HOME ( WORK ( TElEPHONE ) ) NUMBER I ~ - 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 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 allount 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 "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. 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 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 nalle in the address portion of this notice, the $3,000 exclusiQn 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. 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 3 (JOINT OWNERS) DIVIDED BY 2 (SURVIVORS) = .167 X 100 16.7% (TAXABLE FOR EACH SURVIVOR) 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 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 "Collateral1'l class of heirs includes all other beneficiaries. Date of Death Spouse Lineal Sibling Collateral 07101194 to 12131/94 3% bh IS/: IS/: 01/01/95 to Ob/30/00 OY. bY. 15% 15X 07101/00 to present OX 4.5Xlt 12Y. 15X 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 tb 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 11". 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 \ I REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERIT ANCE AND ESTATE TAX OFFICIAL RECEIPT GOSHORN KEVIN L 6319 BASEHORE RD MECHANICSBURG, PA 17055 n______ fold ESTATE INFORMATION: SSN: 163-32-0700 FILE NUMBER: 2105-0784 DECEDENT NAME: ELLIOTT ROSALIE V DATE OF PAYMENT: 09/01/2005 POSTMARK DATE: 08/30/2005 COUNTY: CUMBERLAND DATE OF DEATH: 05/08/2005 NO. CD 005748 ACN ASSESSMENT CONTROL NUMBER I I AMOU~T I I I -------- 05136596 I $32.~ 9 I I I I I I I I I I i I I II I I $32.8\9 i I I I I I I I I I I I \ I I TOTAL AMOUNT PAID: REMARKS: CHECK#126 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS