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Home My WebLink About10-04-05 './ ....; >- w :2 2r," , ' , . ~ --: f r'" :'"'" :18 r : ..... l., nr" ,"..' , ,) (" T - - - - - - - - - - - - - - - - - ,.~ ~ ,,/ 'lot, .~..,.J ,: :::J '~.~, rLI CJ) l:) o ::r: 8 CJ)!5 (\') ~HO ..-i rLIHU()lO ~~OCJ)~ ~ UrLI ~~ CJ)~ OQl:)~ ~~~grLI ZrLIH8H rLI8~~CJ) HCJ)rLIl:)H OH~OH CJ)g~Ue;i ::E:~U..-itl ,..) .,..! (I r'M .,.of F""'~ "" ~~ L') -r.- "M fs.. ./1 o c:; ..... I ro .~ :> >-. ~ .......0 tI) ~ E <I) ro ~ <l)g~ ob p..<I)ro C'l '+-<:>::l ....... O<l)"'Cl r- ...t:: ~ -s:.............. .... '+-< ..... 0 < ca o~\O" <1)........0..- ~ t:l;::: 00 on t:l <I) 0 C'l ~ ofl::l~~ S ~ ro ~ .~ gfr~o~ UOc:Qp..::I:: -- , f:, ~ - Lt \")- 08 I .' v , . " \ . . ::;:1 " III ~ <( I C1. -~ I,n a; '8 :1 l',j;) r1 if) 0.. I--l ct. W It I/J <( ~ :t: -ILl ffi i~z E ILl .... 0 8cb ~..Itn ccc(S; C'I u.SiS ;:: o~>< ; ~Q;! 0; ~~w....C)' ~~~8i ~:::>>;!CO(l) 0;c(_C'l- wwCC..,:cc Q~~fb~ fm~Q::C - ~ \'2. ~ ~ w - - - -:: - -:: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - " 8 z ~ c 00 t<< xz ~ ~ ~!:< ii) '.; , @c rn c~ ~ rn ,,-{ 6 tDx 5Ui ." rn Om :n "z -< me::: g .'" m .,,5 JJo ~-o ~ ~m c JJo -'" - ~ ." .... -< ~ :r. g JJo ~ i ;;c ~ g -< a g ~~&\ i a'l9 " II COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *,,~,r ;~"'~~ iFORMATION NOTICE '\ ,- \ ;,- " AND -', .,,', TAXPAYER RESPONSE "I' 1 ~', ''\ -...~ 0'\ \ \ \ NO. 21 05.- ('}~3 05143140 09-07-2005 G TYPE OF ACCOUNT EST. OF EUGENE B MIZDAI L [X] SAVINGS S.S. NO. 198-05-7427 D CHECKING DATE OF DEATH 02-18-2005 D TRUST "COUNTY CUMBERLAND D CERTIF. REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT H~USE CARLISLE, PA 17013 FILE ACN DATE REV-1545 EX AFP 11l9cDDl ('i MARGARET M REAM 27 CREEK BANK DR MECHANICSBURG PA 17055 ORRSTOWN 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 Commonwealth of Panns,lvania. QU6stions may be answara~ b~ cslling (717) 787-8327. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FIL~~~ AND PAYMENT INSTRUCTIONS Account No. 711000296 Date 08-04-2003 Established Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x 30,298.73 16.667 5,049.89 .15 757.48 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice must accompany your payment to the Register of Wills. M.ke check payable to: "Register of Wills, Agenlt". x NOTE: If tax payments are made withlin three (3) months of the decedent's date o!fl death, you may deduct a 5Z discount of the' !tax due. Any inheritance tax due will become' ~elinquent nine (9) months after the date of dB~th. Tax PART IT] 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 ~o obtain a discount or avoid interest, or you may check box "A" and return this notice to the Reg~ster 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 ]ax 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. LINE 1. Data E~tablish&d 2. Account Balance 3, Percent Taxable 4, Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due . ... PART ~ TAX RETURN - COMPUTATION If you indicate a different tax~rate'/Please state your relationship to decedent: LIi\~ f\L. ~AIl~r1~~ r OF TAX ON JOINT/TRUST ACCOUNTS PART ~ DATE PAID 2 3 X 4 .501lt'f .&<J 5 6 tJl\l.fq. R ~ 7 X .f)4c5 8 d~', d.5 DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION PAID I TOTAL (Enter on Line 5 of Tax Computation) I have reported above are true, correc~' and HOME (7 WORK (1 1) -, 10 - TELEPHONE NUMBER I $ AMOUNT Under penalties of complete to the best declare that the facts I and belief. .ve.- GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT 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 "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. 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 "Taxpayer Response" section. Sign one COpy and return to the PA Department of Revenue, Bureau of Individual Taxes, Oept Z80601, Harrisburg, PA 171Z8-0601 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 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 BV TOTAL NUMBER OF DIVIDED BV 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 BV 3 (JOINT OWNERS) DIVIDED BV 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 BV 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 BV Z (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 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 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 Spouse Lineal Sibling Collateral 07/01/94 to 12/31/94 3Y. 6Y. lSY. lSY. 01/01/9S to 06/30/00 OY. 6Y. lSY. lSY. 07/01/00 to present OY. 4.SY.. l2Y. lSY. 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" 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 II REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REAM MARGARET M 27 CREEK BANK DR MECHANICSBURG, PA 17055 -------~ fold ESTATE INFORMATION: SSN: 198-05-7427 FILE NUMBER: 2105-0883 DECEDENT NAME: MIZDAIL EUGENE B DATE OF PAYMENT: 10/04/2005 POSTMARK DATE: 10/26/2005 COUNTY: CUMBERLAND DATE OF DEATH: 02/18/2005 NO. CD 005865 ACN ASSESSMENT CONTROL NUMBER AMOUNT i ----._-- 05143140 I $227.25 I I "; I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 7562 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $227.25 GLENDA FARNER STRASBAiWGH REGISTER OF WILLS