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HomeMy WebLinkAbout10-04-05 I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 171Z8-0601 ~TT:cr.,' ~.~. ~~~..';!iNODN NOTICE ~.J'_ .. ~'T'AXPAYER RESPONSE FILE ACN DATE NO. 21 05 09 5-0593 4421 5-2005 REV-1545 EX AFP e09-00> ')f" -:-. /.t' J --~; P~;"i !: 011 EST. OF RUTH N LEBO S.S. NO. 182-16-9967 DAlE OF DEATH 06-18-2005 COUijTY CUMBERLAND TYPE F ACCOUNT D SAVINGS [X] CHECKING D TRUST D CERTIF. (" BRIAN DWAYNE 212 GREEN LANE DR CAMP HILL PA 17011 REMIT PAYMENT AND FO~ S TO: REGISTER OF WILLS CUMBERLAND CO COURT CARLISLE, PA 17013 WACHOVIA BANK NA 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, at~ach 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 jCommonwealth uf P8nns~lvania. QUlilstioll~ liIay be answered iJy ca....1ing (717) 787-o5~7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIO S Account No. 1000926188034 Date 05-30-1996 Established Account Balance Percent Taxable Anount Subject to Tax Rate Potential Tax Due x 3,763.26 50.000 1,881.63 .15 282,24 TAXPAYER RESPONSE To insure proper credit to your acco~ t, two (Z) copies of this notice must accomp ny your payment to the Register of Wills. Mb e check payable to: "Register of Wills, Agent'. x NOTE: If tax payments are made with~ three (3) months of the decedent's date ofi eath, you may deduct a 5% discount of the t x due. Any inheritance tax due will become ~ linquent nine (9) months after the date of deb h. Tax PART [!] [] 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 tp obtain a discount or avoid interest, or you may check box "A" and return this notice to the Regi~ er of Wills and an official assessment will be issued by the PA Department of Revenue. ' [CHECK ] ONE BLOCK ONLY B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance T~ return to be filed by the decedent's representative. C. ~ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. o t'J o ,zJ If you indicate a different tax rate, please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION OF ~"_ON1JOINT/TRUST LINE 1. Date Established l~ q (" 2. Account Balance 2 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 4. 4q~. 4::L 6. Anount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 ACCOUNTS t? o DEBTS AND DEDUCTIONS PAYEE DESCRIPTION of Tax Conputation) perjury, I declare that the facts I have reported knowledge and belief. HOME (7. WORK r:; , TELEPHONE above are true, correct' nd ) 73 _o(.,.~S- )78'3- 31.-20 NUMBER 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, Dept Z8060l, Harrisburg, PA l7lZ8-060l in the envelope provided. 3. BLOCK C - If the notice information is incorrect and/or 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 e 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 (**) 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: 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 l6.7Z (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 DR 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 50Z (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. *The 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 OZ. 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 edoption. 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% 157. 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. II .. I Brian D. Wayne 212 Green Lane Drive Camp Hill, PA 17011 Re: Estate of Ruth N. Lebo 182-16-9967 Date of Death: 06/18/2005 Part 3 (continued) 8/08/2005 Parthemore Funeral Home 6/25/2005 Cemetary Fees 6/26/2005 Flowers (Casket Spray) 6/27/2005 Flowers (Hospice) 6/26/2005 Christian Life Assembly Church (Facility Fee) 9/28/2005 The Sentinel (Legal Notice) 8/29/2005 Cumberland Law Journal (Legal Notice) 8/08/2005 Turo Law Offices (Attorney's Fees) 216.00 825.00 187.00 44.5d 1 OO.O~ 151.5$ 75.00 300.0~ Total Debts and Deductions $4,496.42'1' * Includes a balance brought forward from Initial page of this return ($2,597.37). ;2.