HomeMy WebLinkAbout94-00620
REV-1543 EX AFP (1-911_
CllHMOHWUL TH OF PENHSVLVANIA
DEPARTNENT OF REVENUE
BUREAU OF INDIVICUAL TAKES
D€PT. 280m
HARRISBURG, PA 17128-0601
I '/. ,~.;< 3 - /0
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21_ q L/ - 1...';;"0
94128969
07-07-94
-
ESTATE OF MCOOWAN
S.S. NO. 164-36-3622
DATE OF DEATH 02"19-94
COUNTY CUMBERLAND
TYPE OF ACCOUNT
F ~ SAVINGS
CNECKING
TRUST
CERTIFICATE
REHIT PAYHENT AND FDRHS TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
LI NDA
F IS.HER
~X~~h~OCK RD
RUTH H
PA 17013
FARHERS TRUST COHPANY hll provided the DIPart..nt with the InforllaUon lilted bllow which has bun ullIcI In calCUlating the
potenUlI1 talC du.. TheIr rlcord. Indlcat. that at the death of thl above dlCtcllnt, yOU Wlrg G joint ownllr/blntflchry ti, thil aecount.
If YOU ,..1 thll Infar.IIUon II Jncorr.ot, pieri" obtain written correction fro. the flnanclnl institution, attach II copy to thil 'or.
"nd roturn It to th. Ill'oOV(I IIdrrolt. ThIs ~CCO~'"t It t...~..bl_ In o..~~!"d"n~':' ~!l th the. In~cr1t:lnco T::II( lOll:: of tho COlll:lor,<.:Qe;!th o~ f'tcntHl:.'h'o..lo.
QuutJon. lay b, an'w"ld by calling (711) 181-8327. '
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Acccunt Nc. 7-308695 Dote 09-08-87
E.hblloh.d
Account Balanc.
P.rc.nt T...bl.
A.cunt SuhJ.ct tc
To. Rot.
Pctontlol T.. Du.
1 , 131 . 58
SU.OOO
565.79
.06
33.95
TAXPAYER RESPONSE
FAILURE TO RISPOND WILL RISULT IN AN OFFICIAL TAX ASSESSNENT BASID UN THIS NOTICI
K
To Inlurl proper credit to your account, two
(Zl cop lei of thl, notice IUlt beco'pany your
paY'ent to the Reghter of Wl1h. Hake chick
pavable tOI "Regllter of Willi. Agent".
K
NOTEI If taK paYlentl arl nade within three
(!) tonthl of th, dlcldent'l date of dlath.
YOU flaY dlduct a 5% dltcl)unt of thl t!lK dUI.
Any Inheritance taK dUI will becoI. dellnqulnt
nlnl (9) lonthl after thl date of dlath.
To.
PART
[!]
[CHECK ]
ONE
BLOCK
ONLY
A. 0 The abovI Inforutlon and tax due It corract.
1. Vou .ay ChOOl1 to r..lt paY.lot to the Rlgl.ter of Willi, with two copie. of thll not Ie. to obtain
a dllcount or avoid lotlr..t. or YOU lay check box "A" and return thl. notice to the Regllt,r of
Willi aod an official a......llnt will be hluld by the PA Departllnt of R.venue.
a. r=J Th. above allet hal been or will be reported and taK paid with the Pennlylvanla lnh.rltance TaK return
to be filed by the decadent's reprelontatlve.
C. ~ The above Inforlatloo I. Incorrect andlor d,btl and deduction. were paid by you.
Vou IUlt cOlplete PART [!] and/or PART [!] bilow,
If you indicat. I diff.r.n~lx rat., pl..s. ,tit. your
r.lotlcnohlp tc doc.dontl
PART
~
TAX RErUHN - COH~UTATION
lINE 1. Doto E.tobll.h.d
2. Account alllnc.
3. Porcont T..oblo
4. A.cunt Subjoct tc To.
S. Dobt. ond D.ductlcn.
6. A.cunt To.oblo
7. To. R.t.
8. TIl< Du.
TAli ON JOINT /TIiU:.'f A~COUNT':;
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
OF
I
2
3 K
4
5
6
7 K
8
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS
PIIU
1
2
3
4
5
6_
7
8
CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
f_ ~
TOTAL IEnter en llno 5 of Te. Conputotlcn) .
of porjury, I docl.r. thot tho foct. I
c~ .y kncwlodgo ond belief.
hive reported .bov.
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