HomeMy WebLinkAbout95-00797
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COtvtONW(lltllor PU-'UlVAHIA
D(PARTM(HI or R[VI frfJ[
IUNUU Of IHDIVIDUAl lun
DtPI. tlDUI
ItARRIIIURO, PA HUI-OUI
-
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
ND. 21 -q5 -1 ql
95147226
10-03-95
'''...''11 ."11.".
EST. OF OLIVE V ZOLL
5.5. NO. 172-01-2780
DATE OF DEATH 08-11-95
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
lxJ CHECKING
o TRUST
o CERTIF.
MM CHARLES L ZoLL
70 FoXCROFT DR
CAMP HILL .PA 17011
RENIT PAVNENT AND FGRNS TO.
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
,./
DAUPHIN DEPOSIT BAHIC.' ha' provld.d 1M Depert.."t with t". In'or.atlon I ht.d b.low which h.. b..n uud In ulculaUnll the
potential t.. 1Ne. Their record, IncUuta that at the d..th 0' the abov. d.c.d.nt, you ",.r. . Joint own.r/b.neflclary of lhlt ec:CCK.Wlt.
If you f..1 thlt Infor..tlon II Incor,..ct, pl.... obtain wrltt." correction fro. the flnancltl Institution, att.ch . copy to thl. 'or.
and r.turn It to the above addr.... This aCCDW\t .. te"Bbla In eccorcMnc. with the Inheritance Tall L.w. of thtl Co-onweaith 0' Penn.ylvanla,
Due.llon. ." be 8n'Mer~ by c.lling"I') '1'-ISt7.
CDMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0093199074 o.t. 06-29-95
E.t.bliahed
Account Bd...... 16.337.20
P.rc...t T....,l. K 100 . DO
A_I Subj.ct to T.. 16.337.20
T.. RoI. K .15
Potonlld T.. Due 2,450.58
PART TAXPAYER RESPONSE
[!] I. FAILURE TO RISPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASID ON THIS. NOTICI I
A. 0 The above In'or.atlon WId talC dull It corr.ct.
I. You .ay choo.. to r..1t payaent to the R.IlIt"r of NUIt .,lth two copla. 0' thlt noUu to obtain
. dhcount or .vold Intar..t, or you .av check bOll ..,.. end r.turn thlt notlc. to the A.glst.r 0'
willi and Ith offlcl.1 ........"t will be I..uad by the Pl D....rt.ant 0' R.v.nue,
To In.ur. proPtlr cr.dlt to your .ccount, t.,o
") cop I.. 0' thl. notlc. au.t eccoapeny your
p.y.."t to thtl R.gltt.r 0' Wl1lt. ".at. chtlck
payabl. tal "R.III.t.r 0' Wills, Agent..,
HOTE. If ta. p.ye.nt. .r. .ad. within thr..
'S) eonth. 0' the deced.nt'. d.t. a' death,
you ..V deduct. SiC dltcount 0' tM t.ll due,
Any Inherltanc. tn due will b.c~ delinquent
nine C9) eonth. .ft.r the d.te af d..th.
[CHECK ]
ONE
BLOCK
DNLY
a. 0 Th. above ....t h.. b.." or .,111 be reported end tall paid .,lth the Pann.vlvllnl. Inherltanc. T.ll return
to b. fll.d by the dec.d.nt', r.pr..antlltlv..
C. 0 Th. above In'o,...tlon IJL,J,ftCorract end/o~.bh and d.ductlon. were p.ld bV vou.
You au.t coapl.te PART ~ and/or PlAT ~ b.lo.,.
If you indlcata a differ.nt taM r.t., pl.... .tate your
relationahlp to d.cad.ntl
PART
[!]
DATE
JOINT/TRUST ACCOUNTS PAD
1
2
3
4
5
6'"
7
8
DEBTS AND DEDUCTIONS CLAIMED
':' OFFICIAL .USE.ONLV' 0 AAF
.. PA ',. DEPARTMENT " OF... REVENUE
PART
~
TAX RETURN - COMPUTATION OF TAX ON
LINE 1. D.te E.tabliahed 1
2. Account Balance 2
3. P.rc.nt T..able 3 K
4. A.aunt Subject to TaM 4
S. D.bta and Deduction. 5
6. A.ount Taxable 6
7. T.. Rat. 7 K
8. Tax Due a
PAID
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL IEnter on Line 5 of raM Co.put.tion)
I
.
Und.r penal tie. of p.rjury, I d.cl.re that the fact. I
conplet. to the b..t of .y knowl.dge end bell.f,
h.ye reported
HOME (
WORK (
TELEPHONE
aboYe .re true, correct end
I
I
NUMBER
DATE
TAXPAYER SIGNATURE