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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21
ACN 06157519
DATE 11-22-2006
REV-1545 EX AFP 109-001
EST. OF CLARKE R SNEAD
S.S. NO. 192-22-5785
DATE OF DEATH 09-11-2006
COUNTY CUMBERLAND
TYPE OF ACCOUNT
[X] SAVINGS
D CHECKING
D TRUST
D CERTIF.
JOSEPH C SNEAD
2432 ARLINGTON AVE
TORRANCE CA 90501
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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BELCO COMMUNITY CREDIT UNION has prDvided the Depart.ent with the infDr.atiDn listed belDw which hBi 1IilIfI"'1Ised ji; ~1 0
calculating the pDtential tax due. Their recDrds indicate that at the death Df the abDve decedent, YDU were a ~.', ~~er/benp..fiCiar.JID~
this aCCDunt. If YDU feel this infDr.atiDn is incDrrect, please Dbtain written cDrrectiDn fro. the financial inst~tlan, attsth a CDpy
tD this for. and return it tD the abDve address. This aCCDunt is taxable in accDrdance with the Inheritance T~~f the 'CD..Dnwealth
Df Pennsylvania. QuestiDns .ay be answered bv calling (717) 787-83<'7. ,'_ -r:'
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
. ,G
Account No. 763130 Date 05-19-2000 TD insure prDper credit tD ~r accDunt' tWD
Established (2) CDpies Df this nDtice'~ust accD.pa~'yDur
pay.ent tD the Register of Wills. Mak~eck
payable tD: "Register Df Wills, Agent".
',1
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
524.86
50.000
262.43
.045
11.81
TAXPAYER RESPONSE
NOTE: If tax pey.ents are .ade within three
(3) .Dnths Df the decedent.s date Df death,
YDU .ay deduct a 5% discDunt Df the tax due.
Any inheritance tax due will becD.e delinquent
nine (9) .onths after the date Df death.
Tax
x
PART
[!]
he abDve infDr.atiDn and tax due is cDrrect.
1. YDU .ay chDDse tD re.it pay.ent tD the Register Df Wills with tWD cDpies Df this nDtice tD Dbtain
a discDunt Dr aVDid interest, Dr YDU .ay check bDx "A" and return this nDtice tD the Register Df
Wills and en Dfficial assess.ent will be issued by the PA Depart.ent Df Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. [] The abDve asset has been Dr will be repDrted and tax paid with the Pennsylvania Inheritance Tax return
tD be filed by the decedent.s representative.
C. [] The abDve infDr.atiDn is incDrrect and/Dr debts and deductiDns were paid by YDU.
YDU .ust cD.plete PART ~ and/Dr PART ~ belDw.
PART
[!J
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF
LINE 1. Date Established I
2. Account Balance 2
3. Percent Taxable 3
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. Amount Taxable 6
7. Tax Rate 7
8. Tax Due 8
TAX ON JOINT/TRUST ACCOUNTS
x
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
$
TOTAL (Enter on Line 5 of Tax Computation)
of
I declare that the facts I
and belief.
have report.d above are true, correct
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