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il-eYc' 07/ '-/-
Dear Sir:
August 20, 2007
Alice I. Hoch, who died April 28, 2006, had two children, Beverly Ann Hoch Kelchner
and Ronald C. Hoch. I have enclosed a copy of Beverly Hoch's birth certificate to
establish her as a daughter to Alice Hoch.
My sister recently received an Information Notice and Taxpayer Response Form from the
Pa Department of Revenue concerning inheritance tax on an Orrstown Bank Joint
Checking Account.
Alice Hoch, Beverly Hoch Kelchner, and Ronald Hoch had a joint account at the
Orrstown bank. That account amounting to $827.89 has been identified as taxable under
the inheritance tax laws of Pennsylvania. The above mentioned Pa Department of
Revenue form establishes the tax, but at a higher rates and amounts which are not correct
since Beverly is a lineal descendent of Alice Hoch and the checking account was joint
owned by mother, daughter, and son. The recomputed tax is $6.18. I enclose two Pa
Department Of Revenue forms with the recomputation of the tax.
In October 2006, a Pa Department of Revenue Inheritance Tax Form was sent to Beverly
Hoch Kelchner, however the form was misplaced. On Oct 18,2006, I, Ronald C. Hoch
sent a letter to the Register of Wills Carlisle Pa. with a check for $6.18 to pay the
inheritance tax for my sister. A copy of the letter is enclosed as well as a copy of the
cashed check to the Pa Department of Revenue.
The Pa Department of Revenue Forms are included with the tax recomputation, a copy of
the $6.18 payment, a copy of the Oct 18, 2006 letter, and a copy of my sister's birth
certificate.
I hope the submission of these documents will close the account with you.
f2~~ ~- ff az:~
Ronald C. Hoch
Son of Alice Hoch
Brother of Beverly A. Hoch Kelchner
( )
Phone No.4 78-922-4124
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Dear Sir:
October 18, 2006
On April 28, 2006, Alice L Hoch, died at the Sarah Todd Home in Carlisle. Her daughter,
Beverly A. Kelchner, and her son, Ronald C. Hoch, are the lineal descendants of Alice L
Hoch.
In September 2006, Beverly A. Kelchner received a Information Notice and Taxpayer
Response Form from the Pa Department of Revenue. The form referenced ajoint
checking bank account at the Orrstown Bank and the account was established to pay
medical bills for Alice L Hoch. The account contained $827.88.Unfortunately the form
has been misplaced. In good faith and rather than wait for another form, I include a
reproduced form which calculates the tax at 4 ~ percentage and a check for $6.18 to pay
the tax.
') t l
I C:fiJJ.l-
Ron~~ t. Hoch
126 Shenandoah Trail
Warner Robins, Ga. 31088
478-922-4124
COHHONWEAlTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z8060l
HARRISBURG, PA 17128-0601
-
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 06-0714
06147911
09-15-2006
REV-15-43 EX AFP t119-01)
EST. OF ALICE I HOCH
S.S. NO. 201-52-1671
DATE OF DEATH 04-28-2006
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[Xl CHECKING
D TRUST
o CERTIF.
BEVERLY A KELCHNER
34 LIBERTY CT
CARLISLE PA 17013
RE"IT PAY"ENT AND FOR"S TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ORRSTOWN BANK has provided the Deparblent with the infarmetion 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 inforaation is incorrect, please obtain written correction from the financial institution, attach a copy
to this fa... and return it to the above eddress. This account is taxable in accordance with the Inheritance Tax L_s of the COIIIIOI)Wealth
o'f.FBn1'isylvania. Q\.:Bstians iDSy be answered by cal-ling-(-717} 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 106003285 Date 12-16-2003
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
827.89
50.000
413.95
.15
62.09
TAXPAYER RESPONSE
To insure proper credit to your account, two
(Z) copies of this notice .ust accollpany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax payments are made within three
(3) ..onths of the decedent"s data of death,
you lIay deduct a 5Z discount of the tax due.
Any inheritance tax due will becolle delinquent
nine (9) months efter the date of death.
Tax
PART
ill
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
o The above inforllation and tax due is correct.
1. You lIay choose to remit payment to the Register of Wills with two copies of this notice to. obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
Wills and an official assesSllent will be issued by the PA Department of Revenue.
o The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent.s representative.
,
[[] The above inforllation is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
[!J
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PART
@]
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
- ----- LINE 1:- Dat;- Established 1--77 ~.; b- .~; C)~; \~~-:
2. Account Balance 2? /-,1, , !, 5<. q
3. Percent Taxable 3 X j(;., ---;i
4. Amount Subject to Tax 4 -j. / \ ~ if . ~ S"
5. Debts and Deductions 5 (/, ,'''' ;')
6. A.aunt Taxable 6 -" / ,~~, ~\. 0:;":' ..)
7. Tex Rate 7 X :.../ . . -)
8. Tax Due 8 '<t (0 , 2. ?
If you indicate a different ta~ rate, please state your
relationship to decedent: ':"-J Ri :.\- ,:~ I) '(I" tl
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
I
$
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
cOlI\Plete to the best of my, knowl,.,e and bel/e~. I I f\ HOME (- I) / - ;:? . ,:; .I c.'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'*
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 06-0714
ACN 06147911
DATE 09-15-2006
IEV-15~5 EX iFP 119-11)
EST. OF ALICE I HOCH
S.S. NO. 201-52-1671
DATE OF DEATH 04-28-2006
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
Ii] CHECKING
o TRUST
o CERTIF.
BEVERLY A KELCHNER
34 LIBERTY CT
CARLISLE PA 17013
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ORRSTOWN BANK has provided the Deparblent 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 abova address. This account is taxable in accordance with the Inheritance Tax Laws of the Cu.Moowealth
of~annsylvania. QCBstions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 106003285 Date 12-16-2003
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
827.89
50.000
413.95
.15
62.09
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must accompany your
paYMent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax payments are made within three
(3) months of the decedent.s date of death,
you may deduct a SX discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) Months after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
c=J 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 to. obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decadent.s representative.
,
~'The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
~
TAX RETURN - COMPUTATION OF
----._.__._-~".~-_._- ---'--'-~-'-'----'---
LINE 1. Date Established 1
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
If you indicate a different t~x: rate, please s.tate your
relationship to decedent: ..L/ fE; .:..,., .; ,) :" "" (.(
-'
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TAX ON JOINT/TRUST ACCOUNTS
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PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
I
$
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief., HOME (<' --;' )-- j _ /;<!' i
~ev'tLiy A Hadd<.eIcJ,~/ p~ r_ HoJ" ~1 2 2,vc1
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CheckWorks Enterprise Image Access
Image 1 of 1
Date Sequence Number
10/25106 95138968
Page 1 of 1
;;I Print
Account Number
3614503757
Amount
6.18
Serial Number
5457
..
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