HomeMy WebLinkAbout05-13-08 (2)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'*
1,......._....)'0-.." 1..,.'
REV-15'i3 EX AFP (09-00)
,,..,(\,i:tf,FORHATION NOTICE
tTA::" J AND
\<',ill T:'AXPAYER RESPONSE
i.l l,...._
FILE
ACN
DATE
NO. 21 Cc~ O,:>rL'l
08120615
05-12-2008
2008 Mf;.Y '5 AM \I: 00
EST. OF HERMAN F PARSONS
CLERK OF S.S. NO. 220-28-0601
C87b~\N'S C~~\!r.TpA ~~~:T~F DEAT~UM~~;~:~~002
TYPE OF ACCOUNT
o SAVINGS
[i] CHECKING
o TRUST
o CERTIF.
ELAINE C PARSONS
815 N WALNUT ST
MECHANICSBURG PA 17055
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Depart..ent with the infor..ation 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 form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co....onwealth
of Penl1sylvarda. Questions may be answered by calling {7I7l 787-~327.
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140048498
Date 08-01-1969
Established
To insure proper credit to your account, two
(2) copies of this notice ..ust acco..pany your
payment to the Register of Wills. Make check
payable to. "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
3,504.90
X 16.667
584.16
X .00
.00
TAXPAYER RESPONSE
NOTE. If tax payments are made within three
(3) ..onths of the decedent's date of death,
you ..ay deduct a 5% discount of the tax due.
Any inheritance tax due will beco..e delinquent
nine (9) ..onths after the date of death.
PART
ill
The above inforaation and tax due is correct.
1. You may choose to re..it pay..ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you ..ay check box "A" and return this notice to the Register of
Wills and an official assess..ent will be issued by the PA Depart..ent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. 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 decedent's representative.
C. [] The above infor..ation is incorrect and/or debts and deductions were paid by you.
You ..ust co..plete PART ~ and/or PART ~ below.
X
PART
~
TAX
If you indicate a different tax rate, please state your
relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established
2. Account Balance 2
3. Percent Taxable 3
4. Amount Subject to Tax 4
5. Debts and Deductions 5
(; . Amount Taxable (;
7. Tax Rate 7
8. Tax Due 8
PART
@]
DATE PAID PAYEE
X
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation)
$
Under penalties of perjury, I declare that the facts I
complete to the best my knowledge and belief.
,.,
have reported above are true, correct and
HOME (717) ~;?;7- p.p.~
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