HomeMy WebLinkAbout06-23-08COMMONWEALTIi OF PENNSYLVANIA
DEPARTMENT OF REVENUE INFORMATION NOTICE FILE No. 21 b`6(~1a1'
BUREAU OF INDIVIDUAL TAXES AN D
DEPT. 28860'L ACN 08120764
HARRISBURG, PA I?12s-ocol TAXPAYER RE S P O N S E
DATE 05-12-2008
REY-1543 IX AFP (09-00)
TYPE OF ACCOUNT
EST. OF ALDA M DEARDORFF ~ SAVINGS
S.S. N0. 201-16-0249 ®CHECKING
DATE OF DEATH 04-18-2008 ~ TRUST
COUNTY CUMBERLAND ~ CERTIF.
REMIT PAYMENT AND FORMS T0:
MARY L WISE REGISTER OF WILLS r~
195 SIPE ROAD CUMBERLAND ~ COURT USE
YORK HAVEN PA 17370 CARLISLE, PJ~ 7013 ~ -
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MEMBERS 1ST FCU has provided the Department with the information listed below which has.beB'ii used --
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a.j~'" {t owner/baneficiary.;bf;
this account. If you feel this information is incorrect, please obtain written correction from the financial insFljtution, ach a cogy~'
to this forma and return it to the above address. This account is taxable in accordance with the Inheritance Laws of tt~,„Commonweall'h
of Pennsylvainia. Cuesfions may be answered by calling :'1?) ?8?-832?. -..__...
COMPLETE PART 1 BELOW * * ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 156368-11 Date 01-26-1996 To insure proper credit to your account, two
Established I2) copies of this notice must accompany your
Account Balance 1 , 142 • 53 payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to TaX 571 • 27 (3) months of the decedent's date of death,
Tax Rate X .045 You may deduct a SY. discount of the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due 25 • 71 nine (9) months after the date of death.
PART TAXPAYER RESPONSE
..... ..... ::... ~ :-: ~ . ' : € :• '~: ~'::.:B~:BL!:IH's€€sA~.....D P~.I~t#t~:'TA~~A~~iE~•~3 N't`:~kIA~.ED~ ~tN":~:'C`~t ~~..: fiI:DE~:
A. ~ 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
CHECK a discount or avoid interest, ar 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 ONE
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y' to be filed by the decedent's representative.
C. ~ The above information is incorrect and/or debts and deductions were paid by you.
Yau must complete PART ~ and/or PART ~ below.
................
ea a tote our
If you indicate a different tax a p y ~ •~~ '~° '
PART ~~~ii~i~~;i~siii~;~~Li ~' ~i `i!~s~ ~. '. ` ::~ i
c dent: i~~s¢;is~'::€s:i=:~::i~''::€~:::~::::~s:~i:~_:~:;~:~::,::::~ :::..::::::::~:~~::::,::~~::::~::::..:..._~i€;i:iiiisii€i
2 r e l a t >: o ns h i P t o d e e ~ €t4!i~k ~€~€D~i'B~iE~i?~'€~ iD• €~ €€'!~£~ID€iii
0 P TATION A ..'?€€_€'~€~':.s€~~€~s€~€~€~€~€'=€s~€~€€~~~?<~~~~~~~~~'~~~'
- JOI T/TRUST ACCOUNTS
OF T X ON N
TAX RETURN C M U ~': .• •
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stablished ;~i~if~~'""
E Date E
L N 1
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c u t glance ('`~=lra'sb`~'~~`~~~'~~~~_~~;~~'~~~~f ~€€~~~~€'
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e ce t Taxable si~E'~~ ~~~~'`_~~ ;~~'sss;':~=~~;s~'
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3. P r n
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7. Tax Rate
8. Tax Du ~•~
PART DEBTS AND DEDUCTIONS CLAIMED
TOTAL CEnter on Line 5 of Tax Computation) S
Under penalties of perjury. I declare that the facts I have reported above are true, corr
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ct and
complete to the best
of my knowledge and belief. HOME C ~~7) j
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--""-- TELEPHONE NUMBER DATE
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
~~~~~ Wise
Mr. 3crlbbf~. _ _
l95 Slpe Rd. ;.ri;~ . , d..,_. _ ..t. ,; ,.~ . ~~, ~ '.
YorkF~~ 1770, ~.~„-
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