HomeMy WebLinkAbout09-18-08( i
COMMONWEALTH~OF PENNSYLVANIA
DEPARTMENT~OF REVE!!:JE
BUREAU OF INDIVIDUAL TAXES I N F O R MA A NODN NOTICE Ug. ~ ~3
DEPT. 280601 FILE N0. 21 °-
HARRISBURG, PA 171za-ocol TAXPAYER RESPONSE A'CN 08140473
REV-1543 EXAFP(09-00) DATE 09-04-2008
TYPE OF ACCOUNT
EST. OF WANDA L SNAPPER ~ SAVINGS
S.S. N0. 176-34-9300 ® CHECKING
DATE OF DEATH 08-25-2008 ~ TRUST
COUNTY CUMBERLAND ~ CERTIF.
TINA DUNCAN REMIT PAYMENT AND FORMS T0:
605 GOOD HOPE ROAD REGISTER OF WILLS
MECHANICSBURG PA 17050 CUMBERLAND CO COURT HOUSE
CARLISLE, PA ~].~013 "~;
O ~~
-~~ r~
f~
MEMBERS 1ST FCU ~'' ~-
has provided the Department with the information listed below which has been used in IX?
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a jointloyrp'~_T/benaf~iary:-of
this account. If you feel this information is incorrect, please obtain written correction from the financial institiak;loni att ~ a copy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax La~of the Commonwealth;
of Pennsylvania. puestians may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW * ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT IN~'RUCTIONS
Account No. 301487-11 Date 02-22-2007
To insure proper credit to your account, two
Established C2) copies of this notice must accompany your
Account Balance 730.02 payment to the Register of Wills. Make check
Percent Taxable payable to: "Register of Wills, Agent".
x 50.000
Amount Subject to Tax 365.01 NOTE: If tax payments are made within three
TaX Rate C3) months of the decedent's date of death,
X . 0 4 5 you may deduct a 5i discount of the tax due.
Potential Tax Due 16.43 Any inheritance tax due will become delinquent
nine (9) months after the date of death.
PAR T
~ ~ TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE
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
C C H E C K a discount or avoid interest, or you may check box "A" and return this notice to the Register of
0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K 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.
You must complete PART ~ and/or PART ~ below.
If
PART You indicate a differen tax
relationship to decedent: r te, please state your
h ~PI"'
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established
1 PA D
2. Account Balance
2
~
/~Z 1
3. -
Percent Taxable 3
Q 2
4. Amount Subject to Tax 4 3
5. Debts and Deductions 5 4
6. Amount Taxable 6 5
7. Tax Rate
7_- )( 6
8. Tax Due
8 7
8
OFFICIAL USE ONLY ~ AAF
PA DEPARTMENT DF REVENUE
'~' DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION
~T'T7---~i a >,
TOTAL CEnter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that the facts I
complete to the best of my knowledge and belief.
TAXPAYER SIGNATUR
S
AMOUNT PAID
have reported above are true, correct and \ ~_
HOME C7~ 7) 7h~- ~.~ y `\,1~1rInY1
WORK C ) ~1
TELEPHONE NUMBER DAT--~
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Carlisl• Piks
6280 Carlisl• Pike
Mechaaiasburg PA 17050
Inquiries Call: 717-697-4932
Acct XXX}D00{487 SHAFFSR,1q-HDA L
Sff: 09/06/08 Date: 09/06!08
Tlr: 6478 Time: 11:21am
Payment to UHSSCURSD O1
Prev 8a1: 649.92
Amount: 659.09
Principal: -649.92
Interest: 9.17
Hex 8a1: 0.00
Ssq: X181318
Cheek R~csived 332.98
Authorized by
TD Source:
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