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HomeMy WebLinkAbout09-12-08PENNSYLVANIA INHERITANCE 'TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21-~c.~~'~)~y Po Box zao6ol TAXPAYER RESPONSE ACN 08151071 HARRISBURG PA 17128-0601 DATE 11-03-2008 REV-1543 EX I1FP (OB-OB) TYPE OF ACCOUNT EST. OF HARRIET LINTON ^ SAVINGS $$N 119 -16 - 9426 ® CHECKING DATE OF DEATH 06.-11-2008 ^ TRUST COUNTY CUMBERLAND ^ CERTIF. REMIT PAYMENT AND FORMS T0: ~ c~-~ rr--~ - JOSEPH H LINTON REGISTER OF WILL~~ ~>O `=`' 191 BEACON DR CUMBERLAND CO COURT HOUS~~ ~, HARRISBURG PA 17112 CARLISLE, PA 17[113 _',!~ rte- -~ t ;-;:_-j _.. ( ~ COMMERCE BANK HARRISBURG NA provided the Department with the information below, which !has been used calculating the;; F-t potential tax due. Records indicate that at the death of the above-named decedent, you were a joint: owner/bern~iciary of this account If you feel the information is incorrect, please obtain written correction from the financial insti{tution, 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 Commonwealt7f of Pennsylvania. Please call C717) 787-8327 with questions. _..P._-. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS ONE C B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the F'ennsvlvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3^ below. Account No. 536268048 Date 06-12-2003 7o ensure pi°oper credit to the account, two Established copies of this notice must accompany payment to 'the Register of Wills. Make check Account Balance $ 3,253.90 payable to "'Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax ~` 1,626.95 months of the decedent's date of death, Tax Rate ~( , lrj deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent Potential Tax DUe $ 244.04 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX A55E5SMENT • A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or check box "A" and return this notice to the Register of C H E C K Wills and an official assessment will be issued by the PA Department of Revenue. PART If indicating a different tax rate, please state 2 relationship to decedent: TAX RE LINE 1 TURN - COMPUTATION Uate Established OF 1 TAX ~i D//N J``OINT/TRUST ACCOUNTS b ~ i 7- ~ ~" ~ ~ ~ . 2 Account Balance 2 $ ~ C (~ 3, a s J . 3 Percent Taxable 3 X s V. CG G . 4. Amount Subject to Tax 4 $ ~ ~ ~ ~ '~~ 5. Debts and Deductions 5 ~ ~ ~ 6. Amount Taxable 6 $ D 7. Tax Rate 7 X y 8. Tax Due 8 $ C ~ 2, b I 1 'NN R,- oi'I~ I-NN~F:~ ~,~ Q~ D.,rJ ~ ~S I '~ vc. y e I 0, K tr'1 I U D ~ ~ ... nā€ž N'J ~~ 26 D 0 ā€ž~ ā€ži7o: V ~ c` o ,. (` ~YJ ,~ 7TI"- vP, C~ ~ oy~ 0 u h£ ~Mu IA S J ,. ~NI~ ~} STtii Q ~~ , PAD OFFICIAL U5E ONLY ~[AAF PA DEPARTMENT OF REVENUE I 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Lane 5 of i ax Compucauon~ a ~~ c .... /°' ", v Under penalties of perjury, I declare that the facts complete to the t~st~ of; mY nowledge and belief. ` I have reported above are HOME C~'~ :) tLrue, corre t_and ds ~~ 3 G~~' /1JJ ~ WORK C"'7 ~7 :) ~ Z~ ~ ~31t ~I 0'~ ~ TAXP YER SIGNATURE TELEPHONE NIJMBER DATE