HomeMy WebLinkAbout12-04-08 (3)PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND
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HARRISBURG PA nlze-gsBl I '^1 ~~ "- TAXPAYER RESPONSE
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FILE N0. 21 - U8 ~ ~aO~
ACN 08155375
DATE 11-24-2008
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CUMBERL.MlJ CO., PA
COLBY L MILLER
434 OAKVILLE ROAD
SHIPPENSBURG PA 17257
EST. OF BETTY CORKLEMILLER
SSN
DATE OF DEATH 11-08-2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provitletl 4he Department with the infornati on below, which has been usetl in calculating the
Ootential tax tlue. Records intlicate tha4 ak the tleath of the above-nametl decedent, you were a ioint owner/beneficiary of this account.
If you feel the information is incorreck, please obtain written correction iron the financial institutipnr attach a copy to This form
and return it to the above atld ress. This account is taxable in acco rtlance with the Inheritance Tax laws of the Conmonwealth of
Pennsvlvania. Please call (71]) 78]-8327 with questions.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INS TR UCTiONS
Acccunt Na. 208756-00
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rata
Potential Tax Due
Date 08-25-2001
Established
$ 1,045.04
X 16.667
$ 174.18
X .045
$ 7.84
To ensure proper credik tp the account, two
cooies of this notice oust accompany
pavm ent to the Register of Wills. Make check
payable to "Register of Wills. Agent".
NOTE: If tax pavn cots are matle within three
nonths of the decetlent's tlate of death,
tleduct a 5 percent discount on the tax due.
Anv Inheritance Tax due will becone delinquent
nine nonths after the date of tleath.
A. }~ The above information antl tax tlue is correct.
F~ Renit oavnent to the Register of Wills wish two cooies of this nokiw to obtain
r CHEC K a discount or avoitl interes4, or check box "A" antl return this notice to the Register of
I ONE Wills antl an official assessn ent will be issued by the PA pepartm ent of Revenue.
~
L BLOCK
ONL Y B. ~ The above asset has been or will be repo rtetl antl tax paid with the Pennsvlvania Inheritance Tax return
to be filed by the estate representative.
C. ~ The above inf orma ion is incorrect and/or tlebks and detluctions were paitl
C onplete PART ~ and/or PART ~ below. .
PART If indicating a tlifferant tax rata, please state
relatimnship to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 $
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 $
5. Debts and Deductions 5
6. Amount Taxable 6 $
7. Tax Rate
8. Tax Due 7 X
B $ ~~. a e` a e
~ F"~ e
a ~.~
PART
DATE PALD
PAYEE DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION
AMOUNT PAID
TDTAL (Enter on Line 5 of Tax ComputaY3on) S
U ntlar penalties of perjury, I declare
~co m,„p~l e~t~ to the best of ~["}/y0~knowl~dge
%"eywtitil ~-. Y1'L,it1/"~`-'
TAXPAYER IGNATURE that the facts I have reported above are TruI'e,
and belief. HOME (~ ~ ~ ) j 7Vp-
WORK ( 7
TELEPHONE NUMBER correct and '
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