HomeMy WebLinkAbout12-30-08PENNSYLVANIA INHERITANCE TAX .~/
INFORMATION NOTICE 0`6 ~~,c6 D
AND FILE N0. 21
BUREAU OF INDIVIDUAL TAXES TAXPAYER RESPONSE ACN os162798
PO BOX 280601
HARRISBURG PA 17128-0601 DATE 12-17-2008
REV-1543 EX AFP (OB-OB)
TYPE OF ACCOUNT
EST. OF MILLARD W LANDIS ^ SAVINGS
® CHECKING
SSN
^ TRUST
DATE OF DEATH o9-24-2008
rya CERTIF.
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS Ti7-;--~, -=
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REGISTER OF WILLS ~"
** MARTHA E LANDIS CUMBERLAND CO COURT HOU$~ °~
58 E LOUTHER STREET CARLISLE, PA 17013 ~~• i
CARLISLE PA 17013 cf~
A provided the Depar fr _~
tment with the information below, which has hetn used in calculating'the:
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form
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please ob
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information is
unt is taxable in accordance with the Inheritance Tax laws of the Commonwealth o
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and return it to the above address. This acco
Pennsylvania. Please call (717) 787-8327 with questions.
FOR FILING AND PAYMENT INSTRUCTIONS
COMPLETE PART 1 BELOW * SEE REVERSE SIDE
1010180466142 Date 11-13-2007 To ensure proper credit to the account, two
t accompany
Account No. copies of this notice mus
Established payment to the Register of Wills. Make check
e
l
18,335.32 payable to "Resister of Wills, Asent".
anc
Account Ba
X
percent Taxable
1 0 0 ~ 0 0 NOTE: If tax payments are made within three
$
T 18,335.32 months of the decedent's date of death,
due
t
th
ax
Amount Subject to .
ax
e
1 5 deduct a 5 percent discount on
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li
X
Tax Rate nquen
Any Inheritance Tax due will become de
$ 2, 750 • 30 nine months after the date of death.
Potential Tax Due
PART TAXPAYER RESPONSE
~ FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
CHECK
ONE
C BLOCK
ONLY
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
Wills and an official assessment will be issued by the PA Department of Revenue.
g, ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the estate representative.
C. ~ The above informs ion is incorrrect and/or debts and deductions were paid.
Complete PART ~2 and/or PART 3LJ below.
PART If indicating a different tax r to please state
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. irate Estabiist~ed
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
a. Tax Due
PART
DATE PAID PAYEE
1
2 $
3 X
4 $
5
6 `~
~ X Q~4
8 $
PAD
UFF'11.1AL u~~
PA DEPARTMENT OF
UNLY ^ AAF
REVENUE
1
2
3
4
5
6
7
8
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 have reported abi 7 ~ e~r~ ~crorrec ~ i~~
complete to the bes of my knowledge and belief. H OME C~ o[[.. ~T O
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