HomeMy WebLinkAbout02-04-09BUREAU OF INOIViOUAL TAXES
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HARRISBURG PA 17128-0601
PENNSYLVANIA INHERITANCE TAXI
INFORMATION NOTICE
AND FILE NO. 21 08-1139
J ~::' ~1AXP!AA^ER RESPONSE ACN 09101513
~~. ~ ' ~~~~ _ DATE D1-15-2009
ZOQ9 fEB -4 AM I I ~ I
~T
O TYPE OF ACCOUNT
.
F WILLIAM E DENISON ~ savlNGs
CLERK
Or SSN 209-12-9403
DATE ~ CHECKING
O
R
PHANS
COURT OF DEATH 08-20-2008
COUNTY C ~ TRUST
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CU~!BERLAP~ UMBERLAND
ry
REMIT PAYMENT A
CO
^ CERTIF.
VIRGINIA B DENISON „ ND FORMS T0:
5445 RIVENDALE BLVD REGISTER OF WILLS
MECHANICSBURG PA 17050-2024 CUMBERLAND CO COURT HOUSE
CARL
ISLE, PA 17013
BANK GF AMERICA NA
potential tax due. Recm rtls indicate that Pat the death of the above foam etl de etl nt ion below, which has been usetl in calculate n9 the
If you feel the information is incorrect, You were a joint owner/benefi tear
and return it to the above atltl ress. This account Pbs at az able tin accm rdance with the InheritancenT axt lawsnof athePCOmm onweal4h)ofaccount.
Pennsylvania. Please call (717) 787-8327 with questions. pv to this farm
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 68100404051843 Date
03-23-20Dc
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Oue
Established
$ 35,030.01
X 100.00
$ 35,030.01
X .15
$ 5,254.50
To ensure proper credit to the account, two
copies of this notice must accon panv
aavn ant to the Register of Wills. Make check
payable to "Register of Wills, ggent".
NOTE: If kax Dayments era matle within khree
months of the tlecetlent's tlate of death,
detluct a 5 Percent discount on the taz due.
Anv Inheritance Tax tlue will becone tlelinquent
nine months after the tlate of tleat h.
• i+e as G: (a
A• ~ The above information antl tax due is ca rrect.
Remit pavnent to the Resister of Wills with two copies of this notice to obf ain
r CHECK ~ a discount or avoid inkerest, or check box •'A'• antl return this notico to the Re
L ONE Wills antl an official assassin ent will be issued by the PA Uepartn ent of Revenueeister of
BLOCK B. ~ The above asset has been or will be reported and tax paid wikh the Pennsylvania Inheritance Taz return
ONL V to be fil etl by the estate representative.
C. ~ The above inform ion is incorrect antl/ar debts and tletluckions were Paid.
Complete PART ~ and/or PART 3^ below.
PAZRT If indicatiPg a different
relati Yaxira
ta, please state
onshi to tle cede nt: e
W ZZ
TAX
RETURN - COMPUTATION
OF
TAX ON JOINT/TR US7 1
ACCOUNTS
LINE 1. OaYe Established i 3-23-04
2. Account Balance 2 $ 35,030.01
3. Percent Taxable 3 X 1~0
4. Amount Subject to Tax 4 $ 35,03~.~1
5. Debts antl Deductions 5 Q e
6. amount taxable 6 ~` 35,030.01
7. Tax Rate 7 ~( ~
8. Tax Due B $ ~ ~
Y
~
Y
PART DEBTS AND DED UC 7IONS CLAIMED
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
- -•^~ ,=n Eer on Line 5 of Tax Compukationl
Untlar penalties of 8
perjury, I deela re that the facts I have reported above are true, correct and
cpmplete to the best of my knpwledge and belief.
~ "e'" WO R K C i
~crc a1bNATURE Z2. 457
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