HomeMy WebLinkAbout95-0872CONMONNEALTH DF PENNSYLVANIA INFORMA AND NOTICE FILE N0. 21 ~ ~ S' ~02
DEPARTMENT OF REVENUE
BUREAU ~ INDIVIDUAL TAXES ACN 95152495
DEPT. 280601 TAXPAYER RESPONSE DATE 11-04-95
~Igg~, PA 17128-0601
TYPE OF ACCOUNT
OF
EST EDITH G BEALE ® sAVINSs
.
N0.
S
S 186-38-7804 ^ CHECKING
.
.
DATE OF DEATH 08-20-95 ^ TRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
tev-iscs of AFV v-%~
ORPHA J LASH
1460 LINCOLN WAY EAST
CHAMBERSBURG PA 17201
FARMERS TRUST COMPANY has provided the Departsent with the inforsation listed below which has boon used in calculating the
potential tax due. Their records indicate that at the death of the above decedent, you wero a joint owner/beneficiary of this account.
If you foal this inforsation is incorrect, please obtain written correction fros the financial institution, attach a eoPY to this fors
and return it to the above address. This account is taxable in accordance with tiw Inheritance Tax laws of the Cossonwoalth of Pemrilvanis.
Questions saY be anawored by calling (717) 787-8327.
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1075128 Dat• 08-03-90 To insure proper credit to your account, two
Established C2) copies of this notice oust accospany your
aysent to the Register of Wills. Make check
Account Balance
Percent Taxable
Asount Subject to Tax
Tax Rat•
Potential Tax Dw
1,600.41
X 8.333
133.36
x .06
8.00
TAXPAYER RESPON
P
payable ta: ^Register of Mills, Agent^.
NOTE: If tax paysents era Bade within throe
(3) sonths of the decedent's data of death,
you say deduct a 5L discount of the tax due.
Any irdwritance tax due will becose delinquent
Wino (9) sonths after the data of death.
0 ~xLt ... .,.__ .. -_
FA Y tU~tE "r#~ k~S p .~.'t` tN A ....... ::
A, ^ The above inforsation and tax duo is correct.
1. You say choose to resit paysent to the Register of Hills with two copies of this notice to obtain
a discount or avoid interest, or you say chock box ^A^ and return this notice to the Register of
CHECK Hills and an official assosssont will be issued by the PA Departsent of Revorwo.
BLOCK B. ^ The above asset has boon or will be reported and tax Paid with ttw Perxisylvania Inheritance Tax return
C ONE
ONLY to ba filed by the decedent's representative.
C. ^ You Bust cospletatPARTis2^ and/ort PART~r3^ bola. deductions wore Paid by you.
lease state your
PART If You indicat• a different tax rate, P ;t:'~i~:;;r:. 1.11''t"It. if13.:Vt,~fG ,,Y~•L ~ ~r.n.
;'
Yj'''
-.::~'..:: ~~~~~M~N~ a~ ~~~~~
I ~`~
2 relationship to decadent: _
~
`
^
'~ ?
`r'Y''
,., ~ ~ •~
~
'
....
I~ r
.r..01J
TAgi ittTUitFi ~ CGPiPU'tATl~uiv GF 1 Aid ~L+I'1 J~'iIVT+ I IlV~J' 1 il'~
......
,
~~
~
LINE 1. Dat• Established 1 ~
2
2. Account Balance ~
3 v
3. Percent Taxable
~ ~
4. Amount Subject to Tax 4 ~
5. Debts and Deductions 5 - 6
6. Amount Taxable 6
~
7. Tax Rat• ~ X
__
~
8
8. Tax Dw
DEBTS AND DEDUCTIONS r.
CLAIMED
PART
D AMOUNT PAID
DESCRIPTION
DATE PAID PAYEE
~ ` ~
~
/i i'7 4~ .4
TOTAL (Enter on Line 5 of Tax Cowputation) a
Under penalties of perjury, I declare that the facts I have reported above era trw,~ ~ ~ ~
co 1~at• to the be of ay kno ye and belief. HOME C ~~7~ aZ..IL' .3 -'
1 ._~ WORK C ~ ~-
f ~ /~~.~