HomeMy WebLinkAbout96-0102CONMONMEALTH OF PENNSYLVANIA
DEPART}IENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
0.EY-1645 E% ~F- (7-951
FILE NO. 21 .._~ r~~_ __~,J~
ACN 95156713
DATE 12-04-95
PATRICIA D ANDERSON
634 ALLEN ST
NEW CUMBERLAND PA 17070
TYPE OF ACCOUNT
EST. OF RUDY MARX ^ SAVINGS
S . S . NO . 273-03-7699 ^ CHEpCIN6
DATE OF DEATH 08-18-95 ® TRUST
COUNTY CUMBERLAND V ^ CERTIF.
REMIT PAYMENT AHD FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT H OUSE
CARLISLE, PA 17013
.~
HARRIS SAVINGS BANK has provided the Departaent with the inforeation 1lsted below which has boon used in calculating the
potential tax due. TFiair records indicate that at the death of the above deceddnt, you were a joint owner/6erwficiary of this account.
If you feet this irtforeation is incorrect, please obtain written correction frog the financial institution, attach a copy to this fen
and return it to the abovs address. This account is taxable in accordance with the Inheritance Taw Laws of the Coeaorwealth of Pemsylvania
Questions eey be answerod by calling C717) 787-8327. ~ "-""
COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS '
Account No. 04-66-238884 Date 04-20-93 7o insure proper credit to your account, two
' Established C2) copies of this notice cost aecoapany your
Account Balance 10 0 , 242.19 Payaent to the Register of wills. Make a,.ac
payable to: ^Register of Nills, Agent^.
Percent Taxabl• X 10 ~ • 0 ~ NOTE: If tax payaents are cede within thrw
Anount Subject to Tax 100,242.19 (3) aonths of the decedent's date of death,
Tax Rats X ,15 you ray deduct a S:C disco(xet of tM tax due.
Any inheritance tax dw will beooao delinquent
Potential Tax Due 15, 036.33 nine C9) aonths after the date of death.
PaT TAXPAYER RESF~ONSE
t:d•'fi'fii2lt `t'E'M ~!#~:#fE1i~'1~.~.;~t!tf..#.r„,.tfi~:'~. tt::'M' 'MtA ~Aii~it~!!#'S!.'!f!!"!f.d~~:~:~.'.I~~yf:,.,.1<'~.+~111~!!!.tiS'ii~~aCNll~~s,~~tTh~l~l~.aii<#e~ti-~+ss'r~;s~
A. ^ The above inforeation and tax due is correct.
1. You ray choose to raeit payeent to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or you say chock box ^A^ and return this notice to tM Register of
C 0 N E ~ Wills and an official assosseent will bo issued by the PA Departeent of Revemw.
BLOCK B. ^ Tha above asset has been 6r will be reported and tax paid with the Pennsylvania Iniwritance Tax return
ONLY to be filed by the decedent's representative.
C. ~ The above inforsation is incorrect and/or debts and deductions were paid by you.
You rust coaplete PART 2^ and/or PART 3^ below.
PART If you indicat• a differ®nt #a}
relationship to decedent: ,(~
TAX RETUf~N - coiwr~iiTr+'i"iuFi aF Tkx
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Anount Subject to Tax
5. Debts and Deductions
b: Anount Taxabl•
7 Tax Rate
your
JuiTiTi TRUST ACCOiiFiTS
4 ,-
'~ ~4 T 444 ~ 4 Si.x'~4 S'4
8. Tax Dw $ ffI . }, _~..~; ... .. 'Fk 4
PART DEBTS AND DEDUCTIONS CLAIMED
a
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that tM fiacts I have reported above are trw, correct and
conplats t~o~ths best of my knowledge and belief . HOME C ~~) ~ /~'"~ `~
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