HomeMy WebLinkAbout08-20-09BUREAU OF INDIV [DUAL TAXES
PO BOX 280601
NARRISBURG PA 17128-0601 .
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND FILE N0. 21 09-0371
,~ :: -; T/~(PAYER RESPONSE AcN 09149377
-~ ,~ DATE D7-31-2009
2Q~9 AUG 20 A010~ 51
CLEP'rC OF
ORPHAt~~'R COURT
HILARY PAETZOLDCUPG`_'~~~~'...''`C CO.. PA.
23 GOLDEN ROD OR
CARLISLE PA 17015
TYPE OF ACCOUNT
EST. OF ARRAMINDA E MATTLEMAN ® sgviNSs
SSN 165-14-9802 ^ CHECKING
DATE OF DEATH o2-z3-zoo 9j ^ TRUST
COUNTY CUMBERLAND ~ ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
4320 LINGLE ST OWN RD provided khe Deoarkment with She information below. which has been used in calculating the
potential tax due. Records indieato 4hat at the death of 4he above -naaed decadent, you were a ioint wear/beneficiary of this account
If you feel the info nation is Incorrect.please obtain written ca rrection from the fin social institution, attach a coot/ to khis fora
and return it to the above address. This account is tenable in accordance with the Inheritance Tax laws of the Commonwealth of
Pennrylven ia. Please call {717) 787-832] with auestian s.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUICTIONS
Account No. 1930017 Date 11-19-2005 To ensure proper credit ko the account, two
Establishetl eopLS of khis notice mu#t accomoaro
A<dount Balance 7D6 95 prywenk to the Raaistar ¢f Wills. Make chock
"
oavabl• to
Register of ills, Agent".
Percent Taxable X 50.000
Amount Sub3 set to Tex 353
4B NOTE: If tax oavments aRe made within three
. aonths of the decedent's tlate of death,
Tax Rate X 1j deduct a 5 portent discount on the tax duo.
Potential Tax Due
$ 53.02 Any Inhe ritenc• Tax due will became tlelinauent
nine aonths after the data of death.
P
T TAXPAYER RESPONSE
~
1
A. ^ The above inforaation end tax due is eo rrect. ~'.
Remit pavaan4 4o the RegisLr of Wills with two copies of khis notiea to obta~n
r CHECK a tliseount ar ova 3d i nterest, or chock box "A" and return this notice 4o the eg3ster pf
ONE Wills and an official assessaent will be issued by the PA Department of Revenbe.
~
I
L BLOCK B. Tha above asset has been or will ba reported and 4ax paitl with the Pennrylvania I•theritanea Tex return
ONL Y to be filed by the estate representative.
C. ^ Tha above inf or a ion is incorrect and/or debts and detluctions were paid.
Complete PART ~2 and/or PART 3^ belw.
PART iT indicating a different tax rata, please state ' j~ I1 ~i j
relBtlOnshlp t0 decedent: II
TAX RETURN - COMPUTATION DF TAX ON JOINT/TRUST ACCOUNTS III,
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LINE 1. Date Eatab l3 shed I I
2. Account Bolan<e 2 $
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
5. Debts and Detlu<tions 5
6. Amount Taxshla 6 S
7. Tax Rate 7 X
e. Tax Oue 8 S
P
RT DEBTS AND DEDUCTIONS CLAIMED
A
3
DATE PAID PAVFF nccrprprrnu
TOTAL {Enter on Line 5 of Tax Computation) f
Untler penalties of po r3ury, i declare that the fa<ts I have report etl above are true, eo . reef and
to t5yy bast of my knowledge and ball of
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