HomeMy WebLinkAbout08-14-09PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXEB-:- - AND FILE N0. 21-~5~~7(a(~
PG Box 28oebl 1. TAXPAYER RESPONSE AcN D91D4a55
HARRISBURG PA 17128.0
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~' "! DATE 01-19-2009
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SARA A 80ULTON
1126 OYSTER MILL RD
CAMP HILL PA 17011-1003
EST. OF MARTHA F CAIN
SSN 178-38-2153
DATE OF DEATH 12-25.2008
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPEOF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
PNC BANK NA provided the Department wikh the inforn ation below, which has bean usetl in ealeulatine the
pa 4entiel tax duo. Reco rtls in tlf ca to that at kha tlaethof the above-non ed decatlent, you ware a ioint owner! beneficiary of this account.
If you feel the inforwation is incorrect, please obtain written correction from Lhs financial institution, attach a tapir to this Porn
antl return it tp the above adtl ress. This aedoun4 is taxable in accordance with the Inha ritance Tax laws of the Commm~waalth of
Vennsylvania. Vlaase tali V1/) %b1-83[] with questions.
COMPLETE PART 1 BELOW r SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005000812386 Data 02-13-1997
Estah lished
Account Balance y 6,081.65
Percent Taxable X 50.000
Amount Subject to Tax S 3, 040.83
Tax Rate X .15
Potential Tax Due ! GF[ 1 ~
To ensure prop •r credik to the account, two
copies of this notice oust aecompero
payment to the Register of Wills. Make ch •ck
payable ko •'Reai skar of Wills, Apen t•'.
NOTE: It tax payments are made within three
months of the tlecatlant's data of dsath,
detlu ct a 5 percent tliscount an Lhe Lax due.
AnY Inheritance Tax due will become tlalinquent
nine non the after the data mf death.
A. ~ The above inf ornation and tax tlue is correct.
Remit pavnent ko the Register of Wills with two copies of this notice to obtain
CHECK a dis counk or avoitl interest, or check box '•A" and rata rn this notice to the Repl star of
ONE Wills end an official assessment will be issued by 4he PA Departnant of Revenue.
BLOCK B. ~ Tha above assa4 has been or will be reported antl tax oaitl with the Pennsylvania Inheritance Tex return
ONL Y to be filed by the estate rearesant at ive.
0. IYI The above inf or a eon is in co rreek and/or tleb is and deductions were paid.
/`~Conpleta PART ~2 and/or PART 3~ below.
PART If 1ntlleatin9 a different tax rate, please state
relationship to docetlent: __
TAX RETURN - COMPUTATION OF TAX OH
tLNe 1. Date Gstabllshetl 1~1
2. Account Balance 2~
3. Percent Taxable 3 X,j
4. Amount Subject to Tax 4
5. Debts and Deductions 5 - ~?~
6. Amount Taxable 6 S C
7. Tax Rate 7 X ~.
B. Tax Due 8 S D
JOINT/TRUST ACCOUNTS
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PART DEBTS AND DEDUCTIONS CLAIMED
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DATE PAID PAYEE DESCRIPTION AMOUNT PAID
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Under penalties of pe riury, L declare that the facts I have roportetl above are true, correct and
co mAplete to the best oft my knowletlg• and bel/i elf ~. ~ ~ MUMS C`//7 ) 73 '? - ~ Q ~'f7
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