HomeMy WebLinkAbout08-12-09BUREAU OF INDIVlWAL TAXES
PO BOX 290601 ~~~j~7
IWRRISBURG PA 17128-0601
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE Q
AND FILE N0. 21 -~ p"D75~ f
~~ :TAXPAYER RESPONSE ACN 09149900
DATE 08-03-2009
2009 AUG 12 PN 12146
CLERK OF
ORPHAN'S COURT
CU^v42~F1 !I~dr! l n, PA.
ELLEN BOYD
439 PARKSIDE RD
CAMP HILL PA 17011-2128
EST. OF CLARENCE C BOYD
SSN 195-14-2710
DATE OF DEATH 06-30-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
PNC BANK NA provitlatl 4ha Departaent with the inforaation below. which has bean used in calculating the
potential tax due. Raco rtls indicate that at the death of the above-n ued decedent, you ware a lp int owner/benef iciarv of this account.
If you feel the inforaation is incur rect. please obtain written correction frog the financial institution, of 4aeh a eopv to 4his fora
and return it to the above address. This account is taxable in aeeo rtlanca with the tnhe ritanee Tax laws of the Cosaorwealth of
Pennsvlvenia. Please call (717) TB1-8327 with aueetions.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005140006298 Data 10-01-1964 To ensure prover eretlit to the account. two
Establlshetl copies of this notice oust acc wparo
pavaent to 4ha Register of Wills. Neke chock
Account Balance $ 11 ~ 083.63 pav abi• to "Register of wills, Agent'•.
P are ont Taxable X 16.667
NOTE: If tax pavaents are wade within three
Amount Subj oat to Tax ~ 1,847.31 aonths of the tlecedent •s tlate of death,
X Q O tleduct a 5 percent discount on the tax tlua.
Tax Rate , Aro Inheritance Tax tlua will becaaa delinquent
P Otentlal Tax Due $ .00 nine aonths after the data of death.
A. ~ The above inforaation and tax due is correct.
Raait pavaent 4o the Register of Wills with two copies of 4his notice to obtain
a discount or avoid interest, or chock box "A" end return 4his notice to the Register of
r CHECK Wills and en official assessaent will be issued by 4ha PA OepartaenY of Revenua.
I ONE ~
L BLOCK B. ~ Tho above asset has boon or will ba reported and tax paid with the Pannsv lvania Innsritencs Tax return
ONL Y to be filed by the estate rap resentative.
C. ~ The above infer a son is inearrpct and/or tlebts end tlaductions ware paitl.
Coaplet• PART 2~ and/or PART 31 below.
Under penalties of perjury, I tlaelara that the facts I have reported above era true, correct and
complete to the beat of my knowledge and belief. HOME C ~ ) 7 27-nle~-`f'
-f' DO -I~ -i~i WORK C ~ Nla
TAXPA ER SIGNATURE TELEPHONE NUMBER DATE
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