HomeMy WebLinkAbout09-23-09PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES - - - A;1dD
Po eox zsocol ~ :, 1'AXPAYE.R RESPONSE
HARRISBURG PA 17128-0601
REV-1543 F.% AFP (0e-OB7
FILE N0. 21 (~j "i52
ACN 09149361
DATE 07-30-2009
2009 SAP 23 P~°~ 2~ 40
EST. OF HUGH BROGAN
~„ ~~,,,, (~'~ SSN 552-52-3424
~~~,,,,', 1,,--,iJ~~~#IATE OF DEATH o7-18-2009
r,~,k, 4 ~,, %-, G+~UNTY CUMBERLAND
" ~~~ ~ f~~MIT PAYMENT AND FORMS T0:
PAMELA BROGANSPACHT REGISTER OF WILLS
209 CORNMAN LANE CUMBERLAND CO COURT HOUSE
LANDISBURG PA 17040 CARLISLE, PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account.
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
rennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 41015-00 Date 05-02-1984
To ensure proper credit to the account, two
Established copies of this notice must accompany
AccOUnt Balance $ 1 , 868.79 Dayment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 8.333
Amount Subject to Tax $ 155.73 NOTE: If tax payments are made within three
months of the decedent's date of death,
TaX Rate X .045 deduct a 5 percent discount on the tax due.
Potential TaX Due $ 7 O1 Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
0
FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K
0 N E a discount or avoid interest, or check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
[ B L 0 C K ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3~ below.
PART if lntlicating a different tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JQIHT/TRUST ACCOUNTS
1 5 a~ f9E~~
z s i ~' La c _ " 1 cl
s X R . ~~ ~
_ $
5 ~ [~ ~ ~
6
7 X o
8 $
OFFICIAL USE ONLY ~ AAF
PA DEPARTMENT OF REVENUE
1
2
3
4
5
6
7
8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRTPTTf1N AYflII~IT nwr,~
unaer penalties of perjury, I declare that the facts I have reported above are true, correct and
c mplete to the best of my knowledge and belief. HOME C )
~~
WORK C )
AXPAYER SIG URE TELEPHONE NUMBER TE
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES - 'AND FILE N0. 21 Q~ (; -j j"Z
Po Box zaocol TAXPAYER RESPONSE ACN 09149362
HARRISBURG PA 17128-0601 -
- - -' ~ •- DATE 07-30-2009
REV-1543 E% AFP (OB-OB)
L~~g ~~'~ `~ ~~~ ~: ~0 TYPE OF ACCOUNT
EST. OF HUGH BROGAN ® SAVINGS
i r:--,;~ {~~ SSN 552-52-3424 ^ CHECKING
~~Ct ~~ ~ ,./ ^
~~~i ,~~~~ ~~ ~~r ~ T DATE OF DEATH 07-18-2009 TRUST
C~ i~ x~;~( ~ ~~ ~ ~~,~'p COUNTY CUMBERLAND ^ CERTIF.
" '~' REMIT PAYMENT AND FORMS T0:
RONALD SPACHT REGISTER OF WILLS
209 CORNMAN LANE CUMBERLAND CO COURT HOUSE
LANDISBURG PA 17040 CARLISLE, PA 17013
MEMBERS 1ST FCU provided the Department with the information below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Fennsyiv ania. Please tali (717) 787-8327 with questions.
COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 41015-00 Date 05-02-1984 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance ~- 1 , 868.79 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 8.333
NOTE: If tax payments are made within three
Amount Subject to Tax $ 155.73 months of the decedent's date of death,
Tax Rate )( .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential TaX DUe $ 7 • 01 nine months after the date of death.
P~T TAXPAYER RESPONSE
1 FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX A55ESSMENT!
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
ONE
B L 0 C K B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART ~ and/or PART ~ below.
PART If indicating a different tax rate, please state OFFICIAL U 5E 0 NL Y ^ AAF
relationship to decedent:
PA DEPARTMENT OF REVENUE
TAX RE TURN - COMPUTATION OF TAX ON J I T/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 j
2. Account Balance 2 $ - 9 2
3. Percent Taxable 3 X R , ~ ~ ~ 3
4. Amount Subject to Tax 4 $ 1 ~J~ • ~ el 4
5. Debts and Deductions 5 - ` 3 ~~ UU 5
6. Amount Taxable 6 $ _ C~Q ~ 7 .~
7. Tax Rate 7 X .~~~~ 7
8. Tax Due 8 $ e 9 .~ $
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) 8 `'~"o O ~
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete,to the be t o my knowledge and belief. HOME C~~'1 ) ~~ ~' 3a(Q?l
_ '~,c~,~ ~ WORK ( ) /~1_p'Z--f}-q
TAXPAYE S ATUR TELEPHONE NUMBER DATE