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HomeMy WebLinkAbout09-28-09 (3)PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ~,y~q_ 9 _ BUREAU OF INDIYIDUAL TAXES AND FILE N0. 21'~~"l 0 /~~ Po BOX 280601 TAXPAYER RESPONSE ACN 08153338 HARRISBURG PA 17128-0601 DATE 11-10-2008 REV-1543 EX AFP C08-08) TYPE OF ACCOUNT EST. OF EUGENE A LITTLE ^ SAVINGS SSN 160-22-7275 [~ CHECKING DATE OF DEATH 10-12-2008 ^ TRUST COUNTY CUMBERLAND © CERTIF. REMIT PAYMENT AND FORMS T0: ty TAMMY J PROPES REGISTER OF WILLS C 0 ~ ~: 2144 CANTERBURY DR CUMBERLAND CO COURT HOUSF~=~~ ~ r~ ; '--'j MECHANICSBURG PA 17050 CARLISLE, PA 17013 -"~~ T*'t ~;".; ...'r~ -~ -~- fV r-r' -} ~~'~~t c"' C_7 C ~ _ `_'~ -t PNC BANK NA provided the Department with the information below, which has been used ia~alculat~ the :~ ;,~ _ ~~~ potential tax due. Records indicate that at the death of the above-named decedent, You were a joint owner/benef~gz~ of this.accougt. r~~ If you feel the information is incorrect, please obtain written correction from the financial institution, attac~'"a copy to form-+' ~~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth„ Pennsylvania. Please call (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS ,~ .~_s UIVt BLOCK B. ^ Tha 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 ~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE i. Date Esrai~iished I fr., 2. Account Balance 2 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 $ 5. Debts and Deductions 5 - 6. Amount Taxable 6 $ 7. Tax Rate 7 X r' 8. Tax Due 8 $ PART DEBTS AND DEDUCTIONS CLAIMED a DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation, # Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. H 0 ME C ) WORK C ) TAXPAYER SIGNATURE TELEPHONE 'NUMBER DATE