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Home My WebLink About10-19-09 (2) .,PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 2~200~- 0~'('],g PD Box 2ao6B1 TAXPAYER RESPONSE ACN 09156731 HARRISBURG PA 17128-0601 DATE 09-08-2009 miV-1543 EX IIFP COp-0p1, ~~~~ ~G~ j ~ ~~1 ~. (' ,~- ' CF ~~~ ~ ~ ~~t~~•r•~~~ cau~- MARY H BRANDY 208 GARLAND DR CARLISLE PA 17013 EST. OF MARY E HASSINGEIR SSN 186-30-6017. DATE OF DEATH 07-12-20'09 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS ® CHECKING TRUST CERTIF. ADAMS COUNTY NATIONAL BANK provided the Department with the information below, which has been used in calculating the Dotential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/benieficiary 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-ir. accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INST~tUCTIONS Account No. 179647 Date 06-12-1997 To ensure proper crediit to the account, two Established copies of this notice imust accompany Account Balance 7, 605.17 payment to the Register of Wills. Make check payable to "Register oaf Wills, Agent". Percent Taxable X 50.000 NOTE: If taz payments are ^ade within three Amount Subject to Tax ~ 3,802.59 months of the decedent','s date of death, Tax Rate X .045 deduct a 5 percent disicount on the tax due. 1 7 1 . 1 2 Any Inheritance Tax dwe will become delinquent Potential TeX Due nine months after the date of death. PaT TAXPAYER RESPONSE ~ ~ ~~ # A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to oq'tain CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. [ ~ B L 0 C K 0 N L Y B. ~ The above asset has been to be filed by the estate or will be reported and tax paid with the Pennsylvania Inheritance Tax return representative. C. © Tha above infor a ion is Complete PART ~2 and/or incorrre~ct and/or debts and deductions were paid. PART 3LJ below. PART If indicating a different tax rate, please state relationship to decedent: ,_,,,, £- . ~~ TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1_ js _ ~.' w 2. Account Balance 2_ $ 7. ~ ~i~~ „i;i 1~0c5~, ~ 7 '~'~ ' ~? ~« ~.M 3. Percent Taxable 3 X _/S-!3 s DrJQ }~,;,~%y~°~'~. 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 6. Amount Taxable 6 $ d "~~ 7. Tax Rate 7 __ X ~ d ~.~I~ 8. Tax Due r PART 0 DEBTS AND DEDUCTIONS CLAIMED ~••--• r-•~-=~+a~ ..~ ye: fury, a aeclare LnaL the raets I have reported ab/o'7ve~7are true, correct and eo etc to the best o~ knowledge and belief. HOME C "/ ~/ ) WORK ~ --Y. ffp ,XPAYER SIGNA RE TELEPHONE NUMBER DA " 7 DATE PAID PAYEE DESCRIPTION AMOUNT PAID