HomeMy WebLinkAbout11-18-09 (2)BUREAU OF INDIYIDUAL TAXES
PO BOX 280601
NARRISBURG PA 17128-0601
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
AND
~,; ;~~ -;t ;_'~TAXPAYER RESPONSE
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MARILYN A KANGAS
1 BEAVER RD
CAMP HILL PA 17011-7405
EST. OF MARILYN A KANGAS
SSN 191-40-9428
DATE OF DEATH 06-29-2009
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 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 ware a joint owner/beneficiary of this account.
andyreturnlithtoithe abovenaddrass~r This accountoisataxabletin accordance with the Inheri!ancanTaxtlawsnofathacCowmorn+aalthtofs form
Penn ~•lvaria. Plassc call C:17: %37-53<% :.ith qu~s2ions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005080380068 Date 05-11-1994 To ensure vroper credit to the account, two
Established copies of this notice must accomparN
payment to the Register of Wills. Make check
Account Balance $ 4,632.95 payable to "Register of Wills, Agent".
Percent Taxable X 50.000 NOTE: If tax payments are made within three
Amount Subject t0 Tax $ 2,316.48 months of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Tax Rate X ' ~ Any Inheritance Tax due will become delinquent
Potential TeX Due $ 347.47 nine months after the date of death.
PART 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 obtain
a discount or avoid interest, or check box "A" and return this notice to the Register of
CHECK Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
BLOCK B. ~ The above asset has bean or will be reported and tax paid with the Pennrilvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. ~ The above informs lon is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3~ below.
PART If indicating a different tax rate, Please state
a 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 JOINT/TRUST ACCOUNTS
l
2 $
3 X
4 $
5
6 $
7 X
8 $
PART
DATE PAID PAYEE
DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) ~
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete o the best of m knowledge/]and belief. HOME C ! 7 ~ ~ ~ d
~~~`~ ~=~!jtt~G~ J1°CL~.m~t.L~G WORK C ) ~ DA_,_
TAYLIAVFR cTr_NnTURE TELEPHONE NUMBER _ _ -
DEBTS AND DEDUCTIONS CLAIMED
TAX
FILE N0. 21~z,~o`~~U`?b~
ACN 09170086
DATE 11-02-2009