HomeMy WebLinkAbout11-30-09 (2)PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE q
BUREAU DF INDIVIDUAL TAXES - -~ AND FILE ND. 21 L.C.C'.~r' ~ `~(-;
Po Box zssB6o1 TAXPAYER RESPONSE ACN 09165790
HARRISBURG PA 17128-0601
_ DATE 10-12-2009
REV-1543 E% AFP (OB-OB)
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EST. OF MARY MARAVICH
SSN 206-01-7430
DATE OF DEATH 09-28-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
MILLICENT MARAVICH REGISTER OF WILLS
2888 LINCOLN ST CUMBERLAND CO COURT HOUSE
CAMP HILL PA 17011 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 point 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
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 296630-00 Date 12-04-2006 To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance 337. $2 Payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to TaX $ 168.91 months of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 7 • 60 nine months after the date of death.
PART TAXPAYER RESPONSE
0 ALLURE Tf1 RESPOND WILL RESULT IN AM oFFTCIAt 7Ax 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
C H E C K 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.
C 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 information 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
2 relationship to decedent:
RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS I PAD
LINE 1. Date Established 1
2. Account Balance 2 +fi
3 Percent Taxable 3 X
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
4 $
5
6
7 X
8 $
OFFICIAL USE ONLY ~ AAF
PA DEPARTMENT OF= R€VENUE
1
2
3
4
5
6
7
8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported ab/p/y re true, correct and
h c~opm~pl/Je'te to the ¢est of my ~kn~o/w~ledge and belief. HOME C `~~~ ? ~ ~ -~ ~!~
~~ j~%l~L~ic.(~~ /`~~~Y?~~~it'~Gt/ WORK C ~// 3/ -~l~'
__..__..__ ..---..-~.. ..~ rri rni~n ur ~n,uoro nnr~
TOTAL (Enter on Line 5 of Tax Computation) S