HomeMy WebLinkAbout01-14-10 (3)
' PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES
PD Box 280601 ~~~ AND FILE NO. 21 -~~/ - ~Q,j
WIRRISBURG PA nlze-osol '?f^(y~; '` TAXPAYER RESPONSE
-•,~ I ' ,t~t'I ! ~ ACN 09173824
i'..~519s~ aura rosLder ' DATE
11-19-2009
2010 JAN 14 PM I ~ 35
C~ER~ OF
pPPHAN'S CCURT
BEATRICE STACKPOLEu~~'~ rp p~_
108 VIRGINIA BEACH AVE
CARLISLE PA 17015
EST. OF MARY E BEARD
SSN 172-24-8558
DATE OF DEATH 11-07-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
^ rRUSr
® CERTIF.
MEMBERS 1ST FCU
potential tax due. Records indi eats that pat the d ath of the ebovel named d cadent lyou y ~~ a hick has been used in celeulatina the
If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this fora
and return it to the above address. This account is taxable in accordance with the Inheritance TaxtlewseofbthefCommonwealth1 of account.
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILIH6 AHD PAYMENT TNIC'ro rrrrv......
.. ••~. culol/-41
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Duo
Date 05-17-2001
Established
~ 12,002.75
X 50.000
$ 6,001.38
X .045
$ 270.06
CHECK
ONE
BLOCK
ONLY
• •iVn)J
io ensure proper credit to the account, two
copies of this notice must accompany
payment to the Raeistar of Wills. Make check
payable to "Register of Wills, Aeent".
NOTE: If tax pavaents are ^ada within three
months of the decedent's data of death,
tleduet a 5 percent discount on the tax due.
Arty Inheritance Tax due will become delinquent
nine months after the date of death.
A• ~ Tha above inforaation and tax due is corset.
Resit 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 Re
W111s and an official assessment will be issued by the PA pepartment of Revenue.
~~~~,,,,,,,,~~~~//// gister of
B• ~ihe ab
C
ova asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the estate representative.
Tha above informs ion is incorr~ect and/or debts and detluctions were paid.
Complete PART 2~ and/or PART I° I below.
hR~ ~r 'ncieatin9 a different tax rate, please state
relationship to decedont:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established 1
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 ~ X
8. Tax Due a g
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
~'~~ renter on Line 5 of Tax Computation)
Under penalties of perjury, I declare that $
complete to the bast of m the facts I havo reported above are
Y knowledge and belief. true, correct and
HOME C 717 ) 691-1940
AYE SIGNATURE WORK C ) N/A 01/12/10 '
TELEPHONE NUMBER DA~-
PAYEE DESCRIPTION
AMOUNT PAID