HomeMy WebLinkAbout01-14-10 (4)BUREAU OF INDIVIDUAL TAXES
PD BOX 280601
HARRISBURG PA 17120-0601
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE q -7/
AND FILE N0. 21 _ 6 I ~6US
,` (;'~Ll(,;~~PAYER RESPONSE ACN
~, 09173825
~. ','; ~ __: DATE 11-19-2009
2010 JAN 14 PM I = 35
CLERK OF
ORPHAN'S COURT
BEATRICE STACKPOLE~~~~~~ ~~~~ ~~~~~ ~~~
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 T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
® CERTIF.
MEMBERS 1ST FCU
potential tax due. Records indicate that pat the do th of the above knamede decetlent 3 you w ~~ a hick has been used in calculating the
If you feel the information is incorrect, please obtain written correction frpm the financial institution ,~/attachc aacopy to this force
and return it to the above adtlress. This account is taxable in accordance with the Inheritance Tax laws of the Commonweal th7 ofaccount.
Pennsylvania. Please call (7171 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AHD PAYMENT INSTRUCTIONS
Account No. 201817-42 Date
02-10-2001
Established To ensure proper credit to the account, two
Account Balance copies of this notice gust accpmparry
$ 6,401.25 payment to the Register pf Wills. Make check
P accent Taxable X payable to "Repistar of Wills, Agent".
Amount subject to lax 50 000
Tax Rate
Potential Tax Due
$ 3,20D.63
X .045
144.
NOTE: If tax payments era cede within three
months of the decedent's date of death,
deduct a 5 percent discount on the tax due.
AnY Inheritance Tax due will become delinquent
nine months after the date of death.
A• ~ The above information and tax due is correct.
Remit payment to the Repiater of Wills with two copies of this notice to obtain
C CHECK ~ a discount or avoid interest, or check box "A" and return this notice to the Register of
ONE Wills antl an official assessment will be issued by the PA Department of Revenue.
BLOCK B. The above asset has been or will ba reported and tax paid with the Pennsylvania Inheritance Tax return
ONL Y to 6e filed by the estate representative.
C• ~ Tha above inf orme ion 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
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST
LINE
I.
Date Establi
h
d ACCOUNTS
s
e 1
2. Account Balance 2 $
3. Percent Taxable g X
4. Amount Subject to Tax 4 ~
5. Debts and Deductions 5 -
6. Amount Taxable 6
7. Tax Rate ~ X
8. Tax Due B $
PART
DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE
DESCRIPTION
er On Line 5 of Tax ca..,..«-«a__.
AMOUNT PAID
--• .•~':.+aies of perjury, I declare that the facts I have reported above are true, correct and
mpleto to the host of my knowledge and belief.
~~'' ~..-.- HOME ( 717 ) 691-1940
~'TE'E°d1'#~~K3~-~'a.~l~~ ~ WORK C ) N/A 01/12/10
TELEPHONE NUMBER DATE