HomeMy WebLinkAbout02-25-10 (3)PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES _ r,:~:. A N D
Po Box zao6ol ___,, ~','- ~,!" TAXPAYER RESPONSE
HARRISBURG PA 17128-0601 ~.;.` -. ~ ,,
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FILE N0. 21 09-0987
ACN 09172625
DATE 11-09-2009
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BARBARA A FETR~''~
5263 E TRINDLE RD
MECHANICSBURG PA 17050-3552
EST. OF MARY A FETROW
SSN 159-52-8919
DATE OF DEATH 07-01-2009
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 were a joint 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 C717: 787-8327 with :,uestio~s.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Under penalties of perjury, I dec t the facts I have reported above are true, corr/e~ct and
complete to he best of my knowl dge and belief. H 0 M E C ) (c>
`~ WORK ( )
TAXPAYER S G ATURE TELEPHONE NUMBER AT
U
TOTAL CEnter on Line 5 of Tax Computation) S