HomeMy WebLinkAbout02-25-10 (4)BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
„ : '..yi AND
--~- .. TAXPAYER RESPONSE
'_ - _r. .,
RE~1,71b~i3.EX1 AfP iCDB~A~)
TAX
FILE N0. 21 09-0987
ACN 09172628
DATE 11-09-2009
Z~~~
~~.
KENNETH E FETROW ~'~
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 questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005070059473 Date 02-05-1990
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 38, 514.84 payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 50.000
Amount Subject to Tax $ 19, 257.42 NOTE: If tax payments are made within three
months of the decedent's date of death,
Tax Rate X . 045 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 866.58 Any Inheritance Tax due will became delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
0 .r ,, ..y_.. ..........
..~ , . ,~.u,,,.....
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E Wills and an official assessment will be issued by the PA Department of Revenue.
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 informs ion 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
relationship to decedent: •`
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1 `°r.• ~ ~~
~~
2. Account Balance 2 $ 'f.,`
X ..5, , ~"
3. Percent Taxable 3 y~:~' `
. ,~ . •':
4. Amount Subject to Tax 4 +fi f~ f;~.;v~,;~/'
f dfy
5. Debts and Deductions 5 - ff~ `
F~5
. ~.',~~~:,: G
6. Amount Taxable 6 $ f,;r,~ ~ •~` F .
7. Tax Rate 7 X '~ `' ~ ~.
f.~..
8. Tax Due 8 $ ~ '`..••. `'" ...~~~ "`
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Computation) g
Un r penalties of per declare that the facts I have reported above are true, correct and
omplete he best f my wledge and belief.
HOME ( )
`t.. WORK C ~ f~ ) ~~
TAXPAYER SIGNATURE TELEPHONE NUMBER
AT