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HomeMy WebLinkAbout03-25-10 (2)PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU DF INDIVIDUAL TAXES _ ~,.. AND FILE NO. 21 Po Bax zao6ol ,~ ;' I~,;~ (,f"fiAXPAYER RESPONSE ACN 10109728 HARRISBURG PA 17128-0601 ., ~..+ ~~' ;: j ', ~-~` `~ DATE 02-23-2010 REY-1541 K, I.`IFP~.(AB.OBY ZOlO LIAR 25 PM 2~ 48 CLER~~ C~ ORPH~!'S CvURTnA DEANNA TOUPS 4827 E TRINDLE RD MECHANICSBURG PA 17050-3645 EST. OF RALPH T LIBBY SSN 188-12-4379 DATE OF DEATH 07-25-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE 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 ware 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 C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 000005140038003 Date 08-01-1965 To ensure proper credit to the account, two Established copies of this notice must accomparry AccOUnt Balance 27,275.21 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 4,545.96 months of the decedent's data 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 ~ 204.57 nine months after the date of death. PART TAXPAYER RESPONSE ~ :~.. ',cta ~,. CHECK ONE BLOCK ONLY The above information and tax due is correct. Remit 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 Register of Wills and an official assessment will be issued by the PA Department of Revenue. B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the estate representative. C. ~ The above inforna 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 LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 2 +~' 3 X 4 5 - 6 7 X 8 ~ PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and com late to the best of my knowledge and belief. HOME C ~~ ) ~ ~~ '"~ WORK C7/ ) ~09 '77©(c ~-0~~'-1~~ ~XPA ER SIGNATURE TELEPHONE NUMBER DATE TOTAL CEnter on Line 5 of Tax Computation) #