HomeMy WebLinkAbout04-05-10 (2)PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES ~ ;-,• ~ ,;^ :.,~- AND
Po sox zao6ol ~' '`'.:r ~J' TAXPAYER RESPONSE
HARRISBURG PA 17128-0601 ~
~1~5 1.ri ~
~1
REV-1545 IX AFP (00-087 ~ -
FILE N0. 21-f0~3~~
ACN 10117927
DATE 03-25-2010
2010 APR -5 PM i2~ S3
CLERK Qr
~+ ORPHAN`S ~QURT
A.
LINDA BERNHEIMER
1011 NORTH WEST STREET
CARLISLE PA 17013
EST. OF MARTIN BERNHEIMER
SSN 265-51-6656
DATE OF DEATH 03-10-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
MEMBERS 1ST FCU 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 Soint 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. 116223-03 Date 03-22-2007 To ensure proper credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 962.01 payable to "Register of Wills, Agent".
Percent Taxable X 16.667
NOTE: If tax payments are made within three
Amount Subject to Tax $ 160.34 nonths of the decedent's date of death,
Tax Rate X .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will becowe delinquent
Potential Tax Due ~ 7.22 nine months after the date of death.
P
T TAXPAYER RESPONSE
~
1
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. HOME C )
WORK C )
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
TOTAL (Enter on Line 5 of Tax Computation) S