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HomeMy WebLinkAbout05-03-10 (2)PENNS~fLVANIA INHERITANCE INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES ~ - ^,_ -.~_. AND PO BOX 280601 - - ` '' ~ HARRISBURG PA 1~12B-o6oa _- 'T'A~CP-AI~ER RESPONSE REV-1543 EX AFP (08-08) 1~AX FILE N0. 21 09-0102 ACN 09182564 DATE 12-31-2009 " r ''~ Fr ~ ~~ ~ ~' v ~` EST. OF DORIS S BCIWMAN "'~~~ ~~ SSN 192-30-4910 C~~, ' S •, ~ ~ ~~,= ~ , „~7 DATE OF DEATH O 1 - O 1 - 2 0 0 9 ~~''" ~" ±-" ~ -~ ` "'' COUNTY CUMBERLAND ~ ~ ~~ ~ ~rt, JOANNE M BOWMAN 4704 CARRIAGE WAY FLOWERY BRANCH GA 30542-4620 REMIT PAYMENT AND FORM'S T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. PN C BANK tJA provided the Department with the information below, which hose been used in calculating the potential tax due. Records indicate that at the death of the above-named d ecedent, If you feel the information is incorrect, please obtain written correction f th you were a joint o~.rner/beneficiary of this account. rom e and return it to the above address. This account is taxable in accordance with th financial institution, attach a copy to this form e ^e....sv~.a.~~a. ^l~sse coil C7i;: :57-8.'~~7 wiiti que~cions. Inheritance Tax laws of the (:ommonwealth of COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 000005070047632 Date 06-21-1989 To ensure proper credit t:o the account, two Established copies of this notice must accoimpany Account Balance $ 1 , 674.09 Payment to the Register of Wills. Make check Percent Taxable X 100.00 payable to "Register of Wills, Agent". Amount Subject to Tax $ 1,674.09 NOTE: If tax payments are made within three Tax Rate X months of the decedent's date o~F death, .045 deduct a 5 per<:ent discount on 1the tax due. Potential Tax Due $ 75.33 Any Inheritance Tax due will become delinquent nine months after the date of dcaath. PART TAXPAYER RESPONSE A. ~ The above information and tax due :is correct. Remit payment to the Register Hof Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of O 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 pain with the Penn<;ylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above information is incorrect a d/ n or debts and ded Complete PART 2~ and/or PART ~ below. uctions were paid. PART If indicating a different tax rate, please state relationship to decedent: OFFICIAL' USE ONLY TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PA DEPARTMENT ©~ REVENUE q LINE 1. Date Established 1 P D ~ 2. Account Balance 2 $ 3. Percent Taxable 3 X 2 4. Amount Subject to Tax 4 $ 3 4 5. Debts and Deductions. 5 - 6. Amount Taxable 6 $ 5 { _~ 7. Tax Rate T X . ~ -- 8. Tax Due g $ _ 8 --- PART 0 DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE nFCrRrprrnnr _.__---_ Under penalties of perjury, I declare that the facts I have reported above are true, correct and comple a to the best of my knowledge and belief. ~~~ . _~-~ TAXPAYER SIGNATURE WORK ( ~Q ) 1~i1 "dpT~ _ ~. ~ ~ l TELEPHONE NUMBEF! DATE ~