HomeMy WebLinkAbout06-03-10 (2)BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 Y
HARRISBURG PA 17128-0601 " -
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
{~,_ ,~~ AND FILE
~t l,-+ TAXPAYER RESPONSE ACN
f rii ~ ~' DATE
~~:.~.
W0. 21 09-1175
10103406
01-18-2010
210 JUN -3 PM t~ 50
~G."1~ ~6
o~~~s cou~T
MICHAEL WEAVER
107 HAIRE AVE
LEWISBURG PA 17837-9204
EST. OF INA M KELLER
SSN 175-10-7404
DATE OF DEATH 12-09-2009
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
PNC BANK NA provided the Departaent with the infonation below, which has boon used
potential tax due. Records indicate that at the death of the above-naaed decedent, you ware a joint owner/banafi~
If you feel tho infonation is incorrect, please obtain written correction frog the financial institution, attsch
and return it to the above address. This account is taxable in accordance with th• Inheritance Tax laws of the C
Ponnsylvenia. Please call C717) 7a7-a327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUI
TYPE OF
ACCOUNT
SAVINGS
CHECKING
® TRUST
CERTIF.
ealeulatine the
pry of this account.
copy to this fora
^onwealth of
IONS
Account No. 0000314001 77692 Date 01-20-2000 To ensure proper credit to the seeount, two
Established copies of this notie• oust aceoapargr
payaent to the Raeister of Willa. Make chock
Account Balance 10,531 .(6 payable to "ReOister of Wi ls, AOent".
Percent Taxable X 100 .00
NOTE: If tax payaents era ^ad• within three
Amount Subject to Tax $ 10,531 .66 aonths of the decedent's d t• of death,
Tax Rata ~( , 1rj deduct a 5 percent discoun on the tax due.
Any Inheritance Tax due wi 1 becoa• delinquent
Potential TaX Dua g 1, 579 .75 nine months after the data of death.
P
RT TAXPAYER RESPONSE
A
1
A.,~~Tho above infonation and toot due is correct.
1~ Raait pageant to the Rapistar of Wills with two eopias of this notice to obtain)
~'~ e~'~ Wills and an official assessaent will be issued by the PA Dapartaent of Revenue
ONE
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inh ritance Tax return
0 N L Y to be filed by the estate representative.
C. ~ The above infor a ion is incorrect and/or debts and deductions ware paid.
Coaplete PART ~2 and/or PART 3~ below.
PART If indicating a different tax rata, please state
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established 1
2. Account Balance 2 ~
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 ~
5. Debts and Deductions 5 -
6. Amount Taxable 6 ~
7. Tax Rat• 7 X
8. Tax Dua 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
3^ I
DATE PAID PAYEE DESCRIPTION. ' AMOUNT PAID
rurAl (Eflter on Line 5 or Tax Computation) ;
Under penalties of perjury, I declare that the facts I have reported above are true, eorr et and
compl~ to tJ:e~t of ,~~~w~~d belief. HOME C O) off- ' ~
rA~~j i J// WORK C~'7n) ~ 7"f .... i~ILQ ~' 2n ii