HomeMy WebLinkAbout06-24-10 (3)PENNSYLVANIA INHERITANCE T
2010 JUld 24 PM !2~ 38
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ORPr~? ! ~'S COURT
CU~~ ~"~ - .AND CO., P.'.
ELIZABETH J CALVER
1332 SCENERY DRIVE
MECHANICSBURG PA 17050
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES `~ t} ' AN D
Po cox 2BO6o1 ~~' "TAXPAYER RESPONSE
HARRISBURG PA 17128-0601 ~}~ (~
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FILE N0. 21- /d'0(pZ~
ACN 10129624
DATE 05-24-2010
EST. OF HOWARD W CALVER
SSN 118-12-2532
DATE OF DEATH 05-08-2010 ~I
COUNTY CUMBERLAND I,
REMIT PAYMENT AND FORMS T0: ~!~
REGISTER OF WILLS ',
1 COURTHOUSE SQUARE ~,
CARLISLE PA 17013 '~
TYPE OF ACCOUNT
SAVINGS
® CHECKLNG
TRUST
CERTIF.
MEMBERS 1ST FCU provided the Departrant with the infosation below, which has bean used in calculating the
potentisl tax due. Records indicate that at the death of the above-naaed decedent, you ware a ioint owner/benefit ary of this account.
If you foal the infonation is incorrect, please obtain written correction frog the financial institution, attach copy to this fen
and return it to the above addross. This account is taxable in accordance with the Inheritance Tax laws of the Co onweelth of
Penn COMPLETEe PART1171BELOW s* SEE 4REVERSE SIDE FOR FILING AND PAYMENT INSTRUC
'IONS
Account No. 5518-11 Data 06-09-1976 To ensure proper credit to the account, two
Established copies of this notice rust accoavany
payrent to the Resister of Wills. Make check
Account Balance ~ 1 ~ 768 .74 payable to "Rapistar of Wi ls, Agent".
Percent Taxable X 8 .333
NDTEi If tax payrents aro rode within three
Aaount Subject to Tax g 147 .39 aonths of the decedent's d t• of death,
Tax Rate ~( , 00 deduct a 5 percent discoun on the tax due.
Any Inheritance Tax due wi 1 becore delinquent
Potential Trx Dua ~ .00 nine months attar the date of death.
PART
U
A.
Th• above infonation and tax due is corset.
~
Rerit payaent to the Rapistar of Wills with two copies of this notiea to obtain
CHECK a discount or avoid interest, or chock box "A" snd return this notice to the Re fster of
C 0 NE ~ Wills and an official assessrent will be issued by the PA Departrent of Revenue .
BLOC K B. ~ The above asset has boon or will be reverted and tax paid with the Pennsylvania Inh ritanca Tax return
0 N L Y to be filed by the estate representative.
C. ~ The above infona ion is incorrect and/or debts and deductions were paid. 'I
Corplete PART 2~ and/or PART 3~ below.
PART If indicating a different tax rata, please state
a relationship to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 ~
3. Portent Taxable 3 X
4. Arount Subject to Tax 4 $
5. Debts and Deductions 5 -
6. Asount Taxable 6 ~
7. Tax Rato 7 X
8. Tax Duo 8 $
PART DEBTS AND DEDUCTIONS CLAIMED
a
DATE PAID PAYEE DESCRIPTION ' AMOUNT PAID
~uin~ lCniar on a na s or iax uowpusa a one s
Under penalties of perjury. I declare that the foots I have reported above aro true, cor act and
co~~lot• to tho~ost of ^ywknowlo~dgo ar~~ bel ref . ~ ~ ~ ~ HOME C 7 ~ 7 ) ~ 7 Z ~" ~ .33
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