HomeMy WebLinkAbout06-24-10 (4)- _-. _ __ _
PENNSYLVANIA INHERITANCE TAX
- ~ I-NF~ORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES `~ , i~ ~ AND FILE N0. 21• J~• p(oz~
PO BOX 280601 ~ XPAYER RESPONSE ACN 10129621
HARRISBURG PA 17128-0601
DATE 05-24-2010
,av-iscs oc . ~,ps- ~
- `~ TYPE OF ACCOUNT
CLERK QF EST. OF HOWARD W CALVER ® SAVINGS
~'.RPHAN~S ~C' '~?. SSN 118-12-2532 ^ CHECKING
~~, ;;~~£R# ~~ ;~i.N DATE OF DEATH 05-08-2010 '~, ^ TRUST
COUNTY CUMBERLAND C7 m ^ CERTIF.
REMIT PAYMENT AND FORMS T0: ~ ° r~l `',7~
ELIZABETH J CALVER REGISTER OF WILLS '~ C ~,.~' :_-~'
1332 SCENERY DRIVE 1 COURTHOUSE SQUARE ~ tom- _ ~'.' ~_c~
MECHANICSBURG PA 17050 CARLISLE PA 17013 -- _ m N r'~'' ~`•~
~7~ ~ ~ ~°`
tV ~- ~
.,
MEMBERS 1ST FCU vrovided the Departaant with the inforastion below, which has boon ua~6"d 'n ealeul~tp the ~
potential tax due. Records indicate that at the death of the above-naaed docedent, you ware a 3oint owner/banefic ary of tMQ account.
If you foal th• fnfonation is incorrect, vlaase obtain written correctlon frog the financial inatitutian, attach copy to this ion
and return it to the abovo address. This account is taxable in accordance with the Inheritance Tax laws of the Co ^onwealth of
Pennrilvania. Please coil C717) 707-B327 with qursti0ns.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUC IONS
Account No. 5518-00 Date 04-13-1961 To ensure prover credit to the account, two
Established copies of this notice oust accoapany
Account Balance 8 ~ 981.21 vriaant to the Register of Wills. Make cheek
payable to "Register of Wi ls, Agent".
Percent Taxable X 8.333
NOTEa If tax payaents are ^ade within three
AIOOUnt Subject t0 TeX ~ 748.40 aonths of the decedent's d to of death,
Tax Rate X , ~~ deduct a 5 percent discoun on the tax due.
Any Inheritance Tax due wi 1 baeoae delinquent
Potential Tax Due ~ • DD nine aonths after the data of death.
P~T AXPAYER RESPONSE
1
A. ~ The abovo inforaation and tax due is correct.
Resit payaent to the Raglstar of Wills with two copies of this notice to obtai
CHECK a discount or avoid interest, or check box "A" and return this notice to the Re aster of
C 0 NE ~ Wills and an official assessaent will ba issued by the PA Departaent of Revenu .
BLOCK B. ^ The above asset has been or will be reported and tax paid with the Pennrilvania InF~eritanca Tax return
ONL Y to be filed by the estate rapresantative.
C. ^ TM abovo infer a ion is incorroct and/or debts and deductions ware paid. li
Coaplete PART ~2 and/or PART ~ below.
PART If indicating a different tax rate, please state
Z^ relationship to docadant:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established 1
2. Account Halance 2 ~
3. Percent Taxable 3 X
4. Aeount Subject to Tax 4 ~
5. Debts and Deductions 5 -
6. Asount Taxable 6 $
7. Tax Rate 7 X
8. Tax Duo 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
a
iIATG PATiI PAVC~ IIF C(`DTPTTri 1J aM1lI11JT DATT
TOTAL CEntar on Line 5 of Tax Computation)
Under penalties of perjury. I declare that the facts I have reported abovo are true, cor
co plate to the st of my knowledge an belief HOME C 17 ) ~Oq 7 aQct and
I"/3.3
Q ORK C ) ~a-~ '"~
T XPAYER SIG RE TELEPHONE NUMBER
-- - - - DATE
I
,~