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HomeMy WebLinkAbout07-14-10 BUREAU OF INDIVIDUAL TAXES PO BOX 200601 NARRISBUR6 PA 17128-0601 x ~cr: ps-aa~ ~.~® PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND TAXPAYER RESPONSE ,; FILE N0. 21-ro-o7op ACN 10138137 DATE 06-30-2010 ZDlO Jt?L { 4 AM i! ~ `w: C~RF`~-'.N'S COUP S J MYERS ClJ''':~'~~` ~~~©l~ 324 BEVERLY RD CAMP HILL PA 17011 EST. OF SIDNEY J MYERS SSN 205-16-3191 DATE OF DEATH 03-11-20101 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST © CERTIF. WACHOVIA BK NA provided the Departaent with the intonation below, which has boon used in Calculating the potential tax due. Records indicate that at the death of the above-naeed decedent, you ware a ioint owner/benefi iary of this account. If you foal the inforaation is incorrect, please obtain written correction free the financial institution, attachI a gopy to this fora and return it to the above address. This account is taxable in accordance with the Inheritane• Tax laws of the C~oeednwealth of Pennsylvania. Please call C717) 707-6327 with euestions. ~ I ~- COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRU~TI'~ONS Account No. 247412053552057 Data 07-10-2008 To ensure proper credit t the account, two Established copies of this notice eus accoapany Account Balanea $ 49,732.51 paysent to the Register o payable to "Register of W Wills. Make cheek lls, Agent". Portent Taxable X 16.667 ~ Amount Subject t0 TaX 8,288.92 NOTE: If tax payaents ar months of the decedent's sade within three ate, of death, Tax Rate ~( , lij deduct a 5 Dercent discou t oh the tax due. Potential Tax Duo $ 1, 243.34 Aro Inheritance Taoc due w nine months after the dot 11 becou delingwnt of death. PART TAVSavre~l Ar w wuw~- A. ~ Ths above infonation and tax due is correct. Resit payaent to the Register of Wills with two copies of this notice to obtai CHECK a discount or avoid interest, or cheek box "A" and return this notice to the R gister of C ONE ~ Wills and an official assesseent will b• issued by the PA Departsent of Revenu . BLOCK 0. ~ TM above asset has been or will be reported and tax paid with the Pennsylvania Inl~eritane• Tax return 0 NL Y to b• filed by the estate representative. C. ~ The above intone ion is incorrect and/or debts and deductions were paid. Coeplets PART ~2 and/or PART 3~ below. ', PART If indicating a different tax rate, please state relationship to decadent: snev<~~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Data Established 1 2. Account Balance 2 ~ 3. Portent Taxable 3 X 4. Amount Subject to Tax 4 ~ 5. Debts and Deductions 5 - 6. Amount Taxable 6 7. Tax Rate 7 X O 8. Tax Due 8 ~ O PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Lino 5 of Tax Computation) ; Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of~Qmy/k}nowledge and belief. HOME C ) ..ire .lLe~. ~ 4a.,._L., WORK C ) DATE fkLE 4. Y ~' Ay}y~ A b 9'< _~ e E L~ Mg ' t ••~! ~~ f;d` f,R~ "}' 6 .~ ~.~.~ ~ ..- r`~,1 V I y~~ m~~ a n~ m~ ~. : -.•~r- o trig . ... C ~' D 4i 70 m ~. ;._ - -. bd . v~ ~~ ,,~~i~~'~fl~ 1~Or~ S:i~Hc~O ~G ~131~ ,s =~i Nb ~ t ~nr oioa J ~ .` ~ ~.~1.. 1 1. ~. ~~ ~~ ~~ ~. ~~ `~ s ___ ._