HomeMy WebLinkAbout08-20-10PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 10-0366
PD Box 2BO6o1 TAXPAYER RESPONSE ACN 10126467
HARRISBURG PA 17128-0601
DATE 05-13-2010
REV-1543 EX AFP (OB-OB)
TYPE OF ACCOUNT
EST. OF HELEN M SCOTT r-~.-.~ ®SAVINGS
dam,. r SSN {? f"~.; ^ cHECICING
~,..- DATE OF DEATH O 1 - 29 - 2O 1 ~" ~~ ::~ ^ ~:~usr'
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REMIT PAYMENT AND FORMS T0: "- 'tom ~a ~' "~"*
~~-' SYLVIA P SHOUP REGISTER OF WILLS
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1ST COMMONWEALTH BANK provided the Department with the information below, which has been used in calculating the
pote ntial tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of th is account.
If y ou feel the information is incorrect, Please obtain written correction from the financial institution, attach a copy to thus form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Fennsyivania. Please call C717) 787 -13327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. HOME C ~ f
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TAXP ER SIGNATURE TELEPHONE NUMBER DATE
IVINL ~tnLer on 3_lne 5 of Tax Computation) $
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 10 - 0366
Po Box zao6ol TAXPAYER RESPONSE ACN 10126468
HARRISBURG PA 17128-0601
REV-1543 EX ,aFP (OB-08) DATE 0 5 -13 - 2 010
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P"' TYPE OF ACCOUNT
Q -- EST. OF HELEN M SCOTT ~ SAVINGS
~"' ~ SSN ® CHECKING
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LL DATE OF DEATH O 1- 29 - 2010 ~ TRUST
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C~ COUNTY CUMBERLAND ~ CERTIF.
C,1~C..-` C~ REMIT PAYMENT AND FORMS T0:
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~ 8^!'LVIA P SHOUP
1.03 DEERFIELD DR
REGISTER OF WILLS t`7 _~
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XFORD PA 1 COURTHOUSE SQUARE =CJ ~ '
15090
i, ; CARLISLE PA 17013 ;-~ ~""
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1ST COMMONWEALTH BANK
potential tax due. Records indicate tha _.~ ~ -_
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provided the Department with the information below, which has been iF~sat~" calcula ing the~~~r
t at the death of th
b
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If you feel the information is incorrect
and return it to the
b e a
ove-named decedent, you were a joint owner/benefary of
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t1P-a~ accouilt~-r_:r
, please obtain written correction from the financial institution, ath a copy to`~his f
-
Penns Pcny{r
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a
ove address. This account is taxable in accordance with the Inheritance Tax laws of t>,e C2mmonwnzlffi'"'et `~~
ylvania
fl
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basn coil C717i 787-562 7 with questions. ~
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0440006215 Date 06-25-2003
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 1 , 034.90 payment to the Register of Wills. Make check
Percent Taxable payable to "Register of Wills, Agent".
X 50.000
Amount Subject to Tax $ 517.45 NOTE: If tax payments are made within i;hree
Tax Rate months of the decedent's date of death,
)(
.045 deduct a 5 percent discount on the tax clue.
Potential Tax Due $ 23.29 Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE --
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K B. he above asset has been or will be reported and tax paid with the Pennsvlvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. ~ The above informs ion is incorrect and/or d
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s and ded
Complete PART 2~ and/or PART ~ below. uctions were paid.
PART If indicating a different tax rate, please st
ate
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ART DEBTS AND DEDUCTIONS CLAIMED
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Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complgte to the best o my knowledge and belief.
,/ `~ H 0 M E C ley ~ ~ `~_~-~~dr~ ~
WORK C
TAXP R SIGNATURE TELEPHONE NUMBER
DATE
ROBERT D. CLARK
ATTORNEY AT LAW
(724} 946-9093
FAX (724) 946-8750
e-mail address: 201 N. MARKET STREET
rdclarkatty@yahoo.com NEW WILMINGTON, PA 16142
August 12, 2010
Cumberland County
Register of Wills
One Courthouse Square
Carlisle, PA 17013
Re: Helen P. Scott Estate
File No. 2010-00366
ACN: 10126467, 10126468
Dear Register:
Please find enclosed for recording in the above estate Pennsylvania Inheritance Tax
Information Notice and Response forms regarding the two above-note ACN's. I have enclosed
a self-addressed, stamped envelope for you to time stamp the third copy of the form for each
account and return to me.
Sinc ly,
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RDC/nmh
Enclosure
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