HomeMy WebLinkAbout09-01-106UREAU OF INDIVIDWL TAXES ',r~r,i J~, i
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PENNSYLVANIA INHERITANCE TA
INFORMATION NOTICE
AND
)' TAXPAYER RESPONSE
2Q14 SEP -1 PM 3~ 55
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ANDREW H VANSCYOC
11609 GALT AVE
SILVER SPRING MD 20902
FILE N0. 21 10-0044
ACN 10136810
DATE 06-30-2010
EST. OF JOHN M VANSCYOC
SSN 211-36-9776
DATE OF DEATH 01-07-2010
COUPJTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
PSECU provided the Deoartaant with the inforaation below, which has been used in calculating the
potentia~el~heuinforaation isdincor ectt please obtain written correction froaethe financialainstitution~./attach a opyftohthiscforat
and return it to the above address. This account isabla an accordance with the Inheritanw Tax laws of a CT I ONS v
. ~I ~ - , NC AND PAYMENT I NSTRII onwulth of _ ~:,:
If you f OR FILI
..,_.. _ ----~,.,_ :- - - --...... ., s.rr peVCQCF SIDE F
{. Val. rr.~ ~ _____
Account No. 0164580185-S7 Date 08-20-1987
Established
~ 8,008.86
Account Balance 50.000
Percent Taxable X 4,004.43
Amount Subiact to Tax $ , 045
Tax Rata X
Potential Tax Due ~` 180.20
To ensure proper credit 't the account, two
copies of this notice aUs aecoapargr
payaent to the Register o Wills. Make check
payable to "Register of 'W lls, Agent".
NOTE: If tax payaents it aade ritfiin three
aonths of the decedent's eta of'desth,
deduct a 5 percent discou t on t!N tax due.
Ary Inheritance Tax due w'll beewN delinquent
nine aonths after the dpt of dosth.
U
A. The above infonatib¢ and toot' due' is corset.
Remit payaent to the Register of Wills with two copies of this notice to obka n
a discount or avoid interest ,, or cMck box ^A" and return this notice to the eg
CHECK wins and an official assessaint will be issued by the PA Departaent of Rev6n
C ONE II
BLOCK B. ~ The above asset has boon or will be reported and tax paid with the Pennsylvania I he
0 N L Y to be filed by the estate representative.
C ~ CoapleteePARTon2 land/oriPARTr~ be owr debts end deductions were paid. ~I
PART If indicating a different tax rate, please state
a relationship to decedent:
TAX RETURN - COMPUTATION_OF TAX,ON JOINT/TRUST ACCOU
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 Rate 7 X
e. Tax Due B ~
PART
DATE PAID PAYEE
DESCRIPTION
:er of
tance Tax return
AMOUNT PAID
{
TOTAL (Enter on Line 5 of Tax Computation)
Under Penalties of perjury. I declare that the facts I have reported above are true. correct and
comPlate to the bast of my k dge and belief. HOME ~ ~ ~ ~~
_ ~, _ / WORK C7o2 1 ?A - ~
DEBTS AND DEDUCTIONS CLAIMED