HomeMy WebLinkAbout09-01-10 (2)PENNSYLVANIA INHERITANCE TAX
TION NOTICE
INFORMA
AND FILE N0. 21 10-0044
BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 ''"('; ~ ,F -~f. TAXPAYER RESPONSE ACN 10136809
HARRISBURG PA lTlza-osol .. ~ _ ,,,~ , DATE 06-30-2010
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ANDREW H VANSCYOC
11609 GALT AVE
SILVER SPRING MD 20902
EST. OF JOHN M VANSCYOC
SSN 211-36-9776
DATE OF DEATH 01-07-2010
COUNTY 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 Departaant with the inforwation below, which has bean used in calculating the
potential tax due. Records indicate thst at the death of the above-naaed decedent, you were a ioint owner/benefit ary of this account.
If you feel the inforaation is incorrect, please obtain written correction frog the financial institution, attach copy to this forty
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the C onwealth of
Pennsylvania.- -.PSeasa--cal-1 (Zll) TiT-~#i^t+#i# westi•nr. _
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUC IONS
Account No. 0164580185-S1 Date 08-20-1987 To ensure Proper credit to the account, two
Established copies of this notice ^ulst aecoapany
t th R ister of Wills. Make chock
Account Balance
~`
2 ~ 500 •
84 payaent O • eg
payable to "Register of Wills, Agent".
Percent Taxable X 50. 000
NOTE: If tax payaents ar aade within three
Amount Subject t0 TsX ~ 1 r 250 • 42 wonths of the decedent's eta of death,
045 deduct a 5 portent discou t on the tax due.
Tax Rata X . Aw Inheritance Tax due w'll beeoae delinquent
Potential Tax Due ~ 56 • 27 nine aonths after the dot of death.
PART
The above inforaation and tax dw is
A correct.
.
Resit payaent to the Register of Wills with two copies of this notice to obtai
a discount or avoid interest, or chock box "A" and return this notice to the R g
CHECK Wills and an official assessaent will be issued by the PA Departaant of Revenu .
ONE
C
BLOCK B. ~ Th• above asset has boon or will be reported and tax paid with the Pennsylvania In o
0 NL Y to b• filed by the estate reprosenta tiva. i
of
tance Tax return
C. ~ The above infon ion is incorrect and/or debts and deductions were paid.
Coaplete PART 2~ and/or PART ~ below.
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4 unt Subject to Tax 4
A ~
. ao
5. Debts and Deductions 5 '
6. Amount Taxable 6 S
7. Tax Rata 7 X
8 Tax Due 8 ~
.
DEBTS AND DEDUCTIONS CLAIMED
PART
DATE PAID PAYEE DESCRIPTION ', AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) ';
Under penalties of perjury, I declare that the facts I have reported above are true, co tact and
complete to the best of knowledge and belief. HOME C ~ ) 3 ' SS
/.` Y ~/,~1~ WORK ( 7R~ )'~S~i.7n~7 f? ~9 /D
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