HomeMy WebLinkAbout09-01-10 (3)PENNSYLVANIA INHERITANCE
INFORMATION NOTICE
6UREAU OF INDIVIDUAL TAXES ^*.i ,'~./'~`'`" C t IS' AND
Po sox zso6ol , ~ , TAXPAYER RESPONSE
HARRISDURG PA 17128-0601 ~ ~ ;`~W Ji- +~
GREY-15f3 Ex 11FY cRS-Ra:
,~
TAXI
FILE N0. 21 10-0044
ACN 10136799
DATE 06-30-2010
2Qifl SEP -1 P~ ~' S4
CLERK C{~URT
~P~~u
ANDREW H VANSCYOC
11609 GALT AVE
SILVER SPRING MD 20902
EST. OF JOHN M VANSCYOC
SSN 211-36-9776
DATE OF DEATH 01-07-20101
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 Departaent with the inforeation below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-naaed decedent, ou were a joint owner/ben4f$ciary of this account.
If you feel the information is incorrect, please obtain written correction frog the financial institution, attach a copy to this fora
and return it to the above address. This account is taxable in accordance with the ~nharitance Tax laws of the ~ommonwaalth of
Raamgrlxanis.-_-Rleii; .call <71;1 I7°,-~= wath questions.
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTIt1~CTIONS
Account No. 02113b9776I RA79 Date 02-08-1989 To ensure proper credit o the account, two
Established copies of this notice ru t accompany
payment to the Registeh f Wills. Make check
Account Balance ~ 1 ~ 009 .94 payable to '`Register of ills, Agent^.
Percent Taxable X 16 .667
NOTE: If tax payments a`"e made within three
Amount Subject to Tax ~` 1b8 .33 months of the decedent's date of death,
R
t
T X 045 deduct a 5 percent disco nt on the tax due.
a
e
ax . Ary Inheritance Tax due ill bscwe delinquent
Potential Tax Dua ~` 7 .57 nine months after the da o of death.
...~~ TAYDa,VCD DCCD/1WCC
A. The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obt
CHECK a discount or avoid interest, or check box "A" and return this notice to the
C 0 N E ~ Wills snd an official assessment will be issued by the PA Department of Reve
BLOCK !. ~ The above asset has been or will be reported and tax paid with the Pennsylvania
ON L Y to be filed by the estate representative.
of
ritance Tax return
C. ~ The above infona eon is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3~ 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. Date 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
8. Tax Due 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DAI S PAlD YATtt uc~~.icar ~ aain r.r,.,..,•, ~ ~+=y
TOTAL CEnter on Line 5 of Tax Computation) t
Under penalties of perjury. I declare that the facts I have reported above are true, c
complete to the best of wy knowledge and belief. HOME C ~ ) ~ rract and
WORK C'.p ) - 2.0 Z
TA YER SIGN RE TELEPHONE NUMBER AT