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HomeMy WebLinkAbout09-01-10 (4)BUREAU OF INDIVIDUAL TAXES PD BDx 2BOSO1 HARRISBURG PA 17128-0601 __ _ PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE k,T; ~r rte;. AND FILE N0. 21 10-0044 ' r ~- -% TAXPAYER RESPONSE ACN ~,' ?~ ~ n 10136797 ~~~~` '"-- DATE 06-30-2010 ~~~~ SE~ - ~ ~~ ~~ rJ~i CLERK OF {ORPi-iAN`SnnCOURT 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. ~I PSECU i provided tM Departaent with the infonation below, which has been used in calculating the potential tax due. Records indicate that at tM death of the above-naaed decedent, ¢. If you feel the inforaation is incorrect, please obtain written correction frog the financialainstitutioo 'attach'~aa opyftohthiscforat and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of tM C¢aaonwealth of Aoapgr;v~H ,-i8aaoe~call-(I.l.ia_B~F+lil~~siEk westfaws. _ __ COMPLETE PART 1 BELOW B SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0211369776IRA64 Date 07-01-1997 Established Account Balance ~ 1 , 699.30 Percent Taxable X 16.667 Aeount Subject to Tax ~- 283.22 Tax Rate X .045 Potential Tax Due 12.74 CHECK ONE BLOCK ] ONLY To ensure proper credit t the account, two copios of this notice ^ust accoapamr payaent to the Register of Wills. Naka check payable to °Register of Wi ls, Agent". NOTE: If tax payaents are aade within three aonths of the decedent's d to of death, deduct a 5 percent diacoun on the tax due. Any Inheritance Tax due wi 1 becoae delinquent nine aonths after the date of death. A. ~ The above infonation and tax due is correct. Resit payaent to the Register of Wills with two copios of this notice to obtain a discount or avoid interest, or check box "A" and return this notice to the Register of Wills and an official assessaent will be issued by the PA Departaent of Raver~~- B. ^ The above asset has bean or will be reported and tax paid with the Pennsylvania I to be filed by the estate representative. C. ^ Tha above infona ion is incorrect and/or debts and deductions ware paid. Coaplete PART 2~ and/or PART 3^ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 $ 3. Percent Taxable 3 X 4. Aaount Subject to Tax 4 ~ 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate ~ X 8. Tax Due 8 PART 0 DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION tance lax return AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) Under 8 Penalties of perjury, I declare that the facts I have reported above are true, correc and cowplete to the best of wy knowledge and belief. ~~~ HOME ( ~ S XPAYER crru nnr WORK ( ~e~, 1 79.E , ,,1 ~ ,~