HomeMy WebLinkAbout09-01-10 (6)BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
PENNSYLVANIA INHERITANCE TAX
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ANDREW H VANSCYOC ~~ ~`~!~ ~^~ ~~
11609 GALT AVE
SILVER SPRING MD 20902
FILE N0. 21 10-0044
ACN 10136793
DATE 06-30-2010
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 infonation below, which has bean used ~n calculating the
potential tax due. Records indicate that at the death of the above-naaed decadent, You were a joint owner/benel!igiary of this account.
If You feel the intonation is incorrect, please obtain written correction frog the financial institution, attach'a copy to this fon
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the C~aaonwealth of
Pennsylvania. P1Ease call C717) 787-8327 with gwstions.
COMPLETE PART 1 BELOW r SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUITIONS
Account No. 0211369776IRA54 Date 04-03-1999
Established
Account Balance ~ 1 , 224 .89
Percent Taxable X 16.667
Awount Subject to Tax ~ 204.15
Tax Rat• X .045
Potential Tax Due $ 9.19
P~r TAXPAYER RESPON:
1
7o ensure proper credit t the account, two
copies of this notice aus accowparar
paYaent to the Register pf Wills. Make chock
payable to ^Ragistar of Wills, Agent".
NOTE: If tax payaents era ride within three
aonths of the decedent's d to of death,
deduct a 5 percent discoun on the tax due.
Any Inheritance Tax due wi 1 becoae delinquent
nine aonths after the date of death.
A. ~y~ The above infonation and tax due is correct.
~V
CHECK Reaft payaent to the Register of Wills with two copies of
a discount or avoid i
t this notice to obtain
0 NE n
erest, or check box "A" and return
wills and an official assessaent
il this notice to the Red
C ~ w
l be issued by the PA Departaent of Revenue
BLOCK
ONL Y 0. ~ The above asset has been or will be reported and tax paid with
t
b the Penns
l
i
o
e filed br the estate representative. y
van
a Ihh~
C. ~ The above inforaa ion is ineorr et and/or debts and deductions
Cwplet• PART 2~ and/or PART 3~ below. ware paid.
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. Awount Subject to Tax 4
5. Debts and Deductions 5
6. Awount Taxable 6 $
7. Tax Rate 7 X
8. Tax Due g $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE
DESCRIPTION
TOTAL (Enter on Line 5 of Tax Cowputation) ~
Under penalties of perjury, I declare that the facts I have reported above are true, corr
cowplete to the best of wy knowledge and belief.
INFORMATION NOTICE
AND
,, €`~= ~~ ~~= TAXPAYER RESPONSE
~'~!#~'~~ ~~ cis-~s,i'` j? ; n
of
ritance Tax return
AMOUNT PAID
and
WORK C?O~. ~ 7g/ -.Zo3