Loading...
HomeMy WebLinkAbout09-01-10 (7)BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 ___ - -T _ ___ ._. ___ TAX FILE N0. 21 10-0044 ACN 10136791 DATE 06-30-2010 ~p{~C~LgE~RK 0~= llflf 1 V'11V,~ vOli'~11 ANDREW H VANSCYOC CU~i~~~~,.iF°rd~ ~~ , PA. 11609 6ALT AVE SILVER SPRING MD 20902 EST. OF JOHN M VANSCYOC SSN 211-36-9776 DATE OF DEATH 01-07-201p COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CNECKIN6 TRUST © CERTIF. PSECU provided the Departunt with the infonstion below, which has boon used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you wen a joint owner beneficiary of this account If you foal the information is incorrect, please obtain written correction from the financial institution, attadh a Dopy to this form and return it to the above address. This account is taxable in accordance with the Inheriteneo Tax laws of the Commonwealth of Penneylv~,-- RAsase ral3-t71T3•°7~7~i32i-rrlkh waations:" - .... _..- .__ . _ _... .-.. _ - ._ _ .COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0211369776I RA51 Date O 1- O 1-1999 To ensure proper credit 'to the account, two Established copies of this notice myst accompany Account Balance Pgreent Taxable Amount Subject to Tax Tax Rate Potential Tax Due ..,. ...1.L REV-1543 E% 4~.l~(~R()~ z~~a sip - i ~~ ~: so $ 795.10 X 16.667 $ 132.52 X .045 $ 5.96 PENNSYLVANIA INHERITANCE INFORMATION NOTICE AND ,,~, ,~,;,_~~4~,~TPAYER RESPONSE , i. n ._ ~:i f' PART CHECK ONE BLOCK ] ONLY A. B. ~ TM above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to b• filed by the estate representative. C. ~ The above info ~a ion is incorrect and/or debts and deductions ware paid. Complete PART l=1 and/or PART ~ below. payment to the Register of Wills. Make chock payable to "Register of Wills, Agent". NOTES If tax payments era made within three months of the decedent's date of death, deduct a 5 percent disedunt on the tax due. Argr Inheritance Tax due Iwill become delinquent nine months after the date of death. above information and tax due is correct. Remit payment to th• Register of Wills with two copies of this notice to obtain a discount or avoid interest, or chock box -A" and return this notice to the kegister of Wills and an official assessment will be issued by the PA Department of Revenue. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Data Es~a~iishad ~ 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 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Lino 5 of Tax Computation) ; Under penalties of perjury, I declare that the facts I have reported above are true, correct and co/mp'lete to, t/he bast of my knowledge and belief. HOME C30/ ) ~~~ ~ ~h~'S ~i~ ~/ WORK C16~ ) 7¢ 1 ~ SID 3 ~ ~~.29~/O