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Home My WebLink About09-21-10BUREAU OF INDIVIDUAL .~~$. n, -, -r, . PO BOX 260601 F--., "~ 1 ' HARRISBURG PA 17128 0641.., ~, REY-1543 EX AFP (B8 -B8) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND TAXPAYER RESPONSE FILE N0. 21 ` ~U ` ~~l l3. ACN 10151711 DATE 09-16-2010 2010 SEP 21 AM i 1 ~ 28 EST. OF CHARLES E PITZER C~~~K ~~ SSN 203-10-2362 ~p~,~ v{ll ~~j DATE OF DEATH O 1 - 25 - 2010 . +'A,~ {~ ~+ R Cv``f'~~1 i~~~V~~ ~`''~," ~r' COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: MARY M PITZER REGISTER OF WILLS 309 W MAPLE AVE 1 COURTHOUSE SQUARE SHIREMANSTOWN PA 17011 CARLISLE PA 17013 TYPE OF ACCOUNT SAYINGS ® CHECKING TRUST CERTIF. SOVEREIGN BANK provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call (717) 787-8321 with questions. COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0571118992 Date O1 - 14 -1981 To ensure vroper credit to the account, two Established copies of this notice must accompany ~` 4 ~ 830.06 payment to the Register of Wills. Make check Account Balance payable to "Register of Wills, Agent". Percent Taxable X 50.000 Amount Subject to Tax ~` 2,415.03 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate ~( , l~j deduct a 5 percent discount on the tax due. 3 6 2.25 Any Inheritance Tax due will become delinquent Potential Tax Due ~` nine months after the date of death. P~T TAXPAYER RESPONSE 1 AILURE ~ RES~f'OND M!'IL19 \LrT iH A F CI L .TAX ASSESSM~IT\ A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or check box '•A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK ~ g. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return O N L Y t 'be filed by the estate representative. C. The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART 3lJ below. PART If indicating a different tax r~, p~~ase~ate ~ OFFICIAL USE. ONtY ~ AAE a relationship to decedent: ~~ ~ pp ryEpAiZT11ENT Uf REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD _ LINE I. Date Established 1 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART 1 2 3 4 5 6 7 DEBTS AND DEDUCTIONS CLAIMED Under penalties of perjury, I declare that the facts I ~/cjo~mplete ~tyo~ th/e~be t of my~knjowledge and b lie <~-~~ ® ~ reported above are ,/7 true, correc / A-y (p / I •- / , L~//~'1-~~//• /l~~- / / /.4 WORK C ) 2 3 X 4 5 - 6 7 X ~ a s $ Q F NIIMgER DATE DATE PAID PAYEE DESCRIPTION AMOUNT PAID BUREAU OF INDIVIDUAL 7AXE~q- ~r, t{~ PD BOX 280601 t^~r HARRISBURG PA 17128-0601 ~. ~ ~ ~t 2010 SEP 2 I A~! I J : 28 CLERK of ~~~v's couRr CUM3~RL.,~'V ~ C~ , PA, MARY M PITZER 309 W MAPLE AVE SHIREMANSTOWN PA 17011 EST. OF CHARLES E PITZER SSN 203-10-2362 DATE OF DEATH 01-25-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. SOVEREIGN BANK provided the Departwent with the inforwation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-Hawed decedent, you were a ioint owner/beneficiary of this account. If you feel the inforwation is incorrect, please obtain written correction frow the financial institution, attach a copy to this forty and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Conwonwealth of Pennsylvania. Please call (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1684067723 Date 04-17-2006 To ensure Drover credit to the account, two Established copies of this notice wust accowpanv 0 6 1 .2 0 Daywent to the Register of Wills. Make check Account Balance $ 25 ~ payable to ''Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are wade within three Amount Subject to Tax $ 12,530.60 wonths of the decedent's date of death, Tax Rate ~( , 1~j deduct a 5 percent discount on the tax due. Any Inheritance Tax due will becowe delinquent Potential Tax Due ~` 1 r 879.59 nine months after the date of death. PART TAXPAYER RESPONSE FAIL: ~ TO .ESP W L SULT I AN ~FICIA3~.. TAX ' SS~SSJ~NT? A. ~ The above inforwation and tax due is correct. Remit paywent to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of Wills and an official assesswent will be issued by the PA Departwent of Revenue. ONE C B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. The above inforwa ion is d/ t C l PAR7 2~ incorrect and/or debts and deductions were paid. PART 3^ b l an or owp e e e ow. PART If indicating a different to te, p ease state relationship to decedent: ,~ U ~-~ TAX RETURN - COMPUTATION OF.TAX!/ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due 1 2 3 X 4 5 6 7 X D 8 $ PART PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND TAXPAYER RESPONSE FILE N0. 21 "~V `~~~ ACN 10151712 DATE 09-16-2010 °.~" OFFICIAL ~JJSE DNLY '~'AAF\ PA DEPARTMENT t3F REVENUE PA,A. _. _. ~.. _. ,.~ _., 1 4 5 6 a ~ 7 DEBTS AND DEDUCTIDNS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID DATE Under penalties of perjury, I declare that the facts ve reported above are t//r__ue, corre/ct and complete o the best ~ mY k owl~J,ge and belie HOME C ~~~ ~ C!~ ~ ~~ / ~~ ~/~7i1n „ . /,c ///il~a~,m,, 71 ,~rzt~ woRK c ~ {..C. {„ { {..t. (~; 6Fi ~At f„~1 ~Z ~k~ ~\ ~ ~ V v ~ +~ ~~.V~ ~.. ~ ~ d `,.._ ~ ~~ ~. \~ W (n~(~ vl .- ~c~ ~~~ b ~~~ J`3 ~ ~~~ ~~ ~~