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HomeMy WebLinkAbout10-07-10BUREAU OF INDIVIDUAL TAXES PD BOX 280601 HARRISBURG PA 17128-0601 ;4 't ., ~`,^,, ~E1LL 15~GS EX RFP <Be-OB) PENNSYLVANIA INHERITANCE TAX ((~~ INFORMATION NOTICE FILE N0. 21 -jd~' j N AND ACN 10151822 TAXPAYER RESPONSE DATE 09-17-2010 Q~~ ~ ~~ ~,,~ ~~1 ~- ARMEDA BOSCARDIN 521 DOGWOOD DR MECHANICSBURG PA 17055-6176 EST. OF LOUIS A BOSCARDIN SSN 196-12-1405 DATE OF DEATH 01-26-2010 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 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 accoun . is incorrect, please obtain written correctioe With the InheritancenTaxtlawsnofathecCommonwealthtofs form If you feel the information Pennsylvaniat tPleaseacall C717) 787-8327 wct;ruquestiansable in actor ant ..,T nrrlnW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS l:Unr~c ~ ~ ~ •• • • . Account No. 1681794292 Date 04-03-2007 Established $ 4,676.72 Account Balance 50.000 Percent Taxable X 2,338.36 Amount Subject to Tax $ ,1 5 Tax Rate X 350.75 Potential Tax Due $ YER RESPON PART CHECK ONE C BLOCK ONLY To ensure proper credit to the accou))~, •~~ copies of this notice must accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any Inheritance Tax due will become delinquent nine months after the date of death. TAXPA -- FAILl3ItE TO RESPONA WILL RESULT IN AN [kFFICIAL TAX. ASSESSMENT A, ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain Willscandtanrofficialnassessment will be issued by the PA Department ofo Revenue9~ster of g, ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the estate representative. C, ~ The above informa ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART ~ below. ~rrrr w) IICF nNl. Y n AAF If indicating a different tax rate, P e se state PART relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS 1 LINE 1. Date Established $ 6,6,..77 2 2. Account Balance Xj 3. Percent Taxable 3-~'~~ ~ $ 2~3- 4. Amount Subject to Tax 4 2~~ ~Q 5. Debts and Deductions 5 _~,~,~-~ 6 v 6. Amount Taxable X 7 Q 7. Tax Rate 8 PA DEPARTMENT OF REVENUE PAD 1 2 3 4 5 6 7 8 8. Tax Due DEBTS AND DEDUCTIONS CLAIMED PART M T PAID D SCRIPTION °~ DAT~`PA~ ~Y1i.n Y °' ~ ~ ibo h «~ , w ~ . ..... - JYr S ~. , C •2 L TOTAL Enter on Line 5 of Tax Computation) S Under penalties of p r7ury, I declare that the facts I have HOME edC~ove ~ e ~~ ,~o~~ and ~ cq lete to the be of my knowledge and belief. WORK ~ ~ J ~~/~ TELEPHONE NUMBER DATE