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HomeMy WebLinkAbout10-13-10 (2)BURFJIU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 __..,,,,,,t_ _ _ _..,r . ..- ,... , . ._ f f 7 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE NO. 21 10-0803 !~~" '~= i~~~~ TAXPAYER RESPONSE ACN 10155997 ,*. * * REVISED NOTICE * * * DATE 10-05-2010 i•n _ , ~~l0 4CT ! 3 r ~i 3~ ~Z EST. OF ROSALIE S RITZ~E' SSN 198-32-7631 DATE OF DEATH 05-15-2010 COUNTY CUMBERLAND', REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST © CERTIF. Cl_ER~~ Vr OR,FH~,i~,'S ~v'JRT WALTER C RITZIE~U~~~~K~~'t ~,~\"~~, r, r} ~~, 505 DEUBLER RD CAMP HILL PA 17011 WACHOVIA BK NA provided the Departaent xith the infonation below, which has been potential tax due. Records indicate that at the death of the above-nsaed decedent, you were a ioint owner/b If you feel the inforaatfon is incorrect, please obtain written correction frog the financial institution, a and return it to the above address. This account is taxable in accordance with the Inheritance Taos laws of Pennsylvania. Plee~se call C717J 787-8327 with questdons.. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INS fn calculating the :iary of this account. a copy to this fora owonwealth of TIONS Account No. 247412071 951586 Date 08-29-2003 To ensuro proper credit',to the account, two Established copies of this notice cyst accompany payaent to the Regisl~er of Wills. Make chock Account Balance 22 ~ 087.68 payable to "Register', of lWills, Apent°. Percent Taxable 0 NOTE: If tax paymen s ire made within throe Amount Subject t0 THX g 11 , 043. 84 t months of the decade t'9 date of death, Tax Rata ~( , 15 deduct a 5 percent d~scqunt on the tsx due. Any Inheritance Tax ~uelwill becou delinquent Potential Tax Du• s 1 ~ 656.58 nine months after thq date of death. PART A. ~ The above infonation and tax dw is correct. ~ Remit payment to the Register of W111s with two copies of this notice to ~bt~in a discount or avoid i nterest, or ehsdc boot °A" and return this notice to 1~he Register of CHECK Wills and an official assessment will be isawd by the PA D.partunt of R~veQua. C ONE ~ BLOCK B. ~ Tha above asset has bean or will be reported and tax paid with the Pennsylvania $nheritanc• Tax return ONLY to be filed by tho estate representative. ' C. ~ Tha above infora ion is ~ incorr ct and/or debts and deductions wero paid. Complete PART 2 and/or PART 3~ below. PART If indicating a different ta~la tu p ~easa state ^Z relationship ~ to decedent: S TAX RETURN - COMPUTATION LINE 1. Data Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rat• B. Tax Du• OF TAX ON JOINT/TRUST ACCOUNTS 1 -- _ __ __ 2 ~ 3 X 4 5 6 ~ 7 X -r s -~' a ~ -.- B ...i' PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) ~, I ~ Under penalties of perjury, I declare that the facts I have reported above are true, c rrQQacet and complete to the b~as~t of my knowledge and belief. HOME C ) ~'~ ~-Pq0 lfA~ti ~_ ~://1`i~ WORK C ) 1.! d~ IA~rJ to i ;, r ~.~ .i `,~ ...; Z0100;~" 3 r'm~ 3~ 42 pp C~Lp~r ', .F CU~SEf;~ _ ,_ _ . A. ~... ~a ~ ~ ~ 70 ~ ~ ray ~ C w ~., ~ 1a ~ ~~ ~ D ~ .. ~ -A ~ "' ~: _~ :~, :~ ;~. :~. w w M ~ ,~ fi r ~ ` ~`~ 1 _._ -0 ~~ .~" ~ l4 -ice } T °~ *o ri ~o -~ ~ ~ 0 t f~..? i,'t ;~. ~' ~ t~ F•a ,~~ ~ l~! ~~ ro -~ ~; !. [~ ~.~_