HomeMy WebLinkAbout10-28-10BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
NARRISBURG PA 17128-0601 -
REV-1543 E% 1I1FP~~(OB-OB)
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
~)~ AND FILE N0. 21 10-0287
TAXPAYER RESPONSE ACN 10125540
DATE 05-06-2010
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EST. OF JUNE A BIGLER
SSN 202-20-6338
DATE OF DEATH 03-14-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
ALICE M MARTIN REGISTER OF WILLS
88 NORTHVIEW DR 1 COURTHOUSE SgUARE
MECHANICSBURG PA 17050 CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
SUSQUEHANNA BANK provided the Departwent with the inforwation below, which has been used in calculating the
t the death of the above-pawed decedent, you were a joint owner/beneficiary of this account.
th
t
a
a
potential tax due. Records indicate
If you feel the inforwation is incorrect, please obtain written correction frow the financial institution, attach a copy to this forty
ith the Inheritance Tax laws of the Cowwonwealth of
and return it to the above address. This account is taxable in accordance w
Pennsylvania. Please call C717) 787-8327 with questions.
BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
COMPLETE PART 1
Account No. 251524738 Date 03-31-2008 To ensure proper credit to the account, two
Established copies of this notice wust accowpargi
paywent to the Register of Wills. Make check
Account Balance $ 314.79 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax pavwents are wade within three
Amount Subject to Tax $ 157.40 wonths of the decedent's date of death,
1 5 deduct a 5 percent discount on the tax dua.
Tax Rate X •
Any Inheritance Tax due will becowe delinquent
Potential Tax Due $ 23 • 61 nine wonths after the date of death.
TAXPAYER RESPONSE
PART
0
The
A above inforwation and tax due is correct.
. ~ Rewit paywent to the Register of Wills with two copies of this notice to obtain
discount or avoid interest, or check box "A" and return this notice to the Register of
CHECK a
Wills and an official assesswent will be issued by the PA Departwent of Revenue.
C ONE
BLOCK
8. The
above
asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
ONLY to be filed by the estate representative.
C. ~ The above inforwa ion is incorrect and/or debts and deductions were paid.
Cow vlete PART 2~ and/or PART 3~ below.
PART If indicating a different tax rate, Please state ~,
relationship to decedent:
~
TAX RE TURN - COMPUTATION OF '.
TAX ON JOINT/TRUST ACCOUNTS '
LINE 1. Date Established 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 ~ X
8. Tax Due 8
PART DEBTS AND DEDUCTIONS CLAIMED
0
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) $
Under penalties of periury, I declare that the facts I have reported above are true, correct and
k ~lQe~te, to the~besty-of~ my know-l-edge and belief. HOME C ~~7 ~ 7~V ~ ~~~~ ~A J
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