HomeMy WebLinkAbout10-27-10 (2)PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES ~ ~ ~ t ~t~ AND FILE N0. 21'~o-b~icty
Po Box 2ao6ol V TAXPAYER RESPONSE ACN 10114754
HARRISBURG PA n12s-osol , _ `! ~ DATE 03 -15 - 2010
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ORPI ~'S COUFT
CU~ABE ~4D CCC :.;°
ERIKA HOFFMANNACE
2650 GLENCHESTER DRIVE
WEXFORD PA 15090-7903
E5T. OF ELWOOD A NACE
SSN 193-12-4026
DATE OF DEATH 02-10-2010'
COUNTY .CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
NEW CUMBERLAND FCU provided the Departrent with the inforration below, which has been usegl ~n calculating the
potential tax due. Records indicate that at the death of the above-oared decadent, you were a ioint owner/benafiie~iary of this account.
If you foal the inforration is incorrect, please obtain written correction fror the financial institution, attach !a copy to this ion
end return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Ce'rronwealth of
Pennsylvania. Please call (717) 787-8327 with gwstions. --'I
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRU(~TIONS
Account Na. 11899 Data 04-17-1984 To ensure prover credit tol the account, two
Established copies of this notice rust aecorpasy
Account Balance 13, 737.34 pavrent to the Register oi
paye6l• to "Register of Wi l Wills. Mak• chock
~ls, Agent".
Percent Taxable X 16.667 '
NDTE: If tax payrents arolrade within three
Amount Sub)act to Tax ~ 2, 289.60 wtonths of the decedent's d to of death,
Tax Rata ~( , 15 deduct a 5 percent discoun on the tax due.
Potential Tax Dua
~
343
44 Any Inheritance Tax due wi 1 becare delinquent
. nine ronths after the dat• of death.
A. The above inforration and tax dw is correct.
Rerit pryrent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or check box "A" and return this notice to the Re~ister of
CHECK Wills and an official assessrent will be issued by the PA Departrent of Revenue
C ONE ~
BLOCK B. ~ The above asset has boon or will be reported and tax paid with the Pennsylvania Inh}ritance Tax roturn
0 N L Y to be filed by the estate representative.
C. ~ The above inform ion is incorrect and/or debts and deductions were paid. '
Cerplet• PART ~ and/or PART ~ below. i
PART If indicating a different tax rate, please state
relationship to decedent:
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 Rate
8. Tax Dur
OF TAX ON JOINT/TRUST ACCOUNTS
1
2 ~
3 X
4
5
6
7 X
8
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION ANOUNT PAID
TOTAL CEnter on Lino 5 of Tax Computation) f
Under penalties of perjury, I declare that the facts I have reported aboveu ar• true, corre
complete to the best of my knowledge and belief. HOME C ~a"Y) Q -- 26 ~+and
~.~,~. WORK C '11 ) ~~ Z
TAXPAYER SI URE TELEPHONE NUNBER DATE