HomeMy WebLinkAbout10-11-10 (2)PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIYIDWL TAXES AN D
PD BOX 280681 ;~'~ ~~ '~-~„:~'p~CpAYER RESPONSE
HARRISBURG PA 17128-0601 '
REY-15f3 EX RkR i.1R0+e~~~ ~ 1 ~' ~ - -'J
zo~oocr i ~ ~Mii= ~~
CLERK OF
QRPW4N'S CQI;RT
CUMBERLA.~lD CC , PA
JOAN K CLOGS
87 NORTHVIEW DR
MECHANICSBURG PA 17050
FILE N0. 21 10-0626
ACN 10152131
DATE' 09-17-2010
EST. OF TIMOTHY N CLOGS ',
SSN 107-28-1067
DATE OF DEATH 03-25-2010'',
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0: ~'i
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
WACHOVIA BK NA provided the Department with the infonation below, which has been used
potential tax due. Records indicate that at the death of the above-pawed decedent, you ware a ioint owner/benefi
If you feel the infonation is incorrect, please obtain written correction from the financial institution, attsc
and rat urn it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the
Pennsylvania. Pleaao call (717) 787-8E27 `rich-gwstions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRU
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
n calculating the
iary of this account.
a copy to this form
mmonwealth of
IONS
Account No. 1010218 393873 Date 12-16 -2008 To ensure proper credit t o the account, two
Established copies of this notice mu t adcompargr
payment to the Register f Wills. Make check
Account Balance 460. 68 payable to "Register of i114, Agent".
Percent Taxable X 50. 000
NOTE: If tax payments a e made within three
Amount Subject to Tax ~ 230. 34 months of the decedent's date of death,
Tax Rate ~( , lrj deduct a 5 percent disco nt on the tax due.
Arai Inheritance Tax due ill become delinquent
Potential Tax Due ~` 34. 55 nine months after the dat e of death.
PART
a
A.~The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obta n
e diseeunt er avoid intern st. er chock bmc "A" and return this notice to the •eistsr of
i.n Ci.R Wills and an official assessment will be issued by the PA Department of Reven~
ONE e.
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania I heritance Tsx return
0 N L Y to be filed by the estate representative.
C. ~ The above inform ion is incorre~ and/or debts and deductions were paid. ~
I
Complete PART 2 and/or PART 3 below.
I
PART If indicating a different tax rate, please state
relationship to decedent:
TAX RETURN - 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 7 X
8. Tax Due 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED
a
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation] t
Under penalties of perjury, I declare that the facts I have reported above era true, eo roe and
comp]~,gte to the best of my knowledge and belief. HOME C
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WUKR C 1 ~N~~ I ~~J
TELEPHONE NUMBER DATE