HomeMy WebLinkAbout10-19-10 (4)PENNSYLVANIA INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES ~. r~ n r ,,~ AND
PD cox zeoeal :'~~ 1: ~ ~ ~~-:-I~,~~pAYER RESPONSE
HARRISBURG PA 17128-0681 ~~EE__ _ ~,i~ r
aiV-1545 IX IIF~TO~~m~i ~.~ `'• ~ ~°
FILE NO. 21 10-0238
ACN 10117992
DATE 03-26-2010
ZOlQ OCT ! 9 Ph! { ~ 36
GLERK a~F
oRP~-;w~!'s CaURT
CU~A~EP(,~grvp CO„ PA,
REBECCA NEAL
1406 PRINCETON ROAD
MECHANICSBURG PA 17050
EST. OF JOHN NEAL
SSN 211-36-4593
DATE OF DEATH 01-15-2010'
COUNTY CUMBERLAND ~~
i
REMIT PAYMENT AND FORMS T0:
i
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
MEMBERS 1ST FCU provided the Departaent with the inforaation below, which has been used i
potential tax due. Records indicate that at the death of the above-naaed decedent, you ware a point owner/benaffc
If you feel the infonation is incorrect, please obtain written correction frog the financial institution, attach
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Ca
Pennsylvania. Please call C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUC
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
® CERTIF.
i cdlculatine the
ary of this account.
copy to this fora
aonwealth of
IONS
account No. 238830-99
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rste
Potential Tax Due
Date 04-06-2009
Established
$ 4,088.64
X 50.000
$ 2,044.32
X .045
$ 91.99
PART
CHECK
ONE
BLOCK
ONLY
To ensure proper credit tothe account, two
copies of this notice ^ust accoaoany
oayaent to the Register of Wills. Make cheek
payable to "Register of Wills, Agent".
NOTE: If tax payaents are ^ada within three
aonths of the decedent's d to of death,
deduct a 5 percent discoun o~ the tax duo.
Any Inheritance Tax due wi 1 decoae delinquent
nine aonths after the date of (death.
A. The above intonation and tax due is correct.
Raait payaent 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
Wills and an official assessaant will ba issued by the PA Departaent of Revenue.
8. ~ Tha above asset has been or will be reported and tax paid with the Pennsylvania
to be filed by the estate representative.
Tax return
C. ~ Tha above inforaa ion is incorrect and/or debts and deductions ware paid. ~~
Coaolete PART ~2 and/or PART 3~ below.
PART If indicating a different tax rate, please state
a relationship to decedent: ~ ~~ ~
_ ~,
~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS P~~s .~
~~` ~
LINE 1. Date Established 1 ~ ~
~ '!'
,
$ ~~#
''`
2. Account Balance 2 '
3. Percent Taxable 3 X £~'` ~~
~
~
4. Aaount Subject to Tax 4 ~ ~~ ~~~~
~~ ~~~
~ ~
~~
5. Debts and Deductions 5 - a t, !f
~
6. Amount Taxable 6 $ ~
7. Tax Rate 7 X
8. Tax Due 8 $
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) ~
Undsr penalties f perjury, I declare that the facts I have reported a ove are true, corr ct'',and
complete to the es f my nowled~ a d belief. HOME C ~~ )
V V 1 WORK C/11 ~ ) ~a['f~ ~11 !Z.AII
INFORMATION NOTICE