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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