HomeMy WebLinkAbout10-04-10i. r - . __. ~-l x .
PENNSYLVANIA INHERITANCE TAX
O ~.,.I,NFORMATION NOTICE
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AND F14E N0. 21 10- 174
BUREAU OF INDIVIDUAL TAXES ~ S~'
PO BOX 280601 ~ ~ ~ TAXPAYER RESPONSE ACW 101548 0
HARRISBURG PA 17128-0601
DAtE 09-27-
010
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• TYPE OF (COUNT
OF EUGENE J AUFIER~
EST snvlNc
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C~E~K CC
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S$N 130 -16 - 3547
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DATE OF DEATH 02 - 08 - 20 ~ 0
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PA RUST
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COUNTY CUMBERLAND ~ ceRTI
REMIT PAYMENT AND FORMS T0:
JOAN D AUFIERO REGISTER OF WILLS
426 BLACKLATCH LN 1 COURTHOUSE SQUARE
CAMP HILL PA 17011-8414 CARLISLE PA 17013
SOVEREIGN BANK provided the Department with the information below, which has boon u ed in calculating he
potential tax due. Records indicate that at the death of the above-nomad decadent, you ware a joint owner/ban friary of this ac ount.
If you feel the information is incorrect, please obtain written correction from the financial institution, att ch',a,copy to this orm
and return it to the above address. This account is taxable in accordance with the InheriMnca Tsx laws of th Cbmmgnw_ealth of
Penhsylvahia. Please call (7177-787-8327 with que3fions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INST~tU¢TIONS
Account No. 1054168369 Date 10-05'2006 To ensure proper credi t tp the account, o
copies of this notice ~auslt accompany
Established
payment to the Ragiste olf Wills. Make eck
Account Balance 1 ~ 7 ~ 102.51
payable to "Register o ~
Walls, Agent".
Percent Taxable X 50.000
NOTES If tax payments]
arp made within t
ree
Amount Subject to Tax g 53,551.26 months of the deeadent 's pate of death,
Tax Rata ~( , lj deduct a 5 percent dis count on the tax d
' e.
Aw Inheritance Tax d dIl become deli
e w quent
Potential Tax Due ~` 8 ~ 032.69 nine months after the dot of death.
P
ESPONSE
r TAXPAYER;
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1
A. ~ The above infonation and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice-too tarn
a discount or avoid interest, or check box "A" and return this notice to t • Register of
CHECK
Wills and an official assessment will be issued by the PA Departwent of Re code.
C ONE ~
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax r turn
ON L Y to be filed by the estate representative.
C. ® The above infon ion is incorrect and/or debts and deductions were paid.
Complete PART ~ and/or PART ~ below.
PART If indieatin9 a different tax rate, ploase state
a relationship to decedent: Gllryi tai n(~ crinitcA
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
_._
LINE 1. Date Established 1
51
` 07 1
'
.
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2. Account Balance 2 ~
3. Percent Taxable 3 X ~
4. Amount Subject to Tsx 4 ~ ~
5. Debts and Deductions 5 -
6. Amount Taxable 6 $ ~
7. Tsx Rate 7 X
B. Tax Due B S 00.00
PART DEBTS AND DEDUCTIONS CLAIMED
^S I,
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
IUTAL lthier On Lane D OT lax wmpuiwLiv~I
Under penalties of perjury, I declare that the facts I have HOpgrtgd ,ypoga are rt:u~ ~co~rrect~nd
complete to the best of my knowledge and belief. IM~El1l1C1t7.Clldr)Q ~- C3Ul
~, woRK c ~ - 5 7 09 0 201(
TAXPAYER iGNATURE Joan Aufiero TELEPHONE NUMBER D TE
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