HomeMy WebLinkAbout12-13-10 (2)PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES A N D
PD Box 2BO6ol TAXPAYER RESPONSE
HARRISBURG PA 17128-0601
REV-1543 EX AFP (08-08)
FILE N0. 21 10-0991
ACN 10159244
DATE 10-19-2010
DARREL W BENDER
1652 LOWELL LN
NEW CUMBERLAND PA 17070-2239
EST. OF EMILY E BENDER
SSN 300-22-7997
DATE OF DEATH 09-10-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
PNC BANK NA provided the Department with the information below, which has been used :in calculating the
potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account
It you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of
Pennsylvania. Please call (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005004403176 Date 09-17-2008 To ensure proper credit tai the account, two
Established copies of this notice must accompany
5 ~ 022.38 payment to the Register of Wills. Make check
Account Balance ~ payable to Register of Wills, Agent
Percent Taxable X 50.000
NOTE: It tax payments are made within three
Amount Subject to Tax ~` 2 ~ 511.19 months of the decedent's date of death,
Tax Rate )( .045 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $` 113.00 nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPOND WILL RESULT IN AN fl FFICIAL TAX ASSESSMENT"
A. ^ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E Wills and an official assessment will be issued by the PA Department of Revenue.
B L 0 C K B, •~The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. ~ The above information is incorrect and/or debts and deductions were paid.
Complete PART ~2 and/or PART IJ below.
PART If indicating a different tax rate, please state ~~FICIAL USE ONLY ~ AAF
relationship to decedent:
PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD ~`'
LINE I. Date Established 1 _.,._, _.~_
2. Account Balance 2 $ ~ Q r't~
2 ~ -
3. Percent Taxable 3 X 3 ~ _~ r
4. Amount Subject to Tax 4 $ 4 Z_ `', ~ ~~~ ~~; `
--~ . ~ ~
5. Debts and Deductions 5 S ._~ -
6. Amount Taxable 6 $ 6 C7(.~~~ _ ' }
_ _ ~^~^`
7. Tax Rate 7 X 7 _ ~ ri~ .. -'+
8. Tax Due 8 $ ~~~~
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
r penalties of perjury, I declare that the facts I have reported above are true, correct and
com~ ete to the b~e~t of my knowledge and belief . HOME C7~ ~ ) ~ y (~ i' ~-~ t `~~
,,,sG WORK t '~j~ ) iL~'~~~ I~Z
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
IUTAL ~tnter on Line 5 of Tax Computation) S