HomeMy WebLinkAbout12-14-10NIA INHERITANCE TAX
PENNSYLVA
INFORMATION NOTICE
AND FILE
BUREAU of INDIVIDUAL TAXES ~; ~hilCE~cXPAYER RESPONSE ACN
Po Box zaoaol ~ DATE
HARRISBURG PA 17128-0601 :t ^~ (~!' ~a~~ `(~
¢EV-1363 E
Zaie~cia aMi~.3o
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~4J' (18'1 ~
ROBERT E POWELL
221 ZION RD 156
MT HOLLY SPRINGS PA 17065-1416
EST. OF EDNA M POWELL
SSN 163-18-6932
DATE OF DEATH 11-01-2010
COITNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ND. 21~-~o_~a~
10168887
12-06-2010
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
PNC BANK NA provided the Departaent with the infonation bales, which has been used in caleulat ing the
If tyou3fealatheuinforaation isd incorrectt Dlease obtain w lttef:b COrreGtlandf rose the financials institution,/attsehC as copvf toh thiscforat
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Coaaonwealth of
Pennsylvania- Please call C71T1 797-9327 with eueations.
COMPLETE PART 1 EELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 000005140189725 Date 04-01-1963- copiasuaf tnisenotice3^wst aceowpanvnt, two
Established aunt to the Register of Wills. Mak• check
Account Balance
Percent Taxable
Amount Subioct to Tax
Tax Rate
Potential Tax Duo
CHECK
ONE
[ BLOCK
ONLY
PART
TAX
LINE
A.
~ 7,797.47
X 16.667
$ 1,299.60
X •~~
e .~0
PaY
payable to "Register of Wills, Agent"
NOTE: If tax payaents are wade within three
aonths of the decedent's date of death,
deduct a 5 Dercent discount on the tax due.
Aro Inheritance Tax due will becoae delinquent
nine aonths after the date of death.
The above inf erection and tax due is correct.
Raait payaent to the Repistar 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 Register of
Wills and an official assessaent will be issued by the PA Departeent of Revenue.
g, ~ The above asset has been or will be repo rt ad and tax vaid with the Pennsylvania Inhe ritanc• Tax return
to be filed by the estate representative.
The above inf orae eon is ineorre3t bed/oor debts snd deductions ware Daid.
CoaDlets PART ~2 and/or PART
If indicating a different tax rate, please state
relationship to decedent:
RETURN - COMPUTATION
1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Sub~oct to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rato
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4 $
5 -
6 $
7 X
8 ~
PART
DATE PAID PAYEE
DESCRIPTION AMOUNT PA I'D
TOTAL (Enter on Line 5 of Tax Computation) i
Under penalties of perjury, I declare that the facts I have reported above are true, correct and ~~
omDlete to tcche be t of my knowledge and belief. HOME C )
/~ ~ G r~~ WORK C ) l.~-/3-/D
A..~LJ A unro DATE
DEBTS AND DEDUCTIONS CLAIMED
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