HomeMy WebLinkAbout12-22-10PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXE$ .;' ; ;i. AND
PO cox 260601 TAXPAYER RESPONSE
HARRISBURG PA 17126-0 ~ `
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ARDELLA N STRAW
1000 SHEFFIELD AVE
MECHANICSBURG PA 17055-5747
FILE N0. 21 10-0571
ACN 10170529
DATE 12-15-2010
EST. OF WAYNE STRAW
SSN 178-16-6478
DATE OF DEATH 04-16-2p1~
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE ~,
CARLISLE PA 17013
I
SOVEREIGN BANK provided the Department with the infonation below, which has been wsei
potential tax due. Records indicate that at the death of the above-named decedent, you were a ioint owner/bwnef
If you feel the information is incorrect, please obtain written correction from th• financial institution, sttac
and return it to the above address. This account is taxable in accordance with the Inheritanc• Tax laws of the
_.
PennsyElvania. P3+esr-ce31 C71i9 7Afi-H32T-xttrtavestiorrs. _ _°_ _.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INStRI
Account No. 1685313544
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
Date 12-27-2001
Established
$ 43,455.67
X 50.000
$ 21,727.84
X .15
$ 3,259.18
To ensure prober credit
copies of this notice ^
payment to the Register
psyable to "Register of
NOTE: If tax payments
months of the decedenjt'
deduct a 5 percent disc
Aro Inheritance Tax dlue
nine months after the, d
TYPE OF ACCOUNT
SAVINGS
CNECKIN6
TRUST
CERTIF.
~n ealculatin9 the
diary of this account.
a copy to this form
Rwmonwealth of
~TIONS
the account, two
aceomparo
Wills. Make cheek
ls, Agent".
made within three
rte of death,
on the tax dw.
1 become delinquent
of death.
rnKi TAXPAYER, RESPONSE
1^
A. ~ The above information and tax due fs correct.
Remit payment to the Register of Wills with two copies of this notice to dbtaiM
CHECK a discount or avoid interest, or check box "A" and return this notice to tie a aster of
ONE Wills and an official assesspnt will be issued by the PA Department of Reve ua'i,.
[ BLOCK ~ B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inhorftance Tax return
ONLY to be filed by the estate npresentatiw.
C. ® The above infona ion is incorrect and/or debts and deductions were paid.
Complete PART ~ and/or PART ~ below.
PART if indicating a different tax rata, p ase state
~
relationship to decedent: ~ ~ e-+
TAX RETURN - COMPUTATION OF TAX ON JOINT/TR-UST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 ~
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 ~
5. Debts and Deductions 5 -
6. Amount Taxable 6
7. Tax Rate 7 X ~
8. Tax Due 8 ~ ~
PART DEBTS AND DEDUCTIONS CLAIMED i
DATE PAID PAYEE DESCRIPTION '~ AMOUNT PAID
TOTAL CEnter on Line 5 of Tax ComputatioN i',
Under penalties of perjury, I declare that the facts I have reported above are true, co r~
coep~leteJto the best of my knowledge and belief. HOME { )
!li[wLt,Di~ ~. ~ ~ ..r WORK C 1 ~
and
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DATE