HomeMy WebLinkAbout01-27-11 (4)BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
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~ 'y' ~T~~P~YER RESPONSE
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REV-153 EX AFY cRa•eu "" ~ " 1
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FILE N0. 21p[f-III
ACN 10170019
DATE 12-13-2010
TYPE OF ACCOUNT
~~~ P I ~~ ~~ ~~~ ~~~ ~'~EST. OF BARBARA HAHN ^ SAVINSs
SSN 154-26-8372 ® CHECKING
CLERK QF DATE OF DEATH 10 - 30 - 2010', ^ TRUST
(~OA,RPH~AN'SnGO~IJRT COUNTY CUMBERLAND ' ^ CERTIF.
CUMBEP,L~~<(~ tJ~„ P}~ REMIT PAYMENT AND FORMS T0: ~
SONDRA SATTAZAHN REGISTER OF WILLS
5465 BONNYRIGG CT 1 COURTHOUSE SQUARE
MECHANICSBURG PA 17050 CARLISLE PA 17013 ',
MEMBERS 1ST FCU provided the Departaent with the inforaation below, which has bean used in calculating the
potential tax due. Records indicate that at the death of the above-naaed decadent, you wero a ioint owner/benef•ciary of this account.
If you foal the inforaation is incorroct, please obtain written correction frog the financial institution, atta~clj a copy to this fora
and return it to the above address. This account is taxable in aceordanco with the Inheritance Tax laws of the oaaonwealth of
Pegnsylvaaia. Ploasa wll C7171-.7[7.8327-s+itb auoatiena,--- ---- - - - -- i
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 262159-11
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Duo
Date 03-26-2005
Established
g 859.47
X 50.000
$ 429.74
X .045
$ 19.34
PART
CHECK
C ONE
BLOCK
ONLY
A. ~ Tha above inforaation and tax due is correct.
Resit payaent to the Register of Wills with two copios of this notico to obta n
a discount or avoid interest, or chock box ^A" and return this notice to the egiater of
Wills and an official assessaent will be issued by the PA Departaent of Reven e.
B. ^ The above asset has boon or will be reported and tax paid with the Ponnsylvania I
to be filed by the estate representative.
tance Tax return
C. ^ Tha above infona ion is incorrect and/or debts and deductions were paid.
Coaplete PART 2~ and/or PART a below.
PART If indicating a different tax rate, please state
relationship to decadent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 S
3. Percent Taxable 3 X
4. Aaount Subject to Tax 4
5. Debts and Deductions 5
6. Aaount Taxable 6
7. Tax Rate 7 X
8. Tax Dua 8 ~
PART DEBTS AND DEDUCTIONS CLAIMED !,
n.rr ri.rn o.vre TCCf`DTDTTFILI aeltlllWT DArn
TOTAL CEnter on Line 5 of Tax Coaputation~ i i
Under penalties of perjury, I declare that the facts I have reported above era true:, ao
eoaplet the of ay knowledge and belief . HOME C '~ ~ ) rect and
YQ
WORK C 17 ) - [~ ~
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
To ensure Droper credit o the account, two
copios of this notice au t accoapany
payaent to the Register f Wills. Make cheek
payable to "Register of ills, Agent".
NOTE: If tax payunts ar~a aade within throe
aonths of the decedent's date of death,
deduct a 5 Dercent disgo nt on the tax due.
Any Inheritance Tax due ill beeoae delinquent
nine aonths after the da a of death.