HomeMy WebLinkAbout02-01-11BUREAU OF INDIVIDUAL TAXES
PO BOX 280601 ~~~~
HARRISBURG PA 17128-0601
R
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND FILE N0. 21 - ~ ~ -- ~ ~~
_ ~°~1~' ~'~ ~ TAXPAYER RESPONSE AcN 11103320
~{r ';'"'; ,:~ - `1 l~' ~ * REVISED NOTICE ~ * * DATE 01-31-2011
~~~ ~~~ - ~ ~~~~ ~~ 3~
EST. OF ALTHEA M STERNER
SSN 203-1b-5392
DATE OF DEATH 05-23-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
CL~~kK QF
QR~#-~,~`~~~~~i`S CC~UR~
CU~~.E LA~CD G~ . k:4~
JAMES N STERNER
536 POPLAR CHURCH RD
CAMP HILL PA 17011
SOVEREIGN BANK provided the Departwent with the inforwation below, which has been used in calculating the
potential tax due. Records indicate that at the death of the above-naaed decedent, you were a joint owner/beneficiary of this account.
If you feel the inforeation 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 CoMaonwealth of
Pennsylvania. Please call (717)_787-8327 with ouestions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Under penalties of perjury, I declare that the facts I have reported above are true, cor ect and
comp to to the best of y nowledge and belief. HOME C~7~``)') ~Cp~ ~~~~~
WORK t ) ,ylu~~(~ ~/~~,~
-X ER SIGNATU E TELEPHONE NUMBER DATE
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