HomeMy WebLinkAbout01-28-11BUREAU OF INDIVIDUAL TAXES
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
F I L E NO. 21 ~- ~' `- C1 ~f
ACN 11102025
DATE 01-11-2011
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MARGARET R SLIVER
20 HOUSTON DR
MECHANICSBURG PA 17050-1b11
EST. OF CARL E SLIVER
SSN 205-22-3437
DATE OF DEATH 05-07-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
SOVEREIGN BANK 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.
If 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 C717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 2731719583 Date 12-16-1994 To ensure prover credit to the account, two
Established copies of this notice must accompany
payment to the Register of Wills. Make check
Account Balance $ 9, 920.84 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 4,960.42 months of the decedent's date of death,
Tax Rate ~( 1 rj deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due $ 744.06 nine months after the date of death.
P
RT TAXPAYER RESPONSE
A
1
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
O N E ~ Wills and an official assessment will be issued by the PA Department of Revenue.
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
complete to the best of my knowledge and belief. H O M E C 1 \~ ~ ~ ~ ~ - O` ~ 4
fir, WORK t ) 1 S 1 ~~
TAXPAYER IGNATURE ~ TELEPHONE NUMBER DATE
TOTAL CEnter on Line 5 of Tax Computation) ~
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