HomeMy WebLinkAbout02-10-11PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
POR OX 28060DIVIDUAL TAXES ~{ [ (}[ AND
HI-RRISBURG PA 17128-0601 ~~ L ~fL TAXPAYER RESPONSE ACNE
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~~4J DATE
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11105476
02-01-2011
ZQ # ! I`EE3 I Q F~ I ~ 3
EST. OF DOROTHY C JAMISON
CiLE~K ~~ SSN 216-05-4313
(j~~N'S ~dURT DATE OF DEATH 0 6 - 04 - 2 D 10
(~'~~!~`~~~~~ (~~ I)A COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
** RORY S MINNICH
1214 MINNICH RD REGISTER OF WILLS
MECHANICSBURG PA 17055 1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
SOVEREIGN BANK
provided the Department with the informati
potential tax due. Records indicate that at the death of the above-named decedent,
If you feel the information is i on below, which has been used in calculating the
a
ncorrect, please obtain written correction from the
and return it to the above address. This account is taxable in
P financial
institution.~/attachcaa opyftohthi
cf
t
accordance with the
ennsylvania. Please call C717) 787-8327 with questions. s
orm
Inheritance Tax laws of the Commonwealth of
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1681725649 Date
06-02-2010
Established To ensure proper credit to the account, two
Account Balance ~ copies of this notice must accompany
payment to th
R
Percent Taxable X ~ ~~ e
egister of Wills. Make check
Payable to "Register of Wills, Agent"
50.000
Amount Subject to T2X ~
~ ~ .
NOTE: If tax payments are made withi
Tax Rate X n three
months of the decedent's date of death,
.15
Potential Tax Due ~
deduct a 5 percent discount on the tax due.
Any Inheritance Tax d
i
~ ~
P
RT ue w
ll become delinquent
nine months after the date of death.
A
TAXPAYER RESPONSE
A. ~ The above infonation and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to obtain
C CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
0 N E ~ Wills and an official assessment will be issued
by the PA Department of Revenue.
BLOCK g. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance lax return
0 N L Y to ba tiled by the estate representative.
C. ~ The above informs ion is incorrect and/or debts and deductions were paid.
Cowplete PART 2~ and/or PART 3^ below.
PART If indicating a different tax rate, please state
2 relationship to decedent: -' "'`-f
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE I. Date Established 1 r_
7F "~
2. Account Balance y $
X p ~ .'
3. Percent Taxable 3 „f
4. Amount Subject to Tax 4 ~ ~~„~~•
_, rw .w..~... ..
5. Debts and Deductions 5 - ~'~ .r ~:- -
rF. ~ ~~~.. ~~
6. Amount Taxable 6 ~ ~~`
~~
7. Tax Rate 7 X ~.~~~ ~ ' :."~' ~~.,,.~.t~~.~`~
8. Tax Due B $ r ~~.- .~ t _~,
PART ~ ~`' ~ ~ ~ . ~5~~..~`fi~L~
DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) ;
Under penalties of perjury, I declare that the facts I have reported above are true, cor
compete to~besG~~~y knowledge,+~nd belief. +-~ ~~ a~ri
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