HomeMy WebLinkAbout02-03-11 (2)BUREAU OF INDIVIDUAL TAXES
PO BOX 260601
HARRISBURG PA 17128-0601
REY-1563 EX RFP (Ba-RR)
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
~~F~4~~ AND
'` ' ' ~CPAYER RESPONSE
'W}* ~~~`~~- ~ REVISED NOTICE * * r
FILE N0. 21 10-0796
ACN 10161394
DATE 11-16-2010
a~ of
o~uuv-s eou~r
Cl1MB~Rl..AND CO., PA
PRABHA JINDAL
1750 ELIZA WAY
MECHANICSBURG PA 17050-1683
EST. OF RAMESH K JINDAL
SSN 178-60-2295
DATE OF DEATH 03-13-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® savlNGs
CHECKING
TRUST
CERTIF.
SOVEREIGN BANK provided the Department with the information below, which has been used in caleuleting the
Dotential 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. Dlease 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 Commormealth of
Pennsylvania. Please tell (717) 787-8327 with auastions. -
COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0464032531
Account Balance
Percent Taxable
Amount Subject to 7az
Tax Rate
Potential Tax Due
Date 05-06-2002
Established
$ 787.04
X 50.000
$ 393.52
X .00
$ .00
To ensure proper credit to the account. two
copies of this notice must accompany
payment to the Resister of Wills. Make check
payable to "Register of Wills. Agent".
NDTE: If tax payments era made within three
months of the decedent's data of death,
deduct a 5 percent discount on the tax due.
Am Inheritance Tax due will become delSnqusnt
nine months after the date of death.
A. ~ The above info nation and tax due is correct.
Remit payment to the Resister of Wills with Lwo copies of this notice to obtain
CHECK a discount or avoid interest, or check box "A" and return this notice to the Register of
C ONE ~ Wills and an official assessment will be issued by the PA Department of Revenue.
BLOCK 8. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
ONL Y to be filed by the estate representative.
C. ~ The above info a ion is incorrect and/or debts and deductions were paid.
Complete PART ~ and/or PART 3^ below.
PART If indicating a different tax rate, please state
Q 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. Amount Subject to Tax 4 S
5. Debts and Deductions 5
6. Amount Taxable 6 S
7. Tax Rato 7 X
8. Tax Due 8 S
PART DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION
AMOUNT PAID
Under penalties of perjury, I declare that the facts I have reported above era/true, correct and
complete to the bas f my knowledge and belief. HOME C~~-] ) ~j~~~ i 73~
(~F1~`,Yp'.l ~ loll .LtOR~E c 7~7 ) /SI~CI ~ ~'~31C
DATE ~~