HomeMy WebLinkAbout02-28-11BUREAU OF INDIVIDUAL TAXES tJ~
PO BOX 280601 ~j ~~
HARRISBURG PA 17128-0601 rC.~ ``ir,_ 1~~
PENNSYLVANIA INHERITANCE T
INFORMATION NOTICE
r~G AND
n; TAXPAYER RESPONSE
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c`~~s ~°uR~p~
MARY B FRENGEUL`Y,
304 W MAIN ST
WALNUT BOTTOM PA 17266-9703
FILE N0. 21 '-~ ~-Od'2~7Z~
ACN 11110625
DATE 02-21-2011
EST. OF ERNEST J FRENGEL
SSN 200-24-0178
DATE OF DEATH 06-23-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
CITIZENS BANK OF PENNSYLVANIA 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-pawed decedent, you were a joint owner/beneficiary of this account.
If you feel the inforwation is incorrect, please obtain written correction frow the financial institution, attach a copy to this forty
and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cowwonwealth of
Pernsvlvani». Please call C717) 787-8327 with qu@St10n5.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 6100796167 Date 03-29-1980 To ensure proper credit to the account, two
Established copies of this notice wust accowpany
paywent to the Register of Wills. Make check
Account Balance ~ 1 , 695.93 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax Daywents are wade within three
Amount Subject to Tax ~ 847 • 97 wonths of the decedent's date of death,
X • 1 5 deduct a 5 percent discount on the tax due.
Tax Rate Any Inheritance Tax due will bacowe delinquent
Potential Tax Due $ 127 • 20 nine wonths after the date of death.
PART TAXPAYER RESPONSE
0 ~L~E~~".'F4..AESPiQ1ID" ~~f~iti..}'f~':1H; 111i" OFF~I*J~JI~.:~'&A%.~'MT,
A. ^ The above inforwation and tax due is correct.
Rewit paywent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or check box "A" and return this notice to the Register of
CHECK Wills and an official assesswent will be issued by the PA Departwent of Revenue.
C ONE
BLOCK B. ~ The above asset has been or w1I1 be reported and taX paid with the Pennsylvania Inheritance Tax return
0 N L Y to be filed by the estate representative.
C. The above inforwa ion is incorrect and/or debts and deductions were paid.
Cowplete PART 2~ and/or PART ~ below.
PART If indicating a different tax ra}e, please state '' ""' ~= r AAF
relationship to decedent: 1/l/ FJ"YL - ~., K'~ - -
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS F~ ~ _ _
r "` ~ "nt -
LINE 1. Date Established 1 ~~ ,~, ~,~.~ r _>,
2. Account Balance 2 $ ~ ~ ~,' a ~°
X ~ -'s c ~ % ~~'~ y,.,~ ,, t
3. Percent Taxable 3 ~" j
4. Amount Subject to Tax 4 $ ~
5. Debts and Deductions 5 ~ ~ ,;f ,~~ ~,; , ~ ;7 ,~ "-. ti~
6. Amount Taxable 6 $ ~
7. Tax Rate 7 X 7,~~ -~, L~~t
8. Tax Due 8 $ $
Under penalties of perjury, I declare that the facts I have reported above are true, correOct and
~ -omplete to e b t of my know dge and belief. HOME C ~ ~ ~ ~ Z o ,
! ~ WORK ( ~
__ TFI FPHIINF NUMBER DATE
PART DEBTS AND DEDUCTIONS CLAIMED
0
...~~ .,.~., oevGG DESCRIPTION AMOUNT PAID
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