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HomeMy WebLinkAbout03-08-11 (2)_ PENNSYLVANIA INHERITANCE TAX ~~, ~ 'INFORMATION NOTICE BUREAU DF INDIVIDWL TAxES AND FILE N0. 21 ~- l I - ~~~~ PD sox zapsol TAXPAYER RESPONSE ACN 11110345 HARRISBURG PA 17128-0601 ,. ,, ,1 { DATE 02-18-2011 C~tRK OF o~,~~~s couRT ~UMBEPLANC C~ , CAROL A HOLLIS 1 W SCHOOLSIDE DR MECHANICSBURG PA 17055 EST. OF EDWARD L BIANCO SSN 195-16-3587 DATE OF DEATH 01-30-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. PSECU provided the Department with the information below, which has boon used in caleulatinp th• 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 teal the inf ormstion is incorrect, please obtain written correction from the financial institution, attach a copy to this fora and return it to the above atltlress. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call (717) 787-8327 with. questions. COMPLETE PART 1 BELOW A SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8520349146-S1 Date 03-13-2007 Account Balance Percent Taxable Amount Subject to Tax Tax Rata Potential Taz Due A. ICS Tha above information end tax due is correct. C. ~ Tha above mrorwa lon ie incorr~~ey.~t,,~.end/or debts and deductions were Dalo. - ComDlete PART ~2 and/or PaRT IJ below. PART CHECK C ONE BLOCK ONLY PART If in dicatlnp a difforent tax rata, please state relationship to tlecedant: _. TAX RETURN Establlshed S 8,241.18 X 8.333 S 686.74 X .045 $ 30.90 - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts antl Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due 1 z S 3 X 4 5 - 6 $ 7 X s S PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) # Under penalties of perjury, I declare that the facts I have reported above are true, correct and co m plete t o the b es t of my knowledge and belief. // // ~J ~ f ~ ~ D ~' HOME C 7(7 ~ 6Q~ 8 7/9 9I1~J 1 L(. ~ T WORK C ]/'] I ¢Q/ f H29 X20 AXPAYER IGNATURE TELEPHONE NUMBER DATE re ensure proper Cf BO3L t0 tna aeCOUntr LMO copies of this notice oust aeeomparo pavmant to the Rapistar of Wills. Make chock payable to "Rapistar of Wills, Apent". NOTE: If Lax payments are made within three months of the decedent's dat• of death, deduct e 5 percent discount on the tax due. Aro Inharitanca Tax due will become tlelinquant nine months after the date of death. Remft payment to the Rapistar of Wills with two copies of this notice to obtain a discount or avoid interest. or check boz "A" and return this notice to the Rapistar of Wills and en official assessment will be issued by the PA Department of Revenue. B. ~ Tha abeve asset has been or will be reported and tax paid with the Pennsylvania Inhe ritanc• Tax return to b• filetl by the estate representative.