HomeMy WebLinkAbout03-08-11 (4)BUREAU OF INDIVIDWL TAXES
PO BOX 280601
HARRISBURG PA 17120-0601
PENNSYLVANIA INHERITANCE TAX
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-'_ INFORMATION NOTICE
' AND FILE N0. 21 r ~ ~ '" ~ I ~~
TAXPAYER RESPONSE ACN 11110351
Rr~sgj~xxv:~u-~e">'" '' ~~ DATE 02-18-2011
CAROL A HOLLIS
1 W SCHOOLSIDE DR
MECHANICSBURG PA 17055
EST. OF EDWARD L BIANCO
SSN 195-16-3587
DATE OF DEATH O1-3D-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TD:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
PSECU provided the Department with the infonation below, which has been used in calculating the
potential ta: due. Records indicate that at the death of the above-named decedent, you were a ioint owner/beneficiary of Lhis account.
If you feel the infonation is incorrect, please obtain written correction from the financial institution, sttach a copy to this form
end return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Cowmonweelth of
Pennsylvania. Pluu call (717)-7B7-1327 with ewations.
COMPLETE PART 1 BELOW a SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 8520349146-S7 Data 03-15-2007
To ensure proper credit to the account, two
Established copies of this notice must accomparo
Account Balance ~ 31x201.04 pevment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
Percent Taxable X 8.333
Amount Subject to Taz b` 2,599.98 NOTE: If tax pavwants are made within three
months of the decedent's date of death,
Tax Rata X .045 deduct a 5 percent discount on the tax tlue.
Potential TaX Due ~ 1 1 7.0 D Any Inheritance Tax due will become delineuent
nine months after the date of death.
P~T TAXPAYER RESPONSE
1
A. ~ The above infonation and tax due is correct.
Remit Davment to the Register of Wills with two copies of this netice to obtain
CHECK a discount or avoid interest, or chock 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 B. ~ Tha above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
DNL Y to be filed by the estate representative.
C. ~ Tha above information is incorrect and/or debts and deductions were Daid.
Complete PART 2 and/or PART 3~ below.
PART If indicating a different tax rate, please state
relationship to dacetlent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established i
2. Account Balanea 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
5. Debts and Deductions 5 -
6. Amount Taxable 6 ~
7. Tax Rate 7 X
8. Tax Dua. B $
PART
^S DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL CEnter on Line 5 of Tax Computation) e
Under penaltios of perjury, I declare that the facts I have reported above ar•//trQue, acorrpect antl
complete to the best of my knowledge and belief. HOME C ~~ ~ IP T 7 O ?~/
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