HomeMy WebLinkAbout03-17-11 (2)PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
BUREAU OF INDIVIDUAL TAXES -
Po Box zso6ol ~, ~ AND FILE N0. 21-r1+C3~=~~
HARRISBURG PA lnza-o6ol ~-:~ TAXPAYER RESPONSE acN
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REV-1543E%11FP(OB-oe: ~ DATE 02-23-2011
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MAE L REINER
16 S ENOLA DR APT 305
ENOLA PA 17025-2733
EST. OF HARRY L. REINER
SSN 202-20-2920
,- DATE OF
~ DEATH 10-08-2Q~
\n COUNTY
~~J CUMBERLAND =C?
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REMIT PAYMENT AND F'DRMS T0: ,~-~ lJ
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REGISTER ,
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OF WILLS
1 COURTH
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OUSE SQUARE ~~
CARLISLE PA 17013 "~"
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TYPE OF ACCOUNT
SAVINGS
® CHECKING
T~ST
~'CEI~TIF.
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potential tax due. Records indicate that pat the de th of the aboveltnamed de edent lyou were a 71oz!nt owner/be eficiary of this account.
If you feel the information is incorrect, please 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 lax laws of the Commonwealth of
Pennsylvania. Please call (717) 767-8327 with questions.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1010016944660 Date 04-17-2000
To ensure proper credit to the account, two
Established copies of this notice must accompany
Account Balance $ 315.13 payment to the Register of Wills. Make check
Percent Taxable X payable to "Register of Wills, Agent".
50.000
Amount Subject to Tax ~` 157.57 NOTE: If tax payments are made within three
TaX Rate months of the decedent's date of death,
X . 1 5 deduct a 5 percent discount on the tax due.
Potential Tax Due $ 23.64 Any Inheritance Tax due will become delinquent
nine months after the date of death.
PART TAXPAYER RESPONSE
1
FAI~itRE ~TO,,,RESF~O~iD WILL RESULT IN AN OFFI IAL TAx aCCGCC~c-:r
A. ~~The above information and tax due is correct.
C H E C K Remit payment to the Register of Wills with two copies of
a discount o
i this notice to obtain
0 N E r avo
d interest, or check box "A" and return
Wills and an official assessme
t
il this notice to the Register of
C
~ n
w
l be issued by the PA Department of Revenue
BLOCK
D N L Y
B. ~ The
above asset has been or will be reported and tax paid
ith .
w
to be filed by the estate representative. the Pennsylvania Inheritance Tax return
C. ~ The above informs ion is incorrect and/or debts and deductions
Complete PART 2~ and/or PART 3^ below. were paid.
-. +~~u~ca «ng a airterent tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Uate Established
1 P AD
2. Account Balance
2 1
3. Percent Taxable
3
X 2
4. Amount Subject to Tax 4 ~` 3
5. Debts and Deductions 5 - 4
6. Amount Taxable
6 ~` 5
7. Tax Rate
7
X 6
8. 7az Due
8 7
8
PART
0
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
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
complete to the best of my knowledge and belief.
- ~`-- 1...2~1.ti~.el~i H O M E ( y/ 7 ) '7 ~.~ 'J "'~ 5" s!
iAxNAYER SIGNATURE WORK C
TELEPHONE NUMBER DATE
OFFICIAL USE ONLY ~AAF
PA DEPARTMENT OF REVENUE
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