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HomeMy WebLinkAbout04-12-11 (3)BUREAU OF INDIVIDUAL TAXES PO BOX 280601 fr~r-}~-•,: , HARRISBURG PA 17128-0601 '+~~-` _ . ,% - ~ fr i ~.... ~_REV-143 _EX AFP (b8-b 8~ T P ; ~ y.. r ,. ,~ 1.,. ,~ .. +.t PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND ~= TAXPAYER RESPONSE ~ * ~ REVISED NOTICE art; f~,~- .rf- r l~~ i ~ V lr\lif~ 1 KEVIN L WEIGEL 5090 SUE ANN DR HARRISBURG PA 17112 EST. OF JANET K WEIGEL SSN 182-28-0558 DATE OF DEATH 04-30-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. SOVEREIG N BANK provided the Department with the information below, which has been used in calculating the 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 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 Tax laws of the Commonwealth of Pennsylvania. Please call C717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 2471706274 Date 06-03-1998 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 24,854.78 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 5.000 Amount Subject to Tax $ 1 ~ 242.74 NOTE: If tax payments are made within three months of the decedent's date of death, TaX Rate )( . 045 deduct a 5 percent discount on the tax due. Potential Tax Due $ 55.92 Any Inheritance Tax due will become delinquent nine months after the data of death. PART TAXPAYER RESPONSE 0 FAILU~'tE ~7'O IBS<PtINfl.~ WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inhieritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: OFFICIAL USE ONLY ~ AAF TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD PA DEPARTMENT OF REVENUE LINE I. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 +~` 6 7. Tax Rate ~ )( 7 8. Tax Due g $ 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID U ti penalt' s of p lee to/~rie,.be~ Ai. AYCR SIGNATU TOTAL CEnter on Line 5 of Tax Computation) FILE N0. 21 ~~ ~~ -~~~ ACN 11117632 DATE 03-24-2011 S .7u I declare that the facts I have reported above are true, correct and ~ mY edge and belief. ~ ~~ HOME ( ~(7 ) WORK ( 7/7) 7~~~64l~- 3 Z-`7 ~r TELEPHONE NUMBER DATE