HomeMy WebLinkAbout04-12-11 (7)PENNSYLVANIA INHERITANCE
INFORMATION N(ITICE
BUREAU OF INDIVIDUALrTAa(E3.~. - AND
PO BOX 280601 ;•' i
HARRISBURG PA 171zB-o~ol ~. - TAB:PAYE R R E S P O N S E
- ~ ~-'~ ~ * ~ REVISED NOT]:CE
REV-1543 EX AFP (OB-08)
TAX
FILE N0. 21 -'~ -`~}~
ACN 11117636
* DATE 03-24-2011
v <._
[ ~; + 1) !
~.-.'_~ i t ~ ~~~', Y ~~ 1 c... is t1
r
fj ~f~l(t /1~.
L..~.I ii `, ~..r;
KAREN L WEIGEL
7 BLAIR HOLLOW RD
DILLSBURG PA 17019
EST. OF JANET K WEIGEL
SSN 182-28-0558
DATE OF DEATH 04-30-2010
COUNTY CUMBERLAND
REMIT PAYM ENT AND FORMS T0:
REGISTER OF WILLS
1 COURTH OUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
SOVE REIG N BANK provided the Department with the information below, which has been used i.n calculating the
potential tax due. Records indicate that at the death of the above-named deced
t
en
,
If you feel the information is incorrect, please obtain written correction from the
and return it to the above address. This account is t
bl you were a joint owner/beneti.ciary of this account.
financial institution, attach a copy to this fo
axa
e in accordance with the
Pennsylvania. Please call (717) 787-8327 with questions. rm
Inheritance Tax laws of the Commonwealth of
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 2471709532 Date 08-05-1996
Established To ensure proper credit to the account, two
Account Balance copies of this notice must accompany
$ 19 ~ 702.20 payment to the Register of Wills. Make check
Percent Taxable
X payable to "Register of Wills, Agent".
5.000
Amount Subject to Tax $ 985.11 NOTE: If tax payments are made within three
T a X Rat a
X months of the decedent's date of death,
. 0 4 5
Potential Tax Du deduct a 5 percent discount on the tax due.
e $ 44.33 Any Inheritance Tax due wall become delinquent
PART nine months after the date of death.
TAXPAYER RESPONSE
FAILURE TO RES=POND WILL RESULT IN AN OFFICIA~L.TAX A5SE5SMENT
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 Inheritance Tax return
O 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 L__I below.
DADT Tf .. .~: ..a.
• -• -••--~a~a~~y d u~rrerent tax rate, please state
relationship to decedent:
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2 $
3. Percent Taxable 3 X
4. Amount Subject to Tax 4 $
5. Debts and Deductions 5 -
6. Amount Taxable 6 $
7. Tax Rate ~ X
8. Tax Due 8 $
PART
0
DATE PAID
PAYEE
DEBTS AND DEDUCTIONS CLAIMED
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.
HOME C ~I ? ~ ~'~'~c~
~~ ~~ ~' '-''~ W O R K ( ~-~ ~ ~ -
TAXPAYER IGNATURE 7 ~ l S Sc~ ~=~ ~~ ~
TELEPHONE NUMBER D TE
OFFICIAL USE ONLY ~ AAF
PA DEPARTMENT OF REVENUE
PAD
1
2
3
4
5
6
7
8