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HomeMy WebLinkAbout04-12-11 (8)BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-06D1 PENNSYLVANIA INHERITANCE INFORMATION NOTICE ,~,.- n, A N D ~.._, "'~' ' -~'~;; ~" TAXPAYER RESPONSE ~~,e6v-~4a€x`aFp coe-os>! ~ * * ~ REVISED NOTICE 'J TAX FILE N0. 21 ~~ ~ --~~~~~ ACN 11117637 * DATE 03-24-2011 ,. i ~ ~ ~ , r+. ~.: ;.~ ~~~ ~~ Grr~'N-' ~~''~` '-~ ~„ 1, ~ C,~.1~J~T KEVIN L WEIGEL 5090 SUE ANN DR HARRISBURG PA 17112 EST. OF JANET K WEIGEL SSN 182-28-0558 DATE OF DEATH o4-3o-2o1a COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT © SAVINGS CHECKING TRUST CERTIF. SO VEREIG 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. 2471709532 Date 08 - 05 -1996 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 19 ~ 702.20 payment to the Register o1= Wills. Make check Percent Taxable X payable to "Register of Wiills, Agent". 5.000 Amount Subject to Tax $ 985.11 NOTE: If tax payments area made within three Tax Rate X months of the decedent's date of death, . 0 4 5 deduct a 5 percent discount on the tax due. Potential Tax Due $ 44.33 Any Inheritance Tax due will become delinquent nine months after the date of death. PART TAXPAYER RESPONSE FAILURE ~'0 RESPOND WILL RESU<LT 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 Inheritance Tax ret 0 N L Y to be filed by the estate representative. urn PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LiNc i. Dais ESidiiliSheci 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 7 X 8. Tax Due 8 $ pADT DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) 5 Under enalties of perjury, I declare that the facts I have reported above are true, correct and ete to a be o ~ nowledge and belief. HOME (~ (~'~ ) ~'tF ~ ~'S6 j AXPA E SIGNATURE WORK ( '7 ~ ~ ti©~ r ,~ ~ z-7 C TELEPHONE NUMBER DATE C• ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. DEBTS AND DEDUCTIONS CLAIMED OFFICIAL USE ONLY ^ AAF PA DEPARTMENT OF REVENUE PAO 1 2 3 4 5 6 7