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HomeMy WebLinkAbout04-07-11 (4)-. BUREAU OF INDIVIDUAL TAXES :i PO BOX 200601 r-,-j HARRISBURG PA 17120-0601 /„~~;;~ REV-1563 E% %FP fRR-RR) KELSEY D SMART 5930 MICHAELE DR ENOLA PA 17025-1243 EST. OF BENJAMIN H SMART SSN 185-38-6205 DATE OF DEATH 12-11-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST © CERTIF. BELCO COMMUNITY CU provided the Department with the information belowr which has bean usetl in calculating the Ootentisl tax duo. Records indicate that at the death of the above-nomad decedent, you ware a 3oint owner/benaf iciary of this account If you foal the information is incorrect, please obtain written correction frog the financial institution, attach a copy to this fora and return it to the above atltlress. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Plees• call (717) 707-8627 with questions. _ COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 417410 Date 09-15-1989 To ensure proper credit to the account, two Established copies of this notice oust eccompsw Account Balance ~ 2,351.00 oayment to the Register of Wills. Make chock payable to "Register of Wills, Agent". Parcmnt Taxable Amount Subiaet to Tax Tax Rata Potential Tax Due ?i~ 4 l APR -7 Ali I 1 CLERK al= ORPHAN'S COURT ~l1MBFRLW~ID CCU., PA X 16.667 $ 391.84 X .045 S 17.63 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE . r,.; C ;`~~CE AND FILE N0. 21 10-1231 `~~~ii I ~AXPAYER RESPONSE ACN 11103503 DATE 01-19-2011 CHECK ONE BLOCK ] ONLY A. B. ~ The ebova asset has bean or will b• reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the estate representative. NOTE: If tax vayments are made within throe months of the decedent's date of death. tlatluct a 5 percent discount on the tax due. Aty Inheritance Tax due will become delinquent nine months attar the data of death. ebova Information and tax due is correct. Remit payment to the Registerof Wills with two copies of this notice to obtain a discount or avoid interest. or check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Rarenue. C. ~ The above infor a ion is ineorraet and/or debts and deductions were paid. CgmDlate PART ~2 and/or PART ~ below. PART If indicating a different tax rata, please state ra lationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE -1. Data Est6b13sAad 1 2. Account Balance 2 S 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 S 5. Debts and Deductions 5 6. Amount Taxable 6 S 7. Tax Rate 7 X e. Taz Dua 8 S PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID v V WORK C7/7 ) %.ri 1- Under ponalties of pe r~u ry, I declare that thg facts I have reported above ere true, correct and co mp la}~. to the bast of my knowl g• and be ief. , y _ .i ,lam _ ~' HOME C 7~7) ~~~ Z - L/o 3