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Home My WebLink About04-07-11 (5)PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIOIML TAXES AND FILE N0. 21 10-1231 r~ PO BOX 280601 ~ •' ~ ~~~ TAXPAYER RESPONSE ACN 111035D5 HARRISBURG PA 17128-0601 ~ ~ ~- ' ~%~ ~ C DATE 01-19 - 2011 aEV-lSi3 E, •FP <,!-la>, '~~Idi'R-7 dr~FI~ I~ CLERK pF aRP~Aiv~s couR~ CUMRFL~n1r Cp , PA KELSEY D SMART 5930 MICHAELE DR ENOLA PA 17025-1243 EST. OF BENJAMIN H SMART SSN 185-38-6205 DATE OF DEATH 12-11-201D 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 below. which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, You ware a ioint owner/banef iciary of this account. If you foal the inf ormetion is incorrect, please obtain written correction from th• financial institution. attach a copy to this forty and return it to the above address. This account is taxable in accordance with the Inharitanee Tex laws of the Commonwealth of Pennsylvania. Please call (717) 757-8327 with ouestions. COMPLETE PART 1 BELOW a SEE REVERSE SIDE .FOR FILING AND PAYMENT INSTRUCTIONS Account No. 417410 Date 09-15-1989 7o ensure proper credit to th• account, two Establishod copies of this notice gust aeeowpary payment to the Register of Wills. Neke check Account Balanco g 5,197.41 payable to -Reaistar of Wills, Agent". Porcont Taxable X 16.667 Amount subiect to Tax $ 866.25 Tax Rate X .045 Potential Tax Due $ 38.98 NOTE, If tax payments era made within three months of the decedent's data of death. deduct a 5 pa rcent discount on the tax due. Any Inheritance Tax due will become delineuant nine months after the date of death. A. ~Tha above information and tax due is correct. Remit payment to the Reaistar of Wills with two copies of this notice to obtain a discount or avoid intaresL. or cheek box "A" and return this notice to the Register of CHECK Wills and an official assessment will be issued by the PA Department of Revenue. ONE C BLOCK B. ~ The above asset has boon or will be reported and tax paid with the Pennsylvania Inharitanee Tax return 0 NL Y to ba filed by the estate representa tive. C. ~ Th• above informs ion is incorrect and/or debts and deductions were Daid. Complete PART 2~ and/or PART ~ below. PART If indieatinD a different tax rate, please state relationship to decedent: TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Establishod 1 2. Account Balance 2 $ 3. Portent Taxable 3 X 4. Amount Subject to Tax 4 ~ 5. Debts and Deductions 5 ~ 6. Amount Taxable 6 7. Tax Rata 7 X e. Tax Due 5 ~ DEBTS AND DEDUCTIONS CLAIMED PART neTF petn PAYEE DESCRIPTION AMOUNT PAID Under penalties of por~ury, declare that the facts I have reported above are true, corraot (a~pd Comp is to the best 4f my oWledae and belief. HOME C ~~) ~~~- ~~~ / - L~/~//i~ WORK C~/!7 ) LP.SoZ~ J~~AI C~ ~ .~i