HomeMy WebLinkAbout04-20-11BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
REV-1543 EX
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND
~'~' ~ '~'~f-~~'~~EPAYER RESPONSE
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FILE N0. 21-~I -(~~~`~,
ACN 11124782
DATE 04-12-2011
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ORPH~~1`S ~~URT
JO A TRESSLER
30 COURTLAND RD
CAMPHILL PA 17011
EST. OF GLENN E TRESSLER
SSN 162-26-3596
DATE OF DEATH 10-02-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
SOVEREIGN 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-pawed decedent, you were a point 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. 0571128599 Date 02-03-1997 To ensure proper credit to the account, two
Established copies of this notice roust accompany
payment to the Register of Wills. Make check
Account Balance $ 1 ~ 521 • 18 payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 760 • 59 months of the decedent's date of death,
Tax Rate ~( • 00 deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
Potential Tax Due ~` • 00 nine months after the date of death.
PART TAXPAYER RESPONSE
0 AILUtE'TO RESPa~D WILL RESULT IN AN OFFICIAL TAX ASSESSMENT
A. I~'The above information and tax due is correct.
L~ Remit payment to the Register of 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
C H E C K Wills and an official assessment will be issued by the PA Department of Revenue.
C ONE
B L 0 C K B. ~ The above asset has been or will be reported and tax Paid with the Pennsylvania Inheritance 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.
Cowplete PART ~2 and/or PART 3~ below.
PART If indicating a different tax rate, please state OFFICIAL USE ~NLY~ ~ AAF
relationship to decedent: PA DEPARTMENT OF REVENUE
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
1 _ _-- -- __.__-r_ __ .__
LINE 1. Date Established 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 b $ 6
7. Tax Rate 7 X ~
8. Tax Due 8 '~ 8
PART DEBTS AND DEDUCTIONS CLAIMED
Under penalties of perjury, I declare that the facts I have reported above are true, correct arn~d-.(
plete to the best of my knowledge and belief. HOME C`~, Ll~ ~ ~d•J~
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nATC aern PAYEE DESCRIPTION AMOUNT PAID
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