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HomeMy WebLinkAbout04-29-11BUREAU OF INDIVIDUAL TAXES Po Box zeosal HARRISBURG PA 17128-0601 REY-1543 E% %FP GIERK ~~F ORf'HAA!'S COURT CUMP.ER~A~•lf) CC . PA. DORDTHY BOWKER 726 ALBERTA AVE MECHANICSBURG PA 17050 FILE N0. 21 10-1076 ACN 11128530 DATE 04-26-2011 EST. OF LEWIS W BOWKER SSN 426-66-8650 DATE OF DEATH 08-22-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST ® CERTIF. WACHOVIA BK NA provided the Departaent with the inforaation below, which has been used in calculat ins the Dotantial tax due. Records indicate that at the death of the above-naaed decedent. you ware a joint owner/beneficiary of this account. If you foal the inf orastion is incorrect, please obtain written correction frog the financial institution. attach a copy to this fora end return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Coaaonwaalth of Pennsylvania. Please call (717) 787-8327 with questions. ~ - COMPLETE PART 1 BELDW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 247402053154337 Date 09-25-2007 To ensure proper credit to the account, two Established copies of this notice oust accoapany payaent to the Reaistar of Wills. Make check Account Balance $ 157,981.00 payable to "Reaistar of Wills. Anent". Percent Taxable X 50.000 NOTE: If tax paywents are aada within three Amount Subject to Tax ~` 78,990.50 aonths of the decedent's date of death, Tax Rate X 1 rj tladuct e 5 percent discount on the tax due. Aro Inheritance Tax due will becoae delinquent Potential Tax Dus $ 11,848.58 nine wonths after the data of death. PART A. ~ The above inforaation and tax due is correct. Resit payaent to the Reaistar of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or check box "A" and return this notice to the Reaistar of Wills and an official assessaent will ba issued by the PA Departaent of Revenue. C ONE BLOCK B. ~ The above asset has been or will be raportetl and tax paid with the Pennsylvania Inheritance Tax return ON L Y to be filed by the estate representative. C. ~ha above informion is incorr and/or debts and deductions were paitl. oaplete PART 2 and/or PART 3 below. PART If indicating a dlfferent tax ,{ate, please state relatlonshjp to decedent: ~-n `~"w ., e TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST AC ~ UNTS LIWE 1. Date Estab115hed 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 `f 7. Taz Rate 7 X ~ 2Q'l.[YQix~- 8. Tax Dua B ~ n PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID WORK C ~ PENNSYLVANIA INHERITANCE T INFORMATION NOTICE AND TAXPAYER RESPONSE ~__' .. .. o/~ Under penalties of perjury, I tleclare that the facts I have reported above are Mtrue, correct and / cgpgle to to tlj,p besx, of my ~iowledae and belief. HOME ( ~ ~~ ) 6'~o~-?irQ3 9 Y , ~, ~: ri ~_ ~ a a r a~ .~~~ J Q f0 ~ r ~ ~J~ tri t`t K~ i; i }•,. .,•a