HomeMy WebLinkAbout05-06-11PENNSYLVANIA INHERITANCE TAX
F INFORMATION NOTICE /~C,~-,,p
BUREAU OF INDIVIDUAL TAXES .F` ~~, O` AND FILE NO. 21--1 ~ ~ V-'~~`7
Po BOX 286601 ~[[ ;,:~, ~ TAXPAYER RESPONSE ACN 11128470
HARRISBURG PA 17128-0601 ~.t-ry i.
^, '`.J DATE 04-26-2011
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FERNE A MILLS
263 ALLEN RD
CARLISLE PA 17013
EST. OF WESLEY A MILLS
SSN 210-28-4683
DATE OF DEATH 10-27-2010
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE
CARLISLE PA 17013
TYPE OF A COUNT
SAVINGS
CHECKING
TRUST
CERTIF.
WACHOYLA BK NA provided the Departaent with the inforaation below, which has Deen used in calculating
potential tax due. Records intlicate that at the death of the above-naaed decedent, you were a joint owner/beneficiary of this a.
If you feel the inforaation is incorrect, please obtain written correction frog the financial institution, attach a copy to this
antl return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Coaaonwealth of
Pennsylvanis. Please call 1717) 787-8327 with questions.
_ . __ _ _ .
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COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 3000023888 057 Date 11-15-2001 7o ensure prover credit to the account, tw
a
Established II
copies of this notice oust accoaparry
pavaent to She Register of Wflls. Make chN ek
Account Balance $ 9 6 4 . 0 0 payable to ^Reeistar of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payaents are ^ada within thr
Amount Subject to Tax ~ 482.00 months of the decedent's date of death,
TaX Rite X , 1 Fj deduct a 5 percent discount on the tax due.
Aro Inheritance Tax due will beeoae dslin0 nt
Potential Tax Due $ 7 2 . 3 0 nine aonths after the data of death.
PART
BLOCK B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax
0 N L Y be filed by the estate representative.
A. ~ The above inforaation and tax due is correct.
Resit payaent to the Repistar of Wills with two copies of this notice to obtain
CHECK a discount or avoid interest. or chock box "A" and return this notice to the Register of
C ONE ~ Wills and an official assa ssaent will be issued by the PA Departaent of Revenue.
C. ~e above inforaa ion is incorrect and/or debts and detluetions ware Daid.
Coaplete PART 2~ and/or PART ~ below.
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DATE PAID PAYEE DESCRIPTIrON AMOUNT AID
+C'/tNP_ Q /! s /S JIfG III !~ /JY P_ /°/PnP
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Establishetl I ~~ ~f'~~ Z~O~
2. Account Balance 2 ~ 9Liy. 0~
3. Percent Taxable 3 X Q
4. Amount Subject to Tax 4 S
5. Debts and Deductions 5
6. Amount Taxable 6 S
7. Tax Rata 7 X G
8. Taz Due 8
PART DEBTS AND DEDUCTIONS CLAIMED
PART If indicating a different tax rate, Please state
relationship to decedent:
TOTAL CEnter on Line 5 of Tax Computation) t
Under penalties Of po riu ry. I doclare that the facts I have reported above are true, correct and
ooAp late to th/e~best of my know le dga and belief. HOME C 7~7 ) ?~.~ - ~S~
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XPAYER SIGNATURE TELEPHONE NUMBER DA E