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HomeMy WebLinkAbout05-05-11 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES Po Box zaosol np ,~ AND ,- i~~'AYER RESPONSE FILE N0. 21 , 1'~.~ ACN 1112847 HARRISBURG PA 17128-0601 '-,r ~~ MEV-156b E% %FP <~4b~Sl _ •~'1!~ ". I.. ~ °' DATE 04-26-2b11 ' TYPE OF A COUN1 W~{{~AY'S FI~{~• ~J EST. OF WESLEY A MILLS SAYIN SSN 210-28-4683 CHECK CLERK QF DATE OF DEATH 10-27-2010 TRUST COUNTY CUMBERLAND QRFj-~~(1j ~ v(~URT cERTI n C~~~'~7CF~ rlftyr Ci~ , PM REMIT PAYMENT AND FORMS T0: FERNE A MILLS REGISTER OF WILLS 263 ALLEN RD 1 COURTHOUSE SQUARE CARLISLE PA 17013 CARLISLE PA 17013 WACHOVIA BK NA provided the Dspartwent with the infonation below, which has been used in calculating th} potential tax due. Records indicate that at the death of the above-pawed decedent. You ware a ioint owner/beneficiary of this accq' unt. If You foal the inforwation is incorrect,please obtain written correction frow the financial institution, attach a copy to this fg rw and return it to the above address. This account is taxable in accordance with the Inheritence Tax laws of the Cowwonwealth of Pennsylvania. Please call (717) 787-8327 with questions. COMPLETE PART 1 BELOW ^ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1010072343548 Date 06-02-2003 To ensure proper credit to the account, tw Established copies of this notice ^ust aeeowpanv Account Balance 3 525.00 paywent to the Register of Wills. Make ch ~ payable to "Register of Wills, Agent". ck Percent Taxable X 50.000 ' NDTEa If tex peywents ere wade within thr e Amount Subject to Tex ~ 1 ~ 762.50 wonths of the decedent's date of death, Tax Rate X .15 deduct e 5 percent df scount on the tax due Potential Tax Due g 264.38 Aro Inheritance Tax due will becowa delinq nine wonths after the date of death. ent PART TAXPAYER RESPONSE 1^ A. ^ The above inforwation and tax due is correct. Rewit paywent to the Register 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 Register of C ONE ~ Wills and an official assesswent will be issued by the PA Departwent of Revenue. BLOC K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tex ret rn 0 N L Y to be filed by the estate representative. C. The above info a ion is incorrect and/or debts ana tleductions were paid. ! . Cowoleta PART ~ and/or PART ~ below. i PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS '- ~ Z - 2~3 LINE 1. Date Established 1 /)fo ^~ 2. Account Balance 2 ~ ~ SZ .~• OD 3. Percent Taxable 3 X vO 4. Amount Subject to Tax 4 5. Debts and Deductions 5 Q 6. Amount Taxable 6 ~ 7. Tax Rate 7 X 8. Taz Due 8 ~ (/ PART DEBTS AND DEDUCTIONS CLAIMED ^3 DATE PAID PAYEE DESCRIPTION AMOUNT AID / ~ CN ~ d,:~. ~-l~~ GS ING F. TOTAL (Enter on Line 5 of Tax Computation) # ~~, Under penalties Of perjury, I declare that the facts I have reported a~b7o/v^7e are true, correct and comp bete to the /best of Amy kin o~/wledge and belief. HOME C/i/ ) 2y~-20-s3 ' ~^ l..t~rl~ CiI. %ry_.I~C~CJ`y WO R K ( ) ' ~ -\v\