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HomeMy WebLinkAbout05-16-11BUREAU OF INDIVIDUAL TAXES PO BOX 280601 IUIRRISBURG PA 17128-0601 REY-1563 PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE /y AND FILE N0. 21 - ~I - '~~ `~ i~;-`{~E TAXPAYER RESPONSE AcN 111zs423 ,4!;~ ~ C DATE 04-26-2011 X11 k~AY l6 A~lI~ 0~ CLERK OF ORPHAN'S COURT CUMRFRI_AND C0 , PA. RESTITUTA DELVECCHIO 2830 MORNINGSIDE DR CAMP HILL PA 17011 EST. OF PASgUALE DELVECCHIO SSN 204-03-8874 DATE OF DEATH 10-10-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST ® CERTIF. ovided the Davertaent with the infonation below. which has been used in calculating the WACNOVIA BK NA vr ds indicate that at the death of the above-netted decadent, R You were a Joint owner/beneficiary of this account. h f ecor votential tax due. If you Peal the inforaation is incorrect, please obtain written correction frog the ith the is ora financial institution, attach a coDY to t Inheritance Tax laws of the Coaaonwealth of and return it to the above address. This account is taxable in accordance w Pennsylvanis. Pleesa call (717) 787-8327 with questions.. SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS COMPLETE PART 1 BELOW ^ Account No. 247402063523731 Date 07-07-200$ 7o ensure vrover credit to the account. two Established covies of this notice oust eccoapafly vayaent to the Register of Wills. Make check Account Balance ~ 20 ~ 161 • 00 vayable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTEt If tax Deyaents are aade within three Amount Subject to Tax ~ 10 ,.080 • 50 aonths of the decedent's date of death. 1 5 deduct a 5 vorcent discount on the tax due. X TaX Rate Aro Inheritance Tax due will becoae delinauont Potential Tax Due $ 1 ~ 512.08 nine aonths after the data of death. TAXPAYER RESPONSE PART TOTAL (Enter on LSne 5 of Tax Computation) ; Under ponalties of perjury. I declare that the facts I have reported above are true, cogrroct and complete to tho best of m kno lg dge and belief. HOME C71~ ), 3~ - ~ L i~~ ~ 1 WORK C -T maYfg~~-otl ruiv~ ~~.'~~ Tci FPIJf11AF NIIMIAFR DATE / ~: 4 , us,~ rijisr ~ s FO @@ ~,. ~ ,; ~,; _ ~~ tf~ *y r~ ~t ~~~ . e ~xi .,1 '~ m ~~_ ~~ ~~Q ~~ r 3 "'~ ~i 4 ~ ~~ ~ ~ ~ ~ o -~ vv ~ ~_~ ,,