HomeMy WebLinkAbout06-03-11
BUREAU OF INDIVIEJfy~'1rCL~-~, +rti,••,~.
PO BOX 280601 ~./ti.. .E„~~,f,~ ;,_ ~t^: ~{
HARRISBURG PA 17 ~ ~ ;:•. ~ ~
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PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE N0. 21 - t~-U~~~
ACN 11134830
DATE 05-24-2011
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BETTY L RINEHART ~~ ~-~I'yl~.~~,(
SHIPPENSBURG PA 17257
EST. OF WILLIAM E RINEHART
SSN 190-16-1997
DATE OF DEATH 02-27-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
® SAVINGS
CHECKING
TRUST
CERTIF.
PAT RIOT FCU 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-named decedent, you were a ]oint 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 (717) 787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1533870-00
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
Date 04-06-1987
Established
$ 2,132.72
X
X
PART
T
16.667
355.46
_ .00
r 0 0
ER PONSE
Under penalties of perjury, I declare that the facts I have reported above are true, correct and
~omplete to the be of my knowledge and belief . HOME c ~,' -} ) S ~- ' ?S
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-XPAYER SIGNATU /~ ~(f~(~ TELEPHONE NUMBER DATE
To ensure proper credit to the account, two
copies of this notice must accompany
payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
months of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Any Inheritance Tax due will become delinquent
nine months after the date of death.
TOTAL tEnter on Line 5 of Tax Computation) ~