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HomeMy WebLinkAbout06-24-11~'~~` PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ~'`~ BUREAU OF INDIVIDUAL T ~~1!\f'~} ,t"fS F I L E NO. 2 1 - ~ ~ ' ~. ,~~' Po sox 280601 ~C';_~..~'t '" f"f ~a AND ACN 11136415 HARRISBURG PA 17128-060~;,_r, ~.,'. -~ ~ nn ~A~E~~~~ ~D~~(t S~ t,-' h~TMFNT~~ El~ENUE .lj I rj ,~i:,~ ., _. ~ ~,~ ~~~..~~~ * * * * DATE 06-10-2011 REV-1543 EX AFP (05-11) CLERK ~r URP~AN'S ~~JtJRT TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. KIMBERLY A SNYDER 297 GREASON RD CARLISLE PA 17015 EST. OF DEAN A SNYDER SSN 175-48-2979 DATE OF DEATH 12-11-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 S 0 V E R E I G N B AN K provided the department with the information below, which was used in calculating the inheritance tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you are the spouse Of the deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may bE~ due, but you must notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe 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. Please call 717-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS account No. 2891029224 Date 11-20 - 1985 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 1 ~ 114 . D 0 payment to the Register of Wills. Make check Percent Taxable X 50.000 payable to Register of Wills, Agent". Amount Subject to TaX $ 5 5 7. 0 0 NOTE: If tax payments are made within three months of the decedent's date of death, Tax Rate X .00 deduct a 5 percent discount on the tax due. Potential Tax Due $ ~ 00 Any inheritance tax due will become delinquent nine months after the date of death. PART 0 TAXPAYER RESPONSE FICILURE TO RESPONi~ WILL RESULT IN AN t~FICiAL TAX ASSESSMENT- A. I_ YThe above information and tax due is correct. LIB Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or return this notice to the Register of Wills and 0 N E an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return 0 N L Y filed by the estate representative. C. ~ The above information is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: OFFICIAL USE ONL~° ~ AAF PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 5 7. Tax Rate 7 X 7 8. Tax Due g $ 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMfl11A1T nwrn •^~ ~"~~ V11 L111C 7 UT IaX ~ompuLailon) $ Under penalties of perjury, I declare that the facts I reported above are true, correct ar~d f' co ple a to the best of my knowledge and belief . HOME C ~~~ ~ 7.. 7 d~ ~~~~s WORK C ~ `, ~ '~ TAXPAYE SIGNATU TELEPHONE NUMBER DATE PENNSYLVANIA INHERITANCE ~~,~~-~~, .:~, ~ INFORMATION NOTICE BUREAU OF INDIVIDUAL TA~~~,N,i ..-~ ~ t ; AND PO BOX 280601 - .. ;- ~~ ') la HARRISBURG PA 17128-060 ~`~i~.,i_;i~''ARYMENi~q NuE * * ~A~E~~~~ ~UI ~l.t S~ YY~.. ... U l.t REV-1543 EX AFP (05-11) CLERK QP ORP!-~A~`S ~,OURT KIMBERLY A SNYDER 297 GREASON RD CARLISLE PA 17015 EST. OF DEAN A SNYDER SSN 175-48-2979 DATE OF DEATH 12-11-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. M E T R 0 BAN K provided the department with the information below, which was used in calculating the inheritance tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you are the Spouse of the deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax may bey due, but you must notify the department of your relationship to the deceased by checking Box C in PART 1 below and writing "'spouse" in PART 2. If you believe he information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. Please call 717-787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 537132409 Date 09-26-2005 To ensure proper credit to the account, two Establ ished copies of this notice must. a<:company Account Balance 83 4$7 Payment to the Register of Wills. Make check . payable to "Register of Wills, Agent". Percent Taxable X 100.00 Amount Subject to Tax $` 487 83 NOTE: If tax payments are made within three . months of the decedent's dlatta of death, Tax Rate ~( 00 deduct a 5 percent discount on the tax due. Potential Tax Due $ . 00 Any inheritance tax due will become delinquent nine months after the date of death. P RT TAXPAYER RESPONSE A ~ " fAILUi~~ T{I RESPONI 1 WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. I/I The above information and tax due is correct. LJ Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or return this notice to the Register of Wills and 0 N E an official assessment will be issued by the PA Department of Revenue. B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return 0 N L Y filed by the estate representative. C. ~ The above information is incorrect and/or debts and deductions were paid. Complete PART 2~ and/or PART ~ below. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and complete to the bes of my knowledge and belief. HOME C ~~~ ) Z`f~j ~ ~' y~ L~ L WORK ( ) _ Lo ~ /~ AXPAYER IGNATURE TELEPHONE NUMBER D TE TAX FILE NIJ. 21 - ~ ~ "~~7''~ ACN 11138073 ~ DATE 06-10-2011 TDTAL CEnter on Line 5 of Tax Computation) S ~ `~ `J' --~! ~ ... (/~~ `n ~ 1'~ 1~, 4 ~(~~.' E'~ ~-~ i V ~' ~ '~J i.~" ~a ,r `~ `~ d ~ "'~"'~. ('~ v • [ ~/ y C\ /A\ \\ /~ ~/ ~ } ... ~5 ~.J ' '~ ~~~ / ~. {' -J i~. . . :+' ' ~.. ;.~'' f Y. - ~.r .. ~ ~ "t x S' 11313 NQ~a Y"-1, 13 VS a,_~i~ ~,'~ ~~ yr. ~„ '~~. { ~~ ?, i d-i ~a sn r~a74;~