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HomeMy WebLinkAbout07-26-11 (2)~~' PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE FILE NO. 21 11-0625 BUREAU OF INDIVIDUAL TAXES HARRISBURG6PA 17128}~~~py ~; ;~x;_{~°Aen#~~l~nia AND ACN 11145672 .V- UEPgRTM5NT19F ~EVENUE TAXPAYER RESPONSE DATE o7-08-2011 te`r, ...r, s,. :_,, , F(i l ',. ~, .. ~-, Rf,Y+1545 'EX`7~F~(05-11) a.+1 ,7vL 26 ~`~ ~ ~~' ~~' CLEg'~ OF o~,P~,r~~s uauRj ~l~l~P,~'-'~i ,~~J~ fo.. PA. VANESSA SHENK 5 HILLTOP RD BOILING SPRINGS PA 17007-9709 EST. OF ROBERT E PARKER SSN 174-18-2512 DATE OF DEATH 04-08-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FDRMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT © SAVINGS CHECKING TRUST CERTIF. P NC BANK N A 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 y0U 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 i*_ to *_he above address. Please cal? 717-78?-8?2? with questions. COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 5005284551 Date 06-16-2008 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 4 ~ 097 • 00 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 2, 048.50 months of the decedent's date of death, Tax Rate ~( .045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due ~` 92 • 18 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPDND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ~ The above information and tax due is correct. 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 Resister of Wills and an official assessment will be issued by the PA Department of Revenue. C ONE 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 informs ion is incorrect and/ar debts and deductions were paid. Complete PART 2~ and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Dat® Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due 1 2 3 X 4 5 6 ~ X 8 PAD OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE 1 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED ^S DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of lax t;omputation~ s Under penalties of perjury, I declare that the facts I reported above are true, correct and complete t e best of my kn w e d belief. HOME C ) WORK C ) l TA AYER SIGNATURE era e e S 1, Sq. TELEPHONE NUMBER AT