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HomeMy WebLinkAbout08-08-11 (3),~- BUREAU OF INDIVIDUAL TAXES PD BDX 280601 penr~~ar~j HARRISBURG PA 17128-0601 D E PA RTM E N7 ~'Rl EN E N~t1 E REV-1543=~E1i~-,~kd FA5-71) PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE ~'k``G FILE N0. 21 - ~,, ~ AND ACN ~~ -~ ~~I ~,,1 r TAXPAYER RESPONSE 11150021 `-~'' DATE 07-27-2011 rj~E ,~Jt7 ~~ i it i .i'"r CLERK ~J~ DOROTHY E KLEIN 5435 BONNYRIGG CT MECHANICSBURG PA 17050 EST. OF ELLEN L CORKLE SSN 180-26-5692 DATE OF DEATH 06-27-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. MEMBERS 1ST FCU 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 deceased and any amount other than zero is reflected below on the Potential Tax Due line, note no tax mayo be due,h but ouse of the 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 andUret~usn 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. 1 08460 - 1 1 Date 05- 09-1989 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 1 ~ 114.02 payment to the Register of Wills. Make check Percent Taxable X Payable to "Register of Wills, Agent". 16.667 Amount Subject to Tax $ 1$5.67 NOTE: If tax payments are made within three TaX Rate months of the decedent's date of death, X . 0 4 5 deduct a 5 percent discount on the tax due. Potential TaX Due $ 8 36 Any inheritance tax due will become delinquent 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 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 0 N L Y filed by the estate representative. paid with the Pennsylvania inheritance tax return C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~ and/or PART ~ below. n) •~ ~~~~icacang a alfferent tax rate, please state relationship to decedent: TAX RETURN - CALCULATION LINE 1. Dato 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 PART OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3 X 4 $ y~~,r~ 7 5- - b'~-T~- ~ ~9 6 '~ ~ Q~ 7 X 8 OFFICIAL USE ONLY ~ qAF PA DEPARTMENT OF REVENUE i PAD 1 2 3 4 5 6 7 8 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) g Un .penalties of perjury, I declare that the facts I reported above are true, correct and omple a to the best o my kn wledge and belief. . HOME C 7 ~ WORK ( ~ T AYER SIG AT E TELEPHONE NUMBER AT DEBTS AND DEDUCTIONS CLAIMED Thornwald Home 442 Walnut Bottom Road Carlisle, PA 17013 Telephone: (717) 249-4118 Dorothy Klein 5435 bonny Rigge Ct. Mechanisburg, PA 17050 STATEMENT Statement Date: 07/31/2011 Due Date: 07/31/2011 Amount Enclosed $ Account #: 1224 RE: Ellen L Corkle Date Descri tion Days Balance B/F want Rate Char es Pa menu Balances 07/20/11 KLEIN, DOROTHY 795.32 795.32 795.32 .00 Current 1-30 Da s Y 31-60 Days 61-90 Days Over 90 Days Amount Due .00 .00 .00 .00 .00 Reminder: Payments are due BY the 25th of each month. Please .00 submit your payment so it can be received timely. Thank you. Statement Date: 07/31/2011 Due Date: 07/31/2011 Ellen LCorkle -Account #: 1224 Thornwald Home 442 Walnut Bottom Road Carlisle, PA 17013 Telephone: (717) 249-4118 ~~; N a3naaoassvi~-. ~3- U y ~ ~~ s ~ :a~ u.i .m rn ';; O C _V 1 . O m ~ ... ~ ~~ Sr::.t ch ~ ~ ~ ,~~~ fn:~1 . ;; . ~ '-~ +f E~ 3;: ;-: , ~~~` :~ :;,, ~~:,._ a. ri_ rr i ~ `~' ~+ , ~" ~ 7 '~;«., ~~' ~?2:~, K ~;'';. ^ l e;= 91;::. :~.,~~'' ~-. ~' i. ~q_°: ~c.. i'i .{'~: ,. rr ~F , a ~• 7(a: ` r:` ~,' ,'._ F