HomeMy WebLinkAbout08-02-11BUREAU OF It~IYIDIML TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
"~ PENNSYLVANIA INHERITANCE TAX
_ INFORMATION NOTICE J "
sY~ AND FILE N0. 21 "`/ ~ ` ~~~~ ~
~il'~TTMft1YTOFpEy~~~ ~ TAXRAYER RESPONSE ACN 11149553 ~
,x~3=E~ ~~. ~=#~:~ C' DATE
0 7 - 25 -.«28 I 1
Q~PI-~,~,'e ~~llRT
STANLEY F WILSON ~JR~~~~ `r't~ ~ PA
1001 ORIOLE DR
MECHANICSBURG PA 17050-2076
PAYEE
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRU3i`
CERT'Ii~ .
PNC BANK NA
ecords indicate that at the death of the above-Hawed decedent.
provided the departwent with the inforwation below, which was used in calculating the inheritance tax du
deceased artd any aaount other than zero is reflected below on the Potential Tax Due line
notify the de r you were a Point owner/beneficiary of this account. If you are the spouse of the
~a gent of your relationship to the deceased by checking Box C in PART 1 below and writin
if you believe he inforwation is incorrect note no tax slay be due, put OU IBits'~
t to the above address. _Please_clll 717-787-B3?7_with_.QuestiQnS,_._ y
please obtain written correction frow the financial institution. attach a copy to this fora and retur
9 "spouse" in PART t.
COMPLETE PART 1 BELOW ~ --- +~
- - ----
- - - __
____
SEE REVERSE SIDE FOR FILING AND PAYMENT Tu~TO..,.~,....._
ccount No. 5] GAncoc, ~
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
CHECK
ONE
BLOCK
ONLY
raze O 1- O 1-1978
Established
_~ 8,438.00
X _
50.000
$ 4,219.00
X .045
$ 189.86
---~ ..~vv ~ 1YRJ
To ensure proper credit to tM account, two
copies of this notice wust accowpany
paywent to the Register of Wills. yaks check
pao-able to "Register of wills, A14ew#~";,
MOTE: If tax paorants are wade within three
worths of the decedent's date of death,
deduct a 5 percent discount on the tax due,
Anpr inheritance tax due +rill becowe delinquent
nine worths after the date of death.
A- ~ The above inforwation and tax due fs correct.
Rewit paywent to the Register of Wills with two copies of this notice to obtwi~n
s discount or avoid interest, or return this notice to the Register of Wi,],ls aaq
an official assesswent will be issued by the PA Departwent of Revenue.
B. ~ The above asset has been or will be reported and tax
filed by the estate representative. paid with the Pennsylvania fnheri
tance *au ~?kprn
C• ~ The above info a ion is incor
Cowplete PART ~2 and/or PA,R n ° bts and deductions were paid.
below.
121 relationship to decedent: -~~ ~~`s' please state
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established
I
2. Account Balance 2 $ - -____
3. Percent Taxable 3 X
4- Awount Subject to Tax 4 ~`
5. Debts and Deductions 5 -
6• Awount Taxable 6 $
7. Tax Rate 7 X
8. Tax Due n ~
PART
DATE PAID
EST. OF FERN E WILSON
SSN 200-24-0003
DATE OF DEATH 06-I4-2011
COUH'rY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
DESCRIPTION
- - ~~ M.r~ury, I declare that the facts I reported above
coap etc t~ ;e^ of wy~knowledge and belief.
LEBTS AND DEDUCTIONS CLAIMED
true,_correct and
AMOUNT PAID
1
uSA~=_fll$T-C~,A4S REwER
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