HomeMy WebLinkAbout08-16-11BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
~\~ PENNSYLVANIA INHERITANCE
~_E.:~"~ INFORMATION NOTICE
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DEPARTMENT~F'~R~V'fNUE~ ~4~~~ TAXPAYER RESPONSE
REV-1543 El( AFP (05-11)
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MARGUERIT R PRICE
175 E HILLCREST DR
CARLISLE PA 17013-1128
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FILE N0. 21 ~~
ACN 111 20b7
DATE 08-05-2011
EST. OF ALICE B ROCHE
SSN 154-12-7625
DATE OF DEATH 05-05-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FCIRMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQIIARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
P N C BAN K NA 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. Dlease obtain written correction from the finanr.ial institution, attar.h a ropy 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. 5005041365 Date 07-27-2006 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 $ 24,824.00 payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
Percent Taxable X 50.000
Amount Subject to Tax $ 12,412.00 months of the decedent's date of death,
X . 0 4 5 deduct a !i percent discount on the tax due.
T a x R at a Anv inheritance tax due will become delinquent
Potential Tax Due $ 558.54 nine months after the date of death.
PART TAXPAYER RESPONSE
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TOTAL CEnter on Line 5 of Tax Computation) ~ /)
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Under penalties of perjury, I declare that the facts I reported above are true, correct and `~ (~-
complete to the best of my knowledge and belief. H O ME C ~
WORK ( ~
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
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