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HomeMy WebLinkAbout08-09-11 (3)•~ PENNSYLVANIA INHERITANCE TAX ~ INFORMATION NOTICE BUREAU OF INDIYIOUAL TAXES `"~`:.~ ~' A N D PD BDX 280601 penn~~l~~fa. -. ~_ HARRISBURG PA 1~12B-o6o1 oErnRTMENTO~.ReyENUe _ :~ ; ~AXPAYER RESPONSE REV-1543 E% AFP (05-11) 1 '~ FILE I+ID. 21"~ ~/_G'~/,, ACN 11150022 DATE 07-27-2011 Cl_ER~C ~~ ORPH~.~~'S ' F'~l ~,~ J .T ~: . ~~ DONNA M BAER 18 LONGWOOD DR 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 F CU 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 tc this form and return it to the above address. Please call 717-787-8327 with puestions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 108460-11 Date 05-09-1989 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 $ 1 ~ 114 • 02 payable to "Register of Wills, Agent". Percent Taxable X 16.667 NOTE: If tax payments are made within three Amount Subject to Tax $ 185.67 months of the decedent's date of death, TaX Rate X .045 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due $ 8.36 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND 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 a discount or avoid interest, or return this notice to the Register of Wills and C H E C K 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 Complete PART ~2 ion is incorrect and/or and/or PART ~ below. debts and deductions were paid. PART If indicating a different tax rate, please state OFFICIAL USE ONLY ~ AAF relationship to decedent: I PA DEPARTMENT OF REVENUE F TAX ON JOINT/TRUST ACCOUNTS PAD TAX RE TURN - CALCULATION O I LINE I. Date Established 1 $ 2 2. Account Balance 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ f,~~ ~n ~ 4 5. Debts and Deductions 5 ~~y/. Ito 5 6. Amount Taxable 6 $ ~'~ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, correct and comp to to the best of my knowledge and belief. HOME C ~/ 7 ) 7 C / _ TOTAL (Enter on Line 5 or rax ~omputation~ ~ _ ,~ HiCR J1lJ I~MIVnL ---. .._..- --_--_- • STA-TEM ENT Thornwald Home 442 Walnut Bottom Road Carlisle, PA 17013 Telephone: (717) 249-4118 Dorothy Klein 5435 bonny Rigge Ct. Mechanisburg, PA 17050 Statement Date: 07/31/2011 Due Date: 07/31/2011 Amount Enclosed $ Account #: 1224 RE: Ellen L Corkle Date Descri twn Days cant Rate Char es Pa ments Balances Balance B/F 795.32 795.32 07/20/11 KLEIN, DOROTHY 795.32 .00 Current 1-30 Days 31-60 Days 61-90 Days Over 90 Days Amount Due .00 .00 .00 .00 .00 .00 Reminder: Payments are due BY the 25th of each month. Please submit your payment so it can be received timely. Thank you. Ellen LCorkle -Account #: 1224 Thornwald Home 442 Walnut Bottom Road Carlisle, PA 17013 Telephone: (717) 249-4118 Statement Date: 07/31/2011 Due Date: 07/31/2011 \~ `~ 4~ ...--. ~ ~ ~,~/ ~. ~, ,y v =u ~. 4,2.. ~,...~ ^~ . *a, it `\ e, Y: ~y J((. ~.~ ~~. ~. ...,- /~ {-~-- ~ l.t-s ;~ } ~ c~ i - ``" c~ ~~ ~. `\~ ~ ~.. \ i~ ~_c` ~ _ C t ~~'~ i5? x,? ;s; .,..,