HomeMy WebLinkAboutUntitledPENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE FILE N0. 21 `!'-~l ~~
BUREAU OF INDIVIDUAL TAXES~:~,y ,
PD BDX 280601 enns lvCltF~a ~ ~,^ ~~ AND
HARRISBURG PA 17128-0601 ~ - ~ AGN 11170559
DEPARTMENT OF REVENUE T,A~ AY E R RESPONSE DATE 1 0- 2 7- 2 0 1 1
REV-1543 EX AFP (OS-11) -~-,
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EST. OF KENNETH R WOODRING
SSN 171-22-9158
DATE OF DEATH 05-13-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
JANET R WOODRING REGISTER OF WILLS
APT 2139 1 COURTHOUSE SQUARE
5225 WILSON LN CARLISLE PA 17013
MECHANICSBURG PA 17055-6667
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
WELLS FARGO 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 I 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
it to the above address. Please call 717-787-8327 with questions.
COMPLETE PART I BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1000615343850 Date 01-02-1950 To ensure proper credit to the account, two
Established copies of this notice must accompany
1 ~ 798.00 payment to the Register of Wills. Make check
Account Balance ~{` payable to "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax $ 899.00 months of the decedent's date of death,
TeX Rate X ~ 15 deduct a 5 percent discount on the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due $ 134.85 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
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 paid with the Pennsylvania inheritance tax return
0 N L Y filed by the estate representative.
C. ~ The above information is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART IJ below.
PART If indicating a different tax~a~e, ple a state OFFICIAL USE UNLY AAF
relationship to decedent: (L. ~~ F'"
T PA DEPARTMENT OF REVENUE
TAX RE TURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established I 1
2. Account Balance 2 $ Z
3. Percent Taxable ~ X 3
4. Amount Subject to Tax 4 +fi G
5. Debts and Deductions 5 - 5
6. Amount Taxable 6 $ 6
7. Tax Rate 7 X ~ ~
8. Tax Due B ~` j B
PART DEBTS AND DEDUCTIONS CLAIMED
TOTAL CEnter on Line 5 of Tax Computation) S
Under penalties of perjury, I declare that the facts I reported above are true, correct and
mplete to t best o my knowledge and belief.
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TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
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