HomeMy WebLinkAbout12-16-11BUREAU OF INDIVIDUAL TAXES
PO BOX 280601
HARRISBURG PA 17128-0601
Pennsylvania
DEPARTMENT DF REVENUE
REV-1543 E% AFP (05 -11)
PENNSYLVANIA INHERITANCE TAX I'ffs~
INFORMATION NOTICE FILE N0. 21'1 ~' 13`T~
AND ACN 11180917
TAXPAYER RESPONSE DATE 12-12-2011
PEGGY A TH~2AN
18 CIRCLE DR
MECHANICSBURG I PA 17055-6139
EST. OF ROBERT L THRAN
SSN 208-24-4019
DATE OF DEATH 11-20-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
® CHECKING
TRUST
CERTIF.
CITIZENS BANK OF PENNSYLV NIA provided the department with the information below, which was used in calculating the inheritance tax due.
Records indicate that at the deat of the above-named decedent, you were a joint owner/beneficiary of this account. If y0U are the Sp0U5e Of the
deceased and any amount othe than zero is reflected below on the Potential Tax Due line, note no tax may be due, but you must
notify the department of you 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 and return
it to the above address. Please all 717-787-8327 with questions.
COMPLETE PART 1 B LOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 610076448b
Account Balance
Percent Taxable
Amount Subject to Ta
Tax Rate
Potential Tax Due
Date 11-18-1974
Established
$ 5,118.56
X 50.000
$ 2,559.28
X .15
$ 383.89
To ensure proper credit to the account, two
copies of this notice ^ust accompany
payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax payments are made within three
months of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Any inheritance tax due will become delinquent
nine months after the date of death.
P~T TAXPAYER RESPONSE
~ ItURE O LL RESULT IN AN 10 FICIAL TAX...
A. ~ The above information and tax due is correct.
Remit payment to the Register of Wills with two copies of this notice to
~~ a discount er avoid interest. or return this nntiee to the Resister of W
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' an official assessment will be issued by the PA Department of Revenue. </j h S''
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ONE
B L 0 C K B. The above asset has been or will be reported and tax paid with the Pennsylvania ~_~(^~ ce t~return
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ONLY filed by the estate representative.
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C. The above informs ion is incorrect and/or debts and deductions were paid. "4ry ~,~
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PART ~ below
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PART ~2
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PART If indicating a ifferent tax ra~w,,,p~ea~g/ytate
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relationship to ecedent:
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pA DEPAi?T~i>~NT OF NUE
TAX RETURN - CALCULA TION OF TAX ON JOINT/TRUST ACCOUNTS AD
LINE 1. Date Established I 1 1 ~ ~~
2. Account Balance 2 $ 2
3. Percent Taxable 3 X ~_' _
4. Amount Subject to Tax 4 $ Cr ...._
5. Debts and Deducti ons 5 S
6. Amount Taxable ~, 6 $ b
7. Tax Rate 7 X 7
8. Tax Due 8 $ $
PART DEBTS AND DEDUCTIONS CLAIMED
~
a
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
rorAL cEnter on Line s or iax t;omputation) s
Under penalties of pelNjury, I declare that the facts I reported above are true~,7/co/rrect a~n/d
complete to the bestbf my knowledge and belief . HOME C7~ 7 ) /y cr e~ 7 t"~
n~T,-_WI`~--- WORK C )
TAXPAYERd~ NATURE TELEPHONE NUMBER ~~ AT ~!
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