HomeMy WebLinkAbout03-21-12 (2)~ PENNSYLVANIA INHERITANCE TAX
BUREAU OF INDIVIDUAL TaxES p y INFORMATION NOTICE FILE N0. 21 . ~~-~jy~
Po Box 2eo6o1 en ns ~V r - A N D
HARRISBURG PA 17128-0601 'Y ACN 12115145
DEPARTMENT of REVEniI)E - TA)Glj~'AY E R RE S P O N S E
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03-02-2012
REV-1543 E% AFP (OS~I1) '; ~ ~ ,~ DATE
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G E O R G E H S E I D E L C~~~~~~ rr,~ C~•. RQ
110 VALLEYVIEW RD
NEW CUMBERLAND PA 17070-1731
EST. OF LOIS J SEIDEL
SSN 184-26-4634
DATE OF DEATH 10-22-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
SAVINGS
CHECKING
TRUST
CERTIF.
SOVEREIG N BANK 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 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 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0771031122 Date 12-20-1996 To ensure proper credit to the account, two
Established copies of this notice must accompany
13, 697.09 eaia~er or wins. maKe cnecK
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 $ 6,848.55 months of the decedent's date of death,
Tax Rate X 15 deduct a 5 percent discount on the tax due.
Any inheritance tax due will become delinquent
Potential Tax Due $ 1 , 027.28 nine months after the date of death.
PART TAXPAYER RESPONSE
FAILURE TO RESPDND 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
an official assessment will be issued by the PA Department of Revenue.
ONE
BLOC 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.
plete PART ~2 and/or PART 3~ below.
PART If indicating a different tax rate, please state OFFICIAL USE DNLY ~ AAF
relationship to decedent:- PA DEPARTMENT OF REVENUE
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD
LINE 1. Date Established 1 ~ ~ ~ I
2. Account Balance 2 $ ~ 2
3. Percent Taxable 3 X 3
4. Amount Subject to Tax 4 +~ 4
5. Debts and Deductions 5 5
6. Amount Taxable 6 '~ 6
7. Tax Rate 7 X 7
8. Tax Due 8 $ $
PART DEBTS AND DEDUCTIONS CLAIMED
3^
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
IUTAL ctnter on Line 5 of Tax Computation) S
Under penalties of perjury, I de are tha the facts I reported above ar~ertrue, cor ectJ a9yd
complete t the best of y know ge a d elief. HOME C~~/ ) ~~ ~(`(i ~ /~
- -- - WORK C ~ .~ ~~ / !/
RE TELEPHONE NUMBER
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ttew Cumberland, PA 17070
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