HomeMy WebLinkAbout04-03-12BUREAU OF INDIVIDUAL #AXES ~'q
Po Box 2eosol ~D enn lVa
HARRISBURG PA 17128-O~dtl~JfC~P>~M~ ~,
REV-1543 EX I1FP (R3-11)
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DIANE P NELL -, ~~{~
3969 BROOKRIDGE DR
MfCHANICSBURG PA 17050-7621
EST. OF GARY E NELL
SS$1 194-38-2389
DATE OF DEATH 03-14-2012
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
"REGISTER OF WILLS
1 COURTHQUSE SQUARE
CARLISLE PA 17013
TYPE OF ACCOUNT
^ SAVINGS
Ila'".lf CHECKING
TRUST
CERTIF.
CITIZENS BANK OF PENNSYLVANIA 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 Point owner/beneficiary of this account. If,you ere the espouse 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 yyou must
notify-the department of your relatiohship to the deceased by checking Box C in PART 1 below and writing "spouse" Yn PART 2.
If you believe the information is incorrect, please obtain written correction from the financial ihstitution, 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. 6100767965 Date 09-12-1992 '
To ensure proper credit to the aceount,ftwo: ,
Established copies of this notice oust accoapany
Account Balance 2
368
54 pay~ent to the Register of Wills. Nake chock
"
i
. payable to
Register of Wills, Agent°.
Percent Taxable X 50.000
Amount Subject to
Tax ~ 1
184
27 NOTE: If tax payments are aade within three
'
~
. wonths of tho decedept
s date of death;
TaX Rate ~( , lj deduct a 5 percent discount on the tax due.
Potential .Tax Due
,~ 177.
64 Argr inheritance tax due will becoae delinquent
a
. nine months
fter the date of death.
P
T TAXPAYER RESPONSE
~
1
A. ~ The above infonation and tax due is correct.
Remit payment to the Register of Wills with two cop ies of this notice to obtain
CHECK a discount or avoid interost, 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.
BLOCK B." ~ The above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
D N L Y filed by the estate representative.
C. The above inforw ion is incorr ct and/or debts and deductions were paid.
Complete PART 2 and/or PART 3~ below.
PART If indicating a different. tax rate, please ate
relationship to decedent: _~~~~-
TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Data Established
2. Account Balance.
3. Parocnt Taxabl•
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
DATE PAID PAYEE
DESCRIPTION
AMOUNT PAID
L
WORK C ~ ~~
TELEPHONE NUMBER' DATE
PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE FILE No. 21 -'lp~~~l~
AND ACN 12122708
~` µ~,.~AYER RESPONSE DATE o4-02-..2012
r " ~ ~g flit •:
Under penalties of perjury,. I daclareR.that the-facts I reported above are true, corroct and{'~ ,1~
complete tii~the best-'of,myr k,owladye and bolief. HOME C~(~ ) -"7~~=~L,t7 ~ y~ l~
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