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HomeMy WebLinkAbout04-30-12~\ PENNSYLVANIA INHERITANCE TAXI BUREAU DF INDIVIDUAL TAXES INFORMATION NOTICE ;FILE N0. 21'I~ ~(J~~ PD Box Zeo6ol ~n{pn ~~/ AND HARRISBURG PA 17128-060 (~f'1.~~'I'n"S7~' ACN 12127206 '~F~:~~, Ef7~~?h1E!~Qxt~ E ~ TAXPAYER RESPONSE -~," '.; r:~~=1543 Ex ear!=td;11i ~ DATE 04-23-2012 s'~'~2 dPR 30 ~''r"i 3~ ~+b CLERK ,fir= ORPHAN'S ~C;RT cA r~~a~~~ ^ tiJ~ ~ ~~~! PA 5 MEADOWVIEW LN CARLISLE PA 17013-8826 EST. OF MINH Q TRANG SSN DATE OF DEATH 04-07-2012 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 FCU 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 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. 254537-1 1 Date 01-26-2005 To ensure prover credit to the account, two Established copies of this notice must accompany Account Balance $ 657.97 Payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable x 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 328.99 months of the decedent's date of death, Tax Rate ~( 12 deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent Potential Tax Due ~` 39.48 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND~WIIL~. 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 ~ B L 0 C K 0 N L Y B. ~ The above filed by asset has been or will be the estate representative. reported and tax paid with the Pennsylvania inheritance tax return C. ~ The above Complete inforna ion is incorrect PART ~ and/or PART 3^ and/or debts and deductions below. were paid. PART If indicating a different tax rate, lea~ss~ee state relationship to decedent: ~/~A7fT/~' TAX RETURN - CALCULATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS l .~tJt9'~ z s _ ~ 7S. ~ 9 " 3 x 4 s 3 7, ~ 5 6 /~i~~ 6 7 X . l 8 $ ~ PAD OFFICIAL USE ONLY {] AAF PA DEPARTMENT DF REVENUE 1 2 3 4 5 6 7 8 PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I reported above are true, corre t and complete to the be/s't~f my knowledge and belief. HOME C J~ ~ ) ~ ~ ~j (? -'-'"-~-C, '-' !'~ WORK ( ) PAYE SIGNATURE TELEPHONE NUMBER DATE IUTAL tinter on Line 5 of Tax Computation) $ M~MB~~ 1~ 1~a Consumer Lending Acct XXXXXXX537 TRANG,MINH Q Seq: 523475 ID DUE DATE PRINCIPAL INTEREST Eff: 04/12/12 Pst: 04/12/12 Tlr: 0329 Time: 3:22pm FEES NEW BALANCE TRAM AMOUNT SEQ Withdrwl from REGULAR SAVINGS 0000 Prev Bal: 0000 675.69- 0.00 0.00 VISA PAYMENTS St MEMBERS 15` FEDERAL CREDIT UMON Authorized by ID Source: ;Driver Lic 1SigCard ';Known [;Other VISA Balance Transfer 1.90 APR NO balance transfer fees. Ask an associate for more details. To whom it may concern: Please be informed that above funds were NOT disbursed to joint owner Ca D Chau. Members 1st applied above amount to pay off Mr. Trang's Visa credit. card debt. MINH Q TRANG 680.69 5.00 675.69 #523476 675.69- North Middleton Branch 17] 1 Spring Road Carlisle, Pt1 t7o13 Tel: 717.258550}, ext. 71006 Fax: 717.258.5506 wffkinsm@members1 st.org Merlinda R. Wilkins Member Service Representative