The URL can be used to link to this page

Home My WebLink About05-15-12 (2)BUREAU OF INDIVIDUAL TAI~.E ~~,~-.,~.-- ~- FILE ND. 21 ~.~~ !l~k:~~ ~ Po eox zsocol ~-}€~, , ~~.~p~ ~/ ACN 12120727 HARRISBURG PA 17126 0641 ~~. pEPARTMENTDF,dE~~.1,UE TAXPAYER RESPONSE L _-, _~., DATE 03-23-2012 REV-1543 EX AFP (05-11) ~~~~Y fS ~;: t~ ~v TYPE OF ACCOUNT ,~ EST. OF CONCETTA R ACRI ~ SAVINGS $$N X~ CHECKING DATE OF DEATH 11-06-2011 ~ TRUST C ~ F ~ ~'~" ~ ~~ `-' " ~`'~~ COUNTY CUMBERLAND ~ CERTIF. n ( ' p t A ' `t , CV1V!L%Ei~~~?~`~-% vV ~ r~ REMIT PAYMENT AND FORMS T0: ERCOL 0 ACRI REGISTER OF WILLS 3 SILVER SPRING RD 1 COURTHOUSE SQUARE MECHANICSBURG PA 17050-2855 CARLISLE PA 17013 SOVEREIGN 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 o` 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 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 co DJ' to this. form and return it to the shove address- Please call 7ll-7A7-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1681728575 Date 10-12-2000 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance 9 754.70 payment to the Register oi` 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 $ 4,877.35 months of the decedent's (late of death, Tax Rate ~( lrj deduct a 5 percent discount on the tax due. 7 3 1 . 6 0 Any inheritance tax due wall become delinquent Potential Tax Due $` nine months after the data of death. PART TAXPAYER RESPONSE ------~~ FALL-,URE TD RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENJ 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 ~ below. PART If indicating a different tax ~e,~ le s state OFFICIAL USE .ONLY ~ AAF 2 ^ relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 S. Percent Taxable ;, X 3 4. Amount Subject to Tax 4 $ (~ 5. Debts and Deductions 5 - ij 6. Amount Taxable 6 $ 7. Tax Rate 7 X 7 8. Tax Due 8 $ 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 a re true, correct :and complete to the best of my knowledge and belief. HOME C - ~/ /)~ ~ ~ ~4i ~? S 3 / ~~ f ~: / ~~ Ct r..~" WORK C- 7(`7 ~ ~c ~ / ~ I S S Sv,n SI! Z' a TAXPAYER SIGNATURE TELEPH NE NUMBER n~ DA E , ~ PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND ~s -~vra~a TOTAL CEnter on Line 5 of Tax Computation) ;: