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HomeMy WebLinkAbout05-23-12BUREAU OF INDIVIDUAL TAXES PO BOX 260601 (~~(~~~ 1[" HARRISBURG PA 1 7128-060 `~ -~~f- - ~'.'~'. , 0.EY-1543 ~E% •F.P ._(.1 B~.IeI PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE TAXPAYER RESPONSE ACN DATE N 0 . 21 - I ~~ _ L; I ~ ~~. 11112974 02-24-2011 iC~;~,'f ~3 P~-il~~ ~3 -,:,;' CU~~?E=RLt'~~1L C0 , PA JOSEPHINE J STILLSON 24 LONGVIEW DR MECHANICSBURG PA 17050 EST. OF JOSEPH R STILLSON SSN DATE OF DEATH 08-02-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS © CHECKING TRUST CERTIF. SOVEREIGN BANK provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel 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. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call (717) 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 1681732505 Date 01-10-2007 To ensure proper credit to the account, two Established copies of this notice must accompany Account Balance $ 13, 396.77 payment to the Register of Wills. Make check payable to "Register of Wills, Agent". Percent Taxable X 16.667 Amount Subject to Tax $ NOTE: If tax payments are made within three 2, 232.84 months of the decedent's date of death, TaX Rate X lrj deduct a 5 percent discount on the tax due. Potential Tax Due Any Inheritance Tax due will become delinquent $ 334.93 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND 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 check box "A" and return this notice to the Register of 0 N E Wills and 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 ONLY ~j. to be filed by the estate representative. C. yK~'fhe above informs ion is incorrect and/or debts and deductions were paid. "-' Complete PART ~ and/or PART ~ below. PAKT it inaicating a ditferent tax rate please state relationship to decedent: ~Cj.~~2~.~5~-- TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductians 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX ON JOINT/TRUST ACCOUNTS 1 1--- I P) - a. Mn'7 z_ _ s 13~grA ,?,~' 3 X ! !O 1 n ! o `~ 4 ! ~ $ c~ l1 ~I . 7'S 5_ - ~ . b ~ 6 `~ ~c~'~,~ x R~ 7 X ~ °~o s- $ - Q --- PART PAD 1 2 3 4 5 6 7 8 OFFICIAL USE ONLY ~ AAF PA DEPARTMENT OF REVENUE DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION etan~iuT Darn Under penalties of perjury, I declare that the facts I have com~pl~ete to the best of my know edge and belief. T AT reported above are true, correct and HOME C~ ~ ~ ) ~ ~ ~- ~f~{~ WORK C ) TELEPHONE NUMBER DATE '~~ ~. ~ ~_~~«, un amine n or i ax t.omputatlon) $