HomeMy WebLinkAbout08-23-12 (3)~ PENNSYLVANIA INHERITANCE TAX
BUREAU of INDIVIDUA INFORMATION NOTICE
PO BOX 280601 '-~~ ~`
HARRISBURG PA 1712 -~ ~~~ ania AND FILE
~~ ~~~~~ REVENUE TARP acN
~Zi~ ' ; G~,_.~'~ AYER RESPONSE
GREY-1543 E% pFP cos-cc>. DATE
L~!}2 AUG 23 P~ 12~ ! 0
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CUMBERLAND CO., PA
NICHOLAS C GERACI
721 ALBERTA AVE
MECHANICSBURG PA 17050-2272
EST. OF TAMMY M GERACI
SSN 197-50-8383
DATE OF DEATH 10-31-2011
COUNTY CUMBERLAND
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
N0. 21 - - a --^'~-~
12130726
05-10-2012
TYPE OF ACCOUNT
® SAVINGS
^ CHECKING
^ TRUST
^ CERTIF.
Records indicate that at the death of the above-named decedent,
BELCO COMMUNITY CREDIT UNION provided the department with the information below, which was used in calculating the inheritance tax due.
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 byechecking Box/Cni n, PART lfbelowaandnwriting ospouse"bins PART 2 f the
If you believe the information is incorrect, please obtain written correction from the financial institution, attach a coDY 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. 758350
Date 07-07-1999
Established To ensure proper credit to the account, two
Account Balance copies of this notice must accompany
~ 1 , 505.47 payment to the Register of Wills. Make check
Percent Taxable X payable to "Register of Wills, Agent".
Amount Subject to Tax 16.667
s 25 0 • 9 2 NOTE: If tax payments are made within three
Tax Rate X months of the decedent's date of death,
Potential Tax Due • 045 deduct a 5 percent discount on the tax due.
1 1 •2 9 Any inheritance tax due will become delinquent
PART nine months after the date of death.
^1 TAXPAYER RESPONSE
~~iL;.~4 ;~~s wILL r~ESU~,.r =.~~. ~
t1iFF=DIAL ~' .ItBS£SS N7
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 CHECK 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.
BLOCK B
0 N L Y ^ T above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return
f led by the estate representative.
C• The above informs ion is incorrect and/or debts and deductions were paid.
Complete PART 2~ and/or PART 3^ below.
PART If indi,-ter;....
^ ------~~n a ~,rrerent tax rate, please state
2 relationship to decedent:
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
1
2
3 X
4 +~`
5 -
6 ~
7 X
8 S
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DEBTS AND DEDUCTIONS CLAIMED
Under penalties of perjury, I declare that -
complete to the best of m the facts I
Y knowledg ~ and beli of
AMOUNT PAID