HomeMy WebLinkAbout08-23-12 (4)PENNSYLVANIA INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES INFORMATION NOTICE
PO BOX 280601 {{~~ F I L E NO. 21 1
HARRISBURG PA 17128-0601 ~V AND - l a _ ~',~
,!~,5.*i~"T k , E TAXPAYER RESPONSE ACN 12130725
~i~ ~fB€~-~156~ EX,~NFPr~~-~] ~ DATE
05-10-2012
~~~2 QUG 23 P~ 12~ ~ p
l_; .;
ORPI-l~I\('~ vi~(j}~r
Ct~VlBERLAND CO„ PA
GASPERE C GERACI
721 ALBERTA AVE
MECHANLCSBURG 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
TYPE OF ACCOUNT
® SAVINGS
^ CHECKING
^ TRUST
^ CERTIF.
BELCO COMMUNITY CREDIT UNION
ecords indicate that at the death of the above named decedent,
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"h ins PART 2 f the
If you believe the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and retur
it to the above address. Please call 717-787-8327 with questions.
COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT Tucre~~..~-....._ n
Account No. 7~RZ~n
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
CHECK
ONE
BLOCK
ONLY
PART Tf ind;,,_~.
"ate 07-07-1999
Established
$ 1,505.47
X 16.667
$ 250.92
X .15
$ 37.64
-__ _.--.., v1~J
To ensure proper credit to the account, two
copies of this notice wust accowpany
payment to the Register of Wills. Make check
payable to "Register of Wills, Agent".
NOTE: If tax paywents are wade within three
wonths of the decedent's date of death,
deduct a 5 percent discount on the tax due.
Any inheritance tax due will becowe delinquent
nine wonths after the date of death.
.••,•+~.~~vwcs~ ~
The above inforwation and tax due is correct.
Rewit payment to the Register of wills with two copies of this notice to obtain
a discount or avoid interest, or return this notice to the Register of wills and
an official assesswent will be issued by the PA Department of Revenue.
B• ^ The above asset has been or will be reported and tax
~~`~ ~~~~~~////filed by the estate representative. paid with the Pennsylvania inheritance tax return
C•~The above inforwa ion is incorrect and/or debts and deductions were paid.
Cowplete PART 2~ and/or PART 3^ below.
^
2 -----••a ~ ~+rrereni
relationship to decedent: tax rate, please state
TAX
RETURN - CALCULATION
OF
TAX OFFiCIAvI.. SE Nl.Y
PA DEQXRT'!lEM7`OF RE3/FN~
ON JOINT/TRUST
LINE 1. Date Established
1 ACCOUNTS
PAD .
2. Account Balance 2 $ 1'
3. Percent Taxable 3 X ~ -
4. Amount Subject to Tax 4 $ rr '-~~.
L' 3.
5. Debts and Deductions 5 - ,~ 7
6. Amount Taxable 6 $ ~
7. Tax Rate 7 X 6
8. Tax Due B $ 7
PART $
DEBTS AND DEDUCTIONS CLAIMED
DATE PAID .,...__
TOTAL CEnter on Line 5 of Tax Computation)
Under penalties of perjur
complete to the best of my, I declare that the facts I .reported above are true
Y knowledge and belief.
L HOME ( 7
XPAYER SIGNA aF WORK [ ~
AMOUNT PAID