HomeMy WebLinkAbout08-21-12 (4)PENNSYLVANIA INHERITANCE TAX
INFORMATION NOTICE \ ~]
BUREAU OF INDIVIDUAL TAXES FILE NU. 21'pC ~ (O~
PD bpx 2assol Pe ,~ ~~~ ~ AND ACN 1:2135067.
NARRISbURG PA 17128-0601 ~ ~. i~
OEPA a„grt ~E., ~ TAXPAYER RESPONSE
exr-, !}xLrr t ~'. ~ ~g~tf l~!3 DATE 0:6 - 07 -20.12
TYPE OF .ACCOUNT
7Q~2 AU~i 2 ( PM ~' 45 EST. OF MILDRED R NARKIN ^ savlNCs
SSN 201-10-4830 ^ CHECKING
~` DATE OF DEATH 05-22-2012 ^ TRUST
/y ,ORPNpA~NA,Jln`v'VURT CCRJNTY CUMBERLAND ^ CERTIF.
WM$Ef7{,ty V{~ (hOr FA REMIT PAYMENT. AND FORMS T0:
MARYJANE R CECKA v f1 REGISTER AF WILLS
511 GALE RD 1 COURTMDUSE SQUARE
CAMP MILL PA 17011-2029 CARLISLE PA' 17013
CENTRIC BARK provided the departarent with the info~rta'ion be aw, which was used to ca7ruiattn0 the inbcritanee ±ax due.
NECandS intllCdte that at the tlEeth cf LhE aOaVe•naaetl dECetlEnL„ yUU.MEra a Jatnt Ow!'er!ppnEfl~laly of th',5 aLCaunt,: If y0U are.. the spouse Of the
deceased and any amount other than zero is reflected. tretow on the Potential Tax Due 71ne, 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" to PART 2.
if ycu believe the infermati an rs .ncarrecc, pi ease Ub CEin written carrecti en from the *i nan:fai. inSL?iota an, attach a rapt Lath is form and return
tt to the above address. P7 ea sr. rat 7;?-7c7 A32i wi to ouE:aians.
COMPLETE PART 1 BELOW ~ SEE REVERSE SIDE FOR FTLLN6 AND PAYMENT INSTRUCTIONS
ACCOUnt NO. 16D23.05 Data - 1D-15-2D09
To ensure proper credit to the aCCduntrtwo
Established copies of this notice wst. accompany
Aeeount Halaneo ~ 404
815
02 p°3'^•nt to the Ra0l.sterot wills. Naka cheek
x
. pavabl• to "Reyistar of Wiilsr Agent".
Percent Taxable X 50.000
Amount Subject to Tax S 202
407
51 NOTES If tax payaents era ^ade. within throe
x
, months of the daeedent's date of death,
Tax Rate X , 04rj deduct a 5 pe rcant Aiseount on the tax duo.
Potential Tax Duo
$
9 x 108.34 Any inheritane• tax due will becoaa del inquant
f
nirw months attar the date o
death.
P
T TAXPAYER RESPONSE
a
1
,~ _ -~ .-: ..
waRK c~17 ~ S4S - 93~ y '~~
TELEPHONE NUMBER D TE
Under penal es of perjury, I declare that the facts I reported above are/JtrueG~~/sfyr_r r(~ lq~d
corOp~37.ta o the bl~f my knovladBe and belief. HOME C ~~ [ ) ` i~ " ~a ~/ ~ i