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HomeMy WebLinkAbout10-10-12e PENNSYLVANIA INHERITANCE TAX I .yC,, ATION NOTICE FILE N0. 21 12-0848 BUREAU OF INDIVIDUAL TAXES ~[~~ !~~~j~ :~ Po sox zao6ol pennsylva V ,v AND ACN 12146884 HARRISBURG PA 1 7128-06 0 1 of?AHTMEwTOFaEVew ~~'rl `~ ' ~~'~1YER RESPONSE ~.1L~ i,.~r DATE 08-24-2012 REY-1543 EX 11iP (BS-11) ~fl~2 4CT t ~ PM 3, 2U , TYPE OF ACCOUNT EST. OF PAUL W ~KUNKLE ^ sAVINGs $SN 208-24-0802 ^ CHECKING "'""`.° ~ ~ DATE OF DEATH 07-29-2012 ^ TRUSr ('j~~i~~J G~URt COUNTY CUMBERLAND © CERTIF. `~""""^"~D """ rn REMIT PAYMENT AND FORMS T0: DONNA K BAKER REGISTf R OF WILLS 430 HILLCREST DR 1 COURTHOUSE SQUARE CARLISLE PA 17015-4330 CARLISLE PA 17013 MEMBERS 1ST FC U 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 3oint owner/beneficiary of this account. if you are the SpOUS! Gf the deceased and any 8i•ount other than zero is reflected below on the Potential Tax Due line, note no t~x slay be due, but you awst notify the depart~aent of your relationshlp to the deceased by checking Box C in PART 1 below and Wr tins "spouse" in PART 2. If you believe the information is incorrect, please obtain written correction from the financial institution, attach a copy to this foray and return it to the above address. Please call 717-787-8327 with questions. COMPLETE _PART_ 1 SELOl~I__* SEE REVERSE SIDE FOR FILING AND PAYMENT _INS?RUCTLONS- -- - Account No. 198069-53 Date 10-11-2005 To ensure Droner credit. to tM account, two Established copies of this notice must sccomDanp~ 7 6 8.9 6 Dayment to the Resister of Wills. Males check Account Balance ~ 15, payable to "Register of Wills, Agent". Percent Taxable )( 50.000 --- NOTE: If tax payments are made within three Amount Subject to Tax ~ 7,884.48 months of the decedent's date of death, Tax Rate X , 15 deduct a 5 percent discount on tM tax due. Arpr inheritsnce tax due will become delinquent Potential Tax Due ~ 1 , 182.67 nine months after the date of death. PaRr TAXPAIIER RESP, , . SE A. ^ The above infonation and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or return this notice to the Ragisfer of Wills and C 0 N E ~ an official assessment will be issued by the PA Department of Revenue. BLOCK B. tXl The above asset has been or will be reDOrted and tax paid with the Pennsylvania inheritance tax return ON L Y 1"' filed by the estate representative. C. ^ The above informs ion is incorrect and/or debts and deductions were paid. Cowplete PART ~ and/or PART a below. '` PART If indicating a differ®nt tax rate, please state relationship to decedent: TAX RE TURN.- CALCULATION OF TAX ON JOINT/TRUST ACCOUNTS- LINE 1. Date Established 1 2. Account Balance 2 $ 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 6. Amount Taxable 6 ~ 7. Tax Rate 7 X 8. Tax Due 8 '~ -, PART DEBTS AND DEDUCTIONS CLAIMED 3^ DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL CEnter on Lins 5 of Tax Computation3 t Under penalties of parjurY. I declare that the facts I reported above are/ true, co~rr/e/ct~'nd l - , com late to the best of IaY kno ledge and +~lief. HOME C~L ~,~~ `7""Y/'"- ~~~ `I`7 ,./ `--{\~ ~' P WORK C ) / "f" ~ ~. ~XPAYER SIGNATURE TELEPHONE NUMBER DATE