HomeMy WebLinkAbout06-13-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
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ROBERT M RYAN
701 E COVER ST
MECHANICSBURG PA 17055
INFORMA AND NOTICE FILE N0. 21 - ~ci'3`(? w
TAXPAYER RESPONSE ACN 08120644
DATE 05-12-2008
TYPE OF ACCOUNT
EST. OF EVELYN M RYAN ® SAVINGS
S.S. N0. 035-22-3823 ^ CHECKING
DATE OF DEATH 03-19-2008 ^ rRUST
COUNTY CUMBERLAND ^ CERTIF.
REMIT PAYMENT AND FORMS T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
MEMBERS 1ST FCU has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a point owner/beneficiary of
this account. If you feel this 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. Questicns may be answered by calling (71J) 787-8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 117082-00 Date 10-09-1990 To insure proper credit to your account, two
Established C2) copies of this notice must accompany your
payment to the Register of Wills. Make check
Account Balance 656.44 payable to: "Register of Wills, Agent".
Percent Taxable X 50.000
NOTE: If tax payments are made within three
Amount Subject to Tax 328 • 22 (3) months of the decedent's date of death,
045 You may deduct a 5% discount of the tax due.
X
Tax (Rate .
Any inheritance tax due will become delinquent
Potential Tax DUe 14.77 nine C9) months after the date of death.
PART TAXPAYER RESPONSE
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A. ^ The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you may check box "A" and return this notice to the Register of
C H E CIC Wills and an official assessment will be issued by the PA Department of Revenue.
ONE
C
B L O CIS B. ^ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
0 N L V' to be filed by the decedent's representative.
C. ^ The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ^ and/or PART ^ below.
PART If you indicate a different tax rate, please state your
relationship to decedent:
TAX RETURN - COMPUTATION
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
PART
neTF a~srn PAYEE
OF TAX ON JOINT/TRUST ACCOUNTS
2
3 X
4
5
6
7 X
8
DEBTS AND DEDUCTIONS CLAIMED
DESCRIPTION AMOUNT PAID
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Under penalties of perjury, I declare that the facts I have reported above are true, correct and
comp~te to the best my knowledge and belief. HOME C )
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