HomeMy WebLinkAbout03-18-88
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REV. 1543EX ~~: :5)
COMMONWEAL TH OF PENNSYl VAN IA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
P.O. BOX B327
HARRISBURG PA 17105-B327
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO.
ACN
,DATE
21 78-0665
88012328
03-18-88
STELLA
TYPE OF ACCOUNT:
A 00 SA VINGS
o CHECKING
o TRUST
o TIME
CERTIFICATE
ESTATE OF BERLIN
S.S. NO. 174-05-1225
DATE OF DEATH 11-16-87
COUNTY CUMBERLAND
SHEEHY CHARLES R
118 S HANOVER ST
CARLISLE PA 17013
Account No.
14570602
Account Balance
Percent Taxable
Amounts Sub ject to
Tax Rate
Potential Tax Due
THIS IS NOT A TAX BILL
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.JQI4B~S?~~t....~t{..A$$g$SMqN'T
Date
Established
01-26-83
PART Q]
:~.:!:.
DAUPHIN DEPOSIT BK & T has advised us that the ownership of the bank account reported below was
transferred to you as a result of the death of the above decedent. This transfer is taxable in accordance with
the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COIliP~i:TE PART i:!J IiIEi.O\ri ... '" '" SEE ReVERSE SlOe f'OR f H.ING ANI) PAYMENT INSTRUCTLONS
To insure proper credit to your account a
copy of this notice must accompany your pay-
ment to the Register of Wills of the county
indicated above. Make check payable to:
"Register of Wills, Agent".
NOTE: If tax payments are made within 3
months of the decedent's date of death, you
may deduct a 5% discount of the tax paid.
Any inheritance tax d\J~ will b~cC'me delinquent
nine (9) months aft!U:r-the daOOof deatbo
I . ... -.-, :T:~
x
3,006.41
50.000
1,503.21
.15
225.48
T AXP A YER RESPONSE
TAX RETURN - TAX CALCULATION OF ~OINT/TRUST ACCOUNTS
Tax
x
1
2
3 X
4
5
6
7 X
8
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
DATE PAID
PAD
; :~.!
;-
CHECK l
ONE I
BLOCK
ONLY
-.J
A. \~ The above information and tax due is correct.
~ 1. You may choose to pay the Register of Wills with this notice to obtain
a discount or avoid interest. OR
2. You may await the official assessment from the Department of Revenue.
B. 0 The above asset has been or will be reported and paid by the estate fiduciary.
C. 0 The above information is INCORRECT and/or debts and deductions are being claimed.
You must complete PART ~ and/or ~ below.
PART 0
FOR OFFICIAL USE ONLY
o AAF
Date Established
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
T ax Due
,
2
3
4
5
6
7
8
PART 0
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Calculation)
$
Under penalties of per jury, I declare that
and belief. it is true, correct and complete.
best of my knowledge
( 1.) 2 '1- S-f"z,'7
TELEPHONE NUMBER
iI/~J'4r
I
DATE