HomeMy WebLinkAbout03-27-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21'.~~ - "1-1.0 'b
06113531
03-21-2006
REY-154S EX AFP lO9-00l r
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TYPE OF
EST. OF MILDRED M CANNIZZANO
S.S. NO. 198-34-7548
DATE OF DEATH 01-22-2006
COUNTY CUMBERLAND
ACCOUNT
o SAVINGS
lXJ CHECKING
o TRUST
o CERTIF.
DONALD E CANNIZZANO
909 E COOVER ST
MECHANICSBURG PA 17055-3418
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PSECU has provided the Depart.ent with the infor.ation 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 joint 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 for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Com.onwealth
of PennsYlvania. Questions .ay be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW · . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 8704262024 Date 12-23-1996
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
2,353.56
50.000
1,176.78
.045
52.96
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice .ust acco.pany your
payment to the Register of Wills. Make check
payable to: '"Register of Wills, Agent'".
Tax
x
NOTE: If tax pay.ents are .ade within three
(3) .onths of the decedent.s date of death,
yoU may deduct a 5% discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
PART
[!J
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[J The above information and tax due is correct.
1. You may choose to re.it pay.ent 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
Wills and an official assessment will be issued by the PA Department of Revenue.
If you indicate a different tax rate, please state your
relationship to decedent:
[J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
-- ~o be filed by the decedent.s representative.
G2j The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
@J
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
[!]
DATE
DEBTS AND DEDUCTIONS CLAIMED
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3
4
5
6
7
8
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-0-
X
-0-
PAYEE
AMOUNT PAID
S
..;1.3
TOTAL
on Line 5 of Tax Computation)
$
perjury, I declare that the facts I
my knowledge and belief.
J
have reported above are true, correct and
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