HomeMy WebLinkAbout11-13-06
II
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
'*
INFORMATION OTICE
- "-r\J,~._:,~._.AND
,-I)TAXMV.ER RESPONSE
REV-Ins EX 'FP 11,..1.,
FILE NO. 21 06-0753
ACN 06151786
DATE 10-06-2006
TYPE OF
2uU6 NOV t 3
CLERt:
ORPHAN. I:'
V
CUMEERLftt\
EST .! ~F SA A B WAGGONER
S.S. NO. 174-20-8884
DATE OF DE TH 08-13-2006
CQUNTY CUMBERLAND
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
RANDY S WAGGONER
274 SUSQUEHANNA AVE
ENOLA PA 17025
PIle BAlIK has p~ovided the Depa~t..nt with the info~.ation istad below which has baen used in
calculating thB potential tax duB. Thei~ ~BCo~ds indicate that at the death of the &bove d cedent. you we~e a joint owne~/beneficia~y o~
this eccount. If YOU f..l this info~..tion is inco~~BCt. pleese obtain w~itten cO~~Bction ~o. the financial institution. attach a copy
to this foMl and ~etu~n it to thB above add~ess. This account is taxable in acco~dancB wi the Inheritlll1ce Tax Laws of thB COII.onwea11lfil
of Pennsylvania. GlHIstions RY be ...swe~ed by callIng (711) ~lS7-a~27. I
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Ac~t No. 31600278186 Data 03-18-2002
Establlshad
Acccxmt Balance
Percent Taxable
AIIount Subject to
Tax Rate
Potential Tax Due
x
6,179.46
50.000
3,089.73
.045
139.04
TAXPAYER RESPONSE
To insu~e p~ape~ c~edit to you~ account. two
(2 COpiBS of this notice .ust acco.pany YOU~
pa ent to the Registe~ of Wills. Make check
pa able to: "Registe~ of Wills. Agent".
: If tax pay.ents a~e .ade within th~..
.onths of the decedent.s date of dBath.
ny deduct a 5% discount of the tax due.
inhe~itance tax due will bBCOIIe delinquent
(9) .onths afte~ the date of death.
Tax
x
PART
[!]
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[CHECK ]
ONE
BLOCK
ONLY
A. 0 The above info~tion and tax due is co~~.ct.
1. You ..y choos. to ~_it p.y..nt to the RegistB~ of Will Nith tNo copi.s of this notice to obtain
a discount o~ avoid inte~est. o~ yoU ..y check box "A" d ~etu~n this notice to the Registe~ of
Wills .nd an official aSSBs..ent will be issued by the A Depa~t.ent of R.venue.
B. 't:It The above asset has been o~ will be ~epo~ted and tax paid w'th the PeMsylvenia Inheritance Tax ~etu~n
~to be filed by the decedent.s ~BP~esentetive.
C. 0 The above info~..tion is inco~~BCt and/o~ debts and deducti ns we~e paid by you.
You Bust coaplete PART ~ and/o~ PART ~ below.
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. AIIount Subject to Tax 4
5. Debts and Deductions 5
6. AIIount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
PART
[!]
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Co
perjury, I declare that the facts I
.Y know edge and belief.
$
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