HomeMy WebLinkAbout01-10-07
COMMONWEALTH OF PEtIISVl YANIA
DEPARTIENT OF REVENUE
BUREAU OF INDIYIIIJAl TAXES
DEPT. za0601
HARRISBURG, PA 17128-0601
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INFORMATION NOTICE
r\'-,'('\r ro,; AND
lwdfJAxpAYER RESPONSE
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ACN
DATE
FILE NO. 21 01 32
06157539
11-22-2006
CLERK or:
ORii' I~,~!'f\ 00' IRT
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TYPE OF ACCOUNT
PH /2: i:9T. OF ROBERT S RADCLIFFE [i] SAVINGS
S.S. NO. 204-01-3100 0 CHECK INS
DATE OF DEATH 07-28-2006 0 TRUST
COUNTY CUMBERLAND 0 CERTIF.
REHIT PAYHENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
,r....J1_
2001 JAN r 0
CLAREANNA B RADCLIFFE
APT 614
824 LIZBURN RD
CAMP HILL
PA 17011
PSECU h_ provided the Departll8nt with the info....Uon listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above deeedent, you "ere a joint owner/beneficiary of
this account. If YOU feel this inforRtion is incorrect, please obtain written correction frOll the financial institution, attach a copy
to this fol"ll and return it to the above address. This account is taxable in accordance "ith the Inheritance Tax Laws of the COllllOnwealth
of !'_sy!wnie. ~lana -.y biI ~ by 081111". (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
AccOWlt No. 8602992813 Data 06-18-2002
Estllbllshad
Account Balance
Perc.nt Taxllble
Mount Subject to Tax
Tax Rate
Potential Tax Due
x
7,186.87
16.667
1,197.84
.00
.00
TAXPAYER RESPONSE
To insure proper credi t to your account, two
(2) copies of this notice .ust acc08pany your
paYll8nt to the Register of lUlls. Make check
payable to: "Register of Wills, Agent".
x
NOTE: If tax paynnts are l18de within three
(5) .onths of the decedent's date of death,
you _y deduct; a 5;( discount of the tax due.
Any inherLtanc. tax due lIill becOll8 delinquent
nine .~9) .ooths after the data of death.
PART
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A. ~The above info....tion and tax due is correct.
1. You I!II!IY choose to r_it pa~nt to the Register of Wills witti two coPltis of this notice to obtain
a discount or avoid interest, or you ..y check box "A" and I"8turn this notice to the Register of
111115 and an official asses_ent ,,111 be issued by the PA Departllent of Revenue.
B. 0 The above asset has been or wlll be reported and tax paid lIith the Pennsylvania Inheritance Tax return
to be flIed by the decedent.s representative.
C. 0 The above infor.atlon is incorrect and/or debts and deductions were paid by you.
Vou IIUst cOlIPlete PART 0 and/or PART @J below.
[CHECK ]
ONE
BLOCK
ONLY
If you indicate . different tax rate, pl.a.. state your
ralationship 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
". AIIowat Subject to Tax "
S. Debts and Deductions S-
6. A.ount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
PART
[!J
DATE PAID
P,AVEE,
. DESCRJPTIQN.
AMOUNT PAID
I
TOTAL (Entar on Line S of Tax Co.putation)
I
.
Under p_lties of perjury, I declare that the fects I hav. reported above are true, correct and
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