HomeMy WebLinkAbout01-16-07 (3)
BUREAU OF INDIVIDUAL TAXES COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX DIVISION DEPARTMENT OF REVENUE
PO BOX 280601
HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX
T APPRAISEMENT, ALLORANCE OR DISALLONANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX ON
SECURIfy ACCOUNTS HELD IN
rs BN IARY FORM
J ;t DATE REV-1548A AFP c06-05)
ESTATE OF 01-15-2007
DATE OF DIERICH
DEATH 09-18-2006 ERNEST R
FILE NUMBER 21 06-1095
ERNEST DIERICH r COUNTY
CUMBERLAND
HC2 BOX 273 SSN/DC 162-07-
PATAGONIA ACN 6635
AZ 85624 APPEAL DATE: 6500033
16-2007
(See reverse side under objections)
Amount Remitted
MAKE CHECK PAYABLE AND
REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE
REV-1548A AFP (01_03j-_--- ~ _ -RETA-IN - LOWER
PORTION FOR_ YOUR _ RECORDS
NOTICE OF
INHERITANCE TAX APPRAISEMENT
AND ASSESSMENT OF TAX ON SECURITY ALLOWANCE OR DISALLOWANCE OF DEDU ACCOUNTS HELD IN BENEFICIARY FORMCTIONS
ESTATE OF DIERICH
ERNEST DATE 01-15-
R DATE OF DEATH 09- 2007
18-2006
COUNTY CUMBERLAND
FILE N0, 21 06-1095
TAX RETURN S•S/D'C• N0, 162-
WAS: 07-6635
('X) ACCEPTED AS FILED ACN
CHANGED 06500633
BENEFICIARY FORM OF ASSET
NAME OF SECURITY:
MERRILL LYNCH INFORMATION
TYPE OF ASSET: ACCOUNT N0. 23444761
~ )-SECURITIES (X) SECURITY ACC C ) STOCK C ) BONDS
DOD Valuation
Percent Taxable 700,651.87
Amount Subject to Tax 0.500 NOTE: TO INSURE
Debts PROPER CREDIT
and Deductions 350,325.94 YOUR ACCOUNT, SUBMIT
Taxable Amount 00 UPPER PORTION OF T THE TO
Tax Rate 350,325.•94
45 WITH YOUR TAX P HIS NOTICE
Tax Due REGISTER PAYMENT 70 THE
OF WILLS AT THE
TAX CREDITS: 15'764.67 ABOVE ADDRESS.
OR MONEY MAKE CHECK
ORDER
" PAYABLE TO:
REGISTER OF WILLS, AGENT.Fr
PAYMENT RECEIPT
DATE NUMBER DISCOUNT
12-09-2006 INTEREST/PEN PAID
CDO07563 AMOUNT PAID
788.23
14,976.44
TOTAL TAX CREDIT
BALANCE OF 15'764.67
TAX DUE
INTEREST
IF PAID AFTER THIS AND PEN, • 00
IF TOTAL DUE IS DATE, SEE REVERSE FOR CALCULATION OF •00
IF TOTAL DUE IS R
LESS THAN EFLECTED qg,q TOTAL DUE
SEE REVERSE SIDE OF N~ PAYMENT IS REQUIRED, ADDITIONAL INTEREST. CR) THIS FORM FORIRNST" ( TRUCTIONSON, YOU 00
NS. ) MAY BE DUE A REFUND.