HomeMy WebLinkAbout10-17-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX orvlsloN ~--. NOTICE OF INHERITANCE TAX
Po Box zeo6Bl APPRAISEMENT ALLONANCE OR DISALLOFANCE
HARRISBURG, PA I~IZS-o6BI OF DEDUCTION AND ASSESSMENT OF TAX ON
SECURI~'Y ACCOUNTS HELD IN REV-154Bp AFP cos-os>
,,,,~ ~ IM,,., __ ~ ~ ~ „ ~ BENEFICIARY FOR![
_ _. J ` ~ r " ' :~• ~~~ DATE 10-21-2008
ESTATE OF LANTZY LOIS M
__- DATE OF DEATH 07-03-2008
~r=~ - FILE NUMBER 21 08-0744
n~ ~; - COUNTY CUMBERLAND
hIELEN MADIGAN-SEDOR SSN/DC 161-34-2046
ACN 08501116
1.5501 WHITE WILLOW LANE
F:OCKVILLE MD 20853
APPEAL DATE: 12-20-2008
(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 -- RETAIN LOWER PORTION FOR YOUR RECORDS ~
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REV-1548A AFP (01-03)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE 10-21-2008
ESTATE OF LANTZY LOIS M DATE OF DEATH 07-03-2008 COUNTY CUMBERLAND
FILE N0. 21 08-0744 S.S/D.C. N0. 161-34-2046
ACN 08501116
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: WACHOVIA
TYPE OF ASSET: C ) SECURITIES (X) SECURITY ACC C ) STOCK
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
20,379.50
X 0.333
6,793.10
.00
6,793.10
X .12
815.17
TAX CREDITS:
ACCOUNT N0. 4950-2826
C ) BONDS
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
PAYMENT MUST BE MADE BY 04-04-2009*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 815.17
INTEREST AND PEN. .00
TOTAL DUE 815.17
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~t
C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED.
IF-TOTAL-DUE-IS-REFLECTED-AS A-"CREDIT" C_CR), YOU MAY BE DUE A REFUND. ~