HomeMy WebLinkAbout05-20-11 (2)BUREAU OF INDIVIDUAL TAxES - NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAIS£P~EkT ALLORANCE OR DISALLONANCE Pennsylvania r;
Po Box zaocol - OF DEDUCTION AND ASSESSMENT OF TAX ON
HARRISBURG, PA I~IZa-o6ol - ~ SECURI~'Y ACCOUNTS HELD IN DEPARTMENT OF REVENUE
BENEFICIARY FORM Rev-~zaea RFR eiz-~a~
DATE 05-16-2011
ESTATE OF HUGHES NEWTON A
DATE OF DEATH 01-16-2011
FILE NUMBER 21 11-0445
COUNTY CUMBERLAND
KENNETH HUGHES SSN/DC 146-22-5851
ACN 1150074b
108 LEGATO AVENUE APPEAL BY DATE: 07-15-2011
THOROFARE NJ 08086 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -------- RETAIN LOWER PORTION FOR YOUR RECDRDS ~-
--------------------------- --------------------------------------------
REV-1548A AFP (12-10) ---------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 05-16-2011
ESTATE OF:~fUGHES N wrnN A DATE OF DEATH: O1-16-2011
COUNTY: CUMBERLAND
FILE NO.: 21 11-0445 S.S/D.C. NO.: 146-22-5851
ACN: 11500746
TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGEI)
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: AMERIPRISE ACCOUNT NO.: 931070051491004
TYPE OF ASSET: ( ) SECURITIES ( A( SECURITY ACC ( ] STOCK ( ) BDNDS
DOD Valuation 20,479.09 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.200 YDUR ACCOUNT, SUBMIT THE
Amount Subject
D
bt to Tax 4,095.82 UPPER PORTION OF THIS NOTICE
e
s and Deduc
Taxable Amount tions - .00 WITH YOUR TAX PAYMENT TO THE
Tax Rate 4,095 82 REGISTER OF WI LLS AT THE
Tax Due X .045 ABOVE ADDRESS. MAKE CHECK
_ 184 31 OR MONEY ORDER PAYABLE T0:
TAX CREDITS: "REGISTER OF W ILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
PAYMENT MUST BE MADE BY 10-17-2011*
.
TOTAL TAX PAYMENT
.00
BALANCE OF TAX DUE 184.31
INTEREST AND PEN. .00
TOTAL DUE 184.31
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDIT
IF TOTAL DUE IS REFLECTED AS A "CREDIT" IONAL INTEREST.
SEE REVERSE SIDE CCR), YOU MAY BE DUE
OF THIS FORM FOR INSTRUCTIONS. A REFUND.