HomeMy WebLinkAbout05-20-11 (5)BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX __
INHERITANCE Tax Drvls,ION APPRAISEMENT ',ALLOAANCE OR DISALLONANCE Pennsylvania :~
Po Box zeosol OF DEDUCTION- AND ASSESSMENT OF TAX ON
HARRISBURG, PA Inns-ocol SECURI'T'Y ACCOUNTS HELD IN DEPARTMENT OF REVENUE
BENEFICIARY FORK REV-isaen aER az-io> _,.
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
108 LEGATO AVE ACN 11500751
APPEAL BY DATE: 07-15-2011
T H R O F A R E N J 0 8 0 8 6 (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 RECORDS F-'
--------------------------- --------------------------------------------
REV-1548A AFP C12-10) _________________________________
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:HUGHES 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: 11500751
TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGEI)
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: AMERIPRISE ACCOUNT NO.: 930068932035004
TYPE OF ASSET: ( ) SECURITIES ( A( SECURITY ACC ( ) STDCK ( ) BONDS
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
34,563.68
X 0.200
6,912.74
- .00
6 912.74
X .045
107
NOTE: TO ENSURE 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 (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
' „~~~~~.~ ~-iua~ nt I'IALt SY 10-17-2011*. TOTAL TAX PAYMENT
.00
BALANCE OF TAX DUE 311.07
INTEREST AND PEN. .00
TOTAL DUE 311.07
+ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TDTAL DUE IS REFLECTED AS A "CREDIT" CCR?, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.