HomeMy WebLinkAbout08-31-11BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-D601
WALTER L NESS JR
WOODRIDGE DR
INHERITANCE TAX
_ `R~~~ORD ADJUSTMENT
BEtJEF3CIARY FORM ASSETS
~ ~~ r,
~~ C l.r
~.
850
MIDDLETOWN PA 17057-0000
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1604A EX AFP (12-10) ---~
DATE 08-10-2011
ESTATE OF NESS SR WALTER L
DATE OF DEATH 03-03-2006
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 178-01-5988
ACN 06500147
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-1604A EX AFP C12-10~
~(~ INHERITANCE TAX RECORD ADJUSTMENT BENEFICIARYDATEM ASSE08-10-2011
ESTATE OF: NESS SR
WALTER L DATE OF DEATH: 03-03-2006
COUNTY: CUMBERLAND
ACN: 06500147
FILE N0.:21 06-0389 S.S/D.C. NO.: 178-01-5988
PROTEST BOARD DECISION
ADJUSTMENT BASED ON:
BENEFICIARY FORM ASSETS
ACCOUNT NO.: 87231
MERRILL LYNCH
NAME OF SECURITY:
( ) STOCK ( ) BOND
TYPE OF ACCOUNT: (X) SECURITIES ( ) SEC ACCT
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Due
Tax Rate
TAX CREDITS:
.00
X 0.000
.00
.00
.00
X .045
.00
PAYMENT RECEIPT
0
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX PAYMENT .uu
BALANCE OF TAX DUE
INTEREST AND PEN. .00
TOTAL DUE .00
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 ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS Y~/
A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.