HomeMy WebLinkAbout08-31-11BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE Tax DIVISION '~ ' A~PPRA~~ElIENT ALLONANCE OR DISALLORATICE
Po Box zeo6ol ~.-,C- OF.`~[]I~ CTION~ AND ASSESSNENT OF TAX ON
HARRISBURG, Pa IrI2B-o6al -_ ~ ,~ SECURI~'Y ACCOUNTS HELD IN
-~ BENEFICIARY FORtl
CLE`~~; C~
MICHELE M MELL~~7rI!~'_ ~^~'. ^~ ~~p
127 CEMETERY RD
P 0 BOX 11
LIMESTONE PA 16234
Pennsylvania i~ -
DEPARTMENT OF REVENUE
REV-1548A AFP (32-101
DATE OS-22-2011
ESTATE OF OSENKARSKI JOSEPH
DATE OF DEATH 08-21-2010
FILE NUMBER
COUNTY CUMBERLAND
SSN/DC 171-32-4191
ACN 10501557
APPEAL BY DATE: 10-21-2011
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF W:CLLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
L
CUT ALONG THIS LINE ________--- RETAIN LOWER PORTION FOR YOUR RECORDS F-
REV-1548A AFP C12-10)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DIStALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IM BENEFICIARY FORM
DATE: 08-22-2011
ESTATE OF:OSENKARSKI O4FPH DATE OF DEATH: 08-21-20].0 COUNTY: CUMBERLAND
FILE NO.:
S.S/D.C. NO.: 171-32-4191
ACN: 10501557
iwx rctluKN WAS: CX) ACCEPTED AS FILED C )CHANGED
NAME OF SECURITY:
TYPE OF ASSET
BENEFICIARY FORM OF ASSET INFORMAT]:ON
VANGUARD ACCOUNT ~~0.:
C ) SECURITIES ( AI SECURITY ACC C ) STOCK C ) BONDS
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
580,530.15
X 0.500
290,265.08
- .00
290,265.08
X .045
13 06 93
09902884969
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 C+)
INTEREST/PEN PAID (-)
AMOUN~f PAID
~~.~~~«.+, 1J V11f11~VCL If7RVUl7 I'7 ULS-JU-~~Jjj*
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 13,061.93
INTEREST AND PEN. 108.18
TOTAL DUE 13,170.11
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.