HomeMy WebLinkAbout11-23-11,-; ,.,
- ;~. NOTICE Of INHERITANCE TAX Pennsylvania ~ ~
BUREAU OF INDIVIDUAL TAXES_ ,- ~~sRA'ISEMENTt ALLONANCE OR DISALLONANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OP DEDUCTIONS AND ASSESSMENT OF TAX ON REV-1548A eFV c~z-ion
Po Box zao6ol SECURI~'Y ACCOUNTS HELD IN
HARRISBURG, PA Inza-o6ol BENEFICIARY FORK
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PHILIP B WO~F'~'
124 RADER AVE
COGAN STATION PA 17728-9705
DATE 11-14-2011 ROGER A
ESTATE OF WOLF
DATE OF DEATH 21-11_0970
FILE NUMBER CUMBERLAND
COUNTY
SSN/DC 199-34-9504
ACN 11502643
APPEAL BY DATE:O1-13-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
--- RETAIN LOWER PORTION_FOR_YOUR R_E__C_O_R_D_________
CUT ALONG THIS LINE '""""~-
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REV-1548A AFP C12-10~
NOTICE OF INHERIMENTEOFATAXPONASECURITY ACCOUNTSEHELDDINABENEFICIARY FORMCTIO
AND ASSESS DATE: 11-14-2011
08-07-2011 COUNTY: CUM13tKLAnu
ESTATE OF : 'O F ROGER A-DATE OF DEATH
ACN: 11502643
FILE NO.: 21 11-0970 S.S/D.C. NO.: 199-34-9504
r... orrnDlJ wAS: (X) ACCEPTED AS FILED C )CHANGED
,^ BENEFICIARY FORM OF ASSET INFORMATivn
AMERIPRISE ACCOUNT NO.: 000074232448602
NAME OF SECURITY:
TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC C ) STOCK ( ) BONDS
49,876.72
DOD Valuation X 0.333
Percent Taxable 16,625.51
Amount Subject to Tax .00
Debts and Deductions - 16 625.51
Taxable Amount X .12
Tax Rate 7 995.07 -
Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-)
PAYMENT MUST BE MADE BY 05-08-2012*.
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."
AMOUNT PAID
TOTAL TAX PAYMENT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
SEETREVERSEESIDEROFLTHISDFORMAFORRINSTRUCTIONSYOU MAY BE DUE A REFUND.
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,995.07