HomeMy WebLinkAbout03-12-12BUREAU OF INDIVIDUAL TAXES ~,`; ~ NQT~pE..q~ INHERITANCE TAX
INHERITANCE TAX DIVISION ~ •~~~~ ~APPRAISEMEN~' ~.~LLORANCE OR DISALLONANCE Pennsylvania ~
Po Box 2B0001 J;',~ DEDUCTION AND ASSESSMENT OF TAX ON
HARRISBURG, PA 17128-0601 ~.,... ._.._SECUR ~x ACCOUNTS HELD IN DEPARTMENT OF REVENUE
B EFICIARY FORM REV-1548A AFV az-u~
MARY C SOWERS
3069 SPRING RD
~.. f ~') . R P~ P
- ` • • '.1 l f ~ ~ ~ I
a~~~~~~5 'f~~-..~~ i~-
CARLISLE PA 17013-8713
DATE 03-12-2012
ESTATE OF SOWERS III WALTER R
DATE OF DEATH 12-13-2011 n
FILE NUMBER ~~ - ~a _~1~3~-/
COUNTY CUMBERLAND
SSN/DC 182-46-3970
ACN 12500185
APPEAL BY DATE: 05-11-2012
(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 ~
REV-1548A AFP C12-11) --------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 03-12-2012
ESTATE OF:SOWERS III WA TFR R DATE OF DEATH: 12-13-2011 COUNTY: CUMBERLAND
FILE NO.: S.S/D.C. NO.: 182-46-3970 ACN: 12500185
TAX RETURN WAS: CX) ACCEPTED AS FILED ( )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: CAPTIAL BANK ~ TRUST ACCOUNT NO.: 62741250
TYPE OF ASSET: C AE SECURITIES C ) SECURITY ACC ( ) STOCK C ) BONDS
DOD Valuation 11,798.82 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1.000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 11,798.82 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 11,798.82 REGISTER OF WILLS AT THE
Tax Rate X .00 ABOVE ADDRESS. MAKE CHECK
Tax Due 00 OR MONEY ORDER PAYABLE TO:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS.