HomeMy WebLinkAbout03-12-12BUREAU OF INDIVIDUAL TAxES NOT ~ OF INHERITANCE TAX
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HARRISBURG, PA 17128-0601 "1" ~ ~~ I1"Y ACCOUNTS HELD IN DEPARTMENT OF REVENUE
~~ - `''BENEFICIARY FORM REV-154BR RFP nz-ii,
CLERK
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HARVEY L RYDER C~j~"(~~Rt..•L,P'!t.-~ C{.~ PA
485 CHESTNUT GROVE RD
DILLSBURG PA 17019-9576
DATE 03-12-2012
ESTATE OF RYDER MARIAN A
DATE OF DEATH 10-15-2011
FILE NUMBER 21 11-1302
COUNTY CUMBERLAND
SSN/DC 161-32-3748
ACN 12500313
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 t12-11) ---------------------------------------------------
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:RYDER MARIAN A DATE OF DEATH: 10-15-2011 COUNTY: CUMBERLAND
FILE NO.: 21 11-1302 S.S/D.C. NO.: 161-32-3748
ACN: 12500313
TAX RETURN WAS: CX) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: AMERIPRISE FINANCIAL ACCOUNT NO.: 010108201905002
TYPE OF ASSET: C ) SECURITIES (X 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:
25,853.83
X 0.333
8,617.86
- .00
8,617.86
X .12
,0 4 4
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 C-~
AMOUNT PAID
02-06-2012 CD015565 .00 1,034.14
TOTAL TAX PAYMENT 1,034.14
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
~1//'