HomeMy WebLinkAbout03-12-12BUREAU OF INDIVIDUAL TAXES y~ T T OF INHERITANCE TAX
INHERITANCE TAX DIVISION r;~-~{ ~~ ~Q)!-ff~~AA~~ ALLDRANCE OR DISALLOiiANCE pennsylvarna ~ .b
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HARRISBURG, PA 17128-0601 !~'' , ~.. ~ RIMY ACCOUNTS HELD IN DEPARTMENT OF REVENUE
~ '` "' " ` ' "` BENEFICIARY FORH REV-1548A AFP nzai~
DANIEL SICO
844 ALLENVIEW DR
MECHANICSBURG
°i ~ :~t
~ i ~ ~~i ~~~° ~? ~ DATE 03-12-2012
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.. ESTATE OF SICO LUCILLE C
DATE OF DEATH 09-08-2011
C~E~~( (~~ FILE NUMBER 21 11-1081
4~Q~l~'1;° ~ \fQ~1t>r COUNTY CUMBERLAND
~~~~~~~~~~ r'~`~I i;~
~~, SSN/DC 109-20-8934
,
, ACN 12500017
APPEAL BY DATE: 05-11-2012
PA 17 055 - 618 3 (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:SICO LUC IIF DATE OF DEATH: 09-08-2011 COUNTY: CUMBERLAND
FILE NO.: 21 11-1081 S.S/D.C. NO.: 109-20-8934
ACN: 12500017
TAX RETURN WAS: CX) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: METLIFE ACCOUNT NO.:
TYPE OF ASSET: C ) SECURITIES C ) SECURITY ACC CX) STOCK ( ) BONDS
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
1,772.36
X 1.000
1,772.36
- .00
1,772.36
X .045
79.76
806195528819
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
02-07-2012 CD015564 .00 79.76
TOTAL TAX PAYMENT 79.76
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. ~~