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HomeMy WebLinkAbout04-13-12BUREAU OF INDIVIDUAL TAXES ~ t ^ ""-`~' EE OF INHERITANCE TAX INHERITANCE TAX DIVISION (~;_v~.+~ "-'~•A~t7C ~ Ttt ALLORANCE OR DISALLONANCE Pennsylvania ~~ .~: PO BOX 280601 ° ^'s 'T ~ S AND ASSESSMENT OF TAX ON HARRISBURG, PA 17128-0601 ~~ ~'-~' "5 RI~'Y ACCOUNTS HELD IN DEPARTMENT OF REVENUE C BENEFICIARY FORM REV-1548A AFP ciz-iii "'~ `~ ~ ~ ~ t ~~+ ~'-. ~"' DATE 04-16-2012 i„~ E-., BARBARA K GEISTWH~~ 18 CIRCLE DRIVE CARLISLE PA 17015 ESTATE OF KONHAUS FRANCES F DATE OF DEATH 06-28-2011 FILE NUMBER 21 11-1016 COUNTY CUMBERLAND SSN/DC 184-12-4725 ACN 11501754 APPEAL BY DATE: 06-15-2012 (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: 04-16-2012 ESTATE OF:KONHAUS FRANCES F DATE OF DEATH: 06-28-2011 COUNTY: CUMBERLAND FILE NO.: 21 11-1016 S.S/D.C. NO.: 184-12-4725 ACM: 11501754 TAX RETURN WAS: (X) ACCEPTED AS FILED C )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: MERRILL LYNCH 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: 101,141.01 X 0.250 25,285.25 - 10,918.16 14,367.09 X .045 646.52 ACCOUNT NO.: 872-10826 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 (+) INTEREST/PEN PAID (-) AMOUNT PAID 09-27-2011 CD015006 32.33 614.20 TOTAL TAX PAYMENT 646.53 BALANCE OF TAX DUE .O1CR INTEREST AND PEN. .00 TOTAL DUE .O1CR * IF PALD 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. _n SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. /~