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BUREAU OF INDIVIDUAL TAXES {'~[~ ~( ,,. ) ~rl-j~tF[-' ~~en~~pOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION f%[ ~~ ~ AP~R4419ElIENT ALLDNANCE OR DISALLONANCE
PD Box 280601 -- OF CTION~ AND ASSESSMENT OF TAX ON
HARRISBURG, PA 17128-0601 ~ .,. , _,- L - - JSECURI~'Y ACCOUNTS NELD IN
BENEFICIARY FORN
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CLERKS C
(~ ORPHAN'S C4Jt;R?
LINDA C WHALCe~JA~RFF~! r~~I~ ~~ ~ PA.
11808 DAME DR
BATON ROUGE LA 70818-2903
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548A AFP (12-11)
DATE 04-23-2012
ESTATE OF COSTON CAROL J
DATE OF DEATH 12-10-201
FILE NUMBER d ~ - I~--C,''.'~-f
COUNTY CUMBERLAND
SSN/DC 184-24-4759
ACN 12500426
APPEAL BY DATE: 06-22-2012
(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: 04-23-2012
ESTATE OF:COSTON CARD DATE OF DEATH: 12-10-2011 COUNTY: CUMBERLAND
FILE NO.: S.S/D.C. NO.: 184-24-4759 ACN: 12500426
TAX RETURN WAS: ( ) ACCEPTED AS FILED X ( )CHANGE9EE ATTACHED NOTICE
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: RAYMOND JAMES ACCOUNT NO.:
TYPE OF ASSET: ( ) SECURITIES (X SECURITY ACC ( ) STOCK ( ) BONDS
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
2,111.57
X 1.000
2,111.57
- .00
2,111.57
X .045
9 0
21465035
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 (-)
AMOUNT PAID
• •~•~• ••~~+• +~~ ~~/1LL Di U7-11-LULL*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 95.02
INTEREST AND PEN. .00
TOTAL DUE 95.02
* 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. (~/~
~J'
s
~'NFV-7470 EX (07-10)
~ pennsylvania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAk'.ES OF CHANGES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME FILE NUMBER
CAROL COSTON 700454679
REVIEWED BY ACN
Robin Graff 12500426
SCHEDULE ITEM
NO. EXPLANATION OF CHANGES
Proof will need to be provided that the decedent was a resident of Louisiana. Proof
accepted is the death certificate from Louisiana, and the decedent's driver's license or
voter's registration card
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