HomeMy WebLinkAbout06-15-12BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX •
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HARRISBURG, PA 17128-0601 i I~'Y ACCOUNTS HELD IN REY-1548A eFr uz-,,,
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JOHN S KIMEL ~~~ `~~
2150 HOMESTEAD HILLS DR
WINSTON SALEM NC 27103-6444
DATE 06-18-2012
ESTATE OF KIMEL ROBERT J
DATE OF DEATH 12-01-2011
FILE NUMBER 21 12-0019
COUNTY CUMBERLAND
SSN/DC
ACN 12502054
APPEAL BY DATE: 08-17-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
CUT ALONG_THIS_LINE '-- RETAIN LOWER PORTION FOR YOUR RECORDS F
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: 06-18-2012
ESTATE OF:KIMEL ROBERT J DATE OF DEATH: 12-O1-2011 COUNTY: CUMBERLAND
FILE NO.: 21 12-0019 S.S/D.C. NO.: ACN: 12502054
TAX RETURN WAS: CX) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: FIDELITY INVESTMENTS
TYPE OF ASSET:
C ) SECURITIES ( ~ SECURITY ACC ( ) STOCK C ) BONDS
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
8,299.64
X 0.500
4,149.82
- .00
4,149.82
X .12
497.98
ACCOUNT NO.: 239447602
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
rAYMtNr MUST BE MADE BY 09-02-2012*.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 497.98
INTEREST AND PEN. .00
TOTAL DUE 497.98
* 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.