HomeMy WebLinkAbout10-22-12 (4)~ 11 r~.r° ., 1l° ) "1
BUREAU OF INDIVIDUAL T ~Jt)' ~°`r' ~,-
r;1;- ,-:` ,,, i FJ{~E NOTICE of INBERITANCE TAX
INHERITANCE TAX DIVISION ~"+-^-:-- -, RAISEMENT ALLONANCE OR DISALLONANCE
PO BOX 280601 R~ U1~; i ~~ ~`~'- ~,lI1J ~)J DEDUCTION AND ASSESSMENT OF TAX ON
HARRISBURG, PA nI2B-o6ol SECURI~'Y ACCOUNTS HELD IN
BENEF2C7AQV Rf1QM
=DI? OCT 22 Pty 12~ 34
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CUMBERLAND CO., PA
SALLY J CURRIE
398 ADAMS RD
CARLISLE PA 17015-9347
pennsylvan~a ~
DEPARTMENT OF REVENUE
REV -1568A AFP (12-11)
DATE 10-22-2012
ESTATE OF JONES HARRY D
DATE OF DEATH 02-24-2012
FILE NUMBER 21 12-0321
COUNTY CUMBERLAND
SSN/DC
ACN 12502694
APPEAL BY DATE: 12-21-2012
(See reverse side under Objections)
Amount Resitted
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 F-
REV-1548A AFP (12-11) ---------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 10-22-2012
ESTATE OF:~lONES HARRY D DATE OF DEATH: 02-24-2012 COUNTY: CUMBERLAND
FILE NO.: 21 12-0321 S.S/D.C. NO.:
ACN: 12582694
SAX RETURN WAS: {X) ACCEPTED AS FILED { )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: VANGUARD ACCOUNT NO.:
TYPE OF ASSET: C ) 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:
16,151.94
X 1.000
16,151.94
- .00
16,151 94
X .045
-- 7 6 84
88007384039
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, AGENfi."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT {+)
INTEREST/PEN PAID C-)
AMOUNT PAID
05-22-2012 CD016003 36.32 690.00
10-15-2012 SBADJUST .00 52
TOTAL TAX PAYMENT 726.184
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.
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