HomeMy WebLinkAbout09-04-12BUREAU OF INDIVIDUAL TAXES E,~..~s~~ f NOTICE OF INHERITANCE TAX •
INHERITANCE TAX DIVISION ; ~ ~~.-;'~~~, ;r,~~ ~ ~}.- p N ALLONANCE OR DISALLOiiANCE pennsylvan~a ~
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HARRISBURG, PA 17128-0601 ` + ' L_~ : '~.' + + -.~..gENEFICIARY FORti
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VICTOR G WILSON G~~V;~`I-fL.hiVi_1 t~U„ ~'.~;
19576 WAGON TRAIL DR
NOBLESVILLE IN 4bOb0-1153
DATE 09-03-2012
ESTATE OF WILSON MERLE R
DATE OF DEATH 04-07-2011
FILE NUMBER 21 11-0513
COUNTY CUMBERLAND
SSN/DC 205-26-2553
ACN 11502261
APPEAL BY DATE: 11-02-2012
(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 ~
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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: 09-03-2012
ESTATE OF:WILSON MERLE R DATE OF DEATH: 04-07-2011 COUNTY: CUMBERLAND
FILE NO.: 21 11-0513 S.S/D.C. NO.: 205-26-2553
ACN: 11502261
TAX RETURN WAS: (X) ACCEPTED AS FILED t )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: JANUS ACCOUNT NO.:
TYPE OF ASSET• ( ) SECURITIES C ~ SECURITY ACC C ~ STOCK ( ) BONDS
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY f RFTITTS
6,685.54
X 1.000
6,685.54
- .00
6,685.54
X .045
300.85
203503136
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
INTEREST IS CHARGED THROUGH 09-11-2012*
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 300.85
INTEREST AND PEN. 6.12
TOTAL DUE 30b.97
``~
* IF PAID 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.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.