HomeMy WebLinkAbout01-07-13 (4)BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX •
INHERITANCE TAX DIVISION APPRAISElIENT ALLONANCE OR DISALLONANCE ~ pe n n sylva n~ a
PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
HARRISBURG, PA 17128-0601 SECURI"~Y ACCOUNTS HELD IN
BENEFICIARY PORN REV-154B4 4FP (12-12)
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DATE 12-31-2012
ESTATE OF RYDER MARIAN A
DATE OF DEATH 10-15-2011
FILE NUMBER 21 11-1302
COUNTY CUMBERLAND
SSN/DC
ACN 12500309
APPEAL BY DATE: 03-O1-2013
(See reverse side under Objections)
Amount Re^itted
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
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 C12-12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 12-31-2012
ESTATE OF:RYDER MARIAN A DATE OF DEATH: 10-15-2011 COUNTY: CUMBERLAND
FILE NO.: 21 11-1302 S.S/D.C. NO.: ACN: 12500309
TAX RETURN WAS: CX) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY:
AMERIPRISE FINANCIAL
ACCOUNT NO.: 010108201913002
TYPE OF ASSET: ~ ) SECURITIES (X SECURITY ACC C ) STOCK ( ) BONDS
DOD Valuation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
12,886.61
X 0.333
4,295.49
- .00
4,295.49
X .12
515.4b
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 01-08-2013* TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 515.46
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 7.48
TOTAL DUE 522.94
* IF PAID AFTER THIS DATE, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. ~
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. n_
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~\,~\7t~yj',