HomeMy WebLinkAbout03-18-13 (10) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX WOMB
INHERITANCE I" DIVISION APPRAISEMENT ALLOWANCE OR DISALLOWANCE Pennsylvania
Fa BOX 280601 OF DEDUCTIONA AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
HARRISBURG, PA 17128-0601 SECURITY ACCOUNTS HELD IN IN
BENEFICIARY FORM
RECORDED OFFICE OF DATE 03-18-2013
REGISTER Or 'SYi !S ESTATE OF PTASZEK BARBARA E
ppp O DATE OF DEATH 11-29-2012
1171 18 Pin 8 27 COUNTYUMBER CUMBERLAND
SSN/DC
THOMSA F PTASZEIC,LERK OF ACN 13500232
695 JULIE CT ORPHANS' COURT APPEAL BY DATE: 05-17-2013
MECHANICSBURGCUMgt�7R�-t 2 (DA (See reverse side under08jecdons)
'J Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
'_______ _ ____ _________ _ _ __ _ _ _ _____ ' _-'-- '-_`_'__`_- ` ----`_ _ -__-_ _ _ _____ __ _ _ i
REV-1548A AFP {12-12) 1.
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 03-18-2013
ESTATE OF:PTASLK BARBARA E DATE OF DEATH: 11-29-2D12 COUNTY: CUMBERLAND
FILE NO. : 21 12-1297 S.S/D.C. NO. : ACN: 13500232
TAX RETURN WAS: (X) ACCEPTED AS FILED { )CHANGED i
BENEFICIARY FORM OF ASSET INFORMATION (,
NAME OF SECURITY: ALLIANCE DEVELOPMENT FUND ACCOUNT NO. : 22835
TYPE OF ASSET: C ) SECURITIES t X SECURITY ACC C ) STOCK C ) BONDS
DOD Valuation 10,787.70 NOTE: TO ENSURE PROPER CREDIT TO !
I
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
i
Amount Subject to Tax 51393.85 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE G
Taxable Amount 51393.85 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK k
Tax Due 242.72 OR MONEY ORDER PAYABLE TO: �
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT t+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID !
02-19-2013 CDO17212 12.14 230.58
I '
{
� I
TOTAL TAX PAYMENT 242.72
BALANCE OF TAX DUE 0 j
INTEREST AND PEN. .00 j
TOTAL DUE .00 1
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.