HomeMy WebLinkAbout03-18-13 (11) I
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX Below
INHERITANCE TAX DIVISION APPRAISEHENT ALLONANCE OR DISALLONANCE pennsylvana
PO BOX 200601 RECORD DEDUCTION AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
HARRISBURG, PA 17128.0601 tREC p P ti.. SECURI�'Y ACCOUNTS HELD IN
RI''�=%i C',- BENEFICIARY FORM
REGIST - � p, 7CE pE
C p ;.' AS DATE 03-18-2013
cj �� ESTATE OF PTASZEK BARBARA E
DATE OF DEATH 11-29-2012
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FILE NUMBER 21 12-1297
CLERK �Y' COUNTY CUMBERLAND
QppC SSN/DC
THOMAS F��`p,tffi N S 0 G0U ACN 13500234
695 JULIE CT�AIBERLANp rr RT APPEAL BY DATE: 05-17-2013
MECHANICSBURG PA 170 (See(See reversesWunderObjections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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REGISTER OF WILLS
I COURTHOUSE SQUARE j
CARLISLE PA 17013
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CUT ALONG THIS LINE 6 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: 03-18-2013
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ESTATE OF: PjASZEK BARBARA E DATE OF DEATH: 11-29-2012 COUNTY: CUMBERLAND l I
FILE NO. : 21 12-1297 S.S/D.C. NO. : ACN: 13500234
TAX RETURN WAS: (X) ACCEPTED AS FILED { )CHANGED j
BENEFICIARY FORM OF ASSET INFORMATION 11
NAME OF SECURITY: ALLIANCE DEVELOPMENT FUND ACCOUNT NO. : 22388
TYPE OF ASSET: C ) SECURITIES I X SECURITY ACC C 3 STOCK ( ) BONDS
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DOD Valuation 23,201.22 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 11,600.61 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE �
Taxable Amount 11,600.61 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 522.03 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
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PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-19-2013 CDO17216 26.10 495.93
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TOTAL TAX PAYMENT 522.03
BALANCE OF TAX DUE .00 3
INTEREST AND PEN. .00 I
TOTAL DUE .00 j
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* 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.