HomeMy WebLinkAbout03-18-13 (16) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLONANCE pennsylvania
PO sox z866B1 OF DEDUCTION6 AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
HARRISBURG. PA 17128-0601 RECORDED OFFICE OF BENYEFICCIARY ACCOUNTS HELD IN
REG! , �R OF .1k ' LS DATE 03-18-2013
ESTATE OF PTASZEK BARBARA E
'3 MR 18 p,,r, 8 `/p DATE OF DEATH 1I-29-2012
tuu FILE NUMBER 21 12-1297
CLERK COUNTY CUMBERLAND
SSN/DC
THOMAS F PO ANS• COURT ACN 13500353
695 JULIE CCUMBERLA�t � O AA APPEAL BY DATE: 05-17-2013
MECHANICSBURG PA 5 6032• (See reverse side under06T'ecdons) -
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 4—
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REV-I548A AFP (12-12)
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 j
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ESTATE OF: PTASZEK BARBARA F DATE OF DEATH: 11-29-2012 COUNTY: CUMBERLAND j
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FILE NO. : 21 12-1297 S.S/D.C. NO. : ACN: 13500353 I ICI
TAX RETURN WAS: (X) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION I
NAME OF SECURITY: AMERICHOICE FCU ACCOUNT NO. : 35165
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TYPE OF ASSET: C } SECURITIES C X SECURITY ACC C 7 STOCK ( > BONDS I
DOD Valuation 9,607.07 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 4,803.54 UPPER PORTION OF THIS NOTICE
Debts and Deductions .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 4,803.54 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 216. 16 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-19-2013 CDO17202 10.81 205.35
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TOTAL TAX PAYMENT 216.16
BALANCE OF TAX DUE 0
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INTEREST AND PEN. .00
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. s „ "