HomeMy WebLinkAbout03-18-13 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLORANCE pennsyl-Yama
PO BOX 26oaB7 OF DEDUCTIONS AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
HARRISBURG. PA 17126.0601 SECURITY ACCOUNTS HELD IN
pE1yp BENEFICIARY FORM aEV-rssax rac t,z-tzr
REGis,,17; 0 F DATE 03-18-2013
ESTATE OF YETTER JOHN S
t�pq DATE OF DEATH 11-20-2011
FILE NUMBER 21 11-1287
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$13 �r 5�'S+ ���-'UI'i i APPEAL BY DATE: 05-17-2013
MECHRUMAE& I9IND P!_G, l'Ag55-4049 (See reverse side under Objections)
Amount Remitted ---.---'�
MAKE CHECK PAYABLE AND REMIT PAYMENT TO: i
REGISTER OF WILLS
1 COURTHOUSE SQUARE y
CARLISLE PA 17013
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CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1548A AFP C12-127 I 'I
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:YETTER JOHN S DATE OF DEATH: 11-20-2011 COUNTY: CUMBERLAND j
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FILE NO. : 21 11-1287 S.S/D.C. NO. : ACN: 12501201
TAX RETURN WAS: (X) ACCEPTED AS FILED t )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: METLIFE ACCOUNT NO. : 806601363315
TYPE OF ASSET: t } SECURITIES C 7 SECURITY ACC (X) STOCK ( ) BONDS !
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DOD Valuation 2,694.56 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 1,347.28 UPPER PORTION OF THIS NOTICE 1
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
I
Taxable Amount 1,347.28 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 60.63 OR MONEY ORDER PAYABLE T0:
^REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID t-)
,
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INTEREST IS CHARGED THROUGH 03-26^2013■ TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 60.65
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.08
TOTAL DUE 61 .71
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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, f
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.