HomeMy WebLinkAbout04-15-13 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX •
PO"BOXT280601A" DIVISION OFpDEDUCT ON6 ANDNASSESSMENTSOFLTAXNON pennsylvanla
HARRISBURG, PA 17128-0601 SECURITY ACCOUNTS HELD IN DEPARTMENT OF REVENUE
RECORDED BENEFICIARY FORK REV-1548A AFP (12-12)
OFFICE O
�� �LLS DATE 04-15-2013
REGISTER OF
ESTATE OF KIMEL ROBERT J pQD C DATE OF DEATH 12-01-2011
1013 !ii ii i FILE NUMBER 21 12-0019
COUNTY CUMBERLAND
CLERK OF SSN/DC
CARMELL M KIMEL ORPHANS- CO ACN APPEAL BY DATE 206514-2013
453 LEDFORD CIR �1 'j
HIGH POINT C" PA (See reverse side under Objections)
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—
REV-1548A AFP t12-12)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 04-15-2013
ESTATE OF:KIMEL ROBERT J DATE OF DEATH: 12-01-2011 COUNTY: CUMBERLAND
FILE NO. : 21 12-0019 S.S/D.C. NO. : 239-44-7602 ACN: 12502055
TAX RETURN WAS: (X) ACCEPTED AS FILED t )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: FIDELITY INVESTMENTS ACCOUNT NO. : 239447602
TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC C ) STOCK C ) BONDS
DOD Valuation 8,299.64 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 4,149.82 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 4,149.82 REGISTER OF WILLS AT THE
Tax Rate X . 12 ABOVE ADDRESS. MAKE CHECK
Tax Due 497.98 OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 04-23-2013* TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 497.98
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 9.56
TOTAL DUE 507.54
* 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.