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HomeMy WebLinkAbout06-17-13 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX • INHERITANCE Tax DIVISION APPRAISElIENT ALLONANCE OR DISALLORANCE � pennsylvarna Po eox 2ao6o1 OF DEDUCTION� AND ASSESSIiENT OF TAX ON DEPARTMENT OFREVENUE HARRISBUR6, Pa i�i2e-o6oi SECIJRI'FY ACCOUNTS HELD IN BENEFICIARY FORM REV-154BA AFP«z-�z> �FC�f���� °�`M'���'� �� DATE 06-17-2013 ���l���:�'� OF' �';;��4_�_S ESTATE OF CASSEL JR WILLARD F DATE OF DEATH 07-14-2011 �)�E� ��'v � ( i i f � Z� CdUNTYUMBER CUMBERLAND SSN/DC 161-24-6656 KATELYN M CASSEL �L��� (��= ACN 12503181 328 S WASHINGTON S�R1-��� , APPEAL BY DATE: 08-16-2013 M E C H A N I C S B U R G ,.p�1,7„O��A�����T (See reverse side under Objections) �� �f� � � pA Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REY-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: 06-17-2013 ESTATE OF:CASSEL JR WILLARD F DATE OF DEATH: 07-14-2011 COUNTY: CUMBERLAND FILE NO. : 21 11-0850 S.S/D.C. NO. : 161-24-6656 ACN: 12503181 TAX RETURN WAS: (X) ACCEPTED AS FILED OCHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: AMERIPRISE ACCOUNT NO. : 619026230021 TYPE OF ASSET: O SECURITIES C �( SECURITY ACC O STOCK C ) BONDS DOD Valuation 7,268.43 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 7,268.43 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 7,268.43 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 327.08 OR MONEY ORDER PAYABLE T0: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-� AMOUNT PAID INTEREST IS CHARGED THROUGH 06-25-2013* TOTAL TAX PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 327.08 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 11.72 TOTAL DUE 338.80 � - * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * � IF TOTAL DUE IS REFLECTED AS A ^CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.