HomeMy WebLinkAbout02-17-15 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLONANCE pe n n sylva ni a
717
PO BOX 2BO601 OF DEDUCTION AND ASSESSMENT OF TAX ON
HARRISBURG, PA 17128-0601 _ SECURIfY ACCOUNTS HELD IN DEPARTMENT OF REVENUE
RECORDED C"t-F I L,E OF BENEFICIARY FORM Q
REV-1548A AFP (11-14)
REGISTER ("' i'1LL s DATE 02-16-2015
1 FEB1 ESTATE OF KISER ERIC J
?01.5 B 17 M 1 15 DATE OF DEATH 12-28-2013
FILE NUMBER 21 14-0444
CLE-',,', OF COUNTY CUMBERLAND
SSN/DC 196-68-6436
DAN04PHA,.'J�'KISER " ACN 14501549
2 4 RE-YN;OLDS, RU-N RD, APPEAL BY DATE: 04-17-2015
RUSSELL PA '1 6345-7445 (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
REV-1548A AFP C11-14)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 02-16-2015
ESTATE OF: KISER ERIC J DATE OF DEATH: 12-28-2013 COUNTY: CUMBERLAND
FILE NO. : 21 14-0444 S.S/D.C. NO. : 196-68-6436 ACN: 14501549
TAX RETURN WAS: (X) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: SHERWIN-WILLIAMS COMPANY ACCOUNT NO. : 34-0526850-001
TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC C ) STOCK C ) BONDS
DOD Valuation 60,706.27 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 60,706.27 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 60,706.27 REGISTER OF WILLS AT THE
Tax Rate X .12 ABOVE ADDRESS. MAKE CHECK
Tax Due 7,284.75 OR MONEY ORDER PAYABLE TO:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 02-24-2015* TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 7,284.75
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 89.01
TOTAL DUE 7,373.76
* 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.