HomeMy WebLinkAbout05-20-15 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLONANCE pe n n sy lva ni a
PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ONQV
HARRISBURG, PA 17128-0601 SECURIffY ACCOUNTS HELD IN DEPARTMENT OF REVENUE
REL--'CORDED r i F 1,P E OF BENEFICIARY FORM REV-1546A AFP (11.14)
REGIS 4`i L S
DATE 05-18-2015
ESTATE OF SNOW RUTH A
7015 FIRM 20 AM 10 59 DATE OF DEATH 01-21-2015
FILE NUMBER 21 15-0335
07 COUNTY CUMBERLAND
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DEBRPO R PH AKA. ENNE�Y ACN 15501844
170 CEN;TERV.ILLE- RD APPEAL BY DATE: 07-17-2015
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N E WV I L L E PA 17241-8 9 31 (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: 05-18-2015
ESTATE OF:SNOW RUTH A DATE OF DEATH: 01-21-2015 COUNTY: CUMBERLAND
FILE NO. : 21 15-0335 S.S/D.C. NO. : ACN: 15501844
TAX RETURN WAS: (X) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: RIVERSOURCE LIFE ACCOUNT NO. : 13875614
TYPE OF ASSET: ( ) SECURITIES C X SECURITY ACC ( ) STOCK C ) BONDS
DOD Valuation 35,313.05 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 1 .000 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 35,313.05 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 35,313.05 REGISTER OF WILLS AT THE
Tax Rate X . 12 ABOVE ADDRESS. MAKE CHECK
Tax Due 4,237.57 OR MONEY ORDER PAYABLE TO:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
PAYMENT MUST BE MADE BY 10-22-2015*. TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE 4,237.57
INTEREST AND PEN. .00
TOTAL DUE 4,237.57
* 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.