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HomeMy WebLinkAbout05-14-15 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION APPRAISEMENT ALLOWANCE OR DISALLOWANCE p pe n n SyLva rn a PO Box 280601 OF DEDUCTIONr AND ASSESSMENT OF TAX ON HARRISBURG, PA 17128-06 SECURI'T'Y ACCOUNTS HELD IN DEPARTMENT OF REVENUE RECORDED C t"F i C E O F BENEFICIARY FORM REV-1546A AFP (11-14) REGISTER Cr }BILLS DATE 45.21-2015 ?CIS rIpjy 1`-1 �n� 12 20 ESTATE OF SHUEY LOUISE A DATE OF DEATH 06-04-2014 FILE NUMBER 21 14-0571 CI LES ':% Cid= COUNTY CUMBERLAND SSN/DC tIt,FER`' GrPENWELL �.,]-• -' ACN 14503846 AL BY DATE: 7-10-21 ��0'tlT1i06RT HWY _. CT 06890-1137 (See reverse side underObjections)5 Amount Remitted i 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: 05-11-2015 ESTATE OF:S-HUEY LO T A DATE OF DEATH: 06-04-2014 COUNTY: CUMBERLAND FILE NO. : 21 14-0571 S.S/D.C. NO. : ACN: 14503846 TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED BENEFICIARY FORM OF ASSET INFORMATION NAME OF SECURITY: OPPENHEIMER ACCOUNT NO. : 4201173227 TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC ( ) STOCK ( ) BONDS DOD Valuation 64,851.30 NOTE: TO ENSURE PROPER CREDIT TO Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE Amount Subject to Tax 32,425.65 UPPER PORTION OF THIS NOTICE Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE Taxable Amount 32.425.65 REGISTER OF WILLS AT THE Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK Tax Due 1 ,459.15 OR MONEY ORDER PAYABLE TO: TAX CREDITS: "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID INTEREST IS CHARGED THROUGH 05-19-2015* TOTAL TAX 'PAYMENT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,459.15 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 9.09 TOTAL DUE 1,468.24 * 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.