HomeMy WebLinkAbout06-02-15 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX V AL
INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLONANCE ) i p e n n sylva ni a
PO BOX 280601 r OF DEDUCTION AND ASSESSMENT OF TAX ON
HARRISBURG, PEO 0a;0601^ ,t k-;, SECURITY ACCOUNTS HELD IN DEPARTMENT OF REVENUE
BENEFICIARY FORM REV-1543A AFP (11-14)
DATE 06-02-2015
?015 URIN 2 Gi, 11 33 ESTATE OF BAHN ROBERT E
DATE OF DEATH 02-14-2015
FILE NUMBER 21 15-0223
COUNTY CUMBERLAND
� ^ SSN/DC
R0BEQT' E BAHN JR ACN 15503155
4094'"RKET ST APPEAL BY DATE: 08-01-2015
MECHANICSBURG PA 17055-3345 (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
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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: 06-02-2015
ESTATE OF:BAHN ROBERT E DATE OF DEATH: 02-14-2015 COUNTY: CUMBERLAND
FILE NO. : 21 15-0223 S.S/D.C. NO. : ACN: 15503155
TAX RETURN WAS: (X) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: JOHN HANCOCK INV ACCOUNT NO. : 2040266
TYPE OF ASSET: C ) SECURITIES ( X SECURITY ACC ( ) STOCK ( ) BONDS
DOD Valuation 11,783.55 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.200 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 2,356.71 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 2,356.71 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 106.05 OR MONEY ORDER PAYABLE TO:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
05-07-2015 CD020631 5.30 100.75
TOTAL TAX PAYMENT 106. 05
BALANCE OF TAX DUE . 00
INTEREST AND PEN. .00
TOTAL DUE . 00
* 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.