HomeMy WebLinkAbout07-27-15 BUREAU OF INDIv4 T NOTICE OF INHERITANCE TAX
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HARRISBURG, PA 17128j8b P S 1 Eti O WILLS SECURITY ACCOUNTS HELD IN DEPARTMENT OF REVENUE
PM BENEFICIARY FORK REV-1548A AFP (1144)
?015 JUL 27 f C! i 2 09 DATE 07-27-2015
ESTATE OF AUXT IRENE
CLFiIK OF DATE OF DEATH 03-27-2015
FILE NUMBER 21 15-0560
ORPHt��tiS vOi�;i COUNTY CUMBERLAND
CUMBERLt NIS 110 , PA SSN/DC
SHIRLEY L SPICHER ACN 15504295
218 SALT RD APPEAL BY DATE: 09-25-2015
E N 0 L A PA 17025-2021 (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 F—
REV-1548A A _
FP (11-14) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 07-27-2015
ESTATE OF:AUXT IRENE DATE OF DEATH: 03-27-2015 COUNTY: CUMBERLAND
FILE NO. : 21 15-0560 S.S/D.C. NO. : ACN: 15504295
TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: PRUDENTIAL MUTUAL FUNDS ACCOUNT NO. : 003053184
TYPE OF ASSET: C ) SECURITIES ( X SECURITY ACC ( ) STOCK C ) BONDS
DOD Valuation 20,410.21 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0.500 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 10,205. 11 UPPER PORTION OF THIS NOTICE
Debts and Deductions - .00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 10 ,205.11 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 459.23 OR MONEY ORDER PAYABLE TO:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
06-01-2015 CD020762 22.96 436.27
TOTAL TAX PAYMENT 459.23
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.