HomeMy WebLinkAbout09-14-15 BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLONANCE - pe n n sylva ni a
PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ON
HARRISBURG, PA 17128-8 0 f� SECURIrPY ACCOUNTS HELD IN DEPARTMENT OF REVENUE
R L V O R V L O O f_IFI C E O C BENEFICIARY FORM REV-1548A AFP (11-14)
REGI)T e ,'TILLS
DATE 09-15-2015
715 ��� �� r� � � ESTATE OF GREGORY ARLENE F
J I DATE OF DEATH 07-13-2014
FILE NUMBER 21 14-0700
GLE ;, r COUNTY CUMBERLAND
CHARLES SSN/DC
ACN 14507398
481 ASPtP=tEFcILtA APPEAL BY DATE: 11-14-2015
MIDDLETOWN PA 17057-2304 (See reverse side under Objections)
Amount Remitted F —�
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 4—
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NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE: 09-15-2015
ESTATE OF:GREGORY ARLENE F DATE OF DEATH: 07-13-2014 COUNTY: CUMBERLAND
FILE NO. : 21 14-0700 S.S/D.C. NO. : ACN: 14507398
TAX RETURN WAS: (X) ACCEPTED AS FILED C )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: ARIS CORPORATION ACCOUNT NO. : 676-07309
TYPE OF ASSET: C ) SECURITIES C X SECURITY ACC ( ) STOCK C ) BONDS
DOD Valuation 310,796.46 NOTE: TO ENSURE PROPER CREDIT TO
Percent Taxable X 0. 166 YOUR ACCOUNT, SUBMIT THE
Amount Subject to Tax 51 ,800.45 UPPER PORTION OF THIS NOTICE
Debts and Deductions - . 00 WITH YOUR TAX PAYMENT TO THE
Taxable Amount 51 ,800.45 REGISTER OF WILLS AT THE
Tax Rate X .045 ABOVE ADDRESS. MAKE CHECK
Tax Due 2,331 .02 OR MONEY ORDER PAYABLE TO:
TAX CREDITS: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
INTEREST IS CHARGED THROUGH 09-23-2015* TOTAL TAX PAYMENT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,331 .02
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 31 . 16
TOTAL DUE 2,362. 18
* 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. v