HomeMy WebLinkAbout09-14-15 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT ALLOWANCE OR DISALLOWANCE pe1111S�/LVa1118
PO BOX 280601 OF DEDUCTIONt AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 _ SECURITY ACCOUNTS HELD IN DEPARTMENT OF REVENUE
RC C R D E J n F F)C'E OF BENEFICIARY FORM - REV-1548A AFP (11-14)
RECiiL4_J
DATE 09-15-2015
?�1� i �� �� ESTATE OF GREGORY ARLENE F
SEP i ' DATE OF DEATH 07-13-2014
FILE NUMBER 21 14-0700
COUNTY CUMBERLAND
SSN/DC
B"IRIHAI A_GREGORY ACN 14507397
ft t r5ffi ^'r) APPEAL BY DATE: 11-14-2015
CARLISLE' '' Pd 17013-1408 (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 4—
REV--1-548-A - -AFP -C1-1-1-4)- - - -- - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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: 14507397
TAX RETURN WAS: (X) ACCEPTED AS FILED ( )CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
NAME OF SECURITY: ARIS CORPORATION ACCOUNT NO. : 676-07309
TYPE OF ASSET: C ) SECURITIES C W SECURITY ACC C ) STOCK ( ) 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 (+)
DATE NUMBER INTEREST/PEN PAID (-) 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.