HomeMy WebLinkAbout03-26-10BUREAU OF INDIVIDUAL TAE'S ~_~ ;- `~'~ NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ _ :AP~JtAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 •~ •• ~- ~ E?F- DEDUCTIONS, AMD ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
Pennsylvania ~
DEPARTMENT OF REVENUE
~, REV-1548 EX AFP C12-09)
'? DATE 03-15-2 10
;_, '.J
SHELLY L BGH ' " '
114 DOGWOOD DR
MT HOLLY SPRGS PA 17065
ESTATE OF BELLOMO
DATE OF DEATH 02-11-2 !09
FILE NUMBER 21 09-0 76
COUNTY CUMBERL ND
SSN/DC 721-18-0454
ACN 0912484
APPEAL BY DATE:05-14-2010
(See reverse side under O 'ections)
Amount Remitted
THELMA N
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE '~ RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1548 EX AFP X12-09)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANC OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSET
DATE: 0 -15-2010
ESTATE OF:BELLOMO
THELMA
N DATE OF DEATH:02-11-2009
OUNTY:CUMBERLAND
FILE NO.: 21 09-0776 S.S/D.C. NO.: 721-18-0454
ACN: 09124845
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: SUSQUEHANNA BANK ACCOUNT NO.: 12 '021236
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST C )TIME CERTIFIC TE
DATE ESTABLISHED 12-13-2005
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAY f QCTITTC.
402.47
X 0.500
201.24
- .00
201.24
Y .45
9.06
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCO 'NT, SUBMIT THE
UPPER POR ION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER F WILLS AT THE
ABOVE ADD ESS. MAKE CHECK
OR MONEY RDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
08-18-2009 CD011642 .00 9.06
TOTAL TAX PAYMENT
BALANCE OF TAX DU
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
9.06
.00
.00
.00