HomeMy WebLinkAbout08-24-12 (3)r/`pp~~ NDTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES (;f 1,,.' (~!I -" 'IS ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~~,(,.(IF, y~`( ~ SbNS AND ASSES$MENT OF TAX ~ARTMENT OF REVEN UE
PO BOX 280601 l 154] EX qFP (12-ill
HARRISBURG PA 1]128-0601 ~ ~' -`-~~
2~i12 AUG 24 AP'i I I ~ 35 DATE DB-zo-zolz
ESTATE OF BELLOMO FLORENCE E
- DATE OF DEATH 09-24-2011
O~PH6~I~wi~L'ili3r FILE NUMBER 21 11-1355
ROBERT C SAIDIS ~l9MgERLANO CO., P~, ACNNTY CUMBERLAND
26 W HIGH ST 101
APPEAL DATE: 10-19-2012
CARLISLE PA 17013-2922 (See reverse side under Objections)
Amount Remitted
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 (--•
REV-1547 EX AFP C12-11) N07ICE OF INHERITANCE TAX APPRAISEMENT
ALLOWANCE OR
,
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BELLOMO FLORENCE EFILE N0.:21 11-1355 ACN
: 101 DATE: 08-20-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Raal Estate (Schedule A)
(1)
2. Stocks antl Bonds (Schedule B7 .00
NOTE: Ta ensure proper
(y
3. Closely Hald Siock/Partnership Interest (Schedule C) (37 .00
.00 cre tliY to
your account,
submit the upper portion
4. Mortgages/Notes Receivable (Schedule D)
C4)
00 of this form with your
5. Cash/Bank Deposits/Misc. Personal Properly (Schedule E) (5) .
828.00 tax payment.
6. Jointly Ownetl Property (Schedule F) (67 5,346.58
7. Transfers (Schedule G7
(7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (B) - 6.174 58
9. Funeral Expenses/Atlm. Casts/Misc. Expenses (Schedule H) E
7
(g)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .
9 80
110.411.82
11. Total Deductions
12. Net Value of Tax Return (11) 114,171.62
13. Charitable/Governmental Bequests; Non-ele<tetl 9113 Trusts (Sehetl
l (13) 107,997.04-
u
e
14. Net Value of Estate Subject to Tax J) 00
C14) 107.997.04-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16
17 18
d
reflect fi8ures that include the total of ALL returns ,
, an
19 will
ASSESSMENT OF TAX: assessed to date.
15. Amount of Line 14 at Spousal rate (15) 00
00 =
16. Amount of Line 14 taxable at Lineal/Class A rate (167 .
7( .00
17. Amount of Line 14 at Sibling rate nn X 045 = .00
(17)
18. Amount of Line 14 taxable at Collateral/Class a rate (18) DO X 12 =
00
15 =
•00
19. Principal Tax Due X .00
TAX CREDITS: (197= .00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT
INTEREST/PEN (+)
PAID
(-)
AMOUNT
PAID
• IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR7, YOU MAY BE DUF~~
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. v