HomeMy WebLinkAbout07-30-10BUREAU OF INDIVIDUAL TAXES '" !'t' NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~' ~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 - OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-06D1 ~ JOINTLY HELD OR TRUST ASSETS
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45 WEST VIEW
CARLISLE PA 17013
pennsyLvania ~~ ~~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09) r
DATE 08-02-2010
ESTATE OF ORLOWSKY JAMES M
DATE OF DEATH 04-18-2010
FILE NUMBER 21 10-0503
COUNTY CUMBERLAND
SSN/DC 383-40-053b
ACN 1012568b
APPEAL BY DATE:10-O1-2010
(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-1548 EX AFP C12-09)--------------------------------------------------•------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF=
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: OS-02-2010
ESTATE OF:ORLOWSKY JAMES M DATE OF DEATH:04-18-2010
FILE NO.: 21 10-0503 S.S/D.C. NO.: 383-40-053b
COUNTY:CUMBERLAND
~-CN : 10125686
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 282288-05
TYPE OF ACCOUNT: C )SAVINGS C ) CHECKING CX)TRUST C )TIME CERTIFICATE
DATE ESTABLISHED 03-30-2009
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
80,439.93 NOTE:
X 1.000
80,439.93
- .00
80,439.93
x .15
12,065.99
TO ENSURE PRCIPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAB; PAYMENT TO THE
REGISTER OF kIILLS AT THE
ABOVE ADDRESS;. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID C-)
AMOUNT PAID
06-09-2010 CD012873 603.30 11,462.69
TOTAL TAX PAYMENT 12,065.99
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.