HomeMy WebLinkAbout07-30-10 (2)BUREAU OF INDIVIDUAL TAXES- ~~~_ty~k NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION ~ ~ ,`~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~ ;... OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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EMILY ~-G MCAULIFFE~
45 WEST VIEW
CARLISLE PA 17013
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DEPARTMENT OF REVENUE '
REV-1548 EX AFP (12-09)
DATE 08-02-2010
ESTATE OF ORLOWSKY JAMES M
DATE OF DEATH 04-18-2010
FILE NUMBER 21 10-0503
COUNTY CUMBERLAND
SSN/DC 383-40-0536
ACN 10125685
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: 08-02-2010
ESTATE OF:ORLOWSKY JAMES M DATE OF DEATH:04-18-2010
FILE NO.: 21 10-0503 S.S/D.C. NO.: 383-40-0536
COUNTY:CUMBERLAND
A~CN : 10125685
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO.: 282288-00
TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING CX?TRUST ( )TIME CERTIFICATE
DATE ESTABLISHED 03-28-2006
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
758.27 NOTE:
X 1.000
758.27
- .00
758.27
x .15
113.74
TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
Ob-09-2010 CD012874 5.69 108.05
TOTAL TAX PAYMENT 113.74
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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