HomeMy WebLinkAbout08-13-10BUREAU OF INDIVIDUAL TAXES _ " ~ .~--~~ ~- NOTICE O_F INHERITANCE TAX
INHERITANCE TAX DIVISION - AF~PR'AISE,MEN.T;i j4~LOWANCE OR DISALLOWANCE
PO BOX 280601 ,: OF DEDUCTI.OI~S, `AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 - - JOINTLY • HELD OR TRUST ASSETS
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CARLISLE PA 17013
JAMES
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: 08-16-2010
ESTATE OF:ORLOWSKY
FILE NO.: 21 10-0503 S.S/D.C. NO.: 383-40-0536
A,CN : 10136452
TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST
FINANCIAL INSTITUTION: ORRSTOWN BANK
TYPE OF ACCOUNT: CX)SAVINGS C ) CHECKING C
DATE ESTABLISHED 05-23-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
rn~r rc~nrrc.
Pennsylvania ~
DEPARTMENT OF REVENUE ;"
REV-1548 EX AFP (12-09)
DATE 08-16-2010
ESTATE OF ORLOWSKY JAMES M
DATE OF DEATN 04-18-2010
FILE NUMBER 21 10-0503
COUNTY CUMBERLAND
SSN/DC 383-40-0536
ACN 10136452
APPEAL BY DATE:10-15-2010
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
ASSET INFORMATION
ACCOUNT NO.: 143000870
)TRUST C )TIME CERTIFICATE
78,614.90
X 0.500
39,307.45
- .00
39,307.45
x .15
5,896.12
NOTE: 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 (+)
INTEREST/PEN PAID C-) AMOUNT PAID
07-07-2010 CD013028 294.79 5,601.00
08-09-2010 SBADJUST .00 .33
M DATE OF DEATH:04-18-2010
TOTAL TAX PAYMENT 5,896.12
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
COUNTY:CUMBERLAND
* 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. ,~,~~1