HomeMy WebLinkAbout09-10-10BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2806D1
HARRISBURG PA 17128-0601
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-,~i-, ~ ~ 1 ~ ,_~~ ~I~-~'~LE OF INHERITANCE TAX
: ~ ~JF-Q~RA~IS~IM~N~'f, ALLOWANCE OR DISALLOWANCE
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OF DEDUCTIONS AND ASSESSMENT OF TAX
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CLERK ~F
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MICHELE L CRAFT
47 BIDWELL HILL RD
LAKE ARIEL PA 18436
C1) 116, 000.00
c2) .00
c3) .00
c4) .00
c5) 1 , 874.10
c6) 1 , 162.89
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CUT ALONG THIS LINE -'-~ --RETAIN-LOWER-PORTION FOR YOUR RECORDS ~-~^
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REV-1547 EX AFP C12-09) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ORLOSKI MADLYN KFILE N0.:21 10-0438 ACN: 101 DATE: 09-06-2010
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable tSchedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
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DEPARTMENT OF REVENUE
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REV-1547 IX AFP (12-091
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
c8) 119,036.99
c9) 22.038.90
clo) 27,935.12
X11) 49,974.02
11. Total Deductions 69,062.97
12. Net Value of Tax Return C12)
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax (14) 69, 062.97
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAY f DCTITTC
c15) .00 X 00 = .00
c16) _ no x D45 = . 00
X17) . oo x 12 = . 00
c1B) 69,062.97 X 15 = 10,359.45
(19)= 10,359.45
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
06-15-2010 CD012925 517.97 9,841.48
DATE 09-06-2010
ESTATE OF ORLOSKI MADLYN K
DATE OF DEATH 03-31-2010
FILE NUMBER 21 10-0438
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-05-2010
(See reverse side under Objections)
Amount Remitted -~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
TOTAL TAX PAYMENT 10,359.45
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
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