HomeMy WebLinkAbout10-01-10BUREAU OF INDIVIDUAL TAXES -f,~- {_ -^, ~~~~~~ ~,' INHERITANCE TAX
INHERITANCE TAX DIVISION ` _~ AF'f~~~CL~Eh~ENT,!.~L'LOWANCE OR DISALLOWANCE
PO BOX 280601 -fly DEIJiJCT'TQN~,~, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 k!._`.+ !'~~--'J~0~~17L'Y`~WEtD DR TRUST ASSETS
EMILY G MCAULIFFE ~~ ~`,~ ~~,_ ,~ I ; r`t ~ ;fin
45 WEST VIEW ~~~~
CARLISLE PA 17013-8134
Pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-09) r
DATE 10-04-2010
ESTATE OF ORLOWSKY JAMES M
DATE OF DEATH 04-18-2010
FILE NUMBER 21 10-0503
COUNTY CUMBERLAND
SSN/DC 383-40-0536
ACN 10003946
APPEAL BY DATE:12-03-2010
(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 ~
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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: 10-04-2010
ESTATE OF:ORLOWSKY
JAMES
M DATE OF DEATH:04-18-2010
FILE NO.: 21 10-0503 S.S/D.C. NO.: 383-40-0536
ACM: 10003946
TAX RETURN WAS: (X) ACCEPTED AS FILED C ) CHANGED
FINANCIAL INSTITUTION: T S P
TYPE OF ACCOUNT: C )SAVINGS ( ) CHECKING ( )TRUST t )TIME CERTIFICATE
DATE ESTABLISHED 01-15-2010
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
Tex ra~nT-rc
JOINT OR TRUST ASSET INFORMATION
ACCOUNT NO.: 1
150,546.82 NOTE:
X 1.000
150,546.82
- .00
150,546.82
x • 1-5
22,582.02
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 C-) AMOUNT PAID
07-07-2010 CD013029 1,129.10 21,452.92
TOTAL TAX PAYMENT 22,582.02
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" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~/
• ~--~ ' .