HomeMy WebLinkAbout02-18-11QQ~~ ~r~''r'~ "Tr- ~~ OTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES?~..5.~._}f ~ ~~-__ AP~~.Ri ~MENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION '~'''`'
PO BOX 280601 F`i,..'~ _. '.~0~`,~I,~.YD CTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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54463 AURORA ST
SHELBY TWNSHP MI 48316
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DEPARTMENT OF REVENUE
REV-1548 EX AFP (12-10)
DATE 02-21-2011
ESTATE OF ORLOWSKY JAMES M
DATE OF DEATH 04-18-2010
FILE NUMBER 21 10-0503
COUNTY CUMBERLAND
SSN/DC 383-40-053b
ACN 10136450
APPEAL BY DATE:04-22-2011
(See reverse side under Objectia~ns)
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 F"'
REV-1548 EX AFP C12-10~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF'
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 02-21-2011
ESTATE OF:ORLOWSKY JAMES M DATE OF DEATH:04-18-2010 COUNTY:CUMBERLAND
FILE NO.: 21 10-0503 S.S/D.C. NO.: 383-40-0536
A~CN : 10136450
TAX RETURN WAS: (X1 ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 143000914
TYPE OF ACCOUNT: C SAVINGS (X) CHECKING ( TRUST C TIME CERTIFICATE
DATE ESTABLISHED 07-02-2007
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
27,584.57 NOTE:
X 0.500
13,792.29
- .00
13,792.29
~ .12
1,655.07
TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT;, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TA)C 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
01-03-2011 CD01384b .00 1,655.07
TOTAL TAX PAYMENT 1,655.07
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. f
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