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Home My WebLink About01-14-13BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX OIV ISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 Pennsylvania DEPARTMENT OF REVENUE REV-1548 EX AFP (12 -1D p JOINTLY HELD OR TRUST ASSETS r DATE 01-14-2013 REGIS I Ley tit „`" j__j ESTATE OF ORNDORFF KENNETH L p~ DATE OF DEATH 01-08-2012 ~~~~~ u~IV ~~ ~~ 12 ~2 COUNTYUMBER CUMBERLAND CHRISTINE L YOUNG SSN/DC 161-40-1610 CLERi( %= ACN 12110816 44 BOND BANK RD APPEAL BY DATE:03-15-2013 SHIPPENSBURG ORP GC;U{? C U h~~E~~~~' (See reverse sdde under Objections) LL vt~ ?,~•, ~j~ Amount Reeitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SpUARE CARLISLE PA 17013 CUT ALONG THIS LINE ---- ~! RETAIN LOWER PORTION FOR YOUR RECORDS ~ '-------------'- REV-1548 EX AFP C12-12) ------'--'-'----------" -----'-----------------------'---------' NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-14-2013 ESTATE OF: ORNDORFF KENNETH L DATE OF DEATH:OI-O8-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110816 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR 7R UST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 102000404 TYPE OF ACCOUNT: ( )SAVINGS C)0 CHECKING ( )TRUST C )TIME CERTIFICATE DATE ESTABLISHED 04-21-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITSe 4,470 86 X 0 500 2,235 43 - 00 2.235 43 Y 15 335 31 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 INTEREST IS CHARGED THRnucW nI _oo_oe,: AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF 7AX DUE 335.31 INTEREST AND PEN. 2,91 TOTAL DUE 338.22 ~ 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. L. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX OIVISIaN PO BOX 280601 r. '~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE HARRISBURG PA 17128-0601 CC R. ~'~+' " .. ,, OF DEDUCTIONS, ~ - AND ASSESSMENT OF TAX ON I-/l f~C 45 ~r„~" ,} " '' =dO IJlTLY H rrr ELD 0~'~T RUST ASSETS ~ Pennsylvania DEPARTMENT OF REVENUE REV-1548 E% AFP U2-1 Z) ~± DATE '~•~ ~~ !~ 01-14-2013 ~~l,J Ali ~i~ T~ ,~ ESTATE OF ORNDORFF KENNET i f ~' _ !f i np C~ir?-' - CHRISTINE L Y ~IGf F'N,Q f~ls,~ t 44 BOND BANK ~~~sa~R f ~~ ;; "-- SHIPPENSBURG pA i~`rs~j(;;~~~ DATE OF DEATH 01-08-2012 H ">n '`'FILE NUMBER 21 12-0115 -,Q.. COUNTY CUMBERLAND ' SSN/DC 161-40-1610 - ACN 12110817 APPEAL BY DATE:03-15-2013 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 L CUT ALONG THIS LINE _-__ -i RETAIN LOWER PORTION FOR YOUR RECORDS F REV-1548 EX AFP (12-12) -----"""'"'" " '-'--'____________________________________________ NOTICE OF INHERITANCE 7AX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-14-2013 ESTATE OF: ORNDORFF KENNETH L DATE OF DEATH:O1-08-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110817 TAX RETURN WAS: IX) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000032222 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING ( )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 03-30-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 10,017 52 X 0 500 5,008 76 00 5,008 76 X 15 751 31 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID CJ INTEREST IS CHARGED THROUGH 01-22-2013 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM 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 WLLLS, AGENT." AMOUNT PAID TOTAL TAX PAYMENT BALANCE OF TAX DU INTEREST AND PEN. TOTAL DUE 6. 7. 00 31 ~ IF PgIO 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. BUREAU OF INDIVIDUAL TAXES 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 R C~ ~'p ~ T JOINTLY HELD OR TRUST ASSETS REG~S7u ~~ ~~ - ~~ `~; ¢ ' n _.7 '03 ~!r,1~ „~ - 1 ~, ~ 1 ~ L. CHRISTINE L YOU~E~ j `, _. 44 BOND BA NI~~p S -,- SHIPPENSBI~~BER~i+~ ~~,t~.i~ ~ ~, ~ Pennsylvania DEPARTMENT OF REVENUE REV-1548 IX AFP (12 -1 Z] DATE 01-14-2013 ESTATE OF ORNDORFF KENNETH L DATE OF DEATH O1-OS-2012 FILE NUMBER 21 12-0115 COUNTY CUMBERLAND SSN/DC 161-40-1610 ACN 12110818 APPEAL BY DATE:03-15-2013 ,- (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CU7 ALONG THIS LINE ____ ~- RETAIN LOWER PORTION FOR YOUR RECORDS !~ '----'--'-'-------'- REV-1548 EX AFP (12-12) _____________________________________________________'-------'-- NOTICE OF INHERITANCE TAX APPRAISEMEN7, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-14-2013 ESTATE OF:ORNDORFF KENNETH L DATE OF DEATH:O1-08-2012 COUNT Y:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110818 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000032223 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST (X)TIME CERTIFICATE DATE ESTABLISHED 03-30-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREOTTS. 10,017 29 X 0 500 5,008 65 5,008 65 Y 15 751 30 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 GATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID I NTFRFST Tc ruAOr_rn AT THE RATES APPLICABLE AS OUTLINEDVON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 751.30 INTEREST AND PEN. 6.53 TOTAL DUE 757.83 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. e IF TOTAL DUE IS REFLECTED AS A "CREDIT" (C R), YOU MAY BE DUE A REFUND. ~i" SEE REVERSE SIDE DF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES ~ NOTICE OF INHERITANCE TAX ~ Pennsylvania INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 2B06o1 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12 -12) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS CHRISTINE L 44 BOND BANK SHIPPENSBURG i ~i4 S1f '_w .'~~3 ~Ai)1 Iy '~~l i2 ~~;; YOUNG RD CLER ~ G~~~ ~~~~i7S' C~'iil: CUMBERLAi~i' .;;•r,' , ~:q DATE 01-14-2013 ESTATE OF ORNDORFF KENNETH L DATE OF DEATH 01-08-2012 FILE NUMBER 21 12-0115 COUNTY CUMBERLAND SSN/DC 161-40-1610 ACN 12110819 APPEAL BY DATE:03-15-2013 (See reverse side under Objections) Amount Reeitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE Sp UA RE CARLISLE PA 17013 CUT ALONG THIS LINE -__- 1 RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP (12-12) --------"-""""-" " '------------------------------------'-'--____ NOTICE OF INHERITANCE 7AX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-14-2013 ESTATE OF:ORNDORFF KENNETH L DATE OF DEATH:OI-OS-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110819 TAX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000033666 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST CX)TIME CERTIFICATE DATE ESTABLISHED 07-08-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 9,973 11 X 0 500 4,986 56 00 4,986 56 Y 15 747 98 PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 01-22-2013 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM 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." AMOUNT PAID TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~ IF PgIO AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. + IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE q REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .00 .98 .50 .48 6' BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX ~ Pennsylvania INHERITANCE TA% OIV ISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12 -12) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS REG3S''~~`i ~~- ~ , , 1i, i ~ 1 1 k. ~.: CHRISTINE L YOUNG ~ ~~~~~ ~ ~ ~ C 44 BOND BANK RD C`~.h,t 4'__ SHIPPENSBURG pq DATE 01-14-2013 ESTATE OF ORNDORFF KENNETH L DATE OF DEATH 01-08-2012 FILE NUMBER 21 12-0115 COUNTY CUMBERLAND SSN/DC 161-40-1610 ACN 12110820 APPEAL BY DATE:03-15-2013 (See reverse sdde under 06jecHons) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE --_- y RETAIN LOWER PORTION FOR YOUR RECORDS F REV-1548 EX AFP (12-12) ---------------------'---_________--_________-_----------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-14-2013 ESTATE OF:ORNDORFF KENNETH L DATE OF DEATH:O1-08-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110820 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000038909 TYPE OF ACCOUNT: ( )SAVINGS C ) CHECKING C )TRUST (X)TIME CERTIFICATE DATE ESTABLISHED OS-23-2010 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 10,008 48 X 0 500 5,004 24 5,004 24 Y 15 750 64 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 (-) AMOUNT PAID I NTFRFST rc runor_rn AT THE RATES APPLICABLE AS OUTLINEDVON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 750.64 INTEREST AND PEN. 6,5P TOTAL DUE 757.16 + IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . IF TOTAL DUE IS REFLECTED AS A •'CREDIT" ICR), YOU MAY BE OUE A REFUND- {r SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. L_ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS RECOR~v -G: ~ :. x.13 Jfl~~ 1~ ,°,~; _? ~ CHRISTINE L YOUNG 44 BOND BANK RD p.~C~~LEF,!( (`J'- SHIPPENSBURG O~WR7l~~lt~7v l i.t ::-' C~MBERLAP~C ,.~~ ~~~ ~ Pennsylvania DEPARTMENT OF REVENUE REV-1548 EX AFP (12 -1Z) DATE 01-14-2013 ESTATE OF ORNDORFF KENNETH L DATE OF DEATH 01-08-2012 FILE NUMBER 21 12-0115 COUNTY CUMBERLAND SSN/DC 161-40-1610 ACN 12110821 APPEAL BV DATE:03-15-2013 (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 F REV-1548 EX AFP C12-12~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-14-2013 ESTATE OF: ORNDORFF KENNETH L DATE OF DEATH:OI-OS-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110821 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000038911 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING C )TRUST (X)TIME CERTIFICATE DATE ESTABLISHED OS-23-2010 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 20,034 90 X 0 500 10,017 45 - 00 10,017 45 Y 15 1,502 62 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 CJ AMOUNT PAID INTEREST Tc rueor_~n ruon,i..,, L -LV1J AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 1,502.62 INTEREST AND PEN. 13.06 TOTAL DUE 1,515.68 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ t IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. (Y SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES 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 RE~asu~. , nr L : u , = v ;'(i ; 7 ~ ~~, ~Gj~~ yt ~;I`~ ~~ ~~ CHRISTINE L YOUNG ~ 44 BOND BANK RD p yC LE~Ii~ ~i- SHIPPENSBURG ~,QRiP7~9~s' e;j ~.^.~~- CUMBERLE,P;'n ;`;, n: Ft REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 ~ Pennsylvania DEPARTMENT OF REVENUE REV-1548 IX AFP (1242) DATE 01-14-2013 ESTATE OF ORNDORFF KENNETH L DATE OF DEATH 01-08-2012 FILE NUMBER 21 12-0115 COUNTY CUMBERLAND SSN/DC 161-40-1610 ACN 12110822 APPEAL BY DATE:03-15-2013 (See reverse side under Objections) Amount Renitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: CUT ALONG THIS LINE_--_- ~ RETAIN LOWER PORTION FOR YOUR RECORDS (~ REV-1548 EX AFP (12-12~ --""--"'-"'"'___________________________________________________ NOTICE OF INHERITANCE 7AX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR 7R UST ASSETS DATE: 01-14-2013 ESTATE OF:ORNDORFF KENNETH L DATE OF DEATH:O1-08-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110822 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000033667 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST CXI TIME CERTIFICATE DATE ESTABLISHED 07-08-2009 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 9,987 71 X 0 500 4,993 86 00 4,993 86 Y 15 749 08 PAYMENT I RECEIPT I DISCOUNT (+) IL DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 01-22-2013 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM 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." AMOUNT PAID TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE 749.08 INTEREST AND PEN. 6.51 TOTAL DUE 755.59 * IF PgID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ IF TOTAL OUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL INHERITANCE TAX DIVISION PD BOX 280601 HARRISBURG PA 1]128-0601 CHRISTINE L 44 BOND BANK SHIPPENSBURG --~-J TAXES NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLDWgNCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS '~ 3 J~PJ 1`i P(1 12 23 YOUNG RD CLER`C (1 " F~~~~S~ vii cl ;~l CU~I6ERLAPdD ~,:?., ?q ~ Pennsylvania D EPARTMENT OF REVENUE REV-1548 EX AFP (12-1D DATE 01-14-2013 ESTATE OF ORNDORFF KENNETH L DATE OF DEATH O1-OS-2012 FILE NUMBER 21 12-0115 COUNTY CUMBERLAND SSN/DC 161-40-1610 ACN 12110921 APPEAL BY DATE:03-15-2013 (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 (12-12) --"_______________________________________________________________ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE• 01-14-2013 ESTATE OF: ORNDORFF KENNETH L DATE OF DEATH:O1-08-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110921 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST A(X)TIME CERTIFICATE42556 DATE ESTABLISHED 08-11-2011 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT RECEIPT DATE NUMBER 17,001.57 X 1.000 17,001.57 .00 17,001.57 X 15 2,550.24 DISCOUNT (+) INTEREST/PEN PgID C-) 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." AMOUNT PAID INTEREST IS CHARGED THROUGH 01-22-2013 AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAYMENT REVERSE SIDE OF THIS FORM BALANCE OF TAX DU DUE * IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. * IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .00 2,550.24 22.17 2,572.41 ~~! BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX ~ Pennsylvania INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVEN UE PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 Ex AFP c12-12) HARRISBURG PA 1]128-0601 ,~., ,, JOINTLY HELD OR TRUST ASSETS REGiS;r' ;~ J _"~ u / C' CHRISTINE L YD{1'N~ ~~^~ i l ('l~ L ~~'~ 44 BOND BANK RD r ~ _ SHIPPENSBURG pp 1Y~~7'~ ~• OR. NAiES° ~)_ii" Cl4MBERLAR3G ~1 J.> ~~.~: DATE 01-14-2013 ESTATE OF ORNDORFF KENNETH L DATE OF DEATH 01-08-2012 FILE NUMBER 21 12-0115 COUNTY CUMBERLAND SSN/DC 161-40-1610 ACN 12110922 APPEAL BY DATE:03-15-2013 (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 YDUR RECORDS (~ REV-1548 EX AFP (12-12)-- ~-""""-""" "----'_____________________________________________ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE: 01-14-2013 ESTATE OF:ORNDORFF KENNETH L DATE OF DEATH:O1-08-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110922 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING ( )TRUST A(70T ME CERTIFICATE40576 DATE ESTABLISHED 02-22-2011 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: PAYMENT DATE INTEREST IS AT THE RATES REVERSE SIDE 10,718 90 X 1 000 10,718 90 00 10,718 90 Y 15 1,607 84 RECEIPT DISCOUNT (+) NUMBER INTEREST/PEN PAID (- ~HARGED THROUGH 01-22-2013 APPLICABLE AS OUTLINED ON THE OF THIS FORM 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." AMOUNT PgID TOTAL TAX PAYMENT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 1,607.84 13.98 1,621.82 ~ IF PgIO AFTER THIS GATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ IF TOTAL DUE IS REFLECTED AS A ^CREDIT" (CR), YOU MAV BE DUE A REFUND. HA SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX INHERITANCE TAX DIV ISIDN APPRAISEMENT, ALLOWANCE DR DISALLOWANCE PO BDX 2BU601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG Pp 11128-0601 JOINTLY HELD OR TRUST ASSETS RECORC'°~ ~-;~- 3F ~ Pennsylvania DEPARTMENT OF REVENUE REV-1548 FX AFP (12 -12) REC)$ ~ ~~+ U~ ;' ;,; j ESTATE OF ORNDORFF13 KE Gi3 .;F~~J 1'~ f~i7 ~~ 2~! CHRISTINE L YOUNG CL~R,C ~_,,., , 44 BOND BANK RD RD ~ ,{ f SHIPPENSBURG Ci U ~Q~~~ ~' ~.R DATE OF DEATH 01-08-2012 NNETH FILE NUMBER 21 12-0115 COUNTY CUMBERLAND SSN/DC 161-40-1610 ACN 12110923 APPEAL BY DATE:03-15-2013 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 L CUT ALONG THIS LINE ~'1 RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1548 EX AFP C12-12) ________________ "---------------- NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR 7R UST ASSETS DATE: 01-14-2013 ESTATE OF: ORNDORFF KENNETH L DATE OF DEATH:O1-08-2012 COUNTY:CUMBERLAND FILE NO.: 21 12-0115 S.S/D.C. NO.: 161-40-1610 ACN: 12110923 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: ORRSTOWN BANK ACCOUNT NO.: 4000041041 TYPE OF ACCOUNT: ( )SAVINGS ( ) CHECKING C )TRUST OO TIME CERTIFICATE DATE ESTABLISHED 03-24-2011 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due TAX CREDITS: 8,311 85 X 1 000 8,311 85 00 8,311 85 X 15 1,246 78 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 01-22-2013 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FDRM 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." AMOUNT PAID 70 TAL TAX PAYMENT .00 BALANCE OF TAX DUE 1,246.78 INTEREST AND PEN. 10.84 TOTAL DUE 1,257.62 ~ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ~ '"~~ IF TOTAL OUE IS REFLECTED AS A "CREDIT" CCR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS-