HomeMy WebLinkAbout08-29-14 NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE '�.t1' DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX iX REV-1547 Ex AFP (06-13)
PO BOX 289601
HARRISBURG PA 17128-0601
DATE 09-01-2014
ESTATE OF ORLOWSKY JAMES M
DATE OF DEATH 04-18-2010
FILE NUMBER 21 10-0503
COUNTY 21CUMBERLAND
VERNEY ESQ JACQUELINM ACN 501
44 S HANOVER ST APPEAL DATE: 10-31-2014
CARLISLE PA 17013-3306 (See rererseside under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS
_ LINE RETAIN LOWER PORTION-FOR-YOUR-RECORDS OWt_-
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REV__5_4_7__E_X-AFP C08-137-NOTICE OF INHERITANC_E TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ORLOWSKY JAMES MFILE NO. :21 10-0503 ACN: 501 DATE: 09-01-2014
TAX RETURN WAS: ( X) ACCEPTED AS FILED C S CHANGED
APPRAISED VALUE OF RETURN BASED ON: LITIGATION RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Sohedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership interest (Schedule C) (3) 00 submit the upper portion of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •06 tax payment.
5. Cash/Bank Deposits/Misc, Personal Property (Schedule £) (5) 166,658.61
6. Jointly Owned Property (Schedule F) (6) .00
7, Transfers (Schedule G) (7) .00
8. Total Assets (s) 166,658.61
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expensos/Adm. Costs/Misc. Expenses (Schedule M) (9) 815.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions (11) 815.00
12. Net Value of Tax Return (12) 165,843.61
13. Charitable/Govornmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) .00
14. Met Value of Estate Subject to Tax (14) .._J65,843.61
a 73
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 172 18 ands Fn
1WTQI
reflect figures that include the total of all returns assess3w!�o dat ca p
L9
ASSESSMENT OF TAX: CD -D
15. Amount of Lino 14 at spousal rate (15) •00 �) - -:P--i( -00
ib. Amount of Line 14 taxable at lineal rata (16) 166-A 43.61 W 5T1 co 7',46Z.96
17. Amount of Line 14 at sibling rate (17) . 00
18. Amount of Lino 14 taxable at collateral rate (18) .00 C- 0
19. Principal Tax Due cj 7;AZ.96
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) G.1 Cn
A N T
DATE NUMBER IN7ERESTIPEN PAID (-) AMOUNT PAID
4-29-2014 CDO19 76 .00 7,4 2.96
TOTAL TAX PAYMENT 7,462.96
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .DO
k IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.