HomeMy WebLinkAbout10-20-14 NOTICE OF INHERITANCE TAX a_/ pennsyLvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX _
INHERITANCE TAX DIVISION REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG.PA 17128-0601 RECORDED OFFICE OF
R E rul S T FR CF WILLS DATE 10-21-2014
ESTATE OF ORLOWSKY JAMES M
?014 OICT 20 PM 12 18 DATE OF DEATH 04-18-2010
FILE NUMBER 21 10-0503
C' F COUNTY CUMBERLAND
ACN 502
VERNEY ESQ '\NM' APPEAL DATE: 12-20-2014
C 1�i L'I
44 S HANOVER S90 IAN CCU-IT
CARLISLE CUM KANVWS-rt'30iPA (See reverse side under Objections)
Amount Remittedl
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 4-
i_Ei:_1i4_i---X--A-F�-i-0-8:-li-)--N6-Tii-E--Oi-i-N-Hi-Ri-Ti-N-C-E-i-Ai-i�-Pi-Ai-S-E-M-E�-T-,-i-L-L6-Wi-NE-E--Oi---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: ORLOWSKY JAMES- MFILE NO. :21 10-0503 ACM: 502 DATE: 10-21-2014
TAX RETURN WAS. OO ACCEPTED AS FILED C CHANGED
APPRAISED VALUE OF RETURN BASED ON: LITIGATION RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Hold Stock/Partnership Interest (Schedule C) (S) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 20,673. 19
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 20,673. 19
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 500.00
10. Debts/Mortgage Liabilities/Lions (Schedule 1) (10) .00
11. Total Deductions (11) 500.00
12. Not Value of Tax Return (12) 20,173.19
13. Charitable/Governmental Requests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 20,173.19
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 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 (15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) ?n.171-19 x 045 = 907.80
17. Amount of Line 14 at sibling rate (17) - nn x 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) .00 X 15 = .00
19. Principal Tax Due C19)= 907.80
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-01-2013 CDO17249 .00 907.80
TOTAL TAX PAYMENT 907.80
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 (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.