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Home My WebLink About02-12-08 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KLINE BERNARD 437 BLOSERVILLE RD NEWVILLE, PA 17241 -------- fold ESTATE INFORMATION: SSN: 177-24-5674 FILE NUMBER: 2108-0135 DECEDENT NAME: KLINE CATHERINE F DATE OF PAYMENT: 02/12/2008 POSTMARK DATE: 02/11/2008 COUNTY: CUMBERLAND DATE OF DEATH: 11/21/2007 NO. CD 009295 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08500024 I $192.20 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: BERNARD KLINE CHECK# 3054 SEAL INITIALS: DM RECEIVED BY: REGISTER OF WILLS $192.20 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE IUREAU OF INDIVIDUAL TAXES PO lOX 280601 HARRISBURG PA 17128-0601 ,...~. I"..~ " . ".' n, * _," REV~X54SA' 'AFP (7-00) INFORMATION NOTICE AND TAXPAYER RESPONSE REVISED NOTICE * FILE NO. ACN DATE 21-08"- 133 08500024 01-31-2008 ;-:~:t.~;~ :j.~'~.,~~ * * * 20G8 FEB 12 PM I: 08 EST. OF CATHERINE F KLINE S.S. NO. 177-24-5674 DATE OF DEATH 11-21-2007 COUNTY CUMBERLAND TYPE OF ACCOUNT D SECURITY Iil SEC ACCT D STOCK D BONDS CLERK OF ORowl' ~ "....... ('('I IRT I r ; ,/,"'1', :) \J")UI I CU t./ ~~ :.r--:' (' I~\ P/\ BERNARD D KLINE 437 BLOSERVILLE ROAD NEWVILLE PA 17241 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMERICAN FUNDS has provided the Depart.ent with the info,..ation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a beneficiary of this asset. If you feel this infor.ation is incorrect, please obtain written correction fro. the transfer agent, attach a cOPY to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of Pennsylvania. Questions .~ b. answered by calling (717) 7a7-8321. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 64665121 DOD Valuation Percent Taxable Amount Subject to Tax Tax Rate Potent1al Tax Due x 17,983.92 25.000 4,495.98 .045 202.32 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to I "Register of Wills, Agent". x If tax pay.ents are .ade within three PART [!] :fI:~.:;:::.;.~~::LI:.:;::::::::.:~; .: ~~:;.; ;i:.~:::~;..: '. .:.;::' .... .;.:.'~'. :;':. ::.,~ ~;'.'. ~ .:~.:I~::: J:~:::;.:;;'::.~~. ';~.:~: ~:. :'1~ ':~;~~';'.;.:::: ::.::::::;:: .;; .:t. :.: ; .:f.:;:":' ~;. :_:)::;:::::.~:t~~:~.: ;: ..; .::; ~~:~:::::;::::;~:';:::::::I::;;;::::i:::: ;::..::.:;; ;:. ::;:~~::::; :;:;:~~;:::;;:::; ;-;'; :~:.:;t;; ~.::. .~ .r~ .;; :;'.';~::;~~;;':;;~. :;;:::. ;:.:~;'; ~!;.:~:.:t:::Ji:i;~;! A. MThe above info,..ation and tax due is correct. ~l. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or YOU .ay check box "A" and return this notice to the Register of Wills and an official assess.ent will be issued by the PA Depart.ant of Revenue. [CHECK ] ONE BLOCK ONLY B. DThe above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. C. DThe above infor.ation is incorrect andlor debts and deductions were paid by you. You .ust co.plete PART ~ andlor PART ~ below. PART [!] DEBTS AND DEDUCTIONS CLAIMED If you 1nd1cate a d1fferent tax rate, please state your relat10nsh1p to decedent: PART [!] TAX RETURN - COMPUTATION LINE 1. DOD Valuation 2. Percent Taxable 3. Amount Subject to Tax 4. Debts and Deduct10ns 5. Amount Taxable 6. Tax Rate 7. Tax Due OF 1 2 3 4 5 6 7 x TAX ON ABOVE ASSETCS) x DATE PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on L1ne 5 of Tax Computat1on) . facts I have reported above are true, correct and HOME C '/1 7 ) 11~-'19 I () WORK C) d-II- 0 fI TELEPHONE NUMBER DATE fool. ..~t o f-I. (t.1 .... (..1 (.,1 Ii I .I ...} - ... - := - := ... - :- - :- ~ - :- ..... :- - - :::- :::- :- :::- - :- - ('$.t:\rF err 1~~~ \T~ \ '2. ~t\ \: $'0 1"-, crM (\r l\~::.n~ \.) --<" ~ \- \'" ,-.,("" \ \ ~ \ OBV\.i,h\' ,~,,,:!\!_'f~ \ ct. C\j~f ...\.,. '.' " ?t _ 'i~ ~ -0 ~ 10 P Q,..id'J . ~ :3 ~ I~-: o (":::>. rc _ n... {P ()J ,"-I 5- r ~ .- r ~ % l--L " ~ m ~ 9' rJ ffi ~ OJ C ~ " ~ ] V1 t-J -1 ~ ... i'. it ~ ~~ I JJ; ;~ ~.' ". . ,'jt'... ~t".. ,,: ~ -I ~t f'tt .~ . "T... j,p:lo;""" :' f.1 ~ .~ ~ rA '~I ~:1:~ ',. ' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KLINE BERNARD 437 BLOSERVILLE RD NEWVILLE, PA 17241 -------- fold ESTATE INFORMATION: SSN: 177-24-5674 FILE NUMBER: 2108-0135 DECEDENT NAME: KLINE CATHERINE F DATE OF PAYMENT: 02/12/2008 POSTMARK DATE: 02/11/2008 COUNTY: CUMBERLAND DATE OF DEATH: 11/21/2007 NO. CD 009294 ACN ASSESSMENT CONTROL NUMBER AMOUNT 08500024 I $192.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: BERNARD KLINE CHECK# 3054 SEAL INITIALS: OM RECEIVED BY: '\ I , I r (jV\ ~ 0.. m fJVY\ -\.. REGISTER OF WILLS er\~~.~ VJ -J , + ~ CD OOQd--Q6 . reUL\P tr . r.efIQ~. nuS_ $192.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS )