HomeMy WebLinkAbout02-20-08 (2)
COMMONWEALTH OF PFNN~YI VANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG. PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KLINE BERNARD
437 BLOSERVILLE ROAD
NEWVILLE, PA 17241
-------- fold
ESTATE INFORMATION: SSN: 177-24-5674
FILE NUMBER: 2108-0135
DECEDENT NAME: KLINE CATHERINE F
DA TE OF PAYMENT: 02/20/2008
POSTMARK DATE: 02/1 9/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 11/21/2007
NO. CD 009324
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $52.73
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$52.73
REMARKS: BERNARD KLINE
CHECK# 1635
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
'*'
21-$1)~- 0/35
08105376
02-05-2008
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.
REY~1543 EX AFP (09-00)
TYPE OF ACCOUNT
o SAVINGS
!iJ CHECKING
o TRUST
o CERTlF.
~) tJ
,. '
': \\~~T.\ -OF CATHERINE F KLINE
5.5. NO. 177-24-5674
DATE OF DEATH 11-21-2007
(,~ClpNTY CUMBERLAND
.i.,.. .;
REMIT PAYMENT AND FDRMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
OFF
BERNARD 0 KLINE
437 BLOSERVILLE RD
NEWVILLE PA 17241
PNC BANK has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth
of Psnn$ylvania. Qu~:~io~~ ~~# be answ&red ~y ~~11ir.9 {117i 787~8327.
COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140186647
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rate
Potential Tax Due
PART
[\
Date 10-23-2007
Established
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
1,233.31
X 100.00
1,233.31
X .045
55.50
TAXPAYER RESPONSE
NOTE: If tax payments are made within three
(3) months of th".deced date of death, ~
you may deduct\.- 5%- discount f the tax due. ~ , .~
Any inheritance due Wi become delinquent I~
nine (9) months after the date of death. '-l
he above information and tax due is correct.
You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest. or you may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued bY the PA Department of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=l The 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. c=l The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
4
5
6
7 X
8
PART
[!]
TAX RETURN - COMPUTATION
If you indicate a different tax rate, please state your
relationship to decedent:
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
PART
[!\
DATE PAID PAYEE
DEBTS AND DEDUCTIONS CLAIMED
DESCR I PTI ON
AMOUNT PAID
Under penalties
te to the best
f':
facts
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