HomeMy WebLinkAbout04-04-08
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B060 1
HARRISBURG PA 1712B-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
R:'('(~l1IeelOli'lfltH~n ANCE TAX
AP'P~~~~Iit,:J~~.~l>WAkCE OR DISALLOWANCE
OF Dtn.!J~:qg~SJ;~A~q: "~SESSHENT OF TAX ON
JOINTLY HELO'm< TRUST ASSETS
REV-154B EX AFP (06-05)
BERBARD 0 KLINE
437 BLOSERVILLE RD
NEWVILLE PA 17241
ZDOB APR -4 PM ,: ~~~;TE OF
DATE OF DEATH
CLERK OF FILE NUMBER
ORPHtJ\'S ':~O~JRT ~~~~~~
Cl} '~""I) DI\ACN
04-07-2008
KLINE
11-21-2007
21 08-0135
CUMBERLAND
177-24-5674
08105375
APPEAL DATE: 06-06-2008
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CAHTERINE F
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REY=is4S-EX-AFP-C03=OSj--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-07-2008
ESTATE OF KLINE
CAHTERINE F DATE OF DEATH 11-21-2007
COUNTY
CUMBERLAND
FILE NO. 21 08-0135 S.S/D.C. NO. 177-24-5674
TAX RETURN WAS: eX) ACCEPTED AS FILED e) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
08105375
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5003265939
TYPE OF ACCOUNT:
DATE ESTABLISHED
~ )SAVINGS e) CHECKING e )TRUST e )TIME CERTIFICATE
10-23-2007
x
3,172.85
1.000
3,172.85
.00
3,172.85
.45
142.78
NOTE: TO INSURE 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 TO:
"REGISTER OF WILLS, AGENT."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT e+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID e-)
PAYMENT MUST BE MADE BY 08-22-2008*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 142.78
INTEREST AND PEN. .00
TOTAL DUE 142.78
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
{ IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" { CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE Sln~ 01= T~TC::: ~nJ)M cone T....~TDII,...TTn...r- "
0-0
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'""';("\~r,r\r+!1 (':f""r'"Il"i (',r;
',~,:'vvnL)::i", \~~;Ti'*Ot-t:CE OF INHERITANCE TAX
P[(:::;''::APP~AWi\:R€.NT. ALLOWANCE OR DISALLOWANCE
,L'~Jl_'; ~b;F""OEIiuCT"I'oNS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
200B APR -4 PM I: 53
REV-1548 EX AFP (06-05)
CLERK OF
ORnw. <\f,.i'S ('('II IRT
II l,f-;!..., '..../....,/\...- ,i
BERNARD 0 KLINE CU!"E'==' "'0 PA
437 BLOSERVILLE RD
NEWVILLE PA 17241
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-07-2008
KLINE
11-21-2007
21 08-0135
CUMBERLAND
177-24-5674
08105376
APPEAL DATE: 06-06-2008
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CAHTERINE F
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REY=is4S-EX-AFP-C03=Os5--------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-07-2008
ESTATE OF KLINE
CAHTERINE F DATE OF DEATH 11-21-2007
COUNTY
CUMBERLAND
FILE NO. 21 08-0135
TAX RETURN WAS:
S.S/D.C. NO. 177-24-5674
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
08105376
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5140186647
TYPE OF ACCOUNT:
DATE ESTABLISHED
()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
10-23-2007
x
1,233.31
1. 000
1,233.31
.00
1,233.31
.45
55.50
NOTE: TO INSURE 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 TO:
"REGISTER OF WILLS, AGENT."
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Ra,te
Tax Due
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
PAYMENT MUST BE MADE BY 08-22~2008*. TOTAL TAX CREDIT .00
BALANCE OF TAX DUE 55.50
INTEREST AND PEN. .00
TOTAL DUE 55.50
* IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR). YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR TN<:.TI2I1('TTn..., ,
Q
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX ;!~B0601
HARRISBURG, PA 17128-0601
REV-1548A AFP (06-05)
Z008 APR -4 PM ,: 53
04-07-2008
KLI NE
11-21-2007
21 08-0135
CUMBERLAND
177-24-5674
08500024
APPEAL DATE: 06-06-2008
(See reverse side under objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CAHTERINE F
CLERK OF
QRDi-!, /Il-.I'C: ('fJl 1RT
Ii; ,r\, ~ i~' \,...... l.., II
BERNARD D KLINE 01 !',">:r,,~r) p/\
Vl"j;~'- I,.; -."
437 BLOSERVILLE ROAD
NEWVILLE PA 17241
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
RE-V=i5~iA--~FP--(Oi:-035-------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE 04-07-2008
ESTATE OF KLINE
CAHTERINE F DATE OF DEATH 11-21-2007
COUNTY
CUMBERLAND
FILE NO. 21 08-0135
TAX RETURN WAS:
S.S/D.C. NO. 177-24-5674
(X) ACCEPTED AS FILED () CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
ACN
08500024
NAME OF SECURITY:
AMERICAN FUNDS
ACCOUNT NO.
64665121
TYPE OF ASSET:
( ) SECURITIES ()() SECURITY ACC ( ) STOCK () BONDS
x
17,983.92
0.250
4,495.98
.00
4,495.98
.45
202.32
NOTE: TO INSURE 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 TO:
"REGISTER OF WILLS, AGENT."
DOD Va,luation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
02-11-2008 CDOO9295 10.12 192.20
TOTAL TAX CREDIT 202.32
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
c:::.1:'1:' CC\lCCC::C' ~Tnc nc TUT~ I""'f'\nu r-...."'" yu.................-..-...- ...
ROBERT
1812 ELF
SEBRING
CLERK OF T
^1\"I"' ('nun
ORPKh. 1:> '-J J n \
I,.... __ :)' ,~; t l r"i l~.\r,\ 0/\
C\ H"\ ',C\,. \'
W KL I NE "" ' , " "
DRIVE
COMMONWEALTH OF PENNSYLVANIA
_D~ARTMENT OF REVENUE
MtSOIDCf) ~f!~~L~~~
: S3BENEFICIARY FOR"
Z068 ~PR -4 Pl'\ \" DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2B0601
HARRISBURG, PA 1712B-0601
REV-1548A AFP (06-D5>
FL 33872
04-07-2008
KLINE
11-21-2007
21 08-0135
CUMBERLAND
177-24-5674
08500026
APPEAL DATE: 06-06-2008
(See reverse side under objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CAHTERINE F
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
RE-V=i5~8A---AFP--(oi:-035-------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE 04-07-2008
ESTATE OF KLINE
CAHTERINE F DATE OF DEATH 11-21-2007
COUNTY
CUMBERLAND
FILE NO. 21 08-0135
TAX RETURN WAS:
S.S/D.C. NO. 177-24-5674
CX) ACCEPTED AS FILED C) CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
ACN
08500026
NAME OF SECURITY:
AMERICAN FUNDS
ACCOUNT NO.
64665121
TYPE OF ASSET:
( ) SECURITIES (Xl SECURITY ACC ( ) STOCK () BONDS
x
17 , 983.92
0.250
4,495.98
.00
4,495.98
.45
202.32
NOTE: TO INSURE 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 TO:
"REGISTER OF WILLS, AGENT."
DOD Vclluation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
02-08-2008 CD009285 10.12 192.20
TOTAL TAX CREDIT 202.32
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
S~I= RI=VI=R~1= ~TnJ: nJ: TUTlO:: eno.. enD TtJc-TDII,...TTnLlc. "
~
zooa APR -4 PH I: 53,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
!)C,"nprY:ll ncq("4fH":"ICE OF INHERITANCE TAX
i \:~.;':: .... ;!~. ;:1.}. '. AP'P. .JtA. t'..Sf: NT J. ALLOIfANCE OR DISALLOIfANCE
i-"" .:"'. ' "' i. ~ .nIEI\ut: ONzs.L AND ASSESSKENT OF TAX ON
[ '.. 'J..J ii..' i~. i -me SECURITY ACCOUNTS HELD IN
BENEFICIARY FORK
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
*'
BUREAU OF INDIVIDUAL TAXES
INHERITA,NCE TAX DIVISION
PO BOX 2'80601
HARRIS8URG, PA 17128-0601
REY-1548A AFP (06-05)
AZ 85027
04-07-2008
KLINE
11-21-2007
21 08-0135
CUMBERLAND
177-24-5674
08500027
APPEAL DATE: 06-06-2008
(See reverse side under objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CAHTERINE F
JANET
20609 N
PHOENIX
CLERK OF
ORnH' f II'" ("\' lpT
,t-' P.!\; ~ \..)Jl~, i i
C JACKsgt-frY~c: ,._p,n.~:c" Pf\
31ST AVE
TO:
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
RE-v=i5~iA--~FP--(Oi:-035-------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS
AND ASSESSMENT OF TAX ON SECURITY ACCOUNTS HELD IN BENEFICIARY FORM
DATE 04-07-2008
ESTATE OF KLINE
CAHTERINE F DATE OF DEATH 11-21-2007
COUNTY
CUMBERLAND
FILE NO. 21 08-0135
TAX RETURN WAS:
S.S/D.C. NO. 177-24-5674
eX) ACCEPTED AS FILED () CHANGED
BENEFICIARY FORM OF ASSET INFORMATION
ACN
08500027
NAME OF SECURITY:
AMERICAN FUNDS
ACCOUNT NO.
64665121
TYPE OF ASSET:
( ) SECURITIES (Xl SECURITY ACC ( ) STOCK () BONDS
X
17,983.92
0.250
4,495.98
.00
4,495.98
.45
202.32
NOTE: TO INSURE 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 TO:
"REGISTER OF WILLS, AGENT."
DOD V..luation
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax R.lte
Tax Due
X
TAX CREDITS:
PAYiMENT RECEIPT DISCOUNT e+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID e-)
02-11-2008 CD009303 10.12 192.20
TOTAL TAX CREDIT 202.32
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF IPAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR TNc:.TRlII'TTO'Ic:. ,
~
I