HomeMy WebLinkAbout07-25-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 8-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-961
N0. CD 016298
KLINE ROBERT P
714 BRIDGE STREET
P.O. 461
NEW CUMBERLAND, PA 17070
fold
ESTATE INFORMATION: SSN: 187-12-7879
FILE NUMBER: 211 1-0907
DECEDENT NAME: DAHL LENA
DATE OF PAYMENT: 07/25/201 2
POSTMARK DATE: 07/24/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 05/26/201 1
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ S 1 1.86
TOTAL AMOUNT PAID:
S 1 1 .86
CHECK# 4247
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
One Courthouse Square, Room 102
Carlisle, PA 17013
Dear Glenda:
ROBERT P. KLINE, ESQ.
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July 24, 2012 a'+
Re: Estate of Lena Dahl
No. 21-11-0907
Enclosed with this letter you will find a check in the amount of $ 11.86,
representing the total due pursuant to the attached Notice of Inheritance Tax
Appraisement received from the Pennsylvania Department of Revenue in regard to the
above-referenced estate.
If you have any questions, please do not hesitate to contact me at my office.
Ver ours,
Robert P. Kline, Esquire
RPK/srf
Enclosure
cc: Charles R. Dahl
714 Bridge Street
P.O. Box 461
Nees Cumberland. PA 17070
r?17~ 770-2540
1717) 24 3-59-10
Fax (?171770-2553
~~` `"1f:'~~(~. ~~~F INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES 1 i~ ~, t ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION ~~~ i~UC '3'~° 1~S AN
PO BOX 280601 D ASSESSMENT OF TAX REV-1547 EX AFP Clz-il)
HARRISBURG PA 17128-0601
ROBERT P KLINE
714 BRIDGE ST
PO BOX 461
NEW CUMBERLAND
2oi2 JUL 25 AM ii. 2b
DATE 07-16-2012
ESTATE OF DAHL LENA
'-~''' DATE OF DEATH 05-26-2011
~~~`~ "~~~i FILE NUMBER 21 11-0907
~~~~~ ~~~ ~ COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-14-2012
(See reverse side under Objections)
PA 17070-0461 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~-- RETAIN LOWER PORTION FOR.YOUR RECORDS E-~ _ _
------------------------ ----------------------
REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
--------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DAHL LENA FILE N0.:21 11-0907 ACN: 101 DATE: 07-16-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A] (1) 133,800.00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3] .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 2,64 6.94
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .0 0
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: ($) 136,446 94
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (y) 7.6 7 i~
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)_ 215.35
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113.Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
NOTE: If an assessment was issued previously, lines 14, 15
reflect figures that include the total of ALL return
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line.14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
cll) 7,852.68
tlz] 128,594.26
C13) . 00
C14) 128,594 26
and/or 16, 17, 18 and 19 will
s assessed to date.
c15) . 00 x
C16) 1 7 8 . X94 . 76 )C
cl~) . nn x
Cla) .00 X
TAX CREDITS:
PAYMENT
DATE
03-22-2012 RECEIPT
NUMBER
CD015745 DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
.00 5,786.74
_ -___ _. _....._., ...."~~,,,,~C,\/'1L1 T HJ ur us-ZS-2012
~ IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX PAYMENT 5,786.74
BALANCE OF TAX DUE .00
INTEREST AND PEN. 11.86
TOTAL DUE 11.86
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
00 = .00
045 = 5,786.74
12 = .00
15 = .00
C19)= 5, 786.74
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