HomeMy WebLinkAbout01-16-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018662
SHIELDS CHARLES EDWARD III
SIX CLOUSER ROAD
MECHANICSBURG, PA 17055
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
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101 � $402.12
ESTATE INFORMATION: sstv: I
FILE NUMBER: 2111 -0147 �
DECEDENT NAME: YOUNG ROBERT L I
DATE OF PAYM ENT: 01/16/2014 �
POSTMARK DATE: 01/15/2014 I
COUNTY: CUMBERLAND (
DATE OF DEATH: 11/15/2010 I
�
TOTAL AMOUNT PAID: $402.12
REMARKS: RECEIPT TO ATTY
CHECK# 1241
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
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INHERITANCE TAX � pe�nsy var��a
RECORD ADJUSTMfNT DEPARTMENTQFREVENUE
:BUREAU DF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION REV-1593 DC:AFP C12-13)
PO BOX 280601 �y�������
HARRISBiIRG PA 17128-0601 t� �����E �� :
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ESTATE OF < YOUNG ROBERT L
���I`� ���! �6 R
� �� �E .OF DEATH 11-15-2010
E NUMBER ` 21 11-0147
��.��IC �}� CDUKTY CUMBERLAND
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SHIELDS CHARLES /►mount Remitted
``' ��:�����Q �Q,,� P�
6 CLOUSER RD
MECHANICSBURG PA 17055-9751 MAKE CHECK PAYABLE kND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQU/tRE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the uRPer portion of this form with your tax payment.
CUT ALflN6 THIS LINE -! RETAIN L�WER PORTIQN FOR YOUR RECORDS �--
�����i��i�1�W����������i��l��������i��ri����r�1►��s�rY�����r�������rrrrr���a��s������sa�rr�������������r�������s������r�
'REV-1593 EX AFP Cl2-13� ** INHERITANCE TAX REC�RD ADJUSTMENT **
ESTATf OF:Y�UNG ROBERT L FILE N0. :21,., 11-0147 q��; 101 DATE: 12-31-2013
AD�usTMENT BASED oN: ADMINISTRATIVE CORRECTIO�N
� VALUE OF ESTATE:
1. Real Estate CSchedule A) �1� .00
2. Stocks and Bonds CSchedule B) �2� .00
� 3. Closely Held Stoak/Partnership Interest CSchedule C) (3) .QD
4. 'Mortgages/Notes RecQivable CSchedule D) �4� .00
5. CashfBank DQposits/Misc. Personal Property CSchedule E) C5) 181.QO
6. Jofntly Qwned Property (Schedule F) C6? .00
7. Transfers CSchedule 6) ��? 154.009.72 �
s. Total Assets C8? 159,190.72
DEDUCTIONS AND EXEMPTIONS:
9. FunQral Expenses/Adn�inistrative Costs/
Miscellaneous Expenses CSchedule H) (9) 7,053.19
10. Debts/Mortgag� Liabilities/Liens CSchedule I} C10) .00
11. Total Deductions C11) 7,053.19
12. Net Value of Tax Return C12) 152,137.53
13. Charitable/6overnmQrttal Bequests; Non-elected 9113 Trusts CSchedule J) C13) .00
14. Net Value of Estata Subject to Tax C14) 152,137.53
TAX:
15. Amount of Line 14 at Spousal rate C15? .Q0�.00 = .00
16. Amount ot Line 14 taxable at Lineal/Class A rate C16� 152,I37.53x.045= 6,846.I9
17. Amount of Line I4 at Sibling rate C17) .00�.12 - .00
18. Amount of Line 14 taxable at Collateral/Class B rate �is� ,pQY.15 = .00
19. Principal Tax Due C19� 6,846.19
TAX CREDITS:
PAY N EC S OUNT C+)
DATE MUMBER INTEREST/PEN PAID C-3 AMOUNT PAID
08-12-2011 CD014851 .00 6,471.25
INTEREST IS CHARGED THROUGH 01-15-2014* TOTAL T/1X PAYMtENT 6,47I.25
AT THE RATES APPLICABLE AS OUTLINED ON THE ALI4MCE aF fA� �UE 374.44
REVERSE SIDE OF THIS FORM � INTEREST AND PEM. 27.I8
TQT/kl DUE 402.12
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REYERSE SIDE OF THIS FORM F�R INSTRUCTIONS.)
REV-1470 EX(01-10)
�
�� p►enr�s�lvan�a tNHERlTANCE TAX
� DEPARTMENT OF REVENUE
EXPLANATION
BUREAU OF INDIVIDUAL TAXfS OF CHANGES
sP0 Box 280601
DECEDENT'S NAME FIIE NUMBER
Robert L.Young . 2111-0147
REVIEWED:BY W� Ot1S . ACN ?O1
�
ITEM :
'SCHEDULE' Np, EXPLANATION OF CHANGES
H 1 Corrected to$2,035.93
�
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Page 1
CHARLES E. SHIELDS, III
ATTORNEY-AT-LAW
6 CLOUSER ROAD
Corner of Trindle and Clouser Roads
MECHANICSBURG,PA 17055
GEORGE M.HOUCK TELEPHONE (717) 766-0209
(1912-1991) FAX (717) 795-7473
January 15, 2014
Register of Wills
Cumberland County Court House
1 Courthouse Square
Carlisle, PA 17013
Re: Estate of Rabert L.Young Sr.
No.21-11-0147
Dear Register of Wills:
,
Please find enclosed for Check No. 1241 in the amount of$402.12 for the balance of
, Inl�eritance Tax due a�d interest. I am also enclosing a copy af the Inheritance Tax Record
Adjustment form REV-159S for your ready reference and convenience.
T`hank you for your kind attention to this matter.
Very truly yours,
,
� �
�
Charles E. Shields, III
� Attorney-At-Law
CES/mjj
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