HomeMy WebLinkAbout04-21-06
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
SHIELDS CHARLES E III
6 CLOUSER ROAD
MECHANICSBURG, PA 17055
-------- fold
ESTATE INFORMATION: SSN: 1 81 -0 1 - 1 721
FILE NUMBER: 2105-0212
DECEDENT NAME: BRECHBIEL VIRGINIA
DATE OF PAYMENT: 04/21/2006
POSTMARK DATE: 04/20/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 02/20/2005
NO. CD 006585
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $78.21
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$78.21
REMARKS:
CHARLES E SHIELDS, III ESQ
CHECK#1084
SEAL
INITIALS: RSK
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
04-10-2006
BRECHBIEL
02-20-2005
21 05-0212
CUMBERLAND
101
APPEAL DATE: 06- 09-2006
( See reverse side under Objections)
Amount Rami tted I '7 8 ~ R I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
9Yr_~~9~~_r~~~_~~~~______~___~~!~!~_~9~~~_~9~!!9~_E9~_Y9~~_~~~9~P~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
VIRGINIA FFILE NO. 21 05-0212 ACN 101
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
~ 4/1;'/b('
CHARLES E SHIELDS III
6 CLOUSER RD
MECHANICSBURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17055
ESTATE OF
BRECHBIEL
REV-1547 EX AFP (06-05)
VIRGINIA
F
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
DATE 04-10-2006
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (lB)
19. Principal Tax Due
TAX CREDITS:
.00 X 00 = .00
221,153.63 X 045 = 9,951.91
.00 X 12 = .00
.00 X 15 = .00
(19)= 9,951.91
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
B. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
166,500.00
13.009.78
.00
.00
21.067.16
.00
51,210.72
(B)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
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
(9)
(10)
28,748.36
1.885.67
(11)
(12)
(13)
(14)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
251,787.66
30.634 03
221,153.63
.00
221,153.63
t"AYMt:NI 1(t:l,;t:~t"1 (+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
05-20-2005 CD005350 250.00 4,750.00
02-22-2006 CD006356 .00 4,951.91
BALANCE OF UNPAID INTEREST/PENALTY AS OF 02-23-2006 TOTAL TAX CREDIT 9,951.91
BALANCE OF TAX DUE .00
INTEREST AND PEN. 78.21
TOTAL DUE 78.21
. IF PAID AFTER DATE INDICATED, 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 "CREDIP' (CR), YOU MAY BE DUE
CHARLES E. SHIELDS, III
ATTORNEY-AT-LAW
6 CLDUSER ROAD
Corner ofTrindle and Clouser Roads
MECHANICSBURG, PA 17055
GEORGE M. HOUCK
(1912-1991 )
TELEPHONE (717) 766-0209
FAX (717) 795-7473
April 20, 2006
Register of Wills
Cumberland County Court House
1 Court Square
Carlisle, P A 17013
Re: Estate of Virginia F. Brechbiel
No. 21-05-00212
-( Dear Register of Wills:
Please find enclosed Check No. 1084, in the amount of $78.21 for the Inheritance Tax
Interest Balance Due for the above-mentioned Estate.
Thank you for your kind attention to this matter.
Very truly yours,
~{LU
Charles E. Shields, III
Attorney-At- Law
CES/mjj
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