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Home My WebLink About12-22-11 1505610101 REV-1500 °` `01-1Q' '~' oFFlCIa. usE oiylr PA Department of Revenue P~ ~ Code Year Fle Number Bureau of Individual Taxes '"""~"~°""`"` ~ _...._ .................... PO BOX z8o6os :...................._., _..~............._.._.... ... _.... INHERITANCE TAX RETURN :: ° ~~ Harrisburg, PA i~i28-o601 RESIDENT DECEDENT o~~ j l ~ C~D 7~' MMDDYYYY Date of Birth MMDDYYW 02/01/1924 __........_....__._ ......... ....._....._ _........_..._._.~ .__v..__ __... _._...._.......~ Suffix Decedent's First Name MI _. ... _-, i........ Thomas ; B _. ~ . SuiBx Spouse's First Name MI ___.., ..... _.....~~.._._..__.....__.._...._..._._..._r_,....__- .............__..._, THIS RETURN MUST BE FILED iN DUPLICATE WITH THE _..........' REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW ~ 1. Original Retum O 2. Supplemental Retum O 3. Remainder Retum (date of death A~ to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required deatfi after 12-12-82) tii~ 6. Decadent Hied Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe ~P~b Boxes (Attach Copy of ~fl) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Eiectlon to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O} CORRESPONDENT - THIS SECTWN MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFiDENTU1l TAX INFORMATION SHWLD BE DIRECTED T0: Name ,.. _ . _ .. . Da tme T yt' elepho a Number ;Andrew C Shealy, Esquire . _. _. _ .... _ ,_ ._ 717-697 705~ -- = p -,~ ~:~ REGISTER. U8E LY ~~ .;~.~ ~ ~ r C/a :3~-' First line Qf address :c.. `--~ rr'1O '- , :127 South Market Street _ _... _ _..._ ... . ..., ~ ~ ~ ~ ~' ~ -s~-y ~, Second hne of address , -~ "i ~, f ~. ~, ~; P.O. Box 95 "' ... _ . ...._..__..__ .. _ . .._ _. _ City or Post Office ._ .. _ .. _ .._ _J State ZIP Code DATE FlL.ED :Mechanicsburg PA :17055 Spouse's Social Security Number Cor'respondent's e-rrtail address: andrewc.sheely@velizon.net Under penalties of perjury, t declare that 1 have examined this return, induding accompanying sdredules and statemerns, and to the best of my knowledge and belief, it is true, corned and complete. Declaration of preparer other than the personal reprosentative is based on all inf°mration ~ which preperer has any knowledge. SIGNAT E OF PER R ISLE FOR FIL RETURN ~e~re -- 1 a.'~')~.'~lll1 Terry R.Stewart, Executor, 19 West Marble Street, Mechanicsburg, PA 17055 OF~r~~ME~THAN REPRESENTATIVE Andrew C. Shealy, Esquire; ~7 South Market St,Mechanicsburg, PA 17055 PLEASE USE ORIGINAL FORM ONLY L 1505610101 Side 1 1505610101 f 0 J 1505610105 REV-1500 EX Decedent's Name: Stewart, Thomas B. RECAPITULATION 1. Real Estate (Schedule A) ............................................. 1. 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. Decedent's Social Security Number 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. ~ ~~ ~~ _ ~~ ~,_~ ~ ~,~ -_E 5. Cash, Bank Deposits and Miscellaneous Personal Pro )....... $20,708. party (Schedule E 5. _...~.._._.-,_,~~.,.-,~. ....... 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. ` $17,911.89 _.._.. _ ......._.. _......._,..._._. __...._i 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property $60,289.34 {Schedule G) O Separate Billing Requested...... 7 Yµ ,.....,~....__._..,. ^, ...._._.~^ 4~ ~~~~ 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. $98,908.47 9. Funeral Expenses and Administrative Costs {Schedule H} ................... 9. ; $13,487.96 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I} .............. 10. ` $3,615.00 11. Total Deductions (total Lines 9 and 10) ................................. 11. $17,102.96 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. $81,806.51 13. Charitable and Governmental 8equests/Sec 9113 Trusts for which ~'~~~"~'~'~mm ~~mw~M~~~~M~~~~~m an election to tax has not been made (Schedule J) ........................ 13. .,~._.._.w..._.........,,.......~..__.. ~. 14. $81,806.51 ~ 14. .Net Value Subject to Tax (Line 12 minus Line 13) ........................ TAX CALCULATION -SEE tNSTRUCTlONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate or transfers undp~ sec. 9116 16. Amount of Line 14 +~~able ; $3,681.29;, 806 51 $81 at Iineal rate x .045 , 16. -,«......~~,_..~.~ _.~..~..~,...~__. 17. Amount of Line 14 taxable .,...,...._..~..._.._ .,_.,....~..~....., .. . ...~-__.. at sibling rate X .12 ..~-.~, . .,.~,.._....._w_..~._~....,_.~~ _ .,.._ 17. .k....-..~..._r ,~...._..__,__......~_.._._..,_. ~..._.....a~..._.< .~ 18. .,,~.. ,~. Amount of Line 14 taxable ~~ '. at collateral rate X .15 18, $3,681.29 19. TAX DUE ............................ ..... 19. ....................... 20. FILL tN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O $ICj@ 2 1505610105 1505610105 REW1500 ~C Page 3 Decedent's Complete Address: File Number pFr. nFNrc aiaf~tF Thomas B. Stewart --~- - _-V v S`TDCCT Af111D000 19 West Marble Street _ ~ cMechanicsburg s-rarFpA Z~17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) $3,681.29 2. Credits/Payments _ . _ ... A. Prior Payments _ $3,300.00 8. Discount $173.67 Total Credits (A + B) (2) $3,473.67 3. Interest (3) _ 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $207.62 Make check payable to: REGISTER OF WILLS, AGENT. .. ;~~~.~ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :........................................................................................ .. ^ b. retain the right to designate who shall use the property transferred or its income : .......................................... .. ^ I~ c. retain a reversionary interest; or ........................................................................................................................ .. ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. ff death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................................................................ .. ^ 3. Did decedent own an in trust for" or payable-upon-death bank account or security at his or her death? ............ .. ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ...................................................................................................................... .. ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS lS YES, YOU MUST COMPLETE SCHEDULE G AND F{LE R AS PART OF THE RETURN, For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i}]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or far the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1} (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disdosure of assets and filing a tax return are stiN applicable even if the surviving spouse is the only benefidary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedents lineal benefidaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA DEF~ARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014927 STEWART TERRY R 19 WEST MARBLE ST MECHANICSBURG, PA 17055 ESTATE INFORMATION: SSN: 210-12-2568 FILE NUMBER: 2111-0678 DECEDENT NAME: STEWART THOMAS B DATE OF PAYMENT: 09/02/201 1 POSTMARK DATE: 09/02/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 06/08/201 1 REMARKS: RECEIPT TO ATTY CHECK# 041 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $3,300.00 TOTAL AMOUNT PAID: INITIALS: WZ REV-1162 EX(11-96) 53,300.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER • REV-1506 EX+ (8.99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT E8'TATE OF Thomas B. Stewart FlLE NUMBER 21-11-0678 Include the proceeds of litigation and the date the proceeds wen: received by the estate. All property )otrnyr-0wnad with rloht of wrvhrorshtu must be disclosed on sd~.dWe F scN~ou~E E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY (If more space is needed, insert additlonal she6ts of the same size) _.. _ Ju1.21, 2011 10:18AM FNS BANK ~~ i.s~rl6TiiLe WJIY July 2?, 2011 Andrew Sheely Attorney at Law 127 S Market St Apt B Mechaaicsbmg, PA 17055 RE: Thous B Stewart SSN: Z10-12-25b8 DOD: 06-08-2011 Dear Mr. Shecly: No, U7jy r, I/[ In response to yow request for Date of Desth (DOD) balances for the customer noted above, our records show the following: C6eckin-g Account Account # 5070087343 Established: 01-01-1979 THOMAS B STEWART TERRY R STEWART DOD balance: $ 25,822.81 + 0.97 accrued interest Interest paid 01-01-2011 thru06-08-2011 $ 7.93 YTD Stt~fiags Account Ac:caunt # 5030007978 Established: Ol-O1-1979 THOMAS P STEWART DOD balance: $ 20,206.24 + 2.00 accrued interest Interest paid 01-01-201 l tl~ru Ob-08-2011$19.48 YTD Please Home that this officx provides date of death balances for deposit accouuats (.RAs, CDs, Ch~lcing and Savings). We do not process aq' II~aaACial transactions or provlck stateme~s. If yon need assistance with awry of these items, please call 1-888-PNC-BANK (1-888-7b2-22bs) or stop by Your local PNG Baulc b~snch office. Sincerely, National Financial Services Center PNC Bad N.A. Member FDIC Page 1 of 2 REV~15og DI+ (at-io) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCNEpYLE F JOINTLY-OWNED PROPERTY ESTATC OF: FILE NUMBER: Thomas B. Stewart 21-11-0678 If an asset became jointly owned within one year of the decadenYs date of death, R must be reporEed on 8cheduk G, SURVII/ING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A.Terry R. Stewart 19 West Marble Street, Mechan'~csburg, PA 17055 Son B•CathyA. Rubin C. aOINTLY OWNED PROPERTY: 140 Corey Place, Huntington Station, NY 11746 Daughter rtEM NU LETTER FOR JOINT TENANT' DATE MADE ]DINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FiNArKIAL INSTIMION AND BANK ACCOUNT NUMBt3t Wt SIMIIAR IDDENnFYIN6 ATi Dt3~ FOR >DINTLY HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET 96 OF DEC®H(T5 1NT13tE5T DATE OF DEATH VALUE OF DEC~EI+IT'S INTEREST i. A. 01/01179 PNC Bank Checking Aoct. #5070087343 - $25,822.81 prinapal at date of $25,823.78 50% $12,911.89 death, $.97 accrued interest 2. B 07102107 2007 Pontiac Abe, good condition, 23,000 miles $10,000.00 50% $5,000.00 17,911.89 TOTAL (Also enter on Line 6, Recapitulation) # . If more space is needed, LISe additional sheets of paper Of the same size. N 'V V7. V REV;1510 EX+ (08-09) Pennsylvania SCHEDULE G ~DEPARTMENTOFREVENUE INTER-VIYOS TRANSFERS AND INHERiTANCETAXRERIRN MISC. NON-PROBATE PROPERTY RESIDENT DEC®t~IT ESTATE OP FILE NUMBER Thomas B. Stewart 21-11-0678 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY vlaaloE ~ ww~ ~ ~ , nE-a t~uno~uv ~ T ~ n+E oarE oF'rRara~. arraai a care of ne oe~ roR rtFU grab. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCWSION avPU TAXABLE VAW E 1. PNC investment Acct#80794146 -Annuity $60,289. 100% $60,289.3 TOTAL (Also enter on Line 7, Recapitulation) $ ` $60,2139.34 -- If more space is needed, use additional sheets of paper of the same size. REV-iSll EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE iNHER[TANCE TAx RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF Thomas B. Stewart Decedent's debts must be reported on Sd~eduk I. FILE NUMBER 21-11-0678 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Myers-Buhrig Funeral Home $7,192.00 2• Funeral Lundteon $256.46 3• Headstone engravng $185.00 B. l ADMINISTRATNE COSTS: 1. Personal Representative Commissions: $0.00 Name(s) of Personal Representative(s) Terry R. StewartlCathy A. Rubin street Address _19 West Marble Street/140 Corey Place city _Mechanicsburg / Huntington Station ` state PAS zIP 17055/11746 Ny Year(s) Commission Paid: . $1,590.00 2. Attorney Fees: /~r~ G~f-~ W C , rjhCG~Y y ~~c~~ ~ $3,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) claimant Terry R. Stewart street Address 19 West Marble Street C'ay Mechanicsburg _ state PA zIP 17055 Relationship of Claimant to Decedent Son $149.50 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer fees: ~. FGng Fee $15.00 B• Reserves to conclude Estate administration, First and Final Accounting, Decedents 2011 income tax $600.00 and filing. 13,487.96 TOTAL (Also enter on line 9, Recapitulation) ~ If more space is needed, use additional sheets of paper of the same size. RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: Cumberland County - Register Of Wills Receipt Time: One Courthouse Square Receipt No.: Carlisle, PA 17613 STEWART THOMAS B 6/152011 10: 2:51 1065948 Estate File No.: 2011-00678 Paid By Remarks: TERRY R STEWART HMW ------------------- ----- Receipt Distribution ----- -------- ------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST WILL 20.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 15.00 16.00 CUMBERLAND CUMBERLAND COUNTY COUNTY GENERAL GENERAL FUN FUN JCS FEE AUTOMATION FEE 23.50 5.00 ---- BUREAU OF RECEIPTS CUMBERLAND COUNTY & CNTR GENERAL M.D FUN Cash ------------ $79.50 Total Received..... .... $79.50 Y.A~T WILL ~ TESTAMENT of THOMAS B. STEWART I, THOMAS B. STEWART, of the Borough of Mechanicsburg, County of Cumberland, State of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all former wills, codicils and other testamentary dispositions by me at any time heretofore made. 1. I direct my Executors, hereinafter named, to pay as soon as practicable after my decease all my legally enforceable debts and the expenses of my last illness and burial. 2. I give, devise and bequeath all of my estate, whatsoever and wheresoever situate, unto my children, Cathy A. Rubin and Terry B. Stewart, equally, share and share alike. 3. I hereby nominate, constitute and appoint my daughter, Cathy A. Rubin and my son, Terry R. Stewart and the survivor of them, Executors of this my Last Will and Testament. 4. I hereby .direct that my Executors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, THOMAS B. STEWART, the Testator, have hereunto set my hand and seal to this my Last Will and Testament on this ~T~ day of A'~1 ~ , 2011. /~, ~, ~ ~ Thomas B. Stewart Signed, sealed, published and declared by the above named THOMAS B. STEWART. Testator, as and for his Last Will and Testament in the presence of us, who, at his request and in his presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto. fitness Witness 1 08/31/2011 08:43 7177.951291 MYERS-BLIHh'lta hL114tKHL °.,"~„~ MYERS ~BUHRIG r~ GDJ G~ Terry Stewart 19 West Marble Street Mechanicsburg, PA 17055 v. a~a ~~°~~~~ INVGICE Invoice Number: 10113 Invoice Date: Ju{ 31, 2011 Page: ~ Net 30 Days Past due ao~unts ae 5ub)ect to IaOe dtarge8 OF 1.596 pcr mornh. Tban~. you for allowing us to serve you anal your family. Robert k 13u1trig.,Jr., PD, CkSP, Supervisor -Melissa A. liter, FD - (717) 7b6-3421 -tax: (717) 795-729 J, www,Mycrs-13uhrig.onm - DirecOOfc's~MYers-8uhrig.cobn - 37 East Maim Street, Meda~snicsburg, Pex7izxsglvania, 17055 ' REV-1512 EX+ (12-08) Pennsylvania DEPARTMENT of REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Thomas B. Stewart 21-11-0678 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medial expenses. If more space is needed, insert additional sheets of the same size. • REVi513 EX+ (9-00) scNEOU~ ~ COMMONWEALTH of PENNSnvaN1A BENEFICIARIES INHERITANCE TAX RETINtN RESIDENT DECEDENT ESTATE OF FILE NUMBER Thomas B. Stewart 21-11-0678 ' RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Lbt Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9118 (a) (1.2)) 1. Teny R. Stewart, l9 West Marble Street, Mechanicsburg, PA 17055 Son 50% of Rest, Residue ~f FStata 2. Cathy A. Rubin, 140 Corey Place, Huntington Station, NY 11746 Daughter 50% of Rest, Residue of Estate ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THRO UGH 18, AS APPROPRIATE, ON RE V 1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~ f (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, THOMAS B. STEWART, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to and acknowledged before me by THOMAS B. STEWART, the Testator, this ~-~`" day of __~ r, ~ , 2011. Dawn s. sway, Noa~- aueac ~ eao. cumberlsrd c~ ~ comntssioe o~ oct ~. 2otz COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND t . ss. and ~Gc~,r~ tmad ~ the witnesses whose names are signed to the attached or fo going instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator, THOMAS B. STEWART, sign and execute the instrument as his Last Will, that he signed willingly and that he /she executed it as his/ her free and voluntary act for the purposes therein expressed, that each of us in the hearing and sight of the Testator, signed the Will as witnesses, and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to and subscribed before me by L L - ~u and -~/a I'-'~ witnesses, this day of n 1 , 2011.~/ do/ Witness co~oHw~ur~ of snv~ww ncdrta sar Dawn S. s~.bay, ircWy Pubr~c ~ epo, gpnbeA~na C~rtY My conon fx~ oa. ~, 2o+z ~~. ~ a A ~DVitne ;` Notary Public 2 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-981 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0801 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015385 STEWART TERRY R 19 WEST MARBLE ST MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold ESTATE INFORMATION: ssN: 2~0-12-25ss FILE NUMBER: 2111-0678 DECEDENT NAME: STEWART THOMAS B DATE OF PAYMENT: 12/22/201 1 POSTMARK DATE: 12/22/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 06/08/201 1 REMARKS: RECEIPT TO ATTY SEAL CHECK# 004 101 ~ $207.62 TOTAL AMOUNT PAID: INITIALS: HMW RECEIVED BY: 5207.62 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS