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COMMONWEALTH OF PENNSYLVANIA REV-1 162 EX(1 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 7010
SHUMAN WILLIAM LEE
260 CREEK RD
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
101 $155.55
ESTATE INFORMATION: SSN: 193-12-9612
FILE NUMBER: 2111-1036
DECEDENT NAME: SHUMAN WILLIAM R
DATE OF PAYMENT: 01 /04/201 3
POSTMARK DATE: 01 /04/201 3
COUNTY: CUMBERLAND
DATE OF DEATH: 09/21/2011
TOTAL AMOUNT PAID: $155.55
REMARKS: RECEIPT TO ATTY
CHECK#915
INITIALS: CJ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX s~ pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-1547 EX AFP (12-12)
PO BOX 280601
HARRISBURG PA 17128-0601
RECORDED O+ _ 1CE OF DATE 12-24-2012
REGIS € Es OF ESTATE OF SHUMAN WILLIAM R
DATE OF DEATH 09-21-2011
2613 J N ! i t ~ 7 FILE NUMBER 21 11-1036
COUNTY CUMBERLAND
BRUCE D FOREMAN 101
FL 6 CLERK O ACN APPEAL DATE: 02-22-2013
112 MARKET ST ORPHANS' COURT (See reverse side under Objections)
HARRISBURG PUNBMW CO., PA Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-ALONG-THIS-LINE - - RETAIN LOWER PORTION FOR YOUR RECORDS 4--
-
REV-1547 EX AFP (12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT,-ALLOWANCE-OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: SHUMAN WILLIAM RFILE NO.:21 11-1036 ACN: 101 DATE: 12-24-2012
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 190,000.00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable CSchedule D) (4) 2,874. 97 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 503,840.77
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) C7) .00
8. Total Assets (8) 696,715.74
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) (9) 3,680.50
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10)_ 1,9 71.76
11. Total Deductions (11) 5,652.26
12. Net Value of Tax Return (12) 691,063.48
T3. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 691,063.48
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/ Class A rate (16)_ 991.n.43-4R X 045 = 31,097.86
17. Amount of Line 14 at Sibling rate (17) nn X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) 00 X 15 = .00
19. Principal Tax Due C19)= 31,097.86
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
08-21-2012 CD016417 .00 31,097.86
BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-22-2012 TOTAL TAX PAYMENT 31,097.86
BALANCE OF TAX DUE .00
INTEREST AND PEN. 155.55
TOTAL DUE 155.55
* 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 REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.