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COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 017338
MULL KERRY R
400 QUEEN ROW STREET
HERNDON, VA 20170-3130
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
101 $5.18
ESTATE INFORMATION: SSN: 184-12-0682
FILE NUMBER: 2110-0501
DECEDENT NAME: THOMAS WILLIAM HENRY
DATE OF PAYMENT: 03/19/2013
POSTMARK DATE: 03/17/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2010
TOTAL AMOUNT PAID: $5.18
REMARKS: RECEIPT TO ATTY
CHECK# 2576
INITIALS: CJ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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
March 18, 2013
Register of Wills
Cumberland County Court House
1 Courthouse Square
Carlisle, PA 17013
Re: Estate of William H. Thomas
No. 21-10-0501
Dear Register of Wills:
Please find enclosed Check No. 2576 in the amount of $5.18 for interest as per the
attached Notice of Inheritance Tax Appraisement, Allowance or Disallowance of Deductions and
Assessment of Tax.
Thank you for your kind attention to this matter.
Very truly yours,
6t IkdW Al
Charles E. Shields, III
Attorney-At-Law
CES/mjj
Enclosures
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NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL APPRAISEMENT, ALLOWANCE OR DISALLOWANCE pennSytvarna
TAXES
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
PO BOX 280601 REV-1547 EX AFP (09-12)
HARRISBURG PA 17128-0601
DATE 02-11-2013
ESTATE OF THOMAS WILLIAM H
DATE OF DEATH 05-09-2010
FILE NUMBER 21 10-0501
CHARLES E SHIELDS III COUNTY CUMBERLAND
6 CLOUSER RD ACN 101
APPEAL DATE: 04-12-2013
MECHANICSBURG PA 17055-9751 (See reverse side under objections)
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 F--
REV 1547 EX AFP (12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: THOMAS WILLIAM HFILE NO.:21 10-0501 ACN: 101 DATE: 02-11-2013
TAX RETURN WAS: ( X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) 180,900.00
NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 1,926.40 credit to
your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 submit the upper portion
4. Mortgages/Notes Receivable (Schedule D) of this form with your
C4) tax Payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 488,268.32
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS: (B) 671,094,72
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9)
73,775.39
10. Debts/Mortgage Liabilities/Liens (Schedule I)
clo) 1,222.85
11. Total Deductions
12. Net Value of Tax Return (11) 74,998.24
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (12) 5 96,096.48
14. Net Value of Estate Subject to Tax (13) 22450. 5
ci4) 573,245 45.96
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 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 =
16. Amount of Line 14 taxable at lineal rate . (16)- (16)-- Fin. 44R -96 x 045 = 25o670.07
17. Amount of Line 14 at sibling rate (17) 0 D -
x 12 - .00
18. Amount of Line 14 taxable at collateral rate C18) _
2,800.00 x 15 - 420.00
19. Principal Tax Due
(19)= 26,090.07
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT
DATE NUMBER INTEREST/PEN PAID AMOUNT PAID
07-28-2010 CD0131 77 1,250.00
11-21-2012 CDO16824 23,750.00
53.01- 1,143.08
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-22-2012 TOTAL TAX PAYMENT
26,090.07
BALANCE OF TAX DUE .00
INTEREST AND PEN. 5.18
TOTAL DUE 5.18
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.
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