HomeMy WebLinkAbout94-00407
No 21 - 94 - 407
.
Estate of NILD"ED L. I<HOlv
I Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW MA Y 3 I 19..2.:L, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated Nov(~mb[!r 3. 1993
described therein be admitted to probate and filed of record as the last will o'f Nilc1rocl L. Krow
and Letters 'ros t' ampn t ary
are herebY8I'anted to NILD"ED C. IVEAVE"
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FEES
Probate, Lettera, Etc. ......... $ 50.00
Short Certlflcates(3) .......... $_ 9 .00
RonunclatIon ..t............. S
X-Pages $ b.UU
JCP ,--.r.ee-
TOTAL _ $ 70:00
MARY C. LEWIS
IV. S. Daniels , 27735
A'ITORNEY (Sup, Ct, J,D. No,)
Ste. 205, One IVest High St.
Carlisle. ADDRESS PA 17013 .
FUed . I. I t .~~Y. I~\ I ),g,~1111' I' II t II t II f I
(717) 243-3831
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APR 2 r. 1094
D.lll'
COMMONweALTH OF peNNSYLVANIA' oePARTMeNT OF ~eALTH . VITAL ReCORDa '
CERTIFICATE OF DEATH
IWI',LIMJUNII
$f.. SOCI...LSCCURlTVNUI,lIlER
,. Female 1,209 - 12 - 8689
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....
,.,-
COMMONWEALTH OF PENNSYLVANIA I
ISSI
COUNTY OF CUMBERLAND I
We, Dll'M/\~
the witnesses whose names are
)
and (;/l-Jt<;t.,.:..n7
XI( fz'
{ (tA
,
signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix sign and execute the instrument as
her last will; that Testatrix signed willingly and that she executed
it as her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed the
will as witnesses; that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no constraint or undue influence.
"C/{/ J
_.&.tl"k.,~ ,;\ , u/)~
W tness '
Sworn to or affirmed to and
(,'
~)({'J<,{' 1-( [,t-".t:.
acknowledged before me by
I ""f' /;
and !.', ttJ,f..,/ .-'lllt' ...~-. - \_(_'\ U,
----- ,
witnesses, this ,ffd day of 'v.J~ Nt,d. ~,.'L/
, -
, 1993.
'--
---}
~~~IISui~ I'
VJl 0 n I t~l<ey, Nolil/V I,,,,,,
New cllnJ~ll~l.~(\ (l')r~, GU!\'~^;fl~~~1 C~)~J:lty
1tlJ' Comm::;"ion l:xpl1'C3 M,Yl.;h 0:.1, l~.
oniiXJr,I'ont"ylviiiia M...oontioiiOfNOIHlI",
Page 3 !>f 3
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14
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REV.1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
--
~\SOOIX.I'.tTl~
COMM~SYLVANIA
DEPARTMENT OF REVENUE
flEPT,l80601
1
Of.Cf:DEKr6NAMf! (lAST,fIAST,AHJLlIDOtEINlw'1 ,*.wnttlc*~.....WCtdI
'I f.. ,,:, ,J I ,~. ,I t
fUHUMWl
2 1 9 4
407
~ K ROW MIL D RED L.
~ IOCW.UC""ITY"'-"llER OATEOf 0fA1H
~ 209"12"8689 04124/1994
W IIF "PI"""EI S\,!\;1',\'1O IPOOSES _ (\J.ST,fIRST,"""OOU If1\4I IOCW. &.!CllU1Y M.lol6ER
Q
DAlE Of BlRnl
04/29/1913
I THIS RETURN MUST BE flUO IN OOPLCATE WITH THE
REGISTER OF WILLS
.
[]: 1. Original Retum 0 2, Supplemen~IRelum 0 3, Rsmainda, Retumt....oI....,.Il,'HII
o Ulm~edEI~te 04a,FulurelnterestCompromlset..oI......1l,'HlI 05,FederalEslaleTaxRatumRequlted
Dc 6, ~enIO~ Tesklte 1...""",oI~11 0 7, Decedenl Malnkllned a Li'JIlQ Trusl(Allc,,,,,,oITMQ _ 6, Tokll Numoorof Sele Depos~ Boxes
o 9, LiIIOelioll Proceeds Received 010, Spous.tl PO'Itrty Cted~ t....oIi1Nt1_11,lI-IllIId 1,1,111 011. Election 10 lax underSe<:, 9113(AIIA/lI<IISc'01
THIS SIlCTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
fWoE ~m""lINOIIlORES:l
William S. Daniels Es uire
FIRM NAME (If ~I(_l
One West High street
Suite 205
Carlisle, PA 17013
z
o
~
E
~
(,)
W
0::
1. Real Eslata (Schedu~ AI
2. StocI<.l and Bonds ISchadu~ 81
3 C~~ He~ CorporeUOn,Pennerthlp or SoJe.Propnetorthlp
4, '-"'rlglIges & NoleS Recelveble ISdledule 0)
5, Cesh, fl.lnk Deposits & MIscllI~neO<Js Pel10Nl Property
IScheduleEI
6 JolnUy Oovned Property (Schedule FI
7, Inle,oVlvos Trenslort & MIscllI~n&O<J1 Non,Probate Property
(Schedule G or L)
6, Tolll GrOll AIIIIIllOkll Lines 1,7)
9, Funeral EXjl6nteS &Admln~ltalNe Cos~ (Schedule H) (9)
10, Debts 01 Oecedont, '-"''IlIIgO LklbllitJes, & Liens (~ule I) (10)
1 2 ,6 0 1 .9 4
11)
(2)
(3)
(4)
(5)
16)
(7)
11. T olll DtductJonalto~J Lines 9 & 10)
1 5 ,8 4 1 .4 9
3,239,55]
12, Nal Valua 01 EllIlIILine6 minus Line 11)
13, Chonklble and Go,emmenkll ~uestslSec 9113 Trul~ 101 which an alectlon to lax has nol been
made (Schedu~ JI
14, Nat Valua Subjtct 10 TulLlno 12 minus Line 13)
15, ~roounl 01 line 14laxsble
alIhespousallax 'ala , I
See InSll\lctlons on reve," s~o 10' ap~lceblo percen~e
16, Aroounlof lina 14k1xable
aI6'" rale
17 Aroount of line 14181able
.1 15% 'ala
(12)
(13)
(141
, -0-
x ,0
(15)
x ,06
(16)
(17)
1181
-0-
x ,15
16, Tax Dua
19,
> > BE! SURE! TO ANSWE!R ALL QUI!8TIONS ONRI!VERSE SIDE! AND RE!CHECK MATH < <
Undo\, """'" oIl*1uty, 1 ""'" IlJII iIM"*"rod tit fMjm, InOlxlII\l_Mi_'" .__, "..II"" *1 01 my ~.., bolio!, II~ 11\.0, """" ord~. DoeI""""o' JIItIlA'''-
11'I., 1M DlrIONI "OfIUOlltJ...III baa:! M III II'oIonNllOn 01 'tw'hIch DrIOMtf h. MY kncM1Idoi
SIGNATURE OF PERSON R~~SleLE FCJ!I FlLJNG R~TURN ADDRESS" /1 '
M{l~~~<f'c~" ~~~~~,:\ fil;'C~( ~}"u J 'f' ~ ,'I'h
SIGNATURE OF PREPA~UTHPl' ,~.~EP~E~EN _IV}, '_ .", ,A~~Il!~S ('<.
r'loJift(arn S:_ antels One W.High st. ,Ste. 205, CarlisleJ'A
(~ 0:.",.1." ~ ,"{I'I <
,.
Decedent'. Complete Addrell:
~-"
CITY
.-J STATE
-rIP
Tax Payments and Credit.:
1. Tax Due (Page 1 Line 18)
2, CredllllPeymentl
A, Spoolel Poverty Credit
8, Prior paymenll
C, Dlsccunt
(I)
00
SW
Tolal Credlle ( A + 8 + C ) (~1':
-0
cu
:0
:lJ1\I
';'1 C)
"
3, InlerestlPenally If eppllceble
O,lnlerest
E,Penelly
~,,',
~
TotallnleresVPanally (0 + E) (3) __
4, If line 21s grealer Ihan line 1 + line 3, enter Ihe difference, This Is the OVERPA VMENT,
. Chl<ik box on Plgll Lln' 18 to I'tqUMt s rtfund (4lo '
"
5, If line 1 + line 31s greater than line 2, enter the difference, This Is the TAX DUE, (5)
A. Enter the Inleresl on the lax due, (5AI
8, Enter the tOlel 01 Line 5 + SA, This lIthe BALANCE DUE, (58)
Make Check Pa able 10,' REGISTER OF WILLS, AGENT
N
L..
:,IJ
1'.1
\~
("
C/I ~,
PLEASE ANSWER THE FOLLOWING QUESTIONS
BV PLACING AN "X" IN THE APPROPRIATE BLOCKS
1, Old decedent make a tranafer and: Yee No
a, retain the use or Incoma of the property transferred; """""""""""""''''''''',,'',,'''''''',,'''''''''' 0 [RJ
b, retain the right to dellgnate who shall use Iho property transferrud or Ite income; """",""'" 0 IX]
c, retain a reversionary Intor!'el; or""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 0 [Xl
d, receive the promlee for life of either paymente, benefits or care? '"'''' """", ",," """ " " """'" 0 [Xl
2, If death occurred on or before Decamber 12, 1982, did decadent wllhln two yeare
preceding deeth tranafer property wllhoul receiving adequate consideration? If death occurred
aftar December 12, 1982, did decedent tranefer property within one year of death wllhout
receiving adequate conalderatlon? "''''',''''''''''''''''''''''''''''''''''''''''''''''''''''''''"''''''''''''''''''''''',,",0 IXl
3, Old decedent own an 'In truet for' or payable upon death bank account or aecurlty
at his or her death? ""","'"'' "'" '''''''''''' " ""',," '''''''''',,'' '''''''''''''''''' "'"',, " "'"'' , """'"''','',,''''''''' 0 [Xl
4, Old decedent own an Individual retirement accounl, annuity, or other non-probate property? "" 0 IX]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUS'r COMPLETE SCHEDULE G AND FILE IT AS PART OF THE! RETURN
72 P,S, ~9116 (a) (1,1) (I) provided for the reduction of Ihe lax rate Imposed on the net value of tranafers to or for the uae of the
surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995,
72 P,S, ~9116 (a) (1,1) (II) provided for the reduction of the rate Imposed on the net value of transfers to or for Ihe use of Ihe surviving
epouse from 3% to 0% for detea of death on or aftar January 1, 1995, The atatute !!p'es not exemot e transfer tu a surviving spouse
from tax, and the atatutory requirements for disclosure of aasete and filing a tax return are stili dppllcablo even If the aurvlvlng spouse
la the onty beneOclery,
FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995 - Pleaee answer the following queetlon by placing an 'x' In Ihe
epproprlate space,
Old the daoedtnt or..tt Itrullt or elmlll/' Irrlngement whloh Ie eolely for the lurvlvlng epoule'l baneflt for hie or her entire
lifetime? V.e 0 No 0
If you answored yea 10 tha above queellon, the tax on the trust or similar arrangementls postponed untlllhe death of the second
spouae, at which time It will be fully taxable at tha rate(s) applicable to the remainder baneficlary(les), Enter the value of the trust on
Schedule J, Part II, In ordar to remove It from the calculation of tho lax due In this estate, You may wish to file Schedule 0 In order to
make the election avellable under Section 9113, If the election Ie made, the truat or elmllar arrangement Is taxed In the eelate of the
firet decedent apouae, the portion of the Iruat or similar arrangement which benefila the eurvlvlng epouse Is taxed at the zero taK rate,
and the remainder la taxed at the rate(a) applicable 10 the remainder beneflclary(les), If you chooee to make Ihe elecllon, you must
atlach Schedule 0 to a tlmely,filed tax rdlum, along with Schedule(B) K and/or M In order to ehow the epportlonmant of the trust or
,Imllar arrangement between the aurvlvlng spouso and the remainder beneficlary(les),
t
'~,
LAST WILL AND TESTAMENT
OF
MILDRED L. KROW
I, MILDRED L. K~OW, of North Middleton Township, Cumbsrland
County, pennsylvania, declare this to be my last will and revoke any
will previously made by me.
~TEM It I direct that my Executor hereinafter named shall pay
all my just debts and funeral expenses as soon as conveniently may be
done after my decease.
ITEM III All the rest, residue and remain~er of my estate,
whether real, personal or mixed, and wheresoever situate, I hereby
give, devise and bequeath unto my niece, MILDRED C. WEAVER, and her
husband, ROY E. WEAVER, or to their issue, per stirpes.
lTEM WI I appoint my niece, MILDRED C. WEAVER, Executrix of
this my last will.
ITEM IVI No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his/her duties
in any jurisdiction.
IN WITNESS WHEREOF, I, MILDRED L. KROW, have hereunto set my hand
and seal this '3(I.J day of f\k\~","'""", , 1993.
,~-i\ J~~
M!LDRED L. KROW
Page 1 of 3
,...... ~.. -.... ~ ..~._, -- -.
{
'\.,
SIGNED, SEALED, PUBLISHED and DECLARED by MILDRED L. KROW, the
Testatrix above named, as and for her Last Will and Testament, and in
the presenoe of us, who at her request, in her presenoe and in the
subscribed our names as witnesses.
presence of each other, have
~n,,,
tness '
~~JP
W tnesa
J.sl,~
':;;( t< 04_
//euJ (~~~PA1AlU' . ~~
Add~ss
_. V~ -t.J ~ t #Afa-,t ('4
Ad5ress
COMMONWEALTH OF PENNSYLVANIA I
ISSI
COUNTY OF CUMBERLAND I
I, MILDRED L. KROW, the Testatrix whose name is signed to the at-
tached or foregoing instrument, having been duly qualified aocording
to law do hereby aoknowledge that I signed and executed this instru-
ment as my last willI that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein oontained.
?J7~tll~
ILDRED'L. KROW
Sworn to or affirmed to and aoknowledged before me by MILDRED L.
KROW, the Testatrix, this ~~ day of ~~~; . ____, 1993.
~ ~ ~ko=-
otary P bl 0
Page 2 of 3
tJ,','.Jl'i(IISc,;tj
KnYll n, IJ;cl'S\', N~aIY l'WIi<',
New CIJ(1V-Al~.:lI'd ",'\It), CumberlMd CouI1ly
My Commiooion l:.I;,rll6MllIl:tl27, 1997
or;.
- _.....'..~-
--., "-'--.. ,-
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II
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.,~..__.....'..
COMMONWEALTH OF PENNSYLVANIA I
ISSI
COUNTY OF CUMBERLAND I
and c1~A~P .X~A~'
We,
D'L~ ,JJ-A
the witnessss whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present and saw Testatrix slgn and execute the instrument as
her last willI that Testatrix signed willingly and that she executed
it as her free and voluntary aot for the purposes therein expressed I
that each of us in the hearing and sight of the Testatrix signed the
will as witnessesl that to the best of our knowledge, the Testatrix
was at that time eighteen or more years of age, of sound mind and
under no constraint or undue influence.
~.
to and acknowledged bafore me by
and r!:.~ .."Lu ~ ;/ fCQA 0.
witnesse:J, this ,,~hd day of ~~A/
~, '/!, ~.u-L#
(potary'~b'11C ()
Sworn to or affirmed
[)J..v<..f 1-1 :;,1;:., I J
, 1993.
No\a1i81 SeeI
Kavc R, UJ:jI.&y, ~~County
N6WC\JlTbeI1andl'<l/ll,Cu~.:v 1997
Ml~~"""~"
Page 3 of 3
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Dauphin Deposit Bank
and Trust COmpany
MAIN OPPIOII Itl MARKIT 'ITRftlT. HARRI8BURG, PINNIVLVANIA 17101
, 717.awt21
, Decedent Conf i rmat ion
Name: Mildred L. Krow
Social Security No.: 209-12-8689
Date of Death (000): 04/24/94
\
\
Acoount No. 0052925692
Type Check i ng
Date Opened
or Issued 06/04/75
Date Closed
or Matured
Date of Death
Sa 1 &nee $338.32
PLUS
Date of Death
Accrued Int. $0.16
5700309734
------
Statement Savings
------ ------------------------
09/03/93
-
05/13/94 (Closed)
- --------------
$7,625.64
, '
$11.29
------------------------
Joi nt CN.f\ers
(if any) or Mildred C. Weaver None
Date of Joint
OWnership 06/04/75
, . '....~.. .. .
--- ------------------------
.. --------------
--------
---- -----------------------
Special Comments: N/A
Additional inforution aVli1&bI. at Uo.GO per hour, 0IlI hour .inh,ua,
Date Prepared: May 31, 1994 Prepared by: Cheryl A. Bowers
por. 00-020-21B (REY 7'la)
Customer Managemant Information Dept. (eMI)
Page 1 of 1
Telephone No. (717) 255-2054
ITEM LETTER DATE DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OF
NO, FOR MADE OF ASSET %JNT, DECEDENT'S INTEREST
JOINT JOINT
TENANT ,
1. A, 6/417S Dauphin Deposit Bank 338.4H SO% 169,24
Acet, No, S2-92S69-2
,
"
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, , ,
,
,
,
, ,
,
,
-
, TOTAL (Also enter on line 6, RccaDltulatlon) $169,24
I mo,:;s ace /.1 needed Insert addU/ana/sheets 0 .fallle size,
C()MM()NW~,AI,TII OF PENNSYI,v"NIA
JNIlf.RITANCf. TAX 1l~,T1IIlN
Ilf.SIIlf.NT DWf.Ilf.NT
ESTATE OF
Mildred L. Krow
Jolnttenanl(S):
NAME
A, Mildred C, Weaver
B,
C,
.
Jolnlly-owned preperlY:
\
SCHEDULE F
JOINTLY.OWNED PROPERTY
F'ILE NUMBER
21-94-407
ADDRESS
RELATIONSHIP TO DECEDENT
1930 Slerrctts Gap Avenue
Carlisle, P A 17013
Niece
(if
'P
if'
(:()MMONWY_\I:TII (w PV.NNN\'I'v ANIA
INIIEHI'rAN<:E TA.~ Hf.'rIIHN
Hf.NIIlf.NT llEI:EUf.NT
SCHEDULE II
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
ESTATE OF
Mildred L. Krow
FILE NUMBER
21.94-407
ITEM
NUMBER
DESCRIPTIONS
VALVE AT DATE
OF DEATH
A.
Funeral Elpenlel:
1. Slone & Murray Funeral Home
2, Prospect Hili Cemetary, Opening Grave
3, Slone & Murray Funeral Homo, Death CortUlcate
$3.0~0,00
$ ~8(),00
$ 20,~0
8, Admlnbtrlltlve COlli:
1. Personal Rcprcscntatlvo Commissions
Social Security Number of Personal Reprcscntlvc:
Ycar Commissions Paid:
2, Attorney Fees: W, S, Daniels 2,500.00
,3, Family Exemptions
Claimant: Mildred C, Wcavcr Relationship: Nlocc $2,000,00
Address of Claimant at dccedont's dcalh
Street Address: 1930 Storrens Gap Avenue
City: Carlisle State: PA Zip: 17013
4, Probate Fees: Register (11' Wills, Cumberland County $ 61.00
C. Miscellaneous Elpcnscs
1. Register of Wills, Shert Certificates $ 15,00
2, Cumberland Law Jeurnal, Advcrtisemenl, Leners Testamentary $ 40.00
3, The Sentinel, Advertisement. Lencrs Testamentary $ 72,20
4, Rowe's Antiques, Appraisal PcrsolUl1 Property $ 3~,OO
5, Postmaster, Postage $ !.SO
6, FillnllFeo $ 10,00
7. Reserve for closing the estate $ 100,00
8 485 20
l..iJ
Rio, &.i'i /6, P.s. /
, ./' /I'J../Jj6
~RIV.l!4a IX AFP (12094)*
COltltOHWEAL IH OF PfNHSVLVAN1A
IlEPARlHEHI Of REvt:HU<
IUREAU OF IHDIVIDUAL IAXES
IlEPI, ZI0601
IWlRUlURO. PA 171Z8-0601
1'1 ,)(Jq-2
~
NOTICE OF INNERITANCE TAX
APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTION., AND ASSESSMENT OF TAN ON
JOINTLY HELD OR THUST ASSETS
I DATI 06'06-95
ESTATE OF KROW
MILDRED L DATE OF DEATH 04'24'94
COUNTY
CUMBERLAND
FILE NO, 21 94-0407
S,S/D,C, NO, 209-12-8689
ACN
94128796
MILDRED C WEAVER
1930 STERRETTS GAP AVE
CARLISLE PA 17013
REHIT PAYHENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
E~~t ~~d l
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R iV: iscii oE'if "iiilji 'fi'lf:94 Y........... -........".... -.. OM -........".... --..... ..--.......... -. -..... --' - - 0 0.. --
NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTICNS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-06-95
ESTATE OF KROW
MILDRED L DATE OF DEATH 04-24-94
COUNTY CUMBERLAND
FILE NO, 21 94-0407
TAX RETURN WAS,
S,S/D,C. NO, 209'12-8689
(X) ACCEPTED AS FILED () CHANGED
JOINT O~ TRUST ASSET INFORMATION
FINANCIAL INSTITUTION, DAUPHIN DEPOSIT BK 8 TR CO ACCOUNT NO,
ACN 94128796
0052925692
TYPE OF ACCOUNT I () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 06'04-75
Acr.ount Balance
Percent Taxable X
Amount Subject to Tax
D.bt. and Deduction.
Taxable Amount
T.x Rat. X
Tax Du.
338,48
0,500
169,24
. DO
169,24
.15
25,39
NOTEI TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT TltE
UPPER PORTIQN OF THIS NOTICE
WITH YOUR TAX PAVMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEV ORDER PAVABLE TO,
"REGISTER OF WILLS. AGENT,"
TAX CREDITS I
PAVMENT
DATE
RECEIPT
NUMBER
DISCOUNT (t)
INTEREST (.)
AMOUNT PAID
INTEREST IS CHARGED FROM 01'25-95 TO 06-14-95 TOTAL TAX CRED~- ,DO
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 25,39
REVERSE SIDE OF THIS FORM INTEREST ,88
TOTAL DUE 26,27
H IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. H
I IF TOTAL OUE IS LESS THAN .1, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CR I, YOU HAY BE DUE A REFUND,
SEE ReVERSE SIDE OF THIS FOR" FOR INSTRUCTIONs, I
.-..... ,-
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To lulllll IhI ,.qul,....I. 01 ...11.. 2140 .1 IhI Inho,IIono. and EoI.I. T.. Aol, AoI 22 01 1991. (72 P.I,
""U", 2140),
PAI'I!IlT, lIolMh IhI loti po,U.. 01 Ihll NoUo. end ouboll wllh ".Jr ......., 10 thl Altlll., 01 Willi .,Inlld '" It..
r'v.r.. .IN.
.. HIk. check or IOnIV order Plylbl. tOI REGISTER OF WILLI, AGENT.
All pIYMnh rec,lved .hall flr.t b. IPPll.d to 8nV Int.rut which HV be OUt, wUh InV rHllnder eppllld to thl tile,
RUlJID (CRh A r'ftht of . tile oredlt, which WI. not rtqu..tltd on the tax r.turn, IIV be reque.t.d by ClHP1.Ung ." "Appllcetlon
for R.f~ of PIM.vlvlnl. IMerltlnc. Ind [.t.,. TIM" (REY-UU), Appllc.Uon. Ire Iv.lllbl. .t thl Offlc. of
thl RIII.t.r of Will., InY of the 25 R,venue Ol.trlot Offlo,. or bv cllllng the .peclll 24-hour .".Wlrlng ..rvlo.
~rt for for" ordtrlnol In Penntylvlnl. l-100-S62-2050, out.lde Ptnnlvlvlnl. and within locll
Hlrrltbur. .rll (717) 7.7-1094, TOO. (717) 772"2251 (HI.rlno hlP.lrtd Dnb)'
OIJECTIONtI Anv p.rty In lnt.r..t not .,'I.fled with 'hi IPPrll'","t, 111owenc. or dl"llowlnc, of dtduotlon. or ......lInt
of tlM Clnoludlng dhcOU'\t or Int.re.') II .hewn on thlt Hotlc. uy obj.ct wlt.,ln .hctv (60) din of rec.lpt of
Ihl. NoU.. b.,
."wrlttll"l prot", to thl PA o.,ertHn' of R.venue, 10lrd of &pp..lI, Dlpt. tllO!l, H.rrhbur'J PA 17121-1021, OR
.",lectlng to hlv. thl I.tt.r dtter.IMd ., the audit of thl ecCCM\t of tho personal rlflrt.In'.Uv., Oft
."lPPtIl to thl Orphan.' Court
ADMIN.
ISTRATlVE
C_CTlOIlS.
FeotUll trrOrt dllcov.red on thh ........nt Ihould be Iddrt..td 'n writing tOI PA DlfltrtHnt of RIVtnUI,
lur.tIU 0' Indlyldutl TIM", ATTNl Po.' &....talnt R.vl... ~1t, DEPT. 210601, Htrrhbur., PA 1712D-0601
Phone (717) 717"6501, SII PI" S of thl bookl.t "In.tructlon. for Inherltanc. '.x R.turn for I A.lldtnt
Declldlnt" (REY-150H for In "lplln.tlon of IdIlntstreUv.h oarnatlbl. trrort.
DIIC0III71
If InV teM due II Pftld within thrll (SJ Olltndtr aonth. Ift.r thl d.ctdtnt'l dllth, , fly. p.rctn' (SX)
dllCount of thl tlM PIJd I. .IIOW1d.
INTERUT,
Inter..t It Chtrted bltlnnl", with flrtt d.V of dtllnquenOV, or nlntl (9) ItOnthl end one (1) dtv
froe thl det. of dllth, to thl dlt. of ply.."t, TIMII whloh blCl", dtllnquent befort Jlf'lUIry 1, l'U
bur Int.,..t It thl rat. of .IM (6~) peratnt Plr ~ a.lculeted .t I dlllv r.t. of .000164.
All tex.. which btc... d.llnquent on or Ift.r Janulry 1, 1912 will b..r Int.r..t It . rlt. whloh will vlry frOl
alltnd1r v'.r to c.lendtr V'.r with tn.t rlt. ~Id by the P& O.p.rt,,"' 0' A.venue. ThI eppl1ctbl1
Int.r..t r.t.. for 1912 through 1995 .r'l
&Ie Intullt A.tl O.l1v Intlr..t FlIChr ~
Intullt Rlt,
n.Jlv Int.r..t F.otor
I'll
1'15
It"
I9IS
ItM
"'I"tar..t
lOX ,oome
16X ,Om"
IU ,000SOI
nx .000SI6
lOX .000174
It o.lou\ltld II follOl1'1
1917
1'11'1991
1992
199"19'/4
199.
,X
IIX
9X
7X
,X
.000247
.000101
,000247
,000192
.000247
IHTERElT . aALANCE OF TAN UNPAID N NU"IER OF DAVI DELINQUENT N DAILV INTERElT FACTOR
"'4nv MoUo. l..lJId .fter thl tlM HcOft. dtlllnquent will rlfl.o' In Interllt c.lcullUon to flU,en (11) diy,
bevond thl det. of thl ......IIn,. If p.~lIftt I. IIde .ft.r 'hi Int.r..' COIPUt.tlon da'l .hown on thl
NoUOI, addlHonel Interll' Ill.t b. cllcul.tld.
StATE OF PENNSYLVANIA
lI~lInllll
COI1NT'f OF GUMBERLANIl
AfFIDAVIT IN SUPPORT OF CLAlH AGAINST TBI ESTATE OF
MILDRED KROW
Dlcl"lo
t, Shar Olson
CASE' 2194407
NCH
_, AccoWlc hprallatltivl lor CllimaDc. HoaCI01llI'1
lIud Co.. lac Of p, O. 801 29112, ShaWII Killioa, lJ. 66201, 91:1-676-4086,
cl&:l.a ol cbl EtCICI of
MY LDREll KROW
,DIClud, KCH,
chi lua of Six hundred ninety Huvun dollara and fifteen cents
(. 697.15 ), II avidlacld by chi lollovial compllcl, limicld iCla1zlc10a
aad achlr ICCIChld dOCumaUtltioD. !blrl Irl ao Idditional crldic. or
olf.ICI dUI chi account axc.pt cho'l Itltld. Thl baail of our cll:l.a i. a.
lolloWI' R.volvlnq charq. account' 242-990-102
OPllled
BILLING OAT! CWGtS PAYMENTS C1lEIl ITS FlIlANCE CBA1lGt BALANCE
-
11/93 0.00
12/93 709.95 0.00 709.95
Range
1/94 2.99 35.00 10.64 688.58
2/94 56.07 25.00 6.99 10.77 723.43
3/94 2.99 20.00 10.73 7i7.15
4/94 20.00 697.15
'J" ".,'
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C t112~ t=Ysr__
(;1&natur, of Claimanc)
Shar Olson, "CCOWlt RlpcuenCIt.ivl
for ~1111i,"."~
PO BOI 29112
Shawn8A ~i~~ion. ~. ~~2n1
(Addrl" at Claimanc)
.
Sublcr1bld lad awora co blforl ml thi.
15th
,199 ~
day ol August
,.(~~~
My cOlmU.uloD IX'piru ) - ;It- 9& .
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Hotlr"! PUblic
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cu~berland County - Register Of Wills
08223207282000
ROW621
File No 1994-00407
Decedent RROW MILDRED L
Date
Filed
4/28/1994
4/28/1994
4/28/1994
5/03/1994
5/11/1994
10103/1994
11/09/1994
6/07/ 1995
5/24/1996
6/10/1997
6/02/1998
7/23/1998
9/30/1998
4/23/1999
i
PA File No
Docket Entries
PETITION FOR PROBATE AND GRANT OF LETTERS TESTAMENTARY
OATH OF PERSONAL REPRESENTATIVE
DEATH CERTIFICATE
DECREE OF PROBATE AND GRANT OF LETTERS TESTAMENTA~Y
CERTIFICATION OF NOTICE UNDER RULE 5.6(A)
CLAIM AGAINST ESTATE MONTGOMERY WARD
ROLL 2 BATCH 259 PAGES 1-8
REV 1548 NOTICE INH TAX APPR JOINT ASSETS
ROLL 6 BATCH 415 PAGE 1
Dockot: 14 Book: Page: 209.00
STATUS REPORT 6.12 INCOMPLETE
STATUS REPORT 6.12 INCOMPLETE
STATUS REPORT 6.12 INCOMPLETE
p,ge 1
7 28/2000
2194-00407
INSOLVENT INHERITANCE TAX RETURN TAX DRT 14 PAGE 209 LINE 2
REV 1547 NOTICE INH TAX APPRAISEMENT ACN 101
Docket: 14 Book: Page: 2.00
STATUS REPORT 6.12 INCOMPLETE
/ J./,10'i,_,;j
BU~EAU OF INDIVrDUA~ TAKES
IIHRlTANCE TAX DIVISI""
Dt:PI, 210601
HARRISBURG, PA 111za~0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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NOTICE OF INHE~ITANCE TAK
APPRAISEHENT, ALLOWANCE OR DISALLDNANCE
OF DEDUCTIONS AND ASSESSHENT OF TAK
lIYoIfHUU'"H11
'~l':'i
,.11 _~IJ
DATE
ESTATE OF
DATE OF DEATH
FJ;LE NUMBER
CDUN1'V
ACN
WILLIAM S DANIELS ESQ
SUITE 205
ONE W HI0H ST
CARLISLE PA 17013
,,, r
09-28-1998
KRDW
04-24-1994
21 94-04Q7
CUMBERLAND
101
AlIOunt ROflltt.d
=--=-
MILDRED
L
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Cl:\l:i,
l
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iikV:i!iif'"Ex-AFP-rii'9:9ri"iiiiffcr"oF"IN'HiiiiTAN-cri'-A'inippiiA"isiifEiii'~--ALrciwAifcE-ijlim"-------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KROW MILDRED L FILE NO. 21 94-0407 ACN 101 DATE 09-28-1998
TAK RETURN NAS I I X) ACCEPTED AS FILEU
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rill Eltltl (Sohldull A)
2. Stookl and Bondi (Sohedull B)
3. Clollly Msld stook/Plrtnlrlhlp Int.r.lt ISoh.dull C)
4. Mortg.geI/Notl. Rlo.lvlbl. (Soh.dull D)
5. Cllh/Blnk PaPO.ltI/HIIO, P.rlon.1 Proplrty ISohldul. E)
6. JointlY OWn.d Proplrty (Sohldul. F)
7, Trlnlflrl ISohedul. 0)
B. Totol Aluto
I I CHANGED
III
(2)
131
(4)
15)
161
In
,00
,00
,00
,00
12.432,70
169,24
,00
Ie)
HOTEl To inlur. proper
or~dit to your aocount,
lubllt the upplr portion
of thl. forI with your
t.x pay...nt,
12,601. 94
APPROVED DEDUCTIONS AND EXEMPTIONS I
8,485.20
9, Fvnlrll E.p.nIII/Ad.. Co.tI/HIIO, E.p.n.l. ISohldul. H) (9)
10. Dlbh/Hortglg. LhbllltlIl/U.n. (Soh.dul. II 110) 7.356,29
11. Totll Paduotlon. (11)
12. Net VIlue of T.. Rlturn (12)
13. Chlrlt.bll/Oovlrn.lntol BlqUllto) Non-.I.ot.d 9113 Tru.ta (Sohldull J) (13)
14. Net VIlue of Elt.tl Subjlot to T.. (14)
NOTEI If an assess.ent was issued previously, lines 14, 15 and/or 16, 17 and 1B will
reflect figures that include the total of Ahh returns assessed to date.
ASSESSMENT OF TAXI
15, Alount of Unl 14 .t Spouul rlto 115)
16, Alount of Lln. 14 tl..bll .t Llnl.I/Cl... A r.tl (16)
17, A.ount of Line 14 t...bll .t Coll.t.r.I/CI..1 B r.tl (171
18. Prlnolp.1 T.. Due
1 Ii .A41 GQ
3,239,55-
,00
3,239.55-
,00 x ,00=
,00 x ,06=
,00 X ,15=
IlB)
,00
.00
.00
,00
TAX CREDITS I
PAYHENT
DATE
RECEIPT
NUHBER
DISCOUNT I A)
INTEREST/PEN PAID (-)
AHDUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAl. DUE
.00
,00
,00
,00
I IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN .1, NO PAVHENT IS REqUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DlJE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,)
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REI(RYATJOHt ht,t.. of dtoldentl dvJng on or ,blfor. DOcMbtr 12, 1982 -.. Jf Iny future Jnt.rOlt In the IIt,t. .. tr8f1:Jf.rrlld
In po.....Jon Dr enjo~-.nt to Cl",. I (oolll',r.l) benefic I.,.,. of the decedent .ft,r the 'kPlr~tJon of InY ....t. for
I1f. or for v..r., the ~.Ith hereby expr...ly r...rv.. the right to eppr.I.. end ...... trlnlf.r Jnhlrltenet 'IX.,
It the lllWful Cl... I (Ool1lt,r.U r.t. on lI1y .uch future lnt.rlllt.
PlJR!lOSE 01'
MOTltEr To fulfill the rlqulr'.."h of SIOtJon Zl~O of ttlllnherJt8001 end Est'tl TalC Aot, Aat 21 of 1995. (72 P.S.
hotlon 91401,
PAVttENT, OoIOOh tho top portion of thh Notlc. ond ."""It with .our po.unt to tho RI.ht" of WIlIt printed on tho ro.lrol .hlo,
ultok. chock or lone. .rdor PI.oblt 10' REGISTER OF NILLS, AGENT
RfFUND (CAll A r.fund of . tl.l( orldit, Which Nal not r.quelhd on the fIX Return, .ay b, r.q.~..t'd by a_l.uncl an "AppUOIUon
for R.fund of P~I'YJvanl. Inherltenee ~ Eltat. Tlx" (REY~l]lS). ApPJlcltJonl Ir. IVIIlabl. It the Offlol
of the RI"I,t.r of NIII., any of thl 23 Alvlnue DJ.trlot OfficI', or by cIIllng thl 'PIClll l.~.hour
In.Vlrlng slrvlc. nuab.r. fOI' for.. orderlngl In ~.nnIYlv.nll 1.800.362.2050, out, Ide P.nn'VIVIOI, end
IIlthln 10cII H.rrhburg Ir.1 (711) 781-8094, TOOl (117) 772-2252 (H.arlny JltPllred Onh),
OIJECTJOHSI Any Plrty In Int.rl.t not IItI.Ued IIlth thl appr.h.lent, allowance or dhallONInC. of deduction., or ......Mnt '
of t.~ (Including dl.oount or Jnt.re.t) .. .holln on this Hotlo. .u.t obj.ct III thin .I~ty (60J d.y, of recllpt of
this Hotlc. bYI
"wrlUen pro tilt to thl PA DePlrt..nt of RAVlntM, BO'I'd of APPII", Dept. 281021, Harrltburg, PA 17U8-1021, OR
"lllotlon to hlVI the .IU.r deter.lned at ludit of the looount of the perlonel rtpr..entlt1v., OR
..eppell to the Orphenl' Court.
AIlNIN
ISTRATlVE
CORRECTIONS, FaotuII errorD dlloovlr.d on this I.......nt Ihould be addr....d In IIrltlng tal PA Dlplrt..nt of R.VOOUl,
Bur,au of Individual Tlx", ATTNl Po.t A.......nt Revl.w Untt, D.pt. 280601, Herrl.burg, PA 17128-0601
Phone (71n 787-6505. S.. f)1tg. 5 of the bookl.t "In.truotloo. for InhtrltlnOl Tlx R.turn for. R"ltMnt
Dtctdtnt" (REV.150IJ for en .xplanltlon of '~lnl.tratlvalY corr.otabl. .rror..
Jf tny tlX due I. plld within thr.. (3) cIl'ndar sonth. Ift.r tha dlc'dent'. dllth, a flv. p.ro.nt (S~) dl.count of
the tl~ plld I. IIIONed.
DISCOUllT ,
Pl;N.\LTV,
ThI 15~ tl~ -.nt.ty non.PlrtloJpltion Ptneltv I. COIpUt.d on the total of the tax IRd Int.rl.t ....~.Id, end not
paid blfore Jenulrv 18, 1996, thl flr.t dlY .ftJr tilt end of the tax ..nlltv parlod. Thlt ncn-partJolpatJQIl
penalty It appealabl. In the "Ia _ann.r Ind In thl the .... till periOd II YOU would apPIII thl ta~ and Intere.t
thlt hi. bltn .......d '1 Indlclted on thl. notlc..
INTERt!ST ,
Intlrllt 1. charged btglnnlna with first day of dtllnquency, or nine (9) .onthl wone (1, dlY frOll tlll'dat. of
dtlth, to th dltt of Plv..nt. 111)(11 which bIOM. dtllnqu.nt btforl Jenulrv 1, 1982 bier Int.rllt It the ret. of
.hcC6~J pero.nt per ~ cllcullt.d at a dilly rett of .000164. All tlxlI which betHI dtllnquen'( on and Ifter
JInuIry 1, Jc,J8Z wlU blar Intlrllt It I rat. which will vary fr~ oal.ndar Yllr to olllndar Vier with th.t rlto
1nI~ld bv till PA Dlpert..nt of R,v'nue. Th. IfIPllcabl. Interllt "tll for 1982 throUCth 19911 ""
'!!!J: Intlre.t Rlt, PIlly Interllt Faotor Y.!!r Interllt Rlt. Dilly Inter..t Faotor
1912 lOX .000548 1911 9X ,000241
1m I6X .000418 1911-1991 111. .000501
191\ IIX .000501 1992 9X ,000241
1915 ISX .000556 1993-1994 ]X ,000192
1916 lOX .000214 1995-1991 9X ,000241
--Jnt.rllt I. o.loulat.d .1 folloWl1
INTEREST a BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlo. I..ued .fttr the tlX beoOll. dallnqUlnt will r.fl.ot an Int.r..t ollouletlon to fifteen (IS) dive
beyond thl det. of the ........nt. Jf ply.."t I. .Id. Ift.r tho Int.r'Mt oOlputatlon det. 'hewn on the
NoUol, IddltJoRll Interllt lMl.t be olloul.t.~.
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STATUS REPORT UNDER RULE 6,12
Name of Decedentl Il7/ /:i'Q I L, 1~/2(:(J
Date of Deathl ./1 ~ '2-(/- q L(
. 2-17'1 -, {; L(07
Will No. Admin, No.
Pursuant to Rule 6,12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estatel
1. State whether administration of the estate is complete I
Yes No v
2. If the answer is No, state when the personal
representative reasonably believea that the administration will be'
completel ~~ - ~)~?~
3. If the answer to No.1 is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes No
b, The separate Orphans' Court No. (if any) for
the personal representative's accou~t iS1
c. Did the personal representative state an
account informally to the parties in interest? Yea No
d. Copies of receipts, releases, joinders and
approvals of formal or informal ar.counls may be filed ith the
Cerk of the Orphans' Court a,nd may be ~ttach~d to;J,t /eport.
Da te I C - I - elf t<.,.Y!;: '" /, . / ~?---'r<J2.
Signature
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Name (Please type or print)
Vd ',;, . "'Iq~ C./ \ /-/';;'L 5"i'-, >
ll[lo\ . '~dress . ( /1// (. (S' 4 .,..:};! r 7';;/ .I
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Tel, No,
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Personal Representative
~~unsel for personal
representative
(HAHlrmf/AH3)
STATUS REPORT UNDER RULE 6,12
------.-----.-.....------
Date of
Decedentl~;~' (l?I/~-/ L.
Deathl -1' - d.::i - ?.cy
Admin, No, :{19L1--o~CJ7
Name of
Will No,
Pursuant to Rule &,12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the aboye-captioned estate:
1.
State whether administration of the estate is complete:,
Yos__ No V-:='
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2. If the answor is No, state when the personal
representativ~reas~nably believes that the administration will be
complete: .:J - I oS ~~ ~___
3. If the answer to No. 1 is Yes, state the following I
a. Did the personal representative file a final
account with the Court? Yes No
b, The separate Orphilnfl' Court No. (if any) for
the personal representatiYB's account is:
, c, Did t.he personal represontatiye state an
account informally to the parties in interest? Yes No
I,
d. Copies of receipts, releases, joinders and
approvals of formal or informal account.s may be filed with the
Cerk of the Orphans' Court and may be alta~)h/)o this report.
Date: ~ ~ 1- J '.';;'9 C:://U-:Y?C:'~-
Signat,ure
Vi-/, S:~ :lJ/f /'1'/ E c. S
Name (Please type or print)
O;'r'C (~l //tcl)'" cS'r B 2Co)"
Address C/I;?l/,c.d; /~J-.l;rC713
.ll(!J.,_~_L.jJ -38 ~/
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l~ounsel for personal
representative
(MAlllrmf/AM3)
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S~ATUS REPORT UNDER RULE 6.12
Name of Decedent I //11/ h..."c{ C, lye;..? Ve7L,
Date of Deathl Lj - ;UI- qq
Will No. Admin, No. (il../9''1 - (.or"] '-Id r--
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, J report the following with reopect to completion of,
the administration of the above-captioned estatel
"
1.
State whether administration of the estate is complete I
Yes No_.~
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I ~ - /~ - 9 b
3. If the answer to No, 1 is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes No
b. The separate Orphans' Court No, (if any) for
the personal representatiye's account iSI
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d, Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be ~ with the
Cerk of the Orphans' Court and may be attach~d '02, report.
DllteIY-,J9'-?t ' u-e
gna ure
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Name (Please type or print)
-L W, /It ;' ~0 ~,217"-'
A~df")iZ? IS-/. I ;:'/11- 'I ;;-013
('11'1) 2 't' - ?/8.3 j
Tel, No.
CapacitYl Personal Representative
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STATUS REPORT UNDER RULE 6,12
Name of Decedent I ~I/ci-LL
Date of Deathl ~-:J..L/-91.f
Will No,
L. k~ocJ
Admin, No. ;:</ ~~ -~J/07l-
Pursuant to Rule 6,12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the aboye-captioned estatel
1. State whether administration of the estate is completel
Yes No v
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete l 10 - I - ;;J.6'D c:>
3. If the answer to No, 1 is Yes, state the followingl
a, Did the personal representative file a final
account with the Court? Yes__ No__
b, The separate Orphans' Court No, (if any) for
the personal representative's account iSI
c, Did the personal representatiye state an
account informally to the parties in interest? Yes No
--
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attache 0 this report.
Datel 8")-f,~t?
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Signat.ure
h. .r-; c2)/9 /V/<3c.5
Name (Please type or print)
.L cd, #~h" Sr, ),')" ).p~-
Address 'CV11/Z--'-'.r,/~; ;64 1'74"8
(Nfl .2#3 -'38"3/
Tel, No,
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~sonal Representative
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representati ve
(MAHsrmf/AM3)