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HomeMy WebLinkAbout94-00923 This is 10 ('crri1r Ilwl lilt, illftll'1I1illioll ht'lt, ~i\'('11 ili milTi'll)' I"l'llll'.! IrOll! .III Oli,l~lllid <('Ildiralt' III d(~,llh duly filed wilh nw a,~ l.o,allh'I:lslrllr, Th(' orlllillld (cllifkill(' \\'ill hl' rOIIl'.lId,'d '0 ,Ii,' ,'.'ltl" \'It,d 1(('(II,ds (lilh rOI 1"'IIll,IIIl'1t1 fili"/I, WARNING: It 18 Illegal to dupllcato this copy by photostat or photo\lraph. I'ct' (or Ihis ('c(II(I""I:, $~.(lO (', ~')\.~I~' \"l,~.;:, ~\,:J:'~\"'~r' . I.lIl'1ll IlI'giStlill ". 2537538 AUG '2 7 1994 --_..'-._--.-_._-_._._.~....- No. I),IW " ' \ , '.,1 'I.:' " , 'nlt" COMMONweALtH 0' PIINNSVLVAN!A . DEPAA'MElNT OF ttllALltl f VITAl RECORDS CERTIFICATE OF OEATH -~.~--_. m-j.---r:{'il<i~I",,:'fH\lW~~~':!!.A.- ....-.- ~'. . H'llll.........~.Ut,I ~~J7,~;.r- ~>>Of~i J~,<<~;!:y:-~-::."fH",:-,q!j51- PT' ~.t. ~"..\I."......~~ ,:~:X 1:~')1~.0(.( j w.{ I . I'~~~~( J """-.~1-..-~1':~,1.(~._.- t. allfll1l1J',I_ tt______.]_".,. .,...( .......2.-=--.~-: .. 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A ,_~. /c~-(.-(T2f.tj-:,.f ,/l1~CM-- .~;t4-) AAl'--d-?t~4 cV'2-..t2- 4')V!- cf}JU:,; "- r'~;Je. / 1f3 cud7~v6J-,ih-r ..A fiJ,!--t c:c.T 4u2:-~;({ I/O(~ ~~/L.. /11-fUv{.i (J)o'tA.- I ';r {YJ ,~': CtHi..L !root! ~, "J!1/'" clzf-v~~;r · .__CArf-4 ,r14/)11-~ ..lra/1'l~~ ~.~..r-'~'" ^jr; . ", I,~_d~:.- ,_:.,' .~ cP~I" ~ ,'. ..-~,."' J-/' ~~.12:e:- ",. ',,'. ..' '., ~~'/r'.l.--"'~' ....1.--/1t, ,,' fI-" -. C...;,,-::;, ,n" ,.-- ....,._tz:." ..... '.:' ..'~.:..... ._;; _ _ n ' ..,.- ,,- . :I /. " ~'D-- ",...' --.!:,c,,"1".,', I 'J Io--'~.,( / wf! t6-. I <f/ I. ,.i,4"'llthf$i1"- ,': /"-o-a.u<,: II; a;.ff a'42/-Ceuh-1- " ~,..-1/}'tq LJ.Lalr.. r ' ur1?'~ _0{l'~n7i' '1--dt~l'{;/t.~. .G;-e;f!-c-<<' 'I, ;f' /.:J .' "/' ,(/';. .... /.Iiifj q-C .,('.-# ..'" ~:-1"L I ,) __ V __ Cff rj// v / ; // ,,^, 7-- I I ' ,,(~.uC(/tlr!frJ..:. q,N ,l ,';Ict 1>;-c..-cy.{.~.tL':~(x. ,'r \ , , ':;;f,;/r- /:;.~/:;;~~c.:'1(1:t,:6.~~~;t;~~ff/~./~-{.'/<f~ . i ,,' , 1/;, / il)r7((,' (fiiJ .~~.]?( cn,-..If; ..."4';lk . '" 'LCNt-dt'/f"1', tr{.>t:.-V:-/ /' rl:;tJ?~";I$~~' i " I. " , \ " 1 , I '" , "/' . .' -"'.... ....., --LI""-4~ ~_ .ir ,..'Ao, , . I I , j' ... .-. ...-. ..~_._--.'~. ,I' ,"- e, CERTIFICATION OF NOTICE UNDER RULE 5.6{a) Name of Decedent I ,Josp.ph !loy Swank Date of Deathl Al1gJIRt' n llJlJ4 , Will No. 1994-00923 Admin. No. 1994-00923 - To the Registerl I certify that notice of beneficial interest required by Rule 5.6(a) of the orphans' Court ~u1es was served on or mailed to the following beneficiaries of the above-caplioned estate on ,January 23, 1995 I Name Address Regina Mancino 602 !lobert 51:., Mochanicshurg, PA 17055 6016 Moc~~ixd Drive, Mechanicsbur~ 17055 1056 C19Y. Blvd., Eustas, F1, 32726 Robert A. SWank Charles .J. SWank Notice has now been given to all persons entitled thereto under ,Rule 5.6(a) except Datol January 23, 1995 "1 ~!'( - -:q- ::> J!/ ::lQ; - n 11:-:--: 0- ~.',' ,': , ':. .-' .l .,,1 l \) ~ U .. ,ll '.:' ~ 'J u: , ji \.., ~ ('iJ , Ul ~. .d ~ " E a: a: OJ .. 08 ,," , , Si9Jltltu(6 , // "'-., ,/ () --r--_ ')t ,,' -'-, 7 JOhnha':. ~i~Y , ESquixj' Name Address_ 26 West lIigh Street Carlisle, PA 17013 Telephone (717) 243-6222 CapacitYI Personal R~presentative x Counsel for personal representative I " UV.Il00 EX. 111,qll ffi ~ ~I~ -- Ii ~2 ~ ! z o ~ 5 ~ ~ ^~;@~ COMMONWIAl1Il Of P!NNSVlVANIA OEMR MEN! m REVENUE om, 280601 NARRI18URO. PA 1712a.o~1 /1/_ ,) 1/'/ -,-.J INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) - t: .01 DATlS O. OIATH A"II 12/31/91 CHICK Hili I' A I'OUIAL 'OYIITT CIIDIY II CLAIMID 0 .ILI NUMBIR MIDDlE IN-I-TI~ 21 COUNTY CODE CED!NT'S COMPlETE ADOReH 94 0923 YEAR NUMBER ..--....--- - Swank, Joseph R. lOUAlIICURlfY Ni1Mffii- (,02 Hobert Street: MochanJcsbut-g, PA 17055 l&I 6, Decodent Died Te,late (Allach co !OAff'6fDl~l6Aff6f11R 8-22-9q 6-5-1899 o 2. Supplem.nlal Relurn 040. o 7. c~ Cunberland 03. 05. RemalndOl Relurn (far dalel of dealh prior 10 12.13.821 Federal E.late Tax Return Requlr.d _ 8. T 0101 Number of Safe D.pollI Bax., 171-01--2951 !XI 1. Original R.turo o 4. Llmlled Ellate Johnna J. Deily, Esqui.re l M8 Saidis, Guido, Shuff 26 West High Street CarlIsle, PA 17013 1. Real E,iot. (Schedul. A) ( I) ____ 2. Slack. and Bond. (Set,edul. B) ( 2) . 3. Clolely Held Stock/Partnerahlp In'ore.' (Sch.dule C) (31 4. Mortijage. and Note. R.c.lvable (Schedul. D) ( 41 5. Ca.h, Bank Depo.I" & Mlsc.llan.oul Pe"anal Prap.rty( 5) (Scn.dul. E) 6. Jointly Own.d Property (Sch.dul. F) ( 6) 7, Tranlfe" (Schedule G) (Schedule L) ( 7) 8. T 0101 Grall Aile" (Iotallln.. 1.7) 9. Funeral Expen..., Administrative Co"" MI"ellaoeou. ( 91 ExpenlOl (Schedule H) , 10, Debll, Mortgage Llabllllle., Lien. (Schedule I) (10) 11. Total Deduction. (lotalllnOl 9 & 10) 12. Net Value of E.lale (line 8 mlnu.llne 111 13. Charlloble and Governmenlal Beque'"ISch.dul. J) 14. Nel Value Sub ect to Tax (IIn. 12 mlnUlII~e 13) 15. Amount of line 14 taxabl. at 6% role (Include valulI from Schedule K or Schedul. M.) 16. Amounl of line 14 laxable 01 15% role (Includ. voluOl from Schedule K or Sch.dulo M,I 17. Principal tax due (Add tax from line 15 and from line 16.) 18. Credlll Spau.al Poverty Credit Prior Paymenl' + + 19. If line 18 Is greater than line 17, enler Ihe dlffor.nc. on line 19, Thl. I. the OVERPAYMENT, mo 20. If line 17 I. grealor Ihan line 18, enler tho dlff.r.nc. on line 20. ThllI. Ih. TAX DUE, A, Enler the Int.r.'1 on Ih. balanc. due on IIn. 20A, B, Enl" the lotal of line 20 and 20A on IIn. 20B. This II tho BALANCE DUE. Ma" Check Payable tal Rogl.t" .1 Will., Agent ... ... 8E liURITO 'ANSWER ALL QUESTIONS ON RIVIRSI SIDE AND TO RECHECK MATlf,..., , ' Undor penalties of perjury, I declare tho! I have t1(omln.d this fftlurn, Including accompanyIng .che'dull" and IlalemenU, and fa the bill of my knowledge and belief, II h Irue, correct and comple'., I d.c1ar. thol 011 real IIlale hOI been reported allrul market value. Oeclaratlon of prepare' olh.r than lh. perlonal reprlllnlallv. h balad on alllnformatlon of which pre parer has any knowledge. !10'iA~' Pf P,ONI18I! 'OR 'IImoR'ffiJ~A06.TSs '''_. liA1j'-"---"-'''--- "~U,R:.' .c"lli7 :k'A:tvJ ~c,b{'J~'c',.llLm""'-," ~_...\,~2~(JS:'..__".. ~t\JI'V.1 II.t vr R R lA 'fT1J~ ~tnTs ---- uAlt '-'-;/""/1,)0 ~71,(uj( ,,)(,: (l.u.e) )AJ/l Sln-cI (!'l,(J\!ti;"'1'!,i'\ 1"7fr C/S- -6222 00 ~i :~~ 2.000.00 10,321. 31 'D'- ){'81 ? ('?1 OR . 76.75 (11) (12) (13) . (14) 1151 9,621.48 )( .06.. 116) )( ,15.. (17) OllCoun' InlerOlI (18) 1191 C"l'C~ heru if you Ofl' UHIUl!\ling.(I 'l!'un of 'vour OVl!'p(lvm~lIt f,..,.','_>,_",' , "'. I . In 1'1' :xl :n~ li'c, (.1 () ". ~ .:. tt "1'.' (, -, Z N ' ....1 ' . ~ C J ,~ ;:,; iJ; " 1/)10" (01 12,32 ~;)1 II, 2,699.83 9 ,621.48 I) 7 2.29- 577 . 29 120) ___.271..lQ.. (20A) (20B) 57'1.29 IIY,IS11U. P"'I BrAn 0' SCHEDULE H 1 FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES _ PI.a.. Prlnl or Tyr' [::UMlh 21 - 94 - 0923 *' COMMONWIAITH O. PlNNJYLVANIA INHUIIANCI TM IIlU!N !UteINT DICIDINT SW/ll1k, Jose h R. DISCRIPTION ITIM NUMIIR A. 1, 2. 3. 4. I. 1. .. C. 1, 2. 3. ., 5. 6. 7. 8, Pun.,allxpen".. Joseph B. Conahan funeral Hooe (balance due) Hazleton Memorial Co. Ernie's Steak House (wake) Smith Floral Co. Admlnl.trallw Com. ",.onol Rep.....ntatlve Comml..lonl ' SlIclol S,curlty Number of "rlonol R,p","ntetlvel V,ar Comml..lonl paid 2. Attorney Feel Saidis, Guido, Shuff & Mas1and 3. Family Ex.mptlon Claimant R.latlonlhlp Add..... of Claimant 01 d.ced.nl'l d.oth St....t Add..... Clly Slat. Zip Cod. Probate Feel Ct.lTberland County Register of Wills MI.e.llan,ou. Ixpen"'1 Advertising, C\Il1berland County Law .1ournal AdvertisJngl Patriot News TOTAL (Alto .nter on IIn. 9, R.capllulotlonl (If more Ipac. I. n"d.d, Inll" additional .h.." of lam' III'.) ,...... ""~"."" . '-~~'-,'''-' AMOUNT $924 .00 60.00 125.88 165.36 1,200.00 39.00 40.00 68.84 S 2,623.08 REGISTER OF WILLS Cumberland County Fcbmary 1st, 1995 Page Two ,However, 1 do not believe that a person Is deemed to be oj .sound mind" if he jorgets to Include any mention qf his only living child In fils 'will', plus scratches out various writings In that so called 'wUl' . From the IriformatloTl you have given me, 1 learn that, qfter 1 brought my jather to temporarily stay at the home oj his daughter-In-law and grandson, Robert, and while staying at their home, my father changed his bank accounts so that his money would go to his grandson, Robert, and 'gifted' all oj his personal property to his grandsonsl And all this was done In the month before this 95 year old man dledl Now, as Robert's attorney, you ask me to sign my ja- ther's car over to Robert In order to pay my father's "debts". 1 belwoo that, as my jather's only living chad, 1 am the only one who need sign to transfer ownership of the car. It doesn't make any sense, however. to transfer ownership to Robert. It would seem that Robert has already taken possession oj my ja- ther's estate, and should have jn.r more than enough jrom the estate to pay the debts you mention. Nor Is there any assurance that Robert Is competent enough to pay Ilny debts, or that he will use the proceeds jrom the cr.r to pay any debts. 1 am sure you did not mean It as a threat, but It sure sounded like one when you write and tell me that, if 1 do not sign, you will create more expenses by probating the will. You, as attorney jor Robert, can do what you wish, but 1 am not In- terested In having anything further to do with this situation that has alrec.dy caused me much too much unnecessary un- happiness. " There Is nothing In the enclosure to Indicate the ad. dross of the REGISTER OF WILLS, I hope this reaches you, as I would like to make sure this letter Is brought to the attenUon of the Probate Judge. Please use the enclosed self addressed enve. lope to acknowledge the receipt of this letter. Thank you. Sincerely ) . '--'" I ' L.~;JfCl;J, {'Y2!:~[{~.cwt9 RM:HL (Mrs.) Regina A. ilici~o, R. N;' Enes. IV-1547 IX APP (12-94* C_I(!Il Of PEHNlVLVIHII DIlPIllTIIIHT Of RfV1!HUE IURfIU Of IHDIV1DUI( TIXES DIlPT. 110601 HARAISlUMO, PA 17J.~.-0601 ISTATE OF SWANK FILl NO. DATI OP DIATH 08-22-94 COUNTY - HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUftHIT THE UPPER PORTION Of THIS fORH WITH YOUR TAM PAVHENT TO THE REGISTER Of WILLS, HAKE CHECK PAYABLE TO "REGISTER Of WILLS, AGENT" REMIT PAYMENT TOI \ ~ ,~,l~ ~ ~ ') \YDJj HOTICE Of INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT Of TAM ACN 101 DATI 04-10-95 CUMBERLAND JOHNNA J DEILV ESQ SAIDIS ETAL 26 W HIGH ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ~ AMount R'Mlttod CUT ALONG THIS LINI ~ RETAIN LOWIR PORTION FOR YOUR RICORDS .... nil: ii41- iii - "FP -C1'2"-"94 T -tliiTicir'op'Itiiiiiiii' l\Nci' i" AX -'Aiiiiil'A-i 9iHiili'~ u"i.rO\;ANCi'o'Fi no .............. DISALLOWANCI OF DEDUCTIONS AND ASSESSMENT OF TAX ISTAT! OF SWANK JOSEPH R FILE NO. 21 94-0923 ACN 101 DAT! 0',-10-95 TAM RETURN WAS I (X) ACCEPTED AS fILED I) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE RIVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1, R..l Estoto ISohodul. A) II) 2. stooko ond londs lSoh41dul. I) (2) 5, Cloo.l~ Hold Stock/Portn.r.hlp Intor..t (Sohedul. CI (5) ~, Hortgog.s/Not.o R~.IYobl. (Soh.dulo D) I~I S, Co.h/lonk Dopolits/Hllo, Po..onol Prop.rty (Soh.dul. E) ISI 6. JointlY Own.d Prop.rty (Sch.dul. F) (il 7. Tronofo.. lSohodul. G) (7) I. Totol A..oto 00 r."; \d :~ c~. 00 \ I) ~, .00 "1" 00 .'_',', . 't .00 .:0 J1m \I 0 (' \/1 .) 1i,321.31 APPROVED DIDUCTIONS AND EXEMPTIONS I t 2,623,08 9, Fun.rol !Kponooo/Adtl, Coo ./Hho. E.p.no.o (Schedul. HI (9) 10, Debts/HortgoGo LlobllIU../L1.no ISohodul. I) 1l0) 76. '/5 11. Totol Doduotlon. (11) 12. Not Volu. of To. R.turn (12) 15, Chorltobl./Ooy.rnMntol I._.ts ISohoclul. J) IUI l~. Not V.lus of eatoto SUbjoot to To. Il~) NOTE I If.n ......m.nt w.. 1..u.d pr.v1ou.ly, l1n.. 14, 15 .nd/or 16, 17 .nd 18 will raf1.ot f1gur.. th.t 1nolud. the tot.1 of ~ r.turn. .......d to d.t.. ASSESSMENT OF TAXI 18, AMOUnt of Line l~ ot Spouool roto liS) 16. Asoount of Line l~ t..obl. ot l1nool/Clo.. A rot. 1l6) 17. AMount of Line l~ to.obl. ot Collotorol/Cl..o I rot. (17) 18. Prlnclpol To. Du. TAX CRlDITSI PAVHENT DATE o - 7-9 '.~9c) A~ 9,621.48 ,00 9,621.48 ,00 K .03. 9,621.48 M .06. .00M,15. Ill) ,00 577,29 .00 577,29 RECEIPT NUHIER AA02276 DISCOUNT I. J INTEREST 1-) .00 AHOUNT PAID 577 . 29 TOTAL TAX CREDIT BALANCI OF TAX DUI INTlREST TOTAL DUE 577 ,29 ,00 ,00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( If TOTAL DUE II LEII THAN 'I, NO PAYHENT II REQUIRED. IF TOTAL DUE II REFLECTED AI A "CREDIT" (CR), VDU HAY IE DUE A REFUND. SEE REVERIE IIDE OF THIS FORN POR XNITRUCTIONI,I I ~IV.1147 IX AFP 112.94* CDlf'OfiWt:Al TH Of PENllmVANU llEPARTNENT Of REYfNUf iUREAU Of INDIVIDUAL lAMEI MPT, 110601 IWIRIllURIl. PA 171l1.om ISTAT! OF TRMtINOEf-- B FILl NO. 94-0924 DATI OF DIATH 10-04-94 COUNTY CUM~ERLANU NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SU8HIT THE UPPER PORTION Of THIS fORH WITH YOUR TAM PAVHENT TO THE REGISTER Of WILLS, HAKE CHECK PAYA8LE TO "REGISTER Of WILLS, AGENT" REMIT PAYMENT TOl ! '1- ). 1/'1' - 'I ACN 101 NOTICE OF INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE Of OEDUCTI~ AND ASSESSHENT OF TAM HORACE A JOHNSON ESQ 301 MARKET ST PO BOX 109 LEMOYNE PA 17043-5228 DATI! 0~-01-95 - REOISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 11013 A.ount R..ltt.d J CUT ALONG THIS LINI .... RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiiWiiW'ixuAFii'm-:94Y'iioi"ici'op'i"NHiififA;fci"i"AX'A'pjiiiA'isEHiiir;.ALUiwANCi.o-Ii................. DISALLOWA~CE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATI! OF TROVINOER EMALINE B FILE NO.21 94-0924 ACN 101 DATE 05-01-95 APPROVED DEDUCTIONS AND EXEMPTIONSl 9. Fun.r.l E.p.n.../Ad., Co.t./HI.o, E.p.n... ISoh.dul. H) 191. 10. o.bh/H~rt,.,. LIlbllltlll/Llon. (Soh.dule II (10) .00 11. Tot.lD.duotlon. Ill) 910 ~O 12. N.t Vllu. of TIN Return 112) 5,113.33 15. Chlr It.bl.IGovern..ntel 8.qullto I Soh.dul. J) 1151' 00 14. Not V.luo of Eotot. Subj.ot to TIN 1141 5,113.33. NOTEI If.n ........nt w.. i..u.d pr.viau.1Y. lino. 14. 15 and/or 1&. 17 .nd 18 will r.fl.at figur.. that inalud. th. tot.1 of 6kh return. a......d to d.t.. ASSESSMENT OF TAXI 11. A.ount of Line 14 .t Spou..l rot. 115 I, 16. AMOunt of Line 14 t...bl. .t Lln..l/Cl... A r.t. 1161 17, Aoount of Lln. 14 t...bl. .t Coll.t.r.l/Cl... 0 r.t. 1171 la, Prlnolp.l T'N OU. TAX CREDITS I PAYHENT DATE 2-09-95 lAM RETURN WAS, I X I ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIOINAL 1, R..l Ed.t. (Soh.dule Al (1) 2, Stook. ond Bond. (Soh.dul. BI 121 5, Clo..l~ H.ld Stook/P.rtn.r.hlp Int.r..t lSoh.dul. CI 151 4, Hort,.,../Not.. Roo.lv.bl. ISoh.dul. 01 (41 i. C..h/Bonk D.po.lt./HI.o, p.r.on.l Prop.rt~ (Soh.dul. El 151 6. Jolntl~ DHn.d Prop.rt~ ISoh.dul. f) 161 7. Tron.f.r. (Soh.dul. GI (71 a. Tot.l AII.to RECEIPT HUH8ER AA022813 DXSCOUNT (. I INTEREST (.) .00 L I CHANGED 00 c: i~ \r~ :,! ....Q.lL u' 2.924,00 ~t; . ,Oll:c> ,00 ~ 3 J 1 09.83 . OJ!.. '''1; 00 ' :{,., "1' (e)?~i '1.1:0 . (11 I" I' ;" (I (// i..: 6'; 033.83 920.50 .00 M .03. .00 M .06. 5,113.33 M .15. ual .00 ,00 766.99 766.99 AHOUHT pAID 766,99 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE M IF pAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION Of ADDITIONAL INTEREST. 766,99 ,00 ,00 ,00 IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED, IF TOTAl, DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY 8E DUE A REfUND. SEE REVERSE SIDE OF THIS fORH FOR INSTRUCTIDNS,I ~US REPORT UNDER RULE 6.12 Name of Decedent I Jos-eph Roy SWa nil. Date of Deathl f?-"2'Z,qy Will No. I '?)~4-" OO:,yZ '0 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. Stateyhether administr.ation of the ostate 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 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 V b. The separate Orphans' Court No. (i f any) for tho personal representative's account i~: c. Did the personal representative state an account informally to the parties in interest? Yes vi 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 attached to this report. ~ (M~ (~ .ltt-ud 0 Signature Datel ~-lCl-qb "t Edward II. Gu i do, ERqlli rp Name (Pleauo type or print) Saidis, Guido, shuff & Masl~nd 26 W. High St."Carlisle, PA 17013 Address ~" .. .'. " \';(i. ,- (1,'1 f'1 (" o C'l (~ co '.: ( 717) 243-6222 Tel. No. " ~ r: l ~ \ \ <1)11' c.:' ,/ $5 (.) (..l '-'.J p, Personal Rep~esentative X Counsel fdr ,';pe~sonal reprosenta't.iv;'e ' CapacitYI , ' (HAM I r.mf/ AM3 )