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HomeMy WebLinkAbout95-00705 '!";JJ!i-:~ ..i:. .'- ~.:{:<tj; Jl__f,,,:.,,-;~,-,~7.~',,_ I . :co f::~: ft" '- . ;',:)~~-~ '.. . , '~'''-.'-.-. . t;.J ," .' \,;'.Z':,:..::;: . .'.'s:::. . "". ".. .' ...",. ,.' \3 Jj ... i.g~~~,~:!{t~;::~~.'~~;~.:~1 .~ /i';',will-;J'>,!o..",<. ." ~,"I'e;l,.~,_,~.,,~. "",,'" Li.. '!l ~~~E';...i:!ir"'''!:J,J'''~~" -i'~.~'f".f.~"::~ ~ ~f' ..f'.. "~""''''''~7"l'l'iI''- -eo' -"~. ,_ ~I <Y..il~\::r~/:--~~~ r-i-~>t~;a.~.,::~: ':.'-1': ~ > _' j,. ~-~-" ,j(._,..,-~~t-, -'.; -., - - - . - -. c::::s: ~;'~~~~~t)~~ :';-;:'i~::~";~"~ '"ii~~\.:\ ;,-;-\: '._< . , ..s: "V',.",..,..J , ' "," ..... D .v l'!;'Y':'':'' '0" '~:,","C:~'~' '. .,;', ,,^ "... > . "'. ~.... '. 't \. ~ _. ,~ " T ,'\_,:-' :. ~ .~) '. d " ',~ ',' ~ "" -- \ a_A ".':"'.;";Z'. ...,:...'... \, .w. :'c:: .'.' . . .. "';:';i'~"'" ~/,- . -'-<: -+ '."1', , .' . .', ~ -"," "'}\:- /- ..'1 - V) """.'-' . " . ,~,.~"-,,,",' , ',_!:'/,-"._",'.:1 ---,~ - ............-..... .- ~ " Register of Wills of n_""lI County, Penndylvanla PETITION FOR GRANT OF LETTERS i . , 1. F , ~ Estato of FLORENCE B, DODSON No. 21-95-705 also known as . Daceased Social Security No. 16R-24-3776 l"hl.......I.I,........,...t"'......I.............~I".lt'" (COMPLETE" A" OR "B" BELOW:I ~ A. Probalo and Granl 01 Lotlors and a."r Ihat POlillonorls) isfaro tho cxocul.r.ix. namod In tho Last Will 01 tho Docodont. datod O"t.nh.... d. 1 Q7fi and codicillsl dRted N /11 "'........."I...r'.,......... ...1................ .....h..t....U1IN..1r E)lcopt 01 tollow.. Decedent did not marrV. WOll not divorced, und did nol hovo 0 child born Of odoplod atlor ull.ec:ulion of Ihe docunlonll ofle'lld for probate: wal not the victim of ,. killing fll1d W8I noyer adjudicotnd incompotent: a B. Granl 01 Letlers 01 Adminislrallon ,< , ", II ~.. L I.. ,..._.,. .'''' ......... ,",_.1". ......... "....~.....~I Potitionerlsl after a proper search has/havo ascertainod that DoccdOnllelt no WilInnd was survivod bV the 'allowing spouse IiI anyl and heirs: Nanle Rolnlionlihip ROlidonce uno Q Ulono II Dote I nOCOSRUfY. Docedcnt was domiciled at doath in ~l1mhlP'" ~nn Cmmtv, PCIlIlSVI\l.l11liJ. wilh his/hur Inst famllv or ,Ulf1cllwl rosidenco al 7n7':l C'arlislQ ~ilcQ Lot lJ~..-s-i-l-v r-Spc-i 5-'1' hi ......"..,~....,.""..._"".",.. & .og 'Owna --p Dec"denl. thon -1lA.... yoars 01 aoe. died Sept...mh.... 11 .19..9.5 al 7073 Carlisle Pike. I.nt. 33 11'''-.....'. Docodont 01 dooth ownod Ploporty Wilh oslirnuted voluOD liS lolluws: III domlcilod in PAl AlIllolllOnnl propotty ..,..................,........ s 20.000.00 (If not domlcilod in PAt PUIson"l proporty in Ponnsvlvnnill . . . . . , . . , . . , , , . , , . . . . . S III not' domiciled in PAl Purllonol ,lfopurlV in Counly . . . . . . . . . . . . . . . . . . . . . . . . . . S Volua of 1001 cItata in Pcnnty'lvnnia ......,.,.....,.....,.......................... $ Total. . . . . . . . , . . . . . . . , , . . . . . . . . . . . , . . . , . , . . . . . . . . . . . . . . . . . . . . . , . . , . $ '-0. oon A nn Repl Eolate situated os tollows:NONE Whorofole, Petitionerl,,' Isspecllullv fOftuosllsllho ruohnte of tho lnst Willllnd Codlcil(sl prollonled with thlli Potllion nnd thlt UIllnl of 101l01S in Iho approprioto form to the undorsigned: TYl'lId or fHlIlhld nUnlu und rUllldunGu Sarah Wolfe Harrisbur PA 17111 7,i, Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petltlonerlsl above.named swearlsl and afflrmlslthat the statements In the foregoing Petition are true and correct to the best of the knowledge and belief of Petltlonerlsl and that. as personal representatlvels) of the Decedent. Petltlonerlsl will well and trulv administer the estate according to law. /r0',1 t(/,<~ SARAH WOLFE / Sworn to and affirmed and subscribed borore me this 19t.h day of ~AptihPr 7J).y/ L);~tI.>r:") J'Ol M . L,~Wl.:;j' 1 SJ3.5 (f/}/{'(-!tl ~1t1i v DECREE OF REGISTER Estate 01 Florence B, Dodson Deceased No. 21-95-705 also known as Social Security No: 168-24-3776 Date of Death: SeDtember 11 , 1995 AND NOW. RF.PTF.MRF.R 'I .19.9..5-. in consideration of the petition on the reverse side hereon, satisfactory proof having been presented belore me, IT .I!,> DECREED that Letters IllI Testamentary 0 of Administration lro 1 ". ...... r. I . I_"'~"" ~Io, .......... .._..... "",.,..' ..............1 are here~y grant.!!.d to ~~r;:lh Wnl t:c. .. in the above eS\Bte and that the instrument(s), if any, dated Oetnhpr 4. 1976 described In the Petition be admitted to probate and tiled of record as the last Will of Decedent. . 0, ~ FEES , . -) /} (IJ (;~J . /) /, _ / -., :r o IS L "If" If) , allers(G.;c..... ...:;"..... '~1' ~ UU Short Certiflcate(s)..Hl.l.. Renunciation.. ... .... ......... Affidavit ( )................. Extra Pages l )............ Codicil.......................... JCP Fee........................ Inventory & Tax Forms... Other............................ TOTAL................ $ 87.00 '9n'9 3528 Brisban Street HarriRburg, PA 1711.1 Telephone: (717) 561-1939 DATE FILED: SeDtember 21. 1995 Attorney: 1.0. No: Address: Charles E, Petrie RW-7. LETTERSWERE MAILED TO: QI1cJ 0 rdCI"" 21-95-705 ',>.' .',} . \', ~; '"I. ... . . '("1'.~.", t ...... .., . .i'''''''', ".. ",">.'-"':"'.,', . r,~... ,.,';;'.1 .' ',::1>1 ;.~. :, - ~.'~ f.....; 1'~.;"; ,.~~/ "-,:" ....-r~'!- I "i .. ~.t'.t~\f~:l .~~,>~.~. ',4..,;.}-A_,; ".>' ,,, . 1 - t1,~'~'-~~.'" ({~'r',(-,~... /*..J.'~""'" '''',.,A ,',\ ~Jt. ',""", t: t Ii- .1 r ~ . f "t ~ . '.,t "i WILL OF FLORENCE B. 1l0DSON I, FI.ORENCE B. DODSON, of the Borough of Wormleysburg, Cumberland County, Pennsylvania, declare this to bl! my lost will /lnd rl!voke /lilY will previously mode by mI!. Item I. I direct that all my just debts and funeral expenses, including my gravemnrker and all expenses of my last illness, sholl be paid from my residuary estate as soon os practicable after my decease os 0 port of the expense of the administration of my estate, Item 11, 1 devise all my possessions and estate of every nature and wherever situate to such of my issue, per stirpes, os survive my death by sixty ( 60 ) days. Item Ill. 1 appoint my son, ROBERT M. DODSON, executor of this my lost will, Should my said son predecease me or otherwise foil to qualify or cease to serve os executor of this my lost will, 1 appoint my daughter, SARAH WOLFE, executrix of this my last will. Item IV. I direct that my personal representatives, as well os their successors. sholl not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF. I hove hereunto set my hand this If day of ~ . 1976, ~ee. 'tJ,7V~ Florence B, Dodson Page I of 2 Poges "! ; ....' - ~ I';! (;ffi.1f",;!:~' .' ~ -"'''1-T1:~7t~)1!f.lh:~f;~.l;-,'-'h-::-~ , ~\,. h.T,'-'-1 -.,.. ~ ,~.+,~ l"'\'~' ..." , . " ~ ',i.lt t\j-1-":nl~"",,',J"':\'" "A\.~W'i,_,,,-"t:.'.,-,:~'--;: 'f:\l~h.~l>'~' .. ~.::n /'r>,~i(':~.\,-u"(:;._~<'P-': <.~:\-,: \ {vr.it,,"\~,,~i 1""1...; '1~" ',P .~. ,,:'P,"},., ~r-~: '. ~.." "~")l.t\t ;' " ;,1' :/ .1-~ ~ ,,' ,,' : . .:5 ~~I' 1 !j ~ ~ 4- \ ~..,... -. ", r j . 'rL:iffJ~~"':~~-{'~r' , ::~. ;.~-.~,;"...: ,.1'l;{'.;.-, '; , ''''~~'"'fli~<' ~(, ~ .,,,. . '..... /' ~01'.' ",,' .:';, . ~ v, :!.'~;U'J ~Vi\~,A:~,T,( 'il-' .):~ ': ,'~-' . 'T_,r,t4t.~!Jz,..,.,f~:I"~'" ,.' ~'" .. .1.' \ ~:! . ,~. ", ~ OJ t" ~:;.~,.:J: :""1.' ~'" "h'f'.,€._r~,,:;. ""'1" "i'- (~.f. 'V~,,: 1 ~ t""fb~~\~~!';;~~"....~I,;l;1':~3.R;i!d':t~~':" ~ ~'~~:';t, '_f,.! '-, i -: ";,! ,~~.... ~i.,/" -,"", ~~'Y....4f. ~-':;f,:.'? ,,;~~ :~. ..'.:-:~TI7'''i"'';:y'",.~...:t ,t'r~;,"."1;~, " "~,,I :~ ;.... ':. ;~;,.b' .,~r.~'1:'7'"'\;:.t,,'..r;1tjJrjf"'~~:<i~<~t " . . '.~ .. ',"" "'~ l ' " - 7.-4"'~'''t'...,- ~ - ~W "-' ~ .', .1' ," ~ '..., ',' -..,. ~"l' ,'.'t,'r;'[,,-~"'-i""-1"JI""'-"'" ,... 1-i}'" . ~ ' _ . I. ~ .. ' ~ . i. ,t,. lJ . .'-,f'-" ,"';1 ^\.J" Ii' '" '" ,~,~. < . " o - "'-', -, f"" "-, 1- -- .-........." ," ", -,.". "hi ";" " [':'<~:~ l~r.~ ~'. ~ : ." ,,'-J I. ~,:'~t,_,. -, \l;>fl;~~",>",\, " ~:"i-p'~:;'~ ~, ,~<\>l '<,.' ,'1--"" . ._ '-A.:-~'1,'4, :" ..;~ ...1<:<i;:-~~i- "':,' ',' ;'-y_",t;..;~i~;@ ...:.:<" ., ~Ii:-";;- '. i..'c ". ;,:"}"l .c)-f.' 't:) i,\~'";' '~':q ~~-"'i(~{;,' 1'1'".; ~1'-" "("fl1' ,"_ .;1' .--~.,'.,..l. ,~.~~ i".- ! -f..r;"l"""q,t-..;:, b- i';._fk~lt~ 'j!, :J'~.11~X.:\'1" 1 '-<.. ,c','" ""''''J'' ' ~ ~V /' ,~,., 7." ,'i.l "--,,,., . " ~. .'~:1''$T.'' ':r"" ~'.~,?.1t>f'7't.'i.'lo.'1 i' ->'" f:'.~ ';,:"'A,-"" '-'-~'\.'::~.r~ The preceding instrumont, consisting of this and one other typewritten poge, each identified by the signoture of the testatrix, wos on the date thereof signed, published, and declored by Florence B. Dodson, the testatrix therein named, os ond for her last will, in the presence of us, who ot her. request, in her presence, ond in the presence of eoch other, hove subscribed our names as witnesses hereto. c - U.lL(1. f4+ll'> .'\ : ~ >: ,".' ^'>'1~ ,\'-t~ -:~~'~ ..,~., ",~ ' : .;.';-~ --.~~~ '.:.-1.. ;~:'m, . '~I;;t, :t~{ \:r;} ....;"0.: ;if, ~:~r '-;\--'" ;._':;~::1 , .~ ~ . '" ~ H ~",;-'l: :\'~' t~ .H ;'. ;!,' ?\\ ,~-..>\ .:.'."i ,d::.', ',--,..,." '.,.j\..'3: ~O}~t~ " .. ~tl- 1'-' ,..i-- I.d_ ~. -. i '.;.-'-'.~ t : ~- <:'(~'\-.~:l','-- ;"~"~~I<::t'~:1~J';:{j;~;C.~: l~~~f#'\~"l ""~ ';~: , \.. ,"~'-' J.. . ~'~." .i:'~.~.~ -,-"...~.. t l' '.~ 1",#., . T' _ ~.'.'~ .~:'(:i~f;~7!~.T:).y:"7 . .~~.:. ;;.~\: ',~., ;,;",'( -" . .1, ',~ f!~: , 'i. -~. . . ~f;rI~i';:'~~i;:'5,;;~. : , Page20f 2: Page,.": .'-' ,.;."..,.' t' REGISTER OF WILLS OF _ _ COUNTY OATH OF SUBSCRIBING WITNESS .. ~ ,. ~ J codicil ../ (each) a subscrlblns witness to the will presented herewith. (each) belns dull'-.qOallned accordlns 10 law, depose(s) and say(s) Ihat present and saw , 1: ~ , " , slsn the same and that ,,/ slsned as a witness atlhe '" In h presence and (In Ihe prcscnce of each other) (In thc presence of Ihe ~ other subscrlblns wltn ~. // /- Sworn 10 or affirmed and subscribe lleK'" me Ihls /d8Y of -----.-__ /' --- /' 19_ .----.. /' / Ihe leslst request of lesl (Name) Register --- (AddreSs)---'-__ - ---..... (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON.SUBSCRIBING WITNESS ri~~ItJ f. A,fr.; Ch,..! r;"r"lrl (.7 /.I./;.? (each) a subscriber hereto, (each) belns duly quallned accordlns to law, depose(s) and say(s) thai Wi. ,,"'- familiar with the slsnature of ,c;""',,,J /J, .o~ ,..If." , testat I,:.... of (one of the subscrlblns witnesses to) the ~ presented herewith and eod!cIl' that Wi. belleveJ the slsnature on the will Is In the handwrltlns of to the best of 0""" ;:7,J~n(~ /1. /J"J,r,... knowledse and belief. ......-.---...-.........., -".,..,.,.....'..w..\\t4"C"i; j,,........_'...."2:~' Sworn to or affirmed and subscribed before ~d ,C ~ me this /'l:ewt day'!.! Jr.", .,(J~,(!NJ!l'e) ,~t..I" ~ "1<r~"L ~ /1? N,., 1?f1~/(t" (~~II!1"J /""C . -:ft;.!! K;t~. (Address) M R}: C. LEWIS Reglsrer' II nd (Na~~ --4.( .u f'. f; .# (Address) n ) 3(.13 0.r.a.uI;.d~. iY~, f1r-., 17/1," .;l.\-Q5 -'705 -.; -,C,_ "d'J1- '-'..... ','" 0'\ .... ': ~ :"1 s~.~ 'j tS -~~. a, 0: u: 8J V, !~,'.3 iijE GO ~ ., i'," I .- -~" 1.1:, ~~~ ". '-'.;f~-i;-\'i ~1 !.' 11:\ ~~ ~" ~l ,~. ~.",,'f "'r 41... .~"." tt'f ~ ~~, L':<~ Jtf ,"-. ,',", io~ "'j, if!.: ~ '4 ~~":.j' ;~' }~ i.-ir I (","il 'Illl;: up' ~. ii', il<< ~ ij'" 1':';< ~ ~.;~. ~;;: i'.]' U. i!i.)! ::!:.:J ':"'1 '\JI ~~l~: ~.I In : ,""'I ~j -i!f! Register of Wills of ""--r1aDd County, Pennsylvania Estate of RENUNCIA TION Florence R. DodBon No. 21-95-705 also known as The undersigned. . Deceased Bon IAelallonshlp) ICapacllyl 01 Lellers TeRt"mentary tho above Decedent, hereby renouncelsl the right to admlnis1Cr tho cstatu and rospcctlully fUlIuuSllS) Will be issued 10 Sarah Wolfe Witness my hand this 19th day 01 SeoteD1l2.!!L_. 19 95. Sworn 10 or allirmud and subscribed be~ rne Ihls IfJuv day of MAfA".( . 1 9~. ~~ My Commission E.p~res:'7'''h;J~/qq7 .,.\1'.............."".........,.".......1<1..... I ...__I..'~.,....'.'...II... ........,......1 w.,...."..'.I..~.... .~..,.,._... HW-l) IRvod 9/92) B1~~~. (S,gnaturel 52~1__~~:lC2.tJ.Jl;:i v!,!-!_.El,..J'.a.B.Cl ,...TX 79924 (Addressl _________________.4. . (Signaturel fAddrussl ~_._.-.-.........-._.-..._._..~......."".. .-. ...-. .. - .. ISlgnoturnl -_.__...~._-------_._. ....... .....~_.,.. (Addressl NOT,\RI.\L S€AL ~~~~~ R'op€m!€. NorMy Publlo M C... ng oro. DJUphin Coun'\J ummt'l"I"'" r: ,.. J ., --:;":~_'l. ,ltl, 27. 1007 NOTE: ROllunclollolUl d)lIICuIOt. lJuhudu lho Olllcu III Ruui,u,,, III Will" IUd fOCIU,,"d in IIOIIIU COlll1lllllt lu 111I nulltllllul. ~., -~~""N4..:;J,-~~.;{4'\i~~_"'.~"v......... > \..\ \. \\ . \: '1,~"" '.'7.:.1.' ~ ; \''1 d ',\ .d' ;; ,. ,\ ". r " " ,:,-,''',,~i~>~) -'- 'l{' " -T; i'~--'~ O'::n 0'" IDa: a: ,- l5\ . >.~, -.. 1~ "'I:: "'::>. UU, -,', -~ , ,-j- ",'" -,; . CERTIFICATION OF NOTICE: UNDER RULE: 5,61all \ Name of Dec.dentl Flnrpncp. R. nnnRnn Date of Deathl \ , ~~p~pmhpr 11. lqq~ Will No. dll- 9'5 -7~6 Admin, No, To the RegisLerl I certity Lhat notice'ot beneficial interest require~ by Rule 5,6(al of the Orphans' ~ourt Rules waa served on or mailed to the [allowing beneHclaries uf the above-captioned eatate on Oct.nher 3. lqq5 I ~ Address Qoo ~~~~~ha~ l~a~ Nntice has now been given to all persona entitled thereto under Rule 5,6(a) except None Date. Januarv 19, 1996 {'~r~ Siqnaturo Name Charles E. Petrie AddrcCB 3528 Drisban Street Harrisburq, PA 17111 Telephonel711 561-1939 Capacity I Personal Rapre.entative Coun.el for personal repre.entative x RW- " Namell), addre..(e.) and telephone number(l) of all coun.el Name Addre.. Telephone (717) 561-1939 352B Brisban Street Harrisburg, PA 17111 Additional information may be obtaine~ from the undersigned. oatit January 19, 1996 Signature d~L~ Charles E, Petrie Name Charles E. Petrie Address 3528 Brisban street "~r:iRbura. PA 17111 Telephone (717) 561-1939 Capacity I Personal Reprelentative Counlel for personal representative x . . SARAH WOLFE 3613 BEAUFORT STREET . HARRISBURG PA 17111 . . .. DONALD DODSON 1254 HILLCREST ROAD WELLSVILLE OH 4369B . ROBERT DODSON ....5233 SAXON DRIVE EL PASO TX 79924 . ROBIN SWARTZ MILSTEAD 37 N MAIN STREET MARYSVILLE PA GEORGE SWARTZ 431 S17TH STREET . HARRISBURG PA 17104 . LINDA J WOODRING . PO. BOX 193 GRANTHAM PA 17027 , SCOTT DODSON 20. GEARY PLACE. MECHANICSBURG PA 17055 , I , i I I I I I I I : I , I II I oJ' -'. .._ ....' .., !-------------.---------.----.-~ -- __ ___.___ __ _-0__- _. _._ ________ r' D NO. AA 082386 COMMOND~:~~~~T~: R:~~:YLVANIA , OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESYATETAX . ~.~IIl:tIlI''''1 .. RECEIVED FROM: fJ ACN ASSESSMENT P:'I CONTROL ~ NUMBER AMOUNT PETRIE CHARLES E 35eS BRISIlAN 9T 101 .e. U5B.BB HARRISBURG, PA 17111' ESTATE INFORMATION, S filE NUMBER e 1-1995-070:5 EJ NAME OF 6~~N j!!-e.~ENCE B ... DATE OF PAYMENT iii 1e/OB/95 I'!I POSTMARK DATE ... 1 e 10:5 195 COUNTY CUMBERLAND SSN 16S-e4-3776 (fiRST) (Mil , DATE Of DEATH 09/11/95 REMARKS SARAH WOLFE m TOTAL AMOUNT PAID .e,l:5S.SS CW SEAL CHECK" 10 J RECEIVED BY I MARY C. LE / REGISTER OF ~ fl/II.-')) / (".I I NA U r . S :.(, ,,' , li,tj WILLS '_III,~,.., '/ ~ REGISTER OF WILLS t____._____ ___.__._____ ____________ _ _____ __ ___,___--.____ lA . f". \ .1 . ",., ; :".' " J'I I ',. , . ~. .-., i . J \ \ ' "". t , " ..--" r~ ~r -...:.. --:-" .t . --.--~,--____..M. \. /5 --s(,-fR " REV.l.500 U+ 11.9') '* INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 'OR OATIS 0' DIATH AFTIR 12/31/91 CHICK HIRI I' A SPOUSAL POVIR" CRIDIT IS CUlIMID 0 'Ill HUMIIR l!! )C~= ~~~ ': '-i \' COMMONWfAUH Of PENNSYLVANIA DEPARTMENT Of R(vENUE .!PI. 28...\ HAIUIIUURG. '4 17 21.0601 o DIHI" AMI liAS . 111. AND MIDOlt INI 11.11 COUNTY CODE ~ OIClOIN . COMPLUI A DIU 7073 Carlisle Pike, Carlisle, PA 17013 C.,.I Cumberland AMOUNt llCllYID IUf INUItUCTlON" (!:.. 7tJs-' NUMBER o 2. Suppl.mental Return o 3. Remainder R,tu,n I'or dolll of d.alh prior 10 12.13.B21 o 5. Fed'fal e,'al. To,ll; R,turn Required I B) Iq.<II":! Of\ Lot 133 :filS .... ..", 3~ I'l.n "TO'I-"~<I,-n- f......:J;;..:.:J...L:...Ui.~.J.:J.. I -08. Total Numb.r of Soft Depollt Bo..... ~11~".\i;J ":!.RQ7 I' 365,97 4,263.09 15,149.97 (111 112) (131 (14 l'i.1<1Q Q7 IS lil ld co , I:tl.llf1orQ 16>l-24-3776 9/11/95 DAti Of DIAtH .. II SURI TO ANSWER ALL QUEmONS ON REVERSI SIDI AND TO RECHECK MATH . c,,'" Under penaltl.. of perlury, I d,c1or. tho' I have uamlned thl. r,'urn, Including accompanying .chedule. and 'Ialemenh. and 10 the be.t of my ~nowJedge and belief, It I. Irue, correct and camplele. I declare that all real e.lale hot been reported 01 true market value. Declarallan of pre parer 01 her Ihan Ihe penonal repre.enlatlve I. ba.ed on all Information of which prepar.r has any .nowledge. lIGNA' 0' 'UtSONJU'ONSIItf}O~ flU (TUIlN ADDllfU T~ r .....; / 7// / DATt 'IA~-< U/I ? t../r 6:)gpl//-O.J.,7 Jr. ~ 12. -LL///P"J- IIGNATUllf f '1l('A.fIt O'HfIt' Nil SUHA'IVf ADO.US L_ DAU,-=?,-L , J'.r: J' /./',.,;.1,. <I~ /..k.m,L.~ /'~ /.-l/, /~Ir- . II' A.PlICA.UI.U.Vl...IHO.IOtlU..,........ IIAII, "'"AND/lotIOOlII"'llIAII GO 1. Original R.'"n o 4. L1mll.d Ella" []I 6. Decedenl Died T..tale IA"ach copy of Will) o "a. Fulure Inler..t Camp rami.. (lor dol.. of d.alh all" 12.12.B2) o 7. D.cedent Malnlolned 0 living Trust (Attach copy of T rusl) AL'TAX' N flON SHOULD II,DIRlClIIUOI t ' COM'UU MAILING ADDIIUS 3528 Brisban Street Harrisburg, PA 17111 NAM' Charles E. Petrie TUUHONf HUMin '" ~ ! a: 1. R.al E,'al. ISch.dul. AI ( 1 ) 2. S'ac" and Band. (Sch.dul. B) (2) 3. Clallly H.ld S'ock/Parrn."hlp Inl".., (Sch.dul. CJ ( 3 I 4. Marrgag.. and Nol.. Rec.lvabl. ISch.dul. D) 14 ) 5. Casht Bank DeposUs & Mhcelloneous Penonol Property ( 5 ) (Sch.dul. EI 6. Jalnlly Own.d Prop.rry (Schedul. FI I 6) 7. Tran.I." (Sch.dul. G) (Sch.dul. l) (7) 8. Tolal Gro.. A..el. (Iotallln.. 1.7) 9. Fun.rol Expen..s, Admlnl.tratlve Cas", Mlleellaneous ( 9 J Expens.. ISchedule H) 10. D.bll, Marrgag. L1abillll... L1.n. ISch.dul. II (10) 11. Talal D.ductlan. 1'0'01 L1... 9 & 10) 12. Net Value of E.totelllne 8 mlnu.lIne 11) 13. Charitable and Governmental aequesh (Schedule J) 14. Net Value Sub ed 10 Tax line 12 mlnulllne 13 15. Spousal Tranden (for dol.. of dealh after 6.30.94) 5.. Instrudlon. for Ar,pllr:able Percentage on Rever.. Side. (Include volulI rom Schedul. K or Schedule M,) 16. Amounl of lIn. 14 taxable at 6% rot. (Include valu.. from Schedule K or Schedule M,) 17. Amounl of line 1.. laxabl. 01 15% role (Include valu.. from Schedule K or Schedule M.) 18. Principal loll. due (Add lax from lIn.. 15, 16 and 17.) 19. Credlll Spousal Poverty Credit Prior Poymenll Interlll 19.41'1.06 (15) x._- (16) )( .06- 15.149.97 (17) )( .15 _ 7.,7.77. 50 '" co e Ie . co .. S lIB) Dltcounl + 113.62 (19) 120) ( 113.67.) 2,158,88 + 20. If line 19 II grealer than line 18, enter the difference on line 20. Thlslt the OVERPAYMENT. aD 21. If line 18 I. grealer than line 19, enler Ihe difference on lIn. 21. Thllls the TAX DUE. A. Enler the Inter"l on Ihe balance due on line 21 A. B. Enl.rth,'olal of lIn. 21 and 21A on line 21B. Thl,l.,h. BAUlHCE DUE. Ma" Check Payable tal Regl.ter 0' Will., Agent C'wd 11l'''~ " you UIt' fl'quc'ling (I fcfund of your oVt.'rpoynwnl. 1211 (21AI (21B) '. Act '48 of 1994 pro vi d.. for the r.ductlon of the tax rat.. Impo..d on the n.t volu. of tran.f.r. to or for the u.. of the .pou.., Th. rat.. a. pr..crlb.d by the datut. will b.l · 3% (,03) will b. appllcabl. for ..tat.. of d.c.d.nll dying on or aft.r 711/94 and b.for. 1/1/96 · 2% (.02) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft.r 1/1/96 and b.for. 111/97 · 1% (,01) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft.r 111/97 and b.for. 1/1/98 · Spou.al trand.,. occurring on or aft.r 111/98 will b. ex.mpt from Inh.rltanc. tax, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS, YES NO 1. Old decedent make a transfer and: o. retain the use or Income of the property transferred, ....................................................... b. retain the right to designate who shall use the property transferred or Its Income, ............... c. retain a reversionary interest; or ................................................................................... d. receive the promise for life of either payments, benefits or care' ....................................... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration' If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration'.. ...... .0'....... ............................... ................... ..... ........10..... ........ to. 3. Old decedent own an 'In trust fort bank account at his or her death'...................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ',. U'#IIOlUtIJ.l7J " ESTATE OF .. SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plla.1 Prl"1 or l I FILE NUMBER . COMMONWfALTH O. 'fNNSYlYANIA IHHI.ITANCI TAX .nu.N "SIDINT DICIDINT Florence B. Dodson (All proporty lolntly.ownod with tho Right .. Surv'yo,.hlp mull h. dllClo..d on Schodulo PJ ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1L DESCRIPTION VALUE AT DATE OF DEATH 667.91 Checking account at Dauphin Deposit Bank Money Market Fund at Dauphin Deposit Bank Commonwealth of PA Property Tax Rebate Prudential Insurance Dividend 13,055.47 267.00 64.92 9.50 15.86 AARP refund TV Host Magazine refund Net Life Insurance Company Furniture sold at auction \t .\ " 93.16 216.45 8.05 14.74 TV Cable refund Bell Atlantic refund Mobile home sale 5,000.00 S 19,413.06 tAtla,h additional B\ol," )( II" ,h.'h If more Ipa,.I, ""d,d,1 . UVlJll t.. 1'."1 1 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pleale Print or T e I FILE NUMBER -!:j~ .' COMMONWIAL1H Of ,INN'YlV4NIA INHUITANCf TAX _nURN Rf'IOINT DfCfOfNT ESTATE or Florence B. Dodeon . ITEM NUMBER A. Funeral Expenlel' DESCRIPTION AMOUNT t. Neumeyer Funeral Home Food after funeral $2,580.00 91. 37 B. Admlnlltratlve COltl' t. Per.onal Repre.entatlve Comml..lon. Social Security Number of Personal Repre..ntatlYlI Year Comml..lan. paid 2. Allorney Fe.. 1,000.00 3. family Exemption Clalmanl Relatlan.hlp Add.... of Clalmcnt 01 decedenl'. dealh SI..el Add.... City Stale Zip Code 4. Probate Fe.. 87.00 C. MI.eelloneoul Expenlel' t. Postage stamps 32.00 2. Gasoline 4.00 3. Certified mail 2.75 4. Mobile home maintenance for sale 100.00 5. 6. 7. 8. TOTAL (AI.a enler an /lne 9, Recapitulation) (II more .pace II needed. In.ert additional Iheetl 01 lame II.e.1 S 3,897,12 N,~..-~~~~~,:",,-_ ~~~AI;l.;,._.J'''''U''<''' .-- ~, - , '.. - -, ' :> - - - ~ '11\ilSlJU.p.", -!~ SCHEDULE I DEBTS OF DECEDENT, MORTGAGE L1ABLITIES AND LIENS PI.a.. PrInt Dr T . FILE NUMBER TOTAL (Allo ont., on IIno 10, Rocopllu!otlon) III mo,.. space is n..cl.cl, Ins." oclJilionol sh..ts 01 some sin.' AMOUNT $116.00 32.41 217.00 $ 365.97 eOMMOHwtALJH Of PlNNU,""-NI" INKllltANet tAX UIUIH l"IOINt O"IOINt ESTATE OF Florence B. Dodson ITlM NUMBER DESCRIPTION 1. PA Power & Light Bell Atlantic Leiby Trailer Park Lot Rent 2. 3. IlfY.lSUfhIU7J . ESTATE OF , , .[c ITEM NUMBER 2. 3. 4. 5. 6. ITEM NUMBER lGx 7. ,. (OMMONWfAIIH 01 "NN'nVANIA IHHllltAHCI 'AX InUI" IIPDeN'DICIDIN, SCHEDULE J BENEFICIARIES FILE NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE RELATIONSHIP A. Taxabl. BeqU..hl I. 20% Sarah Wolfe 3613 Beaufort Street Harrisburg, PA 17111 Daughter Donald Dodson 1254 Hillcrest Road Wellsville OH 43968 20% Son Robert Dodson 5233 Saxon Drive El Paso, TX 79924 Robin Swartz Milstead 37 N. Main Street Marysville, PA 20% Son granddaughte 10% George Swartz 431 S. 17th Street Harrisburg, PA 17104 Linda J. .Woodring P~O.Box' 193 Grantham, PA 17027 10% grandson granddaughte I" :;t NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE ~~~~KKMX=~~K~ Scott Dodson 20 Geary Place Mechanicsburg, /-'~ /7ur" grandson 10% TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.o ontor on IIno 13, Rocopltulollon) S (If mar. .pac. I. n..d.d, In..rt additional .h..t. of .am. .11.) WILL OF FLORENCE B, DODSON t. FLORENCE B. DODSON. of the Borough of Wormleysburg. Cumberland County, Pennaylvania, declare this to bo my last will and revoke any will previously msde by me, Item I, I direct thst all my just debts and funeral expenses. including my gravemarker and all expenses of my last illness, shall be paid from my residusry estate as soon as practicable after my decease as a part of the expense of the sdministration of my estate, Item II. I devise all my possessions and estate of every nature and wherever situste to such of my issue. per stirpes, as survive my death by sixty ( 60 ) days. Item III, I appoint my son, ROBERT M. DODSON. executor of this my last will, Should my said son predecease me or otherwise fail to quslify or cease to serve as executor of this my last will, I appoint my daughter. SARAH WOLFE. executrix of this my lsst will, Item IV. I direct thst my personal representatives, as well as their successors. shall not be required to give bond for the faithful performance of their duties in any jurisdiction, IN WITNESS WHEREOF. I have hereunto set my hand this If day of ~ , 1976, ~u. 'i6. $)~ Florence B. Dodson Page 1 of 2 Pages . , .._--...-_.~.., . -....-...-- The.preceding instrument, consisting of this and one other typawritten , .. t page, each identified by the signature of the testatrix, waa on the date thereof signed, publiahed, and declared by Florence B, Dodson, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnessss hereto, ',I, (? .~ ~ . ":-' - , WL (LQi+LfI :.,1 ., ',_0, " ,. ,', ',,;, , . ,.\ 1;5-:SGo ~ Id. RI!V-1547 I!X AFP 112'95* CO""OHWULTH Of PE....YLYAHIA DfPARTftfHT Of R[V[HIJ( IURUU Of IHDlVIDUAL U.tU DCP'. II"G I HARRUIURG, PA '1tn.un ACN 101 NOTICE OF INNERITANCE TAN APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAN DATI! 04'08-96 FILl! ND. DATI! OF DI!ATH 09'11'95 CDUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORN WITH YOUR TAN PAYHENT TO THE REGISTER OF WILLS. NANE CHECK PAVAILE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOI CHARLES E PETRIE 3528 8RISBAN ST HBO PA 17111-1429 REOISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 .......t R_Hted CUT ALONG THIS LINE ~ RETAIN LOWER PORTIDN FOR YOUR RECORDS ~ iiE"v:isW'ix'AFP"m':9ifj'ilofici!"-cij:-YNHiififANCi!'i'"AX'A'PjiilA'isiiiiili'.;.ALi.-ciiiANCE.O-Ii--............... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DODSON FLORENCE B FILE NO. 21 95-0705 ACN 101 DATE 04-08-96 TAX RETIIRH WAS. I I ACCEPTED AS FILED I XI CHANGED SEE ATTACHED NOTICE RI!SERVATION CONCERNING FUTURE INTERI!ST - SI!E REVERSE APPRAISED VALUI! OF RETURN BASED ONI ORIGINAL RETURN 1. R..l E.t.t. ISchedul. AI III 2. Stock. ond lond. ISch.dul. II 121 5. Clo..ly Hald Stock/P.rt~r.hlp Int.r.at (Schedule C) (5) 4. Hortgagea/Not.. Receivable (Schedule D) (4) S. C.~/8.nk Depollta'Hllo. Par.onal Property (Schedule E) (5) 6, Jointly Owned Prop.rty ISchedul. FI 161 7. TrWlat.... CSchackd. 0 J <<7) a. Tot.l ....h .00 .00 .00 .00 19.413.06 .00 .00 lal 19.413.06 APPRDVED DI!DUCTIONS AND EXEMPTIONS I 3,897.12 9. Fun.rel Expen.../Aa.. Coat,IH1sa. Expan... (Schedul. H) C') 10. D.bb/Nortg.g. 1I.blllU../LI.n. ISch.dul. II (101 365.97 11. Tot.l Deduotion' ell) 12. Hat Valu. of TaK Raturn <<12) 15. Charit.bl./GovarnMant.l aaqua.t. <<Schedula J) <<15) 14. Hot Value of Eat.t. Subjoot to T.. 1141 NOTEI If an allelament was issuad previously, lines 14, 15 and/or 16. 17 and 18 will reflect figures that include the total of Abh returns assessed to date. ASSESSMENT OF TAXI 15. AMount of LinG 14 at Spou..l rata <<15) 16. Allount af Una 14 t.xable at Lin..1/CI... A rat. <<16) 17. A.ount of Lln. 14 taKable at Call.tar.I/CI... B rata <<17) 18. Prinoipal TaK Du. 4. n3 nq 15,149.97 .00 15,149.97 .00 15,149.97 .00 X .00. X .06. X .15. 1181 .00 909.00 .00 909.00 TAX CREDITS I PAVNEHT DATE 12-05-95 RECEIPT HUNln AA082386 DISCOUNT 1'1 INTEREST I-I 45.45 _T PAID Z.158.88 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TDTAL DUE 2.204.33 1,295.33CR .00 1,295.33CR . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN '1, NO PAVNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAV IE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR IHSTRUCTIONS.I '/l/ 1111'.1.10......11 . INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE IUREAU 0' INDIVIDUAL TAXIS DEPT. 280601 HARRIS8URO. 'A17128.0601 DECEDENT'S NAME . FILE NUMBER coda Flo e e B. SCHEDULI ITEM NO. EXPLANATION OF CHANGES J ...J:IUlllalld..t"lIratl!. IroQ .JS Percont to..6 perC:I!lIt Billce cl1Udren/&t:"lIl1dc:l1U<lrlln,.. are cia.. """ heirs. - --~..._.. ~"..... ~ '- ~ --... ~ -----,. -.. .-"-....---.-,. '.' ~ -- -..".-....-. ~'-" ,- .... ~. ......--..... ...' , ,...,._.__...............~_.-',_...._~4.". ..... _', ._.~__ .\' ~ w__ __~..,_ _ ~..r _ .-~.....~.-._. ~ .,.,~.~ .., ~ _.- - ..~ _~ __~4__."__~..._.-___..___.__..__.,._..,',._ '-." ,.,..... -.... ,_,.._______.. _ ,., .~~_._...__~~...,,.._ ..._._~~_~_..__~__~.~_._. ___.n_ __. _._. ~__r_'.'__"'~"'~'_~''''''~_ ~M~.~_.~___ ~.~.~..._~>_ _.'_T --_".,,.-- ~.-_.,.-'.~~--~.- ._~._.---..._~-.---- ---~. ,~._. ,.~ ..._....____.~_~.;.__.._M_k__ ..'~' ,.__~ ......,..-.-,.~.--._,.........-.--~.~-".... e.~_._......._~~_'d~"-'tl"":.~.__..... ,,-~'~-'-" .-,-' _4'"~~''''_''_'.~_''___-----''~'~_'__''' ",,", ~-#."'" .___.__~._~_.~.,___..._ #.~c...p-....._,__._n'__''--'--___,~_' _ ,0# .....".,.,...... ~__o.~.~~~~,_._ ~~.._. ~.""..'_" .,.___..._..;__._~_.__... ,_ c. ___.... ..,~_ .___,~"_o~.__"__.""'.',"~' .,_ .-". '''_'_T~_____"_~ -~- -_.,- ...""..._"...'--,~~----~ .__._-~ .. _. _ _.. ~.__.__, co_ __.. _"~ '."~ C'" .. ~~.._ ..~. ...~_,.__ -...~ ...~,~.- ~~ ~-- ...- .... '# ~_..- .--. - -. ~ .,~--" ~.-...- -..... .-.---. _. - -----.. ....-. ,." ,.,' ..... --. - - -- "... ,- ~.. ~'._"'.,c' ~ ..-'-. _.. -..,.-.--- .-. -,--~~-.".-.., .." "...... '...._._____ _. ,_~~ _ ~ "'~'""".' ........_. .. ,.,__ r~_~ TAX EXAMINER, Deborah Washinllton PAGE ,! " ~... " -'1_ '" -. ... .-.~ .'". .~ . TO FROM Churh.'S E. I'clrlc AlInrney ul Luw 3528 Drisban Slrcel lIarrisburH. PA 17111 Cumberland County Courthouse Carlisle, PA 17013 t~1 Cheryl (717) 561.1939 SUBJECT DA TE 1 2 MESSAGE Enclosed is a check in the amount of 15.00 for the filin. ees for estate. Also e closed is a self-addressed starn ed ve 0 for a sta ed ~o Your assistance is a reciated. REPLY (') SIGHED / / DATE SPEED MEMO "'fDllll'to' "': . I ~ ' " . .... r .' , . --" r~ 11 "':"-~.M'. ... _ 't""t'4:- , -'-'--."- -...,- \ -. ... ..~ ...." -.., ". . , TO FRO" Charles E, I'elrle Atlurney 01 Lull' 3S211llrisbun SlrCl:1 lIarrisbur~. PA 17111 (717) 561-1939 Re ister of Wills berla d Coun C urthouse One Courthouse Square Carl e P 17013 SUBJECT DATE 12 MESSAGE Enclosed for filin are an ori inal and three co ies of the Inheritance Tax return in the above case. The administration number is 1995-00705. SIGHED r r, REPLY ) SIGHED DATE / / SPEED MEMO 'lPf(ll"'.UU 'I:' T /"' 0\ ' ; .~ ",:' 46., . . " J \. '" . / .; .. . . .._-- ~ r'"'-4 ~ --::---.~-..~..u.. t.. _ - ~ 1 , 1.:~ .,~r}';;;i; L..;. , .~ 1! I""', ".,,' ..0 ',\ .:1:.. t- ,'..1 ~"''''R.tr'~ '. '<',_, 0::.1'::,'11" ~Vj"'cr~.J;' r;;,. ," ',. :.~~~ ';. ""~a: 'If'f;:f'',{"~i.', ,"'.f". """::- ,. .,. 'o-,iIt..\:,._,." . " '.".. . ''''~''':'''''!i{'H"' ,,' I,. "." .<~._ .C;:.;l!;;,..;:: '" ','Kh: '..'. " """'''' . ,~.t",.-, ',~,~ ...~fjC, "~l' '-", >~" , ""-' . IL H r,', ," " . ,:'" ,.,. . -::... , .,' ., ~;'})i:r..:i"",: ..e' "'0<,'. :V;,.:, .'. . .;~~,;, '. '_J ' .- . i... . .,<:<1' -} ';.~" F ,', ~ I . f '. ,; 'A.:o,:,'; .",~ "," .i': .. 'f; . , '~<}Zt~;{)r',;, '. i",)J ' ';'i.':;' ':i~:\;;;; f i.:i::~ ,I j k ~ ... '; "".' , , ","-,...l!2 ... ".e . .. 8' .. )~~Jg':~';'~i: 'i~~: "'';.'':)'~nJlfB: ,', ,,; . . .<?t' \'. 'L'd. t :..,. ':\;,.t> .."., '." .1:.." '. .... E "i:~";'l . ~.~". it> 'Y'.li) =' '"J.u., (jjO." P).""-u. fJ;:~.'K a: a: , .. i U ".'~'. ,.; . . " ii,',,,,,,, , _.!' ~, : . - ~-,~-, ._,1~'",. ~ .',- -~,-~--'.,-, .~:,;;-l;;;:~,,~;: -'~;~;~?:?; ""'- .,,;~}t~-'. .i . " .. ., :';.Z -t-;;- ,','- .. '~';'.'L-\ tf'". ,. , >, . .i;;J - ..~' ..~ J.:E T,:-)' = ..... (.) ~> I , ". { ,; 41 III ::3 o ,Q .... ~ f: 8~1'l 1Il >. no.... ....... ClIO :;:: ~ OJ!:; :s: 0 III 0< U ::3 ft. .... 0_ O'tl ,Q l'l .... . ... III ... 41 41... ::3... ....... 0 III III 41 u.... .....s 41 'i:l "'; l'l III 8/u ou , I I 'hJ - t: Inn a. .... ~ . ~ '(- z . hJt~~ .rnz!!:J W II: rr II . --J ~ : i ~ ~:!5 :r "x u ,'! ,.,- oi--, ~'o;_ . . e , " !," " '1-, - ,-~ !' -;'..-._- - "c';.-,,: ; .~; '.,. ,--,', , -~;,. -,'--r' '} , " ,~,.r ,:'/ 'i, '>'-, _lt~_ .'_'-' '-~-. -" i' ..-, '.' . -.\, ~:C.:i\;~!- -, ,~;-_. .;'0, --- . JRD/June 30, 1992117858 t. <i,. 0\ ~f ~ {, REGISTER OF WILLS Cumberland Caunl)' Courthause One Courlhouse Square Carlisle, PA 17013 . ; I '~" ~ i r ~ NOTICE PURSUANT TO RULE 6,12 PENNSYLVANIA. SUPREME COURT ORPHANS' COURT RULES I ~ To: Personal Representative Counsel: CHARLES E. PE1'RIE. ESQ.. RE: &late or FLORENCE B. DODSON . Deceased, Late or SILVER SPRING 1'WP &late No.: 21-1995-705 Date or Decedent's Dealh: 9 _ 11- 9 5 Pursuant to Rule 6.12, the above named personal representative or the above naIDed anomey, If applicable, within two (2) years of the decedent's death, and annually thereafter until administration Is completed, is required to tile with the Register of Wills a Status Report as required by Rule 6.12, In substantially the prescribed form, showing the date by which the personal representative, or anorney, as applicable, reasonably believes administration will be completed. The purpose of this Notice Is to advise you that unless the requisite Status Report Is tiled with the Register of Wills or Clerk of the Orphans' Coun, as appropriate, wlt~.ln ten (10) calendar days after the date of this Notice that the Register of Wills is required to notify the Orphans' Coun Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to detennlne whether sanctions should be Imposed upon the del:nquent personal representative and the delinquent personal representative's counsel, If any, Accordingly, If the requisite Status Report is not t1Ied by 10-30 ,19.2J you are hereby advised that a requm will be submlned to the Court in accordance with Rule 6.12. Date: 10-14-97 1YlQ.~)~ (. 'j.f_('41~'U~~-VYY'ftyJ-ll~ptLfr. Deputy egister of Wills . I Distribution to Estate File PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE 6.12 FORM YEARLY UNTIL COMPLETION, STATUS REPORT UNDER RULE 6.12 NAME OF DECEDENT: FLORENCE R. DODSON DATE OF DEATH: Septembp.r 1]. 1995 WILL NO: ADMIN NO: 21-199;-705 Pursuant to Rule 6,12 of the Supreme Court Orphan's Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes -X-- No____ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a, Did the personal representative file a final account with the Court? Yes ____ No-X-- b, The separate Orphans' Court No, (if any) for the personal representative's account is: c, Did the personal representative state an account informally to the parties in interest? Yes --X- No____ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. '..j c4..-L rA~ SIGNATURE DATE: d, /c0f /7'7 ,-. ....; ,- L~ Charles F.. Petrie NAME (PLEASE TYPE OR PRINT) ~r: ' ~:.;,~ ",. r-i 00 3528 Brisban Street Hard Aburg. PA 171]] ADDRESS (7] 7) 561 -] 939 TELEPHONE NO. CAPACITY: Personal Representative -X- Counsel for Personal Representative