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Home My WebLink About95-00747 \," ..." -''',,' PETITION I-OR PROBATE and GRANT OF LETTERS Blaleo! -JoliN t\.llI.,ller No. ';)J-9S-?Lf'J aIm known as To: Reglsler of Wills for lhe , De<;eased. Counly of In the Social Security No,..l.lLj '-' 'i 4 '\ <, (., Conllllonweahh of Pennsylvania The petition of the undersigned respectfully reprcsents thaI: Your petltloner(s). who Is/arc 18 ycars of age or older an the execut f~1 l< In the last wiJI of Ihe above decedcnt, dated Nt.> \J... .....' "'" (" "'- 1 <, -, 4- and codlcll(s) daled NII\~\ ~C'o.(,i'\'" d{"" "'-->..\1, \I_\"'_".~ named ,19_ (slale relCV81l1 drcllnnlaru:'cio, (".. renunciation. dCDlh of (lIC'Culof, CIC.) Dccendent was domiciled at dealh In C!. u ",.. ,),., .\... 1\ J County, PeRnsylvanla, with ~ ," last family or principal rcsldence al 'I ,,:>-- E' I~ F !\){\l S T, {/l.. d I ., t >! PA- "." 1, , . .~ -{ J" , p . , --1 (1151 metl, number and munclpalil)') Decendent,then 1.;)" years of age. died S'-"\'T"""h"'"r 1'+ ,19'1S-, at ~ <>.(" \<- l+",~ r' TAL . Excep as follows, decedent did not marry, was nOI divorced and did nol have a child born or adopted after execution of the wllJ offered for probale; was not the victim of a killing and was never adjudicated Incompetent: ~_ ,/'~/ I Dllj:cnd~f)t~t ~eat9wned p~~perty,wilh estlmatcd values as follows: (Ir domlclled'!n Pa.) .. <.---\ All personal property (If nQ~domlciled In Pa.) Personal propcrlY in Pcnnsylvanla (If not domiciled In Pa.) Personal property In County Value of real estate In Pennsylvania situated as follows: s lJ^ .b", To' '''''1 At> d. s s s WHEREFORE, petltloner(s) respcctfully request(s) the probale of the last wllJ and codlell(s) presented herewith and the grant of letters ,-" <.. r '" ,,-..e r, 'l"'''- ~ '-I (testamentary; admlnlstrallo). c.l.a.j administration d.b.n.c.l.a.) theron. ,~ ; ~~ l!:2iL~mt<.k/L d /VOW 1:?:~{ ~~#~t3 r Iii OATH OF PERSONAL REPRESENTATIVE COMMONWEAtr" OF PENNSYLVCANIA } 88 COUNTY OF " W'" ~ 12 .\ o-,.'-c The petltloner(s) above-named swear(s) or arnrm(s) thallhe stalementsln the foregoing petition arc true and correct to the best of the knowledge and belief of pelll/oner(s) and that as personal represen- tatlve(s) of the above decedent pelllloner(s) will well and truly administer the estate aceordlng to law. Sworn to or arnrmed and subscribed { ~~;/~ k'.. 21Lt'fn7~ '" before me this 15th daY..Jlr ~~4 '1?--2rl.' {(".to 00' S~ ~ "'~12"""'" (\19~ ~ 1>)("0 eJ, :6..~'. f' PB\.}.,ie~~r ~ I~ -S'?-to . ' ._~_........ No. 21-95-747 Estate of -ro h (\ 1\. ~dl<!\ I Deceased DECREE OF PROBATE AND GRANT OF LETTERS -OCTOBER fD "ll- ANO NOW _ 19~, 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-N ".j Q "",,(l;,':> (' 0, I ~ '1 '-I- described therein bF idmltted to probate and OIed of record as the last will of -To fiN A- , U\,_~" and Letters -r ~ .. -r ~ "'^ ~ n ,.. ..... r- '-I are hereby granted to /...,,' DA- ok. ':;HoG:'&-\.t\-"-~r , ~o.v t.Ll,\..l\i~ , FEES Probate, Letters, Etc. ......... S :1 Ii _ 00 Short Certlficates( II.......... S 24. 00 Renunciation ................ S JCP S 5.00 TOlAL _ \54.00 Flied ... QCT.OBER. .. 1.!l!l.!l . .. .. .. .. . ~/'In(f (' . :e..~~ n. ..P.R ~ Roshlt' of WU(. ~Q~~ A1TORNHV (Sup. Ct. 1.0. No,) :tt 31'})./o -z-,..., w .41 "d^ c;.,..., (!tI d\~~~R,~A- ''101~ .., I -, - ~'t ~ - 11'10 PHONH V,\ "-. ( ,j (" .:n. p>\ n. lr\ - [b V) " ',J ,> < , C'JCC [5' l': Ct: ' ' .:2 :=I UU , '.(: J' -.~' ...., " :"" ,:iL t, .. 0, ?-< , l:'- " \, .., , '::t- . ,.; ...... . I. LL. lI)' 0 c::r \ "- ,~ .," '. "I,j ':L' , v ~ I " ., f ',J, , :~ ',,'''' .. , j,. :.< ,\: ," ~.' j ',I 0.,'. ~ ", ., >--'"<.-:~ " _ 7, ;:.- .....' . 00: z is .., " '.4' ","",' J-" " '0 '.:' ,-<< f-'" .... " ',: r - ~,. ^, -'".f : ,- ~,--- _.i;. " ,..:- -:,',' 4.....1... 'oF , " w, ~! .... " '-d'- .,\. " , , '-'if ",' . " ;,.'" :d' _~__c ,?"'.. " c" , .. , , .' '. ',' >', ~ -, ;""- '... :: '. " 1,' ., -<. ."-,'" -'~;. - '. ~ - .. ~ . . , " i':~ t J'... '. :~~. ,,-' '" . LAST WILL AND TESTAMENT OF JOHN A. MILLER I, JOHN A. MILLER, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will previously made by me. ITEM I: I direct that all just debts and funeral expenses, in- cluding my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. ITEM II: I devise and bequeath the residue of my estate, of every nature and wherever situate, to my wife, Gloria M. Miller, providing she shall survive me by thirty (30) days. ITEM III: Should my wife, Gloria M. Miller, predecease me or die 0 or before the thirtieth day following my death, I devise and bequeath the resi- due of my estate, of every nature and wherever situate, to my children provided that the share of any child who predeceases me or dies on or before the thirtiet day following my death shall be distributed to his or her issue, per stirpes, living on the thirty-first day following my death and in default of any such then living issue, such share shall be added to the share or shares for my other children. ITEM IV: I direct that all taxes that may be assessed in conse- quence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the adminis- tration of my estate. ITEM V: I appoint my wife, Gloria M. Miller, Executrix of this my Last Will and Testament. Should my wife, Gloria M. Miller, fail to qualify or cease to act as Executor, then I appoint Jeri Ann Carns and Linda K. Shoemake Co-Executrixes of this my Last Will and Testament. ITEM VI: I direct that my personal representative or guardian shall not be required to give bond for faithful performance of their duties in any jurisdiction. "...111- IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of ('JO\JE.M~l:~, 1974. ;1 /' 4, ~/--,~"V (SEAL) .?/L___~ A. Mflle;7 - The preceding instrument, consisting of this one typewritten page, identified by the signature of the Testator, was on the day and date thereof signed, published and declared by John A. Miller, the Testator herein named, as and for his last will, in the presence of us, who, at his request, in his presence and in the presence of each other, have subscribed our names as wit- nesses thereto. UW O"ICU LANDIS a IILACK CA"lot.LI, PINHIYLYAHIA (&Mr1f3Rwft _ . ~Ah-'A--( l' '/. 21-95-747 REGISTER OF' WILLS OF C"IIMRF.Rr.AND COUNTY OATH OF SUJlSCRIBING WITNESS Ronald E. Johnson and Rober.t A.Black lCIIlilldk (each) a subscribing wllness to Ihe will presented herewllh, (each) being duly qualified according 10 law, depose(s) and say(s) Ihal they wer.e presenl and saw John A. Mi ller. Ihe lesta! or. . sign Ihe same and Ihal they signed as a wllness allhe request of lestat.D.t- In h i R presence and (In the presence of each othe presence of Ihe olher subscribing wllness(es)). Sworn to or arnrmed and subscribed before me Ihls 6 "h day of C'\c" n~r. 19....9.5.- 'i?"1~ (I~ t pio.,...l Register , l2.) REGISTER OF WILLS OF COUNTY OATH OF NON-SUJlSCRIBING WITNESS (each) a subscriber hereto. (each) being duly quallrled according 10 law, depose(s) and say(s) that familiar wllh Ihe signature of codicil will lesta! of (one of Ihe subscribing wilnesses 10) Ihe presented herewllh and codicil believes Ihe signa lure on the will 15 In the handwriting of Ihal 10 the best of knOWledge and belief. Sworn to or affirmed and subscribed before me Ihls day of 19_ (Name) (Address) Register (Name) (Address) . - -, ~.. ....,. .., ..- . WAttNINn: It ii III"U"' hi 1111111 tllii (,Illly III lu dUlllirnllllty Jllllllmllll UI t1hutDprolllh. . I I Hll)', 11.' rooM lelv } 71i j1l;O rl-ol ''''1 I"'J~j JIH 10111111'; Cll\lilll:A11 'JOIl: COMMONWEAL TH OF "F.NNSYL VANtA OLPA'nMENT Of IIEALTlt.VITAL "[CORllS No.4079:l.87 1<. I 21-95-747 LOCAL HEGlH'J'HAH'S CEIlTIFICNl'ION UF DEATII C 1tl1-_\\>o ~. ~\\.\u ~'"'' (\ ~\_M:~~,':_"l _ .. \ I., ' l'I", 11"'I'h,"",,'_LSa._'\:._\?~S\"~L.rr ~.L\:_\~ ~..........~~~\~ 111t"'c,,,r Nllm~ \ , tiC".ttt\ Guy [lr 10\"'1 0 \. , Co..mlV GC.t. IJI'Atll ~~~ ~~2 1)1"1118)'1\'1111111 CnulllY - CI1V,lJl1IOIlUh m lnWIl,hl" S,'. \;',,~"- D",..- ur f)".'h-~~q'r\':\'iA Il"C"'~ D"Il' or IIIrlh~~I\_\~a.::!::.lIIr'hl'l""" ~\'I- ~I"ril,,1 S'"''''_W-''' ",:c.v.}.. SOl'ill1 St'l'llrlt), Nu.~c:\~~_~~c:\ OI:t'lIJ1lltiulI ~t..~~~ V.' It'rlI II 'Ii tit'rIol No. I,'ull NIIIlIll ufU"I'l'""",1 H('~i"tl,t..c1 Nu. MEIlIC^,. Clm'l'IFIGA'I'I, Pllrll. IlI'ath WilS C.llllit'd II)': luten'lll UctWl!l!l1 Onliol find Ill'lIth Inllllooli"lo C""," (")_~~{'~~~~~~, nu... T.. (h) ~c:\.~~">l-~(w.~~_,\~~ Dn... '/'U(")~~~~~\t~\S~~~\e.J _ Q<n ~}...~"-\~" ~ ~\.'cl I'AHT II, O'l'IIElt SIGNI...IVANT CONIJITIONS: t:ulllrllmtinJ!' 10 Ih'llth hut lIul rl'lutNI to lilt' 1ll\l11ccllllll' cnUhC "Ivon In Pnrt I (il) Aedell,ltt, ~lIil'hll' ur 11nmh'lrll-' !i IJn\\' dill injury (l1'I'Ut NIIIJ1l' Ilull 'I'i11&. of PI'I'iOIl \ ~ 0 ~ Wllo t'IIIt1Ch'lll'IIIlIlI' 01' Ill'lllh ('" n. IJ () ,t 'unmror,-M40: )___ __ ".__ ____COSt.. __,_L..__~,~~ _~_.______._ ,1,1,1"." --------~-----------------~~\.I..\L____ Ulllwl el'O; Thlli i,,, lu C'l.'l'tlfy 1.1.''11 U...- inr.".flllalilJlIllI'rl' 1:1\'('11 j"i~rn.ellY l'IlJlied (roUl nil orll:iuall'I'rlifJt.oall' uf dl'ulh duly fill''' wJth lilt' lllO I.Ul:lIl Hl'Jfi'llrilr. 'I'Jw uriuinalt'f.'rtifil'ul\' williii' fun' I I. tu IllI' t)ta{f' Vital H._'cords Of(iell CUf lU!rlIlllllullt filinu. . ~-(~\lVor;;,;:"" .Q;. ,y '-~~~~~ d-\_~_ ~<",.$_*.' .!If\. '~"')~ q". ~~'~':""O'V~.""'''~'''- ,,~ ~""i~N.O'\ f ~r , ~ _~_~ _c...\~_ ~a.~.-\~ ~_~ 0 1 ,.' ".' jii; 51r1t1l1" 'Iron \. City, u~ou{jl1, loWII' Iill ~ -i " ~ .. .I ' ~.f.,." ,,-$;:'" ~~, ~\.I:ll-\.S.L'I ~nil G\ ~- ~~~l-~l...url ho; .OCttn'itllllstrllr ~ \() \'\'i.! 1,.111J o,"t\'Ult nt 'his CdrtHH:ntiun - -=- -=-~ .,... "-"~=",*-==~"",."""""_",,,,"__.........,~_.L.__==--,,,-=_.,..-.. if r . r >, v, 1 . - ; -.--' ~ ~- ~ ...-:.. . -'':':--..--~''''''''~A.N \, , j I ! ; ! i ~' ..., ,_ _......., ._'0- ..-..... , , I I , . -':..( , .' " '<, ',:' ,'--', .. ';";;'f;j3',:~.';,';:,':,:': ,.",'.," " ' '" " .'.; ',': ' ,.~~'. :,': ., .::", :i, "" , . " ,.'.:',., 'i ' ,;,:,' , , ' ", .- i;' '. , ," ' __ . :,., : i ' ' . ' ",:",'".->:..,:''', i;";, .::' ; ,"> >, ,;~>,;':':~: 'i';' , :" :T<"'i ". ': ' , ,;~.",:U~:}i,__:i,;: ", i:::" ,...,.' .' __/ ,:>;;~:;';;;; c" '", ',' , , ", '''',,;,'':'' ,'" ,.' ,.' "",. " ,: ". ,,"', .,::;' ,'; 'i<:--;'.',,:', :'." , ' ".,', "''';''';', ;,':',:,::"" ''''u <:::'''i'.'';....\,'';::'';,:::..., , , . ":,~,:j;, "':','1{' .:f:''' . ' ,. :::. . .':,.::0., . ,,,':IF" . ::' . ,~:~,,,,,;,;'j;'J~~ ,~ ~;~:',~!l:"":,\~:",,,;'" i"~;;;~',~,;r::;: <,;, ' ,:,: ,:" , ,'"" ,,';'''~'':::':' ;'::"'",;,;;",:--:{: ".,' 'i;"<" . '; 'i'.; ~0;'" ,. ':~ ': ,i,,1;: '~,~;u , I :",",,:;':~~~~;; ,;:: ,,..;::';~!'''~::~, ';<"'C' " ", '::';; " ~,{c~",;!' ;;;:>Ii1:':~''':;l'-~::~'''; l:'~:;::i:,..:,.,--:.<::,:~i:,i':-- " ,..,~.;, ::',"" , " ,. r ~*1~;;~'" ", '" ifj ,;, 1 '; ""':, ':, ie:,;',:-:," ;p,'-;.;",,, ,':;.: ,W., f,';:Ai,':i '~:~;~:'~'~~;;x::": :;;;, ,. :;;: 0',: c~:{1'C'=:':':~::~'/ '~~;:-T ,~::';~: ;. ?$!,-. ',' ::,,':'-", _ .~<:,:,",,;,:, c. c: ',"',1 :,\ ~F:" i~, ?~Hf,,~~: ".' ",,:,''-',;,:. '<r.?~~':'~~;". ,'..-"," "',-:~:,;,,;', ~"'~. ."." .",' ..--,,_. '; i"'; ." :'; i"i " ,':',,:,:-', ',,:~ ',<"i"'","~', ' ',i.," " ,:',' '.i' ::' ;' ,~::< ,""C,: ',:i,', ""'i,;' , _,'. ii' ," '; .;'F~i" "':r;,~:'-", '!,,' ;::j;,; ,.,::;:,.;".~ .. . :;:-. >;:~~:::'.'.:D\ ;; ;~,;:~:,:~;;;.,- C':;~:.::: ',~ ::::::"'r;;;' I I ~l~\'-:::;:,: ,;C. ,:~::::',:~: .,<:i:c:,~~;;:::J::.i:::'~:>::>};;""\~;~:':~;,,,- ,'''I, -"H.;.", ',' i ; ;_:\::y)';:.,~:;,;-"\,:;::;::: 'i,':,' .' .... " . ...,. ....:'~\:: ,,' ;~::~( ':ie' , :' , .:::~." :;~:,;:/,,;:<,..:,--,', ,',' ""':,'..:::; :;>'~i'~;:\"~",,, ";1 ':. . ' '" "' "'-"" ' , , 'C-"'.'; .-, -, I, " , ' <:'~:,' . - " ' " "', ,; i',,' "" ,:.! I '.il/~' C: ~S!y~~ ;~~:.~~ j~~:.:.. ,'Es~~' .i~;. ,< : : ';~~~~;;" '!~~~ :Z':'" ':'~;i;~ ~:i~.' .;: ~, . '., .f 0.;' ... .- . -- ~ .... -"- ~...- . ..-__t . ~~_.--. ~ - ,-.-~ ,'W,:.-----.-.-. . .._-..--- ....------- -._--.~.J 1,,-' \. ~ _::0 ~ J ;.., I , CERTIFICATION OF NOTICE UNDER RULE 5.6Ca) , , , Name of Decedent I 'TDHN A ' I~'C \ \~ ("" Date of Deathl~r. I"t; ( 'i'1:: Will No. Admin. No. 2-1" S' -0, '+ 7 ,,) '. I.:, " To the Register. I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on I Name Address . ..1U-- ~U;- ~e - _^--- c~ , , Notice has now been given to all persons entitled thereto under Rule 5.6(a) except ~ Date: IO/l'f/f.5 I ~.:-~ .~ Signature t--';!/hIA P. Auut:. L,4-S Address 07'7 w, ~<jJ.. S'r ()&.(""/I,)/~ lA. (70/3 TelephoneC7111 2-'t-? _I...," <.l Name Capacity: Personal Representative ~ounsel for personal representative . . NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE: ESTATE OF: JOHN A MILLER, DECEASED 2195-0747 TO: Linda K. Miller 152 E. Penn 51. ., Carlisle, Pa. 17013 .,.....__ '._+; ... fe., ~ ~""; i)J, fi' ,~~ ~1, ~ 1'''- .~ fi7 ,><;-~ it ~ Please lAke notice of the death of decedent and the grant of lellers to the personal 'representative named below. You may have a beneficial interest in the estate as follows: See auached copy of Will 'Name of decedent: JOHN A. MILLER Last known address of decedent: 152 E. Penn SI., Carlisle, Pa. 17013 Date of Death: September 14, 1995 Place of Death:York, Pa.. County of Grant of Original LeUers - Cumberland Decedent died Testate, and a copy of the will is allached Name. address and phone number of all personal representatives: , Linda K. Miller 152 E, Penn St. Carlisle, Pa. 17013 717-249-2086 Name, address and phone number of counsel: William P. Douglns, Esquire 27 W.High St. Carlisle, Pa, 17013 Phone: 717-243-1790 Additional information may be obtained from the undersigned: Douglas, Douglas & 0 By - William . oug as, 27 W. High SI. Cnrlisle, Pa. 17013 717-243-1790 Dated: October 19, 1995 _,,>;i;/';'::i..~~:Wk~:"'~-- NOTICE OF BENEFICIAL INTEREST IN ESTATE DEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE: ESTATE OF: JOHN A MILLER, DECEASED 2195.0747 TO: John R. MIlicI' clo Gloria Ollbert 345 E. Louthcr SI. 'Carllslc, Po 17013 Please tnke notice of Ihe dcnth of dcccdcnt and the grunt of Icttcrs to thc personnl representntlvc nnmcd below. You may havc a bcncliclallntcrest inthc cstatc as follows: Scc attachcd copy of Will Nnme of dccedent: JOHN A. MILLER Last known address of deccdcnt: 152 E. Pcnn SI., Carllslc. Po. 17013 Date of D cath: Scptcmbcr 14. 1995 Place of Dcath: York, Pn.. County ofOrnnt of Original Lellers - Cumbcrland Decedcnt dicd Tcstatc, nnd n copy of thc willis nllachcd Name, nddress and phonc numbcr of all pcrsonnl reprcscntntivcs: Linda K. MIlicI' 152 E. Penn St. Carlisle, Po. 17013 717-249-2086 Name. nddrcss and phone numbcr of counscl: Willinm P. Douglas, Esquire 27 W.High SI. Cnrlisle, Pn, 17013 Phone: 717-243-1790 Additional Information may bc obtaincd frollllhc undersigned: Doul!.lns: rlroglns ,li))o By ~~~. Wlllilllll P. Douglns. Esquire 27 W. High St. Cllrllsle, Pn. 17013 717-243-1790 Dnted: Oetobcr 19, 1995 . . NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE: ESTATE OF: JOHN A MILLER, DECEASED 2195-0747 TO: Sandra L. Runk 8 Fetrow Dr. Mechanlcsburg, Pa. 17055 . : . Please take notice of the death of decedent and the grnnt of lellers to the personal representative named below. You mllY hllve II beneficial interest in the estate as follows: See allllched copy of Will Name of decedent: JOHN A. MILLER Last known address of decedent: 152 E. Penn St., Carlisle, I'll. 17013 Date of Death: September 14, 1995 Place of Death: York, I'll.. County of Grant of Original Lellers - Cumberland Decedent died Testate, and a copy of the will is allached Name, address and phone number of all personal representntives: Linda K. Miller 152 E, Penn SI. Carlisle. Pa. 17013 717-249-2086 Name, address and phone number of counsel: WlIliam P. Dougllls, Esquire 27 W.High St. Carlisle, Pa. 17013 Phone: 717.243.1790 Additional information may be obtained from the undersigned: Douglos, h.""las &/nou I By ~~-. William P. Douglas, Esquire 27 W. High St. Carlisle. Pa. 17013 717-243-1790 Dated: October 19, 1995 , . \ . "-"~",,,,.',,"".~M~:\""~ NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE: ESTATE OF: JOliN A MILLER. DECEASED 2195-0747 TO: Marlin Corns 4307 A vc, A Losarcos Apt. 206 Austin, Tcxas 78751 Plcasc tukc noticc of thc dcath of dcccdcnt and thc grunt of Icttcrs to thc personal reprcsentative namcd below. You lIlay havc a bencficial interest luthc cst ate as follows: Scc attached copy of Will Namc of dcccdcnt: JOHN A, MILLER Last known addrcss of dcccdcnt: 152 E. Pcnn St., Carlislc, Pa. 17013 Datc of Dcath: Scptcmber 14, 1995 Placc of Dcath:York. Pa.. County of Grunt of Original Lcllcrs - Cumbcrland Dcccdcnt dicd Tcstatc. and a copy of the will is allached Name, address and phonc number of all personal rcprcscntativcs: Linda K. MilicI' 152 E. Pcnn St. Carlislc, Pa. 17013 717-249-2086 Namc, addrcss and phonc numbcr of cOllnscl: William P. Douglas, Esquirc 27 W.Hlgh St. Carllslc. Pa. 17013 Phonc: 717-243-1790 Additionallnformutlon Illay bc obtaincd fl'Omthc undcrsigncd: Dalcd: Octobcr 19, 1995 NOTICE OF DENllrlCIAL INTElWST IN ESTATE DEFORE THE REGISTER or WILLS, COUNTY OF CUMDEJ~LAND, I'ENNSYL VANIA IN RE: ESTATE OF: JOliN A MILLER, DECEASED 2195-ll747 TO: Currie Lyn Wulluce 460 Hoy Roud Curllsle, Pu, 17013 I'lellse IlIke nOlice of the delllh of dccedentund Ihe grunt of lellers to the pcrsonnl rcpresentllllve numcd bclow, You nmy hllvc n hencficlul intcrcst in the cst ale us follows: See ullllchcd copy of Will Name of decedent: JOliN A, MILLER Lust knownllddress of decedcnt: 152 E, Penn SI.. Curlislc, I'u. 17013 Dule of Dcuth: Scplember 14, 1995 Pluce of Deulh: York, Pu.. County of Grunt of Orlginul Lctters - Cumbcrlund Decedent died Teslule, und u copy of the wi II is 1I11uchcd Name, uddrcss and phone number of ull pcrsonulrcprcscnlutivcs: Lindu K. Miller 152 E. Pcnn 51. Curl isle, Pn. 17013 717-249-2ll86 NlIl11r, nddress IInd phone number of counsel: Willium P. Douglns, Esquire 27 W.High St. CnrJisle, Pn. 17013 Phone: 717-243-1790 Additionlll infonnntion mllY be oblllincd from thc undcrsigncd: Dougl s, J!> By Willium P. Douglus, Esquire 27 W. lIigh St. Curlislc, I'll. 17013 717-243-1790 Dlltcd: Oclobcr 19. 1995 ,( i'~, 'iF-,j~\: :'; r:.- h:"fj~ cll'~ ,," , :':1;,. ;~; :;!f. ,o'q'" :,;'-',,>,...' (_._-_.";~~ :\:~~ ".:> \1\ :~<:-, !.:~ "";" ,.J I;, :iJ; ',,;,: N t: " "1 " 'U' .'1 . ~l it' ,~ .:;~ ""1' ">','<,. J, ~:\Zl ; .:.; o.t'I ",., ~I"t: '.\1 ~ LAST WILL AND TESTAMENT OF JOHN A. MILLER I, JOHN A. MILLER, of the Borough of Carlisle, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will previously made by me. ITEM I: I direct that all just debts and fUneral expenses, in- cluding my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. j ? I, ,~ ITEM II: I devise and bequeath the residue of my estate, of every nature and wherever situate, to n~ wife, Gloria M. Miller, prOViding she shall survive me by thirty (30) days. ITEM III: Should my wife, Gloria M. Miller, predecease me or die C II or before the thirtieth day fOllowing my death, I deVise and bequeath the resi- I: due of my estate, of every nature and wherever situate, to my children provided I that the share of any child who predeceases me or dies on or before the thirtie1 ~ day fOllowing my death shall be distributed to his or her issue, per stirpes, living on the thirty-first day following my death and in default of any such then living issue, such share shall be added to the share or shares for my othel children. ITEM IV: I direct that all taxes that may be assessed in conse- quence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the adminis- tration of my estate. ITEM V: I appoint my wife, Gloria M. Miller, Executrix of this my Last Will and Testament. Should my wife, Gloria M. Miller, fail to qualify or cease to act as Executor, then I appoint Jeri Ann Carns and Linda K. Shoemak, Co-Executrixes of this my Last Will and Testament. ITEM VI: I direct that my personal representative or guardian shall not be required to give bond for faithful performance of their duties in any jurisdiction. S111- IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of (IJ()\le.Mr?>,"~, 1974. I, , I, I ~i {&M-(1r3PcJc r~/~~~ - /' ,,/ 4, ~./--,/tJJ (SEAL, V"---:J;;~ A. M1llet:'r " The preceding instrument, conSisting of this one typewritten page, identified by the signature of the Testator, was on the day and date thereof signed, published and declared by John A. Miller, the Testator herein named, as and for his last will, in the presence of us, who, at his request, in his presence and in the presence of each other, have subscribed our names as wit- nes ses thereto. . . .." .".,. '..' , '.;'H,"."" '<""1.< ";'';'':~ '.:.. '.;" "'., : >." ....' ~""",,.. 'I ,," )".;' '" " " ,,,.,. ,... ":"',":- '.' "I',',.,;\~X ,".,'1:''''/' "I,::r;~:1'";':\;''''~'',!,:.'J.;.'' _ "~"""'~.<,~I~.."":.t;.:')'4'1o.:~.. ~';L'~)'.!'l-.,.I'.\;.I_...~. . ";-:'r' {~~ l/..,-:r'"fi;':-;~t. ..I'. ,,- .~:.. '''. ~r', .........'.l'~ .l,' .'~J I: -~ ~ ro. .." 'j.~'~~~'\::~r,- ':.J~; ".:"~':-.~~'(:'J~~;~1':', ... Jo'~.'~" .-.....)0.-,. '.'~""l' ."...."..'^...... ",". .' ." 'I' '.' ....-.1.'.... ..'''('" .;w,"ol.;t. 11C:.~:J:~."..-~rr... . .' "J.r-":\'r~r'" \'(.l# ~,'- -..,..... ;', . ~. ~ t_ ).. ~I.;" ...', ....Y'~". ...'1tj.. .;....!,;;...~. .' ::.:. ',... ~,;.1'.. " ~', '-.... 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'" 5 g ld .. 'c i *. ~. If<. )5 5((-10 .z INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) .ORDATlSO.DIATHAnIR 12/31/91 CHICKHIU If A SPOUSAL POYIRTY CUDIT IS CLAIMID 0 PlU NUMBIR COMMONWfAltH Of PfNNSYlVANIA OlPAliltMfNt Of 1I1VfNUf Of t.210 H""lIulo ,. r, 214601 OlDEN' AM! IlA . 1 , , AND MIDDl Miller, John A. 'OCI."l UCUJIl'i' HUMin 189-09-4996 INIIAII 2195-0747 EDEN" COUNTY CODE M IE AD ~ 152 E. Penn St. Carlisle, PA 17013 Cumberland NUMBER YEAR Fulure Inl.r..t Compromll. ('or dOlo. 01 doolh of lor 12.12,821 D.c.d.nt DI.d T..lall 0 7. D.cedenl Malnlaln.d a living Tru'l e- 8. Tolal Numb.r of Safe OepolU Bou. (Alloch copy 01 Will) (Alloch copy 01 TrUll) RRISI!ONDIHCI:ANDCONPlDINTIAL TAXINPORMAnON SHOULDBI DIREcnD,TOI',,"';'~1t:,'V;u:i (OM'U M UN ADD 27 W. High St. Carlisle, PA 17013 + + 20. If lIn. 191, gr,ol.r Ihon lIn. 18. .nl.r the dlff.r.nce on lIn. 20. Thll IIlh. OVERPAYMENT. aD 21. I11In. 18 II gr.oler Ihan line 19. .nt.r ,he difference on line 21. Thll I. Ihe TAX DUE. A. Enler th.lnl.r..1 on Ih. balance due on line 21A. B. Enl.r the 10101 of lIn. 21 and 21A on line 218. Thl, I. ,he BALANCE DUE. Malee Ch.ck Payabl. tOI R.glat.r of Will., Agent DAn 0' DIA'H 9/14/95 7/16/20 COIIIII AMOUN' I(CflVEO IUllNSlIIUClIONil 03, 05. Remainder R.turn ('or dOl" 01 d.olh p,lor '0 12.13,821 Fed.ral Ellal. To. Return Required I" A''''ICAllIIIUhrvlHO lPOu\l-. Noll.., "Alt. "." AND ""0011 INII!"I g 1. Original R.lurn o 4. lhnllod E'lolo o 2, 040, Suppl.m.nlal R.lurn 18.796.00 18,796.00 12.949.00 (81 1;;l6, :ALL' William P. Douglas, Esquire nU'HONI NUMln .. l!! ~ .. '" u S I. R.ol E,lol. (Schodulo AI (II 2. Slock. and Bond. (Schodul. B) (2 1 3, CIOloly Hold Slock/Po"nonhlp Inloro.1 (Schodulo C) (3) 4. Mo"gogo. and Nolo. Rocolyobl. (Sch.dulo D) (4) 5. Ca.h. Bank D.po.11I & Mls"lIan.ou. Penonal Prop.rly ( 5 ) (Schodul. E) 6, Jointly Own.d Properly (Schodul. F) ( 6) 7. Tran.f.n (Schodulo GI(Schodulo II (71 8. Tolal Gran Au." (Iolallln.. 1.7) 9. Funeral Exp.n.... Admlnlslrallv. Co.lI, Mhcellaneou. ( 9 ) Exp.n... (Schedul. H) 10, Oob.., Morlgogo lIoblllllo.. lIon'ISch.dulo I) (101 11. T 0101 Oodudlon. (10101 lIno. 9 & 101 12. N.I Value of e,'al. (line 8 mlnu. line II) 13. Charllable and Governm.ntal B.qu.stl (Sch.dul. J) 1A. N.I Value Sub .e' to Tax lIn. 12 mlnuI line 13) 15. Spousal Tran.l.r. (lor dol.. of d.ath alter 6.30.9.4) 5.. In.truellanl for Ar,pll(able P.reenlage on R.ve,.. IISI Sid.. Ilnclude valu.. rom Sch.dul. K or Schedule M.I 16. Amounl of line 14 1011 obI. 01 6% role (16) (lnclud. valu.s 'rom Sch.dule K or Schedule M.) 17. Amount of line 1.4 'axable 01 IS% rote (17) Ilnclud. valu.. from Schedule K or Schedule M.) 18. Principal tax due (Add tax Irom line. 15, 16 and 17.) 19. C"dih Spousal Poverty Credit Prior Payment' (111 (12) (131 (141 17,949.00 5,597.00 )('-- 5.597.00 )( .06. 336.00 )( .15 . (101 336.00 Ohcounl Inl.rllt (19) (201 Check IHue " you tile IQqUl.Hitllig n ftlfund of your ovcrpoYfr1cnf. 336.00 (211 (21AI (210) 336.00 ;'C',"',;:,:,,';:,; , BI'SURITO ANSWIR ALL QUlSnONS ON RIVIRSI SIDE AND TO RICHICK MATH ',i;oWJli';!,;,<,'i11+:i,r Und.r p.nahl.. 01 perlury. I d.c1ar. that I hove ellamln.d thlt r'lurn. Including accompanying Ichedul.. and 'Iatem.nh. and 10 Ihe bllt of my ~nowl.dg. and beUef, It's tru.. eorr,,' and compl.te. I declare that ell r.ol .1101. hat b..n reporlea allrue market value. Declaration 01 preparer oth.r than Ih. penonol r.pr...nlallv. 'I ba..d on 0111 'ormallon of which pr'par.r hat an .nowledge. 'XU' 0 /~,,/;"N~ '0 '"HO TU .DD.... II- (7v/ ~ 0'" 51GNAIUU 0 'kIPAIIU O'HU 'HAN liE DAn (.,/13/7 I:> , < Act 148 of 1994 provld.. for tho r.ductlon of the tax rat.. Impo..d an the n.t valu. of trand.r. to or far the u.. of the .pou... Th. rat.. a. pr..crlbed by the .tatut. will b.1 . 3% (.031 will b. applicable far ..tate. of decedent. dying on or after 711/94 and before 111/96 e 2% (.021 will b. applicable for ..tate. of dec.d.nt. dying on or aft.r 111/96 and b.for. 1/1197 e 1% (.011 will b. applicable far ..tate. of decedent. dying on or after 1/1197 and b.for. 1/1198 . Spau.al trander. occurring on or aft.r 1/1/98 will be .xempt from Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (...) IN THE APPROPRIATE BLOCKS. YES NO 1. Old decedent make a tranaler and: o. retain the use or Income of the property franaferred, ....................................................... .... b. retain the right to designate who shall use the property transferred or its Income, ............... ; c. retain a reversionary Interelt; or ................................................................................... / d. receive the promise for lIIe 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'. ........................ ....... HI.. .,....................... ........o.....to It................... / / ./ 3, Old decedent awn an 'In trust for' bank account at hIs or her death'.............."......,..,............ ./ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETiJSCI:iEDULE:Q~ND FILE IT AS PART OF THE RETURN. pne:,. .' lal::l Ol: I1d I1llmr 96. ". " ',':,1'" ~Il!l ~ I',) .::J )0 c' ,', ','''''):J31:1 ~ U\tUot 'h IU11 ,~'J~9, - SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY ESTATE OF COMMONWEAltH O' '(NN$VIVANIA INHIIITANCI TAX _"URN IUIDINT DletDINT Ploa.o Print or T 0 FILE NUMBER 2195-0747 VALUE AT DATE OF DEATH 1. 2. 3. 4. 5. Survival Action award - see attached Order of Court 1986 Cadillac Refund car insurance premium Dauphin Deposit Trust Co. Checking Acct. 042070198 VFW death benefit 15,000.00 800.00 44.00 2,702.86 250.00 John A. Miller ITEM NUMBER (All prop.,tv lolnllv.own,d with th. Right 0' Survlvonhlp mUll b. dlul.l.d on Sch.dul. '1 DESCRIPTION TOTAL Aha onlor on IIno 5, Roea IAlIoch oddillonol OVl" IC 11" .huh If mOl. 'pote I. nnd.d.) REV.lOlI EK+ 170131 COMMONWEALTH OF PENNSVLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "H" FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES John A. Miller FILE NUMBER 2195-0747 ITEM NUMBER DESCRIPTION AMOUNT A. 1. Funer.1 Expenses: Gravemarker and flowers 3,938.00 634.80 o. 1, Ac.JlI1ini,trath.u Cu!lts: Penonel Representetlve Commissions Soclel Security Number of Personal Representative: Ve.r Commissions paid 1 qq6 1,128.00 2, Allornev Fees Douglas, Douglas & Douglas 5,000.00 3. Famllv Exemption Claimant Linda Miller Address of Claimant at decedent's deeth Relationship daullhter 152 E. Penn St.,Car1is1e,PA 3,000.00 4. Probate Fees 54.00 C, Mllcellaneoul EKpenles: 1. Cumberland Low Journal, ad Evening Sentinel, ad Best Auto Soles, cor appraisal 40.00 79.42 75.00 TOTAL fAllo enter on line 0, Recapitulation) $ 12 949.00 III mot. .pIC. I, ""did Inl.,. .ddlllon.1 .h.." of I.m. ,In) .......,',.~"""'.-"..". \ ~,,,,,,,,"_,_,,,_,,,,,,,,,_'~ii."'4'~"__N',...,.........._.,,,.,",,,_..._...........__ -"...._ _~__'_~ _...._..__ ..:,"~- ,_. .....- ....-... \.:,"'" . ... .... ...,.... ~...~. ... ..-...... ...:........ .... .............' .~.. .. . ............ ...~. ....~...........,..~..,.... --:...... h, _:n_......."....... -. ""r' 'Iv.UIlU.1I171 " ~ CQMMONWIA,IH 01 'INN"lVIoNllo INHIII11o.,tI 'AI ..IUIH "'IDINID.CfOIHI SCHEDULE J BENEFICIARIES FilE NUMBER 2195-0747 ESTATE OF John A. Miller ITEM NUMBER RELATIONSHIP AMOUNT OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICIARV A. Talabl. OequuU: 1. L;John R. Miller, c/o G.Gilbert, 345 E. Louther St. ,Carlisle, PA son 1/4 2. Linda Mi11er,152 E. Penn St.,Car1ia1e, PA dau 1/4 3. Sandra L. Runk, 8 Fetrow Dr., Mech.,PA 17055 dau 1/4 4. Carrie Lyn Wallace, 460 Hoy Rd.,Car1is1e,PA 17013 gr.dau 1/12 5. Mark Carns,c/o Linda Miller, 152 E. Penn St. Carlisle, PA 17013 gr.son 1/12 6. Martin Carns, 4307 Ave A., Los Arcos Apts. 0206, Austin, TX 78751 gr. son 1/12 -r t\MOUNr UK SHARE OF ESTATE ITEM NUMBER NAME AND ADDRESS OF BENEFICIARV B. Charlloblo and Gcvolnmonlol BoqUd'": 1. TOTAL CBARITAClE AND GOVERNMENTAL BEQUESTS IAho onlOl on Iino IJ. R.cop;'ul.,;on) S III rHOIO Ipnca it noedod, Inlt'" mldlltonullhaoh or loma Ihu) . "~-,",,,'. , . . Linda Miller, Trustee Ad Litem, for all persons entitled to share In the recovery for the wrongful death of John A. Miller Linda Miller, Executrix of the Estate of John A. Miller, deceased Plaintiffs/Petitioners v In The Court Of Common Pleas Of Cumberland County Pennsylvania 95.5473 Civil Term ]ennlfer L. Hartung 218 Meadow Drive Shlppensburg, P A Defendant Civil Action Law Jury Trial Demanded Order of Court AND NOW, this 22nd day of April, 1996, in consideration of the petition filed, and hearing having been held thereon the proposed settlement of $315,000.00 for the wrongful death of John A. Miller, Is approved, and the following distribution Is directed: { 1 Linda Miller, Trustee Ad Litem, for all persons en titled to share in the recovery for the wrongful death of John A. Miller Linda Miller, Executrix of the Estate of John A. Miller, deceased Douglas, Douglas & Douglas $193,974.02 J } I ~ $15,000.00 r,:, Douglas, Douglas & Douglas :-- ." (Advanced costs) . .. $105,000.00 $1,025.98 ;:. i~ -. CJf". t~~ .c7;~.' -- ..- ..., ..~. ..:.;.; E.. c;', r'~ ,...; ,:.:.J .., ,~:;~ t:.J 'I.. By the Court, j.,.. ~... '.-. ....: t.. (.- ,.. " :i l.s/ &t34~;r.'1 ~.Ja.t1.t:f CJ ]. ~ . I Best Auto Sales OCT 13 1995 \ I. ._.__~.~..........,...~.~ -:,!,-"--- - ..-..- , ~~ .~_..., . . . . Best Vehicles . Best Prices . Best Service 1702 Harrisburg Pike Carlisle, PA .17013 (717) 243-2713 10-12-95 DOUGLAS, DOUGLAS, ~ DOUGLAS 27 W. HIGH .ST. . CARLISLE, PA. 17013 ATTENTIONI MR. WILLIAM DOUGLAS REI ESTATE OF MR. 30HN A. MILLER DEAR MR. DOUGLAS, PER YOUR REQUEST I HAVE PERSONALLY OBSERVED A 198b CADILLAC CIMMARON, SERIAL #1Gb3G69WXG351b853. AFTER CONSULTING VARIOUS PUBLICATIONS, AND AUTOMOBILE APPRISAL BOOKS, IT IS MY OPINION THAT THE ACTUAL CASH VALUE OF THIS VEHICLE IS $800.00 VERY TRULY YOURS, tfJ~ -k J \'~ PAUL MALl N I CH Inventory 01 the real and peraonal eatato 01 John A. Mil1ur daooaaod 1. Survival Action award 0 HUU attnchud Order of Court 15.000 00 2, 1986 Cadillac 800 00 3. Refund car inHurance premium 44 00 4. Dauphin Dep. Trust Co,. chucking account '42070198 2.702 86 5~ VFW death benefit 250 00 Total 18,796 00 . Vd "00), !'lJ\I!'PIlWno ,11m':; J"J!'910 o l: ~ d V I Nfr 96, GII!^\ I'l :cq:;i'jo~ 10 "",;;0 YJOJl>oal:l -r COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } HI Linda Miller according 10 law, dopose, and ,ay. IhatS h. is the Executrix _ of Ih. Estal. of John A. Miller norough of ~arlrnrn 101. of _,_____'__..______n__' ._n________ , Cumberland Counly, Po., d.c....d and that Ih. within I. an Inv.nlory mad. by her, Ih. ,old Executrix of Ih. .nllr. .stal. of ,old d.c.d.nl, consl,lIng of all Ih. porsona' prop.rly and r..l ulal.. excopt r.al .stal. ouhld. th. Commonwoo'Ih of P.nn'ylvanla, and Ihat th. flgur., oppo,lt. oach It.m of the Inv.nlory r.pr.'.nt It'. fair valu. u of tho dol. of d.c.d.nt', d.alh, b.lng duly sworn Sworn to and ,ub,crlb.d b.for. m., 96 a; cd . X "/n;(/1...- LJ1'Jhd.J E..cutor .. A mlnhf,.tor June 13, l_'Jl~ ()J Executrix Notary 152 E. Penn St., Carlisle, PA 17013 Addr... Dol. of O..th NoIariaI Seal kne M, Cox.,NolaIy P\blC ~~,~",~1'.ft%~99 Day Month Vu, INSTRUCTIONS I. An Inv.ntory must b. fII.d within thr.. month, afl.r appolntm.nt of p.rsonal r.pru.ntatlv.. 2. A suppl.mont Inv.ntory mull b. fII.d within thlrly day' of dlscov.ry of additional aSl.ts. 3. Additional ,ho.ts m.y b. attach.d as to p.rsonalty or r.a'Iy 4. S.. Arllcl. IV, Flduclarl.s Act of 1949. I; ~ ..; W II w r- ~ !< II W " I 0.. ... U II 0 lfi " I[) g w C 01 ,.. ~ ..: .. II 0.. U. .; 0.. E 0- Z -' -' ~ 0 0.. 0 I U. ~ W 0 < ~ .-.,/ > Z ..: 2:: 0 c c " II> Z c:l 0 ..: Z w < .... 0.. -0 c - .. -.: 0 " ..0 -0 .>< " E - II 0 ~ " it 0 0 III , ..- ... .,'. ^".' ... .. ~ .0.- _.__ ,__ _ _______._ _ ___~ __,.........".~..._.,_~..,,~ __,__ ._.___. .".... ~._,_ .__. ___ _"._-'_ ____ __ __ RECEIVED FROM, & ACN ASSESSMENT I!I CONTROL ~ NUMBER AMOUNT DOUGLAS WILLIAM P e7 W HIGH STREET 101 "336.00 CARLISLE, PA 17013 ESTATE INfORMATION, !II fI EN MI Ii e 1-1990-0747 II NAME Of DECED II DATE Of PAYMENT m POSTMARK COUNTY 'OlD HEI' 1 saN 199-09-4996 M SEAL LINDA MILLEn C/O WILLIAM ,. CHECK" 3 m TOTAL AMOUNT PAID .::1::1....00 i , i ,J 'j >, , I DATE Of DEATH REMARKS DOUGLA8 ESCI. REGISTER OF WI LLS );/ (/ ../ RECEIVED BY ,I , ''I ,I, , // I. ,,' .;~, , ,':'-" / SlGN~TUR! ',.... /"'/,'. " l ,;.1_1 'y.. ,I MARY C. LEWIS '" '/1' '.' I'" ,,1 I REGISTER OF WILLS vz J i I '. ~.'- ---- ---.-...~~- -...~--. .~- ,--"-,,,:"-~'--:"'- '::"':- ._-..-:..--~-~-_._-_._-----:---- --~ ~ .1. &i' i . I \, ' ", ~ . ' .: . ......., ... .-... --. &.. -_..- ~.__. -r~' , ,J << "")--'" -::r +:-~.:JlQ.II t..- ....::. . ~~ . \, 6- :'){I-/{> . C L- REV-154l EX AFP 112095* COHHOHWEAlTH OF PENNSYLVANIA DEPARTHENT Of REVENUE BUREAU DF INDIVIDUAL TAXES DEPT. 210601 HARRIS.URC, Pi 17121.0601 ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSHENT DF TAX DATE 09-30-96 FILE NO. COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TNE UPPER PORTION OF THIS FORH WITH YDUR TAX PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: WILLIAM P 27 W HIGH CARLISLE DOUGLAS ESQ ST REGISTER OF WILLS CUMBERLAND CO COURT CARLISLE, PA 17013 HOUSE PA 17013 Allount R..Hi.d CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE-"i:is47-iif-AFp.m-:9ifj-iicii"icniF-YNHEiiifANCE-TAX-irppiiirisEH€ii'r;-Ai.i"liwANCE-cflimm----------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX , ESTATE OF MILLER JOHN A FILE NO. 21 95-0747 ACN 101 DATE 09-30-96 TAX RETURN WAS, C I ACCEPTED AS FILED C XI CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I Eat.t. (Schedule A) (1) 2. stock. and Bond. (Schedul. OJ (2) 3. CIa..ly Hald stock/Partnership Int.r..t (Sch.dule C) (3) 4. Horta.gal/Nat.. Receivable (Schedul. DJ (4) S. C..h/Dank Dapodt./Hhc. Pa...lon.l Property (Schedul. E) (5) 6. Jointly Owned Property (Schedul. F) (6) 7. Tranlfarl (Schedule G) (7) a. Tot.l A...ta .00 .00 .00 .00 10.796.00 .00 .00 181 10.796.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funaral Exp.n.../Ad... Co.t./HI.c. Expan... (Schedule H) (9) 10. Debt./Hortg.ga Liablliti../Lian. (Sch.dule X) (10) 11. Total Daduction. 12. Nd Valua of Tax Raturn IS. Charltabla/Govarn.antal aaqUa.t. ISchedula J) 14. Net Value of E.tata Subjaot to Tax 13,449.00 .00 1111 1121 1131 1141 l~.t&Gq nn 5.347.00 .00 5.347.00 NOTEI If an assessment was issued previouelY, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. A~ount of Lin. 14 .t Spou..l r.t. 16. A.ount of Lina 14 taxabla .t Lina.l/Cla.. A rat. 17. AMount of Lina 14 ta.abl. .t Collataral/Cla.. 8 rata 18. Principal Tax Dua 14, 15 and/or 16, 17 and 10 will returns assessed to date. .00 X .00. 5,347.00 x .06. .00 X .15. 1181 .00 320.02 .00 320.02 llSI 1161 1171 TAX CREDITS: PAYHENT DATE 06-14-96 RECEIPT NUH8ER AA1l2940 DISCOUNT 1+1 INTEREST C-I .00 AHOUNT PAID 336.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 336.00 15. IOCR .00 15.10CR · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN 11, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I .tY.l"DI.I~"1 . - INHERITANCE TAX EXPLANATION OF CHANGES COMMOr,:WEAlTH Of PENNSYlVANIA DEPARTMENT Of REVENUE IUUAU 0' INDIVIDUAL TAXIS DEPT. 210601 HARRISBURG. PA 1712B,0601 DECEDENT'S NAME fiLE NUMBER John !tiller AN SCHEDULE ITEM NO. EXPLANATION OF CHANOES II 83 Per Section 312l,oC.l1194 Act, efcect,lve,Ja!lunry.;IO, .19?,$t'le,(aClUy,.!IX\lJ;lp~....... tion was amended incre3ain8 the amount of the claim froCl $2,000 to $3,$00. ...-..- - .--..,. -......... .._---~._.~. ~..... .-. - . ~ .-- .. -.. _..._._-------_.._--~~-- .~-".~..,.-- - .._- ...'...--. ~___~_..._ ~.._~.~~_. ~_~____~ ..~_,,__"., _.4_________.__~__...~__...___._" __ ,., ~.._.._~ ..~.._,._". _w.....~_.__~......_._.___..,._._._~_~~_..'...__._~ ~... .~_~ _.~ _.~_ _.,,_____._._._.._ ______.~_..._____._.... ~_ _~. "....,. "'..<'~___'~ ......+.... .~.__ ~ .._'".____. .__ ___ ~_~ .__._.w..._~&.__~. __.._.. _...~.._......_.._....__.___... ~- . .~..". ,_...._~ _'_ ~__.~._ .~,__. __.__. _~__.__. ... _ ~~. ~_..~. _. u....~.+, .~~ ~....__ _..~~..___ ___.__ -_~ -- ~-~------ ~-_.~---...- _....~- .....~_._~--~~.~--~. ~._._... _ ..___._ _____~.__._~....~. ____ _~,__ ~_M"'_'~'_.~~'~~_'_~'"'_' _,_._.~_,_____~.'-~'~_-~__ -..,........",..----..--...-,...""...,~--,-~.-----.~-~ . ~ ..... .-~-~" .--. ________.___"...,.. ~ __.L.... "."~ ..~ ........".",...~""'.__'-__.._____..._--.-__-'-.. .--..,_..........-...~. .'"'..~-..'"-~...---........---.-...~--._--------.._-~---- ~~..~ -.'" -. -~ ------~. -"~-,"'-~... ...-- - ---..- .._~ ~._-,-_..._.- ~-_.~-....._.'_.,~._"'.._"._..., .."--~,-- "-.." ~, ~ -..,. --.--..------------.------.- --_.._-~--~~,~_._._--... ._, :) ~. __._._._.~.~..~___.__ ~_.__ .__ ..~ ....._ __ .___".__ _.~..___ ~__~"..__ ...~..." ._.._ _; .~_.. _.. .__~,. ~ ._~ ._,~_.... _ __~_ ..~___, .._~ ~~'__~ ~ r ~__.___~._. . ... --." ~ ....... ..- -. - _.--..~.~-_. .~....._._._~--_. ,. .-.. ..~--.. ,..- . _... -... '-." ........_-~. ----'"'--_._.~.-_.~ -_....-~.~~._" _.>.".~- "~~--~. ..-.--' -.-_._-- -., -, TAX EXAMINER, Trocdl Collius PAGE '\ . ~ _ ,}4 , - - "~ " , ~ - ~ I i -! '; 1 1 -liH.F__,-it'_~~ . , g~i~-::--.' _:3 ~L.~ 1,;Jjl} QJ O:Z . cc' -',' I- i ! " . PAYlEHT. Detach the top portion of thl. NoUcI aM .~It with wour PlY"'" ... plvllbla to the "... Md Itddn.. prlntlld on thl raye,.. .Ide. If RfSJD[HT D(tEKHT uk. cMck Dr HMV ord.r Plubl. tal REGISTER OF WILLS, AGENT I If NOH-RUIDENT DECEDENT ..... check or HMV order parllbl. tal COtltONWEALTH OF PENNSYLVANIA. All pa~t. "MISV. aheU be ..,,11_ fir.. to MY lntu..t whl.:h uy be dUll '11th My r"'lndlr 1IPP1led to the tax. REftIrGI (eA) I A refund of . hie creelS t, which .... not requ..tlld on the rl. .Iturn, uv be ,.aqutlltlld by cOIIPlaUna Ill'! "Application for R.fund of P~.vlv..,l. Inheritancl ~ E,t,t, 'IIC" (REV-tSIS). application. ara IVl111b1, .t ~ Gfflcl of thl R..lat.r of Willi, MV 0' thl 2S R.v~ DI.trlct O"lc.. or fr~ the Depart...,t'. 14-hour ..,twerlne ..rvlcl nu.berl far for.. orderl"ll In Pennavl"..,., l-aOD-J6Z-ZDSO, out. Ide P.wllvl"..,.a Md withIn local Harrlaburg .r.. (717) 7.'-1094, TOO' (717) 7lZ-ZISt CHearlng J~lred only). REPLY TDI Du..tlon. r.prdlno .rror. cont.lned on this notlc. should be eddr...ed tal PA o.p.rtaent of A.v........, lur..... of Indlvl~1 T.x.., ATTHI Po.t .....s.ent A.vlew unit, O.,t. 210601, Harrl.burg, PA 17121-0'01, ~ (717) 7'7.65DS. DISCOUNT I If eny t.x due I. p.ld within thr.. (J) c.lend.r .unthl aft.r the decedent". death, a flv. parc,"t (S~) dl.count of the tax peld I. .llowed. PfHAL TVI The 10 tllX RM.ty non"p.rtlolp.tlon PMa1tv Is cuputed on thtl tot.1 0' the t.x Met Inter..t ......4td, ~ not p.ld be'or. J~r. 1', 1996, the ,Irlt d.. ,'t.r the end 0' the t.x aane.tv p.rlod. V..r Int.r..t Aat. Dall. Int.r..t f.ctor V..r Int.rut R.t. n.ll. Int.r..t f~tor IHTfR[STt Int.r..t I. ch.rged baglnnlng with 'Ir.t d.y a' d.llnqu~y, or nine (,) .unth. end one el) day fr~ the data 0' d..th, to the d.t. 0' peY-.nt. T.... Which b.c... d'llnqusnt b,'ar. Jenu.ry I, 1"2 be.r Int.r..t .t thtl r.t. 0' .Ix (6Xl percent par ~ c.lcul.tad .t a d.ll. r.t. a' .000164. All t.... Which bee... delinquent on end .,t.r Jenu.r. I, 1"2 will bear Int.r..t .t . r.t. which will v.ry 'ra. c.I.Md.r y..r to c.lendar ...r with that r.t. announced by the P' Dep.rtaent 0' R.venua. The appllcabl. Int.r'lt r.t'l 'or 19.2 through 1991 .rel 1912 2DX .000541 1911 'X .ODUU I'.S I~ .0004J1 1911.1991 IU .000nl 19.. ax .OOOJDI 1992 'X .ODUU 1911 IS% .OOOS" 1"'.1994 7X .000192 nil I'X .000274 1995-1991 'X .000247 --Inter..t 1. c.lcul.ted e. 'allow.. IIITEIIEST . BALAHCE OF TAX UHPAID X HUHIER OF DAYS DELIHQUENT X DAILY INTEREST FACTOR ."An. Hotlc. I..u.d ,'tar the t.x bIooae. delJ~t will ,.'Isct an Int.r..t c.lculatlon to 'I,t.-n (15) dlY. beyDnd the d.t. 0' the ......lIent. If P'YHf1t Is a" .ft.r the Inter..t CHPUt.Uon d.t. Ihowt on the NoUu, Mldlt10nal Inter..t IlUlt bl a.leulated. IS-5(T-/a BUREAU Of INDIVIDUAL TAXES IHAlTAH(E: TAlC DIYISION Of Pl'. naiGl HARRISBURG. PA 17UI'1601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT c- '* ....It"..'" 1t1.1I1 WILLIAM P DOUOLAS ESQ 27 W HIOH ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-09-96 MILLER 09-14-95 21 95-0747 CUMBERLAND 101 AMount R..ltt.d JOHN A MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REOISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HOTEl To inlur. prop.r or.dit to your eGGount, aub.it the upper port ton af thl. for. with your t.x p.y..nt. CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE"v=ir.iii"iiC-AFP-mf--96y---miiiiii-iNifiiiiTANei'-i'ilxusTAfiHi'tif-oF"-ilccciuiifuiii.mu-----m-m---- ESTATE OF MILLER JOHN A FILE NO.21 95-0747 ACN 101 DATI! 12-09-96 THIS STATEHENT IS PROVIDED TO ADVISE Of THE CURRENT STATUS Of THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUHHARY Of THE PRINCIPAL TAM DUE, APPLICATION Of ALL PAYHENTS, THE CURRENT BALANCE, AND, If APPLICABLE, A PROJECTED INTEREST fIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 09-23-96 PRINCIPAL TAX DUE I 320.82 PAYMENTS (TAX CREDITS), PAYMENT RECEIPT DATE NUMBER 06-14-96 AA1l2940 11-25-96 tro REFUND Ocn :<r ~~ r;)~ - ') .:: ~ ? r- " ) r'" - , J. .' ~ ~.:..' , o t.') , 0", ~.~ <1>0; P> ~E a: ad DISCOUNT (+) INTEREST (-) .00 .00 AMOUNT PAID 336.00 15.18- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 320.82 .00 ,00 .00 . If PAID AfTER THIS DATE. SEE REVERSE SIDE fOR CALCULATION DF ADDITIONAL INTEREST. If TOTAL DUE IS LESS THAN .1. HO PAYHENT IS REQUIRED. If TOTAL DUE IS REfLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS. I J-'~'----( IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, ORPHANS' COURT DIVISION NO, 21-95-0747 FAMILY SETTLEMENT AND FINAL RELEASE ESTATE 01<' .JOHN A. MILLER. DECEASED KNOW ALL MEN BY THESE PRESENTS, that WHEREAS John A, Miller, late of 152 E, Penn St., Cnrlisle, Cumberland County, Pcnnsylvania, dccca~cd, dicd testatc on Septcmber 14, 1995, having firstmadc his last will and tcstamcnt, which was duly cxecutcd on Novcmber 5. 1974, and is duly rccordcd in thc Rcgistcr of Wills Orficc in and for Cumberland County, Pennsylvania. numbcrcd as Estatc No. 21-95-0747, and WHEREAS, thc said John A. Millcr, by the aforcsaid lust will and tcstamcnt, named Linda K. Shoemakcr Miller, as Executrix of his said lust willnnd tcstament: and WHEREAS. letters tcstamentary on thc estntc of the suid dcccdcnt were duly issued by thc Rcgistcr of Wills of Cumberland County. Pcnnsylvania, to the said Exccutrix, hcreinafter called personal represcntative, on October 6. 1995: WHEREAS. the said personal rcpresentativc hus gathered thc ussets of the est ute of ~ thc suid decedent, and the ussets consist of pcrsonul property, to utotul vuluc of $20,561.41 us set forth in Exhibit A, which is a stutelllent of uccount of thc suid personul represcntutl VC, and which is uttachcd hereto. and mudc u purt hereof. and WHEREAS. the debts und dcductions. including thc puyment of inheritance tux in the said estate amount to $1 1.073.80 Icaving n bulancc for distribution of $9,487.61 also as set forth inthc attached statement, and WHEREAS, thc balanec for distribution us shown in the snid statement has becn reduced to cash and has bcen distributed in accordance with the tenns of the lust will and testamcnt of the said decedent to the following: John R. Miller clo G. Gilbert 345 E, Louther St. Carlisle, PA 17013 son 1/4 , .. pcl1lonnl representntlve nfter the signing, senllng nnd delivery of this fnndly settlcment ngreement nnd Onn1 releuse, IN WITNBSS WHERBOF, we hnve hereunto set our hnnds nnd scnls this It, dny of OClober, 1996. and the ~f/.. day of November, 1996. z=;: ~ ~ I tl4f-d~, BAL) > ~ t: l " \ ~ .I , c " , I , ,~ .. t\ ~ ~i1 .ii i '''' i' ~ '.t i' j ~: , { ~~ Linda Miller 152 E, Penn St, Carlisle, PA 17013 dou 1/4 Sundro L, Runk 8 Fetrow Dr. Meehnnlcsburg, PA 17055 dnu 1/4 Carrie Lyn Wnllnce 460 Hoy Rd. Carlisle, PA 17013 gr,dnu 1112 Mnrk Cnms Estate Hoyt Cnms, Executor 120 Menls Dr, Carlisle, PA 17013 gr. son 1/12 Mortin Cnms 4307 Ave. A, Los Arcos Apts. #206 Austin, TX 78751 gr.son 1/12 NOW, THEREFORE. KNOW YE, thntthe above listed. being nil of the children nnd grandchildren of the soid decedent nnd heirs under the Inst will and testnment of the said decedent, and being those persons entitled to inherit under said Inst will and testnment, do hereby, ench of us. ncknowledge thnt we hnve this day hnd and received from the aforesnid personnl representntive in full sotisfaction and payment of all sum or sums of money,legncles, bequests, and devises as are given, devised and bequeathed to each of us respectively by the snid last will and testnment, the amounts due us under said last will and testament, which amounts, if any, we have received this day, and which amounts are in the amount set opposite our respcctive names in the allnched schedule, mnrked Exhibit A, AND, each of us docs hereby stipulote that in order to avoid the expense and time involved in the filing of a fonnnl nccount and schedule of distribution, we ench agree thot no nccount is necessury und we do hereby ugree thut we do consent to distribution being mnde without the filing of un nccouutund schedule of distribution, the snme to be with the some force nnd effectns if they hnd been filed nnd conlirmed by the OrplulIls Court Division of the Court of Common Please, Cumberlnnd County. Pennsylvnnin. THEREFORE, we and ench of us do hereby remise, releose, quitclaim an forever dischorge the snid personnl representative. her heirs, executors and administrators and assigns of nnd from the snid estate nnd from nil actions, suits. pnyments, accounts, reckonings, claims nnd demnnds whotsoever for or by renson thereof, or for nny other use, moller, cause or thing whntsocver touching upon the estote of the soid decedent ond eoch of us do further hereby covenant and ogree thot should any liability come due to the estote of the soid decedent after the signing of this agreement, we and eoch of us du hereby covenont and ngree with ench other and the oforesoid personnl representotive tbot we will contribute pro rotn our shore of the estate to sotisfy ony and nil claims. demonds, suits or cuuses of action which mny be successfully prosecuted ugainstthe snid estate or the nforesuid i ~ ~ , ~ , ) .. COMMONWEALTH OF PENNSYLVANIA ) :88:, COUNTY OF CUMBERLAND ) On this, the / (.. day of Dc. r ,1996, before me the undersigned officer, personally appeared John R. MlIIer, Linda MlIIer, Snndm L. Runk, Cnrrle Lyn Wallace, and Hoyt Carns, Executor of the estate of Mark Carns, deceased, known to me or satisfactorily proven to be the persons whose names are subscribed to the within Instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto ;et my1ha!!.d and o9ic{al seal. . ~th.-<.~~fNotnry NollrIaI Seal MWJ M. Cox"NoIaIy NlIc ~~~~ . , .. STATE OF TEXAS ) : SS;. COUNTY OF ) On Ihls, Ihe 1day of 4'11I k-.1996, before me Ihe undersigned officer. personally appeared Martin Carns. known 10 me or nallsfuclorlly proven 10 be Ihe person whose names Is subscribed 10 the wilhln inslrumenl, and acknowledged Ihal he executed the some for the purposes therein contained, IN WITNESS WHEREOF, I hereunto set my hand and official seal, ~~ /C,a Notary . ' . , :i . i , . .' ~ , i: , t i ~ EXHIBIT A ESTATE or JOHN A. MILLER, DECEASED ~ ASSETS: . :: ." Survlvul Action uwnrd 1986 Cudillac Refund cur insurance premium Duuphin Deposit Trust, checking uccount balance VFW deuth benefit Floridu Bunk Account Legionnuires Insuronce Total Assels Duuphin Deposil Bunk, 1995 nnd 1996 Interest on Checking Account $15,000,00 800.00 44.00 $ 2,702.86 250.00 598.98 1.000.00 $20,395.84 165.57 $20,561.41 ~: DEBTS: Funerulexpenses Gravemurker Flowers for funeral Pennsylvania Inheritancc Tux Lindu Miller, executors fee Douglas, Douglas & Douglus, uttorneys fee Registcr of Willis, filing invcntory und appraisemcnt Register of Wills, filing family scttlement agreement Totul Debl~ Total Balance to be Distributed to heirs as set forth below $3,938.00 550.00 84.80 336,00 $1,128.00 $5,000,00 25.00 l.2.JlQ $11,073.80 $9,487,61 John R. Miller, 1/4 $2,371.90 Linda Miller, 1/4 $2.371.90 Sundra L. Runk 1/4 $1,571.90 Cash 800.00 Cudilluc Corrie Lyn Wulluce 1/12 790.64 Murk Carns Estute 1/12 790.63 Murtln Carns 1/12 790.64 Total Distributed $9.487.61 :.,', .~: j"\ ,. l"'.-:L '~'F.:. . -:c;,~!" i:f', ..;', oj. ~ . " ".c' . " , ~.'~t,~:;j~ j,. :~!ir,',!,tfiii":f: " ". ~<'.<' ~,<:~...y . ;, ~1!Hl~);!f; l(,,;'j j{'i3;'W'c~ . P' 'uO '.' '\ i ~f ~,i i{~! ~\~(~ij~:l~ 't~~" < '''1 '.; . '~ - \\1,. '. i..~ .~ , :f, ~o'(.:~41i{~~i~I:, ~, ,. ',: '~. ~ ~tf~.:~?;. ~;',:~' :--: .- ',"'" ':"r~~'~~ " .... "j " i ~!~;~{j!:j~~~, ~'. . ;.' ','I ~ ' ~, .' " ,.0' " ',:>i;:'::, . ~,.:'.' i;;h$' ': ;' ~~t;~~l~t --1'~' .~~~,'l\!:j\~~' --~. .~lt!'<"Hl, . ~ '.". '; i" ~. :,;;P; . " 'f , '~\' . '. '. : ;o_~ ,- .' '.', ',\1." >~ij, .~' , ? -,~;~ ,,' . "'. ,j ~ ~;,~~~} \' ~\'r~n;~(.. " 'V' (j;:I." ,;' ~ f' ',f! ,.,' i:[~ _': '~~}'; ?ll- ,:',~ -:\';$~i f..rr " '.::~lf~:;'J '~j' " . . " ' 4 . ,\. :j ~, ~'-' , '.' ~W T ,,",~Hf:.<fii'l'T~ ~".... -;l~"P.".",~.l '," .~~~iE:i~~~~:~i~ir~*~~~l(~Jili:~:'~ .<1,",,' --' JRD/Junc 30, 1992/17858 REGISTER 01' WIl.1.... Cumberland County Courlhousc One Courthouse Square Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Pcnonal Representatlvc Counsel: WU,LII\M P. DOUGI.AS, ESQ. I RE: E5late of JOHN A. MII.I.EIl CI\KLJ.l:il,t:; UUI<UUlIll , Deceased, Late of E5late No.: 21.1995.747 Dale of Decedent's Dcath: 9.14-95 Pursuant to Rule 6. 12, thc above named personal representativc or thc abovc napled allorney, if appllcablc. within two (2) years of the decedent's death, and annually thereafter until administration is completed, Is required to file 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 attorney, as applicable. reasonably believes administration will be completed. The purpose of this Notice Is to advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate. within ten (10) calendar days after the date of this Notice that the Register of Wills Is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to determine whether sanctions should be Imposed upon the delinquent personal representative and the delinquent pcrsonal representative's counsel, If any. Accordingly. If the requisite Status Report Is not filed by 10.30 , 19....? 7you are hereby advised that a request will be submitted to the Court in accordance with Rule 6.12. Date: 10-15-97 flb_f- Distribution to Estate File ~..~ ~. .. 1:',' ~ri r\~\'_ ~.~" ~l~_ t,. ~~" ~~~: ;!~i- li::< 'l~" :F;", !,;i' ~iLt ~,,} 'i~; -li:' ~, r~<f:. ~1i" ~~~:i t' ~L ,....~. ,';iI" ~' ~t ~.. ;:' " .."'" ",;. ~t~ "" !ii ~;~ ~; ~ \11' \t ~ J' ~ ~i f, ;i" !;1 ~~ ~:- 1:, , STATUS REPORT UNDER RULE 6.12 Name of Decedent I JDdN A. 1&( (QA. ~~~ 1,;j If! qS- Date of Deathl Will No. Admin. No. :21 is b7'f-7 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 w~ether administration of the estate is complete I Yes V 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 repr~sentative file a final the Court? Yes No v'. tt r~k..iL &~&,...?....::J ;. /u~ ,JJ.t.,:{ 11/1'1/1(., b. The -s~arate orphans' Cou#t--No. (if any) for representative's account is: account with the personal c. Did the personal representative state an account informally to the parties in interest? Yes No i: ::~ i~ , 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 t s rep rt. ~~. '.,i Date: lo/; d? 7 I f Signature 'I, ,Ii Name DOOCt!Mi.eOtJg~ &1l0~ClUASt) P.O. BOX 261 " " dd CARLISLE. PA 17013 A ress r- r., e~ r- ~ ( ) 7 17 )..':1 ~ /7 '1 () Tel. No. .... C, '~'l Capacity: ___~rsonal Representative ~ Counsel for personal representative ':.~ :J ()(j (MAH armfl AM3) 'di. u.: ._-~ 1""--. !Jl