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HomeMy WebLinkAbout95-00839 \ NOV-02-85 THU 12:32 P.03 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COU~Y OF CUMBERLAND The petjtloncr(I) above.named swear(I) or aff1rm(.) , that IhI ItalcmClllllD Ihe foreaolna petition are lnIe and COrrecllo tho but ot the knQwlcdp and belief of petldoncr(.) and that u penonaJ repIaCIltatlve(I) of the above dcccdCllt petltloncr(I) will well and lnIIy adminIster tho _Ie ICCOrdln8 10 law. ' . Sworn IA or arlImled.JDd lublcribed I bc!on mc,lhJI Jra dal!.of NOVtMBtK 1!1~ ""\ . , 'f/itlI1r""V'r".., "f" R J);V '1-1tJ06J "I. MARY c. LEW\:X Rqlsto L L7- " ,. n.: .,. ~.... \ ...: :.;j ()tJ No. 21 - 95 - 839 Estate of } $S i & Lawrence A. Peterman , D,eceased' " GRANT OF LElTERS OF ADMINISTRATION AND NOW NOVEMBER 8. 11l...2i-1n cOnridcratlon orthe pctItloll'Oq the rm:nc aide hCRO!, aatlJfactory proof havlna been prClCllted bcCore me, '. IT IS DBCIIIl:11D ihat Rallill A. Peterll)an Ware ClIdtled 10 LetlCn of .A.dmlnl.tr&t1on, and In &CCOfd with II1ch f1ndlna. 1.ctten ot AdmInIIlratlon " , arc hereby lP'lIlIted10 Ralnh A. Peterman In the alale or , ' Lawrence A. PetermAn '77, JII'I(/I'/~.'l i,fl. ihJJ(lI11t)r/f . J RcIbtcr .r ww. , U MARY C. LEWIS Lawrence H. Fisher, Esquire 67667 FEllS Leucn of A.dmInIstradon ..... S An nn Short Ccnlr1eata( ). ..10. . ... s 3n . nn ReaUDdatlOll ......... I . , . . .. S '1 nn JCP I Ii nn iW1f: s 120.00 PUed ... " .~QYF!1.....,;\ :A.D. 19-1L "Tl'OIlNIIY (Sup. 0.. I.D. "'0,) a~r...~~~~ ~rR~~~eet ADDIUIS5 717-752-2766 PIlONI! Mailed letters and order to attorney on 11-9-95. {lddt.!" or.,aL fM-obal:~::., p.L f?at4 7-~""D'-9' #' /.;/O.dl 21 - 95 - 839 " " '.". ,,' . ... - "," .-',.,...::...'- :- f :,f ;:.- ~ \i 21 - 95 - 839 RENUNCIATION In Re Estate of Lawrence A. Peterman deceased TO THE REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA. The undersigned Dorothv M. Peterman. sister of the above decedent, hereby renounces the right to administer the estate and respectfully asks that Letters ~ ~~ml~~~hA~ be issued to Ralph A. Peterman WITNESS my hand this ;{ /IJ. day of 1'l6'lemW 1995 ~ f~ Dorothy M. Peterman Col.n...re) :JiPO L./M~a.o.e ~~.u~:1 h.M<./.O'M7./ ~7/J~,~ ~dri ~ . 2b...tat../nnuna .';, .~ - /5-0Lr-) UV.lSOO [11.. (l.llll . J INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ~ ..:5"' IlllE~ '"'''9 '"'E'" ..; ',~: o 40. Future Int.r.st Compromh. (for dOl,. of d.ath oh., 12.12-821 o 7. Dec.d.nl Maintained Q living TrUll (Attach copy of T rUltl CE ANDCONFI ' ~JNI'ORMAnO:$ U O'BI OIRICTED'T H.'~".\. /.l;"~",' ":~, COM'LUI MAILING ADORUS Esquire 123 West Front Street Berwick, PA 18603 III fil III " COMMONWEAltH Of PENNSYlVANIA DE'ARTMENT 0' AlVINU! Of" '10601 HAlRISlURO. ,. 17121.0001 DEtrOIN" NAM( (lAlI. '11n, AND MIDOl( INITIAll Peterman, Lawrence A. SOCIAL $ltUIII' NUMUI OAt( Of OIAltl OAf( 01 IIIIh1 122-07-1487 11/10/13 I" "''''IC'''~7K'VINO I"OU'" toIU'1 II"" 1.1" ,"'~o "IDOlI ",,111.1.11 :iJIll "''' "''' ::If o 2. Supplemental Relurn Original Relurn limited Ellol. 717 752-2766 " " 5 ! ... L Rool E1'o'o (Schedulo A) (I ) 2. Sloc'" ond Bond. (Schodulo BI 12) 3, Clo.oly Hold SlocklPortno..hlp Inlo,o"ISchodulo C) ( 3 I .c. Mortgog.. and Nol.. R".lvobl. (Sch,dule 0) ( A ) 5. Cash. Banlc Depollu & MI,eellaneoul Penanal Property ( 5 ) ISchodulo EI 6. Joln.ly Ownod P,oporty {Schodulo FI ( 6 ) 7, T,onol... (Schedulo GI(Schodulo l) (7) 8. Total Gro.. A..eU (talaIUne, 1-7) 9. Funeral Expenlel. Admlnlllratlve Co.ll. Mlleellaneou. ( 9 ) Expenle' (Sch.dule HI 10, Dob... Mortgogoll.bililio.. lion. (Schodulo II (10) 11. Total Deduction. (lotalUne. 9 & 10) 12. Net Value of E.tale (line 8 mlnulline 11) 13. Charilabl. and Governmenlol Beque'" (Schedule J) IA. Ne' Value Sub eet to Tax (Un. 12 mlnusUne 13 15. Spoulol Tranlfen (for doles of death oher 6.30-9A) S.e Inslrudlons for Appllcabl. Plluntog. on Reven. (15) Side. (Includ. volu.. Irom Schedule K or Schedule M.I 16. Amounl of Une 1.4 101l0ble 016% rot. (161 (Include volu.. from Schedule K or Schedule M.I 17. Amount of line 1 A laxoble at 15% role (171 (Include valu.. from Sch.dule K or Schedule M.I 18. Principal lax due (Add lax from lines 15, 16 and 17.) 19. Credlls Spousal Poverty Clldit Prior PoymenU Oi"ount 23,037.49 57.890.71 13.993.00 12,031.97 N/A N/A 54,903.23 " " a ii! .. ::I S .I fOR OATIS Of DEATH AnER 12/31/91 CHECK HERE If A SPOUSAL POVERTY CREDIT_'S CLAIMED 0 flU NUMBER 21 1995 0839 COUNTY CODE YEAR NUMBER DfCfOfNn COM'ltlf ~OORfU 1913 Arlington Street Camp Hill, PA 17011 Cumberland COIIIII AMOUNT R((IIVfD l!ofl INURUCTION'I 03. 05. ..! B. Remainder Relurn (lor dat.. of dealh prior 10 12-13.92) Fed.ral Estal. Tax Relurn Required Tolal Number of 5af. Depolll Bo.... '", ':'>~'.::~:'.I (81 80.928.20 (11) 26,024.97 (121 54,903.23 (13) :J4,~lJ,j.",j (UI x._- X 06 II x .15 D 8,235.48 (181 8,235.48 Inler..t + + 20. If lIn. 1911 gr,olll Ihan lIn. 18. .nlll Ih. dill.llnu an Un. 20. Thll Is the OVERPAYMENT. aD 21. If line 18 I. greolll Ihon line 19, enlll Ih. din.renu on lIn. 21. This" the TAX DUE. A. Enter th.lnler.11 on the balance due on lIn. 21A. 8. Enler the tala I of lIn. 21 and 21A on line 218. Thill. the BALANCE DUE. Malle Checle Payable tal Regl,'e, 0' Will., Agent (19) (201 (211 8,235.48 (21AI -a-2-3" (2lBl ,,,. 4 B (Iwd. hCIC if you elft.' H.ttul'\linn U ,cfund of you, o\l(!tpaynwnl. ':;;,.;.;:,':. ;:~(;~. -".: ....... ;,~-:.: PA 18603 . ~ I. I ~~- / c. , ~ I - z i x 0 5 .. W X .. ::J :I; ~, ::J X Z 0 1: u ;!; - - ::J <> W U W ~ .. W '" 0 :I; '" ::J W ::J ~ W .. X .. .. 5 W 0 ~ ~ 0 ;;: '" ~ Ul c)- Za: ge -z Ul... ~> Uz ~- ~ o ;;; "'.. a:f Zc Oz !;:z ,,- ua OW 1;;: I;; i) w .. '-J w w \.., I".. "~::J i' j!\o;a l' ~ .... 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CASH, BANK DEPOSITS AND I MISCELLANEOUS PERSONAL PROPERTY Ploolo Print or Typo FilE NUMBER 1995-00839 COMMONWUllH 0' '(NNSYIVANIA INHUlfANCI fAX .nUIN IlllDIHr DleIDIN' ESTATE OF Lawrence A. Peterman (All p,operty lolntly.own.d wllh ,h. RI,h' of Survl....uhlp mu.' b. dl"lo..d on Schodul. FJ ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Monies held at PNC Bank 47,091.74 1,630.00 791.14 1,216.45 6.78 10.00 144.60 2. Traveler's Checks 3. M & T Bank Account 4. Burial benefits (pension) TV Guide Refund 5. 6. Chase Credit Card Refund 7. Penn Treaty Life Insurance refund 1990 Pontiac 6000 automobile Leasehold interest in Lily. Dale New York religious community 4,000.00 3,000.00 8. 9. " 5 57,890.71 fA"a(h additlanal ...... )C 11- .h...s I' mo,. spac. ,. "..dedi "'YUill...' III ESTATE OF ITEM NUMBER . J Ploaso P,lnt or TVpo FILE NUMBER 1995-0839 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONwlAltH Of "NN~VlVANIA IHHUIIANCI 'AX IflU_N _!SID(H'DfCfDfNI Lawrence A. Peterman DESCRIPTION AMOUNT A. Funoral Expon.o" 1. 3,207.00 Myers-Harner Funeral Home B. Admlnl.ltatlvo Co.l.. A. C. 1. 2. 3. A. 5. 6. 7. 8. 1. Penonol Represenlall"" Camml..lons Social Securlly Number 01 Penonal Represenlall",,: Vear Commi..lons paid 5,180.00 2. Anorney Fees 5,180.00 3. Family Exemption Clalmanl Addre.. 01 Claimant 01 deeedenl's doalh .. Relallonshlp SI..el Add.... Clly 51010 Zip Code Probale Feos 90.00 MI.eollanoou. Expon.o.. Dean W. Kriner, Inc. - death certificates Register of Wills Cumberland County - short cert. Cumberland Law Journal - Executor's Notice 69.00 102.00 40.00 Filing fee inheritance tax & inventory 25.00 100.00 Filing fee - accounting (estimated) TOTAL (Aba onle, on line 9, Recopllulalionl III mo,o spaco I. noodod. in.o.. additional .hoo" 01 .omo .bo.) S 13,993.00 ~:.. '... . "''''''h'''''. COMMONWUlfH Of 'INN'''....Nt. IHMlIllAHCllAllIlUIN U'IOINI0IClOIN1 ESTATE OF ITEM NUMBER I, 2. 3. 4. 5. 6. 7. 8. 9. 10. ll. 12. 13. 14. 15. 16. 17. 18. 19. 20. 2l. 22. 23. 24. 25. 26. 27. 28. 29. 30. 3l. 32. 33. 34. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS PI.a.. P,lnt 0' Tv . FILE NUMBER 1995-0839 Lawrence A. Peterman DESCRIPTION AMOUNT Bell At1antic-PA Geri Howard (rent) PNC Bank - car loan AARP Group Health Insurance Program Paul Shaffer Disposal Service Cassadaga School Taxes PNC Bank - safe deposit box PP&L UGI utilities Camp Hill Ambulance Leader Nursing Center Grossman-Chom Associates Comfort Care of Holy Spirit Hospital Cumberland County Office of Aging Dr. A. Z. Ritzman PNC Bank - Visa Card Payoff Visiting Nurses Association Chase Credit Card payoff Med Lab Kurnbel Surgical Group Lily Dale Assembly - yearly assessment Lily Dale Sewer Dist. Niagara Mohawk - Lily Dale Electric Service Internists of Central PA, Ltd. West Shore Emergency Medical Services AT&T Town of Pomfret - County/Municipal taxes Internal Revenue Service Bob's Body Shop Family Physicians Association Erie & Niagara Insurance Association Carole Wolf - liquidation, cleaning & other services rendered to estate Postage expense Settlement charges in connection with transfer of Lily Dale leasehold 38.40 500.00 569.27 10.00 180.00 195.54 8.00 26.01 122.00 310.00 6.42 3.13 2,299.71 26.25 11.37 60.68 450.00 10.00 196.50 5.99 624.50 170.00 63.99 33.53 947.76 9.36 184.48 1.00 167.48 10.00 171.00 4,000.00 9.60 600.00 TOTAL (AI,a enler on line 10, Aecapitulationl (II mar. space is n..d.d, insert odd,tionol ,h..,. o( some ,i,.,} S 12,031.97 ~tll....~ t:l tz:I Cl "l !z: -.I~IV III ::I ~ ... 0 ....11 w ( .... .... ::I .... . -.I ( 11 ~ ~ ~ I -.....:l:tD 11 ~ .... n ~ ::I 0 ~ t:l H III -.ll'I"lJln HI ~ g III lJ1... rt ~ II: U1 IV ~ t:l .... l'I" I .'d"ltll.... ~ ::I ~ < t:l Q tz:I 0 IV ~ 11' .... III .... ~ III CO -.I 0 0 .... H tz:I n .... w '" ::I "l 11 ~ ::I ~ :.- III III "'............::1 .. <: II: III . .... CO lJl ~ . III ~ "'C/l ~'< iii ~ "Cl o....~ .... ~ ~ 0 wl1l1 0 0 111 ~~ ..... tz:I ~ .... 'd :ll ! ....tz:I U1 III lJl ..... IQ t<l '2 III ~ U1 .... 11 ~ ESTATE OF LAWRENCE A. PETERMAN Deceased state of Pennsylvania, ss County of Cumberland Ralph A. Peterman, Administrator of the estate of Lawrence A. Peterman late of Camp Hill in the County of Cumberland aforesaid, deceased, being duly sworn according to law deposes and says that the schedule include herewith bearing the heading INVENTORY, at the end of which I have subscribed my name, is a true and correct inventory and fair valuation as of the date of the Decedent's death of all the real estate and personal property of the said Decedent within and a memorandum of the real property outside the Commonwealth. I VERIFY THAT THE STATEMENTS MADE IN THIS INVENTORY ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSE STATEMENTS HEREIN ARE MADE SUBJECT TO THE PENALTIES OF 18 PA C.S. SECTION 4904, RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES. ~4~A'.~ , a p/i A. Peterman INVENTORY of the real and personal property within the Commonwealth of Pennsylvania and the memorandum of the real estate outside the Commonwealth. of LAWRENCE A. PETERMAN late of Camp Hill n the County of CUmberland, deceased 1. Monies held at PNC Bank 47,091.74 1,630.00 2. Traveler's Checks 3. M & T Bank Account 791.14 4. Burial benefits (pension) TV Guide Refund Chase Credit Card Refund 1,216.45 6.78 10.00 144.60 4,000.00 23,037.49 3,000.00 5. 6. 7. 8. Penn Treaty Life Insurance refund 1990 Pontiac 6000 automobile 9. U.S. Series E Savings Bonds Leasehold interest in Lily Dale New York ~eligious community 10. TOTAL 80,928.20 - 0$ on;::: .u.=> () ;5 "l~ ,_ (.1,1 tti (.; .:; _.- o U) &lll> a: a: o t;::? N B: U'\ - 1;J[f 'J ') . <"J '.J () .,0 ] ': ~ '.n &iE u8 =l fR ..' .- .., -.. .- ....... -.., - . , '1. '-. '. ,. L ~, , '~' (> " j .: >-" t, g ) f. ' . ' . . '.." ~ . -, " J. :', t ~ ,'; , . i :" j . I I I I I I I I I I I 1 I I 1 I I I I I I I 1 I I I 1 I I I I I I I~ I;: I~ 10:: I~ I~ J \ ~I\ III II 111111\ 1\\ 1\ \\1 \11\\ 1111\ 111\\ 1\ 11\ 111111\ 11\ 111\\ 1\\\11111111111 .[GSl.",,"'8S8IoUS' .' m in " z1ir\ (Z,I..' . ~; 1 I ~,r hit ,} I; i r:~; !z!t,l ;' : " I' ill}" ;" [:: ~:' hlr'" c: f ~: r: tali' t-'. ,.~ p;: l-; ~~~I . '. r' t: G r: 'Iii; " t>~ t.' :';0 "iis ~ ~' f', r:p, Ibt ~:' \ ~ t: C, Lt;: 1!l~li u t:; ,11I1H J ~': !i!u i:, " . .. \.,' tf .' ~ " ... " . ~ \.1 '. I ~'. r If' ;, ' ~. :. :. b ':- t. : : F f 1'1 L. "',J r.' ~. t~ fui:"t ~ r..~ c': t-. ,...1.::'- .' ~ . , 'J 1::0 ).... p. ~. \.,Ir., E-l t~ r.. ~., ~_ r., . {.~ t (. (.. t I i', '. '. '. , 'J , \ . J. .... ' , i '",. " l' . ; II j .'iittli; : . n ;., ~'_.. -' ': . .~ . "'.- . .. .. ---..,."..- -.. ~~~ _--................JIlI1 _ - ' 1:- -' -.. - -. - ~., --- "-..- -- ,.- -- -- -,.- --~ - --_.......- ._-- ...... ._. ___~~_ .._0 4.._..__ __,.,'____._~_.__._~____ ---,-- ---'------, ~_il'lf ~:I'~~"',~4,..l'l:i'~W."~"""~".,qC''".::,..,' ,'1~"~I""-'.#>,f"'t.tl,-4'" - - . . - .f'O-~..'"..N-S'.;.~'...".I'.:<~"-;,-ffk~nl""-::7''4"'''''''f;''~t~i!~'\ '.'~};;. c' "it'~ ".'-11I "1} ;/,:;j, .. i 'i,: -,' l-Wd.. :::Jf.ri ~, " 'f<!t'~' " .. '9f,r~' li"""",,,N,,,,..,..,'.trSiR't.r'"'~";-"'''l'''' .",~-, - .!<<; l . ".'?,:i!." . UI~2.'f .:~,-;}t$:.'.{'-:l;:.-V,Il:J~J&:..' r:,";! ~i:-(''- r~ J u.., r......"l. ..>-:."\.1 ""... ~>"''''... ~ ..,""'"'-! \-'j;:J,\ .,,.,.....~....,,~~::... ",,,"y'" ,.!;..,< \"~ . .l!I'h!:....."IY&.VANI~.INHIIIT4HClANDmATlJ.AX'lf..~!' C',\;: " ,:' ~" RECEIVED FROM, & ACN ASSESSMENT P:' CONTROL WiI NUMBER AMOUNT l',' FISHER LAWRENCE H ESQ 123 W FRONT 9T 101 .e,2!3::J.4B . BERWICK, PA 18603 ESTAfE INfORMATION, m I MI R 1.1 e 1-1 ~~!5-083~ m NAME OF DECEDENT (lAST) ~ PETERMAN LAWRENCE II DATE OF PAYMENT EJ POSTMARK DATE COUNTY SSN (fiRST) A 1ee-07-1487 (Mil 'OCDHflt1 I , I i CUMBERLAND D... E OF DEAlH REMARKS m TOTAL AMOUNT PAID REGISTER OF WILLS ( j / \ i' (,,"e RECEIVED BY ./ /fij~.,' \ ..A,',"'.ll ,)11/ / SlGNAJUaf I _." I'" MARV C. LEWIS ,.,~,! ,l'cl..'''!:' REGISTER OF WILLS I . .8,e3!5.48 VZ SEAL RALPH A PETERMAN ~H;SlE~'tt \-x~M.TTVS CHECK" 13b - - - -- - ---- --- -" - - - - -- - -=- _.--~--:.-;- T=""",,,~.--'-' l ,a ~' ..., . ...-. .... -.. .._--- .. - ........-- , -.-.."....--;-- . ,-- ' , ., ':....~i( COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ,6 - ~ (; - I BU.EAU Of INDIVIDUAL TAXES UllEJIlT&HCE TAX DIVISION MPT. r..6Il HARRIIItItG, PA un'-D". NOTICE Of INHE.ITANCE TAX APP.USEItENT. ALLOIIANCE O. DISALLOIIANCE Of DEIllICTIOHS AND ASSESSIlENT Of TAX DATE ESTATE OF DATE OF DEATH FILE NUlmER COUNTY ACN 10-22-96 PETERMAN 10-15-95 21 95-0839 CUMBERLAND 101 AllOUI1t ..1 Ued LAWRENCE H FISHER ESQ 123 W FRONT ST BERWICK PA 18603 c.... *' ....lMI D an IU-HI LAWRENCE A MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTlON FOR YOUR RECORDS .... ii{V':is47"iiC-"FP-ro'i:96Y"iioT'ici--ciF-j-riHiififAiici-T'AX-APPRA'iSiiiiii'r;-,\i."LciiiAiici-oii-----nm--mn DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF PETERMAN LAWRENCE A FILE NO. 21 95-0839 ACN 101 DAT! 10-22-96 APPROVED DEDUCTIONS AND EXEMPTIONS I 13.993.00 9. F~,..l E)(I)en.../Act.. Coata/Hhc. Expen... (Schedul. HI (9) ID. o.bblllortg_ ll..lllU../L1.... (Schedul. II ClOI 12.031.97 Tot.l Doduotlon. 1111 Hat Vol... of T"" ..tum 1121 ~rlt~l./Qov.rn-ent.l Sequelt. (Schedul. J) (15) Hat V.l... of E.t.t. Subj..t to T.. (141 If an a......ant Na. i..u.d pr.viDu.ly. lin.. 14. 15 and/or 16, 17 and 18 Nill refl.ct figural that includ. the total of ALL return. a......d to date. ASSESSMENT OF TAXI IS. Aaount of Line 14 .t _..1 rat. 1151 16. Aaount of lIne 14 t""abl. .t llne.l/Cl... A r.t. 1161 17. ~t of Line 14 tax~l. .t Coll.t.r.l/Cl... I rat. (17) la. Prlnelp.l T"" Duo TAX CREDITS I PAYMENT DATE 07-13-96 TAX .ETUIlH liAS I (X I ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. ...1 E.t.t. (Sohodul. Al 2. Stock. and Bond. (_1. al S. Cl...ly Hold StooklP.rtnerohlp Int.r..t (Schodul. CI 4. Hort.....lIIot.. ....Ivabl. (Schadul. DI S. CaSh/l.nk o.poIJt,IH1Ic. P.,..onal Property (Schedul. EJ 6. Jointly Ownad Proparty ISchadul. fl 7. Tr~.f'r' (SChedule OJ 8. Tot.l A...t. 11. 12. IS. 14. NOTE I RECEIPT HUIIIlE. AA146519 DISCOUNT INTEREST It) I-I .00 I I CIWlClED (11 (21 (51 (41 (51 l61 171 ,00 23.037.49 .00 .00 57.890.71 .00 .00 (al NOTE I To Inlur. prop.r creel! t to your IaCCOW\1:. _It tho _r port~on of thl. fo,.. with your t"" p._t. 80,928.20 ?~.n?4 97 54.903.23 .00 54.903.23 .00 .00 8,235.48 8.235.48 8,235.48 .00 .00 .00 . If PAID AfTE. DATE INDICATED, SEE REVERSE fO. CALCULATION Df ADDITIONAL INTEREST. If TOTAL DUE IS lESS TItAH .1. NO PAYMEKT IS .EQUI.ED. If TOTAL DUE IS REflECTED AS A "C.EDIT" ICAl. YDU HAY BE DUE A .EfUHD. SEE REVEIlSE SIDE Df THIS fORlt FO. IHSTIlUCTIOHS.I .00 X .00. .00 X .06. 54.903.23 X .1S. IlBI A/lIlUNT PAID 8,235.48 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .pe"lnol'~ eq ..~ "'''1'''1 l.uG..lppe 'IOI'OM II'A uo IMCKfI '.IIP uoU'.ndiIIOO ........,1 MA "'U' .... '1 .~.d II .1~'""~' ,0 ... MR puoAeq IAIIP t'it) "'Ult .. UOU.,M'f" .,.....1,11 '" '"U''' 111" ''**'11'" lNOMq ... 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REGISTER OF WILLS, CUMBERLAND COUNTY STATUS REPORT UNDER RULE 6.12 Name of Decedent. Lawrence A. Peterman Date of Deathl october 15. 1995 will No. Admin. No. 1995-00839 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estatel 1. State whether administration of the estate is comp1etel Yes xx No 2. If representative complete I the answer is No, state when the personal reasonably believes that the administration will be 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 xx. b. The separate Orphans' Court No. (if any I for the personal representative's account iSI N/A ,........, c. Did the personal representative state all' account informally to the parties in interest? yes d. Copies of recsipts, releases, joinders and 'B.~provals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Datel November 11. 1997 Frank . Kepner, r. KEPNE PNER & CORBA, P.C. 123 We Front Street Berwick, PA 18603 (717) 752-2766 Counsel for the Estate