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HomeMy WebLinkAbout95-00889 PETITION 10'01{ PIWUATE and <i1{ANT OF LETTEHS ft:. ,~(t't~ir.J..- ~ No, ;;1.1- I qq 5:- lilJ':'L. 1'1): 1("I'i-ICI "I Will, 11/' 'h\:-. / , I ki'l'lI 'f'd. l'OIlIlI~ III C(l.'''& tV"'1.c""C In Ihl' .",'Ii'lill .\I'I'lInt." SII. /.7;"':,:" C:' I -:. _"('1.rel.. Cnll1llllH1\\t,'allh t,1 Pl'lIll',~hania I hl' pClitilln ollhe tIIHkl!o.I.!"l'tlll"I'l'~lllItly Il'Jllto.....l'lll... IIUlI: \. lHII p",'j il iUIICI t'), \\ Ill' i..,' OlI\.' I ~ y"'a, , uf itl!l' 01 ~ ,ldcl nil I In.' 1,'\\'(111 , t...l~ _..10__ _,_ -, . - . - ..-~- -- 1I11t1lcd llllhl,'la',1 willll!' III\.' abll\/i."'..JIt,'!o.'"'"k'nl. ilall't1....~,11.!.,v.(l.r.-;,.. Jt'--_ .-.-.~--- __._._~t Il}_~~~_.~ ami ,'0,1,,;11,) IIalnl ./;('; e.~'e ~:"</~"" dJAJ.' '-o.."t..... ~/ICf'fC): .=--:===:.'~.'. hi"'" 1,1 .. ."1" (1/>,'" 0/\0 kfllHI'" fI\ . ,.--......-.--.-..-----.-- i\lilll'Il'l~'\.11l1 ~jl(lllll'la'lI:l'\." f Il'II\lll~l;llilll1. 11.:.llh I,t ,"l'lulill, \'11... 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III Pl'1l11,yhuni" ,il\laln.l ;1' 10111\\\'..: .,,------.-.-~--'- $ _3Q~:,.-~~!!.--~~-~~-~~ ~... _....___e_ ~~.~~~.___e.___._... $ .._._....____.e~ c_~___~__.__',....-__ ....'_~ _,_+_____.--.---..-_.T, _ ... _._ ."..__ m .._.__." .... ---..--~-- -...-.,.--.-.".-"......-~..._. -......_~..;... ---....-.+-- ~_.", ----- _..M __+__.._.~~..---" \\ Ill'I~LI.(jl{", p""lithlll~'I't') n..'~I1l:clr\lI.IY r.L'Qtll."1 t "'.1. lhl:.')'lOhah.' \" lh....IiI~1 \\111 ;'llil: cndidh!-) Pll"\'lth.'~l hl'h'\\lIh alld Ilu,'l-!ranl \11 kiter'. ~Jr_'"it~L':""~(.ft .ft..'1..,.'J_._~_~_~,..___..~_.___._.__ j;~"I,\I\ll.t1WI\~ .hlln(.li'-lhl!1I,11.-_1 ,I; ;idnhl1l\11I1WllI d.h_\!( t.ll1 :lh'li1IL , f2...,...-~-;v.... &~':':J",::.:.,-- ...0.. . ~- S i\.\....."::....-'-.....-i ,".---- '''''' ---- P! ' . ~., . . .,........ro.;~ ... I~''''''. /.? l f<_ '1-11, ~ r.C,,,, ,-<-- (,II:('\' . /2.. l'>: S. Ir/t~f""l""" 10 (u,,_" -r Itle'!.:. ~ /(n.",,1..1 Jf' c;.,q}".&:~f~/~~r~ ~;: ;~': ~~~i \:?~\j'~~<... . &;'I"G"'~':!':, .il!.',Z2;;f-=:::=:== ') ~~t."i:'t .~~:'::~I:~-.:.=-:!:-/~~~ -'7 .', I ~ --.-. ~.-,---~.._._--- ~~ .- ....-._~..._-..,..--. -,--- OATil OF I'lmSONAI. IU:PIU:SENTATIVE ('0\I\10'\WI-:/\I."\'1I OF I'E""S\'J.VANIA i ,. . (' ~,i.; "I j";:' ('0\ 'r\' OF ~e~'M "'t:'. 4t~.<t......_e_.-'--" . 1 h~ 1'~'tI1Hilll,,'I\") ;thp\~"Il"l\lul i."~l';lIhllH "flinlll") Ihallh\' '1<lll'lIll'lIh illlhc hHl'~O;n~ pClilion mt.' I 11.. .'I\d ."l\tl~:1 ill tll",' h~...l ill Iltl' ~,h;,l\\ll'dl!C alld bclit..'f III Ill'titinl1l.'ll" ilnd Ihat i'''IpL'l\llllal tl'IHc..cn. ].L:'\.:l f..'.1 Ih~' abllH' dl'\.Tdl'llIl'l'lil'(llIl'I("') \\ill \\1.:11 alld lI\ll~ adlllllli~ll'l 1111.' C!'!ttlh.' aCi.'lHding 10 law. '~~\~;~~V'~~M' ~;E:.~-::"l1n~t '"\l:-':I,::t;~I=~: \ ~~_~~~~~~~~:2~~=-:.== i "-n"a. r.". t' l<j{p j 'i.' [)L~ (,!.)Ji.T.~.' (iN'.l )'" '.'~. ~.\ ,- .;~ .~.~. . -.1-- " M~ll'j}k. tEWYsiJ I . ~ ./I.,;,J, f' .e.'. . ,.-...~--- % 15. !J,q -s . I~Uq..'" 1(,' ,. e_...u__ " / .)1-199.5- Y 19 N .~ j '~l ,2 t~; '.\ ...., u:::- Ijo COHNONWI'M.Tn OF I'I'NNSYI,VANIM j :1 HH. COUNTY OF CUNIlI\JU,^NIl ) \~e, TlmL~\J\ R. SNYIlI'R, I;. 1l0lllmT m.ICKEIl, I I lInd SUSAN A. NeCOY, the TeHtllt 1x lInd the wltneBBeH, rUHI",etlvely, whoAe nllmeA lire Billned to the lIttnehed or forelloing inAtrument, beIng fl rAt duly Bworn, do hereby declare to tho under- Aigned nuthllrity thnt till' TeAtlltrlx Ahlned nnd ex"eut"d th" InAtrument IIA her LlIBt \Hll nnd TeAtnment IInd that Ahu had Algn"d wllllll11ly, and thllt AIII' exueute it aB lwr Cree and vo]untllry lIct Cor the purpOAeB therein expreBBed, nnd thnt "acb DC the witneABeB, In the preAence lInd hearIng DC the TeHtntrix, Bigned the \Hll nB witneBB and that to the beBt of hlB or l",r knowledge the TeBtatrix WllS at thnt time eighte"n (18) yearB of lIge or older, DC Bound mind and under no conBtraint or undue influence. ae,a ~ ~. :S:-.. ""-,-,,, \ TeBta~ fl2k~~~A' \H tn"BS /P , ,,,-.i._~,, (:/ /'1, \H tne'BB "'l:;l (, SubBerib"d, Aworn to and ncknowledlled b"Core me by TlmLNA Il. SNYDI'R, th" TeBtn- trix, and Bubscribed and Bworn to beCore me by E. ROUERT ELICKI'R, II and SUSAN , A. McCOY. witneBAeB, thiA '?Y*" day oC .,~,,~~) .. , 1984. f:' -R "'~ .odA/U-.-t.,1 ~J., U~ Notary Public c',raMI~iE f, lif)l)~IlU. r!r.r,"~Y IJUliltC ~lECllf,!Jl{'~.JUR~ L'OI:'),r.'!'! (;; ."t'I:{') ccumv MY COIIIJISSIC/I ElPI:<,S Hu. ,7. m(j II.Gmbc" PrnnS1lY.1nia A'lSoti31l~1I of UoLuh',: LAW O..,.ICL.. UNELOAKcn, McCALED a CLICKER II(V,UOO U+ 17-9'1 ~ ..:5" ug:" ~09 u"'., ~ - .,c ~~ 15~- (, '1- S" INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 'OR DAns 0' DIA'H AnlR 12/31191 CHICK HIAI I' A SPOUSAL POVlRTY CAlD" IS CLAIMID [J ~'ILiNUM8IR~----~-~------~~-~._- 1. Real e.tale (Schedule A) 2. Sloch and Bond. (Schedule B) 3, Clo..ly Held Sloc~/Partnenhlp Inlere.t (Schedule C) ... Mortgage. and Note. Receivable ISchodule OJ S, Ca.h~ Ban~ Cepoll" & Mllcellaneou. Penonal Property IScnedule E) 6, Jolnlly Owned Property (Schedule F) 7, "Dn,'e.. (Schedule G)ISchedule LI 8, Tolol Gran Anell (talalllne. 1.7) 9, Funeral bpenle., Admlnl'lrolive Co"'. Mhcellaneoul Expen.e. (Schedule H) 10. Debt., Mortgage 1I0bllitie., lien. (Schedule II 1" Tolol Deduction. (tolalllne. 9 & 10) 12, Nel Value of E"ale(lIne 8 minu. line 111 13. Chorllable and Governmental Bequel" (Schedule JI IA. Nel Value Sublect 10 Tax (line 12 mlnullIne 13) lS. Spaulal Tranafen Ifor dot.. of death oh., 6.30.941 See Inltrucllon. for Ar,pllcable Percenloge on Reyerle Side, (Include value I rom Schedule K or Schedule M.) 16. Amount of line 14 taxable at 6% rale (Include value I from Schedule K ar Schedule M.J 17, Amount of line 14 taxable at 15% role (Include valuel from Schedule K or Schedule M,I 10. Prlndpollax due (Add lax from lIn.. 15, 16 and 17.) 19, Credit I Spoulal Poyerly Credit Prior Paymen" Ohcount + ..1B, nnn OD+ lJ_4J_34 20, If line 1911 greate, than line 18, enter the difference on line 20. Thill. Ihe OVERPAYMENT. DO E lil III '" :ilE "'''' "'z fl~ z C> ;: ~ E ~ III '" z C> ~ lE C> u S ~OU~r\.~o~t 19<J5 VEAR 889 NUMBER COMMQNWUITH OJ PfNN!.Y1VANIA DfPAIITMfNT Of JI[V(NUE 0(" 280601 HAIIIIIUURQ, fA 11 '8,0601 _._________ OfCIOIH '. HAMIllA", fIUT, AHO MIOOIf 1".111.11 [HClOH4 '!. CO,,"'tlH APOIUS. snyder, Thclmn R. H24 Lisburn Rond 'OCtAl UCU.I'V HUM.fIt rifOfDfATH ]OAU-Oilliiitl---- Camp II i 11, P^ 17011 -112.:Jl1-4449 Lll.LUL2~L __UlDLlL_ CO'"'(.J;.\ImbCr1nnd I" A'''IUlUl 'U'YIYI~G'I'OI'1I1 ~A"'IIlA" IIn' A~P "'POIf INllIAIl !.OCIAl S.ICUI"Y tlUMIII "MOutH I(Cllv(O ISolI lt4,UUClIOH501 [XlI. Original Relurn [] 2. Supplemental Relurn 0 3, Remainder Relurn (lor dalll of death prior 10 12.13.821 o 4, lImiled hlale 0 40, fulure Inlere,1 Compramlle 0 5. Federal Eltole To. Relurn Required (for dale I of dealh aher 12,) 2.821 lXJ6, Decedent Died Teltale 0 7. Oecedenl Malnlalned 0 Living Trull IAnach copy of Will) IAltach copy of TruI11 ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. NAME COMPUTE MAiliNG "ooalU E. Robert Elicker, II 20 Stone Spring Lnne "'''HOH'HUM''' Camp Hill, PA l70l1 _ 8. Tolal Number of Safe Depolll Bou. (1) ( 2 ) -2.J.:LJillA...JiB ( 31 141 I 5 I -lO 6.,.4-1-0--6 4 (6) ( 7) (9) 7.584.25 2,569.51 Ie) .AO,71'; .7 (10) (II) ----la.., 1.;. 7(; (12) 330,061.56 (13) (14) 330-, 061. ~6 (IS) (161 _3.3.iL~OJiJ....5Ji )(,-- )( ,06 = 19 ,_803.69 (171 )( .IS II (1 e) 1 q ._8~0.3~_6 9 Inlerell (19) lB .Jl4?_34 120) Chcck herc if you Olll' loquosling a rcfund 0' your overpaymenl, 856.35 (21) 121AI 121BI 856.35 21. If line 18 II 9realer Ihan Line 19, enler Ihe difference on Line 21. Thill. the TAX DUE. A, Enter the Inlere.t on the bolance due on line 21A. B. Enter lhelalal of Line 21 and 21A on line 218. Thllllthe BALANCE DUE, Mall.. Check Payable 101 Reall'er of Willi, Agent ; ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH <0( <0( Under penaltlel of perjury, I declare Ihol I have e.amlned Ihll relurn, Including accompanying Ichedulel and Ilalemenll, and to Ihe bllt of my ~nowledge ond belief, it II true, correct and complete. I declare thai 011 real eltole hOI been reported at Irue markel value, Declaration of preparer olher Ihan Ihe peuonal reprelenlaliYe II baled on alllnlarmation of which preparer has any knowledge, ~IOHAIUIU OjgR~ t{'H'o~sMu {8A ItUNG RnUI,.., APOR1SS Box 605 B, H. D. 6 DAU \ \ _~ ., ~fu"'m-, ___~Er~el!g Groy~~~__~_7}6_~-9_307 --~L\q'\L "aHA"" (::~~~~~~~:~:_ ~ i~~ tf/~ I ~~~};_,,~~_~ l~_~~r _m_________~_ D'~ l1-ol?_~ ~-~-- Act #48 of 1994 provldel for Ihe reduction of Iha tax ralellmpaled on Ihe nel value of Iranarerl 10 or for Ihe ule of Ihe Ipoule. The ralel 01 prelcrlbed bV Ihe IIatule will be: . 3% (.03) will be applicable for e.lalel of decldenll dVlng on or aft.. 7/1/94 and before 1/1/96 . 2% (.02) will be applicable for ellalel of decedenll dvlng on or afl.. 1/1/96 and before 1/1/97 . 1% (.01) will be applicable for ellalel of decldenll dVlng on or aft.. 1/1/97 and before 1/1/98 . Spoulal Iranlferl occurring on or after 1/1/98 will be exempt from Inherllance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and, x a. retain the use or income 01 Ihe property translerred, ....................................................... b. retain the right to designate who shall use the property transferred or Its Income, ....,.......... x c. retain a reversionary Interest; or ................................................................................... d. receive Ihe promise lor lIIe 01 either payments, benellts or care' ..................,.........'.......... 2. If death occurred on or belore December 12, 1982, did decedent within two years preceding death transler property without receiving adequate consideration' II death occurred after December 12, 1982, did decedenltransfer property within one year 01 death without receiving adequate consideration'..........,...............,.,............... to,. ........"".... to. .........,......"...... 0.'..... x 3. Old decedent own an 'In trust for' bank account at his or her death'....................,....,............ x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ~ r;") ~if ...... u a.. ld ~~'. {. ) - 0", ,;j~ Ou 0 ~ -r'l., ~u ~. ~ ui;, .~ .,. 0 -" 00) ~ CUll: a: .-' I ,\~ (. '1) e ::1 "'t:E ~:> UU I,Y"" 11.1'111 ESTATE OF ITEM NUMBER A. B, 4. C, 1. 2, 3. 4, 5. 6, 7, 8, Ploa.o P,lnl or Typo BER 21 - 95 - BB9 r. ,;.).' ".y, ~r, rn : 'liC'i,.. COMMONWUUlI or P(NNSYlVANIA INH(R"ANC( 'AX ~flU.N R(~tp(N' O(CI_OI_~!~_~_ H___ SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Thelma R. Snyder DESCRIPTION 1. Funeral Expen.e.1 pre-paid 2. The Radison Motor Inn - after funeral luncheon 1. Admlnl.l,atlve Ca.t.. Personal Representative Commissions Social Socurlty Numbor of Porsanal Ropro.onlalivo: Yoar Com minions paid 2. Allarnoy Foes 3. Family e.ompllan Clalmanl Addren of Claim ani 01 decedenl's death Slreol Addren City Slale Zip Cado Rolallonshlp Probolo Fees MIscollanoou. Expen.e.. Cumberland Law Journal, advertising letters The Patriot News, advertising letters Brian Musselman, death certificates Register of Wills, short certificates Reserve for costs for filing receipt and release, fin tax returns, notary fees Register of Wills, filing inheritance tax return and County inventory TOTAL (Also enler on Itne 9, Rocapilulallan) (If moro .paco I. noodod, In.orl additional .heo" of .amo .110.) AMOUNT $ 345.02 6,250.00 305.00 40.00 77.23 2l.00 21.00 1 500.00 25.00 S 7,5B4.25 II> 1$IJ I.. It"1 ~:'~:~~ ..Vu.- COMIolONWI,t,IIHO' 'hiN'"~,t,N" INH..n...NCI..... .nU'N .nIOINIOIClOINI SCHEDULE J BENEFICIARIES 1_ ESTATE OF FILE NUMBER Thelma R. Snyder 21 - 95 -B89 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Ta.able eequ..h: l. Jo Ann Baum Box 605B. R. D. 6 Spring Grove, PA 17362-9307 Daughter 50% of estate paragraph 3 of Last Will and Testament 2. Rita M. Snyder, a/k/a Rita s. Atherton 10 West Park Randolph Air Force Base, TX 7Bl4B Daughter 50% of estate paragraph 3 of Last Will and Testament LeRoy E. Snyder, husband of decedent, predeceased decedent, having died on November 5, 1990. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 8. Charitable and Goyernmental 8equelll: l. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Ar.o ontor on Ii no 13, Rocapilulallonl S (If mar. .pac. I. n"d.d, In..'' additional .h".. of .om. .1181 \ Inventory of the real and personal oslate 01 THELMlL-IL-5NVnRfl deceased 1. 540 shares of AMP common stock at $3B.50 per share $20,79 00 2. 260 shares of American Water Works common stock at $30.B75 per share B,02 50 3. 300 shares of AT&T common stock at $63.25 per share IB,97 00 4. 9,217 units of The Government Securities Income Fund Series I at .lOB per unit 99 44 200 shares of Occidental Petroleum Corporation common stock $22.00 per share 6. 100 shares of philadelphia Electric Company common stock at $2B.625 per share at I I 5. 7. 200 shares of potomac Electric power Company common stock at $24.325 per share B. Interest checking account, Dauphin Deposit Bank and Trust Co., Harrisburg, PA, account no. 00B04B1507 Accrued interest 9. Money Market account, Dauphin Deposit Bank and Trust Co., Harrisburg, PA, account no. 0094359539 Accrued interest 10. Certificate of Deposit, Farmers Trust, Carlisle, PA, no. 433-0400740 Accrued in teres t 11. certificate of Deposit, Harris Savings Bank, Lemoyne, PA, no. 04-56-l94347 Accrued interest 12. Certificate of Deposit, Meridian Bank, Reading, PA, no. 4000709073 Accrued interest 13. certificate of Deposit, Meridian Bank, Reading, PA, no. 400l796B63 Accrued interest GO TO NEXT PAGE GO '1'0 NEXT PAGE 4,40 2, B6 50 4,B6 00 3,90 BB 43 l4,B4 25 B3 25,00 00 5 27 25,00 00 4 19 11,97 40 54 51 25,00 00 2' BB 00 COMMONWI!ALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I. J ss: bolnv duly e _~__.__._ _u_,.__ .ccordlng 10 I.w. dopo.o. .nd '.Y' Ih.1 ho_ _ . __. _. ____.. _ _.________ _____. of Iho E.I.lo of 1.1. 01 - _____ ____. Cumborl.nd Counly, 1'.., d.c....d .nd Ihot the within Is .n Inv.nlory m.do by __________n_._ _.__ _ ____, tho ..Id of tho .ntlr. est.to of sold d.cod.nl. con.lstlng 01 .lIlho p.ISonal prop.rly .nd r..1 011.1., exc.pl reol .st.t. outsld. tho Commonw..lth 01 P.nn.ylv.nl., .nd th.t Iho figuro. 01'1'0.110 o.ch lI.m of Ih. Inv.nlory r.pr...nlll'. f.lr v.lu. II 0' Iho d.lo 01 docodont'. do.th. .nd .ub.crlbod bolor. m., 19 E..cutor . Admlnhtr.tor Add,... O.to of Do.lh DIY Month Vu, INSTRUCTIONS I. An Invonlory mu.1 b. fII.d within Ihr.. month. .ft.r .ppolnlmont of pOlSon.1 r.pr...ntativ.. 2. A .upplom.nl Inv.nlory must be fII.d within Ihlrty d.y. of dlscov.ry of .ddition.1 ....h. 3. Addltion.1 .ho.ts m.y bo .tt.chod .. 10 pmon.lly or ro.lty 4. So. Article IV, Flducl.rl.. Acl of 1949. ~ -0 w II M ~ "" < II W " 0. 0- t> II 0 VI " 8 w c '" "" "" W II II :I: 0. U. .,; "- c: 0- ..J ~ Z 0 0 U. ..J ;5 "- :I: W 0 <( t- <( > Z "" Z 0 c c: " VI Z 0 0 "" U Z w <( .... 0. ." c - II ;: 0 " .D ." ... II E . II 0 II " it 0 ..J U CD - PAGE 2 Inventory of the real and personal estate of THELMA R. SNYDER deceased --- American Funds - Mutual Funds 14. 3,164 shares of American Balanced Fund at $14.l7 per share $44,833 BB 15. 2,206 shares of Bond Fund of America at $l3.6B per share 30, l78 08 16. 2,127 shares of Intermediate Bond Fund at $13.63 per share 2B,99l 01 17. 2,454 shares of Federal Tax Exempt Bond Fund at $12.l2 per share 29,742 48 18. 2,9l9 shares of u.s. Government Securities Fund at $l3.41 per share 39,143 79 . TOTAL 340,215 32 " . COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND _.___.. _ --_.-J~__lJll(L _1!::>_....u'..V.:-___ --------_____________e_e._ bolng duly ___ __ occordlng 10 I.w. dopo.OI .nd ..y. Ih.I ",,0 ___ ___n_ __r;,.L"~.1!,________.____u_.. of Iho E."Io of . 'I'1\CJ.ma..-R.-Sn.l'der 1.1. of _- - Lower Allen Township __.._n__ ___, Cumborl.nd Counly, 1'.., d.c....d .nd Ih.t Ihe within I. .n Inyonlory m.do by ________ _________.__ _ _____. Iho ..Id of Ihe entlro 0I1.Ie of .ald decedonl. con.l.tlng of all Iho porsonal prof'drty and roal e."Ie, excepl real estale ouhlde the Commonwo.lth of Penn.ylyanla. and Ihal Ihe flguro. oppo.lte each Item of Iho Inyenlory ropre.enl It'. fair v.lue .. of Ihe dolo of decedonl'. doalh. IS: and .ub.crlbod boforo mo, Il~( (D r 19 9/.. __ J\("A l, (. :::-.~ P DL ~ I I' I 1..--1 .. ,.-" --')-- , ~.l.ll::::L..i.' \1 \ ,< (L, \ 1.,.1:,) - r -- IJ Add,... O.Ie of O..Ih 11, Day N=.embe& Month ru, l.Q.9.5 INSTRUCTIONS I. An Inyenlory must be flied within Ihree monlh. .fter appolnlmenl of porsonal reprOloc1fJye. 2. A .upplemont Inyenlory must bo filed within Ihlrty d.y. of dl.coyery of .ddltlonal a..itiii ~ -.- 3. Additlon.1 .heeh may be attached .. 10 personally or rea'Iy f' ' 4. Soe Article IV. FIduciaries Acl of 1949. p, \.~.' .'. ""~. . " , ,) tJ r: )':.le vi :oi?? o. ,\~ \-, 0 ~ (0 :0 " '~ ., (. ~ .:1 ("1 Cl " .... -0 ..:.: .--; ;:: r.) W Uj. 0 w - ~ ~ -<i w .. ~ ~ S .. w " a.. u .. 0 II> " 8 w C In >- '" w .. .. J: a.. u. .,; a.. E ... -' Z -' ~ 0 a.. 0 u. '*' W 0 < i- < > Z '" Z 0 c c " II> Z 0 0 '" () Z w < .... a.. -0 c - .. -.: 0 " .D ." oW " E 0 . .. .. " it 0 -' () ... .. -, ... <0. - - --- ---... _. .... --- -.,. --.-. ... -'- ..- ":""""""",?",:,,e,"" < ',' > . D'/~~~Aigrr:g~~~~rEAL1tt.~..",NSnYANlA \~r~~:i>"';;'e:\h:;)~;'~T5FFiCI~~'~~i~.\'=:-:N~~~:'~~:ANCI AND ISTATI TAX ACN eI ASSESSMENT P:' U CONTROL ... NUMBER .. I I I I \ I \ , I \ \ , J . , } 'OlD HUf I I \ I 1 I I I : \ AMOUNT RECEIVED fROM' \"01 .t1':lb.<I':) ELl CI<ER E ROBERT I I 20 STONE SPRING LN CAMP HILL, PA \7011 ,OIDH"'- SSN 172-01-4449 (FIRST) (MI) :! , I CUMBERLAND D"TE Of DEIJH fa TOTAL AMOUNT PAID .B56.::I5 C\ol REGISTER OF WI LLS ~. .,,~ ')r ",.r' RECEIVED BV'- If,'. I \ b~ 1{'" '-1, ,III.! ,'1 " u' i ~ , . '.L / 'I' J'(.1 J. MARV C. LEWIS .. /1 ''-'''',I\)II'~ REGISTER OF WILLS ' REMARKS JOANN D(.IUM C/O E ROBERT ELICKER 11 ESQ CHECK II 8 SEAL --- ----- ------.- ---_.~.-_.....~- ..---._,-~_.. ~-- ~~,.-. --,-- .~.... --- -- .--- ---~ .- -- -r- -J-- - - "0 i\ ~.." , ~ 'I ., :f e' . , .' .- . ., .~. ' , I , .'- : . ---- _---.-.....--.-..".jIdI.~.... _-~[~r .1':. i 'oj (.,1 I \ " ~~ -- ,-- REV-1547 EX AFP 112"951* 1;;; COH"ONWrAIIII Of JOINHSVIVANIA ACN 101 1II PAR1H! NJ 01 HI VI Nur NOTICE of INttERITANCE TAX BUR[AU Of IHOIVI(lUAl TAUS;' APPRAISEHENT, AllOWANCE OR DISAllOWANCE E~~;~~~~> ~~~~;;=,=~~~ ~;:- ~~~UCT_I=__~:~_ASS~SSH~F:L;A:O. DAT;r:;::~;6 DATE OF DEATH 11"13-95 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TltE UPPER PORTION OF TIllS FDRH WITH YOUR TAK PAYHENT TO TltE REGISTER OF WILLS, HAKE CItECK PAYABLE TO "REGISTER OF WILLS, AGEHT" REMIT PAYMENT TO: E ROBERT ELICKER II 20 STONE SPRING LN CAMP HILL PA 17011 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLI5LE, PA 17013 A.,ount RanUhd CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEV: iS4 j"EX"AFpUr n": 9S"l" iioT i cEo -oF - YNHEifi f ANCE - TAx" iI-PPRAisEHiiir; -A [l-owAifc E -iili ----""" on"" - -""- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SNYDER THELMA R FILE NO. 21 95-0089 ACN 101 DATE 07-22-96 If an assessment was issued previously, lines 14, 15 and~or 1&, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Anount of Lina 14 lb~ A.,ount of Lina 14 17. AnDunt of Lina 14 18. P~incip.l Tax Dua TAK RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rael Eat.h Uchadula A) (l) 2. Stock. and Bond. (Schadula BJ (2) 3. Clo.aly Hald Stock/Partna~ship Inta~a.t (Schadula CJ (3) 4. Hortgagas/Hota. Racalvabla (Schadula OJ (4) 5. Cash/Bank Daposita/Hllc. Parsonal P~oparty (Schadula E) (5) b. Jointly Ownad Propa~ty (Schadula F) (6) 7. Transfars {Schadula OJ (7) 8. Tot.l AI.at. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funa,.al Expansas/Adn. Co.t./Nise. E~pan'a. (Schadula H) (9)> 10. Dabt./Hortgaua Liabilitias/Uans (Schedula IJ (l0>> 11. Tot.l Daduction. 12. Hat Valua of Tax Raturn 13, Charitable/Govarnnantal Daqua.t. (Schadula JJ 14. Hat Valua of E.tata Subjact to Tax NOTE: .t Spousal taxabla .t ta.abla at rata Lina.l/Cla.. A rat. Collat.,.al/Cl... 8 rata USI Ubi U71 TAX CREDITS: PAYHENT DATE 02-08-96 04-10-96 RECEIPT NUHBER AA082594 AA1l2722 DISCOUNT It I INTEREST 1- I 947,37 .00 I CHANGED .00 233.804,68 .00 ,00 106.410,64 ,00 ,00 18) 7.504,25 2.569,51 Illl 1121 1I!1 114) ,00 330.061.56 .00 K ,00= K ,06= K .15= 118) AHoUNT PAID 18,000.00 056,35 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 340.215.32 In.l~3 76 330.061. 56 ,00 330,061,56 ,00 19.803.69 ,00 19.803.69 19,803.72 .03CR ,00 ,03CR . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS TitAN $l, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REfLECTED AS A "CREOn" lCR), YOU HAV DE DUE A REFUND, SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I 0\ I: " , ~:--. (., " 0\ ~~I ,..:..! '-'It: 0: \/1 f^ ...1 _ :'1 UU RESERVATION I [,t.,.. of dlcldant. dying an or be'ar. Olc..b.t ." 1982 .. I' any lutur. Int.r..t In thl I,'ata 1. ttan,f.tted In po.....lon or .nJoy..nt to CI... 8 Ceolla..,e.>> bln.flclnrl.. of thl dlcldant after 'hI ..plta.lon 01 any ..,.t. for 11', or for y..t., the Co..onw..lth hat,by ..pr..,lv r...tv.. the right to appral,. and ...... ttan,'" Inh,rltanc. T.... at thl lawful el... B leolla'ara1) rat. on any .uch lutur. Inter..t. PURPOSE Of NOTICE I To fulfill the tlqulr...nt. of hetlon 21"0 01 thl Inherlt.nel and E.teta Tell Act, Act ZZ 0' lCJ91. 12 P,S. Sutlon 21"0. D'tlch thl top portion of thl. Hotle. and lubalt with your pay..nt to thl Algl"ar of Will. prlntad on thl tavar.. .Ide. -.Halee chaclol or eDney ordar payable tOl REGISTER OF MILLS, AGENT All pay..nt. tecalvad shall fltlt b. .pplled to .ny Intere.t ~hlch ..y be due wllh .ny reealnder applied to tha t... REFUND (CR)I A tefund of at.. cradlt, which ~a. not raqualt.d on the 'a. R.turn. aay b. r.qu.ltad'by coapl.tlng an "Application lor R.fund of P.nnlylvanla Inh.rltanc. .nd [It. I. t.." IREY-IJI]). Appllcatlonl .r. av.llable at the Office of Ihe Rlgl.t.r of Will.. .nyof the ZJ R.v.nue Dlltrlct Offlc.., or by c.lllng tha Ipaclal Z~-hour anl~erlng ..rvlca nueb.t. for 'or.. orderlngl In,P.nn.Ylvanla ..800-J6Z.Z050, out.lda penn.ylvanla and within local tl.rrllburg ar.. (111) 787-8094, tOO' (17) 172-2252 Waarlng I.palred OnlY). PAYHE;n I oaJECllONSI Any party In Int.ralt not ..tl.fl.d with tha .ppr.I....nt, .llow.nc. at dllallowance of d.ductlon.. or ........nt of t.. (Including dl,count or Inter..tl .. shown on thl, Notice au.t obj.ct within al.ty (60) day. of receipt of this Hollce bYI uwrltten prote.t to the pA C.part.ent of RevenulI, Board of App.als, Dept. 28lOZI, Harrlsbutg. PA 11128-IOZI. OR --.I.ctlon to h.v. the ..tter d.t.t.ln.d at audit of the account 0' the p.t.onal r.pr...ntatlv., OR -.appe.1 to the Orph.n.' Court. ADNIN ISTRAtll/E CORRECTIONS. F.clu.1 .rror. dl.cover.d on Ihl. ........nt .hould be .ddr....d In writing 101 PA D.part..nt of R.venu., Bureau 0' Indlvldu.1 t...., AnNI POlt A.......nt R.vl.w Unit, C.pt. la0601. Ihltrl.burll, PA 111:a-0601 Phone (7171 7a7-6~05. Se. p.g. ] of th. boolel.t "In.tructlon. for Inh.rltanc. ta. R.turn 'or a R..ld.nt O.e.d.nt" (REY-I~OI) for .n .~plbn.tlon of edalni.tr.tlv.ly corr.ctabl. .rror.. DISCOUNT 1 If .ny t._ due I. p.ld within thr.. (J) c81.ndsr aonth. aft.r the d.c.d.nt'. de.th, . flv. perc.nt (SX) dl.count of the ta_ p.ld I, bllow.d. P[HAlfYI The I~~ t.. b.n..ty non.p.rtlclpatlon p.nalty I. CO.puted on the tot.l 0' the taM and Int.r..t .I.....d, and not paid b.'ore Janu.ry la, 1996, the flr.t day .ft.r tho und 0' the ,.. ..nu.ty p.rlod. Thl. non-partlelpetlon penalty 1. app..labl. In the .... ..nn.r .nd In tho the .... tl.. periOd a. YOU would opp..l tho t.M and Int.r..t th.t ha' b.an .......d a. Indlcat.d on thl. no\Je.. INTERESTl Int.r..t I. charg.d b.glnnlng with flr.t d.y 0' dellnquancy, or nlna (9) .onth. .nd on. CI) d.y fro. the date of d..th, to the d.t. of p.y..nt. f.... which b.ca.. d.llnqu.nt bafore Janu.ry 1, 1982 b..r Int.r..t .t the rat. of ,1M 16XJ p.re.nt p.r nnnu. c.lculatad .t . dally rat. of ,OOOI6~. All to~.. which b.e..e d.llnqu.nt on and aft.r Januery I. 1982 will b..r Int.r..t at ft r.t. which will v.ry fro. c.l.ndar y..r to c.l.ndar y.ar with th.t rat. announc.d by Ih. PA D.part..nt of Aev.nue. Th. .ppllcabl. Int.rult tnt.. for 198: Ihrough 1996 .r.1 ~ Int.rut Allt. DallY Int.,...t rllcto" ~ Inl.r..t Ratu nlllly Intor..t Facto" 1911 ZOX .0005~a 19a7 .. .000247 19U 16X .000~3I!I 19a8-1991 11;( .000101 19M Ill( .000101 1992 .~ .000l47 I~a~ 15;( .00C,356 1993-1994 " .000191 1986 10;( .000l74 1995-1996 .. ,000147 ..Int.r..t II celculehd .. followlI INTEREST. BALANCE or TAK UNPAID X NUNBER or DAYS DELINQUENT X DAILY INTEREST rACTDR --Any Notlc. I..ued aft.r the ta. b.co... d.llnquent will reflact an Int."..t calculation to flfl..n (151 day. b.yond the d.te of the ft.......nt. If pay.ent I. a.do after tho Inter..t eo.putatlon data .hown on Ih. Hotlc., .ddltlon.1 Int.r..t aust be calcul.'ad. C!- '::~~~~'f 'c;,,'~.\e.:,;"'" . .. "," -, ';y' d/- 95-J/e?9 RECEIPT AND RELEASE WHEREAS, THELMA R. SNYDER, late of Lower Allen Township, county of Cumberland and Commonwealth of Pennsylvania, died on the 13th day of November 1995, having first made her Last will and Testament in writing dated September 24, 19B4, which since her decease was duly probated before the Register of wills of said Cumberland County and Letters Testamentary issued to Rita M. snyder, a/k/a Rita s. Atherton and Jo Ann Baum, the Executrices named in the Last will and Testamcnt of said decedent. NOW KNOW ALL MEN BY THESE PRESENTS, that Rita M. Snyder, a/k/a Rita S. Atherton and Jo Ann Baum, being the residuary legatees and distributees named in the Will of said decedent do hereby declare and say that they have examined the attached Account and Schedule of Proposed Distribution, and they find the same to be true and correct, and in strict accordance with the terms and provisions of said Will, and they do hereby acknowledge that they have this day had and received of and from Rita M. Snyder, a/k/a Rita S. Atherton and Jo Ann Baum, Executrices of the Estate of Thelma R. Snyder, the cash set opposite their names in the above stated SchedUle of Proposed Distribution, in full satisfaction, payment and discharge of all such sum or sums of money, legacies and bequests, share or shares, purparts and dividends which were due, owing and payable and belonging to them by any means whatsoever, for or on account of their full share, part or dividend of the Estate of Thelma R. snyder, deceased, and all interests accrued thereon. NOW, THERLF~?E, the said Rita M. Snyder, a/k/a Rita S. Atherton and Jo Ann Baum, do by these presents, remise, release, quitclaim and forever discharge the said Rita M. snyder, a/k/a Rita s. Atherton and Jo Ann Baum, their heirs, executors and administrators, of and from the distribution of the decedent's Estate aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or of any act, matter, cause or thing whatsoever, from the beginning of the world to the day and date of these presents. AND desiring to avoid the delay and expense of the settlement of said Estate by filing the foregoing account of said administration in the Office of the Register of wills of said County and by having the balance in the hands of the Executrices, as shown by said Account, distributed by the Court of Common Pleas of Cumberland county -- orphans' Court Division, they do hereby agree that the foregoing Schedule concerning the matter of settlement may be recorded with the same effect upon ~ STATE OF TENNESSEE ss: COUNTY OF SHEI,BY On this, the ? ) I rl day of ~ IJ(ClI~(.bcr , 1996, before me a Notary Public in and for said State and County, the undersiqned officer, personally appeared RITA M. SNYDER, a/k/a RITA S. ATHERTON, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledqed that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. c, My Commission Expires: ~JC.... lA 2'i: I l'i lj ~ --~~".':..;~".;".;~..~....... ~ ". -- _--e_--T'- i I j I T-"""- -.. COMMONWEALTH OF PENNSYLVANIA: COUNTY OF 58: CUMBERI,^ND -..y") , day of -1\_1.".I~_,- , 1996, - -, and for said State and County, the On this, the before me a Notary PUblic in undersigned officer, personally appeared JO ANN BAUM, Known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and off icial seal. __ \~:L .J. Ir/-- Notar PUblic, My Commission Expires: NOlarlAI Sonl Shorrt L. Murph}'. NOlary Puullc Carlisle Boro. CUfIlborland COlJnly My Commission e'plro, Jan. 4, 1099 . . FIRST AND FINAL ACCOUNT OF JO ANN BAUM AND RITA M. SNYDER, a/k/a RITA S. ATHERTON, CO-EXECUTRICES UNDER THE LAST WILL AND TESTAMENT OF THELMA R. SNYDER, LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED JO ANN BAUM and RITA M. SNYDER, co-executrices as aforesaid and follows: a/k/a RITA S. ATHERTON, accountants herein, aver as DATE OF DECEDENT'S DEATH DATE LETTERS TESTAMENTARY ISSUED LETTERS WERE ADVERTISED AS FOLLOWS: November 13, 1995 November 28, 1995 Cumberland Law Journal The Patriot-News December 8, 15, 22, 1995 December 12, 19, 26, 1995 PERSONALTY-PRINCIPAL ACCOUNT DEBITS The Accountants charge themselves with receipt of the decedent's goods and chattels as more fully set forth in the Inventory and Appraisement heretofore filed in the Office of the Register of Wills in and for Cumberland County, Pennsylvania: TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS: $340,215.32 PRINCIPAL CONVERSIONS INTO CASH GAIN LOSS 1. 540 shares of AMP common stock Inventoried at Account value $20,790.00 $22.087.87 $1,297.87 2. 260 shares of American Water Works common stock . . g]ill{ ~ 9. 2,206 shares of Bond Fund of America Inventoried at $30,178.08 Account value $30.826.47 $ 648.39 10. 2,127 shares of Intermediate Bond Fund Inventoried at $28,991. Ol Account value $29.351. 45 $ 360.44 11. 2,454 shares of Federal Tax Exempt Bond Fund Inventoried at $29,742.48 Account value $29.9B8.89 $ 246.41 12. 2,919 shares of U.S. Government Securities Fund Inventoried at $39,143.79 Account value $39.220.69 $ 76.90 $ 9,692.45 $813.47 NET GAIN TRANSFERRED TO RECAPITULATION $8,B7B.98 PERSONALTY-PRINCIPAL ACCOUNT CREDITS The Accountants claim credit for the payment of the fOllowing items from personalty principal: 11/20/95 The Radisson Motor Inn: after funeral luncheon $ 345.02 11/29/95 1/3/96 2/8/96 2/8/96 and 4/10/96 11/21/95 4/10/96 2/8/96 4/10/96 The Cumberland Law Journal: Advertising Grant of Letters The Patriot-News Company: Advertising Grant of Letters $ $ Register of wills: Short certificates $ Brian Musselman: Death Certificates Jo Ann Baum: Reimbursement for probate fees Register of Wills: Filing fees Register of Wills, Agent: Payment on account of Pennsylvania Transfer Inheritance Tax Register of wills, Agent: Payment balance of Pennsylvania Transfer Inheritance Tax $ 40.00 77.23 21.00 42.00 $ 305.00 $ 25.00 $18,000.00 $ 856.35 11/1/95 The Woods: Final payment $ 2,520.00 11/26/95 Greenwood Pharmacy: Drugs $ 14.86 12/12/95 Bell Atlantic: Final telephone bill $ 23.12 12/13/95 Dr. Connor: Medical services $ 11. 53 3/28/96 IRS - Final income tax payment $ 454.00 3/28/96 PA Dept of Revenue - Final income tax payment $ 91.00 3/28/96 Lake Richart, accountant $ 221.00 The Accountants reserve the following sums to be paid subsequent to the filing hereof: 1. E. Robert Elicker, II, Attorney fees $ 6,500.00 2. Reserve for filing account, release, notary fees and miscellaneous costs $ 500.00 TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS: $30,047.11 PERSONALTY - INCOME ACCOUNT DEBITS The Accountants charge themselves with receipt of the following items of income from personalty: Dauphin Deposit Bank and Trust company checking Account No. 00B0481507 Interest to 1/30/96 $ 8.26 Dauphin Deposit Bank and Trust Company money market, Account No. 0094359539 Interest to 1/30/96 $ 61. 03 Farmers Trust, CD No. 433-0400740 Interest to 8/15/96 Harris Savings Bank, CD No. 04-56-194347 Interest to 10/28/96 Meridian Bank, CD No. 4000709073 Interest to 9/13/96 Meridian Bank, CD No. 4001796863 Interest to 9/13/96 $ 994.07 $1,045.87 " / $ 494.94 $ 823.90 Farmers Bank, Estate checking account No. 06321135 Interest to 11/6/96 TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS $1.792.36 $5,220.43 PERSONALTY - INCOME ACCOUNT CREDITS The Accountants claim credit for the payment of the following items from the personalty income: ~ TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS: ~ RECAPITULATION I. PERSONALTY A. PRINCIPAL ACCOUNT Debits Net Gain Sub-Total Credits Balance + $340,215.32 $ 8.878.98 $349,094.30 $ 30.047.11 $319,047.19 B. INCOME ACCOUNT Debits Credits Balance $ 5,220.43 $ NONE C. NET BALANCE OF PERSONALTY $ 5,220.43 $324,267.62 NONE $324.267.62 II. III. REAL ESTATE NET BALANCE OF ESTATE FOR DISTRIBUTION TO: SCHEDULE OF PROPOSED DISTRIBUTION Rita M. Snyder, a/k/a Rita S. Atherton, 50% of residuary estate per Paragraph 3 of Last will and Testament $162,133.81 Jo Ann Baum, 50% of residuary estate per Paragraph 3 of Last Will and Testament TOTAL $162.133.81 $324,267.62 STATE OF TENNESSEE COUNTY OF SIlELBY RITA M. SNYDER, a/k/a RITA S. ATHERTON, being duly sworn according to law, deposes and says that she is the co-executrix of the Estate of Thelma R. snyder, Deceased; that she is one of the Accountants herein; that the foregoing accounting is true and complete; that there are no unpaid claimants who have given notice to said co-executrices; that the foregoing list or schedule contains the names of all persons interested in said Estate as distributees; and that the facts set forth in the foregoing Account are true and correct to the best of her knowledge, information and belief. ss: 1>-<.....~ ;\\~~..'-.-\. .() (~ >-- '1'-"-:-'----- '.:.~ r- --L,L_......._~___ Rita M. snyder, a/k/a Rita S. Atherton (Co-Executrix and Accountant) SWORN TO AND SUBSCRIBED BEFORE ME THIS 3~rt DAY OF 1:),r t1~ltoul~ , 1996. '(-~~&e:. Cj. 1)~~f;nJev ~ Nota~ pUbdc My Commission expires: _I"", ",u (Cl-'lCl )0<- V' ...~ ~ I -\ -, ~ COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERL^ND ss: JO ANN BAUM, being duly sworn according to law, deposes and says that she is the co-executrix of the Estate of Thelma R. Snyder, Deceased; that she is one of the Accountants herein; that the foregoing accounting is true and complete; that there are no unpaid claimants who have given notice to said co-executrices; that the foregoing list or schedule contains the names of all persons interested in said Estate as distributees; and that the facts set forth in the foregoing Account are true and correct to the best of her knowledge, information and belief. ~,(\ n,\Y\ P'('HlW'("\ Jo nn Baum (Co-Executrix and Accountant) SWORN TO AND SUBSCRIBED EFORE ME '.oj) L THIS.,,) DAY OF '. t. c.' d' . oJ' ,. i,.,J ,~ . /~~I . I~';' -)~ ~.~ Notary ~Ublic , 1996. My Commission expires: NO"HI." Sanl Shorrl L. M 'I i " i 'NAry PUllIIc Cnr:lslli norr.. . ,rlllll,Wlnd County ~ l~' Cnll,!ll,;''',-'' ;"1'1' ,IRIl, 01, 10DO NOlorlol sool Shorrl L, Murphy. NOlory Puollc Carllslo Boro, CumbOlland County My Comml..'on e'plr.s Jon. 4. 19/19 L._.~___",.,...._,__.", I!.- STATUS REPORT UNDER RULE 6.12 Name of Decedent I (-c..to(VoflC, (2, )/i'l c..(~l((J Date of Death:-1L1.1--......"-vJ~'-- ('~.IC:ft<;' C'. - ' Will No. "J.. I - (~ __ Admin. No. 6' try 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 estate: 1. Sta?::, whether administration of the estate is complet13: Yes No_____ 2. If the answer is No, state wh..,n t.Jm personal representative reasonably believes that the ildministration will be complete: 3. If the answe to No. 1 is Yes, state the following: a. Did the p~sonal represe~ative file ~ fi9al account with the Court? Yes (\ No . /~~ Cl."-V/~tf~A.L- ~iy.7.J... ~L'<.J...u...'t- c.\'fii;;~L_tf b. The separate Orphans' Court No. (if any) .~ . the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Da te: 10 ( ~ (cN f~kJ.a ,-I{~,LJ ' Signat.ure F icA~rt cl;Cklh ~ Name (Please type or print) 0:'" 5*-v\1_ ~~~ ~~ Address (!CL1/l/t.?' I.J,''Q, /"A 17" 1/ { 1n -:;Zl{o''''',3.~ Te 1. No. (MAHI rmf/ AM3) Capacity: Personal Representative ~ Counsel for personal J-representative