HomeMy WebLinkAbout96-00181
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PETITION FOR PROBATE and GRANT 01: LETTERS
Estate of EUzabe.th A 1Jti!l h.a to II e aJ;.. No. .).. J . Cf ~ - / f{ I
also known as 0 GrtY . WRIt:1I TSTOH!fO:
, Register of Wills flU the
. Deceased. County of CumbVLtalld in Ihe
Social Security No. 2 J 0-'6-0480 Commonweallh of Pennsylvania
The petition of Ihe undersigned respeclfully represents Ihat:
Your pelitloner(s), who is/arc 18 years of age or older anlhe execut all
in the lasl will of the above decedenl, dated
and e~led NOlle. 0
"'-"'..../ .;., ",.;:lP ~ 7/7/
, I
41251
nt~ed
,19_
(5talc rdetJanl circumstances, c.(I;. renunciation. deall1 or c,ccuto,. etc.)
Decendenl was domiciled al dealh in CumbVLtalld
It VL lasl family or principal residence at 2304 K~Il.t S.tll.ee.t
County, Pennsylvania, wilh
(IiSl 5tr<<I, numher and munclpalilY)
Decendent, then 61' y.ears of age, died FeblLUllI!.lt 5 ,19 96
al Leo.dVL NuM.tllq Home wut. Camp Hill, PA .
Excepl as follows, decedent did not marry, was nol divorced and did not have a child born or adopled
~fter execullon oflhe YdJloffered for probate; was nOllhe viclim of a killing and was never adjudicated
mcompclent: '~
Decendenl al death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 60.000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania S 15.000.00
situaled as follows: 2304 Kent S.tll.ee.t
Carnl) Hill. PI. J 10 11
WHEREFORE, petitioner(s) respeclfully request(s) the probale of the last will and codicil(s)
presented herewith and the grant of lellers Tutametitlll!.ll
(testamentary; I1dminislfluion c.I.a.; adminiSlralion d,b.n.c.I,a.)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } l:lS
COUNTY OF CUMBERLAND
Tbe petltioner(s) above-named swear(s) or aflirm(s) thallhe statements in Ihe foregoing petition are
true and correct to tbe best of the knowledge and belief of pelitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will weiland truly. a~Tinister lbe estate according to law.
Sworn 10 or aflirmedand.subscribed {,,), ......1), "....J A, ., /".>-A
before me this 26th day of 'J r ,'", ~'
FEBRUARY ~ 19..22- /.:., /,~~ !a
l.nJ" ""0 {'. '(11 d, ,'.',1 {~/I,' .Ii liY ~
{ 7J' Register ;;;-
, I .....
ro.
No 21-96-181
.
Estate of
ELIZABETH A. WRIGHTSTONE
I Deceased
DECREE OF PROBATE AND GRANT OF LETIERS
AND NOW FEBRUARY 27 19..2!.-, 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 APRIL 25 1985
described therein be admitted to probate: and filed of record as the: last will of
ELIZABETH ANN WRIGHTSTONE A/K/A BETTY A. WRIGIITSTONE
and Letters T utamelltaJl.I/
are hereby granted to DAUPHIN DEPOSIT BANK AND TRUST COMPANY
yrl1'~d' (I ,xJ,"l.-O reI .N/. .J(;"hfilJ,l);pt.iU/
( ROils'" or WlII.
FEES
Probate. Letters, Etc. ......... $ 235.00
Short Certlficates(5 ) .... .. .... $ 15.00
~~.~~~!l!\..~~~!'% 9.00
JCP $ 5.00
TOTAL _ $ 264.00
Filed .r:fi:llRIW.W. .~1,. .1.~~~..............
Ed MyeJU.. H20SS8
AtTORNEY (Sup. Ct. 1.0. No.)
P.O. Bo)( 109
ADDRESS
L(1JIlol/lle. PA 17043..,
PHONE
;..
CALLED ATTORNEY FEBRUARY 28, 1996
21-96-181
This i, III 'ellify llw ,he inf",m,\li"n I""e !(i,cn i, '''Ill' dl' '''I',nl h"lI\ ,m ",i~in,d ,en ili..,e "f "",\lh ""ly filr,l wid, me ,"
1",.1 Helli"'.'. The ori!:in,.1 ,ellili."I(' will he t",w.lt,I.." '" d,.. Sl,lle Vil,,1 H",""\' Ofti", for l'e,m,.nclI\ liIin~.
WARNING: It II Illegal to duplicate thll copy by photoltat or photograph,
Ftc (or 1hh u:nifi,.lll', S1.00
tZz/)Z-1 /~~r-
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3399651
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COllllONWEALTH OF PENNSYLVANIA' OEPARTM~NT OF H~ALTH . VITAL RECORDS
CERTIFICATE OF DEATH
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DNIOlOlAlH....,. 0.,.-1
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to
1JJast Will aub mestameut
of
Bllzabeth Ann ~Ightstone
I, ELlZABJmi ANN \\RIGITS'IOlE, also knovm as BEflY A. \\RIGIl'STCNE,
of the Borough of C8np Hill, Qnberland County, Pennsylvania, do IlIIke,
publish and declare this to be rq{ Last Will and Testament, hereby
revoking and IlIIklng void any and all fonner Wills.
1.
I direct rq{ Executor hereinafter named to pay rq{ just debts and
funeral expenses as soon after rq{ decease as conveniently IlIIY be.
II.
I give and bequeath rq{ tangible personal property unto rq{ friend
ROBERT R. w.M\.
Ill.
All the rest, residue and rEITBlnder of rq{ estate of whatsoever
nature and wheresoever situate, I give devise, bequeath unto ROBERT R.
w.M\, If he survives me for a period of at least thirty (30) days.
Should ROBERl' R. M.r.M\ not be living on the thirty first (31st) day
following rq{ death, I give, devise and bequeath the same to GRJIE
PIUlSBYl'FRIAN anKH, lBnvllle, Pennsylvania.
IV.
I name, constitute and appoint ROBERl'R. w.M\ to be the Executor
of this rq{ Will. Should ROBERT R. w.M\ fall to qualify as such or fall
for any reason to complete the administration of rq{ estate, I appoint
lWlPHIN DEIU3IT BAl'I{ AND TRUST CDlPNi'i to be the Executor.
~
~'lH r:R p~VANIA
<XJJNlY (R ~ I
I, ELlZABEIH ANN Yl\I(Jtl"S'1'OlE, Testatrix, whose n8l1lll Is signed to
the foregoing Instrument, having been duly qualified according to law,
do hereby acknowledge that 1 signed and executed the Instrtmlnt as nw
Last Will and Test8l1lllntl that 1 signed It willingly I and that I signed
It as nw free and voluntary act for the purposes thereln expres
L: ~'.
Sworn or affirmed to and acknowledged before tre, by m,IZABEIH ANN
Yl\lCJll'Sl"CNE, the Testatrix. this ,;sWdny of ~ ,1985.
c:;;;J' .
.-......~~....,.-<P-
Notary Public ~
1I00MlY pullUC
lAY ..~IIS$lQl\ o.PIRES oa:. 21. 1985
,[IAO'flIt. '" CII~18tRLAIIO to,
IN WI1NIlSS \'H!IlIIF, I hereunto sot nw hand and seal this ~S-(Gy
of A r~ ' 1985.
~~~_.
ELI
~
Signed, sealed, published and declared by the above-named
Testatrix, as and for her Last Will and Testament, In the presence of
us, who, at her request, In her presence and In the presence of each
other have hereunto subscribed our names as witnesses.
'~~
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~f"lt'1 a, tl/.Jl J
Register of W\IIs of
CUMBERLAND
County, Pennsylvania
INVENTORY
No. 2196-0181
~~eol Elizabeth A. Wri~htstone
oBteolOoBIh 02/05/1996
,0ecoBSGd Social Securny No. 210-16-0480
alaoknownu Betty A. Wrhhtstone
Kurt Williams Trust Officer
P8l1lOnal RepresentBUvetB) 01 the Bbove ~Bte, decoBSGd, v.rny thBt tho nomo eppearlng In tho lollowlng Inv.ntolY Include all ollho
personalllS88lB wherovor allUBI. Bnd all 01 tho r.aI osIBt.ln tho eonvnonw.BIIh 01 P.nnll'/lVBnlB 01 said Oecod.nt, lhBt the valuBllon
placed oppoBlle each nom 01 said InventDIY r.pr....nlB lIB IaI, valu. u 01 tho dst. 01 the oecodenrs deBth, Bnd thBI Oocedont owned
no real ostate outside 01 tho eonvnonwoBllh 01 p.nnll'/lVBnls excopt thBt which epp.srs In . momo'Bndum st tho end 01 this
InventolY' I two vortly thBt tho stBlomonlB mad. In this Inv.ntolY Ble \Ill. Bnd corrocl. I/We undorstBnd IhBt lalBO stBtomonlB heroin
Ble made sub]oclto tho penBl\lOS 0118 Po. C,S, 5oc1k>n 4904 ,.IBUng 10 unsworn IalsIlIcBtIon to suthort\leS.
Name 01
Attorney:
Edmund Myers, Esquire
Johnson,Duffie,Stewart & Weidner
P8l1lOnal RepresontBUve
Slgnstur.: ){ MI t, ~ 't:ui+
Kurt Williams, Trust Officer
1.0. No,:
23-1446034
SlgnBture:
Ad_: P.O. Box 109 Add'....: P.O. Box 2961
Lemoyne , PA 17043-0109 Harrisbur~, PA 17105
ToIephon.: 717/761-4540 ToIephono: 717/255-2097
oBled: 31. tJ~.f~, /"11(.
Valu.
ooscrtptlon
~)(.._I
, .
,
(See continuation page(s) attached)
c..,
.
.:??
Total:
182,247.41
(Attach Bddltlonal shoolB II nOCOSSB/Y)
NOTE: Tho MomorBndum 01 ,oal estBt. outside tho eonvnonwoBllh 01 Pennll'/lVBnlB may, ollhe eloctlon 01 lho personal represenIBUve,
Include tho value 01 .ach nom. but such ligures ohould not be oxt.nd.d Into lhelotal 01 tho lovenlolY.
Pr.pat'd byth. h""lyNanla Oat Alladluon
Copyright (el t"l form ,otlwlf' only CPSyltllll', lnt:.
Farm 'RW-7 1"'"
INVENTORY
Estste of:
Date of Death:
County:
Elizabeth A. Wrightstone
02/05/1996
Cumberland
CASH:
$1,500 U.S. Tressury Savings
Bonds Series HH
1,500.00
$20,000 Dauphin Deposit Bank
and Trust Co. Certificate of
Deposit 5.75\ due 06/01/96
20,000.00
Accrued Interest
12.60
Andrews & Patel Associates -
Refund
19.60
Cash Found in Home
10.00
Cash Found in Wallet
19.00
Commonwealth of PA - Pension
457.66
Dauphin Deposit Bank and Trust
Co. Checking Account
#91-740436
735.93
Accrued Interest
0.20
Dauphin Deposit Bank and Trust
Co. Interest Check dtd
02/01/96 on Certificate of
Deposit #800017153-8
97.41
Dauphin Deposit Bank and Trust
Co. Money Market Account
#94-338213
918.97
Elizabeth A. Wrightstone Power
of Attorney Account -
Capital Reaerve Account
0.56
33,962.18
Accrued Interest
-1-
- ,,(;I )
Il'-I'" - ,')
REV-lI00EX.,H') INHERITANCE TAX RETURN
~ RESIDENT DECEDENT
?J nn~FP~\:U'~OF...rI'vWbr'N" (TO BE FILED IN DUPLICATE
- "'"R..R5~t5~~m,,-o.o, WITH REGISTER OF WILLS COUNlY con'
DECEOENTS NAME (LAST. fIRST. AND .,UDOl[ INITIAL) OECEOENts caMPUl[ ADORE 55
Wri htstone Elizabeth A. a k a Bett A. 2304 Kent Street
SOCIAL 5ECURlfYNUMDER OAT[ OF DEAHl OAfE Of BlAftl Cnmp H lll, PA 17011
210-16.0480 02/05/1996 05/15/1928
CAB
H P L
E PO
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KOK
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o 0
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R D
E E
S N
- T
rOR O.T[5Of O[AfH ArTER 111:11111 cu[e", HERE
IF It !IoPOU5AL
E"
FILE NUMBER
21'16.0181
YEA."
HUMOER
o
E
C
E
D
E
N
T
co"nty
Cumberland
(1FAPPLlCABLE)SURVIVIND SPOUSE'S NAME IlASf,rIR5T AND MICOlE INITIAL)
SOCIAL ~[CURITYNUMo[n
M..40UNl RECEIVEOISU INSTnUCflONSI
0.00
X 1. Original Roturn
4. Unltod Eslalo
Romalndor Roturn
(lor daloo 01 doalh prior 1012-13-82)
Fodoral EOIalo Tax Roturn Roqulrod
Tolal Numbo' 01 Salo Dopo!lll BoKoo
R
E
C
A
P
I
T
U
L
A
T
I
D
N
2. Supplomonlal Roturn
40. Futuro Inlorool ColTllroml..
(lor daloo 01 doalh aftor 12-12-82)
[]I I. Docodonl Dlod Toolato 0 7. Docodonl Malnlalnod a Uvlng Truot
Anach co 01 Will Anach a co 01 Trust
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATIDN SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS Cl r" I
Kurt Williams Dauphin Deposii:c Bank
TELEPHONE NUMBER P.O. Box 2961
717 255-2097 Harrisbur PA 17105
1. RBaI EstalO (SChodulO A) (1) 75 , 0 . 0
2. Sloclts and Bonds (SChodulo B) (2) None
3. Closely HBld Slock/Partnorship Inloro,1 (Schodulo C) (3) None
4. Mortgages and NOlos RocoivablB (SChodulo D) (4) None
5. Cash, Bank Doposlts & Mlscollanoou, Porsonal Proporty (SCh. E) (5) 103 , 581. 74
I. Jointly OWned Proporty (SChodulo F) (6) None
7. T,anstors (5chodule G) (SChodulo l) (7) None
e. Total GraBS AsoBts (Iolal Unos 1-7)
I. Funoral Exponses, Admlnl,rraWB Coots, MlscoIlanoou,
Expo.... (SChodulo H)
10. Dobts, Mortgaga Uabllitioo, Uons (SChodulB I)
11. Total Deductlons (Iolal Unoo 9 & 10)
12. NBI ValUB 01 Estato (UnB 8 minus Uno 11)
13. Chsrltable and Govornmontal BoquOS1S (SChodule J)
14. NBI Valuo Sub 10 Tax Uno 12 minus Uno 13
15. Spousal T,ansfors (10' dalos 01 doath aftor 9-30-94)
Soe 100000ctlons for Applicablo Porconlsga on pago 2.
(Include valuoo from SChodule K or SChodulo M.)
11. Amouo1 of Uno 14 taxablo 01 5".4 ralB
(InclUde valuoo from SChodulo K or SChodulB M.)
17. Amount of Uno 14 taxable 01 15% ,alB
(InclUde valuoo from SChodule K or SChodulo M.)
11. PrIncipal tax duo (Add tax from Uno 15, lB and 17.)
11.CrodItsISp Povor\y Prior paymonts Dlscounl
(II)
(20)
0.00
0.00
05.
I.
.,
and Trust Company
178,581.74
(I)
(6)
40,097.73
1,749.81
(11)
(12)
(13)
14
0.00 X .
0.00 x .08 .
0.00 X .15.
(16)
Inloroot
0.00
(10)
41,847.54
136,734.20
136 , 734.20
0.00
(15)
0.00
(11)
0.00
T
A
X
C
o
M
P
U
T
A
T
1
o
N
(17)
0.00
.
.
20. 11 Uno 19 Is grBator than Uno 18, onlor tho dilloronce on Uno 20. This Is lho OVERPAYMENT.
~ 0 IChock here 11 you are requeaUI1ll a re1und 01 your overpaymentl
21. 11 Uno 18 Is greator Ihan Uno 19, onlor thB dillBronce on Uno 21, Thlols lho TAX DUE.
A. Enlor lho Inlo'ool on lho balance duo on Uno 21A.
B. Enlor tho lolal 01 UnB 21 Bnd 21A on Uno 21 B. This 10 lho BAUHCE DUE.
Make Check Po able to: R lole, 01 Willa A nt
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATll ... ...
0.00
0.00
0.00
(21)
(2IA)
(2IB)
UnCI" plnall... of perJury, I dlcla,. '''It 1 hlvl ...",mld ifill """", Inckldlnll Itcomplnylnll.e".dul.. and Itl.ltmant., and 10 thl bill 01 my IIngwlldgl and b....t.II.. trUI,
eurrac:t Ind campl,'a.l dlclatt 1".'111 ,..1..1.'1 II.. b.,n 'IPOffld It flU' ",.rklt Value. D.claralton 01 pr.p.',' alII" thin the p.,.onl' ,.pr...nUIt"111 baud on ,lIln'or",.llon of
which pla",f.' h.. ,ny IInDwlldgl,
SIGNATURE OF PERSON RESPONSIBLE fOR FILING RETURN
.. _!( If.d.. _? .t.J/~~~~Ll1{',\.t........ - -..... -..-
DATE
31. t.tfu\llJIlcm,
DATE
SIGNATURE OF PAEPAREROTll(R THAN REPRESENTATIV[
Dauphin Deposit Bank and Trust Company
P.O. Box 2961
il,irris'bui.-Y::' PA - -i ,[ios" - -- - u.. -. -.... -.' -. - - - --
Fo,," 1500 IA.v. 1-g41
Copyrlgtlllc) 111I4 fo,m .0thl'lI' only CPSy.I',"I.lnc,
..
"IV- 'UIU. (1,,111
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
_Pr1n1or
FlU! IlUMIEII
2196-0181
cOlll1.'i,l\lft{W;~ll(~~AN"
UTA,.Cll'
Elizabeth A. a{k/a Betty A, Wrightstone SS~ 210-16-0480 02/05/1996
All
ITEM
NUMBER
1
2
3
4
mull be docloMd on lIchecIule F)
DESCRII'T10N
Andrews & psta1 Associates - Refund
VALUE AT DATE
OF DEATH
19.60
19.00
10.00
97.41
Cash Found in Wallet
Caah Found in Home
Dsuphin Deposit Bank snd Trust Co. Interest Check dtd 02/01/96 0
Certificate of Deposit #800017153-8
918.97
5
Dauphin Deposit Bank and Trust Co. Money Market Account
#94-338213
0.56
735.93
0.20
20,000.00
Accrued Interest
6
Dsuphin Deposit Bank snd Trust Co. Checking Account #91-740436
Accrued Interest
7
$20,000 Dauphin Deposit Bank and Trust Co. Certificate of Depoai
5.75' due 06/01/96
12.60
Accrued Interest
2,133.65
12.96
86.35
2.99
24.74
176.11
8
Harold W. Renn T/A . Accumulated Income
9
10
11
12
13
Good Housekeeping - Refund
Haar'a Auction' Proceeds on Sale of Car and Miscellaneous Items
McCall's' Refund
Money Magazine . Refund
Montour Oil Service Co. . Refund
6.24
14
National Geographic Society . Refund
83.39
15
16
Suburban Cable TV - Refund
81.64
122.66
17.97
Susquehanna surgeons Ltd.
Refund
17
Tina Beaupre Adjustment of 1996 County Real Estate Tax
18
Tina Beaupre . Adjustment of 1996 School Real Estate Tax
Total of Continuation Schedule s
79 018.77
. 103 581. 74
TOTAL Alto enlst on Una 5, R IIule1lon
(Aft8Ch .ddl1lonal81/Z' x 11-._" l1Xlre IfIlICO '" needed.)
copyright Ie) '1M to,'" .ot,.... only CPSpt.",.,lnCo
ForM 1lSOO achedult! (R..... z..17)
RIV -unIX. 1'.11)
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
cOllrH\l\lrrtil:~llf~~AIl'A
mATeOI'
....... Prlnt or
fiLe INMIIl!II
2196-0181
02 OS 1996
AMOUKT
Elizabeth A.
IT!M
IlUMIIl!II
A.
SS# 210.16-0480
DESCIlIPTlON
1
f..-.J 1!lrpeMM:
Gingrich Memoriala Inc. - Balance Due
2
Myers-Harner Funeral Home Inc.
II.
AdmIlllanllW Coa1a: Dauphin Deposit Bank & Trus t Co.
PerIOnel RepreMnta1lV8 corrniaslono
SOdel securtty Number 01 PenOnel ReprooentallV9:
Yelt corrniaslono peld
I.
:z.
Al1om&y feM
Johnson, Duffie, Stewart & Weidner
3.
FllITMy Exllll1lllon
ClaJmenl
Addresa 01 ClIlmal1l 81 decedenta death
S\r88I Addr_
CIty
-
Zip COde
Rela1lonshlp
Slata
4.
Probate feM
Register of Wills
c.
MI-"""eola ExpenI88:
Alexander & Alexander - Libility Insurance Premium
1
2 Dan Barrett - Cleaning House and Shed
3 Borough of Camp Hill - Utility Expense
4 Bell of PA - Telephone Expense
1.370.00
6,722.00
8,289.90
5,000.00
264.00
49.00
1,250.00
60.00
33.18
32.00
750.00
15.00
294.40
15 968.25
s 40 097.73
5 Credit Bureau of Greater Harrisburg Property Owners Search
Report
6 Cumberland County Recorder of Deeds Realty Transfer Tax
7 Cumberland County Register of Wills 3 Short Certificates
8 Robert R. Cellitti . Storage Fee
Total of Continuation Schedule s
TOTAL Also enlor on Une 9. R Ilulallon
(11 more splice Is needed. lnae"addlllonal aho8la of 811I18 alz8.1
Cop,"gftt (c) 11'" fa,m laltwar' only CP5'f1,."".lnc.
Fa,m 1500 5Ch'dul. HI"..... '-III
, ."IV. Uti IX . (I..'n
co"'wfmfbll;4\~~""A
!STAll! 01'
SCHEDULE J
BENEFICIARIES
FlU! NUMIII!R
2196-0181
Elizabeth A. a
ITEM
NUMBER
SS~ 210.16.0480 02 05 1996
NAME AND ADDRESS OF BENEFICIARY RELAnONSHIP
AMOUNT OR
SHARE OF ESTATE
A.Tlllallle~
Robert R. Mumma (Deed 07/07/93)
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
B. ChIl1tlble one! Govemmentll Bequ8l1l:
Grove Presbyterian Church
332 Bloom Street
Danville, PA 17821
AMOUNT OR
SHARE OF ESTATE
1
136,734.20
100\ residue
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS Aba em... on 111813. R ttula1lon
(If more space II needed. 1.-1 Iddlllonll I_ 01 same m.l
Cop)'ftohtlcl 11M to,,,, 10ftW"'. oftly cpsytt''''I.lnCo
. 136 734.20
Fo,m 1500 Sch.d~" J (RrI. 2..'1)
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHAN'S COURT DIVISION
FIRST AND FINAL ACCOUNT
Dauphin Deposit Bank and Trust Company, Executor
for
ESTATE OF ELIZABETH A. WRIGHTSTONE, Deceased
Date of Death:
Date of Executor's Appointment:
Date of First Advertisement of Letters
Accounting for the Period:
February 5, 1996
February 27, 1996
April 2, 1996
February 5, 1996
February 25, 1997
Purpose of Account: Dauphin Deposit Bank and Trust Compsny, Executor
offers this account to acquaint interested parties with the
transactions that have occurred during this administration. Annexed to
this Account is the First and Final Account of Dauphin Deposit Bank and
Trust Company, Attorney in Fact, For the Period January 18, 1996 through
April 3, 1996.
The account also indicates the proposed distribution of the Estate.
It is important that the account be carefully examined. Requests
for additional information or questions or objections can be
discussed with:
Dauphin Deposit Bank and Trust Company
213 Market Street
Harrisburg, PA 17105
(717)231-6071
or
Edmund Myers, Esquire
Johnson, Duffie, Stewart & Weidner
Third & Market Streets
Lemoyne, PA 17043
RECEIPTS OF PRINCIPAL
Fiduciary
Acquiaition
Value
Description
Assets listed in the Inventory
and Appraisement as filed
182,247.41
............. 182,247.41
...--............
Total Receipts of Principal
182,247.41
-
.3.
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent:
1996-03-26 Andrews Pater & Conroy
Asaociates PC - Medical
Expense
39.79
1996-03-26 Montgomery Ward - Balance Due
71.95
1996-03-26 Ritzman Associates, Inc. -
Medical Expense
33.75
1996-03-26 Seara - Balance Due
73.66
1996-03-26 Susquehanna Surgeons LTD -
Medical Expense
81. 64
1996-03-26 West Shore Anesthesia
Association - Medical Expense
79.81
1996-03-27 Dauphin Deposit Bank end Trust
Company - Visa Payment
73.03
1996-04-03 Camp Hill Fire Company -
Ambulance Service
301.00
1996-04-03 Johnson Duffie Stewart &
Weidner - Attorney Fee
315.00
1996-04-10 Internal Revenue Service -
1995 Personal Income Tax
198.00
1996-04-10 PA Department of Revenue -
1995 Personal Income Tax
243.00
1996-04-12 Dauphin Deposit Bank and Trust
Company - Service Charge on
Money Market Account
20.00
1996-04-16 Family Internal - Professional 66.25
Services Rendered -------------
1,602.88
Funeral Expenses:
1996-03-13 Myers-Harner Funeral Home Inc.
_ Funeral Service
6,722.00
1996-05-29 Gingrich Memorials Inc. -
Balance Due
1,370.00
8,092 .00
.....-----....---
-5-
Administration Expenses:
1996-02-26 Cumberland County Register of
Wills - Cost of Probate and
Five Short Certificates
1996-03-12 Hoar's Auction - Commission on
Sale of Household Effects
1996-03-13 Harrisburg Locksmith Service
Locks Removal and Inata11ment
1996-03-14 A1exsnder & Alexander - Banks
Blanket Insurance Coversge
1996-03-21 Credit Bureau of Greater
Harrisburg - Property Owners
Search Report on 2304 Kent
Street, Camp Hill, PA
1996-03-25 Bell Atlantic - Telephone
Expense
1996-03-25 Hoar's Auction - Commission on
Sale of Household Effects
1996-03-26 Dan Barrett - Cleaning House
and Shed
1996-03-26 Haar's Auction - Commission on
Sale of Household Effects
1996-03-27 Cumberland Law Journe1 - Cost
of Advertising and Proof of
Publication
1996-03-29 Haar's Auction - Commission on
Sa1ea of Household Effects
1996-03-29 Ann M. Markley - 1996 Camp
Hill Boro Real Estate Tax
1996-04-01 PA American Water Company
Utility Expense
1996-04-01 Pennsylvania Power & Light
Company - Utility Expense
1996-04-02 lIaar'e Auction - Commission on
Sale of Household Effecta
1996-04-02 Montour Oil Service Company
Utility Expense
1996-04-02 Waste Management of Central PA
- Utility Expense
-6-
264.00
430.05
67.31
49.00
32.00
146.93
3,283.95
1,250.00
2,131.40
60.00
1,468.25
230.33
36.27
60.33
122.05
221. 75
35.88
1996-04-04 Specialista Inc. - Appraisal
of Real Estate
1996-04-12 Robert B. Cellitti - Storago
Fee
1996-04-15 Pennsylvania power & Light
Company - Utility Expense
1996-04-15 Montour Oil Service Company -
Utility Expense
1996-04-18 Commonwealth of PA - Fee for
Car Title Replacement
1996-04-18 Patriot News Co. - Cost of
Advertising and Proof of
publication
1996-04-23 Borough of Camp Hill - Utility
Expense
1996-05-01 Hoar's Auction - Commission on
Sale of Items in Storage
1996-05-07 Bell of PA - Telephone Expense
1996-05-07 Robert B. Cellitti - Storage
Fee
1996-05-08 PA American Water Company
Utility Expense
1996-05-21 Pennsylvania Power & Light
Company - Utility Expense
1996-05-21 Waste Management of Central PA
_ Utility Expense
1996-06-04 PA American Water Company -
Utility Expense
1996-06-04 R & A Landscaping
Landscaping at 2304 Kent
Street
1996-06-12 R & A Landscaping -
Landscaping at 2304 Kent
Street
1996-06-14 Cumberland County Register of
Wills - 3 Short Certificates
-7-
250.00
248,00
21. 85
224.70
5.00
179.98
60.00
3,234.70
33.18
46.40
13.64
14.03
35.88
10.35
56.00
84.00
15.00
PRINCIPAL BALANCE ON llANO
Current
Value
02/25/97
Fiduciary
Acquis i t 10n
Value
Cash:
............
............
Uninvested
Capital Reserve Account
0.00
140,245.87
0.00
140,245.87
............ ............
140,245.87 140,245.87
.9-
RECEIPTS Of INCOMF.
Interest:
1996-03-13 Elizabeth ^. Wrightstone, PIA 109.92
Subaequent Interest
1996-03-13 $20,000 Oauphin Deposit Bank 78.52
and Trust Co. 5.75\
Certificate of Deposit due
06/01/96
1996-04-01 Capital Reserve Account 70.30
1996-04-03 Elizabeth A. Wrightstone, PIA - 61.45
Closing Interest
1996-04-04 $20,000 Dauphin Depoait Bank 97.40
and Trust Co. 5.75\
Certificate of Deposit due
06/01/96
1996-04-10 Dauphin Deposit Bank and Trust 1.00
Company - Checking Account
#91-740436, Subsequent Interest
1996-04-12 Dauphin Deposit Bank and Trust 1.99
Company Money Market
#94-3382180 - Subsequent Interest
1996-05-01 Capital Reserve Account 209.89
1996-05-01 $20,000 Dauphin Deposit Bank 94.27
and Trust Co. 5.75\
Certificate of Deposit due
06/01/96
1996-05-08 $1,500 U.S. Treasury Saving 30.00
Bonds Series aa
1996-06-03 Capital Reserve Account 251.52
1996-06-04 20,000 Dauphin Deposit Bank 97.40
and Trust Co. 5.75\
Certificate of Deposit due
06/01/96
1996-07-01 Capital Reserve Account 342.45
1996-08-01 Capital Reserve Account 669.65
1996-09-03 Capital Reserve Account 615.29
-10-
1996-10-02 capital Reaerva Account 637.63
1996-11.05 Capital Reserve Account 641.36
1996-12-04 Capital Reserve Account 602.59
1997-01-06 Capital Reaerve Account 646.67
1997-02-03 Capital Reaerve Account 653.73
1997-03-04 Capital Reserve Account 590.01
.........---- 6,503.04
.--........--......
Total Receipts of Income 6,503.04
-11-
DISBURSEMENTS OF INCOME
1996-04-08 Dauphin Doposit Bonk ond Trust 8.39
Co. - Commission
1996-05-07 Dauphin Deposit Bonk ond Trust 15.36
Co. - Commission
1996.06-06 Dauphin Doposit Bank ond Truat 18.95
Co. - Commission
1996-07-08 Dauphin Dopoait Bank and Trust 17.12
Co. - Commission
1996-08-06 Dauphin Deposit Bank ond Trust 33.48
Co. . Commission
1996-09-06 Dauphin Depoait Bonk and Trust 30.76
Co. - Commission
1996-10-07 Dauphin Deposit Bank ond Trust 31. 88
Co. - Commission
1996.11-05 Dauphin Deposit Bonk and Trust 32.07
Co. . Commiasion
1996-12-06 Douphin Doposit Bank and Trust 30.13
Co, - Commission
1997-02-06 Dauphin Deposit Bonk and Trust 65.02
Co. - Commission
1997-03-06 Douphin Deposit Bonk and Trust 29.50
Co. . Commission ---...---..---
Total Disbursementa of Income
-12-
312.66
--.......----..-..-
312.66
\
PRINCIPAL
Receipts: Balanco of Prior Account
This Account
0,00
511,031.00
Net Gain (or LOS9) on Sales or Other DiSPosition/principnl 0.00
Less: General Disbursements
Feea
0.00
0.00
~---_.------_..__.__.-----
54.031. 00
54,031. 00
Balance before Distributions
Distrib. to Beneficiaries
Principal Balance on Hand
For Information:
Investments Hade
Changes in Investment Holdings
INCOME
Receipts: Balance of Prior Account
This Account
Net Gain (or Loss) on Sales or Other Disposition/Income
Less: Disbursements
Balance Before Distribution
Distributions to Beneficiaries
Income Balance on Hand
For Information:
Investments Made
Changes in Investment Holdings
Combined Balance on Hand
-2-
--..............-..
54,031.00
0.00
........--..........
0.00
0.00
1.852.16
0.00
........................
1,852.16
1,566.71
...........--.........-
285.39
285.39
..................-....
0.00
0.00
--
Pago
3
4
5
6
7
8
9
RECEIPTS OF PRINCIPAL
Description
Flduc1ary
Acqulsitlon
Value
Cash:
1996-01-22 Dauphin Deposit Bank and Truat
Co. Checking Account
#91740436
4,000.00
1996-01-22 Robert R. Mumma T/W -
Accumulated Income
30,000.00
1996-02.01 Cash found in home
31. 00
1996-02-01 Dauphin Deposit Bank and Trust 20,000.00
Company Certificate of Deposit -----------.-
#8000171538 5.75\ due 6/1/96 54,031.00
...............-..
Total Receipts of Principal
54,031.00
-
-3-
RECEIPTS OF INCOME
Interest:
1996-01-22 $20,000 Dauphin Deposit Bank 97.67
and Trust Company Certificate
of Daposit #8000171538 5.75'
due 6/1/96
1996-02-01 Capital Reserve Account 42.62
1996-03-01 Capital Reserve Account 132.82
1996-03-05 $20,000 Dauphin Deposit Bank 91.12
and Trust Company Certificate
of Deposit #8000171538 5.75'
due 6/1/96
1996-04-01 Capital Reserve Account 61.45
.......................... 425.68
Other:
1996-01-22 Commonwealth of Pennsylvania - 457.66
Pension Check
1996-01-22 Harold W. Renn T/W - Income 900.00
Cash
1996-03-18 Betty A. Wrightstone Estate - 68.82
To Cover Overdraft Existing at ...........................
Date of Death 1,426.48
..........................
Total Receipta of Income 1,852.16
-6-
,
,
DlSBURSP~KNTS Of INCOHK
1996-01-23 Montour 011 Sarvlco Co. . fual
oil Dol1vory
328.13
1996-01-23 Patrlot Nowl Comllnny . l'lnnl
Blll
16.09
1996-01-24 Ball Atlnntlc To1ollhono
Ellponlo
1,13.28
1996.01-24 Dnuphln Dellollt Ilnnk nnd Trult
Co. - VlIn/HRatarcnrd I'nymant
555.98
1996-01-24 Pennlylvnnln Amarlcnn Wntar
Compnny . Utili ty IIll\10n10
1996-01-24 Ponnaylvnnln I'owar t. I.lght Co.
_ Utility IIllponso
9.51,
89,06
1996-02.02 Montour Oil Sorvlca Comllnny .
Fuol 011 Dol1vory
154.69
.............
1,566.77
...............
Total Dlaburlomonta of Incomo
1,566.77
.7-
. .
DISTRIBUTIONS OF INCOME TO BENEFICIARIES
1996.03.13 Betty A. Wrightstone Estate - 109.92
Subsequent Interest on Capital
Reserve Account
1996-03-13 Betty A. Wrightstone Estate - 91.12
Dauphin Deposit Bank and Trust
Company Certificate of Deposit
#8000171538 5.75\ due 6/1/96
1996-03-13 Betty A. Wrightstone Estate - 22.90
Accrued Interest on Capital
Reserve Account at time of Death
1996-04-03 Betty A. Wrightstone Estate - 61.45
Closing Interest --------....--- 285.39
...............--...........-
Total Distribution of Income 285.39
-8-
~ ' -;"';
ROCOrC'wl (''I:CO of
RO\ji';\(, ,,; V'Jills
'97 I1AR 20 P12 :48
Clatl:.:" .',: ,~,-lJl'l
Cumbe.."":; l;., PA
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'UI~ 10 IXDU '0
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. lUOWIIIO ptudun AJB^B 01 UB^16 uoeq 984 'uOllnqlJlS10 pOSOdOld
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pUB uO\lIIWllUOO JOJ IIno:l 041 01 P81UBSBJd eq \I!M BW8S 041
U84Ni lI:I8jd pul 8Wll '81ep 04110 pUI 'uollnqlJISIO pOsodOld 10
iuOWOlllS 11'PIO DuIlU 041 10 oOlloU UlJUIJM 1041 "'11100 Aqale41
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BUREAU 0' INDIVIDUAL TAXES
IMHtJITANCl TAl DIVIIION
DlPT. mOIl
~IIIURD, PA 17171-0'01
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
C-
..
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
Of DEOUCTIDHS AHII ASSESSIIENT Of TAX
KURT WILLIAMS
DAUPHIN DEPOSIT
PO BOX 2961
HBG
DAT!
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
.,.lI41Utl'IU.MJ
01-28-97
WRIGHTSTONE
02-05-96
21 96-0181
CUHBERLAND
101
Mount R_lt tM
ELIZABETH A
BK II TR
PA 17105
MAKE CHECK PAYABLE AND REHIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
ii'iy:is4j-Einj:p-nz:iliniiiTicE--cin-tiiiEiiii'iliicrTAlnipiiiiiiisEi1€ii'r-;-m.-ciiiiliicE-OCu---u--------
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF WRIGHTSTONE ELIZABETH A FILE NO. 21 96-0181 ACN 101 DATE 01-28-97
If .n ........nt M.' i..u.d pr.viou.1Y, lin.. 14, IS and/or 16, 17 .nd 18 Mill
rafl.ct figur.. th.t includ. th. tot.l of ALL r.turn. a......d to d.t..
ASSESSHENT OF TAXI
IS. Aoount of Line 14 .t Spouaal r.t. lIS)
16. Aoount of Line 14 tax..l. .t Llne.l/Cl... A r.t. 116)
17. Aoount of Line 14 tax..l. .t Coll.t...l/Cl... B r.t. 117)
111. prinolpal Tax Dua
TAX RETURll WAS I I X) ACCEPTED AS FILEa
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l E.t.t. ISchodul. A) III
2. Stock. and Bond. ($chadUl. a) (21
S. Cloaaly Hald Stock/P.rtnerahlp Int.r..t (Schodul. C) (51
4. Nort_./Hat.. R_lY..h ($chadUl. D) (41
S. caahlll_ Dapollblllho. P.r.onal Property (Se_l. E) (5)
6. JointlY Ownad Proparty ISe_l. F) (61
7. Tran.f.r. (Schadul. 01 (71
8. Total A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral ExPeI\.../AdII. Coata/Hhc. Expen... (Schedule H) (,)
10. Dabt.lHortgaGa Llabllltl../Llan. (Se_l. I) (10)
11. Tot.l DaducUon.
12. Hat V.1U11 of Tax R.tum
IS. Charlt..l./Gov.rnaont.l 8eque.t. (Sc_l. J)
14. Hat V.1U11 of E.t.t. Subj.et to T.x
NOTE I
TAX CREDITS I
PAYMENT
DATE
RECEIPT
tunlER
DISCOUNT 1+)
INTEREST (-)
( I CHANGED
75.000.00
.00
.00
.00
103,581.74
.00
.00
(II)
HOTEt To in.ur. proper
credit to your KCOU1t,
IUbtolt tha upptIr porUon
of thl. for. Mlth your
tax p._t.
178.581. 74
40,097.73
1.749.81
(11)
(121
(IS)
1141
41 .RiI' 1i4
136,734.20
136.734.20
.00
.00 X .00.
.00 X .06.
.00 X .1S.
(181
.00
.00
.00
.00
ANOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
( IF TOTAL OUE IS LESS TIIAH n. NO PAYlIENT IS REQUIRED.
IF TOTAL OUE IS REFLECTED AS A "CREDIT" (CR). YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORI! FOR IHSTRUCTIDHS.)
Rocel:.
[1('1 ','
.! of
, Ii!!:;
'97 JAN 2~ P 1 :08
Clair,
CumL
. ~LJrl
,i~ '~D" PA
RESEllYATJClh Est.t.. of deoedentJ dylno on or before Dec.Mr 12. 1912 .. 11 ." future lnt.r..t In the ..t.t. 11 trenll.rred
In pa.....lon or enjo~t to Cl... . (call,t'ral) benefIc 1".,. of the dec~t .,t,.. ~ .~lr.tlon of -ny ..t.t. for
11', or for year., the C~lth hl:reby Ixpr..,lY ,....,.v.. the rIght to appr.... Md ...... t,.en,'a.. InherltMCI Tax..
It the l...ful Cl... I (colht,,..U ,..t. on MY such future Jnt.r.lt.
~..
tlJnCEI To fulfill the r...lr~ta 0' Sectlon 2140 of the ImerlUnce Ind Elt,t, Tax Act, ACIt ZZ of ."1. 7Z P.I.
Section 2140.
P&YtEJlTI DetKh the top porUon of thll NoUn Bnd .w.lt with your PI)'Hftt to the R....t.,. 0' "11" prJnted on the rne,... ....
ntwt. check or ~y or.r ",IIb.a tal REGISTER OF MILLS, AOEHT
AU p.,..."ta received shall fir.' be 1IPP1IiId to MY lnt.r..t .....Ich ..y be dull tilth MY r_Inder applied to the tax.
REf\ICD (CAli A refu1cl of . ta c.-.dlt, .....tch ft. not r..-ited on the To Ratum, .., be r....ted by COIIPl,U", en -AppllC8t1on
for All..... of Pem-Vlwnl, Im.,.U.nc:. and E.bh Tu" (REV-UU). &PPUClltlon. .,., ..,.Illlbl. d the Office
of the R..I,t,,. of Will" ~, of ~ 15 A.venu. OI,t,.lct Offlc'., Dr bw calling the IPeOlal Z4-hour
~....,.I"I ..,."Ice ....,.. for fa,... orderlngl In P.",.,IVMI. l"100-162"ZOSO, out"de p..,.,lvml. and
Mlthln local ~,.rlsbur. ar.. (717) 7.7"1094, TOOl (717) 77Z"ZZ5Z (He.rlng I~.lr~ Onl,).
OIJECTIClCSI My ,.rty In Int.r..t not ntlsflld Mlth the appnls..."t, .UOdftCI or dlslUOdnCI of dIlduction., or ..........t
of talC (Including dlacomt or Int.r..U .. Ihown on this Hotlc. .u.t obJ.ct w1thln .lxty (60) dIi,. of rec.lpt of
thl, HoUc. b,1
--Mrltt., prot..t to the PI Depart.ant of A.venue, Ioard of Appa.l., Dept. ZIIOZ1, Karrlsbu,.a, PI 17IZI"I.ZI, OR
--.Iectlon to have the .U.r det.,..lned .t IlUdlt of the 1tCC0000t of the ~r1on111 rap,....,t.tlVlI, OR
u..... to the Orphan.. Court.
"'1"
ISt1lATlVE
CORRECTIOHII
Fectual .,.ro,.. dhcoy.r~ on this .......ant should be add,....~ In wdtlng tOI PI Dep.r....t of R.venue,
Bureau of Individual Tax.., 'llNI Po.t ..........t R.vl... unit, Dept. ZI06.1, Kerrllbu,.g, PI 171Z....'.1
Phone (717) 7'7"'515. See P'" 5 of the bookl.t "In.tructlon. fo,. InhI,.ltence Tax Return 'or, Re.ldent
DecedMt" (REV-151l) for an upl_tlon 0' ..lnlltr,tlVlIh co,.rect_l. '''l"On.
DISCOlIfTI
If any tu due I. p.ld Mlthln th,... ()) calandar .onth. .,ter the dlC~t.. de.th, . 'Iv. percent (5%) dl.count 0'
the talC ,.Id II .UOWId.
PEMAL TVI
ThI lU tu ..,..ty non.,.rticl,.tlon ,.,... ty II COIIpUt~ on the; tot.1 0' the tax and Inte,,"t .....Md, end not
plld bII'o,.. .......,., 11, I"" the fI,..t de, .ft.r the end of the talC ~.ty period. 11111 non"p.rtlclp.tion
penalty I. appeal_I. In the ... .......r and In the the .... tI.. parlod a. VOU would appul the tax and Int.,...t
thet t.1 bIIan ......ed .. IncUCllted on thl, notice.
INTEREST.
Int.r..t II chi,.", bellmlnt Mlth flnt daW of dellnquenc" 0,. nine (9) .onth. Ind Dna (lJ de, froe the dlt. of
death, to the dlt. of p.,...,t. T.... wtllch __ delinquent bIIfore J......r' 1, 19'Z baar Int,,,"t It ~ ra.. af
.1_ (0) ,.rcent ,.r ..... C11lculltld .t . diU, r.t. of .'00164. AU tu.. wtllch bee... dellnquent on and .fter
January 1, 1912 -.111 bM,. Inter.U at Int. wtllch Mill van fro. celend1r YHr to calendar y.... with that rat.
announc~ b, the p, o.p.,.t.-nt af R.venue. ThI ."llcabla Inte,...t rate. fo,. 1912 through 1997 ar"
~ Int.,...t bt. Dally Int.,.e.t Feeto,. !!!r- Int.r..t Ret. Dally Int.,...t FMtor
19.Z Z'X ,000504' 19.7 9Z ,000241
I9IS 16% ,0004]1 19"-1991 IIX ,010501
1914 IIX ,000501 I99Z 9Z ,000147
1915 ISZ .010356 I99S-I994 n ,000191
19.. I'X ..00274 I99S-I997 9Z ,OOU47
--lnter..t I. calcul.ted .. follow"
1II1'EREIIT . BlUlfCE OF TAX UllPAID X HUllBER OF DAYS OELIHQUEIlT X DAILY 1II1'EREIIT FACTOR
--Any Notice lllUId .ft.r the tax becaa. delinquent will !"Illact ., Int.,.lIt calculation to flft"" US) da,.
bQond the data of the ..........t. If ,.~t II ..,. .fter the Int.,...t COIIPUt.Uon date shown on the
Notlc., additional Int.,...t au.t be calcul,t~,
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Elizabeth A. Wrightstone a/k/a Betty A. wrightstone
Date of Death:
February 5, 1996
Will No.
0181
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes X No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes X No
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes 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: 1U(l.J..I'f,fl~ ~'t:=-
Signature
-
N
r",J
Edmund G. Myers
Name (Please type or print)
Johnson, Duffie, Stewart & Weidner
301 Market St., P. O. Box 109
Address raroyne, PA 17043-0109
(717) 761-4540
Tel. No.
('.,
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N
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0i
. 'f
Ii: '.
t-'J
F'
Capacity:
Personal Representative
X Counsel for personal
representative
,I ~
00
(HAH:rmf/AM3)