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HomeMy WebLinkAbout96-00252 ItETITIOi'l FOH PHOnATE :11111 <;ItANT OF I.ETTEltS , ",1/,' III /)011 P ,.,r( I- L ""1" /. Sil. r~ } - Cl (., . d. 5 c?, a/\o ~/1lI1I1/ cI\ fit:" c..L <"J.'~"'~' -7C'\] 10: Ih'!'I\ll'l 01 \\'~ Inl II~ / ...I l't('clW~' ("nllnl\ 01 l.-.(./nP-......' j:;1t"/n the SII<'IilIS,', "n'l .\11. /71-tt:{.. i?" y~ (?o C'llllllllllll,,,'ailil 01 I'elln'yhania I hl' 1'"'11l1t11l 01 thl' 1IIHkl'I~lIl'lIIl"Ill'\"'111IIh H.:!1ll'\l'lIh 111011: YOll! 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II (.}F IJE'i~'S\'l.l''''iI'' i .. j' ~~ ('( H 'd \' OF ~ ,,11.1../..1" ev-C' ---.-- I Ill' ill'lItlPlll'lt'.l abtl\l'.nallll'\1 -"'.,;""1 \H allul1I('llhal Ihl' ..lall'I1H.'llh in 11ll' tOll'goil1t-: pl,titiol1 arc II Ill' ,tad ":lIlll'\" Il1lhl' "".\ 111111.' ~1'1l\\k'd!-!l' ;lIHI bl'lid of I'l'tili\ll1l'Il". ;ll1lllhal a.. pl'P'Ional rl'pfl....I'I1- 'alil,".1 .,1111,' ,d"'\I' ,hl'\klll 1','1111'.'111'1'" \1111 1I~'U'2'~!'{lId\ admi.'}',I"'. 1)\1' t'''\I.l' al'l.:l,lfdfjJ't1"-k' Il law. '/: .' 10 II 1 '_k A , ~~Ijll:, 'I~~ y::: a/,g,I'::f1/tloi '\:~::~~I'~':~ I, '.~ :~::;: L-~:'~:r;~l~{i r,A. '-- . {al~.'l. ,.\.... .~J4'.1 l' .WIJ~ZlJu. --- f:j' .//~ ...1 ~., \" . ,/.1/;" (\".'r~'.:0J~../). ~ /.- _ . _n_ .---- ~ Mary -::~ LeWIS /1"",,,,'0 / t.. - ----. ---- :2 . ~ N 21-96-257- O. Estutc 01' lIowLlrrl lIaa<, al.kL<!.JIQ\'Jac~I_J_.,_UWlg , Dcccuscd I)ECREE OF PIWUATE ANI) GRANT OF I.ETTEHS AND NOW March 25, _ 19.Jt6._, in cun\ider,uion or the petition on the re\'erse side hereof. "iatisra~tory pfoof having been InC\cntcd before me. IT IS DECREED thaI the ;n\trlnnclll(\) daled_J\!J.Y__29,th.J96U.. de\cribed lherein he admilled to p,uhale and filed ur record a\ the la\l will or Haesrd HaagL-03/k/a Howard J. Haag lInd Letters __ Testamentary ..- lIrC hereby granted 10 Karen .Elizabeth Haag_ and Judith linn Marshall ---------.----.--- --~---------_.._- , \ .-0 J c -, -,/. /. , /' ,I.. . );; eM;:I- ( ,-'\_,/tIL<d/i~ < Ii J.,:;t'~ ( , . i Rc~"'cr "I WIlli Mary C. LeW1S ,()'fllt. Probate, Letter\. Etc, "".".. Short Ce'tirkll1es(~ ) . , .. . , ., . . Renunciation ...,..,..,."... x-pages (1) JCP $ 25.00 $J,~ .00 s s -r.-O()' TOTAL _ $-5-:00-' M'!~~h ,~~P.~~~,......,~ .~~,.~,q,.. FEES ..\TI"n~rlISur. Cl. 1.1), ~u.) o\IJIJRI'SS Filed I'ItO~I' Mailed Letters and order to Executors on 3-26-96. , , .1 ZSZ-96-lZ I .I II .[ ii I 1 II 11 I' Ii Ii , II ,I Ii I! I, 1I00'iAI1D IIAAG of the ','moJnship of Center, County of IndLll1a and Commol1\'/Calth of Pennsylvania, being of sound !'lind, memory and understanding, do ~ake and publish this my last Will and Testaraent, hereb? revokinq and nlakina voi.d all formC!r wills by r.le at any tiMe heretofore made. !i " q II q Ii II my Executrix, hereinafter namec as soon as convenient after my r ,I I[ I II II I I II II II II \j I , i I il 'I Ii PIRST: I direct the payment of all my just debts, funeral expenses and costs of administering upon my estate, by decease. SECOND: I give and bequeath a 1966 Dodge Dart automobile to my daughter, KAREN ELIZABETH HAAG, absolutely. TIIIRD: All the rest, residue and remainder of my estate, be the same real, ~ersonal or mixed, I give, devise and bequeath to my wife, ClIAPJ,OTTC HAAG, absolutely. FOURTII : In the even t r.l~' wife, Charlotte Haag should pre-decease me or we should both die in a common disaster, then I do hereby give, devise and bequeath all the rest, residue and remainder of my estate, be the same real, personal or mixed to my daughters, JUDITH JIlIN 1'J\RSHIILI. and KIIREN ELI ZI\l3ETII HAAG, I share and share alike. I I, ,I II II I I I \1 'I FIF'l'H: I do hereby !'lake, constitute and appoint my wife, Charlotte lIaa~ to be Executrix of this my last will and Testament. In the event m~' so.id wife should pre-decease me, or fail to qualify for said appointment ~Iithin thirty days after my decease, then I do hereby rr.ake, constitute and appoint my daughters, Judith linn Marshall and Karon Elizabeth lIao.g to be Executrices of this my l~st Will and Testament. IN \'IITNESS ImEHEOP, 1, 1I0;'iilnO l:Al\G, the Testo.tor above named, .! :1 r Ii I I 21-<J(,-2:12 REGISTElt OF WILLS OF COUNTY OATH OF SUnSCIUlUNG WITNESS eodicil (eaeh) a subseribing wilness to the will prcsenlcd hcrewith, (each) being duly qualilied aceording to law, dcpose(s) and say(s) that presenl and saw the testat 1 sign Ihe same and Ihal signed as a witness allhc reqllest of tcslal_ in h_ prcsence and (in lhe prcsence of each olher) (inlhc presence of the olher subscribing witness(cs)). Sworn to or affirmed mId sllbscribed before me this day of 1'1- (Name) 'Address) R('p,;Sler (NIIII/c) (Addrcss) REGISTER OF WILLS 01' Cumberland COUNTY OATH OF NON-SUnSCRIBING WITNESS 7d"~> .ilC'J9~// <7",-,/ )~t"'/CfA )~(>o;!P/1. (each) a subscriber hercto, (each) being duly qnalificd according 10 law, epose(s) aid saY~)Jlhat q ('--E famili;u with thc signaturc of ,., l' '1. ,'''_ f-&'Er q ~ .-J testat rix of (one of the sllbscribing witnesses to) lhc will prescnled herewith and eotlicit that ~ C believes the signaturc on the will is inthc handwriting of - f k'l-N 'd. flC'r 0_~~ L to thc best Of~_C- knowlcd e and beliel:. ~ ,....., <:'l' f f'\ SWO"""..m..,: ,:'/"'"""" "fo<, .. , " ,i' ,.;, ^,.c "C' . me lhis _{Jt3Li d~Y of I .,' "'/l'!IC;~' II'" '.111' c ;' ~__ 1'I..z~ 'c",:1/~[". '1 " ( If..' j:li(\.. .: - " ~'+P;;JJj..(/,U1 7 ':;{ (At~~"I;~.y I , . Le1WS R,,~;~W~j1.. l . ..~ , , - '(.AAo.!. ,,(.(..c.L .,.. /~;:.... (,\IIII/') / ",,' / /2 ,...:;J:/. . .,A L::J (i '7 7?.1..Lu.:d..c..~tLI.LU.1~ tL jrZ/ I / I ' (Adc)r.'s.') ! l. I c " ..---- , -- ~-- ..~...bl:I.""" 4> ("'.. ."~:. Register of Wills of CUMBERUND County, Pennsylvania INVENTORY Eslslo 01 HOWARD J HAAG No, 21-96-0252 alsoknownB9 DatoolDoath 03/07/1996 ,Docoasod SoctalSoculityNo, 177-01-2820 KAREN E. HAAG and JUDITH A, MARSHALL, Porsonal Roprosonlallvo(s) 01 tho abovo Esloto, docoosod, vOIify Ihat tho 1101115 appoaring In lho lollowlng Invonlory Includo 011 ollho porsonal assots WhOroVOf silualo and atl of tho roal oslalo In tho Commonwoallh or Ponnsylvonla of said Docodont, that Ihe vaJuatlon placod opposllo oach 110m otsald Invontory roprosonls lis lair valuo as 01 tho dato 01 tho Docodonrs doath, and Ihsl Docodonl owood no roal oslalo OUlsldo ollho Conmonwoallh 01 Ponnsylvanla OXCllpllhat which appoars In a momorandum sl tho ond 01 this Invontory. I (We vOIlfy that tho slatomonts modo In this Invonlory aro trUD and canoel. IN/o undorstand that lolso statomonts haml" oro modo subloct to lho ponalllos 0118 Po, C.S, Soction 4904 rolallng to unsworn lalsllieallon to authorllios, , C,t:!, tl.~ CHAR~ES J, HARTWELL Porsonal Roprosonlallvo ') Slgnaluro:' .- , ! (l I , )/ '(.... .' Nama 01 Anomoy: 1.0, No,: 52655 EN E. HAAG / , Signaturo: .' I' JUDITH A, MARS/IALL Addrass: '1105 COLUMBUS AVE . /,'j' 7 I / '",.. I/o ,. Addro..: 315 N FRONT STREET HARRISBURG, PA 17108-0741 LEMOYNE, PA 17043 Tolophono: 717 /236-9377 Tolophono: 717 /761-4123 ;?-&--1(n Datod: Doscripllon Valuo (See continuation page(s) attached) I] ., '.' r. (Anach additional shOOIS If nocossary) Tolal: 7,248,41 NOTE: Tho Memorandum 01 roBl 051010 outsldo tho Commonwoallh 01 Pennsylvania Ol.1y. Ollho aloetion 01 tl10 pOfsonal roprosonlalivo, Includo tho valuo 01 oach 110m, bul such ligulos should nol bo olC1ondod In10 tho 101.11 01 tho Invonlory. Prlpalld by tl'll Plnn.ytvania aar AuoCiallon CopyrIght 1'I,gVS form .ollwa,. only CPSystems,lnc. Form .RW-7 (111811 " '. . . . . PICCOLA." COUNSELORS AT LAW ' 'I'NoP.nl;a<M s~irr P. Ch BoX 741 . HAUI!IlIIIO,PA 1710s,0741 I I r ~ -"~ - ..---- n '~...__....M.-~ .--.... r ,.,:, \ Register of Wills of Cumberland County on August 8. 1996 and the tax of $1,88 was paid in full at that time, A true and correct copy of the acceptance by the Commonwealth Department of Revenue is attached hereto, made part hereof and marked Exhibit "B"; and WHEREAS, in accordance with said Will. the Executrices liquidated the U,S. EE Savings Bonds and sold the decedent's automobile in order to pay all administration costs, attorneys fee, debts and taxes and distributed cash to each named beneficiary as set forth in the Decedent's Last Will and Testament; and WHEREAS, all parties hereto have examined the income and expense schedules for the Estate pertinent to the estate assets and expenses paid during the course of the administration; and WHEREAS. the parties agree that the Executrices need not file a First and Final Account and Schedule of Distribution with the Orphans' Court of Cumberland County, and that the net estate of the Decedent shall be distributed pursuant to the Last Will and Testament, this Agreement, and Schedule J- Beneficiary form of the Pennsylvania Inheritance Tax Return. NOW THEREFORE, the parties hereto intending to be legally bound hereby, mutually agree, as follows: 1. Pennsvlvania Inheritance Tax. The parties hereto, and each of them, agree and acknowledge that they have fully and carefully examined the Pennsylvania Inheritance Tax -2- Return and the Schedulc J Bcncficiary form rclating thcrcto, and finds thcm to bc corrcct as set forth, and acceptablc to thc partics hercto and cach of thcm, and furthcr acknowlcdgc that they have each rcccivcd a copy of these documents. 2, Pennsvlvania and Federal Fiduciarv Income Tax Returns The Executrices acknowledge that the Pennsylvania and Federal Fiduciary Income Tax returns will be filed for calendar year 1996 on bchalf of the Estatc, if necessary. 3, Release and Dischargc, The parties hercto do hcrcby release, remise and forcvcr discharge the Estate of Howard Haag, the Executrices and the attorney for the Estate, of and from all manner of acts, suits, claims, accounts, accountings, debts, dues and demands whatsoever which they or their legal representatives or assigns may at anytime hereafter have, against the Executrices, the said Estate or the assets thereof, from, for, touching or concerning any of the assets and property of the said Estate andlor any claim or interest thereto or therein, and the administration, management, collection, sale or distribution of any of the said assets and for or on account of any money, interest, income, assets or pro- ceeds out of the same, from the timc of the death of thc said dccedent to and including the date of this Agreement and release. 4. Distribution, The beneficiaries as set forth in said Will agree to the distribution as follows: Beneficiarv Karen E, Haag Judith Ann Marshall Amount of Estate $1,119,00 $1,119,00 -3- 5. Pcrsonal PropcrlV, All pcrsonal has bccn distributcd to bcncficiarics or chari tics as determined by the Executrices, 6, Final Agreements. This instrument is a full and final Family Settlement Agreement by and among the parties hereto, all of the same having been arrived at, concluded and executed after a full and complete disclosure of the assets of the said estate and the rights of the parties herein and thereto and all of the parties hereto, and each of them, agrees to abide by the terms thereof. 7. Reauirementto Execute Documents and Indemnification, The parties hereto,and each of them, agree that they will at all times in the future and whenever necessary, appropriate or convenient, make, execute and deliver to the said Executrices, and to the other party or persons, any and all instruments, documents, conveyances, deeds, releases or other instruments of any kind necessary or convenient to carry out the intention of this Agreement andlor to permit, assist and enable the Executrices to fulfill their duties with reference to the said estate and all of the assets thereof. The undersigned hereby forever fully release, compromise, settle and discharge any and all claims, demands, actions or causes of action, legal or equitable, absolute or contingent, vested or hereafter to accrue, which they may have against any other party hereto or against the Estate of Howard Haag, deceased or the personal representatives thereof, by reason of any matter, cause or thing growing out of or relating to any property or assets of the said Estate of Howard Haag, or growing out of or relating to any act of the personal representatives in their individual handling of said Estate, even if attributable to negligence, and agrees that any period for -4- the Iimitntion of actions for the collection or any erroneous distribution or distributions shall commence only at such time as the personal rcpresentatives shall have obtained actual knowledge of such erroneous distribution and that in no event shall the period of collection of any erroneous distribution be less than two years after thc actual discovery thcrcof by thc pcrsonal reprcsentatives. 8. Entirc Al!recment, This Agreemcnt constitutcs thc cntirc undcrstanding among the parties hereto, and each of them acknowlcdges that no representations or statemcnt of any kind. written or oral, havc been made to thcm or any of thcm prior hcreto by the executrixes or by any other person or party upon their behalf. 9, Heirs. This Agrcement shall enure to the benefit of and shall be binding upon, the parties hereto, and each of them. their heirs, executors, administrators. successors and assigns. IN WITNESS WHEREOF, the parties hereto have hereunto set their respective hands and seals the day and year first above written, In the presence of:.. .,.,....'. ,(,' I.j(/J ',/, ,.:.-(~, (( .' " , '\ ' . , ~:-t ~.; " .. t \'; // KAREN HAAG AS BENEFICIARY AND CO-EXECUTRIX ~ " "~. ./.' I 7 " . " (,Ii /,( Ii:. ." /~t~..L '~I.'_C 1/ JUDITH ANN MARSHALC AS " BENEFICIARY AND CO-EXECUTRIX : /)': (' I //' \ i : \ .f("11(1/~'/J( fi.~c\.J - .~. 1 Sworn to and subscribed fJ \Ilefore mc this 3~~f-'L LC l ".I'lL ,;-1996. \ I ('I I, ,: ,\/' Cl,;LC~u:l~ - Y ~~ ,../W.....,."..=s:'....""'~,...., ~.- - ~ ,'o.'n'A' ~E'L ( "'---__ ~" 11\.', ...,~-" t t M,,,cnotl.' r 1,1,1',,,. ~L'!J'V Pet';.; t ~' H"l':I!it~U!q. p., C""JCI~!'l CCI;!"'l!,' ( MI' Cem"-!:"''),'':) '-Y')""" l~,. . 'I ". l~f\ j I ..' .' " I.. . ~.,',' "",/,\,; ......""'.~.,.. , .._,..... ._,......,{ IN RE: ESTATE OF HOWARD HAAG, DECEASED : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION : ESTATE #1996-{)0252 : SOCIAL SECURITY #177~1.2820 SATISFACflON AND AWARD The undersigned. hereby acknowledge that Karen E. Haag and Judith Ann Marshall. Co-Executrices of the Estate of Howard Haag. deceased. have distributed to the undersigned the following: Cash $1,119.00 Household Goods as full payment of all sums due pursuant to the Last Will and Testament of Howard Haag. and directs and authorizes the Clerk of the Orphan's Court Division to mark satisfied of record the award which may be made in her individual favor. .) n( WITNE~~WHJ? EOF .the undersigned has caused these presents to be executed thi.fLd:::.. day oll1'~,;:,.l eel /.1996. Witness: /\ .-'-', ) f ~ /"; i/,/' / lu,vl.~ l(tf{' .\.....( ,. ( I c l~i;;H ~i~'Rs~~t.,,{<ti- ,'/ Soc. Sec. No:2 [' (,.? ! - 7(.! (. ,:;: , .,,~. ',," , _ ~.' . '. . ....' , '. ','"L.- . i : .... -\),,.., ";~~~" ,.... _.. ."''':~';''''~..~. '~"".""\' f,yJ, ,.,,,,,,..':,:.,..~'..r,,.'." ""'. '....!..',..\..,H~/J~ .,'., ,.... '.,~ - " 'i"'\~}"- ~ "1!1{ #' .,,' ,~ .~,I,..,.,.,~.....,.".(,.~'r.:"lJ ~i ,_ ''''.flft,,'~r.-r\~.~. ..~,t~n,.,.'!., " ~.jRr~~_~:.;,.'{I.'~'::'I'A'fo',J<l;f""'~~I"'!" . ~I ',' ~'C,~~;,-6-jX:'1":\ iI." '.-.,,-:t ' '~ ' U! ,~ , f' ~~ '"". ,'.- ,. 0.-1./,.;: .'!.~ ,in. <I..:.... ...!WI \P",~C",/"'",'~,-. .-.I:'t,",.,f'_ ~ . .',..jA-r',.", .'.. II .-'~J-'...I"~",,~.....,., ',. . ....U'L:;....:.:._~~:;....:-..'..:.' .' -. ~.......LI___~~ ..1___ .__--""'-...1. Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters Testamentary No. 1996-00252 PA No. 2196-0252 ESTATE OF HAAG HOWARD (LA~~, rlK~~, M1UUL~) a/k/a Late of HAAG HOWARD J LOWER ALLEN TOWNSHIP CUMH~KLANU CUUN~Y, WHEREAS, ,dated July was admitted on the 25th 29th 1966 to probate as the last will of HAAG HOWARD (LA~~, rlK~~, M1UUL~) Deceased Social Security No, 177-01-2820 day of March 1996 an instrument a/k/a HAAG HOWARD J late of LOWER ALLEN TOWNSHIP CUMBERLAND County, who died on the 7th day of March 1996 and, WHEREAS, a true copy of the will as probated is annexed hereto. i THEREFORE, I, MARY C. LEWIS , Register of Wills in and for ithe County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify I Ithat I have this day granted Letters TESTAMENTARY ito KAREN ELIZABETH HAAG and JUDITH ANN MARSHALL who have duly qualified as Executor(rix) iand have agreed to administer the estate according to law, all of which fully 'appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 25th day of March 1996. 9Jt0-(j (! ?:ia~f!1-,J ;{IUh~ f g Ot WHIS ' , t1h,/),+ ' 4" **NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * BUREAU OF INDIVIDUAL TAXES U.01UHCE fAX DIYUION D(PT. ZlObOI HARAlSIURG, Pi 171:I-ObOl NOTICE DF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DR DISALLDWANCE OF DEDUCTIDNS AND ASSESSMENT OF TAX .n-I'-' U ." 111."1 CHARLES J HARTWELL ESQ BOSWELL ETAL PO BOX 741 HBG PA 17108 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-11-96 HAAG 03-07-96 21 96-0252 CUMBERLAND 101 HOWARD J AMount A..ltted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ifEV:iSlii-Eif"^,,:!n~':,-:iji,Y-MOTicnjF-i:~>!H~rfiT~!.jCE-Yi.n:ppP.ii:filE!.f€i'T-:-iiLl."6~A'1,fCE-np.----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HAAG HOWARD J FILE NO. 21 96-0252 ACN 101 DATE 11-11-96 TAX RETURN WAS: (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rool Estoto lSchodulo Al (II 2. Stocks and Bonds (Schedule B) 12) 3. Clos.ly Hald stock/Partnership Int.r.st (Schedule C) (3) 4. Hortg.g.s/Not.. R.calvabla (Schedule OJ (4) 5. Cash/Bank Deposits/Hisc. Parsonal Property (Schedula El IS) 6. Jointly Owned Property (Schedule f) (61 7. Transfars (Schedule G) (7) a. Total A...t. CHANGED NOTE: To insure proper credit to your account, sub_it the upper portion of this fora with your ta)( pay..ant. .00 610,53 .00 .00 6,637.88 .00 .00 (B) 7,248.41 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ad.. Costs/Hisc. Expenses (Schedule H) (9) la, Dobts/Mortgogo Llobllltlo./Llons (Schodulo 11 (101 11. Total Ueductions 12. Hat Value of Tax Retu~n 13. Charitabla/CoY.~nnantal aequests (Schedule J) 14. Het V.lu. of Est.t. Subjact to Tax 7.217,00 .00 Ill) 1121 1131 1141 7.:>17 nn 31,41 .00 31,41 will IT an assessmen~ was issueo previously, lines 14, 1~ and' or 16, 11 and 16 reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. A.ount of Line 14 at Spousal rat. 115) 16. A.ount of line 14 taxabl. .t lin..l/Class A rate (16) 17. Aaount of lin. 14 taxable at Collateral/Class a rat. 117) 18. Principal Tax Due TAX CREDITS: PAYMENT I DATE OB-08-96 NOlE: ,00 1.88 ,00 1.88 .00 X .00= 31.41X,06= ,00 X ,15. lIBI RECEIPT NUMBER AA146608 DISCOUNT 1+1 INTEREST (-I AMOUNT PAID ,00 1.88 f i h i;, r . 8" TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 1.88 .00 .00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. IF TDTAL DUE IS LESS THAN '1. NO PAYMENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" lCRI. YOU MAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIDNS,I If" , ,~ If -) " "'1 - I:) AI FOR OAt[S OF DUlIt AFTER 12I3Ugl CHECKH[RE IF A 5f'OU5AL IT n cO"'~F~:tMW~"'lff~flt,WblANIA 0[1" '''''"I HARRlaOUnO, PA 11111-0801 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS 21-96-0252 REV - 1&00 [X _('-1141 CAB H P L E P 0 C R C KOK P S C P o 0 R N R 0 E E S N - T FILE NUMBER o E C E o E N T OECEDENrSNAM( (LAST, nnST,ANO MIDDLE INITIAl) IIMG 1I0\.lARIl J COUNTVCOD[ DECEDENT'S CQ""f>U f( ADDRESS 1105 COLUMlllA AVENUE LEMOYNE, I'A 1701,3 YEAR NUMOER DAtE or IlUlfIl OAt[ or DEAlII 03/07/1996 SOCIAL SECUAlTYNUMUEll 177-01-2820 7/25/19114' CUMllERLAND Cuunl., AMOUNT RECEIVEDIS[[ INSTRUCTlONSI 0,00 (IF APPL1CAULEI SURVIVING SPOUSE'S NAME (LAST.rlfI'H AND MIDDLE INITIALI HMG CIIARJ.Ol'n: X I, O"g'nnl RolUln 4, Un'lod E51alo SOCIAL SEcumTVNUMU[R 186.32.5161 05. o 8, Romllind... ROlurn (lor dnlos 01 donlh prior 1012-13-02) Fodorlli Eslnlo Tax Rolurn Roqulrod Tollli Numbor 01 Salo Doposlt Boxos COMPLET[ MAILING ADDRESS OSWELL, SNYDER, TINTNER & PICCOLA 1'0 !30X 741 'ARRISBURG, PA 1710B-0741 (1) (2) (3) (4) (5) (6) (7) 5'0.~'TURE OF ~En50.N n[sPO~sIOLEFOR flLlNO RETUR~ KAREN E, HAAG J UD 1'1'11 ANN r'lARSIIALL ..1\."".,/ ,.1;,' (Ii,.. I \ . ~)._<!~_~_ql:~!'I_~~L~YL_L~9.~_.ltN!~~).C1UWIID____ ;/, ,.(fl, ,:.. H.. //,"-,.. ( /LEMOYNE, PA 1701,3 CMIP IIII,L. PA 17011 . RE OF tREP~~EROTH~RTHAN REPRESENTATIVE I!.. n I~' ..' , _....SHl}gJ!1~L,J....1!i)ln}tl'J,!._,..1~SQI)J..R1L_.. r - I Copyrlght(cllg94 form loll.......rl on I., CPSyltUI., Ine. 2. Supplomonlnl Rolurn 401. FutUlo InlOlost CompfOrnl50 (lor dnlos 01 doolh allor 12-12-02) [R] 8, Docodont Diod Toslolo 0 7. Docodonl MoIn101nod 0 Uvlng Trust (Allnch cop 01 Will) lAUnch a co 01 TllIsI) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: R E C A P I T U L A T I o N NAME Charles J. lIilrtwell TELEPHONE NUMOER (717) 236-9377 I, Rool Eslnlo (Schodulo A) 2, Slocks ond Bonds (Schodulo B) 3, Closoly Hold Slock/Partnorshlp Inlorost (Schodulo C) 4, Mortgagos and Nolo. Rocolvablo (Schodulo D) 5, Cash, Bank DOp0511S & MI5CoUonoous Por90nol P.oporty (Sch, E) 6, JolnUy Ownod Proporty (Schodulo F) 7. Trons'ors (Schodulo G) (Schodulo L) 8, TOlol Gro,", Assai. (10111I Unosl-7) 9. Funoral Expensos, Admlnlstrativo Cosls, Miscellaneous Expon909 (Schodulo H) 10. DobIS, Mo~gogo Uabililio., Uon. (Schodulo I) 1" TOlol Doduclions (10101 Unos 0 & 10) 12. Nol VoIuo 01 Estalo (Uno 0 minus Uno 11) 13, Charllablo and Govornmonllli Boquosl. (Schodulo J) 14. Not Vllluo Sub ocllo Tax Uno 12 minus Uno 13) 15, Spollsol Tronslors (lor dolOS 01 doalh aUor 6-30-94) 500 InsllllcUons for Appllcablo Porconl4go on pogo 2. (Includo valuo. from Schodulo K or Schodulo M,) 16, Amounl 01 Uno 14 lIueoblo 010"1. ralo (Includo voluos from Schodulo K or Schodulo M,) 17, Amounl of Uno 14 laxablo 8115% ralo (Includo valuos from Schodulo K or Schodulo M.) IB, Principal tax dllo (Add lax from Uno 15. 16 and 17,) 19,Crodl15/5p povorty Prior paymonl. DI5Collnl Inlolosl Es uire None 610,53 None None 6,637.88 None None (B) (9) 7,217.00 7,248.41 7 ,217 .00 31.41 31.41 0,00 1.88 0,00 1.88 0,00 0,00 1.88 0,00 1.88 Un d" p.n..ll... 01 p.rJury,I dlel.l'llh.11 h..v. ....mm.d Ih'l 1.luln, ,nelud'"g .."omp"""lng seh.Ch"'1 Ind .11I.m.nll,lnl2 10 111. tllIl of m., II.no.....I.I2g. Ind tI.ll.t,11 II IIUI, eor,.ct .nd complll..1 d.etlr,IIl.I.1l 1I.lnl..l, hU beln "polt,d It tru, m..rk,1 vAlu.. O,cl.lllllon 01 prepAr" othl! Ih.n Ih. perlonl' "pIlJlnl.h.... il b4I.Jld on all intorm.tlon 01 .....hlehpllpArlllhu.nykno.....tedgll. (10) None (11) (12) (13) 14 0,00 X (15) = (16) 31.41 X ,00' T A X C o M P U T A T I o N (17) 0,00 X .15' (IB) . . (19) (20) 20. II Uno 191. groalor than Uno 10, onl... Iho dillolonco on Uno 20. Th'.'slho OVERPAVMENT, ~ D ICheck here If you are requesting a rofund of your overpaymontl 21. If Uno 10 Is groator than Uno 19. onlor tho dilfoconco on Uno 21. This is tho TAX DUE. A. Enlor tho Inlofost on tho bnJonco duo on Uno 21A. B. Enlor tho lolal 01 Uno 21 and 21A on Uno 2t8. Thi.l.lho BALANCE DUE, Moka Chock Po oblo 10: Ro IsI.r 01 Wills, A ont ~ ~ BE SURE TO ANSWER ALL OUESTIONS ON PAGE 2 AND TO RECHECK MATH <4 <4 (21) (21A) (21B) DATE ~-l9 - 10 DATE <6-bAb Form 1500 IR,.." 7-841 R[Va nOI [l( . (12-111 COMMONWEAL HI 0': P[NN5VI VANIA IN~i ~lh~'l.l'bTttE'/,'t'.l'I'N ESTATE OF HOWARD J HMG 5511 177-01-2820 SCHEDULE F JOINTLY-OWNED PROPERTY 03/07/1996 FILE NUMBER 21-96-0252 Jolnllenant(I): NAME ADDRESS RELATIONSHIP TO DECEDENT A. B, C, Jointly-owned properly: LETTER DATE ITEM FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBER JOINT OF ASSET " INT, pECEDENTINTEREST TENANT JOINT TOTAL (Also onlor on lino 6, Recapitulation) ~ 0.00 (II rooro spaco Is noodod, inso~ additional shools 01 sarM sizo.) Copyri;ht(cl 'I~ form .oft..r. only CPSy.'.m',lnc. Form 1500 Sch.dul. FIR..... 12ae8) REV. 1110 EX + (2-11. COMl:.%11~\~~~w~v~r~'N" ESTATE OF SCHEDULE G TRANSFERS PI0090 Pflnl or T 0 FILE NUMBER 21-96-0252 HOWARD J HAAG SS# 177-01-2820 03/07/1996 THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE OUESTIONS ON PAGE 2 IS YES. ITEM DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBER Includ, lI,m, of th.lr.n.'''.., their EXCLUSION OF ASSET %INT, DECEDENT INTEREST "l.ationlhin-lod.ud.nt dlllo"""ll.,. TOTAL (Also onlOf on lino 7, Recapitulation) 0.00 (II moro spaco Is noodod, In~ additional shoots 01 sarno silo.) Copyright(c) 11114 form loU.lr. only CPSYlt.ml,lnc. Form 1500 8chldul. G (R..... 2-171 REV. u" EX . ('-11) SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pl.... Prlnl or T . FILE NUMBER 21-96-0252 COMM'1!t-Wr.Al T~t OF p~'imrlVANIA INRt~:b~'l.)'bW[b[',:(I'N ESTATE OF HOWARD J ITEM NUMBER A. HAAG SS# 177-01-2820 03 07 1996 DESCRIPTION AMOUNT 1 Fun.ral Exp.n..l: PARTHEMORE FUNERAL HOME 6,172.00 B. Admlnlatr.tlv. Costs: 1. Porsonal Roprosonlativo Conmlssions Social Socurlty Number 01 Porsonal Roprosonlalivo: Yoar Conmlssions paid 2- Anornoy Foes BOSI'lELL, SNYDER, TINTNER & PICCOL^ 600,00 3. Family Exemption Claimant RoIstionshlp Addr... 01 Claimant It docodonl's doSlh Stroot Addr... Clty Slsl0 Zip Codo 4. Proba1a Foes Register of Wills 51.00 C. Mlsc.llan.ous Exp.ns.s: 1 ADVERTISE GRANT OF LETTERS 60.00 2 SENTINEL - ADVERTISE GRANT OF LETTERS 98.00 3 SEIDEL MEMORIAL HOSPITAL 236.00 TOTAL (Also onlor on lino 9, Roc. i1ul.lion (II more opac.ls n.odod, Ins.rt addlUonal sho.ts 01 sam. al...) COPYllght(t) 1114 form 1011.1,. only CPSyltlml, Inc. $ 7217,00 Form 1500schldule H(R.....'.II) ![ I, 1I0WARD IIAAG of the Township of Center, County of Indiana and Commonwealth of Pennsylvania, boing of sound mind, memory and understanding, do mako and publish this my last Will and Tcsta~cnt, hereby revoking and making void all former Wills by ~c at any ti~c heretofore made. FIRST: I direct the payment of all my just debts, funeral cxpcnDcs and costs of administering upon my estate, by my Executrix, hereinafter namou as soon as convenient after my dCCC.1SC. SECOND: I give and bequeath a 1966 Dodgo Dart automobile tc my daughter, KAREN ELIZIIDETII HAAG, absolutely. TIIIRD: All the rest, residue and remainder of my estate, be the same rcal, personal or mixed, I give, devise and boqueath to my wife, CHARLOTTE IIMG, absolutely. FOURTII: In the event my wife, Charlotto lIang should pre-decease me or we should both die in a common disaster, then I do hereby give, devise and bequeath all the rest, residue and remainder of my estate, be the same real, personal or mixed to my daughters, JUDITH lINN MARSHALL and KAREN ELIZIIDETII HMG, share and share alike. FIFTII: I do hereby make, constitute and appoint my wife, Charlotte Haag to be Executrix of this my last Will and Testament. In the event my said wife should pre-decease me, or fail to qualify for said appointment within thirty days after my decease, then I do hereby make, constitute and appoint my daughters, Judith Ann Marshall and Karen Elizabeth lIaag to be Executrices of this my last Will and Tostamont. IN \lITNESS I,HEREOF, I, HOWARD IIAAG, the Testator above named, Tax Service Center Two PNC Plaza. 33rd Floor Pittsburgh, FA 15222 PNCIBANK May 22, 1996 Boswell, Snyder, Tintner & Piccola Attn: Karonetta r. "'iller 315 North Front Street P.O. Box 741 Harrisburg, PA 17108-0741 RE: Estate of HOllard J. Haag. Deceased SSN: 177-01-2820 DOD: 3/7 /96 Dear Ms. Miller: OUr office can provide you with the date of death balances only. We cannot provide an interest rate, due to the fact that it is variable. We do not have the resources at this office to provide yeu with the other information you have requested. I am able to P.=PJi~ you Ilith a toll-free number fer the decedent's credit card. That number is 1-800-762-2273. As for the other information, the account Ilas held at the PNC Bank New CUmberland Office_ The address is 331 Bridge Street New cumberland, PA 17070, their number is 1-717-774-2982. ~ ACCCUfl' Hellard J. Haag COD Balance: ~5.005.83 ~ ~O.23 accrued interest Established 11/1/68 The decedent had a Certificate of Deposit. but it was closed 3/1/96. which was prior to death. J~L Sincerely. n'l~L . Michelle Przybyla Decedent Reporting PNC Bank I .J ,/ ~ COHHDNWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE , . . ,. I BUREAU OF INDIVIDUAL .....AIIAH([ TAk DIVISIOH DEPt. :10601 IWlRtSaLIfG. Pi 11118-0601 TAXES NOTICE OF INI1ERIT ANCE TAX APPRAISEHENT. ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX CHARLES J HARTWELL ESQ BOSWELL ETAL PO BOX 741 HBG PA 17108 DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN 11-11-96 HAAG 03-07-96 21 96-0252 CUHBERLANO 101 Aftount R..lttad * '11.IU'1I '" 111.1t! HOWARD J HAKE CHECK PAYABLE AND REHIT PAYHENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiE'v:iii4'i-EX-"FP-ro'F96T"NiificE--OF-YNHEiiii'AiicE-YAir'AppR'AisEHENr-,--"Li:owANcE-cflim-m-m-m-- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF HAAG HOWARD J FILE NO. 21 96-0252 ACN 101 DATE 11-11-96 If an assessment was issued previously, lines 14, IS and/or 16, 17 and 18 will reflect figures that include the total of ~ returns assessed to date. ASSESSHENT OF TAX: 15. A~ount of Lina 14 at Spou.al 16, Amount of lina 14 t.~.bl. at 17. Aaount of Lina 14 ta.able at 18. Principal Tax Du. TAX RETURN WAS I I X J ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I E.t.t. (Schedule A) III 2. Stock. and Bondi (Schedule 81 (2) 3. Closely Hald stock/Partnership Int.r..t (Schedule C) 131 4. Hartg.gaI/Not.. Recaivable (Schedule D) (4) S. C..h/Bank Dapollts'Hllc, Parsonal Property (Schedule E) (5) 6, Jointly Owned Property (Schedule f) (6) 7. Tr.nsfa~s (Schadula G) (7) a. Total Assats APPROVED DEDUCTIONS AND EXEHPTIONS: 9. Fun.~.l Expensas/Ad., Costs/Hisc. Expansa. (Schedula H) (9) 10. Oabts/Ho~tgage Liabiliti.s/Llan. (Schedula 1) (10) 11. Total Daductions 12. Hat Valua of Tax Ratu~n 13. Ch.ritabl./Gov.~n~.ntal Baqu..ts (Schedul. J) 14. Net Value of E.t.t. Subject to Tax NOTE: ~.t. Lina.l/Clasa A ~at. Coll.ta~.l/CI..s B ~.ta 1151 11&) 1171 TAX CREDITS: PAYHENT DATE OB-08-96 DISCOUNT 1'1 INTEREST I-I RECEIPT NUHBER AA146608 .00 CHANGED ,00 610.53 .00 .00 6,637,B8 ,00 .00 181 7.217,00 ,00 Ill) 1121 liS) 1141 ,00 X ,00= 31.41 X .06= .00 X ,15= 118) AHOUNT PAID 1.88 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE HOTE: To insu~a p~op.~ c~adlt to your account, subnit tha uppar po~tlon of this fo~~ with you~ tax paYllant, 7.24B.41 7,'17 nn 31. 41 .00 31,41 .00 1.8B .00 1.88 1.B8 ,00 .00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS lESS THAN II. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS,I I)ll RESERVA TIDth Elt.t.1 of decedentl dying on or before O~.-ber It, 198Z -- If any future Int.r'lt In the .Itat. II tran.f.rred In pol...llon or .nJo~t to Cia.. 8 (collat.rall b~flclarl~. of the d.c.dent aft.r the ..plratlon of any .Itat. for Ilf. or for y.arl, the C~alth hereby ..pr.llly r...r....1 the right to appr.I.. and .11.1. trBnlf.r Inherltanc. T.... at the lawful CI.I' . (collat.ral) rat. on any .uch future Int.r.lt. PURPOSE OF HOTICEl To fulf111 the requlreaant. of Section 2140 of the Inherltanc. and E.tDt. h. Act, Act 22 of 1991. 72 P.S. S.ctlon ZIItO. PAYKEHTI aetach the top portion of thl. Hotlc. and IUb.lt with your pay..nt to the A.gl.t.r of Willi prlnt.d on the r.v.rl. .Id., --ttake check or ~y ord.r payable to: REGISTER OF' MILLS, AGENT All pa~t. rec.lved shall flrlt be appll.d to any Int.r.lt which .ay b. due with any r..alnder appll.d to the ta.. REfUND (CA): A r.fWld 0' a talC cr.dlt, which was not r..,alted on the Ta. A.turn, .ay be reque.ted by co.,l.tlng an "Application for A.fWld 0' Penn.ylvanla Inherltanc. and E.tat. Ta." (REY-1313), Application. ar. a...allabl. at th.O,flc. 0' the R.gllt.r of Willi, any of the 23 R.v.nu. alltrlct O,flc.l, or by calling the .peclal Z4-hour an.werlng I.rvlc. nuabar. 'or fora. ord.rlng: In P.nr.ylvanla 1.800-]6Z-Z050, out.ld. Pennlylvanla and within local Harrllburg ar.a (717) 111-8094, 100' (711) 17Z-ZZSZ (H.arlng lapalr.d Only). OBJECTIONS: Any party In Int.r.lt not latllfled with the .ppr.I....nt, allowanc. or dllallowanc. of deduction., or .1...I.ant 0' talC (lncludlng dlscOU'lt or Intarn\) .. shown on thh Notlca .ult obJ.ct within sikh (60) d.)'1 0' rec.lpt 0' this Notlc. by: ...awrlttan prot.st to the PA Depart""t of A....enue, aoard 0' Appea", Dept. ZInZl, Harrhburg, PA 11UI-IOZl, OR --.lactlon to have the a.tter det.ralned .t eudlt of the acCOU'lt of the personal repnlant.tlv., OR --appeal to the Orphan.' Court. AD"IH ISTRATlVE CORRECTIONSI Factual .rrorl dllcov.r.d on thl. all.ll.ent .hould b. addr.I..d In writing to: PA a.part..nt of R.v.nu., Bur.au of Individual Ta..I, ATTH: Post AI..I'aant R....I.w unit, a.pt. Z8060l, Harrl.burg, PA 11128-0601 Phone (117) 187-6505. Sa. page 5 of the bookl.t "In.tructlonl for Inh.rltanc. TalC A.turn for a R..ld.nt Decadent" (REY-1501) for an ..planatlon of adalnlltratlv.lY corr.ctabl. .rror.. alSCOUNTl If any tax due Is paid within thr.. (3) cal.ndar .onthl aft.r the decadont's d..th, a fl.... p.rcent (5~) dl.count of the tax paid I. allowed, PENALTY: Tha 15X tax aanalty non-p.rtlclpatlon panalty I. c~t.d on the total of the ta. and Int.r.lt .1..lled, and not paid b.for. Janu.ry 18, 1996, the flrlt day aft.r the .nd of the ta. ~..ty p.rlod. Thll non.partlclpatlon penalty la appealabl. In the laaa aennar and In the the .... tl.. p.rlod aa you would app..1 the tax and Int.r.lt that ha. b-.n all.lled a. Indicated on thl. notlc.. INTEREST I Intar..t I. charg.d b.glnnlog with flrlt day of d.llnqu.ncy, or nln. (9) .onthl and one (I) d.y froe the data of d..th, to the data of pa~t. Ta..1 which bacaae delinquent before January I, 198Z bear Intar..t at the rat. of allC (6X) parcent par annua calcul.tad at a dally rat. of .000164. All ta..1 which b.ca.. delinquent on and after January I, 198Z will b.ar Int.relt at a rat. which will vary fro. calendar year to calendar y.ar with that rat. announcad by the PA aep.rt-.nt of Rayenue. Th. .ppllcabl. Int.r..t rat.1 far 198Z through 1996 .r.: '!.2! Int.r..t Rat. aally tnt.r.st FtK:tor :!!.!! Int.rnt Rat. a_11Y tnt.r..t Factor 198Z ,,~ .00051t8 1987 .~ .0002~1 1983 lOX .0001t]8 190-1991 11~ .000301 I'" 11~ .000.501 1'" .~ .000l"1 1985 1l7C .000356 199]-1"" 7X ,000192 19Bb 1O~ .00OZl~ 1995-1996 .~ .000ZO ulntlr.at II calc:ulatad .. followl: INTEREST = BALANCE or TAX UNPAID X NUKBER or DAYS DELINQUENT X DAILY INTEREST rACToR uAny Notlc. I..uad aft.r the tax baeO"1 delinquent will refl.ct an Intlrnt calc:ulatlon to flft.en CIS) day. be)'ond the data of the ........"t. If pa)'Hnt .. .ade .ftar the Int.rnt c~tatlon data shown on the Notlc., additional Int.r..t .ult be calc:ulatad. , JRD/Jtlne 30, 1992/17858 REGISmlt OF WiLlA" Cumberland Coullty CourthUI1Sl' One Courthouse Square Carlisle, PA 17013 NOTICE PURSUANT TO IWLE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representative K,\HEN EJ.IZABE1'H HAAG & JUDITH ,\. MAHSH,\J.J. Counsel: RE: Estate of HOWAHD HAAG J.OWEH AI.l.EN TWP Estate No.: 21.1996.252 Dale of Decedent's Death: I. 7. q Ii , Deceased, Late of Pursuant to Rtlle 6,12, the above named personal representative or tbe above named attorney, if applicable, within two (2) years of the decedent's deatb, 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, sbowing the date by wbich the personal representalive, or attorney, as applicable, reasonably believes administration will be completed, TIle purpose of this Notice is to advise you that uoless 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 Divisioll, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to detennine whether sanctions sbould be imposed upon the delinquent personal representative and the delinquent personal representative's counsel, if any. Accordingly, if the requisite Status Report is not filed by 4.30 . 19.2..6 you are hereby advised that a request will be submitted to thel~ourt in ~~:~~dance with ,RUle ~:l~,.. l Date: 4.14'98 '----(fleW/. ,:')HUl !..(,U(/,(J, LhatrI'j- Deputy Register of ills ' Distribution to Estate File Name of ~TNI~I~S. .1~El'lJH:~lJtl[~f.:H...!{!!.!.>f:,.Q~.~ Decedent: --11..(1." , \ ~! I /:,,/., '( \ /J L ' Date of Death: ',' ,~LC- W ill No, U.tJJ I '..' " ':) 'J I I' , ; /, / <J 'p'ursuant to Rule-6, 17. of the Supl'eme Court Court Rules, I report the following with respect to Lhe administratiun of Lhe above-captioned estate: IIdmin, No. Ifll{ , ({','j(,':J__ Orphans' completion of I. SLaLe whether administration of the estate is complete: Yes,2.~_ No. w..'_ 2. If the answer is No, state when the personal representative reasonably bel ieves that Lhe administration will be complete: 3. If the answeJ' to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The :"'I"lrale Oq,h.",,;' ("JurL No. (if an'll for thr! personal representative'S acr.nunt is: c. Did the personal representative state an account informally to the pal-tips in inLernst? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' CourL and may,r ,at,~ac~~t.~o/,t~f. ,vt.~rlt. " ) / >) ,- -. . ( ( d( r ( .'. ~~/.' l( ,J)..(I.- {,t._ IS,i naturez . I ,-1/ '1/.,," \,"'l.,' t / ~ '.,' , . J h' 1) I I'll /}, /)),JI..':;// II L L , N~m~:(Plr-ase ,type or printll) / ,....'-:. : I I~, { ., ~_.,,'. . r, u ~ t' ,/ f"-' ,.,.. (, ( / 'X 'I It // 1~lc It I' ,/, Ji ,Pll/llt" }-/I LL. ;)}I, 11"/ IIddress .2{ I' (,,: ' '.,// ('" . , J (1//=;,2, '1-1...1- --. . ..' - 1., 1, N'J, Date: ~"/J (, / ,/ / . I Capacity: Y.' ~ Personal Representative Counsel for personal l'epresenta Live (MIIII: rOll I 11M3)