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PETITION FOIt PIWHATE and GltANT OF LETTEItS
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1(1'~I'lcI 01 Will, 101 Ihc
('Ollllty 01' C>_,t'.\\"'\:_L..I\~..lD in the
l'OmllHI1l\H'ahh "I I'run,yh'ania
rhe pl'lilHm \11" till.' UlHkl,i~ll\.'d fl'\l'l'\.'tfll!ly 11'1"1"""llh thai:
YO\lI IWlil,itllu:I(,I. \\110 j.. 0111.,' I~ Yl',I1\ 01 i1.~!l:,OI IIldl'l an thl'.l'\l'l'IIl':/~
in Ihl' 1'''1 ,,"II 01 Ihc aioo' c ,b'I'dl'nl, dalcd ~ I (lll- ~ lr I'FI'"
and \.'odidlt...) dOlled .' --~-
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I'\.:cpl a, r.,lIo,,', Ik,:,',knl did nOIIll,n 'Y. '\iI' n,,1 di\\u.:cd and did n"l havc a child hurn or "duplCd
aflcI cw,ulio" ollhc "ill "Iflolcd rOlpll'\1:IIC; '\i" 1l01lhc ,klilll "I a killin~ alld \\"" IIcvcr "djudkalcd
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Dl'(l'lHknl at Ul'ltlh O\\I1I.'U properlY \\ith ""..Iimatcd \alm.... a' follow':
(If dnl11i\:ikd in POl.) All pl,,'r..nnal pWpl.'ll~
(If lUll unl11kikd III POl.) PCT..onal property in PCllIl..yl\'al1ia
(1I1111t lloll1idlcd ill Pa.) IIc,,,ol1,,1 propl.'rty ill County
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OATil OF PEltSONAL ItEPltESENTATIVE
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COl"n OF <.'..L\'\\"~C IpllJ.i1.>___.
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1 hl'l'l.'tllillIlCIl\) ;tbo\~'""al1\l'd '\\l'tlll"') \11 aflill1\("') lhill Ihl' 'latl'lI1c:nh in thl' fOl\.'going petition arc
tllIl' .llId ~'llIll'd III lhl' hl....t \lllhl' hl\tl\\kd~l' ami bdid l,r petiliol1l.t(,) and that a"'l1l'r~onal fl..'I'lrc...en-
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MARY C. LEWIS II"CIIII" l 0 ~
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Nil. 21 - 96 - 44]
Estute III'
ELEANOR G ItALLOCK
. Deceused
DEClum OF I)ROnATE AND GRANT OF LETTERS
AND NOW JUNE 5, PI. 96 _, in co",idcraliun uf Ihc PCliliun un
Ihe rcver,e sidc hercuf. ,ali,faclOry prouf h,,,'ing hcclI PIC'CIIICd hcfurc me.
IT IS DECREED Ihal Ihe inmnmenl(') dmcIL_.__IieJUL23 ...J..9Ll
de,cribed Ihercin bc admilled IU prubalc and filcd of record a' Ihc la'l ",iI\uf
ELEANOR G HALLOCK
TESTAMENTARY
HOUGHTON ROSS HALLOCK .JR
alld LCllcrs
are hercby grnlllcd III
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''U. R,ghlc,"r'\\,iII' f(Ja
MARY C. LEWIS
FEES
Probalc, Lcllcrs. Ele. .........
Shorl CCrlificalc,(2) ..........
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JCP
$.2OD.JlO_
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$ 6.00
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TOTAL _. $"*1-7-,00--
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o\nORNH (Slip. Co. 1.11. No.1
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CERTIFICATION OF NOTICE UNDER RlJlJE 5.6 ( a)
Name of Decedent: EiJ.l:JG"" r ":Lr,~.':o:.{ (~ .
Date of Death: M:IY ;)11,1 Q9fl
Will No. 1996 - 0044:> Admin. No, 'q Qf.; - Of! t1..-~
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
Sentember :;, 1996
Name
HOlll',hton :<0'" E"llock,.Tr.
Address
Kennett, Dunclln !i,l]loc,:
Geoffrey GNi(i in :',l:lloc~k I r,:.IJ.
4f)7111. JOutt: :~I;th -it. t h!'l: n!.~()n, VH o:')"n..
Jt.rne~l Bcrryh i 11 !~!~11ocr:
:)?6;'S ?ri"~~lt.()n Lrln~). (:entf'~ Vnl1rP/, Pi.. l.qn:~~
6h:~P Loc:;:~~in Emu! Drive. 3:)rin~r 'ltz '1?:~?q
:~ t:rl;.':'lo:';f>r PI rk"':IJ'/. il~~t"'10rt. CT O~j..;..r)
Notice has now been given to all persons entitled thereto under
Rule 5.6(a). ~
Date: Sentcmber 3<, 1936
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Address
Name l:o'whton;t. L',lloc,:, .Tr.
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Telephone ( 70:-) ~;;1-:'Fl6t,
Capacity:
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Personal Representative
Counsel for personal
representative
.
-".\.111\11111...111
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Itl liE I IW'j'A'I'E OF
I,:I.IWKJU (0. IIAI.ln~J\
I,A'I'E lW '1'111': 1l0UOUUII OF
CN>IJ> III 1.1, , CLlNIII:UI/\NIl
COUll'I'Y, I'IW/IIlYJNAlllA
I'~;'J,^,I'E NO. 21-!Jr,-,14 J
IN 'l'lm COUIl'I' OF COMMON PLEAS OF
WUlEIU.J\ND mLlN'l'Y , PENNSYLVANIA
OIlPIIANS' COUR'r DIVISION
JlligJ..l!1., RELEASE AND WAIVER OF ACCOUNTING
..
KNOW ALL HEll BY TilES::: l'RESEIlTS, that I,Geoffrey G. HallOCk, being
one of tho bonoficiaries under the will of ELEIINOR G. H1ILLCX:K, do hereby
acknowledgu th/lt 1 hnve received /Ill sums of money and property due me
,
by virtue of the death of F.LEI\N()R G. II1ILI1X:K , in full satisfaction and
settlement of all of my rights and claims under lbOOI:/her estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to_.the final dis~~ibution of the estate without
further formalities, and with the same 'force and effect as if a First
and Final Account and P~oposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND TIIEREFORE, I,Geoffrey G. Hallocl; do by these presents, remise,
roleaso, quitclaim and forever discharge thQ Executor, his heirs,
Succussors and assigns, from the acts of the Executor as aforesaid,
,and of Ilnd from all actions, suits, payments, accounts, reckonings,
,
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.
claims, and demands whatsoever, for or by reason thereof, or any other
act, matter, cause or thing whatsoever, and I do hereby consent to the
discharge of the said Executor.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the ;?~t1J
day of F'phn,,,,'Y
, 1997
"
a,70l 7nllAuJ 7r..l'J.
witness
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NAME- Geoffrey G. Hallock, M.D.
.
.
COMMONWEALTH
OF PENNSYLVANIA:
X.Ju~/L--
"
55:
COUNTY OF
On this, the d. L/- th day of
f drU'-VLy--
, 199? , before
me a Notary Public, the undersigned officer, personally appeared
Geaf.frei ~.~~!:itc..~o me (or satisfactorily proven) to be the person
whose name is subscribed to the within instrument and acknowledged
that he executed the' same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day
and year first above written.
&vn >>U''z.~ 't?,-c.cL
Notary Public
-2-
tJolminl 5nal
Ann M:I/i., Mini. NotAry PubliC
CoOrj)f":blj~~ !:tHi' tf.:'IlIQh COIJnty
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}A;,tLaor """'tiMlrvw""~""''''''' nl r iol;l:l(1"l
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IN RE: ESTATE OF
ELEIINOR G. HALLOCK
LATE OF THE BOROUGH OF
CAMP HILL , CUMBERIJ\ND
COUNTY, PENNSYLVANIA
ESTATE NO. 21-96-443
IN TilE COURT OF COMMON PLEAS OF
ctJMBERIJ\ND COUNTY , PENNSYLVANIA
ORPHANS' COURT DIVISION
RECEIPT. RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, H.R.Hallock, Jr. , being
one of the beneficiaries under the will of ELEIINOR G. HJ\LLOCK, do hereby
acknowledge that I have received all sums of money and property due me
by virtue of the death of ELEIINOR G. HJ\LI.CCK , in full satisfaction and
settlement of all of my rights and claims under Xxkx/her estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the s~ic
estate, and I agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, H.R.Hallock, Jr. , do by these presents, remise,
release, ~~i.t~l~~m and forcv~:, ,~}.sctarga t~.- Executor, his l:sj'~~~1
successors and assigns, from the acts of the Executor as aforeseid,
and of and from all actions, suits, payments, accounts, reckonings,
..l\ul' 1101..1 n1
IN RE: ESTNfE OF
ELE1\NOR G. III\LLOCK
LATE OF TilE DOROUGH OF
CAMI' lULL , CUMJ3ERLIIND
COUNTY, PENNSYLVANIA
E5~TE NO. 21-96-443
IN TilE COURT OF COMMON PLEAS OF
CUMDERLI\ND roUNT'i , PENNSYLVANIA
ORPIIANS' COUR'f DIVISION
RECEIPT. RELEASE AND WAIVER OF ACCOUNTING'
./
KNOW ALL MEN B'l THESE PRESENTS, that I, Jaxres B. Hallock , being
one of the beneficiaries under the will of ELEl'INOR G. Hl\LlJXK' do hereby
acknowledge that I have received all sums of money and property due me
,
by virtue of the death of ELEANOR G. Hl\LlJXK , in full satisfaction and
settlement of all of my rights and claims under~/her estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to~.the final dis~;ibution of the estate without
..'
further formalities, and with the same'force and effect as if a First
"
and Final Account and p~op'osed Distribution had been filed in a Court
of Common pleas of pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, Jarres B. Hallock, do by these presents, remise,
release, quitclaim and forever discharge thr: Executor, his heirs,
successors and assigns, from the acts of the Executor as aforesaid,
and of and from all actions, suits, payments, accounts, reckonings,
., -. ~-- '"
-- ut\nl\Uana.rol
./
IN RE: ESTATE OF
ELFJ\NOR G. HALL<X:K
LATE OF THE BOROUGH OF
CAMP HILL , CUMBERLI\ND
COUNTY, PENNSYLVANIA
ESTATE NO. 21-96-443
IN THE COURT OF COMMON PLEAS OF
CUMBERLI\ND roUNTY , PENNSYLVANIA
ORPIUlliS' COURT DIVISION
RECEIPT, RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, Kenneth D. Hallock, being
one of the beneficiaries under the will of ELEANOR G. HALL<X:K, do hereby
acknowledge that I have received all sums of money and property due me
,
by virtue of the death of ELEANOR G. IlALIJXK , in full satisfaction and
settlement of all of my rights and claims under~/her estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree tO~,the final dis~~ibution of the estate without
further formalities, and with the same 'force and effect as if a First
and Final Account and p~oposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, Kenneth D. Hallock do by these presents, remise,
release, quitclaim and forever discharge the, Executor, his heir.s,
successors and assigns, from the acts of the Executor as aforesaid,
and of and from all actions, suits, payments, accounts, reckonings,
"
claima, and demanda whatsoever, for or by reason thereof, or any other
act, matter, cause or thing whatsoever, and I do hereby consent to the
discharge of the said Executor.
IN WITNESS WHEREOF,
f/4.
)'( day of Februarv
I have hereunto set my hand and seal the
, 1997.
~ LI2~.Jf'vn
"lfltness
~;.4;lO&/{L--
NAME Kenneth D. Hallock
t'
.
.
.
STATE OF TEXAS 55 :
COUNTY OF f"I"v ~ lM.>M ,",l.. '/
,
On this, the
?.,-tLday of
F' c........u;r , 1997, before
officer, personally appeared
me a Notary Public, the undersigned
, knc',':u to me (or satisfactorily proven) to be the person
whose name is subscribed to the within instrument and acknowledged
that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day
and year first above written.
';:'.c-;h?_-:=~,,~;.,~-,-----~~pv::;v...;'il
eP,'I"'~ MIClfAELD. WIU.J:"~'\Sj:,~
Notal)' PUbflC, &Ute c.f ! (;...;~
My CommiSsion EJ(ri:t'5
, NOVEMBER 25 1,~
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,fOR OATIS OF DIAIH AnlR 12/31191 CHICKHIRI
,IF A SPOUSAL
'I POVlAty CRlDIlIS CLAIMID 1
I Fill NUMBIR
I "1
COUNI'i' CODE
\'JUllfljl.. (O"fPlt AJ.lO~I.'I'
. 0 r l' S t iI r k I f~ a I l II C t' It It" r
71l1l \~allllll Illll.llllll Hllll<\
Carli,..)..., PA 171l1'l-'lhIJI)
C"""'(CUUlhCC1UIIU'" ,,' --,.....--~--
,ouu'" "" '''" l\tl"':'~("O"~________,__
II~:~~:~(\
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COMMONW[AUH Of PINN!:I'HVAUIA
OfPARTMfNT Of NIVltwl
OEPI 280601
HA.RRI!lBU~_G.. PA "~2~ ObC1 I
OfCfDlNT'!l NAMf ILA~T. III~' Atm l,l1[J(lll Itl11+A11
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
1)11
YEAR
1I1,ld
NUMBER
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~ocIATlliuiiiyt~-U-M-Biit--_n -.- - - \UAII 01 OIAT" \tlATI 01 !1~1I1
555-12-2'lH2 S-2H-QIl Q-17-17
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00 1. Original Return ] 2. SupplomenTal Return
o 4. limiled E'lale [] 40 Fulufe Inlere,t Compromi,e
liar dale' of dealh alter 12.12.821
[Xl 6. Decedenl Died Te'lale [] 7. Decedent Mainlained n living T ru,1
(Attach copy 01 Willi IAnach copy 01 Tru511
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
Remainder Return
liar dale' 01 dealh prior 1012.13.82)
Federal Ellal" To. Relurn Required
r ] 3
115
Jl B T 010\ Numbef 01 Sofe Deposit 80...05
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COMPlE H MAtLl'lG AOOII(~!l
.671A SOIlLh 36lh Stroot
~rl i ngloll, VA 22206-1725
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(1) NONE
(2)"NO.NE
(J),NON.E.
(41 NONE
(5 )_~J!l' 3~').5)
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NAME
H. H. lIallock. Jr.
l(I(PHONE NUMBtA
L202 I l)42-05(JH
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1. Real e'lole (Schedule A)
2. sfoc~, and Bond. (Schedule 81
3. Cl05ely Held Sloc~/Porlnenhip Inlefel' (Schedule q
4. Mortgoge5 and Nole\ Receivable (Schedule 0)
5. C01h, Bank Oepolil5 & Mi5cellaneouI Perianal Property
(Schedule E)
6. Joinlly Owned Property (Schedule F)
7. Iranll... ISchedule G)ISchedule II
9. TOlol Gran Aneh {lolallinel 1.71
9. Funeral Expen5lu. Admini51rolive Com. Miscellaneo...,
E.pensel (Schedule H)
10. Debit. Mortgage liabililie5. lien, (Schedule I)
11. Total Deductions (totolline, Q & 10)
12. Net Value of Eslale (line 8 minU5 line 11)
13. Charitable and Governmentol 8equelh (Schedule JI
14. Net Value Subiect 10 Tax (line 12 minu\ line 131
15. Spou5al Tran,fen {for dale' of dealh aher 6.30.94)
See In,lruetionl for Ar,plicoble Percentage on Revene
Side. (Indude value, rom Schedule K or Schedule M.l
16. Amount of line 14 taxable at 6% role
(Indude value, horn Schedule K or Schedule M.)
17. Amount of line 14 taxable at 15% role
(Include values from Schedule K or Schedule M.)
18. Principal tax due {Add tax from lines 15, 16 and 17.)
19. Credits Spousal Poverly Credil Prior Payments
-~._-----~--_._-_.- +
+
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,
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17) .-$_.4 ~J,. 58,3..19_
:... t.)
1 B I _I~_..l11_L94 2.1..2
(9) _$..13 ,2!1..(t..2tL___
(101. $-. --5'L1..13 ----.
(II) __$_13_..293...41
(l21_~__U4.149.31
(131 .Jillt:lJL___-
(14) S 1!4, 149.31
(151
__.__X._._..=
(16) S 114,14<),31
x .06 =
_$_. __ !l LIi 4 B .Jl..CJ._ ~ _ .__
(17)
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Inlere,1
(I B) S .0,848.90------
(lQI .--------
(20) .-.-.---
1211 $ 6,B4H.96
(21A)
(21BI S 6. 8/d3. 96
20. II Une 19 j, greater than line 18. enler the difference on line 20. Thi5 j, Ihe OVERPAYMENT.
a O'''':T11,..[.H,.I'''I'I'.'U'.(.J'IIIJ'IIII:~fll"l'l":"r.lI':'J"TI.I'I.'l'J'U~'~"I.111
21.
If line 18 is greater thon line 19, enler the difference on line 21. This i5 the TAX DUE.
A. Enler Ihe inlere5t on lho balance due on line 21 A
8. Enter the tOlal of line 21 and 21A on line 218. Thi5 i, Ihe BALANCE DUE.
Mah Chick Payobl. 10: R.gl'te~ o~. Willi, Agent
_"'n__
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SiDE ANO-TO-RECiiECKMATH ~...c. --------
Under penaltie, 01 perjury. 1 doclare lhat 1 hove ollomined this return. including accompanying Hhedulcs and 51alemenh. and 10 lht' bt'I' 01 my ~nowlcdge and beliel,
it is true, correct and complele. I declare ,hol all real e\loh) hen been reported nltrue mar~el value Declaration 01 preporer o!hcr than thl' p.."onal representative is
ba5ed on 011 informalion 01 which preparer hm any ~nowledge
:G~^o:~~t'lJZ~(i:\,,"G'''U''i-~'~r;117'tA S. ';r.th St.. l\rlin~\L()n, VA 222011 ~:~\I. 27~,-;;~l)Z~
~,6L"l~f omlt, OTI111 I'OAN IlPtl~HjTATI"'1 "Dr'~l~" I'AII
1I'o11Wllli UITI
\ SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
\-
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COMMONWlAUH Of 'lNHSVlVANIA
INHIIITANCI fAX .nUIN
IU10lNf DICIDINf
Ploa,o PrI!'t or Typo
FilE NUMBER
21 (lh-041.3
ESTATE OF
1\1,I;ANOR G. HALI.OCt:
(AU pfOplfty lolntlY.oOWned with the Right of SUfvlvouhlp mull be diu loud ~h.dule F)
VALUE AT
DATE OF DEATH
ITEM
NUMBER
DESCRIPTION
A. LIQUID ASSI;TS
91. h9
$
$
5,958.81
1. Cosh
2. Checking AccoUllt No. 1013-3HhO (Stlltemellt Attllched
Douphill Deposit Bonk and Trust CompllllY
3045 Market Street
Camp lIi11, PA 17011
3. Certificates of Deposit (See Attached Copies)
Dauphin Deposit Balik (Address above)
$ 40,160.66
$ 1,079.81
$ 25,415.11
Certificate No. 8100049831 (Interest MOllthly)
Certificate No. 8t00056161 (Interest Monthly)
Certificate No. 8140131482 (Interest at Maturity)
B. RECEIPTS
$
1,000.00
1. Refund 011 dowllpayment to Nursillg 1I0me
(Green Ridge Village, Newville, PA)
$
138.05
2. Internal Revellue Servious (Adjusted Refund
Received on 1995 Income Taxes (U.S.))
$
352.65
3. Refulld on Cancelled lIealth Insurallce Policy
(Capital Blue Cross/Pellllsy1vania Blue Shield)
$
503.62
4. Refulld of Prepaid Charges for Nursillg 1I0me
(Forest Park lIealth Cellter)
$
273.83
5. Other Refullded Receivables
C. MISCELLANEOUS PROPI;RTY
I. Clothing
$
$
$
449.45
100.00
430.00
(a) Sold 011 COllsigllment (Rag Patch Boutique)
(b) COllsiglled Items Unsold (I;stimated Value)
(c) DOllated to Charity by COllsigllmellt Shop
(Contillued Next Page)
TOTAL (Aba onlor on Ii no 5, Roca i1ulatian) S
(Attach additional 8YJ" )( \1" ,heels if mote 'pate i\ needed.)
ll~lMlII.IJlT)
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploa.o Print or T 0
filE NUMBER
21<J!J-0443
rfj~
COMMONWfAlfH Of PENN~ytVANIA
INHEIITANCI TAX IUUIN
US1DENT DECEDENT
ESTATE Of
I\I.EANOR G. IIALI.OCK
(All propert., lolntl.,-owned with the Right of Survlvor.hlp mu.t be dl.clo.ed on Schedule f)
VALUE AT
DATE OF DEATH
ITEM
NUMBER
DESCRIPTION
C. (C IIt'd)
2. 1I0usehold Goods alld Furllishillgs
(a) Lamp and other Small Items Sold
Directly to Purchaser
(b) Sold at Auction (lIaar's IlIc.)
$
$
75.00
505.55
3. Miscellaneous Valuables (Books, Prillts, Jewelry,
Art alld Decorative Objects)
(a) Asian Art and Decorative Objects sold $ 770.00
Directly to Purchaser
(b) Sold on COllsignment (Collsignmellt Gallery, $ 585.30
Camp lIill, pA)
(c) Unsold Items Remaining on Consigllmellt $ 400.00
(Estimated Value)
4. Property in Decedent's possession (Forest Park
Health Center)
(a) Miscellaneous Clothing (Estimated Value)
(b) Charm Bracelet alld Few Items of
Costume Jewelry (Estimated Value)
(c) Personal Effects
$
$
50.00
20.00
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."
TOTAL (AI.o ontor on Ii no 5, Rocap1tulation) S
<
(Altach additional BY," )( 11" ,heets if more .pate i. ne.ded.)
..,Fli.\lli.\lIQlJl,lllQlJl,llJl,llli.\lJQlJl.\lJ/.ll.ll.llJ/.ll.ll.ll
810004983-1
," j(.\I""'l<.>/j(.\Il<.>/IQ/J<.lI\<-"\<-"lI.)Ij(;,Ij(.\I\t:,/1 .-- NON:NEGOTIAIILE I Nor~ TnANSrEnAIILE
@DAUPHIN DEPOSIT BANK -- CE~T;;ICATE OF DEPOSIT..
~~.~_~VANIA'
DEPOSIlOIJtSI ElEANOR G. (WJ1XJ<
555~12:~~~?,~_
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AOOIJESS 114 NOVENBER DR., # 5 'lA'; [JU'OS.T[Utfll",S IJA"K
CANP HIll, PA 17011 OAUPHIN 40000 :!,-, '~, 0 0 {--~,.,
MEMReR .Dle TEL 730-9301 D E.I' 0 S ; l I,.: 0: .~, " ~. "
$140,000.00
@DAUPHIN DEPOSIT BANK
~~~.~VANIA'
OEPOSITOIJISI ELFANOR G. HAllOCK
AOORESS 114 NOVENBER DR., AYf.# 5
OOIP HIll, PA 17011
MEMBER'DleTEL 730-9301
ISSUE I[HM OF
DATE CERTIFICATE
; I 05/31/94 27 months
~ 0 SINGLE MATURlTV CeRTIfiCATE
E
2 XI AUTOMATICAllY REN[WAlll[ C[RnnCATt
~
ISSUE T[FlM or
DATE CERTlFlCATL:
; 05/18/94 27 months
* \ 0 SINGLE MATURITY CEIHlflCATE
E I
9 ! KJ AUTOMAtICALLY Il[t4(WAt!ll Cnl1lnCAl[
> I
~
MAlURlTV ItJITIAL
DATE It~l[n[ST rlAl[
------
08/31/96 5.25%
snAtK11 IVI'[
014 827
l~"WLST "AiMlE 0 MAIL CHECK
:(XW1IHIH.'t 0 S[MI.At~NLJAlLV 0 CAPITALIZED
{J OUAIHCPLY g ~:~~f~~~~~T't' X>::REOIT AGel NO 1 n-111R6.::0-
nrm t.~PtlorJ AMOUNT
",,,,,,,nl7[o ~ I't.M~~ I flnsl
~-;I(ilj.\1lJlH _ __ l~l _ _L~
a~ooo~qa~m~. q
I: 50 ~ smODOO':
,.____:1
NON-NEGOTIABLE I NON TRANSFERABLE
CERTIFICATE OF DEPOSIT
810005616-1
555-12-2382
l&".""l"~.".'"
,."..,.., .....~.,
$11,000.00 ~
HA', D[POSITEO It,,! THIS BAtJK
MAlUllllY I If~111:\1 ~l---- ____I~.'ll,l..T I't.YAOll 0 MI\lL CHECK
DAlE ~~~~~_~~lll.\~ j 'll'nfl!"'V 0 Sf;MI.AUfllJALlV l7'I CAPITALIZED
j 1.--'. 0 AWJUAllV N
08/18/96 5.25% lJ ()"AnTl n" XXATI.IMUnnV 0 CnEDll ACCT "0
BIlAtJGlt ! I'd [ n[Il[Mf'llor~ AMOutH
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Fidelity A Investments'
New Account Profile
September 08, 1995, ;" ~f--l!.
?,(~: U.' !~ ( C.s, \ _
Cu.lomer Acco~ull1ber, . '; ':. "r; -,i~
Tt091544tt - {,till/I": I 'c, ,. _,', '/ ~j\J 'iLJi\-,
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This form summarize. lhe illformatiol1 we have 011 lIIe about your accoun!. Please review it cmefully alld, iI allY accounl
ownerohip informalioll is Inaccurale, make changes 011 the Correcllolls 10 Your Accounl COUPOII provided or coli Mutual
Fund Account Asslslllnce at 800.544.6666,
Account OwnershIp
.kwlt N.lm.
ELEANOR G HALLOCK
H R HALLOCK JR
,!;o,:.u/~'I1,1J,,'1Ttoe,
555.12.2382
450.68.0405
o.l~e 01 at'"
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4671 A SOUTH 36TH ST
ARLINGTON VA 22206
[U'l"'g '''01'1.
202.942.0568
COlJflt'yolC"....OI'IA~p
U.SA
U'S.A~
D.I,,~OO'!. r\
703.931-2864 (J ": '
. A'IlI' tndlclll. any COfl'etlOnl on ttle Couechonllo Your AccounllOlm mc~ded ",.tt IhI. '~e" Accourc Prol.e
Account SetuD
Account Number
Type of Ownership
Dividends and Capital Gains
Checkwrillno
MoneyLine
Bank Wire
Aulamatlc Accounl Builder
Syslematic Withdrawal Plan
Fldelllv Cash Reserves
055.0519432942
Jolnl WROS
Reinvest all divide lids and copilal !lains in my accoun!.
If elecled, you will receive your checkbook within 3 weeks,
II elected, effective wilhin 20 days.
II elecled, available immediately.
If elected, effeclive Within 20 days.
If elecled, you con make periodic wllhdrawals from your
accoun!.
. - . . . . - - . . - . . . - . - - . - - . - - - . - - - . - - . . - - . - . - - - . ~ - - - - . - - - . . . - - - . . - . - - - . - . . . - - - - . . . - - . . .
Correcllons to Your Account SocialSecurityfTax 10 Number: Dale of Birth:
All owners must sign lhls coupon if changes are required. LW W LLLU W W W
. Jolnl Name:
SoclalSecurityfTax 10 Number: Dale of Birth:
LWWLLLU WWW
Address:
Fidelity Oiltributor. CorporOltion
095090e 0002 01003469
City: Slale: Zip:
W Ul..liJ
Dayllme Phone: ls1 Citizenship:
LW LLLJ LLLU LlLLULJ
Evemng Phone: 211d Clllzel1sh,p 11_,,,,,,,:
LW LLLJ LLLU LlLLULJ
Owner's SlglMture 2nd Owner's Signature I' App"':\bIe) :
I I I I
1.1111,1.1...1.1111I11.11111.1111,1111.11.,1.111.11,1111..1.11
FIDELITY INVESTMENTS
PO 80X 770001
CINCINNATI OH 45277-0002
11111111il7
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SCHEDULE II
FIINEHA!. EXPENSES,
AllflINISTH,\TIVE COSTS ANIl
,HlSCI::LLANIWUS I::XI'!iliSI':S_
Ploa.aPrln'ar~y~-"
FILE NUMBER
21 (lll-O/./,:l
(OIolIolQl......IAllHOf ",,14\11._11'/1.
I,.HI'I,,,,.(I ,...,llll/1I1
'1\1(JIIlIIlHIOlt,1
---c ---'
ESTATE OF
ELEANOH G. IIA!.!.OCK
----....-----..------------
- --_.' --._._.._.._--_.-._._-_.-_.~.
.. .__.._ n__.___.____
.---...------------
ITEM
NUMBER
DESCRIPTION AMOUNT
--_.---- -..----------
A. Fllnerlll EXpCIISCH:
s
6,218.00
1. Hyers-lInrncr Fllncrnl lIomc, Inc.
6,596.60
2. IIl1rrisbllrg Cemetery Assoclntioll
(IlIterment, lIack Care and Elldowment)
s
II. Admillistrativc Costs:
1. PersOllnl Represcntative CommissiollS
Social Sccurity Numbcr of I'ersollal Hepreselltativcs:
Year Commision Paid
2. Attorney Fees
3. Family Exemption
Claimant
Address of Claimant
Street Address
City
Rclatiollship
at decedent's death
Statc Zip Code
4. Probate Fees
Register of Wills (Cllmberlalld County)
$
217.00
C. Hiscellaneous Expellses:
1,6.28
1. Hailing Costs
S
$
S
65.00
31. 92
2. Telefax and Photo C~pyillg
3. Typing
20.48
4. LOllg Ilistallce I'holle Charges
$
5. Register of Wills (Rules of Orphalls' Court)
s
5.00
.-- - .._-- -......- ". -- ._- -_.~-
TOTAL (Aho enter on line 9. Recapitulation)
S_I~,-200. 28
{II mom spoct! j, needed. insert addi'ional ~hee's of some ,izld
, \.
'1'l1\lll1'i'lIIll~:ioloi"(J.
1)<, .' (\
.. .~
(OIrll....ONWI..thIOI PHlN\ll'''''''''.
lNtll'ltAN(lIU'l!UIU
'''lOIft! 01C10m1
\ SCHEDULE I
\ DEBTS OF DECEDENT,
l MORTGAGE LIABILITIES AND LIENS
J
Ploa.. "Print !'Ir T_yp.
FILE NUMBER
219(,-0443
-- --.....-----......-.
ESTATE OF
ELEANOR G. "ALLOCK
-----.----------------
._--_.__.__._--------_._-----------_.~----
AMOUNT
ITEM
NUMBER
DESCRIPTION
--
---
$ 303.50
1.
HediclIl Expellses
$ 102.52
2.
Prescriptioll Drugs
$ 115.66
3.
Internol Revellue Service
(Adjusted Amount Due on 1994 IlIcome Tnx)
4.
Reimbursemellt for Purchase of Persollol
Items (". R. "allock, Jr.)
$ 71.45
TorAL (Also enler on I;ne 10. Recopilulolionl
(" more space is needed, insert addifional sheets of some size.}
$
593. t 3
IY'/(( '/
BUREAU OF INDIVIDUAL TAXES
INIl[RIUNC[ I". DIVISION
Drpr. :.ObOl
ItARAISBURC, PA 1l1"..ObDI
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INNERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
H R HALLOCK JR
4671A S 36TH ST
ARLINGTON
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
05-12-97
IlALLOCK
05-28-96
21 96-0443
CUMBERLAND
101
VA 22206
Anount Renltt.d
*'
.1t.1'" 1111' IU-",
ELEANOR
G
MAKE 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 ~
RiV:i5('-i"Eif-AFi;-io:f:97Y"N(jTicEUliF--iNHEiiiTAtiCE-~r"AX"'A"PPRiiisE'ilENi'-;-AL'i.-liWAtiCE-olimmmu------
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF HALLOCK ELEANOR G FILE NO. 21 96-0443 ACN 101 DATE 05-12-97
APPROVED DEDUCTIONS AND EXEHPTIONS:
13,200.28
9. Funeral ExpensBs/Adn. Costs/Hisc. Expenses (Schedule H) (9)
10. Debts/Hartgogo UoblllUos/Uens (Schodule II 1101 593.13
11. Total Deductions (11)
12. N.t Value of Tax R.turn (12)
13. Charitable/Governnent.l aequasts (Schedule J) (13)
14. Not Voluo of Estoto Subjoct to To. 1141
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSHENT OF TAX:
15. Anount of lin. 14 at Spousal
1&. Anount of line 14 taxable at
17. Anount of line 14 taxabl. at
18. Principal Tax DUB
TAX RETURN WAS: (X I ACCEPTED AS FILED
CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.t. (Schedule Al
2. Stocks and Bonds (Schedule B)
3. Closely Hald stock/Partnership Interest ISchedule CJ
4. Hortgagas/Notes Receivable ISchadule DJ
5. Cash/Bank Daposits/Hisc. Parsonal Property ISchedule EJ
6. Jointly Owned Property (Schedule F)
7. Transfars ISchadule GJ
8. Total Assets
III
(21
(31
141
151
1&1
171
.00
.00
.00
.00
78.359.53
.00
49 ,583.19
IBI
rat.
Lineal/Class A rat.
Collataral/Class B rate
.00
114.149.31
.00
X .00=
X .06=
X .15=
1181
lISl
11&1
1171
TAX CREDITS:
PAYHENT
DATE
02-28-97
DISCOUNT (+1
INTEREST/PEN PAID I-I
.00
RECEIPT
NUHBER
AA185224
AHOUNT PAID
6.848.96
TOTAL TAX CREDIT
BALANCE OF TAX DUEl
INTEREST AND PEN.
TOTAL DUE
NOTE: To insura propar
cr.dit to your account,
subnit the uppar portion
of this forn with your
tax paynant.
127.942.72
B.H3 41
114,149.31
.00
114.149,31
.00
6.848.96
,00
6,848.96
6,848.96
.00
,00
,00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATIDN OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1. ND PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,I
.,
,', ,-!
~'-'
RESERVATION: [,tat.. of dec.dant. dying on or b.'ot. oac..bar 11, l~aZ .. If any lutur. Int.r..t In the a.tat. I. tran.f.rrad
In pOlle,.lon or enJoy..nt to Cia.. B (collelarnll baneflclarle. of the dacadant aftar the a.pit.tlon of any ..tat. for
Ilf. or for y..r., the Co..onwa.llh hateby ..pr..sly t...tva. the right to 8ppral.. and .1'." tran.f.r Inherltanca 'a...
at the lawful Clal. 8 lcollatarall rata on any such future Int.r..t.
PURPOSE OF
HOTICE:
PAV"EHT I
REFUND (CRJI
OBJECTIONS:
ADMIN
ISTRATI\lE
CORREClIONS:
DISCOUNT:
PENAllY;
INTEREST:
10 fulfill the requlr...nt. of Sactlon 11~O of the Inheritance and [,tat. la. Act, Act 11 of l~qS. (71 P.S.
Section 914tOJ.
O.tach the too portion of thl. Natle. and tubalt with your pay.ent to the P.glst.r of Wills prlnt.d on the r.v.rs. sid..
"Halo. ch.ck or eon.y ord.r paYllbl. tal REGISTER or MILLS, AGENT
A r.fund of a tax cr.dlt, which was not r.quast.d on the Yax R.turn, .ay ba r.qu..t.d by co.pl.ting an ~Appllc.tlon
for R.fund of P.nnsylvanla Inh.rltanc. and [.tat. 'a.~ (R[Y-151!1. Applications ar. avall.bl. at the Offlca
of the R.gllt.r of Willi, IIny of the Zl R.v.nu. Ol.trlct Offlc.., or by calling the .p.cial Z4'hour
8n.warlng .arvlc. nu.b.r. for for.. ordarlng: In P.nn.ylvanla 1'800'162'Z050, outlld. p.nn.ylvanla end
within local Harrllburg ar.a (111) 181-8094, IDDI (111) 11l-2lS2 (Haarlng I.palr.d Only).
Any party In Int.ra.t not satl,fl.d with the .ppral....nt. allowanc. or dJ,allowanc. of d.ductlon.. or .I......nt
of ta. (Including discount or Int.r'ltl G' shown on thl. Notlc. 'Ult objact within .I.ty (60) day. of r.c.lpt of
this Notice by:
"wrltt.n prot..t to the PA Oapllrt.ant of Rev.nu., Board of App.als. Dapt. Z81021. Harrisburg, PA I1IZ8'1021. OR
"al.ctlon to have the .attar d.taraln.d at .udlt of the account of the par.onal r.pr...ntatlv.. OR
'-app.al to tha Orphans" Court.
Factual arror. dlscovar.d on thl. 1I.......nt should b. addr....d In writing tal PA D.part..nt of A.v.nu..
Bur.au of Individual Ta.as, ATTNI POlt Ass.....nt R.vl.w Unit, Dapt. 280601, Harrl.burg. PA 111:8-0601
Phon. (711) 187-650S. Sa. page \ of the bookl.t -In.tructlon. for Inh.ritanc. 'ax Raturn for a R..id.nt
D.c.d.nt- (AEY'1501) for an ..plan.tlon 0' .d.Inl.tratlv.ly corr.ctabla .rror..
If any tax due I. paid within thr.. (51 cal.ndar eonths a,ter the d.c.dant'. d.ath. a flv. p.rc.nt IS~) discount of
the tax paid I. .llowad.
Yha IS~ tax aana.ty non'partlclpatlon p.nalty I. coeput.d on the total of the ta. and Int.r.st ....s..d. .nd not
p.ld b.fore J.nuary 18, 1996. the flr.t day .ftar the .nd of the tax a.n..ty p.rlod. 'hi. non-participation
p.nalty I. apP'alabl. In the .fta. .annar and In the the sae. tl.. p.rlod a. YOU would app.al the tax and Int.r..t
that ha. be.n .......d a. Indicat.d on this not Ie..
Intar..t Is charged baglnnlng with flr.t day of dallnquency. or nln. (9) eonthi and on. (I) dfty froe thl data of
d.ath. to the data of ply.lnt. fa.ls which bac.ea dallnqu.nt b.for. January I. 1982 baar Int.r..t .t the rat. of
.Ix (6~) perc.nt par nnnue calcul.tld at a dally rat. of .000164. All ta.a. which blcn.a dlllnqu.nt on and aftar
Janu.ry 1, 1982 will blar Inter..t at II rat, which will vary fro. clIlandar year to cal.ndar yaar with th.t r.t.
.nnouncad by tha PA D.part.ent of Ravonu.. Ih. appllcabl. Inl.r.,t r.t.s for 198Z through 1991 .r.:
~ tnhrnt Alii. Dally Intarnt FAclor ~ Inl.r.st RAI. Dlllly Inhrllt F'lIclor
1982 ZU .000548 19111 9l .000Z41
19U 16;( .000438 1988-1991 III .000101
19114 11" .000501 199Z .~ .000Z41
1911S In .OOOJ~6 1995-1994 ,~ .000192
1986 lU .000Z14 199~-1991 "' .000Z41
--tnt.re.t Is calcul.ted .. follow.:
INTEREST = BALANCE or TAX UNPAID X NUNBER or DAYS DELINQUENT X DAILY INTEREST rACTOR
~-Any Notlc. 1,lu.d after thl ta. bacoea. d.linqu.nt will r"I.ct an Int.r..t c.lcul.tlon to flll..n (I~) d.y.
b.yond the dote of thl a.sa.se.nt. II pay.ant is ..d. IIftar the Int.ra.t cOIPutatlon data shown on the
Notice, Addltlon.1 Int.rest eust b. calcul.ted.
In aUllt.., T'
~ophone:
L
~
....,
:..
.... ','
_ .....a-.a:...
ii&Hmtl l"..~l/.." I
UEQUf.STED
$16)0
--+ - " '
- ~.."
POST OFFICE TO ADDRESSEE 1-x~
"f(EMS~
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See NJ 273 ancI
IntemlDon&! Mal ~
WA,IV(R or SIGt4ATUfl[ lOoole~bC Only) I ....,\" oolr~ery 10 be ",..1l'0 ...."tloul Obla,mnq Tho M~n..1lur~ althe
itt1<.1,t'~\l'o Ot!ho UlMrt'5~I'O !lllq!'"! I" In lt~ Judgement nlthl' d(lh~ory omplOyco, Tho ftrl.clo can be let! lfl a
s~(;uro lix"ll{m) and I dUIl'ouzo IIII' dl'h~f)I.,. Cml\loy'H! 10 S''I" Ihallho 'h.pm...nt ....as dl'l'~ercd .,nd
ul1oJl"Sldnd tha! fT10 s,gn,llu", 01 Tho OOb~Pry ..mployt'o w.11 COf1Slltu!o ~a'K1 ploof 01 dchcry
NO DElIV(R", - .
W!'FH.Hm
HOIIOA,,,,
C"'I.""...!,.r;.I....lI
.
ILAnn 1I11'>~J4
For Pickup or Tracking Call 1-800-222-1811
,.- ...--.-.........--
.......-...~ _--fl..T..~"
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Eleanor- G. Hallock
Date of Death: /olav 28, 1996
Will No. 1996-00443
Admin. No. 2196-0443
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 No X
()() .
Cr.". 1(1
b, The separate Orphans' Court No;' (l.f any)
the personal representative's account is:
:::1
for,
c.
account informally
~
Did the personal representative stat~ an
to the parties in interest? Yes X wNo
:1
d, Copies of receipts, releases, joinders and
". \..
approvals of formal or informal accounts may be filed w~h the--
Cerk of the Orphans' Court and may be attached to this report.
~t\r\ ,I \(JLl(l~
Signature '
Date: February 20, 1997
" R_ HCll1ork. ,1r.
Name (Please type or print)
4671A S. 36th St., Arlinqton, VA 22206
Address
( 202) 942-0568
Tel. No,
Capacity: X
Personal Representative
(MAli: rmfl AM3)
Counsel for personal
representative