HomeMy WebLinkAbout96-00916
PETITION Hm IJIWnATE llnd WtANT OF LETI'EHS
Estate of (II, L '--11\ JJL\:::-J.\ .u.- tl.~~l_il. No. _-- dJ.:__9.,?:...=-?.i.J!.
also known a,s __ ___________. To:
_.__ _________ J{egi~ler of Wills for the
. /),'('<'os,.tI, County of s:.~.LJ k ~ d. in Ihe
Social Security No. 11'/.',' ,--:.]..J.ct..--- Commonwealth of Pennsylvania
The pelition of Ihe undersigned respectfully represenls thai:
Your pelilioner(s), who is/arc 18 years of age or older an Ihe execul....1 "-
in Ihe lasl will of Ihe nbove decedent, dated -::;- " 1-~1 Y
and eodicil(s) daled
named
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(!ot.lle relevant cir~um~lanCC!l. c.(t. rc:nundalion, death or cw:ulOr, eIC.)
Decendenl was domiciled at death in Go lrll)(~,if111 tL . COUnlY, Pennsylvan'a, with
hi", listfamilyorprincipalrcsidenc~al ("n').. C'._II"L-")'-,(" ~
,11t-L.Y'l1/10',l'K,n', !.!fl l"7o.\.~ ~jl'jJl"R I'iL/...ufl) TwP
.....~ (li"l meel, number and mundJ""IiIY)
Decendelll, then, ---->'-;J '- /4~i of age, died I) 1'1,"~ ",/"","' ,'I , 19'/"1 .
al i-IlllIlll~I~;cJ~~_l-k " ,HM1IW"( ~ P'h-. .
Excepl as follows, decedent did not marry, was not div reed and did not have a child born or adopted
afler eX",Ulion of the willl,rr~red for probate; was not the victim of a killing and was never adjudicaled
incompelelll:
Deeendenl at death owned r-roperty with eSlimaled values as follows:
(If domiciled in Pa.) All personal properlY
(If not domidled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in CoulllY
Value of real eSlllle in Pennsylvania
situaled as follows:
s ! CJ(CJ,uO
s
S
S
WHEREFORE. pelilioner(s) respeel fully requesl(s) the probate of Ihe last will and codicil(s)
prr<ented herewith and the grant of lellers ',,-<;-\<'/ ,n' ,,:\ II ilV
11~'t3m(ntiU)'; adm;ni\lraliOn ':.1.3.; adminimalion d.b.n.t.c.a.)
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OATH OF PEHSONAL REPRESENTATIVE
COMMONWEALTH 01-' PENNSYLVANIA }-8
COUNTY OF _JUHlI}::.R1.AND ~
Sworn to or affirmed and subscribed {
before me Ihb _-DJ'---- day of
'-r~I~.l.W~~-- 19~
""1'/,1<.. ~, .:':l-P3'~.l'.s..~.'&"~
1 3'J - 1 li.<-1'L ...l<} R"Ristet
The pr.lIli,'nor(s) above-lh'.meJ \wear(,) or affirm(s) Ihallhe 'Ialcments in Ihe foregoing petition arc
Irue and COIrect 10 'he be'l of thl~ kilOwlcdge 'lIId bclief of petitionerls) and Ihal as personal represen.
lalivels) of Iho above deecdcnl p:.tilioner(s) will well and Iruly administer Ihe estate according 10 law.
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No. 2 I -96-916
Eslale of WII.LIAH G. p~:n:RS SR
, Deceased
DECREE Of' PROBATE AND GRANT Of' LETTERS
and lellers
are hereby granted 10
AND NOW NOVEHBER 13 19-2-6_. in consideration of Ihe petition on
the reverse side hereof. satisfaclory proof having been presemed before me.
IT IS DECREED Ihallhe instrument!s) dated JULY 8. 1977
described Iherein be admilled 10 probate and filed of record as the last will of
WILLIAM G. PETERS SR
TESTAHENTARY
DARLA M. PETERS
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Re)[hl.:r of Wills
FEES
Pro bale. lellers. Ele. ......... $ 1 R . 00
Short Certificales! ).......... $
Renuocialioo ................ $
JCP $ 5.00
TOTAL _ $ 23.00
Filed . .~9YF=.t-!~~~. .q,. .m~.............
AITORNEY (Sup. Ct. J.D. No.)
ADDRESS
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CALLED EXECUTRIX NOVEMBER 14. 1996
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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UOTHE'...NAMflhllM4S. u_s..1'IIf"OtI
" Anna P. Bar low
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21-96-916
I WIlliam G. Peters, Sr. of Fairview Township, York County,
Pennsylvania, declare this to be my last will and revoke any wills
previously made by me.
Item I. I devise and bequeath all of my estate of every nature
and wherever situate to my wife, Uarla M. Peters, provided she
survive me by thirty days.
Item 11. ~hould Darla M. Peters die on or before the thirtieth
day following my death, ~ devise and bequeath allot my est&te of
every nature and wherever situate to William u. Peters Jr. and
Roxann L. Peters in equal shares.
~tem III. I appoint Darla M. Peters executrix of this my last
will.
Item IV. Idirect that my executrix shall not be required to give
bond for the faithful performance of her duties in this or any other
jurisdiction.
Item Y. ~direct that all taxes that may be assessed in the
consequence of my death, of whatever jurisdiction amposed shall be
paid from my estate as a part of the expense of the administration
of my estate.
In Il1 tness Whereof, I have hereunto set my hand thi s g [j day
of .TuL-'/ 1977.
~...~~~s:c,
William G. Pe ers, lJr.
The preceding instrument consisting of one typewritten page
identified by the signature of the testator was on the day and date
thereof signed, published, and declared by ftilliam ~. ~eters, dr.
the testator therein named as and for his last will in the presence
of us, who at his request, in his presence, and in the presence
of each other have subscribed our nam!S, as witnesses hereto.
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STATUS REPORT UNDER RULE 6.12
Will NO.~lr-
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Admin. NO.J.j\, JY1~,- (\ 11~
Name of Decedent:
Date of Death:
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 No L--
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete: ~""'\)'II 'P '\ ct- \ J..(, Cl 0
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
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: \ \ - \1- <, (t
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Signature
D ~RL?\ fl'\. ~EIt.RS.
Name (Please type or print)
\ R,~d- \\ \)\ \~ -\)'r '. ((/ HI/~ 'PIA
Address ' 11011
(717) 7bl- 11~'1
Te 1. No,
Capacity:
L- Personal Representative
Counsel for personal
representative
(Ml\H: rmfl AM3)
. Complete Items I, 2, and 3. Also complete
Item 4 II Restricted Delivery Is desired.
. Print your name and address on tho reverse
SO that we can return the card to you.
. Allach this card to the back of the mallploce,
or on the Imnt If space pennlts.
1. Article Addressed to:
])/\ lZlA IYl PET E::R~
1&52- I'\DLL\/ bR/\JE
CA-tnP l-hlL, p\. I7CII
o Agent l:l I
o Addresso. ~
D. Is delNely add.... d'"etenl ,tem t1 0 Ves l:l L_
II YES. enlef' delivery address below: 0 No U"1 ---..-----1
[J"'" I'(",'.lj"is
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o Registered D Return Receipt 'Of Mcrchandi5 C Tola' Po.taglt & Fpes l S
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2. Ar1~1e N~ (Copy from service label1
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PS Fonn 3811. July 1999
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ntDllune 30, 1992/17858
In Re: Estateof wiIliilm G. peters sr.
Late of IIPPPIl M,U'N 'l'OWNSlltP
OIlI'I1ANS' COUItT I>1VISION,
COUIlT 01' COMMON I'LEAS 01'
CUMllElU.ANI> COUNTY
I'ENNSYLVANIA
Estate No.:
21_1996-0916
No 19%_OQH
NonCE OF FAILURE TO FILE SfATtJS REPORT ANO REQUEST TO
CONOUer A HEARING PURSUANT TO RULE 6.IZ, SUPREME COURT
ORPHANS' COURT RULE
pCfSOoaI Representative:
Dnr1a H. peters
Counsel for pCfSOnal Representative:
Date of Decedent's Death: 11-17-1994
Date of Delinquency Notice: 10_9_2000
The undersigocd, Mary C. Lewis, Register of Wills, in accordance with Rule 6.12, Supreme
Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of
Cumberland County, that neither the above named personal representative nor the above oamcd counsel
for the personal representative have filed with the Register of Wills or Cleric of the Orphans' Court his,
her or ilS StatuS Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite
ootice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Register of Wills
on , n_o ' 2,l)OO, and that the ten (10) day notice to file the Status Report has expired.
Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the
Ulldersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed
upon the delinquent personal representative or counstfi r.th.e del!nquent personal represeotat~JJ.r
Date: 12_13_2000_ [L I, '\- ( 'rilJ>>'UtJiJ
IS, Register 0 Wills
Distribution: Personal Reprcsentative
Counsel for Persooal Representative
Eslate File
1\ hearing is scheduled [or "\ IrZ (to II :)(
coortroom no. 3. If the stntus report!. is [lied prior
hearing will nutomntical1y be cancelled.
ilt /1' .J( /J. ,/,/.
to the hearing dnte, the
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Name of Decedent: (-.::-, , -::, R...
,
Date of Death: \ \- \1 - \ 'i '7 lj
Will No, \,\q/r,- ()O'l \\0 Admin. No. P?r clJ '/ b--o'11 Ie,
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 No f....-/
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete: -:S-U\~'~ 'J..CJO ,
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
b. The !wpar.alr! OqJhilns' ('''urt No. (if any) for
the personal representative's account is:
c. Did t.he pel.sonal l'elJ!'espntative state an
account informally to the parties in intp.r..st.? Yes No
d. Copies of recp.ipts, r~leases, 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.
\~\, PETERS
type or print)
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Addre5S-C.t\VI'I.~~,\\ I. \;) f\ ,17011
[117) '7 b I - 1'1 57
1'e 1. No),
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Signat.u'r'e
UAR.I..f\
Name (Please
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Da te : ~. O~ - d-OO \
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Capacity' Personal Representative
( MAil , rm f / AM 3 )
Counsel for personal
representative
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STATUS REPORT UNDER RULE 6.12
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Name of Decedent: \J. \ \ I Itl' 1<1 ~-, \ (~i-,\-\ -~ t",
Date of Death: \ \ - \ "1 - 'i Y
Will No. 1ft CIln - (,C'l'l.jl"
Admin. No. \-I'M ;), \9.ln-nCUlr
Pursuant to Ruie 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 l/ 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 v No
~ l/c.{o.s r'd.
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.
Date: 11-llo-O'J...
CVV:l&:."< ~ :V~"'4-
Signat.ure
\) l'Ill.L(>. VV,. ?~P\-S
Name (Please type or print)
WoS:)... t\CJ\\~ DI\ I
Address c.-I'>.'MJl \-\-'\\. f>I\, 11011
.t2J1) '7(.,1 - '1QS9
Tel. No.
Capacity:
~Personal Representative
(MAH: rmf/ AM))
Counsel for personal
representative
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Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717) 240-6345
.
..
Date: 10/08/2002
DARLA M PETERS
1852 HOLLY DRIVE
CAMP HILL, PA 17011
RE: Estate of PETERS WILLIAM G SR
File Number: 1996-00916
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing will become delinquent on: 11/17/2002
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
D .~U tJ-dff'di)~
tfJ~"'VX4J' I 1:1u:,fJU
MARY C. LEWIS ~f)~.
REGISTER OF WILLS
cc: File
Counsel
Judge
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COMMONW[Al'lt or l'lWj5~lVMjlA
O[PAR1MWt 0'- 'lLVltiUl
Ilull[ALJOf INDIVIDuAL '1\,15
Drp, :00601
HAIlIlt!:OlIu1i"-;. PA 111;'9 ONJI
IItV llfi:i' I Xl' 1 ~)(jl
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 001856
DARlA M PETERS
1852 HOllY DRIVE
CAMP Hill, PA 17011
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
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101
$144.25
ESTATE INFORMATION: SSN: 194,28.9308
FILE NUMBER: 2196-0916
DECEDENT NAME: PETERS WilLIAM G SR
DATE OF PAYMENT: 11/19/2002
POSTMARK DATE: 11/18/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 11 / 17/1994
TOTAL AMOUNT PAID:
$144.25
REMARKS: DARlA M PETERS
CHECK II 4867
SEAL
INITIALS: JA
RECEIVED BY:
MARY C. lEWIS
REGISTER OF WillS
REGISTER OF WILLS
IUV UOO o. 11 QAt
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I'
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
\ '5 \ ~'1 1
,OA DAllS 0' DIAlH A"ER 12/31191 CHICK HIAI
If A SPOUSAL
POVIATY CAlDIIIS CLAIMID I]
fill NUMBER
2\
COll'HY COOl
<1(0
Y1AR
q,/o
NUMBIR
[J 4.
[.i(b
limiled e'Iale
(OMMOt'Wr.AlHt Of rt'm!llIV.At~IA
OrpUIM(NT 01 Jl[vHWI
0(" 280bOI
ttARJt\~IlURG_ P.A "128060 I
olcton.' S 'lAMl [lASI,'IISI AlW MtVVllltjlllAl1
J}.-I~\>.'._',,\.., l'. :\h'I~1 (:.
SOCIAl SlCUllll' 'lUMIlI I(lA'IO'11'Alt1 !UAll (if lIillltl
_l'.l~L~\~L~'L-!_(,r: _ \I'\l"I~ .I'?"I'-~lco".., . .
I' U'I'(Ulll 'U"." ..e. VOuIl' ..u.\ :,..,, 1..\1....,'.... ~,h' "'.',61, 1~(:(I:' ~HUIIII'.'lU"'UIl . _ rA"'rJ\Jt~I 1I((II~l[.l !~ll IPj~tIlU(!i()tl!.)
,_?!':"~'::..\:.L__ D,"~Lf'- ,_ .. III _ ,)(,'l"l~~'~: {(Ill . ,L ;-\C,q,_'l\.,__, __mm___
lXJ l. Original Relurn ! 2. Supplemenlol Rnlurn [ ! 3 Remainder Reluln
Ifor dales of dealh prior 1012.13.821
[j 5. federal eslale Tall Return Required
08 TOlal Number of Sole Deposil Bales
Vie I III Ijl ~ (OMPlIIl AO(III' ~\
j 40 Fulule Inlnrcul Compromile
(for dollll of deolh oller 12.12.82)
Decedent Died teltate 7 Dncedenl Maintained 0 living T'u,I
(Anach copy 01 Willi (Allath copy of T ru't)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
. .... I~AM(
~~ 0 l\ RL 1-\_\\\,_\) E]EQ.,<;
8~ IfIfPHON( NUMBEIt
--, { '((L)=_~L~J, .co':L1.~:'1
I.
2
J.
4.
5.
z
'" b.
;:
:5 7.
::>
~
0: 8
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u 9.
w
<<
10.
II.
12,
IJ.
14,
15.
lb.
17,
z
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;: 18,
c
~
::> 19,
..
:Ii
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u
>< 20.
c
~
___._..... u.._
_~~_~_~m__
Real Eo'ale IS,hed,'e Al { I I
Sla,k. ond Band. {S,hed,'e BI { 21
Clalely Held Stock/Partnership Inler"s' (Schedule C) ( 3 )
Mortgages and Notes Receivable (Schedule D) ( 4 I
Cosh, Bonk Depo,its & Miscellaneou, Personal Properly 151
(S,hed,'e E)
Jointly Owned Property (Schedule FJ ( 6 )
l,onsl... IS,hed,re GIIS,hed,le LI 171
Total Gran Aue" (tolollines 1.7)
Funeral hpen,es. Administrolivc COI", Miscellaneou, ( Q )
Ellpenses (Schedule H)
Debts, Morlgage liabililies. lien, (Schedule I) {I 0)
10101 Deduction, (total lines 9 & 10)
Net Value of eslate (line 8 minus Line 11)
Charitable and Governmenlal Beques" (Schedule Jl
Nel Value Subject to To... (line 12 minus line 13)
Spousal Transfers Ifor dotes of deolh after 6.30.941
See Instructions for Applicable Percentage on Reverse (15)
Side. (Include values from Schedule K or Schedule M)
Amount of Line 14 lOll able 01 6% role (16)
(Include values from Sthedule K or Schedule M-I
Amount of Line 14 lallable at 15% role (17)
(Include values from Schedule K or Sthedule M_I
Principal tall due (Add tall from line, 15. 16 and 17.)
Credits Spousal Poverty Credit Prior Paymenh
+
+
(OMPUI( MAllltlC, ADOllfS~
I? S;j.. 1-1";/;1 DR.
CI1I1/(' 1-1:11 PIl,
; 70//
_. _.~ _____ u
--~_._~---
____u___.~__
---_._------~~--
\ ';./l::'(S" '10
\ l' , J: I~J,'SS'
(c- I (.11 ,J. \
181 .
\ :; I \0'15' (/(\u
lie I ,)ql ,~,lt-__u
t)., '\ u.l\..d,
(111
(121
(lJI . ,,-,
__.._.___~___c..=c d., ,'I (,l\ .1 l,
x. =
.;:)., ~\ (,I.\., \ '-\ . .06 =
\'1'\ ,,;).$'",m
. .15 =
(18)
\'\ll,;}.S
DiiCount
Inlere'l
(191
1201
If line 19 is 9reoler than line 18, enter lhe difference on Uno 20. This is the OVERPAYMENT.
(;!O
Check hore if you aro requesling a r.fund of your overpayment.
\'1'\. '6S
, 1211
,?..1\121AI
121BI
1'\'\' 'JS,
21. If line 18 is greater than Une 19. enter the difference on line 21. This is the TAX DUE.
A.Enterthejntere"anthebalantedueonLine2IA.\-I\t-,,:,~, l....."-\..\(I\. ~ ~.".,\
B. Enter the total of Line 21 and 21A an line 218. Thi, is the BALANCE DUE.
Moh ChIck Payable to: _R.~hl.r of Wl11" A.g.nt
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-<
l.l~der penallie, of perjury, I declore that I hove uamined Ihi, return, including Q((ompanying schedulel and 'Ialemen": and 10 Ihe b;~,~r;;'y''''i~~:'I;dg-;'~-~d-b'~liel:
t lltrue, carrcct and complele. I declare that all real .s'ale has boen reporled allrue market value_ Declaration of preporef olher Ihan Ihe per,onal feprelenlalive i,
:lased on 011 information of which preparef has any knowledge.
)IGNAtult( Of P(IIS0N It[SPON~j!LI fOR FIliNG RfTUii~~O"Di(.s~-.__._.-.----_-_-n__- ----- u _m - ~--- ~- "" -- ,,-- --- __~u_____ -.---- cA-it- - ----- ----- -- "-" .". ---
C\i. ,(\>i..c.~,- . -\;Jc\.e'l,___\.5;,5Ln\:\.;.,\h,';lll...Ch"'" \\~\\.\~'iL\J('\L,__n_
ilQNA'UR( 0' PIt(PAIl(ll OlHlIl tHAN RlPIIUWUlh'( AODlIl~~;,J t'"
.\\-\Y,,:__(~Jo, ,__
OAIE
I'
",,,,,,,,,'911 ~
COM.MONWI..~IH Of P1NN~f\~AUIA
INH'IIIANCl IUIIlufl4
n'IDINIDICIDttll
j SCHEDULE I
DEBTS OF DECEDENT,
. MORTGAGE LIABILITIES AND LIENS
Plea.. Print "r TYP,e ,
fiLE NUMBER
/?9b- CJ'7I("
ESTATE OF
ttJ, il:am (.;., R,f~rS .s r-
ITEM
NUMIlER
DESCRIPTION
AMOUNT
1.
c.. he, s <? W. Cl )\ \\C\ \\ ~" \~)(\ \\ \!.
LIJlDt:l \ , lJ 0
g..
\-\ t'U~" \0\6 'e,c, \\ \<.
~I "IS. a!'
3
4"'0,'1("
Cu\l.l:. S I Ml:.~ e, A 1\lK..
t.t
~ (>Q r<;' \\<.l.e'au <:. \, o.Ir C. C'
"I 'ti\. :l.O
TOTAL (Alio enler on line 10, Recapitulation)
(If more space is needed, insert oddi,ional sheels 0' some size.'
s ~,()\CI':).I
_,..-It"l.'ll"!
,,~ ~1. rt\
~ 'il"~
COMMOHW( AlIU Of "NN!lYIVAWA
tNtHRIIM~(( IoU Il(TUAf~
R(!I10lNf O(CfOUH
- ...-- .---
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
ITEM
NUMBER
A.
B.
4,
C.
1.
2,
3,
4,
5.
6,
7,
8,
I
I Ploa.. Print ~r !Ypo
rLE NUMBER
.. 'pu \ C'\. (H,- t,\q lb
"^-,, ; \ \\ Cl "- <;- .
\J. ,-\-<-\. S
c:
,;-"
DESCRIPTION
1.
Funoral Expon...:
PCl'I--\ "'., 'f)\on~ ~'-' ""'N' \ \--\NII e.
~tJ\\~\\~ ,l::r\-"'..,,., c.l~'''l?i\''~~
(.,..., ....~"'\d" \\\ (> '''0',.\ ,,\!.
Admlnl.tratlve Co.t..
1.
Porsonal Represontativo Commissions
Social Securily Number of Personal Repre,entative: _~_,
Year Commi..ian, paid
2,
Allorney Fee,
3,
Fomily Exemption
Claimant
Relotionlhip
Addre.. of Claimant at decedont', death
Street Addre..
City
Stoto ____ Zip Code
Probate Fee,
d- ~ .00
MI.eollaneou. Expen.e..
~\Ul"\- Rc.>SCUl" 0", \-\C.....~'~'u"4
TOTAL (AI,o enter an line 9, Recapilulation)
(If mora .paee I. needed, In.ert additional .heets of .amo .1.0.)
AMOUNT
'1,::,'J.o" ,65
loSS-,ll <:l
\~:?'4,M
I
'J. ~.("O
7:'l\. So
S\O/;}.'1o.,ss-
IIV.IJUI..lll'l
"
~:ti
(O........ONYoIAtlll 01 '''.tn''V",..A
IHHIIIIAHCI 'A. IIIUI'"
IIIIOIH' OIUOIHI
"."" - ~ . ._-. -
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUMBER
ITEM
NUMBER
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
A. Taxable Sequel's:
C'
_.) pC u~~_
';)..L\ Clq .1 ~
I
I.
~ I\~'-"
\~S<).
c..",,,,,,-~
\-'011
I'V\., \'::Ic,*"t'~
t\o\\~ \)...,
\.1,- ~\\ , \:> ,\\,
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
8. Charitable and Governmenlal Bequests:
I.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo onlo, on line 13, Recop;lulal;on) S
IIf more space Is needed, inlert addllfonallhee" of same Ibel
,
, ..,j 1 UU Uuw luw/whip, ~ork County,
! UIIlWY!vUllin, declul'o this to be my last will and revoke any wills
provioualy mndo by me.
Ttem I. I devise and bequeath all of my oatato of every nature
nnd wherever [d tUllte to my wife, IJarla 1'10 Patora, provided ohe
survive me by thirty days.
Item ll. jhould DarIn M. Peters die on or bofore the thirtieth
day following my death, 1 devise and bequeath all of my est~te of
ever,y nature and wherever oi tun.te to William u. Peters Jr. and
Hoxann 1,. PeterA in equal shares.
item III. I appoint DarIa M. Peters executrix of this my last
will.
It.om IV. Idirect that my executrix shall not be required to give
bonel for the fai th rill performance of hor duties in this or any other
jurisdiction.
Item Y. J.direct that nIl taxes that mn,y be assessed in the
consequence of my death, of whatever jurisdiction amposed shall be
paid from my estate as a part of the expenae of the administration
of m.y estate,
In rlitness Whereof, I have hereunto oet my hand this ~~ d83
of .ToL-"/ 1977.
.---
9K
William U. Pe ers,
s::".
,
The preceding instrument consisting of one typewritten page
identified by the signature of the testator was on the day and date
thereof signed, published, and declared by l'Iilliam (7. .t'eters, .:sr.
the testator therein named as and for his last will in the presence
of us, who at his request, in his presence, and in the presence
of each other hnve subscribed our namBE. as witnesses hereto.
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. Address
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COMMOt4\'o'[Alllt 01 l'IIof4:-"'lVM.I"
OIPAIHMP.t 0' ll[vHjU(
DUIl[AU OF 1~.OIVI(}UAl TA'I~;
OU" ~80{jOl
t"'IIII'~>lIlJ'h,I'^11'~1I011("
III V t1lii'IJl:l1t %1
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL I1ECEIPT
NO. CD 002006
DARlA M PETERS
1852 HOllY DRIVE
CAMP Hill, PA 17011
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
.............,
101
$86.19
ESTATE INFORMATION: SSN: 194.28.9308
FILE NUMBER: 2196-0916
DECEDENT NAME: PETERS WilLIAM G SR
DATE OF PAYMENT: 12/31/2002
POSTMARK DATE: 1 2/20/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 11/17/1994
TOTAL AMOUNT PAID:
$86.19
REMARKS: DARlA M PETERS
CHECKI/4878
SEAL
INITIALS: JA
RECEIVED BY:
DONNA M. OTTO
DEPUTY REGISTER OF WillS
REGISTER OF WILLS
\. ,/.s- -139.7
BUREAU OF INOIVIDUAL TAXES
INHERITANC[ fAX DIVISION
D(Pl. l80bDl
ItARAlSBUAC, PI. 111:8.0&Dl
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INNERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
12-23-2002
PETERS
11-17-1994
21 96-0916
CUHBERLAND
101
AIIQunt R...t H.d
DARLA H PETERS
1852 HOLLY DR
CAHP HILL
PA 17011
*'
"'.IU'" iI. III-Ill
WILLIAH
G
HAKE CHECK PAYABLE AND REHIT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiE'v:is4-j-Eif-"FP--ioFozrijoTicniF-'X-NHE'RiTANCE-TAiDippRA'isEHEij:r,--"LrOWANCE-ifR-----------m-n
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF PETERS WILLIAH G FILE NO, 21 96-0916 ACN 101 DATE 12-23-2002
TAX RETURN WAS: (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. RooI Estoto ISchodulo AI
2. stocks and Bonds (Schedule B)
3. Closely Held stock/Partnership Interest (Schedule CJ
4. Hartg.gas/Notes Recetvable (Schedule OJ
5. Cash/Sank Deposlts/Hlsc. Personal Property (Schedule EJ
6. Jointly Owned Property (Schedule fJ
7. Transfers (Schedule OJ
8. Total Assets
1 CHANGED
III
12)
131
(41
(51
(61
171
,00
.00
.00
.00
18.695.90
.00
.00
181
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. Funeral Expenses/Ad... Costs/Hlsc. Expenses (Schedule HI
10. Debts/Hartgage Liabilities/Liens (Schedule I)
11. TotoI Doductions
12. N.t Value of Tax Return
13. Charitable/Governnent.l Bequestsj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
10,272.55
6.019.21
nil
112)
1131
1141
19)
nO)
NOTE: To insure proper
credit to your account,
subnit the upper portion
of this fora with your
tax paynent.
18,695.90
16,?91 76
2,404.14
.00
2,404.14
NOTE: If an assessment was issued previously, lines 14, 15 and/or 1&, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date,
ASSESSHENT OF TAX: .00 03
IS. Anount of LIne 14 .t Spousal r.te 115) X = .00
16. Anount of LIne 14 taxable at LIne.l/Class A rate 1161 2,404.14 X 06 = 144.25
17. AMount of Lino 14 ot Sibling roto 1171 .00 X 00 = .00
18. AMount of LIne 14 taxable .t Coll.teral/Class B rate 1181 ,00 X 15 = .00
19. PrIncIpal Tax Due (191= 144.25
DATE
11-18-2002
NUHBER
CD001856
INTEREST/PEN PAID 1-)
.00
AHOUNT PAID
144.25
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-19-2002 TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN,
TOTAL DUE
144.25
.00
86.19
86.19
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF AODITIONAL INTEREST,
( IF TOTAL DUE IS LESS TNAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" (CRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
AS-/:39- 7
" BUREAU OF INDIVIDUAL TAXES
lHltEAITANCE lAM: DIVISION
PEPT. lean.
tIARAISIURG, PA .'US-OUI
*'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
.".IUIII &f. UHII
DARLA H PETERS
1852 HOLLY DR
CAHP HILL
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
01-21-2003
PETERS
11-17-1994
21 96-0916
CUM8ERLAND
101
Allaunt Ra..ltt.d
WILLIAM
PA 17011
HAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUM8ERLAND CO COURT HOUSE
CARLISLE. PA 17013
HOTE: To Insur. proper credit to your account, subMit the upper portion of this farn with your tax pay.ant.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiili:i6'iWEX-'\j:p-fiiFii:ff------.ii.--iNHEiiiTAiic'E-i';iif-STAYEii'{rii'-OF-ACCOliiiyn.-..m-m-m----------
ESTATE OF PETERS WILLIAH G FILE NO, 21 96-0916 ACN 101 DATE 01-21-2003
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE, SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE.
A PROJECTED INTEREST FIGURE,
DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT, 12-23-2002
PRINCIPAL TAX DUE ,.__ ,_,._ 144.25
PAYHENTS (TAX CREDITS),
PAYHENT
DATE
11-18-2002
12-20-2002
RECEIPT
NUMBER
CD001856
CD002006
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
86.19 -
AHOUNT PAID
144.25
86.19
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN,
TOTAL DUE
144.25
.00
.00
.00
. IF PAID AFTER THIS DATE. SEE REVERSE
SIDE FDR CALCULATIDN OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN $1.
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CR I,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I
G