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HomeMy WebLinkAbout96-01010 '0 CD a 1;; .~ No, 21-96-1010 Eslnlc of LAURA II. SARGENT , Ilcccnscd DECREE 01' PROBATE AND GRANT 01' LETTERS AND NOW DECEMBER 9, 19~, in consideration or the petition on the reverse side hereor, salisraclOry proor having been presenled bcrore me, IT IS DECREED thai the instrumenl(s) dated SEPTEMBER 16, 1991 described therein be admilled 10 probate and riled or record as Ihe lasl will or 'AlIRh H HARr.F.NT TESTAMENTARY ROBERT H. SARGENT and Lellers are hereby granled to 'Ii ' v. (I (, ,) V"-'.f, (- )r lJ (I I/U.,)/'" . If I' f J.J/A...L1P{~L(_ Rc@iilcr of Wills J FEES Probale, Lellers. Etc. ......... $ 115.00 Short Certilieates(4 ) .. .. . .. .., $ 12.00 ROOIIOO!I!~ EXTRA. .UC~s.. $ 3.00 JCP $ 5.00 TOTAL _ $ 135.00 Filed Al\lfl'l'l.I\l\I.t. .9.,.. ~?9.~......... . ..... ATTORNEY (Sup. Cr. 1.0. No.) ADDRESS PIlONE l)l MAILED LETTERS AND ORDERS TO EXECUTOR DECEMBER to, t 996 , 21-96-1010 LflS'l' WILl, fiND '1'ESTl\MEN'I' OF LflURJ\ II. SflRGEN'1' De it known to all persons, that I, I,aura II. Sargent, of the town of Marlton, New Jersey, do hereby make, publish and declare this to be my last will and testament, hereby revoking all previous wills and codicils made by me at any time heretofore. First, I appoint my second son, Robert fl. Sargent, of cherry Hill, New Jersey, to be the executor of this will, to serve without bond. Should he be unable to serve, then I appoint my son, Wesson P. Sargent, of Goleta, California, either to serve or to appoint an alternate executor. Second, I direct my executor to pay my funeral expenses, my just debts, and any estate taxes and costs from my estate. Third, I direct my executor to convert the remainder of my estate, both in real property and personal possessions, into cash in any manner that he may choose, and to distribute it as follows: a. 25% of the remainder to be divided equally among the following Christian organizations: (1) Northfield Bible Conference, Northfield, Massachusetts; (2) flssociation of Baptists for World Evangelism, Cherry Hill, New Jersey; and (3) Bethany Baptist Church, North Road, East Windsor, Connecticut. b. 75% of the remainder to be divided into three parts as follows: 33% for John D. Sargent, of Harare, Zimbabwe, t \ . .., .. Last will and testament, page 2 Africa; 33% for Wesson P. Sargent, of Goleta, California; and 34% for Robert II. Sargent, of Cherry lIi11, New Jersey. The extra one percent for Robert is in gratitude for the work he has done in caring for my business, which the other two boys were not able to do. c. If any of my sons has predeceased me, then their share of my estate shall go to their wives with the intention of providing both for the wife and for the children of each son. Signed X It~ J tlwU,J/- Laura H. s~~nt u= . ..deJ. /t Date' If/ We, Laura H. sargent,d. (!}W.;1i-(tf rltrh~".iJ-I.' CJ.p~~f.~'v, an ' the testator a~ w~tnesses, names are signed to the attached instrument, resp being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as her last will and that she signed voluntarily and that each of the witnesses in the presence of the testator, at her request, and in the presence of each other, signed the will as witness and that to the best of knowledge of each witness, the testator was at this time of sound mind and under no constraint or ANN[ II. HARE NOTARY PUBlIt Of NtW J(RS[f llY COMMISSIOH EXPIRES OECEMIlDl .. ~ '7Jt undue influence. CERTIFICATION OF NO~~C~:_UNDE'U.i!l.!!E ,5.6{21 .,;-" 4 '1 Name of Decedent: ,.;X..(L..(.{..,~ , "Jtt..t-f'Jd: of Death: /J-:J.7-clv Date Will No. Admin. tlo. I qc; ~, - cJ /0/0 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 uf the above-captioned estate on M~ ,U>. 1'l'1 Co : f. ".l:t,'<'.-k1 .f . Address o L c'-"'(;'r ~~fJ. ~'Ct1~ Z -t,;.ba.t/.L.(1 I ~';'.i ,tlot",iJ .'l;' ,,', !J<.......,'-'HLvr.;;,t.r."tj,.,~ p,4- Sir" il lJ-<.t.-\.'it" .C,t/I lfJ Ac-ii.ta: t A ~ Notice has now been given to all persons entitled thereto under Rule 5.6(a) except -0- Date: :3' / - <71 _~11k-t'f' Signature II ' /d.ot''4-r-.-<4~'i/ 'I "::t ,-'<1: .~ N 0 !!1 '(L "oJ 0- . , .. oq I - " n: ~ L ,;) .:.J ,~ " !3\ i:: ala: ~:> a: uu Name I~(t.ll FA, I{ "5kA!. (j 1?f1'1' Address (~.:J.) A...4...f Ik.,{/; 1'i:Ul ,q.tt',.,-;.Jw'(",ctn... ?;r / 7C'!J t- Telephone(7l7l 53-::' :J,~-~/O Capacity: X Personal Representative Counsel for personal representative !I Iff v I ~oo fl. 11lJ~1 1l~.:J~:'}t\ -.).'Of/}~ 11/1, .. (- INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) COUNIY CODE COMM(HlWfAIHI 01 f'ftm~HvAUIA Uf,.u1MINlOlIl(VWUf Dr" ]IObOl UAlIRlSIUIO 'A 111180001 Olelo".1 ~ 'lAMlllA!ll IIIH Atlll MIDDII Hll"-"LI .S/I !\(\ f= Nt.. LlJ II RfI )/. ,0<'" mu.,,, "UM."'.. .1'"'' Q' 0'"'' ./'''.'' o.'.'.IRItI 01.2: sx:.:' 5..~,1 //-..17:-'/8 . .1- -l..'l- '/'1 """"';~'''''''''''M'' ...., "". . 'I' '''''' "." ..,,,, . (('" '"u"," "UM'" ---...f.:0" o'~inoi.R~'~;n u.. . . . II 2 Sup~lem,";~I.R~'uln." ... ... ",e,," uii:~ .....u "cC u"'~ t'" e .01 DATISO' DIATHAnlA 12/31/91 CHICK HIRI If A SPOUSAL . povlAn CRlDI.'IS CLAIMID r I fill NUMBII I: I /'1% YEAR e f 0 Jf) NUMBER IH<lO'p,!!lCqI,lPllll AOOI!!io!l I{J.,....;/t r~t("j" ;>01\1.'1 .'-t/:1 (7 ~'r. M;-J!.II''';~!'':J ('if. 0, .. (0] ~~~~,,~.~t~,gl:;'~':i"U("Oil'i"'...'.... ___ fJ 3. Remainder Return (lor doles of deoth prior 10 12-13.82) [J.5. Federal ellole T 0.1. Return Required I] 4. limited Ellate [ J 40 fulufll Inlercnl Comp,omile (la, dolel 01 death alte, 12.12.821 [J 6. Decedent Died Te'Iolo [".1 ], Docedent Maintained Q Living TrUlt (Attach copy 01 Willi IAllach copy of Trull) ALL CORRESPONDENCE AND CONFIDENrlAL TAX INFORMATION SHOULD BE DIRECTED TO, NAMe COMPllH MAIUNG AOOIlUS, 1/ -' v.? 1) ~J -I. LJ '" .... 13 J_.t. ,J(L;.c{ N-< U "4 h.Ll-N-L~<t<"Sk1IL "L;7L7~M'~1,3 3 5'b~,~~~=oc.~ .__~~!~:,.:~~::t;:'$2~Q!!.~~70 3(~ 0'" c. ":j _'.'\.' 1. R.ol E"olO ISchedule AI ( I) . n.. _' - 2. S'oc~. o,d Bo,d. (Schedule B) 121'S Ci,<) Ij.....~.. 3. Closely Held Sloc~/Portnership Inlerell (Schedule C) ( 31 ___. _ _~_~ 4. Mortgogel and Noles Receivable ISchedule 01 ( A I ___ . ~? 5. COlh, 8an~ Depolih & Miscellaneous Personal Propert)' (5) /QJ3_.7.i ISch.dul. E) 6. Jointly Owned Properly ISchedule fl 161 0 7. Tro,.le" ISchedule GIISch.dule II (7 I . .__~':Q~:'; 8. T 0101 Gran Anels (lolol Lines 1.71 9. funeral Expenses, Administrative COlh, Miscellaneoul Expensel ISchedule H) 10. Debh, Morlgage Liabilities, Liens (Schedule I) 11. Tolal Deduction 1 {Iota I Lines 9 & 101 _ 8. Tolal Nlimber of Safe Depolit Balles c: N c:. ~ I~J ~, . . ... ffi fil u ... c .... "":0: ...... "'c "':0: 8le z c ;= :5 :0 ... 0: e u ... '" Iq I . u:'L1..I'l '7 so <I .._.___ - I '-_.__~ Ui ~ {.oO ~b 3 ._...._-~--~---- 1101 z c ;= e ... :0 .. .. C U >< "" ... 12. Nel Value of Eslale (Line 8 minul Line 11) 13. Charilable and Governmental BequellllSchedule JI 14. Net Value Subject to Tall ILine 12 minUl Line 13) 15. Spousal Tranlfers Ifor doles of dealh aher 6.30.94) See Instruclion, for Applicable Percentage on Re~erse Side. (Indude values from Sthedule K or Schedule M.I 16. Amount of line 14 1011 able 01 6% role (Indude \/alues from Schedule K or Schedule M.) 17. Amount of line 14 tall.able 01 15% role Ilndude value 1 from Schedule K or Schedule M.I 18. Principal tOll. due IAdd tOll. from Lines IS, 16 ond 17.) 19. Crodits Spou,al Poverty Credit Prior Poymonh Intore't 181 Ill} (12) 1131 114} 9,7.2.3 _ .''-1, 14 iJ --~" :~?~, .... .3 'J, 'ZS:Z 115) 1161 117} -~~---_._._._-~---- )(. x .06 = x .15 = = C> + ___'~'__~_m DilCount +..)[,3... ...:.l. ::t'-.s ---~-_.,-_.._--~-- L"> (18) _~...2,.,l.f:..~___ )/3 (Iql 1201 .._-_......_~_.- ..c;( I.$.~..__.. 20. If Line 19 jl greater Ihon Line 18, enter Ihe difference on Line 20. This illhe OVERPAYMENT. gO Chock horo if you are roquesting a refund of your ovorpayment. 21. II Line 18 is greater Ihan line 19, enter ,he difference on Line 21. Thil il the TAX DUE. A. Enler the interest on Ihe balance due on Lino 21 A. B. Enter Ihe total of line 21 and 21A on Line 218. Thil il 'he BALANCE DUE. Moke Check Poyable 10: Register of Will., Agent ~ ~ BE SURE ro ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -C:-C: Under penalties of perjury, I declare Ihol I hove ell.amined thil return. including accompanying "hedules and llalemenh, and 10 the belt of my ~nawledge ond belief, I is true, correc' and complele. I declare Iha' all real el'ale hal been reporled 01 true markel value. Dedoralion of pre parer olher 'han the personal reprelenlolive is DOled on all infarmalion of which preparer has any ~nawledge, 'iIGNAIURf Of PHlSON RUPONSllt fOil rUING REtUIlN ADDllESS OAn ~vX-.o/+I- . . ~.!J!c4 ~~,)~{~j':.cL.&:lt'.&L~hl.-.,-.,.",(.~trr"1t p ~ ~s- 'l7 SIGNATUll( Of PIl(PAIlEIt OTHE THAN IllPR[$(NT:v'iVi AOOlllSS OAlf 1211 (21AI 121BI Act .48 011994 provide. lor Ihe reduction 01 Ihe lox ralellmpoled on Ihe nel value 01 Iransler. 10 or lor Ihe Ule 01 Ihe IpoUle. The ralel a. prelcrlbed by Ihe .Ialule will be: e 3% (.031 will be applicable for ellalel of decedenll dying on or alter 7/1/94 and belore 1/1/96 e 2% (.021 will be applicable for ellalel of docedenll dying on or alter 1/1/96 and belore 1/1/:n e 1% (.011 will be applicable for ellalel 01 decedenll dying on or alter 1/1/97 and before 1/1/98 e Spoulal Iransler. occurring on or alter 1/1/98 will be exempl from Inheritance lax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. YE!- NO 1. Did decedent make a transler and: a. retain the use or income 01 the property translerred, ....................................................... b. retain the right to designote who shall use the property translerred or its income, ............... c. retain a reversionary interest; or ................................................................................... d. receive the promise lor Iile 01 either poyments, benefits or care? ....................................... 2. II death occurred on or belore December 12, 1982, did decedent within two yeors preceding death transler property without receiving odequate consideration? If death occurred after December 12, 1982, did decedent transler property within one year 01 death without receiving adequate consideration?........ ......................................... .............. .................................... 3. Did decedent own an 'in trust lor' bank account at his or her deathL.................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. . , - II[Y.ISO] I.. 1.161 1I~'~'9.. -ffifu; COMMOHWfAllH O' PINN!oYlVANIA INUUI1ANCI fAI U1UIIN .~(~l!!tOfC(D(N' iSTATE 01'--- FILE NUMBER SCHEDULE B STOCKS AND BONDS LlJ-tIIU\ }J ~,dRGEIVT /1'1(:,- 0/[>/0 (All ploporly lolntly'ownld with RighI 0' Survlvo..hlp mUll bl dllclolld on Schldulo F.l ITEM DESCRIPTION VALUE AT DATE NUMB~R OF OEATH 1. E)7JD ('.(:7yt4a. f C(lff;t[cZ /~ tOO '1 'OU-O J1(!~t~. C'Atdt:.t.' c2o,/oo ~. ., ft;U>IJ} -WP '-("" ('.(',,,,A f....tdl 1&,48-1 -.:) TorAl 11.110 Inter on line 2, Recopitulatian) (If more space is ne.ded, insert additional sheeh 01 some size.' s Stl,4B1. . ll'iiltllll.j1111 SCHEDULE H ,,~~~;~ FUNERAL EXPENSES, COMMONWlAllH 01 PltlHmYAl". ADMINISTRATIVE COSTS AND IN~~~:~(~~(o't~(WX'N MISCEllANEOUS EXPENSES I ... Ploaso Print or Typo ESTATE OF~l) tI RA H_~_ S_!!_!~E_~, ~"~_,,, . _ ,_ _, \:,~~,u;~~~~ ~~~~ -~O ITEM NUMBER A. Funoral Exponso.. DESCRIPTION AMOUNT 1. r:. .~- it . L r,(,...'1..4'.....<..+,;. v'"1.c:;, Vh.'t:t( ':l.C<'-,- 4.. '1 'I ~ B. Admlnlllratlvo Cast.. 1. Porsonal Representative Commissions Social Security Number of Personal Repre.entoli.e: ------- Veor Commillion. paid 2. Allorney Fee. 3. Family Exemption Claimant Addrell of Claimant 01 deceden". deo,h S'reet Add,ell Relolion.hip Ci'y 4. P,obo'e Fee. C. Mlseollanoous Expenso.. 1. J{I..~. tl",i.~'" , .. 2. J<p.-, }(.b>1 ft:.C /II.:tdj 3. ('17 TE;; 4. A-~V-I 5. R. ~"'r"~'t { ..c).c.c.IY [..r 6. 7. 8. S'ale __ Zip Code /,3ti' .3~ SO 37 rr~ 3'l/ TOTAL (AI.o en'e, on line 9, Recapi'ulo'ion) (II maro spaeo Is needod, Insort additional shee" 01 samo slzo.) s .s;~{ .~ _9"J\b.\?_ """11"~'" W (()MMQNW(AUHOf PlNU\t\...A""IA INti..lt..N<I'.... 'lIu"~ IUtO,tnOIClOIU' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS PI.all Prln' 0_' lYJ'.. __ __ _ FILE NUMBER )'1'lt" O/tJ/V ESTATE OF LIUt Roll If. s, A-A, G' t'rv7' ITEM DESCRIPTION NUMBER 1. 1\u4-'.k4J.. V...itcif :l.. ~~~J ~r NJ 3. i:bt. t>,~tte cz},tir 1. Nf!AI.,+Q.<k&rrr s: L~i.-<r cu&"., E /VI S ~, hJ1f ~r ~tat AMOUNT 3,t?/~ S::J.. .;<,~ ,z1- ?1 70-3 TOTAL IAI,o ento, on lino 10. Recapitulation) $ (II more space is needed, insert additional sheefs 01 same sjze.J IIY UIlIIt IIITI ~tr COIolIolONWlAllHOI.fliN\llVAtll" I,..HII"...,..(lI.... InUIN II\IDIN'DICIDINI ._on _.~ SCHEDULE J BENEFICIARIES FILE NUMBER l'N(- {'fe'iD ESTATE OF L fI tl ~.I) k/ , '. ,i) R. (, E NT ------------_._~-~-_._----~-- -~-_.- AMOUNT OR SHARE OF ESTATE ITEM NUMBER NAME AND AODRESS OF BENEFICIARY RELATIONSHIP ------ ----- --- A. TaKable Beque,": 1. (f~ ~. '~,Mr.J (j..a,~.,(, ::...-,1C.,./,.: l'H.i ,:-"1-1'/ ') R( f~-t ~ .,j.~('~t +r.~"t.i JU:U~(.."" I'll /!-Vi 'I "" . .3 ,(,f.-!<)4...'.'1 P. ~"rHt Vt<:tlo:. U) Ml'( ., -, ~/ f~ .':)/,1 31 ,7, -? " ," ,-;:> .3,;. (. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNr OR SHARE OF ESrATE 1. B. Charitable and Governmenlal Beque,I': lV'..ft? <:.,.it.....d,v ~t .' (' 0 . '.1<U<.1 &tp. fer ti ~"f<f' t:"'~'ftt,., 1.f;.~'7I f'.4 e.;ti:'.,<t.'1 1Xt,;;clt c;\.tcni; t'~'J,1 (,~I.<..c"t~;r \', r f\;lJ14fM ~..,Jik Cl-'"r,<,,<t M,n~f'i:.ea' 1'0' A tv. Of) -4 ::LCJ .q .2 & { -4;,2,0/ J... 2> eg. TOTAL CHARITABLE ANa GOVERNMENTAL BEQUESTS (AI.o enler on line 13. Recapitulation) (If more space Is ne.d.d, InSlrt additlanalshe.tI of sam. slz.) S /~/38'3 . i I,AS'[' W L1,J, Mill 'l'l-::;'I'AfoIl-:ll'I' OF I,AUHA II. SAHC;EN'I' Be it known to all persons, that I, J,auril II. :iilrlJent, of till' town of Marlton, New Jersey, do hereby lIIilko, publ lllh dnll declare this to be my last will and testillllOllt, horl!lJy rllvoklnq all previous wills and codicils made by 11I0 il t ilny Lllllo heretofore. First, I appoint my second son, Hobert II. flolrll"nt, of chnrry Hill, New Jersey, to be the executor of thlll will, to lI11rvo without bond. Should he be unable to snrvo, thon I oIppulllt IllY son, Wesson P. Sargent, of Goleta, ealiforlllo, elthor to lieI've or to appoint an alternate executor. Second, I direct my executor to pay my funeral expunses, lilY just debts, and any estate taxes and cOlltll frolll lilY ostato. Third, I direct my executor to convert the relllal_nder of my estate, both in real property and personal ponsesnions, into cash in any manner that he may choose, and to <1lntribute it as follows: a. 25% of the remainder to be divided equa1.l.y olllonC) the following Christian organizationlll (1) Northfllll<1 Bihle conference, Northfield, f.lassilchUllotLlll (2) Aflllocliltlon of Baptists for World JNanC)o 11 Sill, Cherry lIill, No\~ Jersey; and (3) JJethany Bapt:llll Chul'I:h, Norlh Hood, East Windsor, Connoctlcut. b. 75% of the remaindor to \.., divld",1 into throo parts as follows: 33~ for ,Iohn O. liill'lJenl., of lIilroro, Zimbabwe, l~." _ .. HNO, AA 1851"a 7 COMMO~~~~~T~: .~~:~:YLVANIA OFFICIAL RECEIPT. PENNSYLVANIA INHIRITANCI AND IITATI TAX : aw-nu IX IU4I '*' RECEIVED FROM: I ACN ASSESSMENT P:'I CONTROL ~ NUMBER AMOUNT ROBERT H SARGENT IV I ..i::.10C.VV 1322 SAND HILL ROAD HUMMELSTOWN, PA 17036 ESTATE INFORMATION: ~ FILE NUMBER (QI 21-1996-1010 !II NAME OF DECEDENT (LAST) !i;iI SARGENT LAURA H II DATE OF PAYMENT m POSTMARK DATE COUNTY SSN ol.r~-:58-0!5UO (fiRST) (MI) REGISTER or WILLS I I I ~ TOTAL AMOUNT PAID .2, HI?. 00 -./ . . DO .., RECEIVED BY /~/I<I- (1"7!<.tf:~"(4.'""""V 1 , l~GNA?,~ . 6,_ i MARY c. LEWI'S /".~{..,;"... /~';r;; REGISTER OF WILLS ': CUMBERLAND DATE Of DEATH REMARKS ROBERT H SARGENT SEAL CHECK II ?b3 , .- --- -- ~- r-:- _ w__ _ '. ~. . ,. ..... \ .1 , . __ r ---~....,.,... . .'. -;#" _" ---....-...---:".JJ'III ~ _ T ,J- w, ._0... . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES OEPT260601 HARRISBURG, PA 17126.0601 '*~' :'> -. . PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. AA 211235 f4EV.IHi2 EX 111.961 RECEIVED FROM: r ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $36.16 1U3ERl' H S1\RGENT 1322 SAND HILL ROAD Ht.Mo!ELS'ltMN,PA 17036 fOlOH[RE fOlD HER[ ESTATE INFORMATION: FilE NUMBER 21-1996-1010 SSN 042-58-0580 NAME OF DECEDENT (LAST) (FIRST) SARGENT LAURA H DATE OF PAYMENT 04/29/97 POSTMARK DATE 04/28/97 COUNTY ClMlERLAND DATE OF DEATH 1l/27/~6 REMARKS . . {: - " 1M I) TOTAL AMOUNT PAlO $36.16 I 1 j J . j _I l cw ... t,. '-. '--" RE -, "1) /. . CEIVEO BY . ,'I if '';- L . . ./~-", "1 J ,:;7 /''-~ MARY C. LDlIS ,/ /.-- /' . , ,/J ~ '. ,t": REnISTER OF WILLS ::.-f;U.... AYtI~.ty- J 1 SEAL alECK 1/ 269 , ., - i ~ "'.~ f -- ----~- -.~ , , J ~. .., f, . ~~' . I' .... d' . , __~_.-J -- ~ -r,"" - ~ _o'~-'-"~-~..lilI. ~ - - :- - , 1 /:)-/'/0 - (, BUREAU OF INDIVIDUAL TAXES l..ulAllAHet laX DIVISION OCPI. 110bOl tIARRI5BURC. 11. 11l..a.ObOI COMMONWEALTM OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INIIERIIANCE lAX APPRAISENENl. ALLOWANCE OR DISALLOWANCE OF OEOUCllONS AND ASSESSNENT OF lAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 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 ~ iIEV:isW-EX--AFpuioi-:9:rj-Noi'-icEuo,,--iNHEiiii'AtiCE-i'AX-A-PPRA-isEHEN'r-;-ALi.-OWAtiCE-jiFi---nmmuu-- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX LAURA H FILE NO. 21 96-1010 ACN 101 ROBERT H SARGENT 1322 SAND HILL RD HUMMELSTOWN PA 17036 ESTATE OF SARGENT TAX RETURN WAS: ( ) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I Est.t. (Schedule AJ 2. Stock. and Bonds (Schedule OJ 3. Closely Held Stock/P.~tn.rshlp Interest (Schedule C) 4. Horta.gas/Note. Receivabl. (Schedule Ol 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule El 6. Jointly Owned Property (Schedule fl 7. Transfers (Schedule G) 8. Total Assat, APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expanses/Ada. Costs/Hi.c. Expanse. (Schedule HI 10. Debts/Hortgag. Liabilities/liens (Schedule II 11. Total Deductions 12. Net Value of Tax Return 13. Ch.rlt.bl./Govern~.ntal Bequests (Schedule J) 14. Net Velue of Eltete Subject to Tex 0(,-28-97 SARGENT 11-27-96 21 96-1010 CUMBERLAND 101 A~ount Renltted ( X) CHANGED (9) (10) (1) (2) (3) (4) (5) (61 171 SEE .00 50.484.00 .00 .00 10.379.00 .00 .00 (81 5,219.00 4.504.00 (11) (12) (13) (14) C..- ~ ~ .-n .~,. 'c. if ; ~\~11~' t~'"J!!fif.t~ ""lht II.., Itl HI LAURA H DATE ATTACHED 04-28-97 Non CE NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paynent. 60.863.00 q. n~ nn 51.140.00 12.783.00 38.357.00 If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: IS. Anount of Line 14 at Spousal rat. (IS) 16. Anount of Line 14 taxable at Lineal/Class A rate (16) 17. Anount of Line 14 taxable at Collateral/Class 8 rat. (17) 18. Principel Tax Due NOTE: TAX CREDITS: PAYNENT DATE 02-20-97 RECEIPT NUNBER AA185187 DISCOUNT (+1 INTEREST/PEN PAID (-I 113.26 PAYMENT MUST BE MADE BY 08-28-97*. .00 X .00= 38.357.00 X.06= .00 X .15= (10) ANOUNT PAID 2.152.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 2.301.42 .00 2.301.42 2.265.26 36.16 .00 36.16 ( IF TOTAL DUE IS LESS THAN fl. NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDn" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF TN IS FORN FOR INSTRUCTIONS.) RESERVATION: E.tata. of dacadent. dying on or blforl Olc..b.r 12, 1'82 .. If any futura Intar..t In tha I' tat. I. tran.flrrld In po.....lon or .njoy..nt to Cl,.. B (coll.t.r.11 ban.flcl.rll. of thl d.cldlnt I,t.r thl .~plr.tlon of .ny I.t.t. for 11f. or for y..r., thl Co..onwa.lth h.rlby l~prl..1Y ra.lrv.' thl right to .ppr.I.. and ...... tran.f.r Inhlrlt.nc. tl~I' at thl Ilwful CI... B (colllt.r.ll r.t. on .ny .uch future Int.r..t. PURPOSE Of NOTICE: To fulfill the r.qulr...nt. of s.ctlon 21~D of the Inh.rltanc. end E.t.tl TaM Act, Act 21 of 1"5. {72 P.S. s.ctlon 91Ul. O.tach the top portion of thl. Notlc. and sub_It with your ply..nt to the R.gl.t.r of Will. prlnt.d on the r.v.r'l .Id.. ..Hak. ch.ck or loney ord.r p'Ylble to: REGISTER Of' WILLS, AGENT PAYMENT: OBJECTIONS: Any p.rty In Int.r..t not ..tl.fl.d with the .ppr.I....nt, .llowanc. or dl.allowanc. of d.ductlon., or ........nt of taM (Including dl.count or Intar..tl I' shown on thl. Motlc. .u.t objact within .Ixty (601 day. of r.celpt of this NoUU by: A rafund of a taM cradlt, which w.. not requ..t.d on the raM R.turn, .ay bl r.qu.st.d by coapl.tlng an "Appllcltlon for Refund of P.nn.ylvanll Jnherltanc. and E.tata Tax" (REY~1111'. Application. .r. ,vlllabl. at th. OffiCI of thl RIgI.t.r of Will., .ny of the 21 Ravanul Ol.trlct Office., or by calling thl ,plclal 2~.hour an.werlng ,.rvlc, nuab.r. for for.' ord.rlng: In Plnn,ylvanll 1.800.16Z.Z0S0, out.ld. Pann.ylvanla and within local Harrl.burg ar.a (717) 787.8094, TOOl (7171 772-2252 (H..rlng I.palr.d Onlyl. REFUND (tR) I ..wrlttan prot..t to the PA O,plrt..nt of R.v,nu., Board of Appall., aept. 2810ZI, Harrl.burg. PA ..el.ctlon to h.v, thl ..ttar det.raln.d at audit of tha .ccount of the p.r.onal rlpr...ntatlv., ..app.al to the Orphan.' Court. 17IZI.IDZl. DR DR ADMJN JSTRAlIVE CORRECTIONS: Factu.1 .rror. dl.cov.r.d on thl. ........nt .hould b. addrl...d In writing to: PA aepart..nt of Revenu., Buraau of Individual TaMe.. ATTM: Po.t A...,..ent Revl.w Unit, alpt. 280601. Harrl.burg, PA 171ZI~0601 PhOn' (7171 787.6505. S.e pag. 5 of thl booklet "In.tructlon. for Inherltancl Tax R.turn for I Re.ldent a.c.dent- (REY.ISDll for an 'Mplanatlon of ad.lnl.tratlv.IY correctabl. .rror.. If eny ta. dul I. p.ld within thr.' (5) cal.ndar .onth. aftar the d.c.dent'. d.ath. a flva p.rc.nt (SX) dl.count of the tax paid I. Illowed. The ISX ta. aana.ty non.partlclpatlon penalty I. coaputed on tha tot.1 of the tax and Inter..t .......d. and not paid blfor. Janu.ry 18, 1996, the f1r.t day aftar the Ind of tha taM aan.sty p.rlod. Thl. non.partlclpatlon panalty I. app.alable In tha .... .anner .nd In the the .... tl.a p.rlod ., you would app.al the t.. and Int.re.t th.t h.. b.an .......d a. Indica tad on thl. notlc.. Intare.t I. chargad b.glnnlng with flr.t day of d.llnquancy, or nln. (,, eonth' and on. (I) day fro. the dati of da.th, to thl data of ply.ant. Ta~a' which bacala dellnqu8nt b.fore January I, 1982 baar Intara.t at the rat. of .1. (6~1 p.rcant p.r ennua calculat.d at a dally rate of .000164. All taMe. which beca.e dellnqu.nt on and aftar January 1, 1982 will b..r Intare.t at a rat. which will vary fro. cal.ndar yaar to cal.ndar y..r with th.t rata announcad by the PA D.p.rt.ant of Rav.nu.. Th. applicable Intara.t r.t.s for 198Z through 1997 ara: DISCOUNT: PEHALTY, INTERESTl '!!!! Int.rest Rat. Dally Jnt.rnt FRetor !!!r Int.r..t Rate Dally tnt.r.st Factor 198Z 2ax .000S48 1917 .X .000247 1981 16X .aaOlt18 1988-1"1 U:C .000101 I'" \IX .0aalDl 19n 'X .0002lt7 1985 UX .000156 1991.1"lt n .DOO1'l2 198' lOX .OaaZ7~ 1995..,97 'X .OaoZlt7 ..lnt.rnt I. calculat.d I' followlI INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ..Any Hotlc. I..u.d .ftar the tax b.co... d.llnqu.nt will r.flect an Intara.t calculation to flft.an (15) days b.yond the data of the ........nt. If pay.ant I. .ada after thl Intar..t co.put.tlon data .hown on th. Hotlcl. additional Int.ra.t au.t ba calculat.d. .. ./ ( I(:.~JO !'l~11 ~;~*.;~ COMMONWEALTH OF PENNSYlVANI" DEPARTMENT OF REVENUE IUAlAU OP INDIVIDUAL TAXIS DEPT. 280601 HARRISBURG. P" 17128.0601 DEljfDENT'S NAME (' . 1",,1'.1/1/.1,-> . II I )r;i,('" IV ,"J ~..' INHERITANCE TAX EXPLANATION OF CHANGES -. FILE NUM8ER , Vt?J -//)//) "eN /./ J ITlM NO. I EXPLANATION OF CHANGES SCHEDULE '77K.' I/ch,-, c/ //>G C""::~,/<...Ah/~ b~(n~.; Z- {>. (,.t'Jr./~/~' (;jo'~/O~"I"'/I;7j' (',:,.) hc's ))(.'("11 ,j/...s~jl.:(l.j. / /i d~1. t",/-~...,r .;. {,t..-/I/ _'?ol ,'.r:7 /k/'/'>/~.J a- .sj)t'~c,j1,.:: b,?/ .~~ T-h: /-J,(, (Jq..,'t:/, TAX EXAMINER, / ;; / ".. ,r-;" . ,,.(....;~~.L ~ PAGE - oEl :.os r- ~'! ~ e: -e <t: -~ t~_ , .' .. .' o r1 c: \a: n '-. f,) t.: U ~,) ~. ~ --... OlJJ wa: a: r- P' ., .. E ,\) =' Uti BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVlstON DEPf. ZlS0601 HAARISIURC, Pi 11128.0601 ROBERT H SARGENT 1322 SAND HILL RD HUMMELSTOWN PA . -. ." COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF OEOUCTIOHS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 171)36 04-2,J-97 SARG~NT 11-27-96 21 9S-1010 CUMBeRLAND 101 Allount R.llt Ued r. IU'I'" (.,,, IIS"'1 LAURA H 3(.. /fv MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 . . ..' . , ~, .' t. . ) . . . .1 <J ~.. ,. ./) 'j '.. . . . . . . ...., \ ~. ". : . . , , .' . \~ .- ., . J ~ ,. , ~--- --_._.._.;-.-...........~. - - --,......- :--_u . , " y \ ~ ..., .... ". H G. " ~ ";,'" . ~) ,. , ." { . (. , " ,. ~.:. .I , r 7- -. w 'f) r .j ~' ,'. .. ~. . , . , " "tJ. . i" f \. " ~' " ~ f-: . ) \ , :l;~ .- -...".".".-' -- ..... ---------:-"~~ r-~- . r . 4" -. ~...... r' -" _ . .. -< \. . ROBERT SARGENT ".1,. "~') "", ...',!~ ~ I! 1:.7. rd'J " j ~:j~;;:;;.),-~","""-"'~-"'~'- ."~ ....". ,.""'.-"" .k"'-^'>'I''''''''''~''''-'.'~,:-.'~-'.'. ;:~-'--- , .t ' . ~l., '. . ~,,-~,'. ';>_'." ,.c'~. ._".~,,-._~ . """'"" j ( t~ ',' f\ . ',"oJ ~. t \It:.,~ . .' F). .. ,,; . .,' \ 'Cl'" .". , ~ .r.. ~ -I .-.-. _~'. ......., I\- . " ) , I t , . ) \ I ;. , '. . , . 'I " ., '. ~ .., .. j t- '. , -. \'!' \ ~. , .~ ~.... ~. . .f ..-. .... -- .. ......'--.--. --:....... .......- ", .- ~---:,,-:II. v-...........--. -..J '. to. - . f fr't t, , ..--' '.- ", \. '1 '(' <'J PAvttEHl'1 DehKlr1 the top~J>>ort1on D,;thh Notice end lubIIlt with your pay.."t Ade payBbl. to the nNtI end MId,.... L.' .'.-~ :) prInted on the r.v.r.~~. If RESIDENT DEUDEN' uk. check or HMy order payable to: RECISTER OF WILLS I AGENT. If HQN.RUIDEHT DECEDENT uka check or .one)' order payable tor COHHONWEALTH OF PENNSYLVANIA. REAIGJ (CAh A ,..,Wld 0' . tax credit, which III.' not reque.ted on tM 'ax Return, Ny 1M requested by c~l.t1ng IIn ~Appllc.tlon for Refund of P~.ylvenl. InherltBnCa and Eltata Tax- (REV..'.'J. ApplIcation. ara av.118bl. at the Office of the Aegllta,. of Willi, My of the 23 Revenue DI.trlct Offlc.. or fr~ the o.p.,.t.ent.. Z4~hour 1In.~rlng ..rvlce ~r. for for.. orderIng: In Pennsylvanl. l-aOa-36Z-ZaSD, outside P~.ylvanJ. end wIthin 1~1 Herrllburg ara. (717) 781-ID94, TOO. (717) 772-2252 (Hearlna I~.lred only). REPLV TOJ baUon. regerdlng .rror. contllned on thl. notice should be IMSdnllecl tOI PI O....,.t.."t of A.venutl, aun.., of Indlyl~1 T..... ATTHI Pa.t A......~t Aevlew unit. Dept. Z80601, Harrisburg, PA 171Z8.0601, phone (717) 787.6505. DISC~TI If .ny t.. ~ I. paid within thr.. (3) celende~ ~th. aft.r tha decedent.. death, a five percent (5XJ discount of the t.. peld I. allowed. PENAL TV I TM 15% tu ..-sty nan.p.rtlclp.Uon J*\8lty Is ca~ted on the tat. I of the ta. BOd Inhrut .......d, end not p.ld before January la, 1996, the flr.t day .ftar the end of the tax e.na.ty parlod. INTERESTI Int.r..t I. ~raed baglnnlng with flr.t day of d.llnquency, o~ nine (9) .onth. BOd ana (1) day froe the data of ~.th. to the d.t. of pav-ent. Taxe. which bee~ dallnquent bafor. January 1. 1982 ba.r Intere.t .t the r.t. of ,Ix (6%) perc~t p.r ennua calculated at e dally rat. of .OD01M. All hxu which bee.. dellnquent on BOd .fhr January 1, 198Z will bear Inter..t at a rat. which wIll vary fral c.land.r y.ar to calendar y..r with th.t rat. announced by the PA o.partaant of Rev~. The appllcabl. Intar..t rat.. far 198Z through 1997 .r'l V..r Int.ra.t Rat. DailY Int.ra.t Factor V..r Int.rut R.te Dally Intar..t factor 191Z ZOX .DOOS48 1987 9> .ODOZU 1'15 lOX .000438 1968-1991 IU .OODSn 1'14 1U .00DSn 199Z 'X .000Z47 1'15 l1X .00OlS6 199.5.1994 n .OD0192 I'" lOX .00021" 1995-1997 'X .OOOZU ulnterut I. calculated a. fallowll INTEREST = BALANCE OF TAX UNPAID X NUftBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ..Any Hotlca I.sued .ft.r the t.. baco.a. delinquent will r.flact an Intera.t calculation to fifteen (15) day. beyond the data of the ......aant. If p.,.ent I. aade aft.r the Int.r..t co.putatlon data shown on the Hotlc.. additional Inter'lt .u.t be ealcul.ted. 1 " f.-: . . ~ . ~ I I . -- ~ ._~.... I III h' , I ~ \ ~~ l/ ~1 ~ ~_~..~~ l ~~ . I'!' #;'0'.... -:'_-- -~! J . ........,,~-J L~ .t \'h--t" :.(\J ~ ~'.' \" '. _''1 '. ;___..~,..:\."; ,m .....~...\.l;t 1..'" ,,\/__'" '1. " , -...,., t\. .., 'J) '':;> ,;,.;' ., ,~ i- ... '. \" ;~ 1 -,__/1Il I/) - o I'- ... (J ~ lI.. ~ ::t . , r~ l ,-~ ,-- fJ~ J ~~, . . ~ o U .. ~ :; ~ i:: C/) .t: ~o _ Eo -::,... ==o~- wi58~ ..J ~ z=-;; . ... c- U ~ ~ >. U- 0 III > u 2 a: aa "0 c..' <t~~~: :0 ~ -g-J; _ .c":; o E (.: . ~ u J!! U .. '0, ~ a: . , -. .,. ... 01. - ' o - I .:) r.:r tr- - ~ ~ ~p."" 0-1-< 0-1'" a;!i:J . :C~~ S! iJj ~ !B! J .~ "-;$ '" ...., o r--- --' t .,. .... \"1 ,., ... I~ if' l( '0 ,., ~ I" ... ro;' . . ..... .' -.--.- r" -'7-"""'""':'~" -.,.-- b. _ Il 1":- -, Cumberland county - Register Of Wills Hanover and High street carlisle, PA 17013 phone: (717) 240-6345 Date: 9/28/1999 ROBERT H SARGENT 1322 SAND HILL ROAD HUMMELSTOWN, PA 17036 RE: Estate of SARGENT LAURA H File Number: 1996-01010 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: 11/27/1999. Your prompt attention to this matter will be appreciated. Thank You. ~\~';~:~ pt, vn'1uQy MA~Y C. LEWIS REGISTER OF WILLS cc: File ,._.....rfr.ll..1 3'01l!J1 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: Will No. Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 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 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: Signature Name (Please type or print) Address ( I Tel. No. Capacity: Personal Representative Counsel for personal representative (MAH:rmf/AM3) ~l .t \'. ., . , . 7J1~...' . . .' , . II ,1 I' 0::.' , I , .' j l' ('\ , .' " \ , , , I . _~:.- ,.., . ~- ! ~ \ '. '..."", t. ~ ',', \. ,', ~,- '- . ," ..- --. . -~: \ ,. c ru c m <0 <0 ru m m . , I ! i ! ! \ J , ". .,..~?r- ~ :'Ii N l: ~ o U '" .. ; ~ ~ 1Il 'a. ~O _... ...1"'- =t 0 ,,~ iiI "0 8'~ ...J... .,.\1! . l; 3 >- U i:i 8 ~ > " a:,:-gcf <=00' ~ i"~ _ ,g i: o E 00 ~ "u so .!! 2' 0: ',- ~ t:l ... UJ:Z:~ i~g f.:: iil~ r~ N~ ~~~ ~ ~~' ~~~~ ~{;f,~~ ",,-j~l , "iJ~ . ---.-- ~-- ~. - -- --;",.;Ne .c..- ~, " .,:. . . , 1 I i I i ! I I , I I ~_. r-. ._'--. r..=-- ,- t....-... \-. ~ -. ... '" ~ t " . (\0 D: :I eComplttllllml11M10f 2 'OI.OditlonII HMctI. · lComplttllllm. 3. "I, and 4b. I IPltnlyournarM and addre.. on tht flvttn 01 lhil form IOthll MUOretl.l'l1thil Clrdlo)'Ou. 'Mach this 'om 10 the Iront 01 the mailpltc:e, or on the bldllt Ipl~ dol, not pemil. 'Wrlte'Retum R~jpt Requelt~'on lhe mailpllca '*ow tnt art~. number. 'The Rltum Rectlpl WI'Show to whom thllrtld. WI' d'w-red and the dll. deliYllld. G 6 Ii J 3. ArtIcle AddreSSed 10: r KOBE:R...T H .\SA1(q~T 13~~ ~l) H1LL RD. J-hAmmE1SIDWkJ, PA. 17D3U lelso wish to roeelvellle following servtces (for an extra fee): 1, [J Addre..ee's Address 2. [J Restricted Delivery Consull postmaster for fee, 4a, Article Number rl -33~- ~~0-0~O 4b, Servtca Type o Registered o Express MslI 0 Insured o Rerum Rsceipllor Merchandse 0 COD 7. Date 01 Delivery j! 4- a. l' a:' E I il' 0:' Ill' i' "1 1;, - ~ r ..., ".. c:' ~: " \ ,..a-e:ertlfled 5, ReCelved,Br.-(P'!"'Na"",) 8, Addressea's Addrass (Only If requeslsd and /eels paid) li. 8, Signature: (ArId,"ssee gent) o X i. ao.' ',. . ~';. ; , .JI. . __ PS Fonn 3~ .l?~~~'.!994 " . Domestic Return Recslpt t';. t' . \-. ,r U l' '. , .~ ./ .. . , ..' \. ..." , . "j ,- .,. " '.. -, . __I -r~ ____..-.----..---:"'~ __ - -r.:. :-~ . . ) \ r . J j;. ~ , ,f .. -'0 ... ......' ".' . 1 I 1 t I Flrst.Cla.. Mall Postago & Fee. Paid USPS Permit No, G.' 0 UNITED STATES POSTAL SERVICE . Print your name, address, and ZIP Code In this box · ATTN: V,Lu.l\J1\- ~415TE:R Of \o\JILLS I CO\.llITrWu'sE \.'5&.. Q.1\'R1J.5Lt., PA, \1013 .~ ., ~ .. 0\.. l{- + . ,c. ",.,\ I <. I , f. , . , " .' "I' .P, ~ ,y F ,. '. ~ '0. 'r'" .1 ..:" . o' ~ .\., , . T f . . '. ~ ,. !\~. ,"'- to ~. .., 1, . ,f . --- :-..~.~ -- ..,.".,,-' .__~~, ~_ s,.. \ . ) \ i " I . . J ~' .. " ~. .. I <...... -" ,- IRD/lune 30, 1992/17858 DEe 2 7 1992'J \ Estate No,: ~1.1996.01010 OlU'lIANS' COUnT DIVISION, counT OF COMMON PLEAS OF CUMIlEnl.AND COUNTY PENNSYLVANIA In Re: Estate of I.J\UIl/\ ^, S!If~EN'l' Late of UPPEfl !If,I,EN 1WP N 1996.01010 () NOTICE OF FAILURE TO FILE SfATUS REPORT AND REQUFSf TO CONDucr A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: flJB~:m' II, S!If/GENI' Counsel for Personal Representative: Date of Decedent's Death: 11.27.1996 Date of Delinquency Notice: 10.4.1999 The undersigned, Mary C, Lewis, Register of Wills. in aWlrdance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Courl of Common Picas of Cumberland County, that neither the above named personal representalive nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on 10.401999 ,19_. 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 nOlified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the del inquem personal representative. Date: 12.n.l'l'lL- Distribution: Personal Representative Counsel for Personal Representative Estate File ^ HE!lfUNG IS So:lfEDULED FUR );, ~ -1 ~ m' t;J 3.<!J a.JUm'1u:.M 1'0. 3. IF 'll{E S1'Nl'US rnm:Jm' 1$ FILED PfUuR 1\1 11m [-IEMING D^TE, WILL NJl\..M!\1'ICl\LI,Y BE CllNCELLED. IN 1HE HFJ\RING ,J,