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HomeMy WebLinkAbout97-00302 OATIl (W PERSONAL REI)IU:SENTATIVE COMMONWI<;ALTH OF I)ENNS\'LV ANIA COUNT\' 01<' _~!l.!'~,,-':J!,-'!.'L.____.~_~__ J nor: " , 01 ssnc //jllfi '97 'WI 25 ./\8 :35 The petllloner(s) ahove.nllllled swellr(.) or IIffl/'ln(s) thlll the stalements In the foregoing petition lire trlle IInd correct to the hesl of the knowledge and hellef of petltloner(s) IInd that a. personal represenlalive(s) of the ahove decedent petitloner(s) will well and truly administer the estate according to law, , sworn.to or afflrm~iT~nd. Sllbscrihed~~~~',~y_, before me this ~._-_.c-~. d of ~-_.. ~ ~ -I-~~19 ' . .ft.- ?nj~~ 11 ~ ,( '--~1S21 ,- ~_. -SliAN .pO LUCKY . MA CLEWIS Relllster . CIOI, CUI'II" ;Iurl . I .' h 'F'A L \,~ , , ,.., j N 21 - 97 - 302 o. Estate of .,Joseoh Wi-Lei n Pod.l.ur..ky , Deceased GRANT OF LETTERS OF ADMINISTRATION , AND NOW APB I L 1 19~~, in consideration of the petition on lhe reverse side hereof, sntlsfactory proof having been presented bcfore me, IT. IS DECREED that Jose ph R. PJLdl.ucl\s-<lJl d S II - Sh a n .E.od 1 lie k y IS/lire entitled to Lellers of Adminlstrallon, and In accord with sllch finding, Lellers of Administration sre hereby granted to i~seoh 'R , . Pod lllc kv a n"'~Shan Pod luc k v In lhe estale of ..l..Me 0 h Wi - Le in .Pa d 1 uck y .~., (j}i2.!&a.~? f4n~ fh ' Rogls,", otWllls MARY C LEWI S FEES Letters of Admlnlslratlon ..... $~a.&!L ShorlCertlflcales( )..,....... $~-- I<<iDlInclaclon ................ $ JCP . L..-hQQ.. TOTAL -'- $ 23.00. Filed "..~~.R.\~"....,.... A.D. 19..R_ John R, Zanarich,. EsquIre ___~19362 ATIORNBY (Sup, Ct. J.D. No.) 204 State St...-fulrrisburs. PA 17101 ADDRBSS J..717) 233-1000 PHONB Mailed letters and order to attorney on 4-?-97, N~'I_U'''.f,/1 I ,* cmt.+otiYVf'^~ HI OP "fNNMIW.N!^ UijPMHMi!Nr OF Rf-VOI!!I Of;"l280001 IIARRIGIIUfla"A 111J8001J1 REV-1500 iNHERITANCE TAX RETURN RESIDENT DECEDENT 1RI Original Return 0 2. Supplemental Roturn o 4 limited Estate 0 48. roulmlllflltrul Compromlllllr16la of llilll!ll .lter 12.12.B2; o 6 Decedent DIed Teatate (AHa~h OOPV 0 7 Decedent MaIntained a LIvIng Trust (AUlell O/WIII) COPVof Tru'l) . o 9 litigation Proceed. Recel,ed 0 10 Spou.el Po,er1yCredlt 'dat"'d""'b.twoen 0 l1EleclionlO I.. under See, 91IJ(A)(AIII(/) Soh 01 JN1'918~J.J9$J, ITHI8 81eOON llU8TB! COMPLP.TI!D. ALL CORResPONDINOE AND OO.mDIMTIAI; TAX INFDAMATION 8HOULD BE OIRECTEDTO: ,-. -. '-' ...---.-..,----, ^-'. -- -.- ,---.-. ....-,-. 'L... _.m._.'_____., --'~"... __.__ .'. --...".,;-._.....'~;-..n."~.--r'w__~~...,_,____._._ _ ____ ." ,____, ..____ "", ____ . ,_ ... __,._ . ... NAMr.: ICOMPLeTE MAII.INOAC.IORESS John R, ZOllllrich , I UnCfDf:NT-S NAMi': (lAST flfl~lJ ANn MII)!Ht: !NlnAI) I'ODLlJCKY. JOSEI'll WI.LI'IN I)ATr: OF n"~rH (MM-I1!'l-Yf'Aflj DAn: Or [lltlTll (M\\.nD')'[Arl) , 10/26/1<J7J 03/27/199~ '(If: APPLICABLE) SURVlVl~JG SPOl!SF!'S ~MMf ( LAS 1'. rlRfH A'~n MIDOl,E INITIAL) ~'I II hRM NAME; (If IlPplk:Qblll) Sbrlato" & ZOlllll'ich L1.P 'f!::I.!:P;lONE NUMEltR 717/233-1000 1, Reel Eslele (Schedule A) 2, Slocks end Bonds (Schedule B) 3, Closely Held Corporallon, Portnershlp or Sole-Proprlelorshlp 4, Mortgages & NOles Receivable (Sch.dule D) 5, Cash. Bank Deposits & Mlscellaneo"s Personel Property (Schedule E) 6, Jolnlly Owned Property (Sched,,'e F) o Separale Bllting Requesled 7, Inler-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or l.) 8, TObit Gro.. A...t. (lolel Unes 1-7) 9, Funoral Expenses & Admlnislrallve Cosls (Schedule H) 10, Dabls or Decedenl, Morlgage Uabllllles, & Uens (Schedule I) 204 State Street Ilarrlsburg, I' A 17101 (1) (2) (3) (4) (5) (6) (7) (9) (10) 15- 1(10 '- ~ L,~, I I'lLB NUMBIR 21 1997 COUNTY COOl! YfjAA BOCIAl. SECl/FlIT,V NUMafjR 202-64.5261 TMII RIITURN MUST ae flll.eo IN DUPLt(:A TI! WITH THII OJ02 NlJMneR REGISTER OF WILLS SOCIAl, SfiCURITV NUMOf:R o 0, 3 Rlmaindltr H"urn (date of dflalll pnor 10 '0',13.521 Fedoral Estato Tax Return ReqUIred e, Total Number of Safe Deposll BOl<Elll FOR LITIGATION PURPOSES ONLY None NOlle None NOlle ,None NOlle NOlle 'FiT>, )~Ii, '1..) c: 'A' . ~L-. c;TI C,J -, N -~:!~'-ri.__~_...---._,__.,..~~_.~" (e) '~ i--~~- l)'1 13, Charlteble and Governmenlal Bequasls/Sec 9113 Trusls lor whleh an olecllon 10 lax has nol boen (1~1 made (Schedule .,1) 14, Not Value Subject 10 Tax (Unel2 minus Llnol3) (141 SEF. INSTRUCTIONS ON REVERS~ SIDE FOR APPLICABLE RATES 15,Amounl of line 14 taxable at the spousal lax rale, or Irans'e" undo I' See, 9116(e)(I,2) ~ 16,Amounl or L1n. 141axable elllnoal ,alo ~ ~ 17.Amounl of Line 14 taxable at sibling ralEl g 18. Amollnt of Une 14 taxable at collateral rale 19, Tax Duo 20, 0 x ,00 (18) - x ,06 (16) - x .12 (17) x ,15 (18) (19) >>BE sURe TO-ANSWEiiALL QuesTiONsoN~EviRilii8iii'E~DRiiOHlioi<~TH'< Copyrlghl2000 form .oftwaro ollly The lackner Group, Inc, Form REV.1800 EX (Ro.. 8.001 i)ecedent'e Complelo Addren: ST~ITI AllI)~ISS ('ITV New Kingstown I HATli PA IIII' 17072 ] . . 4 Hnsl Mnln Streel Tax paymenta Ind Credlte: 1. T"" Due (Pago Hlno 191 2, CrodllllPaymcntl A, SpoulSl Povorty Crodlt B, Prior paymonll C, DI.count (1) Tolal Crodltl (A + B + C) (21 0.00 3, 'InleruVPenalty If applicable 0, Intorelt E, Ponalty Totollnt.reaVPonaliy (0 + EI 4, II Line 211 greator Ihan Line 1 + Line 3. onler Ihe dlfferonce, Thla lalho OVERPAYMENT, Chook bON on Page 1 ~Ine 20 to roqullt a r.fund 5, If Line 1 + Line 311 gre.ler than Line 2. enler Ihe dlffer.nce, Thla lalh. TAX DUE, A, Enl.r the Inler..1 on Ihe I.K due, 8, Enter the total 01 Lln. 5 + 5,1" Thla 1.lho BALANCE DUE, (3) 0.00 (4) (5) 0,00 (5A) (5B) 0.00 Make Check Payablalo: REGISTER OF WILLS, AGENT ~tl_M~.litIV~f~;~P~,:t:<flWt{\'I;f,~t,m:\':wa~\i!;,;)i!Jj~li~i,i,W;l;';~~f;li!~WJ~!ll~~;,!:~M{jli~;~'iNJ,q,~j';::~;iI$;IrMlf~f:r ~;);)\~.\Jti{~\i~-)<<if:\' {';frf~J!;!;:;,~';'':~I{:;. -, .-' P~EASE ANSWER THE FO~~OWING QUESTiONS BY P~ACING AN "X" IN THE APPROPRIATE B~OCKS '~ I 1, Old docedent mako a tr.n.f.r and: a, rolaln Iho u.. or Income of Ih. prop.rty tranaf.rr.d; ......,,,..,,,,,,,........,..,,,,,,,,, ,...................."", b, r.I.ln the right to de.lgn.te who .hall u.elh. property Ir.n.ferrad or It. incom.;, ""....,,,..,,, c. retain a reversionary Interest; or.."" ................... ",_"..""".".. ................,... d, r.c.lv.lh. promla. for IIf. of ellhor paymenl., b.nefils or c.ra?"'""".."",,,, """..""...., 2, If death occurred .fler D.cember 12. 1982. did deced.nllran.fer proporty within one year of de.lh wlthoul receiving .dequale con.ld.rallon?"",,,,......, ,......"""".. ,,,,,,,..,....,,..,,..,,..,, 3, Old deced.nt own an "In tru'l for" or p.yabl. upon d.ath bank .ccounl or .ecurlly.1 hi. or h.r d..lh?, 4, Old deced.nt own an Indlvldu.I Rellr.m.nt Account. annully. or oth.r non"probat. properly which contain.. b.neflcl.ry d..lgn.llon?.. o o o ~ ~ 1&1 IF THE AN8WER TO ANY OF THE ABOVE QUESTIONS IS YES. YOU MUST COMPLETE SCHEOULE G AND FILE IT AS PART OF THE RETURN, Unc;.r penllll.. of perjury, I daClaru Iholll1ave uamined this relum, includmg Iccompanying ,chodu!81 and .lllamenl.. and to Ihe bitt of my ~nowtedge Ind belief, ill.tlrue, coolel and complllt. Deder.llar] 01 pI'plfer oth."}hln Ihlper'onll r.pre~<<Inl~l~11 i. bas.don all inform~hon 01 wh~h P'&P'fIH has Ilfly ~nOW1_ldg. SIONA1URf: OF PERSON RESPONSIBLE FOR FiliNG RETUR:N AODRESS Joltph J\tp. 0 dlucky .''A' / /' '1/ -- ~~.//.'. f t, C vv'" 51 lURE 61 P~RSON RESPONSIBLE FOR FILING RETURN U Shin Podlucky .1. . J ~~...4 SIG- TURE Tft€fffi' BEr4NTATIVE o Q .' Irlch r2. \ DATe ADDRESS 1820 High Streel Camp 11111, PA 7011 ~-I-03 DATfi ~ - 1-1>3 ADDRESS 1820 HIgh Streel Camplnl,PA 7011 DATE 204 Stale Street H~.rrisbllrg,PA 17101_ .l''::'I~r-02_'''N ~:;,r;;: ;,,~:'~~.lt:~Nf~J:rr-:.:{\.4l<,",~!:;Sd-,":~:;,7Nf,:;>1;\'..:h-;~t;::,::I;,.!'r'lM~?ft"iIr~~.'llJjl;),!:~.;\t'lMNtf.?!,~10:~m,~X~(f!Jit;k~'::E;lt\~il';J}t;~ ,;,:,j F d . of de.th on or .fter J . 1994 and before J.nu.ry 1. 1995, Ihe tax ralelm~o.ed on Ihe net value 0' tran.fer. to or for Ihe, u.o 01 the Ing .pou.el. 3% [72 P,S, ~9116(el (1,1) (I)), For d.l.a of dOAlh on or .fler J.nuery 1, 1995, th.laK ral.lmpos.d on Ihe net v.lu. of tran.fare to or for Ihe u.e o!lhe .urvlvlng .pou.ol. 0% [?2 P S, ~9116 I.) (1,1) (Ii)), The .1.lul. doe. nol eKemol . tr.n.f.r 10 a .urvlvlng .pou.. from taK, end the slatutory requirement. for disclosure of ....1. .nd filing a tax return .r. sllll appllcabl. .v.n If Ih. .urvlvlng .pouse I. th. only b.n.,lcl.ry, For dale. of d.oth on or .fler July 1. 2000 The tax rate Imposed on the net value of transfers from a deceAsed child twenty-one yoars of age or younger at death to or for the use of a nahudl parenl, an adopllv. p.r.nt. or a sl.pparenl of the child Is 0% [72 P,S, ~9116 (.) (1.211, Th. t.K ral.lmpo..d on Ihe n.t valu. of transf.r. to or for the uae of Ih. decedent's lineal b.n.flclarles 1.4,5%. eKc.plas noted In 72 P,S, ~9116 1,2) [72 P,S, ~91 161a) (1)! The taK r.I.lmpo..d on the net valu. oftran.f.r.lo or for th. ua. ofthe decedent'. siblings i. '2% [72 PS, ~91 16 (al(1.3)I, A sibling Is defin.d. under Section 9102, as an individual who has stleasl one parent in common with the decedent, whether by blood or adoption. / $-_ ,I")/'J - ,>I \, BUREAU OF INDIVIDUAL TANES INHEAITAN(:l: TAll DiVISION DEPT. ~80601 HARRlSIIURD, PA 11128-0601 COMMONWEALTH OF PENNSVLVANIA DEPAR'rHENT OF REVENUE *' NOTICE Of INNERlI'ANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLDHANCE Of DEDUCTIONS AND ASSESSHfNT OF T^~ tlY.IU' U ,,, 111.111 09-29-200~ PODLUCKY 03"27-1995 21 97-0302 CUMBERLAND 101 [.=.~~==~~M~~d -j MAKE CHECK PAYABLE AND REMIT PAYMENT TO. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONll THIS LINE ... RITAIN LOWER PORTION FOR YOUR RECORDS ~ REY :i54i-ix-iiFP- -iiiFliir-iliiYitir-o,-i"NHiiiii'AifcE- "fAx - 'A-p;;iiii is ii-fiilT"; i\i.lowAifcE-OR'---- -oo --. - -" - -- DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JOSEPH W FILE NO. 21 97- 0302 ACN 101 JOHN R ZONARICH SKARLATOS I ZONARICH 204 STATE ST HBG 'II DATE ESTATE OF DATE OF Dli:ATH FILl NUMBER COUNTY ACN JOSEPH w PA 17101 ESTATE OF PODLUCKY DATE 09-29-2003 TAN RETURN WAS I (X) ACCEpTEII AS FILED RESERVATioN CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORHlINAL RETURN 1. R..I Il,'lltat. <<Soh.dub A,) 2. stoDk. and Bonds (Sch.dule B) 3. Closely Hllld Stoek/P.dn.rshl~ Int.rest <<Schedule C) ~. "orig.gas/Notes Raceivabl. ISchedule D) 5. C.,h/Bank D.POGltf/Hls~. parson.1 Property (Sohedule EJ 6. Jointly Owned Property <<Sch.dul_ FJ 7. Tranwfers ISchedul. 0) a. Totel Alllllt. ) CHAtlGED U) (2). (31 (4) (5) (6) (7) ,00 .00 .00 ,00 .00 ,00 .00 (8) HOTEl To In.tlre proper credit to your account) lub,d, t the upPllr pOl'Uon of thl. for. ~ith your taK pay..nt. .00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral EKpans../AdM. Costs/Misc. Expense. (Schedul. H) (9) 10. Dobto/Hortglge ll.bllltlo./Llono ISoh~du11 I) lID) 11. Tnbl Deductions 12. Nat Value ot Tex Raturn 13, Ch.rlt.bllll/GoYernltlent~l Blquests; Non-el.ct.d 9113 Trusts CSoh.dul. J} 14. N.t VMlu. of Ellt.t. Subjact to Tax .00 .00 U1I (2) (3) (14) DO .00 ,00 .00 19 will If an aaaaealllent Willi baued praviously, lines 14, lS snd/or 16, 17, 18 and raflact figures that include the total of B1k returns aaa.lIaed to data. ASSESSMENT OF TAX: 1&. A.ount of Lin. 14 .t Spousal rat. (15)~ 16. AMount of Lin. 14 texlbl. at lln..l/Cla.1I A rlt. (16) 17. AlIOunt of L1no 14 ot Sibling r.t. 1171 1'. AMolmi of Lin. 14 taKabl. .t CoUat.ral/Clan 8 rat. {lS) 19. Prlnol,..1 TIl( Due NOTE: .00 N .00 X ,00 ~ ,00 X 00 < 06 < 00 < 15 < (9)< ,00 .00 ,00 .00 .00 DATE KI:CUfT HUHBER INTEREST/PEN PAID (-) AHOUHT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 ,00 .00 .00 . If PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION Of ADDITIONAL INTEREST. IF TOTAL DUE IS lESS THAN tl, NO PAYNENT IS REQUIRED, IF TDTAL DUE IS REFLECTED AS A "CREDIT" (Cft), YOU HAY BE DUE A REfUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.) ", RESERVATION, Elht.. 0' tflo..nh dYing tH1 or bII'orl OIa.lb.r 11:, 1982 -- If ,ny 'utur. Int.rut In thl ut',t. htr."tflrr.d In pa.....lon or enjOY'lOt to Cl... I (ooll.t,rel) blnef!o.erl.. of th. dac.dlnt Iftlr the IMPlratlon of any ..tetl for life or for y..r'l thw Co..onw.e1th hlr.by IlCpr...1Yru.,'"", the right to IfIpr.... .nd ....... tr~.flr 1nhedtanoe 'II(" It tho l'~ful Cln. I (ooUlt.reO r.t" on any IUch fut'lrl Int.rnt. PtJRl'IO$E OF NOnCE I PAYHEHTI REFUND eCA) I OIJl::CTIONSI ADHIN- UTRAfIYE CnRfl'ECTIOHSI DUICDUHT I PENALTY I INTEREST I To fulfJ11 the r.~ulr"lntl of ,t;.otlon 2140 of thl Inhlrltlnol and Elt.t. T'M Act, Aot 250' 2000. (12 P.S. DICtion 9140), DlltlCh thl top partien of thh NoUol Ind tublit with YClur paY.Illt to thl Rlght.r 0' Willi prlnt.d on thl revlr.. sid., --HIk. ch.ok or lonlY ord.r pIyebl, tal REGISTER OF MILLS J AgENT A rlfund of a tel( orldlt, which N" not rlqul.tld on the Tel( Rlturn, ..y b. rlqu.stld by oo.plltlng In "Applloatlon for Aefund 0' Plnnlyh/lnla Inhlrlhnol and Elhtl hM" (REY~1313), Applloatlons arl avallltlll at the Offlo. of thl R.glst.r of Willi, IIny af the 23 R.venu. Dhtrlot Offill", or by aelllng the ,pllal.I 24-hour .nlwlrlng ,.rvlo. for fori' ord.rlngl 1-800-562-20501 'Irvlou. for tIMP.y.r, with ,p.olal hlarlng and I or Ipuklng nudll l~aDO-441~501.0 (TT only), Any perty In Intlr..t not nthflllld w.\th the IlPprahe'lnt, l11oHllnol, or dha11owlIf101 of deUuotlon" or ........nt of teM (Including dhoount or Inhr..t) III shown 011 this Notlee IUlt objeot within ,lMty (60) dlYS of rllc.lpt of thh Hotlol t'lYI --wllttln prot..t to the PA Depart.lnt of Royenul, Iplrd of APP'II" n.pt, 2810ZI, Harrisburg, PA --"llotlon to hlye thl .etter daterllnld It flUCUt 0' thl IQOount of the p.r,onel rlp,."lnt_Uvl, --t1ppllfil to thl Orphan,' Court, OR 1112a~1021, OR Faatu_l .rrors diloaYlrld on this ...."..nt Ihould b. Iddr....d In writing tal PA Departlent of Rlv.nu., lur'lu of Indlvldu.l Talil', ATTNI po.t A..I..II.nt Rlvillw Unit, D.pt, 280601, Harrhburg, PA 1112a.0~01 Phone (117) n1-6SG5, S.. pllge 5 of tha bookl.t "Instruotlons for Inhlrltano. TIM Raturn 'or e Ruitt.nt Daold.nt" (REV-1501) 'or an aKp18nltlon of .d~Inl,trltlvlly correotebl. .rror.. If any tlM due Is peld within th,... (5) oalenderlonth, I,tar the dloldent's d..th, a flvl Plro.nt (5~) dl,oount of the till pl\ld 11 .Uowld, Th. 15Y. till IMllty non-pertlclIpeUon plnllty II co~utld on the total of thl teli Ind Inbrut .......d, and not p.ld blfor. Janulrv 18, 1996, the flr.t dlY eftAr the Ind of tha till a.n.tty pgrlod. Thll non~p.rtlolpatlon p.n.lty I~ app.alsbll In thl la.. .ann.r and In the the .8M. tl.a p.rlod 8' you ~ould Ippa81 thl tllC enrl Intlr..t th.t ha. bl.n ....II.d al Indicated on thh notloa. Intern,t II oherg.d beginning with first day of dllinquenoy, or nlnl (9) lonths Ind on. (1) day fro. thl dlt, of d".th, to ttJ.I date of pay..nt. taMe' which blo." deUnquent b.fore Jlrn,ary I, 1982 blllr Interllt at thl r.t. of six (610 plra.nt per InflUI ollouhbd at ~ d"lly rat_ of ,000164. All taMu whloh hece.. dellnquant on end eft.r Jlnuary I, 1982 will bllar Intar..t It I rftt. whioh will Vlry frail aallndlr year to cel.ndlr YIlIr with thet rltl Ilnnouncld by th. PA n.partllflnt of Rlvlnul, The ftPpUalbl1l Intlrnt rat.. for 198Z thrau;h Z003 arll Int.rllt Dilly Intlrllt V.l1v Intllrllt ~~ ~ ~~ VllJr~ '!.!!!; OallY ~ 1982 20i( .OdOS"8 1987 9;';' ,000247 1999 n ,000192 1985 16i( ,000438 1988~l991 11% ,01)0301 2000 OX ,000219 1984 lliC ,000101 1992 ~X ,0002~7 2001 ~X ,000247 1985 ui( ,000356 1995-1994 n ,000192 2002 OX ,000164 1986 1O~ ,000274 1995-1998 9% ,000241 200S SX ,000157 ~-Int.r..t II oalaullltld .. follow'l INTERE$T = SALANCB OF TAN UNPAID N NUNBBR DF DAVS DBLINQUENT X DAILV INTEREST FACTOR ~RAnY Notlall IUlllld _ftlr thl hM bloo... dllinqulnt wUl rlfllOt. an Internt C1111aullUon to flft..n (15) dlYs b.yond thm date of thu B"RI'lant. If pay.ent I, .Id_ Bftar the Intarl,t co.putltlon dat_ shoNn on the NoUol, IddlUonal Int.rut .u.t bl allculetld, STATUS kEPORT UNDER RULE 6.12 Name of Decedent.: JOSEPH WE-LEIN PODLUCKY Dat!ll of Death: MARCH 27, Jjl95 Will No., 1997-00302 Admin, No,: Pursuant to Rule 6, 12 of the Supreme Court Orphans' Court Rules, I report that following with respeot to completion of the administration of the above-captioned estate: 1, State whether administration of the estate is complete, Yes X No____._ 2. representative complete, If the answer is No, reasonably believes that state whether the personal the administration will be 3. If the answer to No.1 is Yes, state the following: a, Did account with the Court? the personal Yes representative No X file a fil1a1 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 r approvals of formal or informa1/3C.Q?unts of the Orphans' Court and may r attac ( releases, joinders and ~y bo mO='a"'O "o<k ..... Date: March 7, 2000 ~ .t:t C5~ r;'") ~l. - (,' (Dt::. Ef -') Q .9:~ U ~ ~r' 'f \..) ,.~ '1-' U ~" tci ~:: g~ ~ 8i Zonarioh ., iPlease type or print) 8karlatos & Zonarich LLP 204 State Street Harrisburg, PA 17101 Address (717) 233-1000 TIIIl. No. Capacity: X Counsel for Personal Representative ('