HomeMy WebLinkAbout97-00377
PETITION (<'Of{ PRonATE !Ind C;RANT Of' LETTERS
Estate 0/ JLdr'.!]_,_t1J"hc,Al No. . _" __d\:_(LL~_,'::'_'J:L__
also known aj' _______,__,_, .., _, To:
_ .___...._.__,__....__ no __ _.__ Register of Wills for the
___.___ _._" ,_~ Deceased. County OfCf4.-I1J.lwJ....JU.L_ln the
Social Security No. _.?ITL~_J:~ _~_._~1}O Commonwealih of Pennsylvania
The petition of the undersigned res peel fully represents that: rIf'
Your petliloner(s). who is/arc 18 years of age or older,~n t}~ixeeu,Q.[.L--
In the last, will of the above decedent, daled ____g_:_L______
and eodlell(s) date~:l1.--==::::._==_=_..::::::::::::.=--____:=_- ,
_ named
. 19.2.aL
(!Iatc relevant c1rCllnatancc~, (',g. renuncil1tlon, dealh or e~('cutor, eIC,)
Deeendent was domiciled at death in ~ b. r \ tJ.. "CL Coun y, Pennsylvania, with
II f!..... last family or principal res~nee at __S...LL {)r~; , ... .'" (...~ e. "R,
c... ~ l,'..li~_._ l<l, 1'701" ~\!!_~.c.-E "-
(list meet, nllmber and munclpalllY)
Decendent, then f f.:, years of age, died _ 1'1 (J r" \ \ . 19 '17 ,
at Hl"~~,~dic(^ I a~__ .
Except as follows. decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered fo/~bate; was not the victim of a killing and was never adjudicated
Incompetent: 1.1 -'
Deeendent at death owned properly with estimated values as follows:
(If domiciled in Pa.) All personal properlY $ 100, 000 ~
(If not domiciled in Pa.) Personal properlY In Pennsylvania $
(If not domiciled In Pa.) Personal property in County $
Value of real estate In Pennsylvania $
situated as follows: ..
WHEREFORE. petltioner(s) respectfully r~ql!.ejAt(s)ENtlleA.P.yrobatc of the last will and codiell(s)
ptMented herewith and the grant of letters I t~ I I'MI T I{'
theron.
(teslamentary: admlnlslratlon c.l,a.: admJnlstratlon d.b,n,c.t,a.)
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OATH 0.1<' PERSONAL REPRESENTATIVE
COMMONWEALTH OF I'ENNSYLVANIA } 88
COUNTY OF' CUMBERLAND ___. .
The petitioner(s) lIbove-named s'vear(1) or lIfflrm(s) that the statements in the foregoing petition are
trlle and correct to the best of the kilOwledge and belicf of petltioner(s) and that as personal represen-
tative(s) of thc above decedent pctltioner(s) will ;a truly administer the estate according to law.
Sworn to or affirmed jlJ.ld subscribed ~'" l. '" ( 1,,__ r; ;P I( "" /;. v.,)- '"
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LAST WILL AND TESTAMENT
01<'
HELEN M. DElli!.
I, HELEN M. DIEHL, widow, of Lower Frnnkford Township (mnlling nddress: 511
Opossum Lnke Rond, Carlisle, Pennsylvnnin 17(13), Cumberlnnd County. Pennsylvnnln, being
of sound and disposing mind, memory nnd understnnding, do hereby mnke. publish nnd declarc
this as and for my Last Will and Testnl11ent hereby revoking nnd making void any and nil Wills
by me at any time heretofore mndc.
1. 1 direct illY hereinnfter nnl11cd Executors to PIlY nil of my just debts nnd funeral
expenses ns soon after my death ns mny be found convenie,nt to do so.
2. All of the rest, residue nnd remninder of my es(nte, renl. personnl nnd nlixed, and
wheresoever the same may be situnte. I give. devise nnd bequenth in equal shnres to my seven
children, their heirs nnd assigns, they being: Joyce A. Chestnut, Ronald Lee Deihl, Vance K.
Deihl, Mary Jane Grimes, Kathryn Marie Gitt, Margaret Ann Darhower, and Joan Elaine Splain,
provided ench of them shall survive me by a period of ninety (90) dnys, but should nny of my
said seven ~hildren fail to so survive me then the shnres such deceased child of mine would have
received shall pass to such of his or her issues, their hcirs nnd assigns, as shall survivc me by a
period of ninety (90) dnys. per slirp(~s, nnd if there be no such issue then the same shnlllnpse and
be added to the shares of my other children. per stirpes.
3. Should any person less thnn than 21 years of age be entitled to distribution from my
estate, in such event I hereby nominnte, constitute and appoint my hereinafter named Executors,
or any of them. ns Guardians of the Estate of each such person and authorize nnd direct such
CJ~ardians to pay the income arising therefrom together with so much of the principal thereof as
ill the opinion of said Gunrdians is necessnry or desirable to be expcuded for the proper
J';' aintennnce, support and education of such person, to or for the benefit of such person, and
upon such person attaining 21 years of age, to pay to him or her the, then remnining principal
together with any undistributed income.
4. I hereby nominate, constitute and nppoint Joyce A. Chestnut. Ronald Lee Deihl,
Margaret Ann Dnrhower and Mary Jnne Grimes, or any of them. as co-Executors of this my Last
WllI and Testament and I direct that none of them shall be required to post any bond to secure the
faithful perfonnance of his or her duties in the Commonwealth of Pennsylvnnia or in any other
jurisdiction.
I
5. In addition to the powers conferred by law, my Executors nnd Guardians of the estate
of any person less than 2 I yenrs of nge nre empowercd to:
a. To invest any part of the trust corpus in such securities. investments, or other
property as may be deemed advisllble and pl'l1per, irrespective of whether the same are authorized
for the Investment of trust funds under the laws of any governing jurisdiction.
b. With respect to any corporation, the sto(~ks, bonds. or other securities of which
may be held, to vote in person or by proxy on any shares of stock; to consent to the merger,
consolidlltion or reorgllnizlltion of such corporations; to consenl to the lcasing, nlOI1gllging or
sllle of the property of any such corporations; to make nny surrendcr. exchange or substitution of
such stocks, bonds or other securities liS an incident to the merger. consolidation or
reorganization of such corporations; to pay allnssessments. subscriptions and other sums of
money which mllY be deemcd wisc and expedient for the protection and maintenance of tht
propc:mionate interest of the inwstmcnt in such corporations; to cxcrcisc nny option or privilege
which mllY be conferred upon thc holders of such stocks, bonds. or other sccurities of such
corpol'lltions eithcr for the conversion of the same into other securities or for the plll'chase of
additional securities, and to make any and all necessllry paymcnts which may be required in
connection therewith; and generally to havc and exercise ns to all sllch stocks, bonds and other
securitics. the powers of an individulIl ownrr who is lindeI' trust ohlig:llion.
c. To hold the trllst corpus in one or more consolidatcd funds in which sepal'llte
shares shall have undividcd intercsts.
d. To sell nt public or private sale for (:lIsh or upon credit, 01' partly for cash and
partly on credit, IInd upon such terms and conditions liS shllll be deemed proper, any part or parts
of the trust estnte, and no purchnser at nny such sale shnll be bound to inquire into the expediency
or propriety of IIny such sale or to see to the application of the pnrchase moneys arising
therefrom.
Pago 1 of 2 Pages
I1Q) ftle/V.l?,,_.
20, II line IQ I. grealer .hon Line lB. enler Ihe dllle"nee an Line 20, Thl. II Ihe OVERPAYMENT. (201 _!JLlJt'it:.,
gO I
21. If line 18 it greater thon Une lQ, entllf the difference on Line 21, This js the TAX DUE, (21) _ 'I ~_-
A. Enter Ihe intores! on the b{l!onc6 duo on line 21A. (21Al 1'/6--
B. Enler the 10101 01 line 21 ond 21A on Line 218, This is the BALANCE DUE. (2161 I 'j~~
...__ ~!,~~__~~_c~~ay_~_~_l. to: ~_~ullt.r Of~i11I, ~glt"t ___ _ _____ _ ~ ___
_nn__ .~_._n~~n_'iiEsu~E n!OA-NS~.EilALL~UESTj()tlS. ONREVi:!5E~!>E~~.Dj~~ECHEC!5_~ATI!~_~ ., _ ._'.', .__
Under penalties of pflrlury, I declmo Ihot I hove examined Ihis relurn, including Clc<ompony'ing schedulfH (Inri slcllomonts, and 10 the bell 01 my knowledge (lnd belief,
t Is true, (orrect and completo, I declare that oil reol osloto ho, b6t)n reported (II Irllo rnorkol vClluo. Decluralion of preporor olner IhCln the per\onal reprelenlclllve II
bal~donCllllnlo_rm(I_lion_of_whichprepClr(Jrh~1onyknowlodgo_ ___ _ __ __ _ _ _ _ _n .
;:;:~~';;t".'.'E"('NSI"f'O''''ING'''',"N _~A~'""&.ML 41 ~~,6 (;.n6d D;ij!!ijfZ .....
SIGNATURF. Of PRE PARER OHlfR tHAN IUPRE5WrAIIII[ A(J[HH5~ ~ OA'"( -- -
.REV, 1.100 f~ + IM~1
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'OR DATU Of PIA'H AnU 12/31/91 CHICK HIli
IN~IERITANCE TAX RETURN ~o~W);m~DIT IS CLAIMID [
RESIDENT DECEDENT PILI NUMIIR
COMMo~~~\~~1~10i,'m~~UrANI^ (TO BE FILED IN DUPr..ICA ~E /Cff 7 ~ OcJ.J77
HAnR"fJ:b, hO~\"",o, WITH REGISTER OF WILLS I COUN1Y COilE YEAR /<fq 7 NUMBER
u_~;'~~tL'lif'"1!;i;~'''''A11 -0 ~----~~_._'-,._..-'~. ""f(jH~~7i"~;;''i"- :""u~7Y-:-~
5Oc~~!~vN"ii~~ljtJ. j"A4I~;:~11 I"^r/;:~o ''''''''f 6.r~~~ ~~;:7
II' A'~U(AllfI1IJ~~IVI~ln VC!lJ\!' 11.1...... HA.U, 'IA\f Mill "'1['fIU IWIIAIi I~O(rAl \f(lJlll'Y NUMBER AMOU'll RECEIVAl~~IRUCI[O:$1
Nff_ Nlrm
I"J 2. SUl'l'lel1'.e,,'ol Relurn [I 3, Remainder Re'u,"
(for desl"' 01 death prior 1012.13.82)
U,5, Federal esloto TaK Return Rflqulred
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I 16
Original Return
filE
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[__I 40. Future Intere,1 CompromiHI
(lor dotel of dealh alter 12.12.82)
Decedenl Die-d Teslate [I 7, Deudenl MClinlolned (l living Trust
IAlloch copy 01 Willi (Allach copy 01 Trus.)
ALL CORlISPOI;i'DINCIAND CONFlDiNTIAL TAX INfORMATION SH6uLD Ii' PIRICTED TO.
N /A'4 t.1 A. 'l:krA ~4JU- '10M"''' st~AOORfO" /J'sS.4 .....--'t.;.,4..-ieet. -~-'"_._-
HE "O~~)~9='ii()a~ _n____~] C-r is:; ~, /11J1~
~~~~~,,~;:c;;Cheel:I:":~=oc==-=='""'==~"~~~)=- '-I1;~e~." c' ..-........ ..~,=o,===c==~==._=
2, Slack. and Band. (Schedule BI 12) 5~o -
3, Cla.ely Held S.ackIPartne"hlp Inler...(Schedule C) ( 3 In. No N.~,
54,' Mortgage. and Nole. Receivable (Schedule D) I( 54 II. ' ..~{) Y'..<;: ~ .,.,
Cash, Bank Depotlu & MI$Collaneou1 Personal Properly ~ fA 0 ....
(Schedule EI
6, Jointly Owned Property (Schedule F) (6) _._ ..,4)12 I!.?,_,..__ _ _,...
7, Tranlle" (Schedule 01 (Scheelulel) (7) ...N.Q.N,(,__,..__,._._
8. Tolal Gron Assets (loIClI Lines t.71
9. funeral ExpllJnses, AdmInistrative Cosls, Miscellaneous (9J ....._-6.J..(19-:~-~~_._..--'--
Expe".. (Schedule HI
10, Debh, Mortgage llobllltie.. lie" (Scheelule I) (10) __..._':/..1.'; ~ _._,_._."
11, T olal Deductlo" ('0101 line. Q & 10)
12, Net Value of Estate (line 8 minus line 111
13. Charitable and Governmental Bequesh (Schedule Jj
~4, Nel V,!!~~~ecI 'a To, (Line 17 I1'.lnUlllne 13)
15. Spousal Tranlfen Ilor dales of deoth after 6.30.941
See Instrucllans for Applicable Percentage on Reverie
Side, Ilnelude value. Iram Schedule K or Scheelule M,)
16. Amount of lIne 14 tOKable 01 6% role
Ilndude values from Schedule K or Schedulfl M.l
17. Amount of Llno 14 taKable 0115% role
(Indude values from Scnedule K or Schedule M.)
18, Principal la' due (Aeld '0' from line. 15, 16 and 17,)
19, Crediu Spoulal Poverty Credit Prior Poymonh
Limited f.Uale
_ 8. TOlal Number III Safe Dflpolll Boxes
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'-"'J Add....
_ and subscrlb.d b.for. me,
D.le 01
~eath ___~_i____.-,--__,.___._.__,L,__
Doy M.nth
97
Year
INSTRUCTIONS
I. An Inventory musl b. filed wllhin thr.. monlhs .fl.r .ppolntment of person. I representative.
2. A supplement Inventory musl b. filed within thirty days of discovery 01 .ddltlon.1 euels.
3. Additional she.ts may b. attach.d .s to person.lly or r..lty
4. S.e Artlcl. IV, Fiduciaries Act of 1949.
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BUREAU OF INDIVIDUAL TAKES
IHII[RJlANcr lAX nII/IS'ION
IJ[PT. i'&DliOl
ItAAIWHIUMO, "' II\i'S.0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
c
NOTICE or INtlERl1'ANCE UK
APPRAISEm~~T, ALI.OWANCE OR DISAI.l,OWANCE
OF DEDUCTIONS AND ASSI;SSMENT Of TAK
12-01-91
DEIHL
04-01-91
21 97-0311
CUMBERLAND
101
I "=,~ -_~"'oun(~'''itT!cic---l'
=_..__.,...._...'__~.~4=>""__"~
., ---.. ..--..~,._.- .--.-.--...----- '-'.---'- --
MAKE OHECK PAVABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ..
R ilV: 154'; - Elf -A FP - i 0"9- :9;Y -NoT" fer -oF - i NHEif f; A N-C E - T"A'x - A"P PRi\ -f sE HiNT -; -A i. i:oWAtic E - OR - - - - - - - -....... - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
HELEN M FILE NO. 21 97-0377 ACN 101
DATE
UTATE OF
DATE OF IlEATH
FILE NUHBER
COUNTY
AON
MARGARET A DARHOWER
560 OPOSSUM LAKE RD
CARLISLE PA
11013
ESTATE OF DEIHL
UK RETURN WAS I I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE II'EVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, R.al E~t~t. (Schedule A)
2. Stock>> and Bandt (S~h.dul. 8)
3. CIQ..ly Held Slock/Partnership Inter..t (Sohedule C)
4. Mortgag.s/Notas Rac.ivable (Schedula 0)
S, C.sh/Bank Deposits/Hisc. Par.onMl Property (Sohedula EJ
6. Jointly awned Property (Schedule FI
7. Transfars (Schedule G)
8. Total ASlets
) CNANGED
III
(2)
(3)
(4)
IS)
(6)
(71
.!l.J!...
520.00
.00
.00
33.682.00
.00
.00
18)
APPROVED DEDUCTIONS AND EXEMPTIONS:
" Funeral Exp.n&../Ad~. COltl/Hisc. Exp.n..s (Sch.aula H)
10. D.btl/Hortgag. Liabiliti../Liens (Sch.dule I)
11. Tobl Deductions
12. Net Value of Tax R.turn
15. Ch.rit.bl./Gov.rn~.ntRl Beque.ts; Non~.lectad 9115 Tru.t. (Schadule J)
14. Net Value of Ellt.h Subjact to Tax
If an assessment was issued previously, lines
reflect figures that include the total of Ab1
ASSESSMENT OF TAX:
15. A~ount of line 14
16. A~ount of Lin. 14
17. A~ount of Line 14
18. rrincipel Tax Due
TAX CREDITS:
PAYMENT
DATf.
08-25-97
NOTE:
at Spou..l rate
taxabl. .t Lineal/Cl... A rat.
t.x.bIe .t Coll.t.rel/Clasl 8 r.t.
RECEIPT
NUMBER
AA211669-
DISCOUNT I +l
INTEREST/PEN PAID 1-)
.00
(9)
(10)
6,809.00
Jj~"
'lrr,flI
411'1"'" (" ql-III
HEUN
M
475.00
III )
1121
1I5)
(14)
DATE
12- 01 - 97
NOTE I To ir.sura proper
credit to yo~r eccount,
.ub~it the uppar portion
of thh for.. with your
t.x paYlllnt.
34,202. 00
7.2Rtt nn
26 ,91B. 00
.00
26,918.00
14, IS and/or 16, 17 and 18 will
returns assessed to date.
.00
1,615.00
.00
1,61.5.00
TDTAL TAX CREDIT I 615 00 ~
BALANCE OF TAX DUE
t-""::::,'::,""__ _:-:.--'___:~ --
IF TOTAL DUE IS LESS THAN 11. NO PAYMENT IS REQUIRED.
IF TOT4L DUE IS REfLECTED AS A "CREon" ICR), VOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF TtllS FORM FOR INSTRUCTIONS.)
(15)
(16)
1171
.00 K .00.
26,918.00 K .06.
.00K.15.
(18)
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAl. INTEREST.
AMOUNT PAID
1,615.00
r,;
RESERVATION' Eot.t.. of d...dent. dV1nR on or b.foro O.o..bor ll. I.ea " II .nv flltllr. Intor..! In tho ..tat. I. tron'lorr,d
In po'.u.Jon or Injo~lt,!nt -to Chili 1\ (CloUatira1) blnef Jcdtdll' (if. tn. dlCldlillt tft,r the 'ilplr.tJon -o~ anY ,.t.t, for
Ilf, or for y.arR, the Co..onw.~lth h.roby ~~prQ..Iy r8.lrVei the right to appr4J.. .nd a..,..tran'f.r Inherltano. Taxel
at the lawful tift.. B CQolieteral) rat, on any 'uoh future tntlr~.t.
<..:; ~.J
PURPOSE OF
NOTICE I
10 f\.lUJU the rlJqutrelll,nh of hctlun 1.140 of thl Inh4lrltnnce and E.h.t. hx AQt, Aot 21 of 1995. (n P.S.
SoctJon 9140).
PAVP1ENTI
Oet.ch the top portion of tht, Notloe and submit wtth Your paY~'nt to the RlgJ.ter oJ Will. prlnt_d on the rlver.e .Id..
-~Mak" ohlck or lllonly ordflr fiaynbla tOI REGISTER OF HILLS, AGENT
REFUND (CR) I
A refund of a lax crldlt, whiCh was not roquostod on the Tax Return, may b, roqllestlU by to~pl.tlng nn "ApPlir.atlon
for R,fund (jf PennsYlvanJu Inhtlrlhnce Md Eshhl Tax" (REV-Ul!). APPlications art! avaUablo at tile OffiCI
of tho Rlvl,tlr of Will., any of tho 23 Revenuo District Offloel, or by c~lling tho sPlcJal 24.hour
nn.werlng l'rvJ~9 n~ber~ for forml orderingl In PonnlylVBnlft lH800-36Z.Z0S0J outside PennlylvanJa and
wlth!n local Hlll-rlsburg urefl (717l 787-8094, TDDII (717l nZ.Z252 CHearJng ImpltirCld Only),
OBJECTIONS I Any party In Jnt.rCllt not .~tJlfl.d with the nppral.e~ent, Q\lowanC8 or dl.811ownncI of deductions, or 8".I'~.nt
of t8~ (Including discount or jnterlst) as shOwn on thJI Notice ~Ult object wlth!n sixty {60J day. ofrlceJpt of
thh NoUc. bYl
ADMIN
ISTRATIVE
CORRECTIONS I
H-wrJtt"n protOlt to the PA Olipart",ent of Revenue. fiollrd of APJHHlIt., Dept, 281021, Harrisburg, PA 17128.10Z1; OR
-HehcUOfl to ha\l-' thll JIIatt.r deterllllned lit audit of the aCCCllmt of the porsonal representaUVQ, OR
-.appel'll to thll Orphans' Cour t,
D!StOl/Nl I
Factual errors dilco'lIrlid on this ,)~seUI1lGnt should br. addressed in writing tOI PA OIPartJlllnt of RIVlnue,
!ureau of Individual T8)<~h, ATTNI PQst AsseSUlent Review Unit, Oept. 280601, Harrisburg, PA 17126-0Ml
Phone (717) 781-6!i05. Su page S of thll bonldet "Insh-uctiol,. fcr InherItanct! Tax Return 'or 0 RO'id4lnt
necld.nt" (REV-lS01) for an exp1Qnation of adMlnlstratlv.ly oorrectablt! errors.
If IInv tax due h paid wJthln thr.e {3j callndar "'onths aftar the declildent'" duth. a fJVI plilrnent (S;O discount of
the tax ,.,aid II allowfld.
PENAlTVI
The IS% t8X ft_n..t~ nnnHpartlclpntlon penalty I. ~oINp~ted on the totaJ cfthe ta~ and int.rllt a".I'.d. and not
Pllld b.fortl Janutlry 18. 1996, tht! firllt day aft"'r the und of tha tft~ a'lne.ty periOd, This; non-partlolpatJon
p.naI tv h eppetlhbl. In thlil la... IIIMn., /lOd In thl! tllll lOftINO tj",. "ar lod a-' YOU woulci ftPpu1 thl tax and jntere.t
that haD b..n flu....d a~ IndJoatlld on thll notlclI,
[NTF.RESTI
Int.ra..t is Ilhflrglild beginning with first dAy of dOllnqueney, or nlrlll (91 1Il0nthl '!Incl ono (I) day frOIl the date of
d4lllth, to HI. date of oltY"'ent. Tallllll which bocallle dollnqulilnt bDfore JenWlry I, 198Z bur Int.rut lit tho rat. of
.Ix (6%) percent per l!In1IUIN onlculatod lit 1I dallv r"tlil of ,OOOIM, All tllXIiI. which b.C81l1 delinquont on &nd aft.r
January I. 1981 will be2lr Jnterelt ot II r8to whf(:h wlJl vary frolll flahndar Y8ftr to culAnd8r yeor with that ruh
flnnol/n(llilli by thft PA Dopal'tfllllnt of Revenue, Thill llpplJcabll1 Intlilrut ratu for 1982 through 1997 ar.l
~ Inhr.st Ratlil Dalh Intorlillt fl'lctor :t!!! Inter~.t Rl'It~ Dally Interest factor
19&Z 20% .000548 1987 .% ,000Z47
1983 16% ,000438 1986"1991 11% ,000'01
1964 11% ,000301 199Z 9% .000247
1985 13% ,000356 1993-1994 7% .000192
1986 10% ,OOOl74 199!i-19n 9% ,000Z(,1
--Inter..t II Cl'IICUlatlld .. folloWl1
INTEREST. BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
H~Any NotJc. I"uld after thll t~x beco~I' dlilllnquent will reflect an Int.r.wt caJculatIon to fift.en (15) daYI
beyond the d'to of the a.......nt, If P5Y~ont Js Madl aftor thl tnt.rest COMPutatJon date 'hown o~ the
NotJc:e, addJtiunaI int.r.1t flIUyt bllt calouhted,
[,
v~
STATUS REPORT UNDER RULE 6.12
Name of Decedent 1 II f Ie h rh /Jr-'//, I
,
DatA of o.tathl l/-/17
Will No.
/'-/'/7 -('()3 '71
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 th8 above-captioned estatel
Stat~/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 1_
1.
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.
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did t.he personal representative state an
account informally to the parties in interest? Yes No X
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.
r,-)
IT
.".'.' .-);
(J( 'i
--1-<"fll.~1 ILL<.. I () /h ( I u..".,j' j
Signat.ure
;.1 7:.... ,- k"c' t' -
Name ( lease type or pr nt)
('I / ,./
)fJc1:.5LI'h L.,l..$; ;('d,
f (.(,;, '/", (" / 'I..'il
... J L
r:j{,(J
Address
;'" ) ..t.'
Da te 1_ 'I'" ( .). y 7
t'l
',1
'--:-1
( 7(/ ) ,) 'Ie! d/,).~l ,/
Tel. No.
Capacity:'.
Personal Representative
(MAHl rmf/AM3)
_____Counsel for personal
represent at i ve