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Home My WebLink About97-00761 '-., " 'c-.. '0--. '. .. .,...~...'. '0 " ,.. ! '0 ! .2............. -\ &1.1\ ">< ,\ ~ Ella/(' q(,;)/?t1&_"<<.//lzfjLA~fi,r,t.>J5____ a/.lio know" as ____________. PETITION FOR PROBATE and GRANT OF LETTERS No. ___~;;Z '_:<:11":"- 7 b L To: Register of Wills for the Deceased. County ofC'u,r/Trl.)(I-9,.JP in Social Se<'llrily No. /-1Z::Lo-'o.2.~;" Commonwealth of Pennsylvania The pelilion of Ihe undersigned respcctfully represenls Ihm: . Your pCli~ion~rls). who is/arc I H years of i.~.'C o~ ol~lc~ al~ ~~c .c.~CCtlta_B.:2' II1lhe la~1 :vIII 01 the anove dee,-delll. dmed _.1)'-' < :...2;rL&-:L aod codlellls) dated _~ ----. ::rJ?d:._,I;[_.d:~fi h' /II.::> ... Jze.!:"J,R!,dr:.s._:v:'OLo~P ./)'-'.", ~_P._~~_";?LZ:<;'~. (,Iall' n:It:V:Ull ,:irl'lllll...tan~c..., c.~. rl'llllll\:ialllllJ, dealh of l'\C1.:lll11r. cle.) Ihe named ,19.Q.d. Deeendenl was domiciled at death in C'W "t/:fl""/.!/AAJ'~ County, Pennsylvania, with h,:..s laSI family or principal residence al ~() it1"p~'A /,?,,;-n;!o/ N:4P ,7CJkT.I/ /hPrl"r<"",u Z3~/' c3d',/'f.r;~~e ~ /-;70/3 (Ii"'l <.Heel. 1I111llhcr ilnd 111\l111.:ipalilY) [)eeendelll. Ihen 96- years of age, died ft <> ';7 HI _._9'1';;" ~.tf/j,!"r AYT-",-;:( :<'~d'P ...-"A?///";;';;' # /7<""-" EXeCI'I as follows, decedent did not marry. was nol divorced and did nol have a child born or adopted afler exeelltilm tlf rhe will offered for probate; was not the victim of a killing and was never adjudicated ilK'ompcfclll: ~". ,19 97 . Deeendcl1l al demit owned property with estimated values as follows: (If domic'iled in P".) All personal properly (If npt domiCiled in Pa.) Personal properly in Pennsylvania (If 1I1lI'domiciled ill Pa.) Personal properlY in Coumy ValliI.' 01" rcall.'st~Hc in Pennsylvania d sit uatc.:d a~ l"ollows: ~R -- ~ .2b. ~L-7. $ $ $ $ WHEREFORE. petitioner(s) respectfully request(s) the probate of the last will and eodicil(s) presenled herewilh and Ihe gram of lelters...:..z"",::;&P.'o?..,f;>,-?~ y , llC\laml'lllary; adlllini<;lralioll c.I.a.: adminiscrmion d.b.n.c.t.a.) tIH.'rlllJ. J ;:: ." ~: :"'''' :.:::~ ~:~ -'.' ~~ ~~t-L_~~AV c A()l,44p--.p--AeLM...d.> z:;87 /:.-:Ne ~7""".....,..~/f'/-'--9P 4'",".-.<l.~~L~.04"'~"'" ~ ./.7-=-::>/ o ~ :/~ ~~ L !;~~'J'j 2../ "-> ()t"I..J~ /::.." " A) 1"<,/ I "L,.... ...... ,=:,...t..J ,~~7{16 ./ I t.J ;:i, :;: OATH OF PERSONAL REPRESENTATIVE COI\IMONWEAI.TH OF PENNSYLVANIA 1 " COUNTY OF ,!//-I:'!3~A'!""R..<J.'''' J ::;::; SWtlrn to 01' affirmed and subsl:ribcd hefor,' Ille Ihi, _ .._........2.a.!:b.__ da, of -A.~~~ 1~..9.L m~~j5~...i~B~ ~ I<('.~i.w('r /5' -.;;J..o~ - ) The pelitioner(s) above.named swe"r(s) or "ffirm(s) that the sl"temems in the foregoing petilion arc true and l'orn:c.:l 10 Ihe bl:sl of lti.<: knowh:dgc and helief or pctilioncr(s) and that as personal represen- I"tivehl of the nhove dceetklll petilioner(s) will well and truly adminisler the estate according 10 law. r /fi::'~..J ~ ~-"p~ 11 (?,R.....P..... :L //~- v '" ~. ;; ;: ~ ~ No. 71-q7 nl Estate of JAMES WALTER KEARNS . Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW SEPTEMBER 16 19-.9..1-, in consideration of the petition on the reverse side hereof, satisfactory proof having been prescnted before me, IT IS DECREED that the instrument(s) dated December 30 ,,1964 described therein be admitted to probate and filed of record as the last will of James Walter Kearns and Letters Testamenta ry are hereby granted to Rona ld S. Kear.ns and Charles L. Kear.ns FEES Probate, Letters, Etc. .... . . . . . Short Certificates( 6) . . . . . . . . . . Renunciation ................ x-Pages JCP $60 . 00 $1 B . 00 $ $ 6.00 5.00 TOTAL - $~9. 00 .... .SEI.'T.EM.BER .16.,.1 .97...... Filed (,) :.:.:- Q: ~'~l ::J:I :'-J C) ,_ ~J I~-. p, . .~ :5 ( '\" ~ ~-.J 'ym,,'6 e.. ~-'-. ~~t. p. /; S'kf',-;.'c, Register of WI Is - -~ ATTORNEY (Sup. Ct. I.D. No.' ADDRESS PHONE '. fT)o:...~: &yJ:n. A'11 Cc ~ ~ HlQ511i m~v IJ lid (FEE rOfllH,", CEHlII'Ir.^ H. V OUI WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. COMMONWFAl TH or f)r~ttll:JYLVMjlA O[PARTMENT Of tlEhLTH VITAL fll COHn'; ;21 -C17 - 'lCtoJ LOCAL REGISTRAR'S CERTIFICATION OF DEATH s?pte~9J~.r.;,,;.t~, 1997 i,'~~\'~.Ofer;;::"" ~/~~< .~~ "~\ I""'~_~\\ Ii a, *' '-,I \~\. "..' ,l :i.! ,~ . . -.. ~ ~ a' .. . .,>:}j ~'" ~. - ~i ~1I!1i' <'t-\'f:,,~~ '"",-'"EN!~' ,,,~. ~~ August 8, 1997 o.;l;QTI"~~~-i;;;,c;;Ww{);;---- CERT. NO. 3 5 6 0 3 9 6 Name of Decedent James W. Kearns n__"___._'- ',,,: -..-.----....-- _..- -- ~-----_._..- .--..-----------.----------..- Sex Male Social Secunty Nc .._~.-:...~0..~.~.~~7 Dat() of Death _._ Augu.st 7, 1997 Date of Birth _~.-:.~~!~!..1.9~2 Blrtllplace __.._Le~~sto!.~,. P.ennsyl vania. ---.-..-.---.--- Manor Care Hea lth Servi ces Cumber 1 and Count y Sou th Mi dd 1 eton TWPennsylvania Place of Death __.._.._____..___._......_.____...__._ ...... c... .. .-.--'-' . I .1C",., ',: "',' ; .""t, " 1.-;".,,' ,l<,~o'.rl' No Race Wh ite Occupation __._._~~.::mer-..--__---.-... Nlncd Forces? (Yes or No) . Decedent's W, dower.__._ Mailing Address Manor Care Health Serv ices - Car 1 is 1 e, PA 'I,""'"'' _.____-------;-__n_____.__~_____(;"." 1"",' 'l:"l~ Ronald ~:_~~.~nsp___ Funeral Directorp S.l:.o~t .~. . Brenneman, FD 17013 Marital Status Informant Name and Address of Funeral Establishment Cocklin Funeral Home, 3~~hest~u~.SJ:~, D.i.l!~~~.!:.9.t PA 17019 I I Interval Between : Onset and Death I I Part I: Immediate Cause (a) Pneumonia ----------_.~..- -.------ (b) (c) Part II: (d) Other Sigtg~8~'t E~fditions Manner of Dealll Natural ~XX Homicide Accident 0 Pending Investigation Suicide 0 Could not be Determined Describe how injury occurred: [J [J --------.-- ---------..-.- o Name and Title of Certfier D. Brophy, MD ..---------.-------. (M.D., D.O., Coroner, M.E.) Address 4570 Valley Road, Shermans Dale, PA 17090 .--_..--~--- ---- This is to certify that the information here given is correctly copied frOll1 all original certificate of death duly filed with me as Local Registrar. Tile original ccrlilica:e will be forwarded to the State Vital Records Office fOI permanent filing , -~;:? l2f4dd~~.t. _.:f:-~ ""c1,~~~~,~~,,~.~,,1997 'Idf~"LdL~~~~~~""',"""" If , I :1 " ", ,II' ii: "" ,I ~ , I I , '[ :, \;\!;i , ...~ ': ~ : i :. <llq~'1 i', \ ':'\ , d 11.: ~ : \ i ~: " :1>:1 'I I ",~..,..., ''"..1'~' , , .. 'I I,' [, ':1 , 'i' ,::( ,!' , ' I : \ ~ " "lU,; "111' H~': ; j :~'" Ilil .!': 'I,,, . "111\,'.1 I <, ,1tl" I, : !::jl '\ 'j'l ii " " " :' " I' II;" I" ,Ii 'i, " :', , 'Ii ':II. : \ ~; : : . , "I ,l,' :.1 \,.1: ~.. 'd' :' I" ":;;.1 ii' 'i I,' , ii' \\:', '\1 II ", li,!I, I, i; ,I: , :1 " "','1' : ' ~ !: ii .,:, il: ii' 'II" ,i' :i' ,," ': ,i' Iii ',ii; il' :" ].1 , " \\:\;1' I, ' !;I ":il, "i II I :1' , , " 'I: , , , i,i:: i;1 '!1! I' , ; j ~ ! ' \!, .':1 I" 'I :li I , , I il ii." I' II:, :' ':i ,i ,.i' 'I' I 'i'ii;,' , " \1' I!, I' . . ._4 . . CJ ': , ( ::. (~ r...J ,: ~ . x N C1 r.') ,";- ~ ," c.:.: "- a:. 9' ~5 t)U ~' l ~~.t f . ;= '- ii ~ en ~ - -- \, ~ - t' -- '--' -. ~ \,:' ~ --, I ~ ('-. ~t- t ;; m ~ e.: '\:., C'- ;;fe, 'f ~ r.:l 0\ ~ = l! . ~ I ,- ~ ' It't j~l~ l(ll , ~ fd' , ~'t:' :3 ~ i4.i i en ~ J ~':~'.r ) S " / , -.-" 'j '. . . . fDastllill ann m~gtnm~nt of JAMES WALTER KEARNS I, James Walter Kearns) of the Township of Franklin, County of York and Commonwealth of Pennsylvania, being sound of mind, memory and understanding, do make, publish and declare this to be my last Will and Testament, hereby revoking any and all Wills or Codicils by me heretofore made. ITEM 1. I direct that all my just debts and funeral expenses be paid by my hereinafter named Executors as soon after my decease as may be convenient to the proper and complete admini- stration of my estate. ITEM 2. I give, devise and bequeath my entire estate remaining after payment of debts and expenses, whether such estate be composed of property real, personal or mixed, and wheresoever same may be situated, unto my wife, Ida E. Kearns, if she be living at the time of my death. ITEM 3. In the event my said wife shall predecease me, I then give, devise and bequeath my entire estate remaining after payment of debts and expenses, whether such estate be composed of property real, personal or mixed and wheresoever same may be situ- ated, unto my children, to be divided equally between them per stir- pes. ITEM 4. I nominate, constitute and appoint my wife, Ida E. Kearns, Executrix of this, my last Will and Testament. In the event my said wife shall predecease me, I then appoint my sons, -1- Ronald S. Kearns and Charles L. Kearns, Co-Executors of this, my last Will and Testament. I direct that my said Personal Representa- tives shall not be required to post bond. IN WITNESS WHEREOF, I, James Walter Kearns, have here- unto subscribed my hand to this, my last Will and Testament, this ~~ay of December, 1964. ~ ~~AL'J- /'" -, 'r . // ~ . j JA .. ./ /.~1 /-:-'/i.--- L...~ J, ./)..,,4~ . SIGNED, PUBLISHED and DECLARED by the above named James Walter Kearns as and for his last Will and Testament in the presence of us, who at his request and in his presence and in the presence of each other, have signed our names as attesting witnesses hereto. residing a~~-.-..2 )~"""l ~J residing at ~~"~, ! - ;"'.:1:: .. IN THE COURT OF COMMON PLEAS OF THE 9TH JUDICIAL DISTRICT OF PENNSYLVANIA Cumberland County Branch Estate of James W. Kearns, Deceased Orphans Court Division O. C. No. ,;',4/-i.l7 -761 DISCLAIMER Whereas; James W. and Ida E. Kearns entered into a Residency Agreement with LeTort Manor Churches of God, Inc. on April 20, 1992, for the occupancy of Apartment # 303 at 801 North Hanover Street, Carlisle, Pennsylvania for a deposit of $ 63,500.00. Said Residency Agreement had refund provision of the original entrance fee less one percent (1 %) per month from the date of occupancy to up to 60 months of occupancy. Whereas; James W. Kearns was admitted to the Churches of God, Inc. Nursing Home on May 26, 1994 and Ida E. Kearns was admitted to the Churches of God, Inc. Nursing Home on November 14, 1994 and subsequently, terminated their Residency agreement on January 7, 1995. As a result of terminating the Residency Agreement, the Churches of God, Inc. refunded $ 42,766.16 of their residency fee. Whereas; I, Ronald S. Kearns, acting as an Attorney-In-Fact for my father and mother, James W. and Ida E. Kearns, deposited the refund of $ 42,766.16 with Mellon Bank in a Certificate of Deposit Account # 98424. The representative of the bank suggested the account be opened under the joint account in the name of Ida E. Kearns or Ronald S. Kearns for the convenience of the bank. Whereas; the account remained intact on December 4, 1996 whereupon; at the death ofIda E. Kearns the account balance was $ 47,187.00. Whereas; On December 16, 1996, the account # 98424 at Mellon Bank in the amount of $ 47,248.63 was closed and deposited to account # 100-005-0144 for the benefit of James W. Kearns. The account was opened under the name of Ronald S. Kearns or James W. Kearns as suggested by the bank for their convenience. Therefore, I Ronald S. Kearns attest the account # 98424 at Mellon Bank in the amount of $ 47,187.00 at the death of Ida E. Kearns on December 4, 1996 was registered in the names of Ida E. Kearns or Ronald S. Kearns for convenience only; the funds in the account were assets of James W. and Ida E. Kearns and were intended to be used for their " '" / benefit and I; Ronald S. Kearns derived no benefit from the account and; the funds were used for the nursing and related care of James W. Kearns. Therefore, I Ronald S. Kearns, hereby disclaim all beneficial interest in account # 98424 held at Mellon Bank in the amount of $ 47,187.00 at the death of Ida E. Kearns on December 4, 1996. In Witness Whereof, and intending to be equally bound, and intending that this Disclaimer be filed of record in the Office of the Clerk of the Orphans Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, as provided in 20 Pa. C.S.A. ~6204(a), this Disclaimer has been duly executed this 26th day of August, 1997. INA,;pJ~ Itness ,.....- ~/.J~ Ronald S. Kearns OCj C :~.. ::J , C-, (., ;'.; C1' 2 L' ':"~"""~'_~'A~ __"'_~ -'...._'"...............~--.. . . "_....... .-.-:'.-.....~_..~.....~......,..>~.".',........."...~.. 0-\ (:-.} ., 'J; r, ~~, - ~, N C"l ~';:! c- ,. , - (7, ~~ :5 u: 0r~ -'v ._.-. 21-97-761 REGISTER OF WILLS YORK COUNTY OATH OF SUBSCRIBING WITNESS James Walter Kearns ~KKX . (each) a subscribing witness to the will presented herewith. (each) bclng duly qualified according to law, depose(s) and say(s) that she present and saw James walter Kearns . the testat or . sign the same and that she signed as a witness at the request of testat or in h ~ presence and Olll<tlnql"ItlIIltJIl)f~)C(in the presence of the other subscribing witness(es)). PA 17019 Sworn to or affirmed and subscribed "E' ~" 1":,-- ~:1--!!?~~7f- r? '- :~~J/ !JJp,~~ / For the Register Notarial Seal Halvard E. Alexander, Notary PUblic Dlllsburg Bora, York CounIY My Commission Expires P;rit 23", 2001 Member, Pennsylvania Assoe alian 01 Nolaries a 8 S. B~ltimo est., Dillsbur IAddf.11 t~""'l '''*''1''1 '..):.', .REGISTER OF WILLS YORK COUNTY OATH OF NON-SUBSCRIBING WITNESS (each) a subscriber hereto. (each) being duly qualified according to law, depose(s) and say(s) that of (one of the familiar with the signature of b . i codicil su scribtng w tnesses to) the will presented th codicil, h h d .. f e will IS t e an wilting 0 Sworn to or affirmed and subscribed , testat herewith and lhat _believes the signature on _ to the best of knowledge and belier. 1,,"""11 before me this day of r"'~,hll'l 19 --;11 ("'~~II111 For the Register REGISTER OF WILLS YORK COUNTY OATH OF WITNESS TO WILL EXECUTED BY MARK , (each) codicil a subscribing wilness to the wiU prcscnled herewich, (each) being duly qualified according 10 law, depose(s) and say(s) that: testat was unable to sign h name thereto; temt '5 name was subscribed therelO in testat made h mark 's presence; testae thereon; testat and dependents(s) was (were) present when leslaL--_'s name was subscribed and when testat mark; and lcstat __ was present when l.~e undersigned made h . .~ h codicil 'II ' () sIgn.,. t e will WI as witness es . Sworn to or affirmed and subscribed INIm" before me this day of lA~4rfUl 19 lNMlIJ For the Register (Add'nll ~ "\).~ /5 - :,,:u:.;;J '- / '-I . /ILl HUMI.. INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) IEY.ISOO!h ".an .:r/U'1e:s W, jDAfE Of OEATH .8-7-97 :J 2. Supplemental Return C 40. Future Interest Compromise Ifor dOle. of deolh oher 12.12.821 o 6. Decedenl Died Tes'o'. 0 7. Oecedent Maintained 0 Living Trust (Attoch copy of Willi (Attoch copy of T ru,'1 AU.COUISPONDINCI AND CONFIDENTIAL TAX INFORMATION SHOULD 81 DlREC1ID TO. HAM C MPlETE MAI1!NG ADDRESS ~ c;,i!J7 ,/,'Alf!! ~ru.,.,~ T\cAb .s /('e.9~A6 C!.h'A"-rSM.sLJ~;€~ /'A /7z.~/ ~ ... Z .. o .. u .. o COMMONWEALTH Of P!NNSYlV...NI4 OEPARTMENT Of AEVfNUE POST O,FICE lOX 8327 HARRISBURG.'A 1710S.8327 ,DECEDENT'S NA.....e IlAST, "IIST AND MIDDlE INITIAll I Ke~/(NS ) I SOCIAL SECURITY NUM8ER /7'7- /0 - a:z.6.7 i ~ I. Original Relurn o .4. limited Estal. I ;ll I I COUNTY CODe 'DECEDENT 5 (O....PHft ,),OOlltSS t /,/ANOI'l C:",pk ~A'q# .5@A'1l,C6 0'" OF 'lATH ,9"""" WAh.J..,- ,IS..r"""" 1l~1> I I CAA'..,.~"e,."pAl "~~":!J I 3-,;l.O - t:J4.1 c.,'', C! ,uN BlUtt..#AJP ~ 3. ~ ~.5, _8. r~" . ...'. . ( 6) ( 7) /;;":'_:j~. .5.3 /.'5"61& /0 /977-':'0 7~/ '}"'7 VEAR eJ7t:.1 .. ... C ..:-'" u.... .....u :00 u.... ..... .. C I... "'z ..... "0 "z 00 u.. ( 81 "'-"'.y.~ (l0) / S9.? 7Z. NUMBER Remaindtt, Return (for do 'e. of deo,h prior 10 12.13.82j Federal ESlal. Tax Return Required TOla( Number of Safe Deposi' Boxes .'-'1 ~ /S/. ~.3 ..2.. 1"/3-"""2- ;2 ~&.a~SI ,;;z 8" e>t:l3.SI I ~ /r6. :<., KJ/, 01 19. If line 18 is great.r than line 17, ,nter the difference on line 19. This is the OVERPAYMENT. aD 20. If line 17 is greater than line 18, enter the difference on line 20. This is the TAX DUE. A. Enter the interest on the balance due on line 20A. B. Enler Ihe 10101 of line 20 and 20A on line 208. Thi. i. ,he BALANCE DUE. Make Check Payable to: Regilter of Willi, Agent ...... SUU.TO ANSWU AU QUIS1IONS-oN .IVlraIiBlDl<ANO.roiUllllKrMAIH......"",{-i';>? :,":;,oLe. Under penalties of perjury, I declar. Ihot I have examined this return, including accompanying schedules ond sfolaments. and to the best of my knowladge ond belie~ i, is trua, correct end complete. J daclare that all real estate has been reported at true market value. Declaration of praporer other Ihan the personal representative is ba.ed II informoti n whic preparer has any knowledga. Sl~N RF I : FOR flLlNGRETUR,!:.'I:'. .....c-AOORESSr- /.;;/. ....~_'/. /.. r: DATE'}_-=.:") p. , - ~~ ......c.> ~:j/'k::/'-CLCLL../ ,"---"l..t:__~..-r::.:'v1~4Z~-&.t:''''2'''''('.. /"C .'*-" 77 () ... ,..~ ; .,j' "~)'1./~"c.cI "Jt:-...J70Qd 11',-'].,,-Q7 HAN REPRESEN ATlVE ACDRESS DATI;; - 39/0 z o ~ ... ::l ... ii: c u .. .. 1. Reol Estole (Schedule AI ( I) 2. s'ock, and 80nd, Ischedule 81 1 21 3. Clo,ely Held slack/Portnership Inlere" (Schedule c) I 31 4. Mortgoge, and Note. Receiyoble (Schedule D) ( 4) 5. Cash, Bank Deposits & Miscellaneous Personal Property( 51 (Schedule E) 6. Joinlly Owned Property (Schedule F) 7. Tran.fers (Schedule G) (Schedule L) 8. Total Gross Assets (total lines 1.71 9. Funeral Expenses, Administrative Costs, Miscellaneous ( 91 Expen... (Schedule HI 10. Deb'.. Mortgage Liobilitie., Lien. (Schedule I) 11. T 0101 Deduction. (tololline. 9 & 10) 12. Net Value of Estate lline 8 minus line 11) 13. Charitable and Governmantal Bequests {Schodule JI 14. Net Value Subject to Tax (line 12 minus line 13) 15. A'Iount of line 14 taxable at 6% rate Ilnclude volue. from Schedule K or Schedule M.} 16. Amount of line 14 taxable at 15% rote (Include volue. from Schedule K or Schedule M.I 17. Principollax due (Add lax from line 15 ond from line 16.) 18. Credits Prior Payments Discount + f? .v. eN z o ;:: :! ::l .. ~ o u >c :! (15) ..=2 Ii' "".3. .sl (111 112) (131 114) x .06 = (l61 x .15 = (17) Inlerest Check here .f you ere tcque!oling a ,efund of'Y'OUI- overpayment. (18) (l9) ". 1201 120A) {2081 /.-'!r9~. Zo .I.s9~. .:to PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (v) IN THE APPROPRIATE BLOCKS. I YES I NO I , ' 1. Did decedent make a transfer and: a. retain the use ar income of the property transferred, ....................................... b. retain the right to designate who shall use the property transferred or its income, c. retain a reversionary interest or .................................................................... d. receive the promise for life of either payments, benefits or care? ....................... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of , d h 'th t . . d t 'd t' ? )(, eat WI ou receiving a equa e consl era Ion ................................................. 3. Did decedent own an 'in trust for' bank account at his or her death?...................... ~ IX' I Ix I 10><, IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ."~."02 EX_ 112.8l1 '* COMMONWEALTH OF PENNSYlVANIA INHERITANce TAX RETURN Il:ESIOENT DECEDENT ESTATE OF SCHEDULE A REAL ESTATE _ .______._~__.~~__.~___u.__~__._ -~-_._._._. --- _._----~--~--_..._,----- FILE NUMB'ER ~"e$. t...J .k"~A""5 /997- t::Jt::>7t:-/ (Property lolntly-own.d with Right of Survivorship must b. disclosed on Sch.dul. F) All r.all.tat. should b. r.ported at fair marlc.t value which il d,flned 01 thl prlc. at which property would b. 'JCchanged betw..n a willing buy., and a willing .IU.r, naith., being compell.d to buy or .111, both having reasonable knowledge of the r.llvont facti. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. fUoAl€- TOTAL (Also enle, on line I, Recapitulation) (If more spa.. i. needed, insert addiliono/ sItMIs 0110... size.) s Ily.,a IX,+ lUll COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "E" CASH AND MISCELLANEOUS PERSONAL PROPERTY J);""e.> W. .A:"eA~.-1J..s FILE NUMBER /?77-~7~/ (All propeny lolntly-owned with the Right of Survlvo,.hlp mun be dlscloled on Schedule "~"I ITEM NUMBER 1. .:< 3, DESCRIPTION VALUE AT DATE OF DEATH J)eI'1A..Jb [)e,eb~.'I" - ".,e/,1;./IJ ,l3.9^'k Aid#' /9;z,-/l:J.-7Sr..7 ,l4c!tul(ue{) r",}'re!(.~bT 7//7- 8/7/97 39/tT, .It:> .:z.~ U j S4u,"';c:. 5 ,(3o{lJpS /'1 /9.,.6>5 71 flo ee Tv rt /l?y4t59.!T7' eo!! fi' ~ eA.<<e.D ;Nr<?~e.sr r/f~ve/eA!..5 i- ;;::..::: fiAl.P A'.N",,~'r.7' /?/lIr>lt.<iN' ,/'.47A.t5le &'-/-9; Sacc. 00 ~~~s-~ ocJ c;/. 87 TOTAL (Also enter on line 6. Recapitulationl $ (If more epeca I. needed IhIWt eddldohlll etMetI of .me 1Iu) ~fY.1509 u. 11.83' COMMONWEALTH Of '!HN!iyW...N.... NHUI'ANCE 'U AUUIlN ~fSIDEN' DECED!N' SCHEDULE /IF" JOINTLY -OWNED PROPERTY. ESTATE or- ------- -=.~~"- --'--~'=--"--~"='~~==-~--~-FiLfNUMBER"="- .:M-,.ofes UJ. 14>"'i?,,}5 ___I.. 9?7- ~CJ 7~1 Jolnl tononl{'): NAME A. I?t".J.4~1J :5. j(eA~,v.$ ADDRESS ~7 /-.~ :m...,oI' "te>o+t:> C!.#.+'U!3e~~C; ~ 17,3,"; RELATIONSHIP TO DECEDENT .:5t!3,.J B. C. Jolnlly-ownod property: LmER , I I ITEM J FOR DATE I TOTAL VALUE : DECD'S DOLLAR VALUE OF NUMBE JOINT MADE I DESCRIPTION OF PROPERTY OF ASSET I % INT. DECEDENT'S INTEREST TENANT JOINT 1. ;2-.3' 'is' ,;1.-3<.,5 O~"'-'i"Jb f)e/'p':','r- /'1e/Ie>.A/ L!UAJI( ,?/e. /~ - 005 - ~I f".y' ~eC!...e"C:1i> I3Y c.e/(r,'f'IO Ie &>,p oe,t)D.!J/1". ;"Iel/"...' ,S",N)< ~/e. o"~?'8~;z.f" ~Ne~ ,8y r&>;9 /3 /~eR;fUJ!. ~ ~"""",o .5o~ 5, Ke.l9i?AJ$ j)Are~ ;;I.-~-1S" 3/.. a/~ 9' /.!:f~D7. St!J I 1ft!.e.,tUc.ei> z::,,)r~"br 7/:1"97 //. ~, 30'0 S,~c:> I To 3-7-"7 TOTAL (Also onlor on lin. b, Rocopitvlotionl S IS $13, 10 (If mortl 'poc:. i. nN<Md in..rt additional .,,"11 of '0'" Ii.o) _ev:ISIO ex. 11.UI COMMONWeAltH 0' P!NN\'1IVANIA NHUI'ANCf 'AX IftulN IUIDIN'DlceDIN' SCHEDULE "G" TRANSFERS ..--..-.-.-------. -.---- --_.------- +__,______________" ~n_____...______ __ -_..-.__.--- -..-.---- ..______..____' .n___+_ -PILE NUMBiif ESTATE OF ::JA/le~ W ~e-1'.A"N.s /:;':i'7-...,,7C,/ THIS SCHEDULE MUST BE COMPLnED AND FILED IF THI ANSWIR TO ANY OF THI QUESTIONS ON THE RIVIRSI SIDI OF THI COVER SHIIT IS YIS. , DECO, I DOLLAR VALUE ITEM I DESCRIPTION OF PROPERTY : EXCLUSION i TOTAL VALUE i ~ ' Of DECEDENT'S NUMBER Of ASSET INT, INTEREST ".., p,.J.e.. TOTAL (1.110 ..... on Ii.. 7. Recapitulation) S (II rrlOfW IpocII n n.-ded inserl odditional shHtI 01 101M size.) ~,v Ifll 'I. o' .111 l;>..;~.y "..~.'f\ . :'11..... ~OMMONWE.lTH OF PHlN!tVlVANIA "'HERIIANCE TAll RfTURN aESIOENf DECEDENT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES .Plea.e Print or Type FilE NUMBER /97'7- tt)" 7~1' - ESTATE OF .2. B. 1. 2. 3. 4. C. 1. ~. 8. 'I .5 DESCRIPTION AMOUNT .;:}/Pl"le&> G.U. ffi..M/\J5 ITEM I ~ A. I Funeral Expen.e" 1. I C.t><!.ICI..'N Fu,./f!A/ll hb4e.- .A/(;;M"'h<1~ T=~.E1.5TONe... /$t':>,OO ISo.~o 5"u.rll .I"1""o<J~.'.N U t3 C!.#u;?e/T- P""""D ~ ,.c:<vJe~/ Administrative Costs: Personal Representative Commissions Social Security Number of Personol Representative: Year Commissions paid Attorney Fees Family Exemption Claimant Relationship Address of Claimant at decedent's death Street Address City State Zip Code Probate Fees Mi.cellaneou. Expen.es: ;?ec;;"5"'e,,.e ooP w"I/~ - Ao"64,..,, Fi/2.e. CU",eeAl",.,.1> L.1w .,7;;.(.U(..<J41- ,ADI.J' ~..g,rzTe rile. 'Oe'Nt.,-,;Jel- t?P Ii. f!,t.QMl'e .::rfi..Ne. .-91i/2.X.M'pe~/G.5~..i~e - t.<I"~RI!!6!> w.NI' ,::;;GAJ"ru,c'e j?.A- r AJlr'eA.//J .<J~e- Vl}( 7iet"-/l,J F//. 'Ne; ,,:e e.- (??- ~c.~ ~~.yc:> .;2 if. ao J.s:. c:'a TOTAL (Alia enter on line 9. Recapitulation) (If mare lpoce il noeded. in..rt aclclilional .....,. of lame .Ip) s ., [ , ! t I, "'~ .i'.: ..-.>1---_. ;,'-"",":'~ _. --. ~- ..... . a!Vl~U IX. 1'."1 '~ ~:[\-t;:Y" '0. ~'Hu'" COMMONWtA.llH Of PlNN~nVA.NI~ lNHtlltANU 1.U U1UaN USltlfN1DICtCU/r ESTATE OF ITEM NUMBER 1. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABLlTIES AND LIENS Plea.e Print or Type FILE NUMBER / . fl;t- a .:.7~/ -r -../, t.V. DESCRIPTION AMOUNT ,2, S He~~"'/t.e r;,.,,-, ,;; /lu,y.~'e~ _~,#/.:;,.~,,'A1N .Fee. ""',Alp/( 't,A,A.4!' H~A~"# ~A(./'l:'~- ./I/~,;t$'Alt: /~P~ SoS; ~ I:L ~~.? 3 1/..1-4L...;JI<' - j;",eut:'S //~, f'~ "'t. pI'-? r#~ F,~..r> - ;;#l".s,'f!,'A'N Ft!!.e /~..s.s- TOTAL lAlso enle, on line \0. Recapitulation) (If more space is needed, insert additional sheets of same size.) $ AS H10!\ \ 1'l Hl \' II j~,~ lfEE FOP !lll~, CEHlIfICAlt:~; ')(11 WARNING: IT IS IllEGAL TO Al TER THIS COpy OR TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH. c:oMMONWU\LHI or f.'[UWi'l'1.'JA1lll\ DfJ>MHMUII oJ tU,ALTtl Vl1Al mCI,,1I0'; lOCAl. REGISTRAR'S CERTIFICATION OF DEATH j;;;;,;~~i70iif;i'''i';;.... ,.' ,,\'" pr,;'" I?l~\r- - .-~_.,-,('I'41"\;~' '1~"Y ~- f.~':W.~~':~' ..~1) \ s' ,I, ,i:! " 1t ",~. _ "",., ~.' .l ~ ~" ~"." ,,~~// , Ofp' .....~"',.. .~~:'IMlNl \\' ;;'I~~'~'V ~";"m&'" August 8, 1997 CERT. NO. 3560394 -.- o~,. <,ii';',;;-::;;'I);';';"C~-;~lii;;;;;-;;'---" James W. Kearns Name of Decedent Male .---------- _,f,""" "' -" ------ ,.._.~ ;..' , '~I August 7. 1997 177 - 10 - 0267 ____ .______. Date 01 Death Lewistown, Pennsylvania Social Security No. March 20, 1902 Birthplace Manor Care Health Services Cumber 1 and County Sou th Mi dd 1 eton TWPPennsylvania en""I, -, -,-----. --'---':-'1, ;'..""..',' oJ' ;,-,~-",,,,.~ Sex Date of Birth --,.--------' -----.....,..,-"..,..-...-...- ._,-,._-----,--- Place of Death Wh ite F,\;'''lj ~.~I1", No Farmer ___ Armed Forces? (Yes or No) Care Health Services - Carlisle, PA 17013 Race Occupation Wi dower Decedent's Mailing Address Ronald S. Kearns ~1..1'"1C!'" .1"-",'1 ",..,1"..." ";1.1',] Manor Marital Status . Scott O. Brenneman, FD Funeral Director ______________ Home, 30 N. Chestnut St., Dillsbur9, PA Informant Name and Address of Funeral Establishment Cocklin Funeral 17019 Interval Between Onset and Death Part I: Immediate Cause Pneumon i a (a) (b) (c) (d) Part II: Other Sj@i/ifancffi"nditions , Describe how injury occurred: Manner of Death ~ Homicide Pending Investigation Could not be Determined o [J o Natural Accident o o Suicide . O. Brophy MD Name and Title of Cerlller ___ ' 4570 Valley Road, Sherlllans Dale, PA 17090 (M.D.. D.O., Coroner. M.E.) :! Address This is to certify that the information here given is correctly copied Irom an original certificate of death duly filed with me as Local Registrar. The original cer\ilicate will be forwarded to the State Vital Records Of lice for permanent Illlnr. ( ~;,c::/j} M..4dded1:0 &-~~ / ~ 71o<f ~~7~ ,Ll t, , rp~l'~ ""~R~'~'~'~:L"~':"' ,~,997 '/lu~f!4".~.fL~ C" '''~'''' ''''R CC /7t1// "1 .. - -- llinst Mill nnb m~gtnm~nt of JAMES WALTER KEARNS I, James Walter Kearns, of the Township of Franklin, County of York and Commonwealth of Pennsylvania, being sound of mind, memory and understanding, do make, publish and declare this to be my last Will and Testament, hereby revoking any and all Wills or Codicils by me heretofore made. ITEM 1. 1 direct that all my just debts and funeral expenses be paid by my hereinafter named Executors as soon after my decease as may be convenient to the proper and complete admini- stration of my estate. ITEM 2. 1 give, devise and bequeath my entire estate remaining after payment of debts and expenses, whether such estate be composed of property real, personal or mixed, and wheresoever same may be situated, unto my wife, Ida E. Kearns, if she be living at the time of my death. ITEM 3. In the event my said wife shall predecease me, 1 then give, devise and bequeath my entire estate remaining after payment of debts and expenses, whether such estate be composed of property real, personal or mixed and whereaoever same may be aitu- ated, unto my children, to be divided equally becween them per stir- pes. ITEM 4. 1 nominate, constitute and appoint my wife, Ida E. Kearns, Executrix of this, my last Will and Testament. In the event my said wife shall predecease me, 1 then appoint my sons, -1- COMMmJWEALTH OF PENNSYLVANIA DlPARrMENT or H[VENU[ BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRrsour~G. PA 17128.0601 .g:J~~ ~ PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO.AA 242414 AEV-1162 EX (11-96) RECEIVED FROM: I ACN ASSESSMENT CONTROL NUMBER AMOUNT RONALD S KEARNS 1()1 <<1 ,CjQ"" ~O 687 PINE STUMP ROAD CHAMBERSBURG. PA 17201 FOLDliERE FOlD HERE ESTATE INFORMATION: FILE NUMBER ?1-1QQ7-07Al SSN 177-10-0?A7 NAME OF DECEDENT (LAST) (FIRST) (MI) KEARNS JAMES WAI TER DATE OF PAYMENT ] 0/30/1 Q<n POSTMARK DATE CI 100 loono COUNTY CIIMBERLAND DATE OF DEATH TOTAL AMOUNT PAID $l,5Q6.20 vz REMARKS RONALD S KEARNS ;-,,/,,' (7':/ RECEIVED BY ///-(;/1../ L. A t.t.-c (d,/' ///'/.,/ e:ti / /' // .. /:- ~~~i S~ER LOF I ~ I LLS~4' /l ( /' ~;/J ;- SEA~HECK# 103 HsClsrm ur WILLS ------- ._---._~--~--~-~_. -- --~- ._-~----~----------- -------------------- . { " ..--.. ---....,.~.... '-. , _.~.~_.-..--...~.~ ;--- _,;4I-r<<~~ ....f...._.. ) , ". f .:;./' CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: 7/? .n'r' .;.', . // # / -[ .r'/I" /i/J ..::, ",,/ Date of Death: % - 7-77 Will No, ,!VI'''''' A""-,_~<,,,c..t/<LI,/r Admin. No. ;:z/- }?:7-7<:'/ To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on ;T-iT-77 Name Address rfAlAA.Jtf'J ,{,.. /4.k'A~ ("e? -E/e'-:~ ~/ '3 ,C)-9;4( ~~p /lieu; ,g~"4fi"d.iJ />> ;'7O<G(3"" / ~ / !f;/l/,;llIJ .5 ~"rW >. " r~ -~P"'u,n,.e_,,{; ?/!?:M<:.5-,...."./' .4v.:'.7J C.'#9""-hPRW"p", ,.e. /7..z.tY Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: /? ~#/ ~ /~<0.--'" . (";> .G"...c4'~ Signature . Name ~A.9"'t:l 5 /-t'?,$,AfAJ.> Address ~ii7 /f..re-,:ii2<H/ -&#J<> c'd'{f<.-'~~t:> ~r?.a/ Telephone (7i7J ~3-Y~ff" "~I Capacity: X Personal Representative ....: __J ~ .. I' ~ .~....j Counsel for personal representative /5-- Joj -14 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAK DIVISION DEPT, 280601 HARRISBUAC, Pi 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-16-98 KEARNS 08-07-97 21 97-0761 CUMBERLAND 101 RONALD S KEARNS 687 PINE STUMP RD CHAMBERSBURG PA 17201 Amount Relllitted c - IEV-lh' U if' 11"'" JAMES W 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 ~ 'R-iY:i54i-Eic-Ai:ji-ni?j:97Y-NOTiCE--oF-YNHEiiifANCE-TAic-APPRAisEHENi'-;-AL.i-OWANCE-oli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KEARNS JAMES W FILE NO. 21 97-0761 ACN 101 DATE 02-16-98 TAX RETURN WAS: \ X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Est.to (Schedule A) 2. stocks and Bonds (Schedule Bl 3. Closely Held stock/Partnership Interest (Schedule Cl 4. Horta.ges/Not.. Racelvable (Schedule DJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule El 6. Jointly Owned Property (Schedule fl 7. Transfers (Schedule G) 8. Total Assets ( J CHANGED (1) \21 131 (41 151 (6)_ \71 .00 .00 .00 .00 14.638.53 15.513.10 .00 (81 554.40 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adn. Costs/Hisc. Expens.s (Schedul. H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Totel Dmductions 12. Net Value of Tax Return 13. Charitable/Govern.entel Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax If an assessment was issued previously, lines 14, 15 and/or 16, 17 reflect figures that include the total of ALL returns assessed to ASSESSMENT OF TAX: 1S. A~ount of Line 14 .t Spousel rat. (lS) 16. AMount of Line 14 taxeDle at Line.l/Cless A rate (16) 11. A~ount of Line 14 taxable at Collaterel/Class B rate (17) 18. Principal Tax Due NOTE: TAX CREDITS: PAYHENT DATE 10-30-97 RECEIPT NUH8ER AA242414 DISCOUNT ('1 INTEREST/PEN PAID I-I B4.01 (91 (101 1.593.72 (11) (121 (13l (14) .00 X .00= 28.003.51 X .06= .00 X .15= (181 AMOUNT PAID 1,596.20 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE NOTE: To insure proper credit to your account, sub.it the upper portion of this fora with your tax pay.ent. 30.151. 63 ? .14A 12 28.003.51 .00 28,003.51 and 18 will date. .00 1,680.21 .00 1,680.21 1,680.21 .00 .00 .00 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRl, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.l '~'" ,/ ( ~~/ ~, ;:(,,-,"'1 ,,------ / / " ' ><. / ''-, . :: "~-" " " RESERVATION: Estat.. of decedents dying on or before O.c..b8r 12, 1982 -- 11 any future inter..t in the ..tat. Is t,.ansf.rr.d In po.....ion or enJoY.ant to Cia.. . (collater.l) beneflclari.. of the decedent after the .xplration of any e.t.t. for lif. 0,. for Yla..., the Co..onwe.lth h.r'bY .xpres.ly res.rve. the ,.Ight to apprai.. and a..... transfer Inherltanc. TaXI' at the lawful CI..s B (coll.teral) rat. on any such future int.rlot. PURPOSE OF NOTICE: To fulfill thl r.qulre.ant. of S.ctlon 2140 of the Inherltanc. .nd E.tate rax Act, Act 21 of 1995. (72 P.S. Section 9140). PAYtfEHT: Ddach the top portion of this Notice and sublllt with your p3y..nt to the Register of Will. Pl'lnted on the river.. sid.. --Make ch.ck or .only order payable to: REGISTER OF HILLS, AGENT REFUND (CR): A refund of . tax cr.dit, which wa. not r.quutGd on the Tax R.turn, ny b. ".quelted by cOIIPI.ting an "AppllUltlon for Refund of P.nnSYlvania Inh.ritance and Estata r.xft (REV-IlI3). Applications are avallabl. at the OffiCI of the Reglste,. of Wills, any of the 23 Rlv.nu. District Offlc.., or by c.lling the special 24-hour answering service nueb,,.. for fore. ord.rlng: In Pennsylvania 1-800-362-20S0, outside Pennsylvania and within local HarriSburg are. (717) 787-8094, TDD' (717) 772-2252 (Hoaring I~ai,.ed Only). OBJECTIONS: Any party In Int.re.t not satisfied with the appralsee.nt, allowanc. or dls.llowancl of deductions, or ass.ss..nt of tax (Including discount or Interest) as shown on this Notice .ust objoct within sixty (60) days of r.c.ipt of this Notico by: AD"IN lSTRATlVE CORRECTIONS: --w,.itten prot..t to the PA Oap.rt.ent of Rev.nue, Board of App..ls, Dopt. 281021, HarriSburg, PA --el.ction to have the satter deteretned at audit of the account of the personal reprosentative, -~app.al to the Orphans' Court. 17128-1021, OR OR Factual .rror. dIscovered on thl. .....s.ent should b. address.d in writing to: PA Departeant of R.venue, Bur.au of Individual Tax.s, ATTN: Po.t As..ss.ant Revlaw Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6S05. See page S of the booklet "Instruction. for Inherltanc. Tax Return for a R.sldent Deced.nt" lREV-1SOl) for an .xplanation of adalnI.tratlvaly correctable errors. DISCOUNT: If any tax due I. paid within three (3) calendar liIORth. after the decedent'. death, a five p.rcent (5:0 discount of the tax paid i. allowed. PENAL TV: Th. ISiC tax ..,esty non-participation penalty is cOllputed on the tohl of the t.x IIIld intere.t .ssessed, end not paid b.for. January 18, 1996, tho first day after the .nd of the tax aenesty p.riod. Thl. non-participation p.nalty is app.alable in the sue .anner and In the the sue tiae period as you would app.al the tax and Interest that has b.en as.....d a. indIcated on this notice. INTEREST: Interest is charged beginning with first d~y of delinquency, or nine (9) aonths and one (1) day fros the date of dtlath, to the date of payggnt. Tax... which becMHI dolinquet1t before Janu.ry I, 1982 bear intDrest at ttMl rat. of .Ix (6;() perc.nt p.r annus calculated at . dally rat. of .000164. All tax.. which b.ca.e d.linquent on and .fter January 1, 1982 will bear interest at a rate which will vary froe cahndar year to cahndar year with that rate announced by the PA Departaant of Rev.nue. Tha applIcable Inter.st rate. for 1982 through 1998 are: t!!! Interut Rate DallY Inter.st Factor :!!!r Int.re.t Rata D.ily Interest Factor 1982 20iC .000S48 1987 9~ .000247 1983 16iC .000438 1938-1991 In .000301 1984 UiC .000301 I"Z 9~ .000247 19a5 13% .000356 1993-1994 12 .000192 1986 laiC .000274 1995-1998 9~ .000247 --Interest i. calculat.d a. follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notico issued aft.r the tax becolle. delinquent wUl refl.ct an interest calculation to fllteen CIS) day. b.yond the d.t. of the au.ss...,t. If paysDnt is eade aft.r the lnterut co.putaUon date shown on the Notlc., ndditional inter.st su.t be calcul.t.d. STATUS REPORT UNDER RULE 6.12 Name of Decedent: ~ (( ,,,,(J5 /( {'q ,e,') y (1/ , Date of Death: '0- '7~ .'I, 7 Will No. I C, C) 7- 0076 ( Admin. No. :>-1 q 7 - 07 G/ 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 'iC No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ). If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 'r No _' b. The separate Orphans' Court No. (if any) for the personal representative's account is: u-1...1<#O",I.A.l c. Did the personal representative state an account informally to the parties in interest? Yes Y 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: g/?/9~ 1 ,::) (i';/ /t/..JL~~<-<- Signature ~ A ti. I~ Lf' S L, J/-f'G I-? ,'/ )' Name (Please type or print) , "2 / :$ 0 J./c /4./ Address /lJ fev ;Jot-v,. "'- rl '('L./ I /7/Z../7C/tR i' (17) 5'/1.. ,-7 c; 1-, Tel. No. K' Personal Representative ,-- :-.) ~,: Capacity: Counsel for personal representative (MAH: rmfl AM)) '"l"'~'- ,'_. "''''"''_'_':.'~'''''''''''""'4 ",..,.,..,,,"~,.-...,.,,,.., "'''''''._I','P'~.., ". ~,~" .'"