HomeMy WebLinkAbout97-00791
OATil OF P.:RSONAL R.:PR.:S.:NTATlVE
COMMONWEALTH OF P.:NNSY\,VANIA )
: ss.
COllNTY OF CIJMln:RLAND
)
The petitioner above-named swears 01' affirms that the statements in the foregoing petition are
tme und correct to thc bcst of thc knowledge und bclief of petitioners and thut us personal representative
of the ahove decedent, petitioner will well und truly administer~~ng to \uw,
Sworn to 01' uffinned und subtlcribed L. . ~ ..
before me this ..._.2 3rcl n_ duy of ROl1uld L. Strine
~EPTEMBE~__, 19.22.,. .
'-/ll'I//' ,.0" rf, ; ,,(ILi.." :J/~;~;~;e~""/')' fil, 10
N~ 21-97-791
Estate of HYRUM R, BARKER, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW, SEPTEMBER 29~1l.....__, 19 97, in consideration of the petition on the
reverse side hereof, sutisfactory proof having been presentcd beforc me,
IT IS DECREED that Ronu1d L. Strine is entitled to Lellers of Administration, and in accord with such
finding, Lellers of Administration ____
are hereby granted to Ronald L. Strine in the estate of Hyrum R, Barker.
Will Book #
Page
'fI,.,,!} (I ,J1t"';J,~~. ')V;;;b.(.",,)i\./,(Lt,J~
Reglster,QfWills ." V
JCP
TOTAL
$ 25.00
$ 9.00
$
$ 5.00
$ 39.00
Michael J, Hann (57976)
ATTORNEV (Sup. Cc 1.D.~o,)
MARTSON, DEAROORFF, WILUAMS & OTIO
10 East High Street
Carlisle, P A 17013
(717) 243-3341
FEES
Lellers of Administration
Short Certifieates( 3)
Renunciation
l_d
Fi1ed.....J,!';!:'!-:~!1~~I$,..~.L.........A,D. 19.Y2-.
LETTERS AND ORDERS PUT IN ATTORNEYS BOX, SEPTEMBER 29, 1997
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! l1erebyoertlly that wrllWr\ r,,,II(;" 01 th~ filing of this S' "','
f Proposed Distribution, and 01 the data, tllne and pi"", "
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REV.1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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C~AlfH()f'PlNNIVlVANlA
0I"""1MfN10f' RtVr.HUI!
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f~""I~O. "... nU"OlIOl
Of.C-eOENl'S NAMe (LAst FIRST. AND ,iIOI>lE INITlAll us.. bl.nk block 10 ..~,.III wold.
BARKER, HYRlJM R,
I
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SOCIAL-SECURITY NuMbER
189.22.7021
DATE at: OEATH
09/11/1997
(if' APPlICABLEI8URVIVIN<fsPOUSF..'S NAME (LAST. ,",IRST ANO MIOOl.t INIlIAI.l
N i. Ollglnal Return II
I!!
"il!~ II 4. lImltoo Eltete [ I
~~iil II e, Decedent DIed Tellate (Allad\ copV II
~ of """I
[I 9 litigation Pfoceeds Received II
2, S'upplem~nlftl Rolun!
Ofl'I(:IAl uH'r, ONl.V
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(~I(
~----
00791
DATE OF AIRTH
12/18/1923
SOCIAl. SI.:CIIRHY NUMBER I
I
I I 3,
ThiS rllturn must bo mid In dupllcale WIth the
REGISTER OF WILLS
Rema:n-dor'Rollirn (for datel of dealtl PfIOr to 12, 13-'82)
"a. Future Intoreal Compromlso ('01 d.I.! of death
otterl2olHl2)
'f. Decedent Malntalnod a LIvIng Trust (AlIaeh
CO(lV011rUII)
10, Spousal Poveny Credit (dale of dellh between
'~,31.91 Ind 1,1,~5
I I 6. Federal Estate TalC Return Required
o 8 Total NurTIoor of Safe Deposit BOXQ$
I ') 11, Elocllon 10 tax under See 9113(A) (Attach SCh 0)
4, Mortgaues & Notes Recel.able (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personel Property
(Schedule E)
6. Jointly Owned Property (Schodule F)
7, Inter.Vlvos Transfers & Miscellaneous Non.Probate Property
(So.hedule G or L)
6, Total Groll AI..la (total Lines 1.7)
9. Funeral Expon.es & Admlnlslratlve Costs (Schodule H)
10. Dobts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Tolll Deducllonl (tolal Lines 9 & 10)
12, Net vlruo 01 eltlte (Line B minus Line 11)
13, Charitable and Govemmental Bequests/Soc 9113 Trusts ror which an e'ectlon to tax has not
been made (Schedule J)
14, Net Vllul Subject to Tu (Line 12 minus Line 13)
,\~
!~
A
Michael ], Hanft, Esquire
f:jRM'NAME-(jj-.~b1e)
MARTSON, DEARDORFF, WILLIAMS & olyro
Ten East High Street
Carlisle, PA 17013
~'-
(1)
(2)
Of'f'lCIAllJSE ONL V
ElEPHONE NUM8ER
(717) 243.3341
1, Real Estete (Schedule A)
2. Stocks and Bonds (Schedule B)
3, Crosely Held Corporation, Partnership or Sole.Proprletorshlp (3)
~
~
j;?
~
a:
~
~
S
15. Amount 0' line 14 taxable allhe spousal tax rate
See Instructions on reverse side for percentage
16. Amount of line 14 taxable at 6% rate
(4)
(5) 990,56
i' ~:JI~_~.11a:J..~~";","~:4u ".:~,';.h;
(6) l "', j
(7) el~lJL~':l~::"~'~~~J
i!Wll'l.wt;~I"-~lWoIf.I,.'f;[llI'i,y.v""H"1
(6) 990.56
17. Amount of tine 14 taxable at 15% rate
16. To. Due
(9)
5,209,36
2,172.79
(10)
(11)
(12)
(13)
(14)
x rOO] (15)
x .06 (16)
x .15 (17)
(16)
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7,382,15
insolvenl
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19. 0 Check hera II you ora requeltlng a relund 01 your overpeymenl.
"Le.~~ _...._", . _ I, "eJIIILlL_.J vIL,JL . "n[]r_(llIllUl1J!1nn_~,~.ii
Und., penaIU., of pel'jury, I c:ledar.lllllll have e..mined thts r.lum, Including Iccompanying schedules Ind s!.alemenls, and to lhe be!!1 of mv knowledge 1M bel!.f, It IS Ir...., cOfT,ctlnd complete,
Oecllrlllon of prllparllf 0Ih., than Ihe pel'1OfII1 fept'lSenIlU.... II bued on tll InlormaUon 01 \'ot\!ch preparer has In'll knOWledge
5 Stewart Drive, Carlisle, P A 17013
.- ADDRESS
S,IO,),NNAA~TU, F P',R,S, ON '. . , ,,' ",0, R F1l1NO,REt,-URN
~...._"""'v / ~
SIOlUR,E OFt PERp,' ':'R'"""2' 'Sii,~' '6i-FIliJit\.~TuR
\' J / "~',
, .~_c- .' \- _ " f ~'V
" NATUREOF PR(.'ARE,.J'R t N-REPREsEN'rAtwE"
'.' 'J
ADDRESS
.--------- --- DATt-..
h!/3.dZ?
'!l/,i~ .
DATE
Ten East High Street, Carlisle, I'A 17013
ADDRESS
Decedent'. Complete Addrell:
S" ,,' } )IHiS,
O"e West I'ellll Slreel
CIT\'
('al'll,I,'
STATE I'A
'ZII' 17013
Tax Payment. and Credlte:
1, Tax Due (Pege ll1na 18) (1)
2. Credlls/Peymenls
A, Spousel Poverty Credll
B. Prior Paymenls
C. Dlscounl
Total Credits (A . B + 0) (2)
3, Inleresl/P.nalty Ilapplloable
D. Int.r.st
E. Penalty
TOlallnt.resUP.nally (0 . E) (3)
4, II line 21s grealer Ihan line 1 + IIn. 3, enter Ih. difference. This Is the OVERPAYMENT, (4)
Cheok box on Pag. 1 Line 19 to request a refund
5. If IIna 1 + line 31s grealer than line 2, enter Ihe difference. Thl.l. the TAX DUE. (5)
A. Enler the Inlere.1 on the tax due. (5A)
B. Enler the tolal of line 5 + 5A. This Is Ihe BALANCE DUE. (6B)
Make Check Payabla to: REGISTER OF WIl.LS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Old decedenl make a Iran.fer and:
Yes
No
a. retain the u.e or Income of Ihe property Iran.f.rr.d;"."".""""""""""".""""""".""""""....""....."""
b. relaln the right 10 de.lgnale who shall u.. the prop.rty tran.f.rrod or 1I.lnoom."...."...."..."..""""""
c. relain a reversionary Interest: or...., .,........,......".." ..."""",,,,,........,,.,,,.......,,
d, receive Ihe proml.. for IIf. of ellher paymenls, benefll. or oare7......" .""......""""",,,,,,,,,
2. If dealh ooourr.d on or before Deoember '12, 1982, dill deoedenl wllhln Iwo years preoedlng dealh Iran.fer
property wllhout reoelvlng adequale oonslderatlon? If dealh ooourred after Deoornber 12, 1982, did '.x]
docedenllran.ferpropeny wllhln one year of death wllhout reoelvlng al!equate oon.lderallon?"""""".."""
3. Old decedent own an 'In IrU'I for' or payable upon dealh bank aooounl or .eourlly 01 his or her dealh?""..
4. Old decedenl own an Individual retirement aocount, annully, or olher non-probale properly?,,,,,,,,,,,,,,,
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
72 P.S. ~9116 (a) (1.1) (I) provided for the reduotlon of the tax rale Imposed on Ihe nel value of Iran.fers 10 or for Ihe u.e olthe surviving spou.e from
8% 10 3% for date. on or aftsr July 1, 19C4 and before January 1, 1995.
72 r.s. ~9116(a) (1.1) (II) provided for Ihe reduotlon of Ihe rate Impo.ed on Ihe net value of Iran.fers 10 or for the u.e of the surviving .pou.e from 3%
100% for date. on or after January 1, 1995. The staMe ~.LwIllml!l a Iran.fer 10. .urvlvlng .pou.e from Ia>. .nd the .tatutory requirement. for
di.olo.ure of as.et. and filing a tax return are sllll applioable even Illhe .urvlvlng .pous. I. the only benefiolary.
FOR DATES OF DEATH ON OR AFTER JANUARY 1,1995. Pl.... an.wer Ih.'ollowlng qu..llon by plaolng an "x" In Ih. approprlale space.
Old the decedenl or..te e Irusl or .Imll.r e".ngament which Is solely for the surviving spouse's benefll for his or her entire
lifetime? Yes No
II you .n.wered yes to Ihe above que.llon, the tax on tho tru.t or slmll.r arrangem.nll. po.tponed unlll the dealh of Ihe .econd spou.e, at whloh
lime II will be fully texable.t Ihe rate(.) appllcabl. to the remainder beneflolarylle.). Enter Ihe value of Ihe Iru.t on Schedule J, Part II, In order to
remove II from the caloulatlon 01 the tax due In Ihl. eatale. You may wl.h to III. Soh.dule 0 In order 10 make Ihe eleollon available under seotlon
9113. IIlhe eleollon I. made, Ihe tru'l or "mllar arrangemenl,. taxod In Ihe e.lale of Ihe first d.cedent spou.e.lhe portion of the tru'l or similar
arrangement whloh benefit. the .urvlvlng .pou.e I. taxed at the lero lax /ale, and Ihe remainder 1.laxed at Ihe ralel') applicable 10 Ihe remainder
benefloiary(le.). If you cho.e to make the eleotlon, you mu.t allach sohedule 0 10 a timely-filed lax relurn, along wllh .chedule(.) K and/or M In order
10 .how the apportionment ollhe tru.t or .Imllar arrangement belwe.n the .urvivlng spouse and Ihe remainder beneflclary(le.)
,!
.
C~M.'I\Gf pt~,,,,\.'J~~l~
\~\t"'l'~t\C",_'''''1."t'Utl.tt
"ttll)lW' OICllDtW1
, Sch8du\e E
\ c..h. eo.' 001">..... tAl'" .........
property
.E" ",,,..,,,ot<
tlU\.\9ER
I 'nal\I,I\\\\ \)0\1(\'\\ na\\\<.' ACe(\\I\\1 1'l(\, 0072805692
2 \u\\oaallod \layol\Ocl<.a
\
~ it'" Cablo lof\l\\d
4'\\,0!S(\\\al \'IO\lOI!Y
\ '
-"--- ------
S990,S6
Bell.clule e. '1'0'1' ~\.
/5.),05 . ;),
COMMONWEALTH OF PENNSYLVANIA
DEPARTM~NT OF REVENUE
c...
*
BUREAU OF INDIVIDUAL lAMES
INHf.RI14NCr TAM DIVISION
Of.Pt. lU6Dl
HARRISBURG, PA 171za.0601
NOTICE DF INHERITANCE TAM
APPRAISEHENT, AI.LOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSttENT OF TAM
U..lhlllIH '...HI
MICHAEL J HANFT ESQ
10 E IUGH ST
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
06-02-98
BARKER
09-11-97
21 97-0791
CUMBERLAND
101
AMou~t Rod HOd-" _ J
HVRUM
L
MAKE CHECK PAVABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ~
R IV: is'47 -Elf - AFP-f iiF97Y - Nili'- ier"oF" "iNHEiii;: AN"CE""fA ic- "liP' PRAY sEHENT ~ " "A i. i:owAiicE' iiri - - -.... - - -. - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BARKER HVRUM R FILE NO. 21 97-0791 ACN 101 DATE 06"07.,98
TAM RETURN WAS, I X) ACCEPTED AS FILED
) CttANOED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Eat.t. (Schedule A)
2. Stocks and Bonds (Schedull 8)
5. Clo'lly Held stock/P.~tn.r.hip Int.rest (Schldul* C)
4. Hortg.g'I/Not.. Receivable (Schedull D)
S. CMsh/Bank Papa,Us/Hise. Parsonl1 PI'opart)' (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Tranlfl..1 (Schedull OJ
B, Total A..oto
,00
,00
.00
.00
990. 56
.00
.00
18)
HOTEl To inlur. prnPlt
orad i t to your ICllount,
SUbMit the upp." po,-' Ion
of this far_ with your
tllC pIYMant.
II)
121
(3)
(4)
15)
16)
(7)_
990.56
APPROVED DEDUCTIONS AND EXEMPTIONS:
5,209.36
~. Funerl1 Exp.nses/Adn. Costs/Hilc. Ex~.ns.s (Schedule U) (9)
10, D.bts/Hortgog. L1obllitl../L1ons (Schodulo I) 1101 2,172,79
11. Totol Doductlons (1)
12. Net Value of Tax R.turn (121 ----
13. Chlrlt.b1e/Governnental Bequlsts; Non-Illct.d 9113 Trusts (Sch.dule JI (13)
14. Not Volu. of Estot. Subjoct to Tox (141
NOTE: If an assessment was issued previOUSly, lines 14, lS and/or 16, 17 and 11 will
reflect figures that include the total of ~ returns assessed to data.
ASSESSMENT OF TAX'
1S. Anount of Line 14 at Spousal ret.
16. Anount of line 14 taxable at Lineal/Clas. A rate
17. Anount of linl 14 taxable at Collateral/Cl... 8 rat.
la. Principal TalC DUI
TAX CREDITS:
PAVHENT
M" J
7 ,382 15
6,391 ,5~:
.00
6,391 .59'
(5)
U61_
U71
.00
.00
,00
M ,00.
M ,06.
M ,15.
UBI
,00
.00
,00
,00
RECEIPT
NUHBER
DISCOUNT I')
INTEREST/PEN PAID (-)
AHOUNT PAID
TOTAL TAiclllill,,' 'j' ,
BALAN:~ClFTAX, DUI '
INTER.~I.T. ,A,ND 1'1, N, I
TOTAL DUI
-_.~,.~,,,"". ,,~,., ., .
,00'1
.00
:::1
. IF PAID AFTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS TItAN .., NO 'AIHINI II RI.~IRtD.
IF TDTAL DUE IS REfLECHD AS A "CRIPII" (U I, VOIl NAy It 00'
A REFUND. SEE REVERSE 1101 Of INU lORN lOR INIIIUtIlONI, I
R
.... ~~
'6$ ....
, ,
(j}ji:U ....
(),~ :;r. ,
._}H ;:)
Lf' )
,
\II !P ~ '"
n i'_'
0 ,j) (ll
aJ& ~ 0...: .Lj
~ r;
a: 08
RESERVATION I E."t.. of dlcldent. dying on or before D.c.~b.r Il, 1982 ~w I' any future Inter..t In tho ..tat. I. tr.n.flrt.d
In POI..illon or 'nJo~..nt to Cl.l. I (oolll"rt.) bln'fle!.rl.. of thl dlctdlnt Ift.t thl Ixplratlon of any ..t.t. for
11ft or for y..r" th, Co"on~..lth ,,_,.by IKprl.,lv t...rv.. the rlaht to apprals. and .,.... tran,'.r Inh.rltlnol Tlx..
at thl l'Mfu~ el... . (colll',r,11 t.t. on any luch future lnt.r..t.
PURPOSE Of
NOTlCEl
PAVMENT I
REFUND (CR)I
OIJECTlONS,
AD"tN
JSTRAT1VE
CORRECTIONSl
DISCOUMT I
PENALlY:
INTEREST I
To fulfill thl requlr...ntl of hetlnn zttto of tM Inhlrlhnu and Eltate Tax Act, Act 21 of 1995. (12 P,S.
S.ctlon 9140),
O.t.ch th. top portion of thh NotteD .nd lub.lt with !faur pay..nt to the R.gllhr of Willi prlnt.d en th. r.",.,.. lid..
- .Mak. ch.ck or .0nMY ord.r payllbl. tOI REGISTER OF HILLS J AGENT
A r.fund of II tllM cr.alt. which wal not r.qUlllted on th. TaM R.turn, ..y b. reqU'lted by co.pI.tlng an "Application
for R.fund of P~nnlylvanla Inh.rltanc. and Estat. TaM" IREY-1313). Application. or. a"'ailabll at the OffiCI
of t~1 R.gl.t,r of Willi, any of the 23 R."'.nuI Ol.trlct Office., or by ~.lllng the .peclal 24Mhour
an.w.rlng l.rvlcl nueb.r. for for., orderlngl In Pennlyl",."la 1~800-362-20S0, outllde P.nnlyl"'anla and
within local Harrilburg ar.. (717) 787-8094, TDD. (111) 772-2252 (Huarlng IIIPalred Only).
Any partv In Intllr'lt not .atll'l.d with the appr.I....nt. allowanc. or dl.,llowanclI of d.ductlon., Dr ........nt
of taM (Including dIlDOU"t or Intllr..t> all .hown 011 this Notlo. .Ult obj.ct within .hty (601 day. of recllpt of
this Notlo. bYI
.-wrltt.n protest tn thl PA D8parl..nt of R."'.nu.. Board of App.al., ~.pt. Z81021, Harrl.burg, PA 11128-IOZ1, OR
--.I.ctlon to h.v. the lIattlr o.t.r.ln.d at .udlt of the account of the ~.r.onlll repr"lIntatl",., OR
.-.pp.al to thll Orphanl' Court,
F.ctuIII IIrror. dl.co",.rlld on thll al......nt .hould b. .ddre.led In writing tOI PA Depart..nt of RI"'.nu.,
Bureau of Indl",ldual TaM.', ATTN: po.t A.."....nt R.",llw Unit, D.pt, 210601, Harrisburg, PA 17128-0601
Phon. (7171 781M6505, Se. page 5 of the hookl.t "In.tructlon. fo" Inh.rltenc. TaM R~turn for a R.,ld.nt
D.c.d.nt" IREY"1501) for an uplanatlon 0' ad.lnlstratl",.h corr.ctabl. .rro,.,
If any taM due I. p.id within thr., (3) cal.ndar tonth. aft.r the dec.d.nt', d..th. a fJ",. p.rc.nt (5%) dl'count of
the tllM paJd Is .1I0w.d.
Th. 15% taM .1In..ty nonMrartleJpatlon pen.lty I. cOl!Put.d on the total of the taM and Int.r..t .......d. and not
paid b.for. J.nuary 11. 1996, the first day a'ter the end of the taM "'IR"ty p.rJod. This non.partlc!p"tlon
penalty 11 app.alabl. in U,. .... .annar .nd In the the ....1 tI.e p.r lod lit YOU would itppul the taM and Intere.t
thlt ha. b..n .......d a.lndlr,at.d on thl. notlc..
Int.r..t I. charg.d b.glnnlng with fir.t dcy of dellnqu.ncy, or nln. (9) .onth. and on. III day fro. the d.te of
death, to tha d.te of p.v..nt. TaM" which b.e... d.llnquent be for. Janu.ry 1, 1912 b.ar Int.re.t at tho rat. of
.1M (6%) percent per ~ calculated at a a.l.Iy rate of ,000164. All taMu which b.ea.. delinquent on and aft.r
January 1, 1982 will bur Inbl,..t at a rat. whldl will ",ary 'rot callndar year to C8,lendar yur ...ith that rat.
.nnounc.d by the PA n.part.ent of R.",.nue. Th. appll,abl. Int.r.., rate. for 1912 through 1998 .r'l
'!!!! Inter..t ~ate Dally Intgr..t Factor :!!!! Inter..t Rah DailY Int'r.~t Factor
1912 20% .000S48 1981 " ,000247
1911 16% ,OOOH,- 19&1.1991 11% ,OOOSOI
1984 11% .OOOJOI 1992 9% .OOOZ47
1911S 13% ,D003S6 1995.1994 7% .000192
1916 10% .000214 1995-1991 9% .000Z41
..Int.re.t h celcullt.d .. follow. I
INTEREST' BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINqUENT X DAILY INTEREST FACTOR
--.ny Hotle. 1.'....ed aft.r the taM b.c~.. d.llnquent will r.fl.ct an Int.r..t calcul.tlon to flft..n (IS) daY'
b.yond the date of the a.......nt. If pay..nt I. .ad. .ft.r the Int.r..t co.putatlon date .hown on the
Hotlce, addltlon.1 Inter.st "".t be caleul.t.d.
v
;;
REGISTER OF WILLS OF CUMBERLAND COUNTY
STATUS REPORT UNDER RULE 6.12
(For Resident Decedents Dying After July 1, 1992)
Name of Decedent:
HYRUM R. BARKER
Date of Death:
September 11, 1997
FileNo.:
21-97-0791
Social Security No.:
189-22-7021
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 x 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. I is Yes, state thefollowing:
a. Did the personal representative file aflnal account with the Court?
Yes x 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 x
d. Copies of receipts, releases, joinders and approvals offormal or informal accounts
may be filed with the Clerk of the Orphans' Court and may be attached to this report.
','
,e-
N
!5
"'"
Signature:
Name:
Address:
Mic~uIlNf~
MARTSON DEARDORFF WILLIAMS & OTTO
Ten East High Street
Carlisle, P A 17013
(717) 243-3341
Counsel for personal representative
D"fttf!f!
~ ~~~I cE
Augmt 27, ,1998
D_
I, ') ';'.,1 ~
UW
120:
~
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