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HomeMy WebLinkAbout97-00809 f ~ pERTIFICNrION OF NOTICE UNDER RULE 5.61al Name of Deoedent: ___Mabel Agnes Karoer Date of Death: Seotember 19. 1997 Estate No.: 1997-00609 To the Register: I oertify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following benefloiaries of the above-oaptioned estate on October 8. 199L_: ~ Addresii Mabel A. Lautsbauah. 2018 S Norton Ave.. Tucson AZ 85713 Viola C ...R9ckweU. 5 Obsidian Dr.. Chambfi\rsbura PA 17.1Ql Bruce M. KlU'.R.e r . 115 Farm Road. Newville PA 17241 Jason D. Karoer. 854 Rustic Hill Dr. . Chambersbura PA 17201 - Janet L. Reed. 209 1/2 N Potomac st.. Wavnesboro PA 17268 Marv Jane Harvev. POBox 6313. Jackson WY 83002 _ Edward N. Kar~ Jr.. 1016 Ridae Place. Sedm..H22lliX-WA 98284 Terrv L. Karper. 190 N Murdock st Apt E-107. Sedro Woollev WA 98284 Garv L. Karner. 1915 Beaslev Road. Murfreesboro TN 31729 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except _. none Date: Lb I fir? . , , S ignat.ure Name: Hamilton C. Davis 'r, Address: -1JL~st Kina st lj-, I Shj,nnensbura PA 172 57 Telephone: (717)532-5713 -Ji " _;.;.: _I OU capaci ty: personal representative XX counsel for personal representative ...... 1$00 f~. {1,Q'1 I!! ;!l", IE::; c'" US;; It'. (' ,) . -<, ')~, J INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) I ~i&~ J COMMONWUl1H 0' 'fNNSVl.....NI.. ot'..ITMfNf m 'fVfNUf HA"I!lrJ:~ ~~O'rJ\lI.0601 ,_ eN' NA.Mlll"U.1ii'iTANO MIUOt INI IAll Karpor. Mllb,,) A. K)(IA\ SlCU.I" NUMln 161-5U-41165 '01 OATIS 0' DIATH Anll 12131191 CHICK HIli ., A .,OUSAL 0 () ",VI~" C~ID" IS CLAIMID ---t . P1U NUMIII 21 '17 01109 NUMBER OAII Of II"" 1l1l-29-0h COUNrY COO! CON' 't "00'" 12 II Illlt l\ottOl1l HOlltl Sh I PP'!Iwbll rg "A 17'2 'j 2 03, 0$, ..La R.malnd.r Relurn (for do". of dlot. prior 10 12,13,821 f.d,ral fUnl. To. R.lu,n Required Chedc he,. if you 0" Jll'quutlng n ,.fund of your oVll'rpoymll'ni. Y!AR COUII't ClIlIlhl! r I illl~1 ,\MOUN1 UCfIYtO IUIIN,UUClION'1 TOlal Numb., of Soft D,polll 80..1 (II 121 131 141 1$1 . NONE NONE (I' '"\11;"111 h.lIYl"INC) tk)u\l \ "'_I !\AU 'I'" "to llllOOI,t 1"1111"11 N/A aJ I, O,iginal Rtlu,n 0 2, Suppl.rnenlal R.lurn o ., limilld hlat. 0 .0, Future Inl"'" Comptomh. Ifor do". 01 dlolh okll 12012.821 [] 6, O~.d.nl Oi.d rlllat. 0 7, O.ced.nl Maintained a llvine T,ult (A"ocn copy of Willi IA"och copy 01 TruIII AU CORR15'ONDENCI AND CONfiDENTIAL TAX lNfOlMATlOH SHOULD .1 DIRICTID TOI HAMJ. . COM'Uft MAltlNO ADDU" Hlll1liltOIl C. Dllvis 75 Ellst King St I' 0 Ilox 375. Shippunsburg PA 17257 0"11 O. OIA'H 09-19-97 1m 8~ lImHON( NUMIU 717 532-5713 NON!' NONE 871170. Il(, NONE 161 PI - NON!' 87,1170.86 (81 (111 11,830.39 (121 76,040.47 (131 0.00 (1~1 76,040.47 0.00 )C,__ )C ,06. 4562.43 M ,IS. 0.00 118) 4562.43 (191 4562.43 (20) 0.00 1211 0.00 121.0.) U.OO (21B) 20, If Lin. 19 h greal., Ihan line 18, .nl.( 'h. dIH.,.nc. on lln. 20, Thl. h Ih. OVnflAYMENT. litO 21. If lint 18 it great., than lint 19,11\1" Ih. dlHerenc. on lIn. 21, Thil ilth. TAX DUE. A. En"r Ih. iM""1 on the balanc. du. on lln. 21A, e, En'" lh. 10101 of lint 21 and 21A on line 21&, Thil illh. BALANCE DUE. Malee Ch.ci!: 'aya~l. tOI At,llter of Willi, A,.nt . ~ ~ aE SUIE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH 4( 00( , Under penalli" 01 p"tu,y, t d.cloro thai I ho.... uomin.d Ihh "hun, including accompanying Ich.dul.. and ual.m.nll. and 10 th, b..t of my knowl.dge and b,li,l, It 111,u"" corr.ct and compl'I', I decla,. Ihal all real '"01. ha. b..n r,poNtd altrul ma,k" ...olu.. D.cla,otlon of preparer oth., than Ihe p'Jlonal repr...nlall.... II bO\ld on all informallon of which ",.parer ha\ any knowledg., ~tONATU.' 0' 'U~ON _'VONtlltllO. 'HINO IlIulN AOOIlH . ~A;( III h'1 1154 Hustie lIill Drive, Chnl1lhorsburg "A 17201 ~._.___ N'AI", 4?'5"~ast King Strollt, ShippunHhlll'g PA 17257 OAl / ' /l_f\! '17 .. '" ;:: :5 E .. c u ~ '" L Alol E "." ISc'"dull AI 2, Stock. ond Bond. ISchldul. BI 3, Clollly Hlld Slock/Po"nll,hlp In"rlltlSchldull q .t, MOr1gog.. and NaIll R.c.i...obl. (Schedul. 01 5, Ca\h. Bank O.po\ill & Mi\ullon,olll P.,.onal Prop.ny ISchldul. !I 6, Joinlly Ownld Prop""y ISc'"dull '1 7, lron.fl" ISc'"dull 0) ISchldul1 L) 8, Tolal Oron Au." (10101 Un" t.?) 9, Funllal hp.n'", Adminillrotlve COlli, Milc.llon.ou\ E.p.n..\ ISch.dul. H} 10, D.b", Mortgag. liabililil\. li.n. 15ch.dul. I) 11, TOlol Olduc1lon, 110101 Li... 9 & 101 12, N.I Value of Ellat. Illn. 8 minuI lln. 11) 13. Charitabl. and Oavltnm.nlal 8.qultll (Sch.dul. JI '"" N.l Valu. SubllC1lo Tal, (lln. 12 minu. lln. 131 15, Spoulal T,an,f.,\ lfo, dol" of dealh aft., 6.30.9') S.. tn"'uetion. fa, Applicabl. Pe'(lrUog. on R,....... Sid., (Includ. ...alu.. f,om Sch.dul. I( 0' Sch.dul. M,l 16. Amount of line ,. 'oubl. 01 6% ral. (Include ...olu.. from Sch.dule k 0' Schedul. M,I 17, Amounl of lint 14 lo.abl. at 1 S% ,ale (Includ. ...alulI 'rom Sch.dule K 0' Sch.dul. M.I 18, P,lnclpollallt du. (Add 10. from lin" 15, 16 and 17,) 19. C,.di" Spousal Po...."y C,.dit P,io, Paym'fllt 4334.31 + I ... c ... E . '" u .. c ... 191 liD) 114511.111 371. 58 115) 1161 1171 0.00 76040.47 o 00 DI"ounl 2211. I Z +-. Inl""1 '1.1' .". Decedent Confirmation Name Social Security NO Date of Death Mabel A. Karper . 161.50.4865 A-M 09_/97 Il~ '" \ " (t r Description Account Account Account A~~ounl No. 97334065 ROO04~5238 8000429306 A~~OIIhI Type Checking Certificate "flleposit Certilieale ufDeposit Uale Opened or "slIed 01/28/80 01/04/84 10/26/83 Uale Clos~d or Matured 10/16/97 (C) 10/17/97 (C) 10/17/97 (C) Uate of Ueath Ralan~e $13,891.57 $15,000,00 $15,000,00 PUiS PLUS PLUS PUIS Uate of Death A~~rued Int. $14,00 $171,62 $286,95 Joint Own~rs (If auy) None None None Uate of Joint Ownership S ecial Comments: N/A Description Account Account Account A~~ount No. 03701503 A~~ounl Type Safe Deposit Dox Uate Opened or Issued 09/16/86 Uate Closed or Matured 09/24/97 Uate of Death Ralan Non Applicable PLUS I'LUS PLUS PLlJS Date of Death Ae~rued Inl, Location Shippensbnrg Joint Owners (If any) Bntce M, & Jason D, Karper Date of Joint Ownership 09/16/86 Special Comments: N/A Date Prepared: Octoher 16, 1997 Prepared by: Amy L, Haivor (Rev K/26N7) Page: 2 - - ~ I ~ ~g ~ '" t:l .~ ~h~ tl~E ~ \0 In I'). ~~~Cl Ri ~ 0'" 1-00 ~g ~ 10 01 \0 ~~~~~ '" '" ~ .I 8, -<tj '" e= O:c 0 l~~~E N lQ 0( i:l i:l -_~o~ "" "'..... ~ ~.~ . ~~~~~ Ju~~~~~ g i i ~ ~ i i ""U~B8uu .~' 13 u, , , , " , e ~ ~~!~~ j' --Iuu~r;. I I, ~ _ ~ ~ I/l u'3~.~ ~u :5Liol/l ;t:<.:I _....,..,__ <;:;O~uux><: es~::I..lu I/l tiw !:l ~~. a ~ .';' 5~ - ~ - =0 ll, .? u ll, .~I a] ~ '~ ~ ~~J'5 I/l ~ ~ U u 1 t~ G' ~ 1 ~ 3.:l ~..EIl:> p... en. . I I , , , ~ ""uu ~~<I>~_l:> el til U;;l -<2': ~ '" N. , a.. ~ ~ j I 1 l~ P' j ~ ! :€]:d~.* 1 ,~, ~ ] a ,~ ! ~ ~6h~~ it OQ.,CCO,'1 r2 "~' .S! - :! ""i!j i ~~d~f<l> ~~ ! < J _(VIm I~~ (1181 _J COMMONW:~NNS'lYANIA INHfRHANCl 'AllIHTURN RESIDENT DECEDENT mATE OF - - Karpel', Mabel A. ITEM NUMBER A. 1. SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES l. '.OM "''' ., T,.. J::."'N"iltnER 21-97-0809 DESCRIPTION AMOUNT Funeral Expense.. Fogelsanger'-Bri.cker Funeral Home, Shippansburg PA 6059.20 B. Administrative CoslI. 2. 4. C. 1. 2, 3, 4. 5, /). 7, 8. 1. Personal Representative Commilllans Jason D, Karpel' Social Security Number of Personal Representative: Year Commlllions paid __ wili ved Atto,ney Fees - Hamilton C. Davis 3985.00 3. Family exemption Claimant Relationship Add,ell of Claimant at decedent's death Street Addre" City ,5lale Zip Code Probot. Fees Cumberland County Courthouse 246.00 Miscellaneous Expensll' Cumberland County Legal Journal - Legal Ad The News Chronicle - Legal Ad 60.00 58.61 1050.00 Reserves for contingencies TOTAL (Also enter on line Q, Recapitulation) (II more space Is needed, Inse,t .ddltlonalsheets of same slle.1 5 11458.81 11~.liU('. lJ." . COMMONWfA,IH ol'fNN'''IVANIA ~"II""NC. 'AI .nUI" '1ItM'" OICIOINt SCHEDULE J BENEFICIARIES mATI O' - FILl NUMBER 21.97.0809 ULATlONSHII' AMOUNT 011 SHARE OF ESTATE daughter In ofentira estate , daughter In afentire estate son In of entire estate son In of enUre estate daughter 1 n af entire estate daughter I n of entire estate grandsoll \/21 of entire estale KARPER, MABEL A. ITlM NUMIEII NAME AND ADDRESS OF BENEFICIARY A. Toxoblo "~uosl" \ 1. MABEL A LAUTSBAUOH '2018 S NORTON AVE, TUSCON AZ 85713 2 VIOLA C ROCKWELL 5 08SIDIAN DRIVE. CHAMDERSBj.JRO PA 17201 3 BRUCE M KARPER 115 FARM ROAD. NEWVILLE PA 1724\ 4 JASON D KARI'ER 854 RUSTIC HILL DR!VE, CHAMQERSBURO P A 17201 5 JANET L REED 209\/2 N POTOMAC ST, WA YNESBORO PA 17268 6 MARY JANE HARVEY POBOX 6313. JACKSON WY 83002 7 EDWARD N KARrER JR 1016 RIDOE PLACE. SEDRO WOOLLEY WA 98284 CONTINUED ITEM NUMIER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE O' EST ATE 0,00 8, Charitabl. and Governm.ntal a.qultul 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also ont.. on IIno 13, Recapltulollon) S I" ",0" Ipaco I, no.dod, Inlo" addltlonol ,h.." of 10",. ,Iul 03-23-98 KARPER 09-19-97 21 97-0809 CUMBERLAND 101 r~_~~~~M.UntR-.M:: ~d l MAKE CHECK PAYABLE AND REMIT PAVMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .... RETAIN LOWER PDRTIDN FOR YOUR RECORDS ~ iiiV': iSi';nx" AFii-nliF 9'tT "iloT iCr"OF "YNHEifi fANeE - TAx" 'Apiiiliii BEMEiiT";" Ai:. i:owAiicE" iiR' ---- - - on". -"" - -. DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX MABEl A FILE NO. 21 97-0809 ACN 101 APPROVED DEDUCTIONS AND EXEMPTIONS: t (,1_11,458,81 9. Funeral Expan..,/AdM. COI I/Kilo, E)(pln... ISchedul1 H) 10. Dobh/Hodg.g. lhbiUH../Uono (Sch.dulo 1) (!Ol 371,58 11. TotMI D.ducHono UII 12. N.t V.lu. of T.. R.turn (121 15. Charitable/Govern.antal .lquI.tal Non-.lacted 9115 trust. (Schedule J) 0.5) 1~, Net Veiue 01 Eot.t. Subjoct to T.x (I~I NOTEI If.n ......m.nt w.. i..u.d pr.viou.ly, lin.. 14, IS .nd/or 16, 17 .nd 11 will refl.ct figur.e th.t includ. the total of ill r.turn. .......d to d.t.. ASSESSMENT OF TAX: 15. AMount of lin. I~ 16, AMount of lln. I~ 17, AMcunt of lin. 1~ la. Principal TAX DUI r--) ")/ . I.' I J '-offAl/oJ CDMMDNW!AL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF 1NDIVIDUAl TAMES IURITANeE UK OIVISION DliPl, 210601 HARRISIURG, PA 1'lll-OiOI NOTICE OF INNERITANCE TAM APPRAISE"ENT, ALLOWANCE OR DISAllOWANC~ OF Df-DUCnONS AND ASSESS"ENT OF TAM HAMILTON C DAVIS 75 EKING $T PO eox 375 SHIPPENSBURG DAT!. UTAl! DF DAT!. OF PEATH FILE NUMBI!.R CDUNTV ACN PA 17257 ESTATE OF KARPER TAM RETURN WAS' (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED DNI ORIGINAL RETURN 1, Rool E.teto (Sch.dul. A) 2. Stookl and Bondi (Schedule 8) 3. Clo..ly Hald stock/Plrtn.rah1p Int.r.at (Schedul. C) 4. Hartlla../Hot.. Rec.ivlbl. (Sch.dul. D) S. Cllh/llnk D.pctUe/t1l1c. PArlonll ProPlrh (Soh.dul. E) 6. Jointly Dwn.d Prop.rty (Schodul. FI 7. T"lnl1.,.8 (Sch.dul. Q) .. Total An.tt ) CHANGED U) (21_ 151 (~I 151 (61 171 ,00 ,00 ,00 ..!J!.. 87.870,86 ,00 ,00 (81 It Spoulll r.tl t.~.bl. .t Linell/Cla.. A rlt. taxable at CoUateral/Cl... 8 rat. lI51 lI6) lI7) ,00 M ,00= 76.040.47 M ,06= .:.Q! M . 1 5= llal TAX CREDITS: PAV"ENT DATE 12-17-97 DISCOUNT (+) INTEREST/PEN PAID (-) 228,12 AHOUNT PAID 4,334,31 RECEIPT NUHB~R AA242573 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TDTAL DUE *' nV-I\.' n~" 1",,911 MABel A DATE 03-23-98 NOTE I To inlur. prope,. cr.dit to your Iccount, lub_it the upp.r portion of thit forM with your tax pay",.nt, 87,870.06 11 _ A~n ~Q 76,040 ,47 ,00 76.040.47 .00 4.562.43 .00 4,562,43 4.562.43 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS lESS THAN U. NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREOn" (CRI, YOU HAV BE DUE A REFUND, SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) "~I "'j LJ {t, RESERVATION I EIt,h.1 of dlCldlnh dvlng on or blfor. olcle.r U, 1912 H If any future tnttr..t In the ..t.t. h tr'n'flrted In PO.....1on or .nJ~v..nt to CI... . (oolll',r,.' ben,'loJ.rl.. of the dlCldlnt ,'t.r the IMPlrttlon of .ny I.,.t. 'or 11ft or for v..r., thl Co..onw..lth hlr,by IMpr....., r"'ty.. the rJght to .ppr.I~. Ind ...... tranl'.r Inherlt,nol TIMI. It the hwful Ct... I (Clolllt,r.1) rlt, on any IUC'Ih lutur. Int.r..t. PURPOSE Of NOTICE I To 'ulflll Ult r.qult..."tI of Stotlon 2140 0' the Inh.rltano. and Estet. Tak A€lt, Aot 21 of 1995. OZ P,S, Slot Ion 9140). PAVM:HT I Detleh thl top portion 0' tllll Notlel and lub.1t with your pIY'.nt to th, Righter of Willi prlrttld on the river.. .Ide. ~ 'f1'kl chle;J( Ot 10nty ord4rr pn'ubl. tal REGISTER OF HILLS, AGENT REFUND (e'f) I A re'und a' eta" cr'dlt, which w.. not requutM on Uie h" Return, IIIV b. r.qu..t.d by COllpl.tlng an "APP!Jc.tlon for Rlfund 0' Pann'v!"'ln!e InhlrlhnCI and e.tatl h." (REV~UlJ). Application. al"l ayeUable at tha Offlc. 0' the Rlgl.t.r of Will., _nv of th. lJ RI"'lnue DI..rlct Offlc.s, 01' bv call1na the ,p.clal 24-hour ."..,erl"l 1.,...lc. ntHIbers for (ar.. orderlngl In Plnnsvl....nle 1-"00-361-1050, out.ld. P.nn'vl....nl. .nd within 10c.l H.rrhburglr.. (717) la1~8094, TDDI (111) nz-usz (HlarlnA .Ilf.al,..d Doh), OIJECTIOHlII Any plrty In Inbr..t not .atltfl.d with thl apprah"lnt, allowanc. or dhallowance of dlductlon., or ........nt of t,,, (InclucHng dl.caunt or Intlr.." .. 'hown on thlt Notlc. .Ult ohj.c' within II"ty ':601 day. 0' rec.lpt 0' thh Notlc. bYI .fHtlH ISTRATlVE CQRRfCTJOHS I ~.w,'ltt.n prot..t to the PA O,p.rt.ant of Rlv.nue, Board 0' "PPult, D,pt, 281021, Harrltburll, P.. '."IJloUon to haYI the ..tt.r d.terelnld et audH 0' thl account of IhI Plrsonal rlpr....nt.UY., - -applel to Iha Orphans' Caul" t, l11Z1-10Zl, OR oR DISCOUNT I fao'ulll trr'l'" dhco....red on thlt ........"t .hould ba .ddr....d In writing tOI PA OI,.lrt..Il' of Rlv.nul, Bur.au 0' Individual T."." "TTNI POlt .........nt R.vl.w Unit, o.pt, 180601, H.rrl.bur~, P.. 1711.8~0601 Phon, (117) 181-65115. S.. pa,1 5 of the booklet "In.truc:tlon. for Inh.rltlnca TalC Rlturn for. Ruldant Dloadlnt" (REY'ISOII 'or an I"phn.tlon 0' .alnhtratl".iy corrie table .rro,... ., eny tllC dua II Plld within threl (31 c.l.ndl/" IOnthl after thl d.ced.nt', d.alh, . flvl parunt (Sin dhcount 0' the h" Plld h allow.d. PENALTY, The 15:< tllC I."..tv non-partlclpltlon plnllty h COlIpUted on thl total of (hi talC and Int.r..t .......dl and not PlIld b.forl JlrKltrV II, 1996, thl '1,,1 day I'hr the .net of the tl" lan..ty Plrlod. Thh non~partlo!Pltlon penalty Is Ipp.allbll In th. .".. .,nn.r Ind In (N thl .... till Plr I(ld aa YOU would IIpp..1 'h. t.1C and tntarllt thai hi' ba.n .11..I.d .. 'ndlc.tld on thl. not lei. INTEREST, Intlrllt Is char..d blgtnnlng with flrat day 0' dellnqulncy, or rdn. (,) .anth. .nd on. (J) dlv fro. thl dllt. 0' dlath, to thl data of pav"nt. TI".. !thtch tMlc.. dlUnqulnt befar. JllnUlry I, 1981 bur I"tlr.u It the rflt, 0' .iIl (6l0 parc.nt plr l"nUI ulculll.d lilt I dally r.tl 0' ,QOOlfllt. ..11 tlllU which b'cuI dlllnqulnt on and Ift.r January 1, 1912 NUl b.ar lnt.rut It e rlltl .,hlch will vary frol c.l.ndllr YI"r to cal'nda," y.ar with thlt ra(a announc.d bv the PA D,pa,.t..nt of R.~.nua. Th. eppllc.blo Int.ra.t rat.. for 191Z through 1998.1".1 ~ Int.rut Rllt. O.Uy Int.r.11 I'aotor ~ Int.,.ut Rllta Dally Intlr...t I'acto" 1982 lOr: .000548 1911 9% ,0001"7 1'15 lU .000(,11 J9..-1991 11:( ,000301 198" lJ:< .000301 1992 .~ .0001lt1 19U U% .0003S6 1991-1994 7% .00019Z 1916 10% .000214 1"~-I'I9I .~ ,0002lt7 ulntl,...t II calcul.t.d .. 'ollow.I INTEREST. SALANCE OF TAX UNPAIO X NUNSEI OF OAYS OELINQUENT l( OAILV INTEREST FACTOR ~~"ny Notlo. l"u'd aft.r the tlx bICDI" delinquent will rl'llct an Inta,...t cllculallon to flftl.n (IS) dlY' blyond the data 0' thl ........n" If PIIY'.nt It ...d. 1ft.,. thl Intarnt tlOlputatlon data lhown on thl Notice, addltlonll tntarltl Ill.t b. cllcul.tld. STATUS REPORT UNDER RULE 6.12 Name of Decedent: MABEL AGNES KARPER Date of Death: SEPTEMBER 19. 1997 Estate No. 1997-00809 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete, Yes~ No___ 2. representative complete: If the answer is No, state when the personal reasonably believes that the administration will be 3 . following: If the answer to No. 1 is Yes, state the a. Did the personal representative file a final account with the Court? Yes No~. b. separate Orphans' Court No. (if any) for personal representative's account is: The the nla c. Did the account interest? personal representative state informally to the parties Yes XX No_ an in d. Copies of receipts, releases, joinders and approvals of furmal or informal accou~ts may be filed with the Clerk of the Orphans' court and may be attached to this report. Date', Ir/'I!C{I ~ f.'b Hamilton C. Davis, squire P.O. Box 375, 75 E. King St. Shippensburg, PA 17257-0375 (717) 532-5713 tr, J .:::~ ",::2 /2:.. C() p\ J._ I,) ~ -~~ ...J 0e Capacity: Personal Representative ~ Counsel for Personal Representative