HomeMy WebLinkAbout01-0771
Estate of A AlA/A
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
~/-CJ/- fJ77/
~~
Lft?<.t7 W' /l/
No.
To:
Register of Wills for the
Deceased. County of C 'Af1'7~AN#)in the
Social Security No. 2., / t) - 412. .../ t?~c? Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut t/ tf{
in the last will of the above decedent, dated LJ.4 C J
and codicil(s) dated
na~d
,19~
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in ~ p /t1 /J Jt/t L A /V LJ County, Pennsylvania, with
h,,4/2 A last family or principal residence at ~ 3 '3 ~ S' ~A} AI t; ~/ /"- '- L ..l1/1//1
B A/dL A~"-\ /.,lAMPI;:;JLE # 7"wP
,
(list street, number and muncipality)
Decendent, then ~-. Li years of age, died
at /-1 d /"II!;
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 for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
A 1/ r;
/17'
, 19~ d~/,
t?~
$ .x t? r) d .../'"
$ ;;
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate-Qf the last will and codicil(s)
presented herewith and the grant of letters 7' /?<J 7 A Il/ b /V' / A ~ Y
I
(testamentary; administration c.La.; administration d.b.n.c.t.a,)
theron.
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OATH OF'PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF C///'7,rfE.~?./-l/ltO.
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly admi . ster the estate according to law.
'7
Sworn to ~r affii1 ;.l}"d subscribed ~ ~~-V~. ,.r /./ S-~A--
~me th:s . 7'. ~til ~
.~(~~/~~1egi~
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Estate of
No. 1I1-1J/-() 77/
AN~ LJ)F<<JwtJ
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
IL Ir.. '1^ ~DOJ
AND NOW t:1.I&1:I I...J.-I -/_, in consideration of the petition on
the reverse side hereof, satisfactory proof having be~n presented before, ,e,
IT IS DECREED that the instrument(s) dated / ~ """t .{' - /Cff ":t::-
described therein be admitted to pr ate and file of record as the last will of
5.' w
and Letters
are hereby granted to
FEES
Probate, Letters, Etc. ......... $ .a6.0D
. ' ~ 00
ShortS~~te~) .......... $ .
IIORUli;7~:" '0t!fJ": ~ :gg
If TJ}!AL_sd
Filed .... ~ : ./. /. tE'oo.l. . . . . . . . . . .
8lJ..L47TY.
ATTORNEY (Sup. Ct. 1.0. No.)
ADDRESS
PHONE
WARNING: IT IS IllEGAL TO ALTER THIS COpy OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWEALTH OF PENllJSYLVtlNIA
DEPARTMENT OF HEALTH VITAL RECORDS
,
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. T 4 9 6 0 2 5 4
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August 14, 2001
Date of Issue of This CertIfication
Name of Decedent _ Anna
;:.: : f,~ ~
-E.JL._________________
Urdclf
R1"m.m
Li]:;:.t
Sex
F@rnale
.~ Social Security No.
210 - 42 - 188B______ Date of Death
AlIgn~t 1 (). ~OOl
Date of Birth _. April flJ lQA7
Birthplace llarrisb11rg, Da11phin COlmty. Pennsyluania
Place of Death 2335 Spy; ng Hi 11 t.;::In~
\-:l,~j\\', ~~amt~
CnrnhPTlann Cnl1n~y
1>)V11',
~ampd~n Township
C~ly, Borough or TOW'lShlp
Pennsylvania
Race___ Whi t~
_~_ .... Occupation Claims Examiner
Decedent's
Mailing Address
______ Armed Forces? (Yes or No)
Nn
Mantal Status
Married
2335
Spring Hill Lane Enola
~;Ired e:ll,' 'v :U\''ifl
PA
State
~JV11r)t"!
Informant Mr. Donald J. Brown, Sr.
Name and Address of
Funeral Establishment
Funeral Director
Becky J. Cocklin. FD
Dillsburg, FA 17019
I
I Interval Between
: Onset and Death
I
I
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Cocklin Puneral HODle.Inc., 30__N~.Jl11estnut Street,
Part I'
Immediate Cause
(a)
Adenocarcinoma of the Ovary
(b)
( c )______
Part II:
(d}____
Other SignIficant Conditions
I
-,---
I
I
Manner of Death
Describe how injury occurred:
Suicide
:~]{XX Homicide
Pending Investigation
Could not be Determined
Natural
Accident
Name and Title of Certfier
Roland R. Alexander, MD
(M.D., D.O., Coroner, M.E.)
Address
750 East Park Drive, Harrisburg, PA 17111
ThiS is to certify that the information here given is correctly copied from an original certificate
of death duly filed with me as Local Registrar. The original certificate will be forwarded to the
State Vital Records Office for permanent~ -r' ~ .
'f- . . 67608
L..'"iCd: }...(f']lstr;'ji or -Vital F18cor-ds
District No
__c~~,g~st .t~k_200L__
~-153_.1.~_~J~oad, Dillsburg, FA 17019
':~ir('c! A:-~cjril:<'; (>ty, Borougn !Ci\\'f1S!liP
LAST WIIL AND 'lESTAl'1ENT. OF ANNA E. BRGJN
I, ANNA E. BRrnN, of the TCMIlShip of Hampden, County of Cumberland
and State of Pennsylvania, being of sound and disposing mind, rrem:>ry and
understanding, do make, publish and declare this my Last Will and Testcmmt.
1.
I direct the payrrent of all my just debts and fLmeral expenses
as soon after tIJ:Y decease as the same can be conveniently done.
2.
I give, devise and bequeath all the rest, residue and remainder
of my estate, real, personal and mixed, whatsoever and wheresoever the same
may be situated, to my husband, OONALD J. BROWN, his heirs and assigns,
absolutely and in fee simple.
3.
In the event that my husband, OONAID J. BRGJN, should predecease tOO,
or should he die at about the sane tine as I do, such as in an accident
COOnOl1. to both of us, then in such event, I give, devise and bequeath my
entire estate, real, personal and mixed, whatsoever and wheresoever the
sane ma.y be situated, to my two children, to wit, OONALD JAY BRaVN, JR., and
WTILIAM scarr BRa-JN, share and share alike, per stirpes.
-1-
..
LASTLY ~ I naninate~ constitute and appoint my husband~ OONAlD J. BRCMN~
Executor of this nw Last Will and Testament~ and in the event that nw said
husband should predecease n-:e, or should he be unable to serve in such
capacity for any reason, then in such event, I naninate, constitute and
appoint tIJ:Y sons, OONALD JAY BRGJN, JR., and WIILIAM SCOTr B~, Co-Executors
of this nw Last Will and Testament, in his place and stead.
Il~ l.JITNESS WHEREOF, I have hereunto set my hand and seal this
JR[) day of J)Ece:-"8.e-~ , A. D., 1984.
~ ~. 'fuw.u
Anna E. Brown
(SEAL)
Signed, sealed, published and declared by the above ~d, ANNA. E.
B~, as and for her Last Will and Testaoont, in the presence of us,
who have subscribed our names hereto as witnesses, at the request of said
testatrix, in her presence and in the presence of each other.
-2-
CCMvUNWEAL'lli OF PENNSYLVANIA)
)S5:
COUNTY OF CUMBERL\ND )
I, ANNA E. BROON , the testatrix ,whose name is signed
to the attached or foregoing instn.ID1ent, having been duly qualified according to law,
do hereby acknowledge that I signed and executed the instrument as my Last Will and
Testament; that I signed it willingly; and that I signed it as my free and vohmtary
act and deed for the purposes therein expressed.
7/
Sworn and affirmed to and acknowledged before me, the ~....;....--- day of
Vec.eh-1,kr , A. D., 19~.
CavMJNWEALlli OF PENNSYLVA1."TIA)
)55:
COUNTY OF CUMBERlAND )
~m.~~
. Notary Publ1.c
Me' . Exp' ANNA M. BOWKER, NOTARY PUBLIC
Y aillllSS1.on rres: MECHANICSBURG BORO. CUMBERLAND COUNTY
MY COMMISSION EXPIRES MAY 14. 1988. f
Member, Pennsylvania Association of Notafl'$
(SEAL)
We, the nnder signed,
J. ROBERT STAUFFER
and
JOHN M. EAKIN the witnesses whose names are signed to the attached or
foregoing instrument, being duly qualified according to law, do depose and say that
we were present and saw the testatrix ANNAE. BRGJN
sign and execute the instrunent as his/her last Will and Testament; that the said
testat rix ANNA E. BRaVN , signed the same willingly and
that the said ANNA E. BRa.JN I executed it as his/her free and
vohmtary act for the purposes therein expressed; that each of us, in the hearing and
sight of the testat rix ,signed the Will as witnesses; and that to the best of our
krlCJwledge the testatrix , was, at the time, 18 or IIDre years of age; of sonndmind;
and nnder no constraint, duress or tmdue Wluen e.
Sworn and subscribed to before me this
l gd- day of IJ~c e ;W~R'-- V 1984.
~ '?n.~
. Notary Public ANNA At BOWKER, NOTARY PUBLIC
.. . MECHANICSBURG BORO. CUMBERLAND COUNTY
My Carnuss1.on Exprres: MY COMMISSION EXPIRES MAY 14. 1988 i
Member. Pennsylvania Associati. Notaries
JRD/June 30, 1992/17858
~
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DEe 0 4 2001
In Re: Estate of Anna E. Brown
Late of Hampden Twp.
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
Estate No.: 21-01-771
NO.
NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: Donald J. Brown
Counsel for Personal Representative:
Date of Grant of Original Letters: August 20, 2001
Date of Delinquency Notice: November 30, 2001
The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6,
Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk of the Orphans' Court his, her or its certification required by Rule 5 .6( e), Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court
Orphans' Court Rules, was given by the Register of Wills on November 15, 2001, and that the
ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule
5. 6( e) the Court is hereby notified of such delinquency and the undersigned requests that a Court
conduct a hearing to determine whether sanctions should be imposed upon the delinquent
personal representative or counsel for the delinquent personal representative.
Date: December 4, 2001
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled for ~"'bilt: ij ~ 9-'~ In Courtroom No, 3. Ifthe
Certification of Notice is fil a prior to e hearing date, the hearing will automatically be
cancelled. ~
Georg E. offe, P. .
GL ~ \~-\~-O\
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---
CERTIFCATION OF NOTICE UNDER RULE 5.6(A)
Name of Decedent: ANNA E BROWN
Date of Death: ,A 1/ G' / 0
Will No.: 21-01-771
Aool
Admin No.:
To the Register:
I certify that notice of (beneficial interest) estate administration 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
Name
Address
A/P'NAL-O
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Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
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Name
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Address
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'1 Capacity: Personal Representative
Counsel for personal representative
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Name of Decedent:
STATUS REPORT UNDER RULE 6.12
i/ IV/v /l E ~Ro(.(j N
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.
Date of Death:
Will No.:
Admin. No.: -'Z I - 2.001 - o'l'T (
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: /to ,qsye-rs.("; C:fr,4 T J!? f
Yes ~ No 0 f/6t-1J :ro;,o/{ ,4cct?v.;u r.t' WI 711 li(/f&l~.o;1 wlto fUl2.l.1,;Ver
Iff --rJ/f/J4ICJ'7.r 61.( t.'::'.AJ-rIA'*! 7'ltiv /
2. lfthe answer is No, state when the personal representative reasonably believes
that the administration will be complete:
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 ~
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 0 No ~ N / r1
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the Orphans' Court
and may be attached to this report.
Date:~i".3 ....-A_ ~ ~"" --
Signature
ZkJfl...9Lb.J~ tBteow AI
Name
23J~ .r~,e/ /V 6- -4/IL L. (..,t?/V":;-
Address E .A/ o.!- /1 fJ;f I' ") 0 J, S
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Telephone No.
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Capacity: ~ Personal Representative
o Counsel for personal representative
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NOTICE OF INHERITANCE TAX pennsyLvan~a ~
-PRAMS€M~~hF•~r-- -L.OWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES AP .; ' ~- DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF D~DUC~~ iV~ AND ASSESSMENT OF TAX REV -I 547 Ex AFP (12-09)
PO BOX 280601 _' t~.'
HARRISBURG PA 17128-0601 ~ - -- -
~'~~ ~~~~ ~ 3 ~ii~ j ~ • ~L
' -2010
- ESTATE OF BROWN
ANNA E
DATE OF DEATH 08-10-2001
~~ ~~~~~~. ~~`~~ FILE NUMBER 21 01-0771
~ ~~~~~=+ ' `~~ ~'~` ' ~~`~ COUNTY CUMBERLAND
DONALD J BROWN r ~' '-' ACN 101
451 BONNERS HILL RD APPEAL DATE: 10-08-2010
Y O R K S P R I N G S P A 17 3 7 2 (See reverse side under Objections
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE '--) RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: BROWN ANNA EFILE N0 .:21 01-0771 ACN: 101 DATE: 08-09-2010
TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED $EE ATTACHED NOTICE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .0 0 IJOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .0 0 ~=redit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .0 0 =submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •0 0 i:ax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .0 0
6. Jointly Owned Property (Schedule F) (6) .0 0
7. Transfers (Schedule G) (7) .0 0
8. Total Assets (8) _ .0 0
APPROV ED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .0 0
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions (11) _ .0 0
12. Net Value of Tax Return (12) _ .0 0
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) .0 0
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 =• .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) _ _ 00 x 045 =• . 00
17. Amount of Line 14 at Sibling rate (17) _ 00 X 12 =• . 00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 =• .0 0
19. Principal Tax Due (19) .0 0
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-)
AMOUNT PAID
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
REV-1470 EX (01-10)
~ pennsylvania
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG. PA 17128-0601.__
DECEDENT'S NAME
INHERITANCE TAX
EXPLANATION
OF CHANGES
FILE NUMBER
Anna Brown 2101-0771
REVIEWED BY ACN
Joan M. Peters 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Efforts to file an Inheritance Tax return have been exhausted in the above-referenced
estate. Therefore, the filing requirements have been waived. The Department, however,
reserves the right to assess any assets that may be recovered at a future time.
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