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Home My WebLink About01-0881 PETITION FOR PROBATE and GRANT OF LETTERS Estate of' /)4-0/"IA/6/." BF/r/(If,A./O,,/ No. ~/-O 1- V VJ also known as To: Register of Wills for the Deceased. County of Ct/"181:~ (,/I",,(J in the Social Security No. 16; ff ~" 5S)- ~ 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 in the last will of the above d<1Cedent, dated ~ ~ (-\. I 3 7'1 and codicil(s) dated /7/ ( ;J named , 19~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in l U (bj If G A. L/r J/ 0 County, Pennsylvania, with h E.e.., last family or principal residence at g- ~c ~r 5 IS C'/2 AI I? (),. .; /JT bit' ( -1!'1 P II fit , PI) /70 I ( (list street, number and muncipality) Decendent, then g~ years of age, died S (! P T: I ~ ,49: 200 I , at ;IoL 'f5/t(,T H05 it 71'- . 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: A/ / /{ . .. , .0 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 Penl)sylvania situated as follows: ~/,.;.. ? au/ Od' $ $ $ $ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters 7~Sr#Aff'<J; 711-'1' r (testamentary; administration c.La.; administration d.h.n.c.t.a.) theron. .-. VJ Q) ~3 ~ t..ay 1~ Q) .... Qlq~ -g.g aj',= .soX f!/f11lf'1'14,v IJ Li/R ~t (f/E!.t'Li,.1fl /1 E:-Rt..,.",I) I/!(- 17 v 7&1 30 ~ C tlO en OATH OF" PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I ss COUNTY OF ClMBERLAND J 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 administer the estate according to law. '/}J!~ f ~ -/cti--~/ /7-7- Y tn OQ' :::s I::l - ;:: ~ ~ ~o. 21-2001-881 Estate of PAULINE B. FARANJV , Deceased DECREE OF PROBATE A~D GRANT OF LETTERS SEPI'EMBER 14TH AND NOW l~ 200,lin consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated PRRRTT~'RY 13TU .1976 described therein be admitted to probate and filed of record as the last will of PAULINE B. FARAOOV and Letters TESTAMENTARY are hereby granted to MELVIN RAY FARANOV FEES Probate, Letters, Etc. ......... Short Certificates( 2) . . . . . . . . . . Renunciation ................ x-Pages (2) JCP $ 18.00 $ h nn $ $ 6.00 ").uu TOTAL - $ 35.00 Filed ...... ~~~~~l?~!: .l~ ~h,. ?99.~ . . . . . . ATTORNEY (Sup. Ct. 1.0. No.) ADDRESS PHONE MAILED LE'ITERS AND ORDER 10 EXEllITOR REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subsc .. witness to the will presented herewith, (each) being dul law, depose(s) and say s alified according to present and saw the testat , sign the same and Hi request of testat_ in h other subscribing witness(es)). Sworn to or affirmed a me this ubscribed before day of 19_ (Address) Register (Name) (Address) 21-2001-881 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS ---,'- ~ I E L If'I 4/ Ri't 7 F/I .B:::..A /1/ 0 t/' (!) Ill-/e ge 'K hM::' n fl2a. tL . (each) _ being duly qualified according to law, depose(s) and say(s) that THEY l\~E familiar with the signature of PAULINE B. FARAOOV codicil testat~ of ( s to) the ( will) presented herewith and codicil that THEY believes the signature on the ~ill)is in the handwriting of PAULINE B. FARAOOV to the best of THEIR knowledge and belief. /)llf)A ~t1~ . ( (Name) Sworn to or affirmed and subscribed before me this OC'IOBER L,e~ -?7?rza (' // d./u.&'2/ 5o~ dJJ:;rr;:~ ~j~ () (Address) ;J J /) '70 9 c:J 711UA./ c,~~/ 6 q . / (' t. .." ":: <:'''::; ":' ':'\~ <.'\ '<:'''-, 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 filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. p 7622193 ..... ./ I U:~i~'-;\:/ ~~..., ",' . :' ..... ~.-' C.;!((~4-z.t:t..-t'~I..~ .(/ (j Fee for this certificate, $2.00 Local Registrar SEP ] 2 ZOOt Date No. 21-2001-881 4J Rev. 2117 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH B. Faranov STATE FilE NUUlIEfI SElCfemale SOCIAL SECURlTY NUMBEFI 2. 168 - 26 - 5558 PlACI ~ DERH ICI>eclo ""'" """.. __ ....,uct.<wlson _ ~ HO$PlTAL; OTHER: .......IXI Efl/OuIpeuM 0 004 0 ::=0 0 J.:t .2.011 NAME ~~~'I~:".' MocldIe. L_, ,. AGE (l"lIw1Nlayt UNDER I YEAR MonItIe Daya lIIATlfPlACI! (Coly """ Enh~t :"'-' XounIJVI ~,o DlECEOENT'S USUAl 0CCUMl0N (~-=:.:':a':::::3,:r 11.. secretary ,-. state DECEDENTS UAIUNG AllDFlESStSlr...~. s... ZIpCade, 820 Lisburn Road, Apt. 611 l~amp Hill, PA 17011 ~~~~ModdIe.1.aIII E. '" WORMANTSNMIE fTypelPrinlJ Melvin R. IETHOOOF~ O .... Del er.m.aiaft 0 "-- -- SlaiIeO 00nMi0a 0lIw CSpeclIyl 1.. government DECEDlENT'S ACTUAL SIOENCE -- on,**, SIde' II. 17.. SIeI8 Old diIcedeN ... ... Cumberland --'7 "..0 ::"'~"-::oI MOTHER'S NAME If... ~~".,..) It. INFORMANT'S UAIUNO ADDflESS lSlreel. CilyIbon. SIeIe. Zip CodeI 502 Haldeman Blvd., New Cumberland, PA 17070 PlACI ~ 0lSP0Sm0N. ,.. oICemel..." Cr~ LOCRION. CIyIbom. sr-. Zip Code Of 0lIw "'- ~ Churchville Cemetery Oberlin) rA 11 \ \ ~ 210. 21.. NAMUNOAOOFlESSOFFAClUTYParthemore FH&CS Ine Uc.PO BOX 431, New t;umDerJ.ana, pA 17070 lICENSE NUM8ER DATE SIGNED (Mcd\. ~ -. IoWIITAL STATUS. Merried NeI4r MMied. WldlMecl. wid~ 14. ".IE -.diIcedeN....... Lower Allen SUAI/MNG SPOUSE (...... QN8-1WIl8/ ... 17It. .,....... Jefferies, Sr. Wueschinski _.... 24-8 _ be COIIlIlIeled ~ --="'-_~dMIIl. ~ . . 'MS CASE REFERRED TO MEDICAL EXAMINEFlICORONEA7 ...11 NoD . IUCII.. cardiill: Of ,.IjIir.wry .".... II10CII Of helll'..... -..are CAUA (1'... c--. or c:oncliIion _-.gonoe.ll'_ v./ r I AppovIllAlll8 I inlMwII '*-' :_ end...... I I I PART I: 0lIw IigniIIcenI CCInlIIioN -.... .......1IuI lllIl--'in"'~_g;v....IWITI. .. c~,..j ,0 1""\ (...1 \ r-,A I :......... .. CIDIldiIiane ...... ...........-. :=-~~ c__.........,_ c-;'-*'lI on oe.Il/LAaT ~MSANAU1OPSY :~ PEAFOAIotEO? E DUE 1O(OA AS A CONSEQUENCE Of): WERE AUlOPSY FINOlHGS ~PRlORlO COW'U1lOH~CAUSE DERH? MANNEROf' ~ ... 0 NoS ...0 NoD Nelurel gj AccodM 0 Suicide 0 DAn ~ INJURY .-. Day, ...., TIME OF INJURY INJUFlV R WORK7 DESCAI8E HOW INJURY OCCUAAED. HclmicilIe Pending~ o o o -. 0 NoD ~ ~ -- ~- .iii.ii Could _ be del............ .... 2110. 21. CUIn'lEIlICllecll oniy onet 'CEllTM"WIIG PHYIIClAN lflh,-. cetlIIwon9 calM rJ _ '"'- -... physc.... has pronounced death ana """"*""" ".... 231 .,.......ot..,"-IelIge.._-_....CIIUM(.,Md_..'""'_.. ....... ........ '" ........ .... ... ....... ........ ... 'PfIONOlINClNG AND CEIITIFY1NG ~ ~_ "",no...","'9 _ M>d '*""tw'91OC:.....ClI <lee"'l .,........oI..,..........dulll0ecune4.......... cIate.Mdplac.. ..........to....c.......'.ndman...'.._ecl.......................... . [ley. ..., ~ l~tI.f 1.2., .J.. 00 I , '. LAST WILL AND TESTAMENT OF PAULINE B. FARANOV I, PAULINE B. FARANOV, of New Cumberland, Cumberland County, Pennsylvania, being of sound and disposing mind, do hereby make, and declare this to be my Last Will and Testament, and I do hereby revoke and make null and void all prior wills and Codicils made by me at any time heretofore. ITEM I: I direct that all my legally valid debts, funeral and administration expenses, and inheritance and estate taxes incurred on account of my death shall be paid by my Executor out of my residuary estate as soon after my death as is practicable in said Executor's sole discretion. ITEM II: I give, devise and bequeath all of the residue of my estate of every nature and wherever situated to my children, MELVIN RAY FARANOV, JAMES EDWIN FARANOV, and MARGARET ELLEN RADANOVIC, equally, or if not living at the time of my death to their issue, per stirpes. ITEM III: I appoint my son, MELVIN FAY FARANOV, Executor of this my Last Will. ITEM IV: I direct that my Executor shall not be required to give bond or post any other security for the faithful performance of his duties in any jurisdiction. ITEM V: My Executor shall have the following powers in addition to those invested in him by law and by other provisions of my Will applicable to all property, whether principal or income, exercisable without court approval, and effective until actual distribution of all property: A. To retain any or all of the assets of my estate, real or personal, in his sole discretion. B. To sell at public or private sale, to ex- change or lease, for any period of time, any real or personal property, and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as he deems proper. c. To make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as he may determine, and at valuations finally to be fixed by him. ITEM VI: If at any time any minor child shall be entitled to receive any assets hereunder, MELVIN RAY FARANOV shall act as Guardian of the assets payable to such child. Said Guardian may receive and administer all assets authorized by law and shall have full authority to use such assets, both principal and income, in any manner said -2- Guardian shall deem advisable for the best interests of such child, including college, university, post-graduate or other education, without securing court order. Said Guardian shall have all the rights and privileges as to the Guardianship(s) and the assets thereof as are herein granted to my Executor as to my Estate and the assets therein. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last will and Testament, consisting of this and the preceding two ( 2) pages this I...:; zt.. ' day of i-~f\M--6 1976. (J ~k}Ji.It0u~ Pauline B. "Faranov ( SEAL) We, the undersigned hereby certify that the foregoing Will was signed, sealed, published and declared by the above-named Testatrix, Pauline B. Faranov, as and for her Last Will and Testament, in the presence of us, who at her request and in her presence and in the presence of each other, have hereunto set our hands and seals the day and year above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound and disposing mind and memory. ~,t"M~P. {j~ (SEAL)Residing at 911Zurfh/Y)(~k/p 1&. rJ//d~ )11. il~ (SEAL) Residing at Y\ow f1~_L ~ ;2 -3- ~ -- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name ofDecedent: F A" (C (tAl 0 r/ ) Date of Death: -S.f. P 7: I ~: '2 (}6/ l1 c) Lr rY{' , l?, Will No. d- / ~ 'J, (l) 0 I ,/ 0 ~ I 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 S (.1 Tc 2,~ ~ 0 I Name Address .TA~~ Fe' ~ rl1 ~/~fJ y R fJ OIfN ot/'c -5 (If{ ~, 1914<< sr H4/1.t.IJAJ~1. h / 71t1Y . / r ff () (~v.ec/7 te./). ~ lffRS ~ f~ I 17 ~j , I1f~rPeT Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: ----1 a -c) 7 ~ a / '/7J~ A fa~ Signature Name /W fLvltI Kt f;t~/fVV)/ . - "-'- o \.Q ~ ..::::( f.J.. Address 6" {Y 2- II It t/J E tI1 tf IJ/ ~ L J<jJ /J/F/t/ CV/15 ~ ~~ (,tf.v~ ffi I lId/II , - 0- r- N u o ; ..,. ", ~~~. -t;~; o':~' U '03' ~a: "1""'" '".,,, ...- p , & '~ .0 -c F 0)= -- Uo Telephone q if ))'!,-tJ?J7 Capacity: ~ersonal Representative _Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 *' INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 01-0881 ACN 01157976 DATE 11-23-2001 REV-1545 EK AFP U9- DO) EST. OF PAULINE B FARANOV S.S. NO. 168-26-5558 DATE OF DEATH 09-12-2001 '02 nPH 22 Fa 1 :f)9 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS [XJ CHECKING D TRUST D CERTIF. MELVIN FARANOV 502 HALDEMAN BLVD C. S. NEW CUMBERLAND PA 1 ~~R1b,: . REMIT PAYMENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 PSECU has provided the Depart.ent with the infor.ation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If yoU feel this infor.ation is incorrect, please obtain written correction fr~ the financial institution, attach a copy to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of PennsYlvania. Questions .ay be answered by calling (111) 181-8321. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0168265558-4 Date 09-15-1986 Established Account Balance Percent Taxable Anount Subject to Tax Rate Potential Tax Due x 1~121.57 50.000 560.79 .045 25.24 TAXPAYER lESPONSE To insure proper credit to your account, two (2) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Wills, Agent". x NOTE: If tax pay.ents are .ade within three (3) months of the decedent's date of death, you .ay deduct a 5Z discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) _onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. . M The above infor.ation and tax due is correct. 1. You .ay choose to remit pay.ent to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of Wills and an official assess.ant will be issued by the PA Depart.ant of Revenue. r=J The above asset has been Dr will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. r=J The above information is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. TAX ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate~ please state your relationship to decedent: PART @] TAX RETURN - COMPUTATION lINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. A.ount Subject to Tax 5. Debts and Deductions 6. Anount Taxable 7. Tax Rate 8. Tax Due OF 1 2 3 4 5 6 7 8 x x PART [!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on line 5 of Tax Conputationl I $ perjury~ I declare that the facts I have reported above are true~ correct and ny knowledge and belief. HOME (//7) f7Y-- t1~] 7 WORK ( ) TELEPHONE MBER DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG I PA 17128-0601 . INFORMATION NOTICE AND TAXPAVER RESPONSE FILE NO. 21 01-0881 ACN 01157977 DATE 11-23-2001 REY-1545 EX AFP (89-001 .02 APR 22 TYPE OF ACCOUNT EST. OF PAULINE B FARANOV [XJ SAVINGS S. S. NO. 168-26-5558 D CHECKING DATE OF DEATH 09-12-2001 D TRUST ,f~11 :O~OUNTY CUMBERLAND D CERTIF. REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISlE~ PA 17013 MELVIN FARANOV 502 HALDEMAN BLVD C,':.:~ NEW CUMBERLAND PA 1707tUlnbc PSECU has provided the Depart.ent with the infor.ation listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent I you were a joint owner/beneficiary of this account. If you feel this infor.ation is incorrectl please obtain written correction fro. the financial institutionl attach a copy to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth of PennSYlvania. Questions .ay be answered by calling (717) 787-83Z1. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0168265558-1 Date 09-15-1986 Established Account Balance Percent Taxable A.ount Subject to Tax Rate Potential Tax Due x 898.84 50.000 449.42 .045 20.22 TAXPAYER RESPONSE To insure proper credit to your accountl two (2) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Willsl Agent". x NOTE: If tax pay.ents are .ade within three (3) .onths of the decedent's date of deathl you .ay deduct a 57. discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) .onths after the date of death. Tax PART [!] A. [ CHECK ] ONE BLOCK B. ONLY c. ~The above infor.ation and tax due is correct. ~l. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain B discount or avoid interestl or you .ay check box "A" and return this notice to the Register of Wills and an official assess_ent will be issued by the PA Depart.ent of Revenue. c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent's representative. c=J The above infor.ation is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. PART ~ TAX RETURN - COMPUTATION OF TAX ON LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4, A.ount Subject to Tax 4 S. Debts and Deductions S 6. A.ount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 JOINT/TRUST ACCOUNTS If you indicate a different tax rate~ please state your relationship to decedent: PART ~ DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line S of Tax Co.putationl I $ Under penalties of perjury~ I declare that the co.plete to the best of .y knowledge and belief, T~V~G'':&~ facts I have reported above are true~ correct and HOME (J' '7 ) 777'- tJ~ 5 '/ WORK ( ) TELEPHONE NUMBER DATE /7-1- A/ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOKANCE OR DISALLOKANCE OF DEDUCTION~~ AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (01-02) R0;(::'~'" : DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN.lDC ACN 06-10-2002 FARANOV 09-12-2001 21 01-0881 CUMBERLAND 168-26-5558 01157976 Allount Rellitted PAULINE B MELVIN FARANOV 502 HALDEMAN BLVD NEW CUMBERLAND PA 17070 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 ~ iifv=is4li-E)f-iFP--foi-:02i------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-10-2002 ESTATE OF FARANOV PAULINE B DATE OF DEATH 09-12-2001 COUNTY CUMBERLAND FILE NO. 21 01-0881 TAX RETURN WAS: S.S/D.C. NO. 168-26-5558 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01157976 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0168265558-4 TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 09-15-1986 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 1~121.57 0.500 560.79 .00 560.79 .45 25.24 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT~ SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS~ AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-22-2002 CDOOI095 .00 25.24 TOTAL TAX CREDIT 25.24 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR)~ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG I PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEKENT~ ALLOHANCEOR DISALLOHANCE OF DEDUCTION~} AND ASSESSKENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (01-021 1 -; , I. DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 06-10-2002 FARANOV 09-12-2001 21 01-0881 CUMBERLAND 168-26-5558 01157977 Allount Rellitted PAULINE B MELVIN FARANOV 502 HALDEMAN BLVD NEW CUMBERLAND PA 17070 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 ~ RE-v:i54-i-i3f-AFP--(Oi~02)------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-10-2002 ESTATE OF FARANOV PAULINE B DATE OF DEATH 09-12-2001 COUNTY CUMBERLAND FILE NO. 21 01-0881 TAX RETURN WAS: S.S/D.C. NO. 168-26-5558 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01157977 FINANCIAL INSTITUTION: PSECU ACCOUNT NO. 0168265558-1 TYPE OF ACCOUNT: ()() SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 09-15-1986 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 898.84 0.500 449.42 .00 449.42 .45 20.22 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT} SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS} AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-22-2002 CDOOI095 .00 20.22 TOTAL TAX CREDIT 20.22 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE} SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $l} NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR J} YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96l RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FARANOV MELVIN RAY 502 HALDEMAN BLVD NEW CUMBERLAND, PA 17070 ---.---- fold ESTATE INFORMATION: SSN: 168-26-5558 FILE NUMBER: 2101-0881 DECEDENT NAME: FARANOV PAULINE B DA TE OF PAYMENT: 04/22/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 09/12/2001 NO. CD 001095 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01157976 I $25.24 01157977 I $20.22 I I I I I I I TOTAL AMOUNT PAID: $45.46 REMARKS: MELVIN FARANOV CHECK# 8987 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS ~' .. STATUS REPORT UNDER RULE 6.12 Name of Decedent: --.P a u Ii n -( (3. Fa y (). no \I Date ofDeath: S-c p + an b t' Y'" 121 2.-00 I 2.0 (, 1-00 ~r I Will No.: ~ ~~ Admin. No.: 2/ - 6/ - () r f / 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 0 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.1 is Yes, state the following: a. Did the personal ~esentative file a final account with the Court? Yes _ No J!SJ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal ~resentative state an account informally to the parties in interest? Y es ~ No 0 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:t-7~()3 --?J;if~ 11~ Signature .#l ~L(//~ /? hJ~~Ol/ Name U\ 0- -" '....# sa IX I!II{/)F ;111'# ;& t.tII> //ftV'{Wtj~~ Address 7 [7 ~ 7 Ii{" ~ ~ 3, Telephone No. Capacity: .N}>ersonal Representative o Counsel for personal representative CJ L~:J "-- '- c'\ ~