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HomeMy WebLinkAbout02-0236PETITION also known as Deceased. Social Securily No. '~ 0 0 -'~l G - ' i "4 ~4 -4_ FOR PROBATE and GRANT OF LETTERS No. ElR To: Register of Wills for the County of Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Yotn pelitioner(s), xvho is/are 18 years of age or older an the executo¥" in the last will of the above decedent, dated and codicil(s) dated in the namcd ,a.~ o e~ (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in C) ~ v,,,,x ~ o.. v- \ aw, & county, Pennsylvania, with he v.-- last family or principal residence at '4 '7' /th ~ k 1o c~ ~, "Dv.i V~ ' (list street, numar and muncipality) Decendent. then ~ ~ ,,ears of age, died ~% ~a ~ ~ i ~ ,~Og , Except as follows, ~ecedenl did not marry, was not divorced an8 did not have a child born or adopted after execution of the will offered for probate; was nm 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 S- situated as follows: "7 o o ~c, WHEREFORE, petitioner(s) respectfully .reques.t(s) the probate of the last will and codicil(s) presented herewith and the grant of letters "5' ~ s ~ o.. ,,~ ,~. ~ ~ a_ ~ ~/ (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF C~BF~RLAND The petitioner(s) above-named swear(s3Ko~r~ffirm(s) that the statements in the foregoing petition are true and correct io the best of the knowlea~~ef .of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) ~truly administer the estate according to law. Sworn to or affirmed and subscribed~ before me this_ 5~ day of ~ C Z~S -- ~ - Register Estate Of CAROL J KROH , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MARCH 6, 2002 X~I~OCX, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated ~ 2-~-201313 described therein be admitted to probate and filed of record as the last will of CAROL 3 KROH and Letters TESTAMENTARY are hereby granted to LEMMERMb2q C KROH FEES Probate, Letters, Etc .......... $ 15.00 Short CertifiCates(5)9'... ~ ...... $ 19~. 00 ~ ~.?AG.E..S... $ 15.00- JCP 5.00 $ TOTAL__ $ 50.00 Filed .. MARC[t .5,. 21).[12 called exec on 3-6-02 MARY C L15%',FiS.Fter of Wilh ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE his is to certify that thc in£ormadon here §ivcn is corr¢cdy copied £rom an ori§inal ccn:ificat¢ o£ death duly Rlcd with mc as Local R¢§isu'ar. Thc ori§iRal ccrdRcat¢ will bt £onvaMcd .to thc State Vital Records 0£fic¢ £or pcrmancm WA, FINING; I! is ills§al to duplicale this ¢op¥ by photostat or phologruph. Fee for this certificate, $2.00 P 8030569 No. ~ Date COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH I J. Kroh female p. 400 --46 --1442I,Feb. 19.20~2' 6 : , ' } ~ ~"' I. J~. ~rl~ ~ [Silver Sprino ~ 147 ~ Dr S..~ a~ I~ ~,~.~c~,. [~. ' ' ' ' nouse~lze ,~ 47 ~ Dr.,Suite 41 IACTu~ ,.. s,=. Pe~sylv~ia ~ ,,,~.~Silver S ~h~icsb~g, PA 17050 ~"~"'S~UE(Fi~'U~' t'~ohn Victor Kimbrough '"~°~'sNa~erman C. Kroh,Sr. c,.... 0 ~.,...S Ol,,?b.26,2002 :' UCENSEE OR ~ERSO~ ACTING ~S SUCH ,s. eQ P311zaDeE~ lq[ice ~,gu.~ werz:zvz.LLe Rd. ,Enota,PA 17025 ,,I~.ndiantown Gap Nat. Cemeter~,~nnville, PA SIGNATURE AND TITLE OF CERTIFIER ~t ~ 437?~/-- I,,,. F-e&.~,,,.v :24 ,,. ~,,y~ , /~ / ~ ILICENSE NUMI~R JO=E SIGNEO ~,. i",,C6 ,~/q ~.,~ ,,, ,'~e~.',.a,-,, ~./, ~oz. ~ CASE REFERRED TO ME(~__.AL EXAMINER/CORONER?/ LAST WILL AND TESTAMENT OF CAROL J. KROH I, CAROL J. KROH, currently residing at 13 Walnut Street, Camp Hill, Cumberland County, Pennsylvania 17011 being of sound mind, memory and understanding do hereby make and publish this my Last Will And Testament hereby revoking all previous Wills and Codicils made by me. Item I. I order and direct that all of my just debts, funeral expenses and inheritance taxes may be paid as soon as conveniently possible immediately after my death. Item II. I may leave a written list, which will be dated and either in my own handwriting or signed by me, that sets forth my wishes regarding distribution of specific personal property. The list may include proceeds from any insurance policies. If I do, then I intend it to qualify as an amendment to this Will. If it should be determined that any such list does not qualify as an amendment to this Will, it is my hope that those entitled to share in my estate will nevertheless respect it. Item III. Ail of the rest, residual, and remainder of my estate, real, personal and mixed of whatever kind and wheresoever situated, I give and bequeath to my husband, LEMMERMAN C. KROH, provided that he survives me for a period of 30 days. Item IV. I hereby nominate and appoint LEMMERMAN C. KROH, to be the Executor of my estate. If he is unable or unwilling to serve, then I nominate and appoint my children, LEMMERMAN C. KROH, JR. and LORENA C. KROH. Item V. Should my husband predecease me or not survive me for a period of 30 days, then and in that event I direct that all of the rest, residual and remainder of my estate, real, personal and mixed of whatsoever kind and wheresoever situated be given equally to my children, LEMME~ C. KROH, JR. and LORENA C. KROH. If my either of my children have died, their share is to be given to their child(ten), or in the case of Lemmerman C, Kroh, Jr., equally to his stepchildren, Lindsay and Sean Boyd. Item VI. I direct that no Executor appointed under this Will be required to post any bond or provide any security to serve in that capacity. Item VII. I confer on my Executor, in addition to those powers granted by law, the following powers to be exercised in a prudent manner and applicable to all property constituting a part of my estate: Ao To retain and to invest in all forms of real and personal property, without being confined to investments authorized by a statutory list, without being required to diversify and regardless of any principal of law limiting delegation of investment responsibilities by executors or trustees; B. To compromise claims and to abandon property which, in my executor's opinion, is of little or no value; C. To sell at private or public sale, to exchange or to lease any real or personal property, and to give options for sales or leases; D. To borrow from anyone, even if the lender is an executor hereunder, and to pledge property as security for repayment of the funds borrowed; E. To join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary duties; F. To employ and to rely upon the advice given by investment counsel, to delegate discretionary authority to make changes in investments to investment counsel, and to pay investment counsel reasonable compensation in addition to any fees otherwise paid to my executor; G. To employ a custodian, to hold property unregistered or in the name of a nominee (including the nominee of any institution employed as custodian), and to pay reasonable compensati( the custodian in addition to any fees otherwise payable to my executor; H. To procure and carry at the expense of my estate insurance of kinds, forms and amounts deemed advisable by my executor to protect my estate and my executor against any hazard; I. To commence or defend at the expense of my estate any litigation affecting my estate deemed advisable by my executor; J. To conduct alone or with others any business in which I am engaged or in which I have any interest at my death, with all the powers of any owner with respect thereto, including the power to delegate discretionary duties to others, to invest other property held hereunder in such business and to organize a partnership or corporation to carry out such business; and K. To distribute in cash or in kind. IN WITNESS WHEREOF, I, CAROL J. KROH, have to this my Last Testimony. hereunto set my hand and seal this /-~'%-day of Will And , 2 o o o. SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, CAROL J. KROH, as and for her Will, in the presence of us who, at her request, in her presence, and in the presence of each other, all being present at the same time, have hereto set our hand as witnesses: STATE OF PENNSYLVANIA : SS. COUNTY OF CUMBERLAND : I, CAROL J. KROH, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will, and that I signed it as my free and voluntary act for the purposes therein expressed. We, having been duly qualified according to law, depose and say that we were present and saw CAROL J. KROH sign the foregoing instrument as her Will; that she signed it as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing and at her request signed the Will as witnesses; and that to the best of our knowledge she was at the time 18 years or more of age, of sound mind, and under no constraint or undue influence. Witness Subscribed, sworn to, or affirmed, and acknowledged before me by the above-named testatrix~nd__by ~h_e. witnesses whose names appear, on this /~- day of ~t~ , 2000. Notarv Public ' Notarial Seal Leola M. Gould, Notary Public ShMirve~manstown Bo_to, .Cumberland Countyl Y ~ornrnission ~-xplres Mar, 27, 2004 6 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) mameofDecedent: C'~o \ Will No. '~ O O ~_-- CD O ~_.3 ~ Admin. No. ~'~ ~ ~O ~.. 1-O ~--- O 7_. 3 ~ 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 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: COOL :. 3 Si~ature Name L Address Telephone ( ) 7 Capacity: ~ersonal Representative Counsel for personal representative k Y, d ;. u J a / ~". R ~,.N ~ _ 3"''v .. ~~ `-'c' ~2 ~^ ~d ~ ~~~ ~ a ~ a ~ -~-~- ~- `~ ~d~ ~~~ 2e v .~ ,~- ~ ,^^ . ~~ s~ ~-~ W~- ~~~ ~'. ~, STATUS REPORT UNDER RULE 6.12 Name of Decedent: ~ ~. r-o 1 ~ ~Z ~ ~~"`a ~ ~'~) Date of Death: _ T~e ~ fir- c.~, Z, t- 4 ~ ~ ZOO Z Will No.: Z 00 ~,,, - p ~ Z ~ ~ Admin. No.: ~ ~ Z. ~ -O Z ~ p 2 3 ~ 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 n 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 representative file a final account with the Court? Yes No II 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 ,~ Non c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the. Orphans' Court and maybe attached to eport. Date: 3 ~ Z,.©O ~- f - ~ , ht~.e, ~ ~.-, Sign tore ~„ Name Address ~ ~`~` (J ~ t Z O Z($" ? ~ ~ -7 z8~~ ~`~~ Telephone No. Capacity: ~ Personal Representative Counsel for personal representative 'EV-150O ~X (6-00)  COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN I-- Z W ILl LU UJ RESIDENT DECEDENT DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) DATE OF DEATH (MM-al'D-YEAR) DATE OF BIRTH (MM-DD-YEAR) (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFiCiAL USE ONLYO [~2. Supplemental Return --] 4a. Future Interest Compromise (date of death after 12-12-82) r--] 7. Decedent Maintained a Living Trust (Attach copy of Trust) E~10. Spousal Poverty Credit (date of death between 12-31-91 and %1-95) E~4, Limited Estate [~6. Decedent Died Testate (Attach copy of Will) E~9. Litigation Proceeds Received NAME l< Y'"'OL,~ V--, ,/ C., FIRM NAME (If Applicable) ZoO 7_- oo'z3 ~ FILE NUMBFR 15. SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x .0_ (16) 16. Amount of Line 14 taxable at lineal rate x .0 __ (16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) c,5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) C~ ~-. 6. Jointly Owned Property (Schedule F) (6) '---- E~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (8) ,,'~9. Funeral Expenses & Administrative Costs (Schedule H) (9) ,,,,'to. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14, Net Value Subject to Tax (Line 12 minus Line 13) (14) SOCIAL SECURITY NUMBER ] 3. Remainder Return (date of death pr(or to 12-13-82) [~5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [~11. to tax under 9113(A) (Attach Sch Election Sec. COMPLETE MAILING ADDRESS THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS TELEPHONE NUMBER '7 7 SOCIAL SECURITY NUMBER - - / ¥'-/'7_ COUNTY CODE YEAR NUMBER Decedent's Complete Address: STATE Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) Total Credits ( A + B + C ) (2) 3. interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + SA. This is the BALANCE DUE, (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or 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 after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] [] 4. Did decedent own an individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE 6 AND FILE IT Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declara~'~,,, c,f..l:~g~arer other than the personal representative is based on all information of which preparer has any knowledge. SIGNA:~ERSON RESPONSIBL',~ FOR FILING RETURN ADDRESS (~;)~..~ 0 ~ ~,~ ,e...v"- SIGNATURE OF PREPARER OTHER THAN REPRESEN AS PART OF THE RETURN. DATE DATE ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)i The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive paren or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)1. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as individual who has at least one parent in common with the decedent, whether by blood or adoption. ' REV-1508EX+~I-97)~ ,~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF ~' ~- 0 ~'~, {~ <~_~ V" 0 ~ ,,_.~ ¢ FILE NUMBER / 7_00'7-- o'~ - ~o~ Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH TOTAL (Also enter on line 5, Recapitulation) $ <:~'.~ 00 ~Z) .. (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ CI2-99) ~. ~_ ,~- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF .~ FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER ooz3C DESCRIPTION AMOUNT FUNERAL EXPENSES: ADMINISTRATIVE COSTS: Personal Representative's commissions of Personal Representative(s) ['~' t" 0 ~v~.)~ Y'b ~ ~ ~v~ Y'~ Name Social Securi~ Number(s)/EIN Number of Person~ Street Address~~ ~ ~ ~'~ [~ ~ ~ ~ Ci~ ~ ~ ~ ~ State~ Year(s) Commission Paid: A~orneyFees ~0~ ~ ~~1~~~~,~?~ Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Strsot ~ddress city State__Zip 5'0 q--? Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees ~' ~:) ~ O~_? ~ ~.. TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (1-9/') ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES~ & LIENS ESTATE OF FILE NUMBER 7_. Oo ~. -rD '7_ - oo ~ ~.c, Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT -'3q, e6_ TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 17128-0601 COMMON#EALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX LEMMERMAN C KROH SR 805 WERTZVILLE RD ENOLA PA 1tL0~5 / PR -5 ;/ DATE ESTATE OF DATE OF DEATH FILE NUMBER P3:05 COUNTY ACN REV-1G~? EX AFP COl-OS) Oq-O5-2OOq KROH CAROL J OZ-19-ZOOZ Z1 02-0236 CUMBERLAND 101 Amount Remitted I HAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF MILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~'~ RETAIN LONER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF ZNHERZTANCE TAX APPRAZSENENT, ALLONANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KROH CAROL d F~LE NO. 21 02-0236 ACN 101 DATE Oq-OS-2OOq TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNZNG FUTURE INTEREST - SEE REVERSe. APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (SchmduZo A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnorsh/p Interest (Schedule C) ($) q. Mortgages/Notes Receivable (Schedule D) (q) $. Cash/Dank Deposits/Misc. Personal Property (Schedule E) ($)... 6. Jo/ntly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Exponsos/Adm. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabil/t/os/Liens (Schmdulo I) (10)... 11. Total Deductions 8,000.00 .00 .00 NOTE: To /nsure proper .00 cred/t to your account, .00 submit the upper port/on .00 of th/s form with your tax payment. .o0 (8) q,988.11 8~202.9q (11) 8,000.00 13.191.n5 5,191.05- ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. DISCOUNT INTEREST/PEN PAID (-) AMOUNT PAZD TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 ( ZF TOTAL DUE IS LESS TNAN $1, NO PAYMENT IS REQU]~RED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. } TAX CREDITS: PAYMENT DATE RECEIPT NUMBER 12. Net Value of Tax Return (12) 13. Char/table/governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) . O0 lq. Net Value of Estate Sub,~ect to Tax (1~,) 5,191.05- NOTE: Z~ an assessment was issued previously, lines la, 15 and/or 16, 17, 18 and 19 ~ill reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: ' 15. Amount of Line Zq at Spousal rate (15) . O0 X O0 = . O0 16. Amount of Line Zq taxable at L/neaZ/Class A rata (16) . O0 X 0~5 = . O0 17. Amount of L/ne lq at Sibling rata (17) .00 x 12 = .00 18. Amount of Line lq taxable at CollateraZ/Class B rata (18) . O0 X 15 = . O0 19. Principal Tax Due (19)= . O0 NOTICE TO: Lemmerman Kroh, Personal Representative FROM: Kirk Sohonage, Solicitor for the Register of Wills DATE: January 14, 2005 SUB: Additional Probate Fees Decedent: Carol Kroh Estate No.: 21-02-236 In an annual review of all estates and accounts, it has come to our attention the above listed estate owes additional probate fees in the amount of $ 22.00. Our records indicate that you are the personal representative or counsel for the same in the above listed estate. Probate fees are estimated at the time of petitioning for letters. Final probate fee amounts are determined by the value of the estate as reported on the inheritance tax return filed in our office for the Department of Revenue. The additional probate fee should be made payable to "Register of Wills" and be forwarded in the enclosed envelope within 15 days of this notice. If you feel you have received this notice in error, kindly contact the Register of Wills directly at (717) 240-5411 and she will be happy to review the matter.