HomeMy WebLinkAbout03-0580 PETITION FOR PROBATE and
also known as To:
GRANT OF LETTERS
i -0 5
Social Security No. /.~ ~ -~.~- ~ ~:~ysed.
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 decedent, dated //-' / ,~:- ~; ~
and codicil(s) dated /~--~-j:~
Register of Wills for the
County of Cumb~rl rand
Commonwealth of Pennsylvania
in the
named
,19~
(state relevant circnmstances, e.g. renunciation, death of executor, etc.)
h~cende.nt was domiciled at death in alta. _,~9'r_'/i~ g,4;t~Z9 County Penns~lvani .... ~,h
last f ..... ~' ~ "'"'
(list street, number and muncipality)
Decedent, then ~/ years of age, died ~~ ~ ~m~
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of t~,will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: ff/~
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:
WHEREFORE, petitioner(s) respectfully rDgcluest(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
theron. (testamentary; administra{ion c.t.a.; administration d.b.n.c.t.a.)
Sworn to or affirmed and subscribed
/~--'-hefore me this 10th day of
~) %~;~y. ', ~ ~ ~ 2003.
~nna M. Otto, lst ~puty/-
17-
OATH OF' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 3
COUNTY OF Cumberland j~ ss
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.
NO. 21-2003-580
Estate Of ADELAIDE B. MOORE ., Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW July 21st
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated November 18th, 1966
described therein be admitted to probate and filed of record as the last will of
and Letters TESTAMENTARY
t9 2003, in consideration of the petition on
BARBARA A. ~OWSER
are hereby granted to
FEES
Probate, Letters, Etc .......... $. 18.00
· $ 6-00
Short Cqr$ificates(2) -.- § ...... 10.5u
Codic ~_~ ( 1 ) $ 5.__~
Renunciauon ..............
x-PaGes (1) $ 3.00
10.00
JCP TOTAL ~[
$ 52.50
Filed . July. 2.].st, 2003 .................
Mailed Letters to Executrix on 7-21-03
Mailed Tax Return forms & order.
Register of '
Donna M. Otto,lst Deputy
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
REGISTER OF WILLS OF ~ COUNTY
OATH OF SUBSCRIBING ESS
~ codicil
(each) a subscribing wi~t.ne~s t~will presented herewith~uly qualified ac'~ing to
~se(s) and sly(s).that . .~ ~ present an~
ie testat ~ ,
equest of testa~v ~in t~h~resence of each othe;;~('in~'~/;sence of the
Sworn to or affirmed and sub~ed before ~ ~
me this _x~,~y of ~,~me)
^dd ess,
~ (NamO
(Address)
21-2003-580
REGISTER OF WILLS OF CL~nberland COUNTY
OATH OF NON-SUBSCRIBING WITNESS
testat rix
that
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
We are familiar with the signature of Adelaide B. Moore
(,"~di~ '
of (one~:~ff×:~ -- ' theX--~L.J presented herewith and
h/el believ~ the signature on the ~~he handwriting of
Adelaide B. Moore
to the best of our- knowledge and belief.
Sworn to or affirmed and subscribed before
me this 10th day of (Name)
~nna M.Otto, 1st D~uty . ,~egis~r,' ~ /I ~~~._
(Name~
(Address~
RENUNCIATION
21-2003-580
In Re Estate of , ~ ~ ~/~:~A- O/~.~/.~
deceased.
To the Register of Wills of
County, Pennsylvania.
The undersigned
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
be issued to
WITNESS ~--~n~=~. ~
hand this ! $ t~ day of ~ , 1,9-,,no~3
(Signature)
(Address)
(Signature)
(Address)
(Signature)
(Address)
21-2003-580
21-2003-580
21-2003-580
I, ADELAIDE B. MOORE, of the City of Lock Haven,
Clinton County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do hereby make, publish and declare this~
to be my Last Will and Testament, hereby revoking all former wills
by me at any time heretofore made.
1. I direct that all my just debts, funeral expense
and taxes of whatsoever kind, inheritance, estate, transfer or
succession tax, by whatever jurisdiction levied, shall be paid by
my executor and executrix hereinafter named as soon after my
decease as may be convenient, and that all such taxes shall be
paid as an expense of administration out of my residuary estate.
2. I give and bequeath to the Pastor of St. Agnes
Catholic Church in Lock Haven, Pennsylvania, who is acting as such
at the date of my death, the sum of Three Hundred ($300.) Dollars,
as an offering for Masses for the repose of my soul.
3. Ail the rest, residue and remainder of my
estate, real, personal and mixed, of whatsoever kind and whereso-
ever situate, of which I shall die seized or possessed or to which
I shall be entitled at the time of my death, I give, devise and
bequeath to my son and daughter, Robert R. Moore and Barbara A.
Bowser, in equal shares, absolutely.
In case of the death of my son or daughter in my
lifetime, I give, devise and bequeath the share of the one so
dying to his, or her, issue per stirpes, and if no issue, then
to my surviving child or his, or her, issue per stirpes.
-1-
4. I hereby nominate, constitute and appoint my
son and daughter, Robert R. Moore and Barbara A. Bowser, executor
and executrix of this, my Last Will and Testament; and I direct
that neither my executor nor executrix shall be required to give
bond or other security in their capacity as such.
IN WITNESS WHEREOF, I, ADELAIDE B. MOOREt the
within named testatrix, have to this, my Last Will and Testament,
typewritten on two (2) sheets of paper, set my hand and seal this
day of November, A. D. 1966.
(SEAL)
Signed, sealed, published and declared
by the within named testatrix, ADELAIDE
B. MOORE, as and for her Last Will and
Testament, in the presence of us, who,
in her presence and in the presence of
each other, at the same time, have, at
her request, subscribed our names as
witnesses thereto.
-2-
ADELAIDE B. MOORE,
of the City of Lock Haven,
Clinton County, Pennsylvania.
Dated - November
, 1966.
· .lAMES T, SMITH
ATTORNEY AT LAx.Y/
LOCK HAVEN, PA.
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
COUNTY CODE YEAR
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR)
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( ST, AN
[~2. Supplemental Return
E~4a. Future Interest Compromise (date of death after 12-12-82)
]---~ 7. Decedent Maintained a Living Trust (Attach copy of Trust)
[~] 10. Spousal Povedy Credit (date of death between 12-31-91 and 1-1-95)
5'8o
~-~1. Original Return
[~4. Limited Estate
[]6. Decedent Died Testate (Attach copy of wirl)
E~]9. Litigation Proceeds Received
NUMBER
SOCIAL SECURITY NUMBER
Z
,,, i NAM
o
FIRM NAME (If Applicable)
a: TELEPHONE NUMBER
o° '7/7-
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
[~]3. Remainder Return (date oideath pdor to 12-13-82)
J--] 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
[]11. Election to tax under Sec. 9113(A)(Attach Sch O)
/ 74//
COMPLETE MAILING ADDRESS
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mcr[gages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
j-]Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
/5/z,'i
O
OFFICIAL USE ONLY
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(8)
(11)
(12)
(13)
/
(14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2) x .0 __ (15)
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)
20.[~ II III .~ I~1 · ~ Il , ,w
Decedent's Complete Address:
iSTR.ET^DD.ESS
CITY
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
(1)
C. Discount
Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A+ B +C) (2)
Total interest/Penalty ( D + E ) (3)
(4)
(5)
(5A)
(5B) ~'A~O
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
If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Yes No
1. Did decedent make a transfer and:
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 ........................................................................................... [] j~
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 AS PART OF THE RETURN.
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.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURI~ OF PERSON RESPONSIBJ-(- FOR FILI..N~RETURN DATE
ADDRESS - -,
~ (~ ~t~"~~ ~' DATE
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
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)
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 paten
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)].
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)1. A sibling is defined, under Section 9102, as a
individual who has at least one parent in common with the decedent, whether by blood or adoption.
'~" / SCHEDULE E I
CO~MO"W~'T. OFPENNSYLv^N^ / CASH, BANK DEPOSITS, & MISC.
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 F.
ITEM
DESCRIPTION VALUE AT DATE
OF DEATH
y
NUMBER
TOTAL (Also enter on line §, Recapitulation) 4 ~"'/'-'~:~ /
('If more space is needed, insert additional sheets of the same size)
Name of Decedent:
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Date of Death: & - ~'~,~
Will No. o~ Z..) ~-~-- ~ O~d-' oc~'~..3 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
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Capacity:
Signature
Address
- Counsel for personal representative
BUREAU OF ZNDTVTDUAL TAXES
1;NHERXTANCE TAX DXVXSTOH
nEPT. 180601
HARRTSBURg, PA 17118-0601
BARBARA A ~ONSER
62 OLD PIONEER RD
CAHP HILL
CONNONNEALTH OF PENNSYLVANZA
DEPARTHENT OF REVENUE
NOTZCE OF ZNHERZTANCE TAX
APPRAZSEMENT, ALLO#ANCE OR DZSALLONANCE
OF DEDUCTZONS AND ASSESSMENT OF TAX
Rec~r~:~' ~ ~: ~:
DATE
ESTATE OF
DATE OF DEATH
FZLE NUMBER
COUNTY
ACN
Oq-O5-ZO0q
HOORE
06-25-2005
21 05-0580
CUHBERLAND
101
REV-15~i7 EX AFP (01-05)
ADELAIDE B
~ Aaoun'l~ Remitted I
PA 17;011
I
HAKE CHECK PAYABLE AND RENXT PAYMENT TO:
REGTSTER OF NTLLS
CUMBERLAND CO COURT HOUSE
CARLZSLE, PA 1701:3
CUT ALONG THZS LZNE ~ RETAZN LO#ER PORTZON FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTZCE OF ZNHERZTANCE TAX APPRAZSENENT, ALLONANCE OR DXSALLONANCE OF DEDUCTZONS AND ASSESSMENT OF TAX
ESTATE OF HOORE ADELATDE B FZLE NO. 21 0:3-1)580 ACN 101 DATE Oq-O5-200q
TAX RETURN #AS: (X) ACCEPTED AS FTLED ( ) CHANGED
RESERVATZON CONCERNXNG FUTURE ZNTEREST ' SEE REVERSE
APPRAZSED VALUE OF RETURN BASED ON:
1. Real Es(eta (Schedule A)
2.
:5.
q.
5.
6.
7.
8.
ORZ$ZNAL RETURN
(1)
Stocks and Bonds (Schedule B) (2)
Closely Held Stock~Partnership Znterast (Schedule C) (:5)
Mortgages/Notes Receivable (Schedule D) (q)
Cash/Bank Deposits~Misc. Personal Property (Schedule E) ($}
Jointly Owned Property (Schedule F} (6)
Transfers (Schedule G) (7)
Total Assets
APPROVED DEDUCTZONS AND EXEHPTzONS:
9. Funeral Expanses/Ada. Costs~Misc. Expenses (Schedule H)
10. Debts/Mortgage Liebilitias/L/ens (Schedule I)
11. Tote1 Deduct/ons
12. Net Value of Tax Return
1:5.
lq.
(9)
(10)
Charitable/governmental Bequests; Non-elected 911:5 Trusts (Schedule J}
Nat Value of Estate Subjec~ ~o Tax
11515.01
O0
00 NOTE: To /nsure proper
O0 credit ~o your account,
O0 subeit the upper portion
O0 of ~h/s fore w/~h your
~ax payment.
O0
(8)
7,8:39.20
.00
NOTE:
1,515.01
(11) 7.8~9.20
(12) 6,:32q. 19-
(13) . O0
(1~) 6,:3Zq. 19-
Zf an assessment was issued previously, lines 14, 15 and/or 16, 17,
reflect figures that include the to(a! of ALL returns assessed to date.
18 and 19 will
ASSESSMENT OF TAX:
15. Aaoun't of L/ne lq a~ Spousal rate
16. Aaoun~ of L/ne lq ~axebla a~ Lineal/Class A re~e
17. Aaoun~ of Line lq a~ S/bling ra~e
18. Amoun~ of Line lq ~axabla a~ Collateral/Class B ra~e
19. Princ/pal Tax Due
TAX CRED]:TS:
PAYMENT RECETpT DT$COUNT 1+}
DATE NUMBER TNTEREST/PEN PAID (-)
ZF PAID AFTER DATE ZNDZCATED, SEE REVERSE
FOR CALCULATZON OF ADD/TZONAL ~NTEREST.
(15), .00 x O0 = .00
(16), .00 x Oq5= .00
(17), . O0 x 12 = . O0
(18), .00 x 15 = .00
(19)= . O0
AMOUNT PAZD
TOTAL TAX CREDZT I
BALANCE OF TAX DUE
ZNTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
( XF TOTAL DUE ZS LESS THAN $1, NO PAYMENT XS RE~UZRED.
ZF TOTAL DUE 1S REFLECTED AS A "CREDZT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SZDE OF THZS FORM FOR ZNSTRUCTZONS.)
RESERVATION:
PURPOSE OF
NOTICE:
PAYNENT:
REFUND (CR):
OBJECTIONS:
ADNIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December 1Z, 19aZ -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years) the Coamonmealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such futura interest.
To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act) Act 25 of ZOO0. (71 P.S.
Section
Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side.
--Hake check or money order payable to: REGISTER OF HILLS, AGENT
A refund of a tax credit) which was not requested on tho Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-IS15). Applications ara available at the Office
of the Register of Hills, any of the 15 Revenue District Offices, or by calling the special Z4-hour
answering service for fores ordering: 1-800-361-20S0; services for taxpayers with special hearing and / or
speaking needs: 1-800-447-S010 (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assesseent
of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17118-1011, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should ba addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 180601, Harrisburg, PA 17118-0601
Phone (717) 787-6505. Sea page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (51) discount of
the tax paid is allowed.
The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (l) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1) 1981 bear interest at the rate of
six (61) percent per annum calculated at a daily rate of .00016~. Ali taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through 200¢ are:
Interest Daily Interest Daily Interest
Year Rate Factor Year Rate Factor
~ ZOZ .0005~8 ~'~'8-1991 llZ .O00SO1
1983 161 .000~S8 1991 91 .000247
1984 IIX .000301 1995-199~ 71 .000191
1985 XSZ .O00SS6 1995-1998 91 .000247
1986 Z0Z .00027~ 1999 7X .000191
1987 lOX .000274 ZOO0 7Z .000191
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID
Daily
Year Rate Factor
~ 91 .000147
ZOOZ 61 .000164
ZOOS 51 .000157
200~ 4Z .000110
X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessaant. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
Cumberland County - Register Of wills
One Courthouse Square
Carlisle, PA 17013
phone: (717) 240-6345
Date: 5/18/2005
BOWSER BARBARA A
62 OLD PIONEER ROAD
CAMP HILL, PA 17011
RE: Estate of MOORE ADELAIDE B
File Number: 2003-00580
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
wills a Status Report of completed or uncompleted administration.
This filing is due by:
6/25/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
~.~1~J~
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
vA
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: t1 D If LA J /) L .E. Moo R E'
Date of Death: JUNE Z!J-. 2DC>3
/
'2 Estate No.: fFl 2./.. 03 - .5~BO ; E~r;:;rL # 2.l!>03 -oo.5'110
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the adminis1ration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes lB"'"' No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete: AI'/A
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 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
l c. Did the personal representative state an account informally to the parties in
interest? Yes B' 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: , - f/' 05"
~~ C(~
Signature
E ~ RflltJ/?.4 A...L-B DuJ,j' ~ e
Name . .-:)
6 2. 6 L P I-~'a.r/I;' f:. ~ K:D_
{!.r;-HP #i'~'1 PA- '7011
,
Address
.)
( 7/7) 737- 0/.538
Telephone No.
Capacity: ~rsonal Representative
o Counsel for personal representative
cA