HomeMy WebLinkAbout03-0821
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PETITION FOR PRODA TE and GRANT OF LETTERS
Estate of NORA G. FROWNFELTER, No. 02/-0S- f?~/
also known as To: Register of Wills for the
Deceased. County of Cumberland in the
Social Security No. 186-28-6956 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner is 18 years of age or older and the Executrix named in the last will ofthe above
decedent, dated July 29,1970 and codicil(s) dated [none].
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or
principal residence at 42 West Pomfret Street, Carlisle Borough, Pennsylvania.
Decedent, then 90 years of age, died October 1, 2003, at Thornwald Home, 442 Walnut
Bottom Road, Carlisle Borough, Cumberland County, Pennsylvania.
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: [none]
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 10,000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ 0.00
situated as follows: nla
WHEREFORE, petitioner respectfully requests the probate ofthe last will and codicil(s) presented
herewith and the grant ofletters testamentary thereon. ~~ d ~~-/
Sharon L. Saphore
540 "0" Street
Carlisle, P A 17013
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
The petitioner above-named swears or affirms that the statements in the foregoing petition are true
and correct to the best of the knowledge and belief of petitioner and that as personal representative of the
above decedent, petitioner will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed .~ / ~ ~k
be ore me this ~I day of Sharon L. Saphore
,2003.
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No. c:2/-09. ~.:z/
Estate of NORA G. FROWNFELTER, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW, QTO.B~ /0 , 2003, 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 July 29, 1970, and described therein be admitted to probate
and filed of record as the last will of Nora G. Frownfelter and Letters Testamentary are hereby granted to
Sharon L. Saphore.
Will Book # W$ffi'A//7)QLL) b/, XC~/, 0/
Page
~egist~
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FEES Stephen L. Bloom, Esquire
Probate, Letters, Etc. $ 7h. L7cQ Sup. Ct. 1.0. No. 49811
Short Certificates (5) $ 9, ()CJ 2100 Longs Gap Road
~~ciation $ Carlisle, PAl 70 13
$ J /)- M (717) 249- 7717
TOTAL $ l.~, no
Filed (()~. /CJ, C2063
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C:\SLB\Office. Estate Administration\ I 0464. 1 pet. 1. doc
02/-L:J8-g~/
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Sharon L. Saphore and Stephen L. Bloom, (each) a subscriber hereto, (each) being duly
qualified according to law, depose(s) and say(s) that they are familiar with the signature of Nora G.
Frownfelter, testatrix of the Will presented herewith and that they believe the signature on the Will is
in the handwriting of Nora G. Frownfelter to the best of their knowledge and belief.
Sworn to or affirmed and subscribed /~~ d~~
before me this -LD 777 day of Sharon L. Saphore .
(]v-0<3e ~ ,2003. 540 "0" Street
Carlisle, P A 17013
,()y$"/~ (Y/41 4L 4",'0/ ~~
~ ~ter -Step en L. Blo~~ -
~ 2100 Longs Gap Road
Carlisle, P A 17013
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KIND OF BUSINESS IINDUSTRV AS DECEDENT EVER IN MARITAl STATUS - Mlrried. SURVIVING SPOUSE
U.S. ARMED FORCES? Nev.,. Mlrrled, Widowed, (Il'wife.g""",.""nuw)
Ve,O NolXl D;yorced (Spoc/fy)
. 12. ... Wicbwed -
. PA Ol. 17e. 0 Yes, deeedent lived In lWp.
decedent
Cumberland live In. 17d. [i) ~~e=:~~~-: of Carlisle
17b. County townsNp? c:IIy~.
MOTHER'S NAME (First, Middle, M.iden Surname)
!t. Sara - Shaffer
INFORMANTS MAILING ADDRESS (Street. CityfTown. Stlte. Zip Code)
20b. 540 "D" Street, Carlisle, PA 17013
. DATE OF DISPOSITION PLACE OF OISPOSITION~ Name of Cemetery, Crematory LOCATION. CityfTown. Stlte, Zip Code
(Month, Oay. Vurl or Other Place
10/6/2003 210. Westminster Cemetery 21d. Carlisle, PA 17013
LICENSE N~MB~R N~.yIDAD~ESS~ACILI~ . 17013
22b. FD 1 633 L 22. mg. rot rs eral Hane, Carl~sle, PA
LICENSE NUMBER DATE SIGNED
I!.-tJ 5-/3-({~I{{ '- (Man~Y. Vo.,) ~
23b. 230. '(Jf pN ;)a:;;'
WAS CASE REFERRED TO A MEDICAL EXAMINER /CORONER?
2.. 21. V.. 0 No 1St
: Approximate PART II: Other s'gnJftclnl condlCtont conb1but1ng 10 dnth, but
-Interv.' between not resulling In the underlytng ceute given In PART I.
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WAS AN AUTOPSY v. oRE AUTOPSV FINDINGS MANNER OF DEATH DATE OF INJURV TIME OF INJURV INJURV AT WORK? DESCRIBE HOW INJURV OCCURRED.
PERFORMED? p. .. AILA8LE PRIOR TO I2f (Month, D.y, Y....)
C )MPLETION OF CAUSE N.tu,..1 Homicide 0
C'DEATH? 0 0 Vo. 0 No 0
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Yo. 0 NO~ v., 0 NOP( Sulcldo 0 Could not be determined o 308. 30b. M. 30e.
PLACE OF INJURY - At hom.. farm. street. fadory, offk:e
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CERnFIER (Check onl, :lne)
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.' I, Nora G. Frownfelter, of the Borough of Carlisle,
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I Cumberland County, Pennsylvania, dec lare this to be my Last
I
Will and Testament and hereby revoke any Will previously made
by me.
i 1. I give and bequeath the engraved gold pocket watch
(formerly belonging to my husband) to my daughter, Sharon L.
I Saphore, if she survives me.
I 2. I give, devise and bequeath all the residue of my esta1
in equal shares, to my four children, Iris F. Bowers, A. Lee
Frownfelter, Bonnie L. Klink, and Sharon L. Saphore.
I
3. I appoint my daughter, Sharon L. Saphore, executrix of
this my Last Will. Should my said daughter fail to qualify or
cease to ac t as exec utrix, I appoint my son-in-law, Gary L.
Saphore, as exec utor.
4. I direct that my personal representatives as well as
their successors, shall not be required to give bond for the
faithful performance of their duties in any jurisdiction.
I IN WITNESS WHEREOF, I have hereunto set my hand and seal
IthiS cfl'l day of July, 1970.
~~ f f'~~n;4td-(:
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Signed, sealed, published and declared by the above named
testatrix as and for her Last Will and Testament in our presenc~
ho, in her presence, and at her request, and in the presence oj
ach other, have hereunto set our hands as attesting witnesses.
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STEPHEN L. BLOOM J
ATTORNEY AND COUNSELLOR AT LAW
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2100 LONGS GAP RO/\D - --..._- - -.""=>
CARLISLE, PEl'-;NSYLVANIA 17013
717-249-7717
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: NORA G. FROWNFELTER
Date of Death: October 1, 2003
. File No. 2003-00821; PA File No. 21-03-0821
To the Register:
I certify that Notice of Beneficial Interest required by Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above estate on October 22,
2003:
Name Address
Iris F. Bowers 361 "E" Street, Carlisle, PA 17013-1330
A. Lee Frownfelter St. Rt. 1, Box 33, Lewis Run, PA 16738
Bonnie L. Klink 220 S. Garrett Street, Nevada, OH 44849-9794
Sharon L. Saphore 540 "0" Street, Carlisle, P A 17013
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: N/A
l Date: October 22,2003 ~~
- 'Stephen L. Bloom, Esquire
~"..- 2100 Longs Gap Road
. .
- Carlisle, PAl 7013
(717) 249-7717
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Capacity: Counsel for Personal Representative
10464.lcert.not.doc
/
REV - 1500 EX + 16~O) *' REV-1500 OFFICiAL USE ONL Y I
COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN FILE NUMBER
DEPARTMENT OF REVENUE RESIDENT DECEDENT 21 03 00821
DEPT. 280601
HARRISBURG, PA 17128.0601 COUNTY CODE YEAR NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
Frownfelter, Nora G. 186-28-6956
>- ! DATE OF DEATH (MM-DD-YEAR) ---_._.~_.~
z DATE OF BIRTH (MM-DD-YEAR)
w THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
c 11 % 1/2003
w 01/16/1913 REGISTER OF WILLS
0
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c (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
~ 1. Original Return D 2. Supplemental Return D 3. Remainder Retum (date of death prior to 12-13-82)
w
>- D 4. Limited Estate D 4a. Future Interest Compromise (date of death after D 5. Federal Estate Tax Return Required
",$Ul
00::'" 12-12-82)
wll.O ~ 6. Decedent Died Testate (Attach copy D 7. Decedent Maintained a Living Trust (Attach 1
zoo 8. Total Number of Safe Deposit Boxes
00::-'
II. III of Will) copy of Trust)
II.
<( D 9. Litigation Proceeds Received D 10.
COMPLETE MAILING ADDRESS
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w IRM NAME (If applicable)
c 2100 Longs Gap Road
z Stephen L. Bloom, Esquire
0
II. Carlisle, PA 17013
ELEPHONE NUMBER
717/249-7717
1. Real Estate (Schedule A) (1 ) N (')
or;;
2. Stocks and Bonds (Schedule B) (2) :j
Norf
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3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) No~ CD
N n ---
4. Mortgages & Notes Receivable (Schedule D) (4) one -.l
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5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 11,215.4f ::g
(Schedule E) N '(j)
6. Jointly Owned Property (Schedule F) (6) Non~ W
z D Separate Billing Requested
0 N
1= 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) None
S
::> (Schedule G or L)
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ii: 8. Total Gross Assets (total Lines 1-7) (8) 11,215.47
<(
0
w 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 12,888.75
0::
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 3,515.16
11. Total Deductions (total Lines 9 & 10) (11 ) 16,403.91
12. Net Value of Estate (Line 8 minus Line 11) (12) insolvent
13. Charitable and Governmental Bequests/See 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)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a)(1.2) -
z .045 (16)
0 16.Amount of Line 14 taxable at lineal rate x
1= -
;'5
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II. 17.Amount of Line 14 taxable at sibling rate x .12 (17)
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0 118. Amount of Line 14 taxable at collateral rate
~ x .15 (18)
19. Tax Due (19)
20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
~~;~!::IRg!rl;_VilER1!AIJl;iCI__~ljIE.RS~I('E::.Dll'~.eie:;M~lIll"Jl@l@li:l:illi!l%~I~f~ili:i!1@i:lil&ill
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Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
42 West Pomfret Street
CITY Carlisle I STATE PA I ZIP 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1 )
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount --
Total Credits (A + B + C) (2) 0.00
--,-,..~_._-~
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3) 0.00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) 0.00
Make Check 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?................................... ........................................................................ ........... 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which 0 ~
contains a beneficiary designation?............. ................................................................................................. .......
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of pe~ury, I declare that I have examined this retum. including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and compiete. Declaration of
preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
Sha~re~~~ 540 "0" Street / pCf lOLl
Carlisle, PA 17013
. ~ J. , ---
SIGNATURE OF PERSON RESPON L FOR FILING R"ET N ADDRESS I DATE
ADDRESS DATE
21 00 Lon~s G'W. Road I ;:2~/ro'-i
Carlisle, A I 013 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. 99116 (a) (1.1) (i)1.
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. 99116 (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 if 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 parent, or a stepparent of the child is 0% [72 P.S. 99116 (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. 99116
1.2) [72 P.S. 99116 (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. 99116 (a) (1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
I
*' SCHEDULE E I
I
CASH, BANK DEPOSITS, & MISC. I
COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Frownfelter, Nora G. I FILE NUMBER
_____________ 21 - 03 - 00821
-_._-~--- -------,.._--------------------
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
NUMBER DEATH
1 M&T Bank Checking Account #709670 6,443.06
2 M&T Bank Savings Account #15004200944054 4,305.41
3 M&T Bank Safe Deposit Box #2884 - no items of monetary value - see copy of Safe Deposit Box 0.00
Inventory attached
4 Personal Property - per Appraisal attached 467.00
---_.__._-_.~-
TOTAL (Also enter on Line 5, Recapitulation) 11,215.47
*' I SCI-EDU.E H I
Fl.JrERAI.. EXPENSES &
COMMONWEAlTH OF PENNSYLVANIA ADMINlSTRAllVE COSTS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Frownfelter, Nora G. I FILE NUMBER
21 - 03 - 00821
--
Debts of decedent must be reported on Schedule I.
----- --~.~-_..~----
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
1 Opening/Closing Grave - Westminster Cemetery 900.00
2 Funeral - Ewing Brothers Funeral Home 9,222.90
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
-
Year(s) Commission paid
2. Attorney's Fees Stephen L. Bloom, Attorney and Counsellor at Law 2,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
I City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills 59.00
5. I Accountant's Fees
6. Tax Return Preparer's Fees
7. I Other Administrative Costs
I Appraisal Fee - Roy D. Gotshall 40.00
2 Legal Notices - The Sentinel 91.85
I
I Total of Continuation Schedule(s) 75.00
TOTAL (Also enter on line 9, Recapitulation) 12,888.75
. Schedule H
COMMONWEALTH OF PENNSYLVANIA FlIleraI Expenses &
INHERITANCE TAX RETURN Ad'ninistratiw CosIs continued
RESIDENT DECEDENT
ESTATE OF Frownfelter, Nora G. I FILE NUMBER
21 - 03 - 00821
3 Legal Notices - Cumberland Law Journal 75.00
I I
I
I
Page 2 of Schedule H
*' SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
COMMONWEAlTH OF PENNSYLVANIA LIABILITIES, & LIENS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Frownfelter, Nora G. I FILE NUMBER
21 - 03 - 00821
Include unreimbursed medical expenses.
-~-~-
ITEM DESCRIPTION AMOUNT
NUMBER
1 Emergency Room Bill - Carlisle Regional Medical Center 148.51
2 Prescription Medications - PharMerica 36.65
3 Nursing Home Care - United Church of Christ Homes (Thomwald Home) 3,330.00
-~~-~--~---
TOTAL (Also enter on Line 10, Recapitulation) 3,515.16
REV-1513 EX+ (9-00) *'
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF I FILE NUMBER
Frownfelter, Nora G. 21 - 03 - 00821
NUMBER I RELATIONSHIP TO AMOUNT OR SHARE
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE
I n_.'~.
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1 Iris F. Bowers Daughter 25%
361 "E" Street
I Carlisle, PA 17013
I
2 A. Lee Frownfelter Son 25%
S1. R1. I, Box 33
Lewis Run, PA 16738
3 Bonnie L. Klink
220 S. Garrett Street Daughter 25%
Nevada, OH 44849-9794
4 Sharon L. Saphore Daughter 25%
I 540 "D" Street
Carlisle, P A 17013
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX is NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
I
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DiSTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
WILL
I, Nora G. Frownfelter, of the Borough of Carlisle,
Cumberland County, Pennsylvania, declare this to be my Last
Will and Testament and hereby revoke any Will previously made
by me.
1. I give and bequeath the engraved gold pocket watch
;1
(formerly belonging to my husband) to my daugh ter, Sharon L.
Saphore, if she survives me.
2. I give, devise and bequeath all the residue of my estate,
in equal shares, to my four children, Iris F. Bowe rs, A. Lee
Frownfelter, Bonnie L. Klink, and Sharon L. Saphore.
3. I ap~oint my daughter, Sharon L. Saphore, executrix of
this my Last Will. Should my said daughter fail to qualify or
. cease to act as executrix, I appoint my son-in-law, Gary L.
I Saphore, as executor.
4. I direct that my personal representatives as well as
the ir s ucce ss ors, shall not be required to give bond for the
'i fai thful performance of their duties in any jurisdiction.
IN WITNESS \oIHEREOF, I have hereunto set my hand and seal
this ~r day of July, 1970.
7Jna. rf p~m~~ (SEAL)
Signed, sealed, published and declared by the above named
testatrix as and for her Last Will and Testament in our presence,
:who, in her presence, and at her request, and in the presence of
: Ie ac hot he r , have hereunto set our h~t~~Mftne..e..
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!1M&rBank
499 Mitchell Road, Millsboro. DE 19966 Mail (ode DI. -MB-12
Phone (302)934-2909
Fax (302) 934-2955
November 21. 2003
Stephen L Bloom
Attorney At Law
2100 Longs Gap Road
Carlisle, P A 17013
Re: Estate olNora G Frownfelter
Social Securitv: 186-28-6956
Date olDeath: October J. 2003
Dear Sir or Madam:
Per your inquiry dated October 22, 2003, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
I. Type of Account Checking Account
Account Number 709670
Ownership (Names of) Nora G Frownfelter
iris F Bowers. POA
Sharon F Saphore, POA
Sharon F Saphore. POA
Opening Date 09/0 1/67
Balance on Date of Death $6,443.06
Accrued Interest $ 0.00
Total 56.443.06 ......H. ................ .'..............H.. .............H....
2. Type of Account Savings Account
Account Number 15004200944054
Ownership (Names of) Nora G Frownfelter
iris F Bowers. POA
Sharon F Saphore. POA
Sharon F Saphore, POA
Opening Date 10/18/93
Balance on Date of Death $4,304.87
Accrued interest $ .54
Total "$4,3(ji4I'" -.....-....-..... ..--.---....--
3. Type of Account ,"lufe Deposit Box
Box Number/Location 2884/Hlgh Street-Carlisle
Ownership (Names qf) Nora (j Frownfelter
Opening Date 02/07/92
For further account information. closures and/or reimbursement of funds please call the High Street-Carlisle Office at #717-240-4536.
REV-485 EX+ (9-00) .
SAFE DEPOSIT BOX
COMMONWEALTH OF PENNSYLVANIA INVENTORY
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG. PA 17128-0601 Please Print or Type
, MUST BE COMPLETED BY REPRESENTATIVE OF FINANCIAL INSTITUTION WHERE SAFE DEPOSIT BOX IS LOCATED AND RETURNED TO ABOVE ADDRESS
COUNTY CODE FILE NUMBER SOCIAL SECURITY OR DEATH CERTIFICATE NUMBER
~I\IO - 0'3 - 0<3:;") I <66 - ~ '8
DECEDENT'S NAME (LAST, FIRST, MIDDLE) DATE OF DEATH
Ft20WNF~lEr<. 0 i 2003
ADDRESS OF DECEDENT (STREET) (CITY) (STATE) (ZIP CODE)
~;).. W ., I'v\F:Z.CT STat: l CAQ..L:"J-s LE. A 1/0/3
NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX
(NAME)
~...YH-O-J L. \5LoOM .. E... ~Qu~i2E
(STREET NAME) (CITY) (STATE) (ZIP CODE)
;LIOO loNG5 GA.P (2a=\D --~S.LE A 17015'
NAME. ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX OPENING
a. (NAME) (RELATIONSHIP)
S~NL, ':;',0... (-'1-\ cx2. ~ ~X.l:--L~.-2:r..'K Or ~ STALe
(STREET NAME) (CITY) (STATE) (ZIP CODE)
Slt-O "D" Snzm .' f.. ACLc:LsLt DA 17c"/3
, 1
b. (NAME) (RELATIONSHIP)
s-c- ~t+e...~ L.. 0:,LCOM " ~S Q\_/~.QE [..rJ. .JNSCL -t="'oc2: E"ST A-rf::
(STREET NAME) (CITY) (STATE) (ZIP CODE)
;?--IOO LOf\..J G "S 6 A (? (1.oA,'D , CAQL;:LS,LC ' PA [70/s
,
c. (NAME) (RELATIONSHIP)
(STREET NAME) (CITY) (STATE) (ZIP CODE)
(STATE) (ZIP CODE)
A i70\3
DATE AND TIME OF LAST ENTRY
\-0 j \ ;). " \ r ? tvl,
. TITLE UNDER WHICH BOX IS REQUESTED
'fY)fKS,. ~OKfT &. f C)Uo.J N [:L if..;<.
NAME A 0 ADD ESS OF PERSON(S) HAVING ACCESS TO BOX
a. (NAME) b. (NAME)
St-\-A,'Zo N L. SAPI+cx2.~
(STREET ADDRESS) (STREET ADDRESS)
S"4-eJ " D ,I ~-r:r2..~,
(CITY) (STATE) (ZIP CODE) (CITY) (STATE) (ZIP CODE)
CAQ..L.:-:L-S LE. PA 170/3
. NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY
I{ f; S \ L \ 'C. \ ,t f\ I ~f\.O"lfJ \ ~ r'\~2111~ J c S,'Q
WAS A WILL IN THE BOX? DYES ~NO If yes, a. Date of will:
b. Name and address of personal representative, if named in the will
(NAME)
(STREET NAME) (CITY) (STATE) (ZIP CODE)
c. Name and address of attorney, if any
(NAME)
(STREET NAME) (CITY) (STATE) (ZIP CODE)
SAFE DEPOSIT BOX INVENTORY Page J of /
INSTRUCTIONS
(1) Cash: Report total only.
(2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be
designated by name of company, certificate number, date of certificate, name in which stock is registered, and
number of shares and class of stock.
(3) Obligations of U.S. Government: Number of items, date of issue, face value, names in which registered and
type of ownership, i.e., jointly held, payable on death, etc.
(4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds)
(5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book,
name of bank and branch, and balance.
(6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible.
(7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe as fully
as possible.
(8) All other contents.
ITEM ITEM DESCRIPTION
NO.
S? H O/v~ O\....J )...(..72.5 ~v\'2A~LE (?AA:QS
~ I ;.:::"'hD'!Nb 'IY"---oK. LE I
<;:;, ().-<J '-~'NA L l~"o ~
c \-\-~L.--rH. '~S.,-,,(Z.ANCC Df\PU2 ~
I ~~TIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OfR.
CO RECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOJU,NVENTO Y:
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PRINT NAME fr\ p,({ I f\ ~ PRINT Nt;'ME AND CHECK APPROPRIATE BOX BELOW
V 11 ~ \L\ '(..1 tC.Ai<; PI () ,~rJ l ~ 5t- e. 0 h.e~"" L 33 loo(V'\
PRINT TITLE DATE CHECK APPRdPRIATE BOX:
ts~ \ - ) 6-- 0 'f o Executor(tnx) o Admlnistrator(trix,
~ Estate Representative o Joint owner of safe deposit box
NOTE: Attach additional 8'/,/I x 11/1 sheet(s) if necessary or use duplicates of this page of form.
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Westminster Cemetery ! Ollri.1J N(\ I '
1159 Newville Road . Carlisle, PA 1701.1 1d'.J~ 09 7 I
717.2~9.2029 I r",pcrt'l Deod ..;,., t T('I:l~y'~ Dale:
I~TEJlMF'.NTIENrOMBMr;;NT AVl'U01UZATlON AND INDEMNIFICATION L&79~ I ~z-0-5
.DATA ON IJECEASF.:D .
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N."U!:S//'ALoN <J"'.;9/#~ RE ~~(;r#T~ 'HON~ ,;('~ .
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" INTERMENTIENTOMBMENTnNURNMENT DA T A -
BY
s/":
_ CEl'lrn~Y'
TIMfl;
. MAUSOLEUM"
TIM', _ CH"rEL Ol.DG ~ETTERJNC: CllYl"T 'LA TI
PfRM: CI-I"Pot. RLCG 1'0 Y1l-~ I NO
:;c...OI.L OF."TH 0.. n: )lIifO~ YF.S I 1<0
. BURl.4.t.
. CURRENT CHARGES AND PltEPAID INFORMATION -
rREN~;ED CONTRAl1': PAll;; NUMllr::JI
lIPENlN(ii('I,o:'liINC
V,\Ul.T
v"'ut" IN:'il"l\lL-\710N
MAR)('ER,"~'SC
rRoreRTY
OTH"R
I AMOUNT DUt 1'0 Ill'; RF.CP:r'lI!V FROM: _ F^~II"'V
j't.c tlnd(lr."i~"<e'l.1 hc:fC~" Cf'rtific.... I~Y h:.....c the (\llIllt~o.C IHtlhority 10 dirl~c:t the tnte~nt. Entombment. nr Inurrl.nlC'nt oflhe rcrnnlm: 1)( Ihe de~cd,.:l.~ hc~y JIlItJ.:..
nz<c the c:emetery t(\ tn..'lke di:o:.pn..ltlDn (~, l})e rcm"in!l: of che decc:l.'.ed:t.<: indlclUe.d, The uo.dcr."Ii;ned hereby fUr1nCl I.'\::nify:nd F'Cpn::'itnf (hel they;re owutr(,) ()J' ;'1UIOO.
rm.:cJ ('I:rft~~I!I.,.lfi\'c:(:'I) of It\( Qwnc:1't,."I) (If Ifle tllx'lvc: dc:u:rib(d ,,,t~cnl RishlA J",i hereby .:\ulhoritt U~ of .':J.KllnremMen, R..ilhl!; cfthc: r;l1erment.. Enlo~n"~nt. (IT
Inllrnrm:rll l,r ,he- remain, ,.,( lkt: herein n:Wl(d dcccn.ced. The (ll;mf,~e.ry ill; hortby l.Jlttered Iq .'UpcTV~"C: In~Ip,lblton or in.'lall .)ny outer buri;af ,:.onrojner. 10 the (tte.."
C'"'~'quired hy 1.6U1, pureh.l,'l:e;! 'In CllrlllCC'tiC"ln ",,'i1h Uti.. Inlennenl :lnlllhe tnlermcnt Rlstll.~ J('Il\;nbccl herein.
The IJnder.o;.i~ncd hereby illrec. In indemnify ttntJ hold h:J(rnl('~'t; Ihe cemetery. 10. Qlene.... :md crfl"l~lecl; (rom ;my on,t -:111 L.IA8ILJrY. InctU(tinl zu,:;on.J.ble o.ttoney':'l:
1<<.c, Md ..,;\in'Cl :my !(\u it .:u they mn.) ~~,,~'{Un 'I corrnaclivn with the Inlemmll1f, enl('lrnt1mcnl. or h\lramcnt ~ulhvritcd hcreuader. The CCfT'I&::tery uako 5R'ot CI:I1'e to
.,..,1,'....0... hul in .he ~II<'" on ;n.d....,".nl error doe.' OCtv,.,he ..me'ory .h.>1l ho'...he. n&hIIOZ' Il'IY erro, in lhe InlLmmen I!nlomN\lcn. or Inumm..... of;"
I'\wn c:\r('lIae. ithoul ;wi), It.v.-iii,>, {o" M)ch rrtOr. ./ / i.
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rlli. I d Rep~entDtL"e
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OFFICE U:;f. (lNl.V SISNlI
SP^,::t VER'7Y - ,,'lDlT AND aECOR.OJ..-aPINC.
Intermclll (lntl'" oftcr each '1<1' i. <ompltledl
Checlo; F.mil, Vtrlned: . INTERMoNT ORDSll CIlEClCW
---
SUnI:,H [ly: INTERMIlNT CA'(I COMPLETtt> "NO FlLW
MASnR CARC UI'DA~D
CIltcktd I),: PUT 801.)); "Nil \.()T MAPS UI'DA'mD
J f'(JA:IAL PRRMtT RECEIVED ~ RUt' .
O'Ml6R
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~" . Admlntsl",lIon . Cllnarv . ArJmlnlsln.rl.)l'I ?lnlli ' \blnlOl'4l'l'~
tI
HI-a2-a3 14:59 RECEIVED FROM:?1? 249 9365
P.e11
Ewing Brothers Funeral Home
630 South Hanover Street
Carlisle, PA 17013-
(717)243-2421
October 9,2003
Sharon F. Saphore
540 "0" Street
Carlisle, P A 17013
The Funeral Service for Nora G. Frownfelter
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please
feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT,
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
1. PROFESSIONAL SERVICES
Services of Funeral Director/Staff $3325.00
FUNERAL HOME SERVICE CHARGES $3325.00
SELECTED MERCHANDISE:
Solid Copper Pink Batesville $4495.00
American Chief Sealed Vault . $1295.00
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THA T YOU HAVE SELECTED $9115.00
Cash Advances
Certitied Copies of the Death Certiticate . $12.00
Hairdresser. $35.00
Paid Obituary with Small Picture . $210.90
TOTAL CASH ADVANCES AND SPECIAL CHARGES. $257.90
Total
Total Cost $9372.90
SUB-TOTAL $9372.90
INITIAL PAYMENT / DISCOUNT / CREDITS 0.00
TOTAL AMOUNT DUE $9372.90 '?4Jfll""......7:l
- ~9~'1.~O ~"eol1wt).r .y?2,?~~9
The unpaid balance over 45 days is subjected to a 1.00 % service charge per month - 12.0000 % per annum. r:o."e!1o"J)T 'Y7ZJ?,p 9.l!
- 02 77'1. 'If
,
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ISd to..,! ;j)...-e: 11 31 4 r 3. fa J
Member of National Funeral Directors Association
STEPHEN L. BLoorvr
.\I'I()f{"'I.:' \\:1) Ctll:\:SI'J.I.()f{ .\'1' 1..\\'\'
WWW i'RACIICAI.COIINSEI. COM
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Invoice submitted to
Frownfelter, Nora GEstate
c/o Sharon L. Saphore, Executrix
540 "0" Street
Carlisle, PA 17013
January 21, 2004
In Reference To Estate Administration - Final Statement
Invoice #1354
Professional Services
H rs/Rate Amount
11/5/2003 SLB Appearance at Register of Wills Office to file Certification of 0.18 33,56
Notice Under Rule 5,6(a); Review correspondence from 185.00/hr
Department of Public Welfare Estate Recovery Program
11/7/2003 SLB Review correspondence and Appraisal Report re personal 0,16 28.98
property; Telephone conferences with client re same 18500/hr
11/17/2003 PL Review correspondence; Telephone conference with Executrix 017 1770
105.00/hr
11/25/2003 SLB Review telephone messages from Executrix and correspond 0,18 33.40
with same; Review bank account statement 185.00/hr
12/2/2003 SLB Review Date of Death Account Information from M&T Bank 0.07 12.74
185.00/hr
12/16/2003 SLB Review Proofs of Publication of Legal Notices from The Sentinel 0.72 133.97
and Cumberland Law Journal; Administrative Matters; 185.00/hr
Correspondence with Department of Revenue re Safe Deposit
Box Inventory Authorization
1/9/2004 SLB Review correspondence and authorization document from 0.15 26.88
Department of Revenue re safe deposit box inventory; Review 18500/hr
Bank Account Statement; Telephone conferences with client
1/16/2004 SLB Conference with Executor at M& T Bank for Safe Deposit Box 050 92.50
Inventory; Complete Inventory Forms for submission to 185.00/hr
Department of Revenue
PRACTICAI.CO{'''-iSEL + CHRISTiAN PERSPECTIVE
Frownfelter, Nora G. Estate Page 2
Hrs/Rate Amount
1/21/2004 SLB Finalization of Safe Deposit Box Inventory and correspondence 219 405.82
with Department of Revenue re filing of same; Preparation of 185.00/hr
Pennsylvania Inheritance Tax Return and Schedules;
Preparation of required Estate Inventory for Cumberland County
Register of Wills; Administrative matters; Correspondence with
client
SLB Reserve for final matters of administration including: Assembly 2.00 370.00
of executed Inheritance Tax Return, Schedules and Exhibits, 185.00/hr
filing of same and Inventory at Register of Wills, review of
correspondence from Department of Revenue re acceptance of
Inheritance Tax Return, preparation of informal Estate
Settlement Agreements and Releases for execution by all
beneficiaries and related correspondence, and preparation and
filing of final Notice of Status of Estate Administration with
Register of Wills
For professional services rendered 6.32 $1,155.55
Additional Charges:
Publishing Fee - Legal Notice - The Sentinel 91.85
----.-----..-
Total costs $91.85
-_._---~--"---_.
Total amount of this bill $1,247.40
Previous balance $1,419.44
11/12/2003 Payment - thank you ($1,419.44)
Total payments and adjustments ($1,419.44)
Balance due $1,247.40
-_...~-_._--_..
PAYABLE UPON RECEIPT - THANK YOU
P R 1\ C TIC :\ I. C () L' \I S ,.: I. >I< CHRISTiAN PERSPECTIVE
STEPHEN L. BLOOM
ATTORN).:Y ,\ND C()LINsr':LLOR .\'1' L:\\XI
WWW PR^CrIC^LCOUNSEL.COM
2 1 () 0 I. 0 N (;, (; ..\ I' R (H I) TI:I.EI'II0NI. -'17.249.771'
C ,\ f{ I. I S I. I,:. 1'1': N " ,y I. \ -\ N 1 ,\ 1 70 I .) FACSIMIJ.I: 7]-'.249.7757
To 1.1. /' Ill.: ,.: 877 548.9602
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Invoice submitted to:
Frownfelter, Nora G. Estate
c/o Sharon L. Saphore, Executrix
540 "0" Street
Carlisle, PA 17013
November 04, 2003
In Reference To: Estate Administration - Initial Interim Statement
Invoice #1325
Professional Services
Hrs/Rate Amount
10/9/2003 Preliminary administrative matters; Telephone conferences with 1.58 29189
Executrix; Preparation of Register of Wills Estate Information 185.00/hr
Statement; Preparation of Petition for Grant of Letters Testamentary
and Exhibits; Preparation of Oath of Non-Subscribing Witnesses;
Appearance at Register of Wills Office with Executrix to present Petition
and Exhibits
10/10/2003 Telephone conference with Register of Wills office re issuance of Short 0.87 160.28
Certificates/Grant of Letters Testamentary; Correspondence with IRS to 185.00/hr
obtain Federal Tax Identification Number for Estate; Completion and
filing of Form SS-4 re same; Review processed document/FEIN
10/15/2003 Appearance at Register of Wills Office to obtain Letters Testamentary 0.44 8181
and Short Certificates; Review of same; Telephone conference with 185.00/hr
Executrix
10/16/2003 Telephone conference with Executrix; Administrative matters 0.08 15.06
18500/hr
10/17/2003 Administrative matters; Preparation for conference with Executrix; 0.39 72.92
Attend same; Review and file expense and beneficiary information 185.00/hr
10/22/2003 Administrative matters; Correspondence with M& T Bank re date of 2.55 472.47
death account information; Correspondence with Department of Public 185.00/hr
Welfare re Estate Recovery Program; Preparation of required Notices
of Beneficial Interest in Estate; Correspondence with Beneficiaries re
same; Preparation of Certification of Notice under Rule of Court;
Correspondence with Executrix
P IL\ C T ( C .\ I. C () L' N S E I. + C /1 R 1ST I ,\ N PER S PEe T I V E
Frownfelter, Nora G. Estate Page 2
Hrs/Rate Amount
10/24/2003 Telephone consultations with Executrix; Memorandum to file 0.22 41.52
185.00/hr
10/28/2003 Telephone conferences with auctioneer/appraiser 0.08 15.11
185.00/hr
11/4/2003 Review correspondence and documentation; Preparation of required 1.05 193.38
Legal Notices for publication; Correspondence with Cumberland Law 185.00/hr
Journal and The Sentinel re same; Correspondence with Executrix;
Administrative matters
"--....-
For professional services rendered 7.26 $1,344.44
Additional Charges:
11/4/2003 Publishing Fee - Legal Notice - Cumberland Law Journal 75.00
------
Total costs $75.00
Total amount of this bill $1,419.44
----~_..-
Balance due $1,419.44
PAYABLE UPON RECEIPT - THANK YOU
PRACTICAl. COUNSEl. + CHRISTI.\N PERSPECTIVE
RECEIPT FOR PAYMENT
-------------------
-------------------
Cumberland County - Re~ister Of Wills Receipt Date 10/10/2003
Hanover and Hi1h Stree Receipt Time 09:10:05
Carlisle, PA 7013 Receipt No. 1034321
FROWNFELTER NORA G
- -- - --
File Number 2003-00821
Remarks SHARON F SAPHORE
AC
------------------------ Distribution Of Receipt ------------------------
Transaction Description Payment Amount Payee Name
PETITION FOR PROBA 40.00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 9.00 CUMBERLAND COUNTY GENERAL FUN
JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D
Check# 2356 ~59.00
Total Received......... 59.00
113 Forge Rd., Boiling Springs, PA 17007 ~ ~/ ..z. cJc.13
-l9--
M: ~~__~~~
~;< tU/~ 'J ~~~_
In Account With
ROY D. GOTTSHALL,
AUCTIONEER
. -
-
. 'bl A':J
:
~_..
. _.
RETAIN THIS PORTION rOI< YOUI< I<I:l;UI<U::i
REMITTANCE ADDRESS I BILL TO
THE SENTINEL - LEGAL STEPHEN L BLOOM, ATTORNEY
P.o. BOX 130, CARLISLE, PA 17013
AD NUMBER I CLASS SALESPERSON BILLING DATE LINES
255467 10 PUBLIC NOTICES c30 12/10/03 25
AD DESCRIPTION START DATE STOP DATE
NOTICE LETTERS TESTAMENTARY ON THE 11/20/03 12/04/03
PUBLICA nON INSERTIONS RATE NET AMOUNT GROSS AMOUNT
3 THE SENTINEL - LEGAL 3 LGL 85.50
TOTAL AD CHARGE 85.50
3 PROOF OF PUBLICATION 01PRF 6.35
~~ -11-t 0
DAYS RUN e-L-it 3}< ~\
PURCHASE ORDER f f 1 PAY THIS AMOUNT 91. 85 110.22*
nora g. rown e ter
* AFTER 01/09/04
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, P A 17013
NOVEMBER 28, 2003
Cumberland Law Journal is published every Friday by the Cumberland County Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Stephen L. Bloom, ESQUIRE
RE:
Nora G. Frownfelter, ESTATE
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
---------------------------------------------------------------------
---------------------------------------------------------------------
Advertisement inserted on following dates:
NOVEMBER 14,21,28,2003
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment Received $ 75.00
-------------
Total Amount Due $ 0.00
---------
---------
Payment received NOVEMBER 12,2003
by Becky H. MorgenthallExecutive Director
f /~ CARuslE IF PAYING BY CREDIT CARD, FILL OUT BELOW AND SEE REVERSE SIDE
'. REGIONAL P.O. Box 4100 CHECK CARD USING FOR PAYMENT
"""'--' ME Die ^ LeE N T E R. Carlisle, PA 17013-4100 .0 .0 aElO ~JD
ADDRESS SERVICE REQUESTED . . .' MASTERCARD DISCOVER VISA. · AMERICAN EXPRESS
~!JN1f:!q, S.T~TEM8N'l' PAth! .~~~.g!lE
- ~. 10/20/2003 I 9261825 10/06/2003 $148.51
MAKE CHECKS PAYABLE TO:
FROWNFELTER, NORA G
442 WALNUT BOTTOM RD
THORNWALD HOME CARLISLE REGIONAL MEDICAL CENTER
lH CARLISLE. PA 17013 246 PARKER ST.
'"
co P.O. BOX 4100
CARLISLE PA 17013-4100
11111111111111.1...11..11.1.11.111.1.1.111.1.1.1111..111.111.1 1..11111..1111.....111.11.11...1.1..11......1111.1.11...1111.1
o Please check it above address is incorrect and Indicate change on reverse side. TO INSURE PROPER CREDIT, DETACH AND RETURN THIS PORTiON IN THE ENCLOSED ENVELOPE.
TYPE OF RICE TOTA CH GES
FROWNFELTER, NORA G EMERGENCY ROOM 3,587.35
DATE DESCRIPTION PAYMENT/ADJUSTMENTS
09/22/03 MEDICARE PAYMENT 476.82-
09/22/03 MEDICARE CONTRACTUAL ADJUSTMENT 2,769.47-
10/02/03 BLUE CROSS PAYMENT 192.55-
PAYMENTS AND CHARGES RECEIVED AFTER THE STATEMENT DATE WILL BE REFLECTED ON THE NEXT STATEMENT. ACCOUNT BALANCE DUE $148.51
MESS GES
The amount shown on this statement is outstanding at .
this time. Your prompt payment wilt be greatly FOR BILLING QUESTIONS, PLEASE CALL:
appreciated.
(717) 218-8852
- -1 10/20/2003/
PHARM III~ PAGE: 1 of 1
ERI 0\. C111. I FOR PAYMENT: I
1871 Lefthand Circle I PO BOX 6413 I
Longmon!, CO 80501
31111-U751 CAROL STREAM, Il60197-6413
ADDRESS SERVICE REQUESTED I FOR COMMENTS AND / OR CONCERNS I
I 491-A BLUE EAGLE I
HARRISBURG, PA 17112-
IF YOU HAVE ANY QUESTIONS
CONCERNING THIS STATEMENT OR
WISH TO PAY WITH YOUR VISA,
11"11111,11111,",111111111111'1111'1,11"'11.1'1111"",1III MASTERCARD, AMERICAN EXPRESS OR
DISCOVER, PLEASE CALL A BILLING
NORA FROWNFELTER REPRESENTATIVE
C\O SHARON SAPHORE AT
540 "0" STREET 800-994-6337
CARLISLE, PA 17013-1317 31111-U751.12DOW1PGOO25886
CUSTOMER NAME PHYSICIAN NAME STATEMENT ACCT. NO. FACILITY NAME
DATE
FROWNFELTER, NORA GUISTWITE, KENNETH R 09/30/03 5702-01-14220 THORNWALD HOME
I I
STATEMENT DETAIL
FROM THRU DATE RX NO DESCRIPTION QTY CODE $ AMOUNT
DATE
08/31/03 BALANCE FORWARD .00
09/17/03 COPAY 0742198.06 ATENOLOL 25MG TABLET 6.00
09/17/03 COPAY 0778994.00 ALLEGRA 60MG TABLET 6.00
09/17/03 766885 ONE-TABLET-DAILY 28 N OTC .65
09/18/03 COPAY 0745144.01 TRAMADOL HCL 50MG TA 6.00
09/22/03 COPAY 0775950.01 MEGESTROL ACETATE 40 6.00
09/23/03 COPAY 0784644.00 MORPHINE SULF 20MG/M 6.00
09/25/03 COPAY 0785899.00 PROTONIX 40MG TABLET 6.00
AMOUNT DUE 36.65
CV-CONVERT TR-TRANSFER CR-CREDlT T-TAXABLE IFDlSCOUNTED N-NON-COVERED
FINANCE CHARGES ARE CALCULATED AT A MONTHLY PERIODIC RATE OF 1.5% (ANNUAL RATE
OF 18.0%) BASED UPON AN UNPAID BALANCE OF 30 OUTSTANDING DAYS OR MORE AS OF THE
ABOVE STATEMENT DATE PLEASE RETURN BOTTOM PORTION WITH PAYMENT. Retain top portion for your records
-
111111111111I..111111111111
31111-U751 "12DOW1PGOO25886
I CURRENT I $.00 I PHARMERIO\. C:I~
I , I
30 DAYS I $.00 I
I I I
I 80 DAYS I $.00 I
I 90+ DAYS I $.00 I Chlll1ge of Address:
I STATEMENT DATE I 09/30/03 I
I ACCOUNT NUMBER I 5702-01-14220 I S1J'eot Apt #
---
!!!!!!!!!!!! -
--- City State Zip Code Phone Nwnber
!!!!!!!!!!!!
I AMOUNT DUE UPON RECEIPT $36.65 I
-
=
- AMOUNT ENCLOSED I I
--- 1111111111,111111.1,1'111',1111111,',,1"111'1,,111,.11, J 1I11 J
- $
PHARMERICA
---
- P.O. BOX 6413
- o Check ifback of this fonn has been completed. CAROL STREAM, IL 60197-6413
=
5702010104020200000036650
Statement
United Church of Christ Homes
Thornwald Home
442 Walnut Bottom Road
Carlisle, PA 17013
Statement Date: 09/01/2003
Sharon Saphore
540 "D" St.
Carlisle, PA 17013 Due Date: 09/25/2003
Re: Nora G Frownfelter
Account Nr: 814
--------------------------------------------------------------------------------
Date Description Days Rate Charges Payments Balance
Quant
--------------------------------------------------------------------------------
BALANCE FORWARD 12.50 12.50
09/25/03 PAYMENT 12.50 .00
09/30/03 Cable Television -1.00 12.50 -12.50 -12.50
09/30/03 Cable Television 1. 00 12.50 12.50 .00
09/30/03 Therapeutic Exercis -2.00 27.00 -54.00 -54.00
09/30/03 Neuromuscular Reedu -2.00 28.00 -56.00 -110.00
09/30/03 Room & Board - Semi 18 185.00 3,330.00 3,220.00
09/30/03 Cable Television 1. 00 12.50 12.50 3,232.50
09/30/03 Therapeutic Exercis 2.00 27.00 54.00 3,286.50
09/30/03 Neuromuscular Reedu 2.00 28.00 56.00 3,342.50
09/30/03 Therapeutic Exercis -8.00 27.00 -216.00 3,126.50
09/30/03 Therapeutic Activit -9.00 32.00 -288.00 2,838.50
09/30/03 Therapeutic Exercis 8.00 27.00 216.00 3,054.50
09/30/03 Therapeutic Activit 9.00 32.00 288.00 3,342.50
~
:/ J33u.C7iJ
October 27 The Triangle Traveling Store will be here 10 am - 2pm
November 7 Holiday Bazaar lOam - 2pm
Please remember to take all clothing to the laundry to have name tags
on them before giving them to the residents.
if'
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of Frownfelter, Nora G. No. 21 - 03 - 00821
-- ._._--~-----
also known as Date of Death 10/1/2003
, Deceased Social Security No. 186-28-6956
Sharon L. Saphore
------- -------~---- - ____"__._'._n____
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the
Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that
which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true
and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
Attorney: Stephen L. Bloom pe"O;j:~:;:,~es:::~~J~/
Sharon L. Saphore
I.D. No.: 49811 Signature:
_._.__._.._---.....__.-----_._._~---~
Signature:
Address: 2100 Longs Gap Road Address: 540 "D" Street
Carlisle, PA 17013 Carlisle, PA 17013
Telephone: 717/249-7717 Telephone:217-243-730~_ _~~___
:.- ',:::' . -- ...:,r------
....!, ~ :Xi C:
Dated: jj:l_9J~L ~. ~< (t) :
,er"'>:
":. .
..:'-" "_e.- I'
Personal Property ~. E3 '.
f; -
-oJ
M&T Bank Checking Account #709670 C" .~;4~43.06
~( :g ;:-?~ (1"";-
M&T Bank Savings Account # 15004200944054 N ~3~.41
~ LJ
N
M&T Bank Safe Deposit Box #2884 - no items of monetary value 0.00
Personal Property 467.00
Total Personal Property $11,215.47
(Attach additional sheets if necessary) Total Personal Property and Real Estate $11,215.47
COMMONWEALTH OF PENNSYLVANIA '*'
BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE
INHERITANCE TAX DIYISION
DEPT. Z80601 NOTICE OF INHERITANCE TAX
HARRISBURG, PA 171Z8-0601
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX REY-1547 EX AFP (01-05'
R€CC "'.c'. ,-- Of DATE 04-05-2004
ESTATE OF FROWNFEL TER NORA G
DATE OF DEATH 10-01-2003
FILE NUMBER 21 03-0821
.04 rrii -:-; ?? ~DSCOUNTY CUMBERLAND
STEPHEN L BLOOM ESQ ACN 101
2100 LONGS GAP RD I Allount Rellitted I
CARLISLE PA 17013
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 .....
REV =i5'4j-E3f-AFP--foY=oiY-NoYicE--oF-YtiHEifiTANcE-TAx-jrppRAisEi"-ENT~--ALrowAN-cE-oR------------ -----
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FROWNFELTER NORA G FILE NO. 21 03-0821 ACN 101 DATE 04-05-2004
TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) U) .00 NOTE: To insure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 subllit the upper portion
4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this forll with your
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 11.215.47 tax paYllent.
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets (8) 11,215.47
APPROVED DEDUCTIONS AND EXEMPTIONS: 12,888.75
9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) UO) 3.515.16
11. Total Deductions (11) 16.403 91
12. Net Value of Tax Return (2) 5,188.44-
13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (4) 5,188.44-
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 abb returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (5) .00 X 00 = .00
16. Allount of Line 14 taxable at Lineal/Class A rate (6) .00 X 045 = .00
17. Allount of Line 14 at Sibling rate (7) .00 X 12 = .00
18. Allount of Line 14 taxable at Collateral/Class B rate (8) .00 X 15 = .00
19. Principal Tax Due (9)= .00
TAX CREDITS:
".......... . l+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
II IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERVATION: Estates of decedents dying on or before December lZ, 198Z -- 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 Commonwealth hereby expresslY reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE: To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z3 of ZOOO. (7Z P.S.
Section 9140).
PAVMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side.
--Make check or money order payable to: REGISTER OF KILLS, AGENT
REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax.' (REV-13l3). Applications are available at the Office
of the Register of Wills, any of the Z3 Revenue District Offices, or by calling the special Z4-hour
answering service for forms ordering: l-800-36Z-Z050; services for taxpayers with special hearing and I or
speaking needs: l-800-447-30Z0 (TT only).
OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment
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 Oepartment of Revenue, Board of Appeals, Dept. Z8l0Zl, Harrisburg, PA l7lZ8-l0Zl, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans. Court.
ADMIN-
ISTRATIVE
CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z8060l, Harrisburg, PA 17lZ8-060l
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-150l) for an explanation of administratively correctable errors.
DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent.s death, a five percent (5X) discount of
the tax paid is allowed.
PENALTV: The l5X 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: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of
six (6X) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January 1, 198Z 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 198Z through Z004 are:
Interest Daily Interest Daily Interest Daily
Vear Rate Factor Vear Rate Factor Year Rate Factor
mz ~ :iliDm nall-199l -m- :o.mor run -W- . 'OiO"m""'
1983 l6X .000438 199Z 9X .000Z47 ZOOZ 6X .000164
1984 nx .000301 1993-1994 n .00019Z Z003 5X .000137
1985 l3X .000356 1995-1998 9X .000Z47 Z004 4X .ooono
1986 lOX .000Z74 1999 n .00019Z
1987 lOX .000Z74 ZOOO n .00019Z
--Interest is celculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
~
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2003-00821
ESTATE OF NORA G. FROWNFELTER, Deceased
Late of Carlisle Borough,
Cumberland County, Pennsylvania
FIRST AND FINAL ACCOUNT OF
SHARON L. SAPHORE, EXECUTRIX
Date of Death: October 1, 2003
Date of Executor's Appointment: October 10, 2003
Date of First Advertisement of the Grant of Letters: November 14,2003
Accounting for the Period: October 10, 2003 to October 6, 2005
Purpose of Account: Sharon L. Saphore, Executrix, offers this account to acquaint
interested parties with the transactions that have occurred during her administration. The
account also indicates the proposed distribution of the estate.
It is important that the account be carefully examined. Requests for additional
information or questions or objections can be discussed with:
Stephen L. Bloom, Attorney and Counsellor at Law
P A Attorney ID #49811
2100 Longs Gap Road
Carlisle, PA 17013
(717) 249-7717 ~)
(O.")
")
SUMMARY OF ACCOUNT -'I
1
"....J
PRINCIPAL: "'-:-iI
--
-"~-
Receipts $11,310.08 ..
~!..~
Less Disbursements: $(11 ,461.26) 0
Balance before Distributions $ (151.18)
Distributions to Beneficiaries $ 0.00
Principal Balance Remaining On Hand $0.00
1
INCOME:
Receipts $0.00
Less Disbursements $0.00
Balance Before Distributions $0.00
Distributions to Beneficiaries $0.00
Income Balance Remaining on Hand $0.00
COMBINED BALANCE REMAINING ON HAND $0.00
RECEIPTS OF PRINCIPAL
Cash:
M&T Bank--checking & savings accounts $ 10,327.26
M&T Bank--safe deposit box $ 0.00
Miscellaneous Deposit/Credits $ 231.42
Personal Funds Advanced by Executrix $ 284.40
Tangible Personal Property:
Household Goods and Furnishings (per appraisal) $ 467.00
TOTAL RECEIPTS OF PRINCIPAL: $11.310.08
DISBURSEMENTS OF PRINCIPAL
10/2/03 Westminster Cemetery--grave open/close $ 945.00
11/5/03 Carlisle Regional Medical Center--emergcy. rm. $ 148.51
11/6/03 PharMerica--prescription medications $ 36.65
11/7/03 Ewing Brothers Funeral Home--funeral $ 3,483.62
11/12/03 United Church of Christ Homes--nursing care $ 3,300.00
11/12/03 Stephen L. Bloom--attorney fees $ 1,344.44
11/12/03 The Cumberland Law Journal--legal notices $ 75.00
12/19/03 The Sentinel--legal notices $ 91.85
1/30104 Stephen L. Bloom--attorney fees $ 1,155.55
2/17/04 Register ofWill--filing fee for inheritance tax $ 20.00
return and inventory
3/12/04 Register ofWill--additional probate fee $ 10.00
1/10105 Sharon L. Saphore, Executrix--reimbursement $ 284.40
for personal funds advanced to estate:
10/10103 Register ofWills--probate fee $ 59.00
10/26/03 PP&L--utility $ 8.65
2
10/26/03 Sprint--telephone $ 28.29
10/27/03 Anna Mae Raudabaugh $124.00
10/30103 Darlene L. MoyerlCTCB $ 11.00
11 15/03 Roy D. Gotshall--appraisal $ 40.00
1/2/04 Sprint --telephone $ 13.46
Subtotal $284.40
4/25/05 Stephen L. Bloom--attorney fees $ 421.24
10/6/05 Register of Wills, filing fee for $ 145.00
account and proposed distribution
TOTAL DISBURSEMENTS $ 1 1.461.26
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
TO: None (Insolvent Estate)
Total Distributions of Principal to Beneficiaries $ 0.00
PRINCIPAL BALANCE ON HAND
None
Total $ 0.00
RECEIPTS OF INCOME
None
Total $ 0.00
DISBURSEMENTS OF INCOME
None
Total $ 0.00
DISTRIBUTIONS OF INCOME TO BENEFICIARIES
TO: None (Insolvent Estate)
3
Total $ 0.00
PROPOSED DISTRIBUTIONS TO BENEFICIARIES
None (Insolvent Estate)
Total $ 0.00
COMMONWEAL TH OF PENNSYLVANIA )
:SS.
COUNTY OF CUMBERLAND )
SHARON L. SAPHORE, being duly sworn according to law, deposes and says:
That she is the Executrix of the Estate of NORA G. FROWNFELTER, deceased; that she
is the Accountant herein; that she has fully and faithfully discharged the duties of her
office; that the foregoing First and Final Account is true and complete and fully discloses
all significant transactions occurring during the accounting period; that all known claims
against the Estate have been paid in full; that, to her knowledge, there are no claims now
outstanding against the Estate; that all taxes presently due from the Estate have been paid;
that more than four months have elapsed since the first complete advertisement of the
granting of letters in this Estate; that the attached list or schedule contains the names and
addresses of all persons interested in the distribution of said Estate; and that the facts set
forth in the within Account are true and correct to the best of her knowledge, information
and belief; and that she certifies that written notice of the time of presentation of the
Account and proposed statement of distribution and the character thereof has been
given for at least twenty days prior to the date fixed for confirmation in accordance
with and as required by Section 3503 of the PEF Code.
~-,~J~~
Sharon L. Saphore
Executrix and Accountant
NcuriaI Seal
Sharon E. Bloom, NofaIy PltlIlc
Nor1h MIdcteton Twp.. Cmilertand O:looty
MyQm,~ Expir8s August 5,2006
~. PennsyM:inia Association CXNallltes 4
.
. .
SCHEDULE "A"
PERSONS INTERESTED IN DISTRIBUTION OF EST ATE:
Iris F. Bowers, 361 "E" Street, Carlisle, P A 17013
A. Lee Frownfelter, 4930 Route 59, Lewis Run, PA 16738
Bonnie L. Klink, 220 S. Garrett Street, Nevada, OH 44849
Sharon L. Saphore, 540 "D" Street, Carlisle, P A 17013
C:\Office - Estate Administration\] 0464.1 Account.doc
5
,
.
.
.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNA.
ORPHANS' COURT Hutli~1
H!!flfifi NO. 2003-00821
li~iJ lfl i 1"6\ ~II
Uiif~ilii ESTATE OF NORA G. FROWNFELTER, s.fl g I
DECEASED, ~1\I't,h
LA TE OF CARLISLE BOROUGH, I Ii.if~
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0- FIRST AND FINAL ACCOUNT OF
SHARON L. SAPHORE, EXECUTRIX
STEPHEN L. BLOOM
A T TOR N E Y j\ N D C 0 U N S ELL 0 R 1\ T LAW
717-249-7717
2100LoNGSGAPRoAD
CARLISLE, PENNSYLVANIA 17013
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Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/15/2005
SAPHORE SHARON L
540 D STREET
CARLISLE, PA 17013
RE: Estate of FROWNFELTER NORA G
File Number: 2003-00821
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: 10/01/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
~~~j~
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 9/15/2005
BLOOM STEPHEN L
2100 LONGS GAP RD
CARLISLE, PA 17013
RE: Estate of FROWNFELTER NORA G
File Number: 2003-00821
Dear Sir/Madam:
It has come to my attention that you have not filed th~ 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. I, for decedents dying om or after
July I, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Regi$ter of
Wills a Status Report of completed or uncompleted administration.
This filing is due by: 10/01/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
ii""'~
~.
~~ l<",~; .
GLENDA FARNER STRASBf6GH
REGISTER OF WILLS
cc: File
Personal Representative(s)
Judge
\..-\:t-
Fa.oWNFE..t.:T~ . No/2.A
r
~QJLI:L003
NO.:JD03 - Q 0 <b ::11
c;.
Pursuant to Rule 6.12 of the Supreme
to completion
Rules, I report
estate:
1
. .
whether administration
o No~
estate is
2. If the answer is No, state when the personal believes that
the administration be complete: Uro,", c.or'\'!"rl"\..,.-t:";o~ 0",- ACLov^-T
o ('\. I'J Ol/e.r' be...r ;)-?- ( ;l.o 0 S-
3. If the answer to No.1 is state
a. the personal representative a
~ 0 - p~'^'j
b.
c.
state an account
to
c. Copies releases, joinders and approval
accounts be v,'ith the Clerk of the Orphans'
attached to this report
10) I '3)OS
or informal
and be
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_?-I CD "'&-=:::-_1~:G,,^-{Z_I2J../_LQ.CJ,(I~{ PA 170/3
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No.
L 11 : I li d 0 2
SOOl
&
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Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Frownfelter, Nora G.
Date of Death: 10/1/2003
Estate No.: 2003-00821
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:
I. State whether administration of the estate is complete:
Yes [&J 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. I is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes I&l No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is: same #
c. Did the personal representative state an account informally to the parties in
interest? Yes 0 No [&J
D t Dec. 14,2005
a e:
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
,t"'ched to thi, 'eport. ~ ~
~gnature
Stephen L. Bloom, Esq.
Name
2100 Longs Gap Road
Carlisle, PA 17013
Address
717-249-7717
Telephone No.
Capacity: 0 Personal Representative
~ Counsel for personal representative
\/1/