HomeMy WebLinkAbout04-0338PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of GENEVIEVE E. ELICKER __ No.
also known as To:
Deceased.
Social Security No. 1 8 5 - 5 2 - ? q 6 9
Register of Wills for the
County of Cumberland
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(10, who is/0tr~xt 8 years of age or older, appl-/_' es
,d.~ b. n.
(d.b.n.; pendente lite; durante absentia; durante minoritate)
in the
for letters of administration
on the estate of
the above decedent.
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) Ail 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: nono
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principal residence at 1055 York Road, Dillsburg, PA17019 Monroe Twp.
(list street, number and municipality)
Decendent, then 32
...................... years of age, di~xl March 13 ~ C: .,~ 2nc~
at. Sheaffer Road, Monroe Township, C~mberla~'"'~'~'~i'i~'~,~'"p'~'"i?: ............
~, ~o. oo
I
Petitioner after a proper search ha s
the following spouse (if any) and heirs:
Name
Charles Robert Elicker
Phyllis Elaine Elicker
Todd R. Elicker
ascertained that decedent left no will and was survived by
Relationship
Father
Mother
Brother
Residence
1055 York Road, Dillsburg,
1055 York Road, Dillsburg,
800 York Roa~d, Dover, PA
THEREFORE, petitioner(~) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
PA 17019
PA 17019
17315
PH~LLIS ELAINE ELICKER
1055 York Road
Dillsburg, PA 17019
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF ENNSYLVANIA
SS
COUNTY OF Cumberland
The petitioner(~ 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(g) and that as personal
representative(a) of the above decedent petitioner(~) will well and
truly administer the estate according to law.
Sworn Io or affirme~[., and subscribed
b~ore ~e,th,!s t~r'3~ day of
No...gt- oq-g3g
Estate of GENEVIEVE E. ELICKER ?- ? ~ ~ ~,~
~ , Deeease~?
G~NT OF LETTERS OF ADMINIST~TION~
AND NOW ,4~Or-, ] 8 XI~.. 2004, in consideration o~he petitiO~ on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Phyllis Elaine Elicker
is/a~ entitled to Letters of Administration, and in accord with such finding, Letters of Administration
d.b .n.
are hereby granted to... Phyllis Elaine Elicker
in the estate of Genevieve E. Elicker
FEES
Letters of Administration ..... $_.~. ~ ,OK)
Short Certificates(~5) ..........
Renunciation ................ $
- TOTAL $
Filed /-~- .~.'.~¢4
................ A.D.~
ATT (Sup. Ct. I.D. No.)
BRIAN C. LINSENBACH, ESQUIRE 87360
ADDRESS
124 West Harriburg St. P.O.Box 310
Dillsburg, PA 17019
PHONE
717-432-9733
RENUNCIATION
-
In Re Estate of GENEVIEVE E. ELICKER
deceased.
To the Register of Wills of CUMBERLAND
County, Pennsylvania.
The undersigned Charles R. Elicker, the father
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Phyllis Elaine Elicker
WITNESS my
hand this 6th day of April ,20.. 04
(Signature)
1055 York Road
Dillsburg, PA 17019
(Address)
(Signature)
(Address)
(Signature)
(Address)
his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent ~ling.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee t~ertlfi~ :~ertifi~:~te; $2.0~
APR -6 P1:29
10039924
,,',~
t*
21-oq-33 5
L~)cal Registrar
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
ti 29-234 (Coroner)
~UN~ OF DEaN C~,~ D~H FACILITY N~E [11 not inm,lulion, give ~r~l and n~) ~ CE~NT ~ Hl~lC ~IGIN? RACE
Cumberland I Monroe I bneazfer Road, 1/2 mile north
,,. ~ ~o~t Elicker
iNFORMANT'S NAME (Typ~Pr~n0
~. C. Robert Elicker
B~[] Cremal~m~ Remov,ltromSmmE] (MiX~lh.l~yYear}
~.,,~.E] ~(~ -- ~,,~3/15/2004
I". 2:00 A U' I~ March 13, 2004
~ ...... ~"~ Closed Head - / *Tn4ur~es
Motor Vehicle Crash
,,. Phyllis E. Gleixner
I,..1055 York Road Dillsburgt PA 17019
Hollinger Cromator~ ~ Mt. Holly Springs, PA
~AMEANOADO~E~OFFA~IUT¥ 8 Market Plaza Way
I~a~ll~zzi Funeral Hc~ne M~chanicsburg~ PA 17055
LICENSE NUMBER
DUE TO (OR AS A CONSEOUE NCE OF):
~E I /(U°"lh' Da~ Y"0 I Aorx / I Unbelted passenger
[..,.-, ~ ,o~,. Li[ Mar 13 200,.I ~prx. /Y- ~ noel vehicle left roadway
al Road ~. Sheaffer Rd, Dfllsburg, PA
.............................. *~~[ ' ~ Coroner
~m~m~k~W~d~h~u~d~a~d~n4~dde~h~c~{~)~dm~"~d ..................... [] }l~. 2 3,d.._March 15~ 2004
'M[OICACaXAM~COR~[R t~27)ry~mPrlnt Todd C. Eckenrode,Chf.Dep. Coroner
On~e~Nlofex~l~orlnveMl~tlon, in my oplnlon, death~curr~atlhetlme date andplace Inddue/othecau~l)lnd 6375 Basehore Rd. , Suite
~,,.m~.,.~.t~ ............................................................. '....: ........ : ....................... ~ .. Mechanicsburg, Pa. ] 7050
Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717)240-6345
Date: 07/01/2004
LINSENBACH BRIAN C
124 W HARRISBURG STREET
PO BOX 310
DILLSBURG, PA 17019-0310
RE:
Estate of ELICKER GENEVIEVE E
File Number: 2004-00338
Dear Sir/Madam:
It has come to my attention that you have not filed the
Certification of Notice Under Rule 5.7 (a) 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 ten (10) days after giving proper notice to the
beneficiaries and intestate heirs as required by subdivision
(a) of Rule 5.7, shall file with the Register of Wills or Clerk
of the Orphans' Court his/her Certification of Notice.
This filing will become delinquent on 07/18/2004
Your prompt attention to this matter will be appreciated.
Thank You.
CC:
File
Personal Representative(s)
Judge
Sincerely,
GLENDA ~A~
Clerk of the Orphans' Court
Cumberland County Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717)240-6345
Date: 07/01/2004
ELICKER PHYLLIS ELAINE
1055 YORK RD
DILLSBURG, PA 17019
RE:
Estate of ELICKER GENEVIEVE E
File Number: 2004-00338
Dear Sir/Madam:
It has come to my attention that you have not filed the
Certification of Notice Under Rule 5.7 (a) 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 ten (10) days after giving proper notice to the
beneficiaries and intestate heirs as required by subdivision
(a) of Rule 5.7, shall file with the Register of Wills or Clerk
of the Orphans' Court his/her Certification of Notice.
This filing will become delinquent on 07/18/2004
Your prompt attention to this matter will be appreciated.
Thank You.
CC:
File
Counsel
Judge
Sincerely,
RNER STRASBAUGH~J
Clerk of the Orphans' Court
CERTIFICATiON OF NOTICE UNDER RULE 5.6 a
Name of Decedent:
Date of death:
Estate No.
To the Register:
GENEVIEVE E. ELICKER
March 13, 2004
2004-00338
I certify that Notice of 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 July 13, 2004.
Name
Address
Charles R. Elicker
1055 York Road
Dillsburg, PA 17019
Phyllis Elaine Elicker
1055 York Road
Dillsburg, PA 17019
Notice has now been given to all persons entitled thereto under Rule 5.6(a),
except: NONE
Dat e:-J-~!v 13~2004___~
Brian C. Linsen[~A~-'~~
Law Offices of Schrack & Linsenbach
124 West Harrisburg Street
P.O. Box 310
Dillsburg, PA 17019
(717) 432-9733
Counsel for Personal Representative
IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY
FROM THIS ESTATE OR OTHERWISE.
Whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA
In re: Estate of GENEVIEVE E. ELICKER
Estate No. 2004-00338
TO:
PHYLLIS ELAINE ELICKER
1055 YORK ROAD
DILLSBURG, PA 17019
Please take notice of the death of decedent and the grant of Letters of Administration to the
administrator of the estate named below.
The Decedent, GENEVIEVE E. ELICKEI~ died on the 13t~ day of March, 2004, at Cumberland
County, Pennsylvania.
The Decedent died intestate (without a Will).
The name, address and telephone number of the administrator of the estate follows:
Phyllis Elaine Elicker
1055 York Road
Dillsburg, PA 17019
A Petition for the Grant of Letters of Administration was filed with the Office of the Register of
Wills of Cumberland County whose address and telephone number follows:
Register of Wills of Cumberland County
Cumberland County Courthouse
3 South Hanover Street
Carlisle, Pennsylvania 17013
A copy of the Petition may be obtained by contacting either the undersigned or the Register of
Wills and paying the charges for duplication.
BRIAN C. LINSL~ACH, ESQUIRE
SCHRACK & LINSENBACH LAW OFFICES
124 West Harrisburg Street
P. O. Box 310
Dillsburg, PA 17019
717-432-9733
Counsel for Personal Representative
IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY
FROM THIS ESTATE OR OTHERWISE.
Whether you will receive any money or property will be determined by the intestacy laws of Pennsylvania.
BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA
In re: Estate of GENEVIEVE E. ELICKER
Estate No. 2004-00338
TO:
CRARLES IL ELICKER
1055 YORK ROAD
DILLSBURG, PA 17019
Please take notice of the death of decedent and the grant of Letters of Administration to the
administrator of the estate named below.
The Decedent, GENEVIEVE E. ELICKER, died on the 13m day of March, 2004, at Cumberland
County, Pennsylvania.
The Decedent died intestate (without a Will).
The name, address and telephone number of the administrator of the estate follows:
Phyllis Elaine Elicker
1055 York Road
Dillsburg, PA 17019
A Petition for the Grant of Letters of Administration was filed with the Office of the Register of
Wills of Cumberland County whose address and telephone number follows:
Register of Wills of Cumberland County
Cumberland County Courthouse
3 South Hanover Street
Carlisle, Pennsylvania 17013
A copy of the Petition may be obtained by contacting either the undersigned or the Register of
Wills and paying the charges for duplication.
BRIAN C. L1Nb~'YqBACIrI, ESQUIRE
SCHRACK & LINSENBACH LAW OFFICES
124 West Harrisburg Street
P. O. Box 310
Dillsburg, PA 17019
717-432-9733
Counsel for Personal Representative
U.S. POSTAL SERVICE CERTIFICATE OF MAILING
MAY BE USED FOR DOMESTIC AND INTERNATIONAL MAIL, DOES NOT
PROVIDE FOR INSURANCE -- POSTMASTER
Rece~vedFrom: BRT~'~ C. LTNSENBACH~ ESq.
SCHRACK & LINSENBACH Law Offices
............. b SL
P.O. Box 310
Dillsburg, PA 17019-0310
One plea of ordinary mail addressed to:
Charles R. Eltcker
1055 York Road
Di!!sburg, PA 17019
PS Form 3817, Mar. 1989
of
U.S. POSTAL SERVICE CERTIFICATE OF MAILING Afl' in § ,
MAY BE USED FOR DOMESTIC AND INTERNATIONAL MAIL, DOES NOT meter
PROVIDE FOR INSURANCE- POSTMASTER ~i~
~F~stma~gr fo~u[
Receiv~dFrom: BRIAN C. LINSENBACH, ESq.
SCHRACK_ _ . & LINSENBACH Law Offices
lzq West ~arrisburg Street
P.O. Box 310
Dillsburg, PA 17019-0310~
Phyllis Elaine E]~F
JUL 200
1055 York Road cz)
PS Form 3817, Mar. 1989
.
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
N f D d t GENEVIEVE E. ELICKER
ame 0 ece en :
Date of Death: March 13,2004
Estate No.: 2004-00338
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 0 No jgl
2. Ifthe answer is No, state when the personal representative reasonably believes that
the administration will be complete: June 1, 2005
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 0 No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
C. Did the personal representative state an account informally to the parties in
interest? Yes 0 No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk ofthe Orphans' Court and may be
attached to this report.
Date: April 6, 2005
~d! 4~M~~
SIgnature .
r".',,""
BRIAN C. L1NSENBACH, ESQUIRE
Name
124 West Harrisburg Street
Dillsburg, PA 17019
Address
(717) 432-9733
Telephone No.
Capacity: 0 Personal Representative
~ Counsel for personal representative
vA
OFFICIAL USE ONLY
REV-1500 EX + (6-00)
CAPB
HpRL
EplO
CRAC
KOTK
ES
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
o
E
C
E
o
E
N
T
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
ELICKER Genevieve E.
DATE OF DEATH (MM-DD-YEAR)
185-52-7369
THIS RETURN MUST BE FILED IN DUI'UCATEWlTH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
21-04-0338
COUNTY CODE
YEAR
NUMBER
SOCIAL SECURITY NUMBER
DATE OF BIRTH (MM-DD-YEAR)
1. Original Return
4. Limited Estate
6. Decedent Died Testate
o
3. date pf death
. Remainder Return prior 1012-13-82)
5. Federal Estate Tax Retur~ Required
8. Total N umber of Safe Deposit Boxes
Supplemental Return
Future Interest Compromise (date of death after 12-12-82)
Decedent Maintained a Living Trust
(Attach copy of Will) (Attach copy of Trust)
o 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit
o
11. Election to tax under secI9113(A)
(Attach Sch 0)
C P
o 0
R N
R 0
E E
S N
T
C
o
M
P
T U
A T
X A
T
I
o
N
Brian C. Linsenbach Es
FIRM NAME (If Applicable)
Schrack & Linsenbach
TELEPHONE NUMBER
124 W. Harrisburg Street
Post Office Box 310
Di11sburg, PA 17019-0310
R
E
C
A
P
I
T
U
L
A
T
I
o
N
432-9 33
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o 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)
13. Charitable and Governmental Bequests/See 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) 16,267.09
(11 ) 120.241. 31
(12) ,(3,974.22)
(13)
(14) 1(3,974.22)
(1)
(2)
(3)
None
None
None
(4)
(5)
None
16,267.09
--:1
~TJ
(--)
rTI
, i
(6)
None
None
10,214.97
10,026.34
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)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.
(15)
(16)
(17)
(18)
(19)
.0 0
.0 45
.12
.15
0.00
0.00
0.00
0.00
0.00
(3,974.22)
x
X
X
X
Copyright (c) 2000 form software only The Lackner Group, Inc.
Form REV-1S00 EX (Rev. 6-00)
, ..
Decedent's Complete Address:
STREET ADDRESS
1055 York Road
CITY I STATE I ZIP
Dillsburg PA 17019
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
Total Credits ( A + B + C) (2)
0.00
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. (SA)
B. Enter the total of Line S + SA. This is the BALANCE DUE. (5B)
Make Check Pa)'~b.leto: REGISTER. OF WILLS, AGENT . . . . . . .
"''''':':'~;~~:~~;!~~~:W~:~.!1~~~::~:~~~~~I;~~I;;~b;~~~~~:~~,;~~;;~~~g111~1~1!~~ '!l,!~!" !~~!!'~!~!!~~~I~I~~!~!I~~~!~~~~~~mmm!m
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; . . . . . . . . . . . . . ~ ~x~x
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his
or her death? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ...... D
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property
which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
0.00
0.00
0.00
0.00
0.00
[]]I
[]]I
[]]
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 bEllief, 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.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Phy 11 is Elaine ELICKER DAtE
p~ ~ ~~ ---~~I~\~~~-i~~~1~-li6i9-------------------------- ~ /g /60-
SIGNATUREOFPREPAREROTHERTHANREP ESENTATIVE Schrack & Linsenbach - (Jrr.:,.. (.. Ll"-s",,\'.~l,u,.DAt~
~~ <2- ~~~ -~1il;b~~C:~~ ~1~~i-~6r~-:6~i-6 - - - - - - - - - - - - - - - - - --
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
surviving spouse is 3% [72 P.S. 9116 (a) (1.1) (il].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to (
[72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, al
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'
parent, an adoptive parent, 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 benefic
[72 P.S. 9116(a)(1)].
b......>.e_
rpd
C: _
,~,.
._..:,,;~,.., <::nnt.jse is 0%
Ire of assets
<",)\0
'IS
c;;A (A:)
natural
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blooCl or ayVp.._...
~() d,s'-61'\)
---
-).~~
9116( 1.2)
ined, under
Copyright (c) 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
II
REV -1508 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Genevieve E. ELICKER
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
SS1ft 185-52-7369
03/13/2004
FILE N MBER
21-04-0338
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
NUMBER
1
DESCRIPTION
Proceeds from personal injury lawsuit filed to York County, PA
No. 2003-SU-4931-01
VAL E AT DATE
o DEATH
750.00
2
Proceeds from under insured motorist claim - Progressive Insurance
15,000.00
3
PNC checking account #5003906193
91.60
4
United States Treasury - 2003 tax refund
25.49
5
1983 Toyota Camry - proceeds of sale
400.00
TOTAL (Also enter on line 5, Recapitulation) $
16,267.09
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-15GB EX (Rev. 1-97)
II
~
Morgan & Wilken, P.c.
ATTORNEYS AT LAW
120 South Street
Harrisburg, Pennsylvania 17101
(717) 236-7959
Fax (717) 231-7436
www.morganwilken.com
Chambersburg Qffice
Suite 309
14 N. Main Street
Chambersburg, FA 17201
(717) 263-5607
" Scott W. Morgan*
Thomas A. Wilken
Gary Lysaght**
Melissa Merritts Rivera**
"BOARD CERTIFIED IN CIVIL TRIAL LAW
BY TIlE NATIONAL BOARD OF TRIAL ADVOCACY
"OF COUNSEL
April 6, 2005
Brian C. Linsenbach, Esquire
SCHRACK & LINSENBACH
124 W. Harrisburg Street
P. O. Box 310
Dillsburg, P A 17019-0310
Re: Elicker v. W.R. Ramsey Property and Rentals
York County, C.C.P., No. 2003-SU-4931-01
Dear Brian:
I apologize for the delay in sending you the Elicker settlement check. The depdsit
was made but it appears I just forgot to mail you the Estate's payment.
Enclosed is the Estate's settlement proceeds in the amount of$190.85. The tq~al
settlement was $750.00 less one third attorney's fee of$250.00 and reimbursement oflitigatiqn
expenses (attached) of $309.15. The balance available to the Estate is, therefore, $190.85. I
Again, my apologies for the delay. Should you have any questions concerning.the
case or its settlement, do not hesitate to call me. '
Very truly yours,
MORGAN & WILKEN, P.C.
SWM/men
II
PROGRE.f.fIVE ~
JUNE 1, 2004
4000 Crums Mill Road, Suite 201
Harrisburg, PA 17112
Telephone. 717540-2500
717540-2600
Facsimile: 71767t-6458
SCHRACK & L1NSENBACH
P.O. BOX 310
DILLSBURG, PA 17019-0310
progressive. com
Our Insured
Policy Number
Our Claim Number
Date of Loss
Your Client
: GENEVIEVE ELICKER
: 58052923-4
: 042517225
: 3/13/04
: ESTATE OF GENEVIEVE ELICKER
Dear Mr. Linsenbach:
Please find enclosed our draft and release in the amount of $15,000.00, for full and final settlement of
your client's Uninsured Motorist claim, against the above policy, against Progressive. As you ar~
aware we do have an additional Uninsured Motorist claim open for your client under policy numb~r,
55351389-5, policy issued to Charles Elicker.
Please be advised that a copy of this correspondence is being forwarded to Mrs. Phyllis Elicker. !
Please hold this draft in escrow until I have received the completed general release back in the rllail
after it has been properly executed.
Thank you for your cooperation throughout the handling of this file.
Sincerely,
p~ir~~~~IVE1N~:TH!\~ I,~SURANCE
J. \ ,iv vlJ)'\; l/~/HV f' ) {"V ~ Il-/
VERO'NICA SHIRK j ~
Casualty Representative
Enclosures: DRAFT & RELEASE
Cc: MRS. PHYLLIS ELICKER
, 1
, .
r BELCO COMMUNITY CREDIT UNION
BELeo MAIN OFFICE
C.mm""'f~ Credit Union 403 N. 2nd Street. P.O. Box 82 . Harrisburg, PA 17108
Lr- BRANCH OFFICES
354 N. Prince Street. Suite 120 . P.O. Box 1026 . Lancaster, PA 17606
3500 Trindle Road . Camp Hill, PA 17011
205 S. Front Street. P.O. Box 8700 . Harrisburg, PA 17105
"Getting You There" 5785 Allentown Boulevard. Harrisburg, PA 17112
39 North Washington Street . Gettysburg, PA 17325
201 Good Drive. Lancaster, PA 17603
HARRISBURG SERVICE TELEPHONE NO:... . .. '-717-23-BELCO
LANCASTER SERVICE TELEPHONE NO:.... .. .1-717-393-1116
CAMP HILL SERVICE TELEPHONE NO: . . . . . . . . 1-717-720-6290
PINNACLE HEALTH SERVICE TELEPHONE NO:. '-717-231-8301
GETTYSBURG SERVICE TELEPHONE NO:. . ... 1-717-337-3474
TOLL FREE TELEPHONE NUMBERS: I
Toll Free. . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . .~-8oo-642-4482
Belle Automated Services. . . . . . . . . . . . . . . . . . . . . ~ -8oo-75-BELLE
Web Site. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 www.belco.org
x
THE ESTATE OF G E ELICKER
PHYLLIS E ELICKER
1055 YORK RD
DILLSBURG PA 17019
I
DEPOSIT/PAYMENT I
FOR ,o.MOUNT OF $***"""'''''191.60
ON 041604 EFFECTIVE 041/604
TLR:3~41 REBEKAH- 12:33:12
llCCOlJNT NUt~BER 844395 i
CHECKS RECEIVED:$
91. 60
CfiSH: $
0,00
ACCT
S 4
DEscrnPTION
S4--CHECKING
TRAN-AMOUNT
91.60
NE~I--BALANCE
91.60
FEE
0.00
INT-PA D NXT DUE
./
SHARE ID LEGEND
S1 - SAVINGS
54 - CHECKING
S2 - CHRISTMAS CLUB
S5-IRA
S3 - WHATEVER CLUB, SAFARI CLUB, TEEN CLUB
86 - MONEY MARKET GROWTH FUND
I'NaiAI
_c.........__.
'11'_-"
- - -~ --~----- - -- -~----- - -"----- - - - ---- ~---- - --- ---~ - --- -- ---
MV-3 (07-03)
MOTOR VEHICLE VERIFICATION
OF FAIR MARKET VALUE BY
THE ISSUING AGENT
Commonwealth of Pennsylvania
Department of Transportation
Bureau of Motor Vehicles
Harrisburg, PA 17104-2516
This form is used in conjunction with Forms MV-1, MV-4ST,
MV-217A and an on-line rocessing A plicant Summa Statement.
TYPE OR PRINT ALL INFORMATION AS REQUESTED
FOR DEPARTMENT USE ONLY
PURCHASE -
PRICE
s~~at,ure of Authorized Agent - "/f , "Lj
LiV0LJLL-l 0(r; C~1 r
C PURCHASER INFORMATION
Last Namn'~71s ~ame~
Co-Purchaser
D PURCHASER/SELLER EXPLANATION
Explain in detail why the purchase price listed on Form MV-1, MV-4ST or MV-217 is less than 80% of the average Fair Market Value, or ifthe vehicle i over 15 years old and
the purchase price is less than $500, explain how the purchase price was determined, or if the vehicle is not listed in a PENN DOT approved publi ation, explain how the
purchase price as listed in Section A was determined. Please use additional paper if more space is required_ NOTE TO PURCHASER: h' e
sale bv the DeDartment of Revenue mav occur, Please retain copies of this form, your cancelled check or original cash receipt, and your rEI Ipt from the seller of
this vehicle, along with either your copy of the Application for Certificate of Title (MV-1), the Vehicle Sales and Use Tax ReturnlApplication for eglstration (MV-4ST)
or the Application by Financial Institutions for Certificate of Title After Default by Owner (MV-217 A).
6/14 V~H:fepf!Jr
l)~~~,
E SEAL AND SIGNATURE OF SELLER - NOT REQUIRED FOR VEHICLES PURCHASED OUT.OF.STATE
I/We state that I/we have read and signed this form after its completion, and I/we
swear or affirm that the statements made herein are true an~ correct, and that any
statement made on or pursuant to this form is subject to the enalties of 18 PA C.S.
Section 4903(a)(2)(relating to false swearing), which shall in lude punishment of a
frne not exceeding $5,000, or to a term or imprisonment of no. more than two years,
iJr-both. I
; . na ure of Seller
i.~R~
Signature of Co-Seller
E
A
L
F SEAL AND SIGNATURE OF PURCHASER
SUBSCRIBED AND SWOR
TO BEFORE ME:
Telephone Number (
E
A
L
1-
'OJ. ,~.~ .."
i Chris~~~~~tft~W~~~::YI,~~ESS
I, ~8:~"l"~~~'%l.!,~~;,:jlJ.;6~;t"iASER IN
I ~I!Y ;/o,;.rr.lsf,lB~~NCE;Q~~_~~~,RY
I/We state that I/we have read and signed this arm after it completion, and IIwe
swear or affirm that the statements made herein are true an~ correct, and that any
statement made on or pursuant to this form is subject to the enalties of 18 PA C.S_
Section 4903(a)(2)(relating to false swearing), which shall in lude punishment of a
,ne not exceeding $5,000, or to a term or imprisonment of no more than two years,
or b tho
5i ature of Purchaser I
,U I
Telephone Number (
I
THIS FORM MAY BE PHOTOCOPIED
Messenger No.
REV-1511 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Genevieve E. ELICKER
SSiI 185-52-7369
03/13/2004
FILE NUMBER
21-04-0338
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
A~OUNT
i
1
FUNERAL EXPENSES:
Malpezzi Funeral Home
3,592.98
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
B.
State
Zip
City
Year(s) Commission Paid:
2.
3.
Attorney's Fees Schrack & Linsenbach
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Phyllis E. Elicker
Street Address 1055 York Road
City Dillsburg State PA Zip 17019
Relationship of Claimant to Decedent mother
1,850.00
3,500.00
4.
Probate Fees
Register of Wills
55.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
1 BELCO - fee to transfer checking account
Total of Continuation Schedule(s)
5.00
25.00
75.00
83.34
50.00
25.00
i 953.65
10,214.97
2 Clerk of Orphans' Court - filing fee/Family Settlement Agreement
3 Cumberland Law Journal - estate advertisement
4 Dillsburg Banner - estate advertisement
5 Jones Accounting - 2003 tax return preparation
6 Miscellaneous expenses (postage, photocopying, etc.)
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-t511 EX (Rev. 1-97)
Estate of: Genevieve E. ELICKER
Sac Sec #: 185-52-7369
Date of Death: 03/13/2004
Continuation of Schedule H-B7
(Other Administrative Costs)
Item
#
Description
Amount
7
Morgan & Wilkins, P.C. - expense of personal lnJury lawsuit filed
to York County, PA Court of Common Pleas No. 2003-SU-4931-01
559.15
8
PennDOT - title transfer
29.50
9
Register of Wills - filing fee
15.00
10
Reserve for future administrative expense
350.00
953.65
"
II
--------=
Morgan & Wilken, P.c.
ATTORNEYS AT LAW
. Scott W. Morgan*
Thomas A. Wilken
Gary Lysaght**
Melissa Merritts Rivera**
120 South Street
Harrisburg, Pennsylvania 17101
(717) 236-7959
Fax (717) 231-7436
www.morganwilken.com
Chambersburg Office
Suite 309
14 N. Main Street
Chambersburg, FA 17201
(717) 263-5607
'BOARD CERTIFIED IN CIVIL TRIAL LAW
BY THE NATIONAL BOARD OF TRIAL ADVOCACY
"OF COUNSEL
April 6, 2005
Brian C. Linsenbach, Esquire
SCHRACK & LINSENBACH
124 W. Harrisburg Street
P.O. Box 310
Dillsburg, P A 17019-0310
Re: Elicker v. W.R. Ramsey Property and Rentals
York County, c.c.P., No. 2003-SU-4931-01
Dear Brian:
I apologize for the delay in sending you the Elicker settlement check. The depqsit
was made but it appears I just forgot to mail you the Estate's payment.
Enclosed is the Estate's settlement proceeds in the amount of$190.85. The to~al
settlement was $750.00 less one third attorney's fee of$250.00 and reimbursement oflitigati9n
expenses (attached) of $309.15. The balance available to the Estate is, therefore, $190.85. '
Again, my apologies for the delay. Should you have any questions concerning the
case or its settlement, do not hesitate to call me. :
Very truly yours,
MORGAN & WILKEN, P.C.
SWMlmen
REV -1512 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Genevieve E. ELICKER
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
SSfI 185-52-7369
03/13/2004
Include unreimbursed medical expenses.
ITEM
NUMBER
1
10
DESCRIPTION
American Education Services - account fl185-52-7369 - student loan
balances
2
AT&T - account flA0703089576701
3
BankOne - account fl626202 - balance due
4
Citibank - account fl4128003579362537 - balance due
5
MCI - account fl2FK91741 - balance due
6
Pennsylvania Department of Revenue - amount due 2003 taxes
7
Progressive Insurance - premium due
8
Sherman Financial Services - account fl4417129274105572 - balance
due
9
Shumaker Garage - balance due on car repairs
West Shore Tax Bureau - amount due 2003 taxes
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
TOTAL (Also enter on line 10, Recapitulation) $
II
FILE NlIMBER
2l-0~-0338
AMOUNT
4,412.96
70.85
2,081. 82
895.20
46.06
9.00
49.00
I 2,135.37
321.99
4.09
!
10,026.34
Form REV...1512 EX (Rev. 1-97)
II
REV -1513 EX + (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Genevieve E. ELICKER
SCHEDULE J
BENEFICIAR IES
55f! 185-52-7369
03/13/2004
FILE N MBER
21-04-0338
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116(a)(1.2)]
1 Charles Robert Elicker
1055 York Road
Dil1sburg, PA 17019
Father resid~ary
estatb
i
I
2
Phyllis Elaine Elicker
1055 York Road
Di11sburg, PA 17019
Mother
I
resi~ary
estatJe
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON- TAXABLE DISTRIBUTIONS,
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
0.00
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 2000 form software only The Lackner Group, Inc.
Form REV-1513 EX (Rev. 9-00)
11-21-2005
ELlCHER
03-13-2004
21 04-0338
CUMBERLAND
101
APPEAL DATE: 01-20-2006
( See reverse side under Objections)
A.ount Remittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
;"'~(v"'.n;"c,",. ,"CC','"'[ ~ICE OF INHERITANCE TAX
ri::"t..Al["'.<U APPRMSEf;jENT, ALLOWANCE OR DISALLOWANCE
- -Ol=":tlED:,JCTIONS AND ASSESSMENT OF TAX
.- ')
{~ C
Pl1 3: 04
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
c:
BRIAN C LlNSENBAIOt ESQ
SCHRACK & LINSENBACH
PO BOX 310
DILLSBURG PA 17019
REV-1547 EX AFP (06-05J
GENEVIEVE E
TO:
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
-------------------------------------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ELlCHER GENEVIEVE E FILE NO. 21 04-0338 ACN 101 DATE 11-21-2005
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) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership Interest (Schedule C) (3)
4. Mortgages/Notes Receivable (Schedule DJ (4)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
.00
.00
.00
.00
16.267.09
.00
.00
(8)
8.
Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
10,214.97
10,026.34
NOTE: To insure proper
credit to your account.
submit the upper portion
of this form with your
tax payment.
16,267.09
(11)
(12)
(13)
(14)
?D . ?41 .31
3,974.22-
.00
3,974.22-
NOTE: If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of !ll. returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) .00 X 00 .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 X 045 = .00
17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ~t
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
SCHRACK & LINSENBACH
LA W OFFICES
124 W. HARRISBURG ST.
P.O. BOX 310
DILLSBURG, PA 17019-0310
PHONE (717) 432-9733
FAX (717) 432-1053
Attorneys
WM. D. SCHRACK III
BRIAN C. LINSENBACH
December 22, 2005
Register of Wills
Cumberland County Court House
1 Court House Square
Carlisle, Pennsylvania, 17013
Re: Genevieve E. Elicker
Estate No. 2004-00338
Dear Prothonotary:
Please accept the enclosed document for recording and return the time stamped copy to me
in the envelope enclosed.
Thank you.
Very truly yours,
~~~
Brian C. Linsenbach, Esq.
SCHRACK & LINSENBACH
BCL/jct
Enclosures
"," )
- -J
c'
.
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
GENEVIEVE E. ELICKER
Date of Death: MARCH 13, 2004
Estate No.:
2004-00338
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 0 No I8l
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 0 No.l8l
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 J8l No D
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: 12/22/2005
~
Signature
-
('-)
BRIAN C. L1NSENBACH, ESQUIRE
Name
124 West Harrisburg Street
Dillsburg, PA 17019-0310
'" r
Address
(717) 432-9733
,- - Telephone No.
Capacity: 0 Personal Representative
~ Counsel for personal representative
\f1r
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 2/20/2007
LINSENBACH BRIAN C
124 W HARRISBURG STREET
PO BOX 310
DILLSBURG, PA 17019-0310
RE: Estate of ELICKER GENEVIEVE E
File Number: 2004-00338
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after
July I, 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:
3/13/2007
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
eN
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 2/20/2007
ELICKER PHYLLIS ELAINE
1055 YORK RD
DILLSBURG, PA 17019
RE: Estate of ELICKER GENEVIEVE E
File Number: 2004-00338
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
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:
3/13/2007
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
~
Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF Cumberland
COUNTY, PENNSYLVANIA
Name of Decedent:
Genevieve E. Elicker
Date of Death:
March 13, 2004
File Number:
2004~00338
Pursuant to Pa.O.c. Rule 6.12, 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: . . . . . . . . . . . . . . . . . . . . ~ Ves 0 No
2. Ifthe 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? . . . . . .. Dv es ~No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
informally to the parties in interest? . . . . . .. .. . . . . .. . . . . . . . . . . . . .. . -pres DNa
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Clerk of the Orphans' Court and may be attached to this report.
~
Date
March 5, 2007
""-,,
Signature of Person Filing this 0
Capacity: DPersonal Representative ;rJ Counsel
Brian C. Linsenbach. ERql1ire
Name of ferson Filing this Form
124 't1fest Harrisburg St., P. O. Box 3~0
Add,.;ss ' .~
Dillsburg, PA 17019
l"" 7 "I ! (~:I
(, (.",. ,(.1
717-432-9733
,; I.
Telephone
Form RW-IO rev. 10.13.06