HomeMy WebLinkAbout02-0404
Estate of' G-eOI,:?(7
also known as I
PETITION FOR PROBATE and GRANT OF LETTERS
, ,
EIIL/h/)J )lJtlkr No, 21 -02 - ~
To:
Register of lills tr,.;- tllS' ,/
. Deceased, County of iI/J1. 'r'/I1n'tI' in the
Social Security No, /,5/3 . /2 -j /;31 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of ag~older an the execut
in the last will of the above decedent, dated .",1. t ,~.x0
and codicil(s) dated
xIX
named
, 19_
(state relevant circumstances. e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in (/
h ;S last. family or principal residence at t ~,
~Il
un tPennsylvania, with
(list street, number and m~ncipalitY)7L. s-
years of age, died ~ J , ",7 ,--AS.d }
at /"t- ~ dll /..-,
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of h will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
-,,2 -
~ I~-,"zal..; 19 ~&;.S
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in P~Ylvania
situated as follows:
$ ,~.),'j~'.7//YI.!)CO.0C) -,t'U.S
,
$
$
$
WHEREFORE, petitioner(s) respectfully
presented herewith and the grant of letters
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF P,,"NSYLVANIA } S8
COUNTY OF C(//~J/;C'/'19
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly a~ster tpe estate according to law.
sworn. to or affirmed and subscribed { -;&J!')/451/ L~' ~d-L ~
before me this 22nd day of ~
AP~ 2~~ ~ /f/I'}JI.;;;'" /..<'1" ,5/J),fl; ~
~GJ ~.~. 2C~ Ll~'~:r ~
r 1 Regler ~
I, - 58-12.
No. 2/-DQl- "'D~
Estate of
GEORGE EDWARD MILLER
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW APRIL 23, 2002 I:!IX_, 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 =td~ .;L'f ;;iC)<XJ
des,cribed therein admit ed to probate and filed of record as the last will of
)/"," I
and Lett rs 7::,-;; /J1c,t!17'rV
are hereby granted to &e,J//f J...--c 5/11/ if
m/l",Vc(' ~hJr^' A2.h /!L/ 1L'j;4LJ})~;'4
MAR LEWl~egi;;er of Wills
FEES
Probate, Letters, Etc. ......... $ 40.00
12.00
Short Certificates( ).......... $
~ el<t.r:B,.pa\1'1'~E;... $ 21.00
jcp $ 5.00-
TOTAL _ $ 78.00
Filed ..... .4.,.23.-:2002. . .. . . . . .. . . . . . . . . .
mailed to eXec on 4-23-02
AITORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
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LAST WILL AND TESTAMENT
OF
GEORGE EDWARD MILLER
.:2 ,- 0:2. - J../O~
I, GEORGE EDWARD MILLER, now of 1014 Sherman Street, Harrisburg, Dauphin County,
Pennsylvania, do publish and declare this to be my Last Will and Testament, hereby revoking all other prior
wills and codicils made by me.
FIRST: Familv Background and Appointment of Execntor.
(A) Family and Background Information. I am married to Frances Fanny Miller. The children
of our marriage are Brenda Lee Smith. Throughout this Will, Frances Fanny Miller will be referred to as
"my wife" or "my spouse" and Brenda Lee Smith (and any children born to or legally adopted by me
hereafter) as "my children ". The word "issue" will include my children as well as my other descendants.
(B) Appointment of Executor. I appoint as my Executor and successor Executor (all hereinafter
referred to as Executor or Executors) under this Will, the following named persons or corporations to serve
without bond and without being required to account to any Court:
Executor: My daughter, Brenda Lee Smith.
Successor Executor: My son-in-law, Thomas Walton Smith, Jr.
Second Successor Executor: My grandson, Thomas George Smith.
Third Successor Executor: My granddaughter, Kris Anne Barge.
SECOND: Funeral and Last Illness Expenses; Taxes
(A) Expenses of Funeral and Last Illness. Notwithstanding that my spouse survives me, I direct
my Executor to pay my funeral expenses and the expenses of my last illness from my estate.
(B) Taxes. I direct my Executor to pay any and all estate, inheritance, succession, legacy, transfer
and other death taxes or duties, by whatever name called, including any and all interest and penalties
thereon, imposed under the laws of any jurisdiction by reason of my death, upon or with respect to any and
all property included in my gross estate for the purpose of such taxes, whether such property passes under
or outside of this Will, out of my residuary estate, without being prorated to apportioned among or charged
against the respective devises, legatees, beneficiaries, transferees, or other recipients of any such property
or charged against any property passing or which may have passed to any of them. The Executor shall not
be entitled to reimbursement for any portion of any such taxes from any such person.
THIRD: Tangible Personal Property. Except for those items excluded below and those items
enumerated in the Letter of Instruction, I bequeath to my spouse, Frances Fanny Miller, all tangible
personal property, including but not limited to clothing, jewelry, heirlooms, furniture, personal effects,
motor vehicles, and all other similar articles, which I own, and the insurance thereon, if my spouse survives
me by sixty (60) days. Tangible personal property shall not include: (I) any and all property used by me in
any business, (2) cash on hand or on deposit in banks, (3) stock or securities, (4) any type of evidence of
indebtedness, and (5) any life, health or accident insurance policies.
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LAST WILL AND TESTAMENT
OF
GEORGE EDWARD MILLER
PAGE 2
If my spouse is not living on the sixty-first(6IU) day after my death, I bequeath such tangible personal
property to my children, BRENDA LEE SMITH, living at the time of my death, to be divided among
them as they may select in as nearly equal shares as is practical. If
my spouse and my children do not survive me, I leave such tangible personal property to the issue of my
children, per stirpes. If there is any disagreement as to distribution, I direct my Executor to make such
distribution. The decision of my Executor shall be final and binding. Any items not selected or any items
which my Executor considers unsuitable for my children may be distributed or sold in the sole discretion of
my Executor and, if sold, the net proceeds therefrom shall be added to the residue of my estate. Any such
article allocated to a minor may, as my Executor deems advisable, either be delivered to the minor or to any
person to safeguard on behalf of the minor.
Notwithstanding any other provisions in this Article THIRD, I may leave a separate, dated and
unsigned Letter of Instruction, which I shall place with my Will, containing directions as to the ultimate
disposition of certain of the property bequeathed under this Article THIRD, AND SUCH Letter of
Instruction shall determine the distribution of such items.
FOURTH: Family Home.
If my spouse, FRANCES FANNY MILLER, does not survive me, I direct that any family home
I may possess and own be offered for sale at its appraised value to my children, BRENDA LEE SMITH,
jointly or individually. If and in the event that my children do not opt to purchase my family home, I direct
that my family home be sold in the sole discretion of my Executor. Whether my family home is sold to my
children or to a third party, the net proceeds therefrom shall be added to the residue of my estate.
FIFTH: Residuary Gifts.
(A) Ifmy spouse, FRANCES FANNY MILLER, survives me, I give, devise and bequeath
all the rest, residue and remainder of my estate, of every kind and character, real, personal and
mixed, tangible and intangible, and wherever situated, including any lapsed or renounced
legacies, devises or residuary bequests (and including any property over which I may have a
Power of Appointment), to my spouse, FRANCES FANNY MILLER.
(B) If my spouse, FRANCES FANNY MILLER, does not survive me, I give, devise and
bequeath all the rest, residue and remainder of my estate, of every kind and character, real, personal and mixed,
tangible and intangible, and wherever situated, including any lapsed or renounced legacies or devises (and
including any property over which I may have Power of Appointment), as follows:
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LAST WILL AND TESTAMENT
OF
GEORGE EDWARD MILLER
PAGE 3
(I) I give all the rest, residue and remainder of my estate in equal share to my children,
BRENDA LEE SMITH, per stirpes. If any of my children predecease me, then the predeceased
child's share of the residue of my estate shall be distributed to the predeceased child's issue, per
stirpes.
(C) Distributions Durine Administration. Prior to final distribution of my estate, the
Executor, in his discretion, may make partial distributions to one or more beneficiaries or Trusts. As a
consequence, the Executorship and any Trusts created under this Will may exist contemporaneously. A
distribution may be made subject to any indebtedness or liability of my estate.
SIXTH: Spendthrift Provision. No beneficiary shall have the power to anticipate, encumber or
transfer his or her interest in the estate in any manner other than by the valid exercise of a power of
appointment. No part of the estate shall be liable for or charged with any debts, contracts, liabilities or torts
of a beneficiary or subject to seizure or other process by any creditor of a beneficiary.
SEVENTH: Powers of Executor. In addition to the powers and duties as may have been
granted elsewhere in this Will, but subject to any limitations stated elsewhere in this Will, the Executor
shall have and exercise exclusive management and control of the Estate and shall be vested with the
following specific powers and discretion, in addition to the powers as may be generally conferred from
time to time upon him by law:
(A) In the management, care and disposition of the Estate, the Executor shall have the power to
do all things and to execute such deeds and instruments as may be deemed necessary or
proper, including the following powers, all of which may be exercised without order of or
report to any Court:
(1) To sell, exchange or otherwise dispose of any property, real, personal or mixed, at any
time held or acquired hereunder, at public or private sale, for cash or on terms, without
advertisement, including the right to lease for any term notwithstanding the period of the
Estate, and to grant options, including any option for a period beyond the duration of the
Estate.
(2) To invest all monies in such stocks, bonds, securities, mortgages, notes, chases in action,
real estate or improvements thereon, and any other property as the Executor may deem
best, without regard to any law now or hereafter enforced limiting investments of
fiduciaries.
(3) To retain for investment any property depositing with the Executor hereunder.
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LAST WILL AND TESTAMENT
OF
GEORGE EDWARD MILLER
PAGE 4
(4) To vote in person or by proxy any corporate stock or other security and to agree to or
take any other action in regard to any reorganization, merger, consolidation, liquidation,
bankruptcy or other procedure or proceedings affecting any stock, bond, note or other
security .
(5) To use attorneys, real estate brokers, accountants and other agents, if such employment is
deemed necessary or desirable, and to pay reasonable compensation for their services.
(6) To compromise, settle or adjust any claim or demand by or against the Estate and to
agree to any rescission or modification of any contract or agreement affecting the Estate.
(7) To renew any indebtedness, as well as to borrow money, and to secure the same by
mortgaging, pledging or conveying any property of the Estate, including the power to
borrow at a reasonable rate of interest.
(8) To retain and carry on any business in which the Estate may acquire an interest, to
acquire additional interest in any such business, to agree to the liquidation in kind of any
corporation in which the Estate may have an interest and to carry on the business thereof,
to join with other owners in adopting any form of management for any business or
property in which the Estate may have an interest, to become or remain a partner, general
or limited, in regard to any such business or property and to hold the stock or other
securities as an investment, and to employ agents and confer on them authority_ to
manage and operate the business, property or corporation, without liability for the acts of
such agent or for any loss, liability or indebtedness of such business if the management is
selected or retained with reasonable care.
(9) To register any stock, bond or other security in the name of a nominee, without the
addition of words indicating that such security is held in a fiduciary capacity, but
accurate records shall be maintained showing that such security is a Estate asset and the
Executor shall be responsible for the acts of such nominee.
(B)
Whenever the Executor is directed to distribute any Estate assets in fee simple to a person
who is then under twenty-one(2I) years of age, the Executor shall be authorized to hold such
property in Trust for such person until he/she becomes twenty-one(2l years of age, and in the
meantime shall use such part of the income and the principal of the Estate as the Executor
may deem necessary to provide for the proper support and education of such person. If such
person should die before becoming twenty-one(21) years of age, the property then remaining
in trust shall be distributed to the personal representative of such person's estate.
(C)
In making distributions from the Estate to or for the benefit of any minor or other person
under a legal disability, the Executor need not require the appointment of a guardian, but shall
be authorized to payor deliver the same to the custodian of such person, to payor deliver the
same to such person without the intervention of a guardian. to payor deliver the same to a
legal guardian of such person if one has already been appointed, or to use the same for the
benefit of such person.
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LAST WILL AND TESTAMENT
OF
GEORGE EDWARD MILLER
PAGE 5
(0) In the disbursement of the Estate and any division into separate trusts or shares, the Executor
shall be authorized to make the distribution and division in money or in kind, or both,
regardless of the basis for income tax purposes of any property distributed or divided in kind,
and the distribution and division made and the values established by the Executor shall be
binding and conclusive on all persons taking hereunder. The Executor may in making such
distribution or division allot undivided interests in the same property to several trusts or
shares.
(E) The Executor shall have discretion to determine whether items should be charged or credited
to income or principal or allocated between income and principal as the Executor may deem
equitable and fair under all circumstances, including the power to amortize or fail to amortize
any part or all of any premium or discount, to treat any part or all of the profit resulting from
the maturity or sale of any asset, whether purchased at a premium or at a discount, as income
or principal or apportion the same between income and principal, to apportion the sales price
of any asset between income and principal, to treat any dividend or other distribution of any
investment as income or principal, or apportion the same between income and principal, to
charge any expense against income or principal or apportion the same, and to provide or fail
to provide a reasonable reserve against depreciation or obsolescence on any assets subject to
depreciation or reasonable obsolescence, all as the Executor may reasonably deem equitable
and just under all the circumstances.
(F) If at any time the total fair market value of the assets of any trust established or to be
established hereunder is so small that the corporate Trustee's annual fee for administering the
trust would be equal to or less than the minimum annual fee set forth in the Trustee's
regularly published fee schedule then, in effect, the Trustee in its discretion shall be
authorized to terminate such trust or to decide not to establish such trust, and in such event
the property then held in or to be distributed to such trust shall be distributed to the persons
who are then or would be entitled to the income of such trust. If the amount of income to be
received by such persons is to be determined in the discretion of the Trustee, then the Trustee
shall distribute the property among such of the persons to whom the Trustee is authorized to
distribute income, and in such proportions, as the Trustee in its discretion shall determine.
(G) Unless the context clearly states otherwise, when the authority and power under this Will is
vested in two(2) or more Executors, the authority and powers are to be held jointly by the
Executors. A majority of the Executors may exercise any authority or power granted under
this Will or granted by law, and may act under this Will. Any attempt by one such Executor
to act under this Will on other than ministerial acts shall be void. The action of one such
Executor under this Will may be validated by a subsequent ratification of the act by a
majority of the Executors.
EIGHTH: R1ehts and Liabilities of Executor. No bond or other security shall be required of
any Executor. This instrument always shall be construed in favor of the validity of any act or omission by
any Executor, and any Executor shall not be liable for any act or omission except in the case of gross
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LAST WILL AND TESTAMENT
OF
GEORGE EDWARD MILLER
PAGE 6
negligence, bad faith or fraud. Specifically, in assessing the propriety of any investment of the estate, the
overall performance of the entire estate shall be taken into account. Each Executor shall be entitled to
receive reasonable compensation for services actually rendered to my estate, in an amount the Executor
normally and customarily charges for performing similar services during the time which he/she performs
the services.
NINTH: Tax Elections. In determining the estate, inheritance and income tax liability relating
to my Estate, the Executor's decision as to all available tax elections shall be conclusive on all concerned.
If the Executor joins with my spouse in filing income tax returns, or consenting for gift tax purposes to
having gifts made by either of us during my life considered as having been made one-half by each of us,
any resulting liability shall be borne by my Estate and my spouse in such proportions as they may agree. In
accordance with IRC Section 2632(a) and without regard to whether a Federal estate tax return is actually
filed, my Executor shall allocate so much of the Federal Generation Skipping Transfer (GST) exemption
amount as will fully exempt any generation skipping transfer which may occur under this Will.
TENTH: Definitions and General Provisions.
(A) Survival. Any beneficiary, including my spouse, who dies within sixty(60) days after my
death shall be considered not to have survived me.
(B) Trust Estate. "Trust Estate" means all assets, however and wherever acquired, including
income, which may belong to a Trust at any given time.
(C) Children. Except for discretionary distributions which may be made unequally among a
group of persons and distributions pursuant to a valid exercise of a Power of Appointment, in
making a distribution to the children of any person, the property to be distributed shall be
divided into as many shares as there are living children of the person and deceased children
of the person who left children who are then-living. Each living child shall take one share
and the share of each deceased child shall be divided among his then-living descendants in
the same manner. A posthumous child shall be considered as living at the death of his parent.
(D) Code. Unless otherwise stated, all references in my Will to section and chapter numbers are
to those of the Internal Revenue Code of 1986, as amended, or the corresponding provisions of
any subsequent federal tax laws applicable to my estate.
(E) Other terms. The use of any gender includes the other genders, and the use of either the
singular or the plural includes the other.
(F) Captious. The captions set forth in this Will at the beginning of the various divisions hereof
are for convenience of reference only and shall not be deemed to define or limit the provisions
hereof or to affect in any way their construction and application.
(G) Powers of Appointment are Exercised. By this Will I exercise any Power of Appointment
which I may possess at my death.
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LAST WILL AND TESTAMENT
OF
GEORGE EDWARD MILLER
PAGE 7
IN WITNESS WHEREOF, I, GEORGE EDWARD MILLER, the TESTATOR, have to this
my Last Will and Testament, ~written on ei ht 8) pages, including the Acknowledgment and Affidavit,
set my hand and seal this ";.-l/ day of , 2000.
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GEORGE ED 1<\.RD MILLER, TESTATOR
Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and
Testament, in the presence of us, who have hereunto subscribed our names at his request, as witnesses
hereto, in the presence of the said Testator, and in the presence of each other. Each of us further declares
that he or she believes the Testator to be of sound mind and memory. The preceding instrument consists of
this and seven (7) other consecutively numbered typewritten pages including the Acknowledgment and
Affidavit.
V.lith {. 1J1v lit-:
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(prin name) WItness
residing at '19'7 /d.M.;fr:r c Lb /2.L,eccI
('<z~ Ih/( t (JA /7011
t:vtNCE S. t?;fl!iJ ~
(print name) Witness
fJ2 ~C'1t' residing at
)OJc,L :511€~4/l1 Y
/~~,e:e:L5. gc_;,X,r.;j rf:1 /'1'// z-
R/J/'J.e//f> R.. ;S,J.Ar,,;b..u---
(print name) Witness
residing at 1tD'I Px~vf'flr lJjJIJ('(J/?/JtYl, PA'/7D;;O
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ACKNOWLEDGMENT AND AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF U0-<jJJvYl
SS:
The Testator and the witnesses whose names are signed and subscribed to the attached or
foregoing instrument, being fIrst duly sworn and qualifIed according to law, do hereby acknowledge,
depose and say to the undersigned authority, that the Testator signed and executed the instrument as his
Last Will in the presence of the witnesses; that he signed it willingly or willingly directed another to sign it
for him; that he executed it as his free and voluntary act for the purposes therein expressed; that each of the
witnesses were present and saw the Testator sign and execute the instrument as his Last Will; that each
subscribing witness in the hearing and sight of the Testator signed the will as witnesses; and that to the best
of their knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
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Sworn to or affirmed, subscribed to, and acknowledged, before me by the above-named Testator
and witnesses, this .:2 $'TfI day of ~adl:r ,2000.
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Notary Public
My Commission Expires:
Notari81 Seal
RacheU. R. Sch18lbor, Notary Public
Susquehanna Twp.. Dauphin County
My Commission Expires Mar. 5. 2001
Member, Pennsylvania ASSOCiation of Notaries
IllllS,IlOS REV'J/H(,
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records OHi.cc fol' permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
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fee for this certificate, $2.00
P 8205751
Date
~,143A"v, 2187
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT Of HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
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AGE (last Bjrtt><l8y) VNOE!R 1 YEAA
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LICENSE NUMBER OATi:5IGNED
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Il'llbeIloI",yknowledge,llealhocc''''~'I'I>.ltma,<I''ll.n<lpllo.sr.,1td
(SignallJ'l and Tille)
PA 17109
171 09
,...
TIME DE:TOO OATE7-lWfr(M1I11F8Y,'maI
24, P. M U, <..0 0
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LltIonlyoneOllUtllln.ac:/lij"..
3b, 230.
Wl\S CASE REFERREO fO MEDICAL EXAMINERlCOR()t{ER?
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OIJEfO(C)flASACQNSEQUENCE OF)'
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,
i
PARTJI:
OIII..sigtlil\canlCOfl<lilionaconlfibul,""lOdII'lh,bUl
not..ltIl11nglf1lhellRdll~_Q......inPAATI
L
.Que fO (OIl AS A CONSEOUENCE QFl:
f;.lID ~ L Oqt^H
CUETO(OOASACQNSEOUENCE OF)'
WERE AUlQPSY FINOINGS MANNeR OF OEATH
~\UaLE P-RIORTO ~
COMPlETION OF CAUSE 0
"'OEMH' N.turlll Hcmlcidll
Ac~iMnI 0 P&n<linglnVlllligaliotl 0
...I!I ... 0 ... Li s..icidol 0 CouldnolW<I.l.rm,ne<l 0
OATEOFIKJI.lf\'t
(Mon-m,DaY,'ltoa,J
lIME OF INJURY
INJURY J{f WORK? OESCRlse HOW INJURY OCCURRED.
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ATION(SJ'....,CllylTo""',SWeJ
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Cl:RTIFtEAIC/lackoniY""al
'CERTIFYIHQ PMYSICIAH ~PhysIC_ car~ly"'g (:;Iv'" of deai/l ",hen ar>olh... p.wS/C.an has P'onounc..o <le.ln ano complelooClltem 231
To Ihe ~ DIm, kPowledg., dUll! DC,,,....ed d~.", 11>11 ~'''.a{'land m.nnar u 'Ialed. .
...
PLACE Of' IN.JUFlY-AI hom., l.,m, ""'.1. laClory. Dllil:1
bu-ildlnQ.t1C,ISpsr;.lvl
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'PAONOUHCIHG ANO CERTlfYINQ P1tYSICIAN {PhVSIC"'-" l><M .,,,",,'..nc.ng dealh an<l cer1.IY'n'il to ca..... of aealhl
10 Ihl ~ DIm, kroowladg.., <I..IhOCcu.....,.1 ll!a tlma. 01'1',."" p1a"l, and du.1O 11>..,.....(a) a"" mann.'a. Ilal""
o
'MEOICAL EXAMINERICQflONER
~:~~:~::~l::;:~,I~~I,I~~...~~:~~~~I~~~I.i~~: i,n. ~.y. ~~l.n.i~~: ~~:~~ ~~~~~~~:~ ~~~ ~'~~',~~t:: :~~,~J:~:: :~~.~~~ ~~ ~~~ ~:U~~~)...~ 0
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
NameofDecedent: Ci eo l'r~ ~d (J)A~
Date of Death: if -IIR - ~tJO d..
kYlUf-e('
Will No. ~(')~ - 1')(') i/(Jt.f
Admin. No. fl/l-;zIt! - ,;2j-tJ;2. -eJrrtJ7"
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the OrQhans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on s- ;J.. 3 - ,;1.fJO ^ :
Name
Address
grfllllh
.
L S;;;fI)
~/ i j{yJKA:) flu-t
/I/C. I~ 170)cJ
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
Y - '1- ;;;, CJ() ~
/Lt-;L~
Signature
Name -;8~ ;lJ;ai
Ilo-e
??L
.
L
Address del I :;J.-
/f...bJt J
);// J.lJ- &J,
17t9 )0
Telephone (
1/7 - 77'1- 7.3-5-3
Capacity: X Personal Representative
_Counsel for personal representative
REV-1501' EX I&-OO~
~
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
OFFICIAL USE ONLY
51 9-
"LQ{__
NUMBER
II
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
!' L - C2. ~
~CODE YEAR
.....
Z
W
C
W
o
W
C
SOCIAL SECURITY NUMBER
?3 - /2
1(,3
~ ~oa 3/
(IF PPLlCABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
;2.5.....
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WillS
SOCIAL SECURITY NUMBER
~. Original Return
o 4. Limited Estate
o 6. Decedent Died Testate (Altach copy of Will)
o 9. litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future interest Compromise (dale of death after 12-12-82)
o 7. Decedent Maintained a living Trust (AltachcopyoITrust)
o 10. Spousal Poverty Credit (date of death betweeIl12-31.91 and 1-1.95)
o 3. Remainder Return (date o/death pl'iQflo 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) {AttachSchO}
....
Z
W
C
Z
o
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FIRM NAME (If Applicable)
COMPLETE MAILING ADDRESS
.;2.(91 -3- J(~n/cJ /Ii/e.
jtkw CVmbr:rll1lV~ Pc<-
j "7cJ7o
TELEPHONE NUMBER
1. Real Estate (Schedule A) (1) YI!; ;1
2. Stocks and Bonds (Schedule B) (2) ~t
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E) -
Z
0 6. Jointly Owned Property (Schedule F) (6) fil/Il
~ o Separate Billing Requested
:J 1. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (7) /II11t
..... (Schedule G or L) ,
a:: 8. Total Gross Assets (total Unes 1-7)
<C
0 9. Funeral Ex.penses & Administrative Costs (Schedule H) (9) 1,::>/6-0 I
w
Q: 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) (10) !f(f 35": '1 ~
11. Total Deductions (total lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
OFFICIAL USE ONLY
(8) /1/, 3 J..'l,,23
. ,
(11) '~445, qt..{
(12) . gCJ'J,~1
(13) l\1 / f~
(14) J... '&'3'31~"f
,
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (5<:hedule J)
14. Net Value Subject to Tax (line 12 minus line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
z
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11.
:!:
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15. Amount of Une 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x.O_ (15)
Ifx .o~ (16) :J) '3''8"' 3, ?..<t
x .12 (17)
x .15 (18)
~ $' 13o.eD
(19)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Une 14 taxable at sibling rate
18. Amount of Line 14 taxable at co1l8teral rate
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF,
G-e.o"1e~ C mi ller
Include the proceeds alliligation 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.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
/- O~ -c9~
FILE NUMBER
)...
VALUE AT DATE
OF DEATH
,)." J><:>(). <:90
ITEM
NUMBER
1.
.5J7,;,. "0
3.
c~hotV
e, "3. a>cJ
11, PS l:c. U
Cr.e.J.iT lhJtclIV Pllle,e.
rt b'1 ' :Pu- - I' I It> - ^ <f'''!D
SA-VI}'\I"iS AL-C.-O<J,v-\"
Jg'3i~I("34
01\+'"'-. Cl F De ~tk GeLla rJ<--'t'
I..: (!)D 3. 1,,5'
!)
tJ.( -c H\ e -t~ r- ~
Lucc,,y (Awtp
k>-ts
1'l\efHOI~iQ.1 9ArJer1JS
:1-. 9 ~ . .:P?"
TOTAL (Also enter on line 5, Recapitulation) / 'f.3 ~Cf, .A3 -
(If more space is nee<led, insert additional sheets of the same size)
PSE(~
the financial link TM
October I, 2002
Brenda Smith
201 Y, Reno Ave.
New Cumberland, P A 17070
Dear Mrs. Smith:
Per our conversation today, I am \^iTiting you to follow up on Mr. George Miller's
account. This account was joint with yourself, Brenda Smith. This account has been
cl osed.
If you have any questions, please contact me at (7 I 7) 234-8484 or (800) 237-7328 enter
"6" then extension 3120.
~~
ana Willard
Account Advisor
PENNSYLVANIA STATE EMPLOYEES CREDIT UNION
Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990. (717) 234-8484. (800) 237-7328
Mailing Address: P.O. Box 67013, Harrisburg, PA 17106-7013. (717) 777-2100 (TDO) . (BOO) 472-1967 (TOO)
Web Address: www.psecu.com
Savings federally insured up to $100,000 by the National Credit Union Administration.
"
PSE(~
,
the financial link TM
May 15,2002
Brenda Smith
201 y, Reno Ave.
New Cumberland, PA 17070
RE: George Miller
SS # 183121634
Dear Ms. Smith:
Per our conversation today, the following are the Date of Death balances for George
Miller's Account.
Savings (SI)
Checking (S4)
Date of Death
Balance as of 4/16/2002
$12,007.30
$ 0.00
Account
Account
Date of Death
Balance
$5910.19
$3506.44
Personal Loan (Ll)
Visa (L9)
If you have any questions, please contact me at (717) 234-8484 or toll-free at (800) 237-
7328, then press 6, extension 3120.
incerely,
\Y~~
ana Willard
Account Advisor
PENNSYLVANIA STATE EMPLOYEES CREDIT UNION
Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990. (717) 234-8484. (800) 237-7328
Mailing Address: P.O. Box 67013, Harrisburg, PA 17106-7013 . (717) 777-2100 (TOO) . (800) 472-1967 (TOD)
Web Address: www.psecu.com
Savings federally insured up to $100,000 by the National Credit Union Administration.
REV-1511 EX+ (12-99) _
.' '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
fl../- t9~ -~C
FILE NUMBER
ESTATE OF/?
l.i.e& rxr e..-
f, WI; lI~r
Debts of decedent must be reported on Schedule l.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES: ~ 1-.1~ ;}...t:(~. :13
1. 13.""",<4 ~ '=f.J . -
pAstor- loC).e-o
6-0.00
VoCe<... i i:S t -
L.O W Niry C)L1"€~ Food) l../':J-S: (At
G~.,;t'{M -~'j ~~. CJO
f05t,~-c. S~'''fS ".00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Represenlative(s) !.J/'('TIK& L. 5~/M .$ !kJ(I.oo
Social Security Number(s)/EIN Number of Personal Representative(s) / G:: 7'- '-/'1-33$'0
Street.Address ~/.i IleC"lJtlt'.
State A Zip /JtJ7 I)
CityjVeuJ Li/mOermAl
Year(s) Commission Paid: ;2oCJ 2-
2. Attorney Fees IV//:j
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State _ lip
Relationship of Claimant to Decedent
4. Probate Fees RC<jidc)'\ e'F Wills '1 '8.0
5. Accountant's Fees
6. Tax Return Preparer's Fees tvi/J.
7. E.5-f1f t-i: - lZIe.vsllI'j'-M
SO.C!J
TOTAL (Also enter on line 9, Recapitulation) $ I!r/(J, tJ /
o
cJ
(If more space is needed, insert additional sheets of the same size)
THE PATRIOT NEWS
THE SUNDAY PATRIOT NEWS
Proof of Publication
Under Act No. 587. Approved May 16,1929
Commonwea~h of Pennsylvania. County of Dauphin} ss
Frank J. Epler being duly sworn according to law, deposes and says:
That he is the Confroller of The Patriot News Co., a corporation organized and existing under the laws of the
Commonwealth of Pennsylvania, with its principal office and place of business at 812 fo 81B Market Street, in the
City of Harrisburg, Counfy of Dauphin, Stafe of Pennsylvania, owner and publisher of The Patriot-News and~
Sundav Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the
City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th,
1854, and September lBth, 1949, respectively. and all have been continuously published ever since;
Thai the printed notice or publication which is securely attached hereto is exactly as printed and published in
their regular daily andlor Sundayl Metro editions which appeared on the 1st, 8th and 15th day(s) of October 2002.
That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that
all of the allegations of this statement as to the time, place and character of publication are frue; and
That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this
statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and
adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in
the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M",
Volume 14, Page 317.
PUBLICATION
COPY
LettersotTes.~~/Actri..lnJ~t'tatlon
on the Estahl.ot l3eOi'ge E. Mlllerlat&ot th~
CIIY of the SroulilhiCt:tY of. Med)anJesbura
I Cumberla~d. County, PennSVlvanla;,' de:
; co, ......,h, avll)1l beltn grantedto.the Under.
5 SIne a 'persons Indebted to IGkfeltate(:n
(el:luested to R1a~,Jmm.cff~ paymehtcind
fhOse:hclvlng,clalm, wUl pres8m' ihemtoT set~
tlementfo;,c,"-' "-,, -- ' .
8i'enda I.. Smith
EXKutrtx :
._MIt ltenOA"fthUtt _ _"
New CumberlClf'd.ltA 17070
Notarial Seal
-rerry L. Russell, Notary.Public
City Of Harrisburg. Dauphin County
My COmmission EXpires June 6, 2006 .
Member, Pennsylvania Association Of Notanes
BRENDA L. SMITH
201-1/2 RENO AVENUE
NEW CUMBERLAND, PA 17070
NOT RY PUBLIC
My commission expires June 6, 2006
Statement of Advertising Costs
To THE PATRIOT-NEWS CO., Dr.
For publishing the notice or publication attached
hereto on the above stated dates $
Probating same Notary Fee(s) $
Total $
77.8B
1.75
79.63
Publisher's Receipt for Advertising Cost
The Patriot News Co., publisher of The Patriof-News and The Sunday Patriot-News, newspapers of general
circulation. hereby acknowledge receipt of the aforesaid notice and publication costs and certifies that the same have
been duly paid.
By....................................................................
REV-1512EX+11_91l.
. .
. .
..,f
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
fillOev-
ESTATE OF & E
1"'l9l^iL .
Include unreimbursed medical expenses.
ITEM
NUMBER
1.
Yer:fo/v.;J
DESCRIPTION
PSECU fk_ IVO- I I. 3
Ps E c. () A.:::lIVC" l"li 3a/ /..3 L(
J...onfIJ -
Vl')!t
1"\x(l.n.4, $OLlth
(Yl-c:rl( m e,(
CeNtI-Q,L Pc\. rM<.r
We.~t Shul''L ilLS
C-elutC'r
-
1- e>;I..-b (,(/
FILE NUMBER
TDTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
AMOUNT
~ q I C. I '1
3 ~-()G:" i.N
12...<90
3.<). 00
1fD. 30
YP.. m
Account 0183121634 MILLER,GEORGE E 12311925 183-12-1634
Loan 0'"
.' ~.
Date: 01/07/03
ID Eff Date Trn Balance Chg Int/Pnlty
Fees
New Balance Description/Pmt
09 09/12/02 LC
09 09/12/02 PX
09 08/05/02 LC
09 08/05/02 PX
09 07/02/02 LC
09 07/02/02 PX
09 06/06/02 PX
From MILLER,ESTATE
3,342.76- 27.62
From MILLER,ESTATE
40.08- 27.92
From MILLER,ESTATE
40.64- 28.36
71.00- 0.00
OF 8607475814
0.00
OF 8607475814
0.00
OF 8607475814
0.00
0.00
Share 04
0.00
Share 04
3,342.76
Share 04
3,382.84
3,423.48
3,370.38
68.00
69.00
71.00
From Share 01
70.00
From Share 01
71.00
From Share 01
~~-~~~~::~~~~~:_~~~~=~~=~-~~=~~~-~=~==~~~-----__p~~tt-Ll~-~-~-----------
09 06/06/02 PX
11.96-
58.04
0.00
3,494.48
09 04/17/02 PX
42.00-
29.00
0.00
3,506.44
Account 0183121634 MILLER,GEORGE E 12311925 183-12-1634
Lnan OJ"
Date: 01/07/03
ID Eff Date Trn Balance Chg Int/Pnlty
Fees
New Balance Description/pmt
01 09/12/02 LC
01 09/12/02 PX
01 08/05/02 LC
01 08/05/02 PX
01 07/02/02 LC
01 07/02/02 PX
01 06/06/02 PX
From MILLER,ESTATE
5,732.20- 76.98
From MILLER,ESTATE
50.51- 69.49
From MILLER,ESTATE
66.25- 53.75
61. 23- 178.77
OF 8607475814
0.00
OF 8607475814
0.00
OF 8607475814
0.00
0.00
Share 04
0.00
Share 04
5,732.20
Share 04
5,782.71
5,848.96
5,809.18
120.00
120.00
240.00
From Share 01
01 04/16/02 AX 69.99 0.00 0.00 5,910.19 To Share o~
~~_~~:~:~~~~~~:_~~~~=~~=~_~~=~~~_~=~==~~~_________~~~_~_____J-f
REV-'5',3 ~X+ 19-00*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
G -eO I"a .e
I
NAME AND ADDRESS OF PERSONIS) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 91161a) 1',2)J
B\--eW&A L. Sl\1itl\
.9-0 I -5- Ke N,' A IJe
New Cihnb-erIAt<k~ POL
1/070
AI-o ^- ~
FILE NUMBER
f vlk 1/", V"'
NUMBER
J
RELATIONSHIP TO DECEDENT
Do Not List Truslee(s)
AMOUNT OR SHARE
OF ESTATE
"
JAV!j hte.1"
I (Joc'70
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 16, AS APPROPRIATE, ON REV-1500 COVER SHEET
" NON-TAXABLE DISTRIBUTIONS,
A, SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
,.
B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTA~ OF PART JI- ENTER TOTAL NON-TAXABLE'DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE:
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SMITH BRENDA LEE
201 1/2 RENO AVE
NEW CUMBERLAND, PA 17070
nn____ fOld
ESTATE INFORMATION: SSN: 1 B3-12-1634
FILE NUMBER: 2102-0404
DECEDENT NAME: MILLER GEORGE EDWARD
DATE OF PAYMENT: 01/14/2003
POSTMARK DATE: 0010010000
COUNTY: CUMBERLAND
DATE OF DEATH: 04/16/2002
NO. CD 002040
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $130.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$130.00
REMARKS:
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
~
'.CERTIFICATION OF NOTICE
UNDER RULE S.6(a)
Name of Decedent: Gt'.t'l1"1f2 ~jlwp,.rJ... WYi II-efl'
Date of Death:~-II.. Z-&J 2.-
Will No. ~~'Y'.~!( '\II
Adm. No. PI! IV" - ;1.1-r!)').'- e>':!oL{
To the Register:
I certify that notice of estate administration required by Rule 5.6(a) of the Orphans'
Court Rules was served on or mailed to the following beneficiaries of the above-captioned
estate on !:,-::;)3 .),00 +-
Name
.J3\"-e~fl L. Smitl)
Address
;;!,@/ ~ R-etJe! Av~ yv, c eCL i'rc!J,(]
Notice has now been given to all persons entitled thereto under Rule 5.6a) except:
Date: 'j-t.( - d..00 d--
. ~AA _f ~.JJ..
(Signature)
Name:011p/Hk ;! S~
Address: dork ~ tl>--L
j'Uh.J _ Po 17(JIO
Telephone ( ) tI1-71l.{-73S--"
Capacity: >L Personal Representative
Counsel for Personal
Representati ve
. CERTIFICATION OF NOTICE
UNDER RULE S.6(a)
Name of Decedent: Gt'.t'll",-e ~Jlwr.rJ... Y'Y\i 1 (-ffl'
Date of Death:~-II.. 2.tM 2-
Will No. ~~- (!)o'-{o4..{
Adm. No. PI! IV" - ;1.1-r!)').'- e>':!oL{
To the Register:
I certify that notice of estate administration required by Rule 5.6(a) of the Orphans'
Court Rules was served on or mailed to the following beneficiaries of the above-captioned
estate on !:,-:: ;;3.), 00 +-
Name
_[3\"-e~fl L. Smit~
Address
'?'@l ~ R-etJO Av~ (\J, c.. f'CL 1'rc!JIO
Notice has now been given to all persons entitled thereto under Rule 5.6a) except:
Date: j-t( - d..00 d--
. '~A -f~.JJ..
(Signature)
Name:'-$PMk '1 S~
Address: ;)o(-k R PM) [+l>--L
\'\Jh.J ~! Po.. '7n 10
Telephone ( ) t ll- 711.( - 7305--"
Capacity: >L Personal Representative
Counsel for Personal
Representative
/FJ-$.?-/;v
~ BUREAU OF INOIVIDUAL TAXES
INHERITANCE TAX OIVISION
DEPT. 280601
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS ANO ASSESSMENT OF TAX
BRENDA L SMITH
201 1/2 REND AVE
NEW CUMBERLAND
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-17-2003
MILLER
04-16-2002
21 02-0404
CUMBERLAND
101
*'
REY-l~47 EX AFP <Ol-U)
GEORGE
E
Allount R...itted
PA 17070
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV=is47-iif-"FP--roFo3Y-NOYICi-.OF-YNHERYTANCE-YAX-APPRAIsiifENi"~--"LrOWANCE-cfR----._-----------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MILLER GEORGE E FILE NO. 21 02-0404 ACN 101 DATE 03-17-2003
TAX RETURN WAS: (X) ACCEPTEO AS FILEO
) CHANGEO
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. St.ocks and Bonds (SchMlul. Bl
3. Closely Held stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned ProPerty (Schedule F)
7. Transfers (Schedule G)
S. Total Assets
(1)
12)
(3)
14)
(5)
(6)
(7)
.00
.00
.00
.00
14.329.23
.00
.00
IB)
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 Trus~s {Schedule J)
14. Net Value of Estete Subject to Tax
(9)
(10)
1,510.01
9.935.93
(11)
(12)
(13)
(14)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this for. with your
tax pay.ent.
14,329.23
11 441) 94
2,883.29
.00
2,883.29
14. lS and/or 16. 17. 18 and 19 will
returns assessed to date.
NOTE: I~ an assessment was issued previouslY. lines
re~lect ~igures that include the total of ALL
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (IS)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rat. (17)
IS. Amount of Line 14 taxable at Collateral/Class B rate (lS)
19. Principal Tax Due
.00 X 00 =
2,883.29 X 045 =
.00 X 12 =
.00 X 15 =
(19)=
.00
130.00
.00
.00
130.00
TAX CR~DITS:
('J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAlO 1-)
01-14-2003 CD002040 .00 130.00
TOTAL TAX CREDIT 130.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAlO AFTER DATE INOICATEO, SEE REVERSE
FOR CALCULATION OF ADOITIONAL INTEREST.
I IF TOTAL OUE IS LESS THAN $1, NO PAYMENT IS REQUIREO.
IF TOTAL OUE IS REflECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUNO. SEE REVERSE SlOE OF THIS FORM FOR INSTRUCTIONS.)
STATUS REPORT UNDER RULE 6.12
(/J/
. elK
Name of Decedent: ~f\'jG i::eIt.lJ/l-roL
Date of Death: ~/ /t;/ ;2~~.:2.
Will No.: .ACJ02 -OOl/"CJe(
!J'lt/leJ"
fll -ft)O - ,;)../-0:2. _0"101'"
Admin. No.:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration ofthe above-captioned estate:
1. State whether administration of the estate is complete:
Yes ~ No 0
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the ,Personal representative file a final account with the Court?
Yes (,( No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
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. . J (- ..
Date:3~11-"c( ~bA.L -' 6~LI1
19nature
Jlr-ed/f L. "k,- 14'
Name
:?tJ I P- R eft"") n /lv'-L .
Afl;~~ ~. 5P~:'1i7cJliJ
,,/ .
7/7-77't':" 731f3
Telephone No. . ~
0-,
Capacity: Q Personal Representative .c;
o Counsel for personal representativ~:
N
w
Cumberland County - Register Of Wills
Hanover and High Street
carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/22/2004
SMITH BRENDA LEE
201 1/2 RENO AVE
NEW CUMBERLAND, PA 17070
RE: Estate of M EDWARD
File Numbe :
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 will become delinquent on: 4/16/2004
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
IilJ~Jt/U~~~r
GLENDA FARNER STRA~AUGH
REGISTER OF WILLS ~
cc: File
Counsel
Judge
N
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