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HomeMy WebLinkAbout00-1041Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF~'~ ~" ~°''/~~~ COUNTY' PENNSYLVANIA Name of Deceden Date of Death. 27 ~' ~Gr1v File Number:~~~ ~Gy Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: ........ ~ Yes ~No 1. State whether administration of the estate is complete :........... . 2. If the answeris No, state when the personal representative reasonably believes that the administration will be complete: ~ ~ ~~ 3. If the answer to No. l is YES, state the following: a. Did the personal representative file a final account with the Cou:~? .. • . • • • Yes ONo b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account []Yes ONo ...................... inforn~ally to the parties in interest. ......... . d. Copies of receipts, releases, joinders and approvals oPformal or informal accounts maybe filed with the Clerk of the Orphans' Court and maybe attached to this rep Dnte__~~~ F--- Signature of Person Filing this fTOrm _~ ~- r_`; >-; ~- '' f: t.t_:.,: C ) ~_'3 _.l~~ _. O erg [r <. '~' O =; Capacity: QPersonal FCepresentative ~Counse] Nnme of Person Filing this Fornt Address 1 WEST HIGH ST. STE 205 Telephone~j ~ /J~~/ Form R N'-10 rev. ! 0.13.06 ' ~~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 9/21/2009 DANIELS WILLIAM S n ONE W HIGH STREET STE 205 n ° ~ =; c i~ iZr; %. ~ CARLISLE, PA 17013 ~-a ~~~ rn N c~ c:~ C.-~ ~`~ ~?C/J~ ~ fTTiy7 Z:J C:7 ~nQ Yt = ~ 1 7 j~ .., n ~ -a O t ~ ~;. . RE: Estate of ORNER GENEVIEVE D D ~ - .. ,. J ~' File Number: 2000-01041 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, N0. 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: 10/25/2009 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, il~~~l:r~c./ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 9/21/2009 DAVID L ORNER c~ ~~ ~ 825 W. LOUTHER STREET C ~ ~~ ~''~ -o m~y.`` Gtr ~'3 ARLISLE, PA 17013 ~ N - --(.= ' vim -- S , ~`} rJQ ~r~ a. c,," c o C7 ~ ~' ! ~ ?4~. RE: Estate of ORNER GENEVIEVE D - ~ File Number: 2000-01041 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, N0. 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: 10/25/2009 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, /~'y~I~GUGNi~./iCI~L~ Glenda Farner Strasbau h Clerk of the Orphans' Court cc: File Counsel ~.. Name of Decedent: 'Register of Wills of G`umberland County Date of Death: ~ 6~ "~/ ~ --~~ p' ~. Estate No.: _ f~ G~~ ~~ ~ ~ ~_ I ,;, ~. Pursuant to Rule 6.I2 ofithe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-asptioned estate: 1.. State whether administration of the estate is complete: Yea ^' No g( 2. ' If the answer is No, state wheathe personal representative reasonably believes that theadministration will be.complete: / Z - ~ ~ - a.C, 3. If the answerSo No: I is Yes, state the following; e, ~ Did the personal representative file a final account with the CourtT Yca' ^ No ^ ,~ b. 'The separate Orphans' Court No. (if any) for the personal representative's eccoutlt is: c. ' Did the personal. representative state an account informaily to the parties in interest? Yes ^ No ^ c. .Copies ofreceipts, releases, joinders and approval'of formal or informal ' accounts maybe filed with the Clerk of the' ' 'Court and maybe attachedtothiareport. Date; /G-Z3'~`7 Si g n ature ' ~ / , w_ / ` -, `D M ~ ~ _ Name ~ HUMER ~ DANIEL$ ~ `~ ~ '. 1 WEST HIGH ST. STE 209 L. ~ f, tii.J =' > C7 fV ~ W - ~; , , ~/~-.2Y3 -353/ <_ %'~ ~' ~.T"' CI o `ci' `- ~ Telephone No. . C ~°+ ~ Capacity: ^ Personal Representative Counsel for personal representative , ~a~6 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 013810 DANIELS WILLIAM S ONE W HIGH STREET STE 205 CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER -------- fold ESTATE INFORMATION: SSN: 204-01-4077 FILE NUMBER: 2100-1041 DECEDENT NAME: ORNER GENEVIEVE D DATE OF PAYMENT: 1 2/20/2010 POSTMARK DATE: 1 2/20/2010 COUNTY: CUMBERLAND DATE OF DEATH: 10/25/2000 REMARKS: RECEIPT TO ATTY SEAL CHECK# 1056 AMOUNT 101 ~ $4,430.00 TOTAL AMOUNT PAID: INITIALS: HMW RECEIVED BY: $4,430.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS I N R E ESTATE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GENEVIEVE D. ORNER ORPHANS' COURT DIVISION DECEASED NO. '~ 1 E' C+'` ~~ l C `~ PETITION FOR CITATION TO THE HONORABLE THE JUDGES OF SAID COURT: AND NOW, this day of comes the Commonwealth of Pennsylvania, by Robert Freedenberg, Deputy Secretary for Taxation, for Daniel Meuser, Acting Secretary of Revenue, who avers: 1. That Genevieve D. Orner, deceased, (hereinafter referred to as "the Decedent"), died on October 25, 2000. 2. That a Petition for Letters of Administration was made by David L. Orner, Administrator (hereinafter referred to as "the Administrator"). Letters of Administration were granted to the Administrator on December 8, 2000. Attached hereto and made a part hereof is a copy of a document attesting to said date on which Letters were granted marked Exhibit "A." 3. That on November 8, 2010, a certified demand letter was sent to the Administrator, advising that the Inheritance Tax Return for the Decedent had not been filed. A receipt was signed and returned to the Department of Revenue. Attached hereto and made a part hereof is a copy of said letter and receipt marked Exhibit "B." (! ~, ,: ~1~ 3. That as of the date of this Petition no Inheritance Tax Return has been filed by the Administrator of this estate as required by Section 1736 of the Act of December 13, 1982, P.L. 1086, No. 255, (72 P.A. C.S. § 1736). 4. That as of the date of this Petition no Inheritance Tax Return has been filed by the Administrator of this estate as required by Section 1736 of the Act of December 13, 1982, P.L. 1086, No. 255, (72 P.A. C.S. § 1736). 5. That under Section 2176 of the Act of August 4, 1991, P.L. 97, No. 22, (72 P.S. § 9176), the Secretary of Revenue is authorized to request the Court to issue a Citation directed to those subject to any duty imposed by the aforesaid Act, commanding such persons to appear and show cause why the requirements of this Act should not be met. WHEREFORE, your Petitioner prays your Honorable Court to issue a Citation upon the Administrator, directing the Administrator to appear and show cause why said Inheritance Tax Return in the estate of the Decedent should not be filed as required by law; and to further direct that the costs of this action shall be borne by the Administrator. COMMON`pVE~1~H OF PENNSYLVANIA BY ~~~rt Freudenberg Deputy Se retary for Taxation FOR: Daniel Meuser Acting Secretary of Revenue Page 1 or 1 u ',. OATfi OF PERSONAL Rfil'f2E$EIY'['AT1YF. C041hlONW$ALTf! OF Pf?VNSYLYAEVfA COUN'!Y OF C-L~n~F3E~_G•-J~/!~ } ~3 :~r. ~, r T ilc pnltl¢nnpl -hsrc-nano! tMnr(r) cr a[Ornas) thn thr - iWrsrnnirtlhrtrrr.~oln~fsrshlatt+elrurarrlrarrgtutArCtst of tLt Yroufrdfc ~ 6d4( u! pttltrnDtt(s) ¢nd hlst a pcuonrt ' reptnentatlrr{s) of tA¢ stwtY dtcednX prrllk~nn(s) q11 *rft swd trvif -dnlnlsut {hP tfufa accrdiat to law. 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'P m 1't•1 t your name and address on the reverse so hat we can return the card to you. w -Attach this card to the back of the mailpiece, or on the front if space permlts_ i. Article Addressed to: WILLIAM S DANIELS STE 205 1 W HIGH S"[' CARLISLE PA 1701' A. Slgna f X : U ~ ~ .-%~7 ~ d Agent ^ Addressee 8.~~~veFl=by (Fjir~~ N~~>~ : ate of De~v,~ry D. Is delivery address different from Item i 7 ^ Yes If YES, enter delivery address below: C7 No , 3. Service Typa D Certlfled Mall ^ Express Mall 21 001041 FORLIZZI [] Registered ^ Return Recslpt for MereFlandlse d Insured Mall ^ C.O.D. 4. Restricted Delivery? (Extra Feat ^ Yes 2. ArtlcleNumber ~pp9 ],680 pOg1, 698 6Q66 (Transfer from service labs!} -> >-_~ !'S Form 3811, February 2004 Domestic Return Receipt ~ozsss-oz-M-tSao' es&sessionkey= ----r ...-------- -r------ .. .-. Page 1 of 1 11 /3/2010 ~H(~4T ~ COMMONWEALTH OF PENNSYLV~NL~ H.aRRISeuRG DISTRICT OFFICE DEPARTMENT OF REVENUE PA UEP.4RTt,~IENT OF REVENUE I S_~ STANLEY DRI\'E HARRISBURG P.4 U103-1?56 REV-869 FO AFP i0~-OSl DAVID L ORNER 825 W LOUTHER ST CARLISLE PA 17013 Dear DAVID L ORNER: Date: Estate o£ ORNER Date of Death: File Number: 11/8/2010 GENEVIEVE D 10/25/2000 21 00-1041 (Certified Mail-Return Receipt Requested) Department records indicate you are responsible for the settlement of the above estate or that you represent the responsible party. As of this date, you have failed to resolve this matter. This is to again advise you that the estate is in delinquent status, as it remains unsettled. The Inheritance and Estate Tax Act mandates the filing of a tax return and payment of all outstanding liabilities by a personal representative or a transferee of an estate within nine months of a decedent's death. Department records show that this estate remains open because: AN INHERITANCE TA7~ RETURN HAS NOT BEEN FILED. If the return was tiled, please contact this office immediately. If this estate was opened for the purpose of filing a lawsuit, please provide the tern and docket number of the proceeding in vv~-iting to this office so that we may postpone any further action. Under Act 40 of 2005, additional collection costs, including but not limited to fees of up to 39 percent of the amount due and attorney fees incun~ed in securing payment, may be imposed on any liability not paid prior to refeiz-al to a collection agency or contract counsel. This notice shall serve as a formal demand on you or your client from the Department of Revenue. If you fail to file the return, the Department may file a citation requiring you to appear in court to show cause for your failure to comply with the law. A finding of contempt in this matter could subject you to additional penalties and/or incarceration by the Orphans' Court of Cumberland County. RETURNS SHOULD BE FH1ED AND CHECKS MADE PAYABLE TO: REGISTER OF WILLS, AGENT Direct any questions regarding this estate to: HARRISBURG DISTRICT OFFICE PA DEPARTMENT OF REVENUE 1825 STANLEY DRIVE HARRISBURG PA 17103-1256 FXE-il RIT A Sincerely, Anastasia DiBartolomeo (717)425-7705 cc: WILLIAM S DANIELS STE 205 1 W HIGH ST CARLISLE PA 17013 COIVIMON'~VEALTH OF PENNSYLVANIA IL\RRISdURG UISTRIC7UFFICF. DEPARTA7ENT OF REVENiJE P.4 DEPARTMENT DI' RPVENUP IS2~ STANLEY DRNE F{ARRISI,URG P.4 171031256 Date: DAVID L ORNER 825 W LOUTHER ST Estate of: CARLISLE PA 17013 ORNER Date of Death File Number: +~ Complete rtems t, 2 arid ~ item 4 if strioted Relive Alsrj complete ~ Print you name and address on the reverse so that we-sari return the-card to you, ~ Attach this card to the back of the mailpiece, or on the froht if space permits. t' Article Addressed to: DAVrD CORNER 825 W LOUTHE$ ST CARUISLE PA 17013 REV-S69 FO APP (07-O8) 11/8/2010 GENEVIEVE D 10/25/2000 21 00-1041 (Certified Mail-Return Receipt Requested) • ~ e ~ A. Signature i JOVe estate 0I- that y0U ~ C'~`~ ~-(~ * I s this matter. ~.~''t~-------~ _~ ~~/~ ~~r..:.~0 ^ Agent 8. Received b ^ Addressee a1nS unsettled. Y (Prrnied-Name) C. Date o/ Delivery D. !s delivery address dlryerent from kem 7? ~ J ~ ~' ~ ~ p ayment Of 7t YES, enter delivery address b ~ Yes elow: ~ ~a i estate within nine remains open beca~_tse: N FILED. 2I 00-1041 DTBARTOLOMEO 3• ServceType ---_,tate was opened for the Q~rtltred Mall Registered ^ E`p'~Maii ~f the proceeding in uniting ^ Insu d Aetum Receipt for Merchandise _~~~ 4. Restricted Delivery? (Extra F~l ------ - - ""- ^ Yes --- ---- ~_~ited to fees of up to yment, may be i71 osect on a.,, - -- --'---~r- ~____.~~ or contl•act counsel. p r ......--- , tu~d95-02-M-1540 i'~his notice shall serve as a fornlal demand on you or your cuc„\ ~a.,.__'the Department of Revenue. If you fait to file the return, the Department may file a citation requiring you to appear in court to show cause for your failure to comply with the law. A finding of contempt in this matter could subject you to additional penalties and/or incarceration by the Orphans' Court of Cumberland County. RETURNS SHOULD BE FILED AND CI~ECIi~S lVIADE PAYABLE TO: REGISTER OF WILLS, AGENT Direct any questions regarding this estate to HARRISBURG DISTRICT OFFICE PA DEPARTMENT OF REVENUE 1825 STANLEY DRIVE HARRISBURG PA 17103-1256 E~HI B1~ Sincerely, Anastasia DiBartolomeo {717)425-7705 cc: WILLIAM S DANIELS 5TE 205 1 W HIGH ST CARLISLE PA 17013 I N R E ESTATE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GENEVIEVE D. ORNER ORPHANS' COURT DIVISION DECEASED NO. `~ ~ _ ~~~`~ ~ S C\'~~ ORDER Now, to wit this the ' ~~ ~~ ~ ~~ day of ~ ~ ,upon consideration of the foregoing Petition, it is ORDERED and DECREED that YOU, David L. Orner, Administrator for the Estate of Genevieve D. Orner, deceased, are hereby cited to be .ZSa~I and appear at Courtroom No ~- , on the a~ay of n ~ ~~ in the Courthouse of Cumberland County, Pennsylvania, at 3:6~ .M., then and there show cause, if any there be, why the Inheritance Tax return in said estate should not be filed; and to further direct that the cost of this action be borne by the said Administrator; said citation returnable at 3; bD~- .m., on the ~ day of ~ bl,~.~,,,.sz..{r- ~sb ~ ~ . c~ ~-s w~ __ -- _ -,-, __ ~:~~ BY THE COURT ~ %~ -=r'- '`~' - - _. v`~ ' , ~'~=~ ORPHANS' COURT DIVISION ,'~ ~,, ,~,, ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: GENEVIEVE D. ORNER, DECEASED CUMBERLAND COUNTY PENNSYLVANIA NO.21-00-1041 CERTIFICATE OF SERVICE OF ORDER ORDER DATE: JUDGE'S INITIALS: MLE TIME STAMP DATE: IN RE: ORDER SERVICE TO: WILLIAM DANIELS DAVID L ORNER METHOD OF MAILING: ® LISPS ^ RRR ^ HAND DELIVERED ^ OTHER MAILED: 8/9/11 ENVELOPES PROVIDED BY: ® PETITIONER ^ JUDGE ^ CLERK OF ORPHANS COURT SERVICE TO: METHOD OF MAILING: ^ LISPS ^ RRR ^ HAND DELIVERED ^ OTHER MAILED: ENVELOPES PROVIDED BY: ^ PETITIONER ^ JUDGE ^ CLERK OF ORPHANS COURT Deputy Clerk of Orphans' Court ~~~ 1505610101 REV-1500 Ex(oi-io) \!~ OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year. File Number EPPflTMENT OF PEVEx11E " ~~.1 Bureau of Individual Taxes INHERITANCE TAX RETURN ~ d .: '~~ r PO BOX 28o6oi RESIDENT DECEDENT ~ r Harrisburg, PA i'Ji28-o6oi ENTER DECEDENT INFORMATION BELODate of Death MMDDYYYY Social Security Number °~ -~~ o.zS~QQo Fo~ ,~, 1 _ Suffi? Dr-~ r,1en[ List Np~Ine (If Applicable) Enter Surviving Spouse's Information Below , Iffit_ Spouse's Last Name ~ r s '~~ Date of Birth MMDDYYYY Dere fe,nCs Fiat Name MI r G ~ ly Ex~ 1 Gov .~ .D' S ~ou~es First Name MI .' ,-- . Spouse's social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ~- REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW p 3. Remainder Return (date of death ~ 1. Original Return O 2. Supplemental Return prior to 12-13-82) O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required O 4. Limited Estate death after 12-12-82) 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes O 6. Decedent Died Testate O (Attach Copy of Trust) (Attach Copy of Will) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11' Attach SchaO) nder Sec. 9113(A between 12-31-91 and 1-1-95) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX Da~Rme Te Pphone NumbleECTED T0: Name b , r- ~ 1 ~ ~ }~ ~ ~.~ ~ ~ ~ .~_ L ~ ~J S '~ z~ ~ E;:Lr ~` d ~. ,3 . , . it - ~ ~' ~.N _ ~ ~.. REGISTER OF WILLS USE ONLY p First line of address ~ ; . _.~ _,~, ,,,,f ~°..s rT'r Sr a nd line ~f <~~idre~s .S ~r ~ `T,C. _ (;~ty ~ r P?st Office Z;a:~ .. ~,~- R L- 1 ~ s''t- C --~ :::.:.: `1. . -r7 ~-,; _.~ C-~ -t'~ ~.Jx~ _. ~ _ ~~ _ ~ ,:f~A1fL FILEb St,;te SIP Code ~; ~ _ r~'i ~: Correspondent's a-mail address: Under penalties of perjury^i de~clnaerlaaationaof preparero her thaun the personal representati a is based on a Itmforrmation of which preparers has any k9owledge.lief, nerG SIG~,~RE OF,P~SpM'RESPpNSIBLE FOR FILING RETURN gz~ . ~ OF PR OTr-IER THAN i ~/ ~vi-~ ADDRESS ~~ . ~~' ~~i' ~~ ' ?/-l/ ~~ ~ ~/,3 ~ ATE r ~"? ~ ,/ t- ~ ~ ~ f'v 1 ONLY Side 1 1505610101 1505610101 ,., ~_: f REV-1500 EX 1505610105 D e cedent's Social Security Number Decedent's Name: / ~ rp (~ ~ ~ ~ ~ (;~ 7 RECAPITULATION 1. Real Estate (Schedule A) ......................................... ... m 1. (~j ~ SO [L aQ 2. Stocks and Bonds (Schedule B) ................................... .... 2. rv . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3. ~ • 4. Mortgages and Notes Receivable (Schedule D) ........................ ... 4. _ 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. ! ~ G ~ 9's g~'~' 6. Jointly Owned Property (Schedule F) p Separate Billing Requested .... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... ... 7. / ~ 7 ~ ~ • 3 8. Total Gross Assets (total Lines 1 through 7) .......................... ... 8. ! ~ G~ 9. Funeral Expenses and Administrative Costs (Schedule H) ................ . a. 9. f ~~0 ~ D~"' 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... ...r 10. g '~ (j ~ ~ !~ / 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. ~ ~ ~ ~ ~ , q q { l 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. (~ L/ 'rJ G / ~~7 ~,/ 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which f f [ Y f an election to tax has not been made (Schedule J) ..................... ... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. A y ~ (~ ~ , ~ / ~+ /' TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES / 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 - (a)(1.2) X .0_ 15. • 16. Amount of Line 14 taxable at lineal rate X .01S_ ~ 1~ ~ ~ ~ . z ~ 16. ~ ~"(~ I .~~ 1 17. Amount of Line 14 taxable at sibling rate X .12 17, 18. Amount of Line 14 taxable at collateral rate X .15 . 1g, 19. TAX DUE ...................................................... ...19. ;~ .~(i /~ +~Y; 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610105 1505610105 J REV-1500 EX Page 3 Decedent's Complete Address: File Number ~~;~ ~~~ STREET ADDRESS CITY STATE ZIP Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments C3,OG_. B. Discount c , 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, 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. (4) (5) Make check payable to: REGISTER OF WILLS, AGENT. __ ~. ,, f, - . ~ _ . r -. 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 Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................................................................ .. ^ 3. Did decedent own an "intrust for" orpayable-upon-death bank account or security at his or her death? ............ .. ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ...................................................................................................................... .. ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even 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 21 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 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2] [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Total Credits (A + B) (2) ~~ f ~ Gs GG (3) REV-1502 EX+ (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER U~r~4.~, G4,~~V ~~ ~ ~ ~, ~ i-6o-o1 X41 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, bath having reasonable knowledge of the relevant facts. Real property which is Jointly-owned with right of survivorship must be dlsciosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t. ~i~ ~~ -Fc~m,~ ~- Da~,~QO• DD ~ ~l w ~ l l ~ ~~ ~vcc,~~ ~l c~ ~~~ w ~ S~- . ~v~~~h~~r 5~~~~', CG+ri~s-~, PSI r7v~3 4~c,rr ~~'h-~ ~~ Cor ~ ~{' ~ ~ ~ ~s o-F' C~ m ~i.~ Ira( ~~ ~' ~'- ,/ , TOTAL (Also enter on line 1, Recapitulation) I S ~ ~ , Sv0 • ~ U (If more space is needed, Insert additional sheets of the same size) _'L....`..1. THIS dEE~, L ~'-~~ MADE THE ~ ~ day of fE7~/j(/.J/ly, in the year of our Lord one thousand nine hund-ed ninety-two (1993) BETWEEN GENEVIEVE D. ORNER, widow, of 825 West Loather Street, Carlisle, Cumberland County, Pennsylvania, party of the first part, and hereinafter called Crankor, and DAVID G. ORNER, single man, o[ 825 West Loather Street, Carlisle, Cumberland County, Pennsylvania; and EXCEPTING AND RE6F.RVING UNTO GENEVIEVE D. ORNER a tenancy for life iti said premises for the term of her ,._ natural life only, with the~said David L. Orner seized in fee simple of reversion expectant upon the determination of the said estate for life, parties of the second part, hereinafter called Grantees: WITNESSETR that in consideration of One and No/].00 (51.00) Dollar, in hand paid, the receipt whereof is hereby acknowledged, the said Grantor does hereby grant and convey to the said Grantees, their heirs and assigns, ALL THOSE TWO CERTAIN tracts of land with improvements thereon erected situate in the Fourth Ward of the Borough of Carlisle, Cumberland County, Pennsylvania, more particularly bounded and described as follows: Tract No. 1: On the South by West Loather Street; on the East by land now or Formerly of O.C. Richter, et ux; on the North by a 20 foot alley; and on the West by Lot No. 12, now or formerly of Esther M. Weibley, and having a frontage on West Loather Street of 60 feet, and extending in depth 240 feet to the alley in the rear; and being all of Lot No. 13 and the western half of Lot No. 14 on the revised Plan of Lots of the Bretz Tract recorded in Cumberland County Plan Boolc 3, Page 87. BEING the same premises which O.G. Richter and Mildred E. Richter, by their deed dated January 14, 1947, and recorded on _,. January 15, 1947 in Cumberland County Deed Book 13 "L" 168, granted and conveyed to Chester L. Orner and Genevieve D. Orner, husband and wife. eoox~36 r~cE 769 . . _......:,i.. Tract No' 2.: BEGINNING at a point on the northern line of Flest Louther Street Extended, said point being Two Hundred Twenty (220) feet West of the western line of Orange Street; thence from said beginning point in a westerly direction along the northern line of West Louther Street, a distance of Twenty (20) feet to line of premises now or formerly of Harold Barclay; thence by said premises, in a northerly direction, Two Hundred Forty (240) feet to the South side of a Twenty (20) feet wide alley; thence by said alley in an easterly direction, Twenty (20) feet to line of other property now or Formerly of Chester L. Orner and wife (Tract No. 1, above); thence by said premises in a southerly direction, Two Hundred rorty (240) Eeet to the Place of BEGINNING. BL•ING composed of the eastern one-half of Lot No. 12 of the Revised Plan of Bretz tract which Plan is recorded in the Office of the Cumberland County Recorder of Deeds in Plan Book 3, Page 87. AND BETNG the same premises which the EDLU Corporation, by its deed dated April 27, 1965 and recorded on April 26, 1965 in Cumberland County Deed Hook 21 "0" 502, granted aad conveyed to Chester L. Orner and Genevieve D. Orner, husband and wife. ALL BEING improved with a single #amily dwelling known and _,_.. numbered as 825 West Louther Street, Carlisle, Pennsylvania 17013. Chester L. Orncr died on November 12, 1981, thus vesting all right, title and interest of these properties in his surviving spouse, Genevieve D. Orner, Grantor herein. This conveyance is between mother and son, and is thus exempt from Pennsylvania and similaz realty transfer taxes. AND the said Grantor hereby covenants and agrees that she will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, said Grantor has hereunto set her hand and seal the day and year first above writteyyn~~.~~(()) _ ~ ~ N. ~%ILIOtl SEAL GENEV EVE D.vRNER Signed;' Sealed and D Bred in the`Presenc f ~ t,~ '1~-~~ BOOX~36 PACE 770 ~ n+ .. _.. L...rYw COMMONWEALTH OF PENNSYLVANIA ) SJ COUNTY OF CUMBERLAND 'l ) ~i On this, the ~~ daY of /~C`Z~U~k?71993, before me, the undersigned officer, personally appeared/GENEVIEVE D. ORNER, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and aclcnowled9ed " xecuted same for the purposes therein contained. that ••,1:~1j,~°Y,'~f;R ,:Y N:?^;,l~ti ~*p~NESS WHEREOF , I hereunto set my hand and of i.al v s C-~~vtli ~~ ~' f ~ ~. .,y'j[(bn„~....•••' CERTIFICATE OF RESIDENCE ~s~~~t~ Op. 19, 1490 I do hereby certify that the precise reside c~ - post office address of the within named grantees is B25 West Lowther Street, Carlisle, PA 27013. ~~~s 1993 ~ ~ /f ~ ~ c~ ~j~~ ~ T Attorney for Grzntees w .ro V'1 'D COMMONWEALT[i OF PENNSYLVANIA ~~ SS. o COUNTY OF CUMBERLAND Lh ~ -~{~~ RECORDED on this °~~ day of 'v A. D., 1993, in the Recorder's Offppice of said County, in Deed Book ~~ . Vol. 3~ Page7tP/ Given under my hand and the seal of the said office, the datesa above written. ~~~~~~~~"~{:h .via` +:)~~}' ~ I'~~f-' Recorder ~;..r.,. ~,-, i. , i', ;:,, -, i c :: n: -~,~ -,: ~ . eoa~ .36 PACE 771 FacetWin Screen Print for sfry, from "CAMA_Login" 11/19/2010 2:49:16 PM CHANGE NOTICE ARCHIVE CUKLIYFV PARCEL: 05 05-20-1794-020. OWNER: ORNER, DAVID L & GENEVIEVE D PROPOSED ASSESSED VALUES (same as most recent notice if mailed) Land Bldg Total Land Bldg Total C&G 05/10/2004 35000 101790 136790 HISTORY OF ASSESSMENT CHANGE NOTICES MAILED MAIL DATE Why FAV LAND FAV BLDG TOTAL I CG LAND CG BLDG TOTAL 05/10/2004 05 35000 101790 136790 05/09/2004 15000 91390 106390 07/01/2000 05 15000 91390 106390 06/30/2000 530 4750 5280 Screen 9 Enter Selection > Record: 69675 Index Mode D-Delete H-Hardcopy U-Update X -Exit F -Print Form B-Browse ~~ ~~ ~'~~ ~ ~ ~ ~`~z, .~G , ~- L~ . ~~y a J REV~1508 c7(• (197) COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE E CASH, BANK DEPOSITS, ~ MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER C>rns.~, ~~n~J~~V~ ~, al~oo-oto~~ Include fhe proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ~ ~ T .~ ctn k- C ~ C IG I''.S C,~~' ~- ~- 43 ~ ss ~ . ~ 3, 60 D , ~ 7 -~1' T Qlinl~- Sc~~l'n~S G~C~~~ ~ ISoo~a~a~~~S~q 3~ `~ay~37 ConS~Cv S~niur ~}~t..l~ Tns~~n(.;~ CU, ~in'~bt~n5frn~,h+ ~,3vy. tf S ~ gctn~ls ~-~~ ~,.~+ Cr~sk~~+~~ Cv, A-nnu~-~~~ P~ ~~~`S ~-(~v,~U ~G4S~ I'n IOvG~~ ~3~~i ~~~,t.. ~~u I (~lk.e Shy ~l~ r~-FUn~tS I ~C,,oo TOTAL (Also enter on line 5, Recapitulation) I S ~~ ~ ~ ~ ~ S ACCOUNT N0 ACCOUNT TYPE 43:L!i59 CLASSIC CHECKING 00 0 04334M NM 017 -- GENEVIEVE D ORNER 825 W LOUTHER ST CARLISLE PA 17013-1725 INTEREST PAI') YEAR TO DATE 24.52 38611 Gf'Cf111NT CIIMh1~RV ST,~TEME ~ Pk 21:Cti) I'A,.dE NOV,10-DI__.ilE ZfCDv~~~-~.- 1 i';,p 1W4` NOBLE BOtrl-I'Vtr3CJ BEGINNING DEPO$TTS $ _ __ __. , ._ . ,_„ OTHER ---,-- ..-CUh~2~aj7 _ ~ &-p1r~T;~9G - BALAh~CE __ DTHER A[IDITIONS CHECKS PAID SUBTRACT:[ONS .._-_ :fhTGFtfST ~O -L:A=_ANt:;E: r...__-._. _. N0. AMOUNT N0. AMOUNT N0. AMOUNT ,_ _.._~.____._._._~._. 3_,000.27 0 0.00 0 0.00 0 0..40 L.CtO 3,D;O.i7 ACCOUNT ACTIVITY __ f)ErPOSTTS,:CNTERE$T CHE..f~.i-.F~d 21,,.y__f_ ____ _;.__. _____ POSTING _ -'- I)I J _)aATE___`_______ TRANSACTION DESCRIPTION &<OTHER-AUDiTIClNS -Sl,ti:~:AC'IZii.19,. J~l4ltf:f 11-10-00 BEI>:CNNIt~PG BALANCE ~ (' x _ ~ b„ ~ ~ f ~ f ENO:LNG BALANCE ! .~ ~ , ,:),; . ~- ! ~, "~ ~~ ~~~~~ ------ ~ACCOUNf NC. ACCOUNT TYPE 15004200947579 PERSONAL STATEMENT SAVINGS i 00 0 04334M NM 017 GENEVIEVE D ORNER 825 W LOUTHER ST CARLISLE PA 17013-1725 INTEREST EAF!NhD FOR STATEMENT PERIOD 18.41 INTEFEST PA}:D YEAR TO DATE 101.07 ~f'Cf1lINT ~IIMMARY NOctLE Bl's.'L::'U'Lt;G ..:BEGINNING DEPOSITS & WITNDRANpI,S 8 OTMER CURRE~f -~ ~. •---I~'.~_~:.ND. fl~~ `.___. BALA,VCE_ OTHER ADDITTONS SUI;TRACI'IONS INl'ERES' f'11L1i ALr..Id,~E: _ __- ~__:_.~.W.~~.__ _ N0. AMOUNT N0. AMOUNT _ _ _____ 3~92ci.79 0 0.00 0 ti.00 _.__... i'~3 _~ ~_!..____.._-____-.-----v_~,_n[,^.1.8- OST)~NG DAT ^:~ _._._~,._~_.___ -TRANSAC`(ION DESCRl .TO-0; -00 I)EG~I111dING BALANCE 10-L"1-00 :(hI1ERE5T PAYMENT 11-10-00 IPITEG2EST PAYMENT 12-1a-00 :[N1 EIitEST PAYMENT EIdbING BALANCE 14515 0.58 ~---- ~ 8.75 9.06 i i --' ! _~- . `~~'> . 8 3 9 Y8,G3 ANNUAL PERCENTAGE YIELD EARNED = 2.61 fifi a" ~ .. way ~ i+ i . ACCOUNT ACTIVITY DEPQSIT$y1NTE & OTHER ADDIT STATEMI. ~; i F'I:Fl1.~r;;_.__.. '---- - P.1~t ~_._ OCT.07-L .;,17.,2:i)u ! 1 CI.= 1 ~v:.a/:i.v Jc.,v~vtt l7GHL/t/ 1/VJUIVilVI./S I,VMYfLVY IlonieOffice: Bensalem, PA Policy Benefits Dept: PO Bux GG949 CJaicago, IL GOGGG-0949•Telephone: 1-800-441-3978 BPH36 PAY TO 2'HE ORDER OF' CANE HUNDRED AND 00/100 ---- ESTATE OF ORNER GENEVIEVE D 825 W LOUTHER ST CARLISLE PA 17013 BANK OF AMERICA. COMMERC]AL DISBURSEMENT ACCOUNT - NORTHBROOK, IL ^, -- ~.: yes F.::,~,,:. - K. l.ow> snort II'0 L3809991i' x:0.7 L9 23 284: 87655"'60 L59~!" COiVS]:C'O SENIOR HEALTII INSURANCL COMPANY ~- HoneeOffice: Bensalen, PA ! '~.~1•L i 1,'' ": `~ !!~10 71 t•-_~ 5~_i« Pulicy Benefts Dept: PO Box GG949 i ~ ~` C'leicagu, II, GOGGG-0949•Telepltate: I-800-441-3978 682457-1 682457 95 'f) _ Q'~ 381 ~4~?~ BPH36 FOUR THOUSAND, SIX HUNDRED AND 00/100 -•------ 'AY `l'O THF, >R17L'h OF ESTATE OF ORNER GENEVIEVE D 825 W LOUTHER ST CARLISLE PA 17013 BANK OF AMEF?ICA COMMERCIAL DISBURSEMENT ACCOUNT - NORTHBROOK, IL ------ ;~~II_I psi.; a~. ~,,:.,, A!;OUv. - --_ - 1;{JI'~°;,i.°l':(;+ :~E'd:iv+ri 1-f:.,41.."~ li 'd ~d::~l;f:'~A'i+IC>;: (. +:)INi~'ri.~s~~9'r ~ e 9:;~- y _ Xmas S. ,a.~ns /~' ` !':. Dwell :':hor; {I'0 138099711' x:0 7 19 2 3 284: 87655~~~60 L59i1 CONSE~~O .SENIOR HEALTII INSURANCE COMPANY Home Office: Bensalem, PA D'ST`= "I' ,J'".5,"~lll 7,0". ';7~ Policy Benefts Dept: PO Box GG949 ` 1 `) Chicago, II, GOGGG-0949 • Telephone: I-800-441-3978 +582490-1 682457 95 ~'~ti, i~ I:~%3D' ~9 3PH36 THREE THOUSAND, SIXTY-SIX AND 46/100 --------------------•----I~'{!•~•''~=`~.~ ;,m~:,~ur.T ~Y TO THE 'DER OF ESTATE OF ORNER GENEVIEVE D 825 W LOUTHER ST CARLISLE PA 17013 SANK DF APAER; CA :OMMERCIAI_ DSBURSEMENT ACCOUNT - NORTHBROOK, IL -` ' .., ,. 733215-1 682457 9= '•a';~, G'13~:C>~;'S' _ _ aMC~rir c: __ .~ ~g~^^ 11'0 L 38D 9 9811' ~:D 7 19 2 3 28 ~,~: ry~,~~87~6~5~g5~~~}, 6~0 L~'.~ 9{{° ` 9 ` ~,~l~'.. .... ' '. •_ •.~ ..'~-Wf~i'i~Yi`LYL{~7Y17~i~fiiL7lW~if~ il~i~:~~l~ E{ ~~ I ~7~ '~Ji ~ a~ ~~ll~''~~~:! CONSECO SENIOR HEALTH °i'`'02E`)°``'' I NSURA;VC'c COMPANY 11815 N. PENNSYLVANIA ST., CARMEL, IN 46032 BANK OF AMERICA COMMERCIAL UISBUft;cItL`I1' h.C;OL'h;T 70-2:_2E NORTHBROUK, ILLIN'IS iI';: PAY THREE H~JNDI~ED SEVENTY-EIGHT AND 50/100 ------------`--=----------------~--_..______,.__._....._._.......____. TO ESTATE OF: GENEVIEVE D ORNER THE 825 W LOUTHER ST ORDER CARLISLE PA 17013 OF ++'0000269689+-' ~:0?L923284~: 8 7 6 5 5111 60L54++' .~ .. 1. ~ . ~ L .. __..,.... . CHECK I`JO. 000t)36w665 COIJSECO SENIOR HEALTH INSURANCE COMPANY 11815 N. PEHIj;iYLVANIA ST., CARMEL, IN k6032 BANK OF AMERICA COMMERCIAL DISBU:;SG~tf11T r,:C;)UtiT 'r Y- 232E NORTHBROOK, ILL;:'f~:iS ~ i 19 I'Al' ONk MLINDI3E[+ FIFTY-NINE AND 46/100 ------------------ -----------------...,._......_....._ __.. .. _.._.... ..__-_.. TU ESTATE OF: GENEVIEVE D ORNER D 1' ~ ';FU CN ~wlc~l rI" / ThIE $25 W LOUTHER ST 12/C ,/ ~?C)~?i:) =r :K r * I ~ * * : (. i . 8'i ORDER CARLISLt= Pl1 17013 ;;; ~,~°,, ,~ ;r ~ l7F ' ~ ~ ~ - ~ I I' „ r - '. I / ~I / r~ ~ f~ ~" ~ ,.; G VUItl i'"iE't t 2U I v~ _~ Aut .o . c i jri~ Eire ++'0000 269665++' x:07 L9 23 284: 8765511160 L541iE s~~~ ~~~ ~ ~~~~ ~ ~:~ ts,4t~'~f~itJ' LII'L" A.ND LAJUALTY (.'OMPANY Life Division 222 Merchandise Marl Plaza Chicuga,lZ 6064-ZUU9 • Telephone: 312-396-6000 CWJ80 'AY TO TTIE >RDER OF UNE HUNDRED THIRTY AND 40/100 ORNER GENEVIEVE D 825 W LOUTHER ST CARLISLE PA 17013-1725 Br11'IKEI? L: F'L~ FPI~ C~~~SI ~AL~'Y l~~CI'~IPIIM' t> S_ ~ ~-~~~`_ ~:~ ~~~ s. f ~~ ~,s i ~ ~° ; r:. ~cwel ~~,cr~ BANK OF AMERICA COMMERCIAL DISB~JRSEMENT ACCOUNT - NORTHBROOK, IL CWJBo ii' L 247789ii' x:07 L9 23 284: 87655~~~60 258ii` IIAI<ll~Is'RS LIIP AND CASUALTY COMPANY f.,:irl_ Life Division • 222 Merchandise Mart Plaza f0; •1. Chiazl;o, IL 60654-2009 • Telephone: 312 396-6000 8140700 ()NE HUNDRED THIRTY AND 40/100 ----------- ~L~~~~~~~:i~'r~llJtl v~~' 1~:';1':1~2 TS> ~;C~Td.~ECC' .~MGC'JT ----- „=E~:: -~ PAY TO 1'HP', OPD1~;1~ OF' ORNER ESTATE OF GENEVIEVE D 825 W LOUTHER ST CARLISLE PA 17013 1725 BANK OF AMERICA COMMERCIAL DISBURSEMENT ACCOUNT - NORTHBROOK, IL 8,140,700 ~ti, c~(S F; C 0 ---------------------- - D C: L1.fi.F ;i ~~ -~'- -- ~ _ r J l:. - _ ,~ ~ . G c> .. ..amts ~ ~,:iz,,//m//s K.:_aw~. S^~urt ii' L 2 L4 i.6 2ii' x:07 L9 23 284: 87655~~~60 258 IIIIII~! ~ • ~~,~~ f].:~In~l'~illill~U~I~~J~~i~1~1€~~~I,l REV4510 IX • (1-9~ SCHEDULE G - . INTER-VIVOS TRANSFERS 8~ COMMONWEALTH Of PENNSYLVANIA MISC. NON-PROBATE PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ~(~`c~ G~~~~i~V~- ~~ ~! -~~ -ploy! This schedule must be completed and filed if the answer t0 any of questions 1 through 4 on the reverse side of the REV•1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY °k OF ITEM ~NCLUOEtHENM~EOFiHE7RANSFEREE,TNEIRRELATIONSHIPTOOECEOENTANOTMEOATEOPTRANSFER DATE OF DEATH DECD'S EXCLUSION TAXABLEVALU~ ~rr~cH~coProFrHEOEEOr~oaru~u.EST~rE. VALUE OF ASSET INTEREST iF~aa~icne~El JMBER 13GnY,cn s ~.;~~. cw~r~ C ~S~w1}~ Cv. 1 ~'G~nSf 5~v~.ep~ ~ll .D~v i ~ 1~ , Or n r~ ~, Say TOTAL (Also enter on line 7, Recapitulation) I S ~~~ 7e~ /' , .~g (If more space is needed, insert additional sheets of the same size) _ CR N0: 8140700 PAYEE: ORNER DAVID CNECK NUMBER: 1197949 DATE: NOV 17, 2000 AMOUNT:. $18,729.38 EXPLANATION: 8140700 COMMUTED VALUE DEATH CLAIM $18,729.38 ._ . ., f" *~. ... 1... j~ .ja`y' J ~ f~ / ~ ~'7 ,'~ ., M ~.:. of r'j ~.+^~ y i '. , . ' - A-000478 I~ IIIIIuIIIII IIuu IIIIIIII I l~u IIIIII I ullU BANKERS LIFE AND CASUALTY COMPANY S .~~.....»....r.~..~.~..,..,..,~..~.~..~,..a.,., ,..,:..~.~,~..~~...x..,r..~.~..,sur.. ~.. e~ _, ... , . ~ , ,~~..~ar.. ,..~..,.a.~ _.~. t ~~ , , ., . . • ~\ ~ ~ I Y. ~ ~ ~~`~\ ~ \\ ~ I ~ , \\^ ~ / b REV-1511 EX+(~0-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~. I~mc~n, jZvfh ~i,tn~rwl -~f~-~, Inc, - 1 3, LGG.oo B. 1 2. 3 4. J. 6. 7. ~, ~, lU ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) StreetP.ddress __ ____ Cily .--- Year(s) Commission Paid: __ NonlC Attorney fees ~ ~ ' Family Exemption: (It decedent's address is nol the same as claimant's, attach explanation) Claimant ------- - ---- - StreetAddress~~- ~~~ ~~~1~,)~~j.~~~ City _ ~/iT ~ u ...~Z~ Stall .~7'_ Zip 7~ Relationship of Claimant to Decedent c,SC'~'/ Probate Fees ~ ,s ~. r ~/~ ~~f s~ , p ~ ~'~~ , i~ j ~.S' ~` r ~ ~~ ~'',f , C>r, Cl G~ I ~1 U n C~ I ~.t v~`~,- r ~v , DO { -. _ ... Ter~Returml3reparer'rFees ~ ~/1•~.~~ ~/ ~ ~ ~ / C~ rv\~ lGw~~~, I,Ct tn~ J U ~vl n l~l Cc GI ~~, OD ~cS~~~-F~x Clost~~ ~s~~ ~~.vv TOTAL (Also enter on line 9, Recapitulation) I $ ' o~, S ~U, ~ ~ ~" State Zip ___ (If more space is needed, insert additional sheets of the same size) Hoffman-Roth Funeral Home, Inc. 219 North Hanover Street Carlisle, PA 17013 (717)243-4511 January 12, 2001 David L. Orner 825 West Louther St. Carlisle, PA 17013 The Funeral Service for Genevieve D. Orner 13343-202 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. (A) OUR SERVICE: SERVICES OF FUNERAL DIRECTOR&STAFF,EQUIPMENT&FACILITIES , $3390.00 FUNERAL HOME SERVICE CHARGES $3390.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED CASH ADVANCES Certified Copies of Death Certificates, Flowers . 1 iairdresscr, Organist. TOTAL CASH ADVANCES AND SPECIAL CHARGES . CONTRACT PRICE TOTAL AMOUNT DUE . This statement is net and payable in full within 30 days of receipt. ~1 ,~y? w~,,. / n n~~ J t,, ~( ~~,~ "l3' ------------------------------------------------- Please return this portion with your Remittance ~~ ~.(} ® Amount Enclosed service ID # 13343-202 $3390.00 $12.00 $159.00 $30.00 $75.00 $276.00 i~ $3666.00 ;~~yi~ $3666.OO~u ~~a/~ C` L Genevieve D. Orner • ;12-03) SCHEDULE 1 COMMONWEALTH OF PENNSYLVANIA ~ DEBTS OF DECEDENT INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. (If more space is needed, insert additional sheets of the same size) Statement United Church of Christ Homes Sarah A. Todd Memorial Home 1000 West South Street Carlisle, PA 17013 Statement Date: 02/12/2001 David Orner 825 West Louther Street Carlisle,. PA 17013. Due Date: 02/.26/2001 Re: Genevieve D Orner Account Nr: 101114 -------------------------------------------------------------------------------- Date Description Days Rate Charges Payments Balance Quant. BALANCE FORWARD 8,289.78 ~~"w~ ~~7 ~~ ~ `L~~ G ~~~ ~~- !J G~e,~.(1 ~-,~,e . NOTE: Please remit by FEBRUARY 26, 2001, the Last amount printed on statement. Please include Account Nr. from statement on MEMO LINE of your check. Any payments received after 01/31/2001 are not reflected on statement; please deduct any additional payments you may have made and remit the balance remaining. Thank You. 8,289.78 REV•1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF ~ I_ UU _ U I U O~n~t-, 6~n~.d ~ ~v~ ~, RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not LlstTrustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)j r 1. ,S~n ADD ~Iv GT I~GVi Gl ~. nl'n~t Cct~~;s~~, P~1 i~~j3 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET 11 NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE L B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I S (li more space is needed, insert additional sheets o1 the same size) . !~ '' `Register of Wills o>f Cumberland County ~; , ~~ STATUS REPORT t>T?DER Rtn-1~ 6.12 /`~~ n Name of Decedent: _ _ ~_=~ ~~~= ~- , ' ~~~=~' ~''/Jl? Y.~ ~1. Date of Death: ~ ~ y,~ ~'V \ Pursuant to Rule 6.'12 ofithe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: ' 1. State whether administntioa of the estate is complete: Yea ^' No 2. It the answer is No, state when the personal representative reasonably believes that ' ~ the administration wil- be.complcte: ~~' /y=~v- ~-~ // 3. It the answer to No: 1 is Yes, state the following: a. ' D{d the personal represcntativc'file afinal account with the Court? Yes ^ No ^ =, . b. The separate Orphans' Court No. (if any) for the personal rcprescntatYVC's ' accour}t is: , c. Did the personalrrepresentative state an nccount informally to the parties in interest? Yes ^ No ^ c. .Copies of receipts, releases, joinders and approval'of formal or informal accounts may ~be filed with the~Clerk of the Orp urt and maybe attached to this report. ' /~ r Date:/G° --;~'" _ ~ J~ .. G'c~" ~~--~'~ ~--~-c,. Signatwc _ ~, ` _ ~ ~ H~E>~~o . ~ ANIELS . , .. ~~' u '- ~ ~ 1 WEST HIGH ST. STE 205 3 .Tr _ r !" `_ __ t' L~ .i_ ~ A ~ _J (__ _....: L_'~_ ~~-Z-Y3=-3P3/ Telephone No. ' Capacity: Personal Representative ' Counsel for personal representative , "~ij IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ORPHANS' COURT DIVISION ESTATE OF GENEVIEVE D. ORNER, DECEASED N0. 21 00-1041 PRAECIPE TO DISCONTINUE WITHOUT PREJUDICE To Glenda Farner Strasbaugh, Clerk of Orphans' Court and Register of Wills: The above-captioned action is a Citation for failure to file an inheritance tax return. Please mark this action discontinued upon payment of costs by the Estate as the Administrator of the Estate filed the inheritance tax return. DATE: October 31, 2011 ~~_ c3 v, ~:~ _ _ . _._ ~ C. ~~~ .., ~ ~, -. -- ~ ~° ~, -; t~ v ~~ C_: i~:, 4~ ~ L Lora l4. A'~-~lick ~- Attorney for Petitioner PA Department of Revenue Office of Chief Counsel P.O. Box 281061 Harrisburg, PA 17128-1061 Attorney I.D. No. 69436 1'~~ v IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA IN RE ESTATE OF GENEVIEVE D. ORNER, DECEASED ORPHANS' COURT DIVISION N0. 21 00-1041 ORDER OF COURT 3~~ Iv Oil tW~~l~i' 2011, AND NOW, this day of upon consideration of a Praecipe to Discontinue the within action, the Motion is granted, the Rule is dismissed and the Citation is discharged upon payment of costs by the Estate. BY THE COURT: Judge ' ~ i ~ ~ c" . ~ -"? -_ C!~ G? - J; -,%~C7 -n ,., _. _'' , .A- ~~ ! h . 4.:' ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: GENEVIEVE D ORNER, DECEASED CUMBERLAND COUNTY PENNSYLVANIA NO. 21-00-1041 CERTIFICATE OF SERVICE OF ORDER ORDER DATE: 11%3/11 JUDGE'S INITIALS: MLE TIME STAMP DATE: 11/3/11 IN RE: ORDER OF COURT SERVICE TO: LORA A KULICK DEPT OF REVENUE DAVID L ORNER METHOD OF MAILING: ® USPS ^ RRR ^ HAND DELIVERED ^ OTHER MAILED: 11-3-11 SERVICE TO: ENVELOPES PROVIDED BY: ® PETITIONER ^ JUDGE ^ CLERK OF ORPHANS COURT METHOD OF MAILING: ^ USPS ^ RRR ^ HAND DELIVERED ^ OTHER MAILED: ENVELOPES PROVIDED BY: ^ PETITIONER ^ JUDGE ^ CLERK OF ORPHANS COURT ! , U{,~ ~ z)1 1 ~.k t J~ ~'~'F `'gel. ii r' Deputy Clerk of Orphans' Court a ( ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 WILLIAM S DANIESL STE 205 1 W HIGH ST CARLISLE NOTICErr ~~OF INHERITANCE TAX '~ ° ~~~b~ ~~C~T~IO'NND ASSESSMENT OF WTAX E _•i CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1547 EX AFP C12-11) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: ORNER GENEVIEVE DFILE N0.:21 00-1041 ACN: 101 DATE: 04-09-2012 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) C2) ,OQ credit to your account, (3) .00 submit the upper portion of this form with your C4) • 00 tax payment. C5)_ 15, 699.85 C6) .00 c7)- 18,729.38 _ ~~ pennsylvarna ,=~- ~ ~~. DEPARTMENT OF REVENUE REV-1547 EX AFP C12-11) Cs) 116 , 929 .23 C9) 1 0.8 Clo) 9,707.14 11. Total Deductions C11) 22,227.99 12. Net Value of Tax Return C12) 94,701.24 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 94,701.24 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 ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .00 X 00 - .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16) 94.70 .?4 x 045 = 4,261.5b 17. Amount of Line 14 at Sibling rate C17) .0 0 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 - .0 0 19. Principal Tax Due C19)= 4,261.56 TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 12-20-2010 CD013810 168.44- 4,430.00 BALANCE OF UNPAID INTEREST/PENALTY AS OF 12-21-2010 TOTAL TAX PAYMENT 4,261.56 BALANCE OF TAX DUE .00 INTEREST AND PEN. 2,169.60 TOTAL DUE 2,169.60 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. C1) 82,500.00 NOTE: To ensure proper ~~'~s' ;irk f 3 ~ !~' ~'~ ESTATE OF ORNER-2012 GENEVIEVE D DATE OF DEATH 10-25-2000 CLERK Or FILE NUMBER 21 00-1041 QRPNAN'S i~Q1Rj COUNTY CUMBERLAND C,~}~~~~`~~~~~! ? i,t~ , PA ACN 101 APPEAL DATE: 06-08-2012 (See reverse side under Objections) PA 17013-2951 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SgUARE CARLISLE PA 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DANIELS WILLIAM S ONE W HIGH STREET STE 205 CARLISLE, PA 17013 REV-1162 EX(11-96) NO. CD 016529 ACN ASSESSMENT AMOUNT CONTROL NUMBER ---- fold ESTATE INFORMATION: SSN: 204-01-4077 FILE NUMBER: 2100-1041 DECEDENT NAME: ORNER GENEVIEVE D DATE OF PAYMENT: 09/20/201 2 POSTMARK DATE: 09/20/201 2 COUNTY: CUMBERLAND DATE OF DEATH: 10/25/2000 REMARKS: RECEIPT TO ATTY SEAL CHECK# 1 105 101 ~ $2,169.60 TOTAL AMOUNT PAID: $2,169.60 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENl~TSYLVANIA BUREAU OF COLLECTIONS & DEPARTMENT OF REVENUE TAXPAYER SERVICES PO BOX 2S 1041 HARRISBURG PA 17128-1041 ~~/ /~ REV-870F0 AFP (10-07) WILLIAM S DANIESL STE 205 1 W HIGH ST CARLISLE PA 17013-2951 Dear WILLIAM S DANIESL: DATE:- 9/13/2012 Estate of ~RNER GENEVIEVED Date of Death: 10/25/2000 File Number: 21 0 0 -10 41 ACN(s): (See Reverse Side) This is to advise you that the above estate is in a delinquent status. According to Department records the estate is still not settled. As of this date, you have failed to respond to prior contacts to resolve this matter. The Inheritance and Estate Tax Act mandates the fling of a tax return and payment of all outstanding liabilities by the personal representative, transferee, or beneficiary of the estate within nine months of the decedent's death. The Department's records show that this estate remains open because: CURRENT TAX LIABIL OF $ 216 9.6 0 ~ ~ INCLUDING INTEREST CALCULATED O 10 / 0 8 / 2 012 HAS NOT BEEN PAID. Accordingly, you are directed to pay all tax due including interest within ten days from the date of this letter. If you fail to comply with this directive, your case will be referred for local enforcement and may result in the filing of a citation by this Department with the Orphans' Court Division of the Court of Common Pleas, requiring you to appear in court to show cause for your failure to comply with the law. In order to protect the Commonwealth's interest, the Department of Revenue may also file a lien in Cumber 1 a n d Count y Under Act 40 of 2005, additional collection costs including but not limited to fees of up to thirty-nine percent (39%) of the amount due, and attorney fees incurred in securing payment, may be imposed on any liability not paid prior to referral to a collection agency or contract counsel. MAKE CHECKS PAYABLE TO ~ Sincerely, REGISTER OF WILLS, AGENT Harrisburg Call Center Any questions regarding the tai cc: liability- of this estate, please CONTACT: Harrisburg Call Center (717) 783-3000 TDD# 1-800-447-3020 (Service for taxpayers with special hearing and/or speaking needs) DATE: 9/13/2012 Page 2 Estate of: GENEVIEVE D ORNER Date of Death: 10/25/2000 File Number: 2100-1041 PLEASE SUBMIT A COPY OF THIS PAGE WITH YOUR PAYMENT. ACN Tax Interest Penalty Total 101 0.00 2169.60 0.00 2169.60 pennsylvania i BUREAU OF INDIVIDUAL TAXESG-Cop !-`;_k }r'C HERITANCE TAX RDEP EVA 60ME~N(TOAFP F REVENUE INHERITANCE TAX DIVISION S, E M E N T OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 O CT 10-01-2012 29:2 OCT -c] 7 i q 3' 34 ESTATE OF ORNER GENEVIEVE D DATE OF DEATH 10-25-2000 FILE NUMBER 21 00-1041 p~ORP, 1 11:) vviJ iT COUNTY CUMBERLAND WILLIAM S DAN UNBERLAND C()_ PA ACN 101 STE 205 Amount Remitted 1 W HIGH ST CARLISLE PA 17013-2951 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS _ REV-1607 EX AFP (12-11) INHERITANCE TAX STATEMENT OF ACCOUNT ESTATE OF:ORNER GENEVIEVE D FILE NO.: 21 00-1041 ACN: 101 DATE: 10-01-2012 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-06-2012 PRINCIPAL TAX DUE: 4,261.56 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID 12-20-2010 CDO13810 168.44- 4,430.00 09-20-2012 CDO16529 2,169.60- 2,169.60 TOTAL TAX PAYMENT 4,261.56 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 + IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. 1~ Pa. O.C. Rule 6.12 S ATUS REPORT REGISTER OF WILLS O ~~ COUNTY, PENNSYLVANIA Name of Decedent: !~~~~- ~~~ /~ r'te' S~-~l Date of Death: File Number: ~~ -~~' ~/ 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 :.................... ^Yes ,~To 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3c ~~-u~, ~~~ 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 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 ^ No .... d. Copies of receipts, releases, joinders and approvals of formal informal accounts maybe filed with the Clerk of the Orphans' Court and may be att ed t this report. //_~~ Date Signature of Person Filing this Form !~._ ~`= ,~, Capacity: ^Personal Representative ~Counset ~y M:,. ~~; 4_ ~ ~. _.~ ~: C.: ~--~~ ~'~' ~ Name of Person Fihn thcs Form ` ~ ~.. ~ /~ ~ ~ C:s ;~<"," f..[y fir..: ~.. ~ Q J . ~ r s" l ~C_ Address ~ ~ / ~ ~ ~ ~ ~ ~ ~ .-. -- •, V Telephone ' cv - - - F ..,, aw_in ..,.. in irn~s Pa. O.C. Rule 6.1//2 STATUS REPORT REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Name of Decedent: &-c%o �— �� C v d e-Ai� Date of Death: L? °� S 2-0 d a• File Number: -2,000 _ i d 4 Pursuant to Pa. O.C, Rule 6.12, 1:report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . ... . . . . 0 Yes JrNo 2. If the an'sweris 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? . . . 0Yes 0 No b. The separate Orphans' Court No. (if any) for the personal tepresentative's account is: c. Did the personal representative state an account infdrmally to the parties in interest? . . . . . . . . , . . . . . . . . . . .. . . . . . . . . . . . . 0Yes 0 No d. Copies of receipts, releases,joinders and approvals of formal rma] accounts may be filed with the Clerk of the Orphans' Court anddmmaay be attac cd to th s report. Dole 2 W Signature ofPtrson Filing this Fgrm w i c o Capacity; ©Personal.Representative ®Counsel O '\ U Y �J li p U Nank of Person Filing thtr Farm CD G " � n Add"' 1 WEST HIGH ST. STE. 205 ° ° z w CC 83 / <Telephone .� ; Fonn RW.10 rev. 10.11.06 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 RECORDED OFFICE OF REGISTER OF WILLS 2019 SEP 30 011-9, 10 20. CLERK Or ORPHANS COY Date: 9/30/2014 CUMBERU;D r. ..., A DANIELS WILLIAM S ONE W HIGH STREET STE 205 CARLISLE, PA 17013 RE: Estate of ORNER GENEVIEVE D File Number: 2000-01041 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: 10/25/2014 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, Lisa M. Grayson, s Clerk of the Orphans ' Court