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Home My WebLink About04-0022PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Lee E: Faught also known as No. 21-04- To: Social Security No. 193-24-1 $ ! 6 Register of ~qills for'the Deceased. County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl ys for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 415 N. Pitt Street; Bo,rom~ air C~nr~.~ . (list street, number an~'municipa!ity) Decendent, then 75 years of age, died December 15, 2003 ,~XXXXX at 415 N. Pitt Street, Borough of Carlisle, Cumberland COunty Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property $ unestimated (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated, as follows: Petitioner the following spouse (if any) and heirs: Name after a proper search ha $ ascertained that decedent left no will and was survived by Patricia M. Faught. Deborah L. Brownawell Susan L. Morrow Karen L. Sweger Relationship Spouse Daughter Daughter Daughter Residence 415 N. Pitt Street.. Carlisle PA -413 N. Pitt Street~ Carlisle PA 833 Pheasant Drive N-:Carli,,;le PA 2701 Spring R.d.: Carli.~lc PA THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. Patricia M. Faught OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA '~. ss COUNTY OF CUMBERLAND 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 representative(s) of the above decedent petitioner(s) will well and truly adminisIer the estate according to law. Sworn to or affi~n~:~nd and subscribed before me this day of Jonuarv. 2004 ~x No. 31-O~- Estate of LEE E. FAUGHT , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW ~,~,o~.: I~; ~qc)od, ~XX , in consideration of the petition on the reverse side ~ereof, satisfactory proof having been presented before me, . ' IT IS DECREED that Patricia M. Fauffht is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to Patricia M. Fauffht in the estate of Lee E. Faught Register of Wills FEES Letters of Administration ..... $ \~ .cio Short Certificates( ) .......... $ Renunciation ................ $ TOTAL ~ Filed .1: ).2.: 2. ~o.q. .......... A.D. Robert M. Fre¥ 06274 ATTORNEY (Sup. Ct. I.D. No.) 5 S. Hanover St., Carlisle PA 17013 ADDRESS (717)243-5838 PHONE JAMES A. BALOGH - MN GARY W, BECKER - DC, FL, IL, MN, WI* *CREDITOR'S RIGHTS SPECIALIST AMERICAN BOARD OF CERTIFICATION CHELSEA A. WHITLEY- MN, WI ANGELA M. HORN - MN MICHAEL D. JOHNSON - MN MARY ELLEN WEEMAN - KS, MN, MO THERSlA O. LEE - MN CHAD J. BOLINSKE ~ MN DIANA THEOS - AZ, CO STEVEN M. TOMS- MN MICHAEL L MCCAIN - MN WILLIAM B. HOPKINS - MN, WI KIMBERLY L. DUNCAN - MN JOHN E. OLCHEFSKE - MN JON M. SUSTARICH - MN JASON R. FOSTER- MN REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE ! COURTHOUSE SQUARE, #102 CARLISLE, PA 17013 BALOGH BECKER, LTD. ATTORNEYS AT LAW SEND ALL WRITTEN REPLIES TO: 4150 OLSON MEMORIAL HIGHWAY, SUITE 200 MINNEAPOLIS, MINNESOTA 55422-4811 TELEPHONE 763-852-8440 FAX 763-852-8499 TOLL-FREE 877-768-4494 ARIZONA OFFICE: 7702 EAST DOUBLETREE RANCH ROAD SUITE 300 SCOTTSDALE, AZ 85258 OF COUNSEL:, LITOW LAW OFFICES, P.C. (IOWA) LUSTIG, GLASER & WILSON, P.C. (MASSACHUSEI-rS) 02/25/04 Re: In the Estate of LEE E FAUGHT Probate Case No. Social Security No: Last known residence: Our Client: Account Number: Amount of Debt: 21-2004-22 193241816 415 N PITT ST CARLISLE, PA 17013 CITIBANK USA, N.A. (SEARS ROEBUCK & CO) 5484031673958 $ 641.73 Dear Sir or Madam: Enclosed please find a Creditor=s claim to be filed in the record with the above-referenced Estate. Please return a file stamped copy of the claim in the enclosed self-addressed, stamped envelope. Thank you for your assistance. If you have any questions or if this is a duplicate claim, please call our firm toll free at 1-877-768-4494 Cordially, Balogh Becker, Ltd. Attorneys at Law Enclosures A check for $5.00 for the filing fee. Attorney for Estate Personal Representative This letter is an attempt to collect a debt and any information obtained will be used for that purpose. This letter is from a debt collector. 4120 2,23/20o4 1061710 STATE OF PENNSYLVANIA CUMBERLAND COUNTY ESTATE OF LEE E. FAUGHT PROBATE # 21-2004-22 1) 2) 3) CLAIM IN PROBATE The Claimant with name and address as designated below hereby claims of the above named estate the stun of Two Hundred Ninety Three Dollars and Thirty One Cents ($293.31 ) for the amount due and owing on the Dicks Clothing Account 6012503600786798, Lee E. Faught as now fully appears by the instrument or account here to attached, marked exhibit "A" and made a part hereof, The account is secured, with no contingencies, The undersigned states that he is the designated representative of GE Capital Consumer Card Co.; that the said claim as herein stated, is justly due; that no payments have been made thereon which are not credited and that there are offsets to the same to the knowledge of the affiant except as herein stated. WHEREFORE, Claimant asks the allowance of said claim. Respectfully Submitted, GE Capital Consumer Card Co. C/O Chris J Morris, Retail Services Retail Division T-302 7410 South Roosevelt Tempe, AZ 85283 I certify under penalty of perjury and pursuant to the laws of the state of Arizona that the preceding is true and correct. Subscribed and sworn to before me on ~u~li-c,'~izon~ ~ I0 OFFICIAL SEAL SHARENE CALLIES NOTARY PUBLIC - State of Arizol]a I MARICOPA COUNTY __ My Comm. Explre~ Jan, 31,2OOe_.J Signature My commission expires: DETACH Ar PERFORATION, MOISTEN HERE, FOLD, SEAL AND MAIL APPUCATION MUST BE SIGNED. Please print In CAPITAL LEi ir. RS and avoid contact with the Ilne~: _ ~ Fimt Name M. Initial Name I I I I I I I I I I I I I I I I I I Present Address I I I I I I I I I I I I I I I I I I I C~y State Zip I I I I I I I I I I I I I I I I I' I Previous Adclmss (if less than 2 years at Present Address) I I I I I I I I I I I I I I I I I I I C~y State Zip 360 (if appl~ble) I I I I-I I I-I I I I I S~ Num~ Birth - - D°Y°uE] E] E~ I I I. Betel I II I II I I I I I I I I I I I I I I I I I (,/One) Own Rent Other # of Children Month Day Year Home Phone at H~me I I I I I I I I I I I I I I I I I I $1 I I Itl I I I I I I I-I I I I-I I I I I Your Employer How Long (Yin.) Total Annual Income' Business Phone E-Mail Address 'NOTE: Alimony. child SUDOOrt or separate maintenance payments need not be disclosed unle&s you wfsh to have it considered as a basis for renevina this oblloation. IVeere~t Relative Not Living 14rdh You: Name Address City State Zip .Home Phone First Name M. Initial Last Name Relationship to Applicant I I I I I I I I I I I I I I I I I I I I I I I I I I I I-I I I-I I II I Present Address Social Secunty Number Birth I I I I I I I I I I I I I I I I I I I I I I I I Date l I II I II I I I I City State Zip Month Day Year I I I I-I I I I-I I I I I$1 I I Itl I I I Home Phone Total Annual Income' I I I I I I I I I I I I I I I I I I -I I I I-I I I I I Your Em How Business Phone Applicant(s): Please read me fi3ttowing: Applicant(s) ('you" or 'your') requests a credit cant(a) or revolving ~ __-,:~__ ,_rtl You represent that ~ irtfenna~l ~upflllad in ~ cradit application ("Application") is complete and accurate and that your Account will only be ~ f~ pemondi, family, or household purlx3~es. You authorize Cort~,eco Sank, Inc. ("we,' "ua," or "our") to obtain · consumer report fi'orn consumer repor~ng agencies in consldming the appllca~m, and for the purpose of an ulxlate, renewal, extension of credlL review, or cdiledito~ of your AccounL Upon your request, we will infoml you of the name and eddreu of each ¢oflsumer i~g agency fn3m which we obtained a consumer i'~ relating to y~J. You agile that the~ is 11o agreefllent between you and us until we approve your epplica~lcm. You agree that the Agreement provides for the compounding of finance charges. NOTICE TO THE APPUCANT(S)/BUYER(S): (1) DO NOT SIGN THIS CREDIT APPLICATION/CREDIT .AGREEMENT BEFORE YOU READ IT OR IF THE CREDIT AGREEMENT CONTAINS ANY BLANK SPACES. (2) YOU ARE ENTITLED TO A COMPLETELY .... FILLED IN COPY OF THE CREDIT AGREEMENT. You have mad and elF~ed to be bound by the terms of this Application (including the accompanying Fe~'~ll and State No~,es) and the terms of the Agreement. which am incoq~omtad into end made · pad of this Application. You ac~rmwledge that you have kept the copy of the attached Agreement Fown f~0-56-024 (5/99) and you agree to be bound by its terms and conditions, which are hereby incmporated by reference and made a pad of this Applica~¢m. You agree to be bound by any additioual terms we mall you with the credit can:L X X Applicant Signature Date Joint Applicant Signature Date By etsctlng optional CbergeGa~cl Plea Insurance, I acknowledge that: I do not need to pumhaes thts Inluranca to get credlL I can get sknllar property coverage from any Iceurer I choole. I mad the dtscleaum and I meet the age end/or employment eligibility requirements. ChorgeGord Plea lnclude~ credit life, disability, Invotontaly unemployment, and property to the extent available in my etate. Monthly premium charges am based on the account balance and the rats shown in the dtscto~ure." I will receive notice of eny rate Increase. I may cancel anytime. ~ YES, please enroll me In ChargeGard Plus credit Insurance -- Please see the dtsctoeure in the Cardholder Agreement and Disclosure. X Signature of Pdmary Cardholder Date of Birth Date 3061 Applicant's ID (Type and Number) Expires Joint Applicant's ID (Type and Number) Expires Store -- -- Contact Fa~# I I I I I I I I I I I J Nemel I I I I I I I I I I I I I Store m -- Phone # I I I I I I I I I I I I I Store #1 I I I I I I I I I 36106 Acoount#1 I I I I I I I I I I I I I I I I ~ 60'56"024 (5'99) ~ I ~, ~. CARDHOLDERAGREEMENT AND DISCLOSURE STATEMENT '~ · Cal~ Advmm~ 21.60~ Mam~m cun~z~y q~y: f~lowin~ ,~. mm dm~ ,$a~d Delh~l~-nt after a mmtmum payment i~ not made for two consecutive billing Cycles. Ad~ma~ (i.~ (i) In~n6ng yo~ Canl to us or ~o an zppm~l mac~ (ii) using m Ac~ss Cneck..or (ii0 using ~ ~ m ~nt The Pmodic S~llement shows: (i) the unpiid bahnce of ~nxa'At:comt at de beginl~ of ihe Cyde; (ii) payments/orediis lo :caa~; (iii) p~:hases, cash advances (and ATM cash advanc~ if q~), Finance C~ Fees, and all oder dl~s m ~ "" dural ~e Cy,~, (iv) ee Accent belmo~ on ~e hst day oftbe Cycie{~ ~.w Balance"); (v) ~ lan ~ of ~ C~ (~ is due (~ "Payment Dee Deto"); and (vii) your Cn~d~ Limit KCIAL PAYMENT PLANS: In addiuo~ to pu~hases CRegelst IN,~¥~") and Cash Advlnc~ tint aca-te France ~ qu~ Mhimum Mm~l~/Payme~a~ the follow~ Spe~inl Paymmt P~m (or "Plan(s~") for pu:~a~s may be olfen~ ~ ~ ~b) Waived Fmace L"Im~ - no Rnance ~ will atone m p.&.~, made unda. ~he Special Paymm in. aa ta,~l ~ 'c) Delaycd I~ Finance C~ - no Fmmce Cha~e~ will accrue ou purdmes made undn- ~he Plan un61 ~e e} Same As Ca~elaycd I~ - Fum~e Chn~ts will ac~-ue on the pulx~ase ~n~m tbe dar of tbe inj~ha~ b~ ~ ,4iniman Mouth]y Paymen~ will be due urdil tbe Payme~ Due Dase for ~be Fn~ bi[lin8 Cycle ~ ~ ~ ~ ~ ~ em~xion pemd a. indicted on :mu~' Fenoruc Statement: and ifyou pe/tbe cash ask Ix'~ce ortbe pu,-dme pl~ ~ ~ ~Umums (ifapplkable) by Oe hst day of the pmmo~on petind, all acc~ed Finance ~ wi[I be wacom and ~ ~ m pecinl P'~nnent Plan Unnl tbe expu-anon da~e of tbe pmmminn~ pened spec~f'~d on yetu- Periodic Statement No Mi~~ 4enddy Payments will be due o~ the Specia~ Payment P~an balaace un~ the t-nst Payment Due Date followin8 ~ e~i~ att Wben Finance Cha~s do bepn to accrue, ~ reduced Daily Pmodin Ra~ of Finance Cha~e cReduced Daily pe~o~c ~ ainnce") Un~l the ~xpUanon of the Reduced IL~to period (as disdesed on your Periodic Statement) or payrnem in fid! of'the educed Rate Purchase Balance. whicbever eccu~ fast. R PAYM£NTS: Each Cycle you agree to pay as at ksm the Mimmum Momhly Paymnn retlected on yom. ~ $~ ~sK you may pay mo~ than the Minimmn Mont~ F,~nmn~ and we Wql u~ l~e t~e~ to t~duce ~ ~ ~ of ~ tt However. if in a Cycle you send us mine than tbe Minaraa.n Moaa'dy Paymem. in 61e next Cycle you mus~. roll pay at least umum MomNy Payment Unkas we r~e~ve yma. Minnnan Monthly payment by ~e last day of the Cycle, we may c~ :coant a Lato Fee. At any ttme you may pay yem- mllmAorount belante in full or ~ ~ t~ i~ ~mum Mom~ at ,viIMmt intuntn~ any addlaenal Fees ~ o~her char~. ~ Minanum .M~thly Payment ~s tbe gn~am, of $15 or 3% of your New t~ minus any balance~s) that ate atm~ ~ ne~n~ due f~om ~e Ixe~ous Cyclc; nxaxied to tbe n~t higlmt doltas. year ea~te Account balance is leas than $15. tbe Mimmum Meathly F~ is yoor enme Accc~nt balance. Tbe Mmanum =atcul~ at ~e end. of each Cycic. m agree that any payment may be r~'aa'sm:l to you ifyoor cbedc (i) is not dl-aWn on United Stales dollars ea delft m the U.S; } is misaing a signan~e; (iii) is draw~ with ditfeent nu~ and wrinen ammava; (iv) comams a tes~ve endo~sment; (v) po~d; (vi) is chawn ea a c~dit acceeat ias~d by as; or (vii) is nnl paid ee pKaenlment You may not n,aq m ~ ,NCE CllARGF3: We may m'qx~e a Finance ~ oa ycur Acmw. t each Cycle. We will fikna~ the Finance ~ f~ ea'dy billing Cycle CCycle") by multiplying the n~ Daily Pmodk Raes for (i) Regular Purchases. (ii) Cash Advances, 4 Cas~ A~ and (iv) all SpeCial Payment pinns b~at you at~ panL--ipatmg in f~ which Finance C'hages accrue, by ~ msmlnce pmniums (ifap~}, and t'mance ,.N~i~,) apFeat ea ymf mor~hly pmedk Stomneat, we aidthnn lo ~ ~ ATM Caga Adv~n~a, plm my n~w ATM Cash ~ mad~ and ATM Cash Adv~c~ ~ac~n fi:~ incurred Ihl day, mmm Fayment Ptan and any Finance C~ atmbuuble to that Specisl ~ Ptan (if applicalde) may be di~. ~m.ildy on A minimum FINANCE CHARGE of SI.00 will be assessed for ead~ Cycle in which a FINANCE CitARGE i~ ~ ~ ~eld be lus tim SI.00 by application of~ Deily Periodic Ra~s} and any Reduced I~ly pe~od~: Rae then m ~ F'mance Clmges for all pu~d~ues excelx for ~se unde~ Special Paymem P~ans with a Waived F~ ~ f~ ~ ~ feanue besin to accrue on the date ~ on your Penodic Setemeat. However. if in any billing Cyck, you pay ~e New Balance ~own o~ y~u' Periedic Smement mmua any baheoa s) ambeta~e to Specia~ Faymm pl,~s) w,h a Deinycd. F,aym~t Regular Pundeas for that Cyck. Finance C~ for all Cas~ Advances be~n to a:crae on the dae of ~ C~ ~ ~ ts no 8ra:e pened for Casa Adrances. 6. VARIABLE RATE FINANCE CHARGE: ~or any e~tennon of c~dit under the Account m:lUasted by you and atah~eed by ~. mot~h. The Daily Pe~ Rate is equal to the ANNUAL PERCENTAGE RATE divided by Oe number o~davx in the ye~'. To de~-m~ne the ANNUAL PERCENTAGE RATE of FINANCE CHARGE for ~ Cycle for all Regu{at Pu~cha~ Cash Ad,,~mces. FL~ Rate) '~11 take ~ffect on the F~t day oftbe billing Cycle follow~g ~e P't~ne Rate change. T~e chanted Dui,/Periodic Phns which acc~e Fmar~e ~ and do net featme fixed Reduced Rates and to the exatmg balance of ycm. Acceum. if ~ DU~. Penedic Rae (and ~ Annual F~ Rate) tr, c~a~s, tbe amount o f the Finance Cha~e and the .Xlinunum Mcmh~., A. FINANCE CHARGE Rae for ~ Pu~hases: If your Account is consMeted Cunent fas defined be~ov,'Lfor Regu~' Pun:bases, we add 13.85 pet~ points to ~be Prime Rate to obtain the ..LN.~R,L~L PERCENTAGE RATE..~ of Apdl 1999. the ANNUAL PERCENTAGE RATE for P. egtdat Ptachas~ '*-as equal to 21.60%. which cor~qxxz~ to a Du.ly Pethx~ Rae of.0591~. B. FINANCE CHARGE Rate for Ca~ Advances {Acce~ Check Transact~m}: If your Account is comidazd Cunent las del'reed below), for Acce~ Check Cash Advances '*e add D.85 percentage pomU to the Prime Rate to obtain the .~NNUAL PERCENTAGE RATE. ~ of Al~il 14. 1990, the ANNUAL PERCT..NTAGE RATE for Acce~ Check Cash .~:k'anors for Cm'm~t Account~ was equal to 21.60'/~ v, hich correspmds to a Daily Pe~odin R.~te of.05917%. C. FINANCE CHARGE Rae tm' ATM Casa Advances: If yo~' Account ts cecmde~d Curm~t {as defined bdowL for ATM Caah Advances, we add 13.85 petcentase points to the Prime Rate to obaun the ANNUAL PERCENTAGE RATE. As of Apdl 14, 1999. ~he ANNUAL PERCENTAGE RATE for ATM Ca~ Advanors for Cunent Accounts wa~ equa~ to 2 LfiO%, whkh ~ to a Duly laeriodk Rate of D. FINANCE CHARGE Rate for Delinquent Acceunts: If your Acc~ is cermde~d Delir, quent {as del'reed bdowL for all bainnors, we wifl tnctease the ANN[rAL PERCENTAGE RATE o~hen~se applinable to each bahnce by 2 pe~ pomts until YeUr Account L~ asain cor'n,ic~ curia'nc For ~xamp~ as ofAp~114. 1999, the delinquent rate for Regu~ pu~hase~ wis s~id~ ~ ~ a Ondy Pmod~ Ran of .0646.~k - ~ w~n~ ~e m ~u when aM ia ~ runner ~ ~ a~ ~. ~Mm m the ~i~m of I~ GOVERNING ~W: ~ Ag~ment and your A~oum a~ ~ ~ the I~s ~t~ U~I~ ~at~ a~ t~ I~s of the Sine of Uta~ w~her or ~ you li~ in Ut~ and w~t~r er m ~ ~ ~er Ca~{s) ~ A~m ~ in UtaK 19. ARBIT~TION: All ~t~. clai~, or con~ies ~sing ~ or ~lating to this A~ ~D K~OWINGLY WAIVE ANY ~GHT ~EY HAVE TO A JURY TR~L EITHER PU~UANT TO -A~ON UHDER~IS C~USK OR PU~TO A COU~A~ON BY US(~ PR~iDEO HE~i~. incl~g ~e filing ora co~t~laim in a suit bmu~t ~ = p~t m Ih= COVERAG~ IS NOT AVAILABL~ IN m tbe policy maxinnm of SI0,000. Only sin~e Life co~tage in ME. Sukide is exdu~d except in ME, ~ ~ MO. ~fi DISARILITY/UNF. MPLOYMENT COVERAGE (appaas ody to you, the Mimary canRaembe~ ff yuu bncome u2m~ manimu~ of S I 0,000. Yon urn eligible fro' the~e coverages if emptoyed full-time (in PA; empinynd .15 bm~s or mm~ por wet. k at lesst 9 monde of the ymt) in a non-sssanna[ o~-'upafiee (sssanun[ ~est~'fion doss not q~ly to diasbil~ in AZ, CA, CO MD, ME, ML MT, N.L NM, NY, OIL PA, RL TX, VA & WI: to unemployment in CO, ME, ML ~, NL ~ Ny, ~, pA & WI). [~nefits be~n a~ex 30 cousncot~e days of ungmpksyment or dhabilie/and a.e r~gu~-e to the ~'nlt day ~ (in ~ master policy, whichever acc~s f'u~. Uncmphiymant benef'~ ate llmited to 18 nmmbs in MN: 12 mun~sin PA. In CA, M.A. NY, NC, PA and VA, disability benefits urn not payable for in-existing conditions neared within 6 mamas i~or m ~ e~ GENERAL PROVISIONS: Maximmn enrollment age is 69, etcept 64 in CA, HI, IN, NJ, PA, RL VT, WA, WI & WY: 65 in CT, IA, MA, ME; MN, NY, OR & 'fX; 70 in AZ, FL, ML MO & OK. Cm, etage tetmiantas at age 6~ in CA, NJ, pA. ~. WA, WI & WY; 66 in CT, MA, ME, MN, NY, OR & TX. The nmntldy p~mimn cherled to yoor cmd~ card acununt is 66g pet $ 100 of yom' average daily b~ ex,:pt: 65,8g ~ ~: 55~ in CA; 54g in CO; 48.1~ in CT; 63.8~ in GA; 57.5¢ in HI; 71.2¢ in ID: 65.9e in IL: 60~ in IN, MO, OIL RL VA, WA, WI & WY: 58.8e in IA: 59.1¢ in ME; 54.9¢ in MA; 48.8e in MN; 63.7¢ in MI: 65¢ in NE; 45.5e in NH; 58.71~ in NJ: NM; 64.6g in NC; 33.M in NY; 64.8# in ND; 56.2~ in PA; 67.4g in SC; 42.7¢ in TX; 65.9~ in UT; 56.4g in VT. ~Covera~ is unden~mttan by American Bankers Life Assmance Company of Florida and Ame~cun Banke~ Insurance Company of FIoric~ 11222 Quail Roost Drive. Misn~ FL 33157-6~96, In NY, life and disabilit7 coverage is pmv~ed by. Bankers Ame~can Life Assurance Company, One Blue Hill Pinz~ P.O. Box 1565, Suite 1436, Pearl River, NY 1096~. TX certificate numbes - AC3181CB-0592 {3.53 ILA.), ADgI39CQ-0'/91 & B2754F. Q-1089. Coverages are only available as a I~ckage. If you cancel within 30 days of mteivin[ your cmificate, ~ will refund yont The information aleut the FINANCE CHARGE, ANNUAL PERCENTAGE RA'iT., Fees aM Sncurlt7 lntex~t das~rthed ia Ihb Applkatkm a~d Al~ement is aexurm ss d April 14, 19~. This iafncmndou may be elma~d afar that date. To find out w~t may have ehangnd m4te m us et EO. Be~ 61S~ Rapid CItT, GeeSe Cobu~ Comaco Bank. In~ 2825 East Cot~mmed I~ Suie 230 S~t Lake City, U~a~ 84121 YOUR BILLING RIGHTS ~ KF. EP THIS NO11CE FOR FUTURE USE This notice contains impoflant inR~-motion aborn your ~ and our rmpousibilities under the Fair C~t Billing AcL Nndgy Us in Case of Ermn or Questbss About Yom' Bill: If you think your bill is wrong or if you need mur~ informtion abont a tnnsacfiun on yonr bill write ue ou a SOl, me shunt at tbe add,ess liste~ on yurg hilL Write to ~ as soon as puesible. We must h~t f~m you no L~'t then 60 days a~ur ~.~e ue~t you ~ fits~ biU ~ ~h ~ enor or problem appeamL Yon c~ telepbeue tn, bot doinlt so will ant preserve yo~ fighis. In ~our 1~, ~ ~ the follOW~ng int'onnation: {1) Your name and account nunther. (2) The dollur an~unt of~e suspected error. (3) Describe the error and explain, ifyon can, why you bel~e then: is an enor. If you need mom infonmnou, describe the item you a~ not sum about. Your Rights and Oar Raspousibilifies After IA~ Ra.-~-,~ Your Written ,Notke: ~ must acknowledge ~mur Iot~t within 30 days, unless we have comotnd the error by then. Within 90 days. we must either cor~nct the enor or explain why we believe the bill was corr~t. At,er we teceive your letter, we cunnot t~T to collect any amonnt you qnc~on, or tqx~rt yon as ~elinqueU. We can continue to bill you For the amonnt yon question, including finance cha~es, and we can apply any unpaid amount against your credit limit. You do not have to pay any questioned amount while we a~ inveSngetmg, but you ate s~li obligated to pay the pros of yanr bill that ae not in question. If we find we made a mistake on yoor bill. you will not have to pay any finan~ charges related to any qncSUoncd amount. If we thdn't make a mistake- yon may have to pay finance cha~es, ond you will have to make up any missed paymant~ on the qUexUoned amount, in either case, we will send you a statement of the amonra you owe and the date that it is due. If yon fail to pay the amount thee we think you owe. we may report you as delinquent. However, ifont explana~on does not sam~ yon ued you wine to us within tan days telling us that yo~ sl~H refuac to pay, we nnm tell anyone we report you to that yon have a qumtm~ about yoor hill. And, we must tell you the name of anyone we rqxx'ted you to. We m~m tell anyone we report yonto that the matter bus bean senled between us when it f'mlly is. ffwe don't follow these rules, we r.~'t collect the t'ust $50 of the qUemuned amounL even if your bill was cur~-cL Speeial Rule for C~,dlt Card Purdmex: If you have a pmblam wi~ the quality of ptopmy or ser~css ~ you purchased with a c~edit ca~L and you have t~ed in gund ~th to eorteot the problem wi~ the membanL you n~/ have the right ou¢ to pay tbe remammE ammmt due ou the proFeny or se~nces. Tlune om Iv~ limitafiuns ou inis ~gin: (a) Yon must have redo tbe purchase in your berne sine or, if not within ~.mor hmne sta~, within 100 miles of your current mailing ad~ and (b) the pun:hose ~ must have been more than $S0. These limitations do not apply if we own or operate the me~chanL ur if we mailed you the advertisement for tbe pmper~y or servican. COMMONWEALTH OF PENNSYLVANZA NO 1-ICE OF CLAIP1 COURT OF COMMON PLEAS OF CUMBERLAND ,COUNTY ORPHANS' COURT DZVZSZON Zn Re: The Estate of: LEE E FAUGHT Deceased Court File No: 21-2004-22 TO: THE CLERK OF THE ORPHANS' COURT DZVZSZON: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. §3537(b)(2). DISCOVER FINANCIAL SERVICES, INC. 1) Claimant's name: C/O BALOGH BECKER LTD, 4150 OLSON MEMORIAL 2) Claimant's address: HWY #200 MINNEAPOLIS, MN 55422 768-449-8877 3) Creditor listed below is the owner and holder of a claim in the amount of $ 766.00 4) 5) The facts upon which this claim is based: This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. Decedent's address: 415 N PITT ST CARLISLE, PA 17013 6) Date of Death: 12/15/03 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by. On behalf of the claimant, ! do solemnly declare and affirm under the penalties of perjury that they Information and representations~ade he, rein are true and correct tODated: i~//~lthe be of m kn wledge, information and/~i~I/ // {/J~[,,~/ I I I I Chelsea .~l~y?Angela M. Horn, Attorney Written notice of claim was given to Personal Representative and/or his/her counsel as stated below: PATRICIA U FAUGHT Name 415 N PITT ST Address CARLISLE, PA 17013 City/State/Zip Date not~ce ~naiied IN RE ESTATE OF: LEE E FAUGHT AFFIDAVIT OF ACCOUNT The undersigned, being first duly sworn deposes and states the follows: 1. Your Affiant is authorized by the Claimant as its Attorney-In-Fact to make this Affidavit. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of her duties. o The Decedent purchased merchandise in the amount of $ 766.00 account number 6011002596523241 evidenced by The unpaid balance does not include any post-death late payment charges, accrued interest, collection costs or attorney's fees. Further your affiant sayeth not By: {,~L,/,,._.....~ ' One of its attorneys:~' ~An Chelsea A. Whitley gela M. Horn __ Michael D. Johnson __ Mary Ellen Weeman __ Thersia O. Lee Chad J. Bolinske 4150 Olson Memorial Highway, Suite 200 Minneapolis, MN 55422-4811 Subscribed and sworn be~re me This _ . Notary l~c Lk~ ~ _ __~ ~Lu~ile Natalie Roberts~ ~.~ /Notary Public ~ ~/ _ Minnesota [ COMMONWEALTH OF PENNSYLVANTA NO TICE OF CLAIM COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVZSTON Tn Re: The Estate of: Court File No: 21-2004-22 LEE E FAUGHT Deceased ~, TO: THE CLERK OF THE ORPHANS' COURT DTVZSTON: ~:,~" Notice of claim by creditor, Pursuant to Section 3532(b)(?_) of the P~Obate,::~ Estates, and Fiduciaries Code, 20 PA.C.S.A. §3532(b)(2). CITIBANK USA, N.A. (SEARS ROEBU~.K & 1) Claimant's name: C/O BALOGH DECKER LTD, 4150 OLSON MEM:ORIAL--~ 2) Claimant's address: HWY #200 MINNEAPOLIS, MN 55422 c~ 877-768-4494 3) Creditor listed below is the owner and holder of a claim in the amount of $ 641.73 4) The facts upon which this claim is based: This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. 5) Decedent's address: 415 N PITT ST CARLISLE, PA 17013 6) Date of Death: 12/15/03 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by. On behalf of the claimant, [ do solemnly declare and affirm under the penalties of perjury that they Information and representations made herein are true and correct to the best of my knowledge, information and belief. Dated: iFEB 26 70¢.,: Chelsea A. Whiff y Written notice of claim was given to Personal Representative and/or l~i~/her counsel as stated below: PATRICIA U FAUGHT Name 415 N PR-r ST Address CARLISLE, PA 17013 City/State/Zip . Date notice mailed IN RE ESTATE OF: LEE E FAUGHT AFFIDAVIT OF ACCOUNT The undersigned, being first duly sworn deposes and states the follows: 1. Your Affiant is authorized by the Claimant as its Attomey-In-Fact to make this Affidavit. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of her duties. The Decedent purchased merchandise in the amount of $ 641.73 account number 5484031673958 evidenced by The unpaid balance does not include any post-death late payment charges, accrued interest, collection costs or attorney's fees. Further your affiant sayeth not BALOGH BECKER, LTD. By: ~ One of its attorneys: Chelsea A. Whitley__ Angela M. Home Michael D. Johnson __ Mary Ellen Weeman __ Thersia O. Lee __ Chad J. Bolinske 4150 Olson Memorial Highway, Suite 200 Minneapolis, MN 55422-4811 Subscribed and sworn before me This' da ,2004. Notary ~blic t ~.'] Notary Public t ~ Minnesota [ JAMES A. BAI_OGH - MN GARY W. BECKER - DC, FL, IL, MN, WI* *CREDITOR'S RIGHTS SPECIALIST AMERICAN BOARD OF CERTIFICATION CHELSEA A. WHITLEY - MN, WI ANGELA M. HORN - MN MICHAEL D. JOHNSON - MN MARY ELLEN WEEMAN - KS, MN, MO THERSIA O. LEE - MN CHAD J. BOLINSKE - MN STEVEN M. TOMS- MN MICHAEL L. MCCAIN - MN WILLIAM B. HOPKINS - MN, WI JOHN E. OLCHEFSKE - MN JON M. SUSTARICH - MN JASON R. FOSTER- MN MEAGAN M. PROBST-MN MICHAEL J. DOUGHERTY - MN REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE, #102 CARLISLE, PA 17013 BALOGH BECKER, LTD. ATTORNEYS AT LAW SEND ALL WRITTEN REPLIES TO: 4150 OLSON MEMORIAL HIGHWAY, SUITE 200 MINNEAPOLIS, MINNESOTA 55422-4811 TELEPHONE 763-852~8440 FAX 763-852-8499 TOLL-FREE 866-234-0513 ARIZONA OFFICE: 64 E. BROADWAY ROAD SUITE 175 TEMPE, AZ 85282 DIANA THEOS - AZ, CO SANDRA TANG - AZ, CA OF COUNSEL: LITOW LAW OFFICES, P.O. (IOWA) LUSTIG, GLASER & WILSON, P.O. (MASSACHUSETTS) 04112104 Re: In the Estate of LEE E FAUGHT Probate Case No. 2~1-2004-22 -~ Social Security No: Last known residence: 415 N PITT ST CARLISLE, PA 17013 Our Client: CITICORP CREDIT SERVICES INC. Account Number: 5424181049340453 Amount of Debt: $ 795.74 Dear Sir or Madam: Enclosed please find a Creditor's claim to be filed in the record with the above-referenced Estate. Please return a file stamped copy of the claim in the enclosed self-addressed, stamped envelope. Thank you for your assistance. If you have any questions or if this is a duplicate claim, please call our firm toll free at 1- 866-234-0513 Cordially, Balogh Becker, Ltd. Attorneys at Law Enclosures A check for $5.00 for the filing fee. cc: Attorney for Estate Personal Representative This letter is an attempt to collect a debt and any information obtained will be used for that purpose. This letter is from a debt collector. 4234 3/22/2004 1061710 COMMONWEALTH OF PENNSYLVANTA NO 1-ICE OF CL IP1 COURT OF COMMON PLEAS OF CUMBERLAND ,COUNTY ORPHANS' COURT DTVTSTON Tn Re: The Estate of: LEE E FAUGHT Deceased Court File No: 21-2004-22 TO: THE CLERK OF THE ORPHANS' COURT DTVZSZON: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.$.A. §3532(b)(2). CITICORP CREDIT SERVICES INC. :~) Claimant's name: C/O BALOGH BECKER LTD, 4150 OLSON MEMORIAL 2) Claimant's address: HWY #200 3) 4) 5) MINNEAPOLIS, MN 55422 866-234-0513 ~::. - ~ ~.? ~-~ Creditor listed below is the owner and holder of a claim in the amount, of .... $ 795.74 The facts upon which this claim is based: This claim is based on an account for credit evidenced by the aEach~ed Affidavit of Account Stated. ,L,~ Decedent's address: 415 N PI~ ST CARLISLE, PA 17013 6) Date of Death: 12/15/03 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by. On behalf of the claimant, ! do solemnly declare and affirm under the penalties of perjury that they Information and representations made herein ~re true and correct t° the b/e? !i~, ?~~' inf°rmati°n and belief'//~J/Dated: L/I · ' Chelsea A. Whitley/~l~nge~a ~-. Horn, Attorney Written notice of claim was given to Personal Representative and/or his/her counsel as stated below: PATRIOIA M FAUGHT Name 415 N Pi'Er ST Address CARLISLE, PA 17013 City/State/~i p _ ll, r/..o/ Date notice mailed IN RE ESTATE OF: LEE E FAUGHT AFFIDAVIT OF ACCOUNT The undersigned, being first duly sworn deposes and states the follows: 1. Your Affiant is authorized by the Claimant as its Attorney-In-Fact to make this Affidavit. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of her duties. o The Decedent purchased merchandise in the amount of $ 795.74 account number 5424181049340453 evidenced by The unpaid balance does not include any post-death late payme~.~ ,.oharges, .accrued interest, collection costs or attorney's fees. Further your affiant sayeth not By: '~ One ,~s,att, o,,rn.e.,ys: / , ,L5 Chelsea A. Whitley Angela M'2 Horn '~ Michael D. Johnson __ Mary Ellen Weeman __ Thersia O. Lee __ Chad J. Bolinske 4150 Olson Memorial Highway, Suite 200 Minneapolis, MN 55422-4811 Subscribed and sworn before me This /~.~ day of ~ 2004. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: LEE E. FAUGHT Date of Death: Will No. DECEMBER 15, 2003 Admin. No. 21-04-00022 To the Register: I certify that notice of (beneficial Interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on: April 20, 2004 Name Address Patricia M. Faught Deborah L. Borwnawell Susan L. Morrow Karen L. Sweger 415 N. Pitt Street, Carlisle PA 17013 413 N. Pitt street, Carlisle PA 17013 833 Pheasant Drive N., Carlisle PA 17013 2701 Spring Rd., Carlisle PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6)a) except NO EXCEPTIONS Date: April 21, 2004 Name: Address: po.Capacity:.__ Robert M. Frey 5 South Hanover Street Carlisle, Pennsylvania 17013 Personal Representative X Counsel for Personal Representative BUREAU OF ZNDZVTDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 CHARLES R SLAYBAUGH JR 531 HERITAGE DR GETTYSBURG PA 17325 COHNONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF ZNHERTTANCE TAX APPRA/SEHENT, ALLO#ANCE OR DTSALLO#ANCE OF DEDUCTTONS AND ASSESSHENT OF TAX ~-, .... ~ ~ DATE 'ESTATE OF DATE OF DEATH FZLE NUHBER ACN 04-26-2004 SLAYBAUGH 01-01-2004 Z! 04-0042 CUHBERLAND 101 Amount Remitted REV-J. Sli7 EX AFP (01-05) CHARLES R NAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LOWER PORTZON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLOWANCE OR ESTATE OF SLAYBAUGH DZSALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX CHARLES R FILE NO. 21 04-0042 ACN 101 DATE 04-26-ZOOq TAX RETURN NAS: ( ) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE (X) CHANGED SEE ATTACHED NOTICE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely HeZd Stock/Partnership Tntarast (Schedule C) (3) ~. Hortgages/Notes Receivable (Schedule D) (q) S. Cash/Bank Deposits/Nisc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) ?. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTIONS AND EXEHPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) (9) 10. Debts/Nortgaga Liabilities/Liens (Schedule T) (10) 11. Tote1 Deductions 12. Nat Value of Tax Return 1:5. .00 454/962.00 .00 .00 $08/158.00 .00 .00 (8) Ii,Z04.00 Charitable~Governmental Bequests; Non-elected 9115 Trusts (Schedule J) Net Value of Estate Subject to Tax NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 743,100.00 .00 (11) 12.2o4.oo (12) 750,896. O0 (13) 600.00 (z~) 7~0,296. O0 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. ASSESSNENT OF TAX: " 15. Amount of Line lr~ at Spousal rate 16. Amount of Line lq taxable at LineeX/CXass A rate 17. Amount of Line 1~ at Sibling rate 18. Amount of Line 1ri taxable at CollateraX/CXess B rate 19. Principal Tax Due TAX CREDITS: PAYMENT / RI~CFZPT DATE NUHBER 0:5-04-2004 CD0056~6 PAYHENT HUST BE HADE BY ZF PAiD AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDiTiONAL iNTEREST. (1~) .00 x O0 = .00 (16) 7:50,296.00 x 045= $Z,865.00 (:].7) .00 x 12 = .00 (18). .00 x 15 = .00 AHOUNT PAID $0,985.00 :52,865. O0 DISCOUNT (+j INTEREST/PEN PAID (-) 1,6:50.79 :52,615.79 247.21 .00 247.21 ( TF TOTAL DUE TS LESS THAN 91, NO PAYNENT TS REQUZRED. TF TOTAL DUE TS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THTS FORN FOR INSTRUCTIONS.) TOTAL TAX CREDIT BALANCE OF TAX DUE] INTEREST AND PEN. TOTAL DUE RESERVAT[DN: Estates of decedents dying on or before December 1Zj 19aZ -- if any future interest in the estate is transferred in possession or enjoyment to Class S (collateral) beneficiaries of the decedent after the expiration of any estate for life or For years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. ZOO0. (TZ P.S. PURPOSE DF NOTICE: To fulfill the requirements of Section Z140 of the [nharitance and Estate Tax Act, Act 25 oF Section 9140). pAYHENT: Detach the top portion oF this Notice and submit mith your payment to the Register of Hills printed on the reverse side. --Hake check or money order payable to: REGISTER OF HZLLS, AGENT REFUND (CR): A refund of a tax creditj ahich mas not requested on tho Tax Return, may bo requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications are available at tho OfFice of the Register of Nills~ any of the Z5 Revenue District Offices, or by calling the special Z4-hour ansmering service for forms ordering: 1-800-36Z-Z050; services for taxpayers #ith special hearing and ! or speaking needs: 1-800-447-30Z0 (TT onlY). OBJECT[OHS= Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by= --written protest to the PA Department of Revenue, Board of Appeals, Dept. Z810Z1, Harrisburg, PA 171za-10Z1, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to tho Orphans' Court. ADHIN- of Revenue, ISTRATIVE CDRRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. ZBO6QI~ Harrisburg, PA 171ZB-060! Phone (717) 7B7-6505. See page 5 of tho booklet -Instructions for 2nheritance Tax Return for a Resident Decedent" (RE¥-1502) for an explanation af administratively correctable errors. D2SCDUNT: 2f any tax dug is paid within three (3) calendar months after the decedent's death, a five percent (SZ) discaunt of the tax paid is allowed. PENALTY: The 15Z tax amnestY non-participation penalty is computed on thf total of tho tax and interest assessed, and not paid before January 18~ 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same tine period as you would appma! the tax and interest that has been assessed as indicated an this natice. INTEREST: 2ntarest is charged beginning with first day of delinquancy~ or nine [9) months and one Il) day from the date of death, ta the date of payment. Taxes which became delinquent before January l, 19BZ bear interest at the rate of six [6X) percent per annum calculated at a daily rate of .00Q164. All taxes which became delinquent on and after January l, 29BZ will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO4 are: Interest Daily Interest Daily 2nterost Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ lox ,ooos~g ~-t~el --TT'Z'--. .ooosot ~ 9x .oooz47 l~8~ lex .ooo4~8 2~z 9z .oooz47 z00z ex .ooole4 1984 IIZ .000301 I993-2994 ?Z .000192 2003 5Z .000137 2985 I3X .000356 I995-I99B 9X .000Z47 2004 4X .O00XIO 1986 lOX .000274 Z999 7Z .000192 2967 lOZ .000274 ~000 7Z ,00029Z --Interest is calculatad as follows: ZNTEREST = BALANCE OF TAX BNPAZB X NBNBER OF BAYS DELXNQUENT X DAXL¥ ZNTEREST FACTOR --Any Not[ca issued after the tax becomes deXinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. IF payment is made after the interest computation date shown on the Notice, additional interest must be calculated. REV-1470 EX (6-88) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 INHERITANCE TAX EXPLANATION OF CHANGES DECEDENT'S NAME REVIEWED BY Charles R Slaybaugh Deborah Washington H B-3 I EXPLANATION OF CHANGES The claim for the family exemption has been disallowed. The claimant must be a spouse or if no spouse, a parent or child living in the same household as the decedent as of the date of death. ROW Page 1 Glenda Farner Slrasbaugh Register of Wills and Clerk of Orphans' Court Marjori A. Wevodau Fi I Deputy Kirk S Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Cou County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: FREY & TILEY 5 SOUTIf HANOVER ST CARUSLE, PA 17013 1 Fee Descri tion Additional Probate 7.00 Fee Total: Total $7.00 $7.00 395 6/8/2005 Lee E Faueht 21-2004-0022 "" O1ecks should be made payable to the Register of Wills. Terms: N t 30. Please return one copy of this invoice with your payment. Thank u. 11 "" 217 REV-1500 ~X (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMB R 21-04-00022 l;OUNTY CODl: ,~ "UM6ER .... Z W C W U w C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Lee E. Fauaht DATE OF DEATH (MM-OD-YEAR) IDATE OF BIRTH (MM-DO-YEAR) Dec. 15, 2003 I 5/20/1928 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (lAST. FIRST, AND MIDDLE INITiAl) SOCIAL SE ~RITY NUMBER 193-24-1 16 THIS ETURN MUST BE FlL!!D IN DUPLICATEWrTH THE REGISTER OF WILLS SOCIAL SE I'JRITY NUMBER D 2. Supplemental Return D4a. Future Interest Compromise (dale of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy OfTrusl) D10.spousarPoYertyCredit(d,*,oIdea1l1be1ween12-31'911111d1.1-~) o o . RelllillnderRetum(daleofde3lhprior!Q12_13-82) . Federal Estate Tal( Return Required ~ :ll::!!;~ u~u wi!;o "'~~ ua:m c 01. QriginalRetum o 4. Limited Estate D 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received _ . Total Number of Safe Oeposil Boxes D 1. Section to tax under Sec. 9113(A) (Attach Sch 0) ~'~'"'''', ."', '" ".~. , "'",<" _w.,",,""~ .,~~~ '. " _ '1'~~-'.'::iJ ~ ~"" ...0,' .'. _ <.. ~ ~ ;.:110, ,...,. _ ~ ~ ";.0 ~ '< .~,~""",;:w=..k.."N.4 .... Z W C Z ~ m .. .. o u NAME Rabert M. Fre FIRM NAME (If Applicable) 717 243-5838 .t&. COMPLETE MAILING ADDRESS 5 Sauth Hanaver Street Carlisle PA 17013 C') ,-, .,~ 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (,)NONE OFF]CI~:::USE ON~ y ::-::) (2) (3) NONE (4) NONE 96 I CT. 3. Closely Held Corporation, Partnership or Sole-Proprietorship -;1 -n 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) Dseparate Billing Requested 7. Inter-Vivos Transfer & Miscellaneous Non-Probate Property (Schedule G or L) z c ~ .... ::> .... ii: .. u w .. 8. TOTAl GROSS ASSETS (total lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) , ~ (5) (6) 23 39 rq C"\ 17) NONE 1,638 10. Debts of Decedent, Mortgage Liabilities. & Liens (Schedule I) ;10) 12. NET VAlUE OF ESTATE (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an eleetion to tax has not been made (Schedule J) -11,960 o -11960 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate ,or transfers under Sec.9116 (a)(1.2) x .0 (15) 0 Z 0 ;:: 16. Amount of Line 14 taxable at lineal rate X .0 (16) 0 .. .... ::> ... :& 17. Amount of Une 14 taxable at sibling rate x .12 (17) 0 0 U ~ 18. Amount of Line 14 taxable at collateral rate X .15 (18) 0 19. Tax Due (19) 0 200 217 Decedent's Com lete Address: STREET ADDRESS Lee E. Faught 415 N. Pill Street CITY Carlisle STATE PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A+ B+ C) 2) 3. Interest/Penalty if applicable D.lnterest E. Penalty 4. TotallnteresVPenalty ( 0 + E ) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. 4) 5) ( A) ( B) to: REGISTER OF W1~LS. AGENT "'':::8ii;;'4I~A~',Jj!" . If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE AP 1. Did decedent make a transfer and: a. retain the use or income oftha property transferred; b. retain the right to designate who shall use the property transferred or its income; c. retain a reversionary interest; or d. receive the promise for life of either payments, benefits or care? 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity or other non-probate property which contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE I Under penalties of perjury, I declare that I have examined this return, Including accompanying schedules and stalements, and 10 the best of my knowl and com lete. Declaration of rer other than lI1e rsonal re resentalive is based on all information of which rer has an knowled e. SIGN OF PERSON RES NS1BLE F R FILING RETURN 415 N. Pill Street Carlisle PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ~j,.,. AOORESS 5 South Hanover Street Carlisle PA 17013 193-24-1816 ZIP 17013 1) o o 3) o o o o I OPRIATE BLOCKS Yes No o [R] o [R] o [R] o [R] o [R] o [R] o [R] AS PART OF THE RETURN. ge and belief, II is lrue, OATE OATE :));';i$:'i:t"~,';,h~~~'d);:~<;'~...-i.',~~,,,;,J~'. For dates of death on or after July 1, 1994 and before January 1, 1995,the lax rale imposed on the net value of transfers to erfor the use of the survi 'ng spouse is 3% [72 P.S. Section 9116 (a)(1.1)(i)). For dales of death on or after January 1, 1995, the lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P $. Section 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 a e still appMcable even if the surviving spouse is Ihe only beneficiary. For dales of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death 10 or for the use of a natural rent, an adoptive parent, or a stepparenl of the child is 0%[72 P.S. Section 9116{a)(1.2J]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. Section 116(1.2) (72 P.S. Section 9116(a)(1)]. The tax rate imposed on the nel value of transfers to or for the use of the decedeors siblings is 12% [72 P.S. Section 9116(a)(1.3)] .A sibling is defin ,under Section 9102. as an individual who has at least one parenl in common will1 the decedent, whether by blood or adoption. 217 REV-1503 EX+ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NU ~BER Lee E Fauaht 21-04-0 22 All property jointly-owned with right of survivorship must be disclosed on Sch ~dule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MetLile,(12sh@33.20) 398 2. MetLile, (18sh@33.20) 598 TOTAL (Also enter an line 2 Rec ,mitulatian $ 996 (II mare space is needed, insert additional sheets 01 the same SiZE 217 REV-15M EX+ (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Lee E. Fauaht 21-04-00022 Include the proceeds of litigation and the date the proceeds were received by the !Slate. All Drooertv iointlv-owned with rinht of survivorshln must be disclosed on Sch ~uleF. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Aqua Treatment Service, Inc. 157 2 Filson Water Treatment, Inc. 70 3 MetLife Dividend 3 4 Members 1st Federal Credit Union, Checking Acct #189474-11 25 5 Members 1st Federal Credit Union, Savings Acct #189474-00 28 TOTAL (Also enter on line 5, Recapitulat pn) $ 283 (If more space is needed, insert additional sheets of the same size) l~j';(f<';l:\':0t"y~:';;ill~~'EHtja~i17ife.i:ltffii'fi~ """;' --~~"~~r "'<',"- ~:""~ ;-'i'Jq~ 7;,-,.,.,_......~..o.' ~'H"o.~r_c;..:~ .h.'~'--..d~# :IN_' '.,..i" ~.if~~fyq!Kfti::~;i~l' .., .' } .l"tfl!1'ftg\/',f, f" '~~ .A...._._. ;.. _. '"'' J:, Me;qhanrc~tiuJg..;J?,!U,. _..,,_...... ", ~__;yr;~r;:;:~l:;1.:;~;~.i.,"ff~~::~~~~.,~;,Jl~~\~~RT\'t~f'T110;0~fl~~'. ;~'B;i\k i ~ ~, :t i ,~ ". <,' .,""lljE<,mfrilfEl!'Jfiij"5iJ@IFi"!Y,l!lfj'W.l..lmm8fjjf.-"\'h~JiHiJ'jljJF6iJ'"fiTB'Ef.0Je."'" C"!lliDfF,fr'1iH'i,~mmi!lil.~VI"~y.,~. HBIf'!Jjjfj!!fSJm,j1;Jl>iE1BliiWlfjlgjj~ii,~.-.. I I. 11'005 I. 7BII' ':0:11.:11. 27 :1BI: 507ooo7:1B 211' I ./ " tf{ ~ t l .""....". ~ .; "-"-- LEE EDWARD FAUGHT 415 N PITT ST CARLISLE PA 17013 / ;;. AMOUNT .- .- , ~ " ! *****~**~~***~***~*********~***~****~~~*****~********.*****SEVENTY FULTON BANKi' , LANCASTER .PA: . ',~. AND 34flOO**ODLlARSi , '" ',,' ~. . . 11'0 BB'BII' 1:0:11.:10 I.t. 2 21: 251. '12:1 BI;B 1.11' ---'- ---------- --'-, MetLife CHECK NO.OO223197D6 CHECK DATE: 11 Record Date Security Description 11/07/2003 TRUST INTERESTS PAY TO THE ORDER OF lEEE~FAUGHT";' 415 NPITTST CARLISlE PA 17013-,946 ^' ~,lio,r...'~,s_, ~~:~ .: ''-- :.:;- ':",,:.- or ",;,.:-. JP~~~.'C_~. ~. 'I'\~. ": - ....,. ,. _" "' lKl::l1il7 213 , 00S6926\ 3305 PAY $;> ******* ********2.76 Two and 76/100 Dollars " . ISSUING AGENT-MELLON INVESTOR SERVICES, LLC. i Q.N-~, - SenlorVlce 'dent~~ I I 11'0022:11.'1701;11' ':02 I. 30'1 :17'11: [;0 I. 5B'1oo 511' ..--~==" MEMBERS 1st FEDERAL CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner 189474 -DO 12/06/1999 $27.53 $.00 $27.53 None I , I I \ I i , I , I I , , I I I i ! i CHECKING ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner 189474.11 05/05/2000 $24.56 $.00 $24.56 None USED VEHICLE LOAN: Account Number/Suffix Date Loan Established Principal Balance at Date of Death Name of Primary Borrower Name of Co-Borrower 196515 -01 08/29/2001 $9,210.92 Patricia M. Faught Lee E. Faught I i iliBERS 1::fEDERA~ CREDIT UNION - ;:; /a~: D nise A. Wolfe . Insurance Supervi or I March 19, 2004 1 Estate of: LEE E. FAUGHT Date of Death: 12/15/2003 Social Security Number: 193-24-1816 5000 Louise Drive. Po. Box 40 . Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 . www.members1st,org 217 REV-1509 EX+ (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTL V-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILEN MBER Lee E Faunht 21-04- 022 If an asset was made joint within one year of the decedent's date of death, it must be repo ed on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Patricia M. Faught 415 N. Pill Street Spouse Carlisle PA 17013 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCiAl INSTITUTION AND SANK ACCOUNT NUMBER OR SIMILAR DATE OF m Io-TH DECO'S VALUE OF JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTL V-HELD REAL ESTATE. VALUE OF A SET INTEREST DECEDENTS INTEREST NUMBER TENANT 1. A. 4/16/90 M&T Bank, Checking Acct#646393 717 50.00% 359 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL (Also enter on line 6 Recanitul lotion $ 359 {If more space is needed, insert additional sheets of the same size ..-~ Pl:1 M&fBank 4~}C} Mitc;hc:ll 1l1latJ.MiII!I'boro.lm 19%6 MNI Code: 1)1:-Mn-12 Frey & Tiley Attorneys At Law 5 SOlltll Uano'Vcr Street Cllrlisle, Pcnnsyl'Vania 17013 i I~MrIC ()lStl) ,!j()2...U.W VOJa \,3(2) c).\4-1.Q:;'~ M:t clt 12, 20()4 Re: !~;Ylale af: I.l1C Ii. Ft.IU/thl Sacial Scc.llrilv: 193-24-18J..f1. PUI" of Oealh: O$,'emher /5. 20();!. , , i Dear Mr. Robert M. Frey: L. pcr your inquiry dated March II, 2004. "Icalle be ~1c.lviscd thnt at the lime of death. the t,buVCTk1nled decedenl had Qfl u<-posit with this bunk the following: ! I. Tyf"! of AC(;f,tlllJI Chtdiflg Acc"''''t At'Cfmnl Numb(!1' M6JVJ OWfI.:r.,hip (Nu""", ul) hoc E Faught '~(llric;Cl AI Faughl OT"..ni,,!! Dote 0#161911 flU/iOlCe (Wllklle (If Death $7T7.0V A,:crucd /Il/ere" $ (/.IHJ Totul $7/7,1/9 2. 7ypc (if Accm"'t '..j,u~ q{Credit ACC:OIII1I A'~('ounl Numht!,. 42511 11745011146612 Owm,rshif> (Nume.I' oj) u.1t.~ t: Fm~ght POlricia M Ftntghl O,.~.mjnJ.: {)aUf. 07/27/89 i O<I(U(l('. <HI [Jute ojJJctHh $2.269.0.1 I i Please be advised there was no safe deposit box found lor the above decedent For ~ Keount Inflltm3tion, elosu.... and/or reimbursement of fundS please call1l10 Spring Garcf... OIlIcc tl717~-4525'1 Sincerely. i '~"7~ Nancy Cla!,,,,U Records Management 2'd SEI2..ES20er _1_ _ . 217 REV-1511 EX + (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NU BER Lee E Faunht 21-04-0 022 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hoffman-Roth Funeral Home. Funeral Services 4,453 B. ADMINISTRATIVE COSTS: 1, Personal Representative's Commissions Name of Personal Representative (s) Social Security Number{s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 400 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Patricia M. Faunht Street Address 415 N, Pitt Street City Carlisle State PA Zip 17013 Relationship of Claimant to Decedent Soouse 3,500 4, Probate Fees 37 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Register of Wills, Filing Fee 10 TOTAL IAlso enter on line 9 Re ranitulation $ 8400 (If more space is needed, insert additional sheets of the same sizt> REV-1512 EX+ (12-03) 217 SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Lee E Fauaht 21-04-00022 Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, Including un elmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Citicorp,Acct#5424181 049340453 609 2. Discover, Acct #6011002596523241 767 3. Cilibank, Acct #5484031673958 642 4. Dick's, Ace! #6012503600786798 293 5. Walmart, Ace! #6032207380777615 1,167 6. Lowe's, Acct #62221390532394 1,720 TOTAL (Also enter on line 10 RecaDitulation $ 5198 (If more space is needed. insert additional sheets of the same size) Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 395 6/8/2005 Lee E Faue:ht 21-2004-0022 FREY & TILEY 5 SOUIB HANOVER ST vz CARLISLE, P A 17013 Qty 1 Fee Description Additional Probate Fee Total 7.00 $7.00 Total: $7.00 /-# 3~ ,~..- c Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. :::r 08-29-2005 FAUGHT 12-15-2003 21 04-0022 CUMBERLAND 101 APPEAL DATE: 10-28-2005 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE _ RETAIN LOWER PORTION FOR YOUR RECORDS +- REv:is47-Ex-AFP-io3:osj-NoTIcE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLowANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX LEE E FILE NO. 21 04-0022 ACN 101 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDUAL ~rr,nr:D (irql'[ rpPRAISEHENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISION~-~ ,_,I...J -- \,,' .\.A. '~q OF DEDUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 ':'"TtJ) ",' i' HARRISBURG PA 17128-0601 ' . "005~P:"')O F'll 21 L.J ",.J J ",' ,: DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN CtE;l-< ROBERT M F~~~ ! ".- FREY & TIrEY 5 S HANOVER ST CARLISLE PA 17013 ESTATE OF FAUGHT '* REV-1547 EX AFP (06-15) LEE E TAX RETURN WAS: I X) ACCEPTED AS FILED ) CHANGED DATE 08-29-2005 I~ an assessment was issued previously, lines 14, 15 and,or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: IS. Amount of Line 14 at Spousal rat. (15) 16. Amount of Line 14 taxable at Lin..l/Class A rate (16) 17. A.aunt of Lin8 14 at Sibling rate (17) 18. ~unt of Line 14 taxable at CollaterallClass Brat. (18) 19. Principal Tax Due RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estat. (Schedule Al 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. ~ointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets III (2) (3) (4) (5) (6) (7) .00 996.00 .00 .00 283.00 359.00 .00 (8) 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 Bequestsi Non-elected 9113 Trusts (Schedule ~) 14. Net Value of Estate Subiect to Tax (9) 110) 8,400.00 5.198 00 Ill) 112) 113) 114) NOTE: .00 X .00 X .00 X .00 X NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax pa~nt. 1,638,00 13 .1;98 00 11,960.00- .00 11,960.00- 00 = 045 = 12 = 15 = .00 .00 .00 .00 .00 119)= fAX CREDTT": ,~....n. 1+) AHOUNT PAID DATE NUI1IlER INTEREST/PEN PAID 1-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 '~ . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) Name of Decedent: STATUS REPORT UNDER RULE 6.12 LEE E. FAUGHT Date of Death: December 15,2003 Will No. Admin. No. 21-04-0022 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes (X) No ( ) 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 (X). (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 (X) No ( ) (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: September 12, 2005 ~ hi' UI>-~ Signature I Robert M. Frev Name (Please type or print) 5 South Hanover Street Carlisle. Pa 17013 Address c-..;y f'"'-...) r'::.'::l ....::.:..:,.) ,.......-, ~) f'..) (717) 243-5838 Telephone No. Capacity: ( ) Personal Representative ( X ) Counsel for personal representative --"1 (''1 C) Q;~