HomeMy WebLinkAbout02-0179BUREAU OF ZNDTVZDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 171Z8-0601
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAZSENENT, ALLO#ANCE OR DZSALLONANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
REV-IS,17 EX AFP C01-85)
~eC:~ 'i DATE 04-19-Z004
~ :' ESTATE OF HOFFITT
DATE OF DEATH 1Z-IT-ZOO1
FILE NUHBER 21 0Z-0179
'04 APR 20 /~,!i :.3~ COUNTY CUHBERLAND
HARK F BAYLEY ACN 101
ROHINGER & ~AYLEY
CARLISLE
DENNIS L
HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
REGISTER OF WILLS
CUH~ERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
DZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF HOFFITT DENNIS L FILE NO. 21 02-0179 ACN 101 DATE 04-19-2004
TAX RETURN #AS: (X) ACCEPTED AS FTLED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON:
1. Real Estate (Schedule A)
2.
$.
5.
6.
7.
8.
ORIGINAL RETURN
(1)
Stocks and Bonds (Schedule B) (2)
Closely Hold Stock/Partnership Intorost (Schedule C) ($)
Nortgagas/Notas Receivable (Schedule D) (~)
Cash/Bank Daposits/Nisc. Personal Property (Schedule E)
Jointly Owned Property (Schedule F) (6)
Transfers (Schedule G) (7)
To,al Assets
APPROVED DEDUCTIONS AND EXEHPTZONS:
9. Funeral Expanses/Ada. Costs/Nisc. Expanses (Schedule H)
10. Dabts/Hor'cgaga Liabilities/Liens (Schedule Z)
11. Total Deductions
12. Net Value of Tax Re~urn
15.
1~.
(9)
(10)
Charitebla/Govarnaan~al Bequests; Non-aZactad 9113 Trusts (Schedule J)
Nat Value of Estate Subject to Tax
O0
O0
O0
O0
195 84
O0
O0
(8)
424.87
.00
NOTE: To insure proper
cradLt to your account,
submit the upper portion
of this fora with your
tax payment.
NOTE:
195
(11)
(la) 229.05-
(1~) . O0
(1~) 229.05-
Zf an assessment ~as lssued previously, 1/nes 1~, 15 and/or 16, 17,
reflect f/gures that include the total o~ ALL returns assessed to date.
18 and 19 will
ASSESSHENT OF TAX:
16. Amount of Line lfi at Spouse1 re~a
16. Amount of L/ne lq taxable it Lineal/Class A rata
17. Amount of Line 1~ at Sibling ra~a
18. Amount of Line 1~ taxable at Collateral/Class B rata
19. Principal Tax Due
TAX CREDITS:
PAYHENT RECEI'pT DI'SCOUNT
DATE NUNBER INTEREST/PEN PATD (-)
ZF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADD/TIONAL INTEREST.
(1~) .00 X O0 = .00
(16) .00 X 045 = .00
(17) .00 x 12 = .00
(18) .00 x 15 = .00
(19)= . O0
ANOUNT PAID
TOTAL TAX CREDIT I .00
BALANCE OF TAX DUEl .00
INTEREST AND PEN. .00
TOTAL DUE . O0
( IF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REQUIRED.
ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR ZNSTRUCTZONS.)~__~/(~
RESERVATION:
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class 8 (collateral) rata on any such future interest.
To fulfill the requirements of Section 21q0 of the Inheritance and Estate Tax Act, Act 25 of ZOO0. (72 P.S.
Section
Detach the tap portion of this Notice and submit with your payment to the Register of #ills printed on the reverse side.
--Make check or money order payable to: REGISTER OF HILLS, AGENT
A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of PennsyZvania Inheritance and Estate Tax" (RE¥-1315). Applications are available at the Office
of the Register of Hills, any of the 23 Revenue District Offices, or by calling the special Z4-hour
answering service for fores ordering: 1-800-362-2058~ services for taxpayers with special hearing and / or
speaking needs: 1-800-447-3020 (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disalloNence of deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object within sixty
this Notice by:
--~ritten protest to the PA Department of Revenue, Board of Appeals, Dept. 2810Z1j Harrisburgj PA 1712D-1021, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should ba addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "'Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) far an explanation of administratively correctable errors.
If any tax due is paid within throo (3) calendar months after the decadent's death, · five percent (5Z) discount of
the tax paid is allowed.
The 152 tax amnesty non-participation penalty is com:~uted on the total of the tax and interest assessed~ and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the seem time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
six (623 percent per annum caZculated at a daily rate of .000164. 211 taxes ~hich became delinquent on and after
January 1, 198Z will bear interest at a rata which Nil1 vary free calendar year to calendar year ~ith that rate
announced by the PA Department of Revenue. The applicable interest rates for 198g through 2004 are:
Interest Dally Interest Daily Interest Daily
Year Rate Factor Year Rata Factor Year Rate Factor
~'~ 20Z .OOOS~B 1988-1991 112 .000301 2001 9Z .000247
1983 16Z .00043& 1992 92 .000247 2002 62 .000164
1984 1XZ .000501 1995-1994 7X .000192 2003 5Z .000137
1985 132 .000356 1995-1998 9Z .D00247 2004 4Z .000110
1986 102 .000274 1999 7Z .000192
1987 iOZ .000274 ZOO0 7Z .000192
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID
X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen [15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
also known as To:
Register of Wills for the
Deceased. County of C o u¼ ~ C £ [ c, ~ ~d in the
Commonwealth of Pennsylvania
Social Security No. I -71 - S Z_ .- H_~ ~ ~
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appi
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 ~-~ u ~ log f lc_~ ~t~_~ County, Pertnsylvania, with
h last family or principal residence at lQ V'c~[/~ ~. ~/c~,'li~.,~ ~/~
(list street, number and municipality)
Decendent, then L~i .years of age, died ~)~U-cdtM~/~ ~-~ ,1~
II
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not dOmiciled in Pa.) Personal property in County
Value of real estate in 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
~/~ Relationship
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~
COUNTY OF ~ ~~--ZF (c~ ~.~ ss
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 administer the estate according to law.
Sworn to or affirmed and subscribed
before me this 1 4th day of
No. cfi/- ~o2-/75
Estate of DENNIS L MOFFIT
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW FEBRUARY 1 4, 2 0 0 2 xl~xxx, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me, .C~
IT IS DECREED that ROGRR R MOP,IT ~
is/are entitled to Letters of Administration, and in accord with such finding, I~t~rs of Administr~t.mn
are hereby granted to Roa~.w ~.
in the estate of DENNIS L MO~'~'l'l'
M/ZRY ~f/ I,EIN~b~gisterof~Vills - ' /
FEES
Letters of Administration ..... $
Short Certificates(3) .......... $
Rehiiff~afi-6ff . ?-~??.?. ~...2 ??. ? i-! $
JCP $
TOTAL __ $
18.00
9.00
15.00
5.00
47.00
Filed . ,F.E.B. ,R.U.A.R. if...1.4,..2 CgO. l~. g$[xxx
called attorney on 2-15-02
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
RENUNCIATION
To the Register of Wills of
deceased.
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
WITNESS ~'~ hand this t~ tit{ day of ~L~,~ , tx~,~l..
(Signature)
(Address)
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
To the Register of Wills of ~-/J/99/~ E/t~' ~~)
The undersigned -~[t~ ~ {~ ,~. //~//~ 7/~L of
the above decedent, hereby renounce(s) the fight to administer the estate and respectfully ask(s) that Letters
County, Pennsylvania.
WITNESS --~ hand this ,;od day of /~e-~. , t~c~/Yff~-~
c'~(Signature) 7'-/ ---
(Address)
(Signature)
(Address)
(Signature)
(Address)
RENUNCIATION
County, Pennsylvania.
To the Register of Wills of
The undersigned ,' ,~L/
deceased.
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
be issued to r ~dC}'~,~ C~..~. ~' ~/' ~
!
WITNESS -~ hand this
day of F~. , ~'~'d a
(Signature)
(Addr~s)
(Signature)
(Address)
(Signature)
(Address)
his is to certify that the information here given is correctly copied from an original certificate of death' duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 7913419
No.
{,~~ ~ Local Registrar "~
Date
H10~.144 R~. I,~ COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
~-R~N, CERTIFICATE OF DEATH
IIN£NT (Coroner)
, L~ L SEX SOCIAL SECUR~ NUMBER O~E ~ ~ ~ ~ ~)
18 Valley Rd.
,, Neville, Pa 17241
,, Ma~ K~nce
.~ms~ m.' 58 S~ivlsion Rd, Neville, PA 17241
,~)~ . Pendtn Investigation ,
: d
........................... m.. ueeemDer~l ~ 2001
................
~ e~~~ ,,. Mechantcsbur., Pa. 17050
21-02-179
REV-1500
I OFFICIAL USE ONLY
oo,,No..,,,,..O,,EN.~,,v,.,, ' INHERITANCE TAX RETURN F.E,UM.'=.
DEPARTMENT OF REVENUE
DE,T. 2,0,0, RESIDENT DECEDENT / 21 02 00179
HARRISBURG, PA 17128-0601 [ COUNTY CODE YEAR NI.;,%~.'-R
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
Moffit, Dennis L 171-52-4393
m DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DO-YEAR)
Q THIS RETURN MUST BE FILED I# DUPLICATE WITH THE
u 12/27~2001 05/10/2060
"' REGISTER OF WILLS
¢3 IF APPLICABLE) SURVlVfNG SPOUSE'S NAME ( LAST, FIRSTAND MIDDLE INITIAL) SOCIAL SECURnY NUMBER
z
z
O
o
x
[] 1. OriginalRetum [] 2. Supplemental Returu
[] 4. Limited Estate [] 4a. Future Interest Compromise (date ofdeath
affe~ 12-12-82)
[] 6. Decedent Died Testate (Attach c~py [] 7. Decedent Maintained a Living Trust (Attach
of Will) copy of Trust)
[] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between
12-31-91 and 1-1-95)
4AME COMPLETE MAILING ADDRESS
Mark F Bayley
:IRM NAME Of applicable)
Rominger & Bayley Law Offices 155 S. Hanover St.
TELEPHONE NUMBER Carlisle, PA 17013
717/241-6070
[] 3. Remainder Retum (date of death pdor to12-13-82)
[] 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
[] 11.Election to tax under Sec. 9113(A) (Attach Sch O)
10.
11.
12.
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
[] Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
Funeral Expenses & Administrative Costs (Schedule H) (9)
Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
Total Deductions (total Lines 9 & 10)
None
None
None
None
195.84
None
None
424.87
N~ Value of Estate (Line 8 minus Line 11)
Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
Net Value Subject to Tax (Line 12 minus Line 13)
OFFICIAL USE ONLY
(8)
195.84
424.87
insolvent
(11)
(12)
(13)
(14)
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 .00 (15)
16. Amount of Line 14 taxable at lineal rate
x .045 (16)
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20. []
x .12 (17)
x .'15 (18)
(19)
Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS 18 Valley Rd.
CtTY Newville
STATE PA z~P
17241
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
Total Credits (A + B + C) (2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3)
4. If Line 2 is gmater than Line l + Line 3, enter the difference. This is the OVERPAYMENT. (4)
Check box on Page I Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (SB)
Make Check Payab/e to: REGISTER OF WILLS, AGENT
0.00
0.00
0.00
0.00
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ....................................... [] []
b. retain the right to designate who shall use the property transferred or its income; ......................................... []
c. retain a reversionary interest; or .....................................................................................................................
d. receive the promise for life of either payments, benefits or care? ..................................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .......................................................................................................................... [] []
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 properbj which
contains a beneficiary designation? ........................................................................................................................ [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU BUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and beliefI it is true, correct and complete.
Declaration of ixeparer othe~ than the pemonal m~ is based an all infomnatio~ of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE
Rop~z Moffit
Newville, PA 17241 ~'~
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
Mark F Sayley I ,/~ ./~ ~ 155 S. Hanover St. '7 ,-- ~ c,,, t
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the nat value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §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%, 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 transfem to or for the use of the decedent's siblings is 12% [72 P.S. §9116 (a) (1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Moffit, Dennis L FILE NUMBER
21 - 02 - 00179
Inclu.de the proceeds of litigation and the date theproceeds were received by the estate. All property jointly-owned with the right of
survlvomhip must be disclosed on schedule F.
ITEM
NUMBER
1
DESCRIPTION
Adams Electric Cooperative, Inc.
TOTAL (Also enter on Line 5, Recapitulation)
VALUE AT DATE
OF DEATH
195.84
195.84
COMMONWEALTH OF PENNEY LVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF Moffit, Dennis L FILE NUMBER
21 -02-00179
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
DESCRIPTION
FUNERAL EXPENSES:
Hoffinan-Roth Funeral Home, [nc. (Down Payment)
ADMINISTRATIVE COSTS:
Personal Represontathm's Commissions
Social Security Number(s) I EIN Number of Personal Representative(s):
Street Address
City State Zip
Year(s) Commission paid
Attorney's Fees Rominger, Bayley & Whare Law Offices
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
Probate Fees Cumberland County Register of Wills (Letters fee)
Cumberland County Register of Wills (Tax Return fee)
Accountant's Fees
Tax Return Preparers Fees
Other Administrative Costs
Total of Continuation Schedule(s)
TOTAL (Also enter on line 9, Recapitulation)
AMOUNT
120.00
0.00
92.00
47.00
10.00
155.87
424.87
Schedule H
Funeral Expenses &
Administrative Costs continued
COMMONVVEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF~.~--..,Mo~;t Dennis L FILE NUMBER
21 02-00179
3
Cumberland Law Journal (Advertising)
Sentinel (Advertising)
75.00
80.87
Page 2 of Schedule H
CERTIFICATION OF NOTICE
UNDER RULE 5.6 (a)
Name of Decedent: Dennis Moffitt
Date of death: December 27, 2002
Will No. N/A
Admin. No. 2002-00179
TO THE REGISTER:
I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphan's Court
Rules was served on or mailed to the following beneficiaries of the above captioned estate.
Name
Ruby Martin
Rickey Moffitt
Mary R. Koonce
Address
One Point Road, Newville, PA 17241
1055 Grahams Wood Road, Newville, PA 17241
18 Valley Road, Newville, PA 17241
Notice has now been given to all persons entitled thereto under Rule 5.6 (a).
Date:
Respectfully submitted,
M~ Esquire
155 South Hanover Street
Carlisle, PA 17013
(717) 241-6070
Supreme Court ID # 87663
Capacity as Counsel for
Personal Representative
OF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
DENNIS L MOFFITT
, Deceased
No. 21020179
of 2001
To the Clerk of the Orphans' Court:
Enter the claim of CAPITAL ONE
Acct. 5570091832254104
In the amount of $334.03
, against the above entitled estate.
The decedent, who resided at 18 VALLEY ROAD NEWVILLE PA 17241
died on
12/28/2001
Written notice of said claim was given
to ROGER MOFFITT
(Personal Representative or counsel)
58 SUBDIVISION RD, NEWVILLE, PA 17241
,if known to claimant, at
on
March 27,2002
(Date)
(C!aim=nt)
Claimant's Counsel
Address:
5330 East Main Street, Suite 200
Columbus, Ohio 43213
Address
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STATE OF VIRGINIA
INDEPENDENT CITY
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)
.LIMITED POWER OF ATTORNEY
Now comes _Mike Stevens, a representative of Capital One,
and hereby appoints Estate Information Services, inc. as its attorney-in-fact for the
purpose of executing, filing, amending, and/or withdrawing estate claims with probate
courts and/or executors throughout the United States on behal£ofCapital One.
Be it known that this Limited Power of Attorney will be abolished upon the
termination of the contractual agreement between Estate Information Services, Inc. and
Capital One.
DATED this I~o'-~
day of~"xl:~ ~ ,2001.
CAPITAL ONE(/~_/
Its: .Director ~
Printed Name: ~Michael Stevens
Sworn to an subscirbed before me this __~ day of September, 2001, a Notary
Public in and for the State of Virginia. _~_o~~~,U~
o ary p
OF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
DENNIS L MOFFITT
, Deceased
No. 21020179
of 2001
To the Clerk of the Orphans' Court:
Enter the claim of CAPITAL ONE
Acct· 5570091832254104
In the amount of $334.03
, against the above entitled estate·
The decedent, who resided at 18 VALLEY ROAD NEWVILLE PA 17241
died on
12/28/2001
to ROGER MOFFITT
(Personal Representative or counsel)
58 SUBDIVISION RD, NEWVILLE, PA 17241
· Written notice of said claim was given
,if known to claimant, at
on
March 27,2002
(Date)
(Claimant)
Claimant's Counsel
Address:
5330 East Main Street, Suite 200
Columbus, Ohio 43213
Address
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STATE OF VIRGINIA
INDEPENDENT CITY
)
) SS:
)
.LIMITED POWER OF ATTORNEY
Now comes .Mike Stevens, a representative of Capital One,
and hereby appoints Estate Information Services, inc. as its attorney-in-fact for the
purpose of executing, filing, amending, and/or withdrawing estate claims with probate
courts and/or executors throughout the United States on behalf of Capital One.
Be it known that this Limited Power of Atton~ey will be abolished upon the
termination of the contractual agreement between Estate Information Services, Inc. and
Capital One.
DATED this I qO''~(K day of....~~:~,' ,2001.
CAPITAL ONE
Its: .Directo_r ~
Printed Name: .Michael Steven.n
Sworn to an subscirbed before me this I~/~ day of September, 2001, a Notary
Public in and for the State of Virginia. ~~~C~
o[ary P
STATUS REPORT UNDER RULE 6.12
Adm . No.: /-
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 ['-] No ~f
2. If the answer is No, state when the personal re_.presenta.tive reasgnably belieyes
that the administration win be complete: ~.4-' w o ~lri~Q~ov~, ~_~,r-[..[ '0 t4 -
3. If the answer to No. 1 is Yes, state the following:
Did the personal representative f-fie a final account with the Court?
Yes _ No 1'~
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
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the. Orphans' Court
and may be attached to this
Signature
~ame
Ad.ess
Telephone No.
Capacity: [~] Personal Representative
JCounsel for personal representative
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Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
NameofDecedent:_ty(\(\,c... l-~ 1.N\c>CC'J
Date ofDeath: \ r./ 1- -'1 - -c. 00 \
Estate No.: 7 1 07... - 6\l~
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:
Date:
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c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report. ~. \?
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Sigoature
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Name
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I. State whether administration of the estate is complete:
Yes J>'l No 0
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete:
3. If the answer to No. I is Yes, state the following:
a. Did the person~presentative file a final account with the Court?
Yes 0 No J..2Sl
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes :0. No 0
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JRDIJune 30,1992/17858
JAN 1 2 200t. r
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In Re: Estate of Dennis L. Moffit
Late of Upper Frankford Township
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
Estate No.: 21-02-0179
NO. 21-02-0179
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative: Roger Moffit
Counsel for Personal Representative: Mark Bayley, Esquire
Date of Decedent's Death: 12/27/2001
Date of Delinquency Notice: 01/10/2005
The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance
with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court
Division, Court of Common Pleas of Cumberland County, that neither the above named personal
representative nor the above named counsel for the personal representative have filed with the
Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule
6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12,
Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on
November 10, 2004, and that the ten (10) day notice to file the Status Report has expired.
Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and
the undersigned requests that a Court conduct a hearing to determine whether sanctions should
be imposed upon the delinquent personal representative or counsel for the delinquent personal
representative.
Date: 01/13/2005
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
"M.~ '+,.tO~S q:3o t:\\V\
A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to
the hearing date, the hearing will automatically be cancelled.
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