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HomeMy WebLinkAbout01-0391 PETITION FOR PRODA TE and GRANT OF LETTERS Estate of Evo"<j<i'I,'r--<.. ~ No. ;1..1-oI.3Q/ also known as To: Register of Wills for the/. I . Deceased. County of CVM. ~ ~ in the Social Security No. i 0 i - ;4- '8'2-' 4 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut .,~ in the last will of the above decedent, dated .:; errl-pJVv\ ~<" i and codicil(s) dated named ,19~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciIed at death in QUlo/\. ~L<<---J h Q/V" la3t faq1ily or principal residence at Irq, t;=} ~ i C> '^~V" A-\ l~",'\. I flJ\ '" (~a..s b-t~ I (list street, number and muncipality) Decenqent, then e, years of age, d~ed , i-9: 20(.1' at I SC'-v' .(;tt r- VI ~vJ . I , Except as follows, decedent did not marry, was n t divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: County, Pennsylvania, with \/ t"\ \\ ~ t<....t '.) \ Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: y~ j f\. ~...~ ~ t- I'VL'l ic "5" V .', \\~...} R...ot. $ .5-C~ 000. .- $ $ $ '5'" c: ~ () tJ . M -Q ~ .lr~"'oI'....-r So h-........') P,1- I 1 () f.-") WHEREFORE, petitioner(s) respectfully. ~eguest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters ""l"Q (testamentary; aministration c.La.; administration d.b.n.c.La.) theron. VJ V u c v ~-;;- CIl '-' v.... 0:: v c '00 co,:: ro'~ 3~ v,- 30 cd c t:lI) en ~~~~C\C~ A ~~;t~ ~~t- PI 1\1 ~ G,. ~er-.;-e' I P r4 ij C{ (. ':{ 'J(wt/.: / /~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I SO"f COUNTY OF CumhPrl F.lnn J ~ /t,- dJ'i~/;{ V'.l ~. ;::s ~ ""'- ~ ~ ~ ~o. 21-2001-391 Estate of EVANGELINE M. ENGLEHART , Deceased DECREE OF PROBATE A~D GRA~T OF LETTERS AND NOW APRIL 18, 2001 ~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated September 1st, 1994 described therein be admitted to probate and filed of record as the last will of Rvnngplinp M Rn~lphRrr and Letters Tes amentary are hereby granted to Keith E. Englehart i / /, ~ Lewis ~ FEES 200.00 Probate, Letters, Etc. ......... $ Short Certificates(6 ) . . . . . . . . .. $ 18.00 Renunciation ................ $ x-Pages (3) $ 9.00 JCP TOTAL _ $ 5.00 Filed . .~t>~.~~. ~?t.~~ ?99.~ . . . . .~ . ?~.2...qQ. LISA MARIE COYNE #53788 A TIORNEY (Sup. Ct. 1.0. No.) 3901.MARKE'IS'J'BEET ADDRESS CAMP HILL, PA 17011 (717)737-0464 PHONE MAILED LETTERS TO ATTORNEY \ I'::' ~\i':; RI.\ I: :___h This is to certih' that the information here given is correctly copied fror~l an original ce~tif1c:lte of dt~ath du:): tiled with me as Local Rc.gisuar.' The original cerrificate will be forwarded to the State Vital Records Ofhce tor permanent fIlmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. P 7296228 ~""f/liiiii;/-;;-~ l,i~~\~.\lJ1f pl;",,-____ ,~\~/ . ~J;;..."",- I! ~/ 1lIl.a.. .~\~ \. I~ ~I ,'~ .. \.,.,..... (~~.I...,. . \.~~ ~ C)~ .,.~# . )h~ ~ c.,..) \ ~ ...... J.i. . i ~ \\*~. '. '~..' ...~'*~ ~ a" ---c_ . .'~ ' \~~ ./~I"'" --------~lMENf~{~~",/ "//,.,/ ~"" IIJJlII II" ~ L-:JR:E:7~ Fcc for this certificate, $2.00 APR 11 2001 No. Date 21-2001-391 143 Rav. 2/87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH NAME Of DECEDENT If~S1 Mld<lIe. Las) t. E vangeLLne. M. E ngie.haJl.t AGE (Latlllw1I'odaYl UNDER t VEAR UNDER 1 DAY MonIlIa Days Houn MInuI.. SEX Z. F e.maie. STArE FILE NUM8ER SOCIAL SECURITY NUMBER DATE OF DEATH ,Men"'. Da~. '''''''' 3. 101 14 - 8274 .. 4-7-2001 7 8 VIS. 8IRTHPlACf (Coly""" PlACE Of DEATH ICl>eck llf\Iy """ -. _ ,nS"UCI.ooo on Olhet _I SIAIe 01 f Cleogtl COllMyl HOSPiTAl: Fll.ac.k.v..i.iie.,PA Inpa......O E~..nlO ~O ~ - FACILITY NAME IN noI'nslotvllO(\. give SIr'" and numtlerl 4611 South Cie.aJr.v..i.~ VIl...i.ve. =".,)0 5- COUNTY Of DERH Cumbe.Jr.tand RACE - Amencan IncNn.lllrIck.whir. .tc;- (SpecoIy) wh..i.te. .. 10. 1 lb. Did dec:eclenl IMo .. a --.? 17d.D ~~':::ol MOTHER'S NAME (F.... Middle. Malden Sutname) MARITAL STATUS. ManiecI Ne_ WanieCl. Widowed. 0N0rced (SpecoIy) 14. V..i.voll.ce.d t 7e.D '1M, dec:edenllived in SUAVlV1NG SPOUSE IN ...... gove..-. name) DECEDENT'S USUAl 0CCtJfWI0N 1~-=:_:ioC::::~:f tta. F ..i.ie. Cie.Jr.k. ttll. DECEDENT'S WAIlING ~SS (SIt...... C...../1Own. ~. Zip Codel 4611 South Cie.aJr.v..i.e.w V~..i.ve. Camp H..i.ii, PA 17011 l.. fRlER'S NAME (First. Mld<lIe. Lall) W!>.S DECEDENT EIlER IN US. ARMED FORCES? _0 ~ tz. l7a. Sla.. Hnmrr/oVl .- city,1:ior G~ove. PA 17963 lOCRlON - Cilyllown, SIal.. Zip Code Zle. Zl.. ..i.~bUlta. PA 171 09 N' ANIA 4100 JONECTOWN ROAD (Milnlh. ~!!p9 ~.-.... 24-2e _be compleIed by DATE PRONOUNCED DEAD (Monlh. Day, Yearl ~"'-wIlo~ dNI/l. z.. M. 21. 4 - .., ~ 20(1 << . n. ~ I: Enlet \lie diseaMI. injunlls Of compIoCahOnS wllicIl caused the deal" 00 1101 ante< ,he mode o. dying, sue" as cardiac or r.spiralory arr.... sl\octc or he.., failur. liat only one _ on aec/lline. Z3ll. z:IC. W!>.S CASE REFERRED TO IoAEOICAl. EXAMINERlCOAONER? Vaa~ r() NOD /~ 21. I AppraxUnate :inl__n ,.... and_ I ~ PART H: Olher signiIk:MI condIliona <:onlriIluting to _. but 1101 ......ing in lite undatlying...... QNan in PART I. ! : DUE 10 ,OR AS A CONSEOUENCE OFI: WERE AUTOPSY FINDINGS WANNER OF DEATH ~EPRIOATO ~ COMPLETION OF CAUSE 0 Of DERH? Hal...... Homocide rsI - 0 Pandtng InvestiQalion 0 Y.. 0 NO Suicide 0 Could 1101 be det.rmlned 0 DATE OF INJURY (Monlh. Day. -I TIME OF INJURV INJURV AT WORK? DESCRIBE HOW INJURV OCCURRED. v.. 0 NOD loA. 301:, ~/P(I~/I 2111. CERTII'/ER 10._ only one) "CERTIFYING PHYSICIAN ("")'SlOan cerlllytng cauw r:J death ..nil<' dnOlh8f phV5ICoan has plooour<:ed dealh ancI complele<lltem 231 To lite beet 01 my IInowlecl98, dea'" OCC_ _10 Ihe cauMl'1 and manner a. ltated. . . . . . . . . . . . , . . . . . . .. ...................... II. PlACE Of INJURY - AI horne. farm. Slr..1. tac1ory. ollie. bu-.g. ate. ISpeoIvI 308. 'I'RONOUNClNG AND CERTlfVING PHYSICIAN (Phy>ocoan OOlh """noun"'flQ <I.~1tl and Ce<1,lY"'ll10 c~u" 01 08a11l1 To lite _ 01 my knowletlQ., deal/l occurred al Ihe time, dela, and place. and dua 10 lhe cau"'"land manner II "'aled "MEDICAL EXAMINER/CORONER On the baeI. 0' a..minatlon andlor ;nva.ligation, in my opinion, daalh occurr.d al IheUma, data, and plac., and dua 10 'ha c.u.a(.) and ............ stalad.. . . . . . . . . - . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . . . . . . . . . . . . 31a. 34. c(/ro~/ ./7. '.. · · .I ~ I/~...~OO I V / ~ } (-I a:: <( :r: ~ ~ . ~ ~ :z: Cil :E Cil :z: H ~ ~ ~ :z: <( ~ :> ~ II LAST WILL OF EVANGELINE M. ENGLEHART I, EVANGELINE M. ENGLEHART, of the Township of Lower Allen, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. Item 1: I bequeath all my jewelry with the exception of my Bulovd watch, to PATTY BRADLEY of 4611 South Clearview Drive, Camp Hill, Cumberland County, Pennsylvania. I tea 2: I bequeath the sum of Five Thousand Dollars to my son, KEITH E. ENGLEHART of P.O. Box 99-A, R. D. 3, Pine Grove, Schuylkill County, Pennsylvania. Item 3: I bequeath my household goods and furnishings, my automobile and Bulova watch to my son, KEITH E. ENGLEHART. Item 4: I devise and bequeath the residue of my estate of every nature and wheresoever situate, together with insurance thereon, to the Trustees hereinafter named, IN TRUST, for the following uses and purposes; a. During the life of my son, KEITH E. ENGLEHART, Trustee shall distribute such amounts of net income and principle as Trustees may from time to time in their sole discretion, deem available to my son, KEITH E. ENGLEHART, to maintain him in the standard of living to which he is accustomed and after taking into consideration other sources of income available to my son, KEITH E. ENGLEHART. b. Upon the death of my son, KEITH E. ENGLEHART, the Trustee shall then divide remaining principle and non-distributed income into as many separate shares as I have grandchildren then living. The Trustee shall hold in separate trust, manage, invest and reinvest the shares so received and accumulation of income thereon, and to use and apply the 1 J f-I ~ c(, ::r: ~ ~ ~ ~ z t%) ~ ~ Z H ~ t%) ~ z c( :> ~ Ii income and principle, or so much thereof as, In Trustee's discretion, be appropriate for such may necessary or grandchildren's medical care, support and education (including college education, both graduate and undergraduate) but first taking into account his or her parents' ability to provide for such medical care and support or education, make payment for these purposes, without responsibility to such grandchild or to such grandchild's parents or to any person taking care of such grandchild. Any principle or income not 90 applied shall be distributed to such grandchild absolutely when he or she attains the age of twenty-five (25) years. If he or she dies before attaining twenty-five (25), the trust shall age terminate and such share shall be distributed to his or her personal representative. c. Should the principle of any Trust herein provided for become too small, in Trustee's discretion, so as to make establishment or continuance of the Trust inadvisable, the Trustee or my personal representative may make immediate distribution of the then remaining principle and any accumulated or undistributed income outright to the person or persons and in the proportions that they are then entitled to income. Upon such termination, the rights of all persons who might otherwise have interest succeeding income an as beneficiary or the remainder shall cease. I f any person to receive distribution is a minor or disabled in any way, Trustee or my personal representative may pay the fund to the parent, guardian, or person or organization taking care of that person or, with respect to a minor, Trustee or my personal representative may deposit the fund in a savings fund account in the minor's name payable to the minor at majority. d. I appoint the Commonwealth Region, Mellon Bank, N.A., 2 West Main Street, Shiremanstown, Cumberland County, Pennsylvania, Trustee of the trusts noted above. My trustee shall be compensated in accordance with its schedule of rates in effect from time to time during the period in which its services are rendered. , I J ~ I Item 5: Upon my death, I direct that my body be cremated and the ashes be sea t tered along the Ye 11 ow Breeches Creek, close to the vicinity where I currently reside. Item 6: I direct that all of my taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. Item 7: I direct that all my just debts and expenses be paid as soon as practical after my death. Item 8: I direct that my personal representative and Trustee or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. I t em 9: I appoint my son, KEITH E. ENGLEHART, Executor of this my Last Will. Should my son, KEITH E. ENGLEHART, fail to qualify or cease to act as Executor, I appoint my friend, PATTY BRADLEY, Executrix of this my Last Will. IN WITNESS WHEREOF, I have hereunto set my hand this ~ ~ day of s",f...1If t vu , 1994. tE., ~a.l,.vt- EVANG2LINE M. E GL HART The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, EVANGELINE M. ENGLEHART, was on the day and date thereof signed, published and declared by EVANGELINE M. ENGLEHART, the Testator therein named, as and for her Last Will, in the presence of each other, have subscribed our names as witnesses hereto. a/i<f Aj ~~rW ;, ( ,/ { ./ fl:~ I--~~ residing fl1 Sf'U'! G ar'/ u. 61.. fr-' r: at !t:a ,. if (5/~ ~:A / 10 1_3 / /6/0 fA), L/5~'-'" A IC~( res iding at A<.e ("(,'-:1 VI {~, /; (.),'5" P /l /'7')>5- , I COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: I!t u" L f .5/, t-Lk(l ~CrJ "y J We, EVANGELINE M. ENGLEHART, !//5A. jJ/~J/e a i/,Ie / the witnesses respectively, whose names are signed to the and the Testatrix and attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed wi 11 ingl y, and that she executed it as free and voluntary act for the purpose therein expressed, and that each of the wi tnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. rf'~'Yi.4t:." ~.~/t'~ EVANG LINE M. ENGLE ART /)~ /) <:/' .' . / C/~ ~Lt~_~~ /' ../ c Subscribed, sworn and acknowledged before me den!"",1 ~ /~ Ii/! L / / by EVANGELINE M. ENGLEHART, the Testatrix, and subscribed and sworn to before me by L%e1i ~ 5'~/~'U(J4/ and the witnesses, this ~1,jay I Jj . /} L-I..s d .r:f U Jr I (;./ C~Y/l e- Of~ ' 1994. (SEAL) NOiA;iAL SCJ.l. HENRY F. COYi'i'E, :~OT,l\..I1Y PUBliC HAMPDEN lWP. CUM8EHt.PND CO tt{ COMMISSlOO EXPIRES JUNE 17, 1m ~ JEROME J. McDONALD Attorney at Law 439 Walton Avenue Hummelstown, P A 17036 Phone (717) 566,2127 Fax (717) 566,7199 May 2~ 2001 Cumberland County Courthouse 1 Courthouse Square Carlisle~ Pa. 17013 A TT. Register of Wills Re. Estate of Evangeline M. Englehart No. 2001-00391 S.S. # 101-14-8274 Dear Ms. Lewis~ Please be advised I have been retained by Mr. Keith E. Englehart to represent him as Executor of the Estate of Evangeline M. Englehart. I am replacing Lisa Marie Coyne, Esquire. Please forward all future correspondence to my attention. ~~ 6h~meY M~Donald cc. Keith E. Englehart ~ \:::. - CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Evangeline M. En~lehart Date of Death: 04-07-2001 Will No. Admin. No. 2001-391 To the RegisLer: I certity'that notice ot beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the (ollowing beneficiaries of the above-captioned estate on 05-11-2001 Name Address Keith E. Englehart P. O. Box 99A, RD 3, Pine Grove~ PA 17963 4611 S. Clearview Dr, Camp Hill, PA 17011 Patricia Bradley Notice has now been given to all persons entitled thereto under Rule 5.6(a) except "~" Date: 05-11-2001 ~b!l L..// . aturciV 7' " NameJerome J. McDonald Address439 Walton Avenue Hummelstown, PA 17036 Telephone(17) 566-2127 Capacity: Personal Representative x Counsel for personal representative RW-J5 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BURE~ OF INDIVIDUAL TAXES DEPT. Z80601 HARRISBURG, PA 17128-0601 '* I~-- ~z, ({-" J 2- INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 01-0391 ACN 01132235 DATE 07-10-2001 REV-1545 EX AFP (09-00) TYPE EST. OF EVANGELIN M ENGLEHART 5.5. NO. 101-14-8274 DATE OF DEATH 04-07-2001 COUNTY CUMBERLAND OF ACCOUNT [X] SAVINGS o CHECKING o TRUST o CERTIF. ** PATRICI R BRADLEY 4611 S CLEARVIEW DR CAMP HILL PA 17011 REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HEHBERS 1ST FCU has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this infor.ation'is incorrect, please obtain written correction from the financial institution, attach a COPy to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of th~ Co..onwealth of Pennsylvania. Questions .ay be answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 196823-00 Date 09-12-2000 Established x 857.11 100.00 857.11 .15 128.57 TAXPAYER RESPONSE ;Him~' To insure proper credit to your account, two (2) copies of this notice .ust acco.pany your pay.ent to the Register of Wills. Make check payable to: "Register of Wills, Agent". Account Balance Percent Taxable Amount Subject to Tax Rate Potential Tax Due x Tax NOTE: If tax pay.ents are .ade within three (3) .onths of the decedent.s date of death, you .ay deduct a 57. discount of the tax due. Any inheritance tax due will beco.e delinquent nine (9) months after the date of death. PART [!] 111:li!I~~.!I!l~mr [CHECK ] ONE BLOCK ONLY A. I"i71 The above infor.ation and tax due is correct. ~ 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or you .ay check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. B. c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return to be filed by the decedent.s representative. c. c=J The above information is incorrect and/or debts and deductions were paid by you. You .ust co.plete PART ~ and/or PART ~ below. PART @] TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due TAX ON JOINT/TRUST ACCOUNTS If you indicate a different tax rate, please state your relationship to decedent: OF 1 2 3 4 .s 6 7 8 x x PART @J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I $ I TOTAL (Enter on Line 5 of Tax Computation) Under penalties of perjury, I declare that the facts I have reported above are true, correct and cOIIPlete to the best of my knowledge and belief. HOME (1 J 7 ) 1 t I - 5' s"o y Af~;f ~ WORK () - TAXPAYER SIGNAlUR TELEPHONE NUMBER DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT PATRICIA R BRADLEY 4611 S CLEARVIEW DRIVE CAMP HILL, PA 17011-4019 -------- fold EST A TE INFORMATION: SSN: 101-14-8274 FILE NUMBER: 21-2001- 0391 DECEDENT NAME: ENGLEHART EVANGELINE M DA TE OF PAYMENT: 08/02/2001 POSTMARK DATE: 08/01/2001 COUNTY: CUMBERLAND DATE OF DEATH: 04/07/2001 NO. CD 000111 ACN ASSESSMENT CONTROL NUMBER AMOUNT 01132235 I $128.57 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: PATRICIA R BRADLEY CHECK# 5120 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $128.57 MARY C. LEWIS REGISTER OF WILLS ~..! "I- ~.~ ~~.~ ,,'1{ ,: , \ ... I . ; ~ ('./.. J :~. I I I . i I i { { ( \ . .. 6 \ ~{(T7T?i)~, "'. -~ ~;./ \ l~,,~~ ~ ~ ~ ~ ~ ~ ~ "- ,~ "' ". ~ J~i ~~~ - - - .. - - - - - ... .- - ~,-= /6-':J(2A,/- /~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEKENTL ALLOMANCE OR DISALLOMANCE OF DEDUCTION~, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REY-1548 EX AFP 02-00) PATRICI R BRADLEY 4611 S CLEARVIEW DR CAMP HILL PA ~7011 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 10-16-2001 ENGLEHART 04-07-2001 21 01-0391 CUMBERLAND 101-14-8274 01132235 Allount Rellitted EVANGELIN M 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 ~ RE-v:i5~i-E3f-AFii-fi1f:ooi------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 10-16-2001 ESTATE OF ENGLEHART EVANGELIN M DATE OF DEATH 04-07-2001 COUNTY CUMBERLAND FILE NO. 21 01-0391 TAX RETURN WAS: S.S/D.C. NO. 101-14-8274 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01132235 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 196823-00 TYPE OF ACCOUNT: ()() SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 09-12-2000 Account Balance Percent Taxable X Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate X Tax Due 857.11 1.000 857.11 .00 857.11 .15 128.57 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-01-2001 CDOOOl1l .00 128.57 TOTAL TAX CREDIT 128.57 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. l \ /6 -c:)~~- /~ v BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' NOTICE OF INHERITANCE TAX APPRAISEMENT~ ALLONANCE OR DISALLONANCE OF DEDUCTION~~ AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP [01-02) PATRICI R BRADLEY 4611 S CLEARVIEW DR CAMP HILL PA 1V011 ...H.I,\I ! 7 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 06-10-2002 ENGLEHART 04-07-2001 21 01-0391 CUMBERLAND 101-14-8274 01132234 Allount Rellitted EVANGELIN M fa'l .~ c' ~ 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 ~ RE-y=is4-i-Ex--AFP--coi-:021------------------------------------------------------------------------------------ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-10-2002 ESTATE OF ENGLEHART EVANGELIN M DATE OF DEATH 04-07-2001 COUNTY CUMBERLAND FILE NO. 21 01-0391 TAX RETURN WAS: S.S/D.C. NO. 101-14-8274 (X) ACCEPTED AS FILED () CHANGED JOINT OR TRUST ASSET INFORMATION ACN 01132234 FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 196823-11 TYPE OF ACCOUNT: () SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 09-12-2000 Account Balance Percent Taxable Amount Subject to Tax Debts and Deductions Taxable Amount Tax Rate Tax Due X .00 1.000 .00 .00 .00 .15 .00 NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT~ SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS~ AGENT." x TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 · IF PAID AFTER THIS DATE~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. . ( IF TOTAL DUE IS LESS THAN $l~ NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR)~ YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) REV-\;;QOEX!6.00j . w "' ::.::$(1) lJ"'''' W..lJ ,,00 lJ"'"' ..", .. <( COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 \~ -~d.-\.\ - \ ~ REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C W U W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ENG LEt-l/~.J2-'l EV,A./\JGt; L 1 Nt. DATE OF BIRTH (MM-DD-YEAR) () t./- - (3- 1 9 ;), ~2 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) DATE OF DEATH (MM-DD-YEAR) o '-I- .. 0 '7- ~ 00 ( ~ 1. Original Return o 4. Limited Estate D 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received ('v\ D 2. Supplemental Return D 4a. Future Interest Compromise (dale of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy ofTrust) D 10. Spousal Poverty Credit (date of death between 12-31.91 and 1-1.95) '" OFFICIAL USE ONLY FILE NUMBER Q..L_O L ~3~L COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 101 - 14- ~ ~"7 '-I THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Return (date of death prior 10 12.13--82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) "' Z W o Z o .. '" W '" '" o lJ NAME 1-< (7 ( -r H E ,.:J It>. TELEPHONE NUMBER t"- , \ .3 d ~-70./ TS- FIRM NAME (If Applicable) COMPLETE MAILING ADDRESS G;;tf ~U.,-tJ-rEKS O,l2i VE ? i ".JE GRo \J'E .7A I ( 'i <0 '3 f2tJGLE I4A!?.T -;).,055 (1) (2) (3) (4) (5) --0 -0 --0 -0- [;00.00 OFFICIAL USE ONLY I &', -"67'6. qS- (13) 5,7&;/NQS I09S<X7dOO -0- 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. J9int1y Owned Property (Schedule F) 0_ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) z o !;( ....I ::l l- ii: <( u W 0:: (6) 15, 97'i.qS- -0- (7) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (14) I 09 .~-'if 7ft on 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (9) (10) (B) ., LI-./o 9 ~ .'1 .s- /'1099.00 (11) (12) 13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;t I-' ::l a.. ::E o U ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1 ,2) 16. Amount of Line 14 taxable at lineal rate 17, Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 -() .- 10" 6-&"7.00 -()- -u- '.0_(15) , .0'f.5(16) ,12 (17) ,.15 (1B) .Lj. 7 &, _ ..:j ,;;' (19) 47G ~;j . CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS 1<,,50 VALU.::'t ROAD CITY m lZC2.L-!.'AN' c..s ~i.{.~G I STATEPA I iI7DSS-4-85tf Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) Total Credits (A+ 8 + C) (2) 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 47f.,.1::J 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. (5A) 8. Enter the total of Line 5 + 5A. This is the 8ALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: 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 property which contains a beneficiary designation? . .............................. Yes ..................0 ........0 .........0 .........0 .........0 o ........0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, No ~ KI ~ 18I ~ ~ ~ Under penalties of perjury, I declare thai I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete Declaration of preparer other Ihan Ihe personal represelltativeis based on all informalion of which preparer has any knowledge. E F ER~SPON ADDRESS (., .;. 1).R 1 ~ . ?t ~ C"R,o VE ,'P.A SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE n9Q> DATE .1 i-a ~ ADDRESS DATE 1_ For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. S9116 (a) (1.1) (i)J. 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. S9116 (a) (1.1) (ii)J. 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 affer 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. s9116(a)(1.2)J. 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. S9116(1.2) [72 P.S. s9116(a)(I)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at/east one parent in common with the decedent, whether by blood or adoption. 'REv.1.~OSEX' (1-97) '*' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF E \[ '" NGt:\... \ 10E \V'\.. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY E 10 G L(:;;. tfAR.. T FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the ..Illle. All property jolnUy..wned with the right.f survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. . Senate gas stove $ 25.00 Microwave oven $ 15.00 Desk $ 10.00 Cast iron frvina pans $ 20.00 Misc. in Kitchen $ 10.00 Cabinet $ 5.00 Egg beaters $ 10.00 Chest of Drawers $ 10.00 TV $ 20.00 6' ladder $ 15.00 Square table $ 20.00 Morris chair $ 50.00 Table $ 10.00 Chair $ 15.00 Cabinet $ 10.00 Cowden crock - broken handle $ 25.00 Misc. in Bedroom $ 15.00 Hutch $ 10.00 Contents of hutch $ 10.00 Lithographs $ 20.00 Fireplace equipment $ 20.00 2 drawer table $ 15.00 2 crocks $ 20.00 Piano bench $ 20.00 End table $ 10.00 Lamps $ 10.00 Sofa $ - Coffee table $ 10.00 Morris chair $ 50.00 Misc. in Livina Room $ 20.00 '--.--,- TOTAL (Also enter on line 5, Recapl(ulation) 500.00 $ (If more sPace is needed. insert additional sheets of the same size) :'1EV-'5Q9EX+(1:97) '* SCHEDULE F JOINTL Y.OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF E vP< NGEL-l tJ -c j\/\. k::..~ G L..17 UAR.. '/ If an asset was made joint within one year of the decedenfs date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO OECEOENT A. ?Il<."!\IC.I/'.. R.. BMDtE'1 ~("I( s, ~l...Ei\~\fl'8J uR.1\/E U-M.P \..{ lL.L ,I'A lcOI ( FR.rEND 8. KE lll-i EO. EI\.JG~~ GA- I..{UrJ-rl2R.S. {)JZ\ \IE ?t~ &.(~}VE,--PJ\. IlqG~ Sa ,J c. JOINTLY-OWNED PROPERTY: LEITER ITEM FOR JOINT NUMBER TENANT DATE DESCRIPTION OF PROPERTY MADE Include name of financial institution and bank ~unt number or similar identifying number. Attach JOINT deed for iointly.held real estate, DATE OF DEATH VALUE OF ASSET %OF DECO'S INTEREST DATE OF DEATH VALUE OF DECEDl:.NT'S INTEREST c;{ A. I'ICj<G rn OI\(b-c'll-S I ~T f=<:-n.. C:.~I21), I...OV to k) S 000 i.-.OLA.\ S E;' {)R.) \It. 1-'0 Q,O)( 4-0, MEc'I-LAtJ,CSn.,U((G.?tl<. 1'70'55" AC.c.ou..1-J\ # /9(" l?;;l.?> SAVtNGS m\Zff\lbCt<$ ('.ii, M2D C,{EP r-r L.\.N IOI\l Acco.......r-:n-lci: IqCo~~~ e.-4Sc-c. K (N G 'isG7. i a 5070 J./-48.Sfo 1. A. lq'i~ 9,foO,17 5DlJu 130.?:>9 o e,~ q+q~ Si}.jGUZ ~IL'f /3uNGAw-vJ 0.'5'4 AClU::~ LQc~.t>cT iloSb VA\...i.-.0't 'RO.IkD, N\ ,zel,.1.t\-N lQ S 12> \.tIt(; , -p" IloSS',. '-t'85t{.. 30, 000 50~() lo.,OOO.oc) TOTAL(Alsoenteronline6,Recapilulatioo) $ I ::;A'iJ7'i?,95" (If more space is needed, Insert additional sheets of the same size) REI.{-151.1 EX+- (12-99) ^ . ~jJ~'~ ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF t:=: VAcNGEl..LNE FILE NUMBER M 0--JG L~(-JA~T Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: I,~~q. 1. 1)~ \'"l.4 ~eRl' FlC-AT0, P-f~o C ~f-IYl vtT 10.-0 ~OCIt..-T\ 0 .F f e,v ..u'S IL V '" /'J I eft B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Represenlative(s) Social Securlty Number(s)lEIN Numb€.r of Personal Representative(s) Street Address City State __ Zip Year(s) Commission Paid: 2. Attorney Fees CO'1NI; If ~t-JE, -o"lOi III\i'dl.l<erS-(.~l-4lL.L I'A,70tt 1.,L/-LfO. ...JG f2C!Me /l\C bi91'JMJ>, Lf?)q WAt..i1)~ ^ Ve , \-t WWV\E1S.\t1WJJ, ~ I,J./S.OO 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) i'TO?:io Claimant Street Address City State _ Zip Relationship 01 Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees S~~ l.~ t N~ ,All..~~ ~~e.. '-{ . gO '5. lU.L~OCb<.e;0 ~T. r',1Se: ~ , 3'7.00 7. --P{!..ll'lb ~ '"lAx. '1~ .;lOOt LEGAL "-..'I01lCG F-lL-l NG Or a -rn:-'TE 157~q TOTAL (Also enter on line 9, Recapitulation) $ t.f. faq ::J..'15 &V Q tjQ s- (If more space is needed, insert additional sheets of the same size) REV-1512EX>p-91) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS , COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF EV~t-.JGELl Nt=: /'1\, G1JGL-~t...(~ ( FILE NUMBER Include unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION U. . SIR-12M. tAf.... '-( '1)~ (rR sj --p j.J I LA 1 vA ~ 00 I .I N e.&-N~ (')l.- X AMOUNT '" I ,Oqq. 00 TOTAL (Also enter on line 10, Recapitulation) $ / . 0 qq. 00 (If more space IS needed, insert additional sheets of the same size) REV-1513 EX + "-97) '* SCHEDULEJ BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF G VA NGE1-.\ tV E M. ENGLE: I.....lcAR! RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not LisiTrustee(s) OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. KE1-rW ~. L:::}")GLEW-~T (.,i.f. ~u.~~S bJ<.l\!'€ --p \ 0i2 G,R..DVE.. -p A. n ~ la 3 sot-.J looio ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17. AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DtSTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND SHORT CERTIFICATE I, MARY C. LEWIS Register for the Probate of Wills and Granting Letters of Administration &c. in and for said County of CUMBERLAND do hereby certify that on the 18th day of April A.D., Two Thousand and One, Letters TESTAMENTARY in common form were granted by the Register of said County, on the estate of ENGLEHART EVANGELINE M , late of LOWER ALLEN TOWNSHIP (LA::; 1, 1:' 11(::;'1', JVJ1 lJlJLC; i in said county, deceased, to KEITH E ENGLEHART (LA::; 1 , 1:"1)(::;1, JVlllJlJLC;i and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 18th day of April A.D., Two Thousand and One. File No. 2001-00391 PA File No. 21-01-0391 Date of Death 4/07/2001 S.S. # 101-14-8274 ~ e. 5i:~~ t<M/~ " ~. Register NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/22/2004 KEITH E ENGLEHART BOX 99A R D 3 PINE GROVE, PA 17963 RE: Estate of ENGLEHART EVANGELINE M File Number: 2001-00391 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 4/07/2004 Your prompt attention to this matter will be appreciated. cc: Thank Y~u. File Counsel Judge Sincerely, GLENDA FAR~ER STRASBAUG~ REGISTER OF WILLS l":' H 0 LTJ o U© Cumberland County - Register of Wills One Courthouse Square, Room 102 Carlisle, PAl 70 13 Phone: (717) 240-6345 Date: 3/0312005 Keith E. Englehart Box 99A R. D. #3 Pine Grove, P A 17963 RE: Estate of Englehart, Evangeline M File Number: 21-01-0391 Dear sirlMadam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMMENDMENTS 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: 04/0712005 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, ~~~H REGISTER OF WILLS cc: File Judge J Estate of ENGLEHART EVANGELINE M Late of LOWER ALLEN TOWNSHIP RECEIVED MAY 11 2005("1\ ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-01-00391 Date: 5/10/2005 NO.: 21-01-00391 KEITH E ENGLEHART BOX 99A R D 3 PINE GROVE PA 17963 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: KEITH E ENGLEHART Personal Representative Counsel: ** NO INFORMATION FOUND ** Date of Decedent's Death: 4/07/2001 Date of Delinquency Notice: 4/07/2005 The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans' 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 their counsel, have filed with the Register of Wills or Clerk of Orphans' Court, his/her Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule, and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orhans' Court Rules, was given by the Clerk of Orphans' Court on 3/03/2005 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 their counsel. ~ A '"~4Z,~L (L~<'!-O J:f!Jii~~ cc: File Personal Representative Counsel Glenda Farner Strasbaugh Clerk of Orhans' Court A hearing is scheduled for June 17, 2005 at 9:30 AM in Courtroom No. 03. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. /1J.,gI1,AAAV\" , ~ t f' I,' ,.'.t r ~ GEORSE W ~O!FJ~, "p . J. j cI Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 KEITH E ENGLEHART 64 HUNTERS DRIVE PINE GROVE, PA 17963 RE: Estate of ENGLEHART EVANGELINE M File Number: 2001-00391 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 I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 4/07/2006 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, ~.n ,; ~:.., I tAj~NJ ~ ~zt-CL_--_-v-a Glenda Farner Strasbaugb Clerk of the Orphans' Court cc: File Counsel v} Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: f V It rV 6 ?J--I r(j ~ eN 6 LE r+ fA- R \ Date of Death: ry /f f R l L 2- 0 0 f 2-l-0l -O~~q/ Estate 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 m No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes ~ No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: /l) 11 c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 Date: 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 if- 7- ~:Ched to this report. /7 ..? ~ ~ A C~ ~~"1 ~)/lJ-~~ K 6 rrlt t [IJG L tH-lf ,e', Name 6'1 HUtJT#~ /J {2 l ut- Address Telephone No. I i'1 :n~ {JI.,.J I vi 1"4 'd _ - q}~acity: 0 Personal Representative J "",c':J 0 Counsel for personal representative @ 1/ v ..'" JEROME J. McDONALD Attorney at Law 439 Walton Avenue Hummelstown, P A 17036 Phone (717) 566~2127 Fax (717) 566~7199 March 13, 2003 Cumberland County Courthouse Register of Wills 1 Courthouse Square Carlisle, Pa. 1 7013 ATT. Cheryl Re. Estate of Evangeline M. Englehart No. 2001-00391 8.S. # 101-14-8274 Dear Register of Wills, Please be advised I have not served as the attorney for the Estate of Evangeline M. Englehart since December 31, 2001 when the Executor refused to contact me with regard to the preparation of the Inheritance Tax Return. Please forward all future correspondence to the Executor, Keith E. Englehart. v~~~'~ /4m; 1. ~D;~ald 'r 11~1t.!,' , ~, , ~ *~~::J ~. ~ * ~ ..- .... 1..0 ~ o ['. o ~ < ;Z; og< QCc... Q !1) ::E > " ~~~ ~~Ja ~ ~. !1) O~e ~ 0'1 .~ !lJrrl"T" ~ ~ i-l-; (J) C/') ;:I o ~ ..... .... g ~ U ~ >-, ~ ~ 1:: ro rrl U ;:I C/') ;:1..-< . 0- aoE--- U:;::r:/Jr-E--- ~(J)..-<<r: ""d C/'). C~;:Iro roOo~ ;:::: .... ~ ~ (J) (J) t (J) ..o~;:Irn S'- 0:':::: ;:I ~U ~ U~........U !l"! i!:! l!) ,i-. :~: . ;;:1 .....! P '1'" -v.; COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ENGLEHART KEITH E 64 HUNTERS GROVE DRIVE PINE GROVE, PA 17963 _____n_ fold ESTATE INFORMATION: SSN: 101-14-8274 FILE NUMBER: 2101-0391 DECEDENT NAME: ENGLEHART EVANGELINE M DATE OF PAYMENT: 03/19/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 04/07/2001 NO. CD 002309 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $476.42 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: KEITH E ENGLEHART CHECK# 114 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $476.42 DONNA M. OTTO DEPUTY REGISTER OF WILLS /6 -c:2;) 1- I 0.-/ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG. PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT~ ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ReccrdC;:>:" (".Nice of DA TE ReL,>t. c /ills ESTATE OF DATE OF DEATH FILE NUMBER .03 MAY -2 All :54cOUNTY ACN KEITH E ENGLEHART 64 HUNTERS DR PINE GROVE PAl 7 ~~~~~,O - '-Of \. --",--J;..-: i 04-28-2003 ENGLEHART 04-07-2001 21 01-0391 CUMBERLAND 101 *' v REV-1547 EX AFP (01-05) EVANGELIN M Allount Rellitted (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 500.00 15,878.95 .00 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 ~ RE-,,':is4j-ix-AFP--((ff':o31--Ncffici-oF-INHiiiiiANcE-i'-Ax-jrppRAisiMENT-,--Ail-owANcE-oli-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ENGLEHART EVANGELIN M FILE NO. 21 01-0391 ACN 101 DATE 04-28-2003 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE 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. Hortgages/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/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 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: 15. Allount of Line 14 at Spousal rate (15) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS. NOTE: (9) llO) 4~692.95 (8) (19)= NOTE: To insure proper credit to your account~ submit the upper portion of this form with your tax payment. 16~378.95 5.791 95 10~587.00 .00 10~587.00 .00 436.86 .00 131.84 568.70 . " IU.1'I1 I'(~l.~~rl I (+ J AHOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-19-2003 CD002309 .00 476.42 INTEREST IS CHARGED THROUGH 05-13-2003 TOTAL TAX CREDIT 476.42 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 92.28 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 40.17 TOTAL DUE 132.45 1.099.00 lll) ll2) ll3) ll4) .00 X 00 = 9~708.05 X 045= .00 X 12 = 878.95 X 15 = . IF PAID AFTER DATE INDICATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM fOR INSTRUCTIONS.) REV-1470 EX (6-88) INHERITANCE TAX EXPLANA TION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME ENGLEHART,EVANGELlNE M FILE NUMBER Kathryn Harbilas ACN 2101-0391 101 REVIEWED BY ITEM SCHEDULE NO. F 1,2 EXPLANATION OF CHANGES Jointly held assets are taxable to the survivors. No deductions can be claimed against joint property as it was not the responsibility of the survivors to pay the debts. Changed tax rate from 4,5 percent to 15 percent since a friend is a collateral beneficiary. ROW Page 1 J. . ' I V~'/'j l_j f , r~', L I I ,,- .~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: r: tJ It ~ G ct L / (7l/ L Date of Death: Lf - I - 0 i .') l al ~ol' Will No.:? [ fttJ (] L f f1 of- oe. rr: Admin. No.: ,~ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 0 No ~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: C 0 u J1LL /Vl a ~ 71 f c; 3. If the answer to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court? VL>~ No ~ l~'f!%v1"Ji) c~ ~ iJ 1/13 l~-" ~-YJ a ~C,: ~ ~ I: Aci,J j, ? J..A'V L. Ur 'sonal representative state an account informally to the parties ~ Yes 0 No ~ .~ I "':V:\ . _ 0 () .'5-C;' , )f receipts, releases, joinders and approval of formal or (> f::j.~) ( l accounts may be filed with the Clerk of the Orphans' Court Crv~ r~f"'- . C':/lA,U 1# ~(.;;f' be attached to tM~ r, F pt;~ rr;. v:r . ~~?L ~ A", , ~ ,~f^ Signature I a-tU ~/ iJ~ p;#~ Kf J '(- rl .c, reI.) G LLM!4f2\ Name lte Orphans' Court No. (if any) for the personal representative's --------- 6 Y /-( c) /l./ru- ~ OR-L vI./- Address FlvGL 6PduL I~, Telephone No. Capacity: 0Personal Representative o Counsel for personal representative Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/10/2003 KEITH E ENGLEHART BOX 99A R D 3 PINE GROVE, PA 17963 RE: Estate of ENGLEHART EVANGELINE M File Number: 2001-00391 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 4/07/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: File Counsel Judge ~ RW-B .J Register of Wills of Dauphin County, Pennsylvania INVENTORY Estate of ~VANGa i NE. M.. EDGLE I~ No. also known as ~/-()/-3~ t Date of Death () t../ -- 0 7..- ;) DO I , Deceased Social Security No. 10 (,. i '+ - 'd ~ 71 Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: ES~~ F~..D I.D. No.: tJ!A ~ 5 ~- ~ ~ll:o qq ~ G, 4- H U..,Jtl?R.S 'DR..r~_,_ ,p l NlE GR..o V'E ,'"PA (7<1 G, ~ (570,) 34-5 - ~055 Personal Representative: I<EfTH e. EJ.JGLe{4~-r Dated Address: Telephone: Description Value I~ ;;l.€J B.. (Y\~~ '~1 ~~Lt I M.~e.~lc..Sib'WtG,'"PA ~.,.... A.c..<!..~\"<").JT ~ , q to ~ ~ .~ 8 ~VI tJGS St~GL.E FA-M.\t-.'-( ~\..L~GA-Lo-w e~k:I~G o.St{ AC~~ M.~~tCSJ&~'<Gl?-A:- (~'T";..:V~~N"ED) '" 4~..s7a '( f507" C F '\ 1- 30. 3g ')\~VAU6.j1 15,,000,00 I'so7iJ ,~tAl- "\ \. .; "';.. ~u. <Z./ PtltAl:.wED S LlPPLtw\Ef'Jl - tOTl\ l$ !5 00. OC!) Total: 10) 3'78 f) C; S (Attach Additional Sheets jf necessary) NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may. at the election of the personal representative. include the value of each item, but such figures should not-.ee-cixtended into the total of the Inventory S1.APPL~QJt tv {tJVaJTOR-Y G:vA'0Gl8-..I~E (\1\.. G"NGL..(;,Uv~KT SS* IO(-[4--CJ~74~ Senate gas stove Microwave oven $ 25.00 Desk $ 15.00 Cast iron frying pans $ 10.00 Misc. in Kitchen $ 20.00 Cabinet $ 10.00 Egg beaters $ 5.00 Chest of Drawers $ 10.00 TV $ 10.00 6' ladder $ 20.00 Square table $ 15.00 Morris chair $ 20.00 Table $ 50.00 Chair $ 10.00 Cabinet $ 15.00 Cowden crock - broken handle $ 10.00 Misc. in Bedroom $ 25.00 Hutch $ 15.00 Contents of hutch $ 10.00 Lithographs $ 10.00 Fireplace equipment $ 20.00 2 drawer table $ 20.00 2 crocks $ 15.00 Piano bench $ 20.00 End table $ 20.00 Lamps $ 10.00 Sofa $ 10.00 Coffee table $ - Morris chair $ 10.00 Misc. in Living Room $ 50.00 ~- ~---- ~ ~ . .~~. .~ $ 20.00 . -- -- -- ~- -'-0 \ A L SODA ()O COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KEITH E ENGLEHART 64 HUNTERS DRIVE PINE GROVE, PA 17963 ___n___ fold ESTATE INFORMATION: SSN: 101-14-8274 FILE NUMBER: 2101-0391 DECEDENT NAME: ENGLEHART EVANGELINE M DA TE OF PAYMENT: 08/21/2003 POSTMARK DATE: 08/20/2003 COUNTY: CUMBERLAND DATE OF DEATH: 04/07/2001 NO. CD 002923 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $133.68 I I I I I I I I TOTAL AMOUNT PAID: $133.68 REMARKS: KEITH E ENGLEHART CHECK# 130 SEAL INITIALS: SK RECEIVED BY: REGISTER OF WILLS DONNA M. OTTO DEPUTY REGISTER OF WILLS '" ~~ 00 ~...1 ~uJ ~ca r-tp ~uJ ~~ Of./) r-tr-t ~...1 "'tfJ 0...1 Q....1 tfJr-t """'~ ~u- ~o ~" "'uJ ~~ r-f./) uJ""", "'t!) uJuJ tfJ'" 4.uJ uJ~ ...1r- Q. -------- uJ tfJ ';:) o ~ r-tl) ",..-I o f./)~t- ...10..-1 ...1U ""'" ~04. UQ. '6P .. ~uJ '" 4. ...1 uJ...1tfJ r-"'r-t tfJ uJ ...1 """,ca", t!) ~ 4. uJ ~ U "U 0/~ ~--7 c '-.-"-,~ tl) o o ~,...t (\1 C' , ~tl) ..-I """,0 (\1..-1 ...1' '0 uJ..-I -.s t!)0 0..-1 ~ 4.-1p~ ",,(\1~~ uJ 4.uJ ...1~ ",tfJ uJtfJ cauJ ~~co, '6 tfJ~4 tfJU uJ~........ U- r-40~0 4.~~r- ~uJU!~~~ U!~...1~4.U ~",,",Op4. ~U-U ~ ~ r-f\ '\ ..- '0 --L rf "'}~ "~ ' o \ ~ tf ~~ J ~ .' CJ ~\J \j r\ -0 ~ ~ t,., ~ ' 4 ~,) ,-,) ;..J~ ~a. ./ ~~~ \4..,.l\.1' ? ,,.! c:,,~ ~ ~~ ~. ~ ~.~ ~~~ L\). ~ ,..,.. - ~. .~ c.... -= - ..:;. -:. - """:. -: ~ -: -; :::. .. -:;. =; - -l ~ ~ - (t".' ,"~ :,., '.l' \ . t..... i') .,... ''', \.~ yo.. ..... tI' t- ~ c::; Z; - 1 :2/ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-1607 EX AFP 101-05) KEITH E ENGLEHART 64 HUNTERS DR PINE GROVE PA 17963 I.~ .- DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 09-02-2003 ENGLEHART 04-07-2001 21 01-0391 CUMBERLAND 101 EVANGElIN M Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V: ii,'ifj-ix-AFP-fol---oii-------...-XNHERITANCE--YAX-STATEME-NY-ifF"-ACCOUNT--...--------------- - - - - -- ESTATE OF ENGLEHART EVANGELIN M FILE NO.21 01-0391 ACN 101 DATE 09-02-2003 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A SUHHARY 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: 04-28-2003 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 568.70 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-19-2003 CD002309 .00 476.42 08-20-2003 CD002923 41.40- 133.68 TOTAL TAX CREDIT 568.70 BALANCE OF TAX DUE .00 INTEREST AND PEN. .02 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .02 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/22/2004 KEITH E ENGLEHART BOX 99A R D 3 PINE GROVE, PA 17963 RE: Estate of ENGLEHART EVANGELINE M File Number: 2001-00391 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 4/07/2004 Your prompt attention to this matter will be appreciated. Thank Y-9u. c Sincerely, ..-+ p -- , r '. ....... .....~...... , C\C\ \ l\ \ 'C\l, , t.J, C\.~l\ \.\ ./,/ V ht--.' ) ~("k- (fi-L/t{' '2../ ){j--CZb-l.1jr;t ((CPL GLENDA FARNER STRASBAUG~ REGISTER OF WILLS ....- I (' , ---- cc: File Counsel Judge c- f\\ Q \ -- ~ \~ \:.;;,- '-3 t,~ - - ,~- S:~ ~- ... ~ <:I 'e1 '", ~ \ ~<V~, ~ i ~ ~ .'. ~ Col &-~ I: ~ e cfl - -, ~--O~~~ lit .e s .<( \ -';;~~p...{ e ie) % ~C ~~U~ 0lS ..,. ~ ~ ~~OU ~~ *--0 .... ~ ~ ~ ':~, .....-:: ..' .---=. '-:: ....::. ffi ~ '0 o ~ ~ wI:) (I)~~c.2.~ ~~~~4 ce.~-uoI~ I:)~~-,c::> c.2."""'~~u.- ~~~ce.c::> .-- ~uoI""", ~~~~~ ~'O:.5~~ u.-~~I:)~ 'SuoI(I)'O::3 ~S~~. 000," <<0 ~ ~0)d. ~ ~ OP~ ~~6 ~~~ ~(j\~ t-I~';Z r--Ior--l ~~~ C...-I ..-:;: ~ -:: .~ '~ :~ ....; ~ 3\ -:. -; -:. - -:. ... - -:. ... :::.:. -; - - -: ... - ,",' ,"'\ , " (:,\ \ ' ...... ,,', \ , 0' Cumberland County - Register of Wills One Courthouse Square, Room 102 Carlisle, P A 17013 Phone: (717) 240-6345 Date: 3/03/2005 Keith E. Englehart Box 99A R. D. #3 Pine Grove, P A 1 7963 RE: Estate of Englehart, Evangeline M File Number: 21-01-0391 Dear sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMMENDMENTS 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: 04/07/2005 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, 4:~~:~H REGISTER OF WILLS cc: File Judge J .. . Cumberland County - Register of Wills One Courthouse Square, Room 102 Carlisle, P A 17013 Phone: (717) 240-6345 Date: 3/03/2005 Keith E. Englehart Box 99A R. D. #3 Pine Grove, PAl 7963 RE: Estate of Englehart, Evangeline M File Number: 21-01-0391 Dear sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMMENDMENTS 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: 04/07/2005 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, ~d4_~~ GLENDAFARN~~~~~GH REGISTER OF WILLS cc: File Judge .~ ~11, ~ " Lj'i~%~ "-~~; :--,', }. ;;":~';;.I a.. too.. : I; .~'"_.'\. !;'.."> ~ r.' ~)~ ~ - t! ~,' .a; '.1J4 ,~.. 0: w ::J: ..... e o Q w en en w .....0: we enZ~~c en3=.....en~ ~~~cs:3: C1~~'j0: ~~~:~ .....Z~~c ~ffiz~: c.::l.....::J:~...I -o..UUJea tt::a:~c..s: ~~~I-rz ~~; . o t:: ;:j o U -rJJ ~ ro % o <l.> -5 4-< C ~.-c <l.> ;:j ~ 8 2u;:j rJJ Cd c:r' ('f') e VJ_ U)~~g ~ ~ g- c~~<r: @ot::p... ~....;::; <l.> IlJO_ .gtiU~ ~ '51 ~ @ 6~ou . :: ... - - ...--:;: - '--:: - ~. ~. - .- --:;: ~ o ..'\1 Marjorie A. Wevodau First Deputy One Courthouse Square Carlisle, Pa. 17013 Glenda Farner Strasbaugh Register of Wills & Clerk of the Orphans' Court (717) 240-6345 FAX (717) 240-7797 Kirk S. Sohonage, Esquire Solicitor OFFICES OF l&egister of Wills anb {{lerk of tbe ~rpbans' {{ourt <!ountp of <!umherlanb 9/26/2005 KEITH E ENGLEHART 64 HUNTERS DRIVE PHINE GROVE PA 17963 RE: Estate of CHURCH ELIZABETH ANN File Number: 2001-00391 Dear Sir: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing was due: 4/07/2005 Your prompt attention to this matter will be appreciated. Thank You. ~.l~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File -J 3d3. t.e of ENG1.J>llAR't ~GB1.o1NE to'\. at.e of 1.00~ ~ 'tOwNSllll' _ t t "1>.\0. ~ 21._01.-00391. ~s a e 1"1 5/1.0/2005 RECE\\}ED W..~ l1100~p~1\ ORP~S' COURT DIV1SI0~ COURT OF coMMO~ Pl.EhS OF CuMBER1J'>l'lD comfI:'i PENNS"'i"L\JANIA ~O.' 21-_01--00391- ~~ ~~ L~9>\~ , . r Date~ ...<1 EBPOR't 1\NP EBQuES't 'to coNOUC't h NO'tICB OF F1\11.ouEB 'to F11.oB S'tp,.:~v~U1?~ COuR't olU'~S' COuR't RU1.oB BBJ'.RING ptlR~ 'to RU1.oB 6.1-2. , . }{B1'tll B ENGJ..BlU"R't personal Represent.at.~ve. l' ** NO INFO~'t10N FOuND ** personal Represent.at.~ve Counse . Dat.e of Decedent.'s Deat.h' 4/01/2001- Dat.e of DelinquencY ~ot.ice' 4/01/2005 st.rasbaugh Clerk of orhans' The undersigned, Glenda Farner su reme Court. OrPhans' Court court., in accordanc~ w~t.h rule 6.1-~'coJit. Division, Court. of common RuleS, herebY not.~f~es t.he OrPhans 't.her t.he above named personal pleaS of cuwberland Co~nt.Y' t.ha~ n~ f'led wit.h t.he Regist.er of represent.at.ive nor t.he~r ~o~set.' ~~/he~ st.at.us Report. required bY wills or Clerk of OrPhans our ~ court. Rule and t.hat. t.he Rule 6.1-2, Supreme court. orpha~l 6 1-2 sup~eme court. orhans' requisit.e not. ice , ~ursuant. t.~ c~e~k ~f orphans' Court. on 3/03/2005 Court. Rules, was g~ven bY t.h, t. file t.he st.at.us report. haS and t.hat the ten, (10) d~Y n~~~~an~e wit.h Rule 6.1-2 t.he Court. is e~pired. hCcord~nglY, ~n ~, Y and t.he undersigned request.s herebY not.ified of suchhde ~nqu~cdet.ermine whet.her sanct.ions ~~~~~ ~r:~J~~~~u~~o~ t.~~r~iinquent. 7a::~l;~:,e;;::;:; 1CB1Ttl. B E~G1.oEBART BOX 99A R D 3 pINE GROVE p1\ 11963 Glenda Farner st.rasbaugh Clerk of orhans' Court. cc~ File personal Represent.atiVe counsel 1-1 2005 at. 9.30 Ato\ in h hearing is scheduled for June' 'f'led ~~ior to the 03 If t.he stat.us Report. ~s ~ ~ court.room ~o.' ' ' automatiCallY be cancelled. hearing dat.e, t.he hear~ng w~ll /1J " ~111 ,A ft ~ ~~ ! t b ,d I ~J ill " / /H ~' if U "\ GEoRt;E jIii. tl.o'FFER, p. J ' ~ if ~ 'i1l (I) s~ ~ a. \ - I 0 i --12rt. EOO 59 hn \ t tr l11 l11 ..D :r :r ru ~ rn C1 C1 C1 C1 ~ l11 ru :r C1 C1 t"'- t:-I ~ p:'. ~~ ~ C)Otu Z...J,;/ tu~o tu~~ ';r.0'tu E-'~Z HOH ~p:\P-i '- g 1"J -~ ~ - Po ~ G ~~ ~ ~ t-r, ~ ~ ~::, .., i ~~~ ~., ... (j.c <: . .~--'o.. !, '~~~~ <'.no> '? G 'J -:: ~ ~ ,3. C' S~ ~ - CJ '- "" ~ ~ ~ a: U.I ~ ~ o c:;:l o ~ ~ cs: ~c:;:l U.Ic:;:lQ (i)'Za:~a: ~~~~~ ca~ffi~~ ~'Ocg~u- l-'Z~ffi~ \\~~~. ~ ~ (i)~ . ~~ 00 U J =::: '-::. ~-:: .-:: ,- '-:: :::: .- '--;: :=:: to,\ \TI (1) ",I cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 KEITH E ENGLEHART 64 HUNTERS DRIVE PINE GROVE, PA 17963 RE: Estate of ENGLEHART EVANGELINE M File Number: 2001-00391 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July 11 19921 the personal representative or his counsel, within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 4/07/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report I please disregard this notice. Sincerely, ~A , ~. . J 1./!1;;J~IIJ ~ ,.E4:1O.h }~a Glenda Farner Strasbaugb Clerk of the Orphans' Court cc: File Counsel V} Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: f0 ItrV6 !:-j,J/(j,k... EN 6 J; H{4,;2 \ Date of Death: TJ /f f R 1 L 2- 00 r 2- l -- 0 l .- C>_~ q , Estate 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 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a [mal account with the Court? Yes JB" No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: /l) 11 c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 Date: 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. ~-7"." AL) / tf- 7.- C)& ~~ <z -..4 A Sign~ -:- /Yj/U ~~ K6tflff 6IJG L tfM,f2'\ Name 61 H()tJT#~ !J({2luh- Address Telephone No. I 11 :01 J' L= ,_;' .'.~ o Personal Representative o Counsel for personal representative I ' L_ - c ,Y1Pacity: @