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HomeMy WebLinkAbout04-0416 P~ETIT]ON FOR PROBATE and GRANT OF LETTERS also known as To: ~. Register of Wills for the , Deceased. .:~ County of C~beeka~ in the Social Security No. - - - COmmonwealth 0f Pennsylvania The petition of the undersigned respectfully represents that: Y out petitioner(s), who is/ are 18 years of age or older he exec~~-.' in the last will of the above decedent, dated and codicil(s) dated ' named Ystate relevant circumstances, e.g. renunciation, death of executor, etc.) .Decendent was domiciled at death in (n~ v~ ~ er [a~ ~ ' ~ County, Pennsylvania,~with last family or principal residence at (list street, number and muncipality) Decendent, then ~ years of Oge, died Except as follows, decedent did~ot marry; was not divorced and did not have a child born or adopted after execution of t)le will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 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 ~'oP~/t $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters ~'~.,~-t~-O ~ta-t'Y'~t-~· theron. (testamentary; ~/~ministration c.t.a.; administration d.b.n.c.t.a.) OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA q COUNTY OF _Co,~:~r- ~t~,~. f ss The petitioner(s) above-named ,wear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me.this ~ ~ dav of 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 ti~is copy by photostat or photograph. Fee for this certificate, -Local ~eg~st~~~''~ APR i .5 2004 Date 143 Rev. 2~87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMaER NAME OF DECEDENT (First, Middle, Last) ~ SEX ~ SOCIAL SECURITY NUMBER ~ DATE OF DEATH (Mo~th, Day, Year) t. . . Donald Owen Newhouse ].~ale [~.32 -- 10 --8899 [4. Apr.14,2004 AGE (Last Birthday) UNDER, 1 YEAR UNDE,R 1 DAY .DATE OF BIRTH [ BIRTHPLACE (Cily and [PLACE OF DEATH {Check onh, one- see instruct ons on othgr ~id~ Mo~thsI Days Hours Minutes / tMO~th, Day, Year) I Slate ~ F~reign C~untry) HOSPITAL: OTHER , 82 Yrs. [ hug 15,1921 kndianapolis IN '""~'~[] E~.~,.,[-] Do^[-I ,.~ n ~ ~m o~., n COUNTY OF DEATH I CITY, BORO, TWP OF DEATH I FACILITY NAME (If not institution, give street and number) IWAS D~ECEDENT OF HISI~ANIC ORIGIN? [ RACE - American Indian, Black, White. York ~ .... ~" [ ~4 ' ~-- [.~ · I NO ~Yas ~ If yes. spec~y Cuben, I (~pec~y) DECEDENT'S USUAL OCCUPATION ' I ~, I I KIND OF BUSINESS / INDUSTRY IWAS DECEDENT EVER IN l DECEDENT'S EDUCATION MARITAL STATUS - Ma~ied ~ SURVIVING SPOUSE (Give~ wo~i~gkl~ oflife:work~do~anof u~edurlngmrred)m°~! IU. S. ~M~ED FORCES? ~ (Specify en~y h~he~t ~rade complel~l) I ~ Never Ma~ied, Widowed, I (if wife, give maieen ... salesma~ J~.apery barQUe.re / .. ~m _ r~ i E,o.,e.~=.~,,~ cof~. DECEDENT'S MAILING ADDRESS (Street, City/Town, Stale, Zip Code) I DECEDENT'S .~ - pez--~lS-,~]~,~l~:3 /IQ~'~ mr~..;~..~l~ 'r~..,1 ~__~- r--~t- [ACTUAL %-a.~tate. .z ....~ Did 17c. hF~Yas, decedent lived in Hampden I '~u~..' J..L.L/IUJ.~ Z%U. ,~.[Jl-.~O [RESIDENCE decedent r · 18 Mechar~cs~rg,PA 17~055 I(~Se~l~Sr~sUidC~S llb Courtly ~land ~.? ,Td [] · FATHER'S NAME (First, Middle, Last) Chalmer ~ Newh [ MOTHER'S NAME (First, Middle, Maiden Sumame) · .. Duse I1 .]~essie Jaxret I INFORMANT'S NAME (Type/Prat) ~_ IJ ['~l'J: IIN~=ORMANT'S MAILING ADDRESS {S~reet, City/Town, State, Zip Code) J~0.. ~ . Duse ~. ~aory C~m:ch Ad;,Upperco,[v~ 21155 METHOD OF DISP/.OSITI~ ~ DATE OF DISPOS T ON I PLACE OF D SPOS T ON- Name of Cemetery, Crematory I LOCATION o City/Town, State, Z p Code Oo.a~ [] B.~ EgOe~bon I__h,..ova~ ~om State [] (~2' ?Z" 'a'> .... I~. O. er Ple~ ~..-) \Oth. (S,.~) [] 12~.PL-' O,ZUUq 12[0rktot~e Cremato~ I~[0rk, PA17404 ~I~[~J/R~_ .OF FIeld,AL SERVICE LIC.~IBEE OR Pr;~,~ON ACTING AS SUCH I LICENSE NUMBER INAME AND ADDRESS OF FACILITY _~__,_: . ..... ~y .....ly..alg. ~ To the best of my~..owledge, death OCCU~Tod at the time, date and place slated. LICENSE NUMBER DATE SIGNED r~S~Cl~anus~en~ ~aa~l~ ............ tn to I (S~gnat ..... d Title). .... I (Momth, Day, Year) Items 24-26 must be completed by I TIME OF DEATH I DATE PRONOUNCED DEAD (Month Day Year) I WAS CASE REFERRED TO A M ICAL XAMiNER K.~)RONER? Z . PART h UcC oof¥ :'nO '~'~'u-~: :nJu~rmc~;rln:~ ...................................................................... ~y ....~. ............... : Appn3Xlmate PART Il: O,h~er sigl%i~ cO~dlt~s co~tffi;)uting to death, but IMMEDIATE CAUSE (Final ;/7~.~ ¢~.~ ', onset and death / DU~ TO (OR AS A CO. SEQUE,CEOE): ' / $''~ {i / SequenUally list condibo~s . b. cause.if any, leadingEnler UNDERLYINGI° immediate / DUE TO (OR AS A CONSEQUENCE OF): CAUSE (Disease or injury I c. ~ imitiated events DUE TO (OR AS A CONSEQUENCE OF): resulting On death ) LAST d. ] [ MANNER OF DEAT" IT'MEOF'"'URY [ "'URYATWON . I DESOR,BE.OW, URYOOCU..ED COMPLETION OF CAUSE Natural ~ H~inide r'"] ( .¥, r) - I OF DEATH? I C -- I I I I 30a ~0b $8c '~1 Yes No Yes Suicide I [] I~J [] No [] I ' [] Co~id not be dete..inod ~1 ' · ' I · I · ~ I I ~ I g~CE pF!NJ~.R,Y - At home, ~ar~, slr,~t. ~a=t~, om~ I LOCATioN (Street, CiyTo~, State) 'PRONOUNCING AND CERTIFYING PHYSICIAN (Physician both ixono~nctng death and certiyng to cause of death) To the beat of my hnowledge, death occurred at the tlma, date, and place, and dua to the oauaea(;) and manner a~ atated ...................... [] 'MEDICAL EXAMINER/CORONER manner ae ~ted ............................................................................................................................................................ U :CEN>~E~'~R ~::~.,.~ // __~, / IDATESIGNED(Momth, Day, Year) / ~E ~O ADDRESS ~ PERSON~O COMPLeTeD ¢~ OF O~iU TE FILED ~ O~y. YeaO ~ F j LAST MLL AND TESTAMENTo,4 f~i~ 2~ :': ~ :' ? DONALD OWEN NEWHOUSE I, DONALD OWEN NEWHOUSE, a single man, of 700 Nailor Drive, Apartment 301, Camp Hill, Cumberland County, Pennsylvania, do make and declare this to be my last Will and Testament, hereby revoking all prior Wills and Codicils. FIRST: I direct that all my debts and funeral expenses be paid as soon after my death as may be practicable. I further direct that all estate, inheritance, transfer, legacy, or succession taxes which may be assessed to my estate, or any part of my estate, whether passing under my will, shall be paid out of my residuary estate as an expense of administration and without apportionment. SECOND: With respect to my tangible personal property, I will make a list thereof instructing my Co-Executors on such bequests. In the absence of such bequests, I would ask that my Co-Executors use their judgment in allocating my tangible personal property among the beneficiaries set forth hereinafter in Paragraph THIRD. THIRD: I give all the rest and residue of my estate in three (3) shares: One share to my son, SCOTT ALAN NEWHOUSE, 456 Granite Quarry Road, New Cumberland, Pennsylvania~ 1 of 4 one share to my son, GARY LEE NEWHOUSE, 915 Emory Church Road, Upperco, Maryland; and one share in two (2) equal halves to my grandchildren, MATTHEW OWEN NEWHOUSE and WHITNEY ANN NEWHOUSE, 11 Argali, Sheepford Estates, Mechanicsburg, Pennsylvania. FOURTH: Without limiting the powers conferred by statute or by general rules of law, my Executor is specifically authorized and empowered: (a) To invest any funds of my estate in any corporate shares, bonds, notes, or other securities or property, real or personal, including any common or commingled funds maintained by my Executor. This is to reflect my intention to give the broadest investment powers and discretion to my Executor; (b) To sell or otherwise dispose of any property, real or personal, at any time forming a part of my estate, for cash or upon credit, in such a way and on such terms as my Executor may deem best; (c) To manage, operate, repair, improve, mortgage, and lease for any term any real estate at any time held; (d) To make distribution in cash or in kind upon any division of my estate; and (e) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property in his own right, and to do all acts which my Executor deems necessary or proper to carry out the purposes of this will. 2 of 4 FIFTH: I appoint my sons, GARY LEE NEWHOUSE and SCOTT ALAN NEWHOUSE or the survivor, Co-Executors of this Will. No Executor or Executrix acting hereunder shall be required to post bond or enter surety in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand this ~ ,2001. day of By: DONALD OWEi~NEW~ItOUSE SIGNED, PUBLISHED and DECLARED by the above, DONALD OWEN NEWHOUSE, as and for his Last Will and Testament, in the presence of us, who, at his request, in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses: 3 of 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: I, DONALD OWEN NEW}lOUSE, Testator, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I have signed and executed the instrument of my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to and acknowledged before me by DONALD OWEN NEW}lOUSE, the Testator, this 20e,- day of ~)Y~-~4.1~_ ,2001. Notary Public / I)b?4ALb NEV(HOUSE NOTARIAL SEAL Dawn E. Barefoot, Notary Public Twp. of Lower All, County of Cumberland ,1~ My Co, mmission Expires Oct. 16, 2003 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS' We, ~G~L)Iq. I~ , 2o~,q_ and '~c5/~ I~oc._j<.~ , the witnesses whose names are signed to the attached instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator, DONALD OWEN NEW}lOUSE, sign and execute the instrument of his Last Will and Testament; that he signed it willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint and undue influence. Swc%rn to,and subscribed to before me by (",04 © [ L tSG-. (~c.x~C_ , witnesses, this Z.O Public and ,2001. NOTARIAL SEAL Dawn E. Barefoot, Notary Public Twp. of Lower Ail, County of Cumberland My Commission F..xptre~ Oct. 16, 2003 4 of 4 04 ,' I --' ~ 2~ ~4 I --[ l' ' 55 7~ 77744751 RENUNCIATION To the Register of Witls of _ C tO'rr~h(~f~kc~.wg County, Pennsylvama. the above d~'dent, he~'eby renounce(s) the right to administer the estate and respectfully ask(s) that Letters (Address) (Signature) (Address) (S{gnature) t t: t t'd ~Z ~d¥ 1~0. (Address) Cumberland County - Register Of wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 08/02/2004 NEWHOUSE SCOTT ALAN 456 GRANITE QUARRY ROAD NEW CUMBERLAND, PA 17070 RE: Estate of NEWHOUSE DONALD O File Number: 2004-00416 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) 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 representativ~ or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 08/07/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge Sincerely, Clerk of the Orphans' Court CERTIFICATION OF NOTICE UNDER RULE 5.6¢a) Name of Decedent: ,.70 Admin. No. "c.~t/- ~g~/--a~"t/] ~ To the Register: I ce~.ify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the__,. ,, --O~hans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on n~ _e~.//~0' ~e-~ : Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Signature Name ~_~ ~'~ Address Capacity: ~'~ Personal Representative __.Counsel for personal representative .~~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER COUNTYCODE YEAR oo NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) o'-/-15"- o5/ -/5" - (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER -/o THIS RETURN MUST SE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIALSECURITYNUMBER 1 Original Retum 4. Limited Estate Decedent Died Testate [~9, Proceeds Received Litigation [~2. Supplemental Return []4a. Future interest Compromise (da~e of (~eath after 12-12-82) [~7. Decedent Maintained a Living Trust (Attach copy of Trust) [~1 0. Spousal Poverty Credit (date of death be~een 12~3~ 91 and 1-1-95) [~5. Federal Estate Tax Return Required __ 8. Total Number of Safe Deposit Boxes r~l t, Election to tax under Sec. 9113(A) (Attach Sch O) FIRM NAME (if Applicable) TELEPHONE NUMBER COMPLETE MAILING ADDRESS 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 Properly (Schedule F) (6} [~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (8) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) ~ ~0 '~ ~ tO. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) OFFICIAL USE ONLY 14. Net Value Subject to Tax (Line 12 minus Line 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 .0 __ (15) 16 Amount of Line14 taxable at lineal rate ~ / ~/-- ~:~'~ x .0 ~'~6) 17. Amount of Line 14 taxable at sibling rate x A2 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) Decedent's Complete Address: I ZlP o o Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount ISTATE ~q, 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 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) 5. If Line 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (5) $ O (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ~.. ~ ..... !1 ~" '" 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 prope~ transferred or its income; ............................................ [] J~ o. 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-probata property which contains a beneficiary designation? ........................................................................................................................ [] ,~ IF TIlE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, includin9 accompanying schedules and statements, and to the Pest of my knowledge and belief, it is tree, correct and complete Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRE~NTATIVE DATE ADDRESS 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 RS. §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 FS. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tex 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 RS. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneflciades is 4.5%, except as noted in 72 RS. §9116(1.2) [72 RS. §9116(a)(1 The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 RS. §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. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E J CASH, BANK DEPOSITS,& MISC. PERSONAL PROPERTY FILE NUMBER Include lhe proceeds of li'dgation and the date the proceeds ware received by the estate. All property jointly.owned with the right of survivorship must be ~i=~.lne .~1_ on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 3 3 cm~'° '?~' 36 more Spsoe is needeO, inser~ sdditional sheets of the same size) REV-1511 EX+ (12-99~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Debts of decedent must be reported on Schedule FILE NUMBER ITEM NUMBER DESCRIPTION A. 1. 5. 6. 7. FUNERAL EXPENSES: ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State__Zip Year(s) Commission Paid: Attorney Fees F . amdy Exemp ~on (If deceden s address s not the same as claimant s, attach exp anat on Claimant Street Address City State Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees Zip AMOUNT TOTAL (Also enter on line 9, Recapitulation) $ 4 ~1~-~ 7,, ¢~ (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER NUMBER II NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] RELATIONSHIP TO DECEDENT Bo Not Mst Trustee(e) AMOUNT OR SHARE OF ESTATE ///3 '/s TOTAL OF PART ]] - 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) B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVrDUAL TAXES DEPT. 280801 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV 1162 EX(11 96) NO. CD 004580 NEWHOUSE SCOTT ALAN 456 GRANITE QUARRY ROAD NEW CUMBERLAND, PA 17070 ........ foJd ESTATE INFORMATION: SSN: 332-10-8899 FILE NUMBER: 2104-0416 DECEDENT NAME: NEWHOUSE DONALD O DATE OF PAYMENT: 11/03/2004 POSTMARK DATE: 11/02/2004 COUNTY: CUMBERLAND DATE OF DEATH: 04/14/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 93,830.93 REMARKS: TOTAL AMOUNT PAID: 93,830.93 SEAL CHECK//1169 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL flOO@:rXD C' INHERITANCE TAX DIVISION PO BOX 2806111 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE FleE OF NOTICE OF INHERITANCE TAX . ~PPRAISEHENT, ALLDWANCE DR DISALLDWANCE , . DF DEDUCTIONS AND ASSESSHENT OF TAX 2005 J^N 10 hH g: 48 01-10-2005 NEWHOUSE 04-14-2004 21 04-0416 CUMBERLAND 101 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN CLERK 0:= ORPHAN'S COURT SCOTT A NE~f$~:-::J"" c.] . pro 456 GRANITE QUARRY RD NEW CUMBERLAND PA 17070 '*' REV-I!j~7 EX AFP 112-04l DONALD o Allount Re..itted 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-Ii=i54-j-EX""AFP-CiiFo3Y"NOT"iCE-oF-i:-N'iiEififA'NcE-YAx-'iPPRAisEii€NT~--Ai:rOWA'NCE"oii""""""----------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF NEWHOUSE DONALD 0 FILE NO. 21 04-0416 ACN 101 DATE 01-10-2005 TAX RETURN WAS: I X J ACCEPTED AS FILED J CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks end Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule DJ S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule GJ 8. Total Assets IlJ 12J 13J 14J 15J 16J 17] .00 .00 .00 .00 87.939.82 .00 .00 IBJ APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax R.turn 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 19J [10J 2,807.96 .00 I11J 112J 113J 114J NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax pay..ent. 87,939.82 7.807 96 85,131. 86 .00 85,131.86 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: IS. Amount of Line 14 at Spousal rate (IS) 16. Amount of Line 14 taxable at Lineal/Class A rat. (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class Brat. (18) 19. Principal Tax Due T X T : .00 X 00 = 85,131.86 X 045 = .00 X 12 = .00X15= 119J= + AHOUNT PAID 3,830.93 DATE 11-02-2004 NUHBER CD004580 INTEREST/PEN PAID [-J .00 ~ TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 3,830.93 .00 .00 3,830.93 3,830.93 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR).. YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.J ~ Cumberland County - Register Of Wills One Courthouse Square Carlislel PA 17013 Phone: (717) 240-6345 Date: 4/07/2005 DANIELS WILLIAM S 1 W HIGH STREET CARLISLE I PA 17013 RE: Estate of STITT K WINIFRED File Number: 2003-00416 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 I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell 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: 5/07/2005 Your prompt attention to this matter will be appreciated. Thank You. ~r~~ ',_. ~.,r GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge crA Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 NEWHOUSE SCOTT ALAN 456 GRANITE QUARRY ROAD NEW CUMBERLAND, PA 17070 RE: Estate of NEWHOUSE DONALD 0 File Number: 2004-00416 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 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. I This filing is due by: 4/14/2006 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, ~~~ 'l....~# Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: l)00.a..\& D u Date of Death: 671' ;/'7'/;;66 '/ ) P r-... W e. ~\""Olf~~ Estate No.: ;) \ oLf- OYl (0 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, [ report the following with respect to completion of the administration of the above-captioned estate: I. 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. I is Yes, state the following: a. Did the personal representative file a final account with the Court? y es ~ No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: C. Did the personal representative state an account informally to the parties in interest? Y es ~ No 0 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. Date: ~ ~~&<:-r~~ mgnature 5~~~~jtdU5~ Name ~s-c &raJ"tlif t1()C~//ty~ Address /17 7)'-/-L(:]01 , Telephone No. Capacity: .MPersonal Representative o Counsel for personal representative .".-..... /JM I~ ill / \1~/'