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Home My WebLink About04-0421PETITION FOR PROBATE and GRANT OF LETTERS Estate of /a,a P~ ,.b6ol& /qb ~t ~'r" No. also known as To: Social Security Register of Wills for the County of Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), ;vnc, ~/are 18 years ~Qdagefg~l~r '-~'~ '~- ai~th(e~ecuto~ in the last will of the above decedent, dated /~(,, and codicil(s) dated in the named ,7 6, (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in ~ m 6 ~zI..X_~a/5 County, Pennsylvania, with h~. last family or principal residence at ~:z 5,- cC ~-~.C e_,ff O~tc-~_ , ~ (list street, number and muncipality) t Decendent, then tt:~__~_ years of age, died ,4~O~ t, Z.~ 19 04 at /~FUS(SC~- i4~Pcr~ .... Except as follows, decedent did not marry, was not 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: 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: WHEREFORE, petitioner(s) respectfully r__~.equest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters t ¢%'t-~ Z-.,~r-~ ,q~/ theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OFf The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will wel~ter the estate according to law. Sworn to or affirmed and subscribed c~~_~~ befor_e me this ~-,~'~ ~-/ day of [ No. ~-~-~/-E~/'/'- ~z/~-~/ Estate Of {T'~t_i ./~r~C ~.J~t I~.~T .., Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated / described therein be ac~mitted to probate and filed of record as the last will of and Letters I ~.~-v~ ~ o~,-~ a ~, are hereby granted to .J~c~ ~- ~.~[o~- ~d /d~t4l~ -J ~/~,~T ,10/~ in consideration of the petition on FEES Probate, Letters, Etc .......... $ Short Certificates( ) .......... $ Renunciation ................ $ ~ S /0,~ TOTAL . S Filed ./.9/-,~e.7. A..~.57 ..... .~..C..~.. ....... ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE Register of Wills of Cumberland County, Pennsylvania OATH OF NON-SUBSCI~IBING WITNESS ~ '04 t~Pi~ 29 PI£ also known as , Deceased (each) a subscriber hereto, (each) being duly qualified according, to law, depose(s) and say,s')' that (J~m/we are) familiar with the signature of 1'Th~, . I~E /, , testat of (o¢~t-he~ubscr~bln,.3 witnesses to) the presented herewith and that--T]7-.,~,, believe.~the signature on the willies in the handwriting of r'~P.,_: . i~1~ i )F_~ to the best of ! !-~6~ ~ knowledge and belief. Sworn to or affirmed and subscribed before me this ~ ;z-~ day of ,/¢/~,~ / gister ~-- (Signature) Sworn to or affirmed and subscribed before me this day of ,20 For the Register (Signature) (Signature) 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 fihng. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 10040505 No. Local tRegistrar ~ z :38 t~ Dat~ dane NelDe~ COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH ° VITAL RECORDS CERTIFICATE OF DEATH I~JAGg(Lasll~rth~ay) I UN~R1YEAR I UNDERIOAy DATEOFBRTH ~ ~hzn I ~isb~q I ~isb~o H~nlfa I I ~ Yes O It yes. ~ C~an.I (S~cgY} ~ a~. I~ - I~ ~ =---- I M~ ~,~ e= I white ~ ' ' ~ ' I~, I t0. ' ACTUAL 325 ~esley Drz~ RESIDEN~ 17~ Slam ~. ~zcs~g, PA 17055 ~a. ~rge ~'l~e~lno~ ~. ~e ~e~r z~.. Jack Nei~t ['~' 411 Alison Avenue, ~chanicsb~q, PA 17Q~ 5~2004 ~,. o~{s~) D ~.0~]~ ~indle Spring C~t~ ~.~ilver Springs ~., PA n~. 071667 L ~=. ~l~zzi ~neral Hmo Me~anlcsburq, ~1705 / , dale ,ndplace ,ndduetothecauses(s)an~mannera,,Uted ...................... ~131c./ I~-I J ~ ~ ]31d. //~ /0~ [ I ~ME AND A~RESS OF~RS~N V /-, - . LAST WILL AND TESTAMENT OF[~RY JANE NEiBERT i. MARY JANE NEIBERT, of the Bor~gh[~e~i~csburg, County ,'!arland and State of Pennsylva~ia~ being of sound and dis- ' ~" Publish and declare mind, memory and understandmng, [o make, '~. Last Will and Testament, hereby revoking and maki~ void ,.:~ all prior Wills by me at any time heretofore made. direct the payment of all my just debts and funeral expenses after my decease as the same can be conveniently done. 1 the rest~ residue and remainder of my estate~ real, personal ::ed, of whatsoever nature and wheresoever situate, I give, and bequeath to my two children~ to wit, Jack E. Neibert and n J. Seagrist, share and share alike. !,,..STLY, I nominate, constitute and appoint my two children, , Neibert and Kathleen J. Seagrist, Co-Executors of this my d'i.ll and Testament. ~1 WITNESS WHEREOF, I have hereunto set my hand and seal this ":'"' day of ~ , A. D. 1976. Mgry[Jane Neibert (SEAL) ' sealed, published and declared by the above named Mary ,'.gned, as an~ for her Last Will and Testament, in the presence ~ibert, · tho have subscribed our names hereto as witnesses, at the re- ef said testatrix, in her ~nce~nd in the presence of each Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 08/02/2004 NEIBERT JACK E 411 ALISON AVE MECHA/~ICSBURG, PA 17055 RE: Estate of NEIBERT MARY JkNE File Number: 2004-00421 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 representative 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 08/08/2004 Your prompt attention to this matter will be appreciated. Thank You. CC: File Counsel Judge Sincerely, Cumberland County - Register Of wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 08/02/2004 SEAGRIST KATHLEEN J 306 PINEWOOD DRIVE SHIREMANSTOWN, PA 17011 RE: Estate of NEIBERT MARY JANE File Number: 2004-00421 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 representative 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 08/08/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge Sincerely, Clerk of the Orphans' Court Name of Decedent: Date of Death: To the Register: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Admin. No. I certify that notice of Coenefldal interest) estate administration required by Rule 5.6(a) pf~tlxe Orph~s' Cot[rt Rule,s ~vas served on or mailed to the following beneficiaries of the above-captioned estate on ~/t~ ~-- ~ i ~ ~ ~, : Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: bna- - zooq Signatur~ Name Address Telephone ("} I~l Capacity: /Personal Representative __Counsel for personal representative CERTIFICATION OF NOTICE UNDER RULE NameofDecedent: ,4'}t~?c/ ,.~ON,c Date of Death: ~Jt ~q, Will NO. ~ ~ ~ - O~ ~ ~ I Admin. No. To the Register: I ce~ ~at notice of ~nefleial intent) ~ required by Rule 5.6(a) p~e O~h~s' CoR~ Rules ~as served on or mailed to ~e following beneficiaries of the above-captioned estate on ~ ~ ~1 ~ ~ ' Name Addres~ Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Signature Telephone (7/'7) 7(~ [ ~ Capacity: ~'"~Personal Representative Counsel for personal representative ~ PENNSYLVANIA .A,,~~. DEPARTMENT OF REVENUE .l"'~:~,~'~ DEPT. 280601 INHERITANCE TAX RETURN HARRISBURG, PA17128-0601 RESIDENT DECEDENT O DATE OF D~TH/(MM-DD-YEAR)~ DATE OF DRTH (MM-DD-Y~R) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE q- A~- O~ ~- ~ ~- /~ REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (~ST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~1, Odginal Return ~ 2. Supplemental Return ~ 3 Remainder Return (da~e of dam pm ~ 4. Limited Estate ~ 4a. Future Interest Compromise (~t~ ~ *ath a~er ~-~2-02) ~ 5, Federa, Estate Tax Return Required ~ 6, De.dent Died Testate (At~ ~py of Wil]) ~ 7. De.dent Maintained a LMng Trust (At.ch copy o~ Trust) O 8. Total Number of Safe De~s~t Boxes ~ 9. Litigation Pro.ads Re~Med ~ 10. Spousal Pove~ Credit (date d ~ath ~etw,en ~2-3~-9~ and V~-95) ~ 11. Election to tax under Sec. 9113(A) (~ach sch THIS SEC~ON MUST BE ~MP~TED, ALL ~RRESPONDEN~ AND~NF!DEN~;T~ ~F~ON ~HOUL9 8E 9iRE~ TOJ NAME ~/~']~ COMPLETE MAILING ADDRESS TELEPHONE N3ERh 1. Rea[ Estate (Schedule A) (1) ~ 2. Stocks and Bonds (Schedule B) (2) ~ ~ 3 Closely Held Corporation, Padnership or Sole-Propdetomhip {3) ~ ~ ~ ~ 4 Modgages & Notes Receivable (Schedule D) (4) ~ ~ ~ ~ ~ ~ ~ O 5. Cash, Bank Deposits & Miscellan~us Personal Prope~y (5) ~ ~ i q ~ ~' ~ ~ I; :~J'' ~ =>' m~-- 6. ~J°inPYseparate~ned Pmpe~YBilliag Requested(SChedule F) (6) ~.~. ~ ~,~ ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Pmpe~ (7) ~O ~ i (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (8) ~, ~ ~ ~. ~ S 9. Funeral Expenses & Administrative Costs (Schedule H) (9) J ~ I ~ I. ~ ~ 10. Debts of Decedent, MoAgage Liabilities, & Liens (Schedule I) (10) 11. To~l Oedu~ions (total Lines 9 & 10) (11) / ~ , / ~ J ,~ ~ 12. Net Value of Estate (Line 8 minus Line 11) (12) ~ ~ ~ ~ ~, ~ ~ 13. Charitable and Govemmental Bequest/Sec 9113 Trusts ~r which an election to tax has not been (13) ~ made (Schedule J) 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 tax spousal rote, or tmnsfem under Sec. 9116 (a)(1.2) x.0~ (15) 17. Amount of Line 14 taxable at sibling rote x .12 (17) 18. Amount of Line 14 ~xable at collateral rate x .15 (18) 19. Tax Due (19) > > BE SURE TO ANSER AIL QUESTIONS ON RE~RSE S DE AND ~CHEcK MATH < < Decedent's Complete Address: STREETADDRESS CITY Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/Penalty if applicable D. Interest E. Penalty I STATE (1) Total Credits (A + S + C) (2) Total Interest/Penalty ( D + E ) (3) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT, Check box on Page I Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) IzIP A. Enter the interest on the tax due. (5A) -- B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) I ,~ ~ ~. 8 I 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: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [~ b. retain the dght to designate who shall use the property transferred or its income; ............................................ [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which / contains a beneficiary designation? ....................................................................................................................... [] ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ADDRESS 4// /~U~.O/k) /~ l"f) SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE 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 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only benefidary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty, one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS,& MISC. PERSONALPROPERTY IF~LE NIJ~IBER / ~oo~- doc/Lt ITEM NUMBER Include the proceeds of liUgatJon and the date the proceeds were received by the estate. All property jointly~owned with the right of survivorship must be disclosed on Schedule F. VALUE AT DATE DESCRIPTION TOTAL (Also enter on line 5, Recapitulation) OF DEATH 1L~:~ o~-~ ,'31 (if more space is needed, insed additional sheets of the same size) REV-15'11 EX~- (1~-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT 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{s1 Street Address City State__Zip Year(s) Commission Paid: Attomey Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State__Zip Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees TOTAL (Also enter on line 9, Recapitulation) Io2 (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 SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER/ RELATIONSHIP TO DEOEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE ] 1. ]! TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART N- 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) · - · LAST WILL AND TESTAMENT OF '~ARY JANE NEiBERT I, MARY JANE NEIBERT, of the Boro~hf~f~ec~h/an~csburg, County of Cumberland and State of Pennsylva~,i~aI, being of sound and dis- ~osin~ mind, mamory and understandzng, cLo make~ pus.~zsn and daclare this my Last Will and Testamant~ hereby revoking and makir~ void any and all prior Wills ~y me at any time heretofore made. as I direct the payment of all my just debts and funeral expenses soon after my decease as the same can be conveniently done. Ail the rest~ residue and remainder of my estate, real, personal and mixed, of whatsoever nature and wheresoever situate, I give, devise and bequeath to my two children, to wit, Jack E. Neibert and Kathleen g. Seagrist, share and share alike. LASTLY, I nominate, constitute and appoint my two children, Jack E. Neibert and Kathleen J. Seagrist, Co-Executors of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~/_~ day of ~-~ , A. D. 1976. M~ry~Jane Neibert (SEAL) Signed sealed, published and declared by the above named Mary Jane Neiber~, as an~ for her Last Will and Testament, in the presence of us who have subscribed our names hereto as witnesses, at the re- quest other · in her ~e~J~nce./~nd in the presence of each of said testatrix, x COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF iNDIVIDUAL TAXES RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV 1162 EX(11 96) NO. CD 004750 NEIBERT JACK E 411 ALISON AVE MECHANICSBURG, PA 17055 ........ fold ESTATE INFORMATION: SSN: 203-10-3604 FILE NUMBER: 2104-0421 DECEDENT NAME: NEIBERT MARY JANE DATE OF PAYMENT: 12/17/2004 POSTMARK DATE: 12/16/2004 COUNTY: CUMBERLAND DATE OF DEATH: 04/24/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $1,658.81 REMARKS: TOTAL AMOUNT PAID: $1,658.81 SEAL CHECK# 1050 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS RECORDED OFROF' OF REG$'"Eil ,q~ Wi, _..t S DEC I '/ PM 12: 0'/ CLE~ 0¢ ORPHAN'S COURT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISE"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAX REY-1541 EX AFP 112-041 JACK NEIBERT 411 AUSON AVE MEC~~NICSBURG ~:") DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-01-2005 NEIBERT 04-24-2004 21 04-0421 CUMBERLAND 101 MARY J Allount RelliUed PA 17055 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG lHIS ,-L:~NE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV~IA2i"'.iie.AFjr.~";O~'r.tlo".icE.OF.iliHErtifAN.CE.TAX.A.PPRA.fsEi"'!'N'~..ALtowlNCE.o'ir-....._.........- .. ::i' ,-i:.) DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX .':: 1\ ESTATE OF ~NEIBERT' MARY J FILE NO. 21 04-0421 ACN 101 DATE 03-01-2005 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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. "ortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/"isc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 46.993.85 .00 .00 (8) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYl\ent. 46,993.85 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/"isc. Expenses (Schedule H) 10. Debts/"ortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitab1e/Governllenta1 Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 10,131.32 .00 (11) (12) (13) (14) 10.131 32 36,862.53 .00 36,862.53 NOTE: I~ an assessment was issued previously, lines 14, lS 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 16. Allount of Line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due (15) .00 X 00 = .00 (16) 36,862.53 X 045 = 1,658.81 (17) .00 X 12 = .00 (18) .00 X 15 = .00 (19)= 1,658.81 ~ TAY CREDITS: K~(;t:J:I"T l"'j A"OUNT PAID DATE ~BER INTEREST/PEN PAID (-) 12-16-2004 CDo0475o .00 1,658.81 TOTAL TAX CREDIT 1,658.81 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/07/2006 SEAGRIST KATHLEEN J 306 PINEWOOD DRIVE SHIREMANSTOWN, PA 17011 RE: Estate of NEIBERT MARY JANE File Number: 2004-00421 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. This filing is due by: 4/24/2006 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, ,~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel v} Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/07/2006 NEIBERT JACK E 411 ALISON AVE MECHANICSBURG, PA 17055 RE: Estate of NEIBERT MARY JANE File Number: 2004-00421 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 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 decedentrs death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 4/24/2006 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, .~~~ Glenda Farner Strasbaugh Clerk of the Orphans. Court cc: File Counsel I{~ Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: -1l11J2H ~ !.J-N'C. Ivbi,f2:i Date of Death: ~ - l. ~ ~ ~o y Estate No.: ).coy __ co (12...1 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 ~ther administration of the estate is complete: Yes liA No 0 2. lfthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. lfthe answer to No.1 is Yes, state the following: a. Did the personal_Jipresentative file a final account with the Court? Yes 0 No ~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the person~epresentative state an account informally to the parties in interest? Yes l.il 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: :3} IS / 0 (" -;;/~ ~ ~ Signature (/' ~u.~_,.j j Name r- If) S6\ ') ~ .,j <0 lLi <;: I ~~ Address (f!~))-c.. ,~t~~ I //1- 7fo/-& 1// Telephone No. Capacity: ~ ~~~~~:rl ~;~::~~:~i~~resentative f~ Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: /hJJ/2.Y J.J~L ^j~ cl~T Date of Death: t../ ~ 2. Y ~ kG 4 Estate No.: ~o01 - O:?> (!-2. I 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 wl}6ther 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 person~yPresentative file a final account with the Court? Yes 0 No 1M b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the person9presentative state an account informally to the parties in interest? Yes M No 0 Date: 3.lj.oL 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.. IQ, ... . . -h\~~-l k ~ r-- 11; ~J~~i E. IV ~i dtL-t Name ~" I" U SON tk1 ~ tlHLI-WNl ~S~u'?-G.?J Address ( (~I))L('1-1~'38 Telephone No. Capaci";: g ~~~~~~7 ~7:~~~~~tir~~resentative \[1;(