HomeMy WebLinkAbout04-0063Register of Wills of CUMBERLAND County, Pennsylvania
PETITION FOR GRANT OF LETTERS
EtI~IOf poroth¥ Rose Kling
~'~~ Doroth~ B. Kling
, Deceased Social Securt~/
· _,~; _ ,, '.- . ,.
{~ ,,' 'A' OR ~' BELOW:)
A, Probate mM Grant of Letter, Teatamentary and aver that Petitioner(s) i~/am the exeeut ..
Ihe ~ dat~l and codicil(s) d, ted
No. 195-30-4782
.. n~med In the I~st ~ of
E~pl II ~. Olced~flt ~ld not manT, was not divomed, and ~d not ha~ a child ~m or ~opt~
B. Grant ~ Le~ers of Administration
s) a~ a ~ s~ ha~a~ as~d that ~nt left ~ ~11 ~d was
r:~:-.-~t_rrE IN AIL CASES**) A-~c-.J, -~_'~ofll~ ~'tl m If n~;~.
~ ~1 ~ at ~a~ in Cumberland
~~l~ll 19 S. [-?~er ~reet, Enola, PA
~nl.~ 70 - ye~ofage, d~ ~a~ua:y~- _. ~,~04, m
(If ~ ~ PA) Al ~o~
(~~ ~ PA) P~onal pmp.~ In P~nsy~i.
(If ~ ~ ~ PA) P~N p~ in C~n~
N~~: ~s~ ~e~sbo:o ~o~s~i~, Cu~e~la~d Cou~yr
.County, Pennsylvania. with his/her last
17025
Spirit Hospital
$
$
Wheedle. Potilloner(s) respectfully I~quesl(I) the probate of the lasl Wlll Rd Codicil(s) presented wilfl this Petition and the gan! of
Iottlm i~ the apl~'oprlate fom~ to the undersigned:
d~n! nama and raslcMnc=e
Roy R. Klinq~ 15 Laudermilch ~x, PA
17032
PA 17053
From ~.1 PNe t of 2
Pmp~M IR' ~e Penm~lye~ Be Am~odmkm lggl
Oath of Personal Representative
Commonwealth of Pennsylvania
Co~._ ~3_1' 'Perry
The PMItloner(s) above.named swear(s) or affirm(s) that the statements in the foregoing Petition are Irue
and correct to the best of the knowledge and belief of Petitioner(s) and Ihat, as personal representative(s) of
the Decedent, Petitioner(s) will well and truly administer Ihe estate according to law.
Sworn to ~' affirmed and sub"~,cdbed ,><
betoro ~ this 2 2 nd. day of
~an,u ,ary _ .. X~2 0 Q_4 ,/>~
No.
Estateof Dc~othy Ro.~ Kl'inq m./k/a Doro~hy R. [linq
~alSemdtyNo: 19730-478~ Date of Death: 1/~/04
~D NO~ /~~~ ~ .. ,~ 2004 , In ~nsideration
ol the Petit~the reverse side hereon, satisla~ory proof having been presented before me,
ff IS DECREED that Le~em~ Testa~a~ ~ ~ Administration
Deceased
are hemby granted to Roy R. Kling and Larry G. Kling
In the above estate and that the Instrument(s) dated September 25. 1978
described In the Pelillon be admilted to probate and filed of record as the last Will of Decedent.
Letlers .................. $---.~~'
Short Ce,11flcate(s) .... $ /u.AT ~c:~
Renunciation ............ S
Affidavits ( ) ............. $
Extra Pages ( ) ......... $
Codicil ...................... $
JCP Foe ................... $ ~'~)' ~
Inventot'y .................. $,
Olher ....................... $
Attorney:
R. Scott Cramer
22810
I.D. No:
Address: P. 0, Box )59
Duncannon, PA 17020
Tele~h0n.: [717) 83~.- 5700
TOTAL .............
Fom~ ~RVV-I I'm~Z
Ptllm14 Iq, t~ Pml~tnii I~r Ammocmm~on
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that_
Dorothy Rose Kling a/k/a
are familiar with tile sigllatUre Or _D?~o~_h_~; ~2.:Kl_in_~
codicil
subscribing witnesses to) tile will presented herewith and that they
will is ill tilt' halltlwritill$ or decedent to tile best or
they
, testat rix or(one ofthe
believes the signature on tire
their ,knowledge and belier.
Sworn to or arfirnled nnd sub-
scribed'before ,i,e Ii, is ~ clay of
':' ~a~:~' ~2 ' :.1.~2004
· Caroline Kling
15 Laudermilch Road, Halifax, PA 17032
(Address)
Barbara Kling
221Ridqeview Drivee Marysviller PA 17053
(Addte~}
REGISTER OF WILLS OF
COUNTY
., (each)
-~_ o(licil _~
· subscribing witness to tire Wil~resented herewith, {e~being duly q,,alifle~accor~li,,g to law,
depicts) and say(s) that:testat ~.,._was unable to sign h ",,d~ame thereto; testat'N, s name was
subscribe hereto in testat 's oresen'~'c,e: testat ...,,.,. t. ~ .....,..,_ _ . ."X. find
bscribe~ddheret( .................. ,,., .,ur~ t,]ercon; iest~
deponent(s) w~'~awe;e;--'present when testat~ 's name was subscrib~ and when testat.X".,N
.... ...... '%-C,.'.
.de h.._ ma~_k; and_ tes~ was present when l~,ndersigned signed tile "~,, os witness(es).
scribed before me this da), o'P,~ ~ tN,me) .
19 _ ~'~_~
{Address)
(Nome)
(Address)
' For tile Register
?his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00 ~ //~,~.,~/ ~ a~~z.~,~_..~
...... Lo~l Registrar (~
P 9 81 3 4 21 ~~~ JAN 0-9 Z004
No. ~ Date
H105 143 Rev. 2/87
NT
/
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH ° VITAL RECORDS
CERTIFICATE OF DEATH
STATE FILE NUMBER
NAME OF DECEDENT (Fkll. Middle, Last) I SEX I SOCIAL SECURITY NUMBER DAT~j~). F I~.ATH (Monlh. D~y. Year) ·
,. Dorothy B. Kling Izfemale I'. 'gS -- ac - /4782
AGE (Lest Biflhday) I UNDER1YEAR I UND~R10^y DATE OF BIRTH I BIRTHPLACE (Clty and IPLACEOFDEATHIChecko~vone-seelnstnJCUOn~onothersMel
MortthlDays I-k3url M nutes I (Month. Day, Year) ] State or Formgn Cour~-/) I HOSPITAL: OTHER:
.. 7o Y"l I } I I.. ,/7/,, I,GaineH. P* I-'"."~'"~--'[] -[] I=[] .--o =,[].
COUNTY OF DEATH CITY, BORO, TWP OF DEATH ] FACILITY NAME (If nof i~stituSo~, gtv~ Itreal a~d number) ]WAS DECEDENT OF HISPANIC ORIGIH? [RACE - Ame~ca~ India~, Back. VV~itn,
-- ' ' Nor'~ Yes If yes. Specify Cubam, (Specity)
... Cumberland I."c East Pennsboro I . W P'dldo5 ,c,T' /-tosp ,-r'/m I',M~'"~R""'' lO'
CECEDENT'S USUAL OCCUPATIONI KIND OF BUSINESS I INDUSTRY {WAS DE4CEDENT EVER IN I DECEDENT<.~ EDUCATION I MARITAL STATUS - Marde4. I SURVIVING SPOUSE
(~G~lind~..~a~,~n~n~ ~t ! IU.S. ARMED FORcES? I "~'m'Y~h'"P"'""~~'~ I N.=M.m.d. VVk~,ed. I
~ : ~,,,w,d) I Su-=~ ~-osh F~odo /- n __P;*I I B~n~nt~ttS~n~rt I C.~l~ I Divo~ced(Spec~) I
11.Laborer I"'. ~ ......... I".'"'' ~' I"- '''~ I"'""I,. WidowI,,.
DECEDENT'SMAiLING'ADDRESS(Stm~.City/Town Slate ZlpCo~e)IDECEDEN~S ..... PA ~ East Pennsboro
t ~ c, t~..___ o~ ' ' IACTUAL ,L ~t~e~ ~ Did 11c. L~ Yes. decede~ lived in twp.
FATHEI~'S NA~E (First~MkMte. Last} MOTHEr, S NAME (Fh'st. Middle. Maido~
~t Wxllxam nreeher .. Bertha Button
INFORMANT'S NAME ('rype/~ri~) INFORMANT'S MAILING ADDRESS (Sleet. Cl~/Town. State. Zip Co~)
~.Larry G. Kllng ~. 221 Ridgevle~ Dr. Marysville PA 17053
METHOD OF DISPOSITION I DATE OF DiSPOSITION PLACE OF DiSPOSITION- Name of Cemele~y. Crematory I LOCATION - City/Town. Slate. Zip Code
,,. ou~(spe~y> []~,b. January 9, 200/4 ~c St: .John~H Cemetery I,'0 Hampden?wp. ~A 17011
SIGNATURE OF ~ON~RAL S.F;J~VIC~ LICENSEE OR PERSON ACTIN~ AS SUCH LIC E~ N~R I NAME/~D ^DDaES$ OF FAC C TY
,~/~/://~,.~/"~.. ~t'/~.~,~.,~_ __- .~ I~j~ 277/4-L Ij~.R~cbarclson ~.H. 29 S. Enola Dr.Enola?A ]7025
C~'~l"llem123a"c°~i~whe~ceftifYlng~ -- IT°lhe/bJ~r°~myknowtedge. desll~ °cct"Ted al the time. dalaandplace,;.,i-.; ] LICENSE NUMBER IDATESIGNED
~y...~an ie r~ availa~e at ~me ~ ~am to I (S~lf,~e a~l Title) I I(Mo~h. Day. Year)
Ilem~ 24-26 must be completed by1TIME OF DEATH I DAT_~%'RONA3UNCED DEAD (Mon~. Day. Year) j I WAS CASE REFERRED TO A MEDICAL EXAMINER ICORONER?
~.~,.o~.~,~. l:4. !!.70 Pr~M.I,2t'H4LV4f'U()5,(:~D~'Ur I.. Yes•
27. PARTI: ~lm~he~#~,ie~e~"~kar~a'"~the4#~h.De"e~m~m~4eH~1~"~cae~m~a~he~ie~i~hi~"m~ ~At~i'~Cil'lillS PARTII: '01~ignificanlconditiol~con~ibulir',gtodeath, bul
LI~I e.ly ~ ~u~ ~ ~d~ li~. . Interval I~twee~l n~ ralu~t~ng in Ihs un~edying cauls give~ in PART I,
IMMEOIATE CAUSE (Final ', onlel a~l death
reciting in 0each) ~ a.
IX~ TO (O~ ~ A CONSEClt~NC.I O~: ,,
CAUSE (Dt~eE~n Or kljuty
'IX~ TO (O~ A~ A ~Lr=NCE OF):
~ ~ overds ',
~sdtl~ on clai~ ) L.AST ,
WAS AN AUTOPSY I WERE AUTOPSY FINDINGS I MANNER OF DEATH DATE OF INJURY I TIME OF INJURYI INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED.
PERFORMED? , AVAILABLE PR~DR TO,I OF [:)E^TH?' COMPLETION OF CAUSE , Natut*~ H~d~ p~rMe~0~.Di ) ..... I [ Y. ~ No [] I
Year"] No~ Yes[] NO[~ Lsu~dde [] Couldnol.detefmlned ,PLACEOFlNJURY-Altmme. lann.$1real, faO. off. o~ice,,'*' ILOCATlON,Streel. Citt/To~n. Slam)
CERTIFIER (Ched~ or~y
.* {~E .I~L'~I ~FYIN~ [~HY.~IClA .N (~ys~ m~lq ~ ~ ~m w~n ~ ~y~ ~s ~ ~m ~ ~ i~ 23)
*PRONOU~NG AND CERTIF~G PH~N (~ ~ ~ ~ ~ ~i~ ~ ~ ~ ~a~)
Te ~ ~ ~ my ~oM~, ~ ~ at ~l ~e, ~e, ~ place, and dui to ~i caul~l) and manner al i~ ......................
'~L ~NE~O~NER
On ~ b~l ~ exa~n~ a~er ~Cg~on, In my ~lnlan, des~ ~=u~ at ~e ~, ~tl, ~ ~lce, esd ~ ~ the caulks) and
RE~R~AND NUMBER' ~ '~ ~
SIGNATUI~E AND TITLE OF CERTIFIER.
LICENSL~J~IUM BE~ IDAT~SIGNED (M~, ~y, Y~)
~E AND A~ESS ~ PER~ ~ ~M~ETED ~USE ~ D~TH '
(ll~ 27) T~ ~ ~
;DAT~ILED(M.~ Day. Y.) 0 W
OF
DOROTHY ROSE KLING
I, DOROTHY ROSE KLING, of East Pennsboro Township, Cumber-
land County, Pennsylvania, make, publish and declare this to be
my Last Will and Testament, hereby revoking and making void any
and all Wills by me at any time heretofore made.
1. I direct my Executors hereinafter named to pay my just
debts and funeral expenses as soon after my decease as conveniently
may be.
2. I give and bequeath my household goods, automobile,
clothing, jewelry and other items of tangible personal property
unto my sons, ROY R. KLING and LARRY G. KLING, share and share
alike.
3. Ail the rest, residue and remainder of my estate of
whatsoever nature and wheresoever situate, I give, devise and
bequeath unto my sons, ROY R. KLING and LARRY G. KLING, share
and share alike.
4. I name, constitute and appoint my sons, ROY R. KLING
and LARRY G. KLING, to be the Executors of this my Will.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
day of ff~~, 1978.
(SEAL)
Signed, sealed, published and declared by the above-named
Testatrix, as and for her Last Will and Testament, in the presence
of us, who, at her request, in her presence and in the presence
of each other, have hereunto subscribed our names as witnesses.
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:Dorothy Rose Klin,q a/k/a Dorothy B. Klinq
Date of Death: .1/5/04
Will No. 21-04-~4 ~5
Admin. No. N/A
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphan's Court Rules w
served on or mailed to the following beneficiaries of the above-captioned estate org/9/04 .
Name Address
ud rmil oa if
21 R'd evie rive a sville P 7 53
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except.;
Date: 2/9/04
Capacity:
Signature
Name: _R. Scott Cramer, Esquire
Address: P.O. Box 159
..Duncannon
PA 17020
Telephone(717)_- 834- 570
X
Personal Representative
Counsel for Personal
Representative
IN THE COURT OF COMMON PLEAS, CUMBE~D COUNTY
PENNSYLVANIA
ORPHANS, COURT DIVISION
E STATE OF
DOROTHY B KLING
) Register's # c~210463
Deceased)
CLAIM
To the Clerk of the Orphans, Court Division :
Index and make proper entry in your official records of the
claim of CITIBANK (SOUTH DAKOTA) NA in the amount of
4~427.33 against the estate of the above-named decedent. This
claim is filed under Section 3532 (b) (2) PEF Code, 20 Pa C S.
ss. 3532 (b) (2) ' '
The said decedent, whose last known residence was at
19 S HUMER ST ENOLA, PA 17025
Written notice of this claim was given to LARRY KLING
221 RIDGEVIEW DR MARYSVILLE ~ PA 1705.q on
(Ciai~ant) v
SHAWN HARMER,manager of Citicorp
Credit Services, Inc. USA under limited
power of attorney for CITIBANK (SOUTH
DAKOTA) NA
7930 NW 110TH ST
KANSAS CITY, MO 64153
(Claimant, s Address)
Account #(s) 5396478000185024
Your AT~ bYth~sa/Card Statement
December 12 - January 13, 2004
DOROTHY b KLING
Account 5396 4780 0018 5024
Calling Card 8371784080 + PIN
No Annual Fee/Platinum Card
Page 1 of 3
OAT&T
How To Reach Us
Account Online: www. universalcard.com
Customer Service: 1 800 423-4343 or write
Cardmember Serv cos, PO Box 44167
Jacksonville, FL 32231-4167
Minimum Payment Due ........................................... $92.00
Due Date,, ................. February 9, 21304
*Payment must be receivad by 1:00 pm local time on the payment duo
Credit Line .................................................. $16 000.00
Available Credit ............................................. $111547.00
Cash Advance Lira t .......................................... $5,000.00
Availab e Cash Advance L m t ............................. $5,000.00
Previous I~alance
4.499.1C
~Davments and Adiuqtments ' -93 OD_
Master Card Activity 46.0~
Total AT&T Servioe's 0.['~
New Balance $4,4,52.19
Note: Detailed activity starts on page 3.
Our records show home phone 717-732-2895
and business phone 717-732-2895. Please
update remittance coupon if incorrect.
Protect your AT&T Universal Card
account today
and receive a $15 retail rebate coupon to
help with your expenses. Call
1-866-647-9404 to find out how to sign up
for optional protection.
Charge y_our taxes on your AT&T
Universal Card.
Call 1-800-2PAY-TAX for more information.
s avm s roa
RS~ C~ ~MB~
Receive your statement online
y~u enroll in our Ali-Electronic or'ram
w~en you register for account o~lin-~. Also,
~aqa~e your account, pay bills
Keg~s~er now at www. universa catd.~m
~ay~e~t ~e¢ord Amount Paid:. ~ate Paid:~ Check Numbe~
Please ~11~ ~ent instrucUons out. ed in the 'lm~t Insk~ons ~r Maki~ Payment' s~ion
produ~s and s~vl=es y~ ~ght find
ap
&65 PH O0 A I AR7050497
h,,llh,,llh..,hhhh,,hllh.,Ih,,h,,h,,llhh,,ih,I
DOROTHY B KLZN6
19 $ HUHER ST
ENOLA PA 17025-2007
Make check payable to: AT&T Universal Card
AT&T UNIVERSAL CARD
PO BOX 8208
SOUTH HACKENSACK NJ 07608-8208
53964780001850240000092000004452195
DOROTHY B KLING
Account 5396 4780 0018 5024
December 12 - January 13, 2004
Page 3 of 3
AT&T
~ran; Post De~riDtion
~ 0]/07 PAYMENT TH,~
Total Payments and Adjustments
Ampul
9_3. OOCR
$93. OOCR
Purchases ....................................................................................................................... 21 17
Cash Advances and Checks ................................................................................. i[~" ~'~"i[ ........ 0'00
Finance Charges ..................................................................................................................... ::' ::: :: ::::::::'~4:86
Total MasterCard Activity ............................................................................................................... $46.03
.......................................... $2Z. 17
Total MasterCard Purchases..
Standard Purch
~rans_ ~ost __ De;criptm~
12Z19_ 12/19 PFRSONALTZED__GIET~
12/2
_ . ~LES BENTFTT
iota1 Standard Purch -
Cash Advances ] .~i
Gash Advance Limit ............................. $5,000.00* *This represents a portion of your total credit line.
Finance Charge ird'ormafio.
Nominal
APR
Days in Balance Periodic Transaction
Periodic x Billing x Subject lo = ~ + Feel~
Rate Period Finenc~Ch~ e ~ ~' ree~E
.02737%(D} x 32 x $1,771.89 = $15.52 + $0.00
.01068%(D) x 32 x $2,733.69 = $9.34 + $0.00
.05477%(D) x 32 x $0.00 = $0.00 + $0.00
9. 990 %
3. 900 %
19.990%
PURCHASES
Standard Purch 9990%
Offer 4 3900%
CASH ADVANCES
Standard Adv 19990%
Total FINANCE CHARGE = $24.86
AT&T Universal Calling Card Calls ........................
................................................ $0.00
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HAFIRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
REV-1162 EX(11-96)
CD 003970
CRAMER R SCOTT
PO BOX 159
DUNCANNON, PA
17020
........ fold
ESTATE INFORMATION: SSN: 195-30-4782
FILE NUMBER: 21 04-0063
DECEDENT NAME: KLING DOROTHY ROSE
DATE OF PAYMENT: 05/21/2004
POSTMARK DATE: 05/20/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 01/05/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $4,676.41
REMARKS'
TOTAL AMOUNT PAID:
94,676.41
SEAL
CHECK#120
INITIALS' AC
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
~. ,scOTT CRAMI~
ATTORNEY AT LAW
5 s. ~AR~ET ST., p.O. DRAWER
DuNCANNON' pEN NSYL~AN IA
Register of Witts Courthouse
cumberland county
one Courthouse Square
Carlisle PennSyNania 17013
ATTENT%ON: !~
R. SCOTT CRAMER
ATTORNEY AT LAW
5 S. MARKET ST., P.O. DRAWER 159
DUNCANNON, PENNSYLVANIA 17020
(717) 834-5700
fax NO. (7|7) 834-90|2
May 19, 2004
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, Pennsylvania 17013
ATTENTION: Ann
RE:
Estate of Dorothy Rose Kling
No. 2004-00063
Dear Ann:
Pursuant to my telephone call to your office this
morning, enclosed in duplicate is the front page of the
Inventory that has been corrected to reflect Cumberland in
lieu of Perry.
Thank you for your kind assistance in this matter.
Eng
Enclosures
R. Eleanor Guntrum
Office of R. Scott Cramer
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
Estate of Dorothy Rose Kling
a/k/a Dorothy B. Kling
No. 21-04-00063
Date of Death - 01/05/04
S. S. #195-30-4782
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.
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
INVENTORY
Estate of Dorothy Rose Kling
a/k/a Dorothy B. Kling
No. 21-04-00063
Date of Death - 01/05/04
S. S. #195-30-4782
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.
R. SCOTT CRAMER
ATTORNEY AT LAW
5 S. MARKET ST., P.O. DRAWER 159
DUNCANNON, PENNSYLVANIA 17020
(717) 834~5700
fAX NO. (717) 834-9012
May 17, 2004
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, Pennsylvania 17013
RE:
Estate of Dorothy Rose Kling
No. 2004-00063
Dear Sir/Madam:
Please find enclosed herewith an original and one (1)
copy of the Pennsylvania Inheritance Tax Return with regard
to the above referenced estate. I have enclosed a check in
the amount of $4,676.41 which represents the tax owing. I
have also enclosed a check in the amount of $31.00 for the
filing fees.
Should you have any questions regarding same, please do
not hesitate to contact my office.
RSC/eng
Very truly yours,
R. Scott Cramer
Enclosures
cc: Co-Executors
REGISTER OF WILLS OF PERRY COUNTY, PENNSYLVANIA
INVENTORY
Estate of Dorothy Rose Kling
a/k/a Dorothy B. Kling
No. 21-04-00063
Date of Death - 01/05/04
S. S. #195-30-4782
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 sa/d 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: R. Scott Cramer
I. D. No.: 22810
Address of Attorney: P.O. Box 159
Duncannon, PA 17024
Telephone No: (717) 834-5700
Personal Representatives: Roy R. Kling
Larry Kling
Address of Executor:
15 Laudermilch Road
Halifax, PA 17032
Dated: May 12, 2004
Description
Value
1. Real Estate: Situate 19 South Humer Street,
Enola, Cumberland County, Pennsylvania
Sold - see attached settl~me_nt sheet
114,500.00
Waypoint Bank
P. O. Box 1711
Pennsylvania 17105-1711
(accounts held joint with sons)
a. Ck. acct. #900032145
int. d.o.d.
1,379.79
.01
b. Savings account #960004879
int. d.o.d.
101.95
.01
c. C.D. #900003028
int. d.o.d.
1,283.07
.16
d. C.D. 900003170
int. d.o.d.
1,218.70
.15
459.94
33.99
406.08
406.29
3. STOCK - 70 shares of Metlife, Inc.
@ $34.68 per share
2,427.60
CONTINUATION OF Estate of Dorothy Rose Kling
Automobiles:
1. 1985 Buick LeSabre Limited Collectors Sedan 4D
2. 1978 Ford F150 Long Bed
100.00
100.00
5. Savings Bends:
$25 E Serial ~q6237380739e
$100 E Serial #c2057481854e
$200 EE Serial ~r67837168ee
$100 EE Serial #c473307076ee
$200 EE Serial #rl12630022ee
$200 EE Serial #rl12630023ee
$200 EE Serial #r67837162ee
$200 EE Serial #r67837163ee
$200 EE Serial #r67837160ee
$200 EE Serial ~r67837161ee
$200 EE Serial #r67837159ee
$100 EE Serial #c529902314ee
$100 EE Serial ~o529902315ee
$100 EE Serial #o529902316ee
$100 EE Serial #c529902317ee
$100 EE Serial #o529902313ee
int.
int.
int.
int.
int.
int.
iht.
int.
int.
int.
int.
int.
int.
int.
int.
int.
88.73
354.92
115.76
27.76
55.52
55.52
115.76
115.76
115.76
115.76
115.76
21.68
21.68
21.68
21.68
21.68
107.48
429.92
215.76
77.76
155.52
155.52
215.76
215.76
215.76
215.76
215.76
71.68
71.68
71.68
71.68
71.68
Total $121,013.06
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
OEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
2 1 -_Q_ _4_ _0_ _0_ _0_L3_
CO0~ COOE YEAR I~IMIE~
uJ
DECEOENT'S NAME (lAS% FIRST. ANO MIDOLE INITIAL)
Kling, Dorothy Rose
C, ki~ 01fl'.Am pI~M-OO.~cA~)- ] DATE OF BIRTH (MM-OO-YEAR}
01/05/04 ] 01/07/33
N/A ' '
F-] 4.~~ ·
SOCIAL SECURITY NUMBER
195 30 47R2
THIS RETURN MUST BE FILED IN DUPI. ICATE WITH TH
REGISTER OF WILLS
SOON. SECURITY NUMBER
NAME
R. Scott Cramer,Esquire
717-834-5700
1. nM F.M~B(~A) O)
Z Skx:b md B~ (Sdmdde B) (2)
3. CIoMy ~dd C~, Pa~m~Np or ,~-Pmpd~ (3)
4. Modgegee & Norm Recdvable (Schedule D) (4)
5. C~d~, Bel C)qxW & MI~ PeW ~
~13. Rem~fldM RMum iMM Mp~ ~ i~.1~l~1
US. FedMd Edale Tax RMum R~qulmd
~ 11. ~H~W~.Ofl~A)~m
COMPLETE MAILING ~DRESS
P. O. Box 159
Duncannon, PA 17020
t ~,~e~o~ ~ ~ FI (6)
(~d~dull 6 or L)
& Tall e~Ne MMi p~i UnN 1.1)
~. FunW Emm~ & ~ C~ (Sch~u~ H) (9)
10. DW~ M ~ ~ LMM~, & Lkm (Sch~u~ I) (10)
tt. TMM DeaN~km (Mi UnN ~ & 10)
12. NMVIMe M EMMe (I.Ine 8 mlnu~ Une 11)
13.
14.
114,500.00
5,006.76
OFFICIAL. USE ONLY
200.00
1,306.30
12,709.49
4,383.50
(8) 121r013.06
Ch~ and (~ Beq~ 9113 Trusts for which an elecflofl to lax has flol been
mdc (,Schee~ J)
NMVM IMded Io TH {Lin 12 mk~ Um 13)
(11) 17,092.99
(12) 103,920.07
(13),
(14)
103,920.07
~EE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
t$, A~ml dUne t4 la~a~ M ~e ~l~uM mx
Mi, M Irmlf~ und~ Sec. 9116 (8X1.2)
~. Nm~l MI~e 14 tlXlMe M M MI 103,920.07
17. AmouM el Une 14 taxable it slbilflg role
16. Amoufd el Une 14 taxable M col~ rate
19. Tm Otle
n,_ _Z'.
x .o__ (15)
x.O 4so (16)
x .12 (17)
x .15 (18)
(19)
4r676.41
..... '.~9 C.'t~.' :~':~
BUREAU* OF INDIVIDUAL TAXES
TNHERTTAHCE TAX DTVTSTON
DEPT. 280601
HARRTSBURG, PA 17118-0601
R SCOTT CRAHER ESQ
PO BOX 159
DUNCANNON PA 17020
COHHONWEALTH OF PENNSYLVAN/A
DEPARTNENT OF REVENUE
NOTICE OF ZNHERZTANCE TAX
APPRAISEMENT, ALLO#ANCE OR DZSALLOHANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
DATE 07-19-2004
ESTATE OF KLING
DATE OF DEATH 01-05-ZOOq
FILE NUHBER 21 0~-0065
COUNTY CUHBERLAND
ACN 101
Amount
REV-lSd7 EX AFP (01-03)
DOROTHY
HAKE CHECK PAYABLE AND REH'rT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17015
CUT ALONG TH'rS L]:NE ~ RETAZN LOWER PORTZON FOR YOUR RECORDS
REV-1547 EX AFP (01-03) NOTICE OF 'rNHER*rTANCE TAX APPRAZSEHENT, ALLOWANCE OR
D'rSALLO#ANCE OF DEDUCT'rONS AND ASSESSNENT OF TAX
ESTATE OF KLING DOROTHY B F'rLE NO. 21 04-0065 ACN 101 DATE 07-19-2004
TAX RETURN HAS: (X) ACCEPTED AS F'rLED ( ) CHANOED
RESERVATZON CONCERNING FUTURE 'rNTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2 Stocks end Bonds (Schedule B)
$ Closely Held Stock/PartnershAp /nterest (Schedule C)
Mor~gagas/Notas 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 DEDUCTZONS AND EXEMPTZONS:
9. Funeral Expenses/Ada. Costs/Misc. Expanses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule Z)
11. Total Deductions
12. Net Value of Tax Return
(1) 11~z500.00
(2) 5z006.76
($) .00
.00
($) 200.00
(6) 1;$06.$0
(7) .00
(9)
(8)
12,709.49
(10)
~$83.50
(11)
(12)
13.
14.
NOTE:
ASSESSNENT OF TAX:
1.6. Amount of Line 14 et Spousal rate
16. Amount of Line 14 taxable et Lineal/Class A rate
17. Amount of Line 14 at Sibling rata
18. Amoun~ of Line 14 taxable at Collateral/Class D rate
Charitable/governmental Bequests; Non-alac*ed 911:5 Trusts (Schedule J) (15)
Net Value of Estate Sub~ect to Tax (14)
Zf an assesseent ~as lssued previously, lines 14, 15 and/or 16, 17,
reflect flgures that include the total of ALL returns assessed to date.
19. Principal Tax Due
TAX CREDZTS:
PAYMENT RECEZPT
DATE NUMBER
05-20-200~
DISCOUNT
ZNTEREST/PEN PA/D (-)
.00
AHOUNT
CD005970
ZF PAID AFTER DATE /NDICATED, SEE REVERSE
FOR CALCULAT/ON OF ADD/TZONAL /NTEREST.
NOTE: To insure proper
credlt to your account,
submAt the upper portion
of this form with your
tax payment.
121,015.06
17.092.99
103,920.07
.00
103,920.07
18 and 19 will
q,676.41
.OICR
.00
.O1CR
TOTAL TAX CREDIT
BALANCE OF TAX DUE
ZNTEREST AND PEN.
TOTAL DUE
( IF TOTAL DUE ZS LESS THAN $1, NO PAYMENT KS REgUZRED.
ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERVATION:
Estates of decedents dying on or before December 1Z, 198Z -- if any futura interest in the estate is transferred
in possession or enjoyment to Class B (collatara1) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Coamoneealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (cotlateral) rate on any such future interest.
PURPOSE OF
NOTICE:
PAYNENT:
REFUND (CR):
OBJECTIONS:
ADHIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Sectlon 2160 of the Inheritance and Estate Tax Act, Act 25 of ZOO0. (72 P.S.
Section 91q0).
Detach the top port[on of this Notice and submit with your payment to the Register of Hills printed on the reverse side.
--Make check or money order payabIe to: REGISTER OF HILLS, AGENT
A refund of a tax credit, ahich was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (RE¥-1515). Applications ara available at the Office
of the Register of Hills, any of the 13 Revenue District Offices, or by calling the special Iq-hour
answering service for forms ordering: 1-800-361-2050; services for taxpayers with special hearing and / ar
speaking needs: 1-800-q47-3010 (TT only).
Any party in interest nat satisfied aith the appraisement, alloaance, or disalIoaance of deductions, or assessment
of tax (including discount or interest) as shaun on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. Z&IOZ1, Harrisburg, PA 171Z8-1011, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in ariting to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Reviee Unit, Dept. 180601, Harrisburg, PA 17118-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administratively correctable errors.
If any tax due is paid eithin three (3) calendar months after the dacedent's death, a five percent (51) discount of
the tax paid is allowed.
The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes ehich became delinquent before January I, 1981 bear interest at the rate of
six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year aith that rate
announced by the PA Department of Revenue. The applicable interest rates for 198Z through Z004 are:
Interest Daily Interest Daily Interest
Daily
Year Rate Factor Year Rate Factor Year Rate Factor
~ 20Z .000548 ~"~'~'8-1991 llZ .000501 ~ 9Z .O00Zq7
1985 161 .000458 1992 91 .000247 2002 67. .000166
1984 117. .000501 1995-1994 72 . O00xaz ZOOS 5Z .000157
1985 131 .000556 1995-1998 91 .000247 2004 42 .000110
1966 102 .000274 1999 77. .000192
1987 lOX .000274 ZOO0 72 .000192
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINI~UENT X DATL¥ INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent mill reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
Decedent'l Complete Address:
l?;~Rr~ 19 south Humer Street
_ Enola
PA IZ~ 17025
T&x Paymen~ and Credits:
To~I Cmdi~ (A + B + C )
ToMI IntemslS~enelb, ( D + E )
IfUn~21egelllorlm Uno 1 + Uno 3, enlm,~e diff--. 1~ I. I~ OVERPAYMENT.
~, If Une t + Unl $ il gmdor Im Unt 2, In#r lu dlklx~. Thll il t'le TAX DUE,
(1) 4r676.41
~)
(3)
(4)
(5)
4,676.41
&E~OrI~IoMIMUm$+SA.'Thisblte~DUF. (66) 4,676.41'
Make Check Payable to: REGISTER OF WILLS, AGENT
. '"'iL
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Oki ~ ~ e tin,dar ~nd: Yes ~.No..
.. re, In gu u~e or Income of me properly banoferred; .......................................................................................... []
b. rMlln Ire liON to deltgnMe who eMI use ~e property transferred or ita inco~; ............................................ []
c. mmmm m,m.lo,m,y ~ or .......................................................................................................................... []
d. remdve gm proodse for Ifa of'ehr payments, benefits or care? ...................................................................... r-I
2, If ~ __~__.,Ted Idter Decefldler 12, 1982, did decedent transfer property within one year of death
,mom ~ .d~._ ~_~ con~dem~,? .............................................................................................................. []
3. Old decedent own an 'In trust Iof' or payable UlXm death bank account or security at his or her death? .............. []
4. Oki deoldmll ow~ an Individual ReUrement Account, annuily, or other non-probate property which
=,~,~~? ........................................................................................................................ []
IF THE ANSWER TO Ally OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE 6 AND FILE IT AS PART OF THE RETURN.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN
DATE
For dales of deagt on or alter July 1, 1994 and bofore January 1, 1995, the lax rate imposed on the net value of transfers to or for Ihe use of Ihe suwtvtng spouse Is 3%
[72 P.S. ~116 (m) (1.1) (i)].
For dlMI o~ (11111 ~ or IRor ~ 1, 1995, U~e tax rite tmpoled on h'm net value of trarmfers to or for the use of the surviving spouse IS 0% 172 P.S. 99116 (e) (1.1) (ll)).
The IIMute ~ ! t, ansfer I0 1 survtvthg Nx)use from tax, and the statutory requirements for disclosure of assets and filing a tax return are stiff applicable even If
For dllll ol dllll ofl Or Idllr JuF/1, 2000:
or e mlxa, m al Iw ddd is 0% [72 P.S. §9116(,X1.2)l.
~ '.~ rote imlxmed on ~e nM value of tranofefs to or for the use of the decedent'a lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(aX1)].
· ~ ,a~e impaled on the ne~ vliue .of tramfers to or tar the use of 6~e decedent's siblings is 12% [72 P.S. §9116(aX1.3)]. A sibling Is delined, under Sectio~ 9102, as a,
SCHEDULE A
REAL ESTATE
ESTATE of Dorothy Rose Kling a/k/a Dorothy B. Kling FILE NUMBER 21-04-00063
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should
be reported at fair market value which is defined as the price at which property would be exchanged
between a willing buyer and a willing seller, neither being compelled to.buy or sell, both having reasonable
knowledge of the relevant facts.
ITEM DESCRIPTION VALUE AT
DATE NUMBER OF DEATH
REAL ESTATE situate at 19 South Humer Street,
Enola, Cumberland County, Pennsylvania
Perry County, Pennsylvania
$114,500.00
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheers of same size.)
SCHEDULE B
STOCKS AND BONDS
ESTATE OF Dorothy Rose Kling a/Wa Dorothy B. Kling FILE NUMBER: 21-04-0020
1. SAVINGS BONDS:
$25 E Serial ~q6237380739e
$100 E Serial ~c2057481854e
$200 EE Serial #r67837168ee
$100 EE Serial #c473307076ee
$200 EE Serial #rl12630022ee
$200 EE Serial #rl12630023ee
$200 EE Serial #r67837162ee
$200 EE Serial #r67837163ee
$200 EE Serial #r67837160ee
$200 EE Serial #r67837161ee
$200 EE Serial ~r67837159ee
$100 EE Serial ~c529902314ee
$100 EE Serial #c529902315ee
$100 EE Serial #c529902316ee
$100 EE Serial #c529902317ee
$100 EE Serial ~c529902313ee
int.
int.
int.
int.
int.
int.
int.
int.
int.
int.
int.
int.
int.
int.
int.
int.
88.73
354.92
115.76
27.76
55.52
55.52
115.76
115.76
115.76
115.76
115.76
21.68
21.68
21.68
21.68
21.68
107.48
429.92
215.76
77 76
155 52
155 52
215 76
215 76
215 76
215 76
215.76
71.68
71.68
71.68
71.68
71.68
2. STOCK:
70 shares of Metlife, Inc. @ $34.68 per share
2,427.60
TOTAL (Also enter on line 2, Recapitulation)
(Tf more space is needed, insert additional sheers of same size.)
$5,006.76
SCHEDULE E
CASH, BANK DEPOSITS AND MISCELLANEOUS
PERSONAL PROPERTY
ESTATE OF Dorothy Rose Kling a/k/a Dorothy B. Kling
(All m'ol~ertv Jointly-owned with Right of Survivorship must be disclosed on Schedule F.)
ITEM DESCRIPTION
NUMBER
FILE NUMBER: 221-04-00063
VALUE AT DATE
OF DEATH
Automobiles:
a. 1985 Buick LeSabre Limited Collectors Sedan 4D
b. 1978 Ford F150 Long Bed
100.00
100.00
TOTAL (Also enter on line 5, capitulation) $ ~ 0 0.0 0
ESTATE OF
SCHEDULE F
JOINTLY-OWNED PROPERTY
Dorothy Rose Kling
a/Wa Dorothy B. Kling
FILE NUMBER: 21-04-00063
Joint tenant(s).
NAME ADDRESS RELATIONSHIP TO DECEDENT
Roy IL Kling
Larry G. Kling
15 Laudermilch Road
Halifax, PA ! 7 0 3 2
221 Ridgeview Drive
Marysville, PA 17053
son
Jointly-owned property:
Da~e
Number Joint Made
Description of Property Total value
of Asset
A.B. 06/24/97 Ck. acct. #900032145 $1,379.80
A.B. 06/24/97 Sav.acct. #960004879 $ 101.96
A.B. 12/30/97 C.D. ~900003028 $1,283.23
A.B. 07/01/98 C.D. #900003170 $1,218.85
Decd' Decedent's Int.
%int.
1/~ $ 469.94
1/a $ aa.99
1/a $ 406.08
1/~ $ 406.29
TOTAL (Also enter on line 6, Recapitulation)
(lf more space is needed, insert additional sheers of same size.)
$1,306.30
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF Dorothy Rose Kling
a/ida Dorothy B. Kling
Deb~ of decedent must be reported on Schedule I
FILE NUMBER
21-04-00063
H'EM
NUMBER DESCRIPTION AMOLrNT
FUNERAL EXPENSES:
Funeral Home - Richard Funeral Home, Inc.
Engraving Grave Stone - Gingrich Memorials
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 PA Zip
ATTORNEY FEES
R. Scott Cramer, Esquire
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 Decexlent
vgonn~ FEES - Register of Wills of Cumberland County
Register of Wills of Cumefland County - shorts
ESTAT~ NOTICE - Cumberland Law Journal and The Sentinel
PP&L - Feb., March & April
Penn Fuel Propane
$ 5,605.00
100.00
5,947.00
225.00
18.00
222.16
153.57
137.27
8. Comcast - cable 53.70
CONTINUATION OF
SCHEDULE H
ESTATE OF Dorothy B. Kling
9. MCI - Feb., March & April
247.79
TOTAL (Also en~r on line 9, Recap/~__~!~t,_'on) $1 2,7 0 9.4 9
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
Dorothy B. Kling
File Number:
21-04-00063
I'fEM DESCRIPTION AMOUNT
1. Moffitt Heat~.Vascular Group
2. Cili Financial - credit card debt
3. Roy Kling - reimbursement for assist with real estate settlement costs
230.00
3,985.00
168.50
TOTAL (Also enter on line 10, Recapitulation)
(If more space is needed, insert additional sheers of same size.)
$4.383.50
ESTATE OF
SCHEDULE J
BENEFICIARIES
Dorothy Rose Kling a/Wa Dorothy B. Kling
FILE NUMBER:
21- 04-00063
ITEM
NUMBER
OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT
SHARE
.4. Taxable Requests:
Roy R. Kling
15 Laudermilch Road
Halifax, PA 17032
Larry G. Kling
221Ridgeview Drive
Marysville, PA 17053
son
son
1/2
1/2
fi'EM
AMOUNT OR
NUMBER
OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
SHARE
B. Charitable and Governmental Bequests:
NONE
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $
(/fmore space is needed, insert additional sheets of same Size)
U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT
. Express Financial Services, Inc.
#9 Parkway Ctr., Ste 275
875 Greentree Road
Pittsburgh, PA 15220
(800) 321-4157
FINAL
C. NOTE:
Form..~.~..~[roved OMB No...~2502.0265
B. TYPE OF LOAN
1. [] FHA 2. [] FMHA 3. []CONV. uNINs.
4. [] VA 5. [] CONV. INS.
6. ESCROW FILE NUMBER: 7. LOAN NUMBER:
00077964-002 GB 0001384522 ~
8. MORTGAGE INSURANCE CASE NUMBER:
This form is furnished to,, give you a statement of actual settlement costs Amounts paid to and b the se !
Items marked "(P 0 C )' were naid outside th~ ~; ........... 7 ...... Y tt~ ement agent are shown. :.
· · · ,- ,~ ,,,~,o,,~, ~,uy ute ~,own nere for Inrormatlonal purposes and are not included in the totals.
D. NAME OF BORROWER:
GRETCHEN SHIFI DS and ROBERT W. SHIELDS JR.
ADDRESS OF BORROWER:
E. NAME OF SELLER: THE ESTATE OF DOROTHY ROSE KLING
ADDRESS OF SELLER:
F. NAME OF LENDER: NEW CENTURY MORTGAGE CORP
ADDRESS OF LENDER: 4349 EASTON WAY #110
COLUMBUS, OH 43219
G. PROPERTY LOCATION: 19 SOUTH HUMER STREET
H.. SETTLEMENT AGENT:
ENOLA, PA 17025
CUMBERLAND County 09-14-0834-250
Express Financial Services, Inc.
PLACE OF SETTLEMENT:
SETTLEMENT DATE:
#9 Parkway Ctr., Ste 275, 875 Greentree Road, Pittsburgh, PA 15220
3/19/2004 PRORATION DATE: 3/19/2004 DISBURSEMENT DATE:
J. SUMMARY OF BORROWER'S TRANSACTION
101. Contract Sales Price
102. Personal Property
103. Settlement charges to Borrower (line 1400)
104.
105.
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE:
106. City/Town Taxes
County Taxes 03/19/04 to 12/31/04
Assessments
2003-04 SCH 03/19/04 to 06/30/04~__
107.
108.
109.
110.
111.
112.
113.
114.
115.
114,500.00
6,922.62
312.69
313.19
3/19/2004
K. SUMMARY OF SELLER'S TRANSACTION
401. Contract Sales Price ' 114,500.00
402. Personal Property
403.
404. --
405.
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: :'~
406.
407.
408.
409.
410.
411.
412.
413.
414.
415.
City/Town Taxes
County Taxes 03/19/04 to 12/31/04
Assessments
2003-04 SCH 03/19/04 to 06/30/04
312.69
313.19
120. GROSS AMOUNT DUE FROM BORROWER:
201. Deposit or earnest money
202. Principal amount of new loan(s)
203. Existing loan(s) taken subject to
204.
205.
206. GIFT OF EQUITY
207. SELLER ASSIST CLOSING COST
208.
209.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
210. City/Town Taxes
211. County Taxes
212. Assessments
213.
214.
215.
216.
217.
218.
122~
219.
220. TOTAL PAID BY/FOR BORROWER:
301. Gross amount due from Borrower ( line 120)
302. Less amount paid by/for Borrower ( line 220)
303. CASH ([]FROM) ( [-] TO ) BORROWER:
91,600.00
22,900.00
6,668.27
121,168.27
122,048.50
121~
880.23
420. GROSS AMOUNT DUE TO SELLER:
501. Excess deposit (see instructions)
502. Settlement charges to Seller (line 1400)
503. Existing loan(s) taken subject to
504. Payoff of first mortgage loan
505. Payoff of second mortgage loan
506. GIFT OF EQUITY
507. SELLER ASSIST CLOSING COST
508.
509.
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
~/Town Taxes
511. County Taxes
512. Assessments
513.
514.
515.
516.
517.
518.
520. TOTAL REDUCTIONS IN AMOUNT DUE SELLER:
601. Gross amount due to Seller (line 420)
602. Less reduction in amount due Seller (line 520)
603. CASH ([] FROM) ([] TO) SELLER:
880.17
22,900.00
~~" 6,668.27
.... ~15,125.88
'~ 30,448.44
-~- 84,677.44
BASED ON PRICES 114,500.00
DIVISION OF COMMISSION (LINE 700) AS FOLLOWS:
701. $ to
702. $ to
703. Commission paid at settlement
704.
801. Loan Origination Fee
802. Loan Discount Fee
8.03. Appraisal Fee
804.
805.
806.
807.
808.
80g.
810.
811.
2.2170% to PSP FINANCIAL
Credit Report
Lenders Inspection Fee
Mortgage Insurance Application Fee
Assumption Fee
PROCESSING FEE to NEWCENTURY MORTGAGE CORP
UNDERVVRITING FEE to NEW CENTURY MORTGAGE CORP
DOCUMENT FEE to NEW CENTURY MORTGAGE CORP
**See attached for breakdown
901.
902.
903.
904.
905.
Interest From 03/19/04 to 04101104 ~ % ( 13 days)
Mortgage Insurance Premium for Month(s) to
Hazard Insurance Premium for 0 Years(s) to INSURANCE & SURETY, INC,
1001.
1002.
1003.
1004.
1005.
1006.
1007.
1008.
1101.
1102.
1103.
1104.
1105.
1106.
1107.
1108.
Hazard Insurance months @ $ per month
Mortgage Insurance months @ $ per month
City Property Taxes months @ $ per month
County Property Taxes . months ~ $ 24.81 per month
Annual Assessments months @ $ per month
SCHOOL TAX months @ $ 92.49 per month
months (~ $ per month
months @ $ per month
Settlement or closing fee
Abstract or title seamh
Title examination
Title insurance binder
Document preparation
Notary fees
Attorney's Fees
(includes above items numbers:
Title Insurance to Express Financial Services, Inc.
to Express Financial Services, Inc.
PAID F
BORROWER'S FUN[
AT SETTLEMENT
2,030.76
PAID' FROM
8EELER'S
F._'U .N, DS AT
SE'IT['LEMENT
100.~"~'
300.00
300.00
1,929.20
254.41
200.00
(includes above items numbers: ENDORSEMENTS 100,300,8.1
1109. Lenders coverage $ 91,600.00
1110. Owner's cover.age $ 114,500.00
1111__._..~_ CLOSING PROTECTION LET to STEWART TITLE
1112. TAX CERTS to Express Financial Se~ 35.(
1113. lITE FEE '
Inc.
10.00
1201. Recording Fees: Deed $ .40.50 Mortgage $ 66.50 Release $
1202. Cit /Count tax/stam s Deed--'$ 572.50Mo~_~.~q.~_$ 107.00 .~..
1203. State tax/stam s
Deed $ 572.50 Mo~_..,~_~.e $ 572
1204.
1205. . ..... 572.50
13.01. Survey
302. Pest Inspection
!_3_03' 20I~-(~-'(~UNTY/TOWNSHIP T tO ALIClA D. STINE, TREASURER
1304.
1305"---'~. '~':~-'~ 297.67
1306.
10.00
1400. TOTAL SETTLEMENT CHARGES (Enter on line 103,Section j _ and - line 502, Section K) 6,922.62
'~? 880.1~
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disburse~e'nts made
on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement.
6o~ew.~---
The HUD-1 Settlement Statement which ! have prepared is a true and accurate account of this transaction. I have caused or will cause the funds, to be disbursed in a~ordance
with this statement. ~Selle~-'-
:xpress ~J~lancial Services, Inc. - -- Settlement Agent ,=~ -/~; -(..) ,,~
,:: Date
NARNING: It is a crime to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can include a fine and ~mpriso~ent. For
letails see: Title 18 U.S. Code Section 1001 and Section 1010..
Escrow Number: 00077964-002 GB
HUD 811 DETAILED BREAKDOWN OF ITEMS PAYABLE IN CONNECTION WITH LOAN
Description
812. TAX SERVICE FEE to NEW CENTURY MORTGAGE CORP
813. FLOOD CERTIFICATION to NEWCENTURY MORTGAGE CORP
814. PROCESSING FEE to PSP FINANCIAL
815. BROKER FEE to PSP FINANCIAL
816. YIELD PREMIUM to PSP FINANCIAL
Total as shown on HUD page 2 Line #811
P.O.C.
(1,832.00)
Buyer
Amount
78.00
11.20
695.00
1,145.00
1,929.20 ~
HUD 1200 DETAILED BREAKDOWN OF GOVERNMENT RECORDING AND TRANSFER FEE~:ii~i
Buyer
1202. City & County Tax/Stamps Amount
City Tax/Stamps: Deed $572.50
Total as shown on HUD page 2 Line #1202
572.50
Buyer
1203. State Tax/Stamps Amount
State Tax/Stamps: Deed $572.50
Total as shown on HUD page 2 Line #1203
';;Am ount
?: Seller
Amount
572.50
Wag
LOOK FOR US. WE'LL GET YOU THERE.
2/13/2004
R. SCOTT CRAMER
5 S MARKET ST PO DRAWER 159
DUNCANNON PA 17020
The information which you requested on the account(s) of DOROTHY B KLING
(Social Security Number 195-30-4782) is/are as follows:
Account Number
Class of Account
Date Opened
Principal Balance
Accrued Interest
Balance at Date of
Death
Account Ownership
Name of Joint
Owner, if any
Date Ownership
Was Established
Account Number
Class of Account
Date Opened
Principal Balance
Accrued Interest
Balance at Date of
Death
Account Ownership
Name of Joint
Owner, if any
Date Ownership
Was Established
900003028 900003170 900032145 960004879
CERTIFICATE CERTIFICATE CHECKING SAVINGS
123097 070198 062497 062497
1283.07 1218.70 1379.79 101.95
.16 .15 .01 .01
1283.23 1218.85 1379.80 101.96
JTO JTO JTO JTO
LARRY KLING LARRY KL1NG LARRY G LARRY G
ROY KLING ROY KLING KLING KLING
123097 070198 062497 062497
Additional
Information
Requested
SENIOR SERVICES REP.
P.O. Box 171 I. HARRISBURG, PENNSYLVANIA 17105-1711
Toll Fr~ 1-866-WAYPOINT (I-866-9i~9-7646) · IN YORK AR~.A 717/815-4500 · www. wagpointbank.com
Financial
Advisors
Roger D. Graham
Personal Financial Advisor
May 5, 2004
R. Scott Cramer, Atty
5 South Market St
Duncannon, Pa. 17020
Re: Estate of Dorothy R. Kling
American Express
Financial Advisors Inc.
IDS Life Insurance Company
5 South Market Street
P.O. Box 27
Duncannon, PA 17020
Bus: 717.834.6614
Res: 717.834.4508
Fax: 717.834.9012
Dear Scott,
The price per share of Metlife, Inc. as of date of death of above referenced person, Jan.
22, 2004 was $34.68 per share. Having a gross value for the 70 shares owned of
$2,427.60.
American Express Financial Advisor
Insurance and annuities are issued
by IDS Life Insurance Company,
an American Express company.
040
DUNCANNDN (132)
5 NORTH MARKET STREET
DUNCANNDN PA 17020
Cashbox O1
* Deposit Multi/Mix
15:04P MAR 22 2004
Account Number 5003274931
Tran Amount $85,643.99
Cash Amount $100,00
W/S ID WWSH1321 Sequence Number 00004
Batch 301
03/11~/:~(~04 ********~z~,~7.44'*
~DRED SEVENTY-SEVEN DOLLARS AND 44/100 CENTS.
KLING********* v I
***************** ? D ~AFTEB_90 DAYS
f, ~ ~)~REQU~
This deposit or payment is accepted subject to
verification and to the rules and regulations of
this honk. Deposits may not be available for
immediate uithdrmuml. Receipt should be held
until verified with your statement.
PAY ~ $866.55
Eight HUndred' SiXty Six Dollars ~d Fifty Five Cents
TO THE
ORDER
OF THEF. gTAT~ OF DOROTHY B KLING
Drawer: Waypoinf B~mk
m-'ED E) E~OOO,°,~,O,m-' r~,o, ll, hOD ? & :t & % ? E~,q,o 2 E) ?
HARRISBURG TOYOTA-CHRYSLER-JEEP
6060 Allentown Blvd. Harrisburg, PA 17112
(717)545-4726 1-800-541-7879 FAX: (717)545-4278
www.hartmancars.com
(Formerly Hartman Motorcars)
Pennsylvania- January22,2004
1985 Buick LeSabre Limited Collectors Sedan 4D
Engine: V8 5.0 liter
Trans: Automatic
Drive: Rear Wheel Drive
Mileage: 225,000
Equipment
Buy a New Car
Buy a Used Car
List your Car For Sale Online
Free Lemon Check
Auto Loans from 3.85% APR
Insurance Quote
Print "For Sale" Sign
Payment Calculator
Air Conditioning
Power Steering
Power Windows
Power Door Locks
Tilt Wheel
Cruise Control
AM/dm Stereo
Cassette
Dual Power Seats
Premium Wheels
Consumer Rated Condition: Fair
"Fair" condition means that the vehicle probably has some mechanical or cosmetic defects, but is still in
safe running condition. The paint, body and/or interior need work to be performed by a professional in
order to be sold. The tires need to be replaced. There may be some repairable rust damage. The value of
cars in this category may vary widely. A clean title history is assumed. Even after significant
reconditioning this vehicle may not qualify tbr the Blue Book Suggested Retail value.
Private party Value $250
Private Part)' value represents what you might expect to pay tbr a used car when purchasing from a private
party. It may also represent the value you might expect to receive when selling your own used car to
another private party.
DEPARTMENT OF TF~$POI:TT'ATION 3 · q24
CERTIFICATE OF TITLE FOR AVEHICLE
issued in accordance with Section 1105 of the Vehicle Code, 7~tle 75, Penns~.]ioania Consolldated Statutes
3327
DOROTHY B KLING
19 HUMER ST
ENOLA PA
8OO
17025
CODE LEGEND
A = ANTIQUE VEIflCLE
C == CLASSIC VEHICLE
E =: ELECTRIC VEHICLE
F = OUT OF STATE VEHICLE
P = FORMERLY & PoLICE VEHICLE
R m VEHICLE
X = FORMERLY
SECOND LIEN
FAVOR Oi~.
~ s~,kcr ro d~/o&~u,~g liens:
LIEN RELEASED
DAY~
LIEN HOLDEN
A'iJ'FHORIZ~D RLIpR~S~NTA-rlv~
LIEN RELEASED
DA'r~
LIEN HOLDEN
AUTHORIZED R~PRF. SI~NTATIV~
Cer-
oe~r ems~l~ ~l'~i~nspon ation
HARRISBURG TOYOTA-CHRYSLER-JEEP
6060 Allentown Blvd. Harrisburg, PA 17112
(717)545-4726 1-800-541-7879 FAX: (717)545-4278
www.hartmancars.com
(Formerly Hartman Motorcars)
Pennsylvania - January 22, 2004
1978 Ford FI50 Long Bed
Engine: V8 351
Trans: Automatic
Dtive: 2 Wheel Drive
Mileage: 86,000
Equipment
XL
Air Conditioning
Power Steering
AM/fm Stereo
Buy a New Car
Buy a Used Car
List Your Car for Sale Online
Free Lemon Check
Auto Loans from 3.85% APR
Insurance Quote
Payment Calculator
Consumer Rated Condition:
Poor
"Poor" condition means that the vehicle has severe mechanical and/or cosmetic defects and may be in
questionable running condition. The vehicle may have problems that cannot be readily fixed such as a
damaged frame or a rusted-through body. A vehicle with a branded title (salvage, flood, etc.) or
unsubstantiated mileage should be considered "poor" because of potential problems and should be
independently appraised to determine its value.
Trade-lnValue $100
Trade-in value represents what you might expect to receive t~om a dealer for this consumer owned vehicle.
Keep in mind that the dealer must then absorb the cost of making the vehicle ready for sale, advertising,
sales commissions, arranging financing and insurance and standing behind the vehicle for any mechanical
or safety problems.
Savings Bond Calculator Page 1 of 2
im 2oo
Sari
Series
IE Bonds
# Bonds
16
Total Price
$1,193.75
Se~al Number
q6237380739e
c2057481854e
r67837168ee
c473307076ee
rl12630022ee
rl12630023ee
r67837162ee
r67837163ee
r67837160ee
r67837161ee
r67837159ee
c529902314ee
c529902315ee
c529902316ee
c529902317ee
c529902313ee
Denomination
Total Interest
$1,385.41
~$ue
Issue D~e Series Denom PAce
02/1978 E $25 $18.75
02/1978 E 100 75.00
06/1990 EE 200 100.00
06/1994 EE 100 50.00
06/1994 EE 200 100.00
06/1994 EE 200 100.00
06/1990 EE 200 100.00
06/1990 EE 200 100.00
06/1990 EE 200 100.00
06/1990 EE 200 100.00
06/1990 EE 200 100.00
06/1995 EE 100 50.00
06/1995 EE 100 50.00
06/1995 EE 100 50.00
06/1995 EE 100 50.00
06/1995 EE 100 50.00
Serial Number
J Viewing Bonds 1-16
Issue Date
Total Value YTD
$2,579.16 $0.0
Interut Next F~ai
Interest VMue R~e A~rual Ma~t}
$88.73 $107.48 4.00% 02~004 02/2008
354.92 429.92 4.00% 02/2004 02/2008
115.76 215.76 4.00% 06/2004 06~02C
27.76 77.76 2.51% 06/2004 06/2024
55.52 155.52 2.51% 06/2004 06/2024
55.52 155.52 2.51% 06/2004 06/2024
115.76 215.76 4.00% 06/2004 06/202C
115.76 215.76 4.00% 06/2004 06/202C
115.76 215.76 4.00% 06/2004 06/202C
115.76 215.76 4.00% 06/2004 06/202C
115.76 215.76 4.00% 06/2004 06/202C
21.68 71.68 2.46% 06/2004 06/2025
21.68 71.68 2.46% 06/2004 06/2025
21.68 71.68 2.46% 06/2004 06/2025
21.68 71.68 2.46% 06~004 06/2025
21.68 71.68 2.46% 06~004 06/2025
Note Description
NI Not Issued
NE Not Eligible for Payment
P5 Includes 3-month interest penalty
ME Matured (Exchangeable for HH)
MN Matured (Not Exchangeable for HH)
Please rate this service.
(Please print and/or save this page before submitting your survey)
Service Excellent Good Fair Poor
http ://wwws.publicdebt.treas. gov/BC/SBCPrice 02/10/2004
SERIES
Gift
Kling
H~mer Street
Pa. 17025
Dcvoth~ B. ]~tr~
ISSUE DATE
WHICH IS THE ~FIRST DAY OF
February ][~78 '
· - C2:057481854:E':-:
· WHICH
P~. i7o2~ :'
EE
SERIES EE
OF
DOROTHY ROSE KLING
I, DOROTHY ROSE KLING, of East Pennsboro Township, Cumber-
land County, Pennsylvania, make, publish and declare this to be
my Last Will and Testament, hereby revoking and making void any
~mnd all Wills by me at any time heretofore made.
1. I direct my Executors hereinafter named to pay my just
debts and funeral expenses as soon after my decease as conveniently
may be.
2. I give and bequeath my household goods, automobile,
clothing, jewelry and other items of tangible personal property
unto my sons, ROY R. KLING and LARRY G. KLING, share and share
alike.
3. Ail the rest, residue and remainder of my estate of
whatsoever nature and wheresoever situate, I give, devise and
bequeath unto my sons, ROY R. KLING and LARRY G. KLING, share
and share alike.
4. I name, constitute and appoint my sons, ROY R. KLING
and LARRY G. KLING, to be the Executors of this my Will.
this
IN WITNESS WHEREOF, I have hereunto set my hand and seal
~ day of ~~~, 1978.
Dorot Rose Kling
(SEAL)
Signed, sealed, published and declared by the above-named
Testatrix, as and for her Last Will and Testament, in the presence
of us, who, at her request, in her presence and in the presence
of each other, have.hereunto subscribed our names as witnesses.
REGISTER OF WILLS
CUMBERLAND COUNTY COURTHOUSE
ONE COURTHOUSE SQUARE
CARLISLE, PA 17013
WELTMAN, WEINBERG & REIS CO., L.P.A.
ATTORNEYS AT LAW
175 South Third Street, Suite 900
Columbus, Ohio 43215
800.325.9965
614.801.2710
www.weltman.com
BURLINGTON, NJ
609.914.0437
CHICAGO,IL
847.940.9812
CINCINNA n, OH
513.723.2200
CLEVELAND,OH
216.685.1000
DETROIT, MI
248.362.6100
PHILADELPHIA, PA
215.599.1500
PITTSBURGH, PA
412.434.7955
March 10,2005
Cumberland, Register Of Wills
One Courthouse Square
Carlisle, PA 017013
r-,J
Re:
Estate of Joseph F Doerwang
Case No. 21-2004-363
Our Client: Mobile Consultants, Inc.
Account No. 31829
Balance Due: $27,988.26
Our File No. 4051422
"',
i)
Dear Clerk of Courts:
This law firm represents Mobile Consultants, Inc. in connection with its claim which we wish to file on our client's behalf into
the estate of Joseph F Doerwang, deceased. Enclosed is our check in the amount of $10.00 which we understand is the filing
fee for this claim.
Our client's claim is based upon its account number 31829 in the amount of$27,988.26. As of the date of this letter, this is the
amount due. Included with this letter is the claim form which we wish to present to this court and which we are forwarding to
the attorney and/or fiduciary of this estate.
It would be appreciated if all correspondence and disbursements with respect to this matter be forwarded to our office and to
the attention of the undersigned. Additionally, it would be appreciated ifany notices of any hearings also be forwarded to the
undersigned. Thank you for your cooperation in this matter.
Sincerely Yours,
~~u
STEPHANIE SLAUGHTER
Authorized agent for the claimant
SSL:sek
Enclosures
cc: Paul Jude Doerwang
Taylor P Andrews
WWR#4051422
CLAIM FORM FOR COMPANY OR ORGANIZATION
STATE OF NEW JERSEY
COUNTY OF CUMBERLAND, REGISTER OF WILLS
CASE NO. 21-2004-363
)
The undersigned,_STEPHANIESLAUGHTERAuthorizedagent for Claimant, herewith
presents and files their claim against the Estate of
Joseph F Doerwanq , deceased, for and on account of
the following described indebtedness owing by said Estate of Claimant, viz:
For a an installment loan with Mobile Consultants, Inc., Account No. 31829
Balance Due: $27,988.26(As of the date of this claim, this is the amount due.)
STATE OF OHIO
COUNTY OF FRANKLIN
Before me, the undersigned authority in and for said County in said State,
personally appeared STEPHANIE SLAUGHTER Authorized agent for the claimant, who being
first duly sworn, says that (s)he is Authorized Aqent for Mobile
Consultants, Inc., the claimant, and that (s)he has full and complete
knowledge of the correctness of the above claim against the Estate of Joseph
F Doerwang , deceased, and the amount claimed is justly due (or to become
due), and after allowing all proper credits.
~i{ &a.u~tv
Authorized Agent for the Claimant
175 South Third Street, Suite 900
Columbus, Ohio 43215
20cf}.
Subscribed and sworn to
,'~~;':tnh
Notary Public
\ \ \ III"" I
" RY P I,
,~~..,",.,... ~fi"
'~II~
= i~: '. \-:
-*: '*-
= ~ : :
"';.(ft\ .: :
-- ';,>0'" ~.P"
- ;1" "R<:"
, .... ." ...
, ~Z!o''''''''''O '
"II' Of \\..'
I" "" \ \
SEBRINA L. KEHOE
Notary Public, Slale of Ohio
My COlJJJJ!issjon Expires
01.17,07
WWR # 4051422
STATEMENT OF ACCOUNTS
FOR:
Mobile Consultants, Inc.
DECEDENT'S NAME: Joseph F Doerwang
ADDRESS: 76 S. Lincoln Ave
CSZ: Washington, NJ 07682
SSN: 262-42-8159
000: 03/14/04
ACCOUNT #: 31829
BALANCE DUE: ~27,988.26
EXHIBIT A
STATUS REPORT UNDER RULE 6.12
NAME OF DECEDENT: DOROTHY ROSE KLING
DATE OF DEATH: ; January 5, 2004
WILL NO.
21-04-0063
ADMIN. NO.
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Ru les. I report
the following with respect to completion of the administration ofthe above-captioned
estate:
1. State whether administration of the estate is complete:
Yes ~ No D
2. If the answer is No, state when the personal representative reasonably
believes that the administration will be complete:
3. It the answer to number 1 is yes, state the following:
a. Did the personal representative file a final account with the court?
Yes D No 1XI
b. The separate Orphans' Court No. ( if any) for the personal
representative's account is:
c. Did the personal representative state an account informally to the
parties in interest?
Yes~NoD
d. Copies of receipts, releases, joinders and approvals of formal or
informal accounts may be filed with the Clerk of the Orphans'
Court and may be attached t1.,ortj fi
Date: <> / ft5- Signature. /r
Name: R. Scott Cramer, Esquire
Address:
P. O. Box 159
Duncannon, PA 17020
\'..D
f:-'J
,~")
t
Tel. No.:
Counsel for personal
representati ve
717-834-5700
R SCOTT CRAMER
uA