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Home My WebLink About02-0232PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Emily M: Griffie also known as No. C?/- ~ - o?,_~;~,~ To: Register of Wills for the Deceased. County of Cumberland in the Commonwealth of Pennsylvania Social Security No. 16 8 - 6 6- 2 0 7 3 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appliO for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 79 State Rd. ,Mechanicsburq(Silver (list street, number and municipality) at Decendent, then 17 Silver Spring years of age, died January 29, Township, Pennsylvania ,~,2002 Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 7,500.00 Spring Township) Petitioner after a proper search ha the following spouse (if any) and heirs: Name Thomas E. Griffxe Relationship Fagher ascertainedthatdecedentle~nowillandwassurvivedby Residence 79 State Rd ,Mecnanicsburq.PA · 17050 Nancy K. Griffie Mother 79 State Rd.,Mechanicsburg,PA 17050 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. ..~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ]~ SS COUNTY OF Cumberland The petitioner(s) above-named swear(s) or affirm(s)that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this 4th day of [ ' tMARCH -- -- ~2oo2 ": ~-..i ~ Register ! '¢'D,. I Est~e ~*' 5 O['3f..~ Emily M. Griffie , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW MARC H 5 2 0 0 ? , in consideration of the petition on the reverse side hereof, sat~afqt~ l~OO~l~4[~l~een presented before me, IT IS DECREED that is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to NANCY K GI~±IYe'±E in the estate of EMILY M GRIIYlYlE MA~Y C gister of Wills FEES Letters of Administration ..... $ Short Certificates( ) .......... $ Renunciation ................ $ jcp $. TOTAL __ $. Filed .m..a.r..c.h...4. ,...2.0.0..2.. A.D. m__ mailed to attorney on 40.00 3.00 5.00 5.00 53.00 3-5-02 Andrew C. Sheely,Attorney 62469 A~ORNEY (Sup. Ct. I.D. No.) 127 S. Market St.,P.O. Box 95, ADD.SS Mechanicsburg,PA17055 717-697-7050 PHONE 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 '~ling. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 8066137 No. Local Registrar COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH (Coroner) SYATE FILE NUMBER (Fust. Mldd~e Last) SEX ~IAL SECURfTY NUMBER Emily M Griffie ,,Female ,. 168 - 66 - 2073 17 ep. 17,19847.-- *~ ~"~r~s~ PA ~.'~"~. O E~o,,~,~ ~ Cumberland Silver Spring St~t ,,b. Hiqh Sc~l ,2. ~s,,.,,~,~. sla~..z,,c~ I°EcEDENvsACTUAL 171. sm,. Pe~syl~nia ,7.~ ~,,~.~n,,~.Silver S~inq 79 S~te R~d ,[s,~[uc~ ~csb~, PA. 17050 .... ~ ~.~""'r ~1~ ~..,~u? ~,~.m,~.~ Th~s E. ~iffie ,.. N~ Ko~ ·hms E. Gr~ff~o ~. 79 S~to Rmd~ ~esb~q~ P~ 17050 em~ ~ Cremate. ~ R~ovelfr~ S~ate ~ (Uomh Oay. Y~8f) or Q~, P~. 21d''~----CS--~g~ ~l D a,.~""~t3- ~he,(s~ay} [:1 ~,,.F~ 2, 2002 ,,.~es~ut Hill ~t~ SIGNATURE OF FUNE~ SER~.~~~~SE OR PER~N ACTIN SSUCH 9'10-rP,' u [E, January '29, 2002 Multiple Traumatic Inluries MOtor Vehicle Crash DUE TO (OR AS A CONSEOUENCE OF): RACE - American In.an, Black. Whill, Itc (s~a, White SURVIVING SPOOSE PA 17055 ILICENSENUMBER [NAMEANDADD~E~OCFACILITY Malpezzt Funeral Home ,,~. 011667-L [a:c. 8 Market Plaza-- W~a~, Me~hanlcsburq, PA, 17055 Iwp DATE OF INJURY TIME OF INJURY INJURY £ WORK? {)ESCRlliE HOW INJURY OCCURRED (~ ........ ,~ o~ ~ Aprx. _ Unbelted operator lost Jan.29,2002 ¥o~ [] ~o~1~ control, crossed road- P. struck :0,. ~.,.u: ~u M. ~o~. I~'ay, tree Ul~o~..,c¢~,~) Rural Road /~,,.'l'e..X,~,~X:, Road,Mechanicsburg,PA laid. January 30, 2002 N~E ~D ~DRESS OF PERSON W~ COMPLIED CAUSE ~ DE~H I,~2?)T~=.,n! Htchael ~. ~orris, Coroner 6375 Basehore Road, Suite #1 Mechanicsburg, Pa. 17050 DATE FILED (Month, Day, Year) , /,5/ 02/22/2002 12:50 2401943 PERSONNEL PAGE 03 RENUNCIATION 21-02-232 In ]~e ~.~tate of- Smile_ M. Griffie cumber lan(] -_ County, Pelmsylvania, To th~ Register of W~ of__. ~er~ Thomas E. Oriffie, father of ~ ~e d~t, h~by re~u~s) the ~t to ~ster ~e ~tate ~d r~f~y ~k(s) ~t ~tt~ Of Administration Nancy K. Griffie , ~4 to (Addr~) (~i~m~xure) COHHONHEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. ?_.806D1 HARRISBURG, PA 17liS-0601 REV-~iS EX AFP COg-g0) ZNFORHATZON NOTZCE AND TAXPAYER RESPONSE FILE NO. 21 02-0252 ACN 0212ZZ72 DATE 05-07-ZOOZ EST. OF EMILY M GRIFFIE S.S. NO. 168-66-2075 DATE OF DEATH 01-29-2002 COUNTY CUMBERLAND NANCY GRZFFIE 79 STATE RD MECHANICSBURG PA 17055 TYPE OF ACCOUNT [] SAVINGS [] CHECKING [] TRUST [] CERTTF, REMIT PAYHENT AND FORHS TO: REGISTER OF #ILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NEHBERS 1ST FCU has provided the Department aith the information listed below which has been used in calculating the potantlal tax due. Thelr records indicate that at the death of the above decedent, you ware a ~olnt caner/beneficiary of this account. Zf you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance aith the Inheritance Tax Lams of the Coaeonwaalth of Pennsylvania. Questions nay bm answered by calling (717) 787-83Z?. COMPLETE PART 1 BELOW x x ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 156797-00 Date 11-24-1995 Established Account Balance 5ZZ.4Z Percent Taxable X 50.000 Amount Subject to Tax 261.21 Tax Rate X .045 PotentiaZ Tax Due 11.75 To insure proper credit to your account, tHO (Z) copies of this notice must accompany your payment to the Register of Hills. Hake check payable to: "Register of Hills, Agent". NOTE: If tax payments are made within three (3) aonths of the dacedant's date of death, you amy deduct a SZ discount of the tax due. Any inheritance tax due will bscoee delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE A. ~-~ The above information and tax due is correct. You may choose to raait payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or you may check box "A" and return this notice to the Register of ONE ~ Hills and an official assessment will be issued by the PA Department of Revenue. BLOCK J B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return ONLY to be filed by the decedant's representative. C. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART [] and/or PART [] bales. If you indicate a different tax rate, please state your relationship to decedent: RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS 1. Date Established I PART TAX LINE 2. Account Balance 2. $. Percent Taxable $ X 4. Amount Subject to Tax 4 5. Debts and Deductions S - 6. Amount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 PART DATE PAID DEBTS AND DEDUCTIONS CLAINED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line $ of Tax Computation) $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to tl"l~best of ay knowledge and belia'F. HOME (7/~) ~ T I TELEPHONE NUH~ER -~ATE $::IXVJ. 'IVnC]I^IC]NI :10 nv::lilflg gnNgAg~l :10 J. NgW.L~Vdga VINVA1ASNNgd -I0 HJ. IVgMNOWWOD // I090-8gI, sox~£ i~n1 0nUOA~ ~!tmAIKStmOd J~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001 230 GRIFFIE NANCY K 79 STATE ROAD MECHANICSBURG, PA 17050 ........ fold ESTATE INFORMATION: SSN: 168-66-2073 FILE NUMBER: 2102-0232 DECEDENT NAME: GRIFFIE EMILY M DATE OF PAYMENT: 05/29/2002 POSTMARK DATE: 05/20/2002 COUNTY: CUMBERLAND DATE OF DEATH: 01/29/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 021221 72 $11.75 REMARKS: NANCY K GRIFFIE TOTAL AMOUNT PAID: $11.75 SEAL CHECK//1331 INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Emily M. Griffie Date of Death: January 29, 2002 Will No. 21-02-0232 To the Register: I hereby certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans Court Rules was served on or mailed to the following beneficiaries of the above-captioned Estate on February 9, 2002. Nancy K. Griffie Mother 79 State Road Mechanicsburg, PA 17050 Thomas E. Griffie Father 79 State Road Mechanicsburg, PA 17050 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None ..// , ~ ~-~ ~ DATE: June 1 5, 2002 PA ID NO 62469 P.O. Box 95 1 27 S. Market Street Mechanicsburg, PA 1 7055 717-697-7050 Counsel for Personal Representative, Nancy K. Griffie BUREAU OF ZNDZVTDUAL TAXES TNHERZTANCE TAX DZVTSTON DEPT. Z80601 HARRXSBURG, PA 17128-06nx NANCY GRIFFIE 79 STATE RD MECHANICSBURG COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAXSEHENT. ALLONANCE OR DZSALLO#ANCE OF DEDUCTION~, AND ASSESSHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-15~8 EX AFP (01-82} JUL -? !~'i ] '/~ .,COUNTY ~SSN/DC ACN PA 170~' ~ DATE 07-08-2002 ESTATE OF GRIFFIE DATE OF DEATH 01-29-2002 FILE NUMBER 21 OZ-OZ$Z CUMBERLAND 268-66-2075 02122172 Amoun~ Remi~ed EMXLY M MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA I70I$ CUT ALONG THZS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS REV-1548 EX AFP NOTICE OF ZNHERZTANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 07-08-2002 ESTATE OF GRIFFIE EMILY M DATE OF DEATH 01-29-2002 COUNTY CUMBERLAND FILE NO. 21 02-02~2 S.S/D.C. NO. 168-66-2075 ACN 02122172 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: MEMBERS 1ST FCU ACCOUNT NO. 156797-00 TYPE OF ACCOUNT: ¢~ SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 11-2~-1995 Accoun~ BaZance Percent TaxabZe Amoun~ Subject ~o Tax Debts and Deductions Taxable Amoun~ Tax Ra~e Tax Due TAX CREDZTS: 522.~2 NOTE: X 0.500 261.21 - .00 261.21 X .~5 11.75 TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. HAKE CHECK OR HONEY ORDER PAYABLE TO= "REGISTER OF WILLS, AGENT." PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 05-20-2002 CDO01Z$O .00 11.75 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 11.75 .00 .00 .00 IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATZON OF ADDITIONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS REQUIRED. IF TDTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) STATUS REPORT UNDER,RULE 6.12 Name of Decedent: Date of Death: Will No.: Emily M. Griffie January 29, 2002 21-02-0232 Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete: Yes [-'] No [] If the answer is No, state when the personal representative reasonably believes 4 months that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: bo Did the personal representative file a final account with the Court? Yes _ No ['] The separate Orphans' Court No. (if any) for the Personal representative's account is: ~ c. Did the personal representative state an account informally to the parties in interest? Yes ['-] No [-] Co Copies of receipts, releases, j oinders 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: 1/28/04 Signature Andrew C. Sheely, Esquire Nanle 127 s. Market Street P.O. Box 95 Mechanicsburg, PA 17055 Capacity: Address (717) 697-7050 Telephone No. [-'] Personal Representative [I] Counsel for personal representative JRD/June 30, 1992/17858 Date: February 02,2005 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF Nancy K. Griffie 79 State Road Mechanicsburg, PAl 7050 RE: Estate of Emily M. Griffie File Number: 21-02-0232 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or . uncompleted administration. This filing will become delinquent on: 01/29/2005 Your prompt attention to this matter will be appreciated. Thank you. Sincerely, ~~~UGH REGISTER OF WILLS cc: File Judge Counsel ~ . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name ofDecedent:~:h1l'~ 11. ffh/f". .t7 Date of Death: 0/ - d 9- 0 ::2.. Estate No.: .2/~ 0,,)-0;:;3.2 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: I. State~hether administration of the estate is complete: Yes jC1 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? Yes 0 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? Yes 0 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. ~/ /1'~ Signatur ( !1/ar;c</ r (J/"IX~ Niune { 77 5~~ ~~cL,.0jwy~1f- Address () /70 f' 0 ~/ '7 b fl,".-7' 2::2'J- . .-- Date: 6:J-,),(}-o,> ':~:> Telephone No. Capacity: ;e1>ersonal Representative o Counsel for personal representative '0 \. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE *' ... BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 171Z1S-0601 HE.CO~:O[D OFFICE :3~HERITANCE TAX ~CORD ADJUSTMENT .-'.,j REV-1593 EX AFP (03-05) ANDREW C SHEELY 127 S MARKET ST PO BOX 95 MECHANICSBURG CLERK OF ORPHAN'S COURT CUMBERLM\!D Co.. PA DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 11-03-2006 GRIFFIE 01-29-2002 21 02-0232 CUMBERLAND 101 AlIOWIt R..i tted EMILY M 2006 NOY r 4 PH I: II PA 17055 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your .:count.. sub.1t the upper portion of this for. with your tax paYll8llt. CUT ALONG THIS LINE --. RETAIN LOWER PORTION FOR YOUR RECORDS +-- ----------------------------------------------------------------- REV-1593 EX AFP (03-05) .. INHERITANCE TAX RECORD ADJUSTMENT .. ESTATE OF GRIFFIE EMILY M. FILE NO. 21 02-0232 ACN 101 DATE 11-03-2006 AD.JUSTMENT BASED ON: VALUE OF ESTATE: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. CashlBank Deposits/"isc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets DEDUCTIONS AND EXEMPTIONS: ADMINISTRATIVE CORRECTION (1) (2) (3) (4) (S) (6) (7) .00 .00 .00 .00 .00 .00 .00 (8) .00 9. Funeral Expenses/Ad.inistrative Costs/ "iscellaneous Expanses (Schedule H) 18. Debts/"ortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governeental Bequests; Non-elected 9113 Trusts 14. Net Value of Estate Subject to Tax TAX: lS. 16. 17 . 18. 19. (Schedule J) .00 .00 (11) ll2) ll3) ll4) .00 .00 .00 .00 (9) ll8) AIIOW1t of Line 14 at SPousal rate AIIOW1t of Line 14 taxable at LineallClass A rate AIIOW1t of Line 14 at Sibling rate AIIOW1t of Line 14 taxable at Collateral/Class B rate Principal Tax Due llS) ll6) ll7) ll8) .OOX 00 = .00X045= .00 X 12 = .OOX 15 = ll9) .00 .00 .00 .00 00 TAX CREDITS: , ~..._n "~"'~"II ""J AtIOUNT PAID DATE NUltBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED.. SEE REVERSE (IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR).. YOU MY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.) REV-14!OEX(~\ . ,. . INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDMDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME FILE NUMBER REVIEWED BY ACN 2102-0232 101 EMILY GRIFFIE PHYLLIS HOCH SCHEDULE ITEM NO. EXPLANATION OF CHANGES Efforts to obtain an Inheritance Tax return have been exhausted for the above referenced estate. Therefore, the filing requirements have been waived. The Department however, reserves the right to assess any assets that may be recovered at a future time. Pa~e 1