Loading...
HomeMy WebLinkAbout02-0245 PETITION, FOR PROBATE and GRANT OF LETTERS Eslate of AUDREY S. GUILES N0.o~O/-~)o~__,~.4,_~ also known as To: Register of Wills for the _, Deceased. County of CUMBERLAND Social Securit.v No. 211-18-5565 Commonwealth of Pennsylvania The pelifion of the undcrsigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an tile executrix in the last will of the above decedent, dated July 27th and codicil(s) dated in the named ,19 78 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h. er last family or principal residence at 135 Lee Ann Court Enola, PA 17025 (list street, number and muncipality) Decendent, then 75 years of age, died September 27th ,Xla) 2001 at Holy Spirit Hospital, Camp Hill, Pennsylvania ' 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: None 10,000 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ COUNTY OF Cumberland ) SS 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 well and truly administer the estate according to law. Sworn to or affirmed and sabscribed ~- L~q,~..~-.-- ,.x~..(,O,~ before me this 6 day of | .~ ,..,~--~ t r~ No. Estate Of Audrey S. Guilest , Deceased DECREE OF PROBATE AND GRANT OF LETTERS ADri] 26 AND NOW the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated July 27, 1978 described therein be admitted to probate and flied of record as the last will of Audrey S. Guiles and Letters Testamentary are hereby granted to Andrea Guiles, nka Andrea G. Rigby 200.2, in consideration of the petition on FEES Probate, Letters, Etc .......... $ 40.00 Short Certificates(tO) .......... $ 30.00 Renunciation ...1 ............ $ 5.00 x-Pages ( 2 ) $ 6.00 5.00 JCP TOTAL $ Filed .. Apri.1..26,..2.QQ.2 ..... $.8.6...0.0 .... 515 S. 29th Street Hbg. PA 17104 ADDRESS (717) 561-0820 PHONE MAILED LETTERS AND ORDER RD EXECUTRIX 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. P 7822117 No. ~ Date COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH 135 Lee *~ C C~II~ ~ T 1 '~ lid ,o.,,s~,m, ~. ~c~ ~.~ 7ker _.[~. Berd}a New. mr Andrea [~ 1919 5lonterev Drive~ Nechanicsbu~A 17050 _t,l~.. OcEober 1, 2001 ~z: Hershey Cemetery ~!tershey. PA 17033 ~FD010092-L ~vHc?y~e~ F it & Crematory P O Box 475, Hersne.,,~A .~.,,,~ BAR:njg 6/'9/78 I, AUDREY S. GUILES, of Derry Township, Dauphin County, Pennsylvania, revoke my prior wills and declare this to be my will: I. Debts and Funeral Expenses: My debts and the expenses of my last illness, funeral and burial shall be paid out of my estate. GIFTS II. Personal and Household Effects: I give all my articles of personal or household use, including automobiles, together with all insurance relating thereto, to such of my daughters, JANELLE GUILES and ANDREA GUILES, as survive me by thirty days, to be divided among them as they may agree. [I intend to leave a memor- andum setting forth suggestions as to the distribution of certain items and, while the memorandum is not to be legally binding, I hope the suggestions in it will be carried out. III. Residuary Estate: I give the residue of my estate, real and personal, in equal shares to such of my daughters, JANELLE GUILES and ANDREA GUILES, as survive me by thirty days; provided that if a daughter does not so survive me but leaves issue who so survive me, such issue shall receive, per stirpes, the share that daugriter would have received had she so survived me. ADMINISTRATIVE PROVISIONS IV. Minor Beneficiaries: I appoint my daughters, JANELLE GUILES and ANDREA GUILES, guardians of any property passing to a minor by reason of my death with respect to which I am authorized to appoint a guardian and no guardian has previously been appointed. The guardians may pay to, or expend on behalf of, the minor any or all of the minor's property and the income from it without court approval and may retain and invest the balance of the property and income with all the management powers given to my executor by law or by this will. In addition, the guardians shall have the power to exercise on the minor's behalf options available under any insurance policy payable to a minor. No guardian shall be required to give bond in any jurisdiction. V. Protective Provision: No interest in income or principal shall be assignable by, or available to anyone having a claim against, a beneficiary before actual payment to the beneficiary. VI. Death Taxes: All federal, state, and other death taxes payable because of my death on the property forming my gross estate for tax purposes, whether or not it passes under this will, shall be paid out of the principal of my probate estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary or any outside fund. VII. Management Provisions: I authorize my executor: A. To retain and to invest in all forms of real and personal property, regardless of any limitations imposed by law on investments by executors; B. To compromise claims and to abandon any property which, in my executor's opinion, is of little or no value; C. To sell at public or private sale, to exchange or to lease for any period of time, any real or personal property, and to give options for sales or leases; D. To join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto; E. To borrow, and to pledge property as security for repayment of any funds borrowed; and F. To distribute in cash or in kind. These authorities shall be in addition to those granted by law and shall be exercisable without leave of court. FIDUCIARIES VI:LI. Executor: I appoint my daughters, JANELLE GUILES and ANDREA GUILES, executors of this will, to serve without bond. Executed: a 7 ,1978. [SEAL) A rey S. Guiles In our presence the above-named testatrix signed this and declared it to be her will, and now at her request, in her presence, and in the presence of each other, we sign as witnesses: .----~ G~-~-~.. /t/~c.-~9~O~c~l ~l ~6~. ~~ -2- STATE OF PENNSYLVANIA ss. COUNTY OF ~~aD ,C.1 /) I, AUDREY S. GUILES, testatrix, who signed the foregoing instrument, having been duly qualified according to law, acknowledge that I signed and executed the instrument as my will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me, by Audrey S. Guiles, the testatrix, this p"~:~y~-~ day of~~ , 1978. ,, 'r~r~N... `: [srk i.~ta 5rty, 6~a ^ lwy, ::++mna~ssson £xpares reb. 14, 1981 ~--0 Testa rix STATE OF PENNSYLVANIA COUNTY OF ! J/tc.,~.~0 ~ ~ . ss. We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw testatrix sign and execute the instrument as her will; that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing signed the will as witnesses; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscrib d to before me and ~en~H~c~l-~~~ witnesses, this o^l~'~'~ day o.f ~w(~ 1978. a^-~ Witness ~~_ Witness f/ I ,/~ C ;/',- - ~, v'tti~ ~jkjpt~.~,~:~,a~tjl~t~Nubiic York, York County, Pa. Mpr Commission Expires feb. 14, 1981 RENUNCIATION In Re: Estate of Audrey S. Guiles deceased. To the Register of Wills of Cumberland County, Pennsylvania. The undersigned Janelle Guiles, daughter of the above decedent, hereby renounces the right to administer the estate and respectfully asks that Letters be issued to Andrea G. Guiles, now known as Andrea G. Rigby, daughter of the above decedent. WITNESS :rT~cz~--k~)O~ hand this day of (Signature) Janelle Guiles 204 Gerfitt Street Philadelphia, PA 19147 REV.15<X) EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0601 REV-Il500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 2, - o__& COUNTY CODE YEAR NUMBER 13,. Z Z o n U.I n,' O O DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) AUDREY S. GUILES DATE OF DEATH (MM-DD-YEAR) 9-27-2001 DATE OF BIRTH (MM-DD-YEAR) 8-11-1926 SOCIAL SECURITY NUMBER 211-18-5565 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER [] 1. Original Return [] 4. Umited Estate [] 6. Decedent Died Testate (Attach copy of Wi~) [] 9. Litigation Proceeds Received [] 2. Supplemental Return [] 4a. Future Interest Compromise (date of dea(h atter 12-12-82) [] 7. Decedent Maintained a Living Trust (Att~ coty of Trust) [] 10. Spousal PovertyCredit(dateddeathba'ween12-31-91 a~l 1.1-95) [] 3. Remainder Return (dae o~ death pdor to 12-13-82) [] 5. Federal Estate Tax Return Required __ 8. Total Number of Safe Deposit Boxes [] 11. Election to tax under Sec. 9113{A) (Attach Sch O) NAME COMPLETE MAILING ADDRESS ANDREA G. RIGBY, EXECUTRIX 1919 MONTERY DRIVE FIRM NAME (If Applicable) MECHANI CSBURG, PA TELEPHONE NUMBER (717) 728-4277 17050 1. Real Estate (Schedule A) (1) 0 ~, 0 0 2. Stocks and Bonds (Schedule B) (2) 0: 0 0 ,: 3. Closely Held Corporation, Partnership or Sale-Proprietorship (3) 4. M~gages & Notes Receivable (Sctiedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Properly (5) 6,857 ;:'~00 (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) '8. Total Gross Assets (total Unes 1 - 7) (8) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 1 1, 5 7 2. 0 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) i, 3 8 7. 0 0 11. Total Deductions (total Lines 9 & 10) (11) 12. Ne{ Value of Estate (Une 8 minus Une 11) (12) 13. Charitable and Governmental Boquests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. NCt Value Subject to Tax (Line 12 minus Line 13) (14) c_OFFICiAL USE ONLY I 6,857.00 12,959.00 (6,102.00) (6,102.00) SEE INSTRUCTIONS FOR APPUCABLE RATES 15. Amount of Une 14 taxable at the spousal tax rate, or ~ansfers under Sec. 9116 (a)(1.2) 0 X .0 0 (15) 16. Amount of Une14 taxable at lineal rate 0 x .0 0 (16) 17. Amount of Line 14 taxableat sibling rate 0 X .12 (17) 18. Amount of Line 14 taxable at collateral rate 0 X .15 (18) 19. Tax Due (19) 20. [] I CHECK HERE myOU~EREQUESTING A REFUND OF ~OVERPAYMENTI 0.00 OoO0 0.00 0.00 0.00 S'i'F PA42021F.1 Decedent's Complete Address: ISTREET ADDRESS crrY ENOLA 135 LEE ANN COURT ISTATE PA ZIP 17025 Tax Payments and Credits: 1. Tax Due (Page I Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) Total Interest/Penalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I Une 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) (1) 0. O0 0.00 0.00 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.0 0 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 right to designate who shall use the proper 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 '~n trust for" or payable upon death bank account or secudty 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 SCHEBULE G AND FILE IT AS PART OF THE RETURN, Under penalties d perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURF-,J3E PERSON RESPOI~Sfli~LE FOR FILING RETURN AOORE - - JC / 1919 MONTERY DRIVE~ ~EC~ICSB~G, PA 17050 SIGNAT~F EREPARER OTHER THAN REPRESENTATIVE DATE AO S 515 S. 29TH STREET, HARRISBURG, PA 17104 For dates d death on or after July 1, 1994 and before January 1, 1995, the tax rate im posed 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 RS. {}9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if tho surviving spouse is the only beneficiary. 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. STF PA42021F.2 REV-1508 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF AUDREY S. GUILES SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 2002-00245 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of suwivo~ship must be disclosed on Schedule F. ITEM NUMBER 2 3 4 DESCRIPTION ALLFIRST CHECKING ACCT #00612-7625-1 ALLFIRST SAVINGS ACCT #8-700-533-4627847 FURNITURE, FIXTURES & MISC. HOUSEHOLD ITEMS 1993 TOYOTA CAMRY VALUE AT DATE OF DEATH 2,101 256 1,000 3,500 TOTAL (Also enter on line 5, Recapitulation) $ 6,8 5 7.0 0 (If more space is needed, insert additional sheets of the same size) STF PA42021F.9 REV-1511 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF AUDREY S. GUILES SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS I FILE NUMBER 2002-00245 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. 5. 6. 7. FUNERAL EXPENSES: HOOVER FUNERAL HOME ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) SEeet Address City State Year(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is no{ the same as claimant's, attach explanation) Claimant Zip Street Address City Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Retum Preparer's Fees PRESERVATION OF State Zip, 7,601 76 86 2,850 4OO 559 TOTAL (Also enter on line 9, Recapitulation) $ 11,572.00 (If more space is n~l~, insert additional shoots of the same size) STF PA42021F.12 REV-1512 EX + (1-97) (I) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF AUDREY S. GUILES SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 2002-00245 Indude unreimbu~cl medical expenses. ITEM NUMBER DESCRIPTION AMOUNT UTILITIES CREDIT CARDS MEDICAL SERVICES 416 836 135 TOTAL (Also enter on line 10, Recapitulation) $ 1,3 8 7.0 0 (If more space is needed, insert additional sheets of the same size) STF PA42021F.13 BUREAU OF ZNDZVTDUAL TAXES INHER/TANCE TAX DTVXSZON DEPT. 180601 HARRXSBURG, PA 17118-0601 CONNONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLONANCE OR DZSALLONANCE OF DEDUCTIONS AND ASSESSNENT OF TAX RE¥-1;47 EX AFP ANDREA G RIGBY 1919 NONTERY DR HECHANICSBURG PA~17050 DATE 10-21-2005 ESTATE OF GUILES DATE OF DEATH 09-27-2001 FILE NUHBER 21 02-0245 COUNTY CUHBERLAND ACN 101 Aaoun~ Remitted AUDREY S HAKE CHECK PAYABLE AND RENZT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-15&7 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX ESTATE OF GUILES AUDREY S FILE NO. 21 02-0245 ACN 101 DATE 10-21-2005 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE /NTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Pertnarsh/p Interest (Schedule C) (3) 4. Nortgages/Notes Race/veble (Schedule D) (4) 5. Cash/Bank Dapos/ts/Hisc. Personal Property (Schedule E) (5) 6. Jo/ntly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets APPROVED DEDUCTZONS AND EXENPTZONS: 9. FuneraZ Expensas/Adm. Costs/Misc. Expanses (Schedule H) (9) 10. Dabts/Nortgaga L/ab/lit/es/L/ans (Schedule 1) (10) 11. Tote1Daduct/ons 12. Nat Value of Tax Return O0 O0 O0 O0 6z857 O0 O0 O0 (8) 11,572.00 1 ~ 587. O0 (11) (12) 13. 14. NOTE: ASSESSHENT OF TAX: 15. Amount of L/nm 14 at Spouse1 rate 16. Amount of L/ne lq texebXa at L/naal/Class A rate 17. Amount of L/ne 14 at S/bX/ng rata 18. Amount of L/ne 14 taxable at CoXlatarel/Cless B rata 19. Princ/pal Tax Due tAX CREDITS: PAYMENT RECETpT DTSCOUNT (+} DATE NUNBER ]:NTEREST/PEN PAZD (-) Char/table/Governmental Bequests; Non-elected 911:5 Trusts (ScheduXa J) (13) Net Value of Estate Sub.~act to Tax (lq) Xf an assessment Has issued previously, lines 14, 15 and/er 16, 17, reflect figures that include the total of ALL returns assessed to date. (~5) .00 x O0 = (16). .00 X 045 = (17) . O0 x 12 = (18) .00 x 15 = (19)= ANOUNT PAXD ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE: To /nsura proper credit to your account, subm/t the upper portion of th/s form with your tax payment. 6,857.00 12.9~9.00 6,102.00- .00 6,101.00- 18 and 19 #ill .00 .00 .00 .00 .00 TOTAL TAX CREDIT BALANCE OF TAX DUEI XNTEREST AND PEN.I TOTAL DUE I .00 .00 .00 .00 ( ZF TOTAL DUE ZS LESS THAN $1~ NO PAYNENT ZS REeUZRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDZT' (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.) 1:3 r-1 Postage Certified Fee Postmark Return Receipt Fee Here (Endorsement Required) Restricted Delivery Fee {Endorsement Required) Total Postage & Fees _ ,2, end 3. Al~o comptste D. bdMIveryaddmesd~fmmltemll r'lyes 7001 2510 0006 5862 0074 JRD/June 30, 1992/17858 OOT 0 6 2003 In Re: Estate of Audrey S. Guiles Late of East Pennsboro Township Estate No.: 21-2002-0245 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-2002-0245 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Andrea Guiles, A/K/A Andrea G. Rigby Counsel for Personal Representative: Date of Decedent's Death: 09-27-2001 Date of Delinquency Notice: 08-01-2003 The undersigned, Donna M. Otto, Register of Wills, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on 10-06, 2003, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 10-06-2003 Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for at in Courtroom No. 3. If the Status Report is filed prior to the hearing date, the hearing will automatically be canc_j~j~.,~t a ,~ ,,, Geol(ge ~of~,~.J.l~/' - STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: ~ Will No.: & I O A - 0~.~.~F Admin. No.: C5 ~ -0 ;[ 9~ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes [~ No [-'"1 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes K/ No [~ b. The separate Orphans' Court No. (if any) for the personal representative's account is: ~.! -' ~.00~, - 0 gl~ ,ff' c. Did the personal re__~r, esentative state an account informally to the parties in interest? Yes Ill No [--] Date: Co 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. Name Address Capacity: Telephone No. [~ Personal Representative [-'] Counsel for personal representative