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HomeMy WebLinkAbout04-0162Estate of also known as Becki Jo Kraft , Deceased Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Jane A. Brownawell No. Petitioner(s), who is/are 18 years of age or older, apply(les) for: Social Security No. 171 - 28-4103 (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut the Decedent, dated and codicil(s) dated named in the last Will of State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (c.t.a.; d.b.n.c.t.a; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence Vicki Lee Brannen IDaughter Lauri Kay Crochunis IDaughter Becki Jo Kraft IDaughter Terry Allen Rider John O. Brownawell Deceased (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland or principal residence at 1501 K Allendale Road, Decedent, then 69 years of age, died 12/06/2003 1364 Regent St., Camp Hill, PA 17011 1377 Bridse St., Collegeville, PA ~1301 Red Hill Rd., Dauphin, PA 17018 ~55 Winchester Gardens, Carlisle, PA Husband JDate of Death:September 6, 1995 County, Pennsylvania with his/her last family Upper Allen, Mechanicsburs, PA (liststreet, number, and municipality) at Middle Paxton, PA Decedent 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 17018 (Location) 5,200.00 situated as follows: I ~7 Si~lnature Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: I B ecki Jo Kraft Typed or printed name and residence 1301 Red Hill Road, Dauphin, PA 17018 P~'epared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form RW-1 0991) Oath of Personal Representative Commonwealth of Pennsylvania 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 Decedent, Petitioner(s)will weJl and truly administer the estate a~ording to i~aw. Sworn to or affirmed and subscribed ~/~/~ before me this ~'~'~day of Becki Jo Kraf~-/ v . For th.e .Register ~/ ' No. ,2..I-oq- Estate of Jane A. Brownaweli Deceased Social Security No: 171-28-4103 Date of Death: 12/06/2003 AND NOW, ~/~'~ ~(~'~' /~ , ~/_.., in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ Testamentary ~'~ Of Administration (c.ta.; d.b.n.c.ta.; pendente lite; durante absentia; durante minoritate) are hereby granted to Becki Jo Kraft in the above estate and that the instrument(s) dated Short Certificate(s) ..... $ Renunciation ........ $ Affidavits ( ) .... $ Extra Pages ( ) .... $ Codicil ........... $ JCP Fee .......... described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES 15.00 10.00 Attorney: James G. Morgan, Jr. I.D. No: 06897 Tucker Arensberg, P.C. Address: 111 North Front St. P.O. Box 889 Harrisburg, PA 17108-0889 Telephone: 717/234-4121 Inventory .......... $ Other ........... $ TOTAL ......... $ Prepared by the Pennsylvania Bar Association 77.00 Copyright (c) 1996 form software only CPSystems, Inc. Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of Jane A. Brownawell, Deceased The undersigned, Daughter of the above Decedent, hereby renounce(s) the right to administer the esta, t~j~nd..respe~fully request(s) that Letters b~_...~.~ed to Becki jo i~. jft.. 200~ WITNESS~ .~_/['~: hand this . day of ~~ ~(~g ture) Lauri Kay Cro~n~-s 377 Bridge Street Collegeville, PA 19426 Sworn to or affirmed and subscribed before me this ,'~' ~ day .00 Notary Public My Commission Expires: Tina M. Dellose, Notary Public My Commissioa Expires Mar. 24, 2007 Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of Jane A. Brownawell, Deceased No.~.l- OH- I I~ 2.. The undersigned, Daughter of the above Decedent, hereby renounce(s) the right to administer t~u~ ..estate and respgctfu y request(s) that Letters be issued to BeCki Jo Kraft. 200¢A ~'TNESs ~'&~; ~'-,~,~~~,ndthis ~{ dayof (Signature) %Ticki L~e'Brannen 364 Regent Street Camp Hill, PA 17011 Sworn to or affirmed and subscribed before me this ~. %T~, day ,~)tary Public - My Commission Expires: Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of Jane A. Brownawell, Deceased The undersigned, Son of the above Decedent, hereby renounce(s) the right to administer the estate and respectf~r!Jy request(s) that Letters be issued to Becki Jo Kraft. 200 -~ (Signature) ~ TerryAllen Rider 55 Winchester Gardens Carlisle, PA 17013 Sworn to or affirmed and subscribed before me this /~ ~ day of ~ _, ,200_~ M~~P:ili~on Expires: ~/)'~"~ tNOTARIAL SEAL JUDITH D. KAUFFM~, Notary Public Borough of Carlisle, CUmberland County My Commission ~ March 10, 2007 105.805 REX' 9/86 This is to certify that the information here given is correctly copied £rom an original certificate of death duly filed with me as Local Registrar. The original certificate wild be forwarded to the State Vital Records Off]ce for permanent "filing. WARNING: It i$ illegal to duplicate this copy by photostat or photograph. ~' Local Registrar No. ~ Date H105 143Rev 2187/ TYPE/PRINT PERMANENT BLACK INK COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH 1 dana A Bl'ownaua=,11 J SEX ! SOCIAL SECURITY NUMBER DATE OF DEATH (Month Day Year) AGE ,t.,, ~.,, U"D, D~VE O~ ,,sm B,,TR~CE (C ~..d I~PCC~ oe~a~ ~ev.. ~i_.17.1 28 4103 ,. ~ '"' ,11/~1/1~34 I,~-~m I._~-[::] ,~,-n ~n I°,'~ ~ _ o, ' I~ut~HI~IC~IGIN? ~CE-~i~nl~.B~ ~ ,. n I,d. 1301 R~ Hill R~d ~ .... ~.,,. ' ,o, ~ite I AS DECEDENT EVER IN DECEDENT'S EDUCATION ' OF"U$1NESS ,,NDUStRY [W~'S' taMED FORCES? I '~""'~m~, ~t~ StA~S. ~. SURVimG S.OUSe ,,.. a~ ~ ~ I,:. I,,. 1~':' I ' ..... ' I,,. *c~u~ -..sm,. Pe~~ .~. ~ v.,,~.~ ~r Allen 1051 K ~1~e R~O RESIDENCE ,L ~CS~ PA 17055 ~m",~.} .~.co... ~1~ ~v '~'~ {~o~. ~U{ R~ ~11 R~d ~n~ PA 17018 ~,. o~) .... ~ ~.~ 11~ 2003 ~..Rollin~ grin e~t~ *,~.~i~ 8i11, p~ 17011 22b. ~ -- 014889 ~ ~l~zzi 8 pe .... ho pm~nce~ .ea~. ~ ~cu ~ (M~th, Day, Yea0 ~ I W~ ~SE RE~b~D TO A MEDICAL E~INER IC~ER~ cause Enter UNDERkYING { ~ ~ ~~ , ~ ' m WAS~AUTOPSy~ ...... ~T~YFINOI~ ~ ................ : Ty~4 / YesO No~ ,-o ~o I~. O c...o,.. .... ,.. HI~.. I,- ,.1~. I,-. /~~''~'{~) ' ' ~' ~ I ~ ' '~ * -' _. _,,., ................................................................. ~ 3~b.l[v ........................................................................................................... CERTIFICATION OF NOTICE UNDER RULE 5.6(a) BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY OF PENNSYLVANIA In re: ESTATE OF JANE A. BROWNAWELL, Deceased. DATE OF DEATH: December 6, 2003 Will No. To the Register: Administration No. 2003- I 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 27, 2004: Name Address Vicki Lee Brannen Lauri Kay Crochunis Becki Jo Kraft Terry Allen Rider 364 Regent St., Camp Hill, PA 17011 377 Bridge St., Collegeville, PA 19426 1301 Red Hill Rd., Dauphin, PA 17018 55 Winchester Gardens, Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Capacity: Signature: X, y. ~ ~,'~'t..i'.~,,'\ Name: ~i J~i~G'"'xM°rgan, Jr. I\ Tucke~Are'hsberg, P.C. Address: ~! 111 North Front Street P.O. Box 889 Harrisburg, PA 17108-0889 Telephone: 717/234-4121 X Personal Representative ~ Counsel for Personal Representative MBNA America P.O. Box 1.51.37 Wilmington, DE 877-767-9383 19850-5137 05/20/04 REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE, #102 CARLISLE, PA 17013 Re: In the Estate of Probate Case No. Social Security No: Last known residence: Our Client: Account Number: Amount of Debt: JANE BROWNAWELL 21-04-162 171284103 MECHANICSBURG, PA 17055 MBNA AMERICA 5490994362005449 12540.55 Dear Sir or Madam Enclosed please find a Creditors claim to be filed in the record with the above-referenced Estate. Please return a file stamped copy of the claim in the enclosed self-addressed, stamped envelope. Thank you for your assistance. If you have any questions or if this is a duplicate claim, please call our firm toll free at 1-877-767-9383. Cordially, MBNA America Enclosures A check for $5.00 for the filing fee. cc: Attomey for Estate Personal Representative This letter is an attempt to collect a debt and any information obtained will be used for that purpose. This letter is from a debt collector. 4453 5114/2004 1124737 COMMONWEALTH OF PENNSYLVANIA NO TICE OF CLAIM COURT OF COMMON PLEAS OF CUMBERLAND .COUNTY ORPHANS' COURT DIVISION In Re: The Estate of: Court File No: 21-04-162 JANE BROWNAWELL Deceased TO: THE CLERK OF THE ORPHANS' COURT DiViSION: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, :20 PA.C.S.A. §353:2(b)(:2) MBNA AMERICA 1) Claimant's name: P.O. BOX 15137 ~: 2) Claimant's address: WILMINGTON, DE 19850--5137 877-767-9383 3) Creditor listed below is the owner and holder of a claim in the amoun't[of $ 12540.55 ~. 4) The facts upon which this claim is based: This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. 5) Decedent's address' MECHANICSBURG, PA 17055 6) Date of Death: 12/06/03 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by On behalf of the claimant, [ do solemnly declare and affirm under the penalties of perjury that they [nformation and representations made herein are true and correct to the best of my knowledge, information and belief. ~. Dated:~b ~d~ '~)'~'J~ .,~ / ~"~-;> X Lucille Roberts/Jessica Ler~uthorized Repre~'ntative For MBNA America Written notice of claim was given to Personal 13.epresentative And/or his/her counsel as stated below: BECKI JO KRAFT Name 1301 RED HILL RD Address DAWSON, PA 17018 City/State/Zip . . . Date notice ~nail~d IN RE ESTATE OF: JANE BROWNAWELL AFFIDAVIT OF ACCOUNT The undersigned, being first duly sworn deposes and states the follows: Your Affiant is authorized by the Claimant as its Authorized Representative- In-Fact to make this Affidavit. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of his/her duties. o The Decedent purchased merchandise in the amount of $ 12540.55 evidenced by account number 5490994362005449 The unpaid balance does not include any post-death late payment charges, accrued interest, collection costs or attorney's fees. Further your affiant sayeth not MBNA America. Y'/ One~t~s ~uthorize~?{epresefi~atives: Lucille Roberts Jessica Lerbs __ MBNA America P. O. Box 15137 Wilmington, DE 19850-5137 Subscribed and sworn before me I ~-~',~ ~ ~u,~e NAtalie Roberts~ \1 .... t JAMES A. BALOGH - MN GARY W. BECKER - DC, FL, IL, MN, WI* *CREDITOR'S RIGHTS SPECIALIST AMERICAN BOARD OF CERTIFICATION CHELSEA A. WHITLEY - MN, WI ANGELA M. HORN - MN MICHAEL D. JOHNSON - MN MARY ELLEN WEEMAN - KS, MN, MO THERSIA 0. LEE - MN CHAD J. BOLINSKE - MN STEVEN M. TOMS - MN MICHAEL L. MCCAIN - MN WILLIAM B. HOPKINS - MN, WI JOHN E. OLCHEFSKE - MN JON M. SUSTARICH - MN JASON R. FOSTER- MN MEAGAN M. PROBST- MN MICHAEL J. DOUGHERTY - MN REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE, #102 CARLISLE, PA 17013 BALOGH BECKER, LTD. ATTORNEYS AT LAW SEND ALL WRITTEN REPLIES TO: 4150 OLSON MEMORIAL HIGHWAY, SUITE 200 MINNEAPOLIS, MINNESOTA 55422-4811 TELEPHONE 763-852-8440 FAX 763-852-8499 TOLL-FREE 866-234-0513 ARIZONA OFFICE; 64 E. BROADWAY ROAD SUITE 175 TEMPE, AZ 85282 DIANA THEOS - AZ, CO SANDRA TANG I AZ, CA ,OF COUNSEL: LITOW LAW OFFICES, P.O. (IOWA) LUSTIG, GLASER & WILSON, P.C. (MASSACHUSETrS) 05120104 Re: In the Estate of Probate Case No. Social Security No: Last known residence: Our Client: Account Number: Amount of Debt: JANE BROWNAWELL AKA JANE A BROWNAWELL 21-04-162 171284103 MECHANICSBURG, PA 17055 CITICORP CREDIT SERVICES INC. 5491130342183738 811.79 Dear Sir or Madam: Enclosed please find a Creditor's claim to be filed in the record with the above-referenced Estate. Please return a file stamped copy of the claim in the enclosed self-addressed, stamped envelope. Thank you for your assistance. If you have any questions or if this is a duplicate claim, please call our firm toll free at 1- 866-234-0513 Cordially, Balogh Becker, Ltd. c__ Attorneys at Law Enclosures A check for $5.00 for the filing fee. cc: Attorney for Estate Personal Representative This letter is an attempt to collect a debt and any information obtained will be used for that purpose. This letter is from a debt collector. 4455 5117/2004 1124737 COMMONWEALTH OF PENNSYLVANZA _IVO TICE OF CI.,4II~ Zn Re: The Eatate of: Court File No: 21-04-182 JANE BROWNAWELL Deceaaed AKA JANE A BROWNAWELL TO: THE CLERK OF THE ORPHANS' COURT DIVISION: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. §3532(b)(2). CITICORP CREDIT SERVICES INC. 1) Claimant's name: O/O BALOGH BECKER LTD, 4150 OLSON MEMORIAL 2) Claimant's address: HWY #200 MINNEAPOLIS, MN 55422 866-234-0513 3) Creditor listed below is the owner and holder of a claim in the amount of $.. 811.79 COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION 4) The facts upon which this claim is based. This claim is based on an account for credit evidenced by the attached Affidavit of Account Stated. 5) 6) Date of Death: 12/06/03 Decedent's address: MECHANICSBURG, PA 17055 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by. On behalf of the claimant, I do solemnly declare and aft~m under t~alties of perjury that they information and represent~s ~n ar nd correct to the best of my knowledge, information and be-ElT~f~, i Dated: ~"" ~_~ --O~-'( Written notice of claim was given to Personal Representative and/or his/her ~:~)unsel as stated below: BECKI JO KRAFT -'-! Name 1301 RED HILL RD Address '-~ DAWSON, PA 17018 City/State/Zip. _ Date notic~ re'ailed IN RE ESTATE OF: JANE BROWNAWELL AKA JANE A BROWNAWELL AFFIDAVIT OF ACCOUNT The undersigned, being first duly sworn deposes and states the follows: Your Affiant is authorized by the Claimant as its Attorney-In-Fact to make this Affidavit. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of his/her duties. o The Decedent purchased merchandise in the amount of $ 811.79 account number 5491130342183738 evidenced by The unpaid balance does not include any post-death late payment charges, accrued interest, collection costs or attorney's fees. Further your affiant sayeth not One of its attorneys: Chelsea A. Whitley ~ Angela M. Horn Michael D. Johnson // Mary Ellen Weer~an_ Thersia O. Lee ~ Chad J. Bolinske. 4150 Olson Memorial Highway, Suite 200 Minneapolis, MN 55422-4811 Subscribed and swom before me This. Q~ dayo~,_~(L~ ,2004. "LJCKER AREN tBo July 26, 2004 Cumberland County Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Jane A. BrownaWell Dear Register of Wills: Please forward one (1) short certificate in the above-referenced estate. Enclosed please find a check in the amount of $3.00 which represents the fee. Also enclosed is a self- addressed stamped envelope for your convenience. SinCerely, Tucker Arensberg, P.C. Theresa A. Wheeler Legal Assistant to James G. Morgan, Jr. JGMjr:taw Enclosures Tucker Arensberg, P.C. 111 North Front Street P.O. Box 889 Harrisburg, PA 17108 www.tuckerlaw.com p. 800.257.4121 p. 717.234.4121 f. 717.232.6802 REV- 1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENTOFREVENUE DEPT. 280601 HARRISBURG, PA 17198-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY COUNTYCODE YEAR NUMBER D DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER E Brownawell Jane A. 171-28-4103 C E DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH {MM-DO-YEAR) 12/06/2003 D E N T cAPB HpRL EpIO cRAC KOTK ES R E C A P I T U L A T I O N ii/2i/i934 IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER ~ 1. OriginalReturrt ~ 247! SupplementalReturn 4. Limited Estate . Future Interest Compromise (date of death after 12- lg-82) 6. Decedent Died Testate Decedent Maintained a Living Trust 0 (Attach copy of Will) (Attach copy of Trust) [] 9. LItigation Proceeds Received [~10. SpousalPovertyCredit [] 11.ElectiontotaxunderEec. 9113(A) (date of death between 12-31-91 and 1-1-95) (Attach Sch O) C O R R E S C O M T 0 N (date of death 3. Remainder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes NAME James G. Morgan Jr., Esquire FIRM NAME (If Applicable) Tucker Arensberg, P.C. TELEPHONE NUMBER 1717/234-4121 ;OMPLETE MAILING ADDRESS 111 North Front Street P.O. Box 889 Harrisburg, PA 17108-0889 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscerlaneous Personar Property (Schedule E) 6. Jointly Owned Property (Schedule F) (6) ~1 Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule ~) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (1) s,oo% . (2) (3) 4 40 ~Zf8 (4) None ($) 9,039~03 N6ne N6n 14,513.56 13,729.72 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) OFFICIAL USE ONLY :: (8) 18,440.51 (11) 28,243.28 (12) (9,802.77) (13} (14) (9,802.77) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) X .0 0 16. Amount of Line 14 taxable at lineal rate (9,802.77) X .o 45 17. Amount of Line 14 taxable at sibling rate X ,12 18, Amount of Line 14 taxabre at collateral rate X .15 19, Tax Due (15) 0.00 (16) 0.00 (17) 0.00 (18) 0.00 (19) 0.00 Copyright (c) zo~o form software only The Lackner Group, mc. Form REV-1500 EX (Rev. 6~00) Decedent's Complete Address: S~Hb~I ADDRESS 1051 K Allendale Road CITY STATE I ZIP Mechanicsbur~ PA I 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 0.00 3. Interest/Penaify if applicable 0.00 D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (S) 0.00 A. Enter the interest on the tax due. (SA) 0.00 B. Enter the total of Line 5 * SA. This is the BALANCE DUE. (SB) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS or her death? .............................................. [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. correct and complete. Declaration of preparer other than the personal representative Is based on all Information of which preparer has any knowledge. SIGNATI~RE OF PERSON RESPONSlE~LE FOR FILING RETURN Becki Jo Kraft DATE ' ' ' / ~ ~ ~ -'~-,--~---i~bi-~ ............................ ~ ~SlGNATUREOFPRE~ ~N~R~ENTATIVE Tucker Arensberg, P.C. DATE k'"'~ ~%f~"-~ 111 North Fr ont Street For dates of dea~ ~ff~r2~~ ]~ ] anuau 1. 1995, the tax rate imposed on the net value ~f For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for discJosure of assets and filing a tax return are still applicable even if the 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(aX1)]. 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(aX1.3)]. 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. Copyright (c) ZOO0 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV-I$0Z EX+ 13-97} I SCHEDULE A COMMONWE^LT, OF RENNSYLV^NI^ I REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Jane A. Brownawell SS~ 171-28-4103 12/06/2003 All real ~o~,~f owned solely or as a tenant in common must be reposed at fair market value. Fair market value is defined as the price at which prope~ would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowled~ ~e of the relevant facts. Real prope~ which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 2 DESCRIPTION Fairfield Williamsburg - Williamsburg, VA timeshare Westwinds Condominiums Horizontal Porperty Regime - Myrtle Beach SC timeshare TOTAL (Also enter on line 1, Recapitulation) $ VALUE AT DATE OF DEATH 4,000.00 1,000.00 5,000.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc, Form REV- 1502 EX (Rev. REV-t~9~ EX+(t-97) SCHEDULE C I COMMONWEALTH OF PENNSYLVANIA CLOSELY-HELD CORPORATION, I INHERITANCETAX RETURN PARTNERSHIP or SOLE-PROPRIETORSHIP RESIDENT DECEDENT ESTATE OF FILE NUMBER Jane A. Brownawell SS~/ 171-28-4103 12/06/2003 Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER DESCRIPTION 129 Avatar Holdings, Inc. - traded on NYSE, common TOTAL (Also enter on line 3, Recapitulation) VALUE AT DATE OF DEATH 4,401.48 4,401.48 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV- 1504 EX (Rev. 1-97) REV- 1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY Jane A. Brownawell SS# 171-28-4103 12/06/2003 Include the proceeds of litigation and the date he proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. FILE NUMBER ITEM NUMBER 1 2 3 4 DESCRIPTION Waypoint Bank - Checking account #320006430 Accrued interest on item 1 to date of death Waypoint Bank - Certificate of Deposit #7100020021 Accrued interest on item 2 to date of death Waypoint Bank - Certificate of Deposit #7100020029 Accrued interest on item 3 to date of death Waypoint Bank - Certificate of Deposit Accrued interest on item 4 to date of death 1996 Ford Taurus GL Sedan Household furniture TOTAL (Also enter on line 5, Recapitulation) VALUE AT DATE OF DEATH 1,412.58 0.11 1,028.19 47.35 1,049.13 0.14 1,024.76 51.77 3,000.00 1,425.00 9,039.03 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV- 1 ~08 EX (Rev. 1-97) REV-1511 EX +(1-97) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & iNHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF Jane A. BrowTtawell SS~/ 171-28-4103 12/06/2003 FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A, FUNERAL EXPENSES: 1 Malpezzi Funeral Home - funeral fees 2 3 4 5 6 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Becki Jo [(raft Social Security Number(s) / EIN Number of Personal Representative(s) Street Address 1301 Red Hill Road City Dauphin State PA Zip l7018 Year(s) Commission Paid: Attorney's Fees Tucker Arensberg, P. C, Family Exemption: (if decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Clain~nt to Decedent Probate Fees Register of Wills Accountant's Fees Tax Return Preparer's Fees Other Administrative Costs ;ulligan - water Cumberland Law Journal - proof of publication Fairfield Resorts - timeshare payment Fairfield Resorts - timeshare payment Fairfield Resorts - timeshare payment Fairfield Williamsburg - Settlement costs for Williamsburg, VA timeshare Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) AMOUNT 3,839.50 4,000.00 4,000.00 77,00 63.77 75.00 231.73 52.76 105.52 500.00 1,568.28 $ 14,513.56 (If more space is needed, insert additional sheets of the same size) Copyright lc) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev, 1-97) Estate of: Jane A. Brownawell Soc Sec #: 171-28-4103 Date of Death: 12/06/2003 Continuation of Schedule H-Bi (Personal Representative's Commissions) Item Description Amount 1 Becki Jo Kraft - executor commission 4,000.00 4,000.00 Estate of: Soc Sec #: 171-28-4103 Date of Death: 12/06/2003 Jane A. Brownawell Continuation of Schedule H-B2 (Attorney's Fees) Item Description 1 Tucker Arensberg, P.C. attorney fees 4,000.00 4,000.00 Estate of: Jane A. Brownawell $oc Sec #: 171-28-4103 Date of Death: 12/06/2003 Continuation of Schedule H-B4 (Probate Fees) Item Description 1 Register of Wills probate fee 77.00 77.00 Estate of: Soc Sec #: 171-28-4103 Date of Death: 12/06/2003 Jane A. Brownawell Continuation of Schedule H-B7 (Other Administrative Costs) Item Description Amount 9 10 11 12 13 14 15 16 17 18 19 2O 21 22 7 8 The Storage Depot The Storage Depot The Storage Depot The Storage Depot The Storage Depot The Storage Depot McCutchen, Muraford, Vaught, O'Dea and Geddie, PA - South Carolin attorneys fee for sale fo timeshare Nationwide Mutual Fire Insurance Co. - insurance payment Register of Wills - short certificate Register of Wills - short certificate Register of Wills - short certificate T-Mobile - cell phone The Sentinel - proof of publication storage of decedent's personal items storage of decedent's personal items storage of decedent's personal items storage of decedent's personal items storage of decedent's personal items storage of decedent's personal items Usztics Flower and Green House - funeral flower arrangement Verizon - Final telephone bill Westwinds Condominiums Horizontal Porperty Regime - settlement fees for Myrtle Beach, SC timeshare 450.00 89.00 3.00 3.00 3.00 73.00 108.95 86.92 86.92 86.92 97.52 97.52 97.52 200.00 5.01 80.00 1,568.28 REV-1512 EX * (1 ~97) COMMONWEALTHOFPENNSYLVANIA INHERITANCETAXRETURN RESIDENTDECEDENT ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS Jane A. Brownawell SSf/ 171-28-4103 Include unreimbursed medical expenses. 12/06/2003 ITEM NUMBER 1 2 3 DESCRIPTION Capital One - credit card debt Citicorp Credit Services, Inc. - credit card debt MBNA America ~ credit card debt FILE NUMBER AMOUNT 377.38 811.79 12,540.55 TOTAL (Also enter on line 10, Recapitulation) 13,729.72 {If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems. Inc.Form REV-l$12 EX (Rev. 1-9'/) REV-15~ EX +~9-00) I SCHEDULE J COM~O.WE^LTH OF RE.NS~VA.~^ BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Janf A. Brownawell SS~; 171-28-4103 12/06/2003 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [Include outright spousal distributions, and transfers under Sec, 91 1 Vicki Lee Brannen Daughter 364 Regent St. Camp Hill, PA 17011 2 Lauri Kay Crochunis Daughter 377 Bridge St. Collegeville, PA 3 Becki Jo Kraft Daughter 1301 Red Hill Rd. Dauphin, PA 17018 4 Terry Allen Rider Son 55 Winchester Gardens Carlisle, PA --NTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS RELATIONSHIP TO DECEDENT Do Not List TOTAL OF PART 11 - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET FILE NUMBER AMOUNT OR SHARE OF ESTATE 1/4 residue 1/4 residue 1/4 residue 1/4 residue 18, AS APPROPRIATE, ON REV 1500 COVER SHEET 0.00 (If more space is needed, insert additional sheets of the same size) Copyright (c) ZOO0 form software only The Lackner Group, Inc. Form REV-1513 EX (Rev. 9-00) Register of Wills of Estateof Jane A. Brownawell CUMBERLAND INVENTORY County, Pennsylvania Date of Death 12/06/2003 , Deceased Social Security No. 171- 28-4103 Becki Jo Kraft, 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 n'~rnorandum at the end of this Inventory. I AVe verify that the statements made in this ~nventory are true and correct, lAVe understand that false statements herein are made subject to the penalties o Name of Attorney: I.D. No.: 06897 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative/"~ ' ~lre Signature: B ec~k/i~j o~K~r ~/~~ Signature: Address: 111 North Front Street Address: 1301 Red Hill Road Harrisburg, PA 17108-0889 Telephone: 717/234-4121 Dauphin, PA 17018 Telephone: 717/921-2463 oa,ed: Description (See continuation page(s) attached) (Attach additionai sheets if necessary) Value NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form ~lRW-? (1992) Estate of: Date of Death: County: INVENTORY Jane A. Brownawell 12/06/2003 Cumberland CASH: The Independent Order of Foresters - Life Insurance policy #3065759 Waypoint Bank - Checking 1,412.58 account #320006430 Accrued interest through date 0.11 of death Waypoint Bank - Certificate of 1,028.19 Deposit #7100020021 Accrued interest through date 47.35 of death Waypoint Bank - Certificate of 1,049.13 Deposit #7100020029 Accrued interest through date 0.14 of death Waypoint Bank - Certificate of 1,024.76 Deposit Accrued interest through date 51.77 of death 6,000.00 10,614.03 -1- PERSONAL PROPERTY: 1996 Ford Taurus GL Sedan Household furniture 3,000.00 1,425.00 STOCKS/CLOSELY HELD: 129.00 Avatar Holdings, Inc. on NYSE, common traded 4,401.48 REAL ESTATE/PA: Fairfield Williamsburg Williamsburg, VA timeshare Westwinds Condominiums Horizontal Porperty Regime Myrtle Beach, SC timeshare 4,000.00 1,000.00 TOTAL RECEIPTS OF PRINCIPAL ............... 4,425.00 4,401.48 5,000.00 24,440.51 -2- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIV~.. u~~)fi!~ (FieE OF INHERITANCE TAX DIV, r' "._, ,'. ... ,-~ PO BOX 280601 ,,'I.~ .::l,: :";".> HARRISBURG PA 171Z8-0lJd1'~-' ,~,,' ," NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF OEOUCTIONS ANO ASSESSMENT OF TAX 2UGS Ji:;,j I 4 Pi; 3: 14 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN CLER:< Cr:- ORf'H.~JI S U)!JRT JAMES A 'MVRGAIl' !(JR" ESlr, V\)"", TUCKER ARENS BERG PO BOX 889 HBG PA 17108 01-17-2005 BROWNAWElL 12-06-2003 2l 04-0162 CUMBERLAND 101 *' REV~15~7 EX AFP (lZ-O~l JANE A Allount Relli tted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ n-II' :rn".EY-AFp..CiiY:63".NiiTYfE-oF.'l:NHERYfAN.cl!.YAx.iI..r"RilIsEWN'i':..AtloWANCI!-OR'...._........ - ... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BROWNAWELL JANE A FILE NO. 21 04-0162 ACN 101 DATE 01-17-2005 TAX RETURN WAS: (X) ACCEPTEO AS FILEO ) CHANGEO RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule BJ 3. Closely Held stock/Pa~tnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule DJ s. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ll) (2) (3) (4) (5) (6) (7) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabillties/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governm.ntal Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net V.lue of Estate Subject to Tax (9) 1l0) 5.000,00 .00 4.401.48 .00 9,039.03 .00 .00 (8) 14,513.56 NOTE: If an assessment was issued previously, lines reflect figures that include the total of ~ ASSESSMENT OF TAX: 15. Amount of Line 1~ at Spousel rate (IS) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Cla$s B rate (18) 19. Principal Tax Due 13.729.72 Ill) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this for. with your tax pay.ent. 18,440.51 :>8.243 ?8 9,802,77- .00 9,B02.77- 14, IS and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = .00 X 045 = .00x12= .00 X 15 = (19)= .00 .00 .00 .00 .00 TAX CR IITS: . "J AHOUNT PAID OATE NUMBER INTEREST/PEN PAlO (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAlO AFTER DATE INOICATEO, SEE REVERSE FOR CALCULATION OF AOOITIONAL INTEREST. IF TOTAL OUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL OUE IS REFLECTEO AS A "CREOIT"' (CR), YOU MAV BE OUE A REFUNO. SEE REVERSE SlOE OF THIS FORM FOR INSTRUCTIONS,) ~~ ~ Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 203 2/8/2005 TANE A. BROWNA WELL 21-04-0162 JAMES G. MORGAN, JR 111 N. FRONT STREET P.O. BOX 889 HARRISBURG, PA 171080889 JA Qty 1 Fee Description EXEMPUFIED COPI Fee Total 21.00 $21.00 Total: $21.00 Cltecks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of rhis invoice with your payment. Thank you. Glenda Farner Slrasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 203 2/8/2005 lANE A. BROWNA WELL 21-04-0162 JAMES G. MORGAN,JR 111 N. FRONT STREET P.O. BOX 889 HARRISBURG, PA 171080889 JA Qty Fee Description Fee Total 1 EX'EMl'Lu:, 1.t.1J curl -21.00 m:oo Ce.+ c. '" PL) qOD Total: 'S "0 r+ c... ,--I- $21.00 '\)c\ 3- lj-oS- Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment, Thank you. Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/01/2005 MORGAN JAMES G JR 111 N FRONT ST POBOX 889 HARRISBURG, PA 17108-0889 RE: Estate of BROWNAWELL JANE A File Number: 2004-00162 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 is due by: 12/06/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~5t"M#J~~ '- GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge \lb TUCKERIARE~~~f}~~ November 3, 2005 Cumberland County Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Jane A. Brownawell File No. 2004-00162 Dear Sir or Madam: Enclosed please find an original and one (1) copy of the Status Report Under Rule 6.12 for filing. Please time-stamp and return the copy in the enclosed self- addressed stamped envelope. Should you have any questions, please do not hesitate to contact me. Thank you for your cooperation in this matter. Sincerely, Tucker Arensberg, P.C. ;1~a. JI~ Theresa A. Wheeler Paralegal to James G. Morgan, Jr. 'j I :taw Enclosures I .1 r.) C-j Tucker Arensberg, P.C. 111 N. Front Street P.O. Box 889 Harrisburg, PA 17108 p.717.234.4121 f. 717.232.6802 www.tuckerlaw.com 1500 One PPG Place Pittsburgh, PA 15222 p.412.566.1212 f.412.594.5619 Lf <-~,- .1 Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: Jane A. Brownawell Date of Death: 12 /6 /2 003 Estate No.: 2004-00162 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 ofthe estate is complete: Yes 00 No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 01 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account info interest? Yes 00 No 0 ly to the parties in Date: formal or informal , Court apd may be I c. Copies of receipts, releases, joinders and accounts may. be filed with therrk\...Of t attached to thIS report. ... J / , , 11/3/2005 j S tUre ffies G. Morgan, Jr. ;ucker Arensberg, P.C. (:) c"-.! .~~. Box 889 Harrisburg, PA 17108-0889 Address (717) 234-4121 Telephone No. \._- Capacity: 0 Personal Representative ill Counsel for personal representative ~~ IN THE COURT OF COMMON PLEAS OF L~C~t1u~~ COUNTY, PENNSYLVANIA IN RE: ) ORPHANS' COURT DIVISION ESTATE OF ~ No. Q~@6~ 4 ~' ~ - CJ ~~~ Z DECEASED `r STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: ~ Z ~ z cr ~ 3 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rule, I report the following with respect to completion of the administration of the above captioned estate: 1. State whether administration of this estate is complete: Yes \\``a No 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 b. c. 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: Did the personal representative state an account informally to the parties in interest? Yes ~`~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report. c `~ ~ Date: ~\ -` ~~~ _ C`~4, ,., ,~.. ~~~ ~ ~ ~~ ~ ~ ~~.. Signature '~~, Name: i.m ~. ,_~',~ f Z ~ul t~€~ 6 ~ ~:~~~ ~00~ Address: Telephone: Capacity: Personal Representative 'v Counsel for Personal Representative BE:260506-1 , ,_, , , , - _ ,,