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
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KOTK
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A
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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 , ,_, , , , - _ ,,