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Home My WebLink About04-0513 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) AUSTIN F GROGAN COYNE & COYNE 3901 MARKET ST CAMP HILL ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-30-2006 MILLER 03-25-2004 21 04-0513 CUMBERLAND 101 HARRY R Amount Remitted PA 17011 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MILLER HARRY R FILE NO.21 04-0513 ACN 101 DATE 05- 30 - 20 06 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-03-2005 PRINCIPAL TAX DUE: 307.40 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 04-29-2006 CD006634 21.95- 329.35 TOTAL TAX CREDIT 307.40 BALANCE OF TAX DUE .00 INTEREST AND PEN. .65 TOTAL DUE .65 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR TN~TRIIl"'TTnN<:' l o.,vTITION FOuR PROBATE and GRANT OF LETTERS Estate of Harry R. Miller No. also known as ..~ ~.,,, s,,.~t ,,~ , .,4~ ; /~,~ To: f Register of Wills for the , Deceased. County of Cumberland in the SocialSecurity No. 179-18-2085 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the executor ~','2~-¢ named in the last will of he above decedent, dated May 28~ 1982 and codicils(s) dated NONE h is . last family or.principal residence at 140 Wesley Dr., Mechanicsburg, PA 17055 ~ ' (list street, nurhber and municipality) Decedent, then 81 years of age, died March 25 ,2004_, at Holy Spirit Hosital, East Pennsboro, Cumberland County, PA 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: No exceptions (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with Decedent at death owned property with estimated vales 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 ocO WHEREFORE, Petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary 1 ~EAN LO~UiSE MILLER OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH O~ PENNSYLVANIA COUNTY OF k2xa.~-,x~e 01oo~ } 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 representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirm~e~dvj~xnd subscribed before me this ~j~c day of No. ,-~1 Estate of HARRY R. MILLER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW (-.~x~x~.~_._ ~). 200q , in consideration of the petition on the reverse side hereof, satisfactor~ proof having been presemed before me, IT IS DECREED that the instrument(s) dated May 28, 1982 described therein be admitted to probate and filed of record as the last will of HARRY R. MILLER and Letters TESTAMENTARY are hereby granted to JEAN LOUISE MILLER FEES Probate, Letters, Etc .......... $ ~ Short Certificates ( ) ......... $ i 7--. OC3 TOTApL * ~ Filed..~.-,.'~.: .c~.(~ ..................... Richard C. Rupp, Esquire - 34832 ATTORNEY (Sup. Ct. 1.D. No.) 355 N. 21st St., Ste. 205, Camp Hill, PA 17011 ADDRESS 717-761-3459 PHONE his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 Local Registrar (/ Date H105.143 Rev. 2/87 (First, MN~;., Last) ~. 81 ¥". COUNTY OF DE~TH 140 Wesley Dr. FATHER'S NAME (First, Middle, Last) 18. Harry R. Miller DATE OF BIRTH (MOck, Day, Year) 1922 CITY. BORO. TWP OF DEATH e slteet and number) .~ast Pennsboro ~O~;~ OF BUSINESS / INDUSTRY DECE DE NT'S EDUCATION of 12~'2) ('~'" s.) DECEOENT'S COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS,~ CERTIFICATE OF DEATH STATE FILE MJMBER SEX [ SOCIAL SECURITY NUMBER I,!. 79 -18 -2085 . BIRTHPLACE (City ~ State or Foreign Co~nt~) ple Hill,PA E."'-,~.~_--.., I"1 ~xaFI 4OATE OF DEATH (Month, Day, Year) . · Oqo~C_~ o~ D~emoval from State [] DATE OF DISPOSITION I:]1~. cn 29,2004 MARITAL STATUS. Mamed. Never Manled lhldewed DI~ (~) ' ,lnarried SURVIVING SPOUSE (If ~, five m~lden name) P. ffinqer ACTU~ '~,. s,-,. Penns~flvania ~ -~. ~Ya,. ~,,,~th Lower Allen RESIDENCE Iwp {See Inatructioos live in a on other .k:le) 17b. c~ Cumberland township? 17d. I-1 I MOTH~:&~'S NAME (E,~ ,~iddle, ME, ap Su~ame) . . tory/tx)Fo Jea~ Ydller I~.. U~J~'A~G~'nE'~C~'~I~i~'C%CZB~ 17055 lo~SO~aSPOS'T'ON' "a' °' C~at~. C'.--to* IL~TION- *t,~ow.. Stat.. Z, C~ I~.lling Grin Com. I .k~or Allan 2~p.,PA17011 CF LICENSEE OR PERSOF JJIAMEANI:tADDRESS OF FACILITY ~.-qselfil~fi FH&CS,324 H~i Ave. ,Lemoyne,PA ILICENSE NUMBER ID,ATE SIGNED [(Month, Day. Yea') WAS CASE REFERRED TO A MEDICAL EXAMINER/CORONEsR~ Approximate PART I1: C:)t~er significant cor~tK)ns c~3~tribuUflg to death, but not resulting in the underlying cause given in PART caflff'/cause of death. 23a. ~ wflo peo~ou~caa death. : DEATH CAUSE (D~eale or i~ ~) ~ST C~P~TI~ ~ CA~E N~r~ ~ ~Q~ , .~.).~ ~.~ .... ~ ............................................. y d~, ellffi ~CU~ ~ ~e ~e, d~e. and ~ace, and due to ~l caul~l) and ~n~e¢ 31~a~lm ~a~ .................... ' , , P , e to the cause~l) and INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED Y-CI Non LOCATION (Streat. City/Town. State) (item 27) Type or Print LAW OFFICES SNELBAKER, MCCALEB & ELICK:ER LAST WILL AND TESTAMENT :~i~ I, HARRY RAYMOND HILLER, of the Township of Lower Allen, Gounty of Cumber- lan~l and Commonwealth of Pennsylvania, being of sound and disposing mind, memor an~!iunders.tanding, do make, publish and declare this as and for my Last Will an Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executrix or my Co-Executrices, as the case may be, hereinafter name~ as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder o my estate, real, personal and mixed, whatsoever and wheresoever situate, unto my wife, JEAN LOUISE MILLER, absolutely and in fee simple, if she survives me. THIRD. If, however, my wife, JEAN LOUISE MILLER, shall not survive me, then and in that event I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, in equal shares unto my daughters, namely: RAEGENE LOUISE MILLER and BARBARA ANN MILLER, share and share alike, absolutely and in fee simple. Should either of my daughters predecease me leaving lawful issue to survive me, then I order and direct that the share which such deceased daughter would have received had she survived me shall be distributed unto her said lawf~ issue per stirpes, said issue to take the ancestor's share by representation and not per capita. FOURTH. I nominate, constitute and appoint my daughter, RAEGENE LOUISE MILLER, Guardian of any property which passes to any minor issue of my daughter BARBARA ANN MILLER, and I nominate, constitute and appoint my daughter, BARBARA ANN MILLER, Guardian of any property which passes to any minor issue of my daughter, RAEGENE LOUISE MILLER, whether such property passes under this Will o LAW OFFICES SNELBAKER, M¢CALEB & ELIC:KER otherwise and with respect to which I am authorized to appoint a Guardian and have not otherwise specifically done so. Such Guardian shall serve without bond and shall have the power to use principal as well as income from time to time fc the minor's education, support and welfare without regard to the ability of sai~ minor's parents or the persons taking care of said minor to provide for such education, support or welfare; or to make payment for these purposes without further responsibility to the minor, the minor's parents, or to any persons taking care of the minor; or, in the event the funds held by the Guardian for any minor become, in the opinion of the Guardian too small for proper and effi- cient administration, to deposit such funds in an interest-bearing account on behalf of said minor. LASTLY. I nominate, constitute and appoint my wife, JEAN LOUISE MILLER, Executrix of this, my Last Will and Testament, but if for any reason she shall fail to qualify as such Executrix or cease so to serve, then I nominate, consti- tute and appoint my daughters, RAEGENE LOUISE MILLER and BARBARA ANN MILLER, Co- ~xecutrices, to serve in her place and stead, each to serve without bond in this ~r any other jurisdiction. IN WITNESS WHEREOF, I, HARRY RAYMOND MILLER, have hereunto set my hand and ;eal to this, my Last Will and Testament which consists of two (2) typewritten )ages to each of which I have affixed my signature this ~'~ day of ~p~f , A. D., One Thousand Nine Hundred Eighty-two (1982). ~~__~__ / . '~ _~. ~'~,~-~~ .~~ S gAL ) The preceding instrument, consisting of this and one (1) other typewritten ~age, each identified by the signature of the Testator, was on the date thereof ~igned, sealed, published and declared by HARRY RAYMOND MILLER, the Testator therein named, as and for his Last Will and Testament, in the presence of us, ~ho, at his request, in his presence, and in the presence of each other, have ~ubscribed our names as witnesses hereto. /~ ,,....~-------~? LAW OFFICE~= SNELBAKER, MCCALEB & ELICK:ER COMMONWEALTH OF PENNSYLVANIA) : COUNTY OF CUMBERLAND ) SS. We, HARRY RAYMOND MILLER, MARLIN R. McCALEB, and JANET M. FORRY, the Testa and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the under- signed authority that the Testator signed and executed the instrument as his Last Will and Testament and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of his or her knowledge the Testator was ai that time eighteen (18) years of age or older, of sound mind and under no con- straint or undue influence. Subscribed, sworn to and acknowledged before me by HARRY RAYMOND MILLER, the Testator, and subscribed and sworn to before me by MARLIN R. McCALEB and JANET M. FORRY, witnesses, this ~ day of ~?zz~ , 1982. Notary Public MECtiA,lt~ ~0~0, CU~BER~ND COUNTY COMMISSION EXPIRES FEB. 27, t9~6 ~m~r. pennsylvania Ass~iatioA of Notaries' Dr CONHONNEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE BUREAU OF ZNDIVIDUAL TAXES DEPT. ZB0601 HARRISBURG, PA 17iZ8-0601 REV-15~i$ EX &FP (09-00) ZNFORNATZON NOTZCE AND TAXPAYER RESPONSE F'rLE N0.21 ~l.~ 5i~ ACN 0~119318 DATE 0~-2~-200~ '04 uLi,~ -Z RAEGENE L HILLER 175B W VINE ST SHIRENANSTOWN PA 17011~559 EST. OF HARRY R HILLER S.S. NO. 179-18-2085 DATE OF DEATH O$-25-ZOOq .~T¥ CUH~ERLAND TYPE OF ACCOUNT [] SAVINGS [] CHECKING [] TRUST [] CERTTF. RENIT PAYHENT AND FORHS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 H&T BANK has provided the Department with the information 11stad below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of tho Commonwealth of Pennsylvania. Questions may bm answered by calling (717) 787-83Z7. COMPLETE PART I BELOW N N N SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 607Zq0~8 Date 08-Z8-197Z Established Account Balance 9,999.20 Percent Taxable X 5 0.0 0 0 Amount Sub.'ject to Tax ~,999.60 Tax Rate X .0~5 Potent/al Tax Due ZZ~'. 98 To insure proper credit to your account, two (Z) copies of this notice must accompany your payment to the Register of Rills. Hake check payable to: "Register of Nills, Agent". NOTE: If tax payments are made within three (3) months of the decedent's data of death, you may deduct a 5Z discount of the tax due. Any inheritance tax due will become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE I. ~ The above information and tax due is correct. 1. You may choose to remit payment to the Register of Rills with two copies of this notice to obtain CHECK -~ Rills and an official assessment will be issued by the PA Department of Revenue. ONE BLOCKJ B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return ONLY to be filed by the decedont's representative. C. [] The above information is incorrect and/or debts and deductions were paid by you. You must complete PART [] and/or PART [] below. PART Tf you /ndtcate a d/fferent tax rate, please state your relet/onsh/p to decedent: TAX RETURN - CONPUTATION OF TAX ON JOZNT/TRUST ACCOUNTS LINE 1. Date Establ/shed 2. Account Balance ~ 3. Percent Taxable 3 ~ q. Amount Subject to Tax q 5. Debts end Deduct/one ~ - 6. Amount Taxable 6 7. Tax Rata 7 ~ 8. Tax Due 8 PART DATE PAID DEBTS AND DEDUCTIONS CLAZHED PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on L/ne 5 of Tax Computation) $ Under p~alties of perjury, T declare that the facts Z have reported above are true, correct end c eplete to the best of ay knowledge and belief. HOME WORK ~..,'~ SIGNATURE TELEPHONE NUMBER DATE 6ENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with applicable interest based on information submitted by the financial institution. Z. Inheritance tax becomes delinquent nine months after the decedant's date of death. 5. A joint account is taxable even though the decedent's name was added as a matter of convenience. ~. Accounts (including these held betmaan husband and wife) which the decadent put in joint names within one year prior to death ara fully taxable as transfers. 5. Accounts established jointly between husband and wife aora than one year prior to death are nat taxable. 6. Accounts held by a decadent "in trust for" another or others ara taxable fully. REPORTING INSTRUCTIONS - PART I - TAXPAYER RESPONSE 1. BLOCK A - If the information and computation in the notice are correct and deductions are not being claimed, place an "X" in block "A" of Part I of the "Taxpayer Response" section. Sign two copies and submit thee with your check for the amount of tax to the Register of Hills of the county indicated. The PA Department of Revenue will issue an official assessment (Fora REV-15~8 EX) upon receipt of the return from the Register of Nills. Z. BLOCK B - If the asset specified on this notice has been or will be reported and tax paid with the Pennsylvania Inheritance Tax Return filed by the decedent's representative, place an "X" in block "B" of Part Iaf the "Taxpayer Response" section. Sign one copy and return to the PA Department of Revenue, Bureau of IndividuaZ Taxes, Dept 280601, Harrisburg, PA 171Z8-0601 in the envelope provided. 5. BLOCK C - If the notice information is incorrect and/or deductions ara being claimed, check block "C" and complete Parts Z and 5 according to the instructions below. Sign two capias and submit them with your check for the amount of tax payable to the Register of Nills of the county indicated. The PA naparteent of Revenue wilZ issue an official assessment (Form REV-15~8 EX) upon receipt of the return froa the Register of Wills. TAX RETURN - PART 2 - TAX COMPUTATION LINE 1. Enter the date the account originally was established or titled in the manner existing at date of death. NOTE: For a decedent dying after 1Z/II/II: Accounts which the decadent put in joint names within one (1) year of death are taxable fully as transfers, However, there is an exclusion not to exceed $5,000 par transferee regardless of the value of the account or the number of accounts held. If a double asterisk (ma) appears before your first name in the address portion of this notice, the $5,n00 exclusion already has bean deducted frae the account balance as reported by the financial institution. 2. Enter the total balance of the account including interest accrued to the date of death. 5. The percent of the account that is taxable for each survivor is determined as follows: A. The percent taxable far joint assets established more than one year prior to the decedent's death: I DIVIDED BY TOTAL NUMBER OF DIVIDED BY TOTAL NUMBER OF X 100 = PERCENT TAXABLE JOINT OWNERS SURVIVING JOINT ONNERS Example: A joint asset registered in the name of the decedent and two other persons. 1 DIVIDED BY 3 (JOINT OWNERS) DIVIDED BY Z (SURVIVORS) = .167 X 100 16.7X (TAXABLE FOR EACH SURVIVOR) B. The percent taxable far assets created within one year of the dacadant's death or accounts owned by the decadent but held in trust far another individualEs) (trust beneficiaries): 1 DIVIDED BY TOTAL NUHDER OF SURVIVING JOINT X 100 = PERCENT TAXABLE DNNERS OR TRUST BENEFICIARIES Example: Joint account registered in the name of the decedent and two other persons and established within one year of death by the decedent. ! DIVIDED BY Z (SURVIVORS) = .50 X lO0 = 50Z (TAXABLE FOR EACH SURVIVOR) The amount subject to tax (line q) is determined by multiplying the account balance (line Z) by the percent taxable (line 5). 5. Enter the total of the debts end deductions listed in Part 5. 6. The amount taxable (line 6) is determined by subtracting the debts and deductions (line 5) from the amount subject to tax (line ~). 7. Enter the appropriate tax rate (line 7) as determined below. Da{e of Dea{h Spouse Lineal Sibling Collateral 07/01~9~ ~o 12/$1/9~ SX 6Z 15X 15'/. 01/01/95 to 06/$0/00 OX 6Z 15Z 15X 07/01/00 ~o presen~ OX aTha tax rata imposed on the nat value of transfers a younger at death to or for the use of a natural parent, an adaptive parent, or a stepparant of the child is The lineal class of heirs includes grandparents, parents, children, and lineal descendents. "Children" includes natural children whether or not they have been adopted by others, adopted children and step children. '°Lineal descendents" includes all children of the nature! parents and their descendents, whether or nat they have been adapted by others, adopted descendents and their descendants and step-descendants. "Siblings" are defined as individuals who have at least one parent in common with the decedent, whether by blood or adoption. The "Collateral" class of heirs includes all other beneficiaries. CLAIMED DEDUCTIONS - PART 5 DEBTS AND DEDUCTIONS CLAIMED Allowable debts and deductions ara determined as foZlows: A. You legally are responsible for payment, or the estate subject to administration by a personal representative is insufficient to pay the deductible items. B. You actually paid the debts after death of the decedent and can furnish proof of payment. C. Debts being claimed must be itemized fully in Part 3. If additional space is needed, use plain paper 8 1/2" x 11". Proof of payment amy be requested by the PA Department of Revenue. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2806O1 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003996 RUPP RICHARD C P O BOX 395 355 NORTH 21 ST ST SUITE 205 CAMP HILL, PA 17011 fold ESTATE INFORMATION: SSN: 179-18-2085 FILE NUMBER: 2104-0513 DECEDENT NAME: MILLER HARRY RAYMOND DATE OF PAYMENT: 06/02/2004 POSTMARK DATE: 06/01/2004 COUNTY: CUMBERLAND DATE OF DEATH: 03/25/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 04119318 $224.98 REMARKS: TOTAL AMOUNT PAID' $224.98 SEAL CHECK# 1142 INITIALS: JA RECEIVED BY' GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS - ' ;U-/ · Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 09/01/2004 RUPP RICHARD C P O BOX 395 355 NORTH 21ST ST SUITE 205 CAMP HILL, PA 17011 RE: Estate of MILLER HARRY RAYMOND File Number: 2004-00513 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHA/qS' 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 ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 09/12/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Personal Representative(s) Judge Sincerely, ~DAFARNER ST~SBA~~ Clerk of the Orphans' Court Cumberland County - Register Of wills Hanover and High Street Carlisle, PA 17013 Phone: (717)240-6345 Date: 09/01/2004 MILLER JEAN LOUISE 140 WESLEY DRIVE MECHANICSBURG, PA 17055 RE: Estate of MILLER HARRY RAYMOND File Number: 2004-00513 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) 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 ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 09/12/2004 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge GLENDA FARNER STRASBAUGH Clerk of the Orphans' Court JRD/June30, 1992/17858 0CI 0 6 2004 In Re: Estate of Harry Raymond Miller Late of Lower Allen Township Estate No.: 21-03-513 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-2004-513 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: Jean Louise Miller Counsel for Personal Representative: Richard C Rupp, Esq. Date of Grant of Original Letters: 06-02-2004 Date of Delinquency Notice: 09-12-2004 The undersigned, Glenda Farner-Strasbaugh, Clerk of the Orphans' Court, in accordance with Rule 5.6, 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 certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on September 12, 2004, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) 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: 10-05-2004 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File ttlt. Jeoo q:3olq A hearing is scheduled for at in Courtroom No. 3~ tJ~e ~er~fication of Notice is filed prior to the hearing date, the hearing will automatic~/~f~j~f~~ Georg~ E. Hoffer, P.J. [ JRD/June30, 1992/17858 OCT 0 6 2004 In Re: Estate of Itarry Raymond Miller Late of Lower Allen Township Estate No.: 21-03-513 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-2004-513 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: Jean Louise Miller Counsel for Personal Representative: Richard C Rupp, Esq. Date of Grant of Original Letters: 06-02-2004 Date of Delinquency Notice: 09-12-2004 The undersigned, Glenda Famer-Strasbaugh, Clerk of the Orphans' Court, in accordance with Rule 5.6, 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 certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on September 12, 2004, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) 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: 10-05-2004 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for at in Courtroom No. 3~,~f~tl~ (~rtification of Notice is filed prior to the hearing date, the hearing will automatical~~ George L~. Hoffer, P.J. ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: Will No.: To the Register: Harry Raymond Miller March 25, 2004 21-O~314-513 Glenda Famer-Strasbaugh I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was provided by personal service to the following beneficiaries of the above-captioned estate on October 25, 2004: Jean Louise Miller 140 Wesley Drive Mechanicsburg, PA 17050 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None COYNE & COYNE, P.C. Date: [,~/--5-/o~ BY: Camp Hill, PA 17011-4227 (717) 737-0464 Pa. Supreme Ct. No. 59020 Counsel for Personal Representative BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 RAEGENE L MILLER 175B W VINE ST SHIREHANSTOWN COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTXCE OF XNHERITANCE TAX APPRAISEHENTj ALLOHANCE OR DISALLOHANCE OF DEDUCTXONSj AND ASSESSHENT OF TAX ON JOXNTL¥ HELD OR TRUST ASSETS PA 17011-6359 DATE 06-28-2004 ESTATE OF HILLER HARRY DATE OF DEATH 05-25-2004 FILE NUMBER 21 04-0515 COUNTY CUMBERLAND SSN/DC 179-18-2085 ACN 04119518 Amount Remitted 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 ~ REV-1548 EX AFP C01-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 06-28-2004 ESTATE OF MILLER HARRY R DATE OF DEATH 03-25-2004 COUNTY CUMBERLAND FILE NO. 21 04-0513 S.S/D.C. NO. 179-18-2085 ACN 04119318 TAX RETURN WAS: {X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION: M&T BANK ACCOUNT NO. 60724048 TYPE OF ACCOUNT: ( ) SAVINGS (~ CHECKING C ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 08-28-1972 Account Balance 9,999.20 Percent Taxable X 0.500 Amount Subject to Tax 4,999.60 Debts and Deductions - .00 Taxable Amount 4,999.60 Tax Rate X .45 Tax Due 224.98 TAX CREDITS: NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF-;WILLS, AGENT." PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID PAYMENT MUST BE MADE BY 12-2&-2004.. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN gl, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" C CA), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. .00 224.98 .00 224.98 PURPOSE OF NOTICE= To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S. Section 9140). PAYMENT= Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. -- Make check or money order payable to= REGISTER OF NILLS, AGENT. REFUND ¢CR)= OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS= DISCOUNT= PENALTY= INTEREST= A refund of a tax credit, which was not requested on the tax return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-I$I3). Applications are available at the Office of the Register of Nills, any of the 23 Revenue D/strict Offices or by calling the special 24-hour answering service for fores ordering= 1-800-$62-2050; services for taxpayers with special hearing and or speaking needs= 1-800-447-3020 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions or assessment of tax Cincluding discount or interest) as shown on this Notice may object within sixty (&O) days of receipt of thls Notice by= --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 1712B-1021, OR --electing to have the matter determined at the audit of the account of the personal representative, OR --appeal to the Orphans' Court Factual errors discovered on this assessment should be addressed in writing to= PA Department of Revenue, Bureau of Individual Taxes, ATTN= Post Assessment Review Unit, DEPT. 280601, Harrisburg, PA 17128-0&01 Phone C717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent'° CREV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three ($) calendar months after the decedent's death, a five percent discount of the tax paid is alloHed. The 15~ tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 199&, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you Hould appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine C9) months and one C1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (SI) percent per annum calculated at a daily rate of All taxes which became delinquent on or after January I, 1982 will bear interest at a rate Hhich Hill vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2004 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198'--~ ' 20~-~ .000548 198~8-1991 11~ .000301 2007 9X .000247 1983 16X .000438 1992 9~ .000247 2002 &~ .000219 1984 llX .000301 1993-1994 7~ .000192 2003 5~ .000137 1985 13~ .00035& 1995-1998 9~ .000247 2004 4~ .000110 1986 10X .000274 1999 7~ .000192 1987 9~ .000247 2000 8~ .000219 --Interest is calculated as folloHs= INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent Hill reflect an interest calculation to fifteen C15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. BUREAU OF INDTVTDUAL TAXES INHERTTANCE TAX DTVIS/ON DEPT. 280601 HARRISBURG, PA 171Z&-0601 COMMONWEALTH OF PENNSYLVAN'rA DEPARTMENT OF REVENUE ZNHERZTANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (D1-03) RAEGENE L MILLER ~'- -'~' 175B W VINE ST SHIREMANSTOWN PA 17011-6559 DATE 06-28-2006 ESTATE OF MILLER DATE OF DEATH 05-25-2006 FILE NUMBER 21 06-0515 COUNTY CUMBERLAND ACN 06119518 Amoun4: Remi4:4:ed I HARRY R MAKE CHECK PAYABLE AND REN/T PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To Ansure proper crmd14: 4:o your accoun4:`, submi4: 4:he upper por4:ion of 4:hi$ fore wi4:h your 4:ex paymlen4:. CUT ALONG THIS L'rNE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP (01-03) N~ ZNHERZTANCE TAX STATEMENT OF ACCOUNT ~ ESTATE OF MILLER HARRY R FZLE NO. 21 06-0515 ACN 06119518 DATE 06-Z8-ZO06 THZS STATEHENT ZS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACM ZN THE NAHED ESTATE. SHO#N BELO# ZSA SUHHARY OF THE PRZNCZPAL TAX DUE`, APPLZCATZON OF ALL PAYHENTS`, THE CURRENT BALANCE,, AND`, ZF APPLZCABLE`, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-28-2006 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 226.98 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 06-01-2006 CD005996 11.25 226.98 ZF PAID AFTER TH/S DATE`, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL ZNTEREST. IF TOTAL DUE ZS LESS THAN $1`, NO PAYMENT 1S REQUIRED. ZF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)`, YOU HAY BE DUE A REFUND. SEE REVERSE S~DE OF THIS FORH FOR INSTRUCTIONS. TOTAL TAX CREDZT 236.23 BALANCE OF TAX DUE 11.25CR ZNTEREST AND PEN. .00 TOTAL DUE 11.25CR PAYNENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF #TLLS, AGENT. -- If NON-RESIDENT DECEDENT make check or money order payable to: CONHON#EALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit) ahich was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance end Estate Tax" (REV-1~13). Applications are available at the Office of the Register of Hills) any of the Z$ Revenue District Offices or from the Department's Z~-hour answering service for forms ordering: 1-800-36Z-Z050; services for taxpayers aith special hearing and / or speaking needs: 1-800-q~7-50ZO (TT only). REPLY TO: guestions regarding errors contained on this notice should ba addressed to: PA Department of Revenue) Bureau of Individua! Taxes, ATTN: Post Assessment Review Unit, Dept. lB0601, Harrisburg) PA 17128-0601) phone (717) 787-6505. DISCOUNT: If any tax duo is paid within three (3) calendar months after the decedent's death, a five percent (SI) discount of the tax paid is allowed. PENALTY: The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death) to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (SI) percent per annum calculated at a daily rate of .00016fi. All taxes which became delinquent on and after January 1) 1982 w111 bear interest at a rate which will vary frae calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO~ are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z ZOZ .0005~8 1988-1991 1XZ .000301 2001 9Z .O00Z~7 1985 16Z .000~38 1992 9Z .OOOZ~7 ZOO2 6Z .00016~ 198~ 11Z .000301 1993-199~ 7Z .OO019Z 2003 5Z .0001~7 1985 13Z .000356 1995-1998 92 .O00Zq7 ZO0~ qZ .000110 1986 IOZ .00027~ 1999 7Z .00019Z 1987 9Z .O00Z~7 ZOO0 8Z .000Z19 --Interest is calculated as follows: TNTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice) additional interest must be calculated. REV .1500 EX + (6.oo) w .... ,,:;!;1Il ()a:" Wll.() x~g ()1I.1Il II. < !"j/.:H ? - .... OFFIC~AL USE ONLY REV-1500 INHERITANCE TAx RETURN RESIDENT DECEDENT FILE NUMBER 21 04 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 513 NUMBER 179-18-2085 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 186-14-1912 o 3. Remainder Retum (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) Miller, Jean Louise jgI 1. Original Return o 4. Limited Estate o o o 2. Supplemental Return o o o 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 10. Spousal Poverty Credit (date of death between 20. ~ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE OEPT. 280601 HARRISBURG, PA 171211-0601 .... z w c w () w c DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL) Miller, Harry Raymond DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 03/25/2004 04/20/1922 COMPLETE MAILING ADDRESS 3901 Market Street Camp Hill, PA 17011-4227 (1 ) None (2) None (3) None (4) None (5) 6,500.00 (6) 4,999.60 (7) -0- (9) 21,095.36 (10) OFFICIAL USE;:b~L y I: ) . (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received c--'\ r .' .... z w c z o II. AME Austin F. Grogan, Esquire IRM NAME (If applicable) COYNE & COYNE, P.C. c,) (..;, (8) 11,499.60 ELEPHONE NUMBER 717/737-0464 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) z o >= :3 ::> .... 0:: < () W 0:: 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (11 ) 21,095.36 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (12) insolvent 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) Copyright 2000 form software only The Lackner Group, Inc. SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) z .045 (16) 0 16.Amount of Line 14 taxable at lineal rate x >= ~ ::> II. 17. Amount of Line 14 taxable at sibling rate x .12 (17) ::I! 0 () ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET- ADDRESS 140 Wesley Drive CITY Mechanicsburg I STATE PA I ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 236.23 0.00 Total Credits (A + B + C) (2) 236.23 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is theBALANCE DUE. (5B) 0.00 236.23 0.00 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;............................m............................__................ D ~ b. retain the right to designate who shall use the property transferred or its income;................................ D ~ c. retain a reversionary interest; or............................._........................................................m................ D ~ d. receive the promise for life of either payments, benefits or care?........................................................... D ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.. .............. ........................ ....... ... ......... ....... ............... ......................... ...... D ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?............................ ................................................................................... ~ D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of pe~ury, 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 preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS Jean L. Miller (\ ? , ? ,J r I ~.. S NATURE OF PERSON RESPONSIB E FOR FILING RETURN DATE 140 Wesley Drive ADDRESS ADDRESS DATE 3901 Market Street CampHill,PA 17011-4227 3/3 'Os For dates of death on or ~ft r July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [7 P.S. 99116 (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 P.S. 99116 (a) (1.1) (ii)]. The statutedoes not exemDta transfer to a surviving spouse from tax, and the statutory requirements for disclosure 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. 99116 (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. 99116 1.2) [72 P.S. 99116 (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. 99116 (a) (1.3)]. A sibling is defined, undEir Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 'W SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 21-04-513 ESTATE OF Miller, Harry Raymond Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 Vehic1e, DESCRIPTION VALUE AT DATE OF DEATH 6,500.00 TOTAL (Also enter on Line 5, Recapitulation) 6,500.00 SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN . RESIDENT DECEDENT ESTATE OF Miller, Harry Raymond I FILE NUMBER 21 - 04 - 513 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A Raegene L Miller 173 B West Vine Street Shiremanstown, P A 17011 Daughter I JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT or similar identifying number. Attach deed for jointly-held real VALUE OF ASSET INTERESl DECEDENT'S INTEREST estate. 1 A 08/28/1972 Joint Checking Account 9,999.20 50% 4,999.60 TOTAL (Also enter on line 6, Recapitulation) 4,999.60 SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN . RESIDENT DECEDENT Miller, Harry Raymond FILE NUMBER 21 - 04 - 513 ESTATE OF IS SC e u emus e com pie e an Ie I e answer 0 any 0 . aues Ions rou~ on page IS yes" ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF Include the name of the transferee, their relationship to decedent and the date of transfer. VALUE OF ASSET DECO'S EXCLUSION TAXABLE VALUE NUMBER Attach a copy of the deed for real estate. INTEREST (IF APPLICABLE) 1 IRA 16,426.80 10000% 16,426,80 0.00 TOTAL (Also enter on line 7, Recapitulation) Th" h d I tb I t d d fI d "fth t f f 1 th h4 2" . SCHEDULE H RJNERAL EXPENSES & ADIVIINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA . INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 21 - 04 - 513 ESTATE OF Miller, Harry Raymond Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: 1 Musselman Funeral Home and Cremation Service 9,538.36 2 Rolling Green Cemetery payment for grave marker 4,558.00 3 Rolling Green Cemetery payment for family grave plot 6,156.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attorney's Fees Coyne and Coyn, P.C. 750.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland County Register of Wills 93.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 TOTAL (Also enter on line 9, Recapitulation) 21,095.36 BUREAU OF INDIVIDUli::~Axi~~; INHERITANCE TAX DIVISION . PO BOX 2B0601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-03-2005 MILLER 03-25-2004 21 04-0513 CUMBERLAND 101 APPEAL DATE: 12-02-2005 ( See reverse side under Objections) Amount Remitted I I 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 +- REV:is47-EX-AFP-ioi:osj-NOTicE-OF-iNHERiTANCE-TAX-APPRAisEMENT:-ALLOWANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX HARRY R FILE NO. 21 04-0513 ACN 101 DATE 10-03-2005 TAX RETURN WAS: ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax _.':1 \.0' pn :~: 25 AUSTIN F (GROGAN COYNE & COYNE 3901 MARKET ST CAMP HILL ESQ PA 17011 ESTATE OF MILLER RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets If an assessment was issued previously, lines reflect figures that include the total of Abh ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at 17. Amount of Line 14 at Sibling 18. Amount of Line 14 taxable at 19. Principal Tax Due TAX CREDITS: NOTE: Lineal/Class A rate rate Collateral/Class B rate · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ll) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 6.500.00 4.999.60 16,426.80 (8) REV-1547 EX AFP [06-05) HARRY R (9) llO) 21,095.36 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 27,926.40 21.09'1 36 6,831.04 .00 6,831.04 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 307.40 .00 .00 307.40 IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) PI.. rlU ""I''' "",,"".Lr, [+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 10-18-2005 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 307.40 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 12.46 TOTAL DUE 319.86 .00 lll) ll2) ll3) ll4) llS) ll6) ll7) (18) .00 X 00 = 6,831.04 X 045= .00 X 12 = .00 X 15 - ll9)- REV-1470 EX (6;88) INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME Miller, Harry R. FILE NUMBER Daniel Heck ACN 2104-0513 101 REVIEWED BY ITEM SCHEDULE NO. EXPLANATION OF CHANGES G 1 IRA's are fully taxable when the age of the decedent at date of death was 59 Yo or older. ROW Page 1 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/17/2006 RUPP RICHARD C POBOX 395 355 NORTH 21ST ST SUITE 201 CAMP HILL, PA 17011 RE: Estate of MILLER HARRY RAYMOND File Number: 2004-00513 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 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: 3/25/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~IC~-U~ Glenda Farner ;~~~s~a~~- Clerk of the Orphans' Court cc: File Personal Representative(s) {L Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 MILLER JEAN LOUISE 140 WESLEY DRIVE MECHANICSBURG, PA 17055 RE: Estate of MILLER HARRY RAYMOND File Number: 2004-00513 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. 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: 3/25/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~J~ Glenda Farner Strasbaugh Clerk of the Orphans. Court cc: File Counsel ~ Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: Ka..'-( m ond tf a. rry /v{ i J J tfL- Date of Death: VI tJ.{ ~11 ;; 5.;;1 r/J ~ '-I Estate No.: ~ ~(/J ~ - tb(/;5 (3 Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether ad~istration of the estate is complete: Yes 0 No~ 2. lfthe answer is No, state when the per~n 1 rep esentative reasonably beiieves that the administration will be complete: f.-{ & 3. lfthe answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 c. Copies of receipts, releases, joinders and a accounts may be filed with the Clerk the 0 attached to this report. Dat~: 3/8, I ! tf>1o Signature &lcJi(J4-J C. ~~/ 258- Name t/1 t1 ,~&5 N: ~ 1St- 3t 02rtJl C~{~/I Address Ct1t)~ l -34r;;q' Telephone No. Capacity: 0 Personal Representative ~ Counsel for personal representative [/'fy \\ 0 . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 . HARRISBURG, PA 17128-0601 REV-1162 EX( 11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT COYNE & COYNE PC ATTORNEYS AT LAW 3901 MARKET ST CAMP HILL, PA 17011-4227 _nn___ fold ESTATE INFORMATION: SSN: 179-18-2085 FILE NUMBER: 2104-0513 DECEDENT NAME: MILLER HARRY RAYMOND DATE OF PAYMENT: 05/01/2006 POSTMARK DATE: 04/29/2006 COUNTY: CUMBERLAND DATE OF DEATH: 03/25/2004 NO. CD 006634 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $329.35 I I I I I I I I TOTAL AMOUNT PAID: $329.35 REMARKS: PO BY COYNE & COYNE PC ESTATE HARRY R MILLER CHECK# 1188 SEAL INITIALS: GFS RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717 -737 -0464 Fax: 717-737-5161 April 28, 2006 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Harry R. Miller (Deceased) No. 21-03-513 Dear Sir or Madam: Enclosed please find check no. 1188 in the amount of $329.35 which represents the balance of Inheritance Tax Due concerning the above-referenced Estate. Kindly docket the payment and issue a receipt at your convenience. If you have any questions, please contact me. Very truly yours, COYNE & COYNE, P.C. meco?-1 LMC/amd Enclosure Cc: Ms. Raegene Miller Ms. Barbara Miller t..:. \ 'i:.1 ~.t.. .\\ \.. ". ~ \.1.' 11\ ';.il \':.\ - - - - - - - - - - - ... - - - -:.- ~: ,~ ~.. .... ;:;~~) r(~ ' '!r; \I;" - --:' . _ C-<. . \j ~, (1 o -< o 1... \ ~<cg;tt\ -u<3.o ~s~~ _ f~~(1, -U fT" (J) 0 ~ y ~ ~ ...(.. . ~:-\r2 <3.~~t" f' t ~ .... ~ 11 r (1 . ()i9 ()Oc(t) ~ ~ <.g. ~(t)~~ ~()O~~ (t) -0 ~ ~~ ~ -U:1"o.Z 1"0()~ ~~0C;; -J(t)c o'n~ -> VI.:.c:::. ())..ce () ~o (t)~ -g ~ -:-. - - ::.- t..) to -r ~ '1J ~, ~ \1\ tn. c: -,;' (J ........ y -0 1J N o o (j\ "'"0 ~ "\J )1 ~. ~ ~ ~ -\ , I \t; , ....~" ... ;l' cumberland Coun~y - ~c~~~~-- - One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 3/14/2007 RUPP RICHARD CHARLES ESQUIRE RUPP & MEIKLE PC 355 NORTH 21ST ST STE 201 CAMP HILL, PA 17011-3707 RE: Estate of MILLER HARRY RAYMOND File Number: 2004-00513 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 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: 3/25/2007 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans. Court cc: File J_CJi("j Personal Representative(~t I Z :2 ~Jd 91 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/14/2007 MILLER JEAN LOUISE 140 WESLEY DRIVE MECHANICSBURG, PA 17055 RE: Estate of MILLER HARRY RAYMOND File Number: 2004-00513 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. 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: 3/25/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel I Z :2 kJd 91 ,': C' In Re: Estate of MILLER HARRY RA YM ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00513 NOTICE OF FAILURE TO FILE STATUS REPORT f G.) Personal Representative: MILLER JEAN LOUISE co Counsel for Personal Representative: RUPP RICHARD CHARLES ESQU Ul -_I Date of Decedent's Death: 3/25/2004 The Orphans' Court record indicates 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 ofthe 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, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will 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: 3/27/2007 ~~~ Glenda] .- Clerk of lr CJ ..lI lr Distribution: Personal Representative Counsel for Personal Representative Estate File <0 rn ..lI ru rn CJ CJ CJ CJ lr rn CJ LI'I ~ MILLER JEAN LOUISE ~ 140 WESLEY DRIVE MECHANICSBURG PA 17055 U.S. Postal Service", CERTIFIED MAIL" RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) o 0" 0 - 0 0 "0 0 0 I OFFICIAL USE 1 Postage $ CertIIIed Fee Return Receipt Fee Postmark J (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) Total Poatan.. & F_ S; In Re: Estate of MILLER HARRY RAYM ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00513 '"7""':::> ~ -~J :;0 I 0) NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: MILLER JEAN LOUISE Counsel for Personal Representative: RUPP RICHARD CHARLES ESQU Date of Decedent's Death: 3/25/2004 U1 -J The Orphans' Court record indicates 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, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will 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: 3/27/2007 Glenda Fa - Clerk oft1 Distribution: Personal Representative Counsel for Personal Representative Estate File . ~ ~. .. U.S. Postal Service". CER",:,IFIED MAIL" RECEIPT (Domestic Mail Only' N I , 0 nsurance Coverage Provided) ...0 M ...0 a- ce m ...0 ru m CJ CJ CJ CJ a- m CJ I.t1 g'RRuUpPpP RICHARD CHARLES ESQUIRE I"- , & MEIKLE PC J ~355 NORTH 21ST ST STE 201 -... CAMP HILL PA 17011-3707 .. " , . , I OFF Ie', A l , , USE J Postage $ Certllled Fee Retum Recelpt Fee Postmll/l( (Endorsement Required) Here J Restricted Delivery Fee (Endorsement Required) --".- . - - ... . .. . . · Complete Items 1, 2, and a. Also complete Item 4 If Restricted Delivery Is des/red. · Print your name and addlllSS on the reverse so that we can return the card to you. · Attach this card to the back. of the mallpiece. or on the front If space P81m1ts. . 1. Article AddI'llSSed to: MILLER JEAN ~OUISE 140 WESLEY DRIVE MECHANICSBURG PA 17055 2. Article r...mber f'>>ansfrJr from SlItVfce label) PS Form 3811, February 2004 'r'-' -,-, . t:4 ':'7 r''-.) i I ~lYP6' " Certitlect Mall ~iIeIr Registered 0 Retum Receipt for Merchandise o Insul8c/ Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 7005 0390 0003 2638 9609 DomesticRetum Receipt . lOr- .,., _0...- ~OO (ON :: II! ..;~ ~ I~I! 00. 8 I' It ~ <{ 9:: ((~I ~i ~~ ~ ~~~ ~Q NO <C ~lNn oo::le ... , " , " , , , , , , , , " " ;, ~ : , ::::! ;:~ . , II:::: :~ :i:i: :i:: if5 ,t.) I I , I I I I I ..0 r-'I ..0 [J""' o:Q m ..0 ru m CJ CJ CJ CJ [J""' m CJ U1 CJ CJ I"- - ... = Q I,;;l '", = !li ~e ;;; ~ ~ ~',~ ,.Q~re~("I"") 'lA,.Q\ - ;:::::l("f")-. 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APR 21 0 200;(11 IN RE: ESTATE OF MILLER HARRY RAYM ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00513 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: MILLER JEAN LOUISE Counsel for Personal Representative: RUPP RICHARD CHARLES ESQU Date of Decedent's Death: 3/25/2004 Date of Delinquency Notice: The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, 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 on the above date 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: 4/30/2007 ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled Julv 16. 2007 at HAM in Courtroom NO.2. 'If the Status Rep.~ft~ filed prior to th~f. te, the hearing will automatically be cancelled, \ ..jQ - (f~)r-;::;--; , , '\~v\j/ VCA'1~ C S : ii' :;1 f11)' Edgar B. Bayley, J. . \ <:) ~,PR 3 0 2001~ IN RE: ESTATE OF MILLER HARRY RAYM ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2004-00513 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: MILLER JEAN LOUISE Counsel for Personal Representative: RUPP RICHARD CHARLES ESQU Date of Decedent's Death: 3/25/2004 Date of Delinquency Notice: The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, 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 on the above date 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: 4/30/2007 .~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled Julv 16. 2007 at HAM in Courtroom NO.2. If,the ,Status Report\~~jled prior tor. ~. rin.g}~ng will automatically be cancellcil.1 . .,. . Lie I, r , / (.. r. / \d / t. ' '~ / . \~v ':> ~~~ Edgar B. Bayley, J. \ C r' ,I' :~:J . I I i11 .\ >!'} I .. Ll ., cJ Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF Q\.AM berlQ~ COUNTY, PENNSYLVANIA Name ofDecedentjJO rY'f-1<..o f'CIO rxLj"jiHW- . . Date of Death:~as 1 aDCJf File Number: acxJLI- 00513 Pursuant to Pa. O.c. Rule 6.12, 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 ("") ~o ":J :IJ ',]""U,...... ,.",:r: '" J "~~~ ":"<")0 , ")O-Tl ;:JC :IJ ':0 -; )5 a. Did the personal representative file a final' account with the Court? . . . . . .. ~ es 2. If the answeris 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: b. The separate Orphans' Court No. (if any) for the personal . representative's account is: DNo l'-o.) c::=i c::=i -.I c.... c: r- -.I ::.0 '::J::JfTI rn(") c;) (..:..."") ~~ ,,-:~ f~~-~~ r'" I r'r" JeCJ C)(:) :, "Tl -1"" o 'II -u :J: W w 1:lNo (~) 'l~t c. Did the personal representative state an account informally to the parties in interest? ...............................' DYes "No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Dace :Jean l. M;I\e~ ~SQ)50 de<€~. Coun~\ ~Oy e>~~ i ~ l\3~ CO"t\~. ~a:5enQ.. t'), \~ \S da~hb- QY"\CJ (1)'" e~(ut Y"'J. o~~y &h(;\>~ M/1<lApj>i5 f\.ot. c:M1>rney -PD(" Mi.r~t~U~o~v,~~~i;.~. CNY'jfd b c..oy ~ ~ CrJ y ,f\e.. i n a.cvt. Capacity: DPersonal Representative 0 Counsel N~~~~~~his M '111 tv *'~~:~~~~. j)A \-M~ J , \.,) ~Cr7-00Sb L~"") T(;o~ )L~"1- ~~S (~) )vJ