HomeMy WebLinkAbout04-0521 PETITION FOR PROBATE and GRANT OF LETTERS
!
also known as / To:
Register of Wills for thel
Deceased. County of ~'O'**/ft~"/"q'*'' d~ in the
Social Securitv No. / T]-,I/~(~.I.j,--' "_. /"~/ Commonwealth of Pennsylvania
The petition or' the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut ~ ,,k' named
in the last wil} of the above decedent, dated r.~_ ~&'4'7,~ / ~- , 19~Td_
and codicil(s) dated
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendenl was domiciled at death in ~-c.,,'"~.-/'"~ County_j Pennsylva_nia, with
h ~..1'"' last family or principal residence at
~-~ -'~"'~ (list street, number and muncipality)
at
Excep~ as follows, decedent did not marry, was not divorced and did not haver a ct~ild born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in P~nia ~-~
situated as follows:
!
WHEREFORE, petitioner(s) respectfully
presented herewith and the grant of letters
theron.
].E~st(s) the probate of the last will and codicil{s)
(testamentary; administration-~.t.a.; administration d.b.n.c.t.a.)
OATH OF PERSONAL REPRESENTATIVE i:
COMMONWEALTH OF PENNSYLVANIA ~
COUNTY OF CL~/~~Z~OJ ss :%
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed ~
before~e this 31~ day of [ /~ ~- ~~(~ ~ ~'
~ -- __ / .... .. _ , i
CERTIFICATION OF NOTICE UNI}ER RULE
Name of Decedent: MARY R. BOWERS
Date of Death: February 9, 2004
WiN NO. 2004-0052!
Admin, Ncl, 21-04-0521
I certif? that notice of -- ' required by Rule 5,6(a) of the Orphans Court Rules wa~
sen'ed on or mailed Iv the tollo~in8 ber~efic, larics ut the t~bcve-captloned estale on Aul~uft 13,200,t,
Name Address
Gary C. Bnwers
Denise Meyer
1,408 Holly Ave.
Imperial Beach, CA 91932
2,3201 Richfield rd.
Corning. CA 9602[
Doreen R. Pei0er 161 Clemson Dr.
.. Carlisle, Pa 17013
Diane Kyle
806 Fairview Rd.
Carlisle, PA 17013
Darw!n E, Bowers 4 Barry Circle
Shippensburg, PA 17257
Kay F. AIbright, $14 Biddle Dr.
E:~ec~.;t rix Carlisle. PA 17013
Nolice has now been gixen to all persons entided thereto under Rule 5,6(a) except: N~
/
Signature
Name: William S. Daniels
Address; 1 West High Street, Suite 205
Carlisle, PA 17013
Telephone: 717-243-3831
Capacity: __
__[ Counse! for Personal Repre~entatn,,e
Estate Of
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW (]/'~/~}' ILf~-~ ('~d~ ~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated
described therein be admitted to probate and filed of record as the last will of ,~,~'~ ~ ·
and Letters
are hereby granted to
FEES
Probate, Letters, Etc.
Short Certificates( ) ..........
Renunciation ................
. Register of Wi~/ff~/cZ c-///~t~?o ~
ATTORNEY (Sup. Ct. I.D. No.)
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. ~/-~~ /
H10S.143 Rev, 2/87
qINT
Fee for this certificate, $2.00
P 9991200
No.
FEB
Date
COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH * VITAL RECORDS
CERTIFICATE OF DEATH
INK
,. Mary R. Bowers
~s. 92 v,,.
Cumberland
,,L Home--er
423 North East S~-.
Carlisle PA 17013
,. Female I" 174 -- 05 -- 1791 ,. February 9, 2~04
iI, 1911 t Twp., PA ~~-- ....
[kLC a ~ ~CE~m ~ ~S~"C ~IN?
~rlisle rlisle R~ional M~i~l Center ~.w.~,~..~. ,0. ~ite
,,L ~ H~ ,,. ~ ~-- ,3. C~mll ("*'"' 1,4. Widow [,,.
.,~ ~ ·
~ ,..~ ~rland ~? ,Td~ ~ ~rlisle
Dl~ebruary 12, 2004
~ ~ay ~ances Albriqht
[] ,.,0
,,. Ea~na Louella Morrow
~ 248 South,West Street, Carlisle PA 17013
,,?.umberland Valley Mem. Grdq,,,. Carlisle PA 17013
ILICE~NUMER NAMEAJqO'IDO~E(UL(~FACIUIY Holi£man-Roti'l ~eral H~
m01~19 L m. 219 N. Hanover St., ~rlisle PA 17013
~ ~ REFERRED ~ MED~ E~MINE~ER?
I
REGISTER OF WILLS OF ~' ~*//~ COUNTY
OATH OF SUBSCRIBING WITNESS
(each) a subscribing witness to t~resented herewith, (each) being duly qualified according to
law. depose(s) and say(s) that '~'_-./"~/t~ ~--n./%,,~_,~' present and saw
. ,
the testat, sign the same and that _~'~/--~ signed as a witness at the
request of testa~ in ~ presence and (in the presen'ce of each other) (in t])~~e of the
other subscribing witness(es)).
Sworn to or af~rmed and subscribed befor
me this ~.,,~e'cL v ~ ~ ~1 ~//~ ~.~~/~ . '
~, _ , da. of .
' ~ · (NamO
REGISTER OF WILLS O ~t~..~.¥ COUNTY
OATIt OF NON-SUBSCRIBING WITNESS
(each) a_.s,u,bscriber,,ltgreto, (each) being duly qualified according to law; depOse(sO and la)~(~) that"
'~ '_/'~Y~ famdlar with the signature of ~/~ ~ /~. t~:~v,~ ~
testat ~-~/' of (~c.:i~i~.g ~,~'~E:~::,~ ;o) the// will )presented herewith and · ~ codicil
that ~',,~ believes the ~ignature on the will is in the handwriting of'
to the best of /~/~,zft.. knowledge and belief. ·
Sworn to or a~rfi~ned and subscribed before
me this - ,~ day of
C',,~,4,.O~ s-~. (Address) ,~ppt ! ~:~ )~
(Name)
(Address)
tltill arti estamettt
I, MARX R. BOWERS, of the Borough of Carlisle,
Cumberland County, Pennsylvania, declare this to be my last will
and revoke any will previously made by me.
I. I devise and bequeath all of my estate of every
nature and wherever situate to my husband, C. EMERSON BOWERS,
providing he shall survive me by thirty days.
II. Should my husband, C. EMERSON BOWERS, predecease me
or die on or before the thirtieth day following my death, I
devise and bequeath all of my estate of every nature and wherever
situate in two equal shares as follows:
A. One-half (½) of my entire estate to my daughter,
KAY F. ALBRIGHT, or her issue per stirpes living on the thirty-
first day following my death; and
B. One-half (½) of my entire estate in equal shares to
my son, GARY C. BOWERS, my granddaughter, DENISE BOWERS, my
granddaughter, DOREEN PEIPER, my granddaughter, DIANE BOWERS, and
my grandson, DARWIN BOWERS, provided they survive me by thirty
days. Should my son, GARY C. BOWERS, predecease me or die on or
before the ~.~rtieth day following my death, I devise and
bequeath his share to my said grandchildren, share and share
O'i',~ ,7_ ~r, ~
alike, or issue of said grandchildren per stirpes living on
the thirty-first day following my death; and should any of my
said grandchildren leave no such issue living on the thirty-first
day following my death, I devise and bequeath the share of such
grandchildren to my other said grandchildren, share and share
alike, or their issue per stirpes living on the thirty-first day
following my death.
III. Any share of my estate which shall become
distributable to a minor may be held in a savings account,
certificate of deposit, or similar security, in a federally
insured banking or savings institution in the name of the minor
and marked not to be withdrawn until the minor attains the age of
18 years.
IV. I direct that all taxes that may be assessed in
consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of the administration of my estate.
V. I appoint my husband, C. EMERSON BOWERS, as executor
of this my last will. If for any reason he shall fail to
qualify or cease to act as such during the administration of my
estate, I appoint my daughter, KAY F. ALBRIGHT, as substituted
executrix of this my last will.
VI. I direct that my executors shall not be required to
give bond for the faithful performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this
/ u ,
M~RY'R. ~OWERS
Page 2 of 3
other have subscr/i~d our
The preceding instrument, consisting of this and two
other typewritten pages identified by the signature of the
testatrix, MARY R. BOWERS, was on the day and date thereof
signed, published and declared by MARY R. BOWERS, the testatrix
therein named, as and for her last will, in the presence of us,
who, at her request, in her presence, and in the presence of each
names as witnesses hereto.
Page 3 of 3
Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717)240-6345
Date: 09/01/2004
DANIELS WILLIAM S
1 W HIGH STREET
CARLISLE, PA 17013
RE: Estate of BOWERS MARY R
File Number: 2004-00521
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 ORPH3kNS' 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 09/13/2004
Your prompt attention to this matter will be appreciated.
Thank You.
CC:
File
Personal Representative(s)
Judge
Sincerely,
GLENDA' FARNER
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
ALBRIGHT KAY F
514 BIDDLE DRIVE
CARLISLE, PA 17013
RE: Estate of BOWERS MARY R
File Number: 2004-00521
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 09/13/2004
Your prompt attention to this matter will be appreciated.
Thank You.
CC:
File
Counsel
Judge
Sincerely,
GLENDA FARNER STR3%S~L~UGH
Clerk of the Orphans' Court
JRD/June 30, 1992/17858
OCT 0 6 200,~ ¢
In Re: Estate of Mary R Bowers
Late of Mechanicsburg Borough
Estate No.: 21-03-521
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 21-2004-521
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: Kay F Albright
Counsel for Personal Representative: William S Daniels, Esq.
Date of Grant of Original Letters: 06-03-2004
Date of Delinquency Notice: 09-13-2004
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 13, 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
Distribution:
Glenda Farner Strasbaugh ~__~
Clerk of the Orphans' Court
Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled for at in Courtroom No. 3. l~he Certification of Notice is
filed prior to the hearing date, the hearing will automatically b
Georg~ ~off~r, P.J. ~
JRD/June 30, 1992/17858
DC]' O 6 2004
In Re: Estate of Mary R Bowers
Late of Mechanicsburg Borough
Estate No.: 21-03-521
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 21-2004-521
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: Kay F Albright
Counsel for Personal Representative: William S Daniels, Esq.
Date of Grant of Original Letters: 06-03-2004
Date of Delinquency Notice: 09-13-2004
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 13, 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 Famer Strasb 'a'ugh ~
Clerk of the Orphans' Court
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled for at in Courtroom No. 3. ~1~ the Certification of Notice is
filed prior to the hearing date, the hearing will automatical~~
George ~. Hof~er, ~5.j.- '
CERTIFICATION OF NOTICE UNDER RULE
Name of Decedent: MARY R. BOWERS
Date of Death: February 9, 2004
Will NO. 2004-0052!
T,~ the Register:
Admin. Nc),21-04-0521
I certify, that notice of estate adraint~tration required by Rule 5.6(a) of the Orphans Court Rules
sec~'ed c~n or mailed Io the/ollo~ing beneficiaries of the ab~¥e-capfioned estate on Av~;uM 13, 200,1.
Name Addres~
1,~08 Holly Ave.
Imperial Beach, CA 91932
23201 Richfield rd.
Coming, CA 96021
Doreer, R. Pei0er 161 Clemson Dr.
" Carlisle, Pa 17013
Diane Kyle
806 Fairview Rd
Carlisle, PA 17013
Darwin E. Bowers
Kay F. Albrighl,
4 Barry Circle
Shippen~burg, PA 17257
514 Biddle Dr.
Carlisle, PA 17013
Nntice has now been gixen In all persons entit}ed therelo under Rule 5.6(a) except;
Signamre
Name; William S. Danie{s
Address; I W~t High Street, Suite 205
Carlisle, PA 17013
Tel~hone: 717.~3-3831
Capacity: __Persot~a] Representative
ox]
0-4
~.. __X Counsel for Personal Represenlat~,e
~,~ ~'d 9
j~~ COMMONWEN.TH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL~
DATE OF DEATH (MM"DD-YEAR) ~I J DATE OF BIRTH (MM-DD-YEAR)
(IF APPLICABLE) SURV!VIN§SPOUSE S NAME (LAST, FIRST, AND MIDDLE INITIAL)
m [] 1. O~ginel Return
u-~. [] 4.1imitadEstata
~)~ [] 6. DonedontDiedTestate(At~c~m.~,w,a)
[] 2. Supplementar Return
[] 4a. Future Interest C(~mpromisa (a,~ of~ a~r 12o1242)
[] 7. Denedont Maintained a Living Trust ~ ~ ~:rru~t)
]10, Spousal Poverly Credit (d.~ ~'a.~ bew~ ~2..3~.g~ .nd ~-~-~)
OFFICIAL USE ONLY
FILE NUMBER
SOCIAL SECURITY NUMBER
/ -/7,=7'/
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITYNUMBER
]5. Federal Estate Tax Return Required
__ 8. Total Number of Safe Deposit Boxes
[] !!' Election to tax under Sec. 9113(A) (~ch sc, o)
1. Real Estat~ (Schedule A) ' ;
(1)
2. Stodm and Bonds (,Schedule B) (2)
3. ~ Held C;oqxxatJon, Partnership or Sole-propnekxship (3)
4. Mottgagon & Notes Receivable (Schedule D) (4)
5. Cash, Bank Depo~ta & Miscellaneous Personal Propmly (5)
(Sded~e E)
6. Jofody O~ed Prope~ (Bohedae F) (6)
U se~me m~ ~d
7. Intar-VK~ Tron~ & Mbce~s Non~ PmpeAy (7)
(Sdedule e er L)
' 8.' Tofal Gro~ A~m (tatal Linon 1~7)
9. Funeral Exponson & Admldlel~edve Coats (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabi~ties, & Uons (Schedule I) (10)
11. Total Oeduct~one (total Lines 9 & 10)
12. Net Value of Eetate (Line 8 ~nus Line 11)
COMPLETE MAILING ADDRESS
1~3. Chaffmble and Governmental Bequests/Sec 9t13 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(11)
(12)
(13)
(14)
19. Tax Due
x .0 , (15)
x .12 (17)
x .15 (19)
Decedent's Complete Address:
Tax Payments and Credits:
1. Tax Due (Page I Une 19)
2. Cmdita/Payments
B. Prior Pa~ts ;i'~ ~'
C. Discount
(1)
3. Intamst/Penalty if appacable
D. Intem~ '
E Penaty
Tote Interest/Penalty ( D + E ) (3)
4.IfLiue'21sgresterthanUnel+Uue3, enter the dlfferenue. 'l~ieistbeOVERPAYMENT,
Cbe~ box on Page I Une 20 to request a refund (4)
5. If Uue 1 + Une 3 ~s grester ~an Une.2, enter g'm diffemnca. This is tbe TAX DUE (5)
(5A)
S' Enter lhe t°tal °f Uue 5 + 5~ This I$ the BALANCE DUE' ~ (SB)
Make Check Payable to: REGISTER OF WILLS, AGENT
Total Credits (A + B + C ) (2) . ~ t -/~ ,2, ~ ~
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decadent make a trander and: , . Yes No
a. retain the ues or Incame of the property transfen-ed: .......................................................................................... [] []
b. mtai~ Itm right to designate who shall use tbe property transferred or its incame; .................. [] []
............ ......................... . ..........::::::::.:::: [] []
d. recaive Ihe promise ~ life of either payments, benefits or care? ............ ..~ ........................................................ []
2. If d~ath occuned alter Decamber 12, 1982, did deuedent transfe~ pmporty within one year of death . .
without receMng adequate considera~n? ............................. [] ,. []
3.. Did decedent own an'In trust for' or payable upon desth bank account or cacu~ty at his or her desth? ............ [] []
4. Did decedent own an Individual Rearemenl Account, annuity, or other non.prooate prope~y which
ca,.ta~ a be~cia,/designa~? ........................................................................................................................ [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
SIGNA'IURE OF ~R~ ~SIBLE FOR FILING R~ -- ~ . ,
F~ ~ ~ ~ ~ ~ a~ Jan~ 1, 1~5, ~e ~ m~ Im~ on ~e ~t vaJue of ~nsfem ~or ~r ~e u~ of ~e su~ng s~u~ is 0% ~2 RS. {9116 (a) (1.1) (ii)].
~ ~ ~ ~ ex~t a ~r to a ~ s~ ~ ~, and ~e satu~ mquim~n~ ~r d~osum of as~ a~ ~li~ a ~ m~m am sail ap~imble even
F~ ~ o~ ~ ~ ~ ~ Ju~ 1, ~: '
~ ~ m~ ~ ~ ~ ~ v~ o~ ~e~ ~ ~ d~ ~JJd ~n~ne ye~ o~ ~ge or younger ~t dee~ ~ ~ ~e u~ o~ ~ catum~ ~nt, ~n ~d6p~ve ~rent,
~ ~ ~t ~ ~ ~i~ ~ 0% ~2 P.& ~g11~1.2)].
~ ~ m~ im~ ' ' ' ' ' '
~ ~e ~t value of ~ns~m to ~ ~r ~ ~ of ~ ~n~S Siblings';~ 1~.~2.B~S, {91 ~ define, under Se~on 9102, as an
i~ ~ ~ at ~t ~ ~t h ~ ~ ~e d~e~ ~e~ ~ ~ or a~n~ ~6(a)(1.3)], A N~ling
I, MARY R. BO~ERS, 0f the BoroUgh of Carlisle, ·
cumberland County, Pennsylvania, declare this t° be mY last will
and revoke any wi. Il previouslY'made bY me.
I. I devi~e a~d bequeath all of my estate of every
nature and wherever situate to my husband, C. ~ERSON BO~RS,
providing he shall survive me by thirty days.
II. ShoUld my hUsband, C. EMERSON BOWERs, Predecease me
or die on or before the thirtieth day followi'ng my death,
de~[se and bequeath; all Of my estate of eVerY nature
and. wherever
situate in two equal shares as follows: -
A. 0ne-half (}) of my entire estate to my daughter,
KAY F. ALBRIGHT, or her issue per stirPes living on the.thirty-
first day following my death; and
B. One-half (})of my entire' estate in equa1 shares to
my son, GARY C. BOWERS~' my'granddaughter, DEMISE BOWERS, my
granddaughter, DOREEN PEIPER, my granddaughter, DIANE BOWERS, and
my grandson, DARWIN BOWERS, provided they survive me by thirty
days. Should my son, GARY C. BOWERS, predecease me or die on or
.before the thirtieth day following my death, I devise and
bequeath his Sh~F~egt° my said grandchildren, share and share
ali~:,Z~r£~[is~,e of said grandchildren per stirpes living on
the thirty-first day following m~ death;'and should any of my
said rand?h l 64%l.av. no such issue living on the thirty-rim
day following my ~th, I devise and bequeath the share of such
grandchildren
~ . ~.. ,.,,~ and s~are
alike, =heir issue ~er S~irp~s living '~'~'~' ·
· on the thzrty-first day
following, my'de~th~ ~
iii. Any share of my estate which shall become
distributable 60-' ' ''
s minor may be held in a sag~ngs.~acoount.,
certificate of'deposit, or similar secu~itY,tin~.a' f64~rally '
lnsured banking or,saviags institution in the name of the minor
and marked not to be withdrawn until the'minor'at't~ins~the age of
18 years ..... '.~l, ~- ....
IV. I direct that all taxes that may be assessed in
consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of ~he administration of my estate.
V. I appoint my husband, C. ~MERSON BOWERS,' as executor
of this my last will. If for any reason he shall fail to
qualify or cease to act as such during the administration of my
estate· I appoint my daughter, KA~ F. A~BRIOHT, as' substituted
executrix of this my last will.
VI. I direct that my executors shall not be required to
give bond for the faithful performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF,
I
· 1990.
MARy' R. ~OWERS
have hereunto set my hand this
(SEAL)
P~ge 2 of $
other t~l ] the two
testatrix, MARY R.' BOWERS, was Un the da~ and date thereof
signed, published end declared by MARY R. BOWER~% the testatrix
therein named, as and for her last will, in the~presence of us.
who, at h~r request,."in~her ,p~esence, and in the presence of ea=b
other have sub .s=~d our names as witnesses heret6~
PaVe 3 of 3
1,2-,~z ~ SCHEDULE A
CO~ONWE^LT. OF .NNSY~V^N,^ I REAL ESTATE I
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value
which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled
to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of same size.)
Settlement Statement ~:;' :: ' u=. ,.,.~,,.t ~Nou,],g
OMB Approval No. 2502-0265
0134748854
JENNIFER L. WOLF
SCOTT R. GOSHORN
424 KERRSVlLLE ROAD
C.~UBLE PA 17013
....
ESTATE OF MARY R. BOWERS ~ 5000FEDERALLouIsECREDITDRIvEUNION
MECHAN CSBURG PA 17055
423 NORTH EAST STREET
CARLISLE PA 17013
H, ~ MEMBERS t8T St:[ [ LEMENT 8ERVICEE, LLC
5000 LOUISE DRIVE
MECHANI~$BURG
PA 17055
8/20/2004
lO~
104.
100. m to
85,000.00
3 803.12
146.98
88,950.10
404.
410. to
413. to
85,000.00
146.98
85,146.98
1,000.00
82,450.00
CREDIT FOR BROKEN WINDOW 100.00
13~.s4
eel. ux~. ~ex
soe. CREDIT FOR BROKEN WINDOW
6,856.58
131.64~/
83,681.64 7,088.22
?co. 'r~, ...... ~*-~....,, .'.--.~-,.-- ~med e. i.~ $ 85~000.00 ~ll 6.00
~. s 5.100.00 ~ WOLFE & SHEARER
%. 5,100.00
5~100.00
~. r=,nC." ~.. 52~450.00 0.00 ~
· oz cMn'*'~"-' 82,450.00 0,00 %
APPLICATION FEE*
815,
MEMBERS 1ST
350.00
~1. ~lrom ~004 ~o 8J31/2004 I~; 14.028 /da)*
pm. rw~m
33.71
I~.SCHOOLTAX 4 ~m(h~$ 78.51 p~
lin?. ~$ p~ moth
202.26
314.04
-101.43
~1~. No~.f~ ~o CASH
*t~oT. ammefeseee e HUMER & DANIELS P.O.C,
~oa. 'm*~ ~ MURREL R. WALTERS, I11, ESQUIRE
i~,~l~r"~ 1101-1104.1108 PENN A'I-rORNEYS TITLE IN$. CO.
82~450.00 endorsements 100~ 300, 8.1
85,000.00 ,
~;o,~ s*~ ~ 850,00 ;~..$
~2o4. RECORD ASSIGNMENT OF MORTGAGE
8.00
843.75
103.00
550.00:
27.00 850.00
HOME PARAMOUNT
13o3. PEST TREATMENT HOME pARAMOUNT
~. 2004/05 SCHOOL REAL ESTATE TAX DARLENE L. MOYER
,$o,. FINAL WATER ~/15/04 ;.?~19 _./~4~ .
CARLISLE BOROUGH
55.00 /
890.40
942.1~
3,803.12 6,856758
SCHEDULE B
STOCKS'& BONDS
TOTAL (Also miter o~ tine 2, Recapitulation)
(If more space is needed, inse~ additional sheets ~ the same size)
FILE NUMBER
_
VALUE AT DATE
OF DEATH
All propen~ )oint¥ov~?~d ~ ~M of tu~o~lp mM M d~ ~ ~h~ub F.
ITEM
NUMBER DESCRI~ION
J
~ ,~.,.PU,~"--~iLL P~3CIRTES INC FRX NO. :7~7 24:3 32~3.6 No,,. {~6 ~:~)B4 3.~:4'~P?1 Pt
November ~, 2004
William $. Dmfi¢ls, Attorney
I W. High Street
Carlisle, PA 17013
Dear Attorney Daniels:
Per your request, dated Noveeaber 5, 2004, I am providing you with the date of death value tbr
· c account of Mary R. Bowm-S, who passed away on Fcbru'ary 9, 2004.
Quantity Description Date of Death Accrued Total Value
, Value IntereSt
25.(~ Kis~ak National Bk 5a/~ P:r 30.78 25,030.78
36~000 Lehman Bros CD 5% Par t47.95 36,147.95
7,938.92 Evergreen Money Market 1.00 1 A4 7,940.36
Total Aoeotmt Value as of February 9, 2004 ..................................... 69,119.09
Should you r~:luire any additional reformation, pl~ae f~ fr~ to conttmt me at 717-243-0619.
Sincerely,
Riclmrd B. ~elt, ~esldent
P~ell A~elates, Ino.
205 York R~'d · Carliale, PA 17013 · (717) 243:0619 · 1-866443-0619 · Fax (717) 243-3216
Savings Bond Redemption Receipt
Branch ID: 96 Redemption Date:
ESTATE OF MARY R BOWERS
514 BIDDLE DRIVE
CARLISLE , PA 17013
174-05-1791
11/04/2004
Transaction Number: 1914617
Teller ID: EBP~N6PL
Serial NLu~ber
2529170579-E
1070689527-E
C1049682402-E
D100278008-E
Series
E
E
E
Denom
$2.=
5C
10C
50C
Issue
Da~e
11/1970
05/1974
o2/1975
01/1973
Issue PriceI
$18.75
37.50
75.00
375.00
Interest
Earned
$120.94
221.92
440.96
2,216.20
Redemption
Value
$139.69
259.42
515.96
2,591.20
Total number of bonds redeemed:
4
· , Total
Price
~506.25
Total Total
Interest Value
3,o.oo.o21.. 3r o6.27
Customer Signature
High
C
Itreet-Carli.l, Office
One We~t High St
~rlisle, PA 17013
240-4536
Page 1 Of 1
ESTATE' OF ~
(,MI p~.g.~i i~,:~,:~-~-~'~;al with
IT~ DEgCRIPTION
NUMBER
/.
~CHEOULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
· PERSONAL PROPERTY
Please Print or Type
VALUE AT
DATE OF DEATH
FILE NUMBER
TOTAL (Also enter on line 5, Recapitulation)
(`Mtach o~[dillonal J~** x 11 · ~heetl if more space is needed.)
May 20O4
Items removed from ~a~/Biowem Estate by Kay F. Albrtght
Desk
Wash Stand with/out top
Iron Stone Plate
Oak Coat Rack
Metal Shelf from Garage
.Mantle Clock
10yr. Old Freezer
2 Lawn Chairs
20 Yr. old Dining room Table
4 Dinining room Chairs
Value
· haars, eom
HAAR'S AUCTION
717-432-8246
Date: 05-18-2004
www. haars.com.
HAAR'S AUCTION
717-432-8248
Settlement KA~ ALBRIOHT Page:
Seller: 6243 ....
248 S WEST ST
CARLISLE PA 17013
Item Description Price Qty Total
- Step table 1 0.5000
- Baskets and rugs 1 0.2500
- Kerosene heater and ~an 1 12.00
- Stool 1 1.50
- Light 1 1.00
- Hassock 1 2.00
- Light and lot 1 1.50
- Lot I 0.2500
- Box lot 1 0.2500
- Seeder 1 0,2500
- Box lot 1 0.2500
- Bucket lot 1 1.50
- Trash can 1 2.00
- Rug - 1 '2.50
- Weed eater 1 8.00
- 2 lights "1 8,00
- Book rack 1 6.00
- Toy 1 0.2500
- Wheel barrow 1 2.00
- Chair 1 5.00
- Plant stand 1 0.7500
- Cart 1 2.00
- D~psser and mirror 1 12.00
- Step table 1 t.00
- Step stool 1 1.50
- Chest of drawers 1 14.00
Sweeper 1 13.00
Drop leaf table 1 6.00
Tv 1 27.00
- Microwave stand i 2,00
Single bed 1 12.00
Potato bin' 1 . 10.00
~- Box spring and mattress 14.00 2 28.00
Bedroom suit 1 5.00
- Light 1 1.00
- "~ chairs 0.5000 2 1.00
- Ironing board .4 1 0.2500
- Dinette set I 7,00
Commission
Items: 38 Amount: 1~8.50
79.40
Less adjustments: -79.40
Date: 05-21-8004
www. haaps.
Settlement
Seller: 624~
www. h&ars, oom
HAAR~S AUCTION
KAY ALBRIGHT
848 S WEST ST
C~LISLE P~ 17013
Commission at 40.000%
~. HAAR' 8 ~}U.~TION
Less adjustments:
Net due to seller:
717-438-8246
Page:
184. 16
.... :i~-i~_ '~
186.8~' :~
I Ig ,o
717-43::'~ '
~ FUNERAL EXPENSES,
co~.~o.w~,~", o~ ..NSYLW,~^ ADMINISTRATIVE CO~ AND
~.~.~ ~ mu~ MISCELLANEOUS EXPENSES Plea~ P~nt or Type
FILE NUMBER
ITEM DESCRI~ION AMOUNT
NUMBER
B. ~ministrativt Cestl:
Social $ecuri~ Number of Personal Representati~: &} ~ ~ ~
Year Commissions paid ~
3. Family Exemption
Claimant ~ Relationship
~dmss of Claimant at decedent's death
Street ~dress
Ci~ .State ~ Zip Code
8.
(If more space is needed, insert additional sheets ef same size:)
,~,~-* t,~ ~ I SCHEDULE I
c~e*~.,,~"~ · . DEBTS OF DECEDENT,
...,~a~mu,~ MORTGAGE LIAB~ITIES AND LIENS
~ATE OF~ ~
Please Print or Type
,FILE N~q
IIF. M
/7,
DESCRIPTION
TOTAL (AI~ enter on line 10/l~cbpitulati°n)
AMOUNT
/, ~
(If mom space is needed, insert additional sheeb of'same ~ze.) '
SCHEDULE J
BENEFICIARIES
REV-1S13 I=X+ (9'00~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
05-21
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY De Not List Trustee(s) OF ESTATE
I
1.
TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES ~5 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
k. -~ PC'J-~.'.L -'2!°TR!-mJT',O~'! -~ I-"!-"'~'~ ........................ A ................ XI~ ..........
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-tS00 COVER SHEET
(if mom space is needed, insefl edditional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV 1162 EX(11-96)
NO. CD 004607
DANIELS WILLIAM S
1 W HIGH STREET
CARLISLE, PA 17013
fold
ESTATE INFORMATION: SSN: 174-05-1791
FILE NUMBER: 2104-0521
DECEDENT NAME: BOWERS MARY R
DATE OF PAYMENT: 11/09/2004
POSTMARK DATE: 11/09/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 02/09/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $6,131.84
REMARKS:
TOTAL AMOUNT PAID:
$6,131.84
SEAL
CHECK//109
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL l'I\/l1l1i$i~Yrl (TW'F OF NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION neV'.....,', ""--~,,j I.)' ,',v.,-, [.'PPRAISEHENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 , . ,,}!: i,.\:,' OF DEDUCTIONS AND ASSESSMENT OF TAX
HARRISBURG PA 171Z8-0601 " ..,
ZOn5 JAN 10 AH 9: 49
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
01-10-2005
BOWERS
02-09-2004
21 04-0521
CUMBERLAND
101
CLERK OF .
ORPHAN'S COUR r
W S DANIEL/>-I T~ADr:r en. F'!l..
HUMER II DAll'itts
1 W HIGH ST STE 205
CARLISLE PA 17013
*'
REV.1541 EX AFP t12-04)
MARY
R
Allount Rellitted
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 ~
RE-V' =is4-j-Ex--,\Fi'--CiiFo3Y-NiiYicE-oF-i:NHER-ifAi.icE-YA'x-A-PPRA-iSiiiENi:--.U.rciwANCE-i1ii----------- - - - ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BOWERS MARY R FILE NO. 21 04-0521 ACN 101 DATE 01-10-2005
TAX RETURN WAS: I X) ACCEPTED AS FILED
) CHANGED
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AIIQunt of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rat. (16)
17. Allount of Line 14 at Sibling rat. (17)
18. Allount of line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
.00 X 00 = .00
136,263.22 X 045 = 6,131. 84
.00 X 12 = .00
.00 X 15 = .00
(19)= 6,131.84
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. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(51
(6)
(7)
85.000.00
72.610.16
.00
.00
3.646.37
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage 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
(9)
(10)
14,933.20
10.060.11
Ill)
(12)
(13)
1141
NOTE: To insure proper
credit to your account~
submit the upper portion
of this form with your
tax payment.
161,256.53
"4.993 31
136,263.22
.00
136,263.22
rAmo" , ... '+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID 1-)
11-09-2004 CD004607 .00 6,131.84
TOTAL TAX CREDIT 6,131.84
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~
. IF PAID AFTER DATE INDICATED~ SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I 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 FORH FOR INSTRUCTIONS.) ~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 1/04/2006
DANIELS WILLIAM S
ONE W HIGH STREET STE 205
CARLISLE, PA 17013
RE: Estate of BOWERS MARY R
File Number: 2004-00521
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. 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:
2/09/2006
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
~~~
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
T""l_.......___.....1 n_.............._......_~+-.....+--:........_ 1.....\
rc.L DU.J..J.a.~ i\..:C::~.L Ci:::H:::.i.,J.l"..Cl L...L V c: \ 0 /
Judge
~1/
~
f~(:- ~~ -\':;.\
'~I \~\
~~ ~J
~
~ _ --.:!.. _."___..." ~.A..~--:r",..!l1il_ -.L: 4""'\...,____::_ __" ___...::il .n__...,--...!.!.-_
ll"\..~~.!l:S;I(.'ell' tV!!. 'If'!! JLJ!.1L15i UJ!. I0IULHlllUi\CJi.'lI.i:lUlJlu I0lU1lULli!l.iLy
Name of Decedent:
STATUS REPORT Ul\l1)ER RlJLE 6,12
/JC"/-vC7Z-~ //?~> ~
Date of Death:
Estate No.:
?e-??~ - 0' ~L /
.
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 a~tration of the estate is complete:
Yes 0 No ~
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete: ~/?? ~~"7'- 0 ~
,
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final accoll..-rlt 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 pa.."i:ies in
interest? Yes 0 No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the ans' Court and may be
attached to this report.
~H
~ t:JL
Signature
~ s:. J/?2-~L'!.&
Name
/ W. /~J.L'~/J~.A?)~
i/ J ?
Address ('>/f7Z-~/~ ~A-/fi?6
~/? -2-Y5 -3>>-3/
Telephone No,
Date:-/ -ZS-'~
Ca..pacitj: U Pei.~SODal P~epresen:ative
!ll.-t:""1""',,"'1 ~~- '~e--.r1-.~ 1 "~--e~--t-"';v~
X v'..iC_l~~~. l'..i1 1-' l"-'ll"'-. lCj-'l "Cll "'-Ll....
\I~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 1/25/2007
DANIELS WILLIAM S
ONE W HIGH STREET STE 205
CARLISLE, PA 17013
RE: Estate of BOWERS MARY R
File Number: 2004-00521
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:
2/09/2007
...I.
....
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.
Z:~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
......
......
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 1/25/2007
ALBRIGHT KAY F
514 BIDDLE DRIVE
CARLISLE, PA 17013
RE: Estate of BOWERS MARY R
File Number: 2004-00521
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:
2/09/2007
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
.~
--'-
~
Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OFU/n~~~/ COUNTY, PENNSYLVANIA
Name of Decedent:
)3owt:/&~
. ,
414~
/f,
Date of Death:
File Number: ,~~
c:? s-;;.. /
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 0 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. Did the personal representative file a final account with the Court? . . . . . .. DYes 0 No
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 ONo
d. Copies of receipts, releases, joinders and approvals of fOlmal or informal accounts may be
filed with the Clerk of the Orphans' Court and may be attached to t epOlt.
Dale
;2-:!?-O?-
~~/
Signature ()j Persoll Filing this Form
~
SS : I d C-
LO
Capaciry: OPerso.n;1{epresentative m Counsel
/V, S--: ~/1l/Y/eLf
Name of Person Filing this Form
-L W. /~/:(S/:i ~~.~S
Address C 4/2L/S' // j? /f /)-cl 3
,
?-1) -::2-'1:3 ..- 3S:=3/
Telephone
Form RW-IO rev. 10.1] 06
cJ