HomeMy WebLinkAbout02-0727WILLIAM C. COSTOPOULOS
DAVID J. FOSTER
LESLIE M. FIELDS
GEORGE H. MATANGOS
COSTOPOULOS, FOSTER & FIELDS
ATTORNEYS AND COUNSELORS AT LAW
831 MARKET STREET
P.O. BOX 222
LEMOYNE, PENNSYLVANIA 17043-0222
May 27, 2004
TELEPHONE 761-2121
AREA CODE 717
FAX 761- 4031
Glenda Farner Strasbaugh
Register of Wills
Cumberland County Courthouse
One Courthouse Sqare
Carlisle, PA 17013
Re: Estate of Margie L. Chubb
File Number: 2002-00727
Dear Ms. Strasbaugh:
Enclosed for filing please find the Status Report Under Rule 6.12 in the above-
captioned matter.
Please don't hesitate to contact our office should you have any questions
regarding the above.
:tmm
Enclosure
Very truly yours,
COSTOPOULOS, FOSTER & FIELDS
Tiffany M. Miller
Secretary to David J. Foster
Carlisle Office: I0 East Louther Street, Ia Floor · Carlisle, PA 17013
STATUS REPORT UNDBR RULE 6.12
Name of Decedent: MARGIE L. CHUBB
Date of Death: 1 0/1 0/2002
Will No.: n / a
2002-00727
Admin. No.:
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 wh_.h~er administration of the estate is complete:
Yes L_~ No [-] Note: Estate opened for purposes of
litigation only. Litigation has
been terminated.
2. I/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 repj,~'sentative file a final account with the Court?
Yes _ No
b. The separate Orphans' Com~ No. (if any) for the Personal representative's
account is:
c. Did the personal representativ,~e s)ate an account informally to the parties
in interest? Yes [--] No ~
Co
Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the. Orphans' Court
and may be attached to this report.
BAVID J. FOSTER
Name
Capacity:
831 MARKET STREET/LEMOYNE
Address
7~1'7-761 -2121
Telephone No.
t~l P[~f/o SunOnal Representative
sel for personal representative
17043
COSTOPOULOS, FOSTER & FIELDS
ATTORNEYS AND COUNSELORS AT LAW
831 MARKET STREET
P.O. BOX 222
LEMOYNE, PENNSYLVANIA 17043-0222
Gtenda Farner Strasbaugh
Register of Wit[s
Cumberland County Courthouse
One Courthouse Sqare
Carlisle, PA 17013
i70i3+3323 02
h,,ll,,lh,,Ih,,Ih,,
WILLIAM C. COSTOPOULOS
DAVID J. FOSTER
LESLIE M. FIELDS
GEORGE H. MATANGOS
COSTOPOULOS, FOSTER & FIELDS
ATTORNEYS AND COUNSELORS AT LAW
831 MARKET STREET
P.O. BOX 222
LEMOYNE, PENNSYLVANIA 17043-0222
August 3, 2004
TELEPHONE 761-2121
AREA CODE 717
FAX 761 - 4031
Glenda F. Strausbaug, Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Estate ofMargie L. Chubb
Pa. No. 21-02-0727
Dear Ms. Strausbaug:
Enclosed please find the original and two duplicates of the Inheritance Tax
Return in the above-captioned matter. As you can see, there is no tax due, as this
was only opened for purposes of litigation and the entire $5,000 proceeds went to
the decedent's surviving spouse.
I apologize for the lateness of filing this return. Please return to me a time-
stamped copy in the enclosed self-addressed, stamped envelope. I've also
enclosed a self-addressed, stamped envelope for you to provide a copy to the
Department of Revenue.
Very truly yours,
COSTOPOULOS, FOSTER & FIELDS
David J. Foster
DJF:tmm
Enclosures
cc: Clarence Chubb
Carlisle Office: 10 East Louther Street, 1~t Floor · Carlisle, PA 17013
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEP'[ 28O6O1
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I FII.E NUMBER
I C~N~ CODE ~ ~E~
I--
Z
LU
UJ
LU
DECEDENTS NAME (LAST, FIRST= AND MIDDLE INITIAL)
CHUBB, MARGIE L.
DATE OF DEATH (MM-DD-yEAR)
06/10/02
DATE OF BIRTH (MM-DB-YEAR)
o2/14/41
SOCIAL SECURITY NUMBER
188 - 32 - 4922
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILL?
SOCIAL SECURITY NUMBER
206 - 28 - 3525
iF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
CHUBB, CLARENCE L.
[] 4. Limited Estate
[] 2. Supplemental Return
r--[ 4a. Futura Interest Compmmise (da, of daa~ ~ 12-12.82)
r~7. Decedent Maintained a Living Trust ¢eada oc¢/of 'r~uM)
NAME
DAVID J. FOSTER, ESOUIRE
FIRMNAME(~,N~p~aUe)
TELEPHONENUMBER
71 7-761 -21 21
COMPLETE ~ILING ~DRE~
831 MARKET STREET
P.O. BOX 222
LEMOYNE, PA 17043
1. Real Estate (ScheduleA) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) $ 5 ~. 0 0 0
(Schedufe E)
6, Jointly Owned Property (Schedule F) (6)
[~] Separete Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Prohata Pmport7 (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Adminisbative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Uabilitles, & Uens (Schedule I) (10)
11, Total Deductions (total Lines 9 & 10)
12, Ne{ Value of Estate (Une 8 minus Line 11)
13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an election fo tax has not been
made (Schedule J)
14, Net Value Subject to Tax (Line 12 minus Une 13)
~C
(11)
(12) $5,000
(13)
(14) $5,000
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, ortmnstarsunderSec. 9116(a)(1.2) $5,000 x .0 0 (15) $0
16. Amount of Line 14 taxable at lineal rata x .0 (16)
17. Amount of Line 14 taxable at sibling rata x .12 (17)
18. Amount of Une 14 taxable at collateral rate x .15 (18)
19 Tax Due (19) $0
Decedent's Complete Address:
IS~EET~DRESS
4601 CHESTNUT AVENUE
CAMP HILL
I STATE
[z~F17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credite/Payments
A. Spousal Poverty Credit
B. Paor Payments
C. Discount
3. Interest/Penalty if applicable
D. Interest
E. Penalty
?A
Total Creqits (A + B + C ) (2)
Total Interest/Penalty ( D + E )
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT,
Check box on Page I Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
(3)
(4)
(5)
(5A)
$0
$0
$0
$0
$0
$0
$0
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decadent rreke a transfer and: Yes No
a. retain the use or income of the pmparty transferred; .......................................................................................... []
b. retain the dght to designate who shall use the property transferred or its income; ............................................ []
:; c. retain a reversionary interest; or .......................................................................................................................... [] 'x~
d. recaive the promise fer life of either payments, benefltsor cara? ...................................................................... [] :~]
2. If death occurred after Decambar 12, 1982, did decedent transfer propady within one year of death
without receiving adequate consideration? .............................................................................................................. []
3. Did decedent own an 'in trust ~or" or payable upon death bank account or secudty at his or her death? .............. []
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate prope~ which
contains a beneficiary designation? ........................................................................................................................ []
tF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
ADDRESS 831 MARKET ST., P.O. BOX 222, LEMOYNE, PA 17043
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
For dates of doeth on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of bansfers to or for the use of the surviving spesse is 3%
[72 RS. §9116 (a) (1.1) (i)].
For dates of doeth on or after Januau 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 RS. §9116 (a) (1.1) (ii)].
The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are sail applicable even ~
the su~ving spouse is the only baneflciaiT.
For dates of doeth on or after July 1, 2000:
The tax rote imposed on the net value of transfers from a deceased child twenty-ooe 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 RS. §9116(a)(12)].
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 RS. §9116(1.2) [72 RS. §9116(a)(1)]~
The tax rate imposed on the net value of transfers to or for the use of the decadent's siblings is 12% [72 RS. §9116(a)(I.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MARGIE L. CHUBB
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
thdude the proceeds of iiligation and the date the proceeds were received by the estate,
All property Jointly.owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
I Proceeds of litigation received 10/11/02 $5,000.
TOTAL (Also enter on iine S, Recapitulation) $ ~;5,000
(If more space is needed, insert additional sheets of the same size)
BUREAU OF TNDZVZDUAL TAXES
TNHERITAHCE TAX DIVZSTOH
DEPT. Z&0601
HARRISBURG, PA 171IS-n601
COMHON#EALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLO#ANCE OR DISALLO#ANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
REV-1547 EX AFP
DAVID J FOSTER ES~04 ~CT 1~
COSTOPOULOS ETAL
PO BOX 222 k.::.,
LEMOYNE ~A:,~iTO~~
DATE 10-11-200~
ESTATE OF CHUBB
DATE OF DEATH 06-10-ZOOZ
FILE NUMBER Z! 02-0727
COUNTY CUMBERLAND
ACH 101
I Amount Remitted
CUT ALONG THIS LINE ~
MARGIE
HAKE CHECK PAYABLE AND REMIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
RETA/N LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CHUBB MARGIE L FILE NO. 21 02-0727 ACN 101 DATE 10-11-200~
TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED
RESERVAT:[ON CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN ~ASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Stock/Partnership ~ntarast (Schedule C) ($)
~. Hortgages/Notes Receivable (Schedule D) (~)
5. Cash/Bank Deposits~Misc. Personal Property (Schedule E) ($)
6. Jointly Owned Property (Schedule F) (6)
7. Transfers (Schedule G) (7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Adm. Costs/H~sc. Expenses (Schedule H) (9)
10. Debts/Hortgaga L~ab~l~ties/L~ans (Schedule I) (10)
11. Total Deductions
12. Net Value of Tax Return
0O
5~000.00
O0
O0 NOTE: To insure proper
O0 credit to your account,
O0 submit the upper portion
of this form with your
tax payment.
.00
(8)
.00
5,000.00
13.
NOTE:
ASSESSMENT OF TAX:
15. Amount of L/ne 1~ at Spousal rata
16. Amount of Line lq taxable at Lineal/Class A rata
17. Amount of Line 1~ at Sibling rata
18. Amount of Line 1~ taxable at Collateral/Class B rata
19. Principal Tax Due
TAX CREDITS:
PAYHENT RECEIPT D/$COUNT
DATE NUHBER INTEREST/PEN PAID
.00
(11) . O0
(12) 5,000. O0
.00
5,000.00
Charitable/Governmental Bequests; Non-elected 911:5 Trusts (Schedule J) (115)
Nat Value of Estate Sub.~act to Tax (lq)
Zf an assessment ~as issued previously, lines 1~, 15 and/or 16, 17,
reflect flgures that include the total of ALL returns assessed to date.
18 and 19 will
(1;) 5,000.00 x O0 = .00
(16) .00 x OR5= .00
(17) . O0 x 12 = .00
(18) .00 x 15 = .00
(19)= . O0
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
ZNTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
ZF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
RESERVATION:
Estates of decedents dying on or before December 1Z, 198Z -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years) the Commonwealth hereby expressly reserves the right to appralse and assess transfer Inheritance Taxes
at the Iewful Class B (coIIateral) rate on any such future interest.
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECT/ONS:
ADNIN-
/STRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act 23 of 2000. (7Z P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side.
--Make check or money order payable to: REOISTER OF HILLS) AGENT
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-1315). Applications are available at the Office
of the Register of Hills, any of the Z3 Revenue District Offices, or by calling the special Z4-hour
answering service for forms ordering: X-800-36Z-ZOSO; services for taxpayers with special hearing and / or
speaking needs: 1-800-q~7-30ZO (TT only).
Any party in interest not satisfied with the appraisement, allomance, or disallowance of deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBlOZl, Harrisburg, PA 17128-lOZ1, OR
--election to have the matter determined at 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, Oept. 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. Sma page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
If any tax due is paid within three (3) calendar months after the decmdent's death, a five percent (SI) discount of
the tax paid is allowed.
The 15X tax amnesty non-participation penalty is computed on tha 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. This non-participation
penalty is appealable in the same manner and in the the same time period as you would 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 (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 dally rate of .O00lSq. A11 taxes which became delinquent on and after
January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOOq are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1'~ 2OZ .OOOSq8 ~'~'8-1991 III .O003Ol ~ 91 .OOOZq?
1983 162 .D00~38 1992 91 .0002q7 ZOOZ 62 .00016~
19&q llZ .O00SO1 1995-199~ 72 .000191 2003 52 .000137
1985 132 .000356 1995-1998 92 .0002q7 200q ~g .000110
1986 X0Z .O00ZT~ 1999 7Z .O0019Z
1987 XOZ .O00Z7q ZOO0 7Z .O00XgZ
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER 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 lnterest computation date shown on the
Notice, additional interest must be calculatad.
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of ~ .,..
also known as
Deceased.
Social Security No. ~ ~ r' ~--" ~ ~~~ ~ _~
No. oZ ~~ - G Z ' 7 .~
To:
Register of Wills for the
County of ~ ~'~'~ ~~ },- ~~ in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, apps- for letters of administration
on the estate of
(d.b.n.; pendente liter durance absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in ~-"'~~ "'~~' ^^ ~` County, Pennsylvania, with
h ~ ~ ~ last family or principal residence at `~'~ ~~ ~ '~- ~` ° ~` ~ ' ` ~~' ='-~ ~ ~;' ~ `"" ~ `~ '
(list street, number and municipality)
i ~ r / ,-< _
Decendent, then 1 years of age, died ~=
19 ~?
Decendent at death owned property with estimated values as folllows:
(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: _
Petitioner after a proper search ha ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Kesidence
~,/, Yi. C~~- '.'ri ,- r~~l ill. ~ .~, .. ~ ~\!
_
r
} I ~ J~~
1
~ LJ (a
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
,
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
ss
COUNTY OF (:TTMRF.RT,ANT)
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 affirmed and subscribed ( ~ - ~e~ -~ ~~~
12th ~ `-~
before me this day of ~
((~~ AUGUST ~~ 2002 ~
Registe °p
l ~
EsEate of
No.
MARGIE L CHUBB
21-02-727
Deceased
-~~" GR,AcNT OF LETTERS OF ADMINISTRATION
AND NOW AUGUST 13th }~j 2002 ~ in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that CLARENCE L. CHUBB
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to CLARENCE L . CHUBB
in the estate of MARGIE L. CHUBB
FEES
-,~-e~~
Register of Wills
Letters of Administration ..... $ 18.00
Short Certificates(5) ... , ...... $ 15.00
Renunciation ................ $
JCP $~O.IL-
TOTAL $ 38.00
Filed .. A,U.GUS~..13th ..... A.D. kiK~
DAVID J. FOSTER, ESQUIRE 23151
ATTORNEY (Sup. Ct. I.D. No.)
831 MARKET ST., PO BOX 222
ADDRESS
LEMOYNE, PA 17043
PHONE 717) 761-0715
MAILED LETTERS TO ATTORNEY AUGUST 13, 2002
hi< is to certify that the information here given is correctly copied tron) an original certiticare of death duly filed with me as
l..)•-:~l Registrar. The original cerrificate~ will he forwarded ro the Scare Viral Records Office for permanent tiling.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificare, X2.00
..8384171
:pro.
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a]Rav veT COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFICATE OF DEATH
---..-------._~------ --~- z_~_~... ..__ _____
NAME OF DECEDENT If rtv. Maklle, ,avl SEX SC(,IAI. SECURITY NUMBER DATE OF UEAIH,MCnN. Day. reel) ~
,. Margie L. Chubb ,. female a 188 - 32 - 4922 June 10
2002
,
___
AGE ILasl eelndayl UNDER t YEAR UNDER 1 DAY DATE OF BIRTH BIRiHPUCE'Cdr dad PLACE Oi OE ATH ICI.v.• rn +y ~ a,v„ v, Xne~ ,.+e1 _
Manna . Da Hone .r Minulq Man slay 'teen Slalna •cregn~wnuyl -__.___ _--. _____ -._ ___-.. -_
1'e ~ HOSPITAL. OTHER:
Feb . 14 ,
~
~
°inir
Cove , PA Inpauenl f 7 Ewonpallen,
_,
61 vie
DDA C~ ,~ []
ReeA+era:e a'SI I$pecdyl ^
'
1 941
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s.
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7.
w.
-
_____
-
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COUNTY OF DEAN CRY, BORO. TWP OF DEATH FACILRY' NAME IH rwl ,nv~wa,. q,ve weel end numoer~
WAS DECEDENT OF HISPANIC ORMaIN? RACE Amsrlcan Indian, BWCk, WMe. elc
No~J YM ~ 7 H y.e, specHy Cuban, ISprKdyl
-
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~
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an
« Hampden Twp.
4601 Chestnut Avenue Me:ic31,.PwnoRlpn..+~ white
-
~
_ s lo. _ _
DECEOEN7 SUSUAL OCCUPRNDN NINOOF BUSINESS/INDUSTRV WAS RECEDE NT EYER IN DECEDENT'S EDUCATION MARITAL STRUS~Martrd $ISiVIVING SPOUSE
(Gva Ladd vrork OOna tlwuq rnoe+ US.MMEDFORCES? ISpec~N ~.-lnest;ygUt~cr~Lbi~_-_ Navar MarrrA, WVbwA, ill xde. Y,w ~na.lenrwnel
rsa
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use ra
rall Yes^ ~v( ElamanwrylS.conaary C^INgs Drwrceo (SpecN)
Va
l (0121 It dui Srl
- ,,.. Da Care Provider ,,.. Child Da Care ,:. ,a. 12 ,.. Married +s. larence L C ubb
'
DECEDENT
S MAKING ADDRESS (Strew. CdylTOwn. Sla,a. Zy COdal DECEDENTS Pennsy vania L~T/~ Hampden
17e
51
1
t7
v
4601 Chestnut Avenue .
a
e __ ad
c.,Al
«,decedenl4vWin +•v
RESIDENCE
OecaWn
Camp Hill, PA 17011 ~ ~a"~ Cumberland ? Ne.o.~.dwea»a
^
u. ,Tb.ea,nly _--- 1Td.
rerun ac,utl emdaa -_-_---- __-- ulWbaru
FRMER'S NAME IFvst. M,^raa. Lasll MOTHER'S NAME IFosl. Middle. Manses Surnemel
,l• Charles Gingrich ,.. Nellie Stone
INFORMANT'S NAME (TypwPluN) INFORMANTS MAILING ADDRESS ISuew. DdylTOwn. $wle. lip Coda)
~.. Clarence L. Chubb alb. 4601 Chestnut Avenue Cam Hill, PA 17011
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: MARGIE L . CHUBB
Date of Death
JUNE 10, 2002
Will No. 21 -02-0727 Admin. No. 2002-00727
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6O of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on ~ L' C C M ~~ ~ 2 ~ 7.~-"tom
Name Address
Kelly Stutribaugh 21 Orchard Rd., Camp Hill, PA 17011
C. Lamar Chubb 200 Fairway Dr., Etters,:PA 17319
Kristen Pool
17 Garber Street, Chambersburg, PA 17201
Lee Ann Trayer 22 South Main Street, Marysville, PA 17053
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date: ~ ZICZI U2
Signature ~ (~
Name David- J. Foster, Esquire
Address 831 Market Street
Lemoyne, PA 17043-0222
Telephone ~ 1 7) '7 61 - 21 21
Capacity: Personal Representative
Counsel for personal representative
NOTICE
TO: David Foster
FROM: Kirk Sohonage, Solicitor for the Register of Wills
DATE: January 14, 2005
SUB: Additional Probate Fees
Decedent: .Margie Chubb
Estate No.: 21-02-727
In an annual review of all estates and accounts, it has come to our attention the above
listed estate owes additional probate fees in the amount of $ 7.00.
Our records indicate that you are the personal representative or counsel for the same in
the above listed estate. Probate fees are estimated at the time of petitioning for letters.
Final probate fee amounts are determined by the value of the estate as reported on the
inheritance tax return filed in our office for the Department of Revenue.
The additional probate fee should be made payable to "Register of Wills" and be
forwarded in the enclosed envelope within 15 days of this notice.
If you feel you have received this notice in error, kindly contact the Register of Wills
directly at (717) 240-5411 and she will be happy to review the matter.