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Home My WebLink About04-0072 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of 'L~9\~:::S' Sc}LC~~~ No. ~ \~ 04 ..1A.- also known as To: Register of Wills for the Deceased. County of in the Social Security No. \\~- \<6- ddl..-A Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl '':c..c..,. for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in ~G,,^~E.JU..At00 County, Pennsylvania, with h \"?::> last family or principal residence at \ \ ,0"->."-"'-\ \..A\UE;. ") ~, ~~ \l~ (list street, number and municipality) Decendent, then '5C\ years of age, died \...A CI.. '-1 \~ , f9: a-~ at \\ \c\")"\..I\'-\. ~ , E..\-::K~ PI\... \ladS Decendent at death owned property with estimated values as folllows: 3~.c:p.. (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 h~ ascertained that decedent left no will and was survived by the following spouse (if any~ and heirs: Name \ C v THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. ............_-<_._-~.---~-.-....... Srt~p ~ '" ~ j-V~--rYl ~ . " u ,:: " 'O~ 'c;;~ "... l:&:1j I \ d..~ ~ ~ l\lf"'G!':~ C!::t- '00 ~.';: ~\U>Q\..~IUI\::G, \0..0, ~ ~..o 3~ " '- :;0 ~ ,:: OJ) rn OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBER[AND 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 J 'l.,!JJJ>~-"'~ - before me this 1st day of '" 'Q)' J:J~~~~~:~~H;=- ... =' .... I tV c:: L ClO ~, ~. ~ . egister iZi No. ~\- 04 -.., 2- Estate of RAI PH ,] SOLOMON , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW JANUARY 23, 2004 P9X_, in consideration of the petition on the reverse side hereof, satisfacto?j proof havincfNbeen presented before me, , IT IS DECREED that VIRGIN A M SOLOM is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to VIRIGINII M SOLOMON in the estate of RALPH J SOLOMON dd.!.."JA_~a"'", ~)~ '~~ Register of Wills I I,.' FEES I Letters of Administration ..... $ \ R. an Short Certificates( ).......... $ - ~.OO n .' 1\ TTOR,NEy' ~S,J?P. Ct..I.D. No.) Renunciation ................ $ '. i, C. (( 1-, ..,' ,1 --J.<LP $ 10,00 TOTAL _ $.3\ .00 ADDRESS Filed .. :1.-.23,.2.004. . . . . . .. A.D. -- MAILED TO ADMIN 1-23-2004 PHONE . WELTMAN, WEINBERG & REIS CO., L.P.A. BURLINGTON, NJ 609,914.0437 A TIORNEYS AT LAW CINCINNATI,OH 323 W. Lakeside Avenue, Suite 200 513,723,2200 Cleveland, Ohio 44113-1099 COLUMBUS,OH 216.685.1000 614,228,7272 www.weltman.com DETROIT, MI 248,362.6100 PHILADELPHIA, PA 215.599,1500 PITTSBURGH, PA 412.434,7955 June 17,2004 Cumberland, Register Of Wills One Courthouse Square Carlisle, P A 017013 Re: Estate of Ralph L Solomon Case No. 21-04-72 Our Client: Ebbets Partners II, Ltd Account No. 4361451800435869 Balance Due: $2,716.48 Our File No. 3500726 Dear Clerk of Courts: This law firm represents Ebbets Partners II, Ltd in connection with its claim which we wish to fIle on our client's behalf into the estate of Ralph L Solomon, deceased. Enclosed is our check in the amount of$5.00 which we understand is the fIling fee for this claim. Our client's claim is based upon its account number 4361451800435869 in the amount of $2,716.48. As of the date of this letter, this is the amount due. Included with this letter is the claim form which we wish to present to this court and which we are forwarding to the attorney and/or fiduciary of this estate. It would be appreciated if all correspondence and disbursements with respect to this matter be forwarded to our office and to the attention of the undersigned. Additionally, it would be ap eciated if any notices of any hearings also be forwarded to the undersigned. Thank you for your cooperation in this matter. m'~ Traci L. Soos Legal Assistant (216) 685-1022 TLG:iar ..- - Enclosures cc: Virginia M Solomon c ~- f''-.J .:::,. .. ~. . WELTMAN, WEINBERG & REIS CO., L.P.A. BURLINGTON, NJ 609,914,0437 ATTORNEYS AT LAW CINCINNATI,OH 323 W. Lakeside Avenue, Suite 200 513,723,2200 Cleveland, Ohio 44113-1099 COLUMBUS,OH 216.685.1000 614,228,7272 www.weltman.com DETROIT, MI 248.362,6100 PHILADELPHIA, PA 215,599,1500 PITTSBURGH, PA 412.434,7955,. ""tit._ -. -... June 17,2004 - CERTIFIED MAIL Virginia M Solomon 12609 Norcross Ct Silver Springs, MD 20904 Re: Estate of Ralph L Solomon Case No. 21-04-72 Our Client: Ebbets Partners II, Ltd Account No. 4361451800435869 Balance Due: $2,716.48 Our File No. 3500726 Dear Sir or Madam: This law fIrm represents Ebbets Partners II, Ltd with respect to the claim which we wish to me in the estate of Ralph L Solomon. It is our understanding that you are the Fiduciary of the estate. We are asking that you please accept our client's claim which is based upon its account number 4361451800435869 in the amount of$2,716.48. As of the date of this letter, this is the amount due. Please direct all correspondence and disbursements with respect to this estate directly to our offIce, It would also be appreciated if you contact us to advise us when you anticipate making disbursements in this matter so that we may mark our me for follow-up at that time. Thanking you in advance for your cooperation in this matter. This law fIrm is attempting to collect this debt for our client and any information obtained will be used for that purpose. Lastly, do not hesitate to contact us to further discuss this matter. S' =IYr~ raci L. Soos Legal Assistant (216) 685-1022 TLG:iar ",_.~ Enclosures cc: Virginia M Solomon- regular mail 1'0 _~1- ~ ; . WWR#3500726 FORM 93-0.C. DIVISION IN THE COURT OF COMMON PLEAS of CUMBERLAND, REGISTER OF WILLS, PENNSYL VANIA ORPHANS' COURT DIVISION INRE: ESTATE OF No. 21-04-72 Ralph L Solomon , Deceased For a credit card with Ebbets Partners II, Ltd, Account No. 4361451800435869 CLAIM To the Clerk of Orphans' Court Division: Index and make proper entry in your official records of the claim of Ebbets Partners II. Ltd c/o Weltman. Weinberg & Reis Co.. L.P.A.. 323 West Lakeside Avenue. Suite #200. Cleveland. Ohio 44113-1099 (Claimant) in the amount of $2.716.48 against the estate of the above named decedent. This claim is filed under Section 3532 (b) (2) of the Probate, Estates and Fiduciaries Code. The said decedent, who resided at 11 Tommv Ln Enola P A 17025 , died on 05/10/03 , (Address) Written notice of this claim was given to Virginia M Solomon on (Personal representative, if any, or counsel) 12609 Norcross Ct Silver Springs. MD 20904 & ~JL- Address or Personal Representative, if any, or counsel (Claimant) Traci L. Soos, Agent for the Claimant c/o Weltman, Weinberg, & Reis Co., L.P.A. 323 W. Lakeside Ave., Suite200 Cleveland. Ohio 44113 (Cla~nt' s Ad<;tress) S' c--. 1::_ l'j ::;:" WWR # 3500726 STATEMENT OF ACCOUNTS FOR: Ebbets Partners II, Ltd DECEDENT'S NAME: Ralph L Solomon ADDRESS: 11 Tommy Ln CSZ: Enola, PA 17025 SSN: 167-34-5633 DOD: 05/10/03 ACCOUNT #: 4361451800435869 BALANCE DUE:_$2,716.48 EXHIBIT A - ..,-...... ,. ~ 55:: r ~. !'-) .j:oo. .--.. :._~:~; ',C\' This is to certifY that the information here given is correctly copied from an original certificate of death duly filed with me as Local ~egistrar. 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 1111111"~\.1.'".'OF.."Pl.------____ -t, 'A ~ \\I~~ . 4'4',r."'- .I"'J/L~ (/i_.. "".... ~.~\ Local Registrar $~r" .' - \~~ ~~f_~~:: I.i:~ ~ .'1l-,sJl ': I ~ \*' ",--,., ':," ''''/*1 '" a..~ . c. IA~ I' "r'1r,(>~ ~ " P 915 4 7 9 8 ~-!f,(MENn~~II\\\\ 11t ~ l"'r ,;l.tn:i 3 No. "'''''H''IIIJJII - I)ate H'05 ,<< A.,. '/91 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS TYPE/PAINT CERTIFICATE OF DEATH ~ ~~M~ PERMANENT BLACK INK SEX DATE Of DEATH {Month, Day, '!'ear) J 2. Male May 10, 2003 UNDER 1 DAY DATE OF BIRTH BIRTHPLACE (City and OaY. Houri Minu!.H (Mo'lltl, Oily. YlWill.fj SliilUOI fVletynCGlJrlttv) June 10,1943 ElIsr _ PA. :::,,, 0 ""' ..,.? 0 "'p - ...... -' -. I METHOD Of OISPDSlTtQN Burial 9'" Cremation 0 Removallrom Slale 0 ~ Other (Specifyl '\ /')0" 23a1. Db. 23c. TIME OF DEATH P rx . DATE PRONOUNCED DEAD (Monlh, Day, 'Mar) MS CASE REFERRED 10 MEo,:srl EXAMINERlCQRONER? .. 11: 00 P M 2. May 11, 2003 ,YooJOI.."I, N.C] 27. PART I: ~=-:':-';::::~~=~~IonSwhIchCloUMdlMdealh. Donelenter 1M rnoo.otdylng, suchaa cardiacOf' rMpIr.tory.......1hodI orhMrtfaikn. !~~ PART II: ~~:'::~C::=i::.r::~::-~~ 10flMl and dIeth I . , . Disease I .. CUE 10 (OA AS A CONSEQUENCE OF): d. WERE AUlOPSY FlNDtNQS MANNER OF DEATH DATE OF INJURY ,IIWJdlA8lE PRIOR 10 (MonIh, Dey, 'tNr) ~:~~ OF CAUse Ne'ural ~ Homicidlt Ll .... 0 No 0 Accident 0 P~jng Invealigalion 0 5ulc:ide 0 ' Could not be delermined 0 2". at.. 21. CERTIFIER (Chedl. only one) .~~-::"~':Y=~~C:':==.~n:''':::~~~~~~~lt~~r.l~~~l~~~~~ 1.1~.~3)......... ....,....... 0 Coroner ~- DATE SIGNED (Month, Day, Yeal) 8 .=~U:=lh':..S:::~=.=:..:'==I~:~c::~~~~:'':n~e::r''.1eled... ..,....,.,........ Ole. lei. .May 13, 2003 l) NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH t~ 'MEDlCALEXAIIINERICORONEA (Ilem 27) Typo Of Print Michael L. Norris, Coroner C> Onth.b....oh.amlnatlonandJorlnve.tlgatton.lnmyoptnkm.d..thocc:urredetth.tlm.. dat., and place, and due to th. cauH(l) IIMI 6375 Basehore Road, Sui te H 1 monn.......'....., ,.... ,..,....', ..,......".. ,.. ......"",.........",."..,........... ..... ,......, ,.......... Mechanicsburg, Pa. 17050 .:( 318. Z REGI L;l,1 ,..:211 blJ 34, CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: '').~\~ :S,SOLO~C'l~ Date of Death: \... " ~ '-\ \ ~ I 8- ("'C'}"3 Will No. Admin. No, 2. \ .. 0 '-' .. ..., '2... To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name Address "-.j \ ~C:.", \.."')\ ~ \J;... ~La~~ ~ ~~~N2,s. ~"1 S\L\')UL~~\~...GI "-'0. a~ Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: $)-\ - a~ +U~-nt~ Signature Name "'-, \(l C~\ ~ \ ~ U. ~"\l.O\\0..c) N Address \%~ \..X)Q Qjl~ ~3 ' S\~ E:.R- S?~\~(:.. J ~$ d..~ay Telephone ~ \ ~'d....- L\ C16-~ Capacity: _ Personal Representative _Counsel for personal representative 'EV-1500 EX (p-OO) REV-1500 OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE --~,-, <,._,-~., INHERITANCE TAX RETURN FILE NUMBER DEPT. 280601 J..~-<\J~ ~~~:L~ HARRISBURG, PA 17128-0601 RESIDENT DECEDENT COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER t- So IOyY)QN KAl h ::r: II,;. 7 - 3t.1 - 5""b~:3 z w DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE C W 05- J 0 - t5?oo3 O~-lo-/9t./3 REGISTER OF WILLS () W (IF APPliCABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER C - - w ~ 1. Original Return o 2. Supplemental Return 03. Remainder Return (date of death priorto 12-13-82) ..., ll::$rn o 4, Limited Estate o 4a. Future Interest Compromise (date of death after 12,12,82) o 5, Federal Estate Tax Return Required uD:::ll:: wa..u :r:oo o 6, Decedent Died Testate (Attach copy of Will) o 7. Decedent Maintained a Living Trust (Atlach copy of Trust) B. Total Number of Safe Deposit Boxes uD:::..J a.. III - a.. o 9, Litigation Proceeds Received o 10, Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o 11. Election to tax under See, 9113(A) (Attach Sch 0) < NAME COMPLETE MAILING ADDRESS FIRM NAME (If Applicable) TELEPHONE NUMBER 1, Real Estate (Schedule A) (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) (Schedule E) o"'Mn Z 0 6, Jointly Owned Property (Schedule F) (6) (".) < o Separate Billing Requested ..i\... ..J (7) ;:) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property t- (Schedule G or L) 3& ii: <( B, Total Gross Assets (total Lines 1-7) 98 (B) 363, () 9, Funeral Expenses & Administrative Costs (Schedule H) (9) ~ ,()~/. w ~ 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 98 11. Total Deductions (total Lines 9 & 10) (11) 9.03/- 12, Net Value of Estate (Line B minus Line 11) (12) C -Z 1L, '18 ,LPO) 13. Charitable and Governmental Bequests/See 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) ......-0 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z 15, Amount of Line 14 taxable at the spousal tax 0 rate, or transfers under See, 9116 (a)(1,2) x ,0_ (15) lei: ~ 16, Amount of Line 14 taxable at lineal rate x .0_ (16) ;:) D.. 17, Amount of Line 14 taxable at sibling rate x ,12 (17) :E 0 1 B, Amount of Line 14 taxable at collateral rate x .15 (18) () ~ 19, Tax Due (19) 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: " I STREET ADDRESS t~o~m/X1 M,;.e, fA I ZIP rJ o;;.,s- I STATE CITY Tax Payments and Credits: 1, Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A Spousal Poverty Credit 8, Prior Payments C, Discount Total Credits ( A + B + C ) (2) 3, Interest/Penalty if applicable D, Interest E, Penalty Total Interest/Penalty ( D + E ) (3) 4, If Line 2 is greater than Line 1 + Line 3, enter the difference, This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5, If Line 1 + Line 3 is greater than Line 2, enter the difference, This is the TAX DUE. (5) A, Enter the interest on the tax due, (5A) 8, 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 decedent make a transfer and: Yes No a, retain the use or income of the property transferred;......,....,..,.........,..,.........,..,....,....,..,....,....,....,.........,..,........ D 18'] b, retain the right to designate who shall use the property transferred or its income; ........,..,....,....,....,................, D D c, retain a reversionary interest; or......,..,............,......,....,....,....,..,....,....,....,..........,......,............,....,....'..,......,........ D D d, receive the promise for life of either payments, benefits or care? ....,..,....,.................'............,......,..,....,........... D 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 tEl 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 perjury, 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 of preparer other than the personal representative is based on all information of which preparer has any knowiedge. SIGjTURE OE PERSON RESP~RETURN DATE I - l'Y\' ADDRESS / ~~~ ~(J/UA.I)J.S (!~U/\r+- <;;:11<1w ~"'~ rnb d<o9oC/ SIGNATURE OF PRE PARER OTHER THAN REPRESENTATIVE DATE ADDRESS For dates of death on or after 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% [72 PS, ~9116 (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, ~9116 (a) (1,1) (ii) The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even 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 paren or a stepparent of the child is 0% [72 P.S, ~9116(a)(1.2)], The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4,5%, except as noted in 72 P,S, ~9116(1,2) [72 P,S, ~9116(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 PS, ~9116(a)(1,3)], A sibling is defined, under Section 9102, as al individual who has at least one parent in common with the decedent, whether by blood or adoption, ""~..,'" '* SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER 'I~a,l f~ ~. So/a,nON c2/ - 0 '-/ -oo7~ /0 y.-.33 / Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointiy-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1- /?'=l-~ le- G 0 m ffJ eli..- Ge- I DO S"' e,.f~ r1v e-,. fk// PA i7ol/ 3!? (].~ ' 3 e':5 . . :l-F 0':::> 130q 1:2. f.:,t../ H(.v . TOTAL (Also enter on line 5, Recapitulation) $ 3g3.~g (If more space is needed, insert additional sheets of the same size) REV'1511 EX+ (12-99)~ SCHEDULE H ,>,' ",. COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER ~'t~ :r ~o/.orno,.J ~/- 0 ~- 00'7 ;;./() '1- 33 Debts of decedent must be reported on Schedule I. ! ITEM NUMBER DESCRIPTION AMOUNT A, FUNERAL EXPENSES: 1. gI03/. 98 f0 ,e).' II ~rJ,vvAL f/.oP1~ :;Z:JI C f'YJ4;vILf.. -r ~ rjl.,eRr 3lto I e,::r~ /J-t'11, /4 /701/ B, ADMINISTRATIVE COSTS: 1, Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State _Zip Year(s) Commission Paid: 2, Attorney Fees 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 5, Accountant's Fees 6, Tax Return Preparer's Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ ~/o3/. 'If (If more space is needed, insert additional sheets of the same size) Commerce Commerce Bank/Harrisburg N.A Page 1 of 2 100 Senate Avenue .Bank Camp Hill Pa 17011 888-937 -0004 STATEMENT DATE --- --- --- RALPH J SOLOMON 11 TOMMY LANE ENOLA, PA 17025 IQ~UQ2126' I ACCOUNT NO, 1 CLOSED CHECKING PL S CLUB ACc:O!lli.'r ~EF._051309-.12~~_~________w __~ ,~-'----~- . ,PREVIOUS STATEMENT BALANCE AS OF 02/20/04 ........................ 383.37 PLUS 1 DEPOSITS AND OTHER CREDITS ................... .01 LESS 1 CHECKS AND OTHER DEBITS .... ..... ............. 383.38 ':~URRENT STATEMENT BALANCE AS OF 03/21/04 ......... ..... ........... .00 NtJ!:mER OF DAYS IN THIS STATEMENT PERIOD 30 ----------------------------------------------------------------------------------- *** CHECKING ACCOUNT TRANSACTIONS *** DATE DESCRIPTION DEBITS CREDITS 03/01 INTEREST PAYMENT .01 03/01 CLOSING WITHDRAWAL 383.38 --------------------------------------------------------------.--------------------- *** BALANCE BY DATE *** 02/20 383.37 03/01 .00 PAYER FEDERAL 10 NUMBER 23-2324730 INTEREST PAID YEAR TO DATE .10 ---------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD *** DAYS IN PERIOD ......................... 9 INTEREST EARNED .... .... .... ............ .01 ANNUAL PERCENTAGE YIELD EARNED (APY) . . . . 0.11% ---------------------------------------------------- ...--- --- --- .---- ---- --- ---- ---- - -- -- --- - - - -- -- Check~W Page 2 of 2 Date 3/21/04 Account --- --- 513091264 --- - '" - . ,-' HL I \DX- (;lU;t Cll,sblYltV ci.ld.n:":RC "~5~ ' 1P.~.cLl~ ; tI<"-1_u~- '),; .-J!..t:.-..~~ i I Plcdj?h J SoI0Il1~~~~'''''_''':4j,''~~:';~ II ~! I . I: so 2 '''0 ~a I.,: (ft;f' -:5028-0I.B'-I: 5. iO"i lU.lo. 5UOOOOO3.833.8'" .. Amount $383,38 Date Presented 3/1/2004 7175619918 NEILL FUNERAL HOME PAGE 01/01 May 14. 2003 Mrs. Virginia Solomon 11 Tommy Lane Enola, PA 17025 .- "." This is an itemized bill for the funeral of: Ralph J. Solomon PROFESSIONAL SERVICES AND MERCHANDISE SELECTED G90 635 DH SIERRA CASKET . . . . . . . . . . . . . . . . . . . . . . $ 2,695.00 Seville . V~ . . ' . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . 1,375.00 Complete Traditional Service. . . . . . . . ' , . . ,'. . . . . . . . . . . 3,295.00 Memorial Package b ...... . . . . . . . . . ' . . . . . ' . . . . . . . . . 155.00 Flowers . . . . , . . . . . . . . . . . . . , . . . . . ' . . . . . . . , . . . . . . . . 273.48 Sub ~ Total $ 7.793.48 CASH ADVANCES Death Certificates . . . . . . . . . ' . . . . . . . . . , . . . . . . , . . . . . . $ 50.00 Newspaper Notice, York News. . . . . . . . . . ' , . . . . . . ' . . . . 96.00 Newspaper Notice, Patriot-News ' . . . . , . . ' , . . . . . . . . . . . 92.50 Sub - Total $ 238.50 Total Funeral Charges $ 8,031.98 Payment Received $ 0.00 Balance Due on Account (Due date; 05/1412003) $ $8,031.98 Ref No.: 1002077/2768 ~y /l1..h..:1.l w- ~.d:; ~ch'7 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/07/2005 SOLOMON VIRGINIA M 12609 NORCROSS CT SILVER SPRINGS, MD 20904 RE: Estate of SOLOMON RALPH J File Number: 2004-00072 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2 ) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 5/10/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge vA COMMONWEALTH OF PENNSYLVANIA *' DEPARTMENT OF REVENUE - -- -. "- -_ c-,-~ NOTICE OF INHERITANCE TAX BUREAU OF INDIVIoUAL. :,tAlCES' APPRAISEMENT, ALLOWANCE OR DISALLOHANCE INlERITANCE TAX DIVISIDI'f ,-_~ -, OF DEDUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 HARRISBURG PA 17128-0601 REY-1547 EX AFP (D3-0Sl 2005 MAY 16 DATE 05-09-2005 ESTATE OF SOLOMON RALPH J CLERK OF DATE OF DEATH 05-10-2003 FILE NUMBER 21 04-0072 ORPHAN'S CO 'RT COUNTY CUMBERLAND VIRGINMUI([S6iOMONC ACN 101 12609 NORCROSS CT I Anount R..iit.d I SIL VER SPRINGS MD 20904 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 .... ItfV-"MI:,.yt.m.'I:'ll!~'1I!'. n'l!\!.W.IMftArflM."t.m.A'III'I1AmMMr:.YC[WlM."t.r.rr.............. ... DI LLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SOLOMON RALPH J FILE NO. 21 04-0072 ACN 101 DATE 05-09-2005 TAX RETURN HAS: I X) ACCEPTED AS FILED I ) CHANGED RESERVATION CONCERNING FU URE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estat. (Schadul. A (1) .00 NOTE: To insure proper 2. Stocks and Bonds (Sehe 1. B) (2) .00 credit to your account, 3. Closely Held stock/Part rship Interest (Schedule C) (3) .00 suIHIi t the l.t)per portion of this for. with your 4. HortgagesINoies Rac.lv 1. ISchedul. D) (4) ,00 tax paynent. 5. Cash/Bank o.posits/Mlsc. Personal Property (Schedule E) (5) 383.38 6. Jointly Owned Property Schedul. Fl (6) .00 7. Transfers (Schedule G) (71 ,00 B. Total Assets IB) 383,38 APPROVED DEDUCTIONS AND E EMPTIONS: 8,031. 98 9. Funeral Expenses/Adn. sts/Hisc. Expenses (Schedule H) (9) 10. Debts/"ortgage Liabilit es/Liens (Schedule I) 110) .00 11. Total D8ductions Ill) R.D31 98 12, Net Value of Tax let rn (12) 7,648.60- 13. Ch8ritable/80vernmen al Bequestsi Non-elected 9113 Trusts (Schedule J) (13) .00 14, Net Value of Estat. ubiect to Tax (14) 7,648.60- NOTE: If an asses~ent as issued previOUSly, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures t at include the total of abb returns assessed to date. ASSESSMENT OF TAX: ,00 X 15. AIoount of Line 14 at Sp sal rate 115) 00 = ,00 16. A.ount of Line 14 t.xab . at Lineal/Class A rate 116) .00 X 045 = .00 17. Amount of Line 14 .t Si ling rat. 117l .00 X 12 = .00 18. Amount of Line 14 taxeb . .t Collateral/Class Brat. I1B) .00 X 15 = .00 19. Principal Tax Due (19)= ,00 : DATE NUNBER INTEREST/PEN PAID (-) ANOUNT PAID TOTAL TAX CREDIT ,00 ~ BALANCE OF TAX DUE .00 INTEREST AND PEN. ,00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED, FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS,) Estate of SOLOMON RALPH J : ORPHANS' COURT DIVISION Late of EAST PENNSBORO TOWNSHIP : COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY Estate No, : 21-04-00072 : PENNSYLVANIA : Date: 6/10/2005 : NO, : 21-04-00072 SOLOMON VIRGINIA M 12609 NORCROSS CT SILVER SPRINGS MD 20904 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: SOLOMON VIRGINIA M Personal Representative Counsel: ** NO INFORMATION FOUND ** Date of Decedent's Death: 5/10/2003 Date of Delinquency Notice: 5/10/2005 The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans' 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 their counsel, have filed with the Register of Wills or Clerk of Orphans' Court, his/her Status Report required by Rule 6,12, Supreme Court Orphans' Court Rule, and that the requisite notice, pursuant to Rule 6,12, Supreme Court Orhans' Court Rules, was given by the Clerk of Orphans' Court on 4/07/2005 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 their counsel. cc: File .~~~~ Personal Representative Glenda Farner Strasbaugh Counsel Clerk of Orhans' Court A hearing is scheduled for July 08, 2005 at 9:30 AM in Courtroom No, 03, If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled, oJ(