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HomeMy WebLinkAbout03-0541 PETITION FOR PROBATE and GRANT OF LETTERS also known as To: Register of Wills for the Deceased. ~ County of ~O'm~.~'~ Social Security No. ? ?? '"' ~'-'--' ~, ~'"'~ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut/ZI A~"~' in the last will of the above decedent, dated ~;?~-.4~:~:~ and codicil(s) dated in the named ,19 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Co: ~ ~*/,"~''~'de County, Pennsylvania, with h .~ r" last fgmily or principal residence at (list street, number and muncipality) Decendent, then ~.2.. years of age, died 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: 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 Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully presented herewith and the grant of letters theron. reqCest(s) the probate of the last will and codicil(s) (testamentary; ad~'~nistratio~ c.t.a.gadministration d.b.n.c.t.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~.E~z~'~Og~¥'Z)f 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 o~ 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 ,-,/]--"/4t/t~ /"]]&~' ~~¢~ ~ befo~ me this ~ ~l- day of,/ '4~ ~~ ~~~ ~' Estate Of ,/t../_~.~ ~_. /~,9~)'' , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~-1-[.1 L "q ~ ;t4}.. , 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 (~__~'~ ,t~/E._ described therein be admitted to probate and filed of record as the last will of -'~ ; are hereby granted to ~ ~- ~t,-/'~- · FEES Probate, Letters, Etc .......... Short Certificates(i ) · ~. ........ R-~amei~on ...~.(L ./:) ........ TOTAL Filed ~,k[~/. ~-t. ~,C~ A'FTORNEY (Sup. Ct. I.D. No.) PHONE ,q. 5:0[b' L-qFIF E0. 105.805 REV 9/86 This 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 P 9 4 4 8 8 7 g ~~~ JUN ~6 201)3 No. ~ Date H,05.,~3 ;e,. a/s7 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT 0~ HEALTH * VITAL RECORDS CERTIFICATE OF DEAT~I 1~ West ~uth St. ~,. ~ 1 ~ha ~idel 315 Gr~son R~d, e PA 17013 ? :00 ~ OOS ................................. e, date, and place, and due to he cause a) and 17013 REGISTER OF WILLS OF ,,.' . . ' COUNTY OATH OF SUBSCRIBING~ law, xdepose(s) and say(s) tha~ tu~ifi~cor ~________ , presen't-and saw, re.quest .of ~t_- in h~ _~_ pres~nxh~ and On the pr, ence of each other)' the presence of the Sm~:° °r affirmeax~x.d subscribed before ~X _ day of ~ (Name) ~'~"~Addrcss) (Name) ~-- (Address) I RI~. IST~ OF WILLS OF ~* ~'~-~ COUNTY OAtH OF NON-SUBSCRIBING WITNESS (each) a sul~scriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that ff':"gt~ X'd-'J,'ff..~' familiar with the signature of. codicil testata~/,~ of (~e subscribing witn*~ ~) the ~ presented herewith and that_ 7~,~(.~, .bellev~ .the signature ..on th~id~C~nl the handwriting of to the be~t of _~ t ~ _ knoWledte ~d b,~of, A HENRY L. STUART CARJ-ISLE, PA. LAST WILL ~%ND TESTAMENT /'I, MARTHA E. LAY, of West Pennsboro Township, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. FIRST. I direct all my just debts and funeral expenses be fully paid and satisfied out of my estate by my personal representative(s) hereinafter named as soon as conveniently may be done after my decease. SECOND. I.give and bequeath the following: A. The sum of Two Thousand ($2,000.00) Dollars to my granddaughter, Vicki S. Darr, 330 Greason Road, Carlisle, Pennsylvania, 17013. B. The sum of Two Thousand ($2,000.00) Dollars to my granddaughter, Pamela K. Burkholder, R. D. 9, Box 192A, Carlisle, Pennsylvania, 17013. C. The sum of Two Thousand ($2,000.00) Dollars to my granddaughter, Sheri A. Mahoney, 331 Greason Road, Carlisle, Pennsylvania, 17013. D. The sum of Two Thousand ($2,000.00) Dollars to my grandson, Mark R. Mahone> 331 Greason Road, Carlisle, Pennsylvani~ 17013. THIRD. All the rest, residue and remainder of my estate, real and personal, I give, devise and bequeath to my two children, namely, Anna Mae Mahoney and Bertha F. Beidel, in equal shares or their issue. LASTLY, I nominate, constitute and appoint my said two children, Anna Mae Maho~ and Bertha F. Beidel, or the survivor, Executrices or Executrix, of this my Last Wi: and Testament, IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~day of Signed, sealed, published and declared by the above named Testatrix~ Mmrtha E.~ Lay, as and for her Last [451,1 and Testament in the presence of us, whQ~ at her requ, and in her presence and in the presence of each other, ha.v~e hereunto subacr±bed our names as witnesses thereto. LAST WILL AND TESTAMENT OF MARTHA E. LAY WILL HENRY I. STUART A'3-1'OENEY AT LAW CARLISLE, PA. Name of Decedent: Date of Death: Will No. CERTIFICATION OF NOTICE UNDER RULE 5.6(a) 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 : Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: Address Telephone (?~/9~'' Capacity: __ Personal Representative C~~ounsel for personal representative 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 NO. REV-1162 EX(11-96) CD 004038 DANIELS WILLIAM S 1 W HIGH STREET CARLISLE, PA 17013 ........ fold ESTATE INFORMATION: SSN: 199-05-6958 FILE NUMBER: 2103-0541 DECEDENT NAME: LAY MARTHA E DATE OF PAYMENT: 06/11/2004 POSTMARK DATE: 06/11/2004 COUNTY: CUMBERLAND DATE OF DEATH: 06/25/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $881.03 TOTAL AMOUNT PAID: $881.03 REMARKS: SEAL CHECK# 1010 INITIALS' JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS 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 NO. REV-1162 I:X(11-96) CD 004039 DANIELS WILLIAM S 1 W HIGH STREET CARLISLE, PA 17013 fold ESTATE INFORMATION: SSN: 199-05-6958 FILE NUMBER: 2103-0541 DECEDENT NAME: LAY MARTHA E DATE OF PAYMENT: 06/11/2004 POSTMARK DATE: 06/11/2004 COUNTY: CUMBERLAND DATE OF DEATH: 06/25/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $7.55 TOTAL AMOUNT PAID: $7.55 REMARKS: SEAL CHECK//1502 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 uJ INHERITANCE TAX RETURN RESIDENT DECEDENT / ¢) / '3F~!C;AL USE ONLY FILE NUMBER 0ECEDENT'S '4AME iLAST. FIRST. AND MIDOLE INITIALi OATE OF DEATH !MM-DB-YEAR) ! DATE OF BIRTH (MM-BD-YEARI APPLICABLE) SURVIVING SP~'USE'S NAME (LAST, FIRST, AND MIODLE INITIAL) ~:~I. Onginal Return [--~ 4. Limited Estate .,~! 6. Decedent Died Testate ~Attach :opy of wi~[i ,~--'~l 9. Litigation Proceeds Received COUNTY CODE YEAR E~]2. Supplemental Return F-~ 4a. Future Interest Compromise (date of :ea~ after 12-12-82) 7 Decedent Maintained a Living Trust :Attad¢ c~Dy of'trust/ []10. Spousal Poverty Credit [date of death ~tween '2-31.91 and !-1-95~ TELEPHONE NUMBER ~UMBER SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER E~3. Remainder Return idate of aeam ¢nor [o 12-13-82 [~5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes ~1--~ 11. Election to tax under Sec. 9113(A) (A~c~ Sc, COMPLETE MAILING ADDRESS I. 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) 6. Jointly Owned Property (Schedule F) (6) [~ Separate Billing Requested / 7. Inter-Vivos lransfers & Miscellaneous Non-Probata Proper (7) (Schedule G or L) B. lotal Gross Assets (total Lines 1-7) (8) 9. Funeral Expenses& Administrative Costs (Schedule H) (9) 10, Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) ~. C .. OFFICIAL USE ONLY t3. Chantable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made fSchedule J) (13) 14. Net Value Subject to Tax (Line 12 minus Line 13) Amount of Line 14 taxable at sibling rate Amount of Line 14 taxable at collateral rate Tax Due SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1 2) x .0 (15) 16. Amount of Line 14 taxable at lineal rate / ~, 5 ~,~ '~,/~/ x .0 Z/.-~--(16) ~ ~/! ~) ~ 17. x .12 (17) 18. x .15 (18) Decedent's Complete Address: STREET ADDRESS CITY Tax Payments and Credits: 1 Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Pdor Payments C. Discount (1) Total Credits ( A + B + C ) (2) Total Interest/Penalty ( D + E ) (3) (4) (5) (5A) (58) 3. Interest/Penalty if applicable D. Interest E. Penalty 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 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX BUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE BUE. Make Check Payable to: REGISTER OF WILLS, AGENT I' PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS No Did decedent make a transfer and: Yes a. retain the use or income of the property b'ansferred;: ......................................................................................... [] b. retain the dght to designate who shall use the property transferred or its income; ............................................ [] c. re~ain a reversionary interest; or .......................................................................... .. ..................... .......................... [] d. receive the promise for life of either payments, benefits or care? ...... % ............................................................ [] 'lf death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. []" Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? ..............[] Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [] 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 penalbes of perjury, I dec:Jam that I have examined this return, including accompanying schedules and statements, and Io the bast of my knowledge and batie[, it is m3e, correct and cernplete De(:tarat~o~ of preparer other than the personal repmsenta§ve is based oa all information of which preparer has any knowledge, SIGNAT_,,~rlRE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS SIGNAT~~~OF R T~ER THAN REP NI~ ~~ . DATE ADDRESS I II'r For dates of deaB on or a~er July 1, 19~ and before Janua~ 1, 1995, Be tax rate imposed on Be net value of transfers to or for Be use of ~e sullying spouse is 3% [72 P.S. {9116 (a) (1,1) (i)]. For dates of deaB on or a~er Janua~ 1, 1995, the tax rate imposed on Be net value of transfers to or for the use of the sullying s~use is 0% [72 P.S. {9116 {a) (1.1) The s~tute d~s not exemo~ a transfer to a sullying spou~ from tax, and the statuto~ requirements for disclosure of assets and filing a ~x return are still applicable even · e su~iving s~u~ is ~e only ~ne~cia~. For dates of deaB on or a~er July 1, 2000: The ax rate im~sed on Be net value of ~ansfers from a deceased child ~en~4ne years of age or younger at death to or for Be use of a natural parent, an'adoptive pare:' or a stepparent of ~e child is 0% F2 PS. {9116(a)(1.2)]. The tax rate im~sed on Be net value of ~ansfers to or for ~ u~ of Be dec~ent's lineal bene~ciades is 4.5%, ex.pt as noted in 72 RS. {9116(1.2) [72 RS. {91~6(a)(1)]. ~he ~x rate im~s~ on Be net value of Eansfem to or f~ Be use of Be decedent's siblings is 12% [72 RS. {9116(a)(1.3)]. A sibling is de~ned, under Section 9102, as ar indMdual who has at least one parent in ~mmon wiB Be d~ent, wheBer by bl~d or adop~on. LAST WILL AND TESTAMENT /I, MARTHA E. LAY, of West Pennsboro Township, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. FIRST. I direct all my just debts and funeral expenses be fully paid and satisfied out of my estate by my personal representative(s) hereinafter named as soon as conveniently may be done after my decease. SECOND. I~give a~d bequeath 'the 'following: A. The sum of Two Thousand ($2,000.00) Dollars to my granddaughter, Vicki S. Dart, 330 Greason Road~' Carlisle, Pennsylvania, 17013. B. The sum of Twe,Thousadd ($2,000[00) Dollars to my granddaughter, Pamela K. Burkholder, R. D. 9,: BOx t92A, Carlisle, Pennsylvania, 17013. C. The sum of Two Thousand ($2,000.00) Dollars to my granddaughter, Sheri A. Mahoney, 331 Greason Road, Carlisle, Pennsylvania, 17013. D. The sum of Two Thousand ($2,000.00) Dollars to my grandson, Mark R. Mahoney, 331Greason Road, Carlisle, Pennsylvani~ 17013. YHIRD. Ail the rest, residue and remainder of my estate, real and personal, I give, devise and bequeath to my two children, namely, Anna Mae Mahoney and Bertha F. Beidel, in equal shares or their issue. LASTLY, I nominate, constitute and appoint my said two children, Anna Mae Mahonev and Bertha F. Beidei, or the survivor, Executrices or Executrix, of this my Last ~ill and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~'~iday of Signed, sealed, published and declared by the above named Testatrix, ~rtha Lay, as and for her Last Will and Testament in the presence of us, who, at her reques: and in her presence and in the presence of each other, have hereunto subacribed our names as witnesses ~hereto. ? REV-15~ EX * 11-97) ~ COMMONWTr. ALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~. SCHEDULE E CASH, BANK DEPOSITS, &MISC· PERSONAL PROPERTY , Include the proceeds of liUga~on and the data the proceeds were received by the estata. All property join~y.owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. TOTAL (Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) REV. I~ EX * (1-97} COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE F JOINTLY.OWNED PROPERTY FILE NUMBER If an asset was made joint within one year of the decedent's dat~ of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADORESS RELATIONSHIP TO DECECE', JOINTLY-OWNED PROPERTY: IJ:~ ~t:R DATE DESCRIPTION OF PROPERTY % OF DATE OF DEAT~ ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar idenlJfying number. Attach DATE OF OEATH DECD'S VALUE OF NUMBER TENANT JOINT deed for jointly-held real estale. VALUE OF ASSET INTEREST DECEDENTS INTERE TOTAL (Also enter on line6, Recapitulation) $..~/t? .~/,.~ ~, (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER ITEM NUMBER Debts of decedent must be reported on Schedule DESCRIPTION FUNERAL EXPENSES: ADMINISTRATIVE COSTS: Personal Representative's Commissions ,,~,,,,w.,.v',,~'~ /~'~,,~.~ Name of Personal Representative(s) ,,:~"-'-'/¢--;~-/-/z-,~ ~, Social Security Number(s)/EIN Number of Personal Representative(s) Street Address ~ ,,~/,~>'----. C "~-~.'-"~?.5" ~,'t/ City ~ ~ Year(s) Commission Paid: Attorney Fees //-//~'/~ ,z-r' State '/?~"~ Zip Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant ,,~fO.,~ ~ ¢---z----'¢--/ ~ ~ ~ Street Address City State __ Zip Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees ? TOTAL (Also enter on line 9, Recapitulation) AMOUNT (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANI,~ INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS Include unreimbursed medical expenses, ITEM NUMBER FILE NUMBER DESCRIPTION TOTAL (Also enter on line 10, Recapitulation) AMOUNT (If more space is needed, insert additional sheels of the same size) RE~/-1513 EX - ,1.gT~ ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER ,2/~:7~,,~ '"'~,~'~/ NUMBER RELATIONSHIP TO DECEDENT NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outdght spousal distributions) Do Not ListTruste~s) AMOUNT OR SHARE OF ESTATE TOTAL OF PART [! - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A, SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS BUREAU OF INDIVIDUAL TAXES INHERTTANCE TAX DIYTSION DEPT. 180601 HARRTSBURG, PA 17128-0601 COHMONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX f:M .... · 'IM JUL 30 i~.ll :30 W S DANIELS ESQ HUMER 8 DANIELS I W HIGH ST STE 205 CL"i · ~ii'. ' CARLISLE PA ~,~ i-5 ' i ~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN REV-15q7 EX AFP (01-05) 08-02-200q LAY 06-25-2005 21 05-05ql CUMBERLAND 101 Amoun~ Ram i'l:'l:ed MARTHA E MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMI)ERLAHD CO COURT HOUSE CARLISLE, PA I70I$ CUT ALONG THIS LINE ~ RETAIN 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 LAY MARTHA E FILE NO. 21 05-05ql ACM 101 DATE 08-02-200q TAX RETURN ~/AS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~a (Schedule A) (1) 2. S~ocks and Bonds (Schedule B) (2) $. Closely Held S~ock/Par~nership In~eres~ (Schedule C) ($) q. Mortgages/No,es Receivable (Schedule D) (q) 5. Cash/Bank Deposits/Misc. Personal Propar~y (Schedule E) (E) 6. Joln~ly Owned Propar~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Assa~s APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Cos*s/MAsc. Expanses (Schedule H) (9) 10. Debts/Mortgage Liabili*ies/Liens (Schedule I) (10) 11. To,al Deductions 12. Ne* Value of Tax Ra~urn lz801.08 21~215.99 O0 O0 NOTE: To insure proper O0 cred1~ ~o your account, O0 submi~ ~he upper portion O0 of ~his form wi~h your ~ax payment. (8) 2,61q.59 822.0q 15. NOTE: ASSESSMENT OF TAX: 15. Amoun~ of Line lq a~ Spousal ra~e 16. Amoun~ of Line lq ~axable a* Lineal/Class A ra~e 17. Amoun~ of Line lq a~ Sibling ra~a 18. Amoun~ of Line lq ~axable a~ Collateral~Class B ra~e 19. Principal Tax Due TAX CREDITS: PAYMENT RECEIPT DISCOUNT DATE NUMBER INTEREST/PEN PAID (-) 06-11-ZOOq CDOOq038 .00 06-11-200q CDOOq039 7.55- 73,015.07 (11) 3.~3~.63 (~a) 19,578.qq reflect flgures that include the total of ALL returns assessed to date. Charitable/Governmental Bequests; Non-elec4:ed 9113 Trus~:s (Schedule J) (13) . O0 Ne~: Value of Es~:a~e Sub~ec~: ~o Tax (1~+) 19,578.qq If an assessment was issued previously, lines 1~, 15 and/or 16, 17, 18 and 19 w111 (~$) .00 x O0 : .00 (16) 19,578.qq x Oq5 = 881.03 (17) . O0 x 12 = . O0 (18) .00 x 15 = .00 (19)= 881.03 IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. AMOUNT PAID 881.03 7.55 TOTAL TAX CREDIT 881.03 BALANCE OF TAX DUEI .00 INTEREST AND PEN. .01 TOTAL DUE .01 ( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT ZS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE ;~ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) (~ RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND OBJECTIONS: ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 11, 1981 -- if any futura 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 Coamoneealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collatara1) rate on any such future interest. To ~ulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act 25 of ZOO0. (71 P.S. Section 9140). 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 NILES, 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-l:5155). Applications ara available at the Office of the Register of Nills, any of the 2:5 Revenue District Offices, or by calling the special 24-hour anseering service for forms ordering: 1-800-:56Z-2050; services for taxpayers eith special hearing and / or speaking needs: 1-800-4fi7-:50ZO (TT onXy). Any party in interest not satisfied eith the appraisement, allowance, or disalloeance 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. ZBlOZ1, Harrisburg, PA 17118-1011, 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 Raviee Unit, Dept. 180601, Harrisburg; PA 17118-0601 Phone (717) 787-6505° See page 5 of the booktet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. [f any tax due is paid eithin three (:5) calendar months after the decedent's death, a five percent (SI) discount of the tax paid is alloNed. The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed; and not paid beR3re 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 mould appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning eith first day of delinquency, or nine (9) months and one (l) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1981 bear interest at the rate of six (BI) percent par annum calculated at a daily rate of .000164. All taxes ehich became delinquent on and after January 1, 1981 eill 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 19BI through ZO0~ are: Interest Daily Interest Daily Year Rate Factor Year Rate Factor 1982 ZOZ .0005fi8 ~)'~- 1991 11;4 .000:301 198:5 161 .0004:58 1991 9X .000147 1984 117. o000:501 199:5-1994 77. .000191 1985 1:51 ,000:556 1995-1998 91 ,000247 1986 IOZ .000174 1999 71 .000191 1987 101 .000Z74 ZOO0 77. .000192 --Interest is calculated as follo~s: INTEREST = BALANCE OF TAX UNPAID Interest Daily Year Rate Factor ~ 9;4 .oooz47 ZOOZ 67. .000164 Z00:5 SX .0001:57 2004 41 .000110 X NUHBER OF DAYS DELINQUENT X DALLY 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 shone on the Notice, additional interest must be calculated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/18/2005 DANIELS WILLIAM S 1 W HIGH STREET CARLISLE, PA 17013 RE: Estate of LAY MARTHA E File Number: 2003-00541 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: 6/25/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ :~./ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge rJ . Register of Wills of Cumberland County Estate No.: ?-/Oc.3 - 0 S--7I' / Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the adminis1ration of the above-captioned estate: 1. State whether adminis1ration of the estate is complete: Yes 0 No 2 2'. If the answer is No, state when the personal re,pn:ssentai've reasonabl~lieves that the administration will be complete: ~ ~ ..- 0.5 . 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a :final account with the Court? Yes 0 No 0 b. The separate Orphans' Com 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 ,Date: c. Copies of receipts, releases, joinders and approval of formal or informal accounts may, be filed with the Clerk of the ~ and may be attached to this report. /'" /) " C ~f~C~ CU. /- ~ Signature 'J ~'<c s: if ~?c:L5' Name / -/ Gd'( /Ice ~ J'~/ ~ ' ~S- Address ~L'Jl/r/r} r9'2C3 7/7- /-~~-- :5f-3/ Telephone No. Capacity: 0 Personal Representative )2rCounsel for personal representative cY Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 4/25/2006 DANIELS WILLIAM S ONE W HIGH STREET STE 205 CARLISLE, PA 17013 RE: Estate of LAY MARTHA E File Number: 2003-00541 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: 6/25/2006 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, ~~~ 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: 4/25/2006 BEIDEL BERTHA F 315 GREASON ROAD CARLISLE, PA 17013 RE: Estate of LAY MARTHA E File Number: 2003-00541 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: 6/25/2006 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, ~~~ Glenda Farner Strasbaugn Clerk of the Orphans' Court cc: File ('nl1TlRPl Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/25/2006 MAHONEY ANNA MAE 331 GREASON ROAD CARLISLE, PA 17013 RE: Estate of LAY MARTHA E File Number: 2003-00541 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: 6/25/2006 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, ~~~~ / / Glenda Farner Strasbaugh Clerk of the Orphans! Court cc: File Counsel Register ofWiHs ofCumbe:rIand County STATUS REPORT UNDER RULE 6.12 NameofDecedent: 4ft Date of Death: ///f7L~ E- ~ Estate No.: ;Z:?v:5-6 ::>~/ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 0 No ID 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ~3C/ ~L? ~c. 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 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, reJeases,joinders and approval offonnaJ or informal accounts maybe filed with the Clerk of the Orp , ourt and may be attached to this report. Date: 5' '--5~(, Name O)v-P- 0,. ~7/ ~ s-'~ - 2o<;:s~ Address ~/4 -' /#-/ PD 7/7- ~.2/tt3- 3?V Telephone No. ~ . '.., I ~I Capacity: 0 Personal Representative ~Counsel for personal representative - '...' I~..'._. - , ' ~ '.:',~.. ,-..' ,-.'-...... . .l.A t,'v"" Pa. O.t. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF 0~~'lh_/1 COUNTY,PENNSYLVAN1A .- Name of Decedent: ~I( J )?7~"P7~ L ~ ""?~ 5 - a~-zl / Date of Death: C- M --o--z., File Number: ~~. .... r 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: . . . . . . . . . . . . . . . . . . .. DYes IrJNo 2. lfthe answer is No, state when the personal representative reasonably believes that the administration will be complete: fl ~ 0":) 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? ............................... DYes DNo 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 attac to s report. Date ~F -~-vr o ~ Signature of Person Filing this Form . ,... ~_~ ,.J (".J Capacity: DPersonal Representative J2Q"Counsel f~f.~ C5 Namtfmllmnfl_e:itm 1 WEST HIGH ST. STE. 205 Add~RUSLE,PA 17013 Telephone Form RW-IO rev. 10.13.06 ~ Pa. O.C. Rule 6.12 ST TUS REPORT REGISTER OF WII,LS OF ~ COUNTY, PENNSYLVANIA Name of Date of Death: ~ '~- ~~.t.3 File Number: ~~ 3 ~ ~~~ 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 ~No 1 . 2. If the answeris No, state when the personal representative , reasonably believes that the administration will be complete: /O'- / ...~- ~~ • 3. If the answer to No. 1 is YES, state the following: a Did the personal representative file a final account with the Court? ....... Yes ©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 ~No d. Copies of receipts, releases, joinders and approvals of formal or ' ormal accounts maybe filed with the Clerk •of the Orphans' Court and maybe attac to 's report. . ~ .- 9 - ~~ ,~' 1~Y Signature of Psnon Filing this Form 0o Capacity: ~Pcrsonal Representative Counsel ' cn ~ G/ ~ `"`~ ~ Name of Peron Filing thin Form ~ ? ~ ~ ~ i t~ ~.. , .lddress ~ ~ r° C, Telephone Form RW-10 rtv. 10.13.06 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Z~ i 0 JUN I ! ~ 3~ 30, Date: 6/07/2010 MAHONEY ANNA MAE t~l.El~C ~PNAN'S CURT CUMBER!~ND ,~~ . PA 331 GREASON ROAD CARLISLE, PA 17013 RE: Estate of LAY MARTHA E File Number: 2003-00541 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 RULESy NO. 103 SUPREME COURT RULES DOCKET N0. 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: 6/25/2010 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 Strasb~u Clerk of the Orphans'!,, Court cc: File Counsel --T ___. __. t __. __ _.__ _. a._.. _. __..._ ...i ~.. Cumberland ~ou~~y - Reiser Of Wills One Courthouse Square Carlisle, PA 17013.. Phone: (717) 240-6345 (l~~a:cV~~(t Lti 2010 .IUN 11 P~! 3~ 2g C~.ERK OF Date : 6 / 0 7 / 2 010 QFkPhjAN S COURT BEIDEL BERTHA F (~MB~R~~ND ~j~ PA 315 GREASON ROAD CARLISLE, PA 17013 RE: Estate of LAY MARTHA E File Number: 2003-00541 Dear Sir/Madam: This notice is to serve as a reminder that the Status Reportt 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, w'thin two (2) years of the decedent's death, shall file with the Regi~ter of Wills a Status Report of completed or uncompleted administration. This filing is due by: 6/25/2010 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, t~ Glenda Farner Strasb ugh Clerk of the Orphans' Co cc: File Counsel .__ _~ .T _ , _ _ __, ,._ Cumberland County - Register Of wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 nr,. t L n k1~~.;1~.1 i C~ v+~ ; t~~.~-~.+ 2010 JUN I I PM 3= GI.ERK OF ,~ Date: 6/07/2010 ~~~ CUMB~~~.AND gip.. PA, DANIELS WILLIAM S ONE W HIGH STREET STE 205 CARLISLE, PA 17013 RE: Estate of LAY MARTHA E File Number: 2003-00541 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, w'thin two (2) years of the decedent's death, shall file with the Regi~ter of Wills a Status Report of completed or uncompleted administration. This filing is due by: 6/25/2010 Please feel free to contact this office with any questions yrou may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~~x Glenda Farner Strasb~ugh Clerk of the Orphans 'I Court cc: File Personal Representative(s) ir.EC:?STET: GF ~~i'.LS Gi? ~~~'~~ C;~L~:~TY, Pi::~~,SY•L~~,;,~.~a. iv3nie of Decedent: ~ ~~~/ ~~ ~ ' - - Date o: D_ath:! S d3 File i`iu:::be~- ~3 "~ Pia ~~i;iiit tv P~. O.C. i~::ie v. i.~, I r.°.t, v'a t:~e f~~l l.`isrin~ tuitn r~ct~?:_` t1 rrrr ~':'.`ir_1 C?f tl~a ~ a ~i~; i, t ~ the above-Captlulled estate: 1. State whether administration of file estate is complete :.... . ............... ~~'',Zres ~j 2. If the answeris l~'o, state when the personal representative ~ ', reasonably believes t; at the adrrinistrationwdl be complete: ~ f=-`/ 1-e// 3. If the ai~s.ver to I~'o. l is YES, state the following: a. Did the personal representative 51e a f nal~account with the Court? ....... (~~~Yes ~ No b. The separate Orphans' Court No. (if any) for the persor:a] representative's account is: c. Did the personal representative slat;, an account informally W the parties in iraerest? .:.................:........... ~ ~1'es ~JNo d. Copies of receipts, releases, joinders and approvals of foimzl or informal accou~~ts maybe filed with the Clerlc of the Orphans' Court and may be at,ache 's repori•. Dnrc~/ ~ ~ / ~~~~ ~ _ Si, rorvt of Pt,:On Fair; li,it Form o Capacity: ~Parso::al Represeniative Counsel ~ -~ t ~ -' ~ ^~~ y ~ Qom, ' 1%nc:z ojPasar/Filir'.; rhs Fern, / ~O ~ ~ i v ~ {/~ ~ •~ W ~ _. ~_ .Idch•e;s -' ~ ~~ U o N TtlzrSonz '~ ~. 7 lvame of Dece~et~t: ~ .~7/3 ~~~ Date o; D_ath:_ S d3, File i`iu?Mbe=-• a.3 +` ~.-~? ~~=f-- D .. • ~~ D~ (1 /'` ;:.tle % 1 ~ T ,-~.. v-t tl~~ F..11.M.yi+-o ti;: iti; r~cn?~ • t0 Orrr..a'`i0.1 f! f tl,~ 211?i11l5t1'3t101'. Oi the above-ca;~tianed estate: ~, ....I 1. State whether administration of the estate rs complete: ............... ~] ~'es ~~ ~. If the an'sweris l~'o, state when the personal representative ~ I i reasonably L-elieves th at the adirinistration will be complet•~: f'..~~ 1~// 'I I'I - -r-~. 3. If the ails.ver to I~'o. l is YES, state the following: i~.EC-?STET; LP ~^iLLS Gi= ~~`~''''~'~"''~ CGL~:vTY. P%:~i3~'i ~~'_ .~?. S ,,rr ~~ ~ / w ~.'1 ~ rte.. ~ ~ ` ~~ T ~ ~ ~ ~'• v i..' ~. 1 v l %. • ~. a. Did the personal representative ale a f nal•acceunt with the Court? .......II b. The separate Orphans' Court ;vo. (if any) for the person: ] representative's account is: G• , C•~: ___ C~ -..= ~ ..:> L _ C` ~u :_:J G1` ~:'~ C_ t CS c. Did the personal representative state an accoturt infornTaliy to the parties in irazresi? .:........................ ~ (~ :'cs ova d. Copies of receipts, releases, joii:ders and approvals of foirnal or infonnai a~co~ul:ts maybe filed with the Gerlc of the Oiph:llTS' l:oui~t a>>d may be afiache 's repot. '', . i G~ ~7 o~« /~ /`~ ki o _ _~ Q Z .~' F- LJ 0 0 a c-.a S:;nor.:re of Pu;wi Fau:; uur Farm Capacity: ~}Persu.^.al Reprrseatative ~', ~Counscl ~ ~ ' T:m::e o~Ptrson Filii ; tl; s i•orni ~©C C~ ti.7 r- ~ (mot/ . ~% / 9 ~~ ~ ~7 ~..• ~~ `~ C/~ ~-> ~~~~: Uzi CC ~' a~ U ,;dchzss .-~.~'3 Telz;.:,onz ~ ~3 3~ .. ... _ .Form RW-10. Pa.O.C. Rule. 6.12 status ce ore. .. • •. t r, . -.. ~ .. P . Pa 12 STATUS ~ ~ ~:~~''~'~''"~ ..;:~r--. ...,...._t._»~~.,.~,Ir~ . .O.C. Rule, 6. ~. . REPORT ..; ~ EGIS'I'ER OF WI.. _ ~ ....._...... _... _ ,_ - ~.~.~~,. ,:... LLS OF ~ ~', . .. COUhI'~Y, PENNSYLVANIA ... - ..___ ;; '~;. ~~ Name of Decedent: ~ ~~ _1' ~ ~~~.~ ~'.~.~1.' ~~~~' Date of Death: • ~ ~ File Number: ~` Dat~ . ~ ~` .; i. Pursuant to Pa.O.C. Rule 6.12 I report the following with ~ respect to • completion of tbe~ ~~ ~~ administration of the above=captioned estat'e~ '' ~ ' • - - ~ • ~ ' ~ ~ -t ..... . .1 S ~l.:l •t.i)J~jl~ii _ .. .... .. .... .... .~ ... ~. .. ..... .. .. .. .. .. .. _ -_if l J ' .;; 1. ~ State whether ~administratioti• of the estate is• comp • ~ ~ ~ ~~ ~~ -• ' ~' ... letc:• .. ^ Yes" ~•`~t~:;.=:;, . ...l .. , ....... ~. ~° ~.~ 2. If'tbe ansv~er is No, state wben thee, personal representative reasonabl ~ ~ ,• `. ~ ~'''' y ,.~ '.{ •• believes that•the administration will be tom ~ •~ ~ ` ~, ~~`, :.~•,'•t11',~ ~/,.~ l'.I;t ^~, 1~,•,,•~ `•^111, ` ~ ~ 1 ~~ 3. If the answer to No. 1 is YES, state the following: ~ • ~-~---~~~,~~; Did the personal representative fle a final account with the • •~ ~`~ ~~': .. . ~ . .. : __ ...~ ~ . _ ... .... .... .... ............... ^ Ycs . ^ No.: .The se arate. '' 17~,,, P rp Court No. (if . any) for the persona! ~ ~ >• ' ' re resentativc's a ~ ~ ~ ~ ~ ''~~' . ... ,.,~...t„~ ~.., . ' ~' ~~ c. ~ .Did .. the • ; ~ • ~ ; ,personal • ,,., ,,: representative • state ~ - " „~'~~~ an account informally to'th'e'parties in interest? `.:~. ; ;•`. `:: ; ;~ , ..... , Yes ' Copies of receipts, releases, joinders and approvals of formal or informal acxounta ,,}• may be filed with the rClerk' of the; e Orphans' .Court; may be •attached ~ to tom. ~.:, r port• f~ ' ~Af+.`~..! `~, l..~i l~C• 1~1 .I~ ~'i ~ i r :yr 1; ~. :, -~;'S:~ f ..t~~. Dots ~' ~ ~'' ..... , • . ' ... ... .. ..... ..._..... ,•~ :(.1•;/: X7)'1 •". ~r'/!.'Y'1'~:'1111 .. _ .. Signotun of Person F' ' this Form • ~ ;: 't T i! U Q.7 :~ _ :........,,,.:, ..., ,;, ,' , . .Capacity: ^ Personal Representative' unscl', ~~~ ... .^.. ..~t .. .. .. 't., r: 'Ji 1:•a: .., •v,t.. .... 1 ,.. ,. .. i' 'JIJE~::'fSl'r(.: :!U',~~ •~~: ~ t. .dill .i ~'. i• ~~, .., .1;.,1,1•: .., ..,;, i ~'' ~~~~ .. •tih4 ' '+i~ ,~ ..._.... ..... .. Address ,. , , ' , ;~ ',,. :~,~; '. ~ ~~- U' ~~~ ~ ~ cn .~ ..... Telephone ~. . { :. i ~ x.1..3 : ~ ~~, _ .... ~ •.' J{j " ~ i ~' µl ;"`.~,1 ~ . y a 1 Pa. O.C. Rule 6.12 S/TATU REPORT REGISTER OF WILLS OF~"~~f' ` ~'~ COUNTY, PENNSYLVANIA Name of Decedent: Date of Death: File Number: 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 ,~J No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: / .~ ~.e- ~1~ . 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^Yes ^ 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 ^ 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 tot ' re ort. Dnte Signnture oJPerson Filing this Form Capacity: ^Personal Representative Counsel v~ ~ , c~ ~ ~ ~ O ~ Nomq oJPerson Filing this Form r7 _!~, a. `~ , o _ HUMER & DANIELS ~~' M '-;~~ ~~CARUSLE, PA 11013 of _;_..> ~`3 ~.~ t~ ~ N i w - ~- m ~~ ~ ~ Z y~3 3 ~~/ ~ ~,;,:~ Telephone Form RW!0 rev. 10.13.06 � Pa. O.C. le 6.1 ST T S REPORT R�GISTER OF WILLS OF �' � �"--� COUNTY, PENNSYLVAAtIA Name of Decedent: ��� � �� . �—� Date of Death: • File Number: � � / 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 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? . . . . . . : ❑Yes �]No r 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 ❑No d. Cop.ies of receipts, releases,joinders and approvals of formal or info al accounts may be filed with the Clerk of the Orphans' Court and may be attached t is r port. ��/ �� � � s� w. _ ��.�4.. Dnte ���� "� Signacure ojPe�;c,.y Frling this Form � �� �c•s S� c Capacity: ❑Personal Representative �ounsel ��� �� � �.G _^.�., .----i `�� �'� r . ,�� � �,`�� � °,�, ��y, Nnme ojPerson Filinq this Form ,.� � � . 4' � :-� � ,^� ' � ' `"� Address ;�:_ _-- �.��.! ....3 i..�.� ,-� s--i .,_! "�� � �:::;a '�.� , ".d.. ��T �.i.3 -4,s^ r�!`�„9 .._,. `,,W._, �y � �:� � �:... � ' � 1 �� 3�.:'�.� �� � _ �.s..a ;:� _ V �'" - - Telephone ✓ � � � � � � � Form RW-!0 rtv. 10.13.06 Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF Cumberland COUNTY,PENNSYLVANIA Name of Decedent: Martha E. Lay Date of Death: File Number: 2003-00541 Pursuant to Pa.O.C.Rule 6.12,1 report the fbilowing with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . .. . . Yes �0 2. If the answer is No,state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. I is YES,state the following: a. Did the personal representative file a final account with the Court?.. . . . . . . Des iao 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . aes ao 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 a to this report. Date 10 June 2015 Signature of Person Filing this Form Capacity: Dersonal Repnmntafive [7).ounsel_ William S. Daniels, Esquire CD Name of Person F71ft this Form Q_ CD cr- One West High Street, Suite 205 Address Carlisle, PA 17013 (717) 243-3831 C-;, rejephme LX13 RW-10 C=3 Form,RW-10 rev.I&A06