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Home My WebLink About02-0877 ," Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Jacob S. Nalbandian also known as , Deceased No. al-().;}-~n Social Security No. 174-40-6139 Petitioner(s), who is/are 18 years of age or older, apply{ies) for: (COMPLETE "A" OR "B" BELOW:) o A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut_ named in the Last Will of the Decedent, dated and codicil(s) dated State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: X B. Grant of Letters of Administration (c.ta..d.b.n.c.l.II.:pendeI1teIRe;duranteabaonti&;durentaminorillltej Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I Gary Nalbandian Brother of Decedent Wormleysburg. PA Virginia Mackowski Sister of Decedent Enola. PA Nancy Nalbandian Sister of Decedent Wynnewood, PA (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at Hamoden TownshiD (liItstreet,l'lUmberandmuniclpallty) Decedent, then.,2L years of age, died June 12. 2002, at Residence (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property ............................................... $ (If not domiciled in PAl Personal property in Pennsylvania. . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ (If not domiciled In PAl Personal property in County. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Value of real estate in Pennsylvania ........................................................... $ Total........................................................................... $ Real Estate situated as follows: jocx"'. ClO -(.,.- =? ,-;>("}d C'o(.O Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: I Signature ___~P'/-- ~ Typed or printed name and residence 1 Gary Nalbandian 80 Greenwood Circle Wormleysburg, PA 1'043 Fonn RW-l Page 1 of2 (Dauphin County_ Rev. 9192) /1-- .r . Oath of Personal Representative Commonwealth of Pennsylvania County of The Petitioner(s) above-named swear(s) and 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 Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed ~ ~~ SEPTEMBER 2002. -Do":n; Ofu> I~ cftpu;b. ~ '-Pu> u...<..L~ G....QT<.!.ltiJ ~ before me this 30 t h dllvof DECREE OF REGISTER ,Deceased No. ~/_ 0.;>.. 'l?"~ also known as Estate of Jacob S. Nalbandian Social Security No: 174-40-6139 ~12,2002 ~I- Date of Death: AND NOW, SEPTEMBER 30, , 2002, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that letters D Testamentary ~ of Administration (c.t.a.;d,b.n.c.l.;pendentelite;du'llnteabBentia;durantemlnorltate) are hereby granted to Gary Nalbandian in the above estate and that the instrument(s), if any, dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES letters......................... .. Short Certificate(s).......... Renunciation................. . Affidavit ( )................. Extra Pages ( )............ Codicil........................ .. JCP Fee........................ Inventory & Tax Forms... Other.....c. ~p..~.~:'i.......... TOTAL............... . Fonn RW-l Page 2 Df2(Oauphin Co.wy_ Rev.lW2) :303233 _1 --- $ 25.00 $ 6.00 $ 10.00 $ $ $ $ 5.00 $ $ 1.50 Attorney: 1.0. No: Address: 1 .' /.L.t:i7J71 t4144..CQ-f Peter J. Ressler, Esquire 6844 3401 North Front Street Harrisburg, PA 17110-0950 717-232-5000 $ 47.50 Telephone: DATE FilED: y- 3..... .- (J""- Register of Wills of Cumberland County, Pennsylvania RENUNCIA liON Estate of Jacob S. Nalbandian No. also known as , Deceased The undersigned, (Relationship) (Capacity) Sister of the Decedent and potential administratrix of the estate of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to Gary Nalbandian Witness hand this day of ,2002. '-~. ,?)\.~ ) Nancy Nalbandian 318 Haverford Avenue, Wynnewood, PA 19096 (Address) (Address) Swom to or affirmed a~ subscribed ~e ts c10+ day of ~ ~~~fo~;r~ Notary P blic My Commission Expires: NOTARIAL SEAL TRISHA A lJESS. NOTARY PUBLIC BOROUGH OF CARLISLE. CUMBERLANO co PA MY COW"SSION EXPIRES MAY 20.2006" 303194 ---- Register of Wills of Cumberland County, Pennsylvania RENUNCIA lION Estate of Jacob S. Nalbandian No.;2I- 0.2.- ~,\ also known as , Deceased The undersigned, (Relatiomhip) (Capacity) Sister of the Decedent and potential administratrix of the estate of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to Gary Nalbandian Witness hand this day of ,2002. " \\~' J\^r I Virginia Mackowski ' 816 Charlotte Way, Enola, PA 17025 (Address) (Address) Swom to or affirmed ane, subscribed e!qre m this <.'30 i- day of ?~' 11 ;2. /4S~ . I {) Notary ublic - My Commission Expires: NOTARIAL SEAL TRISHA A. L1ESS. NOTARY PUBLIC BOROUGH OF CARLISLE. CUMBERLAND co.. PA MY COMMISSION EXPIRES MAY 20,2006 303194 Register of Wills of Cumberland County, Pennsylvania RENUNCIATION Estate of Jacob S. Nalbandian No. 21 - 02 - S,., also known as , Deceased The undersigned, (Relationship) (Capacity) Sister of the Decedent and potential administratrix of the estate ofthe above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters be issued to Gary Nalbandian Witness hand this day of ,2002. ~J7J\:.~ Nancy Nalbandian 318 Haverford Avenue, Wynnewood, PA 19096 (Address) (Address) Sworn to or affinned a~ subscribed ~e ts Bo+ day of ~~~~~;t~ Notary P bllc My Commission Expires: NOTARIAL SEAL TRl5HA A lJESS, NOTARY PUBlIC BOROUGH OF CARUSLE, ClJMBER1ANo co PA MY c~ EXPIRES MAy 20,2006" 303194 ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Jacob S. Nalbandian Date of Death: Julv 12. 2002 Will No. Admin. No.\21..o2.~'i.'iff" To the Register: I certify that notice of estate administration required by Rule 5.6(a) ofthe Orphans' Court Rules was served on or mailed to the following beneficiaries ofthe above-captioned estate on Januarv 6. 2003 : Name Address Vircinia Mackowski 816 Charlotte Wav. Enola. PA 17025 Nancv Nalbandian 318 Haverford Avenue. Wvnnewood. PA 19096 Garv Nalbandian 80 Greenwood Circle. Wormlevsbur!r. PA 17043 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: none. Date: Januarv 6. 2003 t./uV~~-'L Signature - (*NOTE: Insolvent Estate) Peter J. Ressler. Esauire Name 3401 North Front Street Harrisburl!. PA 17110 Address (717) 232-5000 Telephone Capacity: _ Personal Representative ~ Counsel for Personal Representative :314559 _1 --- METTE, EVANS & WOODSIDE A PROFESSIONAL OORPORATION ATTORNEYS AT LAW HOWELL C. MElTE ROBERT MOORE CHARLES B. ZWALLY PETER J. RESSLER LLOYD R. PERSUN CRAIG A. STONE JAMES A. ULSH DANIEL L. SULLIVAN STEVEN D. SNYDER JEFFREY A. ERNICO KATHRYN L. SIMPSON P. DANIEL ALTLAND ANDREW H. DOWLING MICHAEL D. HElm PAULAJ. LEICHT GARY J. HElM DAVlD A. FITZSIMONS GUY P. BENEVENTANO THOMAS F. SMIDA JOHN F. Y ANINEK* 3401 NORTH FRONT STREET P.O. BOX 15950 HARRIsBURG. FA 17110-0950 TELEPHONE (717) 232-5000 FAX (717) 236-1816 VICKY ANN TRIMMER TIMOTHY A. Hoy KATHLEEN DOYLE Y ANINEK JAMES M. STRONG JENNIFER A. Y ANKANICH RANDALL G. HURST* MARK D. HIPP RONALD L. FINCK SCOTT C. SEUFERT OF COUNSEL JAMES W. EVANS IRS NO. 28-1985005 *MAKYI.ASD BAN http://www.mette.com March 14, 2003 Register ofWilIs Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Jacob S. Nalbandian Dear Sir or Madam: Enclosed herewith for filing are duplicate originals of the Form REV _ 1500 Inheritance Tax Return and Inventory for the above-referenced insolvent estate. Sincerely, 11L~"'J '\ , A- Mark D. p MDHI Enclosures cc: Mr. Gary L. Nalbandian (wi enc.) Peter J. Ressler, Esq. (w/o enc.) .320594 _1 I Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Jacob S. Nalbandian No. 21-02-0877 also known as N/A Date of Death July 12, 2002 late of Hampden Township, Cumberland County, Pennsylvania, Deceased Social Security No. 182-46-5865 Gary L. Nalbandian, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. IfINe verify that the statements made in this Inventory are true and correct. l!We understand that false statements herein are made subject to the penalties of 18 Pa. e.s. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: Peter J. Ressler 71'-<<1 Personal Representatives: 1.0. No.: 6844 A.u.-f!A--, " -;;;/, /" ~~.r::------ / Gary L. Nalbandian Address Mette, Evans & Woodside 3401 N. Front Street, P.O. Box 5950 HarriSbur9, PA 17110-0950 Telephone: (717) 232-5000 Dated: DESCRIPTION VALUE Personal Property: Commerce Bank Checking Act. No. 0512002650 1988 Ford Explorer (Sold at Auction) 233.00 200.00 TOTAL 433.00 (Attach Additional Sheets If Necessary) NOTE: The Memorandum of 'e31 estate outside the Commonwealth of P~nnsylvania may, at the election of the person81 representative. include the value of each item, but such figures shouid not be extended into the total of the Inventory ::l19727_1 METTE. EVANS & WOODSIDE A PROFESSIONAL CORPORATION ATfORNEYSATLAW 3401 NORTH FRONT STREET P.O. BOX 5950 HARRISBURG, PA 17110-0950 REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE PA 17013 - \ . ~'; .~:"?'--::;e~ '" ,- , 11- ql~ 6- REV-1500 R~V.'5lIlIE\I~) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128.0601 INHERITANCE TAX RETURN RESIDENT DECEDENT .;L.L-f2OL COUNTYCOOE YEAR OFFICIAL USE ONLY FILE.NUMBER."'.'.,--.------.," ~.Q~22 NUMBER DECEDENT'S NAME (LAST, FIRST AND MIDDLE INITIAL) NALBANDIAN, JACOB S, DATE OF DEATH (MM-DD.YEAR) J DATE OF BIRTH (MrioO:;i,:R; 07/12/02 i 08/3114.a..,__. (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST FIRST, AND MIDDLE INITIAL) N/A I SOCIAL SECURITY NUMBER 174-40-6139 .-.--. -I' THIS RETURN MUST BE FILED IN DUPLICATE WrTH-T~"E' REGISTER OF WILLS I : SOCIAL SECURITY NUMBER o 1. Original Return o 4. Limited Estate o 6. Decedent Died Testate (AlIachcopy~IWiIl) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dale of Oealh alluf 12-12-a2) o 7. Decedent Maintained a Living Trust (Allam co~ofTrusl) o 10. Spousal Poverty Credit (dale 01 dealtlbelwMn 12.31-91 and 1-1-95) o 3. Remainder Return (date of death prior 10 12-13-62) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election 10 tax under Sec. 9113(A) (Attad1SchO) ij1l'l-llll~(:l'ICiijiMIJ~iBl!i!t!O!!iP!,_IlJ;1X~lcDRR~~Dl'iDE)\I"'$iJ!jf\ll.l;lijNflJ~~. .iJNf!ll)!t"'I\,'lJDli!ll>l-l!illlllIll!lJi!lDJIil"Q.~i:rP)i~ NAME COMPLETE MAlLlNG ADDRESS PETER J, RESSLER, ESQUIRE .___..._u_ 3410 N. FRONT STREET FIRM NAME IIf""i~"', POBOX 5950 METTE, EVANS & WOODSIDE ______,__ HARRISBURG PA 17110 TELEPHONE NUMBER ' (717) 232-5000 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (SchedLlle I) 11. Total Deductions (total tines 9 & ,\Qj 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for whicl1 an election to tax has not been made {Schedule J) 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Ban\l. Deposits &. Miscenaneous Personal Property (Schedule E:) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or l) 14. Net Value Subject to Tax (Line 12 minus Line 13) (') (2) (3) (4) (5) 0.00 0.00 0,00 0.00 433,00 OFFICIAL USE ONLY (6) 0.00 (7) 0,00 (9) (10) (81 9,782.00 31,047,00 (11) (12) (13) 433.00 40,829.00 -40,397.00 0.00 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPliCABLE RATES (14) 0.00 i 5. Amount of Line 14 taxable at the spousal tax rate, orlransfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable allineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 0.00 x.O~_ (15) 0,00 x.O~ (16) 0.00 x.12 (17) 0,00 x.15 (18) (19) 0,00 0,00 0,00 0,00 0.00 ;;':':>,;:.: n".> :"iLL::<:':t< " " > > BE SURE,:rO'ANSWER AU QUESTIONS ON REYERSE'SlDEANO RECHECK MATH': < ' 20.0 ""T;::U;H;r:' DecGqent's Complete Address: STREET ADDRESS ~13 CH~STNUTST~EET -erN CAMP HILL-- Tax Payments and Credits: 1. Tax Due (Pege 1 Une 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount STATEpA ZIP ------- 17011 (1) 0.00 0.00 0.00 .. ________ u_____ 0.00 Total Credits (A + B + C ) (2) 0.00 3. InteresVPenatty if epplicable D.lnterest E. Pena~y 4. TolallnleresVPenalty ( D + E J 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 0.00 -_._-~.~ 0.00 ..---- (3) (4) (5) (5A) (5B) 0.00 0.00 0.00 0.00 0.00 5. If line 1 + Une 3 is greater 1han Line 2, entertl1e difference. This is the TAX DUE. A. Enter the interest on too tax due. B. Enter the tolal of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS No o o o o o o ......0 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.. ................................................................................. ..... [iJ b. retain the right to designate who shall use the property transierred or its income; ......................................... . ~ c. retain a reversionary interest; or..................................... .................. m.............................................................. [iJ d. receive the promise tor life of either payments, benefrts or care? ...................................................................... [iJ 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [!] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ...... [!] 4. Did decedent own an Individual RetirementAccount, annuity, or other non-probate property which contains a beneficiary designation? ......................"''''.'''...."...... .................................................... Under penaRies of pe~~ry, I declare lt1a! I have examine<J 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 infonnation of which preparer has any know~dge. DATE ~-q-p> SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS 1015 MUMMA ROAD, WORMLEYSBURG. PA 17043 SIGNATURE OF PREPA_~HAN RB~N;~ ADDRESS ' DATE :?-::Lz~9 17110 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 P.S. 99116 (aJ (1.1) (i)]. For dates of death on or after January 1,1995, the tax rale imposed on the nel value of fransfers to or for the use of the survivin9 spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)). The statute doe!; not p.xemol a transfer to a surviving spouse from tax, and tM statutol"j requirelMnts for disclosure of assets and f~\ng a tax leturn aTe stm applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000'. The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is D% (72 P.S. 99116(a)(1.211. The lax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1 )]. The lax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)J. 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-1S0B EX. (6-9B) .. COMMONWEALTH OF PENNSYlVP.NIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISe. PERSONAL PROPERTY ESTATE OF JACOB S. NALBANDIAN FILE NUMBER Include the proceeds of litigation and the dale the proceeds were received by Ihe eslate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION COMMERCE BANK CHECKING ACCOUNT NO. 0512002650 2 1998 FORD EXPLORER (SOLD AT AUTO AUCTION) VALUE AT DATE OF DEATH 233.00 200.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 433.00 REV.1511 EX' 112.991. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES; 1- MISC. FUNERAL EXPENSES (INCLUDING CASKET, BURIAL PLOT AND RELATED EXPENSES) 7,000.00 B. ADMINISTRATIVE COSTS: ,. Personal Repre$entative's Commissions 0.00 Name of Persona! Representative(s) GARY L. NALBANDIAN Social SectJrity Number(s)IEIN Number of Personal Represenlalive(s) Slre,IAddress 1015 MUMMA ROAD Cily WORMLEYSBURG Slate ~Z;p 17043 Year(s) Commission Paid: N/A . 2. AltomeyFees 2,557.00 3. Family Exemption~ (If decedent's address is not the same as claimant's, attach explanation) Claimant N/A StreetAOdress City Stale _Zip Relationship 01 Claimanllo Decedent 4. Probate Fees 48.00 5. Accountant's Fees 0.00 6. Tax Return Pre parer's Fees 0.00 7. ADVERTISING OF OPENING OF ESTATE (SENTINAL AND CUMBERLAND LAW JOURNAL) 177.00 TOTAL (Also enter on line 9, Recapitulation) $ 9,782.00 Debts of decedent must be reported on Schedule I. (If more space is needed, insert additional sheets oflhe same size) . RE\;..1512EX+(6-S8) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF JACOB S. NALBANDIAN FILE NUMBER Include unreimbursed medical expenses, 2. DESCRIPTION CITIBANK CREDIT CARD ACCOUNT NO. 5410-6544-8022-9012 PROVIDIAN CREDIT CARD ACCOUNT NO. 4559-5410-0092-4951 INTERNAL REVENUE SERVICE (INCOME TAX DUE FOR TAX YEARS 1992, 1994-1997 INCLUSIVE, AND 2000-2001 INCLUSIVE) VALUE AT OATE OF DEATH ITEM NUMBER 3. 11,659.00 557.00 18,831.00 TOTAL (Also enter on line 10, Recapitulation) $ 31,047.00 (If more space is needed, insert additional sheets of the same size) PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF THE ESTATE IS NOT COMPLETED, FILE A 6.12 FORM YEARLY UNTIL COMPLETION. STATUS REPORT UNDER RU!,E 6.12 iName of Decedent: JACOB S. NALBANDIAN iDate of Death: July 12, 2002 'Will No. 21-02-00877 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. 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 [~ account is: b. The separate Orphans' Court No. (if any) for the personal representative's c. Did the personal representative state an account informally to the parties in interest? Yes[~ No [~ (Insolvent Estate) d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Signature 400727vl Capacity: Peter J. Ressler, Esquire Name (Please type or print) 3401 North Front Street, P.O. ~ox 595~-~ Address Harrisburg, PA 17110-0950 (717) 232-5000 Telephone [] Personal Representative [] Counsel for Personal Representative