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HomeMy WebLinkAbout02-0963PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Clarence L. Reller also known as Deceosed. Social Security No. 162-22-7182 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl ies for letters of administration (d.b.n.; on the estate of pendenle Iitr, durance absentia; durance minoritate) the above decedent. Decedent was domiciled at death in Cumberland County, Pennsylvania, with h is last family or principal residence at 208 Woodlawn Lane, Carlisle, S Middleton Cumberland County, Pennsylvania pier street, number, 1tivp. m Boro,) Decedent then 73 years of Ma 2 at Carlisle, Cumberland Countydt~Pennsvlvan,a~ 2002 tr,~ No. a ~ - d ~- '7 r0 3 To: Register of Wills for the County of _ Cumberland in the Commonwealth of Pennsylvania Decedent at death owned property with estimated values as follows: (If domiciled in PaJ All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: Petitioner- after a proper search ha S ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: N ame Relationship Residence Carol M. Holman dau hter 30 Lon ood Dr. Stratf Susan E. Walton sau hter 11 Colonial Dr. Clarksbo Twp., ord, NJ 08084 ~ ro, NJ 08020 THEREFORE, petitioner{s) respectfully request(s) the gran[ of letters of administration in the appropriate form to the undersigned. t ~ ., ,~~~~.~ .l\ t, L~ C~~. 9.. ~`. ~ ~ William A. Duncan 0 0 1 Irvine Row Sa Carlisle, PA 17013 t... ~o m in /~- y'7-~ 21-02-963 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF ~~E~'D J The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and wrrect 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. ,~ y ~ ~ ~ ;~~~ ~ ~ ~~~ '. ~~~ ~ ~~ Sworn to or affirmed and subscribed ~ ,~ before me this 25th day of ~ Y CT BE ~_ ...,a. ~ ECl 7 r7a~ id~C'~~~u~ Reg er ~ in NO. 21-02-0963 ~~~ Olg Clarence L. Reller r DCCC88Cd GRANT OF LETTERS OF ADMINISTRATION AND NOW OCTOBER 28th n2g002 ~ , in consideration of the petition on the reverse side hereof, satisfact{,rYlliamhA ~ Dun an resented before me, IT IS DECREED that ii is/are entitled to Letters of Administration, and in accord with such fmding, Letters of Administration are hereby granted to William A. Duncan in the estate of Clarence L. Reller 7~ ,,~/~._}- ~. Repster or WiW FEES Letters of Administration ..... S 25.00 Short Certificates(3) .......... $ Q nn nn Renunciation ................ S ~ 5 00 JCP $ TOTAL _ $ 49.00 Fl'led OCTOBER, 28th, , , , , , A.D. 1~~2 ATTORNEY (Sup. C[. t.D. No.) William A r n 22080 ADDRESS 1 Irvine Row, Carlisle, PA 17013 PNONE 717-249-7780 CALLED ATTORNEY 10-28-2002 ` "^- '=." L ~^~~irr~ Ion ;rere given is correcriv copied from an original cerri ficaTe of dearh dul}' filed wish me as I o ' 1 Zres;l n II The n I Iral eel nheare will he forw;u~ded ro the Sure Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. I o' fur [his cerdlicuc, ,R2 l)h -.__1_._SLsL~,LU_-L S2_ ~L+. a. ~e,~,t,~., Local Registrar MAY °~ ?nn~ I~a~e ~+~ ~ '~Rb'~ COMMONWEALTH OF RENNSYLVANIA• D EPARTMENT OF HEALTH • VITAL RECORDS * CERTIFICATE OF DEATH IT NRMEMOECEGEM,Ifry,MWyLrA c ,. Clarence L. Kel ler SEf ]Wf FlL[.NIN•CR l .GEIL.. FNmnN, RI YFAR INq[R+DM ].Male CCYL gECVRIlYNVMBEP f. 162 -22 ~ 7182 V.IEOF CfpNiygYr O., ~y1 73 ~NM i Nm.. ~~ Mq~Of pgTN t 1 IIR,NVIACE IGNYM $YMYFpwi~C(uWH "'~E~C"'wNKM dcryaP-yat.ryrLJOymaMifal LMay 21, 2002 Yr. ~ • Augus 2 , 192 Mt.HOlly Sp s rn9 FKSNUL~ mNER~ I P7 CWNTV OFpEgN Cumberl d CfIY. BOgO.,µ 8 p OF GEOM FAC[ ,. PA RYN.MEIMr ry•IIwN ER.IMp:dM G BoR ^ N~ ^ '• R•npNgG IBFwflI^ ,~I an O ' Carlisle anuMlm,pyyMrYgrumyri rlisle Reg. Medical Center YMf GECEOEMOF NISMNIC GgNiINi ~~•^^Y.L.i.RMM.n MCE~.mYN NyYLgy; Y• IsRYwt ECEGENI g V61IKG(.Lyp,Qlp, Gi RINDOf BUlINEg61N Wl,RY r "^"'q^'^''M' B ..,`lte I wNNdgYgvyprr rEpEEq YM:mwlryrZdl W.$CECEDENi EYER W Vl. MMEGfgKESf OECEOENT'SEWCppN ' 1MPITNLgWUB~M•rM1f 1E. • „A Yoertyn ~, In U.S. Na .N ~. w^ FMw nnYR+e wwe•n Gn^•w "^•~~~ NsuRSmNn~voV~ CECECEM,'lYM1NOACOq[8g15nwI.GY/Fnxr. y.N. }gCUM CECEBFM'9 If• R ,,..YSa Fi. 1. Dlverced 208 Woodlalm Lane . Y sN._PA i` Y>..® w.M..NYM[Y S Mi " F~ ~ °g "' ddl +£arlisle, PA 17013 on rs .. e Y.eY. M NEY,FR'SNNNFI0.Y,MNd,.LYR M„„,,,I ,>e. Cumberland ~:w, N..^,~^Y^[.« ;'n-..i;.a:,, n[l7 xnN•m+INMNY ,.. Maurice Kelle MOTHER'! xgYEY.Y. MNY•. YYGwrY,nYnN MFGNMNNr'a YUUE rtYR•'gL•n ,[. Morris L. Keller MfGR"',N*'9MYLINBIOCRESSIA.FLCiry,4nm,y,•, Iw Fml.l YETNOGaf asvoartlorl fw. R.IrI® CrYMrbr^ RYIr..•11wn Sltl•^ owMlYn^ G BaEV Blsgovrwx IMFMR 0.n'MI d E~ ,XIN. NYM WCFmYYY.CMnYNY LOCRION f RMIrsBw.nR ^ May 24, 2002 w .CFOF•rr.4W.ZOCeM BIGN.Q Cf FVNERRL$ERVICE LICE .LCTINV Ag gyCM ,,,, Indiantown Gap Nat'l Cem. fle. Annville, PA 17003 . + ~ ~ flx LICENSE NVNBEp N,ME.wG.mgEIB°FF.c,L,,. HOf £rtlan-ROth ,,,, 013144-L n am•l 219 Funeral Ho I ~+awmm . ~ p M• Y n .YYm[L •, me nc. Yb,~ '•^B•.axnmwl.nnlMl.m.aN.MwY. Mrw ~ . LILENSENVNBEq BYn•3•]B muYMmrlilYM b, AQESgNEO ~~ Mv^r.Gtwrl pyq~lq~rtw4~ IMECi OFR pRFFgGNq)IK,'EODE.LDINmN.dY. wr1 ' ""SCASEREFERI1EOlOMEG ~vL/~ i,.MR[I: EMYrMA ' M.LL EYAMINENCgpNEp, ~y ~M „ 5- ~i-oa ^ M•u•. vluyNfmp wpwm••NFrr• . . NNNrY.Nenuw•f IM0.•m. Wrpapw N•ngyal K ~' lU6t Yr[n••FwCy A'Y'9 YYORi[CRyE 1Fw . [arnpr•ImY Ve•Y.FMtLw MYINFU•. rnryro.imu• NRT N: •b+~^IC•IMPr"144iY ~ ~ ^9 ~~•Y ~' ^w^ ~OSI S I M^Yr•N M 1 r r•'Ni^gF^r•In^•rlFYlya iP. E NYrFFYR,1 Cf VEOM> RC.LUSE \~' IMaNn,pM.MYI IWVRYRNORkI ^ N•~ ~ '~^~^ ^ h'rNrq Fnn4•rbn ^ w ^ M^ /^O, w ^ "~ ~^• ^ Cdy MIMMYmnr•^ ^ RLACEOiINIrr^v...~_._- _ M. .vwanal mYL ^'"'~"°'•'^^^mmw[w N•PUnntNC••Arypcary^NAIIYn YJI BGNYUPEM ~. CEG TIFIER .4FMaernrYl CU•Yh[•V•elq•Mm•nn•r•••1n•a ..................................................... 'pMNpIMCIMO RNDC[RTIIYIYq RMYlKIANIFTrycun~nµw.cwc ^ '0' Ta P•MnNmYYronrpf•. C•.ErmewM W.•+m arkcYnlY^9bcauYdexml LISEHSEN MSEq ~ ~E µgtm py%,~/y •YM•On•.C•Y.•Mgw.•M hYI•nY.•uYNN.M m•nn•ru.Nr•C.... L//J V G(i/ 1 OZ .................... ]t<. 'YEpCRI F]IAYINER/CORONFR MRMEUIGnGp^f39 Cf 0Eq Srd OR M•p••NW[•.minnbn.nElwlnY•YN Illem$"TypaPrhN M'NOCOMVLETFO~9EOFDFQ ~~ mwRw.uln.a ................. s.non.mmYnvinlen.a•.M war..enM[nm[.an[..mylsca. ilreao•mlM e•m.l.l.ne ^ ~//~/r/ / L/iip REGIlTReq'ggrGNRURE• SEq [~ f, q•~~.. mLL W,E FILEOIMpimpry. r[•rl ^r W~~~ 21-02-963 RENUNCIATION In Re Estate of CLARENCE LEROY REELER deceased. To the Register of Wills of C~~~ND County, Pennsylvania. The undersigned CHILDREN of the above decedents, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters OF ADMINISTRATION WILLL9M A. DUNCAN be issued to [ ciD~- WITNESS hand thi G day of r ~C11-` ~ Zg. (Signature) CAROL M. HOLMAN 30 LONGWOOD DRIVE, STRATFORD, NJ 08084 (Address) (Signature)SDSAN E. WALTGN 11 COLONLAL DRIVE, CLARRSBORO, NJ 08020 (Address) (Signature) (Address) 21-02-0963 RENUNCIATION In Re Estate of CLARENCE LEROY REELER deceased, To the Register of Wills of COMBERLAND County, Pennsylvania. The CHILDREN the above decedents, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters OF ADMINISTRATION be issued to WILLIAM A. DUNCAN WITNESS hand thi~~y ~ f~~~._ 2`.c`Z- lY r 2I ~~~ ~y. (Signature) CAROL M. HOLMAN 30 LONGIi00D DRIVE, STRATFORD, NJ 08084 (Address) (Signature)SIISAN E. WALTON 11 COLONIAL DRIVE, CLARRSBORO, NJ 08020 (Address) (Signature) (Address) REV-1SOO EX+ (8-00) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-0601 DECEDENl'S NAME (lAST, ARST, AND MIOOlE INITIAL) I- Z W C W U W C KELLER CLARENCE L. DATE OF DEATH (MM-DD-Yes") DATE OF BIRTH (MM-OD.Y...) OS/21/2002 08/0211928 (IF APPLICABLE) SURVr.'ING SPOUSE'S NAME (lAST, FIRST, ANa t.lDOLE INITIAL) I!! "'~l:! ld~~ fi..," ~ [&]1. Original Return D 4. limited Estate D 6. Decedent Died Testate (AItadlcopyofWil) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise {dale of dealh after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach COVf of Trust) o 10. Spousal Poverty Credit (!We of ~ bdwoen 12-31-91l1ld 1-1-95) OFFICIAl USE ONt. Y II J <!:.- ql FILE NUMBER 21 -0 2 0963 'COiiiiYCOiiE" -YEAR- -- iiiiiER-- SDeAL SECURITY NUMBER 162--2-271 THIS RETURN MUST BE ALED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAl SECURITY NUMBER D 3. Remainder Return (dale ofdetlth prior to 12-13-82} o 5. Federal Estate Tax Return Required !L 8. Total Number of Safe Deposit Boxes o 11. Election 10 tax under See 9113(A) JAIl.. ""01 ~ 2 III ll! o o THIS Sl!CTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDEHTlAL TAX INFORMATION SHOlILD BE! DlRl!CTED TO: NAME COMPlETE MAILING ADDRESS WILLIAM A. DUNCAN 1 IRVINE ROW FIRM NAME (~Applcabo) DUNCAN & HARTMAN P,C. TELEPHONE NUMBER 717-249-7780 CARLISLE PA 17013 OFFICIAL use ONlY (1) (2) (3) (4) (5) z o i= :3 ::J l- ii: <( u w II:: 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held COlpOfStion, Partnership or SoIe-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. J..nt~ Owned Property (Schedule F) (6) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8 Total Gross Assets (total Unes 1.7) 9. Funeral Expenses & AdministratIVe Costs (Schedule H) (9) 10. Debls of Decedent, Mort9age Liabilities, & Uens (Schedule I) (10) 11 Total Dedudlons(total Unes 9& 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Une 12 minus Une 13) SEE INSTRUCTIONS ON RevERSE SIDE FOR APPUCABLE RATES z o ~ I- ::J 0.. :e o u ~ 15. Amount of Line 14 taxable at the spousal tax rale, or lransfers under Sec 9116 (a)(12) X_(15) -1.135.37 X _ (16) X 12 (17) X 15 (18) (19) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Une 14laxable at collateral rate 19. Tax Due 20. 0 (8) (11) (12) (13) (14) 3,553.63 3.553.63 4,689.00 4,689.00 -1,135.37 -1.135.37 0.00 0.00 Decedent's ComDlete Address: STREET ADDRESS 1 E . IRVIN ROW aTY I STATE I ZIP CARLISLE PA 17013 Tax Payments and Credits: 1. Tax Due (Page Hine 19) 2. Credits/Payments A, Spousal Poverty Credit B. Prior Payments C. Discount (1) 0.00 TotalCredils(A+B+C) (2) 3. InllllestlPenally"~ 0, Interest E,Penally TotallnteresllPenally (0 + E) (3) 4. II line 2 is !Teater \han Une 1 + line 3, enter the dfference. This is the OVERPAYMENT, Check box on Page Hine 2010 request a refund (4) 0.00 5, II Une 1 + Line 3 is !Teater than Une 2, enter the difference, This is the TAX DUE. (5) A Enter the interest on the tax due. (5A) B. Enter the total of line 5 + 5A, This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WJLLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PlACING AN .X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a lransfer and: Yes No a. retain the use or income of the property lrahslerred;...............,..,...................,...,...........,...,.............. 0 DSJ b. retain the right to deSignate who shall use the property transferTed or its income;.........."...............,..,....... 0 ill c. retain a reversionl'W)' inlerest;.or.........,......,..,..,...............".."...",..,..,...,.."."",,,,.....,...."....."..".. 0 Ii(J d. receive the prornisefor life 01 either payments, benefits orcare?..........."......,.........,,,,.....,,..,,,.,,....,.... 0 0 2. II death OCCUlTed after Oecernber 12, 1982, did decedent IranSfer property vmI\in one yet!t of death I'oithout receiving adeqIlate consideration?......,.., ...... '.., .."" "",,"" "..." ,......",,,...,.....,... ,,,......,,..,......, 0 IRI 3, Did decedent own an 'in 1rust fa" or paySlle upon death bank account or securlly at his or her death:l....".....,... 0 ua 4, Did decedent own an IndivicNal Retirement Accounl, annuity, or other non-probate property vA1ich contains a beneficiary designalian2.,...........,..,..,..,..,...,..,..,.."..,......,..,,,.,,.,,,,..,..,,,,,......'..,..," .....'" 0 JR IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. -0 ?- :r 1r1e. {!~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE (70 DATE ADDRESS For dates 01 death on or after July 1, 1994 and before JanUl'W)' 1, 1995, the tax rate imposed on the net value of lransfers to or lor the use 01 the surviving spouse is 3% [72 P.S, ~9116 (a) (1.1) (i}J. For dates 01 death on or attar JanUl'W)' 1, 1995, the tax rate imposed on the net value oflransfers to or for the use 01 the survivin9 spouse is 0% [72 P,S. ~9116 (a) (1,1) (nH, The statute doeS not exemot a \ran$fer to a survivin9 spouse from tax, and the staluloly requirements for disclosure of assets and filing a tax rehrn are still applicable even " the surviving spouse is the only baneficilfy. For dates of death on or attar July 1,2000: The tax rate imposed on the net value of Iransfers from a deceased child twenly-one years of age or younger at death to or for the use of a natural parenl, an adoptive parenI, or a stepparenl of the chndis 0% [72 P,S, ~9116(a)(1.2)l- The tax rate imposed on the net value oflransfers In or for the use of the decedenfs lineal beneficia'ies is 4,5%, exceplas noted in 72 P,S, S9116(1.2) [72 P,S. ~9116Ia)(1)l- The tax rata imDosedon the nelvalue oflransfers to or for the use of the decedenfs siblinos is 12% 172 PS 6911610\113\1. A siblino is defined under Section 9102 as an Rf\l-1DEX"I1--Wl SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF KELLER CLARENCE L FILE NUMBER 21 02 0963 Include the proceeds of Irtigalion and the dale the proceeds were recewed by the eslate. All property JoInt1y-<>wned with the right of survtvonhlp muat be dloclooed on Schedula F. ITEM NUMBER 1. DESCRIPTION PA STATE BANK CHECKING ACCT. # 10302438 VALUE AT DATE OF DEATH 3,553.63 TOT At. (Also enler on line 5. Recapitulation) $ 3 553.63 ~llilIEX.{'I-f1) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN R.SIDENT O.(8)I;NT ESTATE OF KELLER CLARENCE L Debts of decedent must be reported on Schedule I. FILE NUMBER 21 02 0963 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. HOFFMAN ROTH FUNERAL HOME, INC. 4,125.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) WILLIAM A. DUNCAN 175.00 Social Secunty Numbe!(s) I EIN Number of ParsOll8I Representative(s) EIN # Streetl\ddr"", 1 IRVINE ROW City CARLISLE State PA Zip 17013 Yea~s) Commission Paid: 2002 2. AttomeyFees DUNCAN & HARTMAN, P.C. 325.00 3. Family Exemption: (If decedenrs adck'ess is not the same as claimanfs, attach explanation) Claimant Street Ad<tess City State Zip Relationsh\? of Claimant to Decedent 4. Probate Fees REGISTER OF WILLS CUMBERLAND COUNTY 64.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. TOTAl (Also enter on line 9. Recapitulation) $ 4689.00 11$ ____ _____ ._ ___.._.. :..__.... _....1:...___1 _L.__l._ _$ &L_ ____ _:-_\ Rf\L1513e;+Cl-i1) ESTATE OF 1<'1=1 I I=C NUMBER 1. SCHEDULE J BENEFICIARIES FilE NUMBER '1 n, RELATIONSHIP TO DECEDENT Do Nollist Trustee(s) DAUGHTER DAUGHTER nM~ AMOUNT OR SHARE OF ESTATE 1/2 1/2 ENTER DOLlAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAl DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT (', I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include oulright spousal dislributions) 1. CAROL M. HOLMAN 3D LONGWOOD DRIVE STRATFORD, NJ 08084 SUSAN J. WALTON 11 COLONIAL DRIVE CLARKSBORO, NJ 08020 2. 1. B. CHARITABLE AND GOVERNMENTAl DISTRIBUTIONS 1. TOTAl OF PART II - ENTER TOTAl NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEE $ flf mnrP c::n~ i!i:: nAAtIM in~ wirtitinn:::ll !i::hAAb:: nf thA ~A !i::f7A\ Name of Decedent: STATUS REPORT UNDER RULE 6.12 Date of Death: Will No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes gl 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 re_]~resentative 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 [--] Co Date: ~1~2~)~ Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Signature Name Address Telephone No. Capacity: ~.~rsonal Representative 1~i Counsel for personal representative ~~' 9~~ / BUREAU OF INDIVIDUAL TAXES INNERITgNCE TA% DIVISION DEPT. 280601 NpRRISBDRG, PA 17128-0601 WILLIAM A DUNCAN DUNCAN 8 HARTMAN 1 IRVINE ROW CARLISLE CUT ALONG THIS LINE ------------------- REV-1547 EY eFD-lI1~ OF KELLER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX x¢v-tsv ex xxr rot-ou PA 17013 DISALLOWANCE OF CLARENCE L DATE 01-28-2003 ESTATE OF KELLER CLARENCE L DATE OF DEATH 05-21-2002 FILE NUMBER 21 02-0963 _' COUNTY CUMBERLAND ACN 101 Anount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PORTION FOR YOUR RECORDS ~ • • ~~•~~ ~•.++ Naae~~MENT OF TAX N0. 21 02-0963 eru lnT TAX RETURN WAS: f X) ACCEPTED qS FILED ---- -••--- -• ..,~.~~ anacu UN: ORIGINAL RETURN 1. Raal Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mor{gages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers [Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 4,689 .00 10. Debts/Mortgage Liabilities/Liens (Schedule I) (30) 00 11. total Deductions X 12. Net Value of Tax Return (11) 4.689 00 13. Charitable/Gov t 1,135 ernmen al Bequests) Non-elected 9113 Trus ts (Schedu le JJ (13) :00 14. Nat Value of Estate Sub,7act to Tax cl4) 1,135.37- NOTE: If an assessment was issued previously, lines reflect figures that inclutl t 14, 15 antlior 16, 17, 18 and 19 ill e he total of ASSESSMENT OF TAX: ALL returns assessed to date. w 15. Anount of Line 14 at Spousal rata (15) .00 00 16. Anount of Line 14 taxable at Lineal/Class A rate (le) .00 _ X 045 .00 17. Amount of Lina 14 at Sibling rate (17) .00 g = 12 .00 18. Amount of Lina 14 taxable at Collateral/Class B rate (18) .00 = X 15 .00 19. Principal Tax Due = X .00 ~X CRnEDITS• -vao u a9)~ _o0 _) ~ AMOUNT PAID n IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( J CNANGED 01-28-2003 (1) 00 NOTE: To insure proper (Z) ~ 00 credit to your account, (3)_ -,x;00 submit the upper portion (4) 00 of this Porn with your (5) 3.553.63 tax payment. (6J .00 (7J . DO [a) 3,553.63 TOTAL TAX CREDIT .00 ALANCE OF TAX DUE .00 ;NTEREST AND PEN. .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS TNAN S1, NO PgyMENT ZS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ••CREDIi•• (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) CERTIFICATION OF NOTICE UNDER RULE 5.6 a Name of Decedent Date of Death: Will No. _20098 0 Admin. No. To the Register: ~~ ' CI ln3 I certify that notice of (beneP~cial interest) estate ad__ mirush.afion regaired 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 ICl/2~p'L Name Address Carol M. Holman 30 Lon wood Drive Stratford NJ 08084 Notice has now been given to all persons entitled thereto under Rule Sb(a) Date: Address 1 Irvine Row Carlisle, PA 17013 Te]ephoneQl7) 249_7780 __. Capacity: A Personal Representative -Counsel for personal representative STATUS REPORT UNDER RULE 6.12 Name of Decedent: ~- ~- ~1~~ (~ ~ ~ L ~~tr~~ Date of Death: ~ ~ 2 ~ ~ ©'~ Will No.: Admin. No.: ~ `" ~ ~- " ~ (p 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 ~f 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 re resentative 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 c. Copies of receipts, releases, joinders and approval of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and maybe attached to this report. Date: ~O ~ ~~ Signature ~ \ ~~~~>~ ~ ~~w ~r~iN Name ~-1R-t3 lw ~. U26-~,tr- ~P r~~ Address ~ `~ ~~~ ~ ~ ~ l r ~ l3 Telephone No. Capacity: personal Representative Counsel for personal representative _a~~: