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HomeMy WebLinkAbout03-0686REV-1500 EX (64301 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 _ 03 00686 COUNTY CODE YF~R NUMBER Z Z O n~ n, o DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Newberry, Harold E. DATE OF DEATH (MM-DD-YEAR) ' DATE OF BIRTH (MM-DD-YEAR) 04/29/2003 ~ O8/16/1915 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) i SOCIAL SECURITY NUMBER !376-'14-5207 ' THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER r~l. Odginal Return ~]4. Limited Estate [~6. Decedent Died Testate (Aitach copy of Will) [~9. Litigation Proceeds Received [---~ 2. Supplemental Return ---] 4a. Future Interest Compromise (date of dealh alter 12-12-82) J~7. Decedent Maintained a Living Trust (^.ac~ copy of Trust) -'-]10. Spousal Poverty Credit (d~e of dealh belweer~ 12-31-91 and 1-1-95) [~3. Remainder Return (da~e of dealh pdo~ to 12-13-82) DS. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes [~11. Election to tax under Sec. 9113(A)(A~lach Sch O) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME ~ COMPLETE MAILING ADDRESS Paul Bradford Orr, Esquire i 1 50 E. High Street FIRM NAME (IfApplicable) ] Carlisle, PA 17013 Orr Law Offices I TELEPHONE NUMBER (71 7) 258-8558 1. Real Estate (Schedule A) (1) - '. 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Properly (5) 8,000.00 (Schedule E) 6. Jointly Owned Property (Schedule F) (6) 5,336.72 r~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (8) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 9,203.62 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)(10) 1,796.38 11. Total Deductions (total Lines 9 & 10) (11) 12. Net Value of Estate (Line 8 minus Line 11) (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 13,336.72 11,000.00 2,336.72 2,336.72 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 atlinealrate x.0 I~' (16) 17. Amount of Line 14 taxable at sibling rate x .12 (17) 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) i I OS > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Decedent's Complete Address: STREET ADDRESS 60 Spring Garden Estates ClTYCarlisle STATE PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits ( A + B + C ) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) 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 DUE. zIP17013 (1) (2) 0 (3) O (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; .......................................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ............................................ [] [] c. retain a reversionary interest; or .......................................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 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 Retirement Account, annuity, or other non-probate property which .,.~ntains a beneficiary designa, t~n? ........................................................................................................................ [] [] IF T A R T Y OF THE OV Q ESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. D~~ th~,!~r~nal repre~entati)fe~[i~ ba~ed on all [I ~ Dl~7~/p ~ d on all information of whic~ preparer has any knowledge. ADDRL:~ v V~ ~ J t / 50 East High Street, Ca~sle, ~ 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 50 East High Street, Carlisle, PA 17013 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. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 RS. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still 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 0% [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX+ (6-98) '~' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Harold E. Newberry 2003-00686 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 1982 Custom Villa Mobile Home 8,000.00 TOTAL (Also enter on line 5, Recapitulation) $ 8,000.00 (If more space is needed, insert additional sheets of the same size) PAUL BRADFORD ORR LAW OFFICES 50 EAsT HIGH STREET, CARLISLE, PA 17013 PHONE (717) 258-8558 FAX (717) 258-5289 Email: orrlaw(a~aol.com ' ~.~ OF COUNSEL Paul Bradford.Orr, Esqvire ' ~"-.~ Richard R. Gan, Esquire (;rc~or}' I.,. Ct. tier, Esquire" · Direct Line: (717)258-5267 E-maih rtgan,.'~baol.com I.lealhcr I,. Smith-Orr, Paralcgal & Notary Public ~,Admitted to Michigan Bar *Admitted to Maryland Bar ,~"J · Ordered onto Active Du~ [I.S.N.G. June 12, 2003 ~ Townson, MD 21204 ~- 7N '-~ ~ This agreement, dated the 15th of June, 2003 involving GEORGE NEWBERRY of I ' Belair, MD and WILLIAM HO?VER of Carlisle, PA. I, ~3e,o,r, ge Newberry do hereby agree to sell my deceased father s, (HAROLD E. NEWBEI'~RY SARGE ), mobile home, [ located at 60 SPRING GARDEN ST, CARLISLE , PA/ - Title #09102252 R. The aforementioned mobile home being a~ustom ~illa~ 1982. This Settlement shall take place ON or BEFORE th~(,_~~'200~ for a.consideration of $8,000.00. In the event that any state taxes are incurred, theses v~ll be divided equally between BUYER and SELLER. / WILLIAM. HOOVER: BUYER ~ Paul lh-adlbrd Orr. I'isquirc f irc?r,x I~. ('utlcr. l!squirc * · I lcalhcr 1%milh-()rr. Paralcgal & Notary Public PAUL BRADFORD ORR LAW OFFICES 50 EAST HIGH STREET, CARLISLE, PA 1 7013 PHONE (717) 258-8558 FAX (717) 258-5289 Email: on'law~(aol.com OF ('OUNSEI, Richard R. Direct Linc: (717) 258-5267 E-mail: rrgan:,;Laol.com · ~'Admitted to Michigan Bar · Admitted to Maryland Bar · Ordered onto Active Du~' U.S.N.G. June 12, 2003 Mr. George Newberry 6901 Charles Street Townson, MD 21204 This agreement, dated the 15th of June, 2003 involving GEORGE NEWBERRY of Belair, MD and WILLIAM HOOVER of Carlisle, PA. I, George Newberry do hereby agree to sell my deceased father's, (HAROLD E. NEWBERRY "SARGE"), mobile home, located at 60 SPRING GARDEN ST, CARLISLE , PA - Title #09102252 R. The aforementioned mobile home being a custom villa dating 1982. This Settlement shall take place ON or BEFORE the 30th of June, 2003, for a consideration of $8,000.00. In the event that any state taxes are incurred, theses will be divided equally between BUYER and SELLER. , , ~ .qGFE.10iRFG~E NEWBERRY- '""2 WILLIAM HOOVER: /1 ~, BUYER ~,~~ CERTIFICATE OF TITLE TO A issued in accordance with Section I 105 o! q HAROLD E ~. LENA Pi NENBERRY HOMAR ESTS LOT R D 6 BOX ]..gq CARL .E PA 4~636 LE OR TRAILER Statutes ".~ , ACCOUNT CONTROL NUMBER CODE LEGEND A ---- ANTIQUE VEHICLE C = CLASSIC VEHICLE E'---- ELECTRIC VEHICLE F ---- OUT OF STATE VEHICLE P ---- FORMERLY A POLICE VEHICLE ED VEHICLE SECOND LIEN FAVOR OF: LIEN RELEASED DATE LIEN HOLDER AUTHORIZED REPRESENTATIVE I certify that reasonable diligence has beth UsedineXamining ~he statements presented in the application for Cer- tificate of Title to the vehicle described hdte~, a~ that the proof of ownership of said vehicle presented with said application warrants the issuance of ihis,~fi~ate :naming the applicant as lawful owner of said vehicle. V/herefore, Icertif~thatasofthedateinsm'ibidliereot~iihe°ffio ~,~ "N ,cO cial records of the Penns~Ivania DePart. menf o[ T~ation ..~,~,~.~ ~rx ]/~" reflect that said applicant is the la~vful.O~er of ~i~t ~ihid,e. ~/' ~' /~'~ ;.A.'AS~IGNMENT OF CERTI*FICATE OF TITLE , : I/W~ wa~ant f~hSs Certificate otTi~l~lnd ~e~tify~(hat, exCePt allilted in~lo~ C~ 'L : W~:'"'" ~'~';' *:";:'":':'" ~" "~;' ' ~ x . · - - -- ~,.,~C~u~ ~ATEME.T' MAY MAKE YOU UAa~ r0. ,~A~ T0 , ,, , ,'~ irt..~./[u. ~u ~O~ I ~VlNuo A~T uF 1972. ....... 'E ~,~ ~-'~" L MY CO~I~ION EXPIRE~. ~ ~ c~ ~ :~ FFICE ~ATE Zl~ '~. REAligNMENT OF CERTIFICATE OF TITLE ~=~ ~ ~ d"~ ~m We, I, ~1~ ti t~.~ of ~d~ kn~ ~.Ei ~iN ~ I~E warrant th~ Ce~ifi~te of Title and ~ that, except as li~ In ~i~ C, a~d ~1~ l~ ~ ~il~ ~ tM w~l ~d ~la ~ (c~k ~ ~pl~. no ~ti~fi~ jud~ant~ ~inst ~/us ~i~ aro~ fr~ a mot~ ~h ~e a~ ~ ~m~ ~'~,," ~ ~:,, ~'~' ~m m~ b~ ~of99-~ m ~ ~ , ....... ~ ........ 'AN I~ ~E:~AT~AY~MAREYO ff Lr~E FOR ~AG E T~' " ' m '~0U~:'~N~E~E PU~UANT TO I~ OF THE MOTOR VEH CLE ~ ~T S,~. ~c~ ~,~.~ ~ Am ~oe.~ ~. m ~.. m~ INF~;RMAT~ N:AN D, CO~ SAVINGS ACT O F 1972. ~ ~NB~D ANO ~O.N '~E~ ~; TR~SFER O~ERSHIP OF THIS VEHICLE TO: L MY CO~I~ION EXPIRES =Qg ~OF~ CE ' ~ATE ZIP C, APPLICATION FOR CERTIFICATE OF TITLE BY PUR~ER -TITLE FEE ~,~(PI~;~E~m~F~ If ~i~) T~ unde~g~d he~y mak~ ~plication for Ce~if~ of Title ~d/or m~i~ f= " R-~':--'-~ ~'~ -'" *-~- =--'m ~ th~ ~hEle d~bed within thb Ce~ificme of Title, mbj~t to ~e e~mbmne~ ~d ~ ~~ ~,~ ' - ~t~ legal claims at fo~h in ~is acrid. ~'~ :~'~ ~= ' X ..... ~m~ ' ' S TOBE~REMETHI8 ...... OAMOF , Ig 2NDENCUMSRANCE: ~Y$ ~NO AMOUNT$ ~ . D. APPLICATION FOR (CHECK ~PROPRIATE BOX) B DUPLICATEREOI~RATION CARD (Additionalf~of$~for~hdupl~tl~u~) ·NOTE: Own~l r~mtion ~rd for pbt~ bei~ t~ mum ~ i~ h~. If ~H D NEW REGISTRATION PLATE TEMP. P~TE NO* il not ~t~; I0 ~ditio~ f~ of ~.~ ~ ~ui~. · ~ TRANSFER 0F REGISTRATION PLATE NUMBER INSURANCE REASON: ~LOST O~OLEN ~ DEFACED POUCY N0. E. VERI~,ICATION~F.RELATIONS~IP I~ ~O~NECTION ~IT~ TRANS~'~RO~PLATE,~ ~e~'~ t~ ~ ~ ~ ~ ~(') [l~l~ ~ X,. X , ACN ~ AG O m O CONTROL NUMa~R 14V.4 ~'/~1 REV-1509 EX+ (6-98~ '~' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Harold E. Newberry 2003-00686 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. George A. Newberry 6901 Charles Street, Townson, MD 21204 Son JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF F~NANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATrACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST 01/01/1995 M&T Bank Account 10,673.44 50 5,336.72 TOTAL (Also enter on line 6, Recapitulation) $ 5,336.72 (If more space is needed, insert additional sheets of the same size) oo 6 0~319M H 021 HAROLD E NEWBERRY GEORGE A NEWBERRY 60 SPRING GARDEN EST CARLISLE PA 17013-9263 ~88 HIGH STREET-CARLISLE ACCOUNT SUNNARY NG'21 AHOUNT NO.I ANOUNT m.I AHOUNT 126.17 1,529.20 6 623.27 4 3.68.66 0.00 10,673.44 ACCOUNT ACTIVITY 04-04-03 BEGINNING BALANCE $10,126.17 04-14-03 N&T ATN CASH #ZTHDRA#AL ON 04/13 100.00 SPRING GARD,IO0 S SPRING GARDEN ST,CARLISLE,PA 04-14-05 CHECK NUHBER 1857 50.00 9,976.17 04-21-03 CHECK NUflBER 1858 45.00 04=21-03 CHECK NUMBER 1859 37.75 9,893.42 04-22-05 N&T ATN CASH NITHDRANAL ON 04/22 200.00 SPRING GARD,IO0 S SPRING GARDEN ST,CARLISLE,PA 9,693.42 04-25-03 CHECK NUNBER 1860 82.52 9,610.90 04-28-03 AAFES CARLISLE BARACKS CARLISLE 39.70 04-28-03. CARLISLE BARRACKS SUZ CARLISLE B 18.96 9,552.24 05-01-0! DFAS-CLEVELAND RET NET 684.20 05-01-0~ CHECK NUIIBER 1862 86.00 10,151.44 05-02-0~ US TREASURY 310 SOC SEC 845.00 05-02-02 CHECK NUNBER 1861 323.00 10,673.44 ENDING BALANCE $10,673.44 1857 04-14-03 50.00 1858 04-21-03 45.00 1859 04-21-03 37.75 1860 04-25-03 82.52 1861 05-02-03 323.00 1862 05-01-03 85.00 REFER A FRIEND TO N&T BANK AND GET A FREE GIFT! NON, #HEN Y~ ASK A FRIEND TO OPEN A CHECK/NG ACCOUNT NITH N&T, NOT ONLY HILL YOU GET A FREE GIFT - SO HILL YOUR FRIEND. STOP BY ANY N&T BRANCH OR CALL N&T'S TELEPHONE BANKING CENTER AT 1-800-724-2440 TO GET A REFER-A-FRIEND COUPON. HURRY, GIFT QUANTITIES ARE LINITED. FREE GIFT PROVIDED AT TINE OF ACCOUNT OPENING. REV-1511 EX+ (12-99)~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Harold E. Newberry 2003-00686 Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT 5. 6. 7. FUNERAL EXPENSES: Cumberland Valley Memodal Garders Hoffman Roth Funeral HOme ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City . State Year(s) Commission Paid: Attorney Fees '~Q ~UL 6. ~) ~'~'~'~" Family Exemption: (If decadonrs address is not the same as daimanrs, attach explanation) Claimant Street Address City State Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees Funeral Service Reception @ Hall Donation Miller Insurance Co. (Bond for Executor) Advertisment of Legal Journal Advertisment of Carlisle Sentinel Zip Zip 1,130.00 5,797.50 900.00 95.00 1,000.00 100.00 75.00 106.12 TOTAL (Also enter on line 9, Recapitulation) $ 9,203.62 (If more space is needed, insert additional sheets of the same size) 2861 FUNERAL PURCHASE CONTRACT (STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED) (Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items, ~e will explain the reasons in writing below.) Section 13.204 of the Rules and Regulations of the Pennsylvania State Board of Funeral Directors requires this contract to be signed by the person or persons arranging for the funeral service and by the funeral director. (A) OUR SERVICE: BASIC SERVICES OF FUNERAL DIRECTOR & STAFF ..... $ EMBALMING ....................................... $ ff you selected a funeral that may require embalming such as · funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve If you selected arrangements such aa e direct cremation or immediate burial. If we charged for embalm- ing, we will explain why below. CRMN QUJZ © S-7 PA REASON FOR EMBALMING: OTHER PREPARATION OF THE BODY ................. $ USE OF FACILITIES, STAFF & EQUIPMENT: Funeral Ceremony ( Conducted at Funeral Home ) .............. $ Visitation / Viewing ( Co.d~ed .t Fu~e.~ Home ) .............. $ Memorial Sewice ( Cond~ed at Funeral Home ) ............... $ $ USE OF STAFF AND EQUIPMENT: Funeral Ceremony ( Conducted ,~l another facility ) ............. Visitation / Viewing ( coed~ed at another facility ) ............. Memorial Service ( Cond~ed .l .mth~r fac,~ ) .............. Graveside Service ......................... TRANSFER OF REMAINS TO FUNERAL HOME (Miles Transported) ............................. AUTOMOTIVE EQUIPMENT: Casket Coach (Hearse) ............................. Flower Car ....................................... Family Car (Eight Passenger Limousine) ............... Lead / Clergy / Errand Car ........................... MISCELLANEOUS MERCHANDISE: Acknowledgment Cards ............................. Visitors Register .................................. Memorial Folders .................................. __ OUTER BURIALCONTAINER (~.~)e~eq{~e~,~ __ Receptacle (other than casket) __ Wearing Apparel FORWARDING OF REMAINS TO ANOTHER FUNERAL HOME ....................... $ RECEIVING OF REMAINS FROM ANOTHER FUNERAL HOME ....................... $ DIRECT CREMATION (As Selected) ............................................. $ ~ Total (A) $ ~'~ ~ ~' ' WILLIAM E. HOFFMAN. Sup~v~' Date Full name of dec,sod~,~ ~'1¢ ~"O 110 '~e~~(Please PRINT 1'~4¥~ ~'~ ~'~/~ Age De,eased is <m.s,atio. m · et person a~ng services. (B) CASH ADVANCE ITEMS: Total (A) Forward $ Opening Grave ...................................... $ Newspaper Notices Out-of-Town ......................... $ Telephone & FAX ..................................... $ Airfare ............................................ $ ,~--~ ~'- Cle~edng ....................................... $~--/~-~ .~--'~ Certified Copies of Death Certificate ........... $ F~owers ............................................ $ ~ Hairdresser ......................... _..[ ............. $ ~ ....... $ ....... * (C) OTHER ITEMS: Total (B) $ $ Total (A) & (a) $ Total (C) $ $ Total (A) (B) & (C) LESS: PreneedAdjustment/Allowance [] INS [] TR $( ) Payment / Date ( ) $( ) Other (Specify) $( ) BALANCE $ LEGAL, CEMETERY, CREMATORY OR OTHER REQUIREMENTS COMPELLING THE PURCHASE OF ANY ITEMS LISTED ABOVE: The undersigned purchaser(s) hereby attest to the following: (1) I/We did ( ) did not ( ) authorize embalming of the above named deceased. (2) I/We were shown a Casket Price List and an Outer Burial Container Price List before the showing of caskets end outer burial containers. (3) I/We were given/offered for retention a General Price List upon the beginning of a discussion of funeral arrangements and/or selection of services and merchandise. TERMS: Net due 30 days· A charge of 18% per annum for unanticipated late payment will be charged on any amount unpaid after due date. Purchaser(s) agrees to pay reasonable attorney's fees, court costs and other costs of collection if incurred in the collection of this debt. I, or we, having read the above, accel~-*~[r~d approve same, and jointly and severally promise to make full payment therefor. Each purchaser understands that this promise to qirW~'and severally make full payment means the Funeral Home has the right to collect the entire amount from anyone or mo~.of the pumhasprs~i~out resort to any claim agmnst any other pumhasers. This right exists regardless of whether or not one or more ~-tl~e purch~rs have agr~d ah~ong themselv, e~how much each wdl contribute to make fud payment. Receipt of a copy of this contract is S,S. No. City State Zip Code Signature of Purchaser(s) Signature of Purchaser(s) We agree to provide the service & merchandise indicated above. Hoffman I Ruth Funeral Home, Inc. Street Address City and State Zip Code ~treet~ddre~s ~/~ah~l ,~'a~e [ ~"~'Zip~e.~ ORIGINAL 286 ]. ~% ACCT. NO. ~~.. Funeral Services [] CREDIT CARD [~OTHER LAST BALANCE INTEREST [] LATE PAYMENT CHARGE SUB TOTAL CREDITS LESS PAYMENT /DO,, 08913 May 21, 2003 George Newberry 500 Stonehue Court Bel Air, MD 21014- Hoffman-Roth Funeral Home, Inc. 219 North Hanover Street Carlisle, PA 17013 (717)243-4511 The Funeral Service for Harold E. Newberry 14025-94 We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. feel free to contac[ us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. OUR SERVICE: Traditional Funeral Service Package $3590.00 FUNERAL HOME SERVICE CHARGES ............ $3590.00 SELECTED MERCHANDISE: Spencer Casket . $1305.00 Cave Proof, Concrete Box Int Recepc $750.00 THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $5645.00 Cash Advances Clergy Offering ........................ $75.00 Certified Copies of Death Certificates .................. $20.00 Flowers ' ........................... $132.50 Honor Guard ......................... $25.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES ........ $252.50 Total Total Cost History 05/21/2003 Cumberland County VA .................. $5897.50 $- 100.00 TOTAL AMOUNT DUE .................. $5797.50 Please This statement is net and payable in full within 30 days of receipt. ......... .. ..... mqemmmm.ammm mm!!lmm!mm mm! . ,. ! m m Dec, 3, 2003 4'36PM The Sentinel No.8642 P. 2 RETAIN THIS PORTION FOR yuut4 kECO~u~ REMI3-]'ANCE ADDRESS I BILL TO T~E SENTINEL - LEGALI PAUL BRADFORD ORR P.O. BOX 130, CARLISLE', PA 17013 AD NUMBER J CLASS S~LESPERSOI~- BilLING DAT~ LINES 252483J 10 PUBLIC NOTICES c31 10/15/03 · 24 ,~D"DESCRIP FION START {)ATE STOP DATE ESTATE NOTICW, LETTERS TESTAMENTARY 09/30/03 10/14/03 PUBLICATION '" INSERTIONS RATE NET AMOUNT GRG~-.AMOUNT" 3 THE SENTINEL - LEGAL 3 LGL 82.08 TOTAL AD CHARGE 82.. 08 3 PROOF OF PUBLZCATION 0!PRF 6.35 DAYS I~UN PURCHASE ORDERpAy fJLiiS AMOUNT 88.43 ('/'/~-o 6 ' ~:~* HaroldNewberr~ ~ .- MESSAGE: Thank you for advertising with The Sentinel. Deadlines f~r in-column legal advertisements: Monday is Friday at - I 11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon; Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday is Thursday at 12 .Noon. If you have any questions regarding your Legal bill please call Lori Saylor 243-2611 ext. 201 Fax your legals to 243-3754, attention Lori Saylor You can.. also EMAIL your legal to. Classified ads: ,.ads@cumberlink.com. Please send a cover letter including your name ,and address as an attachment CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 OCTOBER 17, 2003 Cumberland Law Joumal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Paul Bradford Orr, ESQUIRE RE: Harold Newberry, ESTATE / Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: SEPTEMBER 26, OCTOBER 3, 10, 2003 Payment received by Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received Total Amount Due RECEIPT FOR PAYMENT Cumberland County - Register Of Wills Hanover and Hiqh Street Carlisle, PA I7013 Receipt Date Receipt Time Receipt No. 8/19/2003 09:37:56 1033774 NEWBERRY HAROLD E File Number Remarks 2003-00686 HAROLD E NEWBERRY AC Transaction Description PETITION FOR PROBA EXTP~A PAGES BOND RENUNCIATION EXECU SHORT CERTIFICATE JCP FEE Check# 1871 Total Received ......... Distribution Of Receipt ........................ Payment Amount Payee Name 50 00 3 00 15 00 5 00 12 00 10 00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D  95.00 95 O0 B8/13/20~3 BI: 0~ d10-823-3914 OFFICE OF SCIENCE PAGE 02 Bond ~, 6900706 KNOW ALL M~N BY THESE PI~SENTS TI-IAT, ~ . G~ot~_e __A. tx~ ~ Principal and STA~ AUTOMatE ~AL ~~E C0~ of~e C~n~ ~F~klin and ~e S~g of~ ~ gu~ arc held ~d fimly bound unto the Commonweal~ of Pennsylv~ia in the s~ of ~elve ~a~ Five ($ ~t~.~ ) ~t1~, la~i ~ of~cUni~ ~esof ~erica, to ~ pa~ to t~ ~id C~mo~~ its cemln a~o~ey, and Io which payment well ~d truly to be mad~ and done, we do bind o~selves, our heis, executon and administrators, ~y by ~pfese,~ts. S~ed ~ ~t~ ~is 5th day of ~ ~ ~3 WHEREAS E~tate · Geo~je a. N~y h~S be:n duty ad~pg_ inted a~ Aclm/~t~atogM ~d for the (~sta--te/guatdi~s-~hipleonscrvator~hip/trust) of~ar°la E, Nevbertg , NOW TH~ CONDtTIONofthisobtigatioa is~u~, t, lm. ifthe sakL C, eoto, e A- ~e~,ber.~ does wetl and faithfully execute and perform ali the duties of Romanist. rat:or , end faJthl'ully apply, ,ccou. t tot and pay over all money received byhim in his official capacity, m d~e putie, s entitled to th~ aam~, then thls obligation m be voiek olherwis¢ to remain in full force and virtue. Witness my hand and seal, the day and year above written. State Automobile Mutual Insui~'~ Company Angelinm Stuz, g~n', ' <'*'~ I hereby approve of the Bond a~d Security. JanetG. N~. b.e?y 11197 ~ ~ ' 4032 eon, 'e A. Newb, 7 BANK 007720% C}~000040 0077~06 08- 20- 0~ ? ~08E9~'03 007437 ~ mm ~oooooooooc~ooc~ ~p ~ ~o~ x . E~T=0434 T~C=0458 PK=08 ~ ~ ~ ~0 ~ PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L. 1784 STATE OF PENNSYLVANIA : .' SS. COUNTY OF CUMBERLAND : Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: OCTOBER 3, 10, 17, 2003 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Newberry, Harold, dec'd. Late of Carlisle. Executor: George A. Newberry, 6901 Charles Street, Townson, MD 21204. Attorney: Paul Bradford Orr, Es- quire, 50 East High Street, Car- lisle, PA 17013. /J Lis-a 16larie Coy~e, Editor SWORN TO AND SUBSCRIBED before me this 17 day of OCTOBER, 2003 Notary, ~- NOTARIAL SEAL LOIS E. SNYDER, Notary Public Carlisle Boro, Cumberland County My Commission Expires March 5, 2005 State.~fJ~e~¥[¥an,a, County of Cumberland. PROOF OF PUBLICATION Richard Canazaro, Internet Director of THE SENTINEL, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th, 1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following dates, viz Copy of Notice of Publication ESTATE NOTICE Letters Testamentary for the Estat~'of HAROLD NEWBERRY, deceased, of Carlisle, Cumberland County, Pennsylvania, have been granted to the undersigned. All per- sons indebted to the Es- tate are requested to make immediate payment, and those having claims against the Estate are requested to present them for settlement without delay to: George A. Newberry 6901 Charles Street Towson, MD 21204 or to: ' ' Paul Bradl[ord Orr, Esqbire 50 East High Street Carlisle, PA 17013 September 30, October 7 & 14, 2003 Affiant further deposes that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication aret~rue. October 15, 2003 Sworn to and subscribed before me this 15th day of October ., 2003. Notary Public My commission expires: NOTARIAL SEAL iELLEN B. RUNDLE, Notary Public Mechanicsburg, Cumberland County My Commiss on Exoires Septembe[ ! 7.,2005 REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Harold E. Newberry 2003-00686 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 2. 3. 4. 5. 6. 7. 8. 9. 10. Mark's Carpet Cleaning Property Management Inc. (May n2003 Lot Rent) Comcast Cable (May 2003) Bill Hoover - Caretaker (May 2003) PP&L Electric (June 2003) Bill Hoover - Caretaker (June 2003) U.S. Government Pension Return of Deposit Sprint Phone Bill (May 2003) Speedy Rooter Plumbing Bill (June 2003) M&T Bank Fee for Statements 85.00 323.00 12.56 119.20 211.84 145.00 684.20 54.11 153.47 8.00 TOTAL (Also enter on line 10, Recapitulation) $ 1,796.38 (If more space is needed, insed additional sheets of the same size) 05123103 HAROLD E NEWBERRY GEORGE A NEWBERRY 60 SPRING GARDEN EST CARLISLE PA 17013 To Whom It May Concern: The U.S. Treasury Department has requested the reimbursement of benefits outlined below which have been paid after the date of death. A copy of the Government's Notice To Account Owners is enclosed for your reference. In accordance with this request, M&T Bank has processed the following withdrawal: Beneficiary Name: HAROLD NEWBERRY Account Number: 00430943 Amount of Withdrawal: $684.20 Date of Withdrawal: 05122/03 If you have already returned these funds, please send a photocopy of your cancelled check or money order. Sincerely, Direct Deposit Services L177 (12/96) For Paperwork Reduction Act Statement and Burden Estimate Statement See Reverse Side "Notice to Account Owners" Copy OMB NO: 1510-0043 EXPIRATION DATE: 2/28/96 POSIT] ELECTRONIC FUNDS TRANSFER FEDERAL RECURRING PAYMENTS NOTICE OF RECLAMATION FROM: DEFENSE FINANCE AND ACCOUNTING SERVICE-CLEVELAND CENTER P,O. BOX 99801? CLEVELAND, OH 44199-8017 DATE: 20030513 X 13A02 RECIPIENT AND/OR BENEFICIARY NAME CLAIM NUMBER DATE OF DEATH NEWBERRY HAROLD E 376-14-5207 20030429 AGENCY DATE OF AND/OR TRACE TYPE OF DEPOSITOR PAYMENT TYPE OF NUMBER ACCOUNT ACCOUNT NUMBER AMOUNT PAYMENT 20030501 USA RET 041036000072579 C 004-30943 684.20 AMOUNT OF PAYMENTS RECEIVED WITHIN 45 DAYS NOTICE TO ACCOUNT OWNERS FROM THE GOVERNMENT OUTSTANDING TOTAL 684.20 The Government has received information that that the person named on this notice is deceased. The purpose of this notice is to inform you that by law entitlement to Government benefits for this person ended at death. Therefore, the Government must recover all payments made after the date of death. If there has been an error and this person is not deceased, or if the date of death is wrong, this notice explains how to correct the mistake. If you do not understand this notice, please get help from either your financial institution or the Government agency that was making payments. PAYMENTS TO THIS PERSON HAVE BEEN STOPPED Your financial institution has been asked to return the payments shown on this notice to the Government because they were issued in error. The Government has asked your financial institution to send this notice to you, the account owner. Your financial institution must notify you if it has taken action to recover these funds from the account. Contact your financial institution immediately if you do not understand its actions. If the Government is unable to collect from the financial institution the full amount of the payments made after death, you may be contacted by the agency which made the payments. IF THE PERSON IS NOT DECEASED If the person is not deceased, immediately contact both your financial institution and the agency that made the payments to correct the error. The Government regrets any inconvenience this error may cause. Your financial institu- tion can correct the collection action if it is given satisfactory proof that the person is alive. NOTE: YOU MUST CONTACT THE AGENCY THAT MADE THE PAYMENTS BECAUSE THIS ERROR HAS STOPPED FURTHER PAYMENTS. ONLY THE AGENCY CAN RESTART THE PAYMENTS. NOTICE TO ACCOUNT OWNERS IF THE DATE OF DEATH IS WRONG If the date of death shown is wrong, immediately show your financial institution a copy of the death certificate which will permit it to make any needed adjustment to the amount it must return to the Government. If it is inconvenient to go to the financial institution, bring this notice and a death certificate to the agency that made the payments so correction may be made. The agency that made the payments is shown using these abbreviations: SOCIAL SECURITY ADMINISTRATION: RSI-SSA; DIB-SSA; RSI-SSI DEPARTMENT OF VETERANS AFFAIRS: VA OFFICE OF PERSONNEL MANAGEMENT: OPM RAILROAD RETIREMENT BOARD: RRB OTHER AGENCY ABBREVIATIONS: AF RET PAY; ARMY RET; ARMY BEN; MarCorRet; MarCorAnn; NAVYRET; NAVY ANN; ClADSANNU SURVIVOR BENEFITS Persons related to the deceased may qualify for survivor payments. Survivors should contact the agency that made payments to determine whether they are eligible. NOTICE FOR FINANCIAL INSTITUTION ONLY PAPERWORK REDUCTION ACT AND PRIVACY ACT STATEMENT By authority of 5 USC 301, 12 USC 391, and Title 31, Code of Federal Regulations, Part 210, the information requested on these forms is mandatory in order for Treasury to recover from your organization one or more Electronic Funds Transfer payments which the recipient or beneficiary named was not entitled to receive. Failure to provide all the required information and to return an amount equal to the amount in the account (up to the total being reclaimed) before the deadline may cause Treasury to contact your Federal Reserve bank to automatically debit your account (or that of your correspondent). Burden Estimate Statement The estimated average time (burden hours) associated with filling out this paper- work is 12 minutes per respondent or recordkeeper, depending on individual circumstances. Comments concerning the accuracy of this time estimate and suggestions for reducing the burden associated with the time spent collecting this information should be directed to the Financial Management Service, Facilities Management Division, Property & Supply Section, 3361-L 75th Avenue, Landover, MB 20785 and the Office of Management and Budget, Paperwork Reduction Project {1510-0043), Washington, BC 20503. THIS ADDRESS SHOULD ONLY BE USED FOR COMMENTS AND/OR SUGGESTIONS CONCERNING THE AMOUNT OF TIME SPENT TO COLLECT THIS DATA. DO NOT SEND THE COMPLETED PAPERWORK TO THE ADDRESS ABOVE FOR PROCESSING. Sprmt Monthly statement: June 10, 2003 Customer service Internet address 1-800-829-8009 ~print.com/Iocel Fast Facts I of 4 Customer number 717-241-2731-86Z Get a great deal on Sprint FastConnect® DSL. Call 1-866-421-7911 today and find out how you can get Sprint FastConnect DSL for $39.99 a month for one year. Hurry, this offer won't last long. Customer summary Previous charges 54.11 Payment May 21 -Thank you! -54.11 Ba la nce .00 Current month charges -10.33 Current month charges Sprint local services: page 3 -10.33 :::~ ::,::: :.: :~: ::.:~,.:: . Please recycle ............. NNNNNNYN 4 Monthly statement: June 10, 2003 Customer service Internet address 1-800-829-8009 sprint.corn/local 2 of 4 Customer number 717-241-2731-862 State and federal regulatory news concerning your communication services. t - Truth-in-billing Federal rules require identification of specific charges that may result in interruption of basic local phone service if not paid (marked as t). Other services and equipment are available to customers as an added value, but are not required to provide your basic local phone service. Customers are responsible for the full amount due for any services requested. Please review your bill and notify Sprint of any unauthorized charges or changes to your account. Important Information and/or Customer News continued page 4 'SPBnDy i OOTBI Plumbing & Drain Specialists Send Payment To: 6851 Bluebird Ln. Dover, PA 17315 YORK 17171 843-0808 HANOVER ~717) 633-0025 Address ~~~_~ ~ Date o~ Service Service Specioli~ Service Performed Length and Size of Line~, _ ..... · ~ ~ . ~ ~ Remarks Time in ~~ pm Time Out ~ TotaJ Amount Due $ It Tgi ~ 's WE RUSH~ A $20 service charge on returnea cnec~ ~ Visa / MasterCard Exp. Date I acknowledge that the work was done ~nd comp~ted to my satisfaction. X Signature~- X Date 10~~ PPL Electric Utilities Electric Service For: IIARO!.D E NI~WBER R Y 00 SPRING (;ARDEN EST CARLISLE PA 17013 Adjusted Final Bill Questions about this bill? Please conlacl us by Juu 30 at 1-800-342.5775 or 484-634-4900 or wrile Io: Customer Service 827 Hausman Rd. Alleutowu, PA 18104-9392 www.pplweb.com Electric Page I 50020-85006 Summary Page Balance as of Jun 6, 2003 $ 0.00 Char~es: TotaFPPL ELEC~FRiC UTILITIES Charges $ 211.84 Total Charges $ 211.84 Use Tiffs graph shows your eleclric use over Ihe lasl 13 raonlhs. Readiugs: Aclual ~ Estimaled ~ Customer [~ 90 KWtt - Average Per Day Meter Reading Information ~leter//56170574 75 - ~ ]Jun 3 Adjusted 19520 IMav6 Ac,ual 60 [~8 bays 45 Average - Jun 2002 2003 Temperature 6IF 58F 30 ....... -__ KWH Per Day 29 18 1~ Yearly Use: Total Average Use Monthly Jul 2001 ~ Jun 2002 13481 1123 Jul 2002 - Jun 2003 16043 1337 J JASONDJ FMAMJ 2002 Months 2003 ...................... Other important information on back ! ! Page 2 Understanding Your Bill Bill Account Number - 50020-85006 Budget Bffiing - A plan which provides for equal monthly payments. Customer Charge - A monthly basic distribution charge to cover costs for billing, meter reading, .equipment, maintenance, and advanced metenng when In use. Distribution Charge - Charges for the use of local wires, transformers, substations, and other equipment used to deliver electricity to end-use consumers from the high voltage transmission lines. Generation Charge - Charges for the production of electricity. energy for which most customers are cna~g~u. amount of electricity used by ten lO0-watt lights left on for 1 hour. Consumers are usually charged for electricity in cents per kilowatt-hour. Rate RS - The rate for service to a private home. Transition Charge - A combination of competitive transition charge ~CTC) and intangible transition charge (ITC) on every, customer'sbill designed to reco;'eer'an electric utllity's transition or stranded costs as determined by the Public Utility Commission. Transmission Charge - Charges for moving high voltaee electricity from a generation facility to the distribution lines of an electric distribution company. Types of Meter Readings: Actual - A reading by distribution company. Adjusted - We determine your usage from an actual reading we eot close to the billing date. Customer - ~ reading you give d~stribution company. Estimated - Chargesbased on the weather and your past energy use. PA Tax Adjustment Surcharge - A surcharge on electric rates charged to customers which reflects chances in various state taxes already included in your bill. ~'hese taxes cango up or down. The amount of the surcharge is 1.26°~ on the electric service charges from PPL Electric Utilities. * Visit our local office at 1801 Brookwood Street, Harrisburg PA 17104 to see a copy of your rate schedule._ ............. t RPC GENN1, Allentown, PA 18101-1175. * Mail a ments to: z lnortn r~mm ~t,~ - · c',~tnmer Service. 827 Hausman * Mail Pn~tY~s and letters in a separate envelope to ........ Road, Allentown, PA 18104-9392. ' ppi PPL Electric :--- Ut;lities , Electric Service For: HAROED E NEWBERRY 60 SPRING OARDEN EST CARLISLE PA, 170123 Adjusted Final Bill PPI. Electric Utilities Customer Service 827 Hausman Rd. Allentown, PA 18104- 9392 1-800-342-5775 or 484-634-4900 www.pplweb.com Page 3 Total front Last Bill Pa tnentReceivedMa 27- Thank You! Billing Details Balance as of Jun 6, 2003 Current Charges Chat.'ges for- PPL ~LECTRIC UTILITIES Residential Rate: RS for May 6 - Jun 3 Di~ribution Charge: L'ustomer Charee 200 KWH at 1.79600000¢ per KWIt 305 KWH at 1.59400000¢ per KWH Transmission Charee: 505 KWH at 0.3'7700000¢ per KWH Transition Charee: 200 KWH at'1.55900000¢ per KWI I 305 KWH at 1.38400000¢ per KWH Generation Charee: Capacity and Enerev 200 KWH at 4.96200000¢ per KWH 305 KWH at 4.35900000¢ vet KWH PA Tax Adjustment Surcharge afI.26000000% Total PPL ELECTRIC U'IILITIES Charges Budget Plan as of Last Bill 50020~85006 $ 47.97 $163.87 $113.00 u3.oo $ 0.00 6.47 3.59 4.86 1.90 3.12 4.22 9.92 13.29 0.60 General Information Generation prices and charges are set bv the electric generation supplier yo.u have chosen. The Public Utility C6mmission re ulates d~stnlSut p_nces .and. services. The Federal Efier-,, t>~_..,_,_ g~ . '. ' ion [ransmlsSlOll prices and services ss .-~g,,mory LOlllllllSSlOn regulates PPL Electric Utilities uses about $20 97 of this bill to a addition, about $9 32 of this 'n .... 7 ,,.. ,..~ ~ p' y. stale taxes. In bt.. v-yo -,~ r~ ~Jross Kece~pts Tax. The Transition Charge includes an Intaneible Transition Char e (IT.(7) and the applicable gross receipts tax which t~ ether amo?,nt to $6~5 The ITC is a per usage dharge approved by the Public Utility Commis~io~ which PPE Electric Utilities collects as .agent for PPI E '. ' · .Bond Company LLC and which t a~ , , :lectnc Ut0]he.s :lYansition to recover a ~ortion of Ppi l~,~o,~7-~,c,°:n)pm}Y,uses to servme aebt incur recei ts tax, kvhich is ..... -? Utflmes stranded costs. The o c,~ red equalP~o 4.4% of the I~lected for the Commonwealth of Pennsylvg~0~'~, is iF)o.r your convenience, you can now t)ay your bill usin our V !scover, or ATM Card. Call ' . · ' Y_ /sa will charge your cr~a;, 2'~ ,I~B,ili ~1~. a, ttix at 1-800-6~__0413 paymentY ....... - ~,,v, caru a service fee for-m-akin~ t'~'~:~ Budget Settlement Summary after 12 months: We billed you Including t'his bill, you used $627.84 ~627.8_~4 We have added $163.87 to this bill to settle your Budget Billing Plan. $ 211.84 Page 4 · · w ou can receive and pay your PPL Electric Utilities' bill online. Nc~ec~ our web site for more information and to sign up-- www.pplweb.com No charge Convemcnt Secure SAVE MONEY We a p. reciate the op ortunity to have served yo.u. Beca. u,se,.y,ou,have paid ur ~fils within 30 ~tP~ys over theoast year, you nave estaonsnea an eYx°cellcnt payment record with PPL Electric Utilities. ' robablv the biggest part of your summer enerey needs. Air conditioning As p ........ : ...... 1 Check air conditioner riflers You can save money wnlle Keeping monthly. Clean or change filters as needed. You'll stay cool and your system will use less energy. '.' ' ew, free on-line Enerev Audit shows how your PPL Electric Utiht~es p ._ ...... r lie~tin" and level of insulation er nearer relrl erat~a, ~; e,, · · heatm s stem, wat , dollar ~s om - . g Y ---- Is ~g~e where our energy g g I0 our home s energy bd .~ Y add,, y ~u can save eneroy l;or a free report, go to ancl now VO . ~ ' -.- http://auffit.pplweb.com/energy aucut' ~ Bank By Phone... Call Manufacturers and Tradem Trust Company M&T Telephone Banking Center DEPOSIT/PAYMENT RECEIPT .... ?' 1-800-724_2440 [] DEPOSIT [] PAYMENT [--]CHECKING (~4.~0 0:3 005-0,53723 t300 [] SAVINGS GEN',L LrfgR CR 39064901316490 9~_~ [] LOC 490!-316490 [] MTG [] OTHER THE DEPOS T OR PAYMENT HAS BEEN RECEIVED ON T COND T O NS GOVERNING YOUR HE DATE VAL DATED Member FD - ~ UANK. DEPOSITS MAY NOT BE AV RL~c,VED FO~I DEPOSIT ARE SUBJE ~~ [-; BR 534AF (5/03) AILABLE FOR IMMEDIATE WITHDRAWAL. CT ¢F$ BiLL HOOVER 60 SPRING GARDEN ~_T~_ .~:~;:~ ~.~ .~.~ CARLISLE PA 17013-9263 (717) 249-1886 1 O33 :~0~-~ 60-295/313 Date ~..~ 4344 REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Harold E. Newberry NUMBER I I! SCHEDULE J BENEFICIARIES FILE NUMBER 2003-00686 RELATIONSHIP TO DECEDENT NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a)(1.2)] William F. Lightner (deceased) Howard L. Lightner, 111 Hunters Ridge Drive, Harrisburg, PA 17110 George A. Newberry, 6901 Charles Street, Townson, MD 21204 Stepson Stepson Son AMOUNT OR SHARE OF ESTATE 0.00 0.00 0.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, 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 Lena M. Newberry (deceased) B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 0.00 (If more space is needed, insert additional sheets of the same size) :~ L~sT'- WILL AND TESTAMENT ;[, HAROLD E. NEWBERRY of South Middleton Cumberland County, Pennsylvania, do hereby make,' declare this to be my Last Will and Testament, hereby revoking any and I direct my Executrix hereinafter named to pay all my just debts, funeral and testamentary expenses as soon as practicable after my death. Should my wife, LENA M. NEWBERRY, survive me for a period of thirty (30) days following my death~, I ~i,;e, devise and bequeath all the rest, residue and remainder of my estate to the said LENA M. NEWBERRy. on or before the thirtieth day following my death, then I give, devise and bequeath all th · due and remainder of ray s stats unto my step s o~A~ F' L~d HOWARD L. LIGHTNER, and my son GEORGE A. NEWBERRY,~bsolutely. In the event any of said legatees shall predecease then his share shall descend to his issue, m~, _~~ 4. I hereby nominate and appoint my wife, LENA M. NEWBERRY, as Executrix of my estate· In the event my said wife Shall be unable or unwilling to serve in such capacity, then I appoint WILLIAM F. LIGHTNER, HOWARD L. LIGHTNER'and GEORGE A. NEWBERRY as such Executors. IN WITNESS WHEREOF I have hereunto set my hand and seal this ~day of ~ 1972. ~~'?'/t~EAL HarOld E. Newberry Testator, HAROLD E. NEWBERRY, as and for his Last Will and Testament, in the presence of us, who, at his request, have hereunto subscribed our names as witnesses thereto, in the presence of said Testator and of each other. 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 004066 ORR PAUL BRADFORD 50 E HIGH STREET CARLISLE, PA 17013 fold ESTATE INFORMATION: SSN: 376-14-5207 FILE NUMBER: 2103-0686 DECEDENT NAME: NEWBERRY HAROLD E DATE OF PAYMENT: 06/21/2004 POSTMARK DATE: 06/21/2004 COUNTY: CUMBERLAND DATE OF DEATH: 04/29/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $105.15 TOTAL AMOUNT PAID: $105.15 REMARKS: SEAL CHECK# 1355 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF ZNDZVZDUAL TAXES THHERITAHDE TAX DZVTSZOH DEPT. 280601 HARRISBURG, PA 17128-060]. COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX REV-1S47 EX AFP COl-OS) PAUL BRADFORD ORR ESQ ORR LAW OF~CES 50" ~E HIGH · CARL~SLE~r' ~''* © PA 17015 DATE 08-16-2004 ESTATE OF NEWBERRY DATE OF DEATH 04-29-2005 FILE NUHBER 21 05-0686 COUNTY CUHBERLAND ACN 101 I Amount Remitted HAROLD E HAKE CHECK PAYABLE AND RENZT PAYNENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG~T~HZS L]~IE ~,~ RETAIN LOWER PORTION FOR YOUR RECORDS -,~ -DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF NEWBERRY HAROLD E FILE NO. 21 05-0686 ACN 101 DATE 08-16-2004 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE ZNTEREST- SEE REVERSF. APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks end Bonds (Schedule B) $. Closely Held Stock/Partnership Interest (Schedule C) ~. Hortgages/Notes Rece/vable (Schedule D) $. Cash/Bank Deposits/N/sc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funeral Expenses/Adm. Costs/H/sc. Expenses (Schedule H) 10. Debts/Hortgage Liabil/t/es/Liens (Schedule ~) 11. Total Deductions 12. Nat Value of Tax Return 15. lq. NOTE: (1) (2) (3) (~) (5) (6) (7) 8~000.00 5~$36.7Z .00 .00 NOTE: To insure proper .00 credit to your account, .00 sube/t the upper portion .00 of this form w/th your tax payment. 9,205.62 (9} (10) 1.796.58 (11) 1] .000.00 (12) Z,556.72 Char/table/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (15) . O0 Not Value of Estate Sub~ect to Tax (lq) 2,$$6.72 :If an assessment ~as lssued previously, lines 1~, 15 and/or 16, 17, 18 and 19 .ill TAX CREDITS: PAYIIENT DATE 06-21-2004 reflect figures that lnclude the tote! of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amount of Line 1~ at SpousaZ rate 16. Amount of L/ne 1~ taxable at LineaZ/Class A rate 17. Amount of L/ne 1~ et S/bl/ng rate 18. Amount of L/ne 1~ taxable at Collateral/Class B rate 19. Pr/nc/=al Tax Duo RECEIPT DZSCOUNT (+) NUNBER ZNTEREST/PEN PAID (-) CD004066 . O0 (15) .00 X O0 = .00 (16) 2,556.72 X 045= 105.15 (17) . O0 X 12 = . O0 (18) .00 x 15 = .00 BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-22-2004 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. AHOUNT PAID 105.15 TOTAL TAX CREDZT BALANCE OF TAX DUE ZNTEREST AND PEN. TOTAL DUE (19)= 105.15 105.15 .00 1.67 I .67 ~.~ ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYNENT ZS REQUIRED. TF TOTAL DUE ZS REFLECTED AS A "CREDIT' (CR)., YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THTS FORN FOR INSTRUCTIONS.) (8) 15,336.72 RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession ar enjoyment to Class 8 (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class 8 (collateral) rate on any such future interest. PURPOSE OF NOTICE: PAYNENT: REFUND (CR): OBJECTIONS: ADNIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY= INTEREST: To fulfill the requirements of Section ZI~D of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (72 P.S. Sect[on 91~0). Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side. --Hake check or money order payable to: REGISTER OF #ILLS, 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-1515). Applications are available at the Office of the Register of Hills, any of the Z5 Revenue District Offices, or by calling the special Z~-haur answering service for forms ordering: 1-800-56Z-Z050; services for taxpayers with special hearing and / or speaklng needs: 1-800-~7-50Z0 (TT only). Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 181021, 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 Review Unit, Dept. Z80601, Harrisburg~ PA 17118-0601 Phone (717) 787-6505. Sam page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decadent' (REV-lEO1) for an explanation of administratively correctable errors. If any tax due is paid within three (2) calendar months after the dacedmnt's death, a five percent (5Z) discount of the tax paid is allowed. The 15X tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the sase tiaa period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency~ or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January l, 198Z bear interest at the rate of six (62) percent per annum calculated at a daily rate of .00016~. All taxes which became delinquent on and after January 1, 1981 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOOq are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rata Factor ~ 20X .0005~8 1988-1991 IIZ .O003Ol 200~ 9X .0001~7 1983 I6Z .00D~58 1991 91 .0002~7 2002 62 .00016~ 198~ llZ .O005Ol 1993-199~ 72 .O00IgZ 2002 SZ .000157 1985 122 .000556 1995-1998 92 .0002~7 ZOO~ ~Z .000110 1986 lOZ .O00Z7q 1999 7Z .000191 1987 X0Z .OOOZ7~ ZOOO 71 .000191 --Interest is calculatod as follows: INTEREST = BALANCE OF TAX UNPAID 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 shown on the Notice, additional interest must be calculated. 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 REV 1162 EX(11-96) NO. CD O0437O NEWBERRY GEORGE ALLEN 500 STONEHUE COURT BELAIR, MD 21014 ESTATE INFORMATION: SSN: 376-14-5207 FILE NUMBER: 21 03-0686 DECEDENT NAME: NEWBERRY HAROLD E DATE OF PAYMENT: 09/13/2004 POSTMARK DATE: 09/09/2004 ;OUNTY: CUMBERLAND DATE OF DEATH: 04/29/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $1.67 REMARKS: TOTAL AMOUNT PAID: $1.67 SEAL CHECK#4561 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDZVEDUAL TAXES INHERITANCE TAX DIVISI(]N CONNONREALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE NOTZCE OF /NHER/TANCE TAX APPRAESEHENT, ALLORANCE OR DZSALLO#ANCE OF DEDUCTEONS AND ASSESSHENT OF TAX PAUL BRADFORD ORR ESQ ORR LAW OFFICES 50 E HIGH ST CARLISLE PA 17013 CUT ALONG THZS LZNE ~ DATE 08-16-2004 F~STATE OF NEWBERRY HAROLD E O~ DATE OF DEATH 04-29-200~ ~ FILE NUI~ER 21 03-0686 COUNTY CUNBERLAND :3~CN 101 :~ ~-~KE~ C.~CK P~Y~.~E ~.. ~.~T P~Y.~.T TO: ~ : ~ ~r REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 RETAZN LONER PORT~_~_~_~_~___.~ ...................... BUREAU OF INDIVIDUAL TAXES TNHERTTANCE TAX D/VTSZON DEPT. 280601 HARRTSBURG, PA 17128-0601 CONNONNEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE ZNHERZTANCE TAX STATEHENT OF ACCOUNT REV-16D7 EX AFP (01-05) PAUL BRADFORD ORR ESQ'(}~ ~,'~i~'~ -? ORR LAN OFFICES 50 E HIGH ST CARLISLE PA i~q15 :23 DATE 10-25-Z00~ ESTATE OF NENBERRY DATE OF DEATH 0~-Z9-2005 FILE NUHBER 21 05-0686 COUNTY CUHBERLAND ACN 101 Amount Rem].tted HAROLD E HAKE CHECK PAYABLE AND REHZT PAYNENT TO: REGISTER OF HILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 1701:3 NOTE: To /nsure proper cred/t to your account, submit the upper port/on of this for. with your tax payment. CUT ALONG TH'rS L'rNE ~.~ RETAIN LOHER PORTION FOR YOUR RECORDS *-~ ESTATE OF NENBERRY HAROLD E FILE NO. Z1 05-0686 ACN 101 DATE 10-Z5-200~ THIS STATENENT ZS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANED ESTATE. SHO#N BELON 'rs A SUNNARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYNENTS, THE CURRENT BALANCE, AND, ZF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT: 08-16-200~ PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYNENTS (TAX CREDITS): 105.15 PAYHENT RECEIPT DISCOUNT (+) AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 06-Z1-200~ 09-09-200~ CDO0~066 CD00~$70 .00 1.67- 105.15 1.67 IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDIT/ONAL ZNTEREST. ( IF TOTAL DUE ZS LESS THAN $1, NO PAYNENT 1S REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDZT" (CR), TOTAL TAX CREDIT 105.15 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU HAY BE DUE A REFUND. SEE REVERSE STDE OF THIS FORN FOR INSTRUCTIONS. PAYMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. -- Tf RESTDENT DECEDENT make check or money order payable to: REGISTER OF NTLLS, AGENT. -- Tf NON-RESTDENT DECEDENT make check or money order payable to: COMMONtlEALTH OF PENNSYLVANTA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by compIeting an "Application for Refund of Pennsylvania Tnharitanca and Estate Tax" (REV-1315). Applications are available at tho Office of the Register of Hills, any of the Z3 Revenue District Dffices or from the Department's Z~-hour answering service for forms ordering: 1-800-56Z-2050~ services for taxpayers with special hearing and / or speaking needs: 1-&OO-~¢7-30ZO (TT only). REPLY TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue) Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601) Harrisburg, PA 171ZB-0601) phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the dacedent's death, e five percent (5Z) discount of the tax paid is a11oaad. PENALTY: The 15Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the and of the tax amnesty period. TNTEREST: Tnterest is charged beginning with first day of delinquency) or nine (9) months and one (1) day from the date of death) to tho date of payment. Taxes which became delinquent before January 1) 1982 bear interest at the rate of six (6X) percent per annum caIculated at a daily rate of .00016q. Ail taxes which became deIinquent an and after January 1) 1982 mill bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOOq are: Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year 1982 ZOZ .0005q8 1988-1991 Ill .O0030X 2001 1983 16Z .O00~3B 1991 9X .0002q7 2002 198¢ llZ .000301 199~-199~ 7Z .000192 2003 1985 13Z .000356 1995-1998 92 .O00Zq7 ZO0~ 1986 lOX .OOOZ7q 1999 71 .000192 1987 9Z .0002~7 ZOO0 81 .O00Zl9 Interest Daily Rate Factor 9Z .O00Z~7 6Z .00016~ 51 .000137 ¢Z .000110 --Xntarest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUIIBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. Xf payment is made after the interest computation date shown on the Notice, additional interest must be caZcuXated. Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/15/2005 ORR PAUL BRADFORD 50 E HIGH STREET CARLISLE, PA 17013 RE: Estate of NEWBERRY HAROLD E File Number: 2003-00686 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 counsell 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: 4/29/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge ~ . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 JvtW8Br<f? t{, tI tJf\OLp / Date of Death: ~i..L aq~Q Estate No.: 200 3 - 00' to ~(, Name of Decedent: E 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. S~~ther administration of the estate is complete: . Ye:r.. No 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.1 is Yes, state the following: a. Did the perso~resentative file a fmal account with the Court? Yes 0 N~ b. The separate Orphans' Court No. (if any) for the personal representative · s account is: c. Did the pers~resentative state an account informally to the parties in interest? Y e~ No 0 c. Copies of receipts. releases.jo' ers and approval of accounts may be filed with th CI k f e han ~ I J1/llll attached to this report Date:~ or informal and may be ~AORR Name ~o E l-.j I trlJ S1 r!/Jr<C.15GE Z8 ;8 {../d 22 .jCMil vu"" Address (717) 2~~ - ~f::i Telephone No. Capacity: 0 Personal Representative ~ Counsel for personal representative uf . Register of Wills of Cumberland County Name of Decedent: STATUS REPORT UNDER RULE 6.12 II q rot j b- N<tuvk vrt1/ , 0 Date of Death: --1lf V'- ( .~ '2tJo 3 :?-00 '~-()(>b' / Estate No.: (5 Ie 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 ~h;iher administration of the estate is complete: . Yes @' No 0 2. lfthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. lfthe answer to No.1 is Yes, state the following: a. Did ~pefsonal representative file a final account with the Court? Yes fi2f No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal represen~e state an account informally to the parties in interest? Yes 0 No Rl Date: If") C'"') c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be f1Ied with the Clerk fthe Orphans' C9 and may be attached to this report' J/Iv/Or :'.J IU Signature GtCi?4~ ). fltflAAb011 Name / J job S~~ q Address Cd It iv/ /'0 b ;;l../Vltj Lf I() - f? If ~ -5~ q)/ Telephone No. Capacity: ElPersonal Representative o Counsel for personal representative ~