HomeMy WebLinkAbout04-0639PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of/'-~oco.
also known
To:
Register of Wills for the
Deceased. County of 0___x.,oo~ ~a ~_ in the
Commonwealth of Pennsylvania
Social Security
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl'l C .~,' o~0 for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in (~.~Jrix~ FMC [0,-ct0 County, Pennsylvania, with
h last family or principal residence at
(list street, number and municipality)
Decendent, then r~ ~ years of age, died
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not dOmiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
Petitioner after a proper search ha
the following spouse (if any) and heirs:
Name
ascertained that decedent left no will and was survived by
Relationship Residence
~.--~.- THEREFORE, petitioner(s) respectfully request(s) the grant of letters of ..:~administration in the
appropriate form to the undersigned. ~ ..... ~
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
cowry or
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer thc estate according to law.
Sworn to or aff, j~m~d~and subscribed
before me this ~ :--) · '% day of
'~L C ~ ~1 t ~ . RegisterO
No.
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW --.~-Lk_~A x_ 2 C'~_~/'5 4 X~9 , in consideration of the petition on
the reverse side hereof, satis~c~y proof having bg~n'presemeO before me,
IT IS DECREED that ~o~ ~ ~ O~
is/are entitled to Letters of Administration~nd in accord with~ch finding, Letters of Administration
are hereby granted to ~~ ~'~~
in theestateof~_~c~~ ~ · ~ ~~~~
FEES
Letters of Administration ..... $ I}2:3'C~
Short Certificates( ) .......... $ ~ ,CXD
Renunciation ................ $ ._~ ¢'x23
,,.hO~ $ ~ .o~
TOTAL __ $ ~, ~
vi~ea ~.r~:~.Q~ .....n.b. ~
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
RENUNCIATION
deceased.
To the Register of Wills
County, Pennsylvania.
the above decedgnt, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
WITNESS hand this day of ., 20 ~.
(Signature)
(Address)
(Signature)
/?o13
(Address)
(Signature)
(Address)
his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 10326704
No.
Local Registrar
.~0s.~o ~. 2,~ COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
~, CERTIFICATE OF DEATH
~ ,'. Ray C. Neidigh '. Mai-
l16 North ~ford St. ~
,~ ~rlisle, PA 17013 '~ ,~~rland ~
Grace Bitner
~rol Neidigh ~ 148 North m~-t St., ~rlisle, PA 17013
OJv,. April J,,,~norial Gardens I,,~ Ca~lisle, Pa 17013
I,,J,,,,~--~.~'~'--~,F,~,..~ Hoffman Ro~h -- ' '
- ~unera- ~ome
I~. 219 ]~orth Hanove~ St.. ~l~,1,. pA 17~
Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717)240-6345
Date: 10/05/2004
NEIDIGH CAROLYN
148 N EAST ST
CARLISLE, PA 17013
RE: Estate of NEIDIGH RAY SR
File Number: 2004-00639
Dear Sir/Madam:
It has come to my attention that you have not filed the
Certification of Notice Under Rule 5.7 (a) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES,
NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on
or after July 1, 1992, the personal representative or his
counsel, within ten (10) days after giving proper notice to the
beneficiaries and intestate heirs as required by subdivision
(a) of Rule 5.7, shall file with the Register of Wills or Clerk
of the Orphans' Court his/her Certification of Notice.
This filing will become delinquent on 10/18/2004
Your prompt attention to this matter will be appreciated.
Thank You.
cc:
File
Counsel
Judge
GLENDA FARNER STI{ASBAUGH
Clerk of the Orphans' Court
Name of Decedent:
Date of Death:
Will No.
To the Register:
CERTIFICATION OF NOTICE UNDER RULE 5.6(!!)
/¥ Poo /
Admin. No.
I certify that notice of (beneficial interest) ~ requh'ed by Rule 5.6(a) of the O~phans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on
NRnle
Address
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Capacity: __
Telephone ~/~ ,~Z//~O .~~.
Personal Representative
Counsel for personal representative
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/06/2006
NEIDIGH CAROLYN
148 N EAST ST
CARLISLE, PA 17013
RE: Estate of NEIDIGH RAY SR
File Number: 2004-00639
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by:
4/14/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
,Ia~~~
Glenda Farner ;;;::~a4-
Clerk of the Orphans' Court
cc: File
Counsel
~~
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: ~ A-~ C.. l.~i1i:Lqh
.Ilfcil I~t dlDJ
~DD4 - Lo :3~
Date of Death:
Estate No.:
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration ofthe above-captioned estate:
1. State whether administration of the estate is complete:
Yes ~ No 0 '~(c. <..,JC,,5; NO .e..,~}tJcbL
2. If the answer is No, statt: 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 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes 0 No 0
Date:
c. 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
~ Ii z/ ~ttached to this report. CCZf.;J /#-<:/
I . Signature
.tJ~ " d~9 ~
II/X /U.. CCA-S} sJ,
Addre~
Cl)tJ)~j/I-36'-11l
Telephone No.
C 4-( 0 1\/11
Name
~~oJ. -4l ~ ~
:LoW ~~? ~ 0LvnQ
(7L/-ttb.J!-C
Capacity: M'Personal Representative
o Counsel for personal representative
,-
'J )
-.J
15056051047
REV-1500 EX (06-05)
PA Department of Revenue .
Bureau of Individual Taxes 'l1tIi..
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Number Date of Death
OFFICIAL USE ONLY
County Code Year
File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Date of Birth
~
Decedent's Last Name
Decedent's First Name
MI
n "c/;
('if Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social
Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
___ 1. Original Return
c::::>
4. Limited Estate
c::::>
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
c::::>
2. Supplemental Return
c::::>
c::::>
c::::> 4a. Future Interest Compromise (date of
death after 12-12-82)
c::::> 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c::::> 10. Spousal Poverty Credit (date of death c::::> 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
c::::>
~a~ (I~ppt~er
~o
11 e. ,'el "5 h
:'/ 7 01- 'f I J 0 'I 7
REGISTER OF WillS USE ONLY
First line of address
.--:>
.c?
C.'J
--:.-J',\
c~,
, 4' ~
I
("r',
,oj
';"1
~.J
i. j
r-;-l
Second line of address
1\ c.aSt
City or Post Office
5 -b ,
State
ZIP Code
~)
~'ic 1
CAl2-1 i ~ Ie
PA- -/7 c)IY
Cf'I
Correspondent's e-mail address:
Iq77
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is tnue, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG~TURE OF PE~ RE~PONE>IBIf' FOR FILING RETURN
C!.~ ~-.te'(:h
ADDRESS '"
/ </ C;S n. ~ c;; " i 5; .1 C fJ-€ I) '5 l-e 84 '
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
DATE
1- $" . 0 (p
17D .3
DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051047
15056051047
-.J
r~-~--~--~-~--'---
--.J
15056052048
REV-1500 EX
Decedent's Name:
RECAPITULATION
1. Real estate (Schedule A).
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B)
..................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . .
5~ Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . 5.
6. Jointly Owned Property (Schedule F) <=> Separate Billing Requested . . . 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) <=> Separate Billing Requested.. . . 7.
8. Total Gross Assets (total Lines 1-7).
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14.
Decedent's Social Security Number
cf- 0 c) Ov'l,aC.lSS
4.
8.
INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) XO_
16. Amount of Line 14 taxable
at lineal rate X.O
17. Amount of Line 14 taxable
at sibling rate X .12
18~ Amount of Line 14 taxable
at collateral rate X .15
00.00
o (J. cJ ()
15.
16.
o 0.00
0- O. 0 0
17.
18.
19. TAXDUE...~.
~ . . 19.
20~ FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L
15056052048
C)
15056052048
--.J
REV-1500 EX Page 3
File Number
Dec~dent's Complete Address:
DECEDENT'S NAME
~av\
STREET ADDRESS
/I~
C.- r1€/c1'3
B-ec/ ~ \0
h
st.
n.
CITY
c,!CJ 2/i
-e
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/F'ayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
~ I (.)-
NIl!
(1 )
It) Iff-.
Total Credits (A + B + C )
(2)
rOt A
3.
Interest/Penalty if applicable
D. Interest
E. Penalty
4.
Total Interest/Penalty ( 0 + E )
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
tU/A
(3)
(4)
(5)
(5A)
(5B)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + SA. 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
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... D J&I
b. retain the right to designate who shall use the property transferred or its income; ............................................ D [t]
c. retain a reversionary interest; or.......................................................................................................................... D ~
d. receive the promise for life of either payments, benefits or care? ...................................................................... D [jl
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. D ~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ......... .............. ............. ............. .... ....... ......... .............. ....... .... ........ .... ......... .... D [gJ
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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 three (3) percent [72 P.S. 99116 (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 zero (0) percent
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even 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 zero (0) percent [72 P.S. 99116(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 four and one-half (4.5) percent, except as noted in
72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116(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.
ReM~ex.(1.m
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DeCEDENT
;~ ~)W>> J17='7; I,A~pul
Noi1~ ~ ~j? &d, ~ c€-P --<~~~
r?c,~Uq tAJ 1~ r~~ P?,~rJ ,i
(/ , r~~,.
.~ vJ O-<l) ~~. ,13Jk ~ ~evlc1
. .
'~~ ~~ ~~~^
~~~ k~.
.
.~, cf ~ ,/", . 0 ~ ,0./../
-r '~',-~ '($r"lo
hvL (J, ~ ~W~W~
f a.A-'~ ~..~ cJ.vt oI-Kw<,
"
u....
TOTAL (Also enter on line 5, Recapitulation) $
REV.151 'EX + (1-97)
SCHEDULE H
FUNERAllEXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
~ai
r
-
n e~j \cIt'!J ~
FILE NUMBER
d.. eJO -/1 <f - 0 <f SS'
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A. FUNERAL EXPENSES:
1.
DESCRIPTION
AMOUNT
~ 7 30,00
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address / Lj 'ii" 17 ~ c< <; t 5/.
City (21:2 R..;" )" / -< State
2.
3.
Year(s) Commission Paid:
Attorney Fees
A /Id-'
- "'
rJg, Zip
,
/ 70/3
Family Exemption: (If decedenfs address is not the same as claimant's, attach explanation)
Claimant
Street Address
/Ill /J
State
Zip
City
Relationship of Claimant to Deoedent
4.
Probate Fees
5.
Accountant's Fees
---
6.
Tax Return Preparer's Fees
.----'
7.
TOTAL (Also l;lnteron line 9, Recapitulation) $ 3 '130~ OC>
(If more space is needed, insert additional sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Pt?CC;.QC1CO nrrlrr- (';:: NOTICE OF INHERITANCE TAX .
BUREAU OF INDIVIDUAL TAXE~~:..,:, .> -,. ,';:' ~,~~PltUSEHENTI ALLOWANcE OR DISALLOWANCE
:O~~T:~:OrAX DIVISION ,'.,:=~;., ,i '.:0': DEDUCTIONS AND ASSESSHENT OF TAX
HARRISBURG PA 17128-0601
.
2006 !tUG 28 P/112: OS
-
V
REV-1547 EX AFP (06-05)
NOTE: To Insur. proper
credIt to your accountl
__it the upper portIon
of thIs for. wIth your
tax pa~....t.
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMBER
COUNTY
ACN
RAY
08-28-2006
NEIDIGH SR
04-14-2004
21 04-0639
CUMBERLAND
101
APPEAL DATE: 10-27-2006
( See reverse side under Objections)
AIIaunt R_:i. tted l ,
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REV:i547-Ei-AFP-iOi:OSi-NDTiCi-o'-iNHiiiTANCE-TAX-APPiAiSiMiNT:_ALLOWANCE-Di---------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
RAY C FILE NO. 21 04-0639 ACN 101
leT
/"'>/ ". .
CAROLYN JO NEIDIGH
148 N EAST ST
CARLISLE
PA 17013
ESTATE OF NEIDIGH SR
TAX RETURN HAS: (X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Estat. (Schedule A)
2. Stocks end Bonds (Schedul. B)
3. Closely Held stock/PartnershIp Int.r.st (Schedul. C)
4. Hort.....s/Not.s Receiv8l. (Schedul. D)
5. Ceah/88nk Depos1ts/H1sc. P.rsonal Prop.rty (Schedul. E)
6. JoIntly Owned Property (Schedul. F)
7. Transf.rs (Schedul. G)
8. Total Assets
DATE 08-28-2006
( ) CHANGED
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/A.. Costs/H1sc. Expens.s (Sch.dul. H)
10. Debts/Hort88g8 L18Illtl.s/Llens (Schedule I)
11. Total DeductIons
12. Net Value of Tex R.turn
13. CherItabl./Gov.rnn.ntal 8equests; Non-.l.cted 9113 Trusts
14. Net Value of Estat. Subject to Tax
31730.00
(9)
(10)
.00
(11)
(12)
(13)
(14)
(Schedul. oJ)
3:.73:0 00
31730.00-
.00
31730.00-
NOTE. l~ an ........nt was issued previously. lines 14. 15 and'or 16. 17. 18 and
rwfl8Ct ~igures that inclUde the total of ALL returns assessed to date.
ASSESSMENT OF TAX: :1
15. AIIount of Une 14 at Spousel rat. (15) . 00 X 00 =
16. AIIount of Une 14 texabl. et Unul/Class A rat. (16) .00 X 045 =
17. AIIount of Une 14 at SlbUng rate (17) . 00 X 12 =
18. ~t of Un. 14 taxllb18 .t Collet.ral/Class B r.t. (18) . 00 X 15 =
19. PrIncIpal Tex Due (19)=
19 will
.00
.00
.00
.00
.00
DATE
NUHBER
AHOuNT PAID
INTEREST/PEN PAID (_)
· IF PAID AFTER DATE INDICATED I SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
( IF TOTAL DUE IS LESS THAN $11 NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CR) I YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) ,
C
.00