HomeMy WebLinkAbout03-0022 PETITION FOR PROBATE and GRANT OF LETTERS
Estate of Raymond L. Sisk, Sr. No. ~'~'-Ot_~-_,~l 22_
also known as To:
Register of Wills for the
, Deceased. County of Cumberland in the
Social Security No. 401-28-7721 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older and the co-executors named
in the last will of the above decedent, dated May 19. 2002
and codicils(s) dated "
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
his__ last family or principal residence at Outlook Pointe, 1100 Grandon Way, Mechanicsburg, PA 17055
(list street, number and municipality) ,,z/'~/22,,~o/~
Decedent, then 81 years of age, died December 15 ,20 02
at OuflookPointe, Meehanicsburg, PA Except as follows, decedent did not marry, was not divorced
and did not have a child born or adopted at~er execution of the will offered for probate; was not the victim
of a killing and was never adjudicated incompetent: No exce_ntions
Decedent at death owned property with estimated vales as follows:
(If domiciled iff'Pa.) All personal property $ 9qn.nNn nO
iIf not domiciled in Pa.) Personal property in Pennsylvania $
fnot domicil&fl in Pa.) Personal property in County $
Value of real e~tate in Pennsylvania $
situated as follows: None
WHEI~FORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters Testamentary
thereon.' - (testamentary; adminisg:ation c.t.a; administration d.b.n.c.t.a.)
OATH OF PERSONAL REPRESENTATIVE -.
COIVIIVIO~ALTH OF PENNSYLVANIA
COUNTY OF d. urn ~ F-R ~..~ b I ss
The petitioner(,~! above-named swear(s) or affh-m(s) that the statements in the foregoing petition are
~.e, and. con'est to,the best. o. fthe knowledge and belief of petitioner(s) and that as personal ropresentative(s) '.
oz me aoove deccnent petlUoncr(s) will well and truly administer the estate according to law. '
SwOrn to or at¥1rmed and subscribed
before me this ,,QO1:In day of
..
No.
Estate 0'f'~_~c~c~ ~ L ~ ~C~ ~ .~t_. , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW (~X. xx ca n ~. C~ ,~)0,-.Q /~ , in consideration of the petition on
· e reverse side h~of, satisfact~ proof having been presented before me,
IT IS DEC~ED that the inst~ment(s) dated
described therein be admitted to probate and filed of re~or~ as t~e last will o~
~d Letters ~~~ ;
~e hereby grated to
~ES
Probate, Letters, Etc .......... $ ~q~, (~
Short Ceni~cates(~) .......... $ ] ~. 6~ A~O~NEY (Sup. Ct. ED. No.)
~ $ ~,~ ADD.SS
TOTAL $ ~1. ~0
Vi~ea . .?~ ~.:.~ ~. ....................
PETITION FOR PROBATE and GRANT OF LETTERS
Estat~ of~ No.
also known as To:
Register of Wills for the
, Deceased. County of in the
Social , No. Commonwealth of lvania
The 1: the undersigned respectfully represents that:
Your I who is/are 18 years of age or older an the named
in the last will of ~ve decedent, dated ,19
and codicil(s) dated
( circumstances, e.g. renunciation of executor, etc.)
Decendent was domiciled at 'n County, Pennsylvania, with
h last family or principal
muncipality)
Decendent, then years of age, , 19. ,
at_ t
Except as follows, decedent did not marry, ~ divorced and did not have a child born or adopted
after execution of the will offered for probaV the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property mated as follows:
(If domiciled in Pa.) All property $
(If not domiciled in Pa.) Personam property in ~-ennsqlvania $
(If not domiciled in Pa.) Persqfial property in Count~ $
s~tul~ec~f arsealfoel]toatw~:in Pennsylvania/ ~ $
/
WHEREFORE, petitionerdrespectfully request(s) the probate~e of the last will and codicil(s)
presented herewith and the grant of letters (testamen ministration d.b.n.c.t.a.)
tieron. / t~~~ad
REPRESENTATIYE
COU N' l'~i, nOer~Fs ~ ~ -~-r ~ ~ha atements in the foregoing petitioS~n a
The tit'o ( ) _ · re
true a correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tativ of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed c~
before me this day of ~
Register ~
wn , s ¢ovs
OATH OF SUBSCRIBING WITNESS
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that present and saw
the testat. ., sign the same and that signed as a witness at the
request of testat.~ in h presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)). ~
Sworn to or affirmed and subscribed before ~" ~ ~
me this ~0~ day of (Name)
~~~ ~U_~ ~ ~ ~.~ (Address)
(Name)
(Address)
REGISTER OF WILLS OF COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
familiar with the signature of .,
codicil
testat.__ of (one of the subscribing witnesses to) the will presented herewith and
codicil
that believes the signature on the will is in the handwriting of
to the best of knowledge and belief.
Sworn to or affirmed and subscri~fore
__me tlxis C~0'~3c~ ~ day of (Name)
~ ~'(~ ~.[~egiJ~er (Address)
(Name)
(Address)
This is to certit~~ that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate wilt be forwarded to the State Vital Records Office for permanent fiiino
WARNING: It is illegal to duplicate this copy by photostat or photograph.
,~ ~,.' ~ _~~% Local Registrar
~ ~ ',, _
P 8646092
! 7
No. ~ Dare
H05A43Re~ 2'87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
NAME O~ DECEOENT (F,t~ Mad(~e. La~) l~ STATE ;~L[
?- . Raymond L. Slsk Sr. .Male L401 -- 28 -- 7721
, 81 ,. : : 1/23/2 Earl~ngton, ,.,El ~..O ~O ~~
e~umberland . ~echanicsburg .~u~look Poin[ a[ Creekview :~~;W~"' ,a~,__
~CEOE~'S USU~ ~Up~ ' I~' ' ' lie. w~[~e
,,.Conductor Conrail R.R. ~ ~ ~"~/ ~ ~
' P'"' P'- I,,. ~'~ U~k ~'"~ ,Widower
~lu~ ~,.mam P~D~Rv]vania ~ ~z~.~
I 100 Grandon Way ,E~m~
,~ Mech, Pa 17055
~,.s~ME,,,,.,~.~,~ ,~.~_ Cumberland ~ ,~,.Q ~ ~
,,. Johnny B. Sisk ,,. Johnnie M. Winstead
~. Raymond L. Sisk Jr. [~.104 Greenwood Dr., New Cumberland,Pa
~ ~(~t ~,,.Dec 19, 2002 ~=,~hes[nu[ Grove Ceme~er~,. ~arysville,
. . . . 897-L aSull[van F,H 51 N. Enol
~'~ ~ .... ~'" I .... , -.= ~a - I .~.?o ~,~.,,. ~,,.,,, i~.,,,.",o,o MEo~.~,..~., ' ' ;-
~ 12,b. / I~ I~.~ ,~.,) ' ~ .............
...................... ~ ................... , ............. -] ~~_~ ~ h,~{O
manner lO Slll~ .................... , . p e. and due to the ciule l) and ~. ~ ~ ~
'. ' ............................................................... lJ3
~m~.'s s,~.~.~ ~o ~. .... ~ .... ~._. ~'- I-
LAST WILL and TESTAMENT
of
RAYMOND L. SISK, SR.
I, RAYMOND L. $15K, SR., of East Pennsboro Township, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make,
publish and declare this for and as my Last Will and Testament, hereby revoking any
and all Wills by me at any time heretofore made.
ITEM I - I direct my Executor to pay all my just and lawful debts and funeral
expenses out of my personal Estate as soon after my decease as is convenient.
ITEM II - I give, devise and bequeath all the rest, residue and remainder of my
Estate, real, personal, and mixed, to my children, RAYMOND L. SISK, JR, HAZEL MARIE
THOMPSON and BARBARAA. STRINE, and to mygranddaughter, CHERYL LYNN LEWIS,
in equal shares, per stirpes.
ITEM III - All federal, state and other death taxes, payable because of my death
with respect to the property forming my gross estate for tax purposes, whether or not
passing under this Will, including any interest or penalty imposed in connection with
such tax, shall be considered part of the expenses of the administration of my estate and
shall be paid from my estate without apportionment or right of reimbursement. All such
taxes on present or future interests shall be paid at such time or times as my Executor
may think proper, regardless of whether such taxes are then due.
ITEM IV - I nominate, constitute and appoint my son, RAYMOND L. SISK, JR.,
and my daughter, BARBARA A. STRINE, to be the Co- Executors of this my Last Will and
Testament, or the survivor of them.
RUPP and MEIKLE, 355 NORTH 21sT STREET, SUITE 205, CAMP HILL, PA 17011
ITEM V - No beneficiary or remainderman of this Will shall have any right to
alienate, encumber, or hypothecate his or her interest in any manner, nor shall any
interest of any beneficiary or remainderman be subject to claims of his or her creditors
or liable to attachment, execution or other process of law.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this /'~ day
of //~U ,2002.
· /
HIS
Sisk, Sr.
MARK
Signed by RAYMOND L. SISK, SR., by his mark and his name subscribed by
., in his presence and by his express direction and
authority, he having declared his inability to sign his name, in the presence of us, who
at his request, in his presence, and in the presence of each other, all being present at
the same time, have hereunto subscribed our names as witnesses:
Witnesses:
~.~ AJ- ~ residing at:
~~~ residing
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
WE, RAYMOND L. SISK, SR., , and
, the Testator and the witnesses, respectively, whose
names are signed to the attached or foregoing instrument, being first duly sworn, do
hereby declare to the undersigned authority that the Testator signed and executed the
instrument as his Last Will and Testament and that he had signed willingly (or willingly
directed another to sign for him), and that he executed it as his free and voluntary act
for the purposes therein expressed, and that each of the witnesses, in the presence and
hearing of the Testator, signed the Will as witness and to the best of his or her
knowledge the Testator was at that time eighteen (18) years of age or older, of sound
mind, and under no constraint or undue influence.
HIS
,,~,~ /~ (SEAL)
Rayi~ond L. Sisk, Sr.
MARK
Signed by RAYMOND L. SISK, SR., by his mark and his name subscribed by
, in his presence and by his express direction and
authority, he having declared his inability to sign his name, in the presence of us, who
at his request, in his presence, and in the presence of each other, all being present at
the same time, have hereunto subscribed our names as witnesses:
Witness
Subscribed, sworn to, and acknowledged before me by RAYMOND L. SISK, SR., the
Testator, and subscribed and sworn to before me by , and
, witnesses, this ~ day of ,2002.
Notary Public
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Raymond L. Sisk, Sr.
Date of Death: December 15, 2002
Will No. Admin. No. 21-03-0022
To the Register:
I certify that notice of beneficial interest required by Rule 5.6(a) of
the Orphans' Court Rules was served on or mailed to the following
beneficiaries of the above-captioned estate on February 11, 2003:
Name Address
Raymond L. Sisk, Jr., 104 Greenwood Drive, New Cumberland, PA 17070
Hazel Marie Thompson, 7454 S. Swift Rd., Lot 14, Goodlettsville, TN 37072-7015
Barbara A. Strine, 7288 Sadie Lane, Belleville, MI 48111
Cheryl Lynn Lewis, Village of Pineford, 504 Holly Hall, Middletown, PA 17057
Notice has now been given to all persons entitled thereto under Rule 5.6(a)
except None ~~~~~ R~
Date: February 13, 2003
Nam ' ' 're
Address 355 N. 21 st St., Suite 205
Camp Hill, PA 17011
Telephone (717) 761-3459
Capacity: Personal Representative
X Counsel for Personal
Representative
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 002290
RUPP HERBERT G JR ESQ
355 NORTH 21 ST ST SUITE 205
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
........ fold ..........
101 $ 10,000.00
ESTATE INFORMATION: SSN: 401-28-7721
FILE NUMBER: 2103-0022
DECEDENT NAME: SISK RAYMOND L SR
DATE OF PAYMENT: 03/14/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 12/15/2002
TOTAL AMOUNT PAID: $10,000.00
REMARKS: RUPP&MEIKLEC/O
HERBERT G RUPP JR ESQUIRE
CHECK# 0091
INITIALS: SK
SEAL RECEIVED BY: DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1712840601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 002491
RUPP HERBERT G JR ESQ
355 NORTH 21 ST ST SUITE 205
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
........ fold ..........
101 $872.62
ESTATE INFORMATION: SSN: 401-28-7721
FILE NUMBER: 21 03-0022
DECEDENT NAME: SISK RAYMOND L SR
DATE OF PAYMENT: 04/25/2003
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 12/15/2002
TOTAL AMOUNT PAID: $872.62
REMARKS: HERBERTG RUPP JR ESQUIRE
CHECK//1010
INITIALS: JA
SEAL RECEIVED BY: DONNA M. OTTO
DEPUTY REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF
· PE..Sv.v^.,^ REV ' 1500
DEP^.TME.TO .EVE.UE INHERITANCE TAX RETURN
DEPT. 280601
.^R.,sBuR , P^,7,28 60, RESIDENT DECEDENT
x 1. Original Return N2. Supplemental Return 3.~.0~)Remainder Return (riato et death prior to
Limited Estate 4a. Future Interest Compdse {riato et rip,at, *ff*r ~2-12-8~) 5. Federal Estate 'l'ax Return Required
Decedent Died Testate (Attach copy of Will) ~ 7. Decedent Maintained a Living Trust (Attach a copy of Trust) 8. Total Number of Safe Deposit Boxes
Litigation Proceeds Received U 10. Spousal Poverty Credit (~ato of death t:~t~on 12-$1-0~ ~nd 1-~-05) ~ 1 1. Election to tax under Sec. 911 3(A)
~ (Attach Sch O)
?HIS SECTION ~UST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL T.~ INFORMATION SHOULD BE DIRECTED TO:
1. Real Estate (Schedule A) (1) $0.00 OFFICIAL USE ONLY
2. Stocks and Bonds (Schedule B) (2) $0.00
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) $0.00
4. Mortgages & Notes Receivable (Schedule D) (4) $0.00 :
5. Cash, Bank Deposits & Misc. Personal Property (Schedule E) (5) $225,965.71
6. Jointly Owned Property (Schedule F) (6) $0.00
I I Separate Billing Requested
7. Inter-Vivos Transfers & Misc. Non-Probate Property (7) $46,751.28
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7) (8) $272,716.99
9. Funeral Expenses & Administrative Costs (Schedule H) (g) $16,018.57
10. Debts of Decedent, Mortgage Liabilities & Liens (Schedule I) (10) $3,973.45
11. Total Deductions (total Lines 9 & 10) (11 ) $19.992.02
12. Net Value of Estate (Line 8 minus Line 11 ) (12) $252,724.97
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) $0.00
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14) $252,724.97
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 (15) $0.00
16. Amount of line 14 taxable at lineal rate x !0~ (16) $11,372.62
17. Amount of line 14 taxable at sibling rate x .12 (17) $0.00
18. Amount of line 14 taxable at collateral rate x .15 (18) $0.00
19. Tax Due (19) $11,372.62
20. ~
Copyright 2000 David James Thorpe, Esq.
Decedeht's Complete Address:
STREET ADDRESS
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1) $11,372.62.
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount : :
Total Credits (A + B + C) (2) $10,500,00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3) $0.00
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 (4)
5. If line 1 + line 3 is greater than line 2, enter the difference. This is the TAX DUE. (5) $872.62
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) $872.62
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 revisionary interest; or
d. receive the promise for life of either payments, benefits or care?
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? 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?.
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under 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 true, correct, and complete.
Declaration of preparer other than the personal representative is based on all the information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RET~J~N DATE
ADDRE="~S ~ -- (~ -
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
A D D'I~..S,~
355 N. 21-t St., Ste. 205, Camp Hill, PA 17011
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 P.S.
§9116 (a) (1.1) (ii)]. The statute does no 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.
Copyright 2000 David James Thorpe, Esq.
LAST WILL and TESTAMENT
of
RAYMOND L. SISK, SR.
I, RAYMOND L. $15K, SR., of East Pennsboro Township, Cumberland County,
Pennsylvania, being of sound and disposing mind and memory, do hereby make,
publish and declare this for and as my Last Will and Testament, hereby revoking any
and all Wills by me at any time heretOfore made.
ITEM I - I direct my Executor to pay all my just and lawful debts and funeral
expenses out of my personal Estate as soon after my decease as is convenient.
ITEM II - I give, devise and bequeath all the rest, residue and remainder of my
Estate, real, personal, and mixed, to my children, RAYMOND L. SISK, JR, HAZEL MARIE
THOMPSON and BARBARAA. STRINE, and to my granddaughter, CHERYL LYNN LEWIS,
in equal shams, per stirpes.
ITEM III - All federal, state and other death taxes, payable because of my death
with respect to the property forming my gross estate for tax purposes, whether or not
passing under this Will, including any interest or penalty imposed in connection with
such tax, shall be considered part of the expenses of the administration of my estate and
shall be paid from my estate without apportionment or right of reimbursement. All such
taxes on present or future interests shall be paid at such time or times as my Executor
may think proper, regardless of whether such taxes are then due.
ITEM IV - I nominate, constitute and appoint my son, RAYMOND L. SISK, JR.,
and my daughter, BARBARA A. STRINE, to be the Co- Executors of this my Last Will and
Testament, or the survivor of them.
RUPP and MEIKLE, 355 NORTH 21sT STREET, SUITE 205, CAMP HILL, PA 17011
ITEM V - No beneficiary or remainderman of this Will shall have any right to
alienate, encumber, or hypothecate his or her interest in any manner, nor shall any
interest of any beneficiary or remainderman be subject to claims of his or her creditors
or liable to attachment, execution or other process of law.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this /'~' day
of ,2002.
· /
HIS
Sisk, Sr.
MARK
Signed by RAYMOND L. SISK, SR., by his mark and his name subscribed by
, in his presence and by his express direction and
authority, he having declared his inability to sign his name, in the presence of us, who
at his request, in his presence, and in the presence of each other, all being present at
the same time, have hereunto subscribed our names as witnesses:
Witnesses:
~)~ AJ- .~>~.~ residing at:
~~-~~ residing at:/z~/~~~,
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF CUMBERLAND :'
WE, RAYMOND L. SISK, SR., , and
, the Testator and the witnesses, respectively, whose
names are signed to the attached or foregoing instrument, being first duly sworn, do
hereby declare to the undersigned authority that the Testator signed and executed the
instrument as his Last Will and Testament and that he had signed willingly (or willingly
directed another to sign for him), and that he executed it as his free and voluntary act
for the purposes therein expressed, and that each of the witnesses, in the presence and
hearing of the Testator, signed the Will as witness and to the best of his or her
knowledge the Testator was at thattime eighteen (18) years of age or older, of sound
mind, and under no constraint or undue influence.
HIS
Rayi~ond L. Sisk, Sr.
MARK
Signed by RAYMOND L. SISK, SR., by his mark and his name subscribed by
; in his presence and by his express direction and
authority, he having declared his inability to sign his name, in the presence of us, who
at his request, in his presence, and in the presence of each other, all being present at
the same time, have hereunto subscribed our names as witnesses:
Witness
Subscribed, sworn to, and acknowledged before me by RAYMOND L. SISK, SR., the
Testator, and subscribed and sworn to before me by , and
, witnesses, this day of ,2002.
Notary Public
COMMONWEALTH OF PENNSYLVANIA SCH EDU LEE
INHERITANCE TAX RETURN CASH, BANK DEPOSITS, & MISC.
RESIDENT DECEDENT
PERSONAL PROPERTY
ESTATE OF SISK, SR., RAYMOND L. FILE NUMBER 21-03-0022
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on
Schedule F.
ITEM DESCRIPTION I VALUE AT DATE
NUMBER I OF DEATH
~. ~n ;* Refund ~ SerViCes
2~ 2~ LOTS-' Ch~ ~
3. ~ Pointe at C~-~ ~N~ ~e
4. - ~ I~ Premium
5. CheCking Account NO~41~9~t: 'Date off,th In~amsst,~$21.74
6. ~cate of Deposit No. 3061315: Date of Death Interest- $22~47
7. ~cate of Depesit No. 3061572: Date of Death Interest - $27,97 '
8. Oerfificate of ~it No. 3062095: Date of Death Interest, $~14~t.12
9: ~ficate of ~it Ne~ ~~, Principal -$5,365.18 - Accrued lnterest,~.96
~0., Ce~flcate of ~ No~'~02 ~ Principal - $25,000.00 - ~ I~ ~$47~37
~ t,~ Certifl~ of~De~, ~ itN0~ 958271741 ~ P~cipal ~ $10,000.00 ~ AOcrued Int~
~; ~te of ~[~NO, 961303432 ~ ~ $25,006~08 ~ ~ed tnterest-
13~ ~ersonal Prop~ - S~ Affac~ed
TOTAL (Also enter on line 5, Recapitulation) $225,965.71
Copyright 2000 David James Thorpe, Esq.
of Ma~sville'-~~~
P.O. Box B Marysville, PA 17053-0017
MAIN OFFICE: RIDGEVIEW OFFICE:
101 Lincoln Street 500 S. State Road
Phone: (717) 957-2196 Phone: (717) 957-2114
Fax: (717) 957-4578 Fax: (717) 957-4678
APRIL 3, 2003
RUPP AND MEIKLE
365 NORTH 21sT ST STE 205 /
CAMP HILL PA 17011
RE: ESTATE OF RAYMOND L SISK SR
HERE IS THE INFORMATION YOU REQUESTED PER YOUR LETTER:
CHECKING 41-539-1 CD 3061315
RAYMOND L SISK SR RAYMOND L SISK SR OR BETTY L SISK
OPEN: 12-8-02 OPEN: 2-8-01
INTRATE: 1.15% INTRATE: 2.05%
DOD BALANCE: $22,999.71 DOD BALANCE: $40,014.34
DOD INTEREST: 21.74 DOD INTEREST: 22.47
CD 3061572 CD 3062095
RAYMOND L SISK SR OR BETTY RAYMOND L SISK
OPEN: 6-29-01 OPEN: 7-30-02
INT RATE: 2.15% INT RATE: 1.75%
DOD BALANCE: $29,672.72 DOD BALANCE:: $65,405.88
DOD INTEREST: 27.97 DOD INTEREST: 141.12
IF YOU REQUIRE ANY FURTHER INFORMATION, PLEASE CONTACT US.
SINCERELY,
BA~A~
C~STO~ SB~ICB
LOOK FOR US. W~'U_ ~T YOU THERE
03/31/2003
RUPP & MEIKLE
355 N 21ST ST SUITE 205
CAMP HILL PA 17011
The information which you requested on the account(s) of RAYMOND SISK
(Social Security Number 401-28-7721 ) is/are as follows:
Account Number 900003085 900003102 958271741 961303432
Class of Account CERTIFICATE CERTIFICATE CERTIFICATE CERTIFICATE
Date Opened 02/13/98 03/02/98 07/05/95 04/03/97
Principal Balance 5365.18 25000.00 10000.00 25006.08
Accrued Interest 9.96 47.37 14.50 40.00
Balance at Date of 5375.14 25047.37 10014.50 25046.08
Death
Account Ownership BURIAL ACCT JTO/DECD JTO/DECD JTO/DECD
Name of Joint BETTY SISK- BETTY SISK- BETTY SISK-
Owner, if any DECD DECD DECD
Date Ownership
Was Established
Account Number
Class of Account
Date Opened
Principal Balance
Accrued Interest
Balance at Date of
Death
Account Ownership
Name of Joint
Owner, if any
Date Ownership
Was Established
Additional Sin)zerely,t ff
Information ~ ,4 ./
Requested ~A~T~ ~OU~
SENIOR SERVICES REP.
P.O. Box 171 I, HARRISBURG. P~NNSYLVANIA 17105-1711
Toll Free 1-866-WAYPOINT (I-866-929-7646) · IN YORK AREA 717/81S-4S00 · www. wagpointbank.com
SCHEDULE OF PERSONAL PROPERTY - RAYMOND L. SISK, SR., ESTATE
N0.2003-00022
Silver Plate $10.00
Dishes $12.00
Quilt $3.00
Bible $1.00
Vase $1.00
Ceramic Christmas Tree $2.00
Pots and Pans $10.00
Steak Knives $2.00
Two Sweepers $10.00
China Closet $35.00
Shotgun $75.00
Rifle $100.00
22 Pistol $15.00
22 Rifle $50.00
Afghan $3.00
Household Dishes $2.00
Casseroles $2.00
Silverware $3.00
Glasses $1.00
Miscellaneous $7.00
................ $344.00
CO"~ON~,~TH O~ ~ENNS~V^N,^ S C H E D U L E G
INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS &
RESIDENT DECEDENT
MISC. NON-PROBATE PROPERTY
ESTATE OF SISK, SR., RAYMOND L. FILE NUMBER 21-03-0022
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is /es.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
ATTACH A COPY OF THE OEED FOR REAL ESTATE.
TOTAL (Also enter on line 7, Recapitulation $46,751.28
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq.
COMMONWEALTH OF PENNSYLVANIA S C H E D U L E H
INHERITANCE TAX RETURN FUNERAL EXPENSES &
RESIDENT DECEDENT
ADMINISTRATIVE COSTS
ESTATE OF SISK, SR., RAYMOND L. FILE NUMBER 21-03-0022
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNE~ EXPENSES:
,% Sullivan Fu~H0me - F~I ~ $79.20
2. The Rev; ~ge Jensen - Religio~ Services at F~ ~.~
3. ,J~:~i ~ ~nlst at F~I $50.00
4. Raymor~ L SiSk,:Jr;,:and Barbara A. Strine - R~mbursement for Lunch after Funeral $I00.00
1. Personal RePresentalive's ~mlssions -
~,889.00
I Social S~ ~s) /EIN Number of Personal Representative(s)
Street Address t04 ~ Drive, New Cumberland. PA 17070'
I ' 7288 Sadie Lane, Be levitle, MI 48111
cty
State Zip ,
2~ $5~000.00
3~ Family ~pti0n: (If d~ent'S ~is not the same as claimant's, attach ex~l~on)
Claimant,
Street Address
City State Zip
Relaflonship~.~nt to ~t
4'. Probate Fees-:Register of Wills - PrObate,. Letters, Short ~tes
5. Tax Return Preparer~s.Fees ~ Rupp and Meikle - 1040 and PA 40for 2002 [ $115.50
$85.00
7 $1~93.87
8. Cumbertar~t ~ J~ ;.AdvertiSing Estate
9.
10. $9.00
$4.00
TOTAL (Also enter on line 9, Recapitulation) $16,018.57
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq.
OO~ONVV~LT, OF PENNSY'V^N,A S C H E D U LEI
INHERITANCE TAX RETURN DEBTS OF DECEDENT,
RESIDENT DECEDENT
MORTGAGE LIABILITIES, & LIENS
ESTATE OF SISK, SR., RAYMOND L. FILE NUMBER 21-03-0022
Include unreimbursed medical expenses.
ITEM DESCRIPTION AMOUNT
NUMBER
1. :h0ice Nurings - ServiCeS $353.44
2. ~e Pharmatech - Drugs $348;49
3. Raymond L. Sisk, Jr. - Care~ Tran~ion, etc. $3,~77.87
4. West~ EMS - BLG -Ambulance Services $93.65
, I
TOTAL (Also enter on line 10, Recapitulation) $3,973.45
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq.
· O ONW ,TH PENNS 'VAN,^ SCH EDU LE J
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF SISK, SR., RAYMOND L, FILE NUMBER 21-03-0022
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $0.00
(If more space is needed, insert additional sheets of the same size)
Copyright 2000 David James Thorpe, Esq.
FORM 16 REG. WILLS
INVENTORY
(Number and street) (city)
,Cumberland County, Pennsylvania,
(Borough or Township) (Zip Code)
who died
(date of death)
PERSONAL ESTATE SCHEDULE
i Verizon - Refund - Telephone Services $4~15
2. 2 Cemetery Lots - Chestnut Grove : '
3. Outlook Pointe at Creekview- Refund - Nursing Home
4 Blue Shield - Refund - medical Insurance Premium
First National Bank of Marysville
5. CheckingACc°unt :No. 41-539-1
6. Cerfifi~te of Deposit No. 3061315 4.34
7. Certificate, of Deposit No~ 3061572
8. certificate of Deposit No. 3062095
Wa~int Bank
9. Certificate of Deposit NO. 900003085
10: Certificate of De~t No. 900003102
11. CertifiCate of Deposit No. 958271741
12. Certificate of Deposit No. 961303432
13. Personal Property- Schedule Attached
Copyright 2000 David James Thorpe, Esq.
AFFIDAVIT OF EXECUTOR OR ADMINISTRATOR
Commonwealth o! P .ns lb .iass:
Count o[ Cumb r[enb
Personally before me,the undersigned authority, a in and for said County
and State, appeared Raym°~d L' SiSk, jr: and Ba~ara:AI who, being duly sworn according
to law, deposes and says that they are the co-executors of the estate of
, deceased, that the foregoing schedules constitute a complete inventory
and appraisement of the real and personal estate of
deceased, except real estate outside the Commonwealth of Pennsylvania, that the figures opposite each item of real and
personal estate in the foregoing schedules are determined and stated by the undersigned to be fair value of said items as
of the date of the decedent's death.
Sworn and subscribed before me
this day of
CO-EXECUTORS
DITIONAL INSTRUCTIONS
1. The inventory shall the account is filed or the due date, including any extension, for the
filing of the Inheritance Tax Return (9 months from the date of death) whichever comes first.
2. A Supplemental inventory must be filed within thirty days of discovery of additional
3. An original and two copies must be filed.
4. Additional sheets may be attached as to personalty or
5. See Section 3301 et seq. Of the Probate Estates and Fiduciaries Code of 1972, as amended.
6. The inventory must be typed.
Copyright 2000 David James Thorpe, Esq.
SCHEDULE OF PERSONAL PROPERTY - RAYMOND L. SISK, SR., ESTATE
N0.2003-00022
Silver Plate $10.00
Dishes $12.00
Quilt $3.00
Bible $1.00
Vase $1.00
Ceramic Christmas Tree $2.00
Pots and Pans $10.00
Steak Knives $2.00
Two Sweepers $10.00
China Closet $35.00
Shotgun $75.00
Rifle $100.00
22 Pistol $15.00
22 Rifle $50.00
Afghan $3.00
Household Dishes $2.00
Casseroles $2.00
Silverware $3.00
Glasses $1.00
Miscellaneous $7.00
................ $344.00
/'~//~//-/'~' /~/ COHHONNEALTH OF PENNSYLVANZA
BUREAU OF TNDZVZDUAL TAXES DEPARTHENT OF REVENUE
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17118-060! NOTICE OF ZNHERTTANCE TAX
APPRAISENENT, ALLONANCE OR DZSALLONANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX REV-Z$~? EX AFP (01-05)
Recor(~ '" ~ :7c of DATE 06- 03- Z 00 $
_~:!:::~, ESTATE OF SISK SR RAYHOND k
DATE OF DEATH 11-15-2001
FILE NUNBER 11 03-0012
HERBERT G RUPP '0~ JUN -6 ~1:50 COUNTY CUHBERLAND
ACN 101
STE 205 Amount
355 N Z1ST ST~="~,:h~
CAHP HILL ~t~l~~lil .L.
HAKE CHECK PAYABLE AND REH~T PAYHENT TO=
RE~STER OF NILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG TH~S L~NE ~ RETAIN LONER PORTION FOR YOUR RECORDS
REV-lSd7 EX AFP (01-05) NOT~CE OF ~NHER~TANCE TAX APPRA~SENENT~ ALLONANCE OR
D~SALLONANCE OF DEDUCTIONS AND ASSESSNENT OF TAX
ESTATE OF SISK SR RAYHOND L FILE NO. 21 03-0022 ACN 101 DATE 06-03-2005
TAX RETURN NAS: { X) ACCEPTED AS FILED { ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) {1} O0 NOTE: To insure propaP
2. Stocks end Bonds (Schedule B) {~} O0 cpadit to youp account,
$. Closely Held Stock/Pa~tnaPship ~ntarast (Schedule C) {$) O0 suba~t the upper poption
~. Ho~tgagas/Notas Receivable (Schedule D) {~) .00 of thls fop= ~Ath youp
$. Cash/Bank Deposits/N~sc, Pa~sonal Property (Schedule E) {$) 225~965.71 tax
6. Jointly Owned PropePty (Schedule F) (6) O0
7, T~ansfers (Schedule G) (7) q6~751.28
8. Total Assets (8) 272,716.99
APPROVED DEDUCTZONS AND EXENPT/ONS:
9. Funeral Expenses/Adm. Costs/H/sc. Expanses (Schedule H) (9) 16,018.57
10. Debts/Ho~tgage L1ab111tias/Liens (Schedule Z) (10)
11. Total Deductlons (11) lg.gg2.B2
12. Net Value of Tax Return (1~) 252,72~.97
15. Cha~1table/Gove~nmantal Bequests; Non-elected 9115 T~us*s (Schedule J) (15) .00
1~. Net Value of Estate Sub~ect to Tax (1~) 252,72~.97
NOTE: Z~ an assessment gas issued pPeviously~ lines 14~ 15 and/oP 16~ 17, 18 and 19 gill
Pe~lect ~iguPes that /nclude the total o~ ALL PetuPns assessed to date.
ASSESSHENT OF TAX:
15. Aaount of L/ne 1~ at Spousal rate (15), .OD X O0 = .00
16. Aaount of Line 1~ taxable et Lineal/Class A Pete (16), 252,72~.97 X 0~5 = 11,372.62
17. Amount of L/ne 1~ et Sibling Pete (17), .00 x 12 = .00
18. Amount of LAne 1~ taxable et Collateral/Class B Pete (18) .0§ X 15 = .00
19. PP1ncipal Tax Due (19)= 11,$72.62
TAX CREDZTS:
PAYfl~NT REC~I~I DZSCOUNT
AHOUNT PA/D
DATE NUHBER ZNTEREST/PEN PAZD (-)
05-1~-2003 CD002290 526.32 10,000.00
0~-25-2003 CD002~91 .00 872.62
TOTAL TAX CREDTT I 11,398.9~
BALANCE OF TAX DUEl 26.32CR
TNTEREST AND PEN. .00
TOTAL DUE 26.32CR
ZF PAID AFTER DATE INDICATED, SEE REVERSE ( ZF TOTAL DUE TS LESS THAN $1., NO PAYNENT ZS REI~UZRED.
FOR CALCULATION OF ADDITIONAL INTEREST. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR TNSTRUCTZONS.)
RESERVATION: Estates of decedents dying on or before December 1Z, 1982 -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE: To ~ulfill the requirements of Section ZllO of tho Inheritance and Estate Tax Act) Act 23 of ZOO0. (7Z P.S.
Section 91~0).
PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side.
--Hake check or money order payable to: REGISTER OF NILES, AGENT
REFUND (CR): 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-1313). Applications ara available at tho Office
of the Register of Hills, any of the 23 Revenue District Offices) or by calling the special Z~-hour
answering service for forms ordering: 1-800-362-2050; services for taxpayers #ith special hearing and / or
speaking needs: 1-800-~7-30Z0 (TT only).
OBJECTIONS: Any party in interest not satisfied with tho appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount ar interest) as shown on this Notice must object within sixty (80) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue) Board of Appeals, Dept. Z81021, Harrisburg, PA 171Ze-lOZ1) OR
--election to have the matter determined at audit of the account of the personal representative) OR
--appeal to the Orphans' Court.
ADHIN-
ISTRATIVE
CORRECTIONS: 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 171Z8-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-lEO1) for an explanation of administratively correctable errors.
DISCOUNT: If any tax due is paid within three (3) calendar months after tho dacadent's death, a five percent (5Z) discount of
the tax paid is allowed.
PENALTY: The 1SZ tax amnesty non-participation penalty is computed on the total of the tax and interest assmssed) 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 same time period as you would appeal tho tax and interest
that has been assessed as indicated on this notice.
INTEREST: 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 I) 198Z bear interest at the rate of
six (EZ) percent per annum calculated et a daily rate of .00016~. All taxes which became delinquent on and after
January I, 198Z 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 Z003 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
198Z lOX .0005~8 1987 9Z .O00Z~7 1999 7Z .00019Z
1983 16Z .000~38 1988-1991 llZ .000301 ZOO0 8Z .000Z19
198~ Ill .000301 1992 9Z .O00Z~7 ZOO1 9Z .O00Z~7
1985 13Z .000356 1993-199~ 7Z .000192 ZOO2 6Z .00016~
1986 lOZ .000274 1995-1998 9Z .000247 2003 SZ .000137
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUHBBR 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. If payment is made after the interest computation date shown on the
Notice, additional interest must bo calculated.
CONNONNEALTH ENNSYLVAN A
BUREAU OF ZNDZVIDUAL TAXES DEPARTHENT OF REVENUE
ZNHERZTAHCE TAX DZVZSZDN
DEPT. 280601 ZNHERZTANCE TAX
HARRISBURG, PA 17128-0601
STATEMENT OF ACCOUNT
REV-I&07 EX AFP (~1-05)
...... ~_ ~ ~ DATE 06-25-2003
:~,, .'! 'i~ ESTATE OF SISK SR RAYMOND L
DATE OF DEATH 12-15-2002
FZLE NUHBER 21 03-0022
'03 JUL ]1 A';t'2..P COUNTY CUNBERLA,D
HERBERT G RUPP ACN 101
STE 205
I Amoun~ RelL~ed
355 N ZIST ST
CAMP HILL PA
HAKE CHECK PAYABLE AND REHZT PAYNENT TO:
REGISTER OF HILLS
CUMBERLAND CO COURT HOUSE
CARLZSLE, PA 17013
NOTE: To insure proper credi~ ~o your account, submi~ ~he upper portion of ~his fore ~i~h your ~ex payment.
CUT ALONG THZS LZNE ~ RETAZN LONER PORTZON FOR YOUR RECORDS
REV-1607 EX AFP (01-03) ~## ZNHERZTANCE TAX STATEHENT OF ACCOUNT
ESTATE OF S/SK SR RAYHOND L FTLE NO. 21 03-0022 ACN 101 DATE 06-23-Z003
THZS STATEMENT ZS PROVZDED TO ADVZSE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NAMED ESTATE. SHO#N BELON
ZS A SUMMARY OF THE PR'rNCZPAL TAX DUE,, APPLZCATZON OF ALL PAYMENTS~ THE CURRENT BALANCE,, AND,, ZF APPLZCABLE,,
A PROJECTED ZNTEREST FZGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-03-2003
PRINCIPAL TAX DUE: ...................................................................................................................................................................................................................... 11,$72.62
PAYMENTS (TAX CREDZTS):
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER ZNTEREST/PEN PAID (- AMOUNT PAID
05-1q-2003 CDOOZZ90 526.$Z 10,000.00
Oq-ZS-ZO03 CDOOZq91 .00 872.62
06-09-2003 REFUND .00 26.32-
TOTAL TAX CREDTT 11,372.62
BALANCE OF TAX DUE .00
TNTEREST AND PEN. .00
TF pATD AFTER THTS DATE, SEE REVERSE TOTAL DUE .00
STDE FOR CALCULAT/ON OF ADDTTTONAL ZNTEREST.
ZF TOTAL DUE TS LESS THAN $1)
NO PAYMENT TS REI~U/RED.
TF TOTAL DUE ]:S REFLECTED AS A 'CREDZT' (CR))
YOU MAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORM FOR TNSTRUCTTONS.
PAYNENT: Detach the top portion of this Notice and submit eith your payment made payable to the name and address
printed on the reverse side.
-- if RES[DENT DECEDENT cake check or money order payable to: REGZSTER OF WZLLS, AGENT.
-- if NON-RES[DENT DECEDENT make check or money order payable to: COHHON#EALTH OF PENNSYLVANZA.
REFUND (CR): A refund of a tax credit, ahich ams nat requested an the Tax Return, may be requested by completing an
"Application for Refund of Pennsylvania inheritance and Estate Tax" [RE¥-1515). Applications are available at
tho Office of the Register of Wills, any of the 23 Revenue District Offices or from tho Department's Z4-hour
ansmaring service for fores ordering: 1-800-561-Z050; services for taxpayers .ith special hearing and / or
speaking needs: 1-800-4~7-3010 (TT only).
REPLY TO: guastions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau
of individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone
(717} 787-6505.
DISCOUNT: if any tax due is paid within three (5) calendar months after the dacedant's death, a five percent (51) discount
of the tax paid is allomad.
PENALTY: Tho 151 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.
[NTEREST: [ntarest is charged beginning aith first day of delinquency, or nine (9) months and one (1) day fram the data of
death, to the date of payment. Taxes which became delinquent before January l, 1981 bear interest at the rate of
six (61) percent per annum calculated at a daily rate of .00016~. All taxes which became delinquent on and after
January 1, 1981 ail1 bear interest at a rate which will vary from caZendar year to caLendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates far 1982 through 1005 are:
Interest Daily Interest Daily Interest Daily
Year Rate Factor Year Rate Factor Year Rate Factor
1981 ZOZ .0005q.8 1987 91 .0001~.7 1999 71 .000191
1983 161 .000~38 1988-1991 111 .000~01 2000 8X .000219
198~ 1XZ .000301 1992 91 .0002~7 2001 91 .0002q7
1985 13Z .000356 1993-1996 72 .000192 ZOOZ 62 .00016~
1986 lOX .00027~ 1995-1998 92 .0002~7 ZO03 52 .0001~7
--Interest is calculated as follows:
ZNT~R~ST = BAL&NCH OF TAX UNPAZD X NUNBHR OF D&~S DELZN~U~NT X DAZL~ ZNTEREST FACTOR
--An~ Notice ~ssued after the tax becomes delinquent ~1 reflect an ~nterest calculation to fifteen (15) da~s
beyond the dats of the assessment. If payaent ~s made after the interest compu~tion date sho~n on the
Notice, additional interest must be calculated.
Cumberland County Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 11/10/2004
RUPP HERBERT G JR ESQ
355 NORTH 21ST ST SUITE 205
CAMP HILL, PA 17011
RE: Estate of SISK PJtYMOND L SR
File Number: 2003-00022
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing will become delinquent on: 12/15/2004
Your prompt attention to this matter wzll be appreciated.
Thank You.
Sincerely,
GLENDA FARNER STP-ASBAUGH
REGISTER OF WILLS
cc: File
Personal Representative(s)
Judge
JRD/June30, 1992/17858
JAN 1 2 20GV
Estate No.: 21-03-0022
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
In Re: Estate of Raymond L Sisk, Sr.
Late of Hampden Township
NO. 21-03-0022
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative: Raymond Sisk, Jr, & Barbara Strine
Counsel for Personal Representative: Herbert Rupp, Jr. Esquire
Date of Decedent's Death: 12/15/2002
Date of Delinquency Notice: 01/10/2005
The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance
with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court
Division, Court of Common Pleas of Cumberland County, that neither the above narned personal
representative nor the above narned counsel for the personal representative have filed with the
Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule
6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12,
Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on
November 10, 2004, and that the ten (10) day notice to file the Status Report has expired.
Accordingly, in accordance with Rule 6,12 the Court is hereby notified of such delinquency and
the undersigned requests that a Court conduct a hearing to determine whether sanctions should
be imposed upon the delinquent personal representative or counsel for the delinquent personal
representative.
Date: 01/13/2005
I#Pld~ ~)/&J~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
Distribution:
Personal Representative (s)
Counsel for Personal Representative
Estate File
"M.~Lf,..t<105 '1:~oAM
A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to
the hearing date, the hearing will automatically be cancelled.
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Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name ofDecedent: 1< ~ ON rv t- <.I I ..s r
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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 of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes fit- No 0
2. Ifthe 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~epresentative file a final account with the Court?
Yes 0 No ~
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the perso~presentative state an account informally to the parties in
interest?Yes^ No 0
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
attached to this report.
Date: O~/'2 t ~~
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Signature
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Name
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Address
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Telephone No.
Capacity: "'I)((Personal Representative
1]' Counsel for personal representative
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