HomeMy WebLinkAbout02-0695
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of John Victor Romig, ,Tr
also known as
No.
To:
21-02-695
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ies
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
h is last family or principal residencea1337 Whisk9Y Spring~ Rd.. ~ MirJrJl<?ton Twp.
(list street, number and municipality)
Decendent, then
at
52
years of age, died
July 16,
,ltJ;; 2002,
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: Taylor Township. Fnlton ~onnty.
$ 125,000.00
$
$
$ eo,non on
ppnn.c:::ylv.1nirl
Petitioner_ after a proper search h~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Michael Name Relationship Residence
}to Romig Son 337 Whiskev Snrinqs R
Dillsburq. PA 17019
d.
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
,
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~3 Michael A
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"'~ 337 Whiske
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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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 the estate according to law.
Sworn to or affirmed and subscribed ~~.
before me this 1 s t day of f
Au ust, ~~2
/ Register
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No. 21-02-695
Estate of JOHN VICTOR ROMIG. JR.
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW AUGUST 2 &<:200~ in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Michael A. Romiq
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Michael A. Romiq
in the estate of John Victor Romiq. Jr.
~h1/L2~"'h.,~.dB/ ).q...-ay
egister of Wills
FEES
Letters of Administration
Short Certificates( )..........
Renunciation ...........,....
JCP
$
$
$
$
TOTAL _ $
. . . .AI!GUS.T . 2... . . . . .. A.D.
270.00
18.00
. cJ
C:Z '.A.-U'L ,& L
, v 17'
ATTO (Sup. Ct. J.D. No.)
Anthony L. eLuca Esq. ID #18067
113 Front st.,Boiling Springs I PA
ADDRESS 17007
717-258-6844
'i.00
291.00
19_
Filed
PHONE
RE'f-15QOEXi6..Q01
,
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
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INHERITANCE TAX RETURN
RESIDENT DECEDENT.
OECEDENTS NAME (LAST, FIRST. AND MIDDLE INITIAL)
Romi Jr. John V.
DATE OF DEATH (MM.DD.YEAR) DATE OF BIRTH (MM,DD.YEAR)
07/16/2002 10 6 49
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
Q 1 Original Return
D 4,limitedEstate
o 6, Decedent Died Testate :,Atia~~ ccpy of '/VI';
o 9, litigation Proceeds Received
o 2, Supplemental Return
D 4a. Future Interest Compromise icate oi ,jeatn af:er '2. 2.~2:
o 7. Decedent Maintained a living Trust :Attacn G~oy d ~;'usn
D 10, Spousal Poverty Credit ':da:eotoeatr, 8et\'ieer '2.31.9~ a~<; ,'':;5,
c...--
OFFICIAL USE ONLY
/
7 tj-- 5'
1.. L - D J.. .k!lS
COUNTY CODE YEAR NUMBER
FILE NUMBER
SOCIAL SECURITY NUMBER
162 - 42 - 3013
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
. .
SOCIAL SECURITY NUMBER
..
o 3. Remainder Return idate of dea:r :mor:~ : 2. ~J-82'
'=:J 5. Federal Estate Tax Return Reauired
8. Total Number of Safe Deposit Boxes
o 11 Election to tax under Sec 9113iA)
THiS,SECTlON MOST' BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL. TAX INFORMATIONSHOULIl BE DIREC-r:e:tl,TO: ';
NAME COMPLETE MAILING AC-DRE3S
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FIRM NAME 'f Apphcable'
113 Front street
P.O. Box 358
Boiling Springs, PA 17007
(1) $126.'>00 00
(2) q 440 ?O
.
i3) 0
(4) -0- -,,;.
(5) 27.961. 70
(61 -0-
(7) -0-
TELEPHONE NUMBER
(71711 258 6844
OFr=iCIAL USE ONLY
(8)
$163,901.90
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule 8)
3. Closely He!d Corporation, Oartr.ersr.lp or Sole-Proprietorship
4 Mortgages & Notes Receivable (Schedule OJ
Cash, BanK Deposits & Miscellaneous Personal Prooeny
;Scheduie ::',1
6 Jointly Owned Property {Schedule F)
o Separate Billing Requested
7 Inter-Vivos Transfers & Miscellaneous Non.Probate Property
(Schedule G or l)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions {total Lines 9 & 10}
12. Net Value of Estate (Line 8 minus Line 11)
(9)
(10)
15,845.73
1.531.82
(111
17,377.55
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15 Amount of line 14 taxable at the spousal tax
rale, or transfers under Sec. 9116 (a)(1.2)
, c :151
x ,04..5... (16)
x .12 (17)
x .15 (18)
(19)
112)
(13)
14n, 'i?4 1'i
-0-
16. Amount of Line 14 taxable at lineal rate
$146.524.35
;14}
146.524.35
17. Amount of line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20,.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
-0-
6,593.60
-0-
-0-
$6,593.60
~~ ~ -, ',~ y: ~::..~:"--' ~" :;' ;.;- ,;...:.- '.,ll,o~ "'~'1.;;t:t. ..l;J:::J~.~=-:1~.,");,;-:~ " c....,?:tJ;:,~;;'''''!~S:..-:./J:!.!'~~i~..~~-.,;~,i'"~~~..'''';.__:::'" ".':5:."':<./i..;-
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Decedent's Complete Address:
S~REET ADDRESS 337 Whiskey Sorinas
Road
,....
-~'. .
CITY Dillsburg, I STATE I ZIP
PA 17019
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
-0-
-0-
329.68
Totai Credits (A + 8 + C)
(2)
329.68
..
3. InteresVPenally if applicable
D.lnterest
E. Penally
(3)
(4)
(5)
(5A)
(58)
~.
TotallnteresUPenally ( D +t')
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
6,593.60
-0-
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.
6,263.92
-0-
6.263.92
8. Enter the total of Line 5 + 5A. This is the 8ALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
,....t~':',?:,~~;:.,:::t:..r~E~St::,:~{2k2~~~~~I(;~~;ri~~~&.~;~_u::rjIJ&~}l~;Z"LZC~it;~~.3:::S;;~lICZ2s:iJI::::;V?1::;;::B~.;:'~~~1~T~
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Yes
...................n
1. Did decedent make a transfer and:
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
contains a beneficiary designation? . ...................... . ..... ................................. ....................
......0
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o
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...........0
No
iXJ
IlU
IlU
IX]
IlU
IX]
[Xi 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
:Jncer pellallies 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.
:~clarat:onofpreparerolherlhanthe personal representative is based on all information of which preparer has any knowledge
DATE
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JDRESS , A ' . ;An-
..~~:'/::;,~~,:~;!~~:~cJk _~~.-' :6'~~~ AJ~ j/~#?/Ar.'1:.!#~~~~7
. 'r dates of death on or after July 1, 1994 and before January 1, 1995, the lax rale imposed on the net value of transfers to or for the use of the sUr\living spouse is 3%
,P.S. S9116 (a) (1.1) (ill.
'or 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. S9116 (a) (1.1) (ii)].
The statute does not exemot a transfer to a sUr\living spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the sUr\living spouse is the only beneficiary.
'Jr dates of death on or after July 1, 2000:
~e 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. s9116(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. S9116(1.2) [72 P.S. s9116(a)(1)].
~he tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. s9116(a)(1.31l. A sibling is defined, under Section 9102, as an
'dividual who has at least one parent in common with the decedent, whether by blood or adoption.
, REV_"OI"X+ (7-831
COMMONWEALTH OF PENNSYLVANIA
, INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE "A"
REAL EST.ATE
ESTATE OF
FILE NUMBER
John V. Romig, Jr.
(Property jointly-owned with Right of Survivorship must b. disclosed on Schedule IIF") All real .stat. should b. reported at fair mark.t
value which is defined as the price at which property would b. exchanged between a willing buyer and a willing sener, neither being
compelled to buy or sell, both having reasonable knowledge of the r.levant facts.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
Real Estate situated at 3029 Black Mountain Road
Waterfall, PA 16689
See attached appraisal
$126,500.00
TOTAL (Also enter on line 1; Recapitulation)
(If more space is needed insert additional sheets of some size.)
I
I
I
Is 126,500.00
REV-150J EX + (4-86),
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COMMONWEALTH Of PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS AND BONDS
ESTATE OF
FILE NUMBER
John V. Romig, Jr.
(All property jointly-ownQd with Right of Survivorship must be disclosed on Schedule F.)
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
4,220 shares Common strock of Rite Aid Corporation
@ $2.23 per share
$9,410.60
2.
29.60 shares Prime Cash Money Market Fund @ $1.00
per share
29.60
'"
TOTAL (Also enter on line 2. Recapitulation)
(If more space is needed, insert addiNooal sheets of same size.)
S
9 440
REV.1S07EX. (7.881
*'
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
Please Print or Type
I FILE NUMBER
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RISIDENT DECIDI!NT
ESTATE OF
John V. Romig, Jr.
(All property jolntly.owned with the Right of Survivorship must be disclosed on Schedule F.)
ITEM
NUMBER
DESCRIPTION
VAWE AT
DATE OF DEATH
1.
NONE
-0-
TOTAL (Also enter on line 4, Recopitulation) $
o
(If more space is needed, insert additional sheets of some s;ze.)
~EV.1506 EX+ 12-67)
..
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please Print or Type
fiLE NUMBER
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
John V. Romig, Jr.
(All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F)
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1.
Certificate of Deposit, numbered 31003908143967,
at M&T Bank, Boiling Springs, PA
Checking account, numbered 88922l8398, at
M&T Bank, Boiling Springs, PA
Miscellaneous personal property.
See attached appraisal
$17,696.69
2.
2,369.01
3.
7,896.00
TOTAL (Also enter on line 5, Recapitulation) S ~., n r, ., n
(Anach additianal 8~n x llH sheets if more space is needed.)
"~150' ex. 112,88', "*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
John V. Romig, Jr.
I FILE NUMBER
Joint tenantes):
NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. NONE
B.
C.
Jointly~owned property:
ITEM
NUMBE
I
1. I
I
I
LETTER
FOR
JOINT
TENANT
,
DECO'S I
I % INT.I
I I
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DATE
MADE
JOINT
DESCRIPTION OF PROPERTY
TOTAL VALUE
OF ASSET
DOLLAR VALUE OF
DECEDENT'S INTEREST
TOTAL (Also enter on line 6, Recapitulation!
-0-
(If more space is needed insert additional sheets of some size)
S
REV-TS10 EX+ (2-87)
~.~.~
-.:.!t?'"~
SCHEDULE G
TRANSFERS
I
i
FILE NUMBER
PLEASE PRINT OR TYPE
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
John V. Romig, Jr.
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
ITEM I DESCRIPTION OF PROPERTY ! TOrAt VALUE I DECO. I DOLLAR VALUE ...'
. . . EXClUSION i % OF DECEDENT'S
NUMBER I Include name of the transferee, theIr relationship to decedent, date of transfer. : OF_ASSET I INT. +-___ INTEREST .;.
1. The Quaker 401 (k~ Plan for i 100% !1 09,811. 7P 100%1
Hourly Employees Retirement I
Savings. I
Not eligible to withdraw
_L
TOTAL (Also enter on line 7, Recapitulation) S 0
(If more space ;s needed, insert additional sheets of some size.)
\l.EY.1511 ex+ [7-.88)
ESTATE OF
~~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or Type
FILE NUMBER
John V. Romig, Jr.
ITEM
NUMBER
DESCRIPTION
AMOUNT
A. I Funeral Expenses:
B.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
1.
M.R. Brown Funeral Home, Inc.
P.O. Box 367
Hustontown, Pennsylvania 17229
6,858.90
Administrative Costs:
1.
Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commissions paid
2.
Attorney Fees
5,000.00
Anthony L. DeLuca, Esquire
3.
Family Exemption
ClaimantMiChael A. Romig
Relationship _ Son
3,500.00
Address of Claimant at decedent's death
Street Address 337 Whiskey Sprinqs Road
City Dillsburq
State PA
Zip Code 1701 9
Probate Fees
293.00
Miscellaneous Expenses:
Filing Fees for Inheritance Tax and Inventory
25.00
Legal Advertising-Cumberland Law Journal
Legal Advertising-The Sentinel
75.00
93.83
TOTAL (Also enter an line 9, Recapitulation)
$
15,845.73
(If more space is needed, insert additional sheets of same size.)
V_1512 iX+ (9-81)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT.OECEDENT
,STATE OF
SCHEDULE "I"
DEBTS OF DECEDENT,
MORTGAGES, AND LIENS
FILE NUMBER
John V. Romiq, Jr.
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
Judith K. Appleby, Tax Collector
796.50
2.
Roy D. Gottshall, Appraisal of Personal Property
40.00
3.
Terry L. keefer, Appraisal of Real Estate
250.00
4.
Cabela's Credit card
445.32
TOTAL (Also enter on line 10, Recapitulation)
$ 1,531.82
tlf more space Is n..dad Inure addltlona. sheets of sam. slz.)
/6 :1216 PI.,
KEEFER_RE~~.E$TATE
7:1734922:62
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UNIFORM R.SIDI!NT....L Ap..RAI.....L REPORT
Me ~ WA 1ltFAU.
At;,E3
Tal Ye. 2002
OM/G e ATE
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ROMIG
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T _aid
^TERFAU.. 08
NlA ~ DaleQfSilleNlA ~andS..-naurwdllltllf'l------..l--.bI!IMidIlll"'" NtA
J:.U/4JATTORHEY ANTHONY DeLUCA 1 FRONT BOX 30M: ING SPR ~A 1
"TEFl:Pt.Y L.. Ke.t:.FFR 8~1S S EiWAl' ORT L UOON PA ~,...
l.ae3lion r J Urll", CJ s.-.. (Q Rurol __ p~' .,.-......-... ---~
816/t up 0 Ower 15% 0 25-75'* 0 Under 25" --.. -, $@ ~ ~l:' Od. twnIr IS 0 Nut IIkIty U l,*"v
Growtn.... [J R_ r,"J $1abI. 1.1 Slow C?J"- 50 .LOW_N"'VY 2-,4tam1y 0 Cl In"'.....
Prop.... ...... 0 >nel_ I2l 8_. t:J DedI""" t:J T..-.I W2s\,.... ~~Ji"'~_ 0 To:
Demaodl"4>P'Y [] _ lZJ "........ 0 awr_ [8 ,.....(0-,,,) ~ 'c-_al 2
Marketi1'1Q ,time n lkIder 3 fOO5.. r7I 1-e mos. r I Owr 6 mas. 95 2$ vile 90
..... .... ell4 *- ,..... _ ....., .... -~Jwt ~.... .Ao ..c _~. .~...
1'4e/thbOrhaod ~n II'ld oharactIrh1Ics: THe SUSJEci IS LOCATeD IN ~_RUFtAL. PoRTION OF. THE STATE. HOWEVeR SUR "r"T
Ne.'G~t-tOOO AMeNITlI;:.S ARE NO~MAL. FOR THE MARKET AREA. ..
FldotIIl:hI! ilffm:t 1'J'tl!.' trn.IIfbtIbIltty ~ the proper1ln In ttM naigttbortJoOd (JlIrolmttr 10 1l1'l.,loyrnerd ~~. .l'l'lf)Ioymeftt .staDility, lIPIlN to ~ eu:.)~
NO UNFA,Y.9AABLE FACTO~!i WERE OBSERVED WHtCH WOULD .ADVERSE\.. V AFFl!CT THe MARKETABJUTY OF THE
.PROPERTleS lri_.ll""US NEIGH80Rti.QQO. Pf:!:OXIMliY TO EMPLOY ANO AMENlTI IS,"APPfItOXlMATE Y"6 MIl.eS.
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lIlultt c:onc1ml;WlS In the 1ub\8d. ~tlol1IOQd (lnctud\.r,fJ ~"for 1M aDmit CCll"IClusklM r"".d ttl1h8 nl'ld at IX"Operty vlIh..", dernanclfSUP()ly, and fT\liritetino lime
_ 5UctI _ dIP on comp<<ittYe proptf'tfe:liI f.Qf HIe in the fl<<ghborhoQd, detcrtp!JOn 01 the preYller10e or _es .-ld 1InWJCIng conce:ssIans. ldC.);
~RTY VALUES IN Tt!~ SUElJECT NEIGHBORHOOD SEEM TO AEMAJ!"-;T....Le. DeMAN"'''''';'; S;'U.PL y.....e IN SA< ...--
AN[) MARK TlNG T1Me AVERAGES .-.peROXIMATELY 172 DAYS. SINCE THIS IS A Al.JRAl. F"ORilON OF THE STATE. pl'INDING
.!.tfREE: OR MORE CO!!'f"ETIT1VE PROpeRTle~.FO~ SALE IN THe SUB."fe:CT NEIGHBORHOOD IS NOT POSSIBLE.
Ptof-=IIn~fofPUo. (IfW/Cabll)- -Is ltle deo;elopar./btJil~jncQl'lO'oI orb HomeOwn.... AslOdll.l!on (ttOA)? L.J Y'II. L Nc
Appnnimllte total number 01 unlb In !he subtect projeoct N/A .., ~ b)bi ~ of tOts tor:M" in 1he 5Ubfect:wofeief N/A
~~~. I_"t!:; atJonal1eol1l!tlls: N/A
~'& TYP1CAl. T~ ROLLINGI
She arfa 1....0' AC __._... C<lrTNr Lat 0 "" 0 No sae TYPICAL
Splldft(: lGrllng clU3if1c<<'1on m des~tlon NONE Shacae ~
~. :........... !..' loom _:P L..,., """'''''F1no (aron<lla<her~~..l 0 illegal 0 N._ :-:- ~~E
lhm'- P\j)\~c Other I ~\...,..._."""."",, l'ype Publte Private Lan:d.8C';8plng AVE~Ge
EI-""'>' C', I s.... M....S@~ lZJ 0 on...... Samce RAV!!L
ea. CJ NONE C__ NONe U [] ........_ TYPICAL uTlL EASEME...-rs
w_ I' Sfdl7Wl1fk NONE _ 0 n FEMA Speclal Rood Hgard AnslI U Y~5 0 No
S_ ..- 2]-' -..- _"g1rl> ..NONe . ~ ~ 'ElM ZPf1e NONt!! ~ _ 8I8/eo
..l..JJ':,.\ONE J AI1lW NONE I ....21M3ooo1
CclR'lTlef'lts (8C'Il8{ent: adVetSll. euemenrs, ancroectmlP'ft&. speel81 asusarnentJ. ,tIde ......11. or I. POl_~\.ooullnQ zonk1g.... etc,):
AOvEP'tSE EASEMeNTs ~NCRo....e~$, ~elAL ASSESSMENTS. SLIDe AREAS ~C.
NO APPARENT
,,",0I0nrt<
P40. atStDnes
Type (Det./A1l)
_l:stl'fe)
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....lYrs,)
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eEHEA.AL DESCRIPTION
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PAGE 1 Of2
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KEEFER. REAL. ESTATE
717'3492262
P.03
-..
,-'
-
1'4747
10.928
8~
10.819
145.1&5
DIAL APP ISIlL' R P ,R IG
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,..,.. foot CIIeMdkYln fer HIXJ. VA and FmHA. 1M esdn-..G rtmlWllhG
lIa:IftOmIc" utthepRlpertr): COST" FR
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V U WAS oBTAI U NG CO'" S.
SKETCH DUll ATT ED. ESTIMATED R ING
IECONOMIC S,
RIPORII RI! I
c$T1MATEO SITE lIAlUE .. '....
ESTIMATED REPAOOUCllON COST -NEW-<lF IlIoIPlIOIIeMEKJS:
_ '808",Fl.@$ 80.14 - S
&82 Sq. R @S 18.02
.....- $
PORe
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TgUI~eo.t_
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427 BRADNtCK FARM .lANE
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117000
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"
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EXTERIOR INSPeCTION
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AVERAGE \/ERAOE Al!L,,^GE 0
nAVO 2 Sl'Y AVO 0 2 STY A'Vf3 0 AVG
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90 0 14 -8 02
A RAGE AVERAGE 0 GOOD A.
-.."""'" T 8.ot1S
""om Coun< . . 1 ~,~ -1.000 8 4 2 -2.000 $ 2 1.5
..... ,_ F!. 2352 Fl.' -83 '812 .,152 1 S-48
8~&Finlehe<I PARTIAL >>ARTlAL 0 PARTIAL 0 PARTIAl.
NFl I ISHED 0 UNFINISHED 0 FINISf-ED
AVERAGe $IMIl,.AR 0 SIMILAR 0 SIMILAR
HW ~-- HNNe 0 HNNe 0
T'r'PfCAL ~MJl.Aft 0 SIMILAR 0 ,MRJ.R
2CAA + CAR 0 2CAA
PORCHES SIMU.AR. 0 StMIu-.Ft 0 SIMILAR
0 1 -%'OOO 1 -2 000 GAS
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7872 2852
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OCATe AT:AL Y 1 1 AN:3 .8 S 3e
PEOPLE PER SQUARE MILE. DUE TO THE SPARSELY POPULATED AREA IT W.A!3 NECeSSARY TO EXTEND SEARCH
P IN N TO ST
eOMPARABLES A.VAJLABL.E AS OF THE DATI! OF A:I!POAT.
$lJ8.ECT CClMPr.."~ NO. 1 (:OW'ARAII.f M>. 2 ~ NO. J
NO PRlOf< NO PRIOR NO ~~ NO PRIOf<
SAL..l!S WITHIN SAU!S WITHIN 8AL.E WITHIN s..t.LES WlTHtN
ONE YEAR ONe YEAR ONE: 'YEAR ON!!.
AtWyIl' aI ilJycunn:~of'" aptioR. <<hingGf subtec:l~m:t InIIdyWsd....prtor Slklsot ~Ifld _._~,. "'OI'II~af Ihe.daatot ......:
PAIOR THe OR 'THE COMP.AA.ADLE WfTHIN
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Final ~ ~. - .. TO'Tl-l $.4L.E COMPARISON APPfItO
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APPROACH IS GIVEN SECONDARY
The pupose of 1hIs. w....saIle to nIImllIJ t'lo mn.d l'aIue CJf me reIIl pr'Opeftr ttIIt Is 1tM M:lifct of U'IIlS rwpon. baed 0fII .. mow condIftons .and lflii cnfic:dan. conlingent
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,
AONWEALTH OF PENNSYLVANIA
iTY OF CUMBERLAND
'L
J
ss:
Michael A. Romig
19 duly sworn according to law, deposes and says that he
the Administratnr of the Estate of John Victor Romiq, Jr.
. of Sou tlL MutdlatQlL~Qwnship , Cumberland County, Pa., deceased and that the
!-hin is an inventory made by him -r the saidAdrninistrator ,~-,.~'..,
,he entire estate of said decedent, consisting of ail the personal prop.rty and re.a/ estate, except real estate outsidl"
';: Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represen.t it's. fair value
of the date of decedent's death.
is
Sworn
and subscribed before me,
~L
(,it /';:{t,[i.{,1.- I~"')--.
-l!;i{ 2002
? ;;/
It ~ ::t, -"';J
'" '. --t' ~I., l { .....,
"
/..,'.1 Dillsburg,
/ NOTARIALS~-' i
MARJORIE A. OeLUCA,IQ'6\alV Rublic
South Middleton Twp., CumbarlarJd.Co.
Commission Expires Nov. 1, 2003
3~Whisk~~prings-Road
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f
PA
17019
AddreH
Jar. ,f DuH, '__'. 16th
D.y
July
Month
7.007.
Ylt6r
INSTRUCTIONS
An inventory must be filed within three months after appointment of personal representative.
A supplement inven+ory must be filed within thirty days. or disc::lver'f or additional assets.
Additional sheets ..nay be attached as to personalty or ,-eaity
See Article IV, Fiduciaries Act of 1949,
.
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lnventory of the real and personal estate of
" L..
John Vi~tnr nnmi~. ,Tr
deceased
1. Real Estate situated at 3029 Blacks Mountain Roa0,
Waterfall, PA
2. 4,200 shares common stock of Rite Aid Corporation @ $2.23
per share.
3. 29.60 shares of Prime Cash Money Fund @ $1.00 per share
26,500. ci
9, 41 O. 6(t.
-.y.
4. Certificate of Deposit @ M&T Bank
5. Checking account @ M&T Bank
6. Miscellaneous personal property
29.60
17,696.169
I 2,369.101
l' '
11 7,896.100;
Ii ' ;
$~63,901.!9d
"
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"
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17125.060'
REV-1162 EX(1 1-96)
RECEIVED FROM:
PENNSYL V ANJA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ANTHONY L DELUCA ESQUIRE
113 FRONT STREET
PO BOX 358
BOILING SPRINGS, PA 17007
_nnn_ fold
ESTATE INFORMATION: SSN: 162-42-3013
FILE NUMBER: 2102-0695
DECEDENT NAME: ROMIG JR JOHN VICTOR
DATE OF PAYMENT: 10/16/2002
POSTMARK DATE: 0010010000
COUNTY: CUMBERLAND
DATE OF DEATH: 07/16/2002
NO. CD 001735
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $6,263.92
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$6,263.92
REMARKS: MICHAEL A ROMIG
CIO ANTHONY L DELUCA ESQUIRE
CHECK# 112
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
"
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: John Victor Romig, Jr.
Date of Death: July 16, 2002
Will No. 2002-00695
Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required hy Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on October 16, 2002
Name
Address
Michael A. Romig, 337 Whiskey Spring Road, Dillsburg, PA 17019
Notice has now been given to all persons entitled thereto under Rule 5.6(a)le~tft
Date:
~r--;
/3. ,,<"6 (~ ;P-...
, /
Si~~ ~ 4l~~-1-~
Name Anthony L. DeLuca, Esquire
Address
113 Front st., P.O. Box 358
Boilinq Sprinqs, PA 17007
Telephone ( 7117 258-6844
Capacity: _ Personal Representative
X~Counsel for personal representative
/?- ?9-..s-
"- BUREAU OF INDIVIDUAL
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG. PA 17128-0601
TAXES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLDWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
12-02-2002
ROMIG JR
07-16-2002
21 02-0695
CUMBERLAND
101
ANTHONY L DELUCA
113 FRONT ST
PO BOX 358
BOILING SPGS
ESQ
PA 17007
'*
IE~-1s<.1 Ell. ~fP ~ln~ll'l)
JOHN
v
Allount Relli H:ed
) CHANGED
Il)
(2)
(3)
(4)
(5)
(6)
(7)
126.500.00
9,440.20
.00
.00
27.961.70
.00
.00
(8)
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REii=i54-j-Ex--AFP-[oFozY-Noi'"icE-oi'-YNHERiTANCE-TAx-'APPR'AisEHEN:r,--ALi-owANcE-oli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ROMIG JR JOHN V FILE NO. 21 02-069S ACN 101 DATE 12-02-2002
TAX RETURN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. stocks and Bonds (Schedule B)
3. Closely Held stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable {Schedule DJ
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule fJ
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad... Costs/Misc. Expenses (Schedule Hl
10. Debts/Mortgage Liabilities/Liens (ScheduleIJ
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Govern.ental Bequestsj Non-elected 9113 Trusts (Schedule JJ
14. Net Value of Estate Subject to Tax
I~ an assessment was issued previously, lines 14, lS and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16J
17. Amount of line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
NOTE:
15,845.73
1. S31. 82
(11)
(2)
(3)
1l4)
19J
(10)
.00
146,524.35
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
NOTE: To insure proper
credit to your account}
submit the upper portion
of this form with your
tax paYlnent.
163,901.90
17.377~~
146,524.35
.00
146,524.35
(9)=
.00
6,593.60
.00
.00
6,593.60
TAX CIlEDITS:
rAmC"' \. , AMOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
10-16-2002 CDOO1735 329.68 6,263.92
TOTAL TAX CREDIT 6,593.60
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAH $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
STATUS REPORT UNDER RULE 6.12
Nazne of Decedent: ~-r.P Ix ~ ~} , ~ ./l~, J
T/1 /o
I /
WinNo.: Aam~n, No.: ~00 ~ -~5~
~s~t to R~¢ 6.12 of~¢ Supreme Co~ O~h~' Co~ Rules, I repo~ ~
. foHo~g ~ re.eot to ~mpl¢fion of~¢ a~m~nfs~afion of~¢ above-captioned estm¢:
1. S~t¢ whm~ ~~afion of~¢ estate is ¢omplet¢:
Y¢~ ~ No ~
2. ~ ~wer is No, s~t¢ when ~¢ p¢~on~ I~r¢senmfiv¢ r¢~o~ly b¢~¢v¢s
3. ~ ~¢r to No. 1 is Yes, state ~ foHo~g:
m Did ~ p~onJ r~res¢nta~ve ~¢ a ~ a~o~t ~ ~ Co~?
Yes _ No ~
b. ~ s~m¢ O~' Co~ No. (~y) for ~ perso~ r~r¢s¢ntafive's
~t is:
0. Did ~¢ pemo~ r~r¢smmfiw ~t¢ ~ a~t ~o~ly to ~ p~es
~ ~t=~¢? Yes ~ No' ~
0. Copi~ ofr~¢ipm, relent, jo~d¢~ ~d ~prov~ of fo~ or
~o~ ~o~m ~y be ~ ~ ~ Clerk olde. ~h~' Co~
~d may be a~oh¢d to ~s r~o~.
Ad~ss'
::~' ' Capaci~: ~' Person~ Representative
~ Co,scl for person~ representafiw
STATUS REPORT UNDER RULE 6.12
Name of Decedent: John V. Romig, Jr.
Date of Death: 7/1 6/2002
Wi]] 1Wo.: 2 0 0 2- 0 0 6 9 5 Adm~n. No.:
'Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the a~ministration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes k'q No
2. If the answer is No, state when the personal representative reasonably believes
that the adrainistrafion 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
b. Thc separate Orphans' Court No. (if any) for the personal representative's
account is: __
c. Did the personal representative state an account info~ the parties
in interest? Yes [] No [-]
c. Copies of receipts, releases, joinders and approval offormal
informal accounts may be filed with the Clerk of the.:Orphmsz-court
and may be attached to this report.
Anthony L. Der,uca, E.~quire
113 Front Street:
t~.Q, Box_351~
o].±±nq ~prlnc~s. PA 17007
kddress'
717-258-6844
Telephone No.
Capacity: [--I Personal Representative
~ Counsel for personal representative