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HomeMy WebLinkAbout01-0792 PETITION FOR GRANT OF LETTERS Estate of BETTY L. HUNSINGER No. .:l/~ 0 1- 7 9 .2. also known as , Deceased Social Security No.100-18-4757 RONALD J. HUNSINGER, Petitioner(s), who is/are 18 years of age or older, apply)ies) for: (COMPLETE "A" OR "B" BELOW:) Gl A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut or Decedent, dated 5/30/97 and codicil(s) dated NONE CO-EXECUTOR, PAMELA L. BRETZ RENOUNCED IN FAVOR OF RONALD J. HUNSINGER named in the Last Will of the State relevant circumstances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: o B. Grant of Letters of Administration (c.I.a., d.b.n.c.l.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND residence at 301 N. FREDERICK ST., MECHANICSBURG County, Pennsylvania, with his/her last family or principal Decedent, then 78 years of age, died JUNE 28 BOROUGH (list street, number and municipality) ,2001 , at MANOR CARE, CARLISLE, PA (Location) Decedent at death owned property with estimated values as follows: (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 ........................................................................................ $ Total ..................................................................................................................... $ 12,000.00 12,000.00 Real Estate situated as follows: NONE Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence RONALD J. HUNSINGER 26 CRESCENT DRIVE NEW CUMBERLAND PA 17070 RW-1 J?--..g - ) Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true f and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the . Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed b7.i. ~eAthis~ rZ:. day DID !!_?-r~/ ':) ~ LCJ/(/i (4.1!U~. 4- (n A AJi LM~t2{ '"-rYJ')),-l/t!.. ~hx.6 J1h .(!.a. ~~,nl,Tr Estate of BETTY L. HUNSINGER DECREE OF REGISTER Deceased No. 21-01-792 also known as Social Security No: 100-18-4757 Date of Death: 6/28/01 AND NOW, AUGUST 23. 2001 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters ~ Testamentary 0 of Administration are hereby granted to RONALD J. HUNSINGER ((c.I.a., d.b.n.c.l.; pendente lite; durante absentia; durante minoriate) in the above estate and that the instrument(s), if any, dated MAY 30,1997 described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES ~e. ~II~~~ !aU. t!a.~p~ . ~J~_ , Register of Wills / ' Letters .................................... $ 50.00 6.00 Attorney: MURREL R. WALTERS, III 1.0. No: 24849 Address: 54 EAST MAIN STREET MECHANICSBURG TOTAL .............................$ 75.00 Telephone: 717-697-4650 DATE FILED: AUGUST 23, 2001 PUT IN ATTORNEYS FILE IN PRO. AUGUS 24, 2001 Short Certificates(s) .....~........ Renunciation ..................... ..... Extra Pages ( 3 ) ............... I.T.R....................................... JCP Fee ................................. Inventory............................... . Other.................................... .. $ $ $ $ $ $ $ $ 5.00 9.00 Signature 5.00 PA 17055 21-01-792 RENUNCIATION In regard to the Estate of BETTY L. HUNSINGER , deceased. To the Register of Wills of CUMBERLAND County, Pennsylvania. The undersigned PAMELA L. BRETZ of the above decedent hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters TESTAMENTARY be issued to RONALD J. HUNS INGER WITNESS M.\f , hand(s) this <8~ day of f4..v?tll, I- , 200t . lulr~s~ fJ~~ ~ 84 SIGNATURE /l(J ?'J ~ .a/ tJ A1 tJ Lb)u--r;;~ ~ (""' I.. ADDR;SS /J /1 J) ........:::> /I~v~ &.sJ4 . ~. } RJ. 1]0 f() SIGNATURE ADDRESS SIGNATURE ADDRESS T_" I;;.~'n; This is to certify that the information here given is correctly copied from an original certificate of death dul~ filed with me as Local Registrar.' The original certificate will be forwarded to the State Vital Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~~~ Local Registr~ Fee for this certificate, $2.00 p 7431214 JUL 0 2 2001 Date Ae'tl.2187 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH NAME OF DECEDENT (f;~SI~'d.;;e~- ---.----- . SEX STATE ~ILE :-"UMBEFI SOCIAL SECUAIT't' NUM6ER Cumberland Carlisle 2. female 3. 100 - 18 - 4757 DAlE OF DEATH IMcnth. Oa~, .teaI) .. June 28, 2001 ,. AGE (la~ !3ifttoclav) Bett V. Hunsinger UNDER 1 YEAR UNDER 1 DAY Mentha Days HourI Mwu.rt.. 8CATHPL.ACE !C.tyilnd PlACEOFOERH(C~Of'IIyQ('l8 h -;ee,nSlrucloOctSonorhel side) State 01 Fcr891 Cauntly} HOSPITAL Towanda, PA I_'ion! 0 E~".nl 0 000\ 0 ... FACILITY NAME (It nollflSllfullOfl. 9've street and numOIl" Manor Care Carlisle RACE. Amenc:an IndilIn, BIadl, White. etc. tSpeelyI DECEDENTS U5V1\l OCCUMION (Give klnd of work dOt'oe duung most of"'king Ife; do not use retlfed I )-.\ n-.. 1 ~ . ".. Homemaker "". uu~~;;,"\ C~ DECEDENT'S MAlUNG AllORESS (SO.... C"Y'-'. SIooo. ZopCodel DECEDENT'S 301 N. Frederick Street ~~~ Mechanicsburg, PA 17055 ~~~ w..s DECEDENT EVER IN U,S. ARMED FORCES? ....0 NoIXI g::,.,) 0 .. COUNTY OF DEATH 78 v... 12. 13. 1.. MARITAL STATUS. Married "'e'tler Married, Wtdowed, 0-':""15_ Widowed white SU"""'.'NG SPOUSE ttl..we.QM!!Irrtaldettnamel .... ..,. 17..51ale PA 17..0 'IM.___'" ..". ,.. FMHER'S NAME (First. MiOdfe. laSlI II. Leonard Lei. edal INFORMANT'S NAME (T ypefPflrll) Ronald J. Hunsin er METHOO OF DISPOSITION _00 C,.ma.ion 0 _.....51.,.0 au. (Specltyl 1lb, Coun Did - ~ina Cumberland -' 17d.Kl ::""-':::'=01 MOTHEA'S NAME (FIsr.. MIddie. Matden SUlname) Flossie place Mechanicsburg ...,-.. NSEE OR PERSON ACTING AS SUCH lICENSE NUMBER ... INFORMANrs MAILING ADDRESS {Street, Cltyllown, Stwe, lip Codel 26 Crescent Drive, New Cumberland, PA 17070 PlACE OF DISPOSITION. NMNl Of CenMMefy, Crematory L()CRS()N. CilylTown, Slate, rip eoo. or Other Place 21..Indiantown Gap Nat' 1 NAME AND AOORESS Of FAClllT't' Co. ,.PA the best 01 my know6edge, death occurred at the time. date and place slated ~eandTitIe) 230. TIME OF DEATH 2001 DATE PRONOUNCEO OEAD (Month. Day. Year) 23b. 23c. WAS CASE REFERRED TO MEDICAl EXAMINERlCORONER? "".0 No~ 2.. 6: 00 PM ... 25. June 28, 2001 27. PART I: Enter the diNases, In!Ories 01 compltc.ahOnS which causec:llhe dealh Do not ant., the mode of dying, such as cat~e Of respiratory anat, shocf( or he.., lallure Lilt only one cause on each line. [ : :>e. I ApproxlInate : lnteMd between ...- and_ PART II: OIIlor oignillconl_"""'"""""9Io....h.llut not resutling in lhe undIrIying C8UM gMwl in PNn' I. , WERE AUTOPSY FINDlNGS AVAIlABLE PFUOA 10 COMPlE'TtQN OF CAUSE OF DERH? MANNER Of DEATH DATE OF INJURY (Monlh. DaV. ~I TIME OF iNJURY INJURY AT WORK? DESCRIBE HO'/i INJltAv OCCURRED. _uroJ o o II - o o o PlACE OF INJURY - AI hOne. farm, street, faelOfy, otfic. butktino. '-c. ($pecd't/) _. Voo 0 NoD Acednt ~ndtng InYesUgaoon No[j{J v.. 0 No[Jl s..c... Couad noI ~ defermlfled u M, o ... 2... 21b. CERTIFlEA IChectt onr, onel aCERT&FY1NG PHYSICIAN Whys.cloin Ctltl;yang c:.auM oJ death when ..Illult,c. vfly~'4Ifl has pronoonced dedIt"! dn<J compt~ed hem 23) To the tNeto'my know'-ctge, de.thoc:cunwddue\o "'- cau..(s)and manneru .hllMI. ..,..,. .,. a~==~~y":~~:~~~:a~~:~~~:~.~ =/~=~;~~~ ~::~::::::~=~)~~otm':::~ ..slaled.. 0 'MEDICAl EXAMINER/CORONER ~:~~::::I:t::::,~~.i~~I.I~n ,..".~r:: ~~~~~I~~~I.~~: i.n. ~.y. ~~j.n.i~~: ~~~~~ ~~~~~~~ ~~ ~~~ Ume, de'., and place, M1d due to the cause(s) and 0 :;)1.. REGISTRAR'S SIGNATURE AND NUMBE.R ~-- ~ ~ -'J 'J ~ .......< 74h. Ir/lrl/l/l " .. " 21-01-792 LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, BETTY L. HUNSINGER, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all wills and Codicils previously made by me. I I declare that I am not married, my beloved husband having predeceased me, and that I have four (4) children, PAMELA L. BRETZ, RONALD J. HUNSINGER, LINDA K. RODGERS, and CHRIS A. HUNSINGER. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV All of the gifts that I have received from my children or grandchildren, I wish to return to the person who made that gift. These will include but not be limited to the kitchen chair from my daughter, PAMELA, the Seascape oil painting from my son, CHRIS, and the pair of carved wooden ducks from my grandson, JAMES BRETZ. V I give and bequeath my maple dining room set, including table, chairs and matching hutch, as well as my lace tablecloth, to my daughter, PAMELA. If Pamela does not survive me or does not want any of these items, then they shall be given to my son, CHRIS, per stirpes. VI I give and bequeath the round kitchen table with white legs to my grandson, JAMES BRETZ. '\ ~~ . . VII I give and bequeath my pearl necklace to my daughter, LINDA, per stirpes. VIII I give and bequeath the wall sconces by the fireplace, as well as the round mirror in my bedroom and my jewelry container to my granddaughter, JOAN LAVENDER. IX I give and bequeath the pair of matched duck prints in brown wooden frames to my daughter, PAMELA, per stirpes. X I give and bequeath the photographs of RON and his wife, DIANE, in gold frames, as well as the photograph of myself, the photograph of my husband and the sofa to my son, RONALD. If RONALD should fail to survive me or does not want any of these items, then they shall be given to my son, CHRIS, per stirpes. XI I give and bequeath my diamond and sapphire ring, necklace and earring set to my granddaughter, AIMEE SWANK, per stirpes. XII I intend to prepare an additional list of personal property on which I will designate items of personal property to be given to specific individuals. XIII I offer an option to my son, CHRIS, to purchase my house for its then fair market value, with CHRIS being able to offset his share of inheritance against the purchase of my house. XIV I give and bequeath my four Hummel figurines, one each to my children with the '~tormy Weather' figurine to my daughter, PAMELA. The other three Hummel figurines will be divided among my children as they decide. 2 '. -' xv All the rest, residue and remainder of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, I give, devise, and bequeath to my children, PAMELA, RONALD, LINDA, and CHRIS, in equal shares, per stirpes. XVI I nominate, consti tute and appoint my son, RONALD, and my daughter, PAMELA, as Co-Executors of this LAST WILL, to serve wi thout bond. If either is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my son, CHRIS, as the substitute. IN WITNESS WHEREOF, I, BETTY L. HUNSINGER, have set my hand to this LAST WILL this ,3(; 'IJ.- day of lY7cu"Jr ' 1997. ~~ ~~~ B TTY. SINGER Signed, sealed, published and declared by the above-named BETTY L. HUNSINGER, as and for her Last Will and Testament, in the presence of us, who, at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. ~~ ~l '-(~,~, , / i' 7;)'" i { /: .' " , I '.,,' 01/} .'." Jet ):t:;x::~ 3 " -- ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, BETTY L. HUNSINGER, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. ~ lsfL1;)~~.v Sworn or affirmed to and acknowledged before me by BETTY L. HUNSINGER, Testatrix, this 3o'fl.... day of I}l~ ' 1997. L (YI..&rA Notary Public AFFIDAVIT Notarial Seal Diane M. Smith, Notary Public Mechanicsburg Bora, Cumberland County My Commission Expires June 22, 2000 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, I? /)'o..rk "if,o-rnCts and Luo..l\f)J-R... tn. Ne"&J , the witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her LAST WILL; that BETTY L. HUNSINGER signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 years of age or more, of sound mind and under no constraint or undue influence. ~ '_ ( r, ,-< t..l\l .,. .~ ..J< ":1); 7 t7<iJ.J.-cL~ --' Sworn or affirmed to and acknowledged before me this 30 tR.. day of nl~ ' 1997. J)~ m.~ Notary Public 4 Notarial Seal Diane M. Smith, Notary Public Mechanicsburg Bora, Cumberland County My Commission Expires June 22, 2000 aA"]:"4B"4Uasa.Idacr IBuos.Iad .IOJ lasunoJ x aA"]:"4B"4Uasa.Idacr : A "4 "]::::>BdB;) a.I"]:nbs3 /f7cr(~ 'J,CJ/I: a"4BO .Iapun (B)9.S alncr suos.Iad lIB 0"4 uaA"]:5 uaaq MOU SB~ a:::>"]:"40N uO"]:"4:::>as OG1L1 Vd '5.Inqs"]:.I.IBH a.IBnbs A.I.IaqMB.I"4S '.IOOld ~"4v1 suo"]:"4BZ"]:UB5.IO ~ s"4sn.I~ alqB"4"]:.IB~J IB.Iaua8 AaU.IO"4"4V JO a:::>"]:JJO B"]:uBAIAsuuad JO ~"41BaMuowwoJ 110L1 Vd '11"]:H dWBJ a~"]:d als"]:I.IBJ GVGV "4sn.I~ al5n~ ~UB.Id aa"4sn.I~ "V"N '~UB8 JNd 110L1 Vd 'UMO"4SUBWa.I"]:~S "4aa.I"4S uaa.I8 "4SB3 S al5n~ .M SBWO~~ :100G '8 .IaqwaAoN uo a"4B"4Sa pauo"]:"4dB:::> aAoq~ a~"4 JO sa"]:.IB"]::::>"]:Jauaq 5u"]:MolloJ a~"4 0"4 pal"]:BW .IO uo paA.IaS SBM saln.I "4.Ino;) ISUB~d.IO a~"4 JO (B)9.S alncr Aq pa.I"]:nba.I "4sa.Ia"4u"]: IB"]::::>"]:Jauaq JO a:::>"]:"4ou "4B~"4 AJ"]:"4.Ia:::> I :.Ia"4s"]:5acr a~"4 o~ G6LO-86-1G .ON II"]:M 100G '1G aunr :~"4Bao JO a"4BO al5n~ uaal~"4B~ a.Ioua~ B/~/B al5n~ .M a.Ioua~ :"4uapa:::>ao JO aWBN (~)9.S ~~n~ ~~aNn ~~I~ON ~O NOI~V~I~I~~~~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Betty J. Hlli1Singer Date of Death: June 28) 2001 Will No. Admin. No. 21-01-0792 To the Register: ~ ./' I certify that notice of (beneficial interest) estate administration 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 November 29) 2001. Name Address Ronald J. Hunsinger 26 Crescent Drive New Cumberland) P A 17070 Linda K. Makar 612 Range End Road Dillsburg) PA 17019 00 ,.. -- =<<' :j ~. Cf " C);: ': e c:: VJ o d --' Pamela L. Bretz 210 Mountainview Road Shermans Dale) P A 17090 \~:: 6 Chris A. Hunsinger 301 N. Frederick Street Mechanicsburg) P A 17090 James Bretz cI 0 Pamela L. Bretz 210 Mountainview Road Shermans Dale) P A 17090 Date: 11/29/01 Notice has now been given to all persons entided the to und Murrel R. alters) III) Esquire 54 East Main Street Mechanicsburg) P A 17055 (717) 697-4650 Capacity: _ Personal Representative :oi' roo (,l~" Q l/~ a: ~"" (1) .~. C:.l ::9 N o VJ -,p;;-:,:' <: tn" () .... ~ Counsel for personal representative Rc,-- o PNCADVlSORS PO Box 308 Camp Hill Pa 17001-0308 (717) 730-2255 '02 I"IAR 21 P 4 :08 March 18, 2002 c:'~< Ct!!nlY Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Lenore W. Kugle Estate Date of Death 6/21/01 File #: 21-01-792 Dear Register of Wills: On behalf of the Corporate Executor of the above-referenced Estate, I enclose a check in the amount of $188.93 balance due on account of Pennsylvania Inheritance Tax. I have also enclosed a check in the amount of $25.00 for filing fees and inventory Also enclosed are two original completed copies of the Pennsylvania Inheritance Tax Return and two original completed copies of the Inventory. Kindly acknowledge receipt of the enclosed. Please time/date stamp the letter and both copies of the first page of the Pennsylvania Inheritance Tax Return along with both copies of the Inventory. Please return all four copies to me in the enclosed envelope. Thank you for your assistance. Sincerely, ~ Linda J. Lundberg Estate Administrator Enclosures: LJUjmh A member of The PNC Financial Services Group 4242 Carlisle Pike Camp Hill Pennsylvania 17011 /?-~ - I ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-04-2002 KUGLE 06-21-2001 21 98-0792 CUMBERLAND 101 LINDA LUNDBERG POBOX 308 CAMP HILL '02 JU;~ 1 0 \ (j :07 P A i.'10;01 Cur Allount Rellitted I '* REV-1547 EX AFP IDl-OZl LENORE W 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 ~ REV=is4j-Ex-AFP-coY':02Y-NoYIcE--oF-YNHERITANci-YA'x-A-PPRAISEiiEN~--Ai:.i-owANci-oR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KUGLE LENORE W FILE NO. 21 98-0792 ACN 101 DATE 06-04-2002 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. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ( ) CHANGED (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 99,070.45 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 16,876.24 11.643.25 (11) (12) (13) (14) (9) nO) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 99,070.45 28.519 49 70,550.96 7,236.74 63,314.22 If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: DATE 09-21-2001 03-21-2002 n~_~_. . NUMBER CD000295 CD000981 l+J INTEREST/PEN PAID (-) 190.00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 52,459.12 .00 10,855.10 X 00 = X 045 = X 12 = X 15 = (9)= .00 2,360.66 .00 1,628.27 3,988.93 3,988.93 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT 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.) AMOUNT PAID 3,610.00 188.93 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE PLEASE FILE TillS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION - 0~h STATUS REPORT UNDER RULE 6.12 Name of Decedent: Betty L. Hunsinger Date of Death: 6/28/01 Estate No.: 2001-00792 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 th~ estate is complete: Yes No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete (date) 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 f( B. The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) C. Did the personal representative state an account informally to the parties in interest: Yes K No D. Copies of receipts, releases, joinders and approvals of form accounts may be filed with the Clerk of the Orphans' Co attached to this report. Date: May 22, 2003 '-0 .{.-.: ,~ ,.() Ll.. co c:::r:: .- , Capacity: co N ...,,1 ~ ::c ill ; - .0 ;~~ ('V"\ :c:: s::: J.) p (j)= a: CSo MURREL R. WALTERS, III, ESQUIRE 54 East Main Street Mechanicsburg, P A 17055 717-697-4650 Personal Representative _X_ Counsel for Personal Representative ~ Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/07/2003 HUNSINGER RONALD J 26 CRESCENT DRIVE NEW CUMBERLAND, PA 17070 RE: Estate of HUNSINGER BETTY L File Number: 2001-00792 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: 6/28/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: JFile Counsel Judge /'/-8- / ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, AllOWANCE OR DISAllOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX F~(~l_ 'DATE ESTATE OF DATE OF DEATH FILE NUMBER P 4 :l'-UNTY ACN 07-07-2003 HUNSINGER 06-28-2001 21 01-0792 CUMBERLAND 101 'OJ JUL - 7 MURREL R WALTERS III ESQ 54 E MAIN ST MECHANICS BURG Allount Rellitted PA 1705~''~ . y\(" . .ILl \ ...>:.: '* REY-15~1 EX AFP (01-03) BETTY L 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 ~ REY=is4-j-EX-AFP-('oY=oiY-NOTicE--OF-YNHEiiiTANci-TAjr'A-PPRAisEiiENT~--ALi-oWANCi-(rR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HUNSINGER BETTY L FILE NO. 21 01-0792 ACN 101 DATE 07-07-2003 TAX RETURN WA~: (X) ACCEPTED AS FILED ( ) CHANGED 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. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schadule F) 7. Transfers (Schedule G) 8. Total Assets U) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 12,021.91 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage liabilities/liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) UO) 8,552.00 5.110.44 Ul) (2) (3) (4) NOTE: To insure proper credit to your account, sub.it the upper portion of this forll with your tax paYllent. 12,021.91 13 .662 44 1,640.53- .00 1,640.53- NOTE: I~ an assessment was issued previously, lines 14, 15 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. Allount of line 14 at Spousal rate 16. Allount of line 14 taxable at lineal/Class A rate 17. Allount of line 14 at Sibling rate 18. Allount of line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: US) .00 X 00 = .00 (6) .00 X 045 = .00 (7) .00 X 12 = .00 (8) .00 X 15 = .00 (9)= .00 AMOUNT PAID DATE l+J INTEREST/PEN PAID (-) NUMBER TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS lESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) IJ.'S. Pos~al SerVi&eTM bERnttlED MAILTM RECEIPT 'Domestic II Only; NQ Insurance Coverage Provided) ..D ..D ..D CJ .::t" I CJ ' ru 1__- r-"l PC>Stage $ r-"l Certified Fee CJ CJ Return Reciept Fee CJ (Endorsement Required) CJ Restricted DellveJY Fee r-"l (Endorsement Required) CJ r-"l Total Postage & Fees $ Postmark Here IT1 CJ CJ r'- 1,2, and 3. Also complete Delivery is desired. and address on the reverse return the card to you. .. .. ........ ..... ... to the back of the mailplece, or......JIilnt If space permits. 1. AnlciIa_~ed to: HUNSINGER RONALD J 26 CRESCENT DRIVE NEW CUMBERLAND FA 17070 D. 18 dIIYery adclnID cIlJIlrenttom lIIIm 11 C -. 1fVJ:~ ........ deIIwIry addnlea beIow:. .0 No I ElcpnIes MIIII C ReIum Recelptb' """d8e C Inand MiIII C C.O.D. .4;.Rel[Irlct8ct PeIIwIy? j&n Feel C v.. 102lllJ5.0Nl1.1s:.G " ,. r I I I I I I '. " JRD/June 30, ] 992/] 7858 JUL 1 4 2004 In Re: Estate of Betty L. Hunsinger Late of Mechanics burg Borough ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 2001-792 NO. 21-Betty L. Hunsinger 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: Ronald J. Hunsinger ~ Counsel for Personal Representative: Murrel R. Walters, III, Esquire ~ \ Jt.: c;tP tV / ( 0 Date of Decedent's Death: 06/28/01 ~\ 0 Date of Delinquency Notice: 07/14/04 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 named personal representative nor the above named 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 April 30, 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: 07/14/04 ~ ~.~u1 ~er Strasbaugh ~~6F "- Clerk ofthe Orphans' Court Distribution: ~sonal Representative ....c;mmsel for Personal Representative vEstate File ?--2t/-oc; 9 ;3d J/./J/r A hearing is scheduled for at in Courtroom No.3. Ifthe Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. /.:'.~'; 1...11 A ~ / /, // f ~/. \ ,t 1 "'. If: <D C ~ .~ c: ~ ID Q) "0 Cl ~~ '0 DO ~ Cl o CD CD g ~ "CD ~ ~ "aB. ~.g ~ ~~Eiii Ol!!CDO o '~:5 6' i! lil'tll::-- . <(.!!! ~"Eol1 . ""CIl tll.:.: E .('I)....l!:! 0 0 CD -g,~ 'tl ~ ~ C. tll"ijj~-CDCD c-ic'tlE:5l6 ...:'al a ~.s~ .s 00 CD .....,..,:t:: "0 E't:El::"'- Ql .s1iitll~~6 gj ,- CD, l:: CD CIl.j:: {!! $e: 5 ~:c: CD "0 !:;g,1U';;:5 ~ EE't::5l;l8 u 8~ctlil~l5 ~ . . . ~ ~..~}:~~.-:~---- D/cr/ , ~, ,,; <l:. ?""", -- \ ~\t\, ; E --- ~(-'--- -_/' e en V L'C;:L} _ UJ -......r c.a i1! "0 ~ III '0 ~ 1Il~ .e~ ~ of:;: ,~ a; "0 .!!! ci H ~'"" H P::E-t~ rilP-l ....:lril rilP::CJ P::E-tP:: p::CJ)~ ~ p:j ~ZCJ) HU ~~H ~ril~ ....:l U ~<:t'ril 3:i.J1~ ,..: ~ .. '" sa; lIl:C 0.. ... ~ '" '" "'~ "'~ gj i ~ ",,,, ~i u.i!! ~ 1ii i il ~;5 & ",C' ell .. >'" 1: ila: =a: '" GI a:~ GI_ f 0 Qc E~ i~ ~ il~ ~~ 5 a:o ",.g '" (:. C Glc !!!. a:!!!. z;. '0 c CIl , L: ~~~\ ~ ')"0 \:2: :'')\6 ),}) Ira / 'Cl ,- ,^c~ ~ ,," a: /81 Ed c.~d tlja:o DO Ul Ul o c- r-I . . ir6i ~L\ i,,; ~ "-J 1 i- s- ~~ ~ ~i-\.... ~ "'i <S~1'. ~:K . '" .ri-, ~i 'i : C): ............ If''\::..... Jlv :.~ i'" '-!i!si .~ :....c:: :1\1 {2 !!~ I' i 1~~ i~ :t;3 ;s :(3 ~026 69L~ hOOD O~~E EOOL en g!. r ~ \ Cl _nJ lIT' ~IT' ~~ ~U1 <D ~:r ClCl iCl 13Cl 't: 1il <D Cl a: .-:I ..t .-:I lTl lTl Cl Cl r- "t o o C\I I i ~ ~ ... III 11 e s.g Z.B! ~ ., ~.~ C\i ? : o ;:1; ~ N o ,;, Ol '" '" o a. 'ffi ~ a: E ::l ~ o 'iii Q) E o c T"" T"" CO C'). E 0- Uoc' en' D.. PLEASE FILE TillS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 Name of Decedent: Betty L. Hunsinger Date of Death: 6/28/01 Estate No.: 2001-00792 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_X_ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete (date) 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_X_ B.' The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) c.L Did the personal representative state an account informally to the parties in interest: Yes _X_ No D. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be fIled with the Clerk of the Orphans' C6urt and may be attached to this report. 1i(~1I Date: July 19, 2004 PUBl1squln'O ; ',>\1;3\~ MURREL R. WALTERS, III, ESQUIRE 54 East Main Street Mechanicsburg, P A 17055 717-697-4650 l ~ l d lZ 1fT W. Capacity: Personal Representative _X_ Counsel for Personal Representative REV-1500 EX + (6-00) .~ '2..,\ \,"\- ,) '* COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 21 -01 o 7 9 2 ""'Ccii:i'NTY"CoDf'" ---VEAR- - - NuMaER- - .... Z W C W U W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) HUNSINGER BETTY L. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) SOCIAL SECURITY NUMBER 1 00- 1 8 - 4 7 5 7 THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER W I- ~:!Ul UO::~ wo.u J:OO " O::...J .... o.lD 0. <( 06/28/2001 04/14/1923 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ 1. Original Return D 4. Limited Estate ~ 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy of Trust) D 1 D. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 3. Remainder Return (dale of death prior to 12-13-82) D 5. Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS MURREL R. WALTERS III ESQ FIRM NAME (If Applicable) z o i= c:t: ..J ::::) .... 0:: c:t: u w Ck:: z o i= c:t: .... ::::) D.. ~ o u ~ .... I- Z W C Z o 0. III W 0:: 0:: o U TELEPHONE NUMBER 717/697.4650 54 EAST MAIN STREET d 17055 OFF.ICIAl:USE ONLY MECHANICBURG 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) (2) (3) (4) (5) X _(15) X _(16) X .12 (17) X .15 (18) (19) 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT _ .J ~ ~ =-< :3. Closely Held Corporation, Partnership or Sole-Proprietorship f'0 OJ I Cti 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D 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) 1 D. 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) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) (6) 12,021.91 --.~ -..J (7) (9) (10) 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 rate, or transfers under Sec. 9116 (a)(1 .2) 16. Amount of Line 14 taxable at lineal rate (8) 12,021.91 17. Amount of Line 14 taxable at sibling rate 8,552.00 5,110.44 (11) (12) (13) 13,662.44 -1,640.53 18. Amount of Line 14 taxable at collateral rate (14) -1 ,640.53 19. Tax Due > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < " Decedent's Com lete Address: STREET ADDRESS 301 NORTH FREDERICK STREET CITY MECHANICSBURG STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits ( A + B + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E) (3) 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) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... D IZl b. retain the right to designate who shall use the property transferred or its income; ........................................ D IZl c. retain a reversionary interest; or ...................................................................................................... D IZl d. receive the promise for life of either payments, benefits or care? ............................................................. D IZl 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................. D IZl 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ................. D IZl 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... D IZl 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 pe~ury, I declare that I have examined this retum, 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 bas on all information of which preparer has any knowledge. SIGNATURE OF P N RESPONSIB ILlNG o 63 ADDRESS PA 17070 DATE ADDRESS PA 17055 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. 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 0% [72 P.S. 99116 (a) (1.1) (ii)l. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 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 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1 )J. 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. 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. ~,~".,,'" '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF HUNSINGER. BETTY L. FILE NUMBER 21 01 0792 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 NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 7,824.05 PNC BANK CHECKING ACCOUNT 2 PNC BANK SAVINGS ACCOUNT 4,197.86 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 12,021.91 ~ REV.1511EX' (1-97) '* SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HUNSINGER. BETTY L. FILE NUMBER 21 01 0792 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. PARTHEMORE FUNERAL HOME NEW CUMBERLAND, PA 7,617.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees MURRE; R. WALTERS III ESQ 840.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimanllo Decedent 4. Probate Fees REGISTER OF WILLS CUMBERLAND COUNTY 95.00 5. Accountant's Fees 6. Tax Return Prepare~s Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ 8,552.00 (If more space is needed, insert additional sheets of the same size) :> .,.""".,,., *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF HUNSINGER. BETTY L. FILE NUMBER 21 01 0792 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. SPRINT TELEPHONE 2 WEST SHORE EMS AMBULANCE 3 HOLY SPIRIT HOSPITAL MEDICAL 4 INTERNISTS OF CENTRAL PA MEDICAL 5 GASTROENTEROLOGY MEDICAL 6 WEST SHORE EMERGENCY MEDICAL 7 MANOR CARE MEDICAL 8 BEACON MEDICAL 9 HEALTHSOUTH MEDICAL 85.82 82.40 75.93 67.01 4,115.00 622.02 15.00 25.00 22.26 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 5,110.44 '''-M''. '. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER HI JNSIN~ER BETTY L. 21 111 0792 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OFESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. RONALD J. HUNSINGER SON 1/4 RESIDUE 26 CRESCENT DRIVE NEW CUMBERLAND, PA 17070 2 LINDA K. MAKAR DAUGHTER 1/4 RESIDUE 612 RANGE END ROAD DILLSBURG,PA 17019 3 PAMELA L. BRETZ DAUGHTER 1/4 RESIDUE 210 MOUNTAINVIEW ROAD SHERMANS DALE, PA 17090 4 CHRIS A. HUNSINGER SON 1/4 RESIDUE 301 NORTH FREDERICK ST MECHANICSBURG, PA 17055 5 JAMES BRETZ GRANDSON 210 MOUNTAINVIEW ROAD SHERMANS DALE, PA 17090 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, 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 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) JRD/June 30, 1992/I 7858 In Re: Estate of Betty L. Hunsinger Late of Mechanicsburg Borough Estate No.: 2001-792 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-Betty L. Hunsinger 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: Ronald J. Hunsinger Counsel for Personal Representative: Murrel R. Walters, III, Esquire Date of Decedent's Death: 06/28/01 Date of Delinquency Notice: 07/14/04 The undersigned, Glenda Famer-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 named personal representative nor the above named 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 April 30, 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: 07/14/04 Distribution: er Strasbau~h - Clerk of the Orphans' Court ~rsonal Representative 7~nsel for Personal Representative I/b;state File A he~ng is scheduled for at in Cou~room No. 3. If the Status Repo~ is filed prior to the heahng date, the hearing will automatically be c~celled ~ ~ ~ t PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 Name of Decedent: Betty L. Hunsinger Date of Death: 6/28/01 Estate No.: 2001-00792 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: State whether administration of the estate is complete: Yes __X No. If the answer is No, state when the personal representative reasonably believes that the administration will be complete (date) 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 __X The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) Did the personal representative state an account informally to the parties in interest: Yes __X__ No Date: July 19, 2004 Do Copies of receipts, releases, joinders and approvals of formal or informal accounts may be fried with the Clerk of the Orphans' C76urt and may be attached to this report. ~ ,, / MURREL R. WALTERS, III, ESQUIRE 54 East Main Street Mechanicsburg, PA 17055 717-697-4650 tg; t d tZ Capacity: Personal Representative X__ Counsel for Personal Representative