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Home My WebLink About03-0948PETITION FOR GRANT OF LETTERS Estate of AILIE OTT PROCTOR also known as AILIE M. PROCTOR , Deceased Social Security No. 196-14-4765 ANNA M. BERT~ BESSIE M. GARDNER~ TAMMY F. HOOVER~ MERLE E. VARNER Petitioner(s), who is/are 18 years of age or older, apply)les) for: (COMPLETE "A" OR "B" BELOW:) A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut ORS ~-~ Decedent, dated 5/9/89 and codicil(s) dated 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: B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: per, de,~[~ lite, durante absentia; durante minodtate) 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 County, Pennsylvania, with his/her last family or principal residence at 25 BROAD STREET, SHIPPENSBURG, SOUTHAMPTON TWP, PENNSYLVANIA 17257 (list street, number and municipality) Decedent, then 79 years of age, died NOVEMBER 6 ,2003 , at CARLISLE REG. MED. CTR. (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 ..................................................................................................................... $ Real Estate situated as follows: 25 BROAD STREET~ SHIPPENSBURG, PA 17257 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 11000.00 50~000.00 51,000.00 Signature ANNA M. BERT, 8724 PINEVILLE RD. SHIPPENSBURG PA /'~-/',~4~'BESSlE M. GARDNER, N/K/A BESSIE M. JONES / 1617 WESTOVER RD~ SHIPPENSBURG, PA ITAMMY F. HOOVER, 42J-THREE SQUARE HOLLOW RD ]NEWBURG~ PA '"7-/-7 7 .- '7 Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and afffirm(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 Decedent, Petitioner(s) will well and truly administel: the estate according to law. _/ Sworn to and affirmed and subscribed ./~:i ~, ,,i.-~ ~.m~J' .~v/[,~, 2~'?Z/?.,~ . ANNA M BERT, TAMMY F. HOOVER before me this 14 day of NOVEMBER, 2003 , ~ Donna M.Otto, 1st Deputy DECREE OF REGISTER Estate of AILIE OTT PRQCTQR also known as AILIE M. PROCTOR Social Security No: 196-14-4765 AND Now, NOVEMBER 17th ~)~,~ n?.. ~,,:~.~_¢.¢w_~u ~.<~,~'~ .~. ?~.aJ BESSIE M. GARDNER, N/K/A BESSIE M. JONES MERLE E, VARNER, NK/A MERRILL E. VARNER Deceased No. 21-2003-948 Date of Death: 1116103 2003 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters Iii Testamentary F1 of Administration ((c.t.a., d.b.n.c.t; pendente lite; durante absentia; durante minoriate) are hereby granted toANNA M. BERT, TAMMY F. HOOVER, BESSIE M. GARDNER N/K/A BESSIE M. JONES, AND MERLE E. VARNER NK/A MERRILL E. VARNER in the above estate and that the instrument(s), if any, dated MAY 9~ 1989 described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Letters .................................... $ Short Certificates(s) ..2. ............ $ Renunciation .......................... $ Extra Pages( i ) ............... I.T.R ....................................... JCP Fee ................................. Inventory ................................ Other ...................................... 80.00 6.00 $ 3.00 $ $ $ 10.00 TOTAL ............................. $ 99,00 Mailed Letters to Attorney on 11/17/2003 Donna M.Otto, 1st Deputy Signature Attor~e~i SALLY ]J.. ~V~ND ,!~ I.D. No: 24705 Address: 9974 MOLLY PITCHER HWY SHIPPENSBURG PA 17257 Telephone: 717 532 9476 DATE FILED: 11/14/03 Continuation of Petition for Grant of Letters AILIE OTT PROCTOR Page 1 List Petitioner(s) Requesting the Probate of the Last Will... 21-2003-948 Signature Typed or printed name and residence IMERLE E. VARNER, NKJA MERRILL E. VARNER 13202 FERNWOOD RD~ SHIPPENSBURG~ PA tl05.805 REV 5//86 This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 9450570 No. Date H105.143 R~., TYPE/PRIN'( PERMANENT BLACK INK ,. AILIE M. PROCTOR AGE (Last 8~t~ey) [ UNDER 1 YEAR 79 ¥,,. Cumberland DECEDENT'S USUAL OCCU INg'K)N ! KIND OF BUSINESS;INDUSTRY Seamstress Clothing Factory 25 Bt.od Street Shippensburcj, PA 17257 Frank Ott Anna M. Bert COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH ,.Female ,. 196 -- 14 -- 4765 4. November 6, 2003 : ; ,5/23/24 Cumb Ct PA /'~-~ ' ~?- ' ' Carlisle ~arlisle Regional M~dical Center i,~.~R~.,, ,[ White c~'s Pennsylvania ~l~ l;~ ~. ' tle.~ . i Southampton ~) ,m.~ C~erland 11~10/03 Verna Russell 8724 Pineville Road, Shippensburg, PA 17257 Southampton Twp. 2~c. Cleversburg Cemetery ,ld Cumberland Ct. ~PA 011776-L ~l~.~.-Rr~ek~r F.H.,Inc. ,P.O. Box 336, E~bg.,PA 17257 21-2003-948- LAST WILL AND TESTAMENT I, Ailie Ott Proctor, also as Ailie M. Proctor, of Southampton Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any will or codicil previously made by me. ITEM I: I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I give, devise and bequeath my real estate situate in Southampton Township, Cumberland County, Pennsylvania, together with all household furnishings, to my issue per stirpes, SUBJECT, HOWEVER, to the right and license to occupy the same to my beloved husband, Theodore Proctor, for so long as he may wish to occupy and remain at the residence. At such time as my husband shall not reside at the residence in Southampton Township, Cumberland County, Pennsylvania, whether he shall be living or shall have died, then, it is my intention, that my children may liquidate such real estate and household furnishing assets as my executor shall see fit. ITEM III: I give, devise and bequeath all of the rest residue and remainder of my estate of every nature and wheresoever situate to my four children, Anna M. Bert, Bessie M. Gardner, Merle E. Varner, and Tammy F. Hoover, their heirs and assigns, share and share alike. ITEM IV: I appoint Anna M. Bert, Bessie M. Gardner, Merle E. Varner, and Tammy F. Hoover co-executors of this my Last Will and Testament. ITEM V: I direct that my executors or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. and Testament, written on ~ May, 1989. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will sheets of paper, dated this ~ day of Ailie Ott Proctor The preceding instrument, consisting of this and one other typewritten page, each identified by the signature of the testatrix, Ailie Ott Proctor, was on the day and date thereof signed, published and declared by Ailie Ott Proctor, the testatrix herein named, as and for her Last Will, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. COMMONWEALTH OF PENNSYLVANIA: : COUNTY OF CUMBERLAND : residing at '~ ~ SS We, Ailie Ott Proctor, John McCrea III and Paula M. Reed, the testatrix 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 testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly (or willingly directed another person to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the will as witnesses and that to the best of our knowledge, the testatrix was at that time eighteen years or older, of sound mind and under no constraint or undue influence. Ailie Ott Proctor Subscribed, sworn to and acknowledged, by Ailie Ott Proctor, the testatrix and sworn to before me by John McCrea III Paula M. Reed, witnesses, this day of May, 1989. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11~96) CD 004188 BERT ANNA M 8724 PINEVILLE ROAD SHIPPENSBURG, PA 17257 ........ fold ESTATE INFORMATION: SSN: 196-14-4765 FILE NUMBER: 2103-0948 DECEDENT NAME: PROCTOR AILIE OTT DATE OF PAYMENT: 07/22/2004 POSTMARK DATE: 07/22/2004 COUNTY: CUMBERLAND DATE OF DEATH: 1 1/06/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $2,432.11 REMARKS: BERT ANNA M TOTAL AMOUNT PAID: $2,432.11 SEAL CHECK//125 INITIALS: SK RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Glenda Farner Strasbaugh Register of Wills & Clerk of the Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esquire Solicitor OFFICES OF One Courthouse Square Carlisle, Pa. 17013 (717) 240-6345 FAX (717) 240-7797 Coun~ 0f Cumberlan~ TO: Sally J. Winder, Esquire 9974 Molly Pitcher Highway Shippensburg, PA 17257 ESTATE OF: Alie Ott Proctor- 21-03-948 IN RE: Additional Probate Date: July 22, 2004 The Probate fees on the above estate are $115.00. We have received $ 80.00 of that amount. Please remit the balance due of $ 35.00 to the attention of Sue. Thank you COMMONWEALTH Of PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 Z LU UJ < UJ 0 c~ UJ a~ DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL PROCTOR AILIE OTT DATE OF DEATH (MM-DD-Year) 11/06/2003 REV-I$O0 INHERITANCE TAX RETURN RESIBENT BECEBENT IDATE OF BIRTH (MM-DD-Year) 05/23/1924 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY -FILE NUMBER 2 1 -0 3 0 9 4 8 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER THIS RETURN MUST BE FILED IN DIJPLICATE WITH THE REGISTER OF WILLS SOCIALSECURITYNUMBER [~] 1. Original Return E~] 4. Limited Estate O6. Decedent Died Testate (Attach copyof Will) E] 9. Litigation Proceeds Received NAME SALLY J. WINDER FIRM NAME (If Applicable) TELEPHONE NUMBER 717 532-9476 E~ 2. Supplemental Return r-'] 4a, Future Interest Compromise (date of death aftsr 12-12-82) E~7. Decedent Maintained a Living Trust (Attach copy of Trust) [--'] 10. Spousal Poverty Credit (date of death between 12.31.91 and 1-1-95) [~3. Remainder Return (dateofdeath priorto 12-13-82) E~] 5. Federal Estate Tax Return Required __ 8. Total Number of Safe Deposit Boxes [--] 11. Election to tax under Sec. 9113(A) (A~ach Sch O) COMPLETE MAILING ADDRESS 9974 MOLLY PITCHER HIGHWAY SHIPPENSBURG PA 17257 1. Ream Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3, Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) E~] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mo~age Liabilities, & Liens (Schedule I) (10) 11. Total Beductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/Sec 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) OFFICIAL USE ONLY u-TO (8) (11) 9,910.47 599.77 64,567.02 10,510.24 54,056.78 54,056.78 (12) (13) (14) 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 54,046.78 x __ (15) .045 (16) 2,432.11 17. Amount of Line 14 taxable at sibling rate X .12 (17) 18, Amount of Line 14 taxable at collateral rate X .15 (18) 19. Tax Due (19) 2~432.11 I --""-I ~ ' 'Il A il ! A I~1 i *'~ I! ~ ! ~ 20. · ....... Decedent's Complete Address: STREET ADDRESS 25 BROAD STREET CITY SHIPPENSBURG ISTATE PA ziP 17257 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 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 t 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 2~432.11 2~432.11 2~432.11 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ........................................ [] [] c. retain a reversionary interest; or ...................................................................................................... [] [] d. receive the promise for life of either payments, benefits or care? ............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................................................... [] [] 3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? ................. [] [] 4. Did decedent own an individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... [] [] 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, des are that I have examined this retum, including accompanying schedules and =i~[e~;rants, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal ml~esentative s based on a i~fo~,~ation of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN SIGNATURE QF.-PREP/~RER OTHER 'I¥1AN,/REPRESENTATIVE f ' ADDRESS 9974 ~(~LY PITCHER HIGHWAY SHIPPENSBURG PA 17257 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 not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. {}9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. {}9116(1.2) [72 P.S. {}9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. {}9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-I~2EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECI~DENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER PROCTOR AILIE OTT 21 03 0948 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, ne~er being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION REAL ESTATE IMPROVED WITH A MANUFACTURED HOME KNOWN AS 25 BROAD ST, SHIPPENSBURG. CUMB CTY DEED 36-Y-466, TAX PARCEL 39-37-2092-063 SEE ATTACHED DEED COPY, SETTLEMENT SHEET, AND AGMT OF SALE VALUEAT DATE OF DEATH 62,500.00 TOTAL (Also enter on line 1, Recapitulation) $ 62,500.00 (If more space is needed, insert additional sheets of the same size) TAX PARCEL NO. 39-3%2092-063 TtHS DEED MADE THE ~ day of June, in the year of our Lord Two Thousand Four (2004). BETWEEN ANNA M. BERT, TAMMY F. HOOVER, MERRILL E. VARNER, AND BESSIE M. JONES~ Co- Executors of the Estate of AILIE M. PROCTOR, of Shippensburg, Pennsylvania, hereinaf~r called GRANTOR JOAN L. GRESS~ single woman, of Shippensburg, Pennsylvania, hereinafter called GRANTEE WITNESSETH, that for and in consideration of the sum of Sixty-Two Thousand Five Hundred and 00/100 ($62,500.00) Dollars consideration, in hand paid, the receipt whereof is hereby acknowledged, the said Grantors does hereby grant and convey, in fee simple, to the said Grantee, her heirs and assigns, WHEREAS, the decedent, Ailie M. Proctor, having first made her Last Will and Testamem dated May 9, 1989, wherein she did duly appoint Anna M. Bert, Tammy F. Hoover, Merrill E. Vamer, and Bessie M. Jones in Item IV of said Last Will and Testament, and WHEREAS, in accordance with the terms of said Last Will and Testament of Ailie M. Proctor duly probated in the Register of Wills Office in and for Cumberland County, Pennsylvania, Letters Testamentary were issued appointing Anna M. Bert, Tammy F. Hoover, Merrill E. Varner, and Bessie M. Jones, Co-Executors oftbe Estate of Ailie M. Proctor, November ! 7, 2003 ALL that certain tract of land with improvements situated thereon, in Southampton Township, Cumberland County, Pennsylvania, more fully bounded and described as follows; BEGINNING at a set railroad spike in the center line of Township Route 323, Broad Street, said poim being at the Northwest comer of Lot 1 of the Subdivision listed below; thence along Lot 1 South o degrees 12 minutes 52 West 80.16 feet to a set iron pin located at corner of Lot 1 and lands now or formerly of Frank E. Stouffer; thence continuing along lands formerly of Frank E. Stouffer North 89 degrees 47 minutes 08 seconds West 83.39 feet to a point in the center of a creek known as Burd Run; thence through the centerline of Burd Run North 24 degrees 12 minutes 19 seconds West 27.53 feet to a point in the center of Burd Run; thence continuing by the centerline ofBurd RunNorth 03 degrees 20 minutes 02 seconds West 55.20 feet to a Parker-Kahlon nail in the centerline of Township Route 323; thence along the centerline of said roadway South 89 degrees 47 minutes 08 seconds East 98.29 feet to a set railroad spike, the point and place of BEGINNING CONTAINING 0.173 acre, more or less. BEING all of Lot 2 of Subdivision plan by Steven P. Wolfe, R.S., for Jay L. Pyne dated July 17,1992 and recorded in Cumberland County Plan Book 65, Page 17. BEING the s~_me property which Jay L. Pyne and Dorothy J. Pyne, his wife, by deed dated October 26, 1993, and recorded in Cmnberland County Recorder of Deeds Office Deed Book Volume 36-Y Page 466 granted and conveyed to Ailie M. Proctor, single woman, who died November 6, 2003. AND the said Grantor covenants and agrees that she will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, said Grantors have hereunto set their hands and seals the day and year first above written. Signed, sealed and delivered in the presence of.' ESTATE OF AILIE M. PROCTOR ...(SE~L) ANNA M. BERT, CO-EXECUTOR OF THE ESTATE OF AILIE M. PROCTOR _(SEAL) TAMMY F. HOOVER, CO-EXECU'FOR OF THE ESTATE OF AILIE M. PROCTOR (sEAL) MERRILL E. VARNER, CO-EXECOTOR OF THE ESTATE OF AILIE M. PROCTOR (SEAL) BESSIE M. JONES, CO-EXECUTOR OF THE ESTATE OF AILIE M. PROCTOR COMMONWEALTH OF PENNSYLVANIA COUNTY OF : : SS ON this, the - day of June, 2004, before me, the undersigned officer, personally appeared Anna M. Bert, Tammy F. Hoover, Merrill E. Yarner, and Bessie M. Jones, CoExecutors of the Estate of Ailie M. Proctor, known to me to be the persons whose names are subscribed to the within inslrumenL and acknowledged that they executed same for the pui~ses therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public (SEAL) I do hereby certify that the precise residence and complete post office address of the within named Grantee(s) is: Date: Agent for Grantee A. Settlement Statement U.S. Department of Housing and Urban Development ~ qr OMB .,aq)pmval No. 2502-0265 JOAN L. GRESS P.O. BOX 15 SHIPPENSBURG 25 BROAD STREET SOUTHAMPTON TOWNSHIP SHIPPENSBURG B. Ty~ of Luen ............................. 1. [] FHA 2. [] FmHA 3. [] Conv. Unins. e. FMNum~- 7 eoanNumber e. Mmtgagelns~anceCaseNum~ 4. [] VA 5. [] Cony. Ins. C. Note: This form is furnished to give you a statement of ac*ual settlement costs. Amounts paid to and by the settlement agent am shown. Items marked "(p.o.c.)' were paid outside dosing; they am shown here for informational puq)oses and not .... incl _ud _ed in the_t_otels. ........ E..~.-- ~-. ~ a s~.ESTATE OF AILIE M. PROCTOR ORRSTOWN BANK P.O. BOX 250 25 BROAD STREET PA 17257 S_HIPPENSBUR_G_ .PA 172.5_7_ _SH_IpP_~NSBURG _ PA 17257 , se,~.~,~o~ SALLY J. WINDER eU~e of Sem~,~ .......... i.~0aa PA 17257 ORRSTOWN BANK 6/14104 SHIPPENSBURG PA 17257 D~-~,~ Da. J. Summary of Borrowel's Transactkm .K. Summary~ 8Mle¢$ Transacuon 100. Gross Amoum Due From ~ .... 400, _Gro~s Am~u___nt Due To ~eller ,0,. co.~-~ . 62~,500~00_ _~1. c~.=?.~ 6~,500100 102. pei'sonal propen'y ........ 402: _P___el~on~_Fope~y_ !o3. ~,s?mem~. __.~c~__r~s_to~ ~.~ _.L'~e!_4~o~) ........... 1.70~_=5_0- _4o3 m~. ....................... 4o4. lO5. ___ '~_C~-- 6111104 ~o !2/3_11_04 .... 9~=_59 4~=._c~_u~xas 6~/11!04 to ! 2/3_1!04 ' 95.59 tO 407 County t~xes tO 107. County taxes I08. Assessments to 408. ,~_~_ _,~,.ments to 112 _to . 412 to _ 115. to .... 415.__ to 120. Gro~s Amount OueFrom Borrower 64,324.20 420. Om~sAmount Due To Sellm' 62,619'70 SUBSTITUTE FORM 1099 SELLER STATEMENT The info~naUon c~xllained in Blocks E, G. H, and I and on #ne 401 (or, lin~ 403 and 404) is irnlx~[ant tax mf°mlab°~ and is being furnished to the Internal Revenue Sen,,ice. #' you are required to lile a m{um. a negrtgence penalty or ~her sanctiou vail be imposed on Y°u if ais ~ ~ ~ to ~ ~ ~ ~ IRS ~ that i{ has not been refx~ed. #' this real estate is ~u~ P~'x:ipal residence, ~e From 2119, Sale o~ Exchange °t ~R~'~'~~ re~um; for o~er transactions, comple~ lhe a~plicable pints of Foo~ 4797, Foem 6232 and/or Schedule D, Fofm 1040). You am required to pem~e b~e Set~Mment Agent subjec~ to civil o~ criminal penalties imposed by law- Under penaltMs of Pe~aY, I ce~fY that Ihe nu~ ~ ~ ~b ~ ~ ~ ~ ~ ~ num~' (Sellers Signature) ee3: ~rai~ Fee to O~RST-~N~B.~-K~ ............. ~50.00: 8o4: ~ Repot 200.00 ~. FLOOD CERTIFICATION ORRSTOWN BANK .................... ~ ~ - ~2_. _Mo.~ge_~s ~._.pmmi__ ? ~x ....... ~_~ ..... 1100. T~de C;~,?r~=~ 11~: .T~ ~ ~ ...... to ..................... 200.00 ~]~- ~ ~ SALLYJ. WINDER ........... ~ ........ 5.~ !~07:_~ ~ SALLY J. WINDER ............................... 3~.~ 1109. Lenders ~ $ .1~. CFJMA SEWER BILL ........... 55.98 .......... ........ _ . * 1.50 1202. Citylcountytax/slam_p~_ ~ $ .. ~25_ 0~ ;M~g.~_ .._s .......... 6~2_._5.00_ 62_5_.0~_ 13OO. A~;tk.~ ,al ~.{tteme~t C~ !30!. Su~y to 1302 Pest inspe~ion to 1400. Total Set~T=ii;. C;-,~, ~rn, (enter On lines 103, Section J a~l ~07., Section K) 1,704.50 739.66 CERTIFICATION I. P I- '-' f// . / JO/~ L GRESS REV-1508 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER PROCTOR AILIE OTT 21 03 0~)48 Include the proceeds of litigalJon 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. VALUE AT DATE DESCRIPTION OF DEATH M&T BANK ACCT NO. 83376151, IN DECEDENT'S NAME, DATE OF DEATH BAL. 52.70 988 BUICK SKYLARK JET PROCEEDS FROM SALE OF PERSONAL PROPERTY FEBRUARY 21, 2004 TOTAL (Also enter on line 5, Recapitulation) 150.00 1,864.32 2~067.02 (If more space is needed, insert additional sheets of the same size) REV?511EX + (1-97) · ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF PROCTOR AILIE OTT FILE NUMBER 21 03 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. FUNERAL EXPENSES: 1. FOGELSANGER-BRICKER FUNERAL HOME, INC., FUNERAL BILL 0948 AMOUNT 8. 9. 10. 11. 12. 13. 14. 15. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Secudty Number(s) / EIN Number of Pemonal Representative(s) Street Address Cit7 State Year(s) Commission Paid: Attorney Fees SALLY J. WINDER Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Zip Street Address City State Zip Relationship of Claimant to Decedent Probate Fees LETTERS TESTAMENTARY, FILING DEBTS & DEDUCTIONS Accountant's Fees Tax Retum Preparer's Fees 2004 CTY & TWP REAL ESTATE TAXES REAL ESTATE TRANSFER TAX RECORDER OF DEEDS, RECORDING COST AND NOTARY FEE CFJMA, FINAL SEWER BILL BOROUGH OF SHIPPENSBURG, FINAL WATER BILL PENELEC, FINAL ELECTRIC BILL ERIE INSURANCE CO., HOMEOWNERS INSURANCE SPRINT, TELEPHONE BILL TOTAL (Also enter on line 9, Recapitulation) 5,611.40 3,125.00 114.00 177.34 625.00 46.50 12.18 55.98 17.59 92.00 33.48 9~910.47 (If more space is needed, insert additional sheets of the same size) I;~V~1512 EX + (1-97)' ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES,& LIENS ESTATE OF FILE NUMBER PROCTOR AILIE OTT 21 03 0948 Include unreimbursed medical expenses. ITEM NUMBER 10. 11. 12 13. 14. DESCRIPTION ADAMS ELECTRIC, 11/03 BILLING CFJMA, SEWER BILLING 11/03, 10/03 COMCAST CABLE COMMUNICATIONS, FINAL BILLING ADAMS ELECTRIC COOPERATIVE, DECEMBER BILLING CFJMA, SEWER BILLING DECEMBER BOROUGH OF SHIPPENSBURG, WATER BILL FOR THIRD QUARTER 2003 SPRINT, DECEMBER BILLING ADAMS ELECTRIC COOPERATIVE, JANUARY BILLING CFJMA JANUARY BILLING ADAMS ELECTRIC, FEBRUARY BILLING CFJMA, MARCH, APRIL, MAY, JUNE BILLING BOROUGH OF SHIPPENSBURG, WATER BILL ROBERT BODEN, FIX COMMODE ADAMS ELECTRIC COOOPERATIVE, APRIL AND MAY BILLING ERIE INSURANCE COMPANY, BALANCE OF HOMEOWNERS PREMIUM AMOUNT 33.25 54.6O 23.80 37.65 27.30 35.98 3.27 25.33 27.30 34.13 109.20 35.98 26.21 49.77 76.00 599.77 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV? 513 EX + COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF PRQCTOR AILIE OTT NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a)(1.2)] ANNA M. BERT 8724 PINEVILLE ROAD SHIPPENSBURG, PA 17257 BESSIE M. JONES 617 WESTOVER ROAD SHIPPENSBURG, PA 17257 TAMMY F. HOOVER 412 THREE SQUARE HOLLOW ROAD NEWBURG, PA 17240 MERRILL E. VARNER 13202 FERNWOOD ROAD SHIPPENSBUP, G, PA 17257 FILE NUMBER 21 03 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) DAUGHTER DAUGHTER DAUGHTER SON 0948 AMOUNT ORSHARE OF ESTATE 1/4 NET ESTATE 1/4 NET ESTATE 1/4 NET ESTATE 1/4 NET ESTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 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) Glenda Farner Strasbaugh Register of Wills & Clerk of the Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esquire Solicitor OFFICES OF One Courthouse Square Carlisle, Pa. 17013 (717) 240-6345 FAX (717) 240-7797 t~egist~r o[ ii,fills anl~ (Derk 0[ ~ ®rp~an~' (~ourt (~ountp of (~um~rrlanl~ TO: Sally J. Winder, Esquire 9974 Molly Pitcher Highway Shippensburg, PA 17257 ESTATE OF: Alie Ott Proctor- 21-03-948 IN RE: Additional Probate Date: July 22, 2004 The Probate fees on the above estate are $115.00. We have received $ 80.00 of that amount. Please remit the balance due of $ 35.00 to the attention of Sue. Thank you BUREAU OF ZNDZVZDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z&0601 HARRISBURG, PA 17118-0601 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF ZNHERZTANCE TAX APPRAISENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX REV-16q? EX AFP (01-Q$) SALLY J WINDER '04 ~[P 1~ 997q HOLLY PITCHER HWY SHIPPENSBUR6 PAFl.?~57 DATE 09-1q-ZOOq ESTATE OF PROCTOR DATE OF DEATH 11-06-2005 FILE NUHBER 11 05-09q8 COUNTY CUMBERLAND ACN 101 Amoun~ Remi'~ed ALLIE 0 HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THZS LINE ~ RETAZN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAZSEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF PROCTOR ALLIE 0 FILE NO. 21 05-09~8 ACH 101 DATE 09-1~-200~ TAX RETURN WAS: { X) ACCEPTED AS FILED ( ) CHANGED RESERVATZON CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Reel Es~a~e (Schedule A) (1) 2. S~ocks end Bonds {Schedule B) (2) 3. Closely Held S~ock/Par~nership Interest (Schedule C) (3) ~. Hor~gages/No~es Receivable (Schedule D) (~) 5. Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E) ($) 6. Jointly Owned Proper~y (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To,al Asse~s APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ada. Cos~s/Nisc. Expenses (Schedule H) (9) 10. Deb~s/Hor~gage Liabil/~ies/Liens (Schedule I) (10) 11. To,al Deduc~/ons 12. Ne~ Value of Tax Re~urn 6Zz500.00 .00 .0O .0O 2;067.02 .00 .00 (8) 9,910 .~7 599.77 NOTE: To insure proper credi~ ~o your account, submi~ ~he upper portion of ~his form ~/~h your ~ax payment. 13. 1~. NOTE: ASSESSMENT OF TAX: 15. Amoun~ of Line 1~ a~ Spousal ra~e 16. Amoun'l: of L/ne lq ~axable e~ L/neal/Class A ra~e 17. Amoun~ of Line Zq a~ Sibling ra~e 18. Aaoun~ of L/ne lq ~axable e~ Colla~ereZ/Class B re~e 19. Pr/ncipal Tax Due TAX CREDITS: PAYHENT RECEIPT DTSCOUNT DATE NUHBER INTEREST/PEN PAID (-) 07-ZZ-ZOOq CD00~188 . O0 6q,567.02 ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (15) .00 X 00 = .00 (16) 5~,056.78 x 0fi5= Z,q32.11 (17) .00 x 1Z = .00 (18) .00 x 15 = .00 (19)= Z,qSZ. 11 ANOUNT PAID 2,q$2.11 Charitable/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) .00 Ne~ Value of Es~e~e Subjec~ ~o Tax (lq) 5~,056.78 Zf an assess, ent ,as issued previously, lines 14, 15 and/or 16, 17, 18 and 19 ~ill TOTAL TAX CREDIT Z,qS2.11 BALANCE OF TAX DUEI .oo INTEREST AND PEN. .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE.~ A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.) ~L~. reflect figures that include the total of ALL returns assessed to date. (11) 1D.510.2~ (12) 5q,056.78 RESERVATION: PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADNZN- ZSTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decadents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years) the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section 1140 of the Inheritance and Estate Tax Act) Act Z$ of ZOO0. (72 P.S. Section 9140). Detach the top portion of this Notice and submit aith your payment to the Register of Nills printed on the reverse side. --Make check or money order payable to: REGISTER OF NILLS, AGENT A refund of a tax credit~ which ams not requested on the Tax Return, nay be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1315). Applications are available at the Office of the Register of Nills, any of the 23 Revenue District Offices, or by calling the special g4-hour answering service for forms ordering: 1-800-361-ZOS0; services for taxpayers with special hearing and / or speaking needs: 1-800-447-3020 iTT only}. Any party in interest not satisfied with the appraisement) allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object aithin sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBIOZ1, Harrisburg) PA 17128-1011, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 180601, Harrisburg, PA 17118-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the dacedant's death) a five percent (5Z3 discount of the tax paid is aIIowad. The 15Z tax amnesty non-participation penalty is computed on the total of tho tax and interest assessed) and not paid before January 18) 1996, the first day after the and 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 the tax and interest that has been assessed as indicated on this notice. interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1981 bear interest at the rate of six (61) percent par annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1981 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1981 through Z004 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ lOX ,000548 ~)'~-1991 11Z ,000301 ~ 91 .000Z47 1983 161 ,000438 1992 91 .O00247 gOOg 61 ,000164 1984 111 ,000301 1993-1994 71 ,000192 Z003 51 ,000137 1985 13~ .000~56 1995-1998 91 .000247 Z004 41 ,000110 1986 101 .000274 1999 ?Z .000191 1987 .. 10Z .000274 ZOO0 71 ,O00Z9Z --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is sade after the interest computation date shown on the Notice, additional interest must be calculated. Cumberland County - Register Ot WlllS One Courthouse Square Carlisle! PA 17013 phone: (717) 240-6345 Date: 10/11/2005 VARNER MERLE/MERRILL E 13202 FERNWOOD ROAD SHIPPENSBURG! PA 17257 RE: Estate of PROCTOR AlLIE OTT File Number: 2003-00948 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 is due by: 11/06/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely! ~/ V' " Lt.- ,kh_# /.w?~ L~)I17~--~ GLENDA FARNER STRASBAUGK REGISTER OF WILLS cc: File Counsel Judge 'L.G CumberlandC'cl1.lI1ty Register Of Wills One Courthouse Square Carllsle, PA 17013 Phone: (717) 240-6345 Date: 10/11/2005 GARDNER BESSIE M N/K/A 617 WESTOVER ROAD SHIPPENSBURG, PA 17257 RE: Estate of PROCTOR AlLIE OTT File Number: 2003-00948 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 is due by: 11/06/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, /'i . ,U ~~~.. " ~_~~V'~;;...." GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge L& Cumberland County - Register or INLL.LS One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/11/2005 HOOVER TAMMY F 421 THREE SQUARE HOLLOW ROAD NEWBURG, PA 17240 RE: Estate of PROCTOR AlLIE OTT File Number: 2003-00948 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. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 11/06/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge e,.. -- Cumberland County - Register or INLUS One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/11/2005 BERT ANNA M 8724 PINEVILLE ROAD SHIPPENSBURGI PA 17257 RE: Estate of PROCTOR AlLIE OTT File Number: 2003-00948 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 I NO. 103 SUPREME COURT RULES DOCKET NO. 11 for decedents dying on or after July 11 19921 the personal representative or his counsell within two (2) years of the decedent's deathl shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 11/06/2005 Your prompt attention to this matter will be appreciated. Thank You. SlJa'nc~relYI r 4_ '~' , y' J., dJ l i4th. L~J~4#; . .t./ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge t,-b"" Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/11/2005 WINDER SALLY J 9974 MOLLY PITCHER HIGHWAY SHIPPENSBURG, PA 17257 RE: Estate of PROCTOR AlLIE OTT File Number: 2003-00948 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 is due by: 11/06/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge \.-.&- Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: -BJJ., e o-ft~( J J J fa / 03 { I ~DO 3 - DO 4 +8 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 IZ! 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 personal representative file a final account with the Court? Yes 0 No !Xl b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes ,Kl 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. D.te:~ ,,0 ('") C:.J SignA~OJUJ$ SAt~ J . W~;Ju Name - \ tiq1~ 0' SJv~~ Telephone No. 1 L-1 ~~a- '1 ~7 ~ Address j~ fA. t~ t ,;k-7 0- 1:,- c: o D LU C) LJ t!.. ! (~-) ,~- """!'- o , C', cc C) c:) u.; c:~ :~ c:::) If" = c;:;> c--J Capacity: 0 Personal Representative ~counSel for personal representative v:t