HomeMy WebLinkAbout04-0668INRE:
ESTATE OF
EVELYN D. PUNDT,
Deceased
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,
PENNSYLVANIA
ORPHAN'S COURT DIVISION
NO. 2004-00668
NAME OF DECEDENT:
DATE OF DEATH:
ESTATE NO.:
Evelyn D. Pundt
May23,2004
2004-00668
To the Register:
I certify that notice of estate administration required by Rule 5.6(a) of the
Orphan's Court Rules was served on or mailed to the following beneficiaries of the
above-captioned estate on July 23, 2004.
NAME ADDRESS
Peter H. Pundt
55 Miller Gap Road
Marysville, PA 17053
John C. Pundt
27 Topper Drive
Rochester, NY 14622
Notice has now been given to all persons entitled thereto under Rule 5.6(a).
Date:g~ ~t ~" ~>/~
Name: '"FRfANCIS M. SOCHA, ESQUIRE
Address: 305 N. FRONT STREET
HARRISBURG, PA 17101
Telephone: (717) 237-7100
Capacity: Counsel for Personal Representative
304925.1
PETITION FOR PROBATE and GRANT OF LETTERS
also know'as ' tr -t ' - ' To:
Register or,ills for the
· Deceased. County of ~ t~ '~'~'"/..~t~ the
Social Security No. c~ "-~ ~ /t~ - t'9~/ ~ Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut ~
in the last wilt of the above decedent, dated~~ ~a. O.~/- named
and codicil(s) dated ~' '~5~"-c_~ , 19_
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in ~-~
County, Pennsylvania, with
h e'~' last family or principal, residence at _~'"
(list street, number and muncipality)
at Decendent,then <~ years of age, died _ .~-~ ~'~
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
?fter execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent 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
situated as follows:
$
$
WHEREFORE, petitioner(s) respectfully re~uest(s~ the probate of the last will and codicil(s)
presented herewith and the grant of letters /'-'r" ~. :7z ~ ]'ff .-e'--~J<- e" f}
t~,heron (testamentary; administ~at/Tt'a'; administration d.b.n.c.t.a0
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~-~x'.cxk::~x~.e~ f
The petitioner(s) above-named swear(s) or affirm(s) that ~ee statements in the foregoing petition are
true and correct to the best of the knowledge and belief o~petitioq~r(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well an~l/tr{~ly~the estate according to law.
Sworn to or affirmed and subscribed ~- ff
before me this \ ~X--, day nf J ,r
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
ANY Now :3',~,~_
the reverse side hereof?satisfactory proof havln$ been presented before me,
IT IS DECREED that the instrument(s) dated
described therein be admitted to il,Lobate and ~filed of record ~the 1 .as,t will of
are hereby granted to
, in consideration of the petition,on
5-~-o3
"~ ~ ~ ~s ~o.
Probate, Letters, Etc ..........
Short Ce~fi~tes( ) .... ......
Renundafion ................ $ ~.0~
TOTAL
~il~o ~..~' ~ ..... ; ..............
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
RENUNCIATION OF APPOINTMENT AS CO-EXECUTOR
I, JOHN C. PUNDT, hereby renounce my appointment as Co-Executor of
the Estate of Evelyn D. Pundt, thi.~_ day of \//4z~,) ~. ,2004.
~HN C. PUNDT
Sworn to and subscribed
before
me this c:,~~ day of
"'~, ~ ,2004.
298845,1
his is to certify that the information here given is correctly copied i¥om an original certificate of death duly filed
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
No.
Local Regism,- ~"~
42110
Date
CERTIFICATE OF DEATH
· ast ill anb estam¢nt
OF
EVELYN D. PUNDT
I, EVELYN D. PUNDT, of Rye Township, Perry County, Pennsylvania, declare
Ihis to be my Last Will and revoke any Will previously made by me.
ITEM I: DEBTS. I direct that all my debts and funeral expenses, including
my grave marker, and all expenses of my last illness that my estate is obligated to pay, be
mid from my residuary estate as a part of the expense of the administration of my estate.
ITEM II: TANGIBLE PERSONAL PROPERTY. I give my automobiles
and personal effects, my household goods and other tangible personal property of like
nature (not including cash or securities), together with the insurance thereon, to my sons
JOHN C. PUNDT and PETER H. PUNDT.
While this gift is absolute, if I file with my will a Letter of Instruction
indicating my desire with respect to the disposal of an item or items of said tangible
property, it shall be regarded.
ITEM III: REST, RESIDUE AND REMAINDER. I give, devise and
bequeath all the rest, residue and remainder of my estate to my sons, JOHN C. PUNDT
and PETF, zR H. PUNDT, and their then living issue, per stirpes.
ITEM IV: PERSONAL REPRESENTATIVE. I name, constitute and
appoint my sons, JOHN C. PUNDT and PETER H. PUNDT as co-executors or the
survivor thereof as executor of this my Last Will and Testament.
IN WITNESS WItEREOF, I hereunto set my hand and seal this
day of
Evelyn EE. Pundt
(SEAL)
Signed, sealed, published and declared by the above-named Testatrix, as and for
her Last Will and Testament, in the presence of us,
and in the presence
who, at his reouest, in his presence
of each other have he~tnesses.
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
:
COUNTY OF CUMBERLAND :
ss:
We, EVELYN D. PUNDT, ~ ~. ~ and
"~cx'~ ,~.. (.,_'_. ~.__ , the Testa~r)x and the witnesses,
respectively, whose h~mes are signed~he 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 that she had signed willingly 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 witness
and that to the best of his/her knowledge the Testatrix was at that time eighteen years of
age or older, of sound mind and under no constraint or undue influence.
Sworn to or affirmed to and subscribed to before me by EVELYN D. PUNDT
Testatrix, and '"~'~ - ~ ~ - ~. , and
N-w,,~ ~ ~,~.~_.~.. , witnesbe'~, this ~.xc, day of
2001.
Notary~-~ublic ~'
My Commission Expires:
:143413
NOTARIAL SEAL
DIANNE LENIB, Notary Public
Lemoyne Borough Cumberland Co.
.My Commission Expires Dec. 21, 2001
I, EVELYN D. PUNDT, of Rye Township, Perry County, Pennsylvania, declare this to be
the sole Codicil to my Last Will, dated March 9, 2001.
I hereby add the following ITEM V to my Last Will and Testament as follows:
ITEM V. No personal representative acting hereunder shall be required to post bond or
enter security in any jurisdiction.
In all other respects, I hereby ratify, confirm and republish my Last Will dated March 9,
2001, together with this Codicil, as and for my Last Will.
IN WITNESS WHEREOF, I have hereunto set my hand on this ~-qq'~ day of
EVELYN D. PUNDT
(SEAL)
Signed, sealed, published and declared by the above-named EVELYN D. PUNDT, as and for
her sole Codicil to her Last Will and Testament, dated March 9, 2001, in the presence of us, who, at
her request, in her presence and in the presence of each other have hereunto subscribed our names as
wimesses.
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA:
; SS.
COUNTY OF CUMBERLAND :
~(l~rd .M.'-~IQ~>-~- , 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 the sole
Codicil to her Last Will and that she had signed willingly and that she executed it as her free and
voluntary act for the purposes therein expressed, and that each of the wimesses, in the presence and
hearing of the Testatrix, signed the sole Codicil to her Will as wimess and that to the best of his/her
knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
D. PUNDT
~/~imess
Wimess
~. S~ubs~:ibe~t, sv~9~,to and cacknowledgedM~, fore roe by EVELYN D. PUND~r, Testatrix,
-I,!~('~O{-~/A~F/~(~][~and ~kc'(~ '~ ~- ~91£~(~ , witnesses, this C9.(/ day of
5 j00 ._
144366 My Commis~;-- E~;~. ~ anlac SEAL
J ...... ~'~w~P~lL D. SHEAFFEfl, Nota~ Public
[ Carlisle, Gumber[ana Gounty ]
[My Commission Expiros Apr 23, 200~[
3
Estate of: EVELYN D. PUNDT
also known as
,Deceased
INVENTORY
No.: 0q-
Date of Death: MAY 23, 2004
Social Security No.: 073-10-0818
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of
the personal assets wherever situate and all of the real estate in the Commonwealth of Pannsylvania of said Decedent, that the
valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedant's death, and that
Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the
set~dt:mf21~ ~ne~e;n~to~r~.~ ~I/We ve, r?y?a!.the stat,e~ents, made in this Inventory are true and corr~.~&x I/We understand that false
~m ,maue are suojecr to me penalties oi 18 Pa. C.S. Section 4904 relating t~/~swop falsification to authorities.
Name of A~omey: FRANCIS M. SOCHA, ESQUIRE Personal Repres~ntativo?PETER H PUNDT
I.D. No.: 29101 Dated'
Address: 305 NORTH FRONT STREET ':'
HARRISBURG, PA 17101
Telephone: (717) 237-7100
1. Alliant Ener Stock: ~0~
2. Carolina $5 Pfd Stock: 200 shar~ 144141306_~
3. Ener_g~' East Stock: 2000 shares~ #: 29266M109_~
4. FPL Group_~tock: 1000 shares Cu.~.~_#: 302571104).____
5. Home Pro~perties stock: 1850 share~ #: 437306103_~._
6. MGEEner_.~stock: 1125 share~55277P104_4~___
7. Pr~stock: 2492 shares ~: 763263105)
8. Excel Ener_Eg~ stock: 186 shares ~E_#: 87389B 10.~___
A.G. Edwards & Sons, Inc., Centennial Money Market
Accotmt No.: 370-324611. Date Created:
10. Miscellaneous Personal Pro e_qp~_r~
Total
Valu~'r
$ 13,422.68
$ 15,300.00
$ _44,990.00
$ 61,825.00
$ 69,976.25
$ 33,198.75
$ ~02,894.68
$ 3,000.18
$ 9,620.00
$ 300.00
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the perd~nal
representative, include the value of each item, but such figures should not be extended into the total of the Inventory.
303140.1
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FiLE NUMBER
I 21 _ 04 00668
Z
i
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Pundt, Evelyn D.
DATE OF DEATH (MM-DD-YEAR) ~ DATE OF BIRTH (MM-DD)~EAR)
05/23/2004 0 02/24/1916
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
073-10-0818
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
[~1. Odginal Retum
[~4. Umitad Estate
~'~6 Decedent Died Testate Cr, ac~ copy of
~]9. Litigation Proceeds Received
NAME
Francis M. Socha, Esquire
FiRM NAME
Thomas, Thomas & Hafer, LLP
TELEPHONE NUMBER
(717) 237-7100
[~2. Supplemental Return
[~7. Decedent Maintained a Living Trust (A~ch copy oITrust)
COMPLETE MAILING ADDRESS
305 N. Front Street
P.O. Box 999
Harrisburg, PA 17108
[~5. Federal Estate Tax Return Required
O~ 8. Total Number of Safe Deposit Boxes
[] 11. Election to tax under Sec. 9113(A) (At~c~ SCh O)
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Co~oration, Partnership or Sole-Prbe~etorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Sank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
[]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, Mortgage Liabilities, & Liens (Schedule ~) (10)
11 Total Deducttans (total Lines 9 & 10)
12 Net Vatae 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)
14. Net Value Subject to Tax (Line 12 minus Line 13)
344,607.5z~3 q
9,920.
15,426.72~
369,954,26
4,430.52
(11)
4,430.52
(12)
365,523.74
(13)
754.25
(14)
364,769,49
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1~2) x .0 (15)
16. Amountof!.Jne 14 taxable at lineat rate 364,769.49 x 0 45 (16)
17. Amount of Line 14 tsxable at sibling rats x .12 (17)
18. Amount of Line 14 taxable at collateral rate x .15 (18)
19. Tax Due (19)
16,414.63
16,414.63
Decedent's Complete Address:
700 Walnut Bottom Road
C~T~Carlisle
Tax Payments and Credits:
1. Tax Due (Page I Line l g)
2. CreditsJPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. Interest/Penalty if applicable
D. Interest
E. Penatty
820.73
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
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
l STATEpA
(1)
Total Credits (A+ B + C ) (2)
IZ~P17013
Total Intarest/Penalty ( D + E ) (3)
(4)
(5)
(5A)
(5B)
16,414.63
820.73
15,593.90
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE, 15,593.90
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; .......................................................................................... [] []
b. retain the right to designate who shall use the property transferred or its income; ............................................ [] []
c. retain a 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-prebata property which
contains a beneficiary designation? ........................................................................................................................ [] []
TO~Y~F THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
IF
THE
ANSWER
08/1
2/O4
ADDRESS ~ ' v
55 Miller Gap Road, Marysvill~
~i~'~IATU R~,~"'FRE PAR E R O3:l~j~ T~I~Ti~/E DATE -
ADORE S~_~ ,~.~ 08/12/04
305 N. Front Street, P.O. Box 999, Harrisburg, PA 17108
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 RS. §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 exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicabre 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 va~ue 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 decodeafis 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-1503 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Evelyn D. Pundt
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
21-04-668
All property Jointly-owned with right of survivorship must be disclosed on Schedule F,
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
2.
3.
4.
5.
6.
7.
8.
Alliant Energy Stock: 555 shares (Cusip No.: 018802108)
Carolina $5 Pfd Stock: 200 shams (Cusip No.; 144141306)
Energy East Stock: 2000 shares (Cusip No.: 29266M109))
FPL Group Stock: 1000 shams (Cusip No.: 302571104)
Home Properties Stock: 1850 shams (Cusip No.:437306106)
MGE Energy Stock: 1125 shares (Cusip No,: 55277P104)
Progress Energy Stock: 2492 shares (Cusip No.: 743263105)
Xcel Energy Stock: 186 shams (Cusip No,: 87389B100)
13,422.68
15,300.00
44,990.00
61,825.00
69,976.25
33,198.75
102,894.68
3,000.18
TOTAL (Also enter on line 2, Recapitulatior $ 344,607.54
(If mom space is needed, insert additional sheets of the same size)
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Evelyn D. Pundt
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21-04-668
Include the proceeds of litigahon and the date the proceeds were received by the estale,
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
A. G. Edwards and Sons, Inc., Centennial Money Market Account #: 370-324611 (Date Created: 1/2001)
Miscellaneous Personal Property
9,620.00
300.00
TOTAL (Also enter on line 5, Recapitulation) $ 9,920.00
{If more space is needed, insert additional sheets of the same size)
REV-1509 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Evelyn D. Pundt
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUMBER
21-04-668
If an asset was made Joint within one year of the decedant'a date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Pete Pundt
55 Miller Gap Road
Marysville, PA 17053
Son
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
iTeM FOR JOIN!MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A.
12/01/2000 PSECU, Regular Shares (Sl) Account No.: 0073100818 24,613.44 50% 12,306.72
2. A 1210112000 PSECU, Checking Shares (S4) Account No.: 0073100818 6,130.90 50% 3,065.45
3. A 12/01/2000 PSECU, Dividends (Interest) Account No.: 0073100818 109.09 50% 54.55
TOTAL (Also enter on line 6, Recapitulation)$ 15,426.72
(If more space is needed, insert additional sheets of the same size)
EX+
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN AD/VIINISTEATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Evelyn D. Pundt 21-04-668
Debte of decedent musl be reported on Schedule [.
ITEM
NUMBER DESCRIPTION AMOUNT
2.
5,
6.
7,
FUNERAL EXPENSES:
Hollinger Funeral
JP Flowers
Webster Union Cemetary
St. Rita's Church and Organist
Catedng Works
ADMINISTRATIVE COSTS:
Personal Representative's Commissioes
Name of Personal Representative(s)
Social Security Number(s)/EIN Nt~mber of Personal Representative(s)
Stree( Address
City State Zip
Year(s) Commission Paid:
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's= attach explanation)
Claimant
Street Address
City State . Zip
Relationship of Claimant to Decedent
Probate Fees
Accountant's Fees
Tax Return Preparer's Fees
Advertising Fee: Perry County Times
1,720.80
81.19
175.00
175.00
346.03
1,500.00
372.50
60.00
TOTAL (Also enter on line 9, Recapitulation) $ 4,430.52
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Evelyn D, Pundt
SCHEDULE J
BENEFICIARIES
FILE NUMBER
21-04-668
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfem under
Sec. 9116 (a) (1.2)]
Pete Pundt, 55 Miller Gap Road, Marysville, PA 17053
Son
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
Goodwill Industries
Presbyterian Horues, Inc, (Forrest Park)
554.25
200.00
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 754.25
(If more space is needed, insert additional sheets of the same size)
· ast ill aah estam¢nt
OF
EVELYN D. PUNDT
I, EVELYN D. PUNDT, of Rye Township, Perry County, Pennsylvania, declare
this to be my Last Will and revoke any Will previously made by me.
ITEM I: DEBTS. I direct that all my debts and funeral expenses, including
my grave marker, and all expenses of my last illness that my estate is obligated to pay, be
paid from my residuary estate as a part of the expense of the administration of my estate.
ITEM II: TANGIBLE PERSONAL PROPERTY. I give my automobiles
and personal effects, my household goods and other tangible personal property of like
nature (not including cash or securities), together with the insurance thereon, to my sons
JOHN C. PUNDT and PETER H. PUNDT.
While this gift is absolute, if I file with my will a Letter of Instruction
indicating my desire with respect to the disposal of an item or items of said tangible
property, it shall be regarded.
ITEM III: REST, RESIDUE AND REMAINDER. I give, devise and
bequeath all the rest, residue and remainder of my estate to nay sons, JOHN C. PUNDT
and PETER H. PIYNDT, and their then living issue, per stirpes.
ITEM IV: PERSONAL REPRESENTATIVE. I name, constitute and
appoint my sons, JOHN C. PUNDT and PETER H. PUNDT as co-executors or the
survivor thereof as executor of this my Last Will and Testament.
IN WITNESS WHEREOF, I hereunto set my hand and seal this ¢) day of
Evelyn Eft. Pun&
(SEAL)
Signed, sealed, published and declared by the above-named Testatrix, as and for
her Last Will and Testament, in the presence of us, who, at his rec~uest, in his presence
and in the presence of each other have ~tn
hereunto esses.
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS:
We, EVELYN D. PUNDT, ~".~.-.~.~ x-~..~,~.~.----, and
~w,,',..~,..~_0._ '%,... Q,,_~,~__ , the Testal'dx and the wimesses,
respectively, whose Ir3xnes are signed~'~d~e 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 that she had signed willingly and that she
executed it as her flee 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 wimess
and that to the best of his/her knowledge the Testatrix was at that time eighteen years of
age or older, of sound mind and under no constraint or undue influence.
Testatrix, and ~.~,.. ·
',,-c,, ._ ,
~~ ,-3, 2001. -
Sworn to or affirmed to and subscribed to before me by EVELYN D. PUNDT
wimes~s, this % ,6c, day of
Notary Public Q~ % '
My Commission Expires:
:143413
NOTARIAL SEAL
DIANNE LENIG, Notary Public
Lemoyne Borough Cumberland Co.
.My C, ommission Expi~'e~ O~c. 2L 200~
· aat ~11 ani~ i~e~tantent (~f
· uel n uni t
I, EVELYN D. PIJNDT, of Rye Township, Perry County, Pennsylvania, declare this to be
the sole Codicil to my Last Will, dated March 9, 2001.
I hereby add the following ITEM V to my Last Will and Testament as follows:
ITEM V. No personal representative acting hereunder shall be required to post bond or
enter security in any jurisdiction.
In all other respects, I hereby ratify, confirm and republish my Last Will dated March 9,
2001, together with this Codicil, as and for my Last Will.
IN WITNESS WI-IEREOF, I have hereunto set my hand on this
')')Qn~t a / ,2003.
'd
EVELYN D. PUNDT
day of
(sE,~)
Signed, sealed, published and declared by the above-named EVELYN D. PUNDT, as and for
her sole Codicil to her Last Will and Testament, dated March 9, 2001, in the presence of us, who, at
her request, in her presence and in the presence of each other have hereunto subscribed our names as
witnesses.
2
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA:
; SS.
COUNTY OF CUMBERLAND :
~qA~o,o k/."-~ll.k~2b-F'' , 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 the sole
Codicil to her Last Will and that she had signed willingly 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 sole Codicil to her Will as witness and that to the best of his/her
knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no
constraint or undue influence.
EVELYN D. PUNDT
Witness
S, ub,scribed, sworn to andraacknowledgedA~efore me by EVELYN D. PUNDT, Testatrix,
F-~ i'-~x~:'~nAnnt"d¢._u~ ,x,~ .',~,x-', L? ~v¢¥, witnesses, th~ ~
day of
~ ib ' ,~003.
:144366 My Commission Exlbires: NOTARIAL SEAL t
[ APRIL D. SHEAFFER Notary Pub c
l, Carlisle, Cumberland County
J My Commission Expires April 23, 2006
3
My
My
My
My
:142606
LETTER OF iNSTRUCTION PURSUANT TO
ITEM II OF MY WILL
To
To
To
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
REV-1162 EX(11-96)
NO. CD 0O4262
PUNDT PETER H
55 MILLER GAP ROAD
MARYSVILLE, PA 17053
........ fold
ESTATE INFORMATION: SSN: 073-10-0818
FILE NUMBER: 21 04-0668
DECEDENT NAME: PUNDT EVELYN D
DATE OF PAYMENT:
POSTMARK DATE:
O8/12/2004
08/12/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 05/23/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $15,593.90
TOTAL AMOUNT PAID:
$15,593.90
REMARKS:
SEAL
CHECK# 561
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF ZND~VZDUAL TAXES
FRANCIS N SOCNA
$05 N FRONT ST
HBG
CONNONNEALTH OF PENNSYLVANIA
GEPARTHENT OF REVENUE
PA 17101
NOT/CE OF /NHERZTANCE TAX
APPRAZSEHENT, ALLONANCE OR DISALLOWANCE
DEDUCTIONS AND ASSESSHENT OF TAX R~-~7 ~ ~ io2-O~]
~DATE 10-19-200fi
ESTATE OF PUNDT EVELYN
DATE OF DEATH 05-Z$-2004
OCT 22 .... FILE NUHBER 21 04-0668
-'U~coUNTY CUNBERLAND
ACN 101
Amoun~ Remt~ed
NAKE CHECK ?AYABLE AND RENIT PAYNENT TO:
REGISTER OF HILLS
CUH~ERLAND CO COURT HOUSE
CARLISLE, PA 17015
D
CUT ALONG THXS LINE ~ RETAIN LONER PORTZON FOR YOUR.R.~?_R_~______-~_ ......................
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE ANDESTATETAX
OFFICIALRECEIPT
REV-1162 EX(11 96)
NO. CD 00453O
SOCHA FRANCIS M ESQ
2201 N SECOND ST
HARRISBURG, PA 17110
........ fold
ESTATE INFORMATION: SSN: 073-10-0818
FILE NUMBER: 2104-0668
DECEDENT NAME: PUNDT EVELYN D
DATE OF PAYMENT: 10/22/2004
POSTMARK DATE: 10/21/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 05/23/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I 957.41
TOTAL AMOUNT PAID:
$57.41
REMARKS:
SEAL
CHECK# 106
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU 0~' TNDZVZDUAL TAXES
ZNI~RZTAHCE TAX DZVTSZON
DEPT. Z8060!
HARRTSBURG, PA 17118-0601
FRANCIS M SOCHA
305 N FRONT ST
HBG
COMMONWEALTH OF PENNSYLVANZA
DEPARTHENT OF REVENUE
NOTZCE OF INHERITANCE TAX
APPRAISEMENT, ALLONANCE OR DZSALLO#ANCE
OF DEDUCTZONS AND ASSESSMENT OF TAX
REV-154? EX AFP [91-n5)
PA 17101
~: DATE 10-19-200q
~., ESTATE OF PUNDT
DATE OF DEATH 05-23-200q
FXLE NUHBER 21 0~-0668
· ~}~ ~;"~- ~OUN CUMBERLAND
15
IO!
EVELYN D
Amoun~ Remi*~ed
HAKE CHECK PAYABLE AND REHIT PAYHENT TO:
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~'~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF PUNDT EVELYN D FILE NO. 21 0~-0668 ACN 101 DATE 10-19-200R
TAX RETURN NAS: ( ) ACCEPTED AS FTLED (X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON.' ORIGINAL RETURN
I Real Es~a~e (Schedule A)
2 S*ocks and Bonds (Schedule B)
$ Closely Held S~ock/Par~nership Tn~eres* (Schedule C)
Mortgages/No':es Receivable (Schedule D)
Cash/Bank Depos1~s/Misc. Personal Proper~y (Schedule E)
6 Joln*ly Owned Proper~y (Schedule F)
7 Transfers (Schedule G)
8 To,al Asse~cs
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Cos:~s/Nisc. Expanses (Schedule H)
10. Deb*s/Mortgage Liabili~:ies/Liens (Schedule T)
11. To,al Deductions
12. Ne* Value of Tax Re~urn
15.
lq.
(1)
(2)
(3)
(5)
(6)
(7)
(9)
(10)
Chari~abla/$overnman~al Bequests; Non-elec*ad 9115 Trusts (Schedule J)
Ne* Value of Es~a~e Subjac~ ~o Tax
0O
3~q~607 5~
O0
O0
11~570.37
15~26 72
O0
(8)
~,75Z.Z3
52.67
NOTE: To /nsure proper
credi* ~o your accoun*,
submA* ~he upper portion
of *his form wi~h your
~ax payment.
NOTE:
371,60q.63
(11) ~ .Rtl;. Off
(12) 366,799
(15) 75q.25
(ir,) 366,0q5.
If an assessment Nas issued previously, 11nes 14, 15 and/or 16, 17,
reflect flgures that include the total of ALL returns assessed to date.
18 and 19 ~ill
15,593.90
TOTAL TAX CREDIT
BALANCE OF TAX DUEI
INTEREST AND PEN.
TOTAL DUE
PAYMENT MUST BE MADE BY OZ-Z3-2005~.
TF PATD AFTER DATE TNDTCATED, SEE REVERSE
FOR CALCULATTON OF ADDTTTOMAL TNTEREST.
16,qlq.63
57.ql
.00
57 .ql
( TF TOTAL DUE TS LESS THAN $1, NO PAYMENT TS REI)UZRED.
TF TOTAL DUE TS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
A REFUND. SEE REVERSE STDE OF THTS FORM FOR TNSTRUCTTONS.
ASSESSMENT OF TAX:
15. Amoun~ of Line lq a~ Spousal ra~a
16. Amoun~ of Line lq ~axable a~ Lineml/CXass A ra~e
17. Amoun~ of Line lq a~ Sibling ra~e
18. Amoun~ of Line lq *axabXe a~ Colla~aral/CXass B ra~e
19. Principal Tax Due
TAX CREDITS:
PAYMENT RECE/P1- D/SCOUNT 1+)
BATE NUMBER TNTEREST/PEN PATD (-)
08-12-200q CD00qZ6Z 820.73
AMOUNT PAID
(1;) .00 x O0 = .00
(16) 366,0q5.38 x Oq5= 16,~.7Z.Oq
(17) .00 x 12 = .00
(lB) .00 X 15 = .00
(19)= 16,q71.0q
RESERVATION:
PURPOSE OF
NOTICE:
PAYNEHT:
REFUND (CA):
OBJECTIONS:
ADHIN-
ISTRAT/VE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
Estates of decedents dying on or before December 11, 1981 -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (coZlateral) 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 laaful Class 8 (collateral) rate on any such futura interest.
To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act 23 of ZOO0. (71 P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Nills printed on the reverse side.
--Hake check or money order payable to: REGISTER OF WILLS, AGENT
A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office
of the Register of Hills, any of the 23 Revenue District Offices, or by ceiling the special Z4-hour
answering service for forms ordering: 1-800-361-Z050; services for taxpayers with special hearing and / or
speaking needs: 1-800-447-3020 (TT
Any party in interest not satisfied aith the appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount or interest) as sheen on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 181021, 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 Raviea Unit, Dapt. 280601, Harrisburg, PA 171Z8-0601
Phone (717) 787-6SOS. Sea page 5 of the booklet "Instructions for [nheritanca Tax Return for a Resident
Decedent" (REV-IS01) for an explanation of administratively correctable errors.
If any tax due is paid within three (3) calendar months after the dacedent's death, a five percent (52) discount of
the tax paid is allowed.
The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same tiaa 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 ahich became delinquent before January l, 1982 bear interest at the rate of
six (6X) percent par annum calculated at a daily rate of .000164. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year aith that rate
announced by the PA Department of Revenue. The applicable interest rates for 1981 through 2004 are:
Interest Daily Interest DaiZy Interest
Year Rate Factor Year Rate Factor Year Rate
198Z ~ .0005q8 ~-8-1991 117. .goo301 ~ 97.
1983 162 .0004'58 1992 97. .000247 ZOOZ 62
198q llZ .000301 1993-1994 72 .OOOl9Z 2003 52
1985 137. .000356 1995-1998 97. .000147 ZOOq 4Z
1986 IOZ · 000174 1999 77. . OOOlgZ
1987 iOZ . 000274 2000 7Z . OOOlgZ
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELTN~UENT X DAILY /NTEREST FACTOR
Daily
Factor
oO00Z~7
.000164
.0001~7
.000110
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
REV-1470 EX i6-F8)
INHERITANCE TAX
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME FILE NUMBER
Evelyn D Pundt 2104-0668
REVIEVVED BY ACN
Sandra J Eslinger 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
Accepted additional assets and debts per correspondence dated October 5 2004.
ROW Page 1
BUREAU OF ZNDZVTDUAL TAXES
ZHHERI'TANCE TAX DI'VTS]'ON
PO BOX Z80601
HARRTSBURG, PA 171Z8-0601
COHHON#EALTH OF PENNSYLVANIA
BEPARTHENT OF REVENUE
ZNHERZTANCE TAX
STATEMENT OF ACCOUNT
REV-1GO7 EX kFP (09-0~)
FRANCIS H SOCHA
$05 N FRONT ST
PA 17101
DATE 1Z-O6-ZOOq
ESTATE OF PUNDT
BATE OF DEATH 05-Z$-ZOOq
FILE NUHBER Z1 0~-0668
COUNTY CUHBERLAND
ACN 101
Amoun~ Remi~:~ed
EVELYN D
-- DC~ HAKE CHECK PAYABLE AND REHZT PAYHENT TO:
ul t~.~ ,cc
~C} REGISTER OF WILLS
~.~ ~ ~ ...... ~ OU~BERLAND ~0 ~OURT HOUSE
~ c,.~ ~ 0~[:~3 CARLISLE, PA 1701~
~: T~nsuPe ~ c~edi~ ~o you~ acooun~ submi~ ~he upp~P po~ion of ~his fo~m wi~h you~
C NG~ZS LZN ' ~ RETAZN LOHER PORTZON FOR YOUR RECORDS
ESTATE OF PUNDT EVELYN D FILE NO. 21 0q-0668 ACN 101 DATE 12-06-ZO0q
THIS STATENENT ZS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NANED ESTATE. SHO#N BELON
ZSA SUMMARY OF THE PRINCIPAL TAX DUE, APPLZCATTON OF ALL PAYNENTS, THE CURRENT BALANCE, AND, TF APpLTCABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTHENT: 10-19-Z00~
PRINCIPAL TAX DUE: ........................................................................................
PAYHENTS (TAX CREDITS):
16,q72.0~
PAYMENT RECEIPT DISCOUNT ¢+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
820.73
08-12-Z00q
10-Z1-Z00~
CDOOq262
CDOOq530
.00
15,593.90
57.ql
ZF PAID AFTER THIS BATE, SEE REVERSE
S/DE FOR CALCULATION OF ADDITIONAL INTEREST.
ZF TOTAL DUE 1S LESS THAN $1,
NO PAYMENT ZS REQUIRED.
ZF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
TOTAL TAX CREBZT
16,q72.0q
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR TNSTRUCTZONS. )
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/29/2006
SOCHA FRANCIS M ESQ
2201 N SECOND ST
HARRISBURG, PA 17110
RE: Estate of PUNDT EVELYN D
File Number: 2004-00668
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. 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:
5/23/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/29/2006
PUNDT PETER H
55 MILLER GAP ROAD
MARYSVILLE, PA 17053
RE: Estate of PUNDT EVELYN D
File Number: 2004-00668
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. 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:
5/23/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
Register of Wi Us of Cumhedand Coun'U.y
STATUS REPORT UNDER RULE 6.12
..G /., !\. I;;' ./ ;L
Name of Decedent: t...: V" A , 7~ 0 ~/V ~I
Date of Death: ~~- e21J - :< (Jar'
Estate No.: -2(/(/( - ttJdb~ $Y
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 a~stration of the estate is complete:
Yes 0 No pQ
2. If the answer is No, state when the personal representativ~ rJasonably believes that
the administration will be complete: ,<)f')( ~J
3. If the answer to No.1 is Yes, state the foIIowing:
a. Did the personal representative file a final account with the Court?
Yes 0 No 0
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes 0 No 0
roval of fonnal or informal
Orphans' Court and may be
c. Copies of receipts, releases, joinders and a
accounts may be filed with the Clerk of
attached to this report
c0;o/
/
Si~ature
jJ~/ ~l HAI'1'/
Name
Date:
t'
3~-11ft1f.<"1 ~'f p&
Address fA'M!-tp Ill/I Q J fJA- / } 6 :S
?f? -93J-J33L
Telephone No.
. Capacity: rb4Personal Representative
UCounsel for personal representative
/,
/ ~'. 'Y.I,
i NJ,
.i \ \./
In Re: Estate of
PUNDT EVELYN D
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 2004-00668
NOTICE OF FAILURE TO FILE STATUS REPORT
Personal Representative: PUNDT PETER H
Counsel for Personal Representative: SOCHA FRANCIS M ESQ
Date of Decedent's Death: 5/23/2004
The Orphans' Court record indicates 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 Comi
Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report.
If the required 6.12 fom1 is not filed in accordance with Rule 6.12 the Court will be notified of
SLlch delinquency and the undersigned will 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:
5/31/2006
//1 V ; 1fJ-.~ J)
A:t.I'~ L1ifU;raU )5aM.;~
Glenda Farner Strasbaugh /J
Clerk of the Orphans' Court
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
In Re: Estate of
PUNDT EVELYN D
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 2004-00668
NOTICE OF FAILURE TO FILE STATUS REPORT
Personal Representative: PUNDT PETER H
Counsel for Personal Representative: SOCHA FRANCIS M ESQ
Date of Decedent's Death: 5/23/2004
The Orphans' Court record indicates 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, is hereby given by that the you have ten (10) day to file the Status Report.
If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of
such delinquency and the undersigned will 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:
5/31/2006
~.~J~
',/
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
Distlibution:
Personal Representative
Counsel for Personal Representative
Estate File
INRE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
ORPHAN'S COURT DIVISION
EVELYN D. PUNDT,
NO. 2004-00668
Deceased
STATUS REPORT UNDER RULE 6.12
NAME OF DECEDENT:
DATE OF DEATH:
ESTATE NO.:
Evelyn D. Pundt
May 23,2004
21-04-00668
To the Register:
Pursuant to Rule 6.12 of the Supreme Court Orphan's 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 No X
2. If the answer is No, state when the personal representative reasonably
believes that the administration will be complete: 6 months
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. The separate Orphan's 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 No
d. Copies of receipts, releases, joinders and approvals of fOlmal or
informal accounts may be filed with the Clerk of the Orphans'
Court and may be attached to this rep~
Date:
(y(~o( D(P
SignaturL
Name:
LD. No.:
Address:
J. McNa iy, , Esquire
5 61
305 N. Front Street
Harrisburg, P A 17101
(717) 237-7100
Counsel for Personal Representative
Telephone:
Capacity:
434967.1
'-
C)~~l(.: (\; ~
THOMAS, THOMAS & HAFER, LLP .
John 1. McNally, Esquire
Identification Number: 52661 20 % JU I. \ Lf
305 N. Front Street
P.O. Box 999
Harrisburg, PA 17108
(717) 237-7116
jmcnally@tthlaw.com
II: 29
Counsel for Personal Representative
Peter H. Pundt, Executor
INRE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
ORPHAN'S COURT DIVISION
EVELYN D. PUNDT,
Deceased
NO. 2663 88%5
2coit - lcV~
FAMILY SETTLEMENT AGREEMENT
sf ~
THIS AGREEMENT is made on the L- day of ~' 2006, by and among
PETER H. PUNDT, Individually and as Executor of the Estate of EVEL YN D. PUNDT,
Deceased, and JOHN C. PUNDT, as beneficiaries ofthe said Estate (hereinafter collectively
referred to as the "Beneficiaries").
In accordance with their desire that the administration of the Estate ofEVEL YN D.
PUNDT be terminated without the expense and delay of a court accounting, the parties hereto, in
consideration of the mutual covenants herein expressed, and intending to be legally bound
thereby, agree that:
1. EVELYN D. PUNDT (the "Decedent"), who resided at 700 Walnut Bottom Road,
Carlisle, Cumberland County, Pennsylvania, died testate on May 23,2004.
2. The Estate of EVELYN D. PUNDT is being administered pursuant to the Last
Will and Testament of EVEL YN D. PUNDT, dated March 9, 2001, which appointed both JOHN
C. PUNDT and PETER H. PUNDT, to serve as co-executors of the estate.
432976.\
tJ1/
3. On June 23,2004, JOHN C. PUNDT, son of EVEL YN D. PUNDT, Decedent,
formally renounced his right to administer the estate and respectfully requested that Letters
Testamentary be issued exclusively to PETER H. PUNDT, son of EVELYN D. PUNDT,
deceased.
4. On July 16, 2004, Letters Testamentary were duly granted to PETER H. PUNDT
by the Register of Wills of Cumberland County, Pennsylvania, at the above number and term.
5. Notice of Estate Administration was served on all the heirs and a Certification of
Notice was filed on July 26,2004, in the Office ofthe Register of Wills of Cumberland County,
Pennsylvania.
6. On August 12,2004, PETER H. PUNDT, as Executor of the Estate of EVELYN
D. PUNDT, deceased, filed a Pennsylvania Inheritance Tax Return, with an inheritance tax
owed, and subsequently paid for, by the estate in the amount of$15,593.90. The estate made yet
another additional payment in the amount of $57.41 on October 21, 2004, for a total inheritance
tax owed, and subsequently paid for, by the estate in the amount of$16,472.04.
7. The parties in interest under the Last Will and Testament of EVELYN D.
PUNDT, Deceased, are:
(i) JOHN C. PUNDT, son; and
(ii) PETER H. PUNDT, son and Executor
8. Under the Last Will and Testament of EVEL YN D. PUNDT, the Estate of
EVELYN D. PUNDT is given to the following heirs as indicated herein:
ITEM II: TANGIBLE PERSONAL PROPERTY. I give my
automobiles and personal effects, my household goods and other tangible
personal property oflike nature (not including cash or securities), together
with the insurance thereon, to my sons JOHN C. PUNDT and PETER H.
PUNDT;
432976.1
ITEM III: REST, RESIDUE AND REMAINDER. I give, devise and
bequeath all the rest, residue and remainder of my estate to my sons,
JOHN C. PUNDT and PETER H. PUNDT, and their then living issue, per
stirpes.
9. The Beneficiaries hereby acknowledge receipt oftheir entitled shares of the
tangible personal property and rest, residue and remainder ofthe estate.
10. The Beneficiaries desire to settle the Estate informally in order to avoid the
expense and delay involved with the formal adjudication of a First and Final Account by the
Orphans' Court Division of the Court of Common Please of Cumberland County, Pennsylvania.
11. The Beneficiaries desire to settle and compromise any and all claims and rights
which they may possess, now or hereafter, in the Estate and to confirm their acceptance ofthe
Informal Account (the "Account"), attached hereto as Exhibit "A" and incorporated herein by
this reference, and the Proposed Schedule of Distribution (the "Schedule"), attached hereto as
Exhibit "B" and incorporated herein by this reference. The Beneficiaries desire that the
distributions to them, as set forth on the attached Schedule, be in full satisfaction of their rights
in the Estate.
12. The Beneficiaries wish to release the Executor and to indemnify him against any
and all claims that may be asserted against the Estate or the Executor after the date hereof.
13. The Executor is willing to settle the Estate informally in consideration of the
indemnifications hereinafter provided by the Beneficiaries.
NOW, THEREFORE, WITNESSETH, in consideration of the foregoing and intending to
be legally bound, jointly and severally, the Beneficiaries, for themselves, their successors and
aSSIgns:
A. Represent and warrant that they have read and understand this Agreement and
confirm that the facts set forth above are true and correct, to the best of their
knowledge, information and belief
432976.\
B. Declare that they have sufficient information to make an informed waiver of their
right to a formal accounting with the Court, and do hereby waive the filing and
auditing of the same.
C. Acknowledge that the distributive share or amount set forth on the Schedule shall
be in full satisfaction of their respective entitlements under the Will.
D. Release, remise, quitclaim and forever discharge the Executor, his heirs, personal
representatives, successors and assigns, from and against all claims that they, as
beneficiaries of the Estate, and in connection with the Estate, had, now have or
may in the future have in connection with the Estate.
E. Agree to refund, on demand, all or any part of any aforesaid distribution, which
has been determined by the Executor, or by the Court, or by any court of
competent jurisdiction, to have been improperly made.
F. Agree to indemnify and hold harmless the Executor, his heirs, personal
representatives, successors and assigns, from and against any and all claims, loss,
liability or damage (whether or not related to the negligence ofthe Executor) that
may hereafter be asserted against the Estate or against the Executor.
G. Agree to execute such other or additional documents as may be necessary to
effectuate the agreements set forth herein.
H. Acknowledge that this Agreement shall be governed by and construed in
accordance with the laws of the Commonwealth of Pennsylvania.
1. Consent to the Court exercising personal jurisdiction over them in any suit or
action arising out of the enforcement of this Agreement.
IN WITNESS WHEREOF, the Beneficiaries have placed their hands and seals on the
attached Consents to Family Settlement Agreement.
c By, III, Esquire
Identification . 2661
305 N. Front Street
P.O. Box 999
Harrisburg, PA 17108
432976.1
Date:
432976.1
(717) 237-7116
~ttorney for Executor
eter H Pundt
1 }~?-lo~
INRE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
ORPHAN'S COURT DIVISION
EVELYN D. PUNDT,
NO. 2003-00965
Deceased
CONSENT TO FAMILY SETTLEMENT AGREEMENT AND
RECEIPT FOR DISTRIBUTION
I, PETER H. PUNDT, Individually and as Executor of the Estate of EVEL YN D.
PUNDT, Deceased, hereby acknowledge receipt of the tangible personal property of the
Decedent, and the distribution in the amount shown on the Proposed Schedule of Distribution. I
hereby consent to and join in the Family Settlement Agreement relating to the Estate of
EVELYN D. PUNDT, deceased, a copy of which, indud' e ibits, has been provided to me.
,:C-- ~J)(
PETER H. PUNDT, EXECUTOR
IJz..- Yo if(
COMMONWEM~~...pEt~JSYl.VWIA : SS. ~J(v. ,,___ .IL
COUNTYOF~ ~ ~r
On this, the L day of '\~ ' 2006, before me, the undersigned
officer, personally appeared PETER ~UND , known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument, and acknowledged that she executed
the same in the capacities and for the purposes therein contained.
IN WITNESS WHEREOF, I hereunder set my hand and official seal.
432976.]
~~~J~
J fftv M' ~Ll
~~~~ b1&f.t~(y(jA
INRE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
ORPHAN'S COURT DIVISION
EVELYN D. PUNDT,
NO. 2003-00965
Deceased
CONSENT TO FAMILY SETTLEMENT AGREEMENT AND
RECEIPT FOR DISTRIBUTION
I, JOHN C. PUNDT, hereby acknowledge receipt ofthe tangible personal property of the
Decedent, and the distribution in the amount shown on the Proposed Schedule of Distribution. ~
fV~
hereby consent to and join in the Family Settlement Agreement relating to the Estate of JOI~. ~
PUNDT, deceased, a copy of which, including exhibits, has been provided to me.
~ ~/I2t~
C.PUNDT
" \
STATE OF NEW YORK : I'"""J r~
M Ai) ( Sb", : SS. Rn--1 ,. (1-
COUNTY OF MOUROE :
On this, the J f1- day of J ~ , 2006, before me, the undersigned
officer, personally appeared JOHN C. PUNDT, k10wn to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument, and acknowledged that she executed
the same in the capacities and for the purposes therein contained.
IN WITNESS WHEREOF, I hereunder set my hand and official seal.
~~
~\1N M \ 'le.u y
~ ~'~()\QJ of' ~~
~'O(~. '
432976. I
INRE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
ORPHAN'S COURT DIVISION
EVELYN D. PUNDT,
NO. 2003-00965
Deceased
VERIFICATION
I, PETER H. PUNDT, hereby certify that the statements made in the foregoing Family
Settlement Agreement are true to the best of my knowledge, information and belief. I
understand that any false statements made herein are subject to penalties for perjury under 18
Pa.C.S. ~ 4904.
/'
\
432976.1
INRE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
ESTATE OF
ORPHAN'S COURT DIVISION
EVELYN D. PUNDT,
NO. 2003-00965
Deceased
RECEIPT. RELEASE. REFUNDING AND INDEMNIFICATION AGREEMENT
I, JOHN C. PUNDT, beneficiary to the Estate of EVEL YN D. PUNDT, Deceased,
hereby:
1. Acknowledge receipt of the sum of One Hundred Fifty-One Thousand. Eight
Hundred Seventy Dollars and Nineteen Cents ($151.870.19) as outlined in the Proposed
Schedule of Distribution attached hereto as Exhibit "B".
2. Releases PETER H. PUNDT, Executor of the Estate of EVEL YN D. PUNDT,
and his heirs and personal representative, from all liabilities, whether due to the Executor's
negligence or otherwise, which he may have by reason of his administration of the Estate;
3. Agrees to refund to the Executor any portion of the distribution to which he is not
properly entitled and, to the extent of said distribution, to indemnify the Executor for claims
made against him as Executor, and to reimburse to him all expenses and costs incurred in
connection with any such claims; and
4. Declares that this instrument will be legally binding upon him, his personal
representative, successors, and assigns.
IN WJ.TNESS WHEREOF, I have hereunto set my hand and seal this ~ day
of 7' ,JL , 2006.
~
I HEREBY CERTIFY that the statements made in the foregoing instrument are true to
the best of my knowledge, information and belief. I understand that any false statements made
herein are subject to penalties of perjury under 18 Pa.C.S. S 4904.
~I) \~
W TNESS
Tb"" M, k'€i1
9/v p~
J C. PUNDT
432976.1
INRE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
ORPHAN'S COURT DIVISION
EVELYN D. PUNDT,
NO. 2003-00965
Deceased
INFORMAL ACCOUNT
Date of Death: May 23, 2004
Date of Appointment: July 16, 2004
RECEIPTS
Assets
lliant Energy Stock: 555 shares
(Cusip No.: 018802108)
Carolina $5 Pfd Stock: 200 shares
(Cusi No.: 144141306)
nergy East Stock: 2000 shares
Cusi No.: 29266M109)
PL Group Stock: 1000 shares
(Cusip No.: 302571104)
orne Properties Stock: 1850 shares
(Cusi No.: 437306106)
GE Energy Stock: 1125 shares
(Cusip No.: 55277P104)
rogress Energy Stock: 2492 shares
(Cusi No.: 743263105)
cel Energy Stock: 186 shares
Cusi No.: 87389B100)
.G. Edwards and Sons, Inc.,
Centennial Mone Market Account No.: 370-324611
iscellaneous Personal Pro erty
orest Park Health Center (Refund)
Synthroid Marketing Litigation
(In Re: Synthroid Marketing Litigation, No.: 97C6017,
DL 1182 (USDC Northern District of Illinois)
SECU Regular Shares (SI) Account No.: 0073100818
(JTWROS - Peter H. Pundt)
Value as of Date of Death
$13,422.68
$69,976.25
$33,198.75
$102,894.68
$3,000.18
$9,620.0
$300.0
$1,543.88
$106.4
$24,613.4
432976.1
PSECU Checking Shares (S4) Account No.: 0073100818 $6,130.90
(JTWROS - Peter H. Pundt)
PSECU Dividends (Interest) Account No.: 0073100818 $109.09
JTWROS - Peter H. Pundt)
Total Value of Assets: $387.031.34
432976.1
DISBURSEMENTS OF PRINCIPAL
Ex enses
nreimbursed Medical Expense (06/03/04)
Graham Medical Clinic
nreimbursed Medical Expense (06/03/04)
Kenneth Guistwite, M.D.
nreimbursed Medical Expense (08/12/04)
Graham Medical Clinic
nreimbursed Medical Expense (09/02/04)
Holy Spirit Hos ital
nreimbursed Medical Expense (09/1 0/04)
orest Park Health Center
haritable Contribution
Goodwill Industries
haritable Contribution
Presbyterian Homes, Inc. (Forrest Park)
uneral Expense (06/03/04)
Hollin er Funeral Home
uneral Expense (05/27/04)
JP Flowers
uneral Expense (05/27/04)
Webster Union Cemetery
uneral Expense (05/27/04)
St. Rita's Church and Or anist
uneral Expense (05/27/04)
Caterin Works
uneral Expense (08/23/04)
Rochester Monument Com an , Inc.
rob ate Fees (07/16/04)
Cumberland Count Register of Wills
ttorneys Fees (07/26/04)
Thomas, Thomas & Hafer, LLP
dvertising Fee (09/29/04)
Cumberland Law Journal
dvertising Fee (09/30/04)
The Patriot News
ennsylvania Inheritance Tax (08/12/04)
Re ister of Wills, A ent
dditional Pennsylvania Inheritance Tax (10/21/04)
Re ister of Wills, A ent
iling Fee - Family Settlement Agreement (06/2006)
Cumberland County Re ister of Wills
otal Administration Ex enses:
Amount of Ex enses
$5.99
$47.55
$11.98
$28.4
$12.29
$554.25
$175.0
$21 284.1
432976.1
INRE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
ESTATE OF
EVELYN D. PUNDT,
ORPHAN'S COURT DIVISION
NO. 2003-00965
Deceased
PROPOSED SCHEDULE OF DISTRIBUTION
Balance Available for Distribution
Alliant Energy Stock: 555 shares
Cusip No.: 018802108
Carolina $5 Pfd Stock: 200 shares
Cusip No.: 144141306
Energy East Stock: 2000 shares
Cusip No.: 29266MI09
FPL Group Stock: 1000 shares
Cusip No.: 302571104
Home Properties Stock: 1850 shares
Cusip No.: 437306106
MGE Energy Stock: 1125 shares
Cusip No.: 55277PI04
Progress Energy Stock: 2492 shares
Cusip No.: 743263105
Xcel Energy Stock: 186 shares
Cusip No.: 87389B100
A.G. Edwards and Sons, Inc.
Centennial Money Market Account No.: 370-324611
Forest Park Health Center (Refund)
Synthroid Marketing Litigation
(In Re: Synthroid Marketing Litigation No: 97C6017, MDL 1182)
(Less Administrative Expenses - See "Distribution of Principal")
(Less PSECU Regular Shares (SI) Account No.: 0073100818-
JTWROS - Peter H. Pundt)
(Less PSECU Checking Shares (S4) Account No.: 0073100818-
JTWROS - Peter H. Pundt)
(Less PSECU Dividends (Interest) Account No.: 0073100818-
JTWROS - Peter H. Pundt)
Total:
432976.1
$13,422.68
$15,300.00
$44,990.00
$61,825.00
$69,976.25
$33,198.75
$102,894.68
$3,000.18
$9,620.00
$1,543.88
$106.49
($21,284.10)
($24,613.44)
($6,130.90)
($109.09)
$303.740.38
To: Peter H. Pundt
Principal Cash:
Income Cash:
Total:
$151,870.19
$0.00
$151.870.19
To: John C. Pundt
Principal Cash:
Income Cash:
Total:
$151,870.19
$0.00
$151.870.19
432976.1
~UlllJ...)<::::L LclllU I....uuncy - .K.eglS1:er u.r: Wll.l.S
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 5/14/2007
SOCHA FRANCIS M
305 N FRONT ST 6RG FL
PO BOX 999
HARRISBURG, PA 17108-0999
RE: Estate of PUNDT EVELYN D
File Number: 2004-00668
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. 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:
5/23/2007
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc:
File J '"
personal-~~B~€s~rltative(s)
6.;;1].~.': ~.~',r >'I{"
~ \.. L ~i i....
- _\
-_.."-_..1..0.................&.'"'" '--'-.Il....U.LI-.Y - ~C':::i.l..i::H_l;:::.L U.L VV1..J..l..t:>
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 5/14/2007
PUNDT PETER H
55 MILLER GAP ROAD
MARYSVILLE, PA 17053
RE: Estate of PUNDT EVELYN D
File Number: 2004-00668
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. 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:
5/23/2007
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugn
Clerk of the Orphans' Court
cc: File
Counsel
;,j
c"\ I i \ ,,', I,}, , ,,' ,', "f ,'" ~ /
\}.:.J .; I . .., .. _ ,...
cj
Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF ~JA,6u /1tN-~ COUNTY, PENNSYLVANIA
Name ofDecedent: f- {j.L t;jN (). UN'dI-. . .
Date ofDeath: 11111 .2 3, OJ. ~ 0 { File Number: ~O '/ -'-'12 '" <i
Pursuant to Pa. O.c. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
I
1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . .. ~Yes DNo
2. If the 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? . . . . ... ,gyes DNo
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? ..............,................ . Jg.Yes DNo
Li)
or informal accounts may be
c ed to this report.
d. Copies of receipts, releases, joinders and approv so
filed with the Clerk of the Orphans' Court and ay b
Date
f(J2[J.~
o Counsel
.....:,:c
'/14
Name of erson Fi!ing this Form
/1 /~~e/AIN&IJ~ cf-
~
'A/J~",J cr ~~III
'flJlJ) ~O ~,tJrt)3
e ephone .
~- -~J
r'~'-
Form RW-IO rev. 10.13.06
....,.,.