HomeMy WebLinkAbout03-0165 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Bette J. Rosinski No.
also known as To:
Register of Wills for the
Deceased. County of Cumberland in the
SocialSecurity No. 1 68-1 4-0703 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
~Your~i~etitioner(s), who is/are 18 years of age or older, applies for letters of administration
on the estate of
(d.b.n.; pendcme li~c; ctumnt¢ absentia; durame minorilatc)
the above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
her last family or principal residence at 113 Front Street: South Middl~tcm.
(list, streee, number, Twp. or Bore.)
Decedent, then 81 years of age, died January 7, ,14I[2003,
at 113 Front Street: R~5]~ng .qpwqn~,=_, PA 17007
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $. ~ 9 t 000.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania S-
situated as follows:
Petitioner .. after a proper search ha s ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
~enneth D. Snader Brother 319 Capitol Ave. ,Athens, Mich.
Doris E Rudolph Sister 6 Dogwood Dr., Mt. Holly Spring.
· PA
Shirley A. Smith Sister 513 Mountain Rd., Boiling
Sprinqs, PA
Sally L. Myers Sister '157 Wadinq Bird Cr.,
Naples, FL 34110
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration 'in the
appropriate form to the undersigned.
Alan L. Snader
104 W. First Street
Boiling Springs, PA 17007
._~
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
COUNTY OF CUMBERLAND
3
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly adminisler the estate according to law.
Sworn to or affirmed and subscribed
before me this 28th day of
J~anuary ~gX 20034
No.
Estate of BETTE J. ROSINSKI
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW ,/-'~e'u~6' ~ ~}X_2_0_02 in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Alan r,. Snarler
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
Alan L. Snader
are hereby granted to
in the estate of Bette J. Rosinski
FEES
Letters of Administration ..... $~
ATTORNEY (Sup. Ct. I.D. No.) 1 8 0 6 7
Short Certificates( ) .......... $~ 113 Front St., P.O. Box 358
fion ........... - .....$-- "~ Boiling Sprin~st PA 17007
$ /F3. rgCD
TOTAL .. $~ ADDRESS
FLed .~-~.~..~/.~.-J. A.D. l~'~ 717-258-6844
PHONE
02/01/03 SAT 16:57 FAX 717258390 ANTHONY L DELUCA ES0 [~003
RENUNCIATION
In Re Estate of Bette J. Rosinski , deceased.
To the Re~ister of Wills of Cumberland County, Pennsylvania.
The und~si/ned Sally L. Myers, sister of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
be issued to Alan L. Snader
WITNESS my hand this/// day of February ,)[~.. 200.3
157 Wadin9 Bird Cirdle-Uni: 203
Naples, Florida 34110
(Address)
(Signature)
(Ad~)
: i (Sisnature)
(Address)
02/01/03 SAT 16:53 FAX 717258390 ANTHONY L DELUCA ESQ [~]003
RENUNCIATION
In Re Estate of Bette J. Rosinski
deceased.
To the Register of Wills of .. Cumberl and County, Pennsylvania.
The undersigned ~enneth Snade,r, brother of
th: above decedent, hereby renounce(s) th~ right to adm/rfistcr the es~at~ and respectfully ask(s) that L~tt~rs
of Administration
be issued to ___Alan L_ Snad~r
WITNESS my hand this.~ / day of February ~, ~j~ 2003
319 Capitol Avenue
Athens, Michigan 4907
(Addr¢~)
(Signature)
(Addres.~)
(A~dres$.)
RENUNCIATION
In Re Estate of Bette J. Rosinski deceased.
To the Register of Wills of. Cumberland County, Pennsylvania.
The undersigned Shirley A. Smith and Doris E. Rudolph of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
Alan L. Snader
be issued to
WITNESS my hand this 28th day of January , ~ 2003
(Signature)
513 Mountain Road
Boiling Springs, PA 17007
(Address)
6 Dogwood Drive
Mt. Holly Springs, PA 17065
(Address)
(Signature)
(Address)
his is to certify that the information here given is correctly copied fi'om an original certificate of death dtdv. filed with me as
l~ocal 'Registrar. The original certificate will be.forwarded to the State Vital Records Office
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 8 8 7 0115 JAN 1 3 2003
No. ~~ Date
Rev. ~t~ COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
Betty J Rosinski Female ~. 168-14-0703 b January 7, 2003
Cumberland South Middleton 113 Front Street m~ ~,~..~c~..
Laborer US Government ~ ~ ,o~ ---~ 12-- Widowed
~'SMAlU~nESS~,~.CO~.~.Dp~) IILSIM, Pennsylvania ~ ,7c.~ ~n South Middleton
1 ]3 Front St. PO Box 75 aESI~E
Boiling Springs, Pa 17007 Cdmberlan d ~h~? ~.~,~
Shader ~,. Olive Radcliff9
Smith ~ 513 Mountain Rd. Boilin~ Sr~in~s. Pa 17007
~ll~r ~ral ~ & ~to~ Mt. ~lly Spr~s, Pa 17~5
January '7, 2003 .. ~
Presumed Natural Ca~e~
Mechanfcsburg, Pa. 17050
allfirst
PO Box 17292
Baltimore, MD 21297
AFFIDAVIT
STATEMENT OF ACCOUNT
Account #.~ 23-87054 Type: Personal Loan
Debtor Name/Address:
Bette Jayne Rosinski
113 Front Street
Boiling Springs PA 17007
DISCLOSURE DETAIL
Note Date: 06~26~02 Pmts. Due: 04/07/03
Maturity Date: N/A Proceeds: N/A
High Credit: $1,000 Terms:
APR: · 8.75% Amt. Due: $ 25
Total:
Principal Balance (eft. 04/21/03) $ 835.14
Add: Current Interest $ 13.92
Late Charges $ -0-
Other: $ -0-
Payoff Balance (eff.04/21/03) $ 849.06
NOTE: Interest accrues at $0.20 per day from 04/21/03 forward on loan 23-87054
allfirst
A Division of Manufacturers and Traders Trust Company
P.O. Box 17292, Baltimore, MD 21203
TOLL FREE 800 441 7202
In the Estate of: Betty J Rosinski Estate: 2003-00165
Loan: 23-87054 Date: 04/21/03
CLAIM AGAINST DECEDENT'S ESTATE
The claimant certifies that there is due and owing by
Betty J Rosinski
deceased, in accordance with the attached statement of account, the sum of $849.06
together with a per diem rate of $.020 per day from 04/21/03 until paid and that the
account is correct as stated.
On behalf of the claimant, I do solemnly declare and affirm under the penalties of
perjury that the information and representations made herein are true and correct to the
best of my knowledge, information and belief.
allfirst Bank ~---~~ ~
Name of Claimant Signature of claimant or person authorized to
make verification on behalf of claimant
P.O. Box 17292 501-730
C. Delgado (Sr. Analyst) Baltimore, MD 21203
Name and Title of Person Signing Claim Aa(~ress
.(800) 338-4728 opt 3
Phone Number
Th~sYa ~? and certified copy sworn and subscribed before me thi,~ / ~day of
_// ~~ ,2003.
...~.._~,.~.z.'~ ~ ,~_~z:~z.~__~ My commission expires
allfirsto CONSUMER LOAN APPLICATION
Are you currendy an Allf~st Customer.; m Yes [] No
NEED A LOAN?
Plebe ;hoose the Al~rst Loan/L~e )~u
[] Vtkide/RV/Boat Loaa E~ Ffom~ Eq~yLo~m m T3mecured
[] CD orSavings Secu~l/.oan rn Home 1~qu~Lhe of Credk [] Umeoaed 11,~ of Cre~
Requested amou~ $ Term l~quest~: __ . l'-~ose (req~ed):
ABOUT YOU....
I lvlafir~.&ams .fl)O NOT for i~divldual tmsecu~d credit applications
[] l¢'a~ . ~43mmvded (skgle, divorced or wldov~) [] Sepau~:ed
ff..Name ~ ~ ~(sL~et, ~ sine, zip) Cowry Y~lt4os _
'~revlomA~T&ess('~s:b~3~"~atabove) Social Se~ Number Bir,.l~dat~(mo/d:~y/yr) I-bmePhoaeIClo. .E-,~,q ._''
If F~:meovazr: Pum. ka.se Price Estimated. ¥~1u~ [] Sk~ Fan~y [] Townhouse/Po:rwh~e [] C~ndo
$ i. [] Dup_ lex [] :L- 4 Unit [] Other
Name of Emalove~ Posirlon Yx~'lW,_o~ Work Phoae No.
P~viom Emplo~r (if less t}m~ 3 years ~t currem) Length of Turn a: Previous Employer
NOTICE: Income from alimony, d~d support orseparate mzinl~.mnc: lmymenr, neednot ber~mledifyou donote, hoose ~ bavekconsid~d
as a basis for repayment of this obligation.
Other I~otm per mo~tk Sot~z of other it~om~ ~e., dividends, rent, :l;~ouy, child support)
$
ABOUT GO-APPLICANT
Marital $m~s (DO NOT ¢omplel: for im:[ivld~ uns¢ctutd eredlt
applications
[] Mmied [] ~ (single, divorced or ~:d) [] Separated
Full Name ~ Addr~s {s~rect, ciao ~ zip) County 'yv~,tlv[o~
PreviousAd&e"fffle~thaa3~atabove) '" so~SecurkTNumber Bkthda~ (mol d~ylyr) Home Phone No. E-.m.~
:
Prevlo,~, Ett~lomr C~ ]~s, ~ :~ ~ ~ cum-,) Length of T.~- ~ Pr~io,,, Employer C/x/Mo,)
NO'nC~: ~:ome ~ mimo~y, :mia s~po,t or ,epan,: mmtmm,~ mymera~ need not ~ ~ if~u do ~t cho~
as a basis for rel~ymem of th~ ob]/~tiom
Other lac°m~ per n~nth Soume of or. her income ~e. divlden&, rem, alimo~r, dtad suppor0
ABOUT YOUR CREDIT
Savings Account
Other Accoant (i.e., 401IC CD)
Other As~eu (i.e., Boat, R¥
2~ Home, Other Acctt~ Trust) "
Liabilltie* (Lc., ' .ut~Ument debts, ca cazds, real estate/mo, ns, child
Name,, o£, Czedltor/Liability Paymem l~dance (Yor N)PaY°~' Name of Creditor/Liability l~ymem Balance (Y
(PLEASE COMPLETE, READ AND SIGN REVERSE)
Ik~0.$6A-0110 PD 100
8:~
ABOUT TIlE COLLATERAL I COMPLETE ONLY IF CREDIT IS TO B_E_.~EC%.R~_ D
If Real Es~te: pmpea'yDegc_4pdon/Address Cd dlfferenr from reverm) Names of an C.o-owaer~ of r. be prol~eny
IfVehide/RV?rmilet: Year lv¥_akc Model VID # ~of all Co-or. ers cf ._~.e Vg.k~Je/RV/T-r~. r-
HameofDealer(hCappllc~ble) lvlileage Optlom: [] Au:omatic Transmission CI 4~4 t-I .adc Cl. Powe.~Equ~mem' []
IfSoal: Yea' ~ Model VID# --Nam~of ~I1Gwc~axets of tbe Boat .... '
NameofDe~ler('ffapplkable) ~Bo~tManufactmer BoatModel Ezg, iaeSize CX'er~ r-lL~bcard ElOm-bca:d
Imumme Infmmafiom Insox~.-ce C~mpa~y/~em ?olicy~,lmn~e~' Aged:~hoae
If Allfust CD or Savings Account: Accoum Number If O~her Collateral: Descripdon.
Av-moeaz*xxoN SECnON
Payment ?rotecrion ~ is optional. Approval of ay7 loan appli~*;on ~11 no: be ~ffecmd by your choice of insm'a~e
imurer, agent, or broker. Insurance products am not a depostt or other obllg~tlon of the Bank and are not guaranteed by the
Bank or any of its affi~tes. Insurance products am not insured by the FDIC, any g-o~,rnmem age.ney, the Bank or any of its
of Proposed ~ md my bealr~ ques~om, if ~plk~le, ~ m~s: be complemi ~cl sg~ed by~ x ou m~gcmcei su~
Check OneAp~an~ .licant I 'gals
AGREEIvEENT:
Everyrh~ I/We have stated in this paper appllcafioa anddor all &e kfformalon ~m ~ o~ ~ ~n P~c~ s~m ' '
lawful propose. ~/~e ~horlze :he ~ to whom this application is made to review m~ cr~lit repordcredlt irfforrmdoa m ~onnec~og _7-
and this application in con'Itmc~on ~ my/our appl~t~n for credit. _ - '
Sigmtum in full of Appllcant . ,, Signature in full of ?-. Applicant ........
DO NOT co~n_~l~t~ tbe_~ol[o~,~_ i~_ ormatlon ~_ _vo, are _a~_ .tving.tor ayty Line o_r Credit Pro'et. -.
(1) B,.~,~ofAayDebr-AppI~wbentbene*rlo~i~'tm:dbyazeskiezfald~'~g: "l~heofiglnallo~amaybefmmmor. h~'c~Ikor.
O) I'-wctnse of ~ n~idemlal d'~]~g - lvlm: I~ ~ecumd by a v"~4"'rtM dwell~ b~ ~eE nm bc the d'~ b~ p~e~_
~_~ i~ tequi~ to sm~e race or m6oml m~g~n aM sex ~ the b~ss of 'asml ol:mvr~m ~ p'~'~ H'~:~ do no ~sh '~ m.,'m~ t.~
OI do not '~,sh ,,', furnish this info,~u mi do not widx m fumis~ ~ kffo,,,~6~o. -
o 3-Bhck [] 4-I~pa~: [] ~-~w.~. ~
[] 3- ~ aOt provided Crelephooe/Mall applleari_~ [] ~- l~mma~ion not pal:nrkled C'l'e~. h~n~/Mail
Form o£ID (c.g., Photo Driver's Lid.gag ID, Signatu~ Card) ID N~mbcr St~e ' Exp. Dart ~ Signature
]~S-0056A-0110 PD 100 ~
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Bette J. Rosinski
Date of Death: January 7, 2003
Will No. 2 0 0 3- 0 01 6 5 Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on :
Name Address
kenneth D. Snader, 319 Capitol Ave., Athens, Michigan
Doris E. Rudolph, 6 Dogwood Dr., Mt. Holly Springs, PA 17065
Shirley A. Smith, 513 Mountain Rd., Boiling Springs, PA 17007
Sally L. Myers, 157 Wading Bird Cr., Naples, Florida 34110
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Signature
Name Anthony L. DeLuca, Esquire
113 Front Street
Address P.O. BOX 358
· ' 6_ Boiling Springs, PA 17007
' CD Telephone(71)7 258-6844
~? i !:~:~ ~z~ Capacity: Personal Representative
;~ t.3 X Counsel for personal representative
. . J
CLAIM FORM
ORPHANS' COURT DIVISION OF
COURT OF COMMON PLEAS OF
CUMBERLAN~OUNTY
ESTATE OF BETTE J. ROSINSKI NO. 21-03-165
THE BON TON
Notice of claim by
in the amount of $ 7343.01 filed pursuant to section 3384, Probate, Estates and
Fiduciaries Code Laws of 1972, Act No. 104 effective July i, 1972 as amended.
Date 19
=o ~ CLE~ OF THE ORPa~S' COURT DIVISION: 9441 LBO FSEEWA'?
THE SON TON tOOk 80X 30
Enter the c~.a.~.m of m.,,~. ~v 75243
(Claimant and Address) ~'~"~. ,,~
in the amount of $ 7543.81 against the above entitled Estate. The decedent
who resided at PO BOX 75, BOILING SPRINGS, PA 17007 1/11/03
died on
(Address) (Da~e)
Written notice of said claim was given to ALAN L. SNADER c/o ANTHONY L. DELUCA, ESQ.
(Personal Representative or Counsel)
at 133 FRONT ST., BOILING SPRINGS, PA 17007
(Address) (Date)
The basis of aforesaid claim is as follows: (Itemize fully to enable personal representative
to make proper investigation).
Acct.#056-075-963
Claimant' s counsel
( Name )
9441 LBj FREEWAY
Dallas. TX 75243
,::%
PROBATE COURT
Cumberland County, State of Pennsylvania
Bette J. Rosinski, Deceased
Case #21-03-165
Proof of Mailinq
I mailed the creditors claim to the fiduciary (and attorney, if applicable) as
follows:
I deposited a copy/copies of the claim with the United States Postal Service
in a sealed envelope with the postage fully pre-paid. I used first-class
mail. I am enployed in the county where the mailing occurred. The
envelope (s) was/were addressed and mailed as follows:
Mr. Alan Snader
c/o Anthony L. DeLuca, Esq.
133 Front St.
Boiling Springs, PA 17007
County of Mailing: Dallas, Texas
I declare un~r/enalty of pezjury that the foregoing is true and coz-rect.
Date: ~/3/~//~
~ent for
The Bon Ton
P.O. Box 741026
Dallas, TX 75374
Page: 1 Document Name: untitled
CMD=> ** COLLECTIONS ** BTS QUEUE 989 TEAM 0
PH 717 258 6100 56075963 F O-AC CP 818.25
NAME *BETTE J*ROSINSKI LIM 0 RP 991.97
ADDR PO BOX 75 CYC 26 21ST MP .00
CITY BOILING SPRGS PA 17007 STAT DLTZ MPI 2 AGE 2
4TH EFX1 0648 A 11/02 SCR 100 WAC 1
SPSE
EMPL RETIRED EMP CUR FEB JAN
EA_DD ADJ PDUE 724 00 724 00 364 00
ECTY DSP N ADUE 1091 00 1091 00 724 00
EPHN SSN 168 14 0703 PUR 00 00 127 24
RPHN 717 258 6291 NM SIS MRS PAUL SMITH PAY 00 00 335 00
LST PAY 20021223 335.00 OPEN 19871023 CRED 00 00 00
LST LET 19990621 061 FCHG 00 127 58 127 56
LOCAL TIME: 11:39 20030319 NBA_L 7343 01 7343 01 7215 43
Estate Recoveries, Inc.
Over 15 Years of Serviee to the Financial Industry
June 18.2003
Register Of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013-3387
RE: Estate OfBette J
Rosinski, deceased.
Our File#: RHF-06814
Estate #: 2103165
Dear Sir/Madam:
Enclosed please find our claim regarding the above captioned estate which is being
filed on behalf of Household Finance Corp, creditor.
A copy of this claim is being forwarded to Alan L. Slander, Representative for the
estate.
If you have any questions concerning the attached claim, please do not hesitate to
contact this office.
Sincerely,
·
NAP
Enclosure
See Reverse Side For Special State Disclosures.
This communication is from a debt collector.
This is an attempt to collect a debt and any information obtained will be used for that purpose.
P.O. Box 24566, Baltimore, Maryland 21214 · 5543 Harford Road, Baltimore, Mary[and 21214
Monday- Friday 8:00 am- 6:00 pm Eastern Time · Telephone: 410-444-8022 · 800-229-8472 · Fax: 410-426-4051
Special State Disclosures
Colorado
You may request Estate Recoveries, lnc. to cease calling you at your place of residence or place of employment.
This request must be made in writing and once received no further contact by telephone shall be made.
If you reh~se to pay the debt or you wish Estate Recnveries, Inc. to cease h~rther communicatiou with you, then
this agency will not communicate further with you with respect to such debt except fi}r a written communication
which:
a. Advises yon that this agency's further etlbrts are being terminated;
b. Nc}titles you that this agency may invoke specified remedies which are ordinarily invoked by this
ageucy; or
c. Notifies you tha! the agency inteuds to in~'oke a specitied remedy permitted by law.
Estak Recoveries, Inc. is licensed by the Colorado Collection Agency Board, 1525 Sherman Street, Fifth Fh}on
Dem. e~; Colorado 80203. Do not send payments to this board.
Maine
The business hours for Estate Recoveries, Inc. are Monday - Friday 8:00 a.m. - 6:00 p.m. Eastern l'ime. This
agency may be contacted using the following numbers: 800-229-8472 or 410-444-8022, Fax: 41t1-426-405 !
Massachusetts
Notice of hnportant Rights: YOu have the right to make a written or oral request that telephone calls regarding
your debt not be made to you at your place of employment. Any such oral request will be valid fl)r only ten days
unless you provide written confirmation uf the request pnstmarked or delivered within seven days of such
quest. 5k}u may terminate this request by writing to Estate Recoveries, h~c. at 15 Union Street, Lawrence, MA
01840. Hours for Massachusetts are: Monday - Thursday: 8:00 a.m. - 8:00 p.m, Friday: 8:00 a.m. - 5:00 p.m..
Saturday: 8:00 a.m. - 12:00 p.m. Eastern Time.
Minnesota
state Recoveries, Inc. is licensed by the Minnesota i)epartment of Commerce.
New York
The license numher tbr Estate Recoveries, Inc. in New Y~rk City is as tbllows: 0976707
North Carolina
The permit number for Estate Recoveries, Inc. in North Carolina is as tbllows: 3523
Tennessee
This collection agency is licensed by the Collection Service Board, State Department of Commerce and
Insurance, 51}0 James Robertson Parkway, Nashville, Tennessee 37243.
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
ORPHAN'S COURT DIVISON
NO. 2103165
ESTATE OF: BETTE J ROSINSKI
deceased.
Notice of Claim by HOUSEHOLD FINANCE CORP
f'ded pursuant to Section
3532(b) (2) of the
PEF Code.
Nicole A. Pate, Agent
ESTATE RECOVERIES, INC.
P.O. Box 24566
Baltimore, Maryland 21214
(410) 444-8022
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
I I I
File No. 2103165
Estate of Bette J Rosinski , Deceased
I I
NOTICE OF CLAIM by NICOT,E A. PATE: AGENT I~OR I-IOIlgEI~Ol,I~ I~INANCE ~ORP
Filed Pursuant to Section 3532 (b) (2) of the Probate, Estate,
and Fiduciary Code, 20 Pa. C.S.A §3532 (b) (2) .
To the Clerk of the Orphans' Court Division:
Enter the claim o NICOI,E A- PATE: AGENT FOR HOILREHOI,D FINANCE CORP
(Claimant)
in the amount of $1,38! .20 , against the above entitled
estate. The Decedent, who resided at 12561 East Ford Average
(Street Address)
~urora~ CO 80012-3316 , Ciimberland County,
(City)
Pennsylvania, died on .l~m~ary 0'/_ 200_~ Written notice
of said claim was given to Alan I,. ~qlander .~ C
(Personal R ~,. r~sentaltl3Ve, or :~:'; c::
If known to claimant, at 1256~i' East F ~tt~41 :-'i;~, . :i:.
his Counsel) :!¥ ~
Avenue Aurora, CO 80012-3316 ,on .~une 182 2003
(Address) ~ (Da~¢).
/k]~)~ ~.. f~~ ,Claimant
NICOLE A. PATE~ AGENT
Post Office Box 24566~ Baltimore~ Maryland 21214
(Address)
Claimant's Counsel:
(Address)
STATE OF PENNSYLVANIA
IN THE MATTER OF IN THE ORPHANS COURT
ESTATE OF: OF CUMBERLAND COUNTY
BETTE J ROSINSKI ESTATE#: 2103165
DATE OF DEATH: 01/07/03
STATEMENT OF CLAIM
1. The creditor, Household Finance Corp, certifies that there is due and owing by BETTE J ROSINSKI, deceased, the
sum of ONE THOUSAND THREE HUN-DRED EIGHTY ONE DOLLARS AND TWENTY CENTS ($1,381.20).
2. The nature of the claim is a LINE OF CREDIT account 7! 171500537932, which was established in 11/18/02.
3. The name and address of the claimant is: Household Finance Corp, 636 Grand Regency Blvd, Brandon, FL 33510.
4. The name and address of the claimant's agent is: Nicole A. Pate, Estate Recoveries, Inc., P. O. Box 24566,
Baltimore, Maryland 21214.
5. This claim is not contingent and is not secured by any liens or judgments.
6. This claim is not based on any one instrument. Said balance has accrued since the account was established.
On behalf of Household Finance Corp, creditor, I do solemnly declare and affirm under the penalties of perjury that the
information in the foregoing claim is true and correct to the best of my knowledge, information and belief. I have made
diligent inquiry and examination, and I believe the claim is just and all legal offsets, payments, and credits made known to
the affiant have been allowed.
o
PAT]g'
NICOLE A.
Estate Recoveries}
P.O. Box 24566
Baltimore, Maryland 2121
(410) 444-8022 .-~: i .
County of Baltimore, Maryland:
IN WITNESS WHEREOF, I hereunto set my hand and Notarial Seal this June 18, 2003.
.,,,,,,,,,,,,,,,,,,,. ....
/~,~>~'t~9'~,'~?~IFER L~../STREH[EIN, Notary P;blio
My Commission Expires: August 8, 2004. ~ 1, I ---
".. ~,~ ,~xo_ .".a ~. :.-'''
CLAIM FORM
ORPHANS' COURT DIVISION OF
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
ESTATE OF BETTE J. ROSINSKI 21-03-165
NO.
Notice of claim by BOSCOV'S
in the amount of $ 4954.71 filed pursuant Uo section 3384, Probate, Estates and
Fiduciaries Code Laws of 1972, AcC No. 104 effective July 1, 1972 as amended.
Date 19
9441 hBJ FREEWAY
TO THE' CLERK OF THE ORP_HANS' COURT DIVISION, Lock Box 30
BOSCOV ' S
EnCe~ the c~aim of Dallas, TX 75243
(Claimant and Address)
in the amount of $ 4954.71 against the above entitled Estate. The decedent
UNKNOWN 1 / 7 / 03
who resided at died on
(Address) (Date)
Written notice of said claim was given to ALAN L. SNADER c/o ANTHONY L. DELUCA,ESQ.
(Personal RepresenCaUive or Counsel)
aC 133 FRONT ST., BOILING SPRINGS, PA 17007
on
(Address } (Date)
The basis of aforesaid claim is as follows: (Itemize fully to enable personal representative
to make proper investigation).
Acct. 9007868693
Claimant's Counsel
Lock Box 30
' iD
PROBATE COURT
Cumberland County, State of Pennsyl~a
Bette J. Rosinski, Deceased
Case #21-03-165
Proof of Mailing
I mailed the creditors claim to the fiduciary (and attorney, if applicable) as
follows:
I deposited a copy/copies of the claim with the United States Postal Service
in a sealed envelope with the postage fully pre-paid. I used first-class
mail. I am enployed in the county where the mailing occurred. The
envelope (s) was/were addressed and mailed as follows:
Mr. Alan Snader
c/oAnthony L. DeLuca, Esq.
133 Front St.
Boiling Springs, PA 17007
Date of Mailing:
County' of Mailing: Dallas, Texas
I declare ~~lty of perjury that the foregoing is true and correct.
P.O. Box 741026
Dallas, TX 75374
Page: ~ Docu~,ent Name: BARBARA
~RIQ ( ) BOSCOV'S CREDIT DIVISION PAGE 01 07/19/2003
ACCOUNT INQUIRY 13:27:11
ORGANIZATION 100 LOGO 110 ACCT 0000000000007868693 REL
SHORT NAME ROSINSKI ESTATE STATE PA HOME PHONE BLOCK CODES H D
TOT CR LMT 0 EMPL CD STATUS Z NBR PLANS 2
CA CR LMT 0 CSH AUTH .00 CARD USAGE 4
CASH BAL .00 TOT DISP 0 .00 BILLING CYCLE 9
CASH AVAL .00 CASH DSP 0 .00
O-T-B **********0 CYCLE DB 0 .00 DATE OPENED 11/03/1988
PCT LEVEL / ID S PA CYCLE CR 0 .00 CARD FEE DATE
CURR BAL 4,954.71 CYCLE PMTS
"~ .............. .00 DTE LST BILL 07/09/2003
ill
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 12/01/2004
DELUCA ANTHONY L ESQ
113 FRONT ST
BOILING SPRINGS, PA 17007
RE: Estate of ROSINSKI BETTE J
File Number: 2003-00165
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 ORPHAiqS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing will become delinquent on: 1/07/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,~
~' ~ ~ ~ ...... · , ~ ·
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Personal Representative(s)
Judge
STATUS REPORT UNDER RULE 6.17,
Name of Decedent: Bette J. Rosinski
Date of Death: January 7, 2003
Will No. 2003-00165 Admin. 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 No X
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete: June 30, 2005
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 Orphans' Court No. (if any) for the personal representative's
account is:
Did the personal representative state an account informally to the
parties in interest? Yes No
Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Dater'/t//~goc~J- ~'~~~.X.~Sig~a~_ure-X,~
~thony L. DeLuca, Esquire
N~e (Please ~e or print)
113 Front Street, Boiling Springs, PA 17007
Address
(717) 258-6844
Telephone nmber
Capacity: ~ Personal R~resentative
X Counsel for personal
representative
cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 12/16/2005
SNADER ALAN L
104 W FIRST STREET
PO BOX 144
BOILING SPRINGS, PA 17007
RE: Estate of ROSINSKI BETTE J
File Number: 2003-00165
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:
1/07/2006
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
~~~
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
v:b
Re;sist<ei' o:f1;rin~ tlJ;f Clliij,:itiCdaiid County-
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Bette J. Rosinski
Date of Death: January 7, 2003
Estate No.:
2003-00165
.
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 n No []
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete: June, 2006
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 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
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date:/lpCJ~
X- w:
(5t7l~ ~ A p~~~,
SIgnature ~-
~."
-:',~)
Anthony L. DeLuca, Esquire
Name
113 Front st., P.O. Box 358
Boiling Sprinqs, PA 17007
Address
k_~
C:J
717-258-6844
Telephone No.
Capacity:
O Pe"s~.~al "Re~-pso~+~+~-Te
1 vll 1..1..... }ll....., .......l1l.Q..t..l'v
1\71 C'-'-l-~pl {'~.. pe-~n~~l "o~-ese~t~+;vo
~ .JL_.:....!.,:),-'! .!.U! I !I'::lJl.!a.._ lv}'.l 1.1 au I"..
Vb
Cumberland County - Register Ot WlLLs
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 12/06/2005
DELUCA ANTHONY L
113 FRONT STREET
PO BOX 358
BOILING SPRINGS, PA 17007
RE: Estate of ROSINSKI BETTE J
File Number: 2003-00165
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:
1/07/2006
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
/A,V~
/, c.. I'
'", I . /', ),t. ", ~. l i'
.. 'I'#",_'/,/::I;~ ~'J,:-<'~/~""",~~,,},-,,~,,:' .
<10;,,"" (......,~'. ~-~ .
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Personal Representative(s)
Judge
~t
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
" ,
ss:
Alan L. Snader
being duly sworn according to law, deposes and says that he', ; S rh~
Administrator of the Estate of Bette J" ~ Rosinski
".
late of Squtb. Mi dd.l.e..t.on_..To..wl)sh ip-- I Cumberlanc(.County, Pa., deceased and that the
within is an inventory made by him ' " the said Administrator-~~:"'..
of the entire estate of said decedent, consisting or all the personal property and. re.al estate, except real estate outsid'"
~he Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represen,t it's fair value
as of the date of decedent's death.
~ 2006
~.2~
Executor . Administrator
Alan L. Snader .
104 W. First Street
:. ...
Sworn
and subscribed berore me,
~
,
(
Boiling Springs, PA 17007
NONW.IfAL
~NJOIII ADEWCA
, Notary NIle
"'~~COCNY
. . _eo..--frlllltfe..-....... 2007
Addreu
Jate of Death
7th
2003
D4Y
Month
Yur
INSTRUCTIONS
!.
An inventory must be filed within three months aHer appointment of persona/representative.
A supplement inventory must be filed within +hirty days of discovery or additionaJassets.
Additional sheets may be attached as to personalty or realty
See Article IV, Fiduciaries Act of 1949.
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3.
4.
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--.---- -- --.- - --------
'1
.1
~nventory of the real and personal estate O.f~
. t'
Bette J. Rosinski
deceased
. ..f'"
. ... ~-:
1 .
Miscellaneous Personal Property
:....... .,
2.
thecking account, '#0017187540, at All First"Bank
JA!e JMWOM
AJUJJO /It ~
~ y1DtOM
YMJO:>~MOBJOQNIIUCI
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1,282.00
~...."
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$2,93 .96
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OFFICIAL USE ONLY
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV.1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FilE NUMBER
~L-03_
COUNTY CODE YEAR
O{ iLS- _
NUMBER
DECEDENfS NAME (LAST, FIRST, AND MIDDLE INITIAL)
Ro in
DATE OF DEATH (MM-DD.YEAR)
SOCIAL SECURITY NUMBER
168 -14 - 0703
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
[iJ 1. Original Return
o 4. Umited Estate
o 6. DecedentDled Testate (AlIach copy of Will)
o 9. Utigation Proceeds Received
D 2. Supplemental Retum
o 4a. Future Interest Compromise (data 01 death after 12.12-82)
o 7. Decedent Maintained a LiVing Trust (AlIach copy 01 TNSl)
010. Spousal Poverty Credit (dateoldaalh~ 12-31-91800 1+95)
D 3. Remainder Return (data of death prior \0 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (AlIach SdI 0)
NAME
Anthon L. DeLuca
FIRM NAME (If AppbbIe)
'Anthon L. DeLuca
TELEPHONE NUMBER
711-258-6844
1. Real Estate (Schedule A) (1) -0-
2. Stocks and Bonds (Schedule B) (2) -0-
3. Closely Held Corporation, Partnership or Sole-Proprletonlhlp (3) -0-,
4. Mortgages & Notes Receivable (ScheduleD) (4) -0-
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 17,91SjQfi
Z (Schedule E)
0 6. JoinUy Owned Property (Schedule F) (6) -O-
S D Separate Billing Requested
::) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) , -0-,:
.... (Schedule G or L)
a:
II( 8. Total Gross Assets (total Unes 1-7)
(.) , 9. Funeral Expenses & Administrative Costs (Schedule H) (9) . 4,472" 0 2
W
0:= 10. Debts of Decedent, Mortgage Liabilities, & Uens (Sche<!ule I) (10) , 38,249.15
11. Total Deductions (total Unes 9 & 10)
12. Net Value of Estate (Une 8 minus Une 11).
(')
f;;
-:0
^
~
~
DATE OF BIRTH (MM-DD-YEAR)
COMPLETE MAILING ADDRESS
P.O. Box 358
uire 113 Front street
Boiling springs, . PA 17007
OFFICIAL USE ONLY
r-..,)
C3
c:::>
c:r'\
:z:
o
-<
.:n
:-1.~J rn
(he)
GJC)
~~e3
rr-i rTl
:.J:.J 0
s~10
I. l :-T1
~f~~
0~) (:)
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
-J
."
:x
U)
..
0\
(8) 1 7 , 9 3 5 . 9 6
(11)
(12)
(13)
42,721.17
<24,785.21>
-0-
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Une 12 minus Une 13)
(14)
-0-
o
z
o
~
~
::)
D.
:IE
o
(.)
~
SEE INSTRUcnONS ON REVERSE SIDE FOR APPUCABLE RATES
15. Amount of Une 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x .0 _ (15)
x .0 _ (16)
x .12 (17)
x .15 (18).
(19)
16. Amount.of Une 14 taxable at lineal rate
17. Amount of Une 14 taxable at sibling rate
18. Amount of Une 14 taxable at collateral rate
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS
.
113 Front street
CITY Boiling Springs, .1 STATE PA I Z1P-t 7 0 0 7
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19)
2. CreditslPayments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
-0-
Total CreditS (A + B + C ) (2)
3. InterestlPenalty if applicable
D. Interest
E. Penalty
.' .' . .... . .TotallnterestlPenalt}i r 0 + E )' (3)
4. . If Une 2 is. greater than Line 1 + Une 3, enter the difference. This is the OVERPAYMENT;
Chtck box on Page 1Une 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.
. A. Enter the interest on the tax due.
(5)
. (5A)
8. Enter the total of line 5 + 5A. This is the BALANCE DUE. (58) - 0 ~
Make Chec~ Payable to: REGISTER OF WILLS, AGENT .
.. . - .. .. . .
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APP'ROPRIATE BLOCKS'
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;........................:.................................................................. D IXI
b.retain the right to designate who shall use the property transferred or its income; ............................................ 0 1Kl
c. retain a reversionary interest or............................................................................................................................ 0 [Xl
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 @g
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. D [lg
3. Did decedent own an -in trust for- or payable upon death bank account or security at his or her death? ..........::.. D . ~
4. Did decedent own an Individual Retirement Account, annuity; or other non-probate property which
contains a beneficiary designation? ................................................................................................;......................... 0 [&I
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE S'CHEDULE G ANDF!LEIT AS 'PART OF THE RETURN:'"
Under penalties of perjuiy,l decllire lliat I have eltamliledthls return, including accompanying schedu,,",'and statemenls, and to the best of my knowledge and belief, it is true, correcl and complete.
Declaration of preparer other than the personal repn1se01atlv is based on a1llnfonnallon of which preparer has any knowledge. . . .'.
SIGNATURE,..,Pi P SPONS F FILING RETURN DATE
~. . ~;"2o""<:::::>G
I~ o.,74?'.uG- ~ V~
SIGNATURE OF PR PARER OTHER THAN R~~SENT" IVE 0.Jf? .-0 .. 1(.
a.~V- ~ ,/I7"'~~./-A ~ -., - ~
ADDRESS ~ 0
/ 1.1 ~~ ~~ /?d(k,u,r ..r-'!."",~a=. ;fJ~. "'?Do '?
_. . .. '#F
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 exemot a transfer to a surviving spouse from tax, and the statutory requirements for disciosure 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 . bf a natural paren~ an adoptive parent,
or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)J.
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 .d8cedenfs SibUogsls 12% [72 P.S. j9116(a)(1.3)]. A sibling Is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, wh~ther by blood or adoption.
. DATE . .
. ~/~(J/o4
r
) ?a1()
REV.1502 EX+ (12-85)
*'
COMMONWEALTH OF PENNSYWANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDU LE A
R'EAl ESTATE
ESTATE OF
FILE NUMBER.,_
Bette J RosiflEiki
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real 8stat. should b. reported at fair market value
which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled
to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
I.
NONE
-0-
- .
TOTAL (Also enter on line 1, Recapitulation)
111 ...,,,'. ~,..,,~. ic nA.riAri, ;ncArl nr/clitinnal sheets of same size.)
s
-0
~ EV .1503 EX + (4-86)
_~A~
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS AND BONDS
ESTATE OF
FILE NUMBER
Bette J. Rosinski
(All property jointly-owned with Right of Survivorship must b. disclosed on Schedulo F.)
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
NONE
-0-
~
TOTAL (Also enter on line 2, Recapitulation)
s
-0-
t. .._ _I .__4100 ,.:_..... 1
........ "'. p.", -
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE C
CLOSELY HELD STOCK,
PARTNERSHIP AND PROPRIETORSHIP
Please Print or Type
FILE NUMBER
Bette J. Rosinski
Schedule C-l or C-2 must be attached for each business'interest of the decedent, other than'a proprietorship. . .. " ',;
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1.
NONE
-0-
TOTAL (Also enter on line 3, Recapitulation) ,$ - 0-
(If more space is needed, insert additional sheets of same size.)
REV.1S07 EX + (7.881
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RITURN
RUIDENT DICEDENT
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
Please Print or l e
FILE NUMBER
ESTATE OF
Bette J. Rosinski
(All property jointly-owned with the Right of Survivorship mUlt be dl.closed on Schedule F.)
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
NONE
-0-
- .
TOTAL (Also enter on line 4, Recapitulation) S
-0-
(If more space is needed, insert additional sheets of same size.)
'*
SCHEDU'LE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please Print or T e
FILE NUMBER
REV.150' EX + (2.871
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Bette J. Rosinski
(All property jointly-owned with the Right of Survivorship must be disclosed on Sch.dule F)
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1 .
2001 Buick LaSabre automobile
See attached appraisal
$15,500.00
2.
Miscellaneous Personal Property
See attached appraisal
Checking account, #0017187540, at All First Bank
1,282.00
3.
1,653.96
..-
I
TOT At (Also enter on line 5, Recapitulation) $1 7 . 935 . 96
(Attach additional 8Y2" X 11 II sheets if more space is needed.)
. 1l~1.s09 ex: (12-UI ~g..~~
~
COMMONWEAIIH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
Bette J. Rosinski
I FILE NUMBER
ESTATE OF
Joint tenant(s):
NAME
AODRESS
RELATIONSHIP TO DeCEDENT
A.
NONE
8.
c.
Jointly-owned property:
ITEM I
NUMBER!
I
LETTER
FOR
JOINT
TEN ANT
DATE
MADE
JOINT
DESCi(IPTION OF PROPERTY
TOTAL VALUE
OF ASSET
DECO'S
% INT.
DOLLAR VALUE OF
DECEDENT'S INTEREST
1.
1.
TOTAL (Also enter on line 6, Recapitulation)
s
-0-
(If more space is needed insert addifional sheefs of same size)
. ,
REV-1510EX+ [2-87)
~,~
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX REtURN
RESIDENT DECEDENT
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
ESTATE OF
FILE NUMBER
'. .
Bette J. Rosinski
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTlONS ON T-HE REVERSE SIDE OF THE COVER SHEET IS YES.
DECO. DOLLAR VALUE · .,~".,
% OF DECEDENT'S
INT. INTEREST
ITEM DESCRIPTION OF PROPERTY
NUMBER Include name of the transferee, their relationship to decedent, date of transfer.
EXCLUSION
TOrAt VALUE
OF A:SSET
." ..'
NONE
-0-
.. .' TOTAL (Also enter on line 7, Recapitulation) S
.(If,.,ore space is needed, insert additional sheets of some size.)
-0-
IE\41511 Ex... (7""
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANIOUS IXPINSIS
'*
(;OMMONW OF PCNN$YWAHIA
INHE"I C~ TAX RetURN
RESI T o,e'I)'''''l'
ESTATE OF
Bette J. Rosinski
Plea.. Print or Type
FIL NUMBER
ITEM
NUMBER
A. Funeral. Expen.e.:
B.
4.
C.
1.
2
- .
3.
4.
5.
6.
7.
8.
DESCRIPTION
AMOUNT
1.
$3,458.20
Ronan Funeral Home
255 York Road
Carlisle, PA 17013
Ronan Funeral Home - Memorial Marker
570.00
Administrative COlts:
1.
Personal Representative Commissions
Social Security Number of Personal. Representative:
Year Commissions paid
2.
Attorney Fees
3.
Family Exemption
Claimant
Acldress of Claimant at decedent's death
Street Address
City
Zip Code
Relationship
State
Probate Fees
Milcellaneoul Expenlel:
Legal Advertising - Cumberland Law Journal
Legal ADvertising ~ The Sentinel
75.00
105.53
Roy D. Gottshall, Auctioneer
50.00
Wayne Noss, Florist
33.29
Greenawalt & Company - Tax pre parer
155.00
25.00
Filing Fee - Inheritance Tax and Inventory
TOTAL (Also enter on line 9, Recapitulation)
(If more space Is needed, Insert addltionalsheetl of lame lize.)
S 4,472.02
"'.1$120+ (,-al)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT' DECEDENT
ESTATE OF
SCHEDULE "I"
DEBTS OF DECEDENT,
MORTGAGES, AND LIENS
FILE NUMBER
Bette J. Rosinski
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11 .
12.
13.
14.
15.
All First Bank - Loan
American Express - Credit Card
AT&T - Telephone
Beneficial - Loan
BonTon - Credit card
Boscov1s - Credit card
Comcast - Cable
GMAC - Unpaid amount due and owig for car
M&T Bank, NA - Line of Credit
Met-Ed - Electric
Seventh Avenue - Credit card
Shipley Energy - Oil bill
Smithsonian - Purchase
Speigel Charge - Credit card
Sprint - Telephone
909.48
140.79
70.41
1,381.20
7,470.59
4,954.71
61.85
18,186.32
938.84
137.90
1,241.54
383.18
69.25
2,238.98
64.11
TOTAL (Also enter on line 10, Recapitulation)
$ 38,249.15
REV. U13 EX+ (2.17)
*'
COMMoNWWTH o. ,tNNSYlVAHIA
INHDlTANa TAX UTUIlN
IISlDINT DlCmlNT
SCHED'U'L.E J
BINEf:I.CIAR.IES
ESTATE OF
FILE NUMBER.
Bette J. Rosinski
.,
ITEM NAME AND ADDRESS OF' BENEFICIARY RELATIONSHIP AMOUNT OR
NUMBER SHARE OF ESTATE
A. Taxable Bequests:
1. NONE
. '
.'
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
" AMOUNT OR ,
SHARE OF ESTATE
B.Charitable and-Governmental Beq~~$ts:
1.
",'"
.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) .
s
":"0-
(If more .pac,el. needed, Insert additional sheet. of same size)
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240 - 6345
Date: 12/27/2006
DELUCA ANTHONY L
113 FRONT STREET
PO BOX 358
BOILING SPRINGS, PA 17007
RE: Estate of ROSINSKI BETTE J
File Number: 2003-00165
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.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 lS due by:
1/07/2007
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 Stra
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
.~r
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 12/27/2006
SNADER ALAN L
104 W FIRST STREET
PO BOX 144
BOILING SPRINGS, PA 17007
RE: Estate of ROSINSKI BETTE J
File Number: 2003-00165
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.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 lS due by:
1/07/2007
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
Counsel
''--(~-
In Re: Estate of
ROSINSKI BETTE J
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 2003-00165
NOTICE OF FAILURE TO FILE STATUS REPORT
Personal Representative: SNADER ALAN L
Counsel for Personal Representative: DELUCA ANTHONY L
Date of Decedent's Death: 1/7/2003
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 COUli
Orphans' COUli 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:
1/25/2007
~4~~
Glenda F--
Clerk of1
u.s. Postal Service TM
CERTIFIED MAILM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
..D
r-=t
::r-
LI1
I"-
CJ
::r-
I"-
Postage $
Certified Fee
J
ru
CJ Return Receipt Fee
CJ (Endorsement Required)
CJ
Restricted Delivery Fee
CJ (Endorsement Required)
..D
f"- T"t!ll Dnc:t~nA Jl. FAes ~
ru
..D S
CJ SNADER ALAN L
~ ~104 W FIRST STREET
c PO BOX 144
BOILING SPRINGS PA
Postmark
Here
17007
. .
In Re: Estate of
ROSINSKI BETTE J
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 2003-00165
NOTICE OF FAILURE TO FILE STATUS REPORT
Personal Representative:
SNADER ALAN L
Counsel for Personal Representative: DELUCA ANTHONY L
Date of Decedent's Death: 1/7/2003
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 RepOli.
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:
1/25/2007
.~L~~
Glenda)
Clerk of
u.s. Postal ServiceTM
CERTIFIED MAILTM RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
IT"
Cl
.::t'
U1
('-
Cl
.::t'
('-
Postage $
Certified Fee
ru
Cl Return Receipt Fee
Cl (Endorsement Required)
Cl
Restricted Delivery Fee
Cl (Endorsement Required)
.J]
('- Total Postaqe & Fees $
ru
Postmark
Here
~
~ DELUCA ANTHONY L
Cl 113 FRONT STREET
('- PO BOX 358
BOILING SPRINGS PA 17007
,,__...u._... _ _
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
~~
o Agent
o Addressee
C. Date of Delivery
07
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: 0 No
B)/It~ b~ PS:;:j:v.
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
SNADER. ALAN .LJ
104 W FIRST STREET
PO'BOX 144
BOILING SPRINGS PA
'"
Q 53
. c. q --.J
3. ~ice TiPe. ,5 ,_, r;-;
acertlfled MlIiF' 0 EiiPress Mall
g ~=;~!.) g m~~ R~Ptfof Merchandise
4. Restrlcted.~I~(~Fee) '0 Yes
7006 2760 00@~407 ~16f~; jq q)
Domestic Return Receipt ~ 102595-Q2-M-1540
17007
2. Article Number
(Transfer from servIce label)
PS Form 3811, February 2004
UNITED STATES POSTAl, SERVICE
111111
First-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
. Sender: Please print your name, address, and ZIP+4 In this box ·
03- D \~S-
CL~
Glenda Farner Strasbaugh
Register of Wills and Clerk of Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, P A 17013
Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF
Cumberland
COUNTY, PENNSYL V ANlA
Name of Decedent Bette J. Rosinski
Date of Death: January 7, 2003
File Number: 2003-00165
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administriition of the estate is complete: . . . . . . . . . . . . . . . . . . .. D.'4Yes DNa
2. lfthe answeris 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? . . . . . .. DYes [UNo
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? ............................... l[]Yes DNo
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Clerk of the Orphans' Court and may be attached to this report.
Date ?/07
Capacity: DPersonal Representative K]Counsel
Anthony L. DeLuca, Esquire
Name of Persoll Filing this Form
113 Front Street, P.O. Box 358
Hoi1inry Spring., PA 17007
Address
, tl :2 Hd 0_ ;:q J [fi[P
- '-'___J l.i 'v
717-258-6855
Telephone
Form RW-/O
9Y
"-c'
~ . Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this carel to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
DELUCA A:\~'THONY L
113 FROlJ'l' STRSEcJ:'
PO BOX 558
BJILING SPRINGS FA
2. Article Number
(rransfer from service label)
PS Form 3811, February 2004
17007
-:-l
'~T~7j "
^CertiflEld ~I [:J ~ M~I
I ..J Reg~ [:J R~1Wl Receipt fot Merchandise,"
, [:J Insured Mail [:J C.Q:D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2760 0002 7407 5409
7006
Domestic Return Receipt
102595'()2-M-1540
01-29-2007
ROSINSKI
01-07-2003
21 03-0165
CUMBERLAND
101
APPEAL DATE: 03-30-2007
( See reverse side under Objections)
Amount Re.ittedl I
MAKE CHECK PAYABLE AND REMIT PAYMENT
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX OIVISION
PO BOX 280601
HARRIS8URG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
~~:'Jcm~ATE
- ''''- ES'TATE OF
DATE OF DEATH
ORn qERK OF FILE NUMBER
, ,~w, /\1'(' ('("IR'
cur, !~',"I": ;. u \ ";,/," .,1 COUNTY
iI.~.,_,L' .:'j rYACN
,.,' ....J.. r I ~
ANTHONY L DELUCA
113 FRONT ST
PO BOX 358
BOILING SPGS
ESQ
PA 17007
'*
REV-1547 EX AFP (06-05)
BETTE
J
TO:
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +-
-------------------------------------------------------------------------------------------
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ROSINSKI BETTE J FILE NO. 21 03-0165 ACN 101 DATE 01-29-2007
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of All returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
X S:
.00 X DO .00
.00 X 045 = .00
.00 X 12 = .00
.00 X 15 = .00
Cl9)= .00
AMOUNT PAID
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
17.935.96
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
ClO)
4,472.02
38.249.15
(11)
Cl2)
Cl3)
Cl4)
NOTE:
Cl5)
Cl6)
Cl7)
Cl8)
R C
NUMBER
(+)
PAID (-)
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
17,935.96
4".7"] ]7
24,785.21-
.00
24,785.21-
.00
.00
.00
.00
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)