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Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF ~~-~-c b C r C~ it d COUNTY, PENNSYLV
ANIA
Name of Decedent: ~ d ~ ~ '~~ /~'I .
Date of Death: 4 y ~~, z y D`~ File Number: 2 0 0 4- 0 0 S'f~5'
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 administration of the estate is complete :.................. ~.~
fl Yes ^ No
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? ...... .
^ Yes ~[`] No
b. The separate Orphans' Court No. (if any) for the personal C o ~ ~d Y o ~ _r t 1 d ,~-~ t
representative's account is: °' ~{ar~c ~~t ~ is
P 4~PBSc
c. Did the personal representative state an account
informally to the parties in interest? ..s. ~ C..a T`~d c. ti ~ L ~~ ... _ ... ~ yes ^ No
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts inay be
filed with the Clerk of the Orphans' Court and may be attached to this report. s7`~~` e.~-~ c.~t a ~'
~ c c 7`
Date ~ 4 y S Z ~O / ~
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Form RW-/0 rev. /0.13.OG
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Srgnnture of erson fling this Form
Capacity:]Personal Representative ^ Counsel
Name of Person Frkng thu Form
Ad~lr ess
Q-r.`i r /C ~~ ~ ryi G7~~
Telephone
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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
INHERITANCE TAX
STATEMENT OF ACCOUNT
Pennsylvania
DEPARTMENT OF REVENUE
REV-1607 EX AFP C12-09)
LLOYD J MATTHEWS
117 STRAYER DR
CARLISLE
DATE 08-16-2010
ESTATE OF RICKARDS EDITH M
DATE OF DEATH 05-16-2009
FILE NUMBER 21 09-0505
COUNTY CUMBERLAND
ACN 101
PA 17013-4408 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALUN6 THIS LINE ~'- RETAIN LOWER PORTION FOR YOUR RECORDS
REV-1607 EX AFP (12-09) *** INHERITANCE TAX STATEMENT OF ACCOUNT ***
ESTATE OF:RICKARDS EDITH M FILE NO.: 21 09-0505 ACN: 101
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMM DA TAE: 08 PR NC OP AO
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 06-01-2010
PRINCIPAL TAX DUE:
7,453.28
PAYMENTS CTAX CREDITS):
PAYMENT
DATE RECEIPT DISCOUNT C+)
NUMBER INTEREST/PEN PAID C-) AMOUNT PAID
08-10-2009 CD011588 201
59
08-10-2009 CD011587 . 3,830.18
07-26-2010
REFUND 171.07 3,823.97
I .00
I'
t_ _ __
573.53-
TOTAL TAX PAYMENT 7,453.28
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.