HomeMy WebLinkAbout02-0630
REv..1liCO EX (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
I 7 - ? If- I 2.
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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WllMBER
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FILE NUMBER
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COUNTY COOE. YEAR
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DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
Carol Ann Fasting
DATE OF DEATH (MM.DD-YEAR)
07/06/02
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
SOCIAL SECURITY NUMBER
208-38-5296
DATE OF BIRTH (MM-DD.YEAR)
09/11/48
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
N/A
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[i/1. Original Return
o 4. Limited Estate
06. Decedent Died Testale (All8chcopyofWiU)
o 9. Litigation Proceeds Received
o 3. Remainder Return llIa\et:Atleathprior\o12-13..a2)
o 5. Federal Estate Tax Relum Required
8. Total Number of Safe Deposit Boxes
o ". ElectIon 10 tax under Sec. 9113(A) (Atl8chSch0)
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o 2. Supplemental Return
o 4a. Future Interest Compromise (dale of dealh aner 12.12-82)
o 7. Decedent Maintained a Living Trust (AtlachcopyofTrusl)
o 10. Spousal POl/erty Credit (llate t:A ~h b&twaan 12-31.91 anell.l.9!))
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COMPLETE MAILING ADDRESS
967 West Trindle Road #19
Mechanicsburg, PA 17055
TELEPHONE NUMBER
(717) 271-8558
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Sctledute D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G orL)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10, Debts of Decedent, Mortgage Uabmties, & Liens (Scnedule I)
11, Total Deductions (tolallines 9 & 10)
14,000_00
0.00
0.00
0.00
5,168.37
(1)
(2)
(3)
(4)
(5)
{6}
0.00
(7)
0.00
19,168.37
(9)
(10)
(8)
12,593.95
11,529.45
(11)
(12)
(13)
24,123.40
-4,955.03
0.00
12. Net Value of Estate (line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an electiOll to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Une 13)
(14)
-4,955.03
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount 01 Line 14 taxable at the spousal lax
rate, or transfers under See, 9116 (a)(1.2)
0.00 x.oL (15)
0.00 x_o~ (15)
0.00 x .12 (17)
0.00 x .15 (18)
(19)
0.00
0.00
0.00
0.00
0.00
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16. Amounl of line 14 taxable allineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of line 14 taxable at collateral rate
19. Tax Due
20.0
CHECK HERE IF yOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
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. Dece,dent's Complete Address:
STREET ADDRESS
967 West Trindle Rnad #19
CIlYM h . b I STATEpA I ZIP 17055
ee anles urg
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
0.00
0.00
0.00
Total Credits (A + B + C ) (2)
0.00
3. InteresUPenarly if applicable
D.lnterest
E. Penelly
TotallnteresUPenally ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
0.00
0.00
B. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
0.00
0.00
0.00
0.00
5. If Une 1 + Une 3 is greater Ihan Une 2, enler Ihe difference. This is the TAX DUE. (5)
A. Enter the inlerest on the tax due.
(5A)
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
...0 ~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transfenred;.......................................................................................... 0
b. retain the nght to designate who shall use the property transferred or its income; ............................................ 0
c. retain a reversionary interest; or.......................................................................................................................... D
d. receive the promise for life of either payments, benefits or care? ....,."'........................................................"... 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ............."m...... ........................................... ......................................... 0
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? .......... ................... ....... ...............................................................
No
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Under penalties 01 pe' ry, I declare that I have examined this retum, Including accompanyil'l9 schedules and statements, and to the besl of my knowledge and belief, ills true, correct
and complete.
Declaration of pre r!her tha the pers al representative is based on all information of which preparer has any kr\owledge.
SIGNATURE FOR FlUNG RETURN
ADDRESS
;' l?{/h 1d1-# Ie;
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
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. 9g116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)J.
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 applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natura! parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. \\9116(a)(1.2)].
The tax rate imposed on Ihe 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. 99118(a)(1)].
The tax rate imposed on the net value of transfers 10 or for the use of the decedent's siblings is 12% [72 P.S. 9g116(a)(1.3)). A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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_ according to law, deposes and says that he _
___~ of the Estate of
late of ___ , Cumberland County, Pa., deceased and that the
within is an inventory made by _ __ ------~'I the said
of the entire estate of said decedent, consisting of all the personal property and real estate, except real e,tate outside
the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent's death.
being duly
and subscribed before me,
Execu~or . Actminhtrator
19
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Address
Date of Death ~~.
Day
Month
Yeer
~RUCTIONS
I. An inventory must be filed within Jh!ee monthli. ~ appointment of personal representative~
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
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deceased
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R~V,'5ll2 EX' (6'9.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
Carol A. Fasting
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price al which property would be
exchanged between a willing buyer and a willing seller, neither bei\'\9 compelled \0 buy or sell, both having reasonable knowledge of the relevanl facts.
Real property which is Jointly-owned with right of survivorship must be disclosed on Schedule F.
FILE NUMBER
ITEM
NUMBER
1.
DESCRIPTION
1984 Zimmer Mobile Home, 16' by 65'
VALUE AT OATE
OF DEATH
14000.00
TOTAL (Also enter on line 1, Recapitulation) $
14,000.00
(If more space is needed, inserl additional sheets of the same size)
REY.1508 EX+ (6.98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Carol A. Fasting
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property Jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1. Bank Account
Members First Credit Union
Received 07-09-2002
VALUE AT DATE
OF DEATH
1975.00
2. Auto Insurance
Reimbursement
Nationwide
Received 07-23-2002
55.70
3. Loan Insurance
Reimbursement
PNC Bank
Received 08-12-2002
875.63
4. Life Insurance
Nationwide
Received 08-19-2002
2262.04
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
5,168.37
REV-1511 EX+ (12-99)
. *
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Carol A. Fasting
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Myers Funeral Home 6524.00
2. Mechanicsburg Cemetary 1160.00
3. Gingrich Memorials 1295.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s}
Street Address
City State_Zip
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 3,500.00
Claimant Jennifer D. Fasting
Street Address 967 West Trindle Road #19
City Mechanicsburg State ~Zip 17055
Relationship of Claimant to Decedent Daughter
4. Probate Fees 107.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Check Ordering Fee 7.95
TOTAL (Also enter on line 9. Recapitulation) $ 12,593.95
(If more space is needed, insert additional sheets of the same size)
RE~-1512 EX+ (6-98)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Carol A. Fasting
FILE NUMBER
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. Discover
Credit Card
VALUE AT DATE
OF DEATH
451 .28
2. First Union Visa
Credit Card
2803.08
3. Sears
Credit Card
293.12
4. Fleet Visa
Credit Card
2190.12
5. Intemal Revenue Service
Overdue Capital Gains Tax
2895.90
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
11,529.45
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5... <> Card
'r~~fAccourit .:lJIitdm~#J:PaY;n.(rt
III " 1111I11111111I11111111111I111111
A count Number: 05 54850 55451 6
Mi"imu:mAmOlJ:nt:Ericlosed
$
VIEW STATEMENTS OR PAY YOUR BILL ONLINE!
REGISTER AT WWW.sEARSCARD.COM AND ENJOY
FREE, 24.HOUR ACCESS TO YOUR ACCOUNT.
1".111...111..,,1.1..1.1..1,,11I....1.1..11..1.1,,1.1..1.1,,1
CAROL A FASTING 0009318
967 W TRINDLE RD
MECHANICSBU PA 17055-4056
1.1"1..11.,,1.1.,,111,,1...1.1...11.1..11.1,,.11..1
PO BOX 182149
COLUMBUS OH 43218-2149
1100 0554850554516 0029312 0001000 0001000
Sears Card
ACCOUNT STATEMENT
Make Check Payable to Seara National Bank
Account Number 05 54850 55451 6
Customer Service: 1-800-917-7700
10F1
Total Account Total Credit Total Credit Billing Cycle Minimum Payment
Balance Until Available Closing Date Due Date
"293.12 "2860.00 $2 566.88 06122/02 07120102
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Previous Balance
Payment. & Credits
P'urchaies & Debita
Other Charges
Total FINANCE CHARGES
Total Account Balance
[2( perfect for weddings
[2( perfect for birthdays
r.r perfect for showers
[2(SEARS gift card
(perfect for any special occasion)
Buy at Sears stDres Dr log on 10 searS.CDm
The Perfect Choice.
A Great Gin:-
$297.58
$10.00
$0.00
$0.00
$5.54
S293,12
0007
Regular Transactions
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=
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Trans Poat Description Chargee!
Date Date Credits
06/15 06/15 PAYMENT. THANK YOU . $10.00
Finance Charaes Davsln Billing Period: 31
Corresponding
ANNUAL Periodic Rate
Purchase Average Dally PERCENTAGE D.Day Periodic
Twe Amount Balance RATE M-Month FINANCE CHARGE
Seara
Regular $293.12 $297.68 21.90% 0.0600 % (D) $5.54
External
Regular $0.00 $0.00 21.90% 0.0600 % (D) $0.00
Cas.h
Regular $0.00 $0.00 22.90 % 0.0628 % (D) $0.00
Minimum INANCE CHARGE: .00
NOTICE: See reverse side for important information and billing rights summary.
Oall1 ~800-917~7700 for customer service or to report your card lost or stolen, Mon-Sat 9AM-9PM, SUN 10AM-6PM.
Mail Billing Error Notices to PO BOX 818017 CLEVELAND OH 44181.8017
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BANKCARD SERVICES
P.O. BOX 15137
WILMINGTON, DE 19886-5137
CARDHOLDER SINCE
1998
ACCOUNT NUMBER
[ 4264 298~ 3937 6502 I
PAYMENT DUE DATE NEW B/lLIWCE TOTAL
c 07/14/02l L::!2~030~
TOT /JL MINIMUM PAYMENT DUE fJMOUNT ENCLOSED
L-$1160~ I .~ I
L. DO ACH TOP PORTION IWD RETURN WITH PAYMENT J
=-
WoNW. firstunioocreditcard.com
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Address---
CAROL A FASTING
961 W TRINDLE RD
MECHANICSBURG PA
11055-405699
F'or account Information calf 1~800-477-9131
Print change of address or new telephone number below
. State ~'---ziP--
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Work phone
13
00280308000116000004264298539316502
City
I
_ Home phone
kcount Number GiWit Un&
4264 2985 3937 6502 .. I $ 5 . 400 . 00
Po"". I T,,,,a"o, Rataceno" TC;;;d-F;o~.1 T~an~~ctIons
Date Date Number I TYpe
_.-L.,. ___-'-____
PURCHASES AND ADclUSTMENTS
06/14 06/14 2726 VS C LATE CHARGE FOR PMT DUE 06/13
TOTAL FOR BILLING CYCLE FROM 05/15/2002 THROUGH
I ea.. 0' ~:'~ :::b: 2
DaYS in
r!li1l930~"J'"
Clool lJ/Jte
[06/14/02
rota/MinImum Pa
Due Fa
DueD""
07/14/02
$116.00
clUNE 2002 STATEMENT
Charges
Credits (OR)
06/14/2002
35.00
$35.00
$0.00
IMPORTANT
NEWS
l
ENJOY THE CONVENIENCE AND FLEXIBILITY THE ENCLOSED CHECKS OFFER--
QRCONTACT US AT WWW.ISSCASH.COM OR 1-888-515-3309.
YOU ARE A VALUED CUSTOMER.
RECEIVED YOUR PAYMENT.
WE WANT TO MAKE SURE YOU ARE AWARE THAT WE HAVE NOT
PLEASE SEND THE AMOUNT DUE TODAY. IF IT HAS BEEN
MAILED, THANK YOU.
CALL 1-800-473-3576 TO LEARN MORE ABOUT FIRST UNION'S CHECKING ACCOUNT
PRODUCTS AND HOW YOUR CREDIT CARD CAN BE USED FOR OVERDRAFT PROTECTION.
SUMMARY OF TRANSACTIONS
rOTAL MINIMUM PAYMENT DUE
Previous Balance (-) Payments (+) Cash (+} Putchasel5. and \ (+) Perlcdlc Rate (+) Transaction fee 81 (-) Nelli! Balance Past Due Amount .. $53.00
and CredIts Advances Adjustments FINANCE CHARQES FINANCE CHARGES Total ..........
$>5.00 I $0.00 I Current Payment .. $63.00
$2,726.10 $0.00 $0.00 $41.98 $2,803.08 Total Minimum Payment
DU8..,... $116.00
FINANCE CHARGE SCHEDULE
CategOly
Cash Advances
A. BALANCE TRANSFERS.
B. ATM. BANK..
C. PURCHASES..
Periodic Rate
Corresponding
AnnlJal
Percentage Rata
Balance
SubJect to
Flr\af\ce Charge
FOR YOUR SATISFACTION. EVERY HOUR. EVERY DAY
For Customer Satisfllction and up 10 the minute automated inlormallon including
halll~t!o; ll'Jal\ab!e credit, paymenls received,payments dUe, due date. paymenl
address information, or 10 requesl duplicale slillemenls, call1~800-477 ~.9131_
For TOO iT elecommunicatioo Device for the Deafl assistance,
"n 1-800-346-3178.
Ma~ paymenls to: BANKCARD SERVICES, P,D BOX 15137, WILMINGTON. DE
19B86c5137
Billing rights are preserved only by wrlften'inquiry_ Mail billing inquiri(>S. using
formonlhebaCk and olher inquiries 10:
RANKCAR[} .SFRVICFS PO RO)( 15ll2.6 WI} MINGTON ill
llIB5Q5.Q2fi
CHECKS.0.049287% DLY
- _.' -0.049287% DLY
.. - '0.049287% DLY
17.99%
17.99%
17 . 99%
$0.00
$0.00
$2.747.48
FOR THIS BILLING PERIOD:
ANNUAL PERCENTAGE RATE...................
17.99%
(Includes Periodic Rate and TfBMsotion Fee Financo Chargas,)
5715
4264 2985 3937 6502
Qge Y GBH 1108 0300 00
PAGE 1 OF 1
PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION.
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C) Fleet
PO a"" 17'~~
WIU.I.glo..~e:
anO-7ln
p,.;;co~nl N~mb...415214Q1 254202$3
$2,190.12
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$43.00
JUN. 19. 2002
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Fo'acoountlnrorrnalloncall
Culllo",...Snrvlo..11-800-4112_2S00
0' log On t.. http://mycard.f1eet.com
'FO<<:.M.I'Ill.of~p\e1o_u..form""b.ok.
. M.kacl>odr.payab"loFlMtCr.,:lIlCar<lS."""...
flEET CReDIT CARD SERVICE
PO BOX 15368
WILMINGTON DE 19886-5368
CAROL A FASTING
967 WTRINDlE RD # LT19
MECHANICSBURG PA 17055-4056
e6140
]1988653686821
!1705540569991
4152140125420283 0219012 0004300
Oolaollalpetfoullr:>na""..IlI,nformlt><>Yewllhp.yma"'.
ACCQUNT SUMMARY FOR
CAROL A FASTING
AccounlN"",b<<: 41521401 25420283
PAYMENT INFORMATION
C} Fleet
TITANIUM
$0.00
$43.00
$0.00
$43.00
JUN. 19, 2002
$0.00
0.00
+ 2,181.67
+ 0,00
+ 8.45
$2,190.12
Total Credit Umlt: $12,000.1)1) Cash Advance limit: S3,600,OO
Available Credit:' n,aO'.88 Cash Advance AvaUable:S3,600.00
A RECORD OF YOUR CHARGES AND CREDITS
Transacticn Postlt1g Reference
Date DaN Num{)er Trtlfl~tiorI DeSCription
81111ng Cycle Closing Date: 05123/02
Days In Billing Cycle: 30
Credits
Charges
05110
.."
05110
.."
2442ltS7GJ8Z49NlDP
-FINANCE CHARGE-
BALANCE TRANSFER WilMINGTON DE
PURCHASES $8.45 CASH ADVANCE $0.00
2,181.87
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~orlnformationonJlllura=unlortoreachFleel'sCuslomerService:
1-11(1(1..492.2500
http://mycard.f1oet.com
PO BOX 154aO WILMINGTON DE 19ltSO_54aO
ANNUAL PERCENTAGE RATE fQrpurehases llncludlng BalanclI Transf8rs): 10.090%
ANNUAL PERCENTAGE RATE for cash advances: 19.900%
.fyou h.ave a variable rate account. your Jarlod\c f;l,t~s llI3y 'TArt.
SEE REVERSE SIDE FOR IMPORTANT INFORMAT1ON
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P"S..lofl
5,,570100 64610llUlSJll
861'10
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
CAROL A FASTING
, Deceased
No. 2102630
of 2001
To the Clerk of the Orphans' Court:
Enter the -c!arm-cf .DISCOVER FINANGlAL SERVICES, !NC
A(;ct. .'S{)-11902140244682
In the amount of
$451.00
, against the above entitled estate.
The decedent, who resided at 967 W TRINDLE RD, , MECHANICSBURG PA 17055
died on
07/06/2002
. Written notice of said claim was given
to JENNIFER D FASTING
,if known to claimant, at
(Personal Representative or counse)
967 W TRINDLE RD, MECHANICSBURG, PA 170 5
on
November 4, 2002
(Date)
'~J
. WI\.l\./t/lA.'"l1
(Claimant) (J
~
iL~
Address:
P.O. BOX 8003, HILLIARD, OH
43026
Claimant's Counsel
Address
WI
Department of the Treasury
internal Revenue Service
P.O. BOX 219236
KANSAS CITY, MO 64121.9236
Date:
JUNE 08, 2002
CAROL A FASTING
967 W TRINDLE RD LOT 19
MECHANICSBURG PA 17055-4056197
Taxpayer Identifying Number:
() 208-38-5296 J 03
~\ ~ f ,(" =;--~~:::
~ ~~ \v TOLL FREE: 1-800-829-7650
. . \ ~ BEST TIME TO CALL: 8: OOAM TO 8: OOPM
/,(;' EXPECT ANSWER DELAYS: 4PM TO 6: 30PM
Remlnj:ler Notice
We are required by law to remind you periodidally in writing about your overdue tax. The amount
you owe is shown on the back of this letter.
You do not need to contact us about this letter if you are working with us to resolve your account.
However, please call the telephone number listed above if you:
· have unanswered questions about the overdue taxes.
· wrote or called us more than 30 days ago and have not received a reply.
If you have NOT been working with us to resqlve your account, please read the rest of this letter
carefully. Then, based upon your situation, take the action listed in either Step] or Step 2.
Step 1,
Send us the full payment if you agree with the 'amount you owe shown on the back of this letter and
have no questions. Make your check or money order payable to United States Treasury. Write your
social security number or employer identification number and the tax year on your payment. Send
your payment in the enclosed envelope with a copy of this letter.
Step 2,
Call the telephone numberlisted above if you:
. · believe the overdue tax is incorrect or h,ave other questions.
. are unable to pay your overdue taxes in: full. Be ready to tell us what your monthly income and
expenses are so we can help you arrange a payment plan.
This office is authorized to take enforcement action to collect the amount you owe. This can include
taking taking your property, or rights to propeJ(ty, such as wages, bank accounts, real estate or
automobiles. We may also file a Notice of Federal Tax Lien without giving you advance notice. A
lien is public notice to your creditors that the government has a right to your interests in your current
assets and assets you acquire after we file a lien. This can affect your ability to obtain credit. To
avoid possible enforcement actions, we must Jiear from you within 10 days from the date of this notice.
Enclosures:
Copy of this letter
Envelope
~~
1~1~~III~~~I~I~I~I~lml~~~~~ II
"208385296103"
Operations Manager, Automated Collection System
Letter 3228 (Rev. 01-2002)(L T-39)
If you want a detailed explanation of the statutory additions (penalties and interest),
please cat! the telephone number shown on the front of this letter.
Account Summary CAROL A FASTING 208-38-5296
Type 01 Tax Period Ending Assessed Balance Stalulory Additlo ns Tolal
1040 12-31-1998 $ 2.212.81 $ 683.18 $ 2,895.99
Tolal Amount Due t 2,895.99
Type 01 Tax Period Ending Name of Return
Department of the Treasury -~ Internal Revenue Service
"",, ,....
Sales Agreement Between the Estate of Carol Ann Fasti.ng"
- whose administratrix is Jennifer D. Fasting, and JeffreyR.
Rider, whose lender is Betty 1. Rider
An agreement between the said parties has been reached on August 16,2002 for the ~;ak of:m:1
purchase of a 1983 Zimmer II yeLow mobile home located at 967 W. TrindJe Road. Lor 19
Mechanicsburg P A 17055. The mobile home is the property of the Estate of Carol Ann Fa:itlng,
whose administratrix is Jennifer D. Fasting. Jeffrey R. Rider is purchasing the mobile horn,-,
from the Estate ofCaro] Ann Fasting, whose administratrix is Jennifer d Fasting.
The agreed purchase amount of the mobile is $14,000. A check in this amount fromM:mkr,
1st (check number 00005426) was given to Jennifer D. Fasting, the administratrix ofth;: Esial'"
of Carol Ann Fasting on August 16,2002.
.. .' '.~, ' ,.
Opon title transfer. Jeffrey R, Rider agrees to pay for the title transfer at a later date
Signature
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Date
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Signature_Ji ') j.-, Date
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JRD/June 30, 1992/17858
AUO 0 9 2004
In Re: Estate of Carol A. Fasting : ORPHANS' COURT DIVISION
Late of Monroe Township : COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY
Estate No.: 2002-0630 : PENNSYLVANIA
:
: NO. 21-2002-0630
NOTICE OF FAILURE TO FiLE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative: Jennifer D. Fasting
Counsel for Personal Representative: James H. Turner
Date o£Decedent's Death: 07/06/2002
Date of Delinquency Notice: 08/11/04
The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance
with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court
Division, Court of Common Pleas of Cumberland County, that neither the above named personal
representative nor the above named counsel for the personal representative have filed with the
Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule
6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12,
Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30,
2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in
accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned
requests that a Court conduct a hearing to determine whether sanctions should be imposed upon
the delinquent personal representative or counsel for the delinquent personal representative.
Date: 08/11/04
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
Distribution: Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled for at in Courtroom No. 3. If the Status Report is filed prior to
the hearing date, the hearing will automatically be cancelled.
.STATUS REPORT UNDER RULE 6.17,
Name of Decedent: Carol A. Fasting
Date of Death.' July 2, 2002
Will No. 21-02-0630
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
~ Yes __X__ No
2. If the answer is No, state when the personal representative reasonably
believes that the administration will be complete: December 31, 2004
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:
c. Did the personal representative state an account informally to the
parties in interest?
_ _ Yes No
Date: October 22, 2004 _ ~
Jame~s H. ~ ~
,~ TURNER AND O'CONNELL
::' -~-~ 4415 North Front Street
c._ Harrisburg, PA 17110
,.o 717/232-4551
Counsel for personal representative
STATUS REPORT UNDER RULE 6.1:2
Name of Decedent: Carol A. Fasting
Date of Death: July 2, 2002
Will No. 21-02-0630
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes X No
2. If the answer is No, state when the personal representative reasonably
believes that the administration will be complete: December 31, 2004
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:
c. Did the personal representative state an account informally to the
parties in interest?
Yes No
Date: October 22, 2004
Jame~H. Turner, Esquire
TURNER AND O'CONNELL
4415 North Front Street
Harrisburg, PA 17110
717/232-4551
: '~ Counsel for personal representative
~i:7' 5~
0OMMONWB^LTNOF REV'1500 oppm, usaoNL,
PENNSYLVANIA
DEP^RTMEN OFRBVENUE INHERITANCE TAX RETURN
,AR ,SBUR ,PA fy196-O6Ol RESIDENT DECEDENT
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL SOCIAL SECURITY NUMBER
i- 2 0 8-3 8-5 2 9 6
z FASTING, Carol Ann
LEI DATE OF OEATH (MM-DD-Year) DATE OF BIRTH (MM-DO-Year) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
~ REGISTER OF WILLS
LU
O 07/02/2002 09/11/1948
III F APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
~ [] l. Or~inalRetum [] 2. SupplementaIRetum [] 3. RemainderRetum Nateolaea~p,~rtolZ43-82)
[] .Umit Ba te [] Fufura nterestComprom e a.o,,. .=- ) [] 9. Fadar EatateTa×Retum.equirad
~: ~ [] 6. Decedent Died Testate (A~ch copy of Will) [] 7. Decedent Maintained a Living Trust (At[ach r,~y of Tru~ 8. Total Number of Safe Deposit Boxes
~' [] 11. Election totax under Sec. 9113(A) (ASach Sch O)
'": [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (d~ ofde~ ~t,,,.~e ~ 12-31-91 and 1.1.§5)
:- ! COMPLETE MAIUNG ADDRESS
z NAME
~ 4415 North Front Street
z James H. Turner
O
~. FIRM NAME (If Applicable)
~ Turner & O'Connell
o TELEPHONE NUMBER
~ 9717) 232-4551 Harrisbur,q PA 17110
1. Real Estate (Schedule A) (1)
2, Stocks and Bonds (Schedule B} (2) '
3. Closely Held Corporation, Par[nemhip or Sole-Pmpdetorahip (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
1
2,745.75
5. Cash, Bank Deposits & Miscetianeous Personal Pmpe~ (5)
(Schedule E) I .
~ 6. Jointly Owned Proper~ (Schedule F) (6)
,~ [] Separate Billing Redues'~d
~ 7, Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) I
I-- (Schedule G or L)
o. 12~745.75
,~: 8. Total Gross Assets (total Lines 1-7) (8)
ti.3 10,124.83
LU 9 Funeral Expenses & Administrative Costa (Schedule H) (9)
0¢ 6,275.29
10. Debts of Becedent, Mortgage LiabitilJes, & Liens (Schedule I) (10)
11 Total Deductions (total Lines 9 & 10) (11) 16~400.12
12, Hot Vatua ef Estate (Line 8 minus Line 11 ) (12) -3~654.37
13 Charitable and 6ovemmental Bequests/Sec 9113 Trusts for ~hich an election to tax bas eot been (13)
made (Schedule J}
14. Net Value Subject to Tax (Line 12 minus Line 13) (14) -3~654.37
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
~ 15. Amount of Line 14 taxable at the spousal tax
rate, ortransfem under Sec. 9116 (a)(1.2) X __ (15)
~ 16. Amount of Line 14 taxable at lineal rate X {16)
0.00
0.00
13. 17 Amount of Line 14 taxable at sibling rate X .12 (17)
O 18. Amount of Line 14 taxable at collateral rate X .15 (18}
~ 19 Tax Due (19) 0.00
ti-
· · BE sURE TO ANSWERALL, Q~ES~I~N$:ON R,E~ERSE SIDE AND RECHECK MATH
Decedent's Complete Address:
STREET ADDRESS
967 W. Trindle Road, #19
Uechanicsburg I sT^mE PA I zip 17055
CI]'Y
Tax Payments and Credits:
1 Tax Due (Page 1 Line 19) (1) 0.00
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
Total Credits ( A + B + C ) (2)
3~ I nterestJPenalty if applicable
D. Interest
E. Penalty Total Interest/Penalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page '1 Line 20 to request a refund (4) 0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference, This is the TAX DUE. (5) 0.00
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) 0.00
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 proper/y 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 ~ife of either payments, benefits or care? ............................................................. [] []
2. If death occurred after December 12, 1982, did decedent transfer proberty within one year of death
without receiving adequate consideration? ............................................................................................... [] []
3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death? ................. [] []
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of [ecjuP/ I d~clare that I have examined this relurn, includin~l eccom[3anying schedules and stathments, and [o the best of my knowledge a~d belief, it is true, correct and complete.
a~claratJon of pr~ga~lr ,r other than the persona representative is based on ¢1 Information of which preparer has any knowledge.
SIGNATURE ~)F P~RSQN F~,~ONSIBLE FOB FILING RETURN DATE
PA 17045
ADORES~ '""4415 North Front §treet
Harrisbur,q PA 17110
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)
The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. §9116(a)(f.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-'1508 EX + (6-98)
~ SCHEDULE E
coMMo.w~.T, or PENNS~LV^"~ CASH, BANK DEPOSITS, & MISC.
,..ER,TA.CE T~X RETU"N PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
FASTING, C~roI Ann
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of sur,,ivorship mast be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Checking/Savings Accounts 1,975.75
2. 1991 Buick Park Avenue 770.00
126,000 miles in fair condition)
3. /lobile Home 10,000.00
TOTAL (Also enter on line 5, Recapitulation) $ 12~745.75
(If more space is needed, insert additional sheets of the same size)
RE'~-1511 EX + (12-99)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
FASTING, Carol Ann
Bebts of decedent most be reported on Schedule L
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Casket and Funeral Services 7,524.00
2. Burial Plot 1,160.00
3. Headstone 1,200.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)lEIN Number of Personal Representative(s)
Street Address
Cily. State Zip.
Year(s) Commission Paid:
2. Attorney Fees
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanalJon)
Claimant
Street Address
City, State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills 72.00
5. Accountee~'s Fees
6. Tax Return Preparer's Fees
7, Publication of the Estate 168.83
TOTAL (Also enter on line 9, Recapitulation) $ 1 O, 124.83
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (6-98)
~ SCHEDULE I
COMMONWEALTH OF PENNSYLVANIA DEBTS OFDECEDENT,
,N.E.,~^"CE. Es,OE.T DECEDE"T~X R'U"N MORTGAGE LIABILITIES, & LIENS
ESTATE OF ILE NUMBER
FASTING, Carol Ann
Include unreimbursed medical expenses.
ITEM VALUE AT CATE
NUMBER DESCRIPTION OF DEATH
1 Internal Revenue Service 2,895.99
Delinquent Taxes
2. Trailer Indebtedness 919.14
3. Fleet Credit Card Services, LLP 2,167.04
Account 4152140125420283
4 Sears Acct #0554850554516 293.12
TOTAL (Also enter on line 10, Recapitulation) $ ,6,275.29
(if more space is needed, insert additional sheets of the same size)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
FA~TIN( Carol Arlrl
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 outfight spousal distributions, and transfers under
Sec. 9116 (a)(1.2)]
1. Jennifer Fasting Benner Daughter 50%
PO Box 165
Liverpool, PA 17045
2. Claus Eric Fasting Son 50%
Sheppard Air Force Base / 105 Lunar Court
Wichita Falls, TX 76311
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1,
TOTAL OF PART l! - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
Glenda Farrier Strasbaugh ~
Register of Wills &
Clerk of the Orphans' Court One Courthouse Square
Marjorie A. Wevodau Carlisle, Pa. 17013
First Deputy (717) 240-6345
Kirk S. Sohonage, Esquire FAX (717) 240-7797
Solicitor
OFFICES OF
tiegi ter of i/ till an )/;lerl of ® ban ' ourt
October 18, 2004
Mr. James H. Turner, Esquire
4415 North Front Street
Harrisburg, PA 17110
IN RE: Estate of Carol A. Fasting, Estate No. 21-02-0630
Dear Mr. Turner:
It has come to my attention as solicitor for the Office of the Register of Wills and Clerk
of the Orphans' Court in and for Cumberland County, Pennsylvania, that the above estate
has failed to file a report of the status of administration as required by Pennsylvania
Orphans' Court Rule 6.12.
Subsection (f) of Rule 6.12 required that the Register of Wills notify the Court in the
event the personal representative or counsel fails to file this notice after (10) days written
notice thereof. You have already received written notice of this delinquency by the
Register.
Kindly accept this letter as written notification that unless the required 6.12 Status Report
is filed with the Register of Wills Office within ten (10) days of your receipt of this
correspondence, I will be compelled to file a Motion for Sanctions for Failure to Comply
with Orphans' Court Rule 6.12. If required to do so, I will request that the Court grant
counsel fees and court cost to be assessed against the offending party.
Sincerely, j /-~
Kirk S. Sohonage
Solicitor
Glenda Farrier Strasbaugh ~
Register of Wills &
Clerk of the Orphans' Court One Courthouse Square
Marjorie A. Wevodau Carlisle, Pa. 17013
First Deputy (717) 240-6345
Kirk S. Sohonage, Esquire FAX (717) 240-7797
Solicitor
OFFICES OF
ttegi ter of i lill and Clerl of roe ® ban ' Court
October 15, 2004
Ms. Jennifer Fasting
967 West Trindle Road # 19
Mechanicsburg, pA 17055
IN RE: Estate of Carol A. Fasting, Estate No. 21-02-0630
Dear Ms. Fasting:
It has come to my attention as solicitor for the Office of the Register of Wills and Clerk
of the Orphans' Court in and for Cumberland County, Pennsylvania, that the above estate
has failed to file a report of the status of administration as required by Pennsylvania
Orphans' Court Rule 6.12.
Subsection (f) of Rule 6.12 required that the Register of Wills notify the Court in the
event the personal representative or counsel fails to file this notice after (10) days written
notice thereof. You have already received written notice of this delinquency by the
Register.
Kindly accept this letter as written notification that unless the required 6.12 Status Report
is filed with the Register of Wills Office within ten (10) days of your receipt of this
correspondence, I will be compelled to file a Motion for Sanctions for Failure to Comply
with Orphans' Court Rule 6.12. If required to do so, I will request that the Court grant
counsel fees and court cost to be assessed against the offending party.
Sin~~
Kirk S. Sohonage
Solicitor
IN THE MATTER OF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
THE ESTATE OF
CAROL A. FASTING
: NO. 21-02-0630
STATUS REPORT UNDER RULE 6.12
Register of Wills of Cumberland County
Name of Decedent:
Social Security Number:
Name of Personal Representative:
Capacity:
Carol A. Fasting
208 38 5296
Jennifer D. Fasting
Administratrix
The administration of the estate is complete.
An account was stated to the parties in interest and the parties released the personal
representative.
I certify under penalty of perjury that the foregoing information is correct to the best of
my knowledge, information and belief.
~7~
Date: March 18, 2005
James H. Turner, Esquire
TURNER AND O'CONNELL
4415 North Front Street
Harrisburg, P A 17110
(717) 232-4551
Attorney for Estate
f".J:)
(')
C'0
~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDQIL' (11~S;-
INHERITANCE TAX DIVIS~.:'.":" ."
PO BOX Z8060 1 .
HARRISBURG PA 171Z8-060i-
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
2005 18
11:46
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-21-2005
FASTING
07-06-2002
21 02-0630
CUMBERLAND
101
C'rn'/
,U:i'11\
onpH ^;, ,'i"'
JAMES 'tL11\M~~~~\~ir
TURNER 8 OCONNELL
4415 N FRONT ST
HBG
*'
REV-1547 EX AFP 112-04)
CAROL
A
Allount Rellitted
PA 17110
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV:rA~"f.Eit.AFp..rBr:6!'r.NOT.fcE.OF.iNHER.ffANCE.i'AX.APPRA.fsEi"€Ni'~..ALLOWANCE.OR.............. ...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
CAROL A FILE NO. 21 02-0630 ACN 101
TAX RETURN WAS: ) ACCEPTED AS FILED ( X) CHANGED SEE
ESTATE OF
FASTING
DATE 03-21-2005
ATTACHED NOTICE
NO. 01
If an assessment 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. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. AlIOunt of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
RETURN
U)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
770.00
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
1,240.83
919.14
(11)
(2)
(3)
(4)
NOTE:
.00 X
.00 X
.00 X
.00 X
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
770.00
2.159 97
1,389.97-
.00
6,345.00-
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
(9)=
TAX CREDYTS:
............ . (+J AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
~.
IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
RE' .1470 EX (6-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
Carol A. Fasting
REVIEWED BY
ANITA MCCUllY
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
Accepted additional assets and debts.
ROW
FILE NUMBER
ACN
2102-0630
101
Page 1
Estate of Carol A. Fastina
also known as
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
2/-02 -(030
No.
To:
Deceased.
Register of Wills for the
County of Cumberland in the
Conunonwealth of Pennsylvania
Social Security No. 208-38-5296
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ies
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
h er last family or principal residence at 967 West Trindle Rd Lot 19 Monroe Two.
(list street, number, Twp. or Boro.)
Decedent, then 53
at Holv Soirit Hosoital
years of age, died 716102
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
none
$
$
$
$
1500000
Petitioner after a proper search ha s
the following spouse (if any) and heirs:
Name
ascertained that decedent left no will and was survived by
Relationship
Residence
6907 Seymour Hwy #19
i'FII TX761
967 West Trindle Rd. #19
M h ni r PA 17 5
nn' rD. F tin
D u h r
THEREFORE, petitioner(s) respectfully request(s) the grant ofletters of administration in the
appropriat,\ form to the undersigned.
\ r.1j
\ '
I
967 West Trindle Rd #19
Mechanicsbura
PA 17055
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
} ss
e-
,,' ~
.
/
'-
No. 21-02.- ~30
Estate of Carol A Fastina , Deceased
GRANT OF LETTERS OF ADMINISTRATION
JULY 11, 2002
AND NOW , in consideration ofthe petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that JENNIFER D FASTING
is/are entitled to Letters of Administration, and in accord with such fmding, Letters of Administration
LETI'ERS OF ADMINISTRATION
are hereby granted to JENNIFER D FASTING
in the estate of Carol A. Fastina
LtfJe" lJIj";.,, e"~
Y LEWISRegister ofWiI S I
FEES
$
$
$
icp $
TOTAL _ $
Filed. .7.-J 1-.2002-. . . .. AD.
called admin 7-11-02
50.00
12.00
Letters of Administration. . .
Short Certificates ( ) .
Renunciation. . .
ATTORNEY (Sup. Ct.!.D. No.)
~ nn
5.00
72.00
ADDRESS
PHONE
Cumberland
RENUNCIA liON
Estate of Carol A. Fasting
No. 2.1 ~ 02. - (P,30
also known as
, Deceased
The undersigned, Claus Eric Fastinq, Son
(Relationship)
(Capacity)
of
the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters of Administration be issued to Jennifer D. Fastina
Witness mv
hand this 9th
cay of JulV
2002
C' 'I'IP( ,,- //tV''';'' r ",I, T, ~ j:~r-
(Signature)
6907 Seymour Hwy #19
Wichita Falls TX 76310
(Address)
(Signature)
(Address)
(Signature)
(Address)
Sworn to or affirmed and subscribed
before me this-9 +h
\
!,jotary Public
! My Commission Expires:
Nol8lIaI Seal
lMv~~~~
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commis.sion.)
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
RW-3
HlO'i.805 RFV')/86
This is to certify that the information here given is correctly copied from an original certificate of death du}y filed with me as
Local Registrar. The original eertitleate will be forwarded to the State Vital Records Oftlee for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
1I1It'~(,rorpl;;~~~~_
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Local Re istrar
fee for this certificate, $2.00
P 8482661
en
t AOc! 2
Date
H'u;;'JIt,..2I87
COMMONWEALTH OF PEHNS'tlVANIA . DEPARTMENT OF HEALTH. VITAL RECOROS
CERTIFICATE OF DEATH
~YPEJPRHH
"
PEcAI....NENT
IK"'CI<INI<
NAMEOf'DECEO(NTlf"..."M<IIe....l
'"
Female
Sll\1"f'"ENU"6E~
SOCIAlSECU~ITYNUIl!lEfl
,208_ 38-
5298
Carol Ann Fasting
Il\RHlfIt.ACE,c;,';"'d
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53 .,...
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,
CO\INTYOF OEATli
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DECEO€NT'5U"'~INGAllOflESS(S""-.C"""",,"n. SIale,llpc;O<leI DECEOENT'S
967 W. Trindle Road #19 ~~~~NCE
Mechanicsourg, Pennsylvania 1705 no:::=-"
KINO OF BUSINE$SlINOU$TRV
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INFOflW.NT'S96r~~di:'Rb~d'#1"9Mechanicsburg, Pa.
17055
"
INFOAMANT'SNAUEIT~.,.,rr.,,)
,~
lolETHOOOFOISpa$ITlOO
_ Sun" [] C'.mat_ 0
Oon.o,.....O OIlwrlSpec.ty
21..
S>GWJ:UREOfFUWEPJ.l5t ICEllCEIoS
Clayton E. Kitzmiller
Jennifer D. Fasting
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UCfNSENUUBER
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UXATlOH.C~,Sl.t.,I"'Co<HI
Mechanicsburg, Pennsylvania
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(S~.....T""\
NA"'fANOAOOflESSOFFACI~ITY
no. Myers Funeral Home, Inc.
lICENSE NUl,WEA
37 East Maill Street Mechanicsburg,
OAl"ESIGNED
{M""on,[);>y.fe"l
Pa 1705
2310. 230
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IN RE ESTATE OF: CAROL A FASTING
AFFIDAVIT OF ACCOUNT
The undersigned, being first duly sworn deposes and states the follows:
1. Your Affiant is authorized by the Claimant as its Attorney-In-Fact to make this Affidavit.
2. Your Affiant has reviewed the account records of the Claimant with respect to the
decedent. Your Affiant is familiar with these records and accounts and reviews them as a
regular part of her duties.
3. The Decedent purchased merchandise in the amount of $293.12 evidenced by account
number 0554850554516.
4. The unpaid balance does not include any post-death late payment charges, accrued
interest, collection costs or attorney's fees.
Further your affiant sayeth not
By:
One of its att eys:
Michael C. onn~
ChelseaA. Jagusch_
Angela M. Horn_
Michael D. Johnson
Cyrenthia D. Jordan_
4150 Olson Memorial Highway., Suite 200
Minneapolis, MN 55422-4804
763-852-8449
Subscribe~d sworn before me
This c.J day of Ck+ , 2002.
(---
I . I
lie" HEATHER LYNN AN I )
~ '. .' NOTARY PUBLIC-MINNESOTA:
j ...."., MY COMMISSION EXPIRES 1-31-2J.;QS ;
~ . . ~
t_..._,_,_...".._.~...~,.',.,.._"...-.....,_.NO''''''''''"....i
AFFIDAVIT OF MAILING
I Lucille Roberts
,
, declare under penalty of petjury that on the date indicated
below, I placed the envelope for collection and mailing on the date and place shown below following our
ordinary business practices. On the same day that correspondence is placed for mailing, it was deposited in the
ordinary course of business with the United States Postal Service in a sealed envelope with postage fully
prepaid.
Personal Representative:
JENNIFER D FASTING
Attorney for Estate:
JAMES H TURNER
258 NORTH STREET
HARRISBURG, P 710
~141OL-
\
\
LAw FIRM
BALOGH BECKER, LTD.
.lAMES A. BALOGH - MN
GAAV W. BECKER - DC, FL, IL, MN, WI
MICHAEL C. CONN - MN
CHELSEA A. JAGUSCH - MN, WI
ANGELA M. HORN - MN
MICHAEL D. JOHNSON - MN
CVRENTHrA D. JORDAN - MN
4150 OLSON MEMORIAL HIGHWAY, SUITE 200
MINNEAPOLIS, MINNESOTA 55422-4804
TELEPHONE 763-852-8440
FAX 763-852-8499
TOLL-FREE 888-762-9997
OF COUNSEL:
UTOW LAw OFFICES, P.C.
(IOWA)
LuSTIG, GlASER & WILSON, P.C.
(MASSACHUSETTS)
09/25/02
CUMBERLAND COUNTY COURTHOUSE
1 COURTHOUSE SQUARE, #102
CARLISLE, PA 17013
Re:
In the Estate of
Probate Case No.
Social Security No:
Last known residence:
Our Client:
Account Number:
Amount of Debt:
CAROL A FASTING
21-02-630
208385296
967 W TRlNDLE RD MECHANICSBURG, PA 17055
SEARS, ROEBUCK AND CO.
0554850554516
293.12
Dear Sir or Madam:
Enclosed please find a Creditor's claim to be ftled in the record with the above-referenced Estate.
Please return a ftle stamped copy of the claim in the enclosed self-addressed, stamped envelope. Thank you
for your assistance. If you have any questions or concerns, please call our firm toll free at 1-888-762-9997.
Cordially,
Is! Chelsea A. Jagusch
Balogh Becker, Ltd.
Attorneys for Claimant
Enclosures
If applicable, a check for the ftling fee
cc: Attorney for Estate
Personal Representative
This letter is an attempt to collect a debt and any information obtained will be used for that purpose. This letter
is from a debt collector.
PCRTCOV
2)16
9n412002
826169
ST ATE OF PENNSYLVANIA
IN THE MA TIER OF
ESTATE OF:
CAROL A FASTING
A/KJA CAROL ANN FASTING
IN THE ORPHANS COURT
OF CUMBERLAND COUNTY
ESTATE#:2102630
'I,
STATEMENT OF CLAIM
I. The creditor, Fleet Credit Card Services, L.P., certifies that there is due and owing by CAROL A FASTING,
deceased, the sum of TWO THOUSAND ONE HUNDRED SIXTY SEVEN DOLLARS AND FOUR CENTS ($
2,167.04).
2. The nature of the claim is a VISA CARD account 4152140]25420283. which was established in 05/08/02.
3. The name and address of the claimant is: Fleet Credit Card Services, L.P., 550 Blair Mill Road, Horsham,
Pennsylvania 19044.
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. The last payment on the account was made
on 06/14/02 in the amount 01'$43.00.
6. This claim is not based on anyone instrument. Said balance has accrued since the account was established.
On behalf of Fleet Credit Card Services, L.P., 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.
jJth,u. +-. Pl1tp~
NICOLE A. PATE
Estate Recoveries, Inc.
P.O. Box 24566
Baltimore, Maryland 21214
(410) 444-8022
County of Baltimore, Maryland:
IN WITNESS WHEREOF, I hereunto set my hand and Notarial Seal this October 21,2002.
My Commission Expires: August 8, 2004.
,
?1
. STREHLEIN, Notary Public
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
I I I
File No. 7.1 0?610
Estate of Carol A Fasting AfKlA CAROl, AN(' fA~TlNG
, Deceased
NOTICE OF CLAIM by NTrOT.F A PATF, ,u-:FNT FOR FT.FFT CRFOTT CARll !';FRVTrF!'; I P
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 0 NICOl FA PATF, Ar.FNT FOR FI FFT CRFlllT CARn !';FRVICF!'; I P
(Claimant)
in the amount of !l;2, 167 04
against the above entitled
estate. The Decedent, who resided at
967 W..ot Trinrll.. Rn..rl # 1.t19
(Street Address)
, Cnmh..rl..nrl County,
Meehanicsbllrg. FA 17055-4056
(City)
Pennsylvania, died on .luly OIiJ ?OO?
Written notice
of said claim was given to .l..nnif..r R )?..sting
his Counsel)
(Personal Representative, or
. If known to claimant, at 967 West Trindle
Road #19 MecbanicsbuTl!'. P A 17055
( Address)
,on Octoher 21 t 2002
(Date)
N lit},}) -It. P Q tp
NICOLE A. PATE, AGENT
Post Office Box 24566. Baltimore. Maryland 21214
( Address)
, Claimant
Claimant's Counsel:
( Address)
,
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
ORPHAN'S COURT DIVISON
NO. 2102630
ESTATE OF: CAROL A FASTING A/KJA CAROL ANN FASTING
deceased.
Notice of Claim by FLEET CREDIT CARD SERVICES, L.P.
med pursuant to Section
3532(b) (2) ofthe
PEF Code.
Nicole A. Pate, Agent
ESTATE RECOVERIES, INC,
P.O. Box 24566
Baltimore, Maryland 21214
(410) 444-8022
t
"- Fleet
P06OX171i2
wn"lngl"".CE
1I15O-71!n
Account N....ber41521401 2542 0283
.~;,;N_aa~ $2,190,12
$43.00
:.:':; JUN. 19, 2002
~-,
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For_nt Wormetlon cen
c....."'... Servlc.. 1-800...92-2500
orlogo~1o http://mycard.f1e8lc:om
. Forc...na.of.dd.....,l_....t........onbact..
. Mok.c.....kpay.blotoF_Cr.dMC.I'1lS_.
FLEET CREDIT CARD SERVICE
PO BOX 15368
WILMINGTON DE 19886-5368
CAROl A FAS"TING
967 WTRINDLE RD # LT19
MECHANICSBURG PA 17055-4056
eU40
!198865368682T
!170554056999!
4152140125420283 0219012 0004300
Del.C~.I...m>rlrllon.nd..IwnIo"".lIov.w~hp8)'m.nl.
ACCOUNT SUMMARY FOR
CAROL A FASTING
~untNwnb., 4152140125420283
"- Fleet
TITANIUM
$0.00
$43.00
$0.00
$43.00
JUN. 19, 2002
$0.03
0.00
+ 2,161.67
+ 0.00
+ ..45
$2,190.12
PAYMENT INFORMATION
Total Credit LImit: S12,OOO.00
Available Credit: $9,801.88
Cash AdVance Umlt: $3,800.00
Cash AdVance Avallable:$3,800.00
Billing Cycle CIO$lng Data: 05123102
Days In Billing Cycte: 30
A RECORD OF YOURCHARG;ES AND CREDITS
Trans8C/iOlr Posting Reference
Date Date NfHTIber
Transsctios1Descrlpt/ofl
Credits
Charges
05110
,."
05110
,.'"
2442U7GJIZ48NLDP
'FINANCE CHARGe'
BALANCE TRANSFER WILMINGTON DE
PURCHASES SUS CASH ADVANCE $0.00
2,181.$7
....
Forin/'ormatlonon your account orlo reach Fleet's ClJstomer Service
1.800-482-2500
http://my<:ard.fteet.com
PO BOX 15480 WILMINGTON DE 1I8s0.54S0
ANNUAL PERCENTAGE RATE for pure,,","_ (Including Balan~ Transfers); 10.090%
ANNUAL PERCENTAGE RATE forcuh advance.: 19.900%
Ifyouhaftavarlabh~aeQOUnt,yourP9rlodlc~mayvary.
SEE REVERSE SlOE fOR IMPORTANT INFORMATION
5311 0011 MUD
'"
1702DS.3
p;os" 1 of 1
SJS7 0100 6462 OlAB5311
86140
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C) Fleet
PQI""17Ii2
'M,,"lnglatl,CE
It_l1i2
Ac""untHumber41521401 25420283
'";N..84.~ $2.167.04
-_'ihium:p~~t $43.00
JUL. 22, 2002
IImO....l
,--
for_wnllnlorrrlmlonuM
cu.torn..s..w...t1-&OO""92.2~1)
orlooontahttp://myc:ard.f1eetcom
. f'or~"""III.ol"'d....p".......formonb.o~,
. _.clMckP"Yab..loFIMIC....~ContServlo.L
flEET CREDIT CARD SERVICE
PO BOX 15368
WILMINGTON DE 19886-5368
CAROL A FASllNG
967 W TRINDLE RD # LT19
MECHANICSBURG PA 17055-4056
131471
!198865368682!
11705540569991
4152140125420283 0216704 0004300
o.t.c~alp""or.lIC1n.nd""""'fonroobo...wMhpllY'l''''''
ACCOUNTSUMMARYFOR
CAROL A FASTING
_ntNumber: 4152140125420283
G Fleet
TITANIUM
$0.00
$43.00
$0.00
$43.QO
JUL. 22. 2002
$2,190.12
43.00
. 0.00
. 0.00
. 19.92
$2,161.04
PAYMENT INFORMATION
Total Credit Umlt: $12,000,00
AvallableCntdlt: $9,832.116
Cash AdVance LimIt: $3,600.00
Cash AdVance Avallable:$3,600.00
Billing Cycle Closing Date: 06/25/02
Day. In Billing Cycle: 33
Welcome
to Fleet
Thank you for becomIng a new Fleet Cardmember. We're here when you need us
with Friendly Customer Service and Convenient Online AccountManagemfttt,
Call us at 1-800-492-2500 or visIt us online at mvcard.fleet.com
A RECORD OF YOUR CHARGES AND CREDITS
Transactfon POst/ffl} Reference
Date Oate Number
Tran-sacUonoeserlpllof\
C..wijs
Charges
0''''
....
0""
"'"
7415214tiM2SEP)7DZ
'FINANCE CHAAGE'
PAYMENT THANK YOU WILMINGTON DE
PURCHASES $1....'U CASH AOVM4CE $0.00
..>.00
19.12
Forlnfom1atlonon~uraccounlO(toreachFleIIl'sCvstomerSetVice:
1.8llll-G2.2500
http://mycard.neet.com
PO BOX 1S4al1 WILMINGTON DE 111850-.5480
ANNUAL PERCENTAGE RATE forpurcha_llneludlngBalllneeTran.fer&):10.0tO%
ANNUAL PERCENTAGE RATE foreashadY:mce$: 19.900%
If you ha.,. a Vilr1able ratll aeeounl,your Pfriodle rat.. fTIiIy vary.
INFORMATION FOR YOU
THANK YOU FOR CHOOSING FLEET.
WHERE BENEFITS, VALUE AND CONVENIENCE AJ..WAYS COME FIRST.
WE LOOK FORWARD TO PROVIDING YOU wtTK OUTST ANDlHGCU$TOMER
SERVICE AT 1-11lO-4&2.2SOO AND EASY ONLlNEACCESS TOYOUR
ACCOUNT AT MYCARD.FlEET.COM.
PREFERRED SERVICE YOU CAN EXPECT FROM FLEET!
SEE REVERSE SlOE FOR IMPORTANT INFORMATION
5311 001& MGD
"
17 Ol06~5
p~g.. 1 of 1
5357 0100 6~6" CllAB5311
131471
<'- Fleet
PO BOll 171ft
W1bnlnBtOll,O!
19MO-7182
Account Num.....41521401 2542 0283
.:jrliiWaaliiMili' $2,219.84
$88.00
':i" ";C;; AUG. 21, 2002
......
,-
For_ntlnlo.",_nc":
C"-merslOMce",1-800-4i2-2500
....logonlohttp://mycard.f1eeLcom
.F...G""IIQ.o'oddr...~_....Io.....onb._.
. Mak.o,,"ckp_yel>leloFIH!CI'IodIC.ds..v""'L
FLEET CREDIT CARD SERVICE
PO BOX 15368
WILMINGTON DE 19886-5368
CAROl A FASTING
967WTRINDLE RD#LT19
MECHANICSBURG PA 17055-4056
148354
!198865368682!
t1705540569991
4152140125420283 0221984 0008600
Del.chlOlpertw"'lon.nd...lurnfaml._...~lIp_."'.
ACCOUNT SUMMARY FOR
CAROL A FASTING
AccountN..........: 4152140125420283
C) Fleet
TITANIUM
$43.00
$43.00
$0.00
$86.00
AUG. 21, 2002
$2,187.04
0.00
+ G."
+ 35.00
+ 17.80
$2,219.84
PAYMENT INFORMATION
TotalCredltUmlt: $12,000.00
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JRD/June30,1992/17858
In Re: Estate of CAROL A FASTING
Late of MONROE TOWNSHIP
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
Estate No.: 21-02-630
NO. 21-2002-630
NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: JENNIFER D FASTING
Counsel for Personal Representative: JAMES H TURNER ESQ
Date of Grant of Original Letters: 07-11-2002
Date of Delinquency Notice: 10-11-2002
The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6,
Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court
Orphans' Court Rules, was given by the Register of Wills on OCTOBER 11,2002, and that the
ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule
5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court
conduct a hearing to determine whether sanctions should be imposed upon the delinquent
personal representative or counsel for the delinquent personal representative.
Date: 11-19-2002
~;~=~~~
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled for / -ltJ-O 3 at F ,'3o..!1i?ln Courtroom No.3. Ifthe
Certification of Notice is filed prior to the hearing date, the hearing will automatically be
cancelled.
George .
COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
ORPHANS' COURT DIVISION
NOTICE OF CLAIM
In Re: The Estate of:
Court File No: 21-02-630
CAROL A FASTING
Deceased
TO: THE CLERK OF THE ORPHANS' COURT DIVISIOlllotice of claim by
creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries
Code, 20 PA.C.S.A. s3532(b)(2).
1) Claimant's name: SEARS, ROEBUCK AND CO.
CIO BALOGH BECKER L TD, 4150 OLSON MEMORIAL
2) Claimant's address: HWY # 200
MINNEAPOLIS, MN 55422
8887629997
3) Creditor listed below is the owner and holder of a claim in the amount of
$ 293.12
4) The facts upon which this claim is based is an account for credit evidenced by the
attached Affidavit of Account Stated.
5) Decedent's address: 967 WTRINDLE RD MECHANICSBURG PA 17055
6)
Date of Death:
II
7) That the claim arose prior to the death of the decedent on or about
8) That the claim is secured by
Dated:
under the penalties of
rein are true and correct
On behalf of the claimant, I do solemniy declare and aff
perjury that they Information and representations ma
to the best 0 my k owledge, information and belief
ma
Written notice of claim was given to Personal Represent
as stated below:
JAMES H TURNER
Name
258 NORTH STREET
Address
HARRISBURG PA 17101
City/State/Zip
_See attached Affidavit of Mailing
Date notice mailed
Chelsea A. Jagusch/Angela M. Horn, Attorney
Ive and/or his/her counsel
()
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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF
CAROL A FASTING
, Deceased
No. 2102630
of 2001
To the Clerk of the Orphans' Court:
Enter the daim of DISCOVER FINANCIAl. SER'lICES, INC
AceL 60110021402446B2
In the amount of
$451.00
, against the above entitled estate.
The decedent, who resided at 967 W TRINDlE RD, , MECHANICSBURG PA 17055
died on
07/06/2002
. Written notice of said claim was given
to JENNIFER D FASTING
,if known to claimant, at
(Personal Representative or counsel)
967 W TRINDlE RD, MECHANICSBURG, PA 17055
on
November 4, 2002
(Date)
,
(::Ji.~
~AAAPkJDf
Address:
P.O. BOX 8003, HilLIARD, OH
43026
" .
Claimant's Counsel
Address
IN RE:ESTATE OF
CAROL A FASTING
STATE OF PENNSYLVANIA
IN THE REGISTER OF WILLS COURT:
CUMBERLAND COUNTY
EST ATE NO. 21-02-630
STATEMENTOFCLAlM
1. MBNA America hereby presents for filing against the above estate this statement of claim in the
amount of $ 2846.23.
2. The basis for the claim is MBNA account number 4264298539376502 which was opened on 11-20-
98.
3. The tax identification number of the claimant is 510331454.
4. The name and address of the claimant is MBNA America. P. O. BOX 15409 WILMINGTON.
DE 19885-5409.
5. This claim IS NOT contingent.
6. This claim IS NOT secured.
7. The last payment made on the account was $ 75.00 on 5-11-02.
Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the
best of my knowledge and belief
Executed this .;;J I day of }J J1J..I/J17 ku
~~ MBNAAmerica
,2002
Claimant
State Of Delaware, County of NEW CASTLE
IN WITNESS WHEREOF, I have set my hand and notarial seal this
zJ day of ----1J/ (JtLt miJ.;u.J ,2002
~h~llWu/i &k-r ~
My Commission Expires: q (f}j/O/4.tv ~a::J3
Notary Public
CAROL A*FASTING
CUSTOMER INFORMATION SYSTEM
* 4264298539376502 *
CURBAL: 2978.23 CYCLE: 13 N
CR LIN: 5400.00 STATUS: 5 CHANGED: 07/09/02
***************************** JULY STATEMENT *****************************
POST -------REFERENCE------- TRAN --------DESCRIPTION------- BC ---AMOUNT---
MD
USA
11/08/02
09:41:17
X165-1
****
NO ACTIVITY FOUND
****
*****************************
JULY STATEMENT
*****************************
PREV BAL -
2803.08
PAY +
0.00
SALE +
0.00
CASH +
0.00
F/C
43.15
~~~~ 2J)
PAl=BEGIN AGAIN 1
PA2=SYSTEM MENU ADBG
0006CI47 2/31
PFI0=PAGE FORWARD
PFll=TRANSACTION SUMMARY
4-@ 1 MBNAIS
PF09=AUGUST STMT
PF18=JUNE STMT
192 .168.16.20
//Jjq/
(}l()br77
;?9t/G. ()">
J'
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: (b to lor{. [itJ'J ng
Date ofDeath: 1/tfl /2(j)2 .
Will No. 1}(JJ2 -tti.J.?fj ~dmin. No. 2 J -02 - O(02()
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) o'lh'ti):)ans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on J' I, :
Name
ClalR (VI (i ra\11~
'vblljl(~r 1) Fa9hf1;j
Address
I OS L UhQY (2..-1 .
(AI if:!)'" do rzuH '\ I If 7 (p 311
C/&7 (jJ./Ymdh RLi . -It/ q
fI/1f..CYO {If {(I\61/Y! f6 ('7<<n
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
,~H
Name\,--,~tzl1f;;), 1) !;iJ/t~) p~,
Address f/ry7 {IJ .fr(fld~ (t!. -:Ii /9
II~eItCU(j(5IJJr!J i PQ 170?j~
Telephone V/J IJP" 17c!J -rf)?)f
Date: 11/;:/1)2-
Capacity: L Personal Representative
_Counsel for personal representative
1- 1 am f/IJ actf/2iJuf/miJr C'fJN ~.J;kt1!@
/-;J- /J /:
BUREAU OF INDIVIDUAL TAXES
Y INHERITANCE TAX DIVISION
DEPT. 280&01
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, AL~OWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
JENNIFER D FASTING
967 W TRINDLE RD 19
MECHANICSBURG PA
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-24-2003
FASTING
07-06-2002
21 02-0630
CUMBERLAND
101
*'
IlEV-15li1 EX,I,FP CD1-Ul
CAROL
A
17055
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ...
RE-y=is4TEx--AFj'--coT=o3Y-NiiYicE--oF-ltiiiERTi'iifcE-TAx-AppR'AisEMENT-.--ALL-OwiiicE-iii-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FASTING CAROL A FILE NO. 21 02-0630 ACN 101 DATE 03-24-2003
TAX RETURN WAS: (X> ACCEPTED AS FILED
) CHANGED
If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of abh returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal ~ate
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 (18)
19. Principal Tax Due
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
<iJ
<2J
C3J
(4J
(5J
(.J
(7J
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
(.J
(0)
13.
14.
Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
Net Value of Estate SUbject to Tax
NOTE:
(15)
(6)
(7)
14.000.00
.00
.00
.00
5,168.37
.00
.00
(.J
12,593.95
11.529.45
(11)
(2)
.00
.00
.00
.00
x 00
X 045 =
X 12
X 15
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
19,168.37
(13)
(14)
74.1?3 4n
4,955.03-
.00
4,955.03-
(19)=
.00
.00
.00
.00
.00
TAX CRE"IT":
AYMENT RECEIF T DISCOUNT '+J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-J
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERVATION I Estates of decedents dying on or before Dece~ber 12, 1982 ~- if any future interest in the estate is transferred
in possession or enjOYMent to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for Years, the Co..onwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE:
To fulfill the re~uirements of Section 21~0 of the Inheritance and Estate Tax Act. Act 23 of 2000. (72 P.S.
Section 91~0).
PAYMENT:
Detach the top portion of this Notice and submit with your Payment to the Register of Wills printed on the reverse side.
~~Hake check or II/oney order /Jayable to: REGISTER OF MILLS, AGENT
REFUND (CR):
A refund of a tax credit, which was not requested on the Tax Return, may be reQuested bv COMPleting an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV~1313)' Applications are available at the Office
of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour
answering service for forlls ordering: 1~800-362~2050; services for taxpayers with special hearing and / or
speaking needs: 1-800-447-3020 (TT only).
OBJECTIONS: Any party in interest not satisfied with the appraiseMent, allowance, or disallowance of deductions. or assessment
of tax (including discount or interest) as shown on this Notice MUSt object within sixtv (60) days of receipt of
this Notice by:
~-written protest to the PA Department of Revenue. Board of Appeals, Dept. 281021. Harrisburg, PA 17128-1021. OR
~-election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
ADMIN~
ISTRA TIVE
CORRECTIONS:
Factual errors discovered on this assessment should be addressed in writing to: PA Depart~ent of Revenue,
Bureau of Individual Taxes. ATTN: Post Assessment Review Unit. Dept. 280601. Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for- a Resident
Decedent" (REV~150I) for an Qxplanation of adllinistratively correctable error-so
DISCOUNT:
If any tax due is paid within three (3) calendar months after the decedent's death. a five percent (5X> discount af
the tax paid is allowed.
PENALTY:
The 15X tax amnesty non-participation penaltv is co.puted 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 allnesty period. This non-participation
penalty is appealable in the salle ~anner and in the the same ti~e period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
INTEREST:
Interest is charged beginning with first day of delinquencY, or nine (9) 1I0nths and one (1) day from the date of
death. to the date of pay.ent. Taxes which becalle delinquent before January 1, 1982 bear interest at the rate of
six (67,) percent per annulll calculated at a daily rate of .000164. All taxes which beca.e delinquent on and after
JanuarY 1. 1982 will bear interest at a rate which will vary fro. calendar year to calendar vear with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2003 are:
Interest Daily Interest Daily Interest
~~ Year ~~ Year ~
Daily
~
Year
1982 20X .000548 1987 9Y. .000247 1999 7Y. .000192
1983 16r. .000438 1968.1991 11r. .000301 2000 OX .000219
1984 11. .DD0301 1992 .X .000247 2001 9Y. .000247
1985 13X .000556 1995-199~ 7Y. .000192 2002 .. .ODOI64
1986 lOr. .00027~ 1995-1998 OX .000247 2005 OX .000137
~~Interest is calculated as follows:
INTEREST = BALAIlCE OF TAX UNPAID X NUllBEIl OF DAYS DELINQUENT X DAILY INTEREST FACTOR
~~Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessllent. If paYlllent is made after thl!! interest computation date shown on the
Notice. additional interest must be calculated.