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HomeMy WebLinkAbout07-06-11~. A Pa. Q.C. Rule 6.12 STATUS REPQRT REGISTER OF WILLS OF C't~C.~iVTY, PEItfi~SYLVANI.~ Name of Decedent: ER~~~ r----~ e Date of Death: ~ ~ ( Z 6 G File Number: a ~ 6 ~ ~-j ~" Z ~ ~- Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: l . State whether administration of the estate is complete :.... . ...... . ........ 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 representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... Yes ^ No d. Copies of receipts, releases, joinders and approvals of formal or informal acca~unts maybe fled with the Clerk of the Orphans' Court and ma be attached to this report. Dnte ~ 2 ~. U SignRture Person !Filing this Form _ Capacity: ©Personal Representative ^Counsei --.:~' -; .1Vame of Person Filine this Form _ -- ~ ' .1 '" ~ ~ ~~.~~ ~- - Mr. Wayne G. Failor "" '_ ~ ;.n <' ; W ~ t.;~ 2837 N. Front St. Apt. 202 Harrisburg PA 17110-1247 . _ ~ _ _ , .' .. _.__~ ~ C3: , _....._. C7C -~: C...> t_u .. _~ °~ ~a~ - S ~l ~ . .~ Telephone ~_.~.,~ .. BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIYISIDN PO BOX 2806®2 H0.RRISEURG PA 17128-0601 WAYNE PALLOR APT 202 2837 N FRONT ST HARRISBURG PA 17110 pennsylvania ~ DEPARTMENT (~F RE'VENUE REV-1607 EX AFP fa?-04) DATE 04-05-2010 ESTATE OF FAILOR KEATHE: G DATE OF DEATH 07-31-2009 FILE NUMBER 21 09-0727 COUNTY CUMBERLAND ACN 101 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 accaunt, subnit the upper portion of this form with your tax payment. CUT ALDNC THIS LINE _ ~ RETAIN LOWER PORTIDN FOR YOUR RECORDS ~ I~EV 18~T E~~~I~F~~~~~1~'~ ~9~^^^•^^ ***~~I~~IE~It~~~~~4~~~~i~~C~ S~~~EMENT~OF ACCOUNT ~~*** •••••••••••••••••^^•• ESTATE OF:FAILOR KEATHE G FILE N0.:21 09-0727 ACN: 101 DATE: 04-05-2010 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELDW IS A SUMMARY QF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-OS-2010 PRINCIPAL TAX DUE: 3,477.77 PAYMENTS tTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID C-) 09-08-2009 CD01171b 167.14 3,175.b3 03-15-2010 CD012473 .00 135.00 0 t~ o ~ -~•~e c pit. L~ P ~ ~ - 'Ce(,t. - ~~~- ~o~'`~ ~° TOTAL TAX PAYMENT 3,477.77 BALANCE OF TAX DUE .00 INTEREST AND PEN. .DO ' ~~'~----"~ TOTAL DU E _ ~~~ . 0 0 * IF PAID AFTER THIS DATE, SEE REVEFtSE~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. INHERITANCE TAX STATEMENT OF ACCOUNT