HomeMy WebLinkAbout04-0810 PETITION FOR PROBATE and GRANT OF LETTERS
also known as To:
Register of W~lls for the,
, Deceased. County of L. otvlDgc~tlt~ in the
SociaI Security No. Irl~$q'~O~.q Commonwealth of Pennsylvania
The petition of thc undersigned respectfully represents that:
Your pelilioner(s), who is/are 18 years of age or older an the executOC named
in the last will of the above decedent, dated ?~/IM. I~: I ql~'7 , 19
and codicil(s) dated
Decendent was domiciled at death in CtdC't'l/gdC[d_tq.~ County, Penn~ylvani..a, with
he-l" last family or principal residence at ,1~1'9 C:/q/~s-{'q.r 6/oo. cl./ ~olo~ P~ F/a.t~
(list street, number and muncipality)
Dec, en,dent,~then ~ years of age~ died. /~ L~O~::,~- ~ } ,
~oo~,
Except ~s follows, decede& ~d n~t marry,-~ not divorced and did not have a child born or adopt~
after execution of the will offered for probate; was not the victim 0f a killing and was never adjudicated
incompetent:
Decendent at d~th 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 domieiI~ in Pa.) Personal pro.ny in County $
Value of real estate in Pennsylvania
situated as follows:
WHEREFORE, petitioner(s) respectfully req.~est(s~ the probitte of the last will and codicil(s)
presented herewith and the grant of letters ~.~'Vo~O'l'tO, f~] .~ ~
217
(testmentary: administranon c.t.a.; admiration
~ ~hane ~enho '
OATH OF PERSONAL REPRESENTATIVE
COMMONWEA,~TH OF PENNSYLVANIA
COUNTY OF H2A-Lr~De~ ~ac~ . 3'*-
The petitioner(s) above-named swear(s) or affirm(s) that the statements in thc foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or a~rme~.~cnd subscribed r
bgfllr.~me~his ~ ~ day of [
1~o. ~1-Oq-~ll3
Estate Of ~-o~c~_ ~_ ~;.t~ 0 ~ , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
the reverse side hereof, satiafactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated... I - ~ ~ - I c~ ~
described therein be a_...dmitted to probate~.~n.d flied of record as the lazt will of
/ c-~C~ ~1~ , in consideration of the petition on
Probate, Letter~, Etc ..........
Short CertifiCates( ) ... ~ ......
Renunciation ................
TOTAL
F~ed .. ~.:. J.~..~>.~. ....
A'FTORNEY (Sup Ct. I.D. No.
ADDRESS
pHONI=
RENUNCIATION
In Re Estate of
deceased.
,.,-o the,,eg,ster o, wi,,s o,' ~.bfpt,~.~
County. Pennsylvania.
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
NOTARIAL SEAL
DE*BRAA. FIF~, NOTARY PUBLIC
~IIYOF IIAIIRISBURG, DAUPHIN COUIITf
Iff COMMISSION EXPIRES OCT, 24. 200~
(Address)
(Signature)
(Address)
~(Signature)
~,'~ C--Addr ess
'his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
P 10529764
Local Registrar
AUG g 8 7.004
No. Date
5 9 '~
Cumberland
,.9.,t- oq- -<ii>'/0
COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF HEALTH * VITAL RECOR!~ 0
CERTIFICATE OF DEATH ,,~,~ CO
$OCtAL SECURITY NUMBER OATE OF DEATH
Joyce L. Eisenhuth Female 198 34 --9064
5/30/45 ,,. J~
Pennsboro
Claims Dept .~ighmark
812 Chester Rd. RESIO~NCE
~,.Enola, Pa 17025
James F. Spickler
ane Eisenhuth
6195 Pa 17050
Evans Eac Cremati( Leola~ Pa
WAS AN AUTOpSy 'A~RE AUTO~Sy FINDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJURY
%'~ ~. ~ ,.~,~..~ .'~t~. ~,., .1~.....~.~,,r;/~.,..,.~ .............................................
LICENSE NUMBER
INJURY AT WORK? DESC RISE HOW IN JURY OCCURRED
I, JO]~CE L. RISENf~UTH, of East Pe , Cumberi nd Co Pe~
-2 y' ylvania,
declm-e this to be my last will and revoke any will previously ~de b~r~Smo. ~
ITEM I. I direct that all my just debts and funeral expenses, including my
gravemrker and all expenses ofmy last illness, and anyand all taxes and assessments
imposed by any governmental body as a result of my death, whether on property passing
under this will or otherwise, shall De paid frommy residuary estate as soon as practi-
cable after my decease as a part of the expense of the administration of my estate.
ITEM II. I giveand Dequeath all ofmyhouseholdgoods, automobiles, jewelry, and
all other articles of household and personal use, equipment and ornament, together with
all insurance thereon and relating thereto, to those ofmy children who survive my
death by sixty (60) days in equal shares. In the event all of my children predecease
me or are deceased on the sixty-first day after my death, I give, devise, and bequeath
all such items and insurance thereon to my sister, JEAN F. SPICKLER, of Mifflinburg,
Pennsylvania.
ITEM III. I give, devise, and bequeath all the rest, residue, and reminder of my
possessions and estate of every nature and wherever situate to those of my children who
survive my death by sixty (60) days in equal shares. In the event all of my children
predecease me or are deceased on the sixty-first day after my death, I give, devise,
and bequeath all the rest, residue, and reminder of my possessions and estate of every
nature and wherever situate to my sister, JEAN F. SPICKLER, of Mifflinburg,
Pennsylvania.
ITEM I¥. All of the interests of the beneficiaries hereunder shall not be subject
to anticipation or to voluntary or involuntary alienation nor shall they be subject to
any execution or attachment.
ITEM ¥. I appoint my sister, JEAN F. SPICKLER, of Mifflinburg, Pennsylvania,
executrix of this my last will. Should my said sister predecease me or otherwise fail
to qualify or cease to serve as executrix of this my last will, I appoint my son, SHANE
D. EISENHUTH, executor of this my last will.
ITEM ¥I. I direct that my personal representatives and fiduciaries shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this /Z/~day
of ~f~yZ. , 198~
JOYCE L.
2
The preceding instrument, consisting of this and TWO other typewritten pages, each
identified Dy the signature of the testatrix was on the date thereof signed, published,
and declared by JOYCE L. EISENHUTH, the testatrix therein ~med, as and for her last
will, in the presence of us, who at her request, in her presence, and in the presence
of each other, have subscribed our names as witnesses hereto.
COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND )
The undersigned, being the testatrix whose name is signed to the
attached or foregoing instru~nent, having been duly qualified according to
law, does hereby acknowledge that I signed and executed the foregoing
instrument as my last will, that I signed it willingly; and that I signed
it as my free and voluntary act for the purposes therein expressed.
Sworn or affirmed to and acknowledged
before me by the testatrix named above
this /~ day of ~-~z~3_~ , ~
LYNN KINDER, Notary Public
Lernoyne, Curnberland Co., PA
My Com.'n~ssJon Expires Aug. 6,
C0~4ONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND )
WE, GEORGE A. VAUGHN, III, and MICHAEL L. BANGS, the witnesses whose
names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw
the testatrix sign and execute the instrument as her last will; that she
signed it willingly and that she executed it as her free and voluntary act
for the purposes therein expressed; that each of us in the hearing and
sight of the testatrix signed the will as witnesses; and that to the best
of our knowledge, the testatrix was at that time 18 or more years of age,
of sound mind, and under no constraint or undue influence.
Sworn or affirmed to and
acknowledged before me this
I~*~ day of ~-~ ' ~e-~ '
Notary ,~blic
LemOyne, Cumberland ~t
CERTIFICATION OF NOTICE
UNDER RULE 5.6(a)
Name of Decedent:
Date of Death:
Will No.
To the Register:
JoyceL. Eisenhuth
August21,2004
21-04-0810
Adm. No. 21-04-0810
I certify that notice of 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
September 9, 2004:
Name Address City
Shane D. Eisenhuth 6195 Haymarket Way Mechanicsburg, PA 17050
Desiree L. Eisenhuth 742 Manor Road Camp Hill, PA 17011
JeanF. Spickler 203 Walnut Street Miffiinburg, PA 17844
Notice has now been Riven to all persons entitled thereto under Rule 5.6(a) except:
Date: September 9, 2004
~g'nature) ~
Name: Diane M. Dils, Esquire
Address:
Telephone:
Capacity:
6£:2d g[ d3S 170.
1017 North Front Street
Harrisburg, PA 17102
(717) 232-9724
__ Personal Representative
X Counsel for Personal
Representative
ARTHUR K. DILS
DIANE M. DILS
A~ORNEYS AT LAW
1017 NORTH FRONT STREET
HARRISBURG, PENNSYLVANIA 17102
October 28, 2004
PHONE: (715
FAX: (715
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
RZ,: Estate ofJoyce L. Eisenhuth
Dear Sir or Madam:
Enclosed are an original and two copies of an inventory to be filed in your offi
as well as a check in the amount of $3,500.00 representing an initial advar
payment of the inheritance tax in this matter.
Would you please return a clocked-in copy of the inventory to me in the enclos~
self-addressed, stamped envelope.
Thank you for your assistance in this matter.
Very truly yours,
Diane M. I~s
DMD/daf
Enclosures
233-8743
233-2567
'd,
0
~ ma-
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO.
CD OO4
EISENHUTH SHANE D
6195 HAYMARKET WAY
MECHANICSBURG, PA 17050
ESTATE INFORMATION: SSN: 198349064
FILE NUMBER: 2104 0810
DECEDENT NAME: EISENHUTH JOYCE L
DATE OF PAYMENT: 11/05/2004
POSTMARK DATE: 1 1/04/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 08/21/2004
ACN
ASSESSMENT
CONTROL
NUMBER
101
AMOUN
591
REMARKS: S EISENHUTH
TOTAL AMOUNT PAID:
$3,500.0
SEAL
CHECK# 105
INITIALS: VZ
RECEIVED BY:
GLENDA FARNER STRASBAU(
REGISTER OF WILLS
REGISTER OF WILLS
Inventory of the real and personal estate of
JOYCE L. EISENHUTH
deceased
812 Chester Road, Enola, PA
Checking account
Vehicle
17025
$135,O0t.00
$ 1,001.00
$ 3,I01-00
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
being duly ---_ according fo law, deposes and says that he
late of Z~-W~7 /-;~..z ~ /~&'~/~'/~ .... , CumberJand County, Pa., deceased and that the
within is an inventory made by ~, the said.
of the enfire estate of said decedent, conslsting'of all fha personal property and real estate, except real estate outside
the Commonwealth of Penn, sylvanla, end that the figures opposite each item of the Inventory represent it's fair value
as of the date of decedent s death. .
and subscribed before me,
NOTARIALSEAL
DEBRAA. FIKE, NOTARYPUSLIC
~fi'YOFHARRI$SURG, DAUPHINCOUNI"y
MYCOMMI$SION EX?IRESOC~ 24~2005
Date of Death.__ o2/
Day
Attorney for Executor, Shane Eisenhuth
I017 North Front Street
Harrisburg, PA 17102
INSTRUCTIONS
An inventory must be filed within three months after appointment of personal represenfaflve.
A supplement inventory must be flied wifhln thMy days of discovery of addlfional assets.
Addit;onal sheets may be attached as fo personMfy or realty
See Article IV, Fiduciaries Act of 1949.
0
0
COMMON YLVANIA
DEPARTMENT OF RGVENUE
DEPT. 280601
HARRISBURGI PA 17128-~01
Eisenhuth Joyce L.
198- 34 9064 2I f~
Z
REV-15OO
INHERITANCE TAX RETURN
I' 21 - 04 - 0810
RESIDENT DECEDENT
(717 I 232-9724
1. Real Estate (Schedule A)
2 Stoc~ and Bonds (Schedule B}
3 Closaty Held Coq)omtJon,Pa~e~hip or Sole-Propbeto~hlp
4 Mot(gages & Notes Receivable (Schedule D)
5 Cash, Sank Deposits & Miscellaneous Pemonal Pmba~y
(Schedule E)
6 JointJy Owned PropeR (Schedule F)
7 Inter-Vivos Transfers & Miscellaneous Non-Probate Pmba~y
(Schedule G or L)
8 Total Groes Aeset~ (total Lines 1-71.
9 Funeral Expenses & Administra~ve Cost~ (S¢~equle H)
10 Debts of DeoedenL Mortgage Liabili~es, & Liens (Schedule I)
11 Total Deductione (total Lines 9 & 101
12 Net Value of Estate (Line 8 minus Line 111
13. Charitable and Govemmentel Bequests/Seo 9113 Tmate ~or whk::tt an election to tax has riot been
[~ 10dginal Return
[] 4 Limited Estate
~ 6 Decedent Died Testate ~nc,~yofwd~l
[] 9. Litigation Proceeds Received
[] 2. Supplemental Return [] 3. Remainder Return (~,,'~a o~,.a.~ m~', 12.13-821
[] 4a. Futura Interest Compromise (~m d~ ~ ~24~21 [] 5. Federal Estate Tax Return Required
[] 7. Decedent Maintained a Living Trust ~ach c~l)y of T~u~ -- 8. Total Number of Safe Deposit Boxes
r'-[ 10. spousal Pover[y Credit (~,m ~,~,#~ i~,#~ ~2.3~.~ ~d ~.~.~) r-111. Elec~o~ to tex under Sec. 9113(A) iA~c, S:~ 01
THIS SECTION MUST BE C~I~LETF,,D,.~A~,,O~ONDEI~,C~,~ P~NT, I~EA~INFOR~ON SHOULD BE DIRECTED TO:
N~X~ D±a~e H. Dils, [squire co~m~*a, mGxDoRass
1017 North Fro~t Street:
~,,~[~l Dils Harrisburg, PA 17102
THI~ REPJRN MUST BE FILED iN DUPLICATE WITH THE
REGISTER OF WILLS
(11) i 5 0 606 1 6
1121
~ 8 ~, 772 .84
(131 > -0-
,00
made (Schedule J)
14 Net Vslue Subject to T~ (L~ 12 minus Li~ 131
at the spousal tax rate ~ ~ ; x ,0
Ses inslruc~ns on revema sk]e for ~pplicab~
a:l~% rote (4.5%)
t 7 Amount of line 14 texable
18. Tax Due
8 9 772 84
(141
(151 ,
(161 , 4~ 039 · 78
(171
4 039 78
(181 ,
~ ~ ~ 6195 Hamarket Way, Mochanicsburg, PA 17050 12/14/04
SIGNATURE OF PREPARER OTHER THAIV REPRESENTATIVE ADDRESS DATE
1017 North Front Street, Harrisburg, PA 17102 12/14/04
1945
Decedent's Complete Address:
STREET ADORESS
812 Chester Lane
c~ Enola
IaTATE PA
Tax Payments and Credits:
1. Tax Due (Page 1 Une 18)
2. Credits/Payments
A. Spousal Poverty Credit
B. PdorPayrnents $ 3,5uu, uu
C. Discount ~ zuz. UU
Total Credits (A + B * C)
3, Interest/Penalty if applicable
D, Interest
E, Penalty
Total Interest/Penalty ( D ~. E )
4. Ifllne21sgreaterthanllnel+lins3, enteHhedJfferenca, ThlalstheOVERPAYMENT,
Chick box on Page t Un119 to mClU#t a refund
5. If line 1 + line 3 is greater than line 2, enter the difference, This is the TAX DUE,
A. Enter the interest on the tax diJe,~ )
B. Enter the total of Bna 5 + SA. This is the BALANCE DUE.
to: ~
IBP 17025
4,039.78
(1)
(2) $3,702,00
(3) -0-
(4) -o-
(5) S 3R7.7R
(5A) -0-
(58) $ 3~7_7R
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decadent make a transfer end: Yes No
a. retain the use or Income of the property tranaferrad; ............................................................. [] []
b. retain the right to designate who shall uae the property transferred .or Its income; ................ [] []
c. retain a reversionary Interest; or ............................................................................................. [] []
d. receive the promise for life of either payments, benefits or care? ......................................... [] []
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death occurred
after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .............................................................................................. [] []
3. Did decedent own an "in trust for" or payable upon death bank account or security
at his or her death? ...................................................................................................................... [] ~
4. Did decedent own an individual retirement account, annuity, or other non-probate property?.... [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
72 P.S. §9116 (a) (1.1) (i) provided for the reduction of the tax rate Imposed on the net value of transfers to or for the use of the
surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995.
72 P.S. §9116 (a) (1.1) (ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the surviving
spouse from 3% to 0% for dates of death on or after January 1, 1995. The statute doe~ not exemot a transfer to a surviving spouse
from tax, and the statutory requirements for diecJosure 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 ,~FTER JANUARY t, 1995 - Please answer the following question by placing an "x" in the
appropriate space.
Did the decedent create a trust or similar arrangement which Is solely for the surviving spouse's benefit for his or her entire
lifetime? Yea [] No []
If you answered yes to the above question, the tax on the trust or similar arrangement is postponed until the death of the second
spouse, at which time it will be fully taxable at the rate(a) applicable to the remainder beneficiary(isa). Enter the value of the trust on
Schedule J, Part II, in order to remove it from the calculation of the tax due In this estate. You may wish to file Schedule O in order to
make the election available under Section 9113. If the election is made, the trust or similar arrangement is taxed in the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse is taxed at the zero tax rate,
and the remainder is taxed at the rate(s) applicable to the remainder beneficiary(lee). If you choose to make the election, you must
attach Schedule O to a timely-filed tax return, along with Schedule(s) K and/or M in order to show the apportionment of the trust or
similar arrangement between the surviving spouse and the remainder beneficiary(les).
COMMONWEALTH OF
PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF:
JOYCE L. EISENHUTH
FILE NUMBER:
21-04-0810
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be
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
1. 812 Chester Road, Enola, PA 17025 $135,000.00
TOTAL (Also enter on line 1, Recapitulation) $135,000.00
(If more space is needed, insert additional sheets of same size.
COMMONWEALTH OF
PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS AND BONDS
ESTATE OF:
JOYCE L. EISENHUTH
FILE NUMBER:
21-04-0810
(All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.)
ITEM NUMBER DESCRIPTION VALUE AT DATE OF
DEATH
0
TOTAL (Also enter on line 2, Recapitulation) 0
(If more space is needed, insert additional sheets of same size.
COMMONWEALTH OF
PENNSYLVANIA
INHERITANCE TAX
RETURN
RESIDENT DECEDENT
SCHEDULE C
CLOSELY HELD STOCK
PARTNERSHIP AND PROPRIETORSHIP
ESTATE OF:
JOYCE L. EISENHUTH
FILE NUMBER:
21-04-0810
Schedule C-1 or C-2 must e attached for each business interest of the decedent, other than a proprietorship.
ITEM NUMBER DESCRIPTION VALUE AT DATE OF
DEATH
0
TOTAL (Also enter on line 3, Recapitulation) 0
(If more space is needed, insert additional sheets of same size.'
COMMONWEALTH OF
PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
ESTATE OF:
JOYCE L. EISENHUTH
FILE NUMBER:
21-04-0810
(All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.)
ITEM NUMBER DESCRIPTION VALUE AT DATE OF
DEATH
0
TOTAL (Also enter on line 4, Recapitulation) 0
(If more space is needed, insert additional sheets of same size,
COMMONWEALTH OF
PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS
AND MISCELLANEOUS
PERSONAL PROPERTY
ESTATE OF:
JOYCE L. EISENHUTH
FILE NUMBER:
21-04-0810
(All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.)
ITEM NUMBER DESCRIPTION VALUE AT DATE OF
DEATH
1. Checking account - Waypoint $1,365.00
2. Vehicle - 1996 Dodge Caravan $3,100.00
3. Contents of home auctioned $914.00
TOTAL (Also enter on line 5, Recapitulation) $5,379.00
(If more space is needed, insert additional sheets of same size.
COMMONWEALTH OF
PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED
PROPERTY
ESTATE OF:
JOYCE L. EISENHUTH
FILE NUMBER:
21-04-0810
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT ADDRESS RELATIONSHIP TO
TENANT(S) NAME DECEDENT
JOINTLY-OWNED PROPERTY
ITEM LETTER DATE DESCRIPTION OF PROPERTY DATE OF DEATH % OF DATE OF
NUMBER FOR MADE Include name of financial institution and VALUE OF DECD'S DEATH
JOINT JOINT bank account number or similar ASSET INTEREST VALUE OF
TENANT identifying number. Attach deed for DECEDENT'S
jointly-held real estate. INTEREST
TOTAL (Also enter on line 6, Recapitulation) $ -0-
(If more space is needed, insert additional sheets of the same size.)
COMMONWEALTH OF SCHEDULE G
PENNSYLVANIA
INHERITANCE TAX P~TURN TRANSFERS
RESIDENT DECEDENT
ESTATE OF:
JOYCE L. EISENHUTH
FILE NUMBER:
21-04-0810
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE
QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL DECD DOLLAR
NUMBER Include name of the transferee, their VALUE OF % VALUE OF
relationship to decedent, date of ASSET INT. DECEDENT'S
transfer INTEREST
TOTAL (Also enter on line 7, Recapitulation) -0-
(If more space is needed, insert additional sheets of same size.)
0COMMONWEAL~rH Or SCHEDULE H
PENNSYLVANIA
INHERITANCE FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND
TAX RETUP~N MISCELLANEOUS EXPENSES
RESIDENT
DECEDENT
ESTATE OF: FILE NUMBER:
JOYCE L. EISENHUTH 21-04-0810
ITEM NUMBER DESCRIPTION AMOUNT
A. Funeral Expenses: $2,936.00
1.
(If more space *s
needed, insert additional
sheets of the same
size.)
Administrative Costs:
Personal Representative Commissions (Waived)
Name of Personal Representative:
Social Security Number of Personal Representative:
Street Address:
Year Commissions paid:
Attorneys Fees:
Diane M. Dils, Esquire
Family Exemption
Claimant:
Relationship:
Address of Claimant at Decedent's death
Street Address:
City:
State:
Zip Code:
Probate Fees
Accountant's fees:
Miscellaneous Expenses:
Cumberland Law Journal
The Carlisle Sentinel
TOTAL (Also enter on line 10, Recapitulation)
-0-
$1,000.00
$167.00
None
$75.O0
$98.69
$4,276.69
COMMONWEALTH OF SCHEDULE I
PENNSYLVANIA DEBTS OF DECEDENT
INHERITANCE TAX RETURN
RESIDENT DECEDENT MORTGAGE LIABILITIES & LIENS
ESTATE OF:
JOYCE L. EISENHUTH
FILE NUMBER:
21-04-0810
Include unreimbursed medical expenses.
ITEM NUMBER DESCRIPTION AMOUNT
1. Waypoint Bank (mortgage) $43,421.22
2. Settlement Costs from sale of real estate $2,884.15
3. PP&L (real estate) $24.10
TOTAL (Also enter on line 10, Recapitulation) $46,329.47
(If more space is needed, insert additional sheets of same size
COMMONWEALTH OF SCHEDULE J
PENNSYLVANIA
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
JOYCE L. EISENHUTH 21-04-0810
ITEM DESCRIPTION RELATIONSHIP AMOUNT OR SHARE
NUMBER OF ESTATE
1. Shane D. Eisenhuth Son 50%
6195 Haymarket Way
Mechanicsburg, PA 17050
Desiree L. Eisenhuth Daughter 50%
2. 742 Manor Road
Camp Hill, PA 17011
ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE
NUMBER OF ESTATE
B. Charitable and Governmental Bequests:
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on linc 13, Recapitulation) -0-
(If more space is needed, insert additional sheets of same size.
82/86/2805 08:16 7177917811 A~C ~4~CHaNICSBU~G peel5 82/85
I, JOY~ L. gT-'~T~], of East ?euusBoro Tow~ship, CumD~ri~ County, Pe~ylvania,
~eelars t.his to be my last will and revoke ~ny will previouslY-i"~ade ~5~me- "~'
I~EM X. I direct that all my Just debts and funeral expanses, inoluding my
gravemarker end &ll expenses of my last illness, and any and all taxes and ass~ssum~te
i~posed by any gOvernmen~l body as a result of my death, ~hether on property passin~
unde~ this will or otherwise, s~all Oe peid from my residuary estate as soon as practi-
oa~le s~ter my decease as a part of t~e expense of the sdmlnistrstlo~ of my estate.
ITEM II. I give ~nd ~ueat~ all of ~ ~oul~old 6OOds, automobiles, jewelry, and
all othe~ amtioles of hous~old and pepsonal use, equipment an~ ornament, ~oge~Yner wl~
all lnsuranoe thereon and relating thereto, to those of my children who survive my
death Dy sixty (50) days in equal shar~s. In the event all of my oh~ldren predecease
me c~ are deoeased on the six%y-£irst day after m~ death, I give, devise, and bequeath
all suoh items and insuranae thereon to my sister, JEAN F. 8PI(~LER, of Mifflinburg,
peax~ylvenia.
ITEM III. I give, devise, and bequeath all the r~st, residue, and ~v~lnder of my
possessions and estate of cver~ ~a~ure and wherever situate to t~se of my ohildren who
I survive my d~ath by sixty (60) days in equal sha~es~ In the event all of my ahildren
predsoease ms or are deoeased on t~e six%y-first day after my death, I give~ devise,
02/06/2085 0~:1~ 7177917011 ~1C ~CH~NICSMtJ~G pA~ ~3f85
and bequeath all the rest, residue, and remainder of my possessions and estate of ever7
na~tme and wher~¥e~ situate to my sis%er, JEAN F. ~PIC~LER, of Mifflinburg,
Perm. sylvania.
ITEM I~. All of the interests of the be~efioiaries hereunder Wnall not be ~ubJect
to anticipation or to voluntary or involuntary alienation nor shall they be subject to
any execution or attao2~nemt.
ITeM V. I appoint my sister, JEAN F. SPIC~LER, of Mlfflinbur~, Pennsylvania,
executrix of this m~ last will. Should my s~l(~ sister predecease me or otherwise fail
to qualify or oeass ho serve as executrix of this my last will, I appoint my son, SFJ~NE
D. EISE~Zri~, executor of this mY last will.
ITEM VI. I direct fret my personal representatives and fiduciaries shall not be
required to give bond for the fait~ul performance of their duties in any Jurisdiction.
IN ~'I~ WHEREOF, I ~ve ~ereun~o sat m~' ~ and seal this
of . ~. , 198 '7
2
0~/0B/~005 OB:i~ 7%779170%% ~S~4C ~CH~NIC~[-~ PAG~ 0~/05
The preoeding instrumant, oonmisting of this and T~O other typewritten p~s, eaoh
identified by the signature of the ~estatri× was om the date t~ereof signed, published,
and declared Dy JOYCE L. EISENI~H, the testatrix therein rained, ~s and for b~r last
will, in the presence of us, who at her request, in her presence, and in the presence
of e~oD ot~er, b~¥e subserlDe~ our n~mes as W~tnessss ~e~eto.
II
08:18 7177917811
AS~G ~CHaNICSBURG
85/85
C0~40NWF~%L~ OF PENNSYLVANIA
( SS,:
COUNTY OF CUMBERLAND )
The undersigned, being the testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified according to
law, does hereby acknowledge that I siq~ed and executed the foregoing
instrument es my last will, that I signed it willingly; and that I sig~ed
it as my free and voluntary act for the purposes therein e~q)ressed.
Sworn or affirmed to end acknowledged
before me.~y the testatrix n~ned abo~e
this /~ day of ~w~f , ~
Notary ~tc [~'~ ~m,~m
CO~ONWEALTH OF PENNSYLVANIA }
( SS.:
COUNTY OF CUMBERLAND )
WE, GEORGE ~- VAUGHN, III, and MICHAEL L. BANGS, the witnesses whose
names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw
the testatrix si~n a~d execute t_he instrument as her last will; that she
signed it willingly and that she executed it as her free an~ voluntary act
for the purposes therein expressed; that each of us in the hearing and
sight of the testatrix signed the will as witnesses; and that to the best
of our knowledge, the testatrix was at that time 18 or ~ore years of age,
o~ sound mind, and under no constraint or undue influence.
Sworn or affirmed to and
ac~ncrwledged before me this
~M~ day Of
Notary ~ublic
., 02/0~/2005 88:16 7177917011 ~3 ~ECH~NICSBLI~G P~ 81/85
REGISTER OF WII..LS
CUMBERLAND County, PenneyJvanie
CERTIFICATE OF GRANT OF LETTERS
No. 2004. 00810 PA 1~o. 21- 04- 0810
Estate 0£.. EI._SENHUTN JOYCE l
Deceased
Social Security No: I$8-34-9064
W~EREAS, on the Ist day of September 2004 an instrument dated
January 14th 1987 wag admitted to probate as the last will of
EISENHUTH JO YCE L
late of EAST PENNSBORO TOWNSHIP, CUMBERLAND County,
who died on the 21st day of August 2004 and,
WHEREAS, a ~rue copy of the will as lDl'obated is az!hexed hereto.
THEREFORE, I, GLENDA FARNER STRASBAUGH
_, Register of Wills in and
for CU~4~ERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Larders TESTAMENTAFIYto:
E;$ENHUTH SHANE D
who has duly qualified aa EXECUTORfRIX!
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTy COURTHOUSE,
CARLISLE, PENNSYLVAN/A.
IN TESTIMONY WI~ERBOF, I have hereunto set my hand and affixed the seal
of my office on the ~$t da), of Sep~mbs! 2004,
w*NOTB** A~L NAMes ~OVE Ai~PEA~ (LAST, FIRST, MrDDLE)
SETTLEMENT STATEMENT Tiflepro lot WindowsTM
RIVERSIDE LAND TRANSFERS, L.L,C.
301 Market Street, Suite 100
Lemoyne, PA 17043-0109
(717) 441-1555
TYPE OF LOAN
[] 1 FHA []2 FMHA [] 3 CONV.UNINS
[] 4 VA [] 5 CONV. INS
S FILE NUMBER 17 LOAN NUMBER:
140703
G PROPERTY LOCATION:
1812 Ches[er Road. Enola 17025
PLACE OF SETTLEMENT: 301 Markel Stree[, Suite 100, Lemoyne, PA
J. SUMMARY OF BORROWER'S TRANSACTION
MORT INS CASE NO:
Adjustmer~ts for items paid in advance by seller(s)
106 City/Town tax
SUMMARY OF SELLER*S TRANSACTION
400. Gross Amount Due to Seller
Adjustments for items paid in advance by seller(s)
406. City/Town tax
407, County/Citytax 10/18/04 to 12/31/04
705
106,875.00
51,305,371
220 Total Paid By/For Borrower
300 CASH AT SETTLEMENT From/To BORROWER
6OO CASH AT SETTLEMENT To/From SELLER
139,650.84 603 Orosa Amount due Seller (line 420) 136.1315184,82614
106,87500 602. Less reduction in AmLdue Seller (line 520) 51,305 37
303 Cash[] FROM [] TO Borrower 32,805.84 603, Cash[] TO [] PROM Seller
L. SETTLEMENT CHARGES Case # 140703
'~ Count~mde Ho~e Laon, ~ ~
j, ~~ Lan~afe FJO~ ~ ~
~ ~ Count~ide Tax Se~ .. 4~ O0 ~
i ~m~~ .... uu /Day i
ARTHUR k. DILS
DIANE M. DILS
A'i-FORNEYS AT LAW
1017 NORTH FRONT STREET
HARRISBURG, PENNSYLVANIA 17102
December 14, 2004
PHONE: (717) 233-8743
FAX: (717) 233-2567
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
RE: Estate ofJoyce L. Eisenhuth
Dear Sir or Madam:
C)
Enclosed are an original and three copies of an Inheritance Tax Return to be filed
in your office along with a check in the amount of $337.78 representing the
inheritance tax due.
Would you please return the clocked-in copies of the Return to me in the enclosed,
self-addressed, stamped envelope.
Thank you for your assistance in this matter.
Very truly yours~q
DMD/daf
Enclosures
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11 96)
NO. CD 004744
EISENHUTH SHANE D
6195 HAYMARKET WAY
MECHANICSBURG, PA 17050
fold
ESTATE INFORMATION: SSN: 198-34-9064
FILE NUMBER: 2104-0810
DECEDENT NAME: EISENHUTH JOYCE L
DATE OF PAYMENT: 12/16/2004
POSTMARK DATE: 12/15/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 08/21/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $337.78
TOTAL AMOUNT PAID:
$337.78
REMARKS:
SEAL
CHECK//112
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
ORPHANS' COURT DIVISION
NOTICE OF CLAIM
In Re: The Estate of:
JOYCE L EISENHUTH
Deceased
Court File No: 2104810
TO: THE CLERK OF THE ORPHANS' COURT DIVISION:
Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate,
Estates, and Fiduciaries Code, 20 PA.C.S.A. 93532(b)(2).
elTlBANK USA, N.A. (SEARS ROEBUCK & c,Ql
1) Claimant's name: . .-,
2)
C/O BALOGH BECKER LTD. 4150 OLSON MEMORIAL
Claimant's address: HWY #200
MINNEAPOLIS. MN 55422
877-768-4494
Creditor listed below is the owner and holder of a claim in the amount of
$ 517.63
.._.J
f''',~
3)
1'0-)
--.J
4) The facts upon which this claim is based:
This claim is based on an account for credit evidenced by the attached
Affidavit of Account Stated.
5) Decedent's adJress: 6 i~j;J riAyf,jj:..RKET \N",,-{ \:..0 BhANL i::.15 lvli::Ct-IAi\jlC~'dDFiG:, ~'p.. f/Or::,.:.
6)
Date of Death:
08/21/04
7) That the claim arose prior to the death of the decedent on or about
8) That the claim is secured by
On behalf of the claimant, I do solemnly declare and affirm under the penalties of
perjury that they Information and representations made herein are true and correct
to the best of m kno edge, information and belief.
Dated:
Chelsea A. Whitley/Angela M. Horn/Mary Ellen Weeman/Chad Boh kefThersia Lee, Attorney-in-Fact
Written notice of claim was given to Personal Representative and/o his/her counsel
as stated below:
SHANE EISENHUTH
Name
6195 HAYMARKET WAY
Address
MECHANICSBURG, PA 17050
City /State/Zi PJ ' /
~_d fO r
Date notice aile
IN RE ESTATE OF: JOYCE L EISENHUTH
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 his /her duties.
3.
The Decedent purchased merchandise in the amount of $ 517.63
account number 0558880403958
evidenced by
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
BALOGH BECKER, LTD.
By: ~
Attofi1eys-in-Fac~: -----
Chelsea A. Whitley __ Angela M. Honf"
Michael D. Johnson _ Mary Ellen Weeman_
Thersia O. Lee Chad J. Bolinske
4150 Olson Memorial Highway, Suite 200
Minneapolis, MN 55422-4811
Subscribed and sworn before me
This q
day of kWl
,2005.
~-!
Ow (J'lo
Notary Public
rD.AOu
"Ii
r",)
l'o
--./
4<:1,:>,~. CHIEDlA M. KAHARt
t,,~t'" \:.~:.<, NOTARY PUBLIC
;.<C~~,::"'i~'~ STA1~ OF MINrJESOTA
<~~;:':)".T MY COMM. EXP, 1/31/2009
, ,~.~~J"-;'~'.""""'-";_""''''''''''''.'''-'_#-.J
CLAIM FORM
ESTATE OF
JOYCE EISENHUTH
ORPHANS' COURT DIVISION O~.
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
21-04-0810
NO.
Notice of claim by
BOSCOV'S
S 3551.97
filed pursuant to section 3384, Probate, Estates and
in the amount of
Fiduciaries Code Laws of 1972, Act No. 104 effective July 1, 1972 as amended.
Date
19_
TO TH~ CLERK OF THE ORP~S' COURT DIVISION:
Enter the claim of
.Bnc:rnv I q
(Claimant and Address)
9441 LB,! FREEWAY
Lock BOA 30
Uallas, It.} 5243
in the amount of S 3551. 97
against the above entitled Estate. The decsdent
8/21/04
who resided at
died on
(Oats)
(Address)
Written notice of said cla~ was given to
SHANE D. EISENHUTH
at
. (Personal Representative
6195 HAYMARKET WAY, MECHANICSBURG PA 17050
or Counsel)
(Address) (Date)
The basis of aforesaid claim is as follows: (Itemize fully to enable personal representative
on
to make proper investigation).
Acct.jf3552365
ClaLmant's Counsel
(Name)
n~~
~ Name)
9441 LBJ FREEWAY
Lu~h~O
Dailas, rx 75243'
(Address)
',--:-J
)--
PROBATE COURT
Cumberland County, State of Pennsylvania
Joyce Eisenhuth, Deceased
Case #21-04-0810
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 employed in the county where the mailing occurred. The envelope(s) was/were
addressed and mailed as follows:
Mr. Shane Eisenhuth
6195 Haymarket Way
Mechanicsburg, PA 17050
Date of Mailing:
/LP//
County of Mailing,
Dallas, Texas
I deClare~r~l~f
Date, I ',.)- Z ~
perjury that the foregoing is true and correct.
for
Boscov's
P.O. Box 741026
Dallas, TX 75374
~age: 1 Documen~ Name: BARBARA cA~~IDY
;;M.S D
FORM
LiD,?:}
Dece-ase-d l\ccnunt
R",ad Mode
Author:
t'orm completed:
Approved:
Customer Name:
Account Number:
Account Balance:
Date of Death:
Account Recency:
Collector:
Date of last purchase:
TINA JAMISON
24-~ep-Ulj
25-Sep-04
10:27
25-Sep-04
EISENHUTH JOYCE
3552365 3'2>5\ en
3, 4&B. ':ffj
21-Aug-04
1
DUM
5-Aug-04
'...rJ....T'
~()J
j (J
4 (J
5 't
6 \:
; t:
9 \
10
11
12
13
STATE OF PENNSYLVANIA
IN THE MATTER OF
ESTATE OF:
JOYCE EISENHUTH
IN THE ORPHAN'S COURT
OF CUMBERLAND COUNTY
ESTATE#: 2004-810
DATE OF DEATHP'?8j21/04
~1]
STATEMENT OF CLAIM
1. The creditor, Citifinancial, certifies that there is due and owing by JOYCE EISENHUTH, deceased, the sum of
TWO THOUSAND THREE HUNDRED EIGHTY SEVEN DOLLARS AND ONE CENT ($ 2;387.01 t
2. The nature of the claim is a Line of Credit account 09070317840.
3. The name and address of the claimant is: Citifinancial, Investment Recovery, 11436 Cranhill Dr., Suite H, Owings
Mills, MD 2117.
4. The name and address of the claimant's agent is: Kate Schalizki, 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 anyone instrument. Said balance has accrued since the account was established.
On behalf of Citifinancial, creditor, I do solemnly declare and affirm under the penalties of peIjury 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.
~"'~ ~~ z-u, ,
~E SCHALIZKI
Estate Recoveries, Inc.
P.O. Box 24566
Baltimore, Maryland 21214
(410) 444-8022
COlillty of Baltimore, Maryland:
INyYITNESS WHEREOF, I hereunto set my hand and Notarial Seal this rebruary 22,2005.
My Commission Expires: September I,
v-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVlQP4h';r~XES'
INHERITANCE TAX DIVISION;' . .' .
PO BOX 280601 -, - ..
HARRISBURG PA 17128-I~Ul
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
REV-1541 EX AfP <12-041
nr,
VL
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-21-2005
EISENHUTH
08-21-2004
21 04-0810
CUMBERLAND
101
JOYCE
L
nDD'-;\\C':.',
SHANE p1tl-8cNHUTH
6195 HAYMARKET WAY
MECHANICSBURG PA
Amount Remitted
17050
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 =r!W-EX--AFP--rar--6Jr-NOY-I-CE-Ot!-IN'HERi-fli,icr''-Ax-'A-PPR'A-fsEM-€N'~--A[LoQANCE-OR------._----- - --.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF EISENHUTH JOYCE L FILE NO. 21 04-0810 ACN 101 DATE 02-21-2005
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
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. Hortgages/Notes Receivable (Schedule D)
5. Cesh/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
135.000.00
.00
.00
.00
5.379.00
.00
.00
(8)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this forll with your
tax payment.
140,379.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
4,276.69
46.329.47
(11)
(12)
(13)
(14)
50.606 16
89,772.84
.00
89,772.84
NOTE: 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. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
.00 X 00 = .00
89,772.84 X 045 = 4,039.78
.00 X 12 = .00
.00 X 15 = .00
(19)= 4,039.78
~
TAY CREDITS:
.. ....". "",..",...r. (+J AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
1l-04-2004 CD004591 184.21 3,500.00
12-15-2004 CD004744 .00 337.78
PAYMENT MUST BE MADE BY 05-21-2005~. TOTAL TAX CREDIT 4,021.99
BALANCE OF TAX DUE 17.79
INTEREST AND PEN. .00
TOTAL DUE 17.79
. 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.)
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 7/05/2006
EISENHUTH SHANE D
6195 HAYMARKET WAY
MECHANICSBURG, PA 17050
RE: Estate of EISENHUTH JOYCE L
File Number: 2004-00810
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 is due by:
8/21/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
,.~/2j
/1
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
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Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: J oyc-e L . F: f s e Y) h o-th
Date of Death: AU9LJS+ d': ;looY
Estate No.: -dl- 0 L{ - OrfQ I 0
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.&Q No 0
2. If the wiswer 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 0 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? Y es ~ No 0
Date:
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.
8(%/06 ~f) ~
Signature
ShClf1€- D_ EtSev1~
Name
\..0
o
'''.".,.
;:;:
JL{ r<O'f(l( Pa.lIhOc. tYlechOt1(cslovrq PA
Address ' { 70.T0
o
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7/'7-6Q7-Lf50B
Telephone No.
Capacity: '81 Personal Representative
o Counsel for personal representative
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