HomeMy WebLinkAbout03-0646
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of # '/ftJn f. ~/1Ji,NO. ;l./-03-(ptflP
also known as To:
Deceased. Register of rillS for the~
County of /fYliuA- in the
Social Security No. /tfc(- 'f~ - 7~1JI) Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ,.~ S for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the aoove decedent.
pecendent was domiciled at death in fA HIJIjtjOAU( pc{;:! 'tv/iounty, penus"vani~ wi~
h j > last family or principal residen'te at S"' /?2 M. /I. t ~ I I ~
(list street, number and municipality)
D~ndentt tr; ~~~'jOf~~~, ift!J ~lJJ yo .3
,oft ,
at /L% lis .
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Decendent at death owned property with estimated values as folllows:
(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:
Petitioner_ after a proper search hll- ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name Relationship Residence
/JJR /t!(?;13
~ I~ I-e /lJ (1()/3
CPr /ti ~741
(!fttr 1(5 /J I))
fr sIR- H (lJfJ
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 6/15/2005
PATTERSON DORIS L
1819 WILLOW ROAD
CARLISLE, PA 17013
RE: Estate of PATTERSON HILTON R JR
File Number: 2003-00646
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by: 7/28/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
~~.~
GLENDA FARNER STRAS AUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
cfi
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF r.IIMRFRI ANn
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
Sworn to or affirmed and subscribed J~ {f PrUJ~ ___
before me this ID-\:!1 day of ~
AUGU~T ~003 ~_ . .a
~Nl ~~\\fi Do I ~~~ I !
eglSter l ti5
No. f).1- D:3 - LPJ./ 10
Estate of HIL TON R PATTERSON JR , Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW AUGUST 7 , c:2oo'3 ~_, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that 09JUS. L PATTERSO....
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to DORIS L PATTERSON
in the estate of HILTON R PATTERSON JR
~'" ~(fu,\,,* i:l,(>,~, S ~
RegIster of WI
FEES
Letters of Administration ..... $ / ~ 00
Short Certificates( ).......... $ .3 a) ATTORNEY (Sup. Ct. I.D. No.)
Renunciation ................ $
..Jr:LP $ /0.00
TOTAL _ $ 31.00 ADDRESS
Filed J.-.7.-.0.3........... A.D. ~
~~.S>'7-03 PHONE
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SEX SOCIAL SECURITY NUMBER DATE OF DEATH (Month, Day, .r)
R Jr. .. Male .. 184-48-7680 .. July 28, 2003
UNDER 1 OIlY PLACE OF DE.<TH (Check only one ..Instructions on other side)
Ho... Mlnut.. HOSPITAL: EFtIOutpatlent ~ OTHER:
7 Harrisburg Pa InPatient 0 :=.nao ~o
...
FACILITY NAME 01 not institution, gi.... street and number')
Cumberland Carlisle Center Black
...
DECEDENT'S USUAL OCCUPATION MARITAL STATUS - Married SURVIVING SPOUSE
(~:O~~~u~r:zrw~ Never Married, Wkiowed, (If wil., give maiden name)
DI'Iorced (Specify)
11 Baker 11. Food Market Married
DECEDENT'S MAILING ADDRESS (Street, CityfTown. Stal., Zip Code) DECEDENT'S
ACTUAL na.State DId ....
345 B Street RESIDENCE -..
(Seeinltructlonl lIYoln,
1.. Carlisle, Pa 17013 on orher side) Cumberland town'hlp? 11d,[! :;':::=1=01 Carlis Ie
170. cIIy....
FATHER'S NAME (F1r11. Middle, Lelt) MOTHER'S NAME (F...l. Middle, Maiden Surname)
11. Hilton R. Patterson Sr. ... Maxine byers
INFORMANT'S NAME (TypelPrinl) INFORMANT'S MAILING ADDRESS (Street, CityITown, Stale, Zip Code)
Doris Walker Patterson 1819 Willow Rd. Carlisle
METHOO OF DISPOSITION PlACE OF DISPO ITIOO. Name ot Cemetery, Crematory
Iluriol Kl C......1on 0 ".......,_ St", 0 or Othaf Place
01"'" (Spocifyl Pa 17013
NSEE OR PERSON ACTING AS SUCH
23e. u.. ....
TIME OF DEATH ORE PRONOuNCED DEAD (Month, Day, ~r) WAS CASE REFERRED 10 ME~ EXAMINERICORONER?
12:46 A'M. July 28, 2003 "", NoD
... ... ...
21. PART I: Ent... the dtMuM, Injuries or comptlcatlonl which C8UMd the de8th. Do not enl., the modi of dying,Such u cardiac or rnpntory arrest, shock or heert flllure. IApproldmate PART II: Other 11gntf\cant condlllOns contributing to death. but
Us! only one CIIUM on eeth line. : Interval between not mulling In the underlying ce.... gfven In PART I,
lon-and dNth
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b. I
DUE TO (OR ItS A CONSEQUENCE OF): !
c
DUE TO (OR AS A CONSEOUENCE Of): ,
I
.
WERE AUlOPSY FINDINGS MANNER OF DEATH DATE OF INJURY TIMEOFINJ~prx . INJURY AT 'NORK?
A\AILABLE PRIOR TO (Month. OoY. ,.,
COMPlETION OF CAUSE 0 0 July 28,2003
OF DEATH? Natural Hom~"'" ....
No)t ....0 NoD AccIdom ~ Pending InYlatlglltlOn 0 11:35PM
SuIcIdll 0 Could not be del:..",ined o PLACE OF INJURY - At hom., firm, atrlttl, lactory, office PA
_. 21b. ... ~ing,elC.(Specity) Home
CERTiFIER (Check only one) SIGNATURE A
-CERTIFYINQ PHYSICIAN (PtIysicien t*tilying C8UIe 01 death when 81'1OU'ler physician has pronounced deItt1 end compIet:ed hem 23) 0 Coroner
TOthetMlstofmyknowleclge,deathOCCU","duetothe~')endme"""..atatacI.....,......................,..,...........".,..... .
.PAOHOUHCIHQ AND CERTIFYING PHYSICIAN (Physician boIh pronouncing deI!IIlh and certifying 10 ceu.. 01' deeth) 0
To the beet of my k~. death occurred at the Ume, dtI.., end place, end due to the CIUM(S) end mIInner.. stated.,. . . . .. . . . . . . . , _. . . . . . . . .
'MEDICAL EXAMINE"ICO"ONER
On the be... of examln.tlon .nd/or InvHt:lptfon, In my opinion, death OCCUn'ed at the time, date, .net place, and due 10 the C8UM(.).nd ~
m.nner......ed...................................................................................... ............
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REGISTRAR'S SIGNlJURE AND IdJ \ 1&1 \ 101
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15343203022004 Cumberland County - Register Of Wills page 1
ROW621 3/ 2/2004
File No 2003-00646 PA File No 2103-00646
Decedent PATTERSON HILTON R JR
Docket Entries
D/E Date
No. Filed
001 08/06/03 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
OATH OF PERSONAL REPRESENTATIVE
DEATH CERTIFICATE
002 08/07/03 GRANT OF LETTERS OF ADMINISTRATION
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rn CERTIFIED MAILTM RECEIPT
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CJ Reslricted DelivlllY Fee
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CJ Total Postage & Fees $
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· Sender: Please print .,-
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REGISTER OF WILLS
CUMBERLAND COUNTY
1., COURTHOUSE SQUARE
CARLISLE PA 17013
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. .,...UI.ullJuu..U..n.. .n.ult. t.J"..J.U.l..J.. ~...I M
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March 5, 2004
Doris L. Patterson
1819 Willow Road
Carlisle, PA 17013
IN RE: ESTATE OF HILTON R. PATTERSON, JR.
Failure to File Certification
Dear Ms. Patterson:
A hearing was set for March 5, 2004, at 9:30 a.m., in the Courthouse in Carlisle, at
which you failed to appear.
The certification must be filed in the office of Register of Wills.
We must hear from you within twenty-four hours; please phone Jackie in the
Register of Wills office at 240-6409, if you have any questions.
Sincerely,
Sandra S. Gobrecht, Secretary
Judge Hoffer's Chambers
A
, ~/'/
V
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: \i ~ \-\oY\ p-. V(/., ti ,tVSP V\ ~
Date of Death: -:f. . 98, D~
Will No. Admin. No. ,/07.1 3 -""" CO to ~(I..{
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on
Name Address
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Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date: ~i1/f(~ ;>/~~Ol9~/ ~1 faxi-fA y~
Signature
CXJ Name f)()Y/f A ttf$fO 1J
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Capacity: ~ersonal Representative
_Counsel for personal representative
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NOTICE OF INHERITANCE TAX pennsyLvarna
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION QVREV-1547 EX AFP (11-14)
PO BOX 280601
HARRISBURG PA 17128-0601 RECORDED O F F1 C E OF
REGISTER OF %LLLS 04-06-2015
?�4C i (R L=R,E1Z'4OF PATTERSON JR HILTON R
!J 1 ff �� ��D DEATH 07-28-2003
FILE NUMBER 21 03-0646
CLERK "COUNTY CUMBERLAND
PATTERSON DORIS L ORPHANS' C(XiWT 101
1819 WILLOW RD ,; APPEAL DATE: 06-05-2015
CARLISLE P A 17 013 C M 13� L (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -- RETAIN LOWER PORTION FOR YOUR RECORDS 4
-------------------------------------------------------------------------------------------
REV 1547 EX AFP (11-14) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: PATTERSON JR HILTON RFILE NO. :21 03-0646 ACN: 101 DATE: 04-06-2015
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) (3) 00 submit the upper portionof this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) .0 0
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers (Schedule G) (7) .00
S. Total Assets C8) .00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 00
11. Total Deductions (11) .00
12. Net Value of Tax Return (12) .00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) 00
14. Net Value of Estate Subject to Tax (14) 00
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) -nn x 045 = .00
17. Amount of Line 14 at sibling .rate (17) X 12 = .00
18. Amount of Line 14 taxable at collateral rate C18) .00 X 15 = .00
19. Principal Tax Due C19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX PAYMENT .00
BALANCE OF TAX DUE . 00
INTEREST AND PEN. .00
TOTAL DUE .00
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE ^\
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. (\\VV_/\\
REV-1470 EX(01-10)
petlnsytVania INHERITANCE TAX
DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Box 280601
HARRISBURG,P 17 8-0601
DECEDENT'S NAME FILE NUMBER
Hilton R. Patterson, Jr. 2103-0646
REVIEWED BY ACN
Joan Agent#196 101
ITEM
SCHEDULE NO, EXPLANATION OF CHANGES
Efforts to file an Inheritance Tax return have been exhausted in the above referenced
estate. Therefore, the filing requirements have been waived. The Department however,
reserves the right to assess any assets that may be recovered at a future time.
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