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Home My WebLink About03-0784PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of ~J"~ ~ J~,~e~--- No. also known as '~ .~,~ ~-~/~,_~.-o~ f~e ~ To: Register of Wills for the Deceased. County of ~"~-,,-~:~-/~ ~ in the Commonwealth of Pennsylvania Social Security The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl/-~-~r (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. for letters of administration on the estate of Decendent was domiciled at death in ~/'~ -"~f ~/~.-~ c~ County, Pennsylvania, with h [~ last family or principal residence at :-¥ q ..~t..~o..~,._~,, ~ .~/~4~:.~_j-~o.~',~57,' J2:,~V':/'0,~'-~°~' (list street,'~umber and municipality) Decendent, then ~'"? years of age, died. ~--?-~e_ ?,~,~ ,-I~ 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 ha ~r ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: ~.~ .... /,/~ N~.~_~_ Relationship Residence THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. g° OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF SS 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 affi~rng~and subscribed before me this day of No. 31-o - ta'ff Estate of-T~c~ ~_ ~. ~-~., -~,c~ F_A~,~_~&_~ , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW ~?.a_x~_ 0~q ~c~C~o~ 4~ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that ~.~cc~.,~ c~ ~ is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted in the estate of'~xx--c, FEES Letters of Administration ..... $. I% .o o Short Certificates( ) .......... $ Renunciation ................ $ O0.~o $ jo.o~ TOTAL ~ $. Filed .~..:c,~..q..-.O~. ........ A.D. 19 ._ ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE CERTIFICATION OF NOTICE UNDER RULE 5.6(a) ' Name of Decedent: '~'--~, ~ ~d~-'~-~-.--- Date of Death: --'-"~'~ /Z ~ 67(-.) Y Will No. 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 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Signature Address Telephone :'-"()Capacity: -~ Personal Representative Counsel for personal representative Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/03/2005 DREW LARALYN 599 NEWBURG RD SHIPPENSBURG, PA 17257 RE: Estate of DREW TIM E File Number: 2003-00784 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: 6/13/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~A-=~~ REGISTER OF WILLS cc: File Counsel Judge ~ ,_- • OF INHERITANCE TAX pennSy~Van~a --- NOTICE ~ _ AFL-0WANCE OR DISALLOWANCE DEPARTMENT OF REVENUE APPRAISEMENT, ., BUREAU OF INDIVIDUAL TAXES DF DEDUCTTDN3~~ AND ASSESSMENT DF TAX REV-1547 EX AFP (12 10) INHERITANCE TAX DIVISION ~ PO BOX 280601 HARRISBURG PA 17128-D601 DATE 05-09-2011 ESTATE OF DREW TIM E DATE OF DEATH 06-13-2003 FILE NUMBER 21 03-0784 COUNTY CUMBERLAND LARALYN DREW ACN 101 599 NEWBURG RD APPEAL DATE: 07-08-2011 (See reverse side under Objections) SHIPPENSBURG PA 17257 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T 0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE -) RETAIN LOWER PORTION FOR YOUR RECORDS ~' ------------------------------------------------------- ----- ------------------------------- REV-1547 EX AFP C12-10) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: DREW TIM EFILE N0.:21 03-0784 ACN: 101 DATE: 05-09-2011 TAX RETURN WAS: C ) ACCEPTED AS FILED ( X) CHANGED $EE ATTACHED NOTICE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper (2) 00 credit to your account, 2. Stocks and Bonds (Schedule B) submit the uppe r portior •O 0 3. Closely Held Stock/Partnership Interest (Schedule C) (3) of this form wi th your 4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .0 0 8. Total Assets (8) .00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) .OD 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00 11. Total Deductions C11) .00 00 12. Net Value of Tax Return (12) . 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0 14. Net Value of Estate Subject to Tax (14) .00 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. Amount of Line 14 at Spousal rate (15) .00 X 00 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) .00 x 045 = .00 17. Amount of Line 14 at Sibling rate (17) .00 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00 19. Principal Tax Due (19)= .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 OF THIS FORM FOR INSTRUCTIONS. ~/ !i,v REV-7470 E% (6-82~) 7,~ t a ~: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENT'S NAME Tim E Drew REVIEWED BY Department of Revenue SCHEDULE ITEM NO. INHERITANCE TAX EXPLANATION OF CHANGES File Number 2103-0784 4CN 101 EXPLANATION OF CHANGES Efforts to obtain an Inheritance Tax return have been exhausted for the above referenc estate. Therefore, the filing requirements have been waived. The Department howevered reserves the right to assess any assets that may be recovered at a future time. Page 1