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HomeMy WebLinkAbout03-0831PETITION FOR PROBATE and GRANT OF LETTERS also known as Deceased. Social Security No. I ~ ~ ~ ~ ~ - ~ ~ 3 ~ No. To: Register of Wills for the County of Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age,older an the execut r- t X in the last will of the above decedent, dated Iq ckay oC and codicil(s) dated in the named , ~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) 0..,~'~3~ ¢ \ ~- County, Pennsylvania, with Decendent was domiciled at death in h i ~ last'family or principal residence at (list street, n")un~ber and muncipa|ity) Decendent, then ~ t4 years of age, died Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent 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: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ COUNTY OF ~,q'L~x~,~k _ 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 represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ~ t3c'e-v~ day of No. Estate Of ~o"c~ ~ ~~, ~ ~c~_ ~, ~.~a %-~,~ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ~'~)~~ l ko: ~2 oo.-.5 1~ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated described therein be admitted to probate and filed of record as the last will of,~kwxx'~, ~ ~v_.,~ O~ and Letters -l-'C ~T~qtr~Er~T6~O are hereby granted to FEES Probate, Letters, Etc .......... $140 Short Certificates( ) .......... $ I~ 30e $ I~ TOTAL ~ $ "'l I, Filed l~. :3.to.-.~o. 3 ................... ~X.Register of Wills'-~a~ (~O'~ ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE LAW OFFICES OF STEPHEN J. HOGG 19 S, HANOVER STREET SUITE 101 CARLISLE, PA 17013 WILL OF JOHN H. STAPF I, John H. Stapf, of Carlisle, Pennsylvania, declare this to be my last Will and hereby revoke all prior Wills and Codicils. I direct that all my just debts, funeral expenses, gravemarker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. I direct that all inheritance, estate, transfer, succession and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my entire estate be distributed as follows: I leave everything to Regina E. Stapf. Should she predecease me, I leave $5,000.00 to my daughters, Beau Stocking and Katherine M. Saltus and the remainder of my estate to my daughter, Katherine M. Saltus. I appoint Katherine M. Saltus as Executrix of this my last Will. If he should predecease me or cease to act in such capacity, I appoint Douglas Saltus as alternate. The Executor of this Will shall have the power to distribute my estate in kind or in cash, or partly in either. I direct that no Executor acting under this Will shall be required to enter bond in any jurisdiction. IN .WITNESS WI:JEREOF, I/l~ave hereunto set my hand this //~'~ day of ~J~---'~~ ,2002. The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and declared by JOHN H. STAPF, as and for his last Will in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. WITNESS/-"" LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 LAW OFFICES OF STEPHEN j. HOGG 19 S. HANOVER STREET SUITE 101 CARLISLE, PA 17013 ACKNOWLEDGMENT State of Pennsylvania County of Cumberland SS I, JOHN H. STAPF, the testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will; that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed a_r]~! acknowledged before/gne by John H. Stapf, the testator, this /' ~-/nday of _.~'"',~'~ _. , 2002. ! .~~._..~______a~am~ ¢ltlo~ryi~ublic/Attorney,~'J ~?~~l~~~1 ~ / AFFIDAVIT State of Pennsylvania County of Cumberland SS We, f.J~ ~, ~,~,//,e~l~ and witnesses whose names are signed to the atta(~hed or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrument as his last Will; that the testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the Will as a witness; and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and--nder no constraint or undue influence. Sworn to or affi..~ed and s~scribed to before me by witnesses, this ~/'~7'~y of ~/~/,'~/-~'".~7 ,21 IIOTARIN. ~.N. STEPHEN J. HOGG, NOTARY PUBUC CARL.IE4.E BORO, CUMBERLAND CO. PA By COMMIS~ON EXPIRES SEPTEMBER ~, ~00S COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I-- Z LU LU LU ,,, 0 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) $TA~ F, ~ol4 N DATE OF DEATH (MM-DM-YEAR) DATE OF BIRTH (MM-DM-YEAR) oq - ~(o- ~.oo'~ o7-5~- (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER /'-/o-/o - q $"lCl THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER r~l. Original Return E~]4. Limited Estate ~]6. Decedent Died Testate (Attach copy of Will) r--] 9. Litigation Proceeds Received ---] 2. Supplemental Return --] 4a. Future Interest Compromise (date of death after 12-12-82) [~]7. Decedent Maintained a Living Trust (Attach copy of Trust) E~10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ] 3. Remainder Return (date of death prior to 12-13-82) [~5. Federal Estate Tax Return Required O 8. Total Number of Safe Deposit Boxes r--] 11. Election to tax under Sec. 9113(A) (Attach Sch O) FIRM NAME (IfApplicaUe) TELEPHONE NUMBER COMPLETE MAILING ADDRESS 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) ~ 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) :~' 9; ~ '~ ~', 0,~' (Schedule E) 6. Jointly Owned Property (Schedule F) ~] Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. 14. (6) (7) (9) 5, d~..~5'. ,40 (lO) ~ ~ I ~ G,, ~'-I Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) OFFICIAL USE ONLY (8) '~q., 3 ,~ -I. 0 S' SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due x .0_ (15) x .0 /"'J"~ (16) x .12 (17) x .15 (18) (19) Decedent's Complete Address: ] STREET ADDRESS MgO, g.. -'F-KlM DUE- ¢'ZD, z,P / 705'O Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) ~ ~. ~ ~ Total Interest/Penalty ( D + E ) 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 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 due. (3) ~ (4) (5) *i¢, 4"/ (5A) ~ B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 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 property 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 life of either payments, benefits or care? ...................................................................... [] [] 2. 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 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 perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete, Beclaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. DATE ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE g DATE ABDRESS 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) (ii) 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 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 paren or a stepparent of the child is 0% [72 P.S. §9116(a)(1.2)]. 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 a individual who has at least one parent in common with the decedent, whether by blood or adoption. EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER All property jointly.owned with fight of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION TOTAL (Also enter on line 2, Recapitulation) (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH "~ I ¢.4 ~.oo $ I,q q' ~. oo REV-1508 EX + (1-97) ~ COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorshi 3 must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION TOTAL (Also enter on line 5, Recapitulatior (If more space is needed, insert additional sheets of the same size) VALUE AT DATE OF DEATH REV-15~ 1EX + (1-97)~ · ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE 0,~) ~. ~ FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION ^. 1. 5. 6, 7. FUNERAL EXPENSES: ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) ~ Social Secudty Number(s) / EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Attorney Fees .~ Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant ~ Zip Street Address City Relationship of Claimant to Decedent Probate Fees Accountant's Fees ~ Tax Return Preparer's Fees ~ State __Zip AMOUNT 9o,,-t o ?l,Oo TOTAL (Alsoenter on line 9, Recapitulation) $ g,~ ~'"'~". ~"~0 (If more space is needed, insert additional sheets of the same size) ,.REV-1512 EX+ (6-98) /~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE I DEBTS OF DECEDENT, MORTGAGE MABIUTIES, & LIENS FILE NUMBER Include unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH TOTAL (Aisc enter on line 10, Recapitulation) $ ~ I I ~:>, (~ r-'/ (If mom space is needed, insert additional sheets of the serse size) 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 NO. REV-1162 EX(11-96) CD 0O31 1 6 SALTUS KATHARINE M 5224 TERRACE ROAD MECHANICSBURG, PA 17050 ........ fold ESTATE INFORMATION: SSN: 140-10-9579 FILE NUMBER: 2103-0831 DECEDENT NAME: STAPF JOHN H DATE OF PAYMENT: 1 O/14/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUM BERLAND DATE OF DEATH: 09/16/2003 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $66.47 REMARKS: KATHARINE M SALTUS TOTAL AMOUNT PAID: $66.47 SEAL CHECK# 973 INITIALS: AC RECEIVED BY: DONNA M. OTTO DEPUTY REGISTER OF WILLS REGISTER OF WILLS ZND/VTDUAL TAXES BUREAU OF TNHERTTAHCE TAX DZYTSTON DEPT. 280601 HARRZSBURG, PA 17118-0601 KATHARINE H SALTUS 5ZZ~ TERRACE RD HECHANICSBURG PA 17950 COHHONWEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSNENT OF TAX DATE 12-01-2005 ESTATE OF STAPF DATE OF DEATH 09-16-2005 FILE NUNBER 21 05-0851 COUNTY CUNBERLAND ACN 101 Aeoun'l: Reei~ed REV-15~i7 EX AFP Cffl-O$) JOHN H HAKE CHECK PAYABLE AND REHZT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX ESTATE OF STAPF JOHN H FILE NO. 21 03-0831 ACN 101 DATE 12-01-2005 TAX RETURN NAS: (X) ACCEPTED AS FILED { ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e {Schedule A) (1) 2. S~ocks and Bends (Schedule B) (2) 3. Closely Held S~ock/Par~nership In*eros* (Schedule C} ($) ~. Nor~gages/No~es Receivable (Schedule D) (~) S. Cash/Bank Deposits/H/sc. Personal Proper~y (Schedule E) ($) 6. Jointly O~ned Proper~y (Schedule F) (6) 7. Transfers (Schedule G) (7) S. To,al Asse~s APPROVED DEDUCTZONS AND EXEHPTZONS: 9. Funeral Expenses/Ado. Cos~s/N~sc. Expanses (Schedule H) (9) 10. Deb~s/Nor~gage Liabil/~/es/Liens (Schedule Z) (10) 11. To*al Deductions 1~9R2.00 .00 7 z 385.05 .00 .00 NOTE: To /nsure proper credi~ ~o your account, subei~ ~he upper pore/on .00 of ~h/s form ~/~h your ~ax payeen~. .00 (8) ~,655.~0 12. 13. 1~. NOTE: ASSESSNENT OF TAX: 15. Aeoun~ of L/ne lq e~ Spousal ra~:e 16. Aeoun~ of L/nm 1~ ~axable a* Lineal/Class A ra~e 17. Aeoun~ of Line 1~ a~ Sibling re~e 18. Aeoun* of Line 1~ *axable a~ Colle:keral/C1ass B re*e 19. Principal Tax Due TAX CREDITS: PAYMI~NT RECEIP1 DISCOUNT (+) DATE NUHBER TNTEREST/PEN PAID (-) 10-1~-2003 CD003116 3.50 3~116.87 ~11) 9,327.05 7.772.27 1,55~.78 66.~7 TOTAL TAX CREDZT BALANCE OF TAX DUE ZNTEREST AND PEN. TOTAL DUE ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 69.97 · 01CR ( ZF TOTAL DUE ZS LESS THAN $1, NO PAYHENT ZS RE~UZRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR ZNSTRUCTZONS.) AHOUNT PAZD (1~) .00 x 00 = .00 (16) 1,55q.78 x ORS= 69.96 (17) . O0 x 12 = . O0 (18) .00 X 15 = . O0 (19)= 69.96 Ne~ Value of Tax Re~urn (12) Charitable/governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) . O0 Ne~ Value of Es~:a~:e Sub,iec* ~o Tax (1fi) 1,55q.78 If an assessment was issued previously, 11nos 14, 15 and/er 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. RESERVATION: PURPOSE OF NOTICE: PAYNENT: REFUND (CR): OBJECTIONS: ADHIN- ZSTRATZVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: Estates of decedents dying on or before December 1Z, 1981 -- 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 CoeeonNealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such futura interest. To fulfill the requirements of Section ZlqO of the Inheritance and Estate Tax Act, Act 25 of Z000. (72 P.S. Section 91~0). Detach the top portion of this Notice and submit with your payment to the Register of #ills printed on the reverse side. --Make check or money order payable to: REGISTER OF MILLS, AGENT A refund of a tax credit, ehich ams not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Mills, any of the 13 Revenue District Offices, or by calling the special Z4-hour ansaering service for forms ordering: 1-800-362-2050; services for taxpayers mith special hearing end / or speaking needs: 1-600-447-5020 (TT only). Any party in interest not satisfied aith the appraisement, a11oaance, er disallowance of deductions, or assessment of tax (including discount or interest} as shown on this Notice must object mithin sixty (60} days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 251021, Harrisburg, PA 17128-1011, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 180601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page S of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-ISa1) for an explanation of administratively correctable errors. If any tax duo is paid within three (5) calendar months after the decadant's death, a five percent (52) discount of the tax paid is a11oaed. The 152 tax amnesty non-participation penalty is computed 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 amnesty period. This non-participation penalty is appealable in tho same manner end in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (62) percent par annum calculated at a daily rate of .000164. AIl taxes ahich became delinquent an and after January 1, 1982 aill bear interest at e rate which will vary from calendar year to calendar year aith that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through 1003 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 1982 ZOZ . O 00548' 1987 97. .000Z47 1999 72 .000192 1985 162 .00043B 1988-1991 llZ .000501 2000 82 .000219 1984 117. .000301 1992 92 .000247 ZOOX 92 .000247 1985 137. .000356 1993-1994 72 .000192 ZOOZ 67. .000164 1986 102 . O00ZTq 1995-1998 97. .000247 2005 52 .000137 --Interest is calculated as follows: ZNTEREST= BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of tho assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculatad. Name of Decedent: Date of Death: ~e_~'.c3~ Will No. ~ I - 0 To the Register: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) ~200 '% Admin. No. E~l. O0'~ -~30 ~ ~ i 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 ~,~e_,~3~ i "/~ o-200~ · Name Address a_.,xe.c,?cc' ~ X -.-3 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Signature Name-.~~ ~ ~ Address Telephone CTI ~r Capacity: X Personal Representative Counsel for personal representative ...:!" N (L r- I c_ ,. , U"} ~_,(':1 C~.~, ~ e-J Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 S'~-9 Name of Decedent: .~ O~(\ '\-\ Date of Death: g-I (0 - d 00 3 ;;l003- oo~~1 Estate No.: 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~ether administration of the estate is complete: Yes ~ No 0 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 0 No ~ ~ oW JL o{o /j1...[)_{)..;r-? 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 c. Copies of receipts, releases, joinders and approval of fonnal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: 9-3 -oS- y(~~'m0~ Signature 4<~(i\il Y\ Q... Yh. So.. \~ s Name 'S" dd. q Ie-("'(' ().L-€..~cL ~ Ad"'", WI <2 c.w,xM": ~ U c -:'1,,>4 liDSO 117 Q75-f)'5Y:4- Telephone No. Capacity: )(jJ Personal Representative tEl Counsel for personal representative ~'" Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 8/30/2005 SALTUS KATHARINE M 5224 TERRACE ROAD MECHANICSBURG, PA 17050 RE: Estate of STAPF ~JOHN H File Number: 2003-00831 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: 9/16/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge ep