The URL can be used to link to this page

Home My WebLink About04-0890 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of ~ ~ [~ 0_ ~i~r[O~~ No. also known as To: Register of x3/~lls foJ .the ~ Deceased. County of ~-'~'~,Aa~-~e Social Security No. 2o *~.-- 2-C. - ~l '~ -I 2~- Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appkle-.S for letters of administration on the estate of td.b.n.; pendente lite; duranle absentia; durante minoritate) the above decedent. Decendent was domiciled at death in C,t~.~0~.,~,~ County,PennsyJvan a, ~.ith h ~" _ last family or principal residence at IOoo ~x.t. ~-o._~'f'l.-. S'T'~ (list street, number and municipality) Decendent, then ~ years of age, died "J',o t~ ~_ ~,.-{-- at Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property $_ ~OOO~, ~90 (If not dmniciled in Pa.) Personal property in Pennsylvania $ (If not donficiled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Petitioner__ after a proper search haS~ ascertained that decedent left no will and was survived by , ,. ~>~..~.. the following spouse (if any) and heir~ ~'~.~'~ ' ~' Name _ ~ O. ~; 2~ &~ ~"~ ¢~ Relationship Residence THEREFORE, petitioner(s) respectfully request(s) tt~e grant of letters of administration in the appropriate form to the undersigned. OATH OF PERSONAL REPRESENTATIVE COUNTY OF ~ao.a/v,...x~.,,-_.~,.~ __v The petitioner(s) above-named swear(s) t>r 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 f __-==.~_(~z~.~.. ~? before me this ~C day of ~ __ ~ Register No. '= Estate of g-4~-,v'~ TO-n 0_. ~"~-IL&:~ , Deceased GRANT OF tETTERS OF ADmSlSTRATION AND NOW ~ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presente~d before ~e, IT IS DECREED that ~R "~' ~ ~-~1V ~fi:~O('~' X5 ~x C~ C is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to ~,C t~ ~4-~ ~k in the estate of ~1~ ~~ ~ ~ ~ Letters of Administration ..... $ Short Certificates( ) .......... $ b 00 ATTORNEY (Sup. Ct. I.D. No.) ...... ~ ....., zo.00 %q [~ ~,~-- Renunciation Filed ..................... A'D'~r _~ ~W O PHONE RENUNCIATION To the Register of Wilis of County, Pennsylvania. The undersigned of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters be issued to WITNESS ~ hand this day of (_.) c/e_. (Signature} (Address) (Signature) (Address) (Signature) (Address) RENUNCIATION To the Register of Wills of ~ County, Pennsylvania. The undersigned_ {L'~"~-c~-,--~x,~x ~%~~ of the above d<edent, hereby renounces) the fi~t to ad~nister the ~tate and respectfully ~k(s) that Letters WITNESS ~ h~d ~is day of_ ~ 19~_. ~ignature) (Addr~) (Signature) · ' (Address) (Signature) (Address) RENUNCIATION deceased. \ To the Register of Wills of ~ County, Pennsylvania. The undersigned "--~ <D~. ~-..~ ~C'~-~ ~<DC~:~'x~'x c~\,/% of the above decedent, hereby renounce(s) the right to administer the estate and respe~fully ask(s) that Letters WITNESS IX'~ hand this 34°[' day of ~'o~a~. , 19 0 ~p-. (Signature) ~ (Addrea~) (Signature) (Addre~) (Signature) (Address) RENUNCIATION To the Register of Wills of ~ County, Pennsylvania. The undersigned -~.~c~,~ (~(~c~..-~ (~-,.~ ~o~ of the above d<edent, hereby renounces) the right to ad~Mster the estate and r~p<tfully ~k(s) that Letters (Signatuxe) (Address) (Signature) (Addre~) JUN 9,?. 6 200 ~0~ ~4~ ~ev 2~s? COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF HEALTH - VITAL RECORDS 5?,~JNT CERTIFICATE OF DEATH ~,.E.T Helen Jane Ramp 3 204 _ 26 _ 9972 ,~ June 4,2~04 A( Cumberland ~o~is~o Todd Nursing Home ..... ~c.... :s~, White 1000 West South St. Carlisl homemaker Own Home ...... ~ ~zvorceH Cumberland FATHER S NAME (FirsL M~d~t ~ 1 . ~ E,,~.I ~ .... MO~ER'S N~E (Fire% M~d~' Ma~n Sum~) - - .................. I~ reo~ Rebecca ~rley A. Brzcker I=a~.~ ~ ~l~ge o~be~,Carlzsle,Pa.17013 .. o,~<~,~ ~l~?une zv,zuu~ ~,.~emorr ~emetery COm6erlond C56nt~ Pa CERTIFICATION OF NOTICE UNDER RULE 5.6(al Will No. ~ t O ~6 O ~ ~ 0 Admin. No. To ~e Register: I ceffi~ ~at notice of ~nefidal ~te~t) ~ admlnl~tmfion r~ed by Rule 5.6(a) of ~e O~h~s' Cou~ Rules w~ se~ed on or m~led to the following beneficiaries of ~e above-captioned estate on : Ad.ess Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Signatnre . '~ ~'-- ~i Address 2.~"~ ~. ~l~ Capacity: __ Personal Represen~tive el for ~rsonal representative NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE: ESTATE OF HELEN JANE RAMP, DECEASED NO. 21-04-0890 TO: Judy Mae Ruch 2364 Ashbum Drive Lafayette, N.Y. 13084 Barbara Jean McCalister 32 Hickorytown Road Carlisle, PA 17013 Dolores Scarborough P.O. Box 881811 Port St. Lucie, FL 34988 Linda K. Wert 3751 Waggoners Gap Road Carlisle, PA 17013 Shirley Ann Bricker 1027 N. College St. Carlisle, PA 17013 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate under the intestate laws of the Commonwealth of Pennsylvania. Name of decedent: Helen Jane Ramp Last known address of decedent: 1000 W. South St., Carlisle, PA 17013 Date of Death: June 24, 2004 Place of Death: Carlisle, Pa. County of Grant of Original Letters: Cumberland Decedent died intestate Name, address and phone number of all personal representatives: Shirley A. Bricker 1027 N. College St. Carlisle, PA 17013 Name, address and phone number of counsel: William P. Douglas, Esquire 27 W. High St. Carlisle, Pa. 17013 Phone: 717-243-1790 Additional information may be obtained from the undersigned: D°uglas Law O~,Nce ~ William P. Do~glas~ ~'~qm~ 27 W. High St. ~ Carlisle, Pa. 17013 ~ 717-243-1790 Dated: October 13, 2004 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of ~'4~x ~ ~ O' ~rll~ P No. also known as To: Register of W~lls foj ~th.e 0 _ t Deceased. County of ~a~'~r, the Social Security No. ~o ~c'- 2~ - ~ ~ -I ~ Co~nmonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl le--$ for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in ~ _. County,fl~ennsy)vanfia, ~th h_ t4- last family or principal residence at IOo~ (list street, number and municipality) Decendent, then. ~'~ years of age, died at 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 d6miciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Petitioner after a proper search ha $ ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence THEREFORE, petitioner(s) restfully request(s) the g~t of letters of administr~o~in~t~ _~ ~ appropriate form to the undersigned. ~ ~ I 0~ I h.~ OATH OF PERSONAL REPRESENTATIVE COMMONWEA~I~H OF nPE~ 7~ S~YL~ V. fNIA }ss COUNTY OF ~ 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 ~nd subscribed ! ~. ~-/~/~-/ d~/ -~-'---~,~ befQre me this o~L0 V day of ~ -~ No. ~ta~ of ~~ ~ ~ ~ ~~ , Deceased G~NT OF LETTERS OF ADMINIST~TION AND NOW [~' I ' 0 4 ~X)'"O~ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presente~ before ta!e, IT IS DECREED that is/are entitl~ to ~tters of Admiffistration, ahd in accord Mth such finding, Letters of Admi~stration are hereby grated to ~i in the estate of ~ FEES Letters o f Administration ..... Short Certificates( ) ...... A~OR~Y (Sup. Ct. I.D. No.) Renunciation ............ ..................... Filed PHONE Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 01/10/2005 DOUGLAS WILLIAM P 27 W HIGH STREET CARLISLE, PA 17013 RE: Estate of RAMP HELEN JANE File Number: 2004-00890 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) 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 ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 01/11/2005 Your prompt attention to this matter will be appreciated. Thank You. cc: File Personal Representative(s) Judge Sincerely, Clerk of the Orphans"~'Court Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 01/10/2005 BRICKER SHIRLEY A 1027 NORTH COLLEGE STREET CARLISLE, PA 17013 RE: Estate of RAMP HELEN JANE File Number: 2004-00890 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.7 (a) 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 ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 01/11/2005 Your prompt attention to this matter will be appreciated. Thank You. cc: File Counsel Judge Sincerely, GLENDA FARNER ~ Clerk of the Orphans' Court CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Date of Death: i-\/z'-\QI" ~Otl'"\~ 04 &()-'t(04- "Z-10'f 0 ttto Name of Decedent: Will No. Admin. 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 ~ Address .Lu- ~-vI.-......A- ~-<--'< -' Notice has now been given to all persons entitled thereto under Rule 5.6(a) except ~ Date: /0/"/0,/ ~ ~, , ~",.,. L:._ ,", u . Signature- NameJlJ.I(1 ~ ~ I~ la5. Address 2-- I W. HI1 h sr C!.JA_-r1t~1 Q.... rPr n61~ Lt_ C:' (j UJ C':' N C'") c:> -:-.< Telephone (7 b 7 - 2-<f 'S- ("7 '70 '. _. C. LJ--- _..1" oli=:- 15:' C L"'-' C::::.l ~ t........1 Capacity: _ Personal Representative ~sel for personal representative 0-- NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYL VANIA IN RE: ESTATE OF HELEN JANE RAMP, DECEASED NO. 21-04-0890 TO: Judy Mae Ruch 2364 Ashburn Drive Lafayette, N.Y. 13084 Barbara Jean McCalister 32 Hickory town Road Carlisle, P A 17013 Dolores Scarborough P.O. Box 881811 Port St. Lucie, FL 34988 Linda K. Wert 3751 Waggoners Gap Road Carlisle, P A 17013 Shirley Ann Bricker 1027 N. College St. Carlisle, P A 17013 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate under the intestate laws of the Commonwealth of Pennsylvania. Name of decedent: Helen Jane Ramp Last known address of decedent: 1000 W. South St., Carlisle, P A 17013 Date of Death: June 24, 2004 Place of Death: Carlisle, Pa. County of Grant of Original Letters: Cumberland Decedent died intestate Name, address and phone number of all personal representatives: Shirley A. Bricker 1027 N. College St. Carlisle, PA 17013 Name, address and phone number of counsel: William P. Douglas, Esquire 27 W. High St. Carlisle, Pa. 17013 Phone: 717-243-1790 Additional information may be obtained from the undersigned: Douglas Law Office By William P. Douglas, 27W. High St. Carlisle, Pa. 17013 717-243-1790 Dated: October 13, 2004 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT,280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DOUGLAS WILLIAM P 27 W HIGH STREET CARLISLE, PA 17013 _n_nn fo,d EST A TE INFORMATION: SSN: 204-26-9972 FILE NUMBER: 2104-0890 DECEDENT NAME: RAMP HELEN JANE DATE OF PAYMENT: 02/18/2005 POSTMARK DATE: 02/18/2005 COUNTY: CUMBERLAND DATE OF DEATH: 06/24/2004 NO. CD 004968 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $30.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1239 SEAL INITIALS: CCP RECEIVED BY: REGISTER OF WILLS $30.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 1. J ss: William P~-Douglas a""ording to law, deposes and says that he ill the of the Estate of Helen Jane Ramp late of ______.lOQ(LJ.<._$outh-St~- Carlisle , Cumberland County, Pa., de"eased and that the within is an inventory made by him , the said attornev of the entire estate of uid de"edent, "onsisting of all the personal prop"rty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. be ing duly sworn Attorney Sworn to and subscribed before me, FQQrY~ry ~ ~ 2995 Executor ~ ~ I.' .,. , .,_.., 27 W. High St., Carlisle, Add,..u 17013 Notary Date of Death 24 .Tune Month 7001. Doy v.., INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. Z. A supplement inventory must be filed within thirty days of dis"overy of additional a..ets. ). Additional sheets may be attached as to personalty or realty I. See Arti"le IV, fidu"iaries Act of 1949. OJ .-< CIl 'M >- .,; OJ .. .... w w <J ~ '" .... e .... w ~ .. 4-l 0.. ~ U .. 4-l 0 '" .. 0 0 w 0 ... ~ J: '" w e I- 0.. 0.. ~ C .... ..... u. e .. Z ..... -< 0 '" 0.. ..-1 0 W u.. -< w z. :I: > 0 Z '" ..: >. CIl -< " - <<l Z 0 c 0 " .-< .; '" Z z 0 00 l>! '" {) " Z w -< ..-1 ... 0 0.. '" " '" 0; c e I - -;:: " .. ..D " -'" " E - ..! 0 e " 0 ..... () i. "" Inventory of the real and personal estate of HELEN JANE RAMP deceased ITEM NUMBER 1. DESCRIPTION Pharmerica, refund 2. Sara Todd Home, refund 3. Waypoint Bank, Focus Fifty Account:No. 100362920 4. Commonwealth of PA., rent rebate 5. Carlisle Regional Medical Center Refund VAlUE AT !lATE OF IlEA TH 153.32 1,293.25 7,477.10 357.60 20.21 c..:.; C") c.:, $ 9,301.48 \I Rf"..I500 EX (6.00) COMMONWEAlTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C W () W C I!! ",:Sill U"'''' w"U ,,00 u"'-' .... .. " DECEDENTS NAME (LAST. FIRST, AND MIDOLE INITIAL) Ram Helen Jane DATE OF DEATH (MM-OD-YEAR) OATE OF BIRTH (MM-OO-YEAR) June 24, 2004 Oct. 25, 1914 (IF APPliCABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST. ANO MIOOLE INITIAL) ~ 1. Original Return o 4. Limited Eslate o 6. Decedent Died Testate (AIlach COf1I 01 WW) o 9. Litigation Proceeds Received o 2. Supplemental Retum D 4a. Future Interest Compromise (dale 01 death *12-12-82) o 7. Decedent Maintained a living Trust (Attach copy ofTrustl o 10. Spousal Poverty Credit (date of deaIh between 12-31-91 and 1-1-95) OFFICIAL USE ONLY FILE NUMBER 2 1 04 0890 COUNTY COOE ----- NUMBER YEAR SOCIAL SECURITY NUMBER 204 26 9972 THIS RETURN MUST BE FILEO IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Retum (daleofdeeth prior to 12-13-82) o 5. Federal Estale Tax Retum Required 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) _ "" 01 z o ~ ::l l- n: c( () W 0:: z o !;( I-' ::l Il. ~ o () ~ NAME William P. Dou las FIRM NAME I'_I COMPLETE MAILING ADORESS 27 W. High St. Carlisle, PA 17013 x.O_ (15) 661.42 x.6 45 (16) x .12 (17) x .15 (18) (19) TELE'rfl' _~~g~ 790 (1) (2) (3) (4) (5) 1. Real Estale (Schedule A) 2. Slocks and Bonds (Schedule B) 3. Closely Held CO!\lOration. ParIne<thip or SoIe-Proprielornllip 4. Mortgages & Noles Recei-lable (Schedule 0) 5. Cash. Bank Deposils & Miscellaneous Personal Property (Schedule E) 6. Jointly OWned Property (Schedule F) o Separate Billing Requested 1. Inter-V"", Translers & Miscellaneous Non-Probate Properly (Schedule G or L) 8. Total Gross Assets (Iolal Lines 1-7) 9. F-.l Expenses & Admillis11ative Cosls (Schedule H) 10. Oebls of Decedenl. Mortgage Liabilities. & Liens (Schedule I) 11. Total Oeduc1lons (Iolal Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental8eQuestslSec 9113 Trusts for which an electioo to tax has not been made (Schedule J) 9,301.48 19. Tax Due CHECK HERE 'F YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT OFFICIAL USE ONLY ~.J ill ) ., (8) 9.301.48 (6) (1) (9) 8,640.06 (11) (12) (13) 8,640.06 (10) 14. Net Valoo Subject to Tax (line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amourrt of Line 14 taxable at !he 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. ArTK:lunt of Line 14 taxable at collateral rate 20.0 (14) 661. 42 30.00 10 00 Decedent's Complete Address: I STREET ADDRESS . 1000 W South St. ellY Carlisle Tax Payments and CreditS: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credn 8. Prior Payments C. Disaxmt I STATj,A I ZIP l70B (1) ,0 00 Total Credits (A + 8 + C ) (2) 3. InteresllPenalty ff applicable D. Interest E. Penalty TotallnteresllPenalty ( D + E ) (3) 4. ~ Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 10 reqllOsl a refund (4) A. Enter the interest on the tax due. (5) (SA) 30.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 8. Enler the lotal of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 30.00 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN .X. IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.......................................................................................... 0 b. retain the right to designate who shall use the property transferred or its il1<Xll1lO; ............................................ 0 c. retain a mersiona1y interest; or.......................................................................................................................... 0 d. receive the promise for Iffe of either payments, benefits or care? ...................................................................... 0 2. ~ death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 3. Did decedent own an <., trust for" or payable upon death bank account or security at his or her death? .............. 0 4. Did decedent own an Individual RetirementAa:ounl, annuity, or other non-probaIe property whic;h contains a beneficialy designation? ........................................................................................................................ 0 Q IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Unde<...-oI'"*'.'_IIIaII__...-.,__y;ng_and-..s.and.....be$lafmyl<llowledgeandbeiel.klslrue. """"and~. Dedaration d preparer oht than the personal representative is based on II inb'mation aI which prepare! has any knOWledge. SIGNATURE OF PERSON RESPONSIBlE FOR FILING RETURN No ~ Q. fJ' DATE ADDRESS 27 W. High St., Carlisle, PA 17013 SI DATE William P. Douglas, Douglas Law Office, Attorney for Est. 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 orfor 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 stMViving spouse is 0% [72 P.S. ~9116. (a) (1.1) (ii)!. The statute does oot exemot a transfer to a suOiMng spouse from tax, and the statutory requirements for disclosure of asselS and filing a lax relum are sun applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July I, 2000; The tax rate imposed on the net value of transfers from a deceased chiid twenty-one years of age or younger at death to or for the use of a natural paren~ an adoptive parenl, or a stepparenlof the child is 0% [72 P.S. ~9116(a){1.2)]. The tax rale imposed on the net value of transfers to or for the use of the decedent's 6neal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) (72 P.S. ~9116(a){1)j. The tax rate imposed on !he nel value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)1. A sibling is defined. under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ReV.l508ex+(l-97) '* SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Helen Jane Ramp FILE NUMBER 21 04 0890 Include !he proceeds of litigation and !he _!he proceeds were received by !he esla1e. AI property joIntly-owned with the right ofsurvivolOhlp must be disclosed on Schedule F. ITEM VALUE AT OATE NUMBER DESCRIPTION OF DEATH 1. Pharmerica, refund 153.32 2. Sara Todd Home, refund 1,293.25 3. Waypoint Bank, Focus Fifty Account:No. 100362920 7,477.10 4. Commonwealth of PA., rent rebate 357.60 5. Carlisle Regional Medical Center Refund 20.21 TOTAL (Also enter on line 5, Recapitulation) $ (If more space Is needed, insert additional sheets of the same size) 9,301.48 RE'l-I511EX+JI-i7) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RES/llENT DECEDENT ESTATE OF Helen Jane Ramp' FILE NIl"-fR04 0890 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: Prepaid 1. Minister 50.00 Flowers 130 .00 Carlisle Memorial 150.00 B. ADMINISTRATIVE COSTS: 1. PonooaI R.......lIoltNe.. Ccmmissions Nameof_R__(.) Social SecurIIy Number(.) I EIN NumIle( eX Personal Represen1ative(.) SIleel Address City Stale I'll> Yea~.) CommissIon Paid: 2. A_.y Fees Douglas Law Office 950.00 3. Family Exemption: (If _. addnlss is nollhe same as claImanI'., _ explanation) Claimant SIleelAddress City Stale Zip ReJationsh\l of Claimant to Decedent 4. Probate Fees 76.00 5. Accountanr. Fees 6. Tax Return Prepare(. Fees 7. Department of Public Welfare 7,234.0 Register of Wills, filing appraisement and petition 50.0 TOTAL (Also enter online 9, Recapitulation) $ 8,640.0 6 o 6 (1I1TJO(e space is needed, insert additional sheets of the same size) REV.1S13EXtI1-91) '* SCHEDULE J BENEFICIARIES COMIAONWEAlTH Of PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE HUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do NolLlst Truslee(s) Of ESTATE I. TAXABLE DISTRIBUTIONS Qnclude ou1right spousal <istributions) 1. Judy Mae Ruch 2364 ~ Drive dau. 1/5 Lafaye , N.Y. 13084 Barbara Jean Md:alister dau. 1/5 32 Hickorytown Road Carlisle, P A 17013 Dolores Scarborough dau. 1/5 P.O. Box 881811 Port Sl Lucie, FL 34988 Unda K. Wert dau. 1/5 3751 Waggoners Gap Road Carlisle, P A 17013 dau. 1/5 Shirley Ann Bricker 1027 N. College Sl Carlisle, P A 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN />SOVE ON UNES 15 THROUGH 17. AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON. TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOT At OF PART II. ENTER TOTAL NON. TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert addilional sheets 01 the same size) __.__________.u__. '. ' .n_n_nu_____n. _____________n___. , ' __n__u_U_n.__O. .__.____n________. ____u_.._________. , ' , ' , ' , ' ._.__.n_---n--.'_ REMOVE DOCUMENT ALONG THIS PERFORATION ----------------. T . ;;' . ... . ;, ',,;! ' ~- ).) " 'J' '. o~:niii);..,;. ,-' ~,' ..,:',..~':. ,i: .;'i:-..,. ," -,1<':;" '0" "," ,_," ". IROER" ! ,',', ,,1<-'; ',0" 'f;":,:~~~~oY:0~IWiPJ "';,. '.' '-',,,, '" .,;' *,,1' "'. ':' . _ ;" ","/..\' ";' ",.J~,.--_,..;.. '. "", '1,' ~y~j:li~~H~~i#i~HJf~~j~:" "'. ',.;.r~.<. "',~.. ,t-.~.ot"-'ll..':'$'::: -ll.(--"'~'~"'t..J;';h~<?-o.~.~,7:..: ..:' ,><I...,::l.-,.,......."::'~.~.:;'::'.......~-t",r\J,...........~:.:.~t,:'t.'<,,. c".;.:;.>. 'itt.".;}: s~,..."'}} :-. -, 'J!o;:-::- ~.Y..:~' ~.,.", <. :;:-' ".,< . ," ~ '.'::'-;' ;r1, '.""~,.' ...>:'.. """!~ ' ~ ' .:, ";I\'~;' ~~""" .. .....,...,..:'-.'.)f~. - ......,_ w,.:--:-.... ",,;:s.. ....', '.,>-:. -,.,4., (' -", -.,.. '. -, ---' . "0 .... ",;'-'-' (,' -;",-.-"-.,, '~W~~,; .,:.;' "'J i:':~~~.~~;iM~ , t/,,:~ /;~';~'"'1k'~ "'::_:- "'I..;:::....:~}t~""':':,,' ~./ "A~ +1:02 2000Br.BI:r.BN""00? B 2HO~ 2r.QQ "!GI._laI~l2:rol.'.n~"lh1I'..'-I::r.."_I:::u......r".'''''mill..:::''''''n....-.......c:................_....".._.,..1:;11I:.::I:__':1:4~..1_:l.....1I~..11:.1..=-.WI..;f.....IIIIl.I..I:I~.,n:II:a..._ ..,~I:II....I:I:II...lltl"._ PLEASE RETAIN THIS VOUCHER FOR YOUR RECORDS 239032699 12/9/2004 $7,477.86 1'::' ESTATE OF IIBLRN RAMP ~'Way~iflJ PO BOX 1711. HARRISBURG, PENNSYLVANIA 171()5.1711 235 N. SECOND STREET. HARRISBURG, PENNSYLVANIA 17101 .717/2364041 \:, ~lWay~qi!'J PO. Box 178. Harrisburg. Pennsylvania 17105-17. Member FDIC STATEMENT DATE 9-13-04 HELEN J RAMP t SHIRLEY BRICKER 1000 W SOUTH ST CARLISLE PA 17013 514 CLUB-EO ACCOUNTS. HELP YOUR CHILDREN LEARN. THERE IS NO MINIMUM INITIAL DEPOSIT. EVEN BALANCES AS LOW AS $1 EARN INTEREST. CALL TODAY TO START THAT LEARNING EXPERIENCE! ACCOUNT TYPE OF ACCOUNT 100362920 FOCUS FIFTY AVERAGE BALANCE 7.474.31 ---~------------------------------------------------------------------------ PREVIOUS BALANCE DEPOS ITS y' WITHDRAWALS CHARGES INTEREST ENDING BALANCE 7.474.31 .. 00 .00 .00 .89 .20 * . ~ - - - - - - - INTEREST EARNED FR DAYS IN PERIOD . INTEREST EARNED . ANNUAL PERCENTAGE Y INTEREST PAID THIS Y """"" INTEREST WITHHELD THr)~~;~R' ~A~E- ~~~~~1~ti~~ - . - T[A~~~~[~ttt~~MMARY- 9/13 INTEREST PAYMENT ;B9 * * BALANCE 7475.20 THANK YOU FOR BANKING AT WAYPOINT BANK Customer Service Toll-Free 1-866-WAYPOINT (1-866-929-7646) . In York Area 717/815-4500 )-502(SIQ2} ..............._..__=_...L.__I. ___ Statement United Church of Christ Homes Sarah A. Todd Memorial Home 1000 West South Street Carlisle, PA 17013 Statement Date: 08/13/2004 Shirley Bricker 1027 N. College St. Carlisle, PA 17013 Due Date: 08/27/2004 Re: Helen J Ramp Account Nr: 101443 -------------------------------------------------------------------------------- Date Description Days Quant Rate Charges Payments Balance -------------------------------------------------------------------------------- BALANCE FORWARD -1,293.25 -1,293.25 NOTE: Please remit by 08/27/2004 the Last amount printed on the stmt. Please include Acct # from statement on MEMO LINE of your check. Payments after 07/31/2004 do not reflect on statement. NOTE: A $10.00 fee wil be CHARGED for RETURNED Checks. = . o lSl lSl yJ . ...:l . r . ...:l .." 'i - .. o .r .. . n.J o yJ . 03 . ..0 1I1 - .. . 0 .. .. lSl . IP r ~C;l2:r: ;ngzl!! !:<om (I)<"'z r-m~c... m(l)8;n -10)> (1)"'3: oO>~ :i~ v ,,:z:~ )>(I);n ~-Im '" < ~ ;n 'f m N 01 ~ ~ 'i 't.~: !!i .. 'i -----,_.--~-----_.-----------~--- DEPOSIT' ficKET FOR CLEAR copy. PRESS fiRMLY 'HITH g. ~ OPR~MNK DATE~ oou 0 CURRENCY ~ ~ COIN 0 0 ~ ~ 0 > :" 0 . o!39 c 0 ~~l3-Q , Cm)(~~ ; - ~-tS1""(I) ~ .. is 0 _ :J:->> g -oi5 0 ~ w > :I::! g == .. ....<D';'lc . ~ yJ ..;t~:iO gmlf ." 3 .. (o)!!\~ :!! . 0 in 8 0 7 " 0 1ft . yJ . % IP 0 - , .. . g " .. ,. , 0 , 03 11 ~ , 0 .. 12 0 , ~ .. 13 , n.J 0 IP 14 0 . .... g IP " > -- , > ,. 17 ~ 35' ..~ ... ... ... ... ... II> II> II> ... ... ... ... w !1 . ~ o '<, o 6 ~ ~ '" C> '" ~ Ib' 2: ~.~Lil' ?t,-:",...,' _','r' ."',;?'.l '~;:',;_,::;.m:; . 0 .. ..:' '.~i ::';.; <...,r... '_,_'.:' _"__'".' _: __ "', ,: >_ ",;,~;,.__.__,:._,! ",_,........ '-:.,..,":.~--r, CI!'Qiii' "';~. g 0 ~' i'Jiid~; g 'iI. ;0'" 0 "~. ;~:::~ . ',;d, Q.'~..' S 0 . >~.;x;;~~,~. e ~ ;.~,~.9t"., iil .:::~:.;>;;""~ ~ '., J:!o..:. <~ " .....~. . J.~:~'~~:~;~.! g . ~~Di<::i:K~ ~ ~ ..~~~l i . if . ':i~?;~~~r~" ....~..._,. <~q. ?O "':.~:~~(l~~~;~ ~ ." ;./,;.....1I~ :;;~;:!:l~~i] o' , U'> "" -=> (;:) o i~ ~~ l~ "'I;; t! ~: =i-l ;;\15 ~'" mO \; "l'! ~)J ~~itErJ>r ~i g~ ' . ,,- ~;;l "'>: p", CARLISLE REG MED eTR .1Ni.ioicEriATEiN\iOICENUMsEij, 01/06/2005 7377621 HEALTH MANAGEMENT ASSOCIATES. INC. 1700 0054090 OISCOUNT .. AMOUNT pAlO . 1URSIN3 IDE PAID 20.21 *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS DIVISION OF THIRO PARTY lIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRJSBURG, PA 17105-8486 September 3, 2004 DOUGLAS LAW OFFICE BILL DOUGLAS ESQUIRE 27 W HIGH ST PO BOX 261 CARLISLE PA 17103-0261 Re, HELEN RAMP CIS #, 160168183 SSN, 204-26-9972 Date of Death, 06/24/2004 Dear Mr. Douglas, Please be advised that the Department of Public Welfare maintains a claim in the amount of $7,234a06 against the above-mentioned estate. This claim is for restitution of medical assistance granted on behalf of the decedent for which the Probate Estate is now responsible to reimburse the Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's itemized statement of claim. A portion of this medical expense, namely $7,234.06, was incurred during the last six months of the decedent's life; therefore, it is a Class 3 claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $.00, is to be entered as a priority Class 6 claim against the estate. ---- Please acknowledge receipt of this letter and advise whether the Commonwealth's claim is admitted and when payment may be expected. If the estate accounting is complete, please provide a copy. If the estate contains real estate, please provide copies of the deed, the latest tax assessment, and a current appraisal, if available. j2e;;JM4 Nicole L. Early TPL Program Investigator 717-772-6606 717-772-6553 FAX Enclosure . COMMONWEALTH OF PENNSYlVANIA DEPARTMENT OF PUBUC WELFARE BUREAU OF FINANCIAl OPERATIONS TPl SECTION - CASUAl. TY UNIT PO BOX 8486 HARRISBURG PA 17105-8486 September 2, 2004 STATEMENT OF CLAIM SUMMARY . Estate of RAMP, HELEN 160 168183 INPATIENT OUTPATIENT LONG TERM CARE DRUG 876.00 .00 .00 876.00 5,559.84 798.22 .00 .00 .00 .00 5,559.84 798.22 7,234.06 .00 7,234.06 2";'~"t:' ,'. ct~~~:E~~~~~~:~~~J~~!t .,"';; (':t .........,....... "'0" ,'. .... .' ." ..<, , ~ EIN - . 23-5003113' . . " September 2. 2004 STATEMENT OF CLAIM RAMP, HELEN 160168183 CARLISLE REGIONAL MEDICAL CENTER 246 PARKER ST ARLISLE PA 17013 06112/04 - 06116104 DIAGNOSIS 1 : 5789 DIAGNOSIS 2: 4280 PROC CODE: 000000 08116104 20042010000820001 GASTROINTEST HEMORR NOS CHF UNSPECIFIED 8,833.23 878.00 CARLISLE REGIONAL MEDICAL CENTER 01 100775085 0008 8,833.23 876.00 September 2, 2004 STATEMENT OF CLAIM RAMP, HELEN 160168183 SARAH A TODD MEMORIAL HOME INC 1000 W SOUTH ST 05101/04 - 05131/04 07/19104 20041954024410001 3,503.40 3,503.40 DIAGNOSIS 1: 43821 HEMIPLEGIA AFFECTING DOMI DIAGNOSIS 2: 43882 DYSPHAGIA PROC CODE: 000000 06101/04 - 06124/04 07/19/04 20041954024400001 2,056.44 2,056.44 DIAGNOSIS 1 : 43821 HEMIPLEGIA AFFECTING DOMI DIAGNOSIS 2: 43882 DYSPHAGIA PROC CODE: 000000 SARAH A TODD MEMORIAL HOME INC 5,559.84 5,559.84 03 100777455 0001 September 2, 2004 STATEMENT OF CLAIM RAMP, HELEN 160168183 PHARMERICA INC #22000 BLUE EAGLE BUSINESS CENTER 491-A BLUE EAGLE AVENUE ARRISBURG PA 17112 05105104 - 05105104 DIAGNOSIS 1 : 0 NOC CODE: 00025152051 05112104 - 05112104 DIAGNOSIS 1: 0 NOC CODE: 00186109005 05117/04 - 05117/04 DIAGNOSIS 1 : 0 NOC CODE: 00172498060 05117/04 - 05117/04 DIAGNOSIS 1 : 0 NOC CODE: 00378021610 05119/04 - 05119104 DIAGNOSIS 1 : 0 NDC CODE: 59930150201 05119/04 - 05119/04 DIAGNOSIS 1: 0 NOC CODE: 00378023205 05119/04 - 05119/04 DIAGNOSIS 1 : 0 NDC CODE: 00049490073 05124/04 - 05124/04 DIAGNOSIS 1: 0 NOC CODE: 00186109005 08/09104 25041945537010001 55.26 51.26 CELEBREX 100MG CAPSULE - ANTlARTHRITICS 08109104 25041945537050001 15.19 11.19 TOPROL XL 50MG TABLET SA - OTHER CARDIOVASCULAR PREPS 08/09/04 25041945537100001 22.01 9.40 PROPOXY-NlAPAP 100-650 TAB - NARCOTIC ANALGESICS 08/09/04 25041945537130001 8.31 5.80 FUROSEMIDE 40MG TABLET - DIURETICS 08109104 25041945539840001 34.12 34.12 ISOSORBIDE MN 30MG TAB SA - VASODILATORS CORONARY 08/09/04 25041945539860001 6.69 .73 FUROSEMIDE 80MG TABLET - DIURETICS 08/09/04 25041945539870001 81.59 81.58 ZOLOFT 50MG TABLET . PSYCHOSTIMULANTS-ANTIDEPRESSANTS 08/09/04 25041945539940001 26.37 22.37 TOPROl XL 50MG TABLET SA - OTHER CARDIOVASCULAR PREPS September 2, 2004 STATEMENT OF CLAIM RAMP, HELEN 160168183 PHARMERICA INC #22000 BLUE EAGLE BUSINESS CENTER 491-A BLUE EAGLE AVENUE RISBURG PA 05129104 - 05129104 DIAGNOSIS 1: 0 NOC CODE: 00591058201 06101104 - 06101104 . DIAGNOSIS 1: 0 NOC CODE: 00025152051 06108104 - 06108104 DIAGNOSIS 1: 0 NDC CODE: 00378020810 06111/04 - 06111/04 DIAGNOSIS 1: 0 NOC CODE: 00172498060 06112/04 - 06112/04 DIAGNOSIS 1: 0 NOC CODE: 59930150201 06117/04 - 06117/04 DIAGNOSIS 1: 0 NDC CODE: 00378021610 06117/04 - 06117/04 DIAGNOSIS 1: 0 NOC CODE: 00008084181 06117/04 - 06117/04 DIAGNOSIS 1 : 0 NOC CODE: 49502067260 08109/04 25041945539950001 92.34 70.29 PROPAFENONE HCL 150MG TAB - OTHER CARDIOVASCULAR PREPS 08109104 25041945539980001 55.26 55.26 CELEBREX 100MG CAPSULE - ANTlARTHRmCS 08109/04 25041925371280001 4.38 .17 FUROSEMIDE 20MG TABLET - DIURETICS 08109104 25041945540010001 22.01 9.40 PROPOXY-NlAPAP 100-650 TAB - NARCOTIC ANALGESICS 06109104 25041945540040001 34.12 34.12 ISOSORBIDE MN 30MG TAB SA - VASODILATORS CORONARY 08109104 25041945540050001 8.31 1.80 FUROSEMIDE 40MG TABLET - DIURETICS 08109104 25041945540080001 107.28 107.28 PROTONIX 40MG TABLET EC ANTI-ULCER PREPS/GASTROINTESTINAL PREPS 08109/04 25041945540140001 116.32 116.32 OUONEB 2.5~.5MG/3ML SOLN - BRONCHIAL DILATORS September 2, 2004 STATEMENT OF CLAIM RAMP, HELEN 160168183 PHARMERICA INC #22000 BLUE EAGLE BUSINESS CENTER 491-A BLUE EAGLE AVENUE ARRISBURG PA 06117/04 - 06117/04 DIAGNOSIS 1: 0 08109/04 25041945556530001 55.90 15.92 NOC CODE: 60951060270 ENDOCET 5/325 TABLET - NARCOTIC ANALGESICS 06121/04 - 06121104 DIAGNOSIS 1: 0 08109/04 25041945540180001 55.42 55.42 NOC CODE: 00064390060 XENADERM OINTMENT - ENZYMES 06123/04 - 06123/04 DIAGNOSIS 1: 0 08109/04 25041945540200001 81.59 81.58 NDC CODE: 00049490073 ZOLOFT SOMG TABLET - PSYCHOSTlMULANTS-ANTlDEPRESSANTS 06123104 - 06123/04 DIAGNOSIS 1: 0 08109104 25041945540260001 15.55 3.13 NDC CODE: 00378023205 FUROSEMIDE 80MG TABLET - DIURETICS 06123104 - 06123104 DIAGNOSIS 1: 0 08109104 25041945540290001 26.37 26.37 NOC CODE: 00186108805 TOPROL XL 2SMG TABLET SA - OTHER CARDIOVASCULAR PREPS 06124104 - 06124/04 DIAGNOSIS 1 : 0 08109/04 25041925373460001 4.71 4.71 NDC CODE: 00641018025 MORPHINE 10MG/ML VIAL - NARCOTIC ANALGESICS PHARMERICA INC #22000 24 100751181 0013 929.10 798.22 *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX BUREAU OF INDIVIDlIAL (tt;X~lf , INtERITANCE TAX DIVISlmt-; j PO BOX 280601 ::,- HARRISBURG PA 17128-0601 REY-1547 EX AFP (03-05) 05-16-2005 RAMP 06-24-2004 21 04-0890 CUMBERLAND 101 AlIOlInt _1ttBd DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN "'1GS ."V "0 PI "',I?,'. 1.2 u'~. fli" i (,.~. I.f HELEN J CLERr< OF &RDU'Li\!'C'("'t\J !:-. -I r I " '" '/ v ,,~.._.i,,;il WILLIAM' !OOUGLAS ' DOUGLAS (AW 'OFFICE ' 27 W HIGH ST CARLISLE PA 17013 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 ... It~V-"Ml;,."ft.m.'l"ft~'1I!I'."IMtm.W.!rMI!AWllM!'t.m.A'tl\fnTftJlWf~.'rCr.?NllM!'t.Ilft'.............. ... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RAMP HELEN J FILE NO. 21 04-0890 ACN 101 DATE 05-16-2005 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Est.t. (Schedule AJ 2. Stocks and Bonds (Sch8dule B) 3. Closely Held Stock/Partnership Interest (Schedule CJ 4. Hort~g.s/Not.s Receivable (Schedule DJ S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule G) 8. Total Assets .00 .00 .00 .00 9.301.48 .00 .00 (8) NOTE: To insure proper credit to your account, sub.lt the upper portion of this fOrM with your tax paYMent. 11) (2) (3) (~) (5) (6) (7) 9,301.48 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adn. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitabl./Govern-.ntal Bequests; Non-elected 9113 Trusts (Schedul. J] 14. Net Value of Estate Subject to Tax 8,640.06 (9) 110) .00 (11) 112) 113) 11~) R 640 06 661.42 .00 661. 42 NOTE: I~ an assesSBent was issued previously, lines reflect ~igures that include the total o~ Abb ASSESSMENT OF TAX: 15. haunt of Line 14 at Spousal rate (5) 16. A~unt of Line 14 taxable at Lin..l/Class A rate (16] 17. ~unt of Lin. 14 at Sibling rate (17) 18. Amount of line 14 taxable at Collateral/Class B rate (18] 19. Principal Tax Due 14, IS and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = 661. 42 X 045 = .00 X 12 = .00 X 15 = 119)= .00 30.00 .00 .00 30.00 fAX EDITS, ., ,., AMOUNT PAID DATE NUHBER INTEREST/PEN PAID 1-) 02-18-2005 CD004968 .00 30.00 TOTAL TAX CREDIT 30.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~ ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT"' (CR), YDU HAY 8E DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. v , IN RE: ESTATE OF HELEN JANE RAMP IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. : ORPHANS' COURT DIVISION : NO. 2104-0890 PETITION FOR THE SETTLEMENT OF AN ESTATE TO THE HONORABLE, THE JUDGES OF SAID COURT: SHIRLEY A. BRICKER, Administrator of the Estate of Helen Jane Ramp, through, her attorneys, Douglas Law Office, respectfully represents: : 1. Helen Jane Ramp, of 1000 W. South St., Carlisle, PA 17013, died testate on June 24, 2004. 2. Letters Testamentary were granted to Petitioner on October 1,2004. 3. The assets in the estate were as follows: 1. 2. 3. 4. 5. Pharmerica, refund Sara Todd Home, refund Waypoint Bank, Focus Fifty Account Commonwealth of PA, rent rebate Carlisle Regional Medical Center Refund Total 4. Expenditures as follows have been made on behalf of the said Helen Jane Ramp Estate: Funeral expenses for Minister, flowers and Memorial William P. Douglas, Esquire, attorney fee Register of Wills, probate fee Register of Wills, filing fees Department of Public Welfare $ 330.00 $ 950.00 $ 76.00 $ 50.00 $7.234.06 $8,640.06 Total expenses 5. No inheritance tax was due. A copy of the Notice of Appraisement from the Department of Revenue is attached hereto as Exhibit A. ,k) 'I, 6. The said Helen Jane Ramp left her entire estate to her children under the lntestatd ; Laws of the Commonwealth of Pennsylvania, as follows: ' Shirley Ann Bricker 1027 N. College St. Carlisle, PA 17013 ~ 153.32 1,293.25 7,477.10 357.60 20.21 'P,301.48 '-ai' ; "-,) ['''0 II ~ Judy Mae Ruch 2364 Ashburn Dr. Lafayette, N.Y. 13084 Barbara Jean McCalister 32 Hickory town Road Carlisle, PA 17013 Dolores Scarborough P.o. Box 881811 Port St. Lucie, FL 34988 Linda K. Wert 3751 Waggoners gap Road Carlisle, PA 17013 7. The Balance in the estate will be distributed to the aforesaid 5 daughters. RECAPITULATION Total Assets: Total Credits Balance distributed to Children $ 9,301.48 $ 8.640.06 $661.42 WHEREFORE, your Petitioner prays that Your Honorable Court approve the distribution of this estate as set forth herein, and that the said Administratrix, Shirley L. Bricker be discharged from the duties of her appointment. Douglas Law Office By . -- ~~ Attorney for Petitioner Dated: August;t?J ,2005 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Shirley A. Bricker, Administratrix, being duly sworn according to law, deposes and says that the averments of the within Petition are true and correct to the best of affiant's knowledge, information and belief. Sworn to and subscribed before me C~~t'2005. Notary ~C1. ~.J,-</ irley A. ker . NaIIIIII... Anne M. CoI, ...." PWIIc Carll.. Borough, C............ Counlr My Commiulon.... ..... a, .. j" -- -- '-.'ti~' it:k.ti;;.').' : '\;d'.I~ V'.....;;,,~ :-;: J': ! \1'''.'.\.] l\ti."Wf'1U' ,lit' 1(1: ,'. j *"1"1"- i ...,""' _._.'~ ., ',' ... - 'J.... 110<1 ......W\i ........,.,,~..... , . ~ " . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX " BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRIS8URG PA 171ZB-0601 REV-1547 EX AFP (03-05) DATE ESTATE OF DATE OF DEATH FILE NUMBER 05-16-2005 RAMP 06-24-2004 21 04-0890 HELEN J COUNTY CUMBERLAND WILLIAM P DOUGLAS ACN 101 DOUGLAS LAW OFFICE I Allount Rellitted I 27 W HIGH ST CARLISLE PA 17013 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 ~ 1t!"-~I:"Yf.w'.ml!'U!1.'Wm!t.W.!MftA!'f~~.ft.~.l'WltlW!PI!'tft'~.YCtWItM:Y.OW'.............. ... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RAMP HELEN J FILE NO. 21 04-0890 ACN 101 DATE 05-16-2005 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) (1) .00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) .00 credit to your account, subllit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 of this forll with your 4. Mortgages/Notes Receivable (Schedule D) (4) .00 tax pay..nt. S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 9.301.48 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Total Assets (8) 9,301.48 APPROVED DEDUCTIONS AND EXEMPTIONS: 8,640.06 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00 11. Total Deductions (11) 8.640 06 12. Net Value of Tax Return (12) 661.42 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 661. 42 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 US) .00 X 00 = .00 16. Allount of Line 14 taxable at Lineal/Class A rate (6) 661.42 X 045 = 30.00 17. Allount of Line 14 at Sibling rate (17) .00 X 12 = .00 18. Allount of Line 14 taxable at Collateral/Class B rate (8) .00 X 15 = .00 19. Principal Tax Due (9)= 30.00 TAX CREDITS: . ......" ..~~~.. l+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-18-2005 CD004968 .00 30.00 TOTAL TAX CREDIT 30.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 iii IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PEM/llTY, INTEREST: Estates of decedents dying on or before December 12, 1982 -- 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 Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140), Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF WILLS, AGENT. Failure to pay the tax, interest, and penalty due may result in the filing of a lien of record in the appropriate county, or the issuance of an Orphan's Court citation. A refund of a tax credit, which was 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 online at www.revenue.state.pa.us. any Register of Wills or Revenue District Office, or from the Department's 24-hour answering service for forms orders: 1-800-362-2050; services for taxpayers with special hearing and/or speaking needs: 1-800-447-3020 (TT only). Any party in interest not satisfied with the appraisment, allowance or disallowance of deductions or assessment of tax (including discount or interest) as shown on this Notice may object within 60 days of the date of receipt of this notice by filing one of the following: A) Protest to the PA Department of Revenue, Board of Appeals. You may object by filing a protest online at www.boardofappeals.state.pa.us on or before the expiration of the sixty-day appeal period. In order for an electronic protest to be valid, you must receive a confirmation number and processed date from the Board of Appeals website. You may also send a written protest to PA Department of Revenue, Board of Appeals P.O. Box 281021, Harrisburg, PA 17128-1021. Petitions may not be faxed. B) Election to have the matter determined at the audit of the account of the personal representative. C) 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, P.O. Box 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administratively correctable errors. If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. The 15% 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-participa~ion penalty is appealable in the same manner and 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 (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2005 are: Interest Daily Interest Daily Interest Rate Factor Year Rate Factor Year Rate ~ ~ ~-1991 ~:iiiiii!iiT Zoii1 ----w.-- 16% .000438 1992 9% .000247 2002 6% 11% .000301 1993-1994 7Z .000192 2003 5% 13% .000356 1995-1998 9% .000247 2004 4% 10% .000274 1999 7Z .000192 2005 5% 10% .000274 2000 7% .000192 Year f98Z 1983 1984 1985 1986 1987 Daily Factor .mm- .000164 .000137 .000110 .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. , - . DOUGLAS LAW OFFICE 27 w. HIGH ST. P.O. BOX 261 CARLISLE, PENNSYLVANIA 17013-0261 WILLIAM P. DOUGLAS, ESQ. 717-243-1790 FAX: 717-243-8955 EMAIL: douglaslaw@earthlink.net ALSO ADMITTED TO PRACTICE IN FLORIDA CERTIFIED AS A CIVIL TRIAL ADVOCATE BY THE NATIONAL BOARD OF TRIAL ADVOCACY October 21,2005 The Honorable J. vVesley Oler Fourth Floor Cumberland County Courthouse 1 Courthouse Square Carlisle, P A 17013 Re: Estate of Helen Ramp No. 2104-0890 Dear Judge Oler: I have now attached copies of my October 3, 2005, letter signed by all the / heirs acknowledging and accepting the Petition as filed. Thank you. Respectfull y, ~/'l( WPD:a Enclosure ('1 ,. " / t DOUGLAS LAW OFFICE 27 w. HIGH ST. P.O. BOX 261 CARLISLE, PENNSYLVANIA 17013-0261 WILLIAM P. DOUGLAS, ESQ. 717-243-1790 FAX: 717-243-8955 EMAlL DOUGUS'lA HYmEARTflUNKJvET ALSO ADMITTED TO PRACTICE IN FLORIDA CERTIFIED AS A CIVIL TRIAL ADVOCATE BY THE NATIONAL BOARD OF TRIAL ADVOCACY October 3, 2005 Shirley Ann Bricker V 1027 N. College St. Carlisle, P A 17013 Judy Mae Ruch 2364 Ashburn Dr. Lafayette, N.Y. 13084 Barbara Jean McCalister 32 Hickory town Road Carlisle, P A 17013 Dolores Scarborough P.o. Box 881811 Port St. Lucie, FL 34988 Linda K. Wert 3751 Wag goners gap Road Carlisle, P A 17013 Re Estate of Helen Jane Ramp To Whom It May Concem: I have enclosed a copy of the Petition to Settle this Estate, which has been filed recently. The Cumberland County Court has requested that each of you sign the enclosed copy of this letter as acknowledgment of receiving and accepting a copy of the enclosed Petition. When I receive the letters from all of you, we will file them with the court, and this estate can be finalized. Thank you. WPD;a Enclosure Sincerely, r; \ \\ ,j~a ~'~d "S(a~Y 1 " ) .J 1-, ,--) Ic.~ " r DOUGLAS LAW OFFICE 27 w. HIGH ST. P.O. BOX 261 CARLISLE, PENNSYL VANIA 17013-0261 WILLIAM P. DOUGLAS, ESQ; 717-243-1790 FAX: 717-243-8955 EMAlL DOUGU0'1A HYii.:EARTHUN7L:,NET ALSO ADMITTED TO PRACTICE IN FLORIDA CERTIFIED AS A CIVIL TRIAL ADVOCATE BY THE NATIONAL BOARD OF TRIAL ADVOCACY October 3, 2005 Shirley Ann Bricker 1027 N. College St. Carlisle, P A 17013 Judy Mae Ruch / 2364 Ashburn Dr. Lafayette, N.Y. 13084 Barbara Jean McCalister 32 Hickory town Road Carlisle, P A 17013 Dolores Scarborough P.o. Box 881811 Port St. Lucie, FL 34988 Linda K. Wert 3751 Waggoners gap Road Carlisle, P A 17013 Re Estate of Helen Jane Ramp To Whom It May Concern: I have enclosed a copy of the Petition to Settle this Estate, which has been filed recently. The Cumberland County Court has requested that each of you sign the enclosed copy of this letter as acknowledgment of receiving and accepting a copy of the enclosed Petition. When I receive the letters from all of you, we will file them with the court, and this estate can be finalized. Thank you. WPD;a Enclosure ,.., --<) tid/ " r DOUGLAS LAW OFFICE 27 w. HIGH ST. P.O. BOX 261 CARLISLE, PENNSYL V ANLA 17013-0261 WILLIAM P. DOUGLAS, ESQ: 717-243-1790 FAX: 717-243-8955 EMAlL DOUGUSIA fHwEARTliUNK,lvET ALSO ADMITTED TO PRACTICE IN FLORIDA CERTIFIED AS A CIVIL TRIAL ADVOCATE BY THE NATIONAL BOARD OF TRIAL ADVOCACY October 3,2005 Shirley Ann Bricker 1027 N. College St. Carlisle, P A 17013 Judy Mae Ruch 2364 Ashburn Dr. Lafayette, N.Y. 13084 ~ Barbara Jean McCalister 32 Hickory town Road Carlisle, P A 17013 Dolores Scarborough P.o. Box 881811 Port St. Lucie, FL 34988 ") " \ \...) Linda K. Wert 3751 Waggoners gap Road Carlisle, P A 17013 Re Estate of Helen Jane Ramp To Whom It May Concern: I have enclosed a copy of the Petition to Settle this Estate, which has been filed recently. The Cumberland County Court has requested that each of you sign the enclosed copy of this letter as acknowledgment of receiving and accepting a copy of the enclosed Petition. When I receive the letters from all of you, we will file them with the court, and this estate can be finalized. Thank you. WPD;a Enclosure Sincerely, r; \ \\ '~~.e~~(}:~ ." DOUGLAS LAW OFFICE 27 w. HIGH ST. P.O. BOX 261 CARUSLE, PENNSYLVANIA 17013-0261 WILLIAM P. DOUGLAS, ESQ. 717-243-1790 FAX: 717-243-8955 EMAlL DOUC;USIA I+TwEARTHUXK"V1.;T ALSO ADMITTED TO PRACTICE IN FLORIDA CERTIFIED AS A CIVIL TRIAL ADVOCATE BY THE NATIONAL BOARD OF TRIAL ADVOCACY October 3, 2005 Shirley Ann Bricker 1027 N. College St. Carlisle, P A 17013 Judy Mae Ruch 2364 Ashburn Dr. Lafayette, N.Y. 13084 Barbara Jean McCalister 32 Hickory town Road Carlisle, PA 17013 /' Dolores ScarborougH P.o. Box 881811 Port St. Lucie, FL 34988 -) ; I Linda K. Wert 3751 Waggoners gap Road Carlisle, P A 17013 \...::) Re Estate of Helen Jane Ramp To Whom It May Concern: I have enclosed a copy of the Petition to Settle t..his Estate; which has been filed recently. The Cumberland County Court has requested that each of you sign the enclosed copy of this letter as acknowledgment of receiving and accepting a copy of the enclosed Petition. When I receive the letters from all of you, we will file them with the court, and this estate can be finalized. Thank you. WPD;a Enclosure s~~~~~~ / '5'(<3 ~ . - .' DOUGLAS LAW OFFICE 27 w. HIGH ST. P.O. BOX 261 CARLISLE, PENNSYLVANIA 17013-0261 WILLIAM P. DOUGLAS, ESQ. 717-21:3-1790 FAX: 717-21:3-8955 EMAlL DOUGL401A H'(wEARTHUNll:JvET ALSO ADMITTED TO PRACTICE IN FLORIDA CERTIFIED AS A CIVIL TRIAL ADVOCATE BY THE NATIONAL BOARD OF TRIAL ADVOCACY October 3, 2005 Shirley Ann Bricker 1027 N. College St. Carlisle, P A 17013 Judy Mae Ruch 2364 Ashburn Dr. Lafayette, N.Y. 13084 Barbara Jean McCalister 32 Hickory town Road Carlisle, P A 17013 Dolores Scarborough P.o. Box 881811 Port St. Lucie, FL 34988 Linda K. Wert ~ 3751 Waggoners gap Road Carlisle, P A 17013 Re Estate of Helen Jane Ramp To Whom It May Concern: I have enclosed a copy of the Petition to Settle this Estate, which has been filed recently. The Cumberland County Court has requested that each of you sign the enclosed copy of this letter as acknowledgment of receiving and accepting a copy of the enclosed Petition. When I receive the letters from all of you, we will file them with the court, and this estate can be finalized. Thank you. WPD;a Enclosure l-j I.' J. .": 1 1 , , ....) ',' " " IN RE: ESTATEOF HELEN JANE RAMP IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. : ORPHANS' COURT DIVISION : NO, 2104-0890 AND NOW, this day of , 2005, after a review ofthe within Petition, the Petition to settle this estate is approved and distribution directed as set forth in the said Petition, This Estate is closed and Shirley A, Bricker is excused from her duties of Administratrix of the Estate of Helen Jane Ramp. By the Court, J. )1 IN RE: ESTATEOF HELEN JANE RAMP IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. : ORPHANS' COURT DIVISION : NO. 2104-0890 PETITION FOR THE SETTLEMENT OF AN ESTATE TO THE HONORABLE, THE JUDGES OF SAID COURT: SHIRLEY A. BRICKER, Administrator of the Estate of Helen Jane Ramp, through her attorneys, Douglas Law Office, respectfully represents: 1. Helen Jane Ramp, of 1000 W. South St., Carlisle, PA 17013, died testate on June 24, 2004. 2. Letters Testamentary were granted to Petitioner on October 1,2004. 3. The assets in the estate were as follows: 1. 2. 3. 4. 5. Pharmerica, refund Sara Todd Home, refund Waypoint Bank, Focus Fifty Account Commonwealth of PA, rent rebate Carlisle Regional Medical Center Refund Total 153.32 1 ,293.25 7,477.10 357.60 20.21 9,301.48 4. Expenditures as follows have been made on behalf of the said Helen Jane Ramp Estate: Funeral expenses for Minister, flowers and Memorial William P. Douglas, Esquire, attorney fee Register of Wills, probate fee Register of Wills, filing fees Department of Public Welfare $ 330.00 $ 950.00 $ 76.00 $ 50.00 $7.234.06 $8,640.06 Total expenses 5. No inheritance tax was due. A copy ofthe Notice of Appraisement from the Department of Revenue is attached hereto as Exhibit A. 6. The said Helen Jane Ramp left her entire estate to her children under the Intestate Laws of the Commonwealth of Pennsylvania, as follows: Shirley Ann Bricker 1027 N. College St. Carlisle, PA 17013 , J'RECEIVED SEP 232005 ~ IN RE: ESTATE OF HELEN JANE RAMP IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. : ORPHANS' COURT DIVISION : NO. 2104-0890 AND NOW, this lS It day of o c-i . , 2005, after a review of the within Petition, the Petition to settle this estate is approved and distribution directed as set forth in the said Petition. This Estate is closed and Shirley A. Bricker is excused from her duties of Administratrix of the Estate of Helen Jane Ramp. By the Court, J. . ~tQ-A Lt J\011' ~ () CL.6 ctCLcu . IO.~(p-o~~ ~~ -.} ; C,-"\ :::J- Cumberland County - Register Ot Wllls One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/25/2006 DOUGLAS WILLIAM P 27 W HIGH STREET PO BOX 261 CARLISLE, PA 17013 RE: Estate of RAMP HELEN JANE File Number: 2004-00890 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: 6/24/2006 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, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 4/25/2006 BRICKER SHIRLEY A 1027 NORTH COLLEGE STREET CARLISLE, PA 17013 RE: Estate of RAMP HELEN JANE File Number: 2004-00890 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. I, for decedents dying on or after July I, 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: 6/24/2006 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, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Register of Wi Us of Cumberland County Name of Decedent: STATUS REPORT tJNDER RULE 6.12 -'\ e\e.{\ ~o..(\ e- ~a.. ~.:p (p ... 24- - 0 ...,... '2.I04f -D8~O Date of Death: 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 wh~ administration of the estate is complete: Yes ~_nNo 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 person~~sentative file a [mal account with the Court? Yes 0 No M b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal r;pfesentative state an account informally to the parties in ~ interest? Yes Ii?" No 0 1>.sa.--t, 1-. ~ i. 0 ~ c::l"y.. ~,~ :ru~O\.Q.., -(\~\J~S- c. Copies of receipts, releases, joinders and ap~val of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. S--\\-ob Name ~ Signature \.u.l \\.~ ~ '6oUGks ~l Lu. \-\\'1~ I~(\~le.~ \ ' Date: Address --=:l L 1 '2-,-+-) '''"\ ~ 0 Telephone No. I, ~, I .' ._ I ;-' '..J' \d Capacity: 0 Personal Representative ~ Counsel for personal representative a