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Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF
~A~-~
COUNTY, PENNSYLVANIA
Name of Decedent: ~ /~ /~ ~ /~ (- ~~ ` r l ~ s ~~
Date of Death: ~/~/~a File Number: ~ ~ ~ ~~~~ ~ ~~
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete :.................... ~es ^ No
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? ....... es ^ No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account
informally to the parties in interest? ............................... ,Yes ^ No
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Cleric of the Orphans' Court and may be attached to ibis report.
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Signature of Person Filing thi's Form
Capacity: Personal Representative ^ Counsel
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Form RW-/0 rev. /0.13.06 ~
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NOTICE OF INHERITANCE TAX Pennsylvania ~
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION DF DEDUCTIONS AND ASSESSMENT DF TAX REY-1547 EX AFP C12-10)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 08-15-2011
ESTATE OF COLLINS SR EMMETT M
DATE OF DEATH 05-09-2010
FILE NUMBER 21 10-0911
COUNTY CUMBERLAND
WANETA J GOODWIN ACN 101
508 COLONY RD APPEAL DATE: 10-14-2011
CAMP H I L L PA 17011 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALDN6 THIS LINE ~ RETAIN LDWER PORTION FOR YOUR RECORDS t--'
--------------------------------------------------------------------------
REV-1547 EX AFP t12-10~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: COLLINS SR EMMETT MFILE N0.:21 10-0911 ACN: 101
-----------------
OR
DATE: 08-15-2011
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) •00 NOTE: 7o ensure proper
2. Stocks and Bonds (Schedule B) (2) .00 credit to your account,
3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 submit the upper portion
of this form with your
4. Mortgages/Notes Receivable (Schedule D) C4) •00 tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 12,212.12
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) .00
8. Total Assets C8) 12.212.12
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 2.4 0 7.78
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 84,489.31
11. Total Deductions C11) 86,897.09
12. Net Value of Tax Return (12) 74, 684.97-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax
}„ , ,
C14) ,
4 684.97-
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17 , 18 and 19 will
d.>.~ n,7~ n~f~ct figures that include the total of ALL returns assessed to date.
ASSESSMENT OP^TikX:
1S. li~~iount~ of Line 14 at Spousal rate (15) .00 X 00 - .00
16. Amount of Lino 14 taxable at Linoal/Class A rate Clb) _C1~ x 045 = .00
17. AAOUnt of Line 14 at Sibling rate C17) .00 X 12 =
0 0
4e., „, r .
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 C+)
DATE NUMBER INTEREST/PEN PAID C-) AMOUNT 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.