HomeMy WebLinkAbout04-0907PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Es,a,e oZ /vl&'ssa bi,
also known as
Social Security No.
Deceased.
No. /-oq- -qo-1
"Fo:
Register of Wills for the
County of CL,[IT1D££/~fFIc'7 in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl [
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 ~'LlFrl[Pg. f-/v~fL6-~ County, Pennsylvania, with
h~f lastfamilyorprincipalresidenceat 3,-50& Lt~_/cTnct ~r, IIA~'chanl'C~t~t. tr~
(list street, number and municipality)
Decende,nt, then /~ years of age, died -~g/;DD~ 7c£/73 b e/' ~ t'9- 2OC¢¢,
at PrlD£f~on CgrgiVCr£?47d Dtvrm}*r~Pr~ . 'Pr/Dc¢-f~fl,kl, 3'. ' '
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
the following spouse (if any) and heirs:
Name
A/ina
ascertained that decedent left no will and was survived by
Relationship
Fqther
Mo~her
Residence
THEREFORE, petitioner(s) respectfully request(s) the grant of letters o~ g~lmtms t~on i e
appropriate form to the undersigned, r? .
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~
COUNTY OF ~c~b~ r/dfl, d 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 affir~d and subscribed c
be~re In~ this aa day of
Estate of
J
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW(~A~-L~C~,- kO c:~OOL/~ , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to ~-~OVx ~ ~,~.r~ f'xr~r] %~(Lb~l,~..~ ~
in the estate of
FEES
Letters of Administration .....
Short Certificates( ) .......... $
Renunciation ................ $"~" ~
~P $ ~o,o-'o
TOT/~L $
Filed ... I O..'. (.¢.'~.. 0.~. .... A
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717)240-6345
Date: 01/10/2005
HUANG LEON K
3808 LEYLAND DR
MECHANICSBURG, PA 17050
RE:
Estate of HUANG MELISSA M
File Number: 2004-00907
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 01/16/2005
Your prompt attention to this matter will be appreciated.
Thank You.
cc:
File
Counsel
Judge
Sincerely,
GLENDA FAP~NER STP~ASBAUGH
Clerk of the Orphans' Court
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717)240-6345
Date: 01/10/2005
HUANG SAULING
3808 LEYLAND DR
MECHANICSBURG, PA
17050
RE:
Estate of HUANG MELISSA M
File Number: 2004-00907
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 01/16/2005
Your prompt attention to this matter will be appreciated.
Thank You.
cc:
File
Counsel
Judge
GLENDA FARNER~
Clerk of the Orphans' Court
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Will No.
Huanq, Me/f'ssa M.
.s'ebfembu 5, 2004
j
fJ/A Admin. No. 2004 - ocqo7
.
Name of Decedent:
Date of Death:
To the Register:
I certify that notice of (benef\cillI 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 ,TaflUarlj /2,2005 :
NllIM
Address
Lio(l k. Hua(lg
S'au/lng Hual1g
3806 Li0 {and 10r. MHha.(licdJuf{J ,Pa /7D<;v
38()!3 Lei(} (ernd 'tYr. Muhan~w'buKj, /1:;.170$8
Notice has noW been given to all persons entitled thereto under Rule 5.6(a) except
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Signatere
Name Lion k - Huang
Address 3808 LU(; fand J)t.
MR-chanrcsburz], P-A (70<;)0
Date:
1- /3-200.5
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Telephone<7rlJ 732-6qO&,
Capacity: -L Personal Representative
_Counsel for personal representative
J
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
Marjorie A. Wevodau
First Deputy
Kirk S. Sohonage, Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To:
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
209
2/10/2005
MELISSA A. HUANG
21-2004-0907
LEON K HUANG
3808 LEYLAND DRIVE
vz
MEo-IANICSBURG, P A 17050
Qty
1
Fee Description
Additional Probate
Fee
22,00
Total
$22,00
Total:
$22,00
Checks should be made payable to the Register of Wills. Terms: Net 30.
Please return one copy of this iovoice with your payment. Thank you,
R\ivJ
REV.I500EX(&OO1
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
'* COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
FILE NUMBER
21 04
0907
-----
NUMBER
COUNTY CODE YEAR
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
HUANG, MELISSA M.
DATE OF DEATH (MM.D[).YEAR) -~ATE OF BIRTHlMiDD.YEAR) -
09/05/2004 07/31/1985
----- ---- - - - ---
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
N/A
: SOCV\L SECURITY NUMBER
1169-66-8965
THIS RETURN MUST BE FILED IN DUPliCATE WITH THE
REGISTER OF WILLS
- ______________ _.. ....______...........___________n ________
....-..- ..... ----
SOCIAL SECURITY NUMBER
I-
Z
W
C
W
o
W
C
~ 1. Original Return
D4.LimitedEstate
o 6. Decedent Died Testate (AlIachoopyofWil)
D 9. Litigation Proceeds Received
o 2. Supplemental Return
D 4a. Future Interest Compromise (dala of d8aIh after 12-12-82)
o 7. Decedent Maintained a living Trust (All8chcopy ofTrusI)
o 10. Spousal PovertyCredil (date ctdesttl beIween 12-31-91 and 1-1-95)
o 3. Remainder Return (dala 01 deaIh prior 10 t2-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Electiorllotax under$ec. 9113(A) (AttachSchO)
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THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAl. TAX INFORMA11ON SHOULD BE DIRECTED TO:
NAME COMPLffi MAILING ADDRESS
Leon K.Huang__ 3808 Leyland Drive
FIRM NAME ('_, Mechanicsburg, PA 17050
....
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TELEPHONE NUMBER
(717) 732-6906
1. Real Estate (Schedule A) (1) 0.00
2. Stocks and Bonds (Schedule B) (2) 6,029.46
3. Closely Held Corporation, Partnership or SoIe-ProprielOl'Ship (3) 0.00
4. Mortgages & Notes Receivable (Schedule 0) (4) 0.00
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 2,772.70
Z (Schedule E)
0 5. J.,;ntiy Owned Property (Schedu~ F) (6) 0.00
5 o Separate Billing Requested
::l 7. Inter-VIVos Transfers & Miscellaneous Non-Probate Property (7) 0.00
I- (Schedu~ G or L)
it
c( 8. Total Gross Assets (total Lines '-7) (8)
0 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 0.00
W
a: (10) 0.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (Iotal Unes 9 & 10) (11)
12. Net Value of Estate (Line 8 minus Line 11) (12)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13)
made (Schedu~ J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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8,802.16
0,00
8,802.16
0.00
8,802.16
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15. Amount of Line 14 taxable at the spoosallax
rate, or transfers under Sec. 9116 (a)(1.2)
uu 8,802. H) x .0 (15)
x .0 (16)
x .12 (17)
x .15 (18)
(19)
0.00
16. Amount of Line 14 taxable at lineal rate
17. Amount of Une 14 taxable at sibling rate
18. Amount of Une 14 taxable at collateral rate
0.00
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO AIIeWl!R'ALL QUE8'I1Otl& ON Rl!1IER8E lIIDE AMD RECHECK MATH '" <
Decedent's Complete Address:
STREET ADDRESS
____3808 l,eylim(t Doye _ _ ___
CITYM h . b
ec ames urg
STATE .
PA
ZIP 17050
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credns/Payments
A. Spousal Poverty Credn
e. Prior Payments
C. Discount
(1)
0.00
0.00
0.00
0.00
3. InteresUPenalty if applicable
D.lnterest
E. Penalty
Total Credits ( A + B + C ) (2)
0.00
0.00
--------
0.00
TotallnteresUPenalty ( D + E ) (3)
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 roquest a refund (4)
e. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
0.00
0.00
0.00
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due.
(SA)
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 inoome of the property transfenred;............................................ ............................................. 0 [KJ
b. retain the right to designate who shall use the property transferred or its inoome; ............. .............................. 0 [KJ
c. retain a reversionary interest; or........................................................................................................ .. 0 [KJ
d. receive the promise for life of either payments, benefits or care?.. ............................ ......................... 0 [K]
2. If death occurred after December 12, 1982. did decedent transfer property within one year of death
without receiving adequate oonsideration? ........................... ........................... ............................ ......................... 0 [KJ
3. Did decedent own an "in trust fo( or payable upon death bank acoount or security at his or her death? ...... ....... 0 [K]
4. Did decedent own an Individual Retirement AccounL annuity, or other non-probate property which
oontains a beneficiary designatk>n? ........... ........................... .................... .............................. .................... ... 0 [KJ
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
Undef penalties of peljury, I dedare thai I have examined this return, including accompanying schedules ~statements, and to lhebestofmy knowledge and belief, it is true, correct and
complete.
OecIaratIonofpreparero\herthantheper.;onalrepresentatiyaisbasedonallinfonnalionofwhic:h any knowledge.
:::::E OF PERSON RESPONSIBLE FOR FILING RETURN '-'-j;--~~kf (J./lI-h
3808_~~ylandDrive,_Mechanic:st>urg, PA 17050
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
OATE
02/07/05
DATE
ADDRESS
For dates of death on or after July I, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the sUlVwing spouse is 3%
[72 P.S. ~9116 (a) (1.1) (ill.
For dates of death on or after January I, 1995. the tax rate imposed on the net value of transfers to or for the use of the sUlViving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)].
The statute does not exemot 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 if
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)J.
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries ~ 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(I)].
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 an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV.1503 EX+ (6-98.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Melissa M. Huan9
FILE NUMBER
21-04-0907
All property jolnUy-owned with right of sUIVIv...hlp must be disclosed on Schedule F.
ITEM
NUMBER
1.
VALUE AT DATE
OF DEATH
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
2.
DESCRIPTION
US Treasury $200 Bond R139043177EE Mature 01/2028 Rate 2.84%
US Treasury $200 Bond R139038405EE Mature 11/2027 Rate 2.84%
US Treasury $200 Bond R139033595EE Mature 10/2027 Rate 2.84%
US Treasury $200 Bond R135868740EE Mature 09/2027 Rate 2.84%
136.80
3.
133.52
134.16
136.48
4.
5.
US Treasury $200 Bond R135863987EE Mature 0712027 Rate 2.84%
US Treasury $200 Bond R135659307EE Mature 0612027 Rate 2.84%
US Treasury $200 Bond R135654524EE Mature OS/2027 Rate 2.84%
138.08
134.96
137.44
6.
137.76
7.
8.
US Treasury $200 Bond R135649603EE Mature 0312027 Rate 2.68%
US Treasury $200 Bond R135644580EE Mature 02/2027 Rate 2.68%
134.96
9.
US Treasury $200 Bond R135640060EE Mature 12/2026 Rate 2.68%
134.96
134.96
138.00
US Treasury $200 Bond R131466057EE Mature 11/2026 Rate 2.68%
US Treasury $200 Bond R121620755EE Mature 10/2026 Rate 2.68%
US Treasury $200 Bond R121616075EE Mature 0812026 Rate 2.68%
US Treasury $200 Bond R121610889EE Mature 07/2026 Rate 2.68%
US Treasury $200 Bond R121605940EE Mature 0512026 Rate 2.68%
138.00
138.00
138.00
141.36
US Treasury $200 Bond R121600B60EE Mature 04/2026 Rate 2.68%
US Treasury $200 Bond R118443706EE Mature 0312026 Rate 2.68%
US Treasury $200 Bond R115478375EE Mature 01/2026 Rate 2.68%
141.36
141.36
141.36
US Treasury $200 Bond Rll5472971EE Mature 12/2025 Rate 2.68%
US Treasury $200 Bond R115467449EE Mature 11/2025 Rate 2.68%
141.36
US Treasury $200 Bond R115461817EE Mature 09/2025 Rate 2.68%
145.12
US Treasury $200 Bond Rll5456213EE Mature 0812025 Rate 2.68%
US Treasury $200 Bond R115450868EE Mature 06/2025 Rate 2.68%
145.12
145.12
US Treasury $200 Bond R111061603EE Mature 0512025 Rate 2.68%
US Treasury $200 Bond Rlll056252EE Mature 04/2025 Rate 2.79%
145.12
153.76
3,487.12
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additklnal sheets of the same siZe)
REV.'503 EX+ 16.9B.
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Melissa M. Huang
FILE NUMBER
21-04-0907
All property jcHntty-owned wfth right of surviYonhlp must be disclosed on Schedule F,
ITEM
NUMBER
,.
VALUE AT DATE
OF DEATH
10.
11.
12.
13.
14.
15.
16.
17.
18.
2.
DESCRIPTION
US Treasury $200 Bond Rlll050720EE Mature 02/2025 Rate 2.79%
US Treasury $200 Bond Rlll045178EE Mature 02/2025 Rate 2.79%
US Treasury $200 Bond Rll1039535EE Mature 12/2024 Rate 2.79%
153.76
153.76
153.76
3.
4.
US Treasury $200 Bond Rl11033728EE Mature 10/2024 Rate 2.71%
US Treasury $200 Bond Rl05028090EE Mature 09/2024 Rate 2.71%
US Treasury $200 Bond Rl05017582EE Mature 06/2024 Rate 2.71%
157.44
157.44
157.44
5.
6.
7.
US Treasury $200 80nd Rl05022569EE Mature 07/2024 Rate 2.71 %
US Treasury $200 Bond Rl05012672EE Mature 0512024 Rate 2.71%
157.44
157.44
8.
9.
US Treasury $200 Bond R99983634EE Mature 03/2024 Rate 2.60%
US Treasury $200 Bond R99978549EE Mature 02/2024 Rate 2.60%
US Treasury $200 Bond R90609420EE Mature 12/2023 Rate 2.60%
160.72
160.72
160.72
US Treasury $200 Bond R90604176EE Mature 11/2023 Rate 2.60%
US Treasury $200 Bond R90598995EE Mature 10/2023 Rate 2.75%
160.72
164.64
US Treasury $200 Bond R84553759EE Mature 08/2023 Rate 2.75%
US Treasury $200 Bond R84548905EE Mature 07/2023 Rate 2.75%
164.64
164.64
59.56
US Treasury $50 Bond L370907556EE Mature 0612018 Rate 4.00%
US Treasury $50 Bond L277639504EE Mature 09/2016 Rate 4.00%
US Treasury $50 Bond L627443424EE Mature OS/2033 Rate 2.84%
71.70
25.80
2,542.34
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
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REV-1508 EX+ (6-98)
..
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Melissa M. Huang
FILE NUMBER
21-04-0907
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolntty-owntd with right of survivorship must be dl:sclostd on Schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1. Savings and checking accounl at Princelon University Federal Credil Union AlC No. 801820653
1,522.43
782.27
2. PSECU Savings and Checking AlC No. 0169668965
3. 2004 Federal income Tax Refund
468.00
TOTAL (Also enler on line 5, Recapitulalion) $
(If more space is needed, insert additional sheets of the same size)
2,772.70
Check
1
~#
No. 244666
O :mft~'
;".' .1-
,~ W,i:
,~~ 1$"
> \Ii ,..
;'~5;iJl~i4;il;r;J.'0~1!r~.~d.~
)Ii.>
!f<J
II II'I!, 111'1' III1IIII
lid 1111 I, ,I ill
MANAGE YOUR MONEY FROM THE COMFORT
Of YOUk HOME WITH PSECU~HOME
SIGN UP AT IolWW.PSECU.COM
'i 111 i t ~ I ~ II i i i i f) I i j I till; III i ,Ill I ~ J 11111 i' I t I. III ~ Ii l,I.1 ! II
MHISSA M HUANG
.1808 LEn AND Ok
MECHANICSBURG PA 17050'163~
,laiN1" OI.,i'NEP
MF.!VRFP NUAAaEj':;I
SAULl~G HUtl.N(~
0169XXVXX
STAl"EMENT PEFlH')(
f"!'om 1'0
lUOI04l103\.O
PAGE
"""....a
O;lYr
EF'F:eGiWE
""'"
'fH~PCW...N ~;PilCN
AAVWHITS,
t.H;;:Clttoo.
"".m
"
i I=tNANCE
CHARGE
fEF..s OR
CtlAAGl.ES
TRANSACTION
"""'UHf
NEW
BALANCE
ADDITIONAL JOINT OWNER,
lEON K HUANG
lil/01 ID 01
10/08
j 0/08
l%e
1 0108 ID 01
REGULAR SHARES BEGINNING BALANCE
PAYMENT, DIVIDEND
ANNUAL PERCENTAGE YIELD EARNEll O. 78{, FROM 10/01/04 THROUGH
BASED ON AVERAGE DAILY BALANCE OF 742.14
PAYMEN1, lkANSfEk FkOM SHARE U4
WITHDRAWAL BY CHECK
REGULAR SHARES CLOSED
DIVIDEND YTD, YEAR TO DATE
742.14
0.11 742.25
10/07/04
20.02
76Z .27
0.00
762.27-'
6.02
========~==================================~=~============:~~========~==;=======:===~==
10/01
10/08
10/08
10 04 CHECKiNG BEGINNING BALANCE
WITHDRAWAL TRANSFER TO SHARE 01
10 04 CHECKING CLOSED
DIVIDEND VTD, YEAR TO DATE
20 02-
20,02.
o 00
0.37
=~=====~======Z~==~==:====================~===~==:~=~;====:===~=======~~=====~=;=:====~
TOTAL DIVIDEND YTD, YEAR TO DATE
6,39
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
HUANG LEON K
3808 LEYLAND DR
MECHANICSBURG, PA 17050
n___n_ fold
ESTATE INFORMATION: SSN: 169-66-8965
FILE NUMBER: 2104-0907
DECEDENT NAME: HUANG MELISSA M
DATE OF PAYMENT: 03/15/2005
POSTMARK DATE: 03/14/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 09/05/2004
NO. CD 005061
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
05106340 I $5.57
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: LEON K. HUANG
CHECK# 1373
SEAL
INITIALS: RSK
RECEIVED BY:
REGISTER OF WILLS
$5.57
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COHMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG, PA
-
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 04-0907
ACN 05106340
DATE 03-01-2005
REV-1543 EX AFP 109-001
'). L~O
TYPE OF ACCOUNT
EST. OF MELISSA M HUANG 0 SAVINGS
S.S. NO. 169-66-8965 lilCHECKING
DATE OF DEATH 09-05-2004 0 TRUST
COUNTY CUMBERLAND 0 CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
LEON K HUANG
3808 LEYLAND DR
MECHANICSBURG PA 17050-7634
PSECU has provid..d the Departeent with th.. inforeation list..d below which has been used in
calculating the potential tax due. Their records indicate that at the d..ath of the above decedent, you w..re a joint own..r/beneficiary of
this account. If you f....l this infor.ation is incorrect, pl..ase obtain written corr..ction fro. the financial institution, attach a copy
to this fore and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Coeeonw..alth
of Pennsylvania. Questions eay be answered by calling (717) 787-83Z7.
COMPLETE PART 1 BELOW. _ _SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0169668965 Date 10-21-1998
Established
x
742.20
16.667
123.70
.045
5.57
TAXPAYER RESPONSE
To insure proper credit to your account, two
(Z) copies of this notice eust accoepany your
payeent to the Register of Wills. Make check
payable to: "Register of Wills, Ag..nt".
Account Balance
Percent Taxable
AllOunt Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax payeents are ead.. within three
(3) eonths of th.. decedent's date of death,
YOU eay deduct a 5" discount of the tax due.
Any inh..ri tanc.. tax due will becoee delinquent
nine (9) eonths after the date of death.
Tax
PART
[!]
The above inforeation and tax due is correct.
1. You .ay choos.. to reeit payeent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you eay check box "A" and return this notice to the Register of
Wills and an official asses~ent will be issued by the PA Departeent of Revenue.
[CHECK ]
ONE
BLOCK
ONLY
B. c=l The above asset has been or will ba raported and tax paid with the Pennsylvania Inheritance Tax return
to be fil..d by the d..cedent's representative.
C. c=l The above inforeation is incorrect and/or debts and deductions were paid by you.
You eust coeplete PART ~ and/or PART ~ below.
If you indicate a different tax ratel please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. A.ount Subject to Tax 4
5. Debts and Deductions 5
6. Mount Taxable 6
7. Tax Rate 7 X
8. T~Due 8
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
of perjury I I declare that the facts I
of .y knowledge end belief.
I
$
3-14-0S
DATE
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT.280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
HUANG SAULlNG
3808 LEYLAND DR
MECHANICSBURG, PA 17050
hn__n fold
ESTATE INFORMATION: SSN: 169-66-8965
FILE NUMBER: 2104-0907
DECEDENT NAME: HUANG MELISSA M
DATE OF PAYMENT: 03/15/2005
POSTMARK DATE: 03/14/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 09/05/2004
NO. CD 005062
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
05106339 I $5.57
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: SAULlNG HUANG
CHECK# 1372
SEAL
INITIALS: RSK
RECEIVED BY:
REGISTER OF WILLS
$5.57
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601 . ". . ,,-
HARRISBURG, PA 17lZ~OI'
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 04-0907
ACN 05106339
DATE 03-01-2005
REV-154S EX AFP 109-DD>
19'
,_J
EST. OF MELISSA M HUANG
S.S. NO. 169-66-8965
DATE OF DEATH 09-05-2004
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
IX] CHECKING
o TRUST
o CERTIF.
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
SAULING HUANG
3808 LEYLAND DR
MECHANICSBURG PA 17050-7634
PSECU has provided the Departsent with the inforsation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If YOU feel this inforsetion is incorrect, pleese obtain written correction fros the financial institution, attach a COpy
to this fors and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Cossonwealth
of Pennsylvania. Questions say be answered bY ceIling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 0169668965 Oat. 10-21-1998
Established
x
742.20
16.667
123.70
.045
5.57
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice BUst accospany your
paysent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax paysents are sede within thr....
(3) sonths of the decedent's date of death,
YOU say deduct a 5iC discount of the tax due.
Any inheritance tax due will becose delinquent
nine (9) sonths after the date of death.
Tax
PART
I!l
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
~The above inforsation and tax due is correct.
1. You say choose to reait payeent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you say check box "A" and return this notice to the Register of
Wills and an official assesSBent will be issued by the PA Departeent of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
o The above inforsation is incorrect and/or debts and deductions were paid by you.
You sust cosplete PART ~ and/or PART ~ below.
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LZNE 1. u.t. E.tablished 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
5. Debts and Deductions 5
6. AIIount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
PART
I!I
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax Computation)
facts I
I
$
T
3-/4-05
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
"... .'-' ~'- ..... -- -. --,- -:-~;-;I"'\;-
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS. AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (03-05)
BUREAU OF INDt\llDUALTAXES<'-
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
!.. fJ9
:. ,-
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
04-18-2005
HUANG
09-05-2004
21 04-0907
CUMBERLAND
169-66-8965
05106340
Allount Rellitted
MELISSA
M
LEON K HUANG
3808 LEYLAND DR
MECHANICSBURG PA 17050-7634
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 ~
1~-~'1ri!I:~J.lrG~~'....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-18-2005
ESTATE OF HUANG
MELISSA M DATE OF DEATH 09-05-2004
COUNTY
CUMBERLAND
FILE NO. 21 04-0907
TAX RETURN WAS:
S.S/D.C. NO. 169-66-8965
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05106340
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0169668965
TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIfICATE
DATE ESTABLISHED 10-21-1998
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
742.20
0.166
123.70
.00
123.70
.45
5.57
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT. SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER Of WILLS. AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-14-2005 CD005061 .00 5.57
TOTAL TAX CREDIT 5.57
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ·
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR1, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR rNSTRUCTrON~~ 1
- ~ '\~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
I .. . .
BUREAU OF INDIVIDUAL-TAXES
INHERITANCE TAX DIVISION
PO BOX Z80601 .
HARRISBURG PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (03-05)
.. "9
j'" /\
d',_
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
04-18-2005
HUANG
09-05-2004
21 04-0907
CUMBERLAND
169-66-8965
05106339
Allount Rellitted
MELISSA
M
SAULING HUANG
3808 LEYLAND DR
MECHANICSBURG PA 17050-7634
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 ~
11~-~~1ri!!:~~.~~~~1....................................................................................
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 04-18-2005
ESTATE OF HUANG
MELISSA M DATE OF DEATH 09-05-2004
COUNTY
CUMBERLAND
FILE NO. 21 04-0907
TAX RETURN WAS:
S.S/D.C. NO. 169-66-8965
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05106339
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0169668965
TYPE OF ACCOUNT: () SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-21-1998
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
742.20
0.166
123.70
.00
123.70
.45
5.57
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
03-14-2005 CD005062 .00 5.57
TOTAL TAX CREDIT 5.57
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU HAY BE DUE A REFUND.
-"..,. ...,."."..,.e ...The n~ TUT<:. ~nDM ~nR TNSTRUCT:rONS. )
oS~
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
C"-rvv,;;,..,~ r"'~lr- IIIITICE OF INHERITANCE TAX
BUREAU OF DIIIVIOUAL 1iliE$;1U:U ui-hi;~ ~RAISEHENT, ALLOIIANCE OR OISALLOIIANCE
I_An"""" TAX DIVISION ' " - OF DEDUCTIONS AND ASSESSHENT OF TAX
PO lOX 288601 i
HARRISBURG PA 17128-0601
':"""i r;".....
,"" C::J
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-25-2005
HUANG
09-05-2004
21 04-0907
CUMBERLAND
101
_t R_1ttoocl
,'> n2
"\u' u
rl [~r1:.(
:'J::,L_,.--i ,;"
Q; ,,',
LEON K HUAAS
3808 LEYLAND DR
MECHANICSBURG PA 17050
*'
REY-l!K7 EX Af'P (03-05)
""LISSA
M
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ~
I1!V-".tIII,.Yf"m.m!'U!l1.Wn'l!t.IlI!'.IWtltTlFll"t.m.lVMl'!!ftMMl':.'lft'I:WIFll"t.lIrr.............. ...
DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
MELISSA M FILE NO. 21 04-0907 ACN 101
ESTATE OF HUANG
TAX RETURN liAS: I X I ACCEPTED AS FILED
I I C_ED
I~ an .......ent wa. i..ued previou.ly. line. 14. 15 and/Dr 16. 17. 18 ~nd
rttf'lBCt ~igure. 'that: inclUde 'the 'to1:al of !IJ.. re1:urn. as.es.ed 'tD de1:e. !
ASSESSMENT OF TAX:
15. _t of Une 14 .t Spou_l r.t. I1S1
16. _t of L1ne 14 t.xobl. .t L1....1/Cl.ss A r.t. 1161
17. _t of Une 14 .t Sibllng ~t. 1171
18. _t of L1ne 14 t.xobl. .t Coll.t.~l/Cl.ss B ~t. 1181
19. Princ:l~l T.x Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. ~1 Est.t. ISchodul. AI
2. Stocks ..d Bonds ISchodul. BI
3. Clos.ly H.ld Stock/r.rtnersh1p Int.~st ISchodul. CI
4. IIort_s/Not.. R_1_1. 1_1. 01
S. C.sh/Bonk hpo.Us/H1sc. P_son.l Prop.rty ISchllClul. EI
6. J01ntly Ownod Prop.rty ISchodul. FI
7. T~sf.r. (SchedUl.8)
8. Total A...t.
III
121
131
I'll
ISI
161
171
.00
6.029.46
.00
.00
2.772.70
.00
.00
181
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. FIaW,..l ExP~s.s/Ac:III. Costs/Misc. Ex.,.,... (ScMdule H) (9)
10. Dobts/Nort_ L1ob111t1.s/L1..s ISchodul. II 1101
11. Total Doduct1ons
12. tt.t V.l.... of TIM R.tum
13. Charltobl./Sov.rna..t.l Boquosts; Non-.lsctoocl 9113 Trusts ISchodul. JI
14. Net V.I.... of Est.t. Subject to Tex
.00
.00
1111
1121
1131
1141
NOTE:
8,802.16 X
.00 X
.00 X
.00 X
ANlIUIIT PAID
DATE
IMIBER
INTEREST/PEN PAID I-I
~
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
DATE '04-25-2005
I
NOTE: Tk:. In..... proper
creel! t 0 your account,
sub.lt upper portion
of thisi fo~ wUh your
tax p~t.
I
I
8,802.16
DO
18,802.16
.00
, 8,802.16
19 will
00 =
045 =
12 =
15 =
1191=
.00
.00
.00
.00
.00
.00
.00
.00
.00
I IF TOTAL DUE IS LESS THAN $1, NO PAYftENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT'" ICRI, YDU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FOIN FOR INSTRUCTIONS.I
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 7/27/2006
HUANG SAULING
3808 LEYLAND DR
MECHANICSBURG, PA 17050
RE: Estate of HUANG MELISSA M
File Number: 2004-00907
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:
9/05/2006
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,
c 0~..b- r fJ
/1;g~~ {J~'rd'x.j J1Z4.a4'~~~'
/ .' ,
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 7/27/2006
HUANG LEON K
3808 LEYLAND DR
MECHANICSBURG, PA 17050
RE: Estate of HUANG MELISSA M
File Number: 2004-00907
Dear Sir/Madam:
This notice is to serve as a reminder that the Statu:s 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 adlninistration.
This filing lS due by:
9/05/2006
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,
)fb./~ ~::;&/J ~~
, ,/
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
Register ofWilb of Cumh~rland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent: . i.l t 1/5 S (i M. ;-1 L-l ({ rhl
~
Date of Death: S-cP/[lnbtr 5 2D04
I '
Estate No.: 2004 - ()Cqc 7
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 whether administration of the estate is complete:
Yes Rf 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 fmal account with the Court?
Yes 0 No rRl
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 f2S1 No 0
Bate:
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report. . ('
?- 30 O(? ,_..\.ittL[(f(I/{(U)
Signature' '\
L ; r{) fJ k H Lf a n(7
..,
Name
~) oOe L 1 -j ~l .CClr
-~C:) u Lq' elf a 'v
Address /vlcchafi-ic)l-i.L (I), PA
(7i)) 7JZ ~.q(k
Telephone No.
;. j:CI
(j_! 0
Capacity: I2rPersonal Representative
o Counsel for personal representative
0,' J
6\) -
Register of Wills of CumberlCl.u.d County
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
i\/} (/i:5 'se( (\.;1. f-( (ALl ng
S (-'idernb~r 5f !:()C4
/
2co4 - ccqc 7
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 whether administration of the estate is complete:
Yes na 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 fmal account with the Court?
Yes 0 No fa
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 1St No 0
c. Copies of receipts, releases, joinders and approval of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date: }..3 (i. 0&
/ .
Scr I I 1(. HI I If,7 (ICI
'" ' L c' II, .j VL - L.
S'
Name
.:.:< Cr: y LiLU/(/('rl /)J
<=,0 V' '-/ J . ..h . '/'
Address (V1 \ ell a /7'1 C" .s L [171 fA
J
(7 ( 7 ) 73:2 - I~;,ci C6
Telephone No.
I '~7~__,'~
I -
Capacity: 83"Persona1 Representative
o Counsel for personal representative
\
f/"-.J
'f-...'