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HomeMy WebLinkAbout07-17-12Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF~j r k~~~ 2 Y~'cx-)~ ~~ COUNTY, PENNSYLVANIA ,~ -f' Name of Decedent:. /G~ i^ 1 l ~~C Date of Death: ~ ~ c.1 ~~_~~ ~~~~~/~ File Number: ~ D 1 ~'1 `~ C? ~ ~ ~ .~ 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 :..................... ~ Yes ^ 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? ....... (Yes ^ 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 fled wit h the Clerk of the O;pl:ar~s' Court ar~d .may be attached to this report. Dnte ~e~, ~ ~~~ Signature of Person ing this Form Capacity; ,®,Personal Representative ^Counsel ~: ~ Q a u~~~ h; Vi - a ~ °L - c~~ ~ A ~ Name of Person ling this Form +. ~ ~ ~. ~ ; a.. ; ~g ~ 5 /~ ~/, P r~ ~ t.t! ia.! ~j j ~g-y, Addr ss .-. ~.._ -._7` ~ia nl ~ c1 r'~ 17 ~ t7 ~ . © ( ._ ,~ _,~ ~~lt ~l7- ~`~ ~7~ r Telephone ~ Fa-m 2W-/0 rev. !0.13.06 r l~ cw~oNVVErurH of PeNNSV~vAN7A DEPARTMEN! OF REVENUE BUREAU OF INDIVIWAL TAXES DEPT. 280801 FIARRISBURG, PA 77128-0607 ~ RECE{VED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL. RECEIPT ESLINGER BEVERLY L 3815 MOUNTAIN VIEW RD MECHANICSBURG, PA 17050-2131 ESTATE INFORMATION: SsN: 195-07-8966 FILE NUMBER: 2110-1003 DECEDENT NAME: HAVERSTOCK MARTIN L DATE OF PAYMENT: 10/ 26/ 2010 POSTMARK DATE: 10/26/2010 couNTY: CUMBERLAND DATE OF DEATH: 07/24/2010 REV-1182 EX111-981 NO, CD 013553 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 57,673.66 TOTAL AMOUNT PAID: REMARKS: BEVERLY ESLINGER CHECK# 992 sEaa_ INITIALS: WZ RECEIVED BY: $7,673.66 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER RECEIPT FOR PAYMENT ---------- --------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 HAVERSTOCK MARTIN L Estate File No.: 2010-01003 Paid By Remarks: BEVERLY ESLINGER WZ Receipt Distribution Receipt Date: 10/26/2010 Receipt Time: 13:44:47 Receipt No.: 1063074 Fee/Tax Description Payment Amount Payee Name INH TAX RETURN 15.00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 991 $15.00 Total Received......... $15.00