The URL can be used to link to this page

Home My WebLink About04-0955PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Wands R. Donmoyer also known as No. l-oq To: Register of Wills for the Deceased County of Cumberland in the Commonwealth of Pennsylvania Social Security No. ] q ~ R (I R Pi ? 2 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl ies for letters of administration on the estate of (db.n; pendente lite; durante absentia; durante rainoritate) the above decedent. Decedent was domiciled at death in q;umbedand County, Pennsylvania, with h er last family or principal residence at 404 State Rd. East Pennsboro Two (list street, number, Twp. or Bore.) Decedent, then 66 years of age, died 0212412004 at Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 15,000.00 1/2 interest in 404 State Rd., East Pennsboro Township, Cumberland County Petitioner afmr a proper search ha s the following spouse (if any) and heirs: Name Rasanne Smith Cynthia L. Hamilton Relationship dauqhter dauqhter son son Harry Donmoyer Willard Donmoyer 3 S. Humer St. Enola ascertained that decedent left no will and was survived by Residence PA 17025 213 Dauphin st. Enola PA 17025 8 Third St. Apt. 2 Shalimar FL 32579 PA 17025 404 State Rd W. Fairview THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administrafi0n in the appropriate form to the undersigned .... ----3 Enola PA 17025 Rosanne Smith OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF Cumberland 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 affirmedan~subscribed r' 'X/~6~.~' before me this ~ day of l ~ ~.~~ Register .... Q ~ No. - oq -q Estate of W~nda R. Donmover GRANT OF LETTERS OF ADMINISTRATION , Dec~sed AND NOW C~-t.~.~ ~~t-../_.~ , ~-~_r. Dc3+ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Rosanne Smith is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to~~&~l~~ Rosanne Smith in the estate of Wanda R. DonmoYer FEES Letters of Administration ...... Short Certificates ( ) ...... Renunciation ............ TOTAL Filed )0 7.~ ~ ATTORNEY (Sup. Ct ID. No.) 4415 N. Front St Harrisburo PA 17110 ADDRESS 717-232-4551 PHONE Cumberland Estate of Wanda R. Donmoyer also known as RENUNCIATION No. oQ S- , Deceased The undersigned, Harry Donmoyer, son (Relationship) (Capacity) of the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Rosanne Smith Witness my hand this ~ day of ~e~c~ber ,2004 8 Third St. Apt. 2 Shalimar FL 32579 (Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this ~ day of./ My~fmmission Expires: ~C,~ '*,~2 EXPIRES: April TO, 2007 (Signature an(t seal of Notary or other official qualified to administer oaths. Show date of expiration of Nofary's commission) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW-3 Cumberland Estate of Wanda R. Donmoyer also known as RENUNCIATION , Deceased The undersigned Cynthia L. Hamilton, daughter (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Rosanne Smith Witness my C~ hand this day of September 2004 ,~ - 4/ (Signature) 213 Dauphin St. Enola PA 17025 (Address) (Signature) (Address) (Signature) (Address) of Sworn to or affirmed and subscribed before me this ~'~ day of Notary Pu~lic/// / ! ,~, ,),~ ~,- My Com m~'~'foh-Expires: (Signature and seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's commission) RW-3 NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. Cumberland Estate of Wanda R. Donmoyer also known as RENUNCIATION , Deceased NO. The undersigned,Willard Donmoyer, son of (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Rosanne Smith Witness my hand this day of Septe_mber .200~4 . .... '~ ~ (Signatu~ ~ : 404 State Rd " West Fai~iew PA 17025 (Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this 2... ,~3 dayof , (Signature and seal of Notary or other official qualified to administer oaths Show date of expiration of Notary's commission) RW-3 NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 ~ P 9 9 6 4 3 2 8 '=~~ No. ~ Date Local Registrar NAR 0 1 2004 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL CERTIFICATE OF DEATH 66 v,. i 8/24/1937 Huntingdon PA ,~,.~ ~ t~ ~ Cumberland ~ast Pennsboro Twp. /~0~ ~/~Zt/ /~--/~/ 404 State Rd. ~TU~ West Fairview PA 17025 ~'~ ,L Reed McDonald PA z~,,. Willard M. Donmoyer [],,~arch 4, 2004 Vlrgie Shank 404 State Rd. West Fairview PA 17025 2,..Indiantown Gap Nat. Ceme. ,~.. East Hanover ~wp. PA 1700_" }~T~ha~C~r~d~s°~c"~.H.29S.EnolaDr. Enola, PA 17025 PA 1701 ] CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Wanda R. Donmoyer Date of Death: February 26, 2004 Will No.: 2004-00955 TO THE REGISTER: I certify that notice of beneficial interest 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 OCtober 25, 2004: Name Address Roseanne Smith 3 S. Humer Street Enola, PA 17025 Cynthia L. Hamilton 213 Dauphin Street Enola, PA 17025 Willard Donmoyer c/o Rosearme Smith 3 S. Humer Street Enola, PA 17025 Harry Donmoyer 8 Third Street, Apt. 2 Shalimar, FL 32579 Notice has now been given to all persons entitled thereto under Rule 5.6(a). Date: 10/25/04 Jam~s H Turner, Esquire Turner and O'Connell 4415 North Front Street Harrisburg, PA 17110 (717) 232-4551 Counsel for personal representative RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV 1162 EX(11 96) NO. CD 004613 TURNER JAMES H ESQ 4415 NORTH FRONT STREET HARRISBURG, PA 17110 ESTATE INFORMATION: SSN: 195 30-3823 FILE NUMBER: 2104 0955 DECEDENT NAME: DONMOYER WANDA R DATE OF PAYMENT: 11 / 10/2004 POSTMARK DATE: 11/10/2004 COUNTY: CUMBERLAND DATE OF DEATH: 02/26/2004- ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $91.08 TOTAL AMOUNT PAID: $91.08 REMARKS: SEAL CHECK# 2514 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 DECEDENT'S NAME {LAST. FIRST.'AND MIDDLE INITIA~ Z REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT Donmoyer~ Wanda R DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) 08/24/1937 OFFICIAL USE ONLY FiLE NUMBER COUNTy COOE yEAR SOCIAL SECURITY NUMBER 0 02/24/2004 Ill IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 0 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS [-~11 Original Return ['~4 Limited Estate [~]6 Decedent Died Testate (x~ach copy of W~llt r~]9. Litigation Proceeds Received ~IS SEC~ON MDST BE~MPLi~TED. AL~ ~RE~ ~I~ NAME James H. Turner FIRM NAME (If Applicable) TELEPHONE NUMBER 717-232-4551 r~2. Supplemental Return r~4a. Future leterest Compromise [date of death a~ter 12-12-82} r~7. Decedent Maintained a Living Trust [Abach copy of Trust) ] 10. Spousal Poverb/Credit ldam of death between 12-31.91 and 1.1-95) COMPLETE MAILING ADDRESS 4415 N. Front St Harrisburg r~5. Federal Estate Tax Return Required -- 8. Total Number of Safe Deposit Boxes [] 11. Election to tax under Sec. 9113(A) {Al~ach Sch el PA 17110 1~ Real Estate (Schedule A) (1) 2~ Stocks and Bonds (Schedule S) (2) 3 Closely Held Co~poration, Partnership or Sole-Proprietorship (3) 4. Mo~ages & Notes Receivable (Schedule D) (4) 5, Cash, Bank Deposits & Miscellaneous Personal Properly (5) (Schedule E) 6. Jointly Owned Properb/(Schedule F) (6) ] Separate Bit)lng Requested 7 Inter-Vivos Transfers & Miscellaneous Non*Probate Properly (7) (Schedule G or L} 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mor[gage Liabilities, & Liens (Schedule I) {10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 15~000.00 OFFICIAl. 0.00 -" (8) (11) (12) (13) 11,671.00 1,305.11 15,000.00 12~976.11 2~023.89 (14) 2:023.89 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2} l& Amount of Line 14 taxable at lineal rate 1% Amount of Line 14 taxable at sibling rate 18, Amount of Line 14 taxable at collateral rate 19. Tax Due 20. 0.00 x . (15) 2,023.89 X .045 (16) 0.00 X .12 (17) 0.00 x 15 (18) (19) 0.00 91.08 0.00 0.00 91.08 Dededent's Complete Address: STREET ADDRESS 404 State Rd West Fairview I STATE PA I ZIP 17025 CITY Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A, Spousal Poverty Credit B, Prior Payments C~ Discount 3, Interest/Penalty if applicable D. Interest E. Penalty 4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT, Check box on Page I Line 20 to request a refund 5. if Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B Enter the total of Line 5 + SA. This is the BALANCE DUE. (1) Total Credits ( A + B + C ) (2) (3) (4) Total Interest/Penalty ( D + E ) (5) (5A) (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1, Did decedent make a transfer and: Yes No a retain the use or income of the property transferred; ........................................................................... [] [] b. retain the right to designate who shall use the property transferred or its income; ........................................ [] [] c. retain a reversionary interest; or ...................................................................................................... [] [] d, receive the promise for life of either payments, benefits or care? ............................................................. [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?. .............................................................................................. [] [] 3. Did decedent own an 'in trust for" or payable upon death bank account or secudty at his or her death? ................. [] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... [] [] 91.08 0.00 0.00 0.00 91.08 91.08 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS I$ YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjur7, I declare that I have examined this return,, , includin~ accompanying schedules and statements, and ta the best of my knowledge and berief, it is true, correct and comprete. Dectarahon of preparer other than the personal representative m based on ~1 ~nformahon of wthch preparer has an) knowledge ADB~rESS' - 3 S. Humer St - Enola DATE PA 17025 S IGNA~~.~N REPRESENTATI~VE ADE~'S~-''~ 4415 I~' Fron~S[ ~ Harrisburg DATE PA 17110 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S, §9116 (a) (1,1)(i)], For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. §9116 (a) (1,1) (ii)], The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even 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 parent, or a stepparent of the child is 0% [72 P,S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4,5%, except as noted in 72 P,S, §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S, §9116(a)(1,3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption, RE~/-1,502 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Donmover. Wanda R exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be Real properbj which is jointly-owned with right of sun/ivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1/2 interest as tenant in common of property located at 404 State Rd., West Fairview Borough, now East Pennsboro Twp, Cumberland County. Valued at one-half of sale arice of $30,000.00. Deed reference Deed Book O, Vol. 35, Page 1173. See HUD-1. VALUE AT DATE OF DEATH 15,000.0D TOTAL (Also enteron line 1, Recapitulation) $ 15~000.00 (If more space is needed, insert additional sheets of the same size) REV~150~ EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Donmover. Wanda R Inciude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of suwivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Misc. personal property in poor condition, no value attributed. Property disposed of. Q0u TOTAL (Also enter on line 5, Recapitulation) $ 0.00 (If more space is needed, insed additional sheets of the same size) REV~151'1 Ex + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER D(pnmover. Wanda R Debts of decedent must be reported on Schedute L ITEM NUMBER DESCRIPTION AMOUNT 4,681.00 FUNERAL EXPENSES: Funeral Bill ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Social Secudty Number(s)/ElN Number of Personal Representative(s) Street Address city State Year(s) Commission Paid: Attorney Fees Turner and O'Connell Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Willard Donmoyer StreetAddress 404 State Rd Zip City Enola State PA Zip 17025 Relationship of Claimant to Decedent son Probate Fees Register of Wills Accountant's Fees Tax Retum Preparet's Fees Advertising of Letters Real estate settlement expenses (1/2 of lines 703, 704,1203, 1204,1308 on Hud-l) 1,200.00 3,500.00 81.00 185.00 2,024.00 TOTAL (Also enter on line 9, Recapitulation) $ 11 ~671.00 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (6-98) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIESt & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Donmover. Wanda R Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION Delinquent Real Estate taxes (1/2 of lines 1306 and 1307 on Hud-l) East Pennsboro Township sewer bills (1/2 of balance per line 1303 on Hud-l) VALUE AT DATE OF DEATH 1,204.61 100.50 TOTAL (Also enter on line 10, Recapitulation) $ 1,305.1 I (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF DonmovE r. Wanda R NUMBER I. 1. 2 3 4 [[. 1 1. FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRrBUTIONS [include outfight spousal distribuUons, and transfers under Sec. 9116 (a)(1.2}] Rosanne Smith 3 S. Humer St Enola, PA 17025 Cynthia L. Hamilton 213 Dauphin St Enola, PA 17025 Harry Donmoyer 8 Third St. Apt. 2 Shalimar, FL 32579 Willard Donmoyer 404 State Rd Enola, PA 17025 Lineal Lineal Lineal Lineal 505.97 505.97 505.97 505.98 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART ]! - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insed additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INOIVIDUAL"fAXES INHERITANCE TAX DIVISInN PO BOX 280601 HARRISBURG PA 17126-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ,'- DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN JAMES H (TURNER 4415 N FRONT ST HBG PA 17110 01-31-2005 DONMOYER 02-26-2004 21 04-0955 CUMBERLAND 101 Amount R..itted *' (/ ~E"V-1541 EX AFP [12-04) WANDA R MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REG1STER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Ri:v:r~'4""lit'XFP"CIl1"-'6!')"r:lilTi:'cl'iiF'lNi1ERYi'ANCE'YAi1'A15'PR".IsEHEA':..XLL'bwANct.oli................. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DONMOYER WANDA R FILE NO. 21 04-0955 ACN 101 DATE 01-31-2005 TAX RETURN WAS: I X I ACCEPTED AS FILED I CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule CJ 4. Mortgages/Notes Receivable (Schedule OJ 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule G) 8. Total Assets III 121 131 ('II 151 161 171 15,000.00 .00 .00 .00 .00 .00 .00 181 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Baquestsj Non-elected 9113 Trusts (Schedule J) 14. Hat Value of Estate Subject to Tax (91 1101 11,671. 00 1.305.11 1111 1121 1131 1141 NOTE: I~ an assessment was issued previOUSly, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) 16. A.ount of Line 14 taxable at Lineal/Class A rat. (16) 17. Amount of Lin. 14 at Sibling rat. (17) 18. AMOUnt of line 14 taxable at Collateral/Class Brat. (18) 19. Principal Tax Due TA C S: NOTE: To insure proper credl~ to your account~ submit the upper portion of this form with your tax payment. 15,000.00 1:1'.976 11 2,023.89 .00 2,023.B9 14, lS and/or 16, 17, 18 and 19 will returns assessed to date. .OOXOO= 2,023.89 X 045 = .00 X 12 = .00 X IS = 1191= DATE 11-10-2004 AMOUNT PAID 91. 08 NUMBER CD004613 INTEREST/PEN PAID I-I .00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 91. 08 .00 .00 91. 08 91. 08 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATION OF ADDITIDNAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. c,{--- IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I a~ IN THE MATTER OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION THE ESTATE OF WANDA R.DONMOYER : NO. 2004-00955 STATUS REPORT UNDER RULE 6.12 Register of Wills of Cumberland County Name of Decedent: Social Security Number: Name of Personal Representative: Capacity: Wanda R. Donmoyer 195 303823 Rosanne Smith Administratrix The administration of the estate is complete. An account was stated to the parties in interest and the parties released the personal representati ve. I certify under penalty of perjury that the foregoing information is correct to the best of my knowledge, information and belief. ~ Date: March 23,2005 James H. Turner, Esquire TURNER AND O'CONNELL 4415 North Front Street Harrisburg, P A 17110 (717) 232-4551 Attorney for Estate (J~) ;e.["J .",,,J " ~,J