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HomeMy WebLinkAbout12-14-12 O. C. Form 1 Petition for Settlement of Small Estate (Rev. 10/04) CUMBERLAND In the Court of Common Pleas of County, Pennsylvania Orphans' Court Division Estate of Anthony L. Perry also known as No. .. ~ ~' ~ ~- ~ r deceased Petition for Settlement of Small Estate Pursuant to section 3102 of the Probate, Estates and Fiduciaries Code, the undersigned petitioner respectfully represents that: 1. The name and address of the petitioner are: Mary L. Perry 1219 Cross Creek Drive Mechanicsburg, PA 17050 2. The relationship of the petitioner to the decedent is: Wife/Executrix 3. The decedent died on: June 9, 2012 Cumberland 4. The decedent was domiciled at time of death in ~~ County, Pennsylvania, with a last family or principal residence at: 1219 Cross Creek Drive Mechanicsburg, PA 17050 5. The decedent's social security number is: 019-30-3851 6. The death certificate is attached hereto. 7. The decedent died: r°~ ~ _ y...«J /'~..`) ~~ry +~~~.g .f'L ~ ~ F ^ (a) intestate ° ~ _ m cTa C~' ~~ Q (b) testate ~~ ~s ~,~ r° ~--~ 'R ~-z~~ ~~~~~ r-- ~ ~~ ~- __..__ If the decedent died testate: ~. .. ~ ~ Mo.~/ J` I ~ C ..~._, _.~ ~.,.. -~.J ^ (i) the will has been probated, and a copy is attached hereto. Letters have been issued to: Q (ii) the will has not been probated and the original will is attached hereto. ~If not attached, explain.) The personal representative(s) named therein is (are): 8. The name(s), relationship(s), and interest(s) of all patties beneficially interested in the estate ~re~ Sui Juris Name Relationship Interest es or no Mary L. Perry Wife 100% y 9. A spouse's elective share: 0 (a) has not been claimed ^ (b) has been claimed. [Give details.) 10. If the decedent died testate, the decedent: © (a) was not married or divorced after the date of execution of the will ^ (b) was married or divorced after the date of execution of the will. [Give details.) 1 1. If the decedent died testate, the decedent: ^X (a) did not have a child or children born or adopted after the date of execution of the will 2 ^ (b) had a child or children born or adopted after the date of the execution of the will. [Give the name and date of birth or adoption of each such child.) Name 12. The decedent died owning property (exclusive of real property and property payable under section 3101 of the Probate, Estates and Fiduciaries Code) of a gross value not exceeding; X25,000, ~~hich is it.;mize? hdlo~v. ~ /n_~luc'e acco~~nt numbej°s and registration nufnbers, etc. If a bequest is adeemed, explain.) Item Amount Checking account with Citizens Bank $1,455.87 Savings account with Fulton Bank 148.79 Members 1st FCU 707.89 Total $2,312.55 13. An itemized statement of all claims against the estate is set forth below: Date of Birth or Adoption (a) The following person(s) claim(s) the family exemption under section 3121 of the Probate, Estates and Fiduciaries Code by virtue of being a member of the same household as the decedent: Name Relationship Amount or Items Claimed $3, 500.00 Mary L. Perry wife 3 Total $3,500.00 (b) The following persons claim reimbursement for debts, expenses, and other claims (including inheritance tax, if applicable) they have paid with their own funds: Nature of Person Claiming Date of Debt or Reimbursement Pam Payee Ex ense Amount Mary L. Perry 6/13/12 Malpezzi Funeral Home Funeral 5,694.92 Total 5,by4.y~ (c) The following claims remain unpaid: Claimant Nature of Claim Amount Donald B. Swope, Esquire Attorney's fees and costs (class 1) 1,002.00 Fulton Bank credit card (class 6) 1,140.68 Kohl's credit card (class 6) 21.78 AT&T cell phone (class 6) 37.66 Total $2,202.12 14. ^Q (a) All claims are undisputed. ^ (b) The following claims are disputed: [Give details) 15. The petitioner has paid or will cause to be paid all Pennsylvania inheritance tax due uri ail property o b~: awarued under finis petition. 16. All parties beneficially interested in the estate, other than the petitioner, including all holders of claims that are denied, or, in the case of an insolvent estate, all holders of claims who will not be paid in full, have: ^ (a) signed the joinder in this petition which is hereto attached; or Q (b) been mailed at least ten (10) days written notice of the date, time, and place of the Orphans' Court audit session at which the petition will be ruled upon by the Court, a copy of which notice is attached hereto. 4 17. Claimant Your petitioner proposes: (a) that the family exemption, if any, be paid or satisfied as follows: Mary L. Perry - $1,310.55 (b) that the following claims be paid: Refer to section 3392 of the Probate, Estates and Fiduciaries Code to establish priority among claims, if necessary.) Donald B. Swope, Esquire Nature of Claim Amount Attorney's fees and costs (class 1) 1,002.00 Total (c) the balance, if any, be distributed as follows: Item $2,312.55 Amount Total $2,312.55 ~ ~~ ~t ~ : '.-.~'1' Signature of titione r rr - ~ ^~1ary ~ ~'e1"y T'~ peg van,;;. _.u~~. ~___.__ ..... _. ___--- ' ~___._ ignature of Attorney for Petitioner Typed Name: Donald B. Swope, Esquire Supreme Court LD. No.: 01625 Office Address: 50 East Market Street Hellam, PA 17406 Telephone Number: 717-840-0110 5 Vc~rifi~atinn The undersigned petitioner hereby verifies, subject to the penalties of 18 Pa. C.S.A. §4904 (relating to unsworn falsification to authorities), that the facts set forth in the foregoing petition which are within his (her) knowledge are true, and, as to the facts based on information received, after diligent inquiry, he~ (she) believes them to be true. Date: d~~~~ / ,~ Signature of ~ ~ Toner -~ ~~ r• .~ -~, rs er I (we), the undersigned, being parties other than the petitioner beneficially interested in the estate of the foregoing decedent, do hereby certify that I (we) have read the foregoing petition and join in the prayer thereof. 6 (~ r~ ar And now, this day of , ,upon consideration of the foregoing petition and on motion of the attorney for the petitioner, it is ordered that the petitioner distribute the property of the decedent under section 3102 (and section 3392, if applicable) of the Probate, Estate and Fiduciaries Code as follows: Name Donald B. Swope, Esquire Mary L. Perry Amount $1,002.00 1,310.55 Total $2,312.55 This decree of distribution shall constitute sufficient authority to all transfer agents, registrars and others dealing with the property of the estate to recognize the persons named as entitled to receive such property without administration, and shall in all respects have the same effect as a decree of distribution after an accounting by a personal representative. By the Court, Judge 7 1~. rv (y~5~.y ~ y' Y{3~~/ ,®~ `{yyyssID ~ra>y '`r~"' ~ ~`~'ftxy~~y `Tn t iz-ti -+ i <~, (y] ~"`~,;y~ 9~~y' ~:~.v vJ~~a,1! u, ¢,,CJ~ 1 S t9 ~ "2v~' lEl~1 ~ p `1LF`!~ ~ ~ ~ ~ Al Ty ~~eu4'A ~ ~i ~ ~n~T9 ~ i ~k ~~R1i~V~:-l~ i~ ill~ga6 ~® ~~,~pEi~~b ~i~i~ ~~~~ ;.~~ ~~~~~~t~i ~~ ~i~~~~g~~~i~. fee for this certificate, $6.00 ,. Certification Nulrlber Ype/Print In COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEAITH • VITAL RECORDS Permanent ci,~s ...z ll •2 '~-7F,Q !'G[?TI CI!"ATt- rat nrnrr r ri'~1iS 1S t0 certl~y `that file 171{)l'nlatlOla )"tel-2 ~lvr'p t col~-ectly copied from an orinin<<I Cel-tificttte o~i~ ~~~Pati ritzly filed ~/ith 1,-ie as ~.~~.~-al ~~ Fc`istra~-. '1 1(~ ~sri7ir~~, certificate ~~-ill be foz-iN«rciec .c; the ,`~:~ir; ,`''it_j ~t.ecards l'~ffice for net-ln~rle=lt filing. f ~' ~ ~ f.OCal k'e~1StI-~I' ~ctte ~ S?i~.C~ 1. Decedent's legal Name (First, Middle, last, SufRz) State File Number: Z. Sez 3. Social Security Number 4. Date of Death (MO/Day/Yr) (Spell Mo) Anthon L Perr Male 019 - 30 - 3851 J une 9 2012 Sa. Age-Wst Birthday (Yrs) Sb. Under I Year Sc. Under 1 Da 6. Date of Birth (MO/Day/Year) (Spell Month) 7a. Birthplace (City and State r F i C o ore gn ountry) Mon(hz Oays Hours Minutes .Somerville MA 72 June 8 s 1940 7b. Birthplace (County) Ba. Residence (State or Foreign Country) eb. Residence (Street and Number -Include Apt No.) Bt. Oid Decedent live m a Township) MZ~ Pennsylvania y , 1219 CYOSS Creek Drive L`FYes, decedent Ilved In Hampden tw ~~ 8d Residence (Count . p y Cumberlane~ Se. Residence (Zip Cotle) 1 7050 ^Nd, decedent lived within limits of city/boro . 9. Ever In US Armed Forces} 30. Marital Status st Time Df Death ®Married ^ Widowed 11. Surviving Spouze'z Name (If wife, give name prior to first marriage) yes ^ No ^ Unknow ^ n Divorced ^ Never Married ^ Unknown Mary Lee ' 12. Father s Name (First, Middle, Last, Suffix) 13. Mother's Name Prior to First Marriage (First, Middle, last) Unknown Unkno 14a. Inlormant's Name 14b R l i h ~ . e at oni lp to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Ilp Codel Mar L Pere r • Wife 1219 Cross_Creek Drive i a : ........................................................./W ............................ lSa: Place of Death(Check only one If Death Occurred in aHOS cal: .............:...................................... ..................... .........:.:........ .......... pi •I o ; v....ry .... ... ... ................... ... n atlent ..... .. ... C3 P ;If Death Occurred SomewhereOther ThanB Has Ital: sF++.. ~ "" " """""•'- p LJ Hospke Facility Oettdent's Home ^ Emergency Room/Outpatient ^ D d A og ) ea on rrival ^ Nursing.H6mr!/long-Term Care Facility ^ Other S eel 15b Faciltt N If n - . y ame ( not i stitution, give street and number; lSc. City or Towh, State, and Zip Code lSd County of Death u . 1219 Cross_Creek Road Mechanicsbur PA '17050 C b l ~~ m um er and 16a. Method of Dlsposl[lon ~ Burial ^ Cremation 16b. Date of Disposition 1&. Place of Oispbzition (Name bf cemet a ~`_ e ^ Removal from State ^ Donation ry, crematory, or other place) Other (specify) June 13 2012 Indiantown Ga National Cemeter lbd 2 . location of Disposition (City orTown, State; and Zip) - 17a: Si of funfra ervi a Licensee or Person in Charge of Interment 176."License Number Annville, PA 17003 ° ~ 17c. Name and Complete Address pl funeni Faculty ~ _- O1 4 Mal zzi Funeral Flome 8 Market az m ° 18. Decedent's Education -Check the box that best describes the 19. Decedent of Hispanic Origin -Check [he 0. Decedent's Race -Check ONE OR MORE s - races to Indicate what highest degree or level of school completed at the time of death. bpx that best deuribes whether the decedent the decedent c n id d hi f o s ere msel or herself to be. ^ 8th grade or less is Spanish/Hispanic/Latino. Check [he "No' ~ White ^ Korcan ^ No diploma 9th - 12th rade , g box IF decedent is not Spanish/Hispanic/Latino. ^ Black or Alrltan American ^ Vietnamese ^ Hlgh school graduate or GED completed No, not Spanish/Hlspanic/Latino ^ American Indian or Alaska Native ^ Other Allan Some college credit but no degree , Yes, Mexican, Mexican American, Chicano ^ Asian Indian ^ Natve Hawaiian ^ Associate degree (e.g. AA ASJ ^ Y , es, Puerto Rican Chinese Bachelor's de ee e. B A8, 8S ^ ^ Guamanian or Chamorro ^ Br 1 8- 0. 1 ^ Yet Cuban , ^ Filipino ^ Samoan ^ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ^ Yes, other Spanish/Hispanic/Latino ^ Japanese ^ Oth P ifi er ac c Islander ^ Doctorate (e.g. PhD, EdD) or Professional degree (Specify) ^ h Ot er (Specify) e.. MD, DDS DVM, LLB, 1D 21. Decedent's Single Race Self-Designation -Check ONIY ONE to ind7cate what the decedent considered himself or hersell to be. 22a. Oecedent'z Usual Occupation -Indicate type of work ~ White ^ Japanese ^ Samoan done during most o! working life. DO NOT USE RETIRED. ^ Black or African American ^ Korean ^ Oth P ifi '~ er ac c Islander S~> ^ American Indian or Alaska Native Vietnamese ^ ^ Don't Know/Not Surt dian ^ Other Allan ^ Refused ^ i 226. Kind of Business/Industry Chinese ^ ^ Native Hawaiian ^ Other (Specify) ^ Filipino ^ Guamanian or Chamorro US Parll'ly ITEMS 23a •23d.MUST BE COMPLETED 23a. Date Dronounced Dead (MO/Day/Yrj 23b. Signature of Person Pronouncng Death (Only when applicable) 23c. license Number BY PERSONWHO PRONOUNCES OR CERTIFIES DEATH - June 9, 2012 23d. Dale Signed (Mo/Day/Yr) 24. Time of Death A rOX. 5:00 A.M. 25, Was Medical Examiner or Corone~Contacted7 ves ^ No CAUSE OF-DEATH Approximate 26. Part I. Enter the chain of events--diseases, injuries, orcomplications--that directly caused the death. DO NOT enter terminal events tuck az cardiac arrest Interval : respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional lines if necessary Onset to Death IMMEDIATE CAUSE ~-~-------.-...> ,. Hypertensive Cardiovascular Disease (Final disease or condition Due to (or as a consequence of): resulting in death) b. Sequentially list conditions, Due to (or as a consequenceof); it any, leading co the cause listed on Ilne a. Enter the . <. UNDERLyINGtAUSE Duero (or as a conse uen ft q ce o : (diseaseor Injury that initiated the events-resulting d. in death) )AST. Oue to (or as a consequence o!): s w Z6. Part II. Enter other siRniRcan[ conditions contributinit to death but not resulting in the underlying cause given In Part I 27. Was an autopsy performed? H ^ m yperlipidemia l8.were autopsyflndingNavallable to complete the cause of death? u n 29. If Female: ^ Yes ^ No E 30. Did Tobacco Ute Contribute to Death? 31. Manner of Death ^ No[ pregnant wl!hln past year Y d ^ es ^ Probably ~ Natural ^ Homicide ^ Pregnant at time of death ^ No ^ Unknown A id cc ent Pendln Investi atlon Not a nant, but ^ g 8 ^ Dr 8 pregnant within 42 days of death ^ Suicide ^ Could not be determined ^ Not pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury (Mo/Oay/Yr) (Spell Month) ^ Unknown If pregnant within the past year 33. Time Of In)ury 3 4. Place bf Injury (e.g. home; construction zlte; farm; school) 35. Location o(Injury (Street and Number, City, State, Zip Code) 3 6. Injury at Work 37. If Transportation Injury, Spe<ItY: 38. Describe How Injury Occurred: ^ Ves ^ Driver/Operator ^ PedesMan ^ No ^ Passenger ^ Other (Specify) 3 9a. Certifier (Check only one): ^ Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated ^ Pronouncing & Certifying physician • To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated Medical Examiner/Coroner - n alts exam tlon, and/or Investigation, In my opinion, death occurred at the time, date, and place, and due to the cause(s) and manner stated Signature of certifier: Tide of cem8ec AC t inlt CO toner License Number: 3 96.Name, Address and Zlp Code of Person Completing Cause of Death-(Item 26) 6375 Basehore. Road,. Suite 1 39c. Date Signed (Mo/Day/Yr) . Matthew S. Stoner, Acting Coron er. Mechanicsbur PA 17050 June 12 2012 a jj 0. Registrars ~Ict ~mbe~ 41. Regl~r's i hatu~ 42. Registrar Flle Date (MO/Oay/Yr) ~~ ~~~ r ~~ ~ Q ~~ 4 3. Amendments LAST WILL AND TESTAMENT OF ANTHONY L. PERRY I, ANTHONY L. PERRY, of 1219 Cross Creek Drive, Mechanicsburg, Cumberland County, Pennsylvania 17050, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare the following as and for my Last Will and Testament, hereby revoking and making void any and all Wills and Codicils by me at any time heretofore made. FIRST: I direct that all my just debts and funeral expenses be fully paid as soon after my demise as maybe found convenient. SECOND: I give, devise and bequeath all of the rest, residue and remainder of my estate, whether real, personal or mixed, of whatsoever nature or kind and wheresoever situate, to my beloved wife, MARY L. PERRY, absolutely and in fee simple. THIRD: Should my wife, MARY L. PERRY, predecease me, fail to survive me for a period of thirty (30) days, or should we die simultaneously, Ihereby specifically give, devise and bequeath the contents of my home and my wife's jewelry to my stepdaughter, VONDA L. RUPPERT. FOURTH: Should my wife, MARY L. PERRY predecease me, fail to survive me for a period of thirty (30) days, or should we die simultaneously, Ihereby give, devise and bequeath all of the rest, residue and remainder of my estate, whether real, personal or mixed, of whatsoever nature or kind and wheresoever situate, to my stepchildren, DINO R. RUPPERT, VONDA L. RUPPERT and DEBRA L. ADLER, to be divided among them, in equal shares, per stirpes. ,~ % %' L r F Page 1 of 3 Pages FIFTH: It is my specific intention to exclude my son, LEE C. PERRY, from any bequest or share to which he may otherwise be entitled from my estate for reasons of which he is aware. SIX7['H: I hereby nominate, constitute and appoint my wife, MARY L. PERRY, as Executrix of this, my Last Will and Testament. In the event that my wife, MARY L. PERRY, should predecease me or for any reason does not act or ceases to act as such Executrix, I hereby nominate, constitute acid appoint MICHAEL B. SWOPE as alternate Executor of this, my Last Will and Testament. My said Executrix/Executor shall have full power to do any and all things necessary for the complete administration of my Estate, including the power to sell, at public or private sale and without order of Court, and without the necessity of filing a bond, any real or personal property (except as otherwise provided herein) belonging tome, and to compound, compromise or otherwise to settle and adjust any and all claims against or in favor of my estate, as fully as I could do if living. My Executrix/Executor shall have the right, but not the obligation, to distribute property in kind at then current values and on a non-pro rata basis. SEVENTH: I hereby direct my Executrix/Executor to appoint Donald B. Swope, Esquire, as attorney for my estate in the event his services are available. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~(J`'' day of ~~ r 2006. ~ ~ - -..~ _ > >'" ~ SEAL ANTHONY L. ~P RRY l~ P This instrument, with each page bearing the signature of the above-named Testator, was by him on the date hereof signed, sealed, published and declared by him to be his Last Will and Testament, at his request and in his presence and in the presence of each other, have hereunto subscribed our names as witnesses. residing at 425 Bank Hill Road, Wrightsville, PA 17368 ~~ ~~ f ~-~--~~..~.~~--._ ~-'~- residing at 330 Popps Ford Road, York Haven, PA 17370 Page 2 of 3 Pages COMMONWEALTH OF PENNSYLVANIA ; SS: COUNTY OF YORK We, ANTHONY L. PERRY, Donald B. Swope and Michele M. Duncan, the Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly affirmed, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and Testament and that he had signed the instrument willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses and that to the best of our knowledge, the Testator was at the time eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. l .3^`~ ~ A THO L. P Y, Testator Witness 4 f ,{j^ \~+~ ' ~I r~~ ~~ Witness Subscribed, affirmed to and acknowledged before me by the aforesaid Testator and witnesses respectively, the ~0`'' day of ~r~ 2006. ~`- ~~ Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA NO i~Ar21AL SEAL SHARON L. SWOPE. NOTARY PUBLIC HALLAM BOROUGH, YORK COUNTY MY COMMISSION EXPIRES Dt=CEMBER 19, 2010 Page 3 of 3 Pages ~~ pennsytvana ~, DEPARTMENT Of PUBLIC WELFARE September 4, 2012 SWOPE AND SIPE DONALD B SWOPE ESQUIRE 50 MARKET ST HELLAM PA 17406 Re: Anthony Perry SSN: ###-##-3851 Dear Attorney Swope: Pursuant to your letter dated August 28, 2012, the Department's, Estate Recovery Program, has reviewed the information you provided regarding the above-referenced individual. It has been determined that this individual did not receive any type of assistance during the questioned period. Therefore, according to the information you provided, the Department's Estate Recovery Program will not seek any recovery from this estate. If your client applied for Medical Assistance and had an application and/or hearing pending at the time of death, please advise us and provide any additional information that may affect a recovery by our Department. Thank you for your cooperation in this matter. If you have any questions, please contact me. Sincerely ~ ~~ r Vince A. Porter Recovery Section Manager (717)772-6604 Bureau of Program Integrity I Division of Third Party Liability I Recovery Section PO Box 8486 I Harrisburg, Pennsylvania 17105-8486 IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEANT THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OF OTHERWISE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In Re: Anthony L. Perry, deceased No. To: AT&T Mobility P.O. Box 537104 Atlanta, GA 30353-7104 Please take notice of the death of decedent and to the proposed actions described below: The decedent, Anthony L. Perry, died on the 9th day of June, 2012, at Mechanicsburg, Pennsylvania. The decedent died testate (with Will). The persons seeking an order from the court are: Mary L. Perry; 1219 Cross Creek Drive, Mechanicsburg, PA 17050 A petition for the settlement of small estate was filed on or about December 13, 2012, in the Court of Common Plus, Orphans' Court Division, Cumberland County Court House, One Courthouse Square, Courtroom 1, Carlisle, Pennsylvania. If you have any objections to the relief requested you should file them in writing with the Register of Wills within ten (10) days of date of this notice. . .p ~.. ...- _~ __~``_ Date: ~~~~~ ~~ .........~.._~.,..~.~= ..~.~.. ---~;-. Donald B. Swope, Esquire 50 E. Market St., Hellam, PA 17406 717-~40-0110 Counsel Representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OF OTHERWISE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In Re: Anthony L. Perry, deceased No. To: Kohl's P.O. Box 3043 Milwaukee, WI 53201-3043 Please take notice of the death of decedent and to the proposed actions described below: The decedent, Anthony L. Perry, died on the 9th day of June, 2012, at Mechanicsburg, Pennsylvania. The decedent died testate (with Will). The persons seeking an order from the court are: Mary L. Perry; 1219 Cross Creek Drive, Mechanicsburg, PA 17050 A petition for the settlement of small estate was filed on or about December 13, 2012, in the Court of Common Pleas, Orphans' Court Division, Cumberland County Court House, One Courthouse Square, Courtroom 1, Carlisle, Pennsylvania. If you have any objections to the relief requested you should file them in writing with the Register of Wills within ten (10) days of date of this notice. ,_.., - . _ ~~~~ ___ Date • l/ ~ - .... ~._~y.. w_._~____- _ _ - Donald B. Swo e Es uire ~'`-~-- 50 E. Market St., Hellam, PA 17406 717-840-0110 Counsel Representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OF OTHERWISE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA In Re: Anthony L. Perry, deceased No. To: Fulton Bank Cardmember Service P.O. Box 6335 Fargo, ND 58125-6335 Please take notice of the death of decedent and to the proposed actions described below: The decedent, Anthony L. Perry, died on the 9th day of June, 2012, at Mechanicsburg, Pennsylvania. The decedent died testate (with Will). The persons seeking an order from the court are: Mary L. Perry; 1219 Cross Creek Drive, Mechanicsburg, PA 17050 A petition for the settlement of small estate was filed on or about December 13, 2012, in the Court of Common Pleas, Orphans' Court Division, Cumberland County Court House, One Courthouse Square, Courtroom 1, Carlisle, Pennsylvania at. If you have any objections to the relief requested you should file them in writing with the Register of Wills within ten (10) days of date of this notice. Date : f ~ j~ l%~ z~~.r= =-~---`°, ~.. _._ ~_:._-..~---,/; -._ _ _ _ _ --'-> I Donald--~~ S-~vope~ E-sgtfire 50 E. Market St., Hellam, PA 17406 717-840-0110 Counsel Representative IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: No. ESTATE OF ANTHONY L. PERRY CERTIFICATE OF SERVICE I, Donald B. Swope, Esquire, attorney for the Estate of Anthony L. Perry do hereby certify that on this date I served the Notice of Estate Administration to the following by depositing same in the United States mail, postage prepaid, addressed to: AT&T Mobility P.O. Box 537104 Atlanta, GA 3 03 5 3 -7104 Fulton Bank Cardmember Service P.O. Box 6335 Fargo, ND 58125-6335 DATED: Kohl's P.O. Box 3043 Milwaukee, WI 53201-3043 __..___. w~ _. _.._...._...,_ r__~._ __ _. .._. -..~ ~.- .... Donald B. Swope, Esquire Attorney for the Estate of Anthony L. Perry Supreme Court I. D. 01625 50 East Market Street Hellam, PA 17406 (717) 840-0110