HomeMy WebLinkAbout04-0993IN RE: ESI IN THE COURT OF COMMON PLEAS
GEORGE CUMBERLAND COUNTY, PENNSYLVAI IIA
SSN: 19t;
Yot~
Petitioner, a
the followin
Richard A. 1
Kevin Trafl~
Dwayne Tra
Peter Tratka
Dec~
Manor Care
138, Loysv[
All F
Pers~
Pers~
Val, a
Real
form to the
Rich~
7460
Ham
(717
iTE OF :
:~NGLER, :
Deceased.
7-2493
NO.
'ETITION FOR GRANT OF LETTERS OF ADMINISTRATION
etition of the undersigned respectfully represents that:
Petitioner is 18 years of age or older, applies for Letters of Administration.
;er a proper search has ascertained that Decedent left no Will and was survive
heirs:
engler Son
Grandson
ka Grandson
Jr. Grandson
7460 Moyer Road, Harrisbarg, PA 17112
7121 Devonshire Heights Road, Harrisburg, PA l 71
6175 Hocker Drive, Harrisburg, PA 17111
705 Erie Drive, Dauphin PA 17108
lent was domiciled at death in Cumberland County, Pennsylvania, AT THE
qursing Home Facility, with his last family or principal residence at RD #1,
e, PA 17047.
lent, then 84 years of age, died November 23, 2002, at Cumberland County.
lent at death owned property with estimated values as follows:
:rsonal Property
ml Property in Pennsylvania
aal Property in County
o f Real Estate in Pennsylvania
Total:
istate situated as follows:
N/A/
$0.00
$o.oo
$o.oo
$0.00
$0.00
REFORE, Petitioner respectfully requests the grant of letters in the appropria~
~dersign
rd A. Dengler
Moyer Road
.burg, PA 17112
469-0090
(Signature)
:t by
Il
OX
OATH OF PERSONAL REPRESENTATIVE
COMMON /EALTH OF PENNSYLVANIA
COUNTY ( CUMBERLAND
This
foregoing P,
as personal
according tc
~titioner, Richard A. Dengler, swears and affirms that the statements in the
tition are true and correct to the best of the knowledge and belief of Petitione~
:laPrweSentative of the Decedent, Petition will well and truly administer the estate
!
- ~Richard A. Dengler ~
Petitioner
Affirmed an l swam and subscribed
before me tts ,'~ ,k(~ day of 1
~I C [.; 2004,
Est~
Soc
AN[
Reverse side
Letters
granted in tl~
FEES:
Letters ........................ $
Short Cenifi me(s) ....... $
Renuncimio~ .............. $
Affidavit (1 } ............. $
Extra Pages ) .......... $
Codicil .................. $
JCP Fee .................. $
Invemo~ ...............$
~her ...................... $
Total ............ $
that,
DECREE OF REGISTER J
: of George Dengler, Deceased No:
l Security No: Date of Death: November 23, 2002
NOW, it i, ~ 5 ,2004, in consideration of the Petition on tt
hereon, satisfactory proof having been presented before me, IT IS DECREE[
__ Testamentary ~ of Administration are hereby
: above estate. ,c~ ~ ,~(:~( iX:~4(iL[:~, ~'~-~¢~{(-'N5i~:,,'4:--~',~lCi~/~
/ Register otWill~ /~{ ,~/,. ,1
Richard A. Dengler
7460 Moyer Road
Harrisburg, PA 17112
(717) 469-0090
Date Filed:
his is to certify th:ir this ~s t true copy of' t[~e record which is on file in the Penl~sylvania DiGsion of Vital Records in accordance
w~d~ Act 66, P.L. 304, apl ovcd bv 6c (;encral Assembly, June 29, I95:3.
Wi RNING: It is illegal to duplicate this copy by photostat or photograph.
Charles
Hardester
5ccretar5 of Hca h /'~~~~ [ ~ State Rcgist~a~
, ' , ~: 7 ~~ DEC182002
~ My~e, PA. 17( ~.~ ............ ,,, ...... ~y~
....... ~,~ Occlusive Co~onarv ~ Disease
s~u~[a~o~u~ ~ X Mechanicsburg, Pa '1: ulte #1
050
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 12/01/2004
DENGLER RICHARD A
7460 MOYER ROAD
HARRISBURG, PA 17112
RE: Estate of DENGLER GEORGE
File Number: 2004-00993
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) 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 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 will become delinquent on: 11/23/2004
Your prompt attention to this matter will be appreciated.
Thank You.
CC:
File
Counsel
Judge
Sincerely,
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENTS NAME {LAST, FIRST, AND MIDDLE INITIAL)
Dengler, George A.
DATE OF DEATH (MM-DD-YEAR)
11/23/2002
DATE OF BlaTH (MM-DD-YEAR)
10/26/1918
iii
Iii (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
FILE NUMBER
SOCIAL SECURITY NUMBER
199-07-2493
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
[] 4a, Future Interest Compromise (da~ of~ ~ 12.12~2) [] 5. Federst Estate Tax Return Required
[] 10. Spousal Poverty Credit (~ of ~ bet~e~ 12~31-~ an~ ~-1~5) [] 11, Electlen to tax under Sec. 9113(A) ~t~ach s¢~ o)
NAME
Richard A. Dengler
TELEPHONE NUMBER
(717) 469-0090
I Real Estate (Schedute A) (1)
2. Stocks and B~nds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprleturshlp (3)
4. Mortgages & Notes ReceNable (Schedule D) (4)
5. Cash, Bank Deposgs & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
[] Sabamta Billleg Requested
7. Inlur-VIvos Transfers & Miscellaneous Non-Pmbata Property (7)
(Schedule G or L)
8. Total Gross A~aet~ (total Lines 1-7)
9. Funeral Expenses & Admleis~ative Costs (Schedule H) {9)
10, Debts of Decedent, Mortgage Oablll{les, & Liens {Schedule I) (10)
11. Total Oeduetl~s (total Ones 9 & 10)
12. Net value of Estate (Line 8 minus Line 11)
COMPLETE MAILING ADDRESS
7460 Moyer Road
Hardsburg, PA 17112
13. Charitable and Governmental Babuests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value SubJm.1 lo Tax (Line 12 minus One 13)
12,852.67
(8) 12,852.67
5,326.43
250.00
(11)
(12)
(13)
5,576.43
7,276.24
(14) 7,276.24
SEE INSTRUC~ONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or lransfers under Sec. 9116 (a)(1,2) x .0 __ (15)
16..~J~mufltofLine14taxableatllnealrata 7,276.24 x.04~5 (16) 327.43
17 Amount of Line 14 taxable at sibling rate __ x .12 (17)
18, Amount of L~e 14 taxable at Collatetat rate __ x .15 (18)
19. Tax Due (19)
Decedent's Complete Address:
STREET ADDRESS
R.D, 1, P.O. Box 138
I mTYLoysville
J STATEpA
J z~P17047
Tax Payments and Credits:
1, Tax Due (Page 1 Line 19)
2. CreditsJPayments
A. Spousal Povarly Credit
B. Prior Payments
C. Discount
(1)
Tofal Crndits (A + B + C ) (2)
3. InterecUPenalty if applicable
D. Interest
E. Peca~
Total Intoreet/Pena~ ( D + E )
4. gune2isgruetarthanLinel +Line3, setarthedifforense. This is the OVERPAYBENT.
Check box on Page 1 Line 20 to request a refund
(3)
(4)
5. If Line 1 + Line 3 is greater than Line 2, enter the dilference, This is the TAX DUE, (5)
A. Enter the interest on ~ tax due. (SA)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (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 transfor and: Yes No
a. mtai~ the use or income of the property transferred; .......................................................................................... [] []
b. retain the right to designate who shall use the propeR transferred or its income; ............................................ [] []
c. retain a reversionary interest; or .......................................................................................................................... [] []
d. raseive the promise for lifo of either payments, benetits or cam? ...................................................................... [] []
2. If death occurred after December 12, 1982, did decedent Imnsfer property within one year of death
without receiving adequate consideration? .............................................................................................................. [] []
3. Did decedent own an "in bust for" or payabfe upon death bank account or securibj at his or her death? .............. [] []
4. Did decedent own an Individual Retimmant Account, annuity, or other non-probeta properly which
contains a beneficiary designation? ........................................................................................................................ [] []
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
327.43
0.00
0.00
327.43
0.00
327.43
DATE
SIGNAI'UR R RES SIDLE E lNG RETU
ADDRESS ~/~
7¢60 l ilZ
SIGNATURE OF PREPARER OTHER T~t~N REPRESENTATIVE v DATE
ADDRESS
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rote imposed on the net value of transfe~ to or for the use of the surviving spouse is 3%
[72 ProS. ~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 RS. §9116 (a) (1.1) (ii)].
The statute dons ~t ~e~t a tmnder to a survMag spouse from tax, and the statutory requirements for disdnsum of assets and filing a tax ream are sbll applicotite even if
the surviving spouse is the only bensfidary.
For dates of death on or after July 1,2000:
The tax rate imposed on the net value of transfers from a deceased d~iid twsnty-one years of age or youegor at death to or for the use of a natural parent, an adpptiva pa'ent,
or a et%oparant of the child is ~ [72 RS. ~9116(a)(1.2)1.
~ tax rate imposed on the net value of transfers to or fa' the use of ~e decedsers lineal benefidadec is 4.5%, except as noted in 72 RS, §9116(1.2) [72 RS. §9116(a)(1)].
The lax rate imposed on the set value of transfers to or fa' the use of the deuedset's siblings is 12% [72 RS. §9116(a)(1.3)1, A sibling is datised, under Section 9102, as an
individual who has at least one pomnt in common with the decedent, whether by blood or adepfion.
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Dengler, Goor~e A.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
rnclude the proceeds of litigation and the date the proceeds were received by the estate.
Afl property Jolntly*~ned with rfght of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
1
10,452.67
~,qDO,Oo
(If mom space is needed, ink. at addili~al sheets of ~e same size)
REV~1511 EX+ (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
OeMa of decedent must be reported on Schedule [.
FIEM
NUMBER DESCFaPTION AMOUNT
2
3
4
6.
7.
8.
FUNERAL EXPENSES:
ADMINISTRATIVE COSTS:
Personal Reprssentotlve's Commissions
NameofPerso~lRepreseataflva(s) Richard A. Dengler
Social Security Number(s)/EIN Number of Pemonal Repmse~totlve(s)
Street Address 7460 Moyer Road
cl~y Harrisburg
Year(s) Commission Paid: Not Yet Paid
Attorney Fees
Family Exemption: (If decedents address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State
Relationship of Claimant to Decedent
State PA
Probate Fees
Zip 17112
. Zip
2,174.80
650.00
200.00
250.00
522.63
1,000.00
0.00
70.00
350,OO
9.00
100.00
TOTAL (Also enter on line 9, Recapitulatior 5,326.43
(If more space is needed, insert additional sheets of the same s~ze)
REV-1512 EX+ (12~3)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Dengler, Goorge A.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABIUTIES, & UENS
FILE NUMBER
Report debts Incu~ed by the decedent prfor to death which remained unpaid as of t~e date of death, Including unrelmbursed medical expenses.
ITEM VALUE AT DATE
NUMBEE DESCRIPTION OF DEATH
250.00
250.00
TOTAL (Also enter on line 10, Recapitulation) $
more space is needed, insert addi~onar sheets of tim same size)
REV-1513 EX+ (9-00)
ESTATE OF
Dengler, George A.
SCHEDULE J
BENEFICIARIES
FILE NUMBER
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Ltst Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS [include mJtright spousal dlst~butions, and transfers u~lder
Sec, 9116 (a) (1.2)]
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. CHARrTABLE AND GOVERN MENTAL DISTRIBUTIONS
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
(If more space is needed, insert additJonal sheets of the same size)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17126 0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV 1162 EX(11 96)
NO. CD 004757
DENGLER RICHARD A
7460 MOYER, ROAD
HARRISBURG, PA 17112
fold
ESTATE INFORMATION: SSN: 199-07-2493
FILE NUMBER: 2104-0993
DECEDENT NAME: DENGLER GEORGE
DATE OF PAYMENT: 12/21/2004
POSTMARK DATE: 12/03/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 11/23/2002
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 t~327.43
TOTAL AMOUNT PAID:
$327.43
REMARKS:
SEAL
CHECK# 101
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717)240-6345
Date: 02/01/2005
DENGLER RICHARD A
7460 MOYER ROAD
HARRISBURG, PA 17112
RE: Estate of DENGLER GEORGE
File Number: 2004-00993
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 02/13/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sr~~
GLENDA FARNER STRASBAUGH
Clerk of the Orphans' Court
cc: File
Counsel
Judge
IN RE: ESTATE OF
GEORGE A. DENGLER,
Deceased.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
SSN: 199-07-2493
NO.
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name Of Decedent: George A. Dengler
Date of Death: November 23. 2002
Will No. N/A
Administration No. dJ 1- ()<I- ~ 3
To the Register:
I certify that notice of Estate Administration required by Rule 5.6(a) of the Orphan's Court Rwes was
served on or mailed to the following beneficiaries of the above-captioned estate on 12/1/04:
Name:
Address:
Kevin Trafka
7121 Devonshire Heights Road
Harrisburg, P A 17111
Dwayne Trafka
6175 Hocker Drive
Harrisburg, P A 17111
Peter Trafka, Jr.
705 Erie Drive
Dauphin, PA 17108
t,')
Notice has been given to all persons entitled thereto under Rule 5.6(a).
Date: ,9.. J S)Ct}"
IG rJvAA rl (L f\.p ~Ai ~ jJ l::
Richard A. Dengler
Personal Representative
7460 Moyer Road
Harrisburg, PA 17112
(717) 469-0090
v-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
BUREAU OF INDIVIDU+L; (t,~C",
INHERITANCE TAX OIVISIlltC ..',,'. .
PO BOX Z80601
HARRISBURG PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
REV-IM7 EX AFP (12-'"
(.:,' t=Pt<
1..~L..,1 !;. '\
ORPI-f/\t\JIS
R I CHARD i;:lH\~rp"~l.;'~
7460 MOYER RD
HBG PA 17112
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-14-2005
DENGLER
11-23-2002
21 04-0993
CUMBERLAND
101
GEORGE
!8 11= ti7
Amount Rellitted
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 ~
REV =r&1.'ri'Sc..AFp..C8Y:6!'r'NoT.i'ci.'b"F.'i'N'Ri1tifANcf.YAi.APPRA.isiM€N'~..A[l'"d'wANC'i.Olr............. ....
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DENGLER GEORGE FILE NO. 21 04-0993 ACN 101 DATE 03-14-2005
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(l)
(2)
(3)
(4)
(S)
(6)
(7)
.00
.00
.00
.00
12.852.67
.00
.00
(8)
NOTE: To insure proper
credit to your account.
subIIit the upper portion
of this forll with your
tax paYl\8I\t.
12.852.67
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
UO)
5.326.43
250.00
Ul)
(2)
(3)
(4)
5.576.43
7.276.24
.00
7.276.24
If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
lS. Allount of Line 14 at Spousal rate (lS)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of line 14 at Sibling rate (17)
18. Allount of line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
X C IT:
NOTE:
.00 X
7.276.24 X
.00 X
. DO X
00 =
045 =
12 =
15 =
(9)=
.00
327.43
.00
.00
327.43
DATE
12-03-2004
NUMBER
CD004757
+
INTEREST/PEN PAID (-)
.00
AHOUNT PAID
327.43
~AlANCE
OF UNPAID INTEREST/PENALTY AS OF 12-04-2004
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
327.43
.00
18.01
18.01
. IF PAID AFTER DATE INDICATED. 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 "CREDIr' (CR). YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
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PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tanuny Shoemaker, Classified Sales Manager, of The Sentinel, of the County and State
aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of
general circulation in the Borough of Carlisle, County and State aforesaid, was
established December 13th, 1881, since which date THE SENTINEL has been regularly
issued in said County, and that the printed notice or publication attached hereto is
exactly the same as was printed and published in the regular editions and issues of
THE SENTINEL on the following day(s)
March 08, 15, 22, 2005
COPY OF NOTICE OF PUBLICATION
Affiant further deposes that he/ she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement
as to time, place and character of
pUflicationare true. ~
~ \1\'
~
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Notice Decedent: GEORGE A. DENGLER, Late of
Mechanicsburg, Cumberland County, Pennsylvania.
All persons indebted or having a claim against the '
decedent are requested to make immediate payment to '
her estate. Personal Representative: Richard Dengler,
7460 Moyer Road, Harrisburg, PA 17112.
Sworn to and subscribed before me this
23rd. day of March, 2005
CAD4trAW I? ~Q/
Notary P lie
My commission expires: q It jf)f'
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Chnstina L Wolfe, Notal)! Public
Ca~isle Boro, Cumbef1and County
My Commission Expires Sept. 1. 2008
Member, Pennsylvanra Association Of Notaries
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DE?T. 280601
HARRISBURG, PA 17128-0601
REV~1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DENGLER RICHARD A
7460 MOYER ROAD
HARRISBURG, PA 17112
_n_n__ told
EST A TE INFORMATION: SSN: , 99-07-2493
FILE NUMBER: 2104-0993
DECEDENT NAME: DENGLER GEORGE
DATE OF PAYMENT: 04/11/2005
POSTMARK DATE: 04/01/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 11/23/2002
NO. CD 005183
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $18.01
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 5569
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$18.01
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
BUREAU OF INOIVIDUA~}~S~' :~il,c;~.
INHERITANCE TAX DIVISION f"~'-><"-": t "
PO BOX 280601 -
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
J:NHERJ:TANCE TAX
STATEMENT OF ACCOUNT
*'
REV-16D7 EX AFP (03-05
2()1l5 HAY 16 P 2: 41
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-09-2005
DENGLER
11-23-2002
21 04-0993
CUMBERLAND
101
A.oW'tt 1_1 tt.d
GEORGE
CLERi\ 0,
ORPHAN'S cr URT
RICHARD ..{:liliil'ilER' i i~; PA
7460 MOVER RD
HBG PA 17112
MAKE CHECK PAVABLE AND REMIT PAVMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure prop.r credi to your acco~nt, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE _~.. RETAIN LOWER PORTION FOR YOUR RECORDS ....
............................... ................................................................................
REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF DENGLER EORGE FILE NO.21 04-0993 ACN 101 DATE 05-09-2005
THIS STATEMENT IS PROVIDED TO AD ISE OF THE CURRENT STATUS OF THE STATED ACN IN TNE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TA DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT 01 RECORD ADJUSTMENT, 03-14-2005
PRINCIPAL TAX DUE, 327.43
PAYMENTS (TAX CREDITS):
PAYMENT
DATE
12-03-2004
04-01-2005
RECEIPT
NUMBER
CD00475
CD00518
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
18.01-
AMOUNT PAID
327.43
18.01
TOTAL TAX CREDIT
BALANCE OF TAX DUE
327.43
.00
INTEREST AND PEN.
~
. IF PAID AFTER THIS DATE, S" REVERSE
SIDE FOR CALCULATION OF ADIITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN 1,
NO PAYMENT IS REQUIRED.
IF TOTAL OUE IS REFLECTED ,S A "CREDIY" ICRI,
YOU MAY BE DUE A REFUND. S E REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
TOTAL DUE
.00
.00
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 10/11/2005
DENGLER RICHARD A
7460 MOYER ROAD
HARRISBURG, PA 17112
RE: Estate of DENGLER GEORGE
File Number: 2004-00993
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) 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 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: 11/23/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
~ r
$~~~
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
(/
\.;
IN RE: ESTATE OF
GEORGE A. DENGLER,
Deceased.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
SSN: 199-07-2493
')..~~"-\ -~~~~~
NO. -2892 00930-
FIRST AND FINAL ACCOUNT
FIRST AND FINAL ACCOUNT OF
Richard A. Dengler, Personal Representative
For
Estate of George A. Dengler, Deceased
Date of Death: November 23, 2002
Date of Executor's Appointment: November 3,2004
Date of Advertisement of the Grant of Letters: 3/19/05,3/25/05 & 4/1/05
Accounting for the Period: November 2004 to November 14, 2005
Purpose of Account: Richard A. Dengler, Personal Representative, offers this account to
acquaint interested parties with the transactions that have occurred during his
administration.
The account also indicates the proposed distribution ofthe estate.
It is important that the account be carefully examined. Requests for additional
infonnation or questions or objections can be discussed with:
Richard A. Dengler
7460 Moyer Road
Harrisburg, PAl 7112
r .2
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SUMMARY OF ACCOUNT
Current
Value
Fiduciary
Acquisition
Value
$12,852.67
Proposed Distribution to Beneficiaries
$12,852.67
Less Disbursements:
Funeral Expenses
Administration Expenses
Federal and State Taxes
Fees and Commissions
$3,274.80
$ 761.45
$ 345.01
$1,522.63
f)
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Balance before Distributions
Distributions to Beneficiaries
$6948.78
$6948.78
Principal Balance on Hand
$0.00
Income Balance on Hand
-0-
RECEIPTS OF PRINCIPAL
Assets Listed in Inventory (Valued as of Date of Death) -0-
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent
None
1/7/03
11/02
11/02
11/02
Funeral Expenses
Hoover Funeral Home
Headstone
Army Plaque
Private Services & Luncheon
$2174.80
$650.00
$200.00
$250.00
Administration Expenses
11/04 Register of Wills
(Probate Fees)
Certified Copies of Death Certificate
Short Certificates
Accountant's Fees
Doctor Bills
Final Accounting
11/04
11/04
11/05
11/04
11/05
6/04
$70.00
$10.00
$9.00
$350.00
$192.45
$130.00
Federal and State Taxes
Department of Revenue
(Taxes)
$345.01
Fees and Commissions
3/4/04,6/05 Stephen L. Bloom, Esquire & David C. Miller, Esquire
11/05
(Professional Services)
Richard A. Dengler
$1000.00
$ 522.63
$5903.89
DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES
Richard A. Dengler
$3,474.39
Kevin Traflm
$1,158.13
Dwayne Trafka
$1,158.13
Peter Trafka, II.
$1,158.13
RICHARD A. DENGLER, Administrator of the Estate of George A. Dengler,
deceased, hereby declares under oath that he has fully and faithfully discharged the duties
of his office; that the foregoing First and Final Account is true and correct and fully
discloses all significant transactions occurring during the accounting period; that all
known claims against the estate have been paid in full; that, to his knowledge, there are
no claims now outstanding against the Estate; that all taxes presently due from the estate
have been paid; and that more than four months have elapsed since the first complete
advertisement of the granting of letters in this estate.
Q~Jo \~.
/s/ RICHARD A. DENGLER
Administrator
Subscribed and sworn to
by RICHARD A. DENGLER before me this
-\,.-...1 ay fNov er,2005.
NOTARIAL SEAL
Carrie Jean Singer, Notary Public
Lower Paxton Twp., Dauphin County
My Commission Expires Sept. 7, 2006
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IN RE: ESTATE OF
GEORGE A. DENGLER,
Deceased.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
SSN: 199-07-2493
NO. ~l \ - ~ '-\ - C\ ~ S
STATUS REPORT UNDER RULE 6.12
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to the completion of the administration of the above-captioned estate:
1. The administration is complete.
2. Attached hereto is the First and Final Account of Richard A. Dengler, Personal
Representative.
3. An informal account was previously given to the parties at interest.
~~Q O~1~'
Richard A. Dengler
7460 Moyer Road
Harrisburg, PAl 7112
(717) 943-6451
Personal Representative
Date:
I )
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