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HomeMy WebLinkAbout02-0989PETITION FOR GRANT OF LE' Estate of ~ /~h ct G- ~ . ~~ ~/2 ~"S als,~ know{ as (-iT c~ ~ C~ • S~ ~ lS Deceased. Social Security No. L(O ~ - 4 Z - ~ 7 7 7 CTERS OF ADMINISTRATION No. ~~J~~- 7 iS -/ To: Register of Wills for the County of 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 /~ S for letters of administration on the estate of (d.b.n.; pendente liter durante absentia; durante minoritate) the above decedent. Decendent was domiciled at death in M l r` ~ Cgs ty, Pennsylvania, with h ~ ,'' last family or principal residence at S ~ ICS' ~ ~ /~ ~ . -~. ~ ~ Qo ~'o (list street, number and municipality) Decendent, then SQ _ years of age, died ~ ~ at ~23L '?-, Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property $~~j p l (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 ham ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Dame xetattonshtp Residence ~ w . .f v e ~s So,~-- THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. ~ ~s ~ K Se ~~ ~° , ~ S a~ I s ~ ~ o `~= Cain ~~l /~Oll ~.o ,- .y ~a ~w ~~ m in ~a ,,,~ /~, f 1 ~~ /~./( %7 ~' ~~ i~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF Cumber]_and 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. nn nn __ Sworn to or affirmed and subscribed ~ ~ ~ Q X~SZ/~ _ before me this 5th day of -~ vember ~ 2002 ~ .P ~ c Donna M. Otto, 1st #1 ister ~° _. 'v~ Deputy NO. 21-2002-989 Estate of Gylnda O. Sellers ,Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW November 5th ~g~ 200?n consider t~n)of the petition on the reverse side hereof, satisfactory proof h,~~,;^Q hen presented before me, IT IS DECREED that _ ,7~ck W. Sellers is/are entitled to Letters of Administration, and to accord with such finding, Letters of Administration are hereby granted to Jack W. Sellers in the estate of Glynda O. Sellers FEES Letters of Administration ..... $ 18 • 0 0 Short Certificates( lp• • • • • • • • • • $ 30.00 Renunciation ................ $ JCP $ 10.00 TOTAL $ 58.00 Filed November, ,5t,h,,~OEQ,~, l~xx /~ ~~'a~~ Register of Wills Donna M. Otto, 1st Deputy av ATTORNEY (Sup. Ct. LD. No.) ADDRESS PHONE MAILED LETTERS AND ORDER TO ADMZNIS''~'RATOR NOVEMBER 5th, 2002 , , ~ ,, ' 1 A; i:~.by;J~~'%<~~~ ~I~d~` ~~~~ry a.P?,r p3e~Li~C,;.E~~ ..~ ~.siv€3~,"y}.M: _, r .~ - --_.._.. _._-_. r,. ~'~ ,, 6f? {- ~ N. ,;~~.. .:T i , ~ :~f ~ 843421 - ~,~~~, "~`?`~ _ I44 Rev. tl0i COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (Coroner) Lase SEX SOCIAL SECURITY NUMBER DATE OF DEATH IMUntti. Day yenn NAME OF DECEDENT (First MWtlle , October 31, 2002 , Female 3 . . _ _ G1 ride L Sellers 2. AGE (Lest Bnmday) UNDER t YEAR UNDER t DAV DATE OF BIRTH BIRTHPLACE ICny and PLACE Of DEATH ((;I ~cv.k o,,i~ uric e insv,klions on olhe, s„Jet Months Days Hours Minutes (Month, Uay. Yea,) Stale or F«e~yn CuunvVl HOSPITAL: OTHER. ah er June 18, 1952 Memphis, Inpahent ^ ER/oetpahent ^ DDA ^ Nura,ng rl'N Home U ReaOence ~ IS(n~.~lyl ^ 50 Yra . 6. 7. 9e. 5. COUNTY OF DEATH CI , BORO P OF DEATH FACILITY NAME (II riot uistnul~on. yive street and numDe,) WAS DECEDENT OF HISPANIC ORIGIN? RACE -American InOlan, Black, Whne, ale. Dan (ype11'y) ~l Y ^ u s a e« c N . e: ye , p ry e o r"n.. Cumberland Camp Hill 2215 Parkside Road 9 eaican,PUenoRican,eta 1 White 0 Bb. ec. ~ DECEDENT'S USUAL OCCUPATION KIND OF BUSINESS/INDUSTRV WAS DECEDENT EVER IN DECEDENT'S EDUCATION MARITAL STATUS-Marred SURVIVING SPOUSE ARMED FORCES? S ~ec:~l hl sated Never Married. Widowed, (II vnl6. y,ve maiden na,nul „ v n~c ne-,~ . ia.w co,n U S _ _ Divorced l5pecd (Give y,nd of wort done dunnq moss }~-, ll Elememary/Secondary College YI do not use reared l of working life ^ N 2 , o Ves (Ia«5.l Registered Nurse Nursing lo,zl + 14. Married ,5. Jack W. Sellers 13 • . 7L. 11b. 12. DECEDENT'S MAILING ADDRESS (Sues( Glyn wn, Stale, Zip Code) DECEDENT'S PNnn decedent lived in twp. 7~ I'll ^ Ves a D,tl 17c $ Va ~ , . _ ACTUAL 17a. State 2215 Parkside Road RESIDENCE tlecedenl (Sae ,nslrucuons live in a PA 17011 nn other axle) tnwnsmp? Nn, da°adant Irved Camp Hill «ty/bom Hill imi w l li n f nd ,7a ~7 ~rl ~ C , _ n ac a m s o w . a 16 P 17b. County t ~ ' FATHER'S NAME (Firs(. M,ddle. Last) S NAME II ual. MNUIe. Medan Surname) MOTHER Mary L. Straughm James H. Oxman ,,. e. INFORMANT'S NAME (Type/Pnnt) INFORMANT'S MAILING ADDRESS(SUeel Gt !Town, Slate Iq'c`~H111 PA 17011 Camp 2215 Parkside Ro~1D Jack W. Sellexs , , 20b zoa. N DATE OF DISPOSITION PLACE OF DISPOSITION-Namn of Cemetery, Crematory LOCATION-Cny/TOwn, State, Lp Cuda METHOD OF DISPOSITIO ~ra~ l Ld Cremation ^ Removal Irom State ^ (Month, Day. Year) or Other Place i B ur a Donatbn^ otherspecnY ^ 11-4-02 21°St. John's Cerr>etezy 21dCamp Hill, PA 17011 ' 21s. 21b. SIGNATURE OF FUNERAL VICE NS O ACTING AS SUCH LIGENSEON; ~g~55-L N~j~,ersHarnerGlFunexal Hane ~i~15tPA 17011 22a. ~ 22b. 1G 2 c. Complete items 23ac on when certirying TO the best of my knowledge, death occurretl at the time, tlate and place staletl. LICENSE NUMBER DATE SIGNED IMunm, Day Veep physician is not avaaaW at time of death to (Siynalure and Talel certify cause of death. ' 23b. 23c. 23s . Items 24-26 must be completed by TIME OF DEATH Aprx • DATE PRONOUNCED DEAD (MUnlh, Day. Pearl WAS CASE REFERRED TO MEDICAL EXAMINER/CORONER? Yas kQ "°^ person wfto pr°r>o°^cea death. October 31, 2002 26. M 25 2:00 A . . . 24. PART 1: Enter the diseases, injuries or complKations which caused the death. Do not enter the mode of tlying, such as cardiac Or respiratory arrest, Shock or heart failure. ,Approximate PART II: Omar significant condilbns conlnbubng to death, but al between rw[ resulting in the undedymg cause given In PART I. 27 t i . erv in List only one cause on each line. onset end tlealh IMMEDIATE CAUSE (Foal I disease«Cnndmpn pending Investigation resultirg in deaml~-- a. ~ DUE Ib (OR AS A CONSEQUENCE OF): t SeQUenlielly list CAfWibona D. if any, leading to immediate DUE TO (OR AS A CONSEQUENCE OF): I cause. Enter UNDERLYING ~ CAUSE (Osea,e « injury °- DUE TO (OR AS A CONSEQUENCE OFp. Ina( miaaled events resoling In deenry LAS7 i ____ .___- ~_ d_ __ _ __ WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH GATE Of INJURY TIME OF INJURY INJURY AT WORK? DESCRIBE NOW INJURY OCCURRED. PERFORMED? AVAILABLE PRIOR TO IMOnih, Oay, Yea,( COMPLETION OF CAUSE ^ Ves ^ No U ^ Homiade OF DEATH? Natural ^ Accident ^ Pending lnveshgation 30e. _ __ _,______ _. 30b___ M. 30c. - __ 300. _ Yes PLACE OF INJURY ~ At home. (a. m, sveuL factory, otuce LOCATION (SVeet. CrtyR wn. Stale) ^ No~ Yes ^ No ^ building, etc. ISl.:,.~lyl Suicide ^ Could not Da tletermmetl 29a. 296. 29. 301. SIGNATURE AND TI i FIE CERTIFIER(G ~urk only one) 'CERTIFYING PHVSICIAN(Phys«an cerniymy cause of deaUi when another phys,«an has pronounced dean, end uunipleled llem 131 ~ I _ r Coroner ~ " _ ~ _ ~ to the ceusNsl an0 manner as slated ..................................................... 31 d d _ _ ue To tM boat or my Xrawlsdge, tleath occurre LICENS N MBE DATE SIGNED(M<,nN. Day. Yea,l - 'PRONOUNCING AND CERTIFYING PHYSICIAN (Physv:wn oom pronouncing deem and ceruty,ng lu cause of uealh) - NOV emb e T 1 , 2002 _ __ 310. ____ ] 31 c. ~ t l tl _._-__ _ .......................... a e To the Dest of my knowledge, Death occurred at the Ilme, Date, and place, srM Due to me cause(s) and manner as s NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH Ihelr,zi)TypeorP,ln' Michael L. Norris, Coroner 'MEDICAL E%AMUVER/CORONER On the bask of axaminatlon 9ndfor Invesllgallon, In my opl0ion, death occurretl at the time, date, and place, and due to the cause(s) and 63 7 5 Ba s ehor a Road , Suite 4t 1 17050 P a. m.RRer as st.tad .................................................................................................. 32. Mechanicsburg, 31 s. DATE FILED (Mori(((, Day. Vuarl REGISTRAR'S SIGNATURE AND NUMBER / / / 3 t ~/ FORM 93 - O. C. DIVISION IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE } } } OF } } GLYNDA O SELLERS } (Deceased) CLAIM To the Clerk of Orphans court Division: No. 2102-989 of 2002 Index and make proper entry in your official records of the claim of OMNIUM FINANCIAL RECEIVABLE SERVICES for HOUSEHOLD CREDIT SERVICES (Claimant), account # 5408010010503387 / 408923777, in the amount of $573.41 against the estate of the above named decedent. This claim is filed under Section 732 (b) (2) of the Fiduciaries Act of 1949 as amended. The said decedent, who resided at 2215 PARKSIDE RD, CAMP HILL, PA 17011-2131, died on October 31, 2002. Written notice of this claim was given to , , , (Personal representative, if any, or counsel). December 9 2002 (Claimant) OMNIUM FINANCIAL RECEIVABLE SERVICES 1941 SOUTH 42ND STREET SUITE 380-25 PO BOX 6618 OMAHA, NE 68105-0618 800-999-3778 (Claimant's Address) CLIENT: HOUSEHOLD BANK (SB), N.A. ACCOUNT: 79477132 STATUS: ACTIVE STATUS PACKET: More... DE RD HOMPHN PREFIX: RESP: pRMRSP AREA CODE: 7~7 FIRST NAME: GLYNDA PREFIX: 761 MIDDLE NAME: O NUMBER: 1975 LAST NAME: SELLERS EXTENSION: 00000000 EXTENDED: ANSWER CODE: SUFFIX: SSN: 408923777 MAIL CODE: MATT, CALL CODE: C"AT,L CLI REF#: 5408010010503387 REASON: 42-CLAIM FILED P12MHOM STREET: 2215 PARKSI CITY: ('AMp HTT~T~ STATE: pA ZIP CODE: ~70~1 2131 COUNTRY : TTg T 42. 60000- BA 616.01000 PROMISED PAYMENTS: 0.00000 PRINCIPAL PAYMENTS: 0. 00000 LOCAL LISTING BAL: 0.00000 More... ACTIVITY: V IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF GLYNDA SELLERS Deceased No. 2002-00989 of 2001 To the Clerk of the Orphans' Court: Enter ±h2 clairr; of DISCOVER FlN.!~NCIAL SE°`JICE.:, IP.C In the amount of $791.00 ,against the above entitled estate. The decedent, who resided at 2215 PARKSIDE RD, ,CAMP HILL PA 17011 Acci. v01100^2,u0:;4~;'i o5 died on 10/31/2002 .Written notice of said claim was given to JACK SELLERS ,if known to claimant, at (Personal Representative or counsel) 2215 PARKSIDE RD, CAMP HILL, PA 17011 December 6, 200? ~ `" (Date) -~~`~ ~ ` (Claimant) on '~ /~ .. Address: P.O. BOX 8003, HILLIARD, OH 43026 Claimant's Counsel Address 0 v -~ ~~ v m Z O D -~ r_ n D W r m O Z m 0 0 w in cn D m v O W O 0 0 w r D 0 O 2 w 0 N C7 r D_ D z z D m n O m m z D Z n D r m <_ n m z n n r rn D m O r z D D m r r m ;n m n m D m O -v 2 D Z n O z O N 0 0 N O 0 6011 0020 6034 x_155 CARDMEMBER STATEMENT 10:40:02 SELLERS,GLYNDA CLOSING DATE: 10/24/02 VIEW DATE: 14 / 9~ CREDIT LIMIT: 8700 PAYMENT DUE DATE: 11/23/02 PREVIOUS BALANCE: CREDIT AVAIL: 7908 MIN PAYMENT DUE: 16.00 PAYMENTS/CREDITS: - AMOUNT PAST DUE: 0.00 PURCHASES/MISC: + CASH ADVANCES: + BALANCE TRANSFERS + FINANCE CHARGES: + NEW BALANCE: _ PAYMENTS AND CREDITS 10/15 PAYMENT - THANK YOU 12/11/02 799.38 20.00 0.00 0.00 0.00 12.47 791.85 20.00- F5-CBB F6-FC F9-PREV F10-NEXT F11-VIEW DETAIL F13-MSG F14-ADJ F15-REPRINT MSG: LAST PAGE OF THE STATEMENT IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF GLYNDA SELLERS ) Register's # Deceased ) CLAIM To the Clerk of the Orphans' Court Division: Index and make proper entry in your official records of the claim of CITIBANK (SOUTH DAKOTAI NA in the amount of _ $12.649.35 against the estate of the above-named decedent. This claim is filed under Section 3532 (b) (2) PEF Code, 20 Pa. C.S. ss. 3532 (b) (2) . The said decedent, whose last known residence was at 2215 PARKSIDE RD CAMP HILL PA 170112131 Written notice of this claim was given to JACK SELLERS Executor 2215 PARKSIDE RD CAMP HILL PA 1701 12 13 1 on December 18.2002. Kansas City, MO 64153 (Claimant's Address) ivl~i2ooz-aiz Acct. #4128004044525239 KRISTEN WELLS, Manager of Citicorp Credit Services, Inc.,USA under limited power of attorney for CITIBANK SOUTH DAKOTA) NA 930 NW 110 Street, 12 b~~ , 35 12/09/02 $1`10 $526.00 SITE:KC-CL TM:CO-6300 eatF~;tfi,'isir ~~~ ::6i~SM ~tf~e€= ___`~ai~~aiisssra~= 12 / 0 5 / 0 2 CITI CARDS P.O. BOX 8109 GLYNDA SELLERS S HACKENSACK, NJ 2215 PARKSIDE RD 07606-8109 CAMP HILL PA 17011-2131000 Citi~ Platinum Select Card For Customer Service, call or write 1-800-950-5114 AccountNumber rorepartNllingerrara,wrtee BOX 6500 4128 0040 4452 9239 totNaadtreacalNngM11 t SIOUX FAL LS SD Pa ment must be received b 1:00 Y y pm local time on 12/09/2002 °O Dr""~°YO1r~'t'' 57117 , Statement/Closing Date Total Credit Line 11/13/2002 $18000 Available Credit Line Cash Advance Limit Available Cash Limit New Balance $0 $5000 $0 $12796.10 Amount Ove r Credit Llne Past Due Purch/Adv Minimum Due Minimum Amount Due $0.00 + $261.00 + $265.00 = $526.00 Sale Date Post Date Reference Number Activity Since Last Statement Amount Standard Purch 11/13 LATE FEE - OCT PAYMENT PAST DUE 10/22 10/22 PXTNSWOL NAIL EXPRESS 39880018 0 MECHANICSBURGPA 61 07230US AA 0 10/29 10/29 9RC6DHN6 INFINITY A HAIR SAL LEMOYNE PA 61 07230US AE 0 11/13 PURCHASES*FINANCE CHARGE*PERIODIC RATE 84 0000 0 The Annual Percentage Rate on your account may increase due to one of the following reasons stated in our Card Agreement with us: if you fail to make a payment to us or any other creditor when due, you exceed your credit line or you make a payment to us that is not honored by your bank. _, ~ ., ~ ~ ACID:KCB 01:08:55: ~ ~~~,~~ --- _ ~ Account Summary Previous (+) Purc ases (-) Paymen s (+) FINANCE (_) New Balance & Advances & Credits CHARGE Balance PURCHASES $12,540.35 $144.00 50.00 $111.75 $12 796.10 ADVANCES $0.00 $0.00 $0.00 $0.00 , $0 00 TOTAL $12,540.35 $144.00 $0.00 $111.75 . $12,796.10 Da s Th is Blllln Period: 30 Rate Summary a ante Su sec o Perlo Ic Nomina Finance Charge Rate APR PERCENTAGE RATE PURCHASES Standard Purch ADVANCES $12,661.17 0.02942%(D) 10.740% 10.740% Standard Adv $0.00 0.05477%(D) 19.990% 19.990% PLEASE REFER TO THE REVE RSE SIDE OF THE ORIGINAL STATEMENT FOR PAYMENT INFORMATION. 35.00 70000000000 38.00 24399002296 71.00 24046242302 111.75 70000000000 Make check or money order payable ih 11.5. dollars on a U.S. bank to Clti Cards. Include account number on check or money order. No cash please ~\ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: ~`~ 1-,~l ~ f~ ~ ~ ~~ L~_~ ~ S Date of Death: ~ O `~ 3 ~ ~ O~ Will No. ~ ~. ~~ ~ Admin. No. ~ ~~ ~~ To the Register: I certify that notice of (beneficial 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 Name Address ~~~~~ ~~ S~ ~~ ~a ~~ ~PflR~~~~ ~ ~,~ N,ll Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: ~ ~- ~ ~ ~ ~ ~-- cc~ ~ Signature Name S ~~,~ Lti , ~~-L-~-~ Address Telephone ( ) Capacity: ~ Personal Representative Counsel for personal representative MBNA America P.O. Box 15137 ~+ ~ ~ a ~ ~~ ~Imington, DE 19850-5137 877-767-9383 03/27/03 REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE, #102 CARLISLE, PA 17013 Re: In the Estate of Probate Case No. Social Security No: Last known residence Our Client: Account Number: Amount of Debt: Dear Sir or Madam GLYNDA O SELLERS 212002989 v~-C'g~ 408923777 2215 PARKSIDE RD CAMP HILL, PA 17011 MBNA AMERICA 5490990196266496 $ 14668.78 Enclosed please find a Creditor's claim to be filed in the record with the above-referenced Estate. Please return a file stamped copy of the claim in the enclosed self-addressed, stamped envelope. Thank you for your assistance. If you have any questions or concerns, please call our firm toll free at I-877-767-9383. Cordially, MBNA America Enclosures A check for $5.00 for the filing fee. cc: Attorney for Estate Personal Representative This letter is an attempt to collect a debt and any information obtained will be used for that purpose. This letter is from a debt collector. 2778 3/21!2003 9I 8555 AFFIDAVIT OF MAILING h John Lopez declare under penalty of perjury that I placed the envelope for collection and mailing on the date and place shown below following our ordinary business practices. On the same day that correspondence is placed for mailing, it was deposited in the ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid. Personal Representative: JACK SELLERS 2215 PARKSIDE RD CAMP HILL, PA 17011 Attorney for Estate: ~. ~~ By: - <<_ Date COMMONWEALTH OF PENNSYLVANIA COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION NOTICE OF CLAIM In Re: The Estate of: Court File No: 212oo29a9 GLYNDA O SELLERS Deceased TO: THE CLERK OF THE ORPHANS' COURT DIVISION: Notice of claim by creditor, Pursuant to Section 3532(b)(2) of the Probate, Estates, and Fiduciaries Code, 20 PA.C.S.A. §3532(b)(2). 1) Claimant's name: MBNAAMERICA P.O. BOX 15137 2) Claimant's address: WILMINGTON, DE 19850--5137 8777679383 3) Creditor listed below is the owner and holder of a claim in the amount of 14668.78 4) The facts upon which this claim is based is an account for credit evidenced by the attached Affidavit of Account Stated. 5) Decedent's address: 2215 PARKSIDE RD CAMP HILL, PA 17011 6) Date of Death: 10/31/02 7) That the claim arose prior to the death of the decedent on or about 8) That the claim is secured by On behalf of the claimant, I do solemnly declare and affirm under the penalties of perjury that they Information and representations made herein are true and correct to the best of my knowledge, information and belief. Dated: ~~~1'~1 31~~~ ~ ~'" ~ ~"~ 1 ,~ , Kyle Frenzel/Lucille Roberts/H athe Kennedy - Authoriz d Representative MBNA America Written notice of claim was given to Perso al epresentative and/or his/ counsel as stated below: JACK SELLERS Name 2215 PARKSIDE RD Address CAMP HILL PA 17011 City/State/Zip _See attached Affidavit of Mailing Date notice mailed IN RE ESTATE OF: GLYNDA O SELLERS AFFIDAVIT OF ACCOUNT The undersigned, being first duly sworn deposes and states the follows: I. Your Affiant is authorized by the Claimant as its Authorized Representative- In Fact to make this Affidavit. 2. Your Affiant has reviewed the account records of the Claimant with respect to the decedent. Your Affiant is familiar with these records and accounts and reviews them as a regular part of her duties. The Decedent purchased merchandise in the amount of $ 14668.78 evidenced by account number 5490990196266496 4. The unpaid balance does not include any post-death late payment charges, accrued interest, collection costs or attorney's fees. Further your affiant sayeth not MBNA America. Subscribed and swornbefore me This N _~ Lucille Natalie Roberts Notary Public ~•~ Minnesota M ~nmm~ss~nn Expires January 3i 2007 Heather Kennedy t~ MBNA America P. O. Box 15137 Wilmington, DE 1985x5137 STATUS REPORT UNDER RULE 6.12 Name of Decedent: G C_¥ ¢40 p~ Q5 ~ ~. L-%&% Date of Death: ~ g -~ ~ - ~ ~ Will No.: ~j4 - Ad~n. No.: a~- O~--qq Pursuit to Rule 6.12 of~e Supreme Com~ OChans' Com~ Rules, I repo~ the following wi~ respect to completion of the ad~stration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes~ No~ 2. If the ~swer is No, state when the personal representative reasonably believes that the a~stration will be complete: 3. ~ the ~swer to No. 1 is Yes, state the follow~g: a. Did the personal representative file a ~al accost with the Co~? Yes _ No ~ b. The sep~ate Och~' Co~ No. (if ~y) for the personal representative's accost is: c. Did the personal representative state an account informally to the parties in interest? Yes [-] No [--] c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphm~s' Court and may be attached to this report. Signat~ [:z, Name \. ,% Address -' '~:" Telephone No. Capacity: [-] Personal Representanve [-~ Counsel for personal representative JRD/June 30, 1992/17858 In Re: Estate of Glynda L Sellers · ORPHANS' COURT DIVISION Late of Camp Hill Borough · COURT OF COMMON PLEAS OF · CUMBERLAND COUNTY Estate No.: 21-02-0989 · PENNSYLVANIA NO. 21-02-0989 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Jack Sellers Counsel for Personal Representative: Date of Decedent's Death: 10/31/2002 Date of Delinquency Notice: 08/11/04 The undersigned, Glenda Famer-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on April 30, 2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. ~l-~nda Farner Strasbaugh ~ Clerk of the Orphans' Court Distribution: Personal Representative Estate File ~z~~ ~<~ a~e+ q',%o Ih. iq. A heating is scheduled for at in Courtroom No. 3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. George 1~ H~eVr, l~..J.