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HomeMy WebLinkAbout02-1120PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of I?OdER7- ~• ,Di1ticA~(/ also known as Deceased. Social Security No. / G 7~ y°" X 3 9 6 No. ~ / - a ~ _ ~~ To: Register of Wills for the County of ~t,rn~er~ar,~. 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 ~ es 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 l~.~mber ~o~r,d County, Pennsylva ia, with h r s _ last family or principal reside^^° °* ~~ ~ -~~A--~R ~^~~ 1 "-,o $o~u.s ~S. n~idd (~-To n ) (list street, number and municipality) years of age, died /~ _ at Decendent at death owned property with estimated values as folllows: (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: Petitioner after a proper search ha ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name o TT ~ , tic Relationship SaiV Kesiaence 923 P6TEi2,s/9ueE- RD• tA,~clscF Pa, i~oi3 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. C 'O .-. v ~ x °' .~ .s ~a v ~. ~° ,. ~~~ f 00 7 ~ ~ ~titi ~Ati 9z3 PFT~.~SRu~2~ ,eA, G A~~=S« , PA , t ~ o i3 /`7... /D~~°/`~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF CUMBERLAND J 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 affirmed and subscribed X/.6eZL` Q'• .~ before me this 9th day of DE~CE~MB~ER I~X 2002 ~ Registe~ NO. 21-02-1120 Estate of ROBERT E. DUNCAN ,Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW DECEMBER 10, ~ 2002 in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that SCOTT A. DUNCAN is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to SCOTT A. DUNCAN in the estate of ROBERT E . DUNCAN s J Reg' ter of Wills FEES Letters of Administration ..... $ 25.00 Short Certificates(1) . , , , , . , , .. $ 3.00 Renunciation ................ $ TOTAL $ 38.00 Filed DECEMBER..10,. 2002 A,D, ~~;2002 ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE MAILED TO ADMINISTRATOR DECEMBER 10, 2002 , _ _, . I h)s ); ro a ~tF~~ t[~it the )~~I~orrnation here z;iven i5 c~(rectlt- ~ (~~_ :i~ nl „ ~ ~;~. ~' Local Re;;istra:. The ou~ir~a certificate wi11 1~e to)wardeci to rt~f 5=,, ~ ~ ~ . U1/ARI~II~G: tt is 41~egal to dup~~c~af~ t+~is ~;~~~" ~;~_ ~t ~~,~...: < - ~, ,. ~:. r ____886324 ~(., H705.ta Rev. ?191 PRINT N iNENT KINK emu- ,. Robert E. Duncan ADE (Le& Birthday) UNDER 1 YEAR MonrM Deys e ~~ Vn. ll~ I~~~,L? r +7t ,~; r, ~~~ i~ o .~ ~, J - ,~,. .~~j~ _ f~t t~, ~:_~ ___ _A•~Cw.cA.~o-~.~e,,, ........ ... .._...0~~. it V 1~00~ COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH (Coroner) 295 Plaza Drive Boiling Springs PA 17007 i'S NAME (FsY, MMtlb, LeaO Chester E. Duncan 9ud« yQ,. Cremnbn ^ Rsmoy«Irom ~«s^ IMMEDIATE CAUSe (Final disrse or cagnkn ~aelJerq n deaM)-- DATE OF BIRTH _____..., meen _' J. i~7- yo- 1396 DATE OF DEATH (MmM, Dey, Near) BIRTHPLACE (City and (MmM, pay, Year) State or Foraipn Coumry) PLACE OF DEATH Check oily one-ee, instructions on oM«yya) ( e~ ia_ oa -o~., +~ ,/ ~Q ~ T 7 7. Carlisle PA HOSPITAL: Irpatiant ^ EWgnpatkm ^ ',. tq OTHEq: DOA Id NuginO f DEATH ~ FACILITY NAME pl rwt inetilution, qiw slre« arW number) How ^ aMr Rserosnp ^ ~M! ^ ei 2 L t~mc ~2o~ord flkrno~ei ~o o WAS DECEDENT OF HISPANIC ORIGIN? as s ~° ~ NH ^ II n RACE • Am«kan IMbn, &ack W a (S „ TINE DUSTRY WAS DECEDENT EVER IN U.S. ARMED fORCESt ~ ,4.c, . DECEDENT'S EDUCATION 0ac Y . ypaWn, Meskan, Puerto Rkan, «t. a M P M> 70. white yn® ~ ^ ARITAL STATUS- Marcbd EbmsnlarylSeconWry~ r c Never Marcbtl. Wldowad, OnacW (SOeul 01 l SURVIVING SPOUSE mwile. qhs meitlan twos) ti f0 y ( 2) (t,<) DECEDENT'S ts RES DENCE 17a. St«s PA , ~ t t7c•~ Yea. dsoewmllwdin S M7 d ' dl (See inNUCtione on odrer side) deaeem nw M a orOn 74. 17b. Coon ~,.M+~rla nd townenipt No. ax.a« ~.a /7a.^ rMllin equal limM of MOTHER'S NAME (Fir&, MitWb, Meitlen Surruvna) „- Mildred Brown INFORMANT'S MAILING ADDRESS (SeeeL Ciryrtown, Slab Lp CoGJ DATE OF DISPOSITION (ManM Day Year) 923 Petersbu Road Carl PLACE OF DISPOSITION. Hams «Csmete C isle PA 1701 ^ , ry, rematory or OtMr PMcs LOCATION - CiryyTO wn, Stets. 2Jp CoM - StMH ?e. December 6, 2002 z1eMt. Zion Cemetery p. M. ~Je. ~a- a _ o mt enter tna mods of dyln0, auto n oerdisC W ~ nln t>F CAUSE ~ IMOmm, Dey, lbaq ..~ Icy OF DEATM7 Nalur« /iorrlkiM ^ Yea ^ No Idl 1-a ^ IIO ~ Accldsm ^ PerMNq ImmtlOetbn ^ • " //T 9ukkY ^ ^ PLACE OFINJURY-At Iqm , larm, «re« M- Zee. p could n« a d«srmined buawrq. «c. (SOecAy)~ iR'rIFIER (stack ony one) Ma. A TetMIe~IMNmPNYlICIAN(Phyeicbn cwrEly'vq causeddaeM nlron encerar Pnys'wian tuu onaurvxd deeM and coin myknolvledpe,aaantoeaurwdawatn. W l1«ednam23) oeuas(a) aM reamlern «+Ib ................. ^ •~PR ~r «NGANDDERnPruwwrcslclAN(Pnyrcl.neahomnwnbxgaaaMandanal,igroceue.«,wd,) .................................. "h n«alsd0s,ea.de oeourrM«tM nrns,am,arq pba,•nddw to tM OSws(q arM manner••stated .......................... ^ 'MEDICAL EIIAMINERR:ORONER - On Dte OeeN of eaeminetbn endlor IrtreetlpeNon, In my opinbn, deed, oce9ry~ et tM ?line. dete..nd Plsee..nd due to tM uuae(e) end TtlIl1N p stated ................ . IL ................... ......................................., O1 ........... Iol REGISTRAR'S SK;NATURE BER Near) N~^ u: _ IJ,e ia_ a_c COMPLETEDCAUSE OF DEQH ~m~{.~Gole da, O CERTIFICA/\lTION OF NOTICE UNDER RULE 5 6(a) Name of Decedent: /`CwbP~'T f r [/un c ~/1 Date of Death: ~ Z' C Z - G~ `~ Will No. ~ ~~~ r~ ' ~ /~ Z ~ 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 (~f7~t,1~~.~' ~s~, l7© l3 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: ~ '- / ~" Signature Name ,/~ ~f'. CJ` --LGti.~r~.-~ Address 9'Z 3 /~,r j~5i~~1~ C f~v, Telephone (r~~) Z~~_ ~~~ Capacity: V Personal Representative Counsel for personal representative BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX UIVISIDN DEPT. 2806D1 HARRISBURG, PA 17128-0601 SCOTT A DUNCAN 923 PETERSBURG RD CARLISLE PA 170.13 REV-1547 EX ~fP (O1-R3) DATE 10-13-2003 ESTATE OF DUNCAN ROBERT E DATE OF DEATH 12-02-2002 FILE NUMBER 21 02-1120 ,._' j COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF DUNCAN ROBERT E FILE N0. 21 02-1120 ACN 101 DATE 10-13-2003 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. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Totai Assets APPROVED DEDUCTIONS AND EXEMPTIONS: (1) .00 (2) .00 (3) .00 (4) .00 (5) 3,652.50 (6) .00 (7) .00 (8) NOTE: To insure proper credit to your account, submit the upper portion of this fore with your tax payment. 3,652.50 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 7.096.1 0 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00 11. Total Deductions (11) 7 . D96 . 7 0 12. Net Value of Tax Return (12) 3,443.60- 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 3,443.60- NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) .00 X 00 _ 16. Amount of Line 14 taxable at Lineal/Class A rate (161 •00 X 045 17. Amount of Line 14 at Sibling rate (17) .00 X 12 .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 15 - .00 19. Principal Tax Due (19)= .00 TAX CREifiTS~ DATE ~ NUMBER ~ INTEREST/PEN PAID (-) ~ AMOUNT PAID TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A ''CREDIT'' (CR), YOU MAY BE DUE A REFUND. SFF REVERSE STBF n[: TYTC cnoM R:no T.IC TennTTnu.. . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX 19 will 00 .00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-0601 II - lOr - ,y- % REV-1500 ,1 ;i...'. i- Z W o w u w o ~ ~V) ",,,, "-u 00 "'~ ,,-al "- '" FILE NUMBER ~L-~d- COUNTY CODE YEAR INHERITANCE TAX RETURN RESIDENT DECEDENT -L -Ld- Q NuMBER DECEDENT'S NAME (LAST FIRST, AND MIDDLE INITIALI __R > -- D,4TE OF DEATH (MM-DD-YEAR) SOCIAL SECURITY NUMBER /(PI -40 -/3 LOW DATE OF BIRTH (MM-DD-YEAR! THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 1~-O:2.-0J.. 01- L)'7 [(;;:APPLICABLE) SURVIVING SPOUSE'S NAME (LAST FIRST AND MIDDLE INITIAL) 1 ~ 1, Onginal Return 02. Supplemental Return D 4, Limited Estate D 4a. Future Interest Compromise (da,eofdea\haher 12-12-82) ""OT ~" 6. Decedent Died Testate (Attach copy of ,Viii) 7, Decedent Maintained a Living rusl:Attach copy 01 Trust) , I 9 Litigation Proceeds Received D 10 Spousal Poverty Credit (cale of death l,elween 12.3'-S1 and '-'-95) o 3. Remainder Return Idate 0' death pnor 10 12-1j~2 D 5. Federal Estate Tax Return Reql.Jlfed o 8. Total Number of Safe Deposit Boxes o 11 Election to tax under See, 9113(A) ,i\::achSC!l'_' >- z w o z o "- if> W '" '" o u THIS SECTIoN MUSt Bi$,,qQ~ffl.i;t!,I,I!tAAL_.C;:ORR~,~~i, -; . ED\REytED TO: NAME C; C . CI A.J COMPLETE MAILING ADDRESS hRMNAME"fAW'"'''' q ~:3 pe-tershWFJ 1<.0c.r1 ~ELEPHONENUMBER C.orIIJl<!;) In J70i3 17- ~IS-(H?f<3' ; Real Estate (Schedule A) 2 Stocks and Bonds (Schedule B) Closely Held Corporation, Partnership or Sole-Proprietorship 4 Mortgages & Notes Receivable (Schedule D) 5 Cash. Bank Deposits & Miscellaneous Personal Property Z (Schedule E) 0 6 Jointly Owned Property (Schedule F) !;{ o Separate Billing Requested ..J ::l Inter-Vivos Transfers & Miscellaneous Non-Probate Property i- (Schedule G or L) a: <( 8 Total Gross Assets (total Lines 1-7) U Funeral Expenses & Administrative Costs (Schedule H) W 9 0: 10 Debts 01 Decedent, Mortgage Liabilities. & liens (Schedule I) 11 Total Deductions (total Lines 9 & 10) 12 Net Value of Estate (Line 8 minus Line 11) :c~ ".'~ ......1 3 10.5;)..50 (11) (12) (13) '70~1.o"/O 3443.. iuD 13 Charitabie and Governmental BequestslSec 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) (14) - 3'-143., (.,0 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !7i i- ::l c.. :a: o u >< ~ 15. Amount of Line 14 taxable at the spousal lax -O~ rate, or transfers under See, 9116 (a)(1.2) x .0 (15) 16 Amount of line 14 taxable at lineal rate -O- x .0 (16) 17 Amount of Line 14 taxable at sibling rate -O- x 12 (17) 18 Amount of Line 14 taxable at collateral rate -O- x 15 (18) 19 Tax Due (19) -n- -0-- -0 - -0 -- -0- 200 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT "-'!~~n:~'r::~,~_~,_ ~:. , -,~:,... -.... I(;~",~..,", Decedimt's Complete Address: I STREET ADDRESS ;? q 5 P ill 'Z q 0 f' I ve l=--= I CITY t'b 0 I I i JJ9 Sf t i JJ J S Tax Payments and Credits: 1 Tax Due (Page 1 Line 19) 2 Credits/Payments, A Spousal Poverty Credit B. Prior Payments C, Discount I STATE PA I ZIP LIDO 7 (1) -0 Total Credlls (A + B + C ) (2) - 0 ~ 3 Interest/Penalty if applicable D.lnlerest E. Penally TolallnleresUPenalty ( D + E ) '+ If Lme 2 is greater than Line 1 + Line 3, enter the difference This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (3) - 0 - ----- (4) - 0 - ------- (5) - 0 - ------- (5A) - 0 - -------- (5B) - () - --....--. 5 if Line 1 + Line 3 IS greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the mterest on the tax due. B. Enler the total of Une 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ,~:;'&:r:';';.(:~"'-.'''' . PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS No ~ ~ ~ 'I5{J -g] .~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, Did decedent make a transfer and: 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. retam 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? ,. Did decedent own an "In trust for" or payable upon death bank account or security at his or her death? Did decedent own an Individual Retirement Account, annuity, or other non+probate property which contains a beneficiary designation? . Yes .............0 o ..........0 ......0 3 4 o o o ; "':]", p€'lalties of oerjury, I declare that I have examined this return, including accompanymg schedUles and statements, and to the best of my knowledge and belief, It IS true, correct and complete ~)8clardt'()~1 of p'eparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE pF P~RSDN RESPONSIBljfOR FlUNG RETURN (g) ~. t{. L'>'-.;,<.~k.L~ ADDRES~ .. 3 '10\ ~d SIGNATUR F P ESENTATIV~ DATE 3-<'(;- 03 C-c;t!/Jjc fA /70}3 . '~~'''l~~;':' "1::'i'~: " /IJ(3-c.,; C-lA,.., 10 (y 10..1 fl1 DATE - fj'-03 lioiD ADDRESS 3;l1 SG-co.vJ 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 PS 99116 (al (11) (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, 99116 (a) (1,1) (il) The statute does not exemot 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 the surviving spouse is the only beneficiary. For dales 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 paren or a stepparent of the child is 0% [72 P.S. 99116(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. 39116(1.2) [72 P.S. s9116(a){1)] The tax rate tmposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 39116(a)(1.3)]. A sibling is defined, under Section 9102. as a individual who has at least one parent In common with the decedent, whether by blood or adoption. '''''~";,.'''). COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Rnhc'7t SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY Du YI c.o;J FILE NUMBER E. include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Scheduie F. iTEM NUMBER 1. , <:tqs OOdgf 00/<.01-4 DESCRIPTION vI)Jif II3'7GG;23X35w'Qi07.15 VALUE AT DATE OF DEATH f/OOO~N ..).. Rd /c-S, SGC G.." s , It rt., t,.; S I4ff ilu {,jJt " ~(..S~. Su TOTAl (Also enter on line 5. Recapitulation) $ 3l.t:JE;;(, SO (If more space is needed, insert additional sheets of the same size) '''''''''.''"''~ ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF (Zo bC.-rt FILE NUMBER f [) U fIl. tiN' Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT FUNERAL EXPENSES: - A 1. HOf~l'1tiN' A~lt~ fW~'-rtl /-Ie"". JAt. '70~(P,j/) ~I q Nlit~ H'''c~v st, c..c,IJ J I r; I fA J l~i3 B ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representati.....e (s) Social Security Numbe~s) I EIN Number of Personal Representative{s) Street Address City State Zip Year(s) Commission Paid: 2 Attorney Fees 3 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees SO, cO 5 Accountant's Fees 6 Tax Return Pre parer's Fees /' - TOTAL (Also enter on line 9, Recapitulation) $ lo9~, 10 (If more space IS needed, Insert additional sheets of the same size) , i.!@ ['8',(8) p~~~~--" :BUI~IS_l~rl~~h~RI FREYSINGER PONTIAC, GMC, BUICK, MAZDA, HYUNDAI, INC. 6251 CARLISLE PIKE / MECHANICS BURG, PA 17055. TEL 717-766-8422 'i.' wno-m ~r n"'\~ cO'nCGrn: .. ;- l """,,.lid pio..c.c: t-hc ac:t-uo.\ c.aSh \/o..\Uc . of Mr. VU\'1cC\.q'5 iqq" Dod9G vO-l'<lfa u..t 1000,00 dL\G -t-o <,-xlrc",d'l c.''''CC.SSIVC t11iltaCjc "~ 1. "C:; ~l"-" lOG I/,\.nf i'O.GE>23X'3SW91071.5. ( \0:) ou.O~MC-1Gr \ <.J..D. ~ o n all. () \ ~ Lu....d.I--l.L sis. ""'<\1'. $;c57/ ~V...uCU?1- h'8'-7878 .6'/ue~ Oce;f 6~ bl)"-" {h/J~ A /' "L"" / I;(!~ ;If' L /1..~~7/~d ,;;L;L3 /8~'352. "-~/C /'~d;77Z'l1 /fd:t 7 - %98 _ ~~o / :..r:. ' . /J /7 / vE:#. 0'0 ~-e'r; / a~ .A-'J. LI\ /,CUC;(( er ~ 9.t7.. ~T &//475c,> ~r;""q?cJ.5;{" I~F :#cJ/,7~~ r5/ /%,7: 4..L/vcr ~8b_ 00 C v/1 ,so GilL- /4/./e. ~z* L~4k 4f'ie- ._ ~60,oO ,{'~/~tn-/Y7 870 cx~,re.ss /.7. 79 Sh<::>"'9v-J - ~<35',o~ /;lIcih~s .5'0 C>L !1i;J1%cK /!1u:z-;z.kLc>e;ckr - ~dO'oO "~/Ndre.5I;;, /300 /6/11;:/ I.?-. :lee. 0hc>76-</N ~ ~S-(),<?Q ~f;;l ~/J /l1/(:tC ;L:; 81.. A?fi~ >f' 75'00 .- ,I" r .b' uJ /,;; )if" D .#' 6t)/cY~;J Or;9h C~r-Jc/ ~ /ha::csscY7=S- ~SOo_~' THE OLO'E FISHING STATION HOOK, UNE & SINKER INC. ! 45 D Street Carlisle, PA 17013 !/)5c~c,/ ~e cYP AJ~ s 6rcnJy/?r //C~/7 i/b)./CQ >Jc::/vc~ 4.vt8 q/// &.9 C s.-) 61:;h~LL &,JpUcr~ ~7 S'Sd- 7;;;,20 t--0or /c-/C;6s-s _.# 7.5 ~ 6sA~rct.. --;;::/ft!' ##fCAfL?P ~c- ~4~~~ -~~C;C)O - . ~.r=- /<!'/.N7S. ""- ,,"/Y!/YiO?1:5 3FT X 3~ uf/ '"" Lf/1SES - -35':0<:> --0~c:o ffC??;? htJrAJ ''/ X~;1, ~ '/ ~~~ J as-c~) 3 /Jqrc/Gv,/J Gse::5 - 3-5<:-/::/" Go;.) ca..sc:.-~ ~t'o-e> U~,~. Hoffman-Roth Funeral Home, Inc.. 219 North Hanover Street Carlisle, PA 17013 (717)243-4511 December 20, 2002 Scott A. Duncan 923 Petersburg Rd. Carlisle, P A 17013- The Funeral Service for Robert E. Duncan 13894-227 We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. OUR SERVICE: Traditional Funeral Service Package . USE OF STAFF AND EQUIPMENT: (55 Miles Transported). . . . . FUNERAL HOME SERVICE CHARGES $3490.00 $80.00 $3570.00 SELECTED MERCHANDISE: SandhurstCasket. . . . . . . . . . . . . . . . . . . . . . Monticello Intennent Receptacle. . . . . . . . . . . . . . . . . THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THATYOUHAVESELECTED . . . . . . . . . . . . . $1675.00 $1030.00 $6275.00 Cash Advances Opening Grave. . . . . . Newspaper Obituary Notice. . Military Funeral - Honor Gurard Clergy Offering . . . . . Certified Copies of Death Certificates. Flowers FJagCase . . . . . . . . . TOTAL CASH ADVANCES AND SPECIAL CHARGES . $375.00 $93.60 $50.00 $75.00 $20.00 $132.50 $125.00 $871.10 Total Total Cost . $7146.10 TOTAL AMOUNT DUE $7146.10 To be credited when receive from Cumberland County VA 100.00 This statement is net and payable in full within 30 days of receipt. Total Amount Due $7046.10 ...------.-.------------------------------------------------------ Please return this portion with your Remittance $ Amount Enclosed Service 10 # 13894-227 Robert E. Duncan Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/10/2004 DUNCAN SCOTT A 923 PETERSBURG ROAD CARLISLE, PA 17013 RE: Estate of DUNCAN ROBERT E File Number: 2002-01120 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: 12/02/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~J. V "~ ~~~ d~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge vX Name of Decedent: STATUS REPORT UNDER RULE 6.12 ROecRT E. Oq~cAV Date of Death: 12 - .2 - 02. Will No.: ~\-Oa-\\ao Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration ofthe above-captioned estate: 1. State whether administration of the estate is complete: Yes 0 No 0 2. lfthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. lithe answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes t. No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and may be attached to this report. 0-.J ':"J ~~ 4'. c9-~ Signature S c& -,,- A r .o~ ,U ~ fl,v Name Date: I /~;Jd-D Y ~ '123 fEltiCS&t/c&- 124 Cf)fCLI:SlE, P4Jlol} Address 7/7-21<? -9878" Telephone No. Capacity: n Personal Renresentative o Counsel for .personal representative J