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HomeMy WebLinkAbout02-0603 ESTATE OF : COURT OF COMMON PLEAS BETTY J. RHINEHART : CUMBERLAND COUNTY : PENNSYLVANIA : ORPHAN'S DIVISION . . : GI\'IL TERM- NO: 02-0603 Oll.fH/tA/t'> (;-; PETITION FOR SETTLEMENT OF AN ESTATE UNDER $25.000 UNDER ~3531 OF THE PROBATE. ESTATES AND FIDUCIARIES CODE N c::;:> :08 0 c:;;:;> The Petition of Eric Hollinger, Executor of the above~led .c:- o Pi rrt C) C) , \}\ -q (") ('"') js :tJ :..::L .. '.--'\~ estate, respectfully represents:::~ ~ ~ N \--,1 fI - ~:() CJ ": en 7' (::-) 0 -::J (") f) ." '1"\-n 1. Decedent is Betty J. Rhinehart, who died January 24,r~@ ~ -' -", :;';0 '.....ITl '- ::::0 N S;o . ~ ... 1:) while a resident at 13 N. Baltimore Avenue, Mt. Holly springs, ~ -n Cumberland County, Pennsylvania; 2. Petitioner is Eric Hollinger, Executor of the Estate of Betty J. Rhinehart, having been appointed Executor by Will dated August 17, 1988, see attached; 3. Decedent died testate with letters testamentary being granted to Eric Hollinger on July 2, 2002 by the Deputy Register of Wills of and for Cumberland County, Pennsylvania with the advertisement of the grant of letters being on July 2, 2002; 4. The following persons are entitled to share in the decedent's estate under the Will or Intestate Laws; a. Eric Hollinger - Executor, Will LAW OFFICES OF b. Mary Kashner - deceased, October 11, 2002 STEPHEN J. HOGG 19 S, HANOVER STREET SUITE 10 1 CARLISLE, PA 17013 -~ c. Florence Kolsovsky d. Blanche Jacobs The above have not received or retained any property of the Decedent by payment of wages under 93101 of the Probate, Estates and Fiduciaries Code; 5. The Decedent's estate on her date of death was comprised of the following: TOTAL GROSS ASSETS $ 0.00 6. Disbursements made on the decedent's account prior to the filing of this petition include: EXPENSES AND DISBURSEMENTS GPU Energy $ 55.67 Comcast $ 17.88 Ray tel Cardiac Services $ 19.23 Sprint $ 66.80 Fingerhut $ 822.82 Literary Guild Select $ 50.57 AT&T $ 2.29 National Magazine Exchange $ 87.16 Carlisle Regional Medical Center $20,480.38 Penn Credit Corporation $ 1,233.89 Moffitt Heart & Vascular Group $ 65.61 Medicare Co-payments $ 62.70 LAW OFFICES OF STEPHEN J. HOGG M& T Bank $ -38.12 19 S, HANOVER STREET SUITE 101 CARLISLE, PA 17013 , ADMINISTRATIVE EXPENSES Hollinger Funeral Home $ 6,755.00 Attorney fees to Stephen J. Hogg, Esquire $ 500.00 Probate fees $ 42.00 Original Inventory and Inheritance Tax Return Filing Fee $ 25.00 Accountant Fee $ 52.00 Advertisement: Cumberland County Law Journal $ 75.00 The Sentinel $ 89.27 TOTAL EXPENSES AND DISBURSEMENTS $30,465.15 7. Pennsylvania Inheritance Tax Return was filed with the Cumberland County Register of Wills on September 3, 2002 with said return showing the estate was insolvent with no net value subject to inheritance tax; 8. Ten days written notice of intention to present this petition to the Cumberland County Orphan's Court has been given to every unpaid beneficiary, heir or claimant who has not joined in the petition or consented thereto; and 9. There is no net value to the estate available for distribution and therefore the Petitioner as the Execut?hO~ be discharged. /~ Date: ~bt!(jLf<;'i/(~~ " tephen J. Hg, squire Personal Repre ntative for the LAW OFFICES OF Estate of Betty J. Rhinehart, STEPHEN J. HOGG Eric Hollinger, Executor 19 s. HANOVER STREET SUITE 101 CARLISLE, PA 17013 BETTY J. RHINEHART I, Betty J. Rhinehart, of Cumberland County, Pennsylvania, declare this to be my last will and hereby revoke all prior wills and codicils. 1. I direct that all my just debts, funeral expenses, grave- marker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, success- ion and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my entire estate be distributed as follows: A. I leave my entire estate of whatever nature and where- ever situate to my husband, Ralph A. Rhinehart, should he survive me. B. Should my spouse predecease me, I then give all of my estate of whatever nature and wherever situate to, Eric Hollinger, of Mount Holly Springs, Pennsylvania. 4. I appoint my husband, Ralph A. Rhinehart, as Executror of this my last Will. If he should predecease me or cease to act in such capacity, I name Eric Hollinger. 5. The Executor of this Will shall have the power to dis- tribute my estate in kind or in cash, or partly in either. 6. I direct that no Executor acting under this Will shall be required to enter bond in any jurisdiction. . 1h of I~ loI-IEREllF. I have hereunto set my hand this 17 day , 1988. .~.1T~, ~q~o.^t Betty R nehart .. - LAW OFFICES OF STEPHEN J. HOGG 135 N. HANOVER ST. CARLISLE, PA 17013 /J-/}/2;7 , ~~--~'cy ~)( I The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and de- clared by Betty J. Rhinehart, as and for her last Will in the pres~ ence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. Jj~~iJl h ,""") _~<la~ C Cl/lA.~/l..--- r:~NAn . . LAW OFFICES OF iTEPHEN J. HOGG 35 N. HANOVER ST. :ARLlSLE, PA 17013 , " ~ ~ .' . Common~ealth of Pennsylvania ss County of Cumberland I, Betty J. Rhinehart, the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. ~ ~' 0,"'''''0 D.Q.:L- Betty J Rh ehart - . Sworn to or affirmed and ackno11edged b~re me by Betty J. Rhinehart, the testatrix, this /7 r. day f , 1988 STEPHEN J. HOGG, NOTARY PUBLIC My Commission Expires June 19, 1989 Carlisle PA Cumberland Count ,. · Notary P ~ AFFIDAVIT Commonwealth of Pennsylvania ss County of Cumberland We, c; if IZ.~ l-j) )). i?1"f9-t4 S and cSt,S Q r) CarlJey- I , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her Last Will; that the testatrix signed will- ingly and-executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Will as a witness; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue in- fluence. /i4~. ~1IWr L,(J..a'}<- ea.-u~ , LAW OFFICES OF Sworn to or aff~ed and sub :iTEPHEN J. HOGG witnesses, this I T day of : 35 N. HANOVER ST. [sTEPHEN D. MOGG, NOTARY PUBLI ;ARLlSLE, PA 17013 My Commission Elp.1res June 19, 1989 ~rJisle, PA ,umberland County Notary Publ. IN RE: : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF , BETTY J. RHINEHART : ORPHAN'S COURT DIVISION : NO. 2002-00603 NOTICE OF INTENT TO FILE A PETITION FOR SETTLEMENT OF SMALL ESTATE Please be advised that the Executor in the above captioned estate intends to file the attached petition to settle the above estate which is insolvent and has no net assets available for ." payment in any amount to any creditors. ,// '-~/ . ;.,'.' ".--? ,," ,..... .' j ~' " ,..,~/tz / .' . , ',. ,. ,. G-'/ z.,./ Date:///~~' elf /'< "' ,.' .'.-' . ' Stephen J,,,.1ipgg, EsqUire Personal Representative For Execu'tor for the Estate Of Betty J. Rhinehart LAW OFFICES OF STEPHEN J. HOGG 19S.HANOVERSTREET SUITE 101 CARLISLE, PA 17013 &..,c ~ 0 ESTATE OF : COURT OF COMMON PLEAS BETTY J. RHINEHART : CUMBERLAND COUNTY : PENNSYLVANIA : ORPHAN'S DIVISION : 'e1\'ll TeRM NO. 02 0&03 CJIlP~ c~ 02.-06'63 /).. ORDER AND NOW, this ~ day of ---1>l"'c/ -,Iou , 2004, Petition for Settlement of an Estate Under $25,000 under 93531 of the Probate, Estates and Fiduciaries Code regarding the above estate, is hereby granted. J. 121q.D~ ~1n.s-kP~J:Hv-ti0J Btl. v. ~RD'V I ~t1) fjJ A TTV. ,.' 't\jj'NIYJ ,.' (I \ \.l ~o \;d \.1 r() " N\1\-\d l.B\\\ ';:I. . 10 )\H31~ LAW OFFICES OF ~~ &"l 'J3Q ,,~\)'L STEPHEN J. HOGG Q~ ~9 19 S. HANOVER STREET "~ft1 SUITE 10 I . "', 'D\\',- j CARLISLE, PA 17013 S\\\i\:\.\'u W Jo.'?' 01'd !J j~\:HO G3Q'jO vb BUREAU OF INDIVIDUAL TAXES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~PT. Z8060l NOTICE OF I~HERITANCE TAX HARRISBURG, PA 171Z8-0~Ol .w APPRAISEMENT, 'ALLOWANCE OR DISALLOWANCE . . OF DEDUCTIONS AND ASSESSMENT OF TAX RE'-15047 EX AFP lI1-H) DATE 10-22-2002 ESTATE OF RHINEHART BETTY J DATE OF DEATH 01-24-2002 FILE NUMBER 21 02-0603 COUNTY CUMBERLAND STEPHEN J HOGG ESQ ACN 101 STE 101 I Amount R_i tted I 19 S HANOVER ST CARLISLE PA 17013 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=is'4-j-E3f-AFP--foY':oZY-NOYici--OF-YtiHEifiTANCE-YA')rXpPRXisii'-iNT~--ALioWAN-CE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RHINEHART BETTY J FILE NO. 21 02-0603 ACN 101 DATE 10-22-2002 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) U) .00 NOTE: To insure proper 2. Stocks and Bonds (Schedule B) (2) .00 credit to your account, 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 subMit the upper portion 4. Mortgages/Notes Receivable (Schedule D) (4) .00 of this forM with your 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) .00 tax paYMent. 6. Jointly Owned Property (Schedule F) (6) .00 7. Transfers (Schedule G) (7) .00 8. Total Assets (8) .00 APPROVED DEDUCTIONS AND EXEMPTIONS: 7,538.27 9. Funeral Expenses/AdM. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) UO) 22.926.88 11. Total Deductions (11) 30.465 15 12. Net Value of Tax Return (2) 30,465.15- 13. Charitable/GovernMental Bequests; Non-elected 9113 Trusts (Schedule J) (3) .00 14. Net Value of Estate Subject to Tax (4) 30,465.15- NOTE: I~ an assessment was issued previously, lines 14, IS and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. AMount of Line 14 at Spousal rate (15) .00 X 00 = .00 16. AMount of Line 14 taxable at Lineal/Class A rate (6) .00 X 045 = .00 17. AMount of Line 14 at Sibling rate (7) .00 X 12 = .00 18. AMount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00 19. Principal Tax Due (9)= .00 TAX CREDITS: ""''''''.Lr-. (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 ~ 1 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THYS FnRM I"nR TN~TD""TTnu~ , .' . INVENTORY Estate of Betty J. Rhinehart No.21 02 0603 also known as Date of Death 01/24/2002 , Deceased Social Security No. 177308412 Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: Stephen J. Hoqq, Esquire Eric L. Hollinqer I.D. No.: 36812 Address: 19 S. Hanover Street, Ste. 101 Dated Carlisle PA 17013 Telephone: 7172452698 Description Value Miscellaneous - Personal Property, furniture, clothing, etc. 0.00 (Given by the Executor to relatives) Total (Attach Additional Sheets if necessary) NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 PROOF OF PUBLICATION . State of Pennsylvania, County of Cumberland. Lori Saylor, Classified Advertising 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 dates, viz Copy of Notice of Publication NOTICE \, BETTY RHINEHART February 19 & 26, ?OO? & March ~, ?OO2 passed away January . 24,2002. All persons knowing them. selves to be indebted to Affiant further deposes that he is not interested in her Estate will make payment immediately, the subject matter of the aforesaid notice or and those having claims will present them for set- tlement to: advertisement, and that all allegations in the Eric L. Hollinger 501 North foregoing statement as to time, place and character Baltimore Avenue Mount Holly Springs, of publication are true. 0< to, P?" , Stephen J. Hogg, Es . ~.Y5{~AA- 19 S. Hanover Stre Ste.101 . # Carlisle, PA 17013 ..~ -"- -- March 6, 2002 Sworn to and subscribed before me this 6th day of March , 2002. ~~ 0 ~ Notary Public My commission expires: - NOTARIAL SEAL SHI~LEY 0, DURNIN, Notary Public CarlIsle Bora., Cumberiand County _ My Commission Expires Aug. 9. 2003 -J ~X f PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 STATE OF PENNSYLVANIA . . . ss. . COUNTY OF CUMBERLAND : Roger M. Morgenthal, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, VIZ: FEBRUARY 22, MARCH 1,8,2002 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. ~- Roger M. Morgenthal, Editor Rhinehart, Betty, dec'd. SWORN TO AND SUBSCRIBED before me this Late of Cumberland County. 8 day of MARCH. 2002 Executor: Eric L. Hollinger. 501 North Baltimore Avenue. Mount Holly Springs. PA 17065. At~orney: Stephen J. Hogg, Es- qwre, 19 S. Hanover Street. Ste. O~---"aJr$ .... 101, Carlisle. PA 17013. NO EAL lOtS E. SNYDER. Noi.arj Public Carfisle Bcro, Cumberland ~ My Commis8lcn Expires March 5, ". )t i;.Ol:;. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Bettv J. Rhinehart Date of Death: 1/24/2002 Will No. Admin. No. 02-0603 Pursuant to Rule 6. 12 of the Supreme Court Orphans I Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1 . State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans I Court No. (if any) for the personal representative I s account is: c. Did the personal representative state an account informally to the parties in interest? Yes No X d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attachcd to this re~:r % / "/~ Date: 1 /3/2005 , / Signature Es Name (Please type or print) 19 S. Hanover Street Carlisle PA 17013 Address ( 717 ) 2452698 Tel. No . Capacity : Personal Representative X Counsel for personal representative uJ . PROOF OF PUBLICATION . . , State of Pennsylvania, County of Cumberland. Lori Saylor, Classified Advertising 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 dates. viz Copy of Notice of Publication wmg\ BETTY RHINEHART FebrlJ::iry 1 Q &. ?6, ?OO? ~ M::irch 5, ?On? passed away January 24.2002. All peJSona knowing them- selves to be indebted to Affiant further deposes that he is not Interested In her Estate will make payment immediately, the subject matter of the aforesaid notice Or and those having claims wUI prelenttnem for set- Uemant 10; advertisement, and that all allegations In the Erie L. Hollnge' 501 North foregoing statement as to time, place and character Baltimore Avenue Mount Holly Springs, of pUblication are true. PA t7065~' or to: ~ St. J. HOfItI. & . ~"~~AA< 19. ~nover Stre 8t&. 101 ~ Carlisle. PA 17013 'A '- March 6, 2002 Sworn to and subscribed before me this 6th day of March , 2002. ~~O ~ Notary Public My commission expires: ~ NOTARIAL SEAL SHI~LEY 0, DURNIN, Notary PUblic Carlisle Bore" Cumberland Cou~ My Commission Expires Aug. 9. 2 3 ...J ~X 4- PETITION FOR PROBATE and GRANT OF LETTERS Estate of Betty J. Rhinehart No. 2.\-02-~3 also known as To: Register of Wills for the Deceased. County of Cum b e r 1 and in the Social Security No. 1 77 - 3 0 - 8 4 1 2 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who islare 18 years of aJle or older an the execut or named in the last will of the above decedent, dated Au q u s t 1 7 , , 19~ and COdiCil(~~~d j ~ p f) , f?l I<J.I f.A/~/-f/7IC:r CL/ 1":: CJ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cum b e r 1 and . County, Pennsylvania, with h er last family or principal residence at 13 N. Bal tlmore Avenue, Mt. Hollv Sprinqs, PA 17065 (list street, number and muncipality) Decendent, then 66 years of age, died J an u a r y 24 , 2002 , . Carlisle Regional Medical Center Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: ~.B{) (If domiciled in Pa.) All personal property $ VI (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: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters T P. S r 8 m P. n t 8 r y (testamentary; administration c.La.; administration d.b.D.c.La.) theron. ~ L- ~ 1t{,f- L L ol.I~' ~~ Eric L. Hollln~er ~a 501 North Baltlmore Avenue C'- i~ Mount Holly Springs, PA 17n65 U~ 30 1ii c '" <ii OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CUMBERLANO 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 represen. tative(s) of the above decedent petitioner(s) will well acyl ipiste~~ estate according to law. ''Om '" e' .m,m,' ." '""'"'''' ~ -. . before me thIS 1 st d y of ~ y 2 ~ . L- ~. t; Register ~ \'\ -,2 - 14 No. 2/- 02.- (oO~ Estate of Betty J. Rhinehart , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW July 2, 2 O~, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, lT IS DECREED that the instrument(s) dated Auqust 17 , 1988 described therein be admitted to probate and filed of record as the last will of Betty J. Rhinehart ; and Letters Testamentary are hereby granted to Eric L. Hollinqer Will Book # 17 Page 72 . FEES 25.00 Stephen J. Hoqq, Esquire 36812 Probate, Letters, Etc. ......... $ Short Certificates( ).......... $ 6.00 A ITORNEY (Sup. Ct. J.D. No.) 8eoaDJciII:ti<m .,r;;tJ:;a. pages; . .. $ h n n 19 S. Hanover St., Ste. 101 , Carlisle lCP $ 5.00 ADDRESS PA 17013 TOTAL _ $ 42.00 Filed .. ?:-k:?9P.~.... . . .. . . . ... . ... . . . . . (717) 245-2698 called atty 7-2-02 PHONE .........,.r - d f'-...) I ~.'J _..L --J "n~ .on~ ' cy q...,:r, . This is to certifY that the information here given is corrcctTy copied from an original certificate of death duly filed with me as Local Registrar.' The otiginal certificate will he fOlwardcd to the State Vital Records Offlce for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph, Fec for this certificate, $2.00 I"""uu"", ~ ~:c~~:g~s~t~'?f-U ~!I!" 1" OF ''''~I 1,I\l,I~,,\ PE,f,----..._ ,...~~ l~_~\ ~ .,.,.,::>'::; i~r!!LI~~ ~ t-3 ' .'- ,I ~ ~*'.' ""'~*~ \* ---...... - ~,i P 7913877 "';.c>: /~\\ JAN 27 2002 '-'-.r4r/lfENT\\\~,;"l' No, ~111"UU"u~"JIIIIII! Date ti105.1ol.3R..._ZC7 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH " ~W.'UHUIol'(~ " NAAlEOFOECfDENT(~...."'.,.,...L_1 ..' l"l.st:C\JlIIllTYNIJM8-ER , ., BETTY J. RHINEHART " FEMALE " 177 -30 -84 AOEtlN8otlI'<II'Il UNOER1YENI; Ut<<R1D1lr BlRTIlPIJoCE(Col\t_ PVCEOFOEAf.....:_frilrG'e-_~"""".,_ 66 .... 1 ~ ~l~ s..OIfOl"ll"COIHryj -"" ,., YORK CO. PA ,_r!l I!~_O :;::"'0 COUHTVOFPEAI"ti ~I CUMBERLANV CARLISLE CARLISLE REGIONAL MEDICAL CENTER k w OECEOENT'utuAI.. ,~"" ,., " '"' ~~~'f~\lt ~llENl'attluCAlOtt WAAfT"'l.IWUS.__ """""""'0'''' _(J~_~_ "'-~.WIo*MId. l~_.___ olW..............,' _0 _CI ......- HOUS (I.....!>.) w~doW<!.d . " " n, OECUll.tn.SItJllUliG~IS(SltHl.ColyIboon.SUIII.llpCOMl DECEDENT.' 17e.O_.~....... BaLUmoke Ave. ,,""'- "..Ill.. '" .. 13 N. I'\E91DEJfCE - ...- MM, .,/.!T. HOLLY SPRINGS, PA 17065 -- Cllmb€JlIJdYld - 17II.a~'::: .~, ......".....~1h-r:: MOTI1ER'SNAME lFir.,1d-."'rSur_1 1 aJ[ e-& Schmuck '" SMah G..t.n..t.tC. INFClMWa.SIWoIE(f~ 1Hf00w.HT'llMIUNO.t.DORESS lsw.t. Oryfbon. :sw.. Z'ipC<a! /olET1'IODOl'DlSPOSIT~ lOM.M_1ll ""....... o ..... c...- 0 "-'-_IIM'O ."""- ~ 0II0tr~ Hou~e Cern. ,.VORK SPRINGS, PA 17372 . . ....., E UCENSEE OA PERSOM IG1lNG AS SlJCM "'",.,.", F.H. 8 CREMATORY MT.HOLLY SPRINGS,PA170 5 ,.""...., A.u IW 15' (JI;"Cl .L- -7/!~/, .l- YMSCASE IIEFEAAEPlOldEDtCAL ElWIllNEWCOFlONER7 ..liil ",0 ., 27.""""~ E........._....;,ojuIiM..."""'llkat__.._I"..,..lh,Dono<......I"._ol<ly/rog.IUCII..""rdloc.."'......toty.II-.!..-...h..nllilulll ,~- ~. OlI1MIignilIcMl~.........lOdMt!o.bUl UIIIONt_.....on...,....., '-- .....-lngirl,..~_......loIl'MTl. f?e ...jJir 1:1..; I vvu... :--- , ~ CdI'O ., I OUflO!OAJoS"'CONSl:OUE: :t {-l:../........ , [: 6r>< 'hvu. , t? "'" lOR JoSACONSEOIJ[t<<::EOO{ 0r<K.w. . , ,pC-~/e(.. I "'" P\,o,s"-COHStOUEMCEti'): ~~ I WERE AU10PSY 1....011<<)1 MNlNEROFQEMH ORIOl'lNJURY TIMiOFlNJI./R'l' 1tU.I!l.Y'R'~1 DE.$CP.HlEt1CrH~OCC\JfIlAEtl. ....... ""'" '" [3"" lMonIh.Or,:'*"I co,e,...f:T1ONOiFCAUU - 0 "'......, - ",0 ..0 ...... 0 -- 0 ",0 ..0 0 o PLACE OF IHJUIIY.",,_.IIml._.'''''ary.omc. ., .... CooId""'"'*".....'_ r.;....c.ty(hn.sw.J ... ... a --- -, CPfr""'~""'<INO\ 1dI ;>'liP .C&lT"'-"OiI'MYSICI..."(P!I,-.catIIfIon9.....d""lh""..._~_ho.Il'~"".....onac~"-'231 a Yo..._.,...,.---.,.,dI.II>_......._.._UVMl.).....'".ft......IIM..,..... ................... .... ......... . DAfESlOHED{ManIrI.Or,:_1 'rl1ll. Il.IMeIMO.AIfI)CUI'T'"'ltGl'WfS1el"'H""'--'DoOI1"''''''''''-':'''O<IN'''anclC<r<l''-IO~lJIoeftll 031..11-11 "'3Y6~ 31 ..]Q.J.-J' Z,> 2dO 2. .,...._IOl"'W~8._1II_.llr.._....M._pl........,d...lO......IIMi.).....'".ft.......l....,.. ......... ......... ~MI!.o\HO...OORESSDFPERSONWHOr~OFO€AfM "IIEllCALUAMlHERlCOftONEA (llem2nT\1lCIIf....~.....J . I MJ) On 1tw.......,...ft\lNlkIn.II<II...lnn.II11.t!on. In "17 oplnlon.d..tll occu"fll.,t~ lime. d.l., end p1.<<, and "".10 th.C:ilUHf.,.1Id ~Q3;'\<. t:t rklrlt.l"fw. 1JN" 11I-..-"'................................................................................................... o u, Mf tf-tll S ~> , ;7Jt 31.. Flf:GISTRAA'S SlGHAl'URE J>HON . ~. 1~lla\,ol ~ u M, STATUS REPORT UNDER RULE 6,12 [JV oK Name of Decedent: Bettv J, Rhinehart Date of Death: 1/24/2002 Will No, Admin. No, 2002-00603 Pursuant to Rule 6. 12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: I. State whether administration of the estate is complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3, If the answer to No, 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X 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 No X d, Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the , Clerk of the Orphans' Court and may be attached to this report/' Date: 1/14/2004 Signature h n H ir Name (Please type or print) 19 S, Hanover Street, Ste, 101 Carlisle PA 17013 Address ( 717 ) 2452698 Tel.No, Capacity : Personal Representative X Counsel for personal representative " WILL OF BETTY J. RHINEHART 2.1-02- lDO.3 I, Betty J. Rhinehart, of Cumberland County, Pennsylvania, declare this to be my last will and hereby revoke all prior wills and codicils. 1. I direct that all my just debts, funeral expenses, grave- marker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct that all inheritance, estate, transfer, success- ion and death taxes of any kind whatsoever which may be payable by reason of my death shall be paid out of my residuary estate. 3. I direct that my entire estate be distributed as follows: A. I leave my entire estate of whatever nature and where- ever situate to my husband, Ralph A. Rhinehart, should he survive me. B. Should my spouse predecease me, I then give all of my estate of whatever nature and wherever situate to, Eric Hollinger, of Mount Holly Springs, Pennsylvania. 4. I appoint my husband, Ralph A. Rhinehart, as Executror of this my last Will. If he should predecease me or cease to act in such capacity, I name Eric Hollinger. 5. The Executor of this Will shall have the power to dis- tribute my estate in kind or in cash, or partly in either. 6. I direct that no Executor acting under this Will shall be required to enter bond in any jurisdiction. of Iy "'rnEOF. I"''' h.,,"o'" w' ., ",,"d 'hi, (7 '" do, , 1988. ,~.1T~' ~p~nJ; Betty R nehart LAW OFFices OF STEPHEN J. HOGG 135 N, HANOVER ST CARLISLE. PA 17013 iJ- !;}(Z. ~-'--"" <::s;'c.- . " The preceding instrument consisting of this and one other page was on the day and date hereof signed, published and de- clared by Betty J. Rhinehart, as and for her last Will in the pres- ence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. \ /! '0. -, _ ~4a4~ Cd/U..."L--- D t Ci<I n,w., . / \...iJ.J_;;U' LAW OFFICES OF STEPHEN J. HOGG 135 N, HANOVER ST, CARLISLE. PA 17013 . . ACKNOWLEDGMENT Commonwealth of Pennsylvania ss County of Cumberland I, Betty J. Rhinehart, the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. ~ ~' R$;N\Q ~QhL- Betty J. Rh ehart - Sworn to or affirmed and ackno~ledged be Rhinehart, the testatrix, this 17 y-; day f lSTEPHEN ]. HOGG, NOTI\RY PUBLIC My Commission Expires June 19, 1989 Carlisle PA Cumberland Count , Notary P AFFIDAVIT Commonwealth of Pennsylvania ss County of Cumberland " )), IC,</>Mf<> cS ,;,$ ti I") eCl rUU- We, ()t!e~"i> and , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her Last Will; that the testatrix signed will- ingly and-executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the Will as a witness; and that to the best of our knowledge the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue in- fluence. : ') x:l:~~?C ' i '1;~ ./ 6'a--u"/L- , / =-IW~' ,/...6.c'I>Lu.r' LAW OFFICES OF Sworn to or af~med and STEPHEN J. HOGG witnesses, this /7 day of 135 N, HANOVER ST. :STEPHEN ~. liOGG. NOTARY PU8L:'" CARLISLE, PA 17013 My Commission Exp.ires June 19, 1':189 ,Carlisle, p.A ~umberla:1d County Notary Publ' CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Betty J. Rhinehart Date of Death: January 24, 2002 Will No. Admin. No. Od- 603 To the Register: I certify that notice of (beneficial interest) estate administration required hy Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 07/17/07 N= Address Eric L. Hollin'ger 501'North Baltimore Avenue, Mount Holly Springs, PA 17065 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Dale: 07/17/02 Signature Name Stephen J. Hogg, Esquire Address 1 9 S. Hanover Street, Ste. 101 ," Carlisle: PA 17013 Telephone a 1 J 245-2698 ~-_. "- Capacity: _ Personal Representative -.....' ? -' ~Counsel for personal representative ...'-.... REV:1500EX.+,(6-00) REV 1500 OFFICiAl USE ONLY <!... . COMMONWEALTH OF _ PENNSYLVANIA j 7- '7 ~ - J t.{ DEPART~:~; ~~1VENUE INHERITANCE TAX RETURN FILE NUMBER--- ----- HARRISBURG, PA 17128-0601 RESIDENT DECEDENT c~c~oe --!L_L JL..2.. ",~,,"l_ DECEDENTS NAME (LAST. FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER I- , Z Rhinehart Be J, 1 7 7 - 3 0 - 8 4 1 2 ~ DATE OF DEATH (MM-DD'YeI<) DATE OF BIRTH (MM,DD-YeI<) THIS RETURN MUST BE FilED IN DUPUCATE WITH THE ~ 01/24/2002 01/23/1935 REGISTER OF WILLS ~ (IF APPLICABLE) SURVMNG SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER - - t!:! [&] 1.0riginatRetum D2.sUPPlementalRetum 0 3. Remainder Retum (dateofdealllpoor\o12-13-82) ~~~ o 4. limited Estate o 4a. Future Interest Compromise {dale ofdealh after 12-12-82) o 5. Federal Estate Tax Retum Required "00 G f~ 0 6. Decedent Died Testate {AtIactl copy of Will) 0 7. Decedent Maintained a Living Trust (Atla::h lXlpy of Trust) _ 8. Total Number of Safe Deposit Boxes .. c o 9. Litigation Proceeds Received o 10. Spousal Poverty Credit (dateofdeath betweell 12-31.91 and 1.1-951 D 11. Election to tax under Sec. 9113(A) (Atla::h Sch 0) I- THIS SECTION MUST BE COMPLETED. ALL CORRESPONOENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ill NAME COMPLETE MAILING ADDRESS !i! Ste hen J, Ho Es 19 S, Hanover Street, ~ FIRM NAME (0 Appl;cab") ., II! Suite 101 ~ TELEPHONE NUMBER o 717 245.2698 Carlisle PA 17013 I' --~_.-~ '---" 1. Real Es1ate (Schedule A) (1) _ I OFFICIAL USE ONLY I 2, Stocks and Bonds (Schedule B) (2) - 3, CIose~ Held Cofporalion, Partnerahip or SoIe-Proprielor.lhlp (3) 4, Mortgages & Notes Receivable (Schedule D) (4) , 5, Cash, Bank Deposilll & MOcellaneous Pel5Ol1al Property (5) ..: (ScI1edule E) Z o 6, JoinUy Owned Property (Schedule F) (6) :s D Separate Billing Requested :J 7, Inter-Vivos Transfara & Misce1laneous Non-Probate Property (7) ______ __ I- (Schedule G or L) iL c( 8, Total Gross Assets (Iotal Lines 1-7) (8) U W 9, Funeral Expenses & Administrative CosIs (ScI1edule H) (9) 7.538.27 IX 10, Oebls 01 Decedenl, Mortgage Liabilities, & Liens (Schedule I) (10) 22,926,88 11. TotaIDeductions(toIaILlnes9& 10) (11) 30,465,15 12, Ne\Value 01 Estate (Line 8 minus Line 11) (12) -30,465,15 13, Chari1able and Govemmenlal Bequests/See 9113 Trusls lor whicl1 an election to lax has not been (13) made (Schedule J) 14, Net Value Subject to Tax (Line 12 minus Line 13) (14) -30,465,15 SEE INSTRUCTiONS ON REVERSE SIDE FOR APPLICABLE RATES Z 15. Amount of line 14 taxable at the spousal tax Q rate, orlransferaunderSec, 9116 (a)(1.2) X ,0_ (15) I- ~ 16, Amount of Line 14 taxable at lineal rate X ,0_ (16) :J ~ 17,AmountofLlne 14laxableatsibling rate X ,12 (17) 8 18,AmountolLlne 14 Iaxable at collateral rate X ,15 (18) ~ 19, Tax Due (19) 0,00 I- 20, D CHECK HERE IF YOU ARE RcOUE51,i.G A REFUND OF AN OVERP,WMENT Decedent's ComDlete Address: - , . STREET ADDRESS 13 N. Baltimore Avenue C11Y I STATE I ZIP Mt Hollv Sprinas PA 17065 Tax Payments and Credits: 1- Tax Due (Page 1 Une 19) (1) 0,00 2, CreditslPayments A Spousal Poverty Credit 8. Prior Payments C, Discount Totai Credos (A + B +C) (2) 3, InternstlPenaity if applicable 0, interest E. Penalty T olal interesUPenalty ( 0 + E ) (3) 4, If Une 2 is greater than Une 1 + Une 3, enter the difference, This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a relund (4) S, If Line 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. (S) A. Enter the interest on the tax due, (5A) 0,00 B, Enter the total of Line S + 5A This is the BALANCE DUE. (S8) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN .X" IN THE APPROPRIATE BLOCKS 1, Did decedent make a transfer and: Yes No a, retain the use or income of the property transferred; """,,,,,,,,,,,,,,,,,,,mm,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,m,,,,""'" 0 00 b, retain the rtght to designate who shatl use the property transferred or its income; mm,m"""""'''' ","'"'''''''' 0 00 c, retain a reversionary interest: or """m""""",,,,,,,,,,,,,,,,,,,,mm,,,,,,,,,,,,,,,,,,,,,,,,,,m,,,,m""""""'"'''''' 0 00 d, receive the promise for life of either payments, benefits or care? ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,m,""""'''''' 0 00 2, If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?""""""" """"""."""""""",..""",.. ,..",.".'"""""...'"""" """ 0 00 3. Did decedent own an 'in trust fo~ or payable upon death bank account or securtty at his or her death? """",."..'" 0 00 4, Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? """",.... ..m"''''.'"""",.'..'"""'..,,, ..""""",.".'..'.'",,,, "......",,,,,,,,,,,, 0 00 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I dec\a"e that I have exanined this return, inclucIi!!'l ~ying schedules lIld stalemenl$, Md to the best of my knowledge ald belief, it is true, correct Ifti complete. lJec:knIion of prepnr oIher than the persona representative is based on all information of which prep;ret has a1Y knowIecIge. SIGNATURE OF ~~N RESPONSI LE FOR FILING RETURN OAT . .L. DO ADDRESS 501 North Baltimore Avenue Moun 0 n s PA SIGNATURE OF PR EPRESENTATIVE ADDRESS PA 17013 For dates 01 death on or after July I, 1994 and before January I, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S, ~9116 (a) (1.1) (i)I, For dates of death on or after January 1, 1995, the tax rate imposed on the net value of translers to or for the use of the surviving spouse is 0% [72 P,S, ~9116 (a) (1,1) (ii)]. 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 retum are still applicable even ff the surviving spouse 15 the oniy beneficiary, For dates of death on or after Juiy I, 2000: The lax rate imposed on the net value of transfers lrom a deceased child twenty-one years of age or younger at death to or lor the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P,S, ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is4,S%, except as noted in 72 P,S, ~9116(1.2) [72 P,S, ~9116(a)(I)l, The tax rate imoosed on the net value of transfers to or for the use of the decedent's siblinos is 12% 172 P,S, 691 161all1 ,3\1. A siblina is defined. under Section 9102, as an ,:",;'''''EX,o.n* SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Rhinehart Bettv J 21 02 0603 Indude the proceeds of litigation and the date the proceeds were received by the esIale, AH property jolnUy-owned _ the right ofsurvlvorship must be disc10sed on Schedule F. ITEM VALUE AT OATE NUMBER DESCRIPTION OF DEATH 1- Miscellaneous - Personal Property, furniture, clothing, etc, 0,00 TOTAL (AlsD enter on line 5, Recapitulation) $ "'i""",.,;"'o,* SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Rhinehart Betty J 21 02 0603 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hollinger Funeral Home & Crematory, Inc, 6,755,00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (5) Eric L HollinQer Social Secu<ity Numbe~s) I EIN Number of Personal Representative(s) StreetAdd<ess 501 North Baltimore Avenue City Mt Holly SprinQS State PA Zip 17056 Year{s) Commission Paid: 2, Attorney Fees 500.00 3, Family Exemption: (If decedenfs address ;s not the same as daimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4, Probate Fees 42,00 5, Accountants Fees 52,00 6, Tax Return Preparer's Fees 7, Advertising: Cumberland County Law Journal 75,00 The Sentinel 89,27 8, Inventory and Tax Return 25,00 TOTAL (Also enter on line 9, Recapitulation) $ 7 538.27 """"EX.~.n. SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Rhinehart Bettv J 21 02 0603 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. GPU Energy 55,67 Final Bill 2, Comcast 17,88 Final Bill 3, Raytel Cardiac Services - Medicare Co-payment 19,23 4, Sprint 66,80 Final Bill 5, Fingerhut 822,82 Final Bill 6, Literary Guild Select 50,57 Final Notice 7. AT&T 2.29 Final Bill 8. National Magazine Exchange 87,16 9, Carlisle Regional Medical Center 20,480,38 10, Penn Credit Corporation 1.233,89 11, Moffitt Heart & Vascular Group - Medicare Co-payment 65.61 12, Remaining Medicare Co-payments: 62,70 Dr. Franke - $1,74; Carlisle Imaging Associates - $26.47; Three Springs Family Practice- $34.49 13, M&T Bank Checking Account# 2670050604 .38,12 TOTAL (Also enter on line 10, Recap~ulation) $ 22 926,88 (n more space is needed, Insert add~ional sheets of the same size) ----- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA STATUS REPORT UNDER RULE 6.12 Name of Decedent: Catherine D. Kaspary. Date of Death: July 14, 2003 Will No, 21-03-0603 Admin. No. 2003-00603 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1, State whether administration of the estate is complete: Yes _ No 1L 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: October 31,2005, after division oftangible personalty has been completed, which has been delayed by death of a beneficiary. 3. If the answer to No, 1 is Yes, state the following: a, Did the personal representative file a final account with the Court? Yes_; No - 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 lL No d, Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: I! 7/ 0 ~ omas E. Flower, Esquire J.D. No. 83993 SAIDIS, SHUFF, FLOWER & LINDSAY 2109 Market Street Camp Hill, PA 17011 (717) 737-3405 Capacity: _ Personal Representative .-L Counsel for Personal Representative cJ