HomeMy WebLinkAbout05-21-13 Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF ��, � COUNTY, PENNSYLVANIA
Name of Decedent: � / JOl✓1 e ��"t/�✓1
Date of Death: —10—ao File Number:_ — Z/——.0 r70,5-
Pursuant to Pa. O.C. Rule 6.12, 1 report the following with respect to completion of the administration of
the above-captioned estate:
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1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . . Yes No
1 If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No. I is YES, state the following: //
a:, 'Did the personal representative file a final account with the Court? . . . . . . . ❑Yes 93No
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . leYcs ❑No
d. Copies of receipts,releases,joinders and approvals of formal or informal accounts maybe
filed with tffh}}e Clerk of the Orphans' Court and may be attacheed�to this report:
Date ii
Signature of Person Filing This Form
^� Cap ity: Personal Representative OCounsel
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Name of Person Filing this Form
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Form RSV--10 rev.10.13.06 r
` COMMONWEALTH OF PENNSYLVANIA REV-1 162 EX{11-38}
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES -
OEPT,280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014738
DIVEN RUSSELL T
128 CURVIN DRIVE
HARRISBURG, PA 17112
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------ Iola
--------- --------
101 $10,000.00
ESTATE INFORMATION: SSN: 196-22-3362
FILE NUMBER: 2111 -0705
DECEDENT NAME: DIVEN BETTY JANE
DATE OF PAYMENT: 07/20/2011
POSTMARK DATE: 07/20/2011
COUNTY: CUMBERLAND
DATE OF DEATH: 06/10/2011
TOTAL AMOUNT PAID: $10,000.00
REMARKS:
CHECK# 1006
INITIALS: HMW
SEAL, RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
t
' COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT,280601
HARRIS8URG,PA 17128-0801
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 015649
DIVEN RUSSELL T
128 CURVIN DRIVE
HARRISBURG, PA 17112
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- rola
101 J $212.66
i
ESTATE INFORMATION: SSN: 195-22-3362 J
FILE NUMBER: 2111-0705 J
DECEDENT NAME: DIVEN BETTY JANE J
DATE OF PAYMENT: 03/02/2012 J
POSTMARK DATE: 03/02/2012 J
COUNTY: CUMBERLAND
DATE OF DEATH: 06/10/2011
J
TOTAL AMOUNT PAID: $212.66
REMARKS:
CHECK# 1015
INITIALS: HEA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
i
• NOTICE OF INHERITANCE TAX pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP C12-11)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 02-28-2012
ESTATE OF DIVEN - BETTY J
DATE OF DEATH 06-10-2011
FILE NUMBER 21 11-0705
COUNTY CUMBERLAND
RUSSELL T" DIVEN ACN 101
128 CURVIN DR - APPEAL DATE: 04-28-2012
HARRISBURG PA 17112-2930 (See reverse side under Objections)
Amount Remitted ,
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
REV-"1547 EX AFP (12-11) NOTICE "OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANUE: OF "DEDUCTIONS AND-ASSESSMENT-OF--TAX
ESTATE OF: DIVEN - BETTY JFILE NO. :21 11-0705 ACN: 101 DATE: 02-28-2012
TAX RETURN WAS: C X) ACCEPTED AS FILED C ] CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) C1) 117,758.00 NOTE: To ensure proper
2. Stocks and Bonds CSChe tlule B) (2) 6,298.30 credit to your account,
submit the upper portion
3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 of this form with your
4. Mortgages/Notes Receivable (Schedule D). C4) •00 tax payment.
5. Cash/Bank Deposits/Mist. Personal Property (Schedule E) C51 4,317.33
6. Jointly Owned Property (Schedule F) (6) 41,041 .12
7. Transfers (Schedule G) C7) 79,749.69
8. Total Assets (8) 249,164.44
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (9) 9.218.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) CIO) 1 .303.98
11. Total Deductions (11) 10,521.98
12. Net Value of Tax Return (12) 238,642.46
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 238,642.36
NOTE: 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:
15. Amount of Line 14 at Spousal rate C15) .00 X 00 = .00
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 238.662.36 X 045 = 10,738.91
17. Amount of Line 14 at Sibling rate (17) -nn X 12 .00
18. Amount of Line 14 taxable at Collateral/Class B rate CIS) .00 X 15 = . 00
19. Principal Tax Due C19)= 10,738.91
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
07-20-2011 CDO14738 526.32 10,000.00
INTEREST IS CHARGED THROUGH 03-14-2012 TOTAL- TAX PAYMENT 10,526.32
AT THE RATES APPLICABLE AS OUTLINED ON THE 1BALANCE OF TAX DUE 212.59
REVERSE SIDE OF THIS FORM JINTEREST- AND PEN. .07
TOTAL DUE 212.66
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADD&IONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
1
pennsylvania I&
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1607 EX AFP (12-11)
PO BOX 280601 STATEMENT OF ACCOUNT
HARRISBURG PA 17128-0601
DATE 04-02-2012
ESTATE OF DIVEN BETTY J
DATE OF DEATH 06-10-2011
FILE NUMBER 21 11-0705
COUNTY CUMBERLAND
RUSSELL T DIVEN ACH 101
128 CURVIN DR
HARRISBURG PA 17112-2930 Amount Remittetl
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS +—
' REV-1b07-7EX AFP 11 ; INHERITANCE TAX STATEMENT OF ACCOUNT *;;
ESTATE OF:DIVEN BETTY J FILE NO. : 21 11-0705 ACH: 101 DATE: 04-02-2012
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-21-2012
PRINCIPAL TAX DUE: 10,738.91
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-20-2011 CDO14738 526.32 10,000.00
03-02-2012 CDO15649 .00 212.66
TOTAL TAX PAYMENT 10,738.98
BALANCE OF TAX DUE .07CR
INTEREST AND PEN. .00
TOTAL DUE
.07CR
IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
l
S S
FAMILY SETTLEMENT AGREEMENT
Betty J. Diven Estate
We,the Beneficiaries of Betty J. Diven have been informed of the administration and final settlement of
the Estate as witnessed below. We agree with the distribution of assets and release the Executor, Russell
T. Diven, from any personal liability. Should any debts or liabilities surface after distribution of assets,
each beneficiary or their heirs,will return sufficient share to cover said debts or liabilities.
sell T. Diven Executor Notary ?tc
Scott A. Diven Notary-(4^mtsspo.
'-----Debra D. Bowman Nofary
g2WjQME
NOTARIALSEAL
LINDASAWYER,Notary Public
Camp HV16M,CWftMnd GW*
[MY CWMftS1M EONFebrtM12,2 MS
File 21-11-0705
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH
OCumberland County - Orphans Court Receipt Date :
arlislrthouse17�13r3387 9/13/2011
Receipt Time : 10 :47 : 32
Receipt No. : 1046675
DIVEN BETTY JANE
File Number:
2011-00705 _
Paid By Remarks : RUSSELL DIVEN
HMW
---------- ------ ---
Receipt Distribution
Fee/Tax Description Payment Amount
FAMILY SETTL AGREE Payee Name
Check# 1013 ----------------
CUMBERLAND COUNTY GENERAL FUN
Total Received. . . . . . . , $20 . 00
$20 . 00