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HomeMy WebLinkAbout04-1118 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Myra L. Yingling No. ~ [ - 0 q -- / ]1 ~ also known as To: Register of Wills for the , Deceased County of Cumberland in the SocialSecurityNo. 204-30-9242 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older and the execut rix named in the last will of the above decedent, dated November 18, 1990 and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland CounW, Pennsylvania, w_i~h hO.~-~ l~s~f~am~ilY~~p~resilis~t~~.m~u~ni~c~i,allty)~. _ '-~ .~__.~e Decede~, then, ~,9 ~ years ofa~e, died ~5 ~v','~. [,-~--%r- ~1 Except as follows, de&dent did not m~, was not divorced ~d did no} ha; 2 hil bom o~ adopted after execution of the will offered for probate; w~ not the vict~ ofa kill~g and was never adjudicated incompetent: Decedent at death omed prope~ with estimated values as follows: (If domiciled in Pa.) All personal prope~ $ 40,000.00 (If not domiciled in Pa.) Personal prope~ in Pe~sylv~ia $ (If not domiciled ~ Pa.) Personal prope~ in Co~ $ Value of real estate in Pe~sylv~ia $ 70,000.00 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 testamentary thereon. (testamentmy; administration c.t.a.; administration d.b.n.c.t.a.) ~ _. Shippensbur,q PA 17257 ~ Doris Dunmire .., 1 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland SS The petitioner(s) above-named swear(s) or affu'm(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 anti_truly administer the estate according to law. Sworn to or affirmed and subscribed before me this ~ ~ day of Estate of Myra L. Yinfllinq , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before m. e, ~, IT IS DECREED that the instrument(s)dated ! / / / t~5/ described therein be admitted to probate and filed &record as thb last will of Myra L. Yinqlinq and Letters 'T ~ ~x;",~ ~ ~ are hereby granted to '~.-~"~ C~ --C (' ~- ~) ~{,3 b.) ~ i f ~ Register of Wills ~ ' FEES H. ^nthony Adams Probate, Letters, Etc ......... $ 25502 Short Certificates ( ) ...... $ ATTORNEY (Sup. Ct. I.D. No.) Renunciation ............ $ 49 W. Orange Street, Suite 3 Shippensburq PA 17257 $ ADDRESS TOTAL ~ $ 717-532-3270 Filed ........................ PHONE his is to certify that the information here given is correctly copied frown an original certificate of death duly filed with me as l.ocal Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~ Date H105.143 Rev. ~8i COMMONWEALTH OF PENNSYLVANIA ' DEPARTMENT OF HEALTH · ~TAL RECORDS ':~' CERTIFICATE OF D~TH IN NAME OF DECEDENT (Fi~. M~dle. Last) x : ~ SEX ~ SOC~L SECURI~ NUMBER [ DATE OF D~TH Mon~. Day. Ye~) a~CK,,K ~. Nyra h. Y~ngling ~: "' =~ema[e la. 204 _ 30 _ 9242 4. ~ovember 26, 2004 65 ~=. 2/7/39 ~. ' I ......~ [~.~...,~ .~ Daup~n L De~y T~. M S Hershey Medmal Center P~gram Administrator ~b. Health ~3. [~) 12 {~aor~.) 6 Divorced 9 South Fayette Street Shippensburg, PA 17257 ~ ~ions Cumberland ~. o erase) ~b. Coun~ ~s~p? ~;~.~ ~.~n~ Shippensburg ~a. Shannon A. Hedge ~,. Grace B. Everhart ~0.. Doris M. Dunmire ~. 28 Wyrick Avenue, Shippensburg, PA 17257 ~ izod. Smithsburg CrematoryIZOd. Smithsburg, MD ~ 23,. 23b. 123~. ~use. Enter UNDERLYING ,~ WERE AUTOPSY FINDINGS ~ ~NER OF D~TH~ ~ DATE OF INJURY, TIME OF INJURYI INJURY AT WORK? DESCRIBE HOW 'N JURY OCCURRED'(street. C~n. S~te) Yes ~No ~ Yes ~ No Suicide~ Could not be detain. ,P~CE OF INJURY-At home. farm. ~t ,a~ .~ LOCATION ~ ~ ..... FlEA (C~ck on~ one) SIGNATURE ~y~LE OF~ CERTIFIER ~ To,....,.m...ow,...,.... ..... ..u.,o,. ....... ,... ......... ..~ ............................................................... O ~ENSE NUMBER DATE SIGNED (~lh. Da~. Year) ~ m..~r.m~.d ....................................................................................................................................................... ~ ~.S. Hcmhey Medical Center Hcmhcy, PA 17033 REGIS~R'SSIGNA. REANDNUMBER. / / ~ / /// q ,~( t t_~ OATEFiLEO,M.th, Da,.~ear)~W . . LAST WILL AND TESTAMENT OF ~YRA L. YINGLING I, MYRA L. YINGLING, Social Security Number 204-30-9242, of the .state of Pennsylvania, declare that this is my LAST WILL AND TESTAMENT and I revoke all other wills and codicils previously made by me. FIRST: I appoint DORIS DUNMIRE as my Personal Representative concerning this Will. If DORIS DUNMIRE is unable or fails to serve, I then appoint BARBARA THOMPSON to serve as my Personal Representative. a. I request that my Personal Representative be permitted to serve without bond or surety thereon and without the intervention of .any court, except as required by law. I direct that my Personal Representative act in unsupervised administration so as to administer :my estate with a minimum of court supervision. If it becomes necessary to have ancillary administration of my estate in any jurisdiction where imy Personal Representative is unable or does not desire to qualify as .ancillary legal representative, I appoint as such ancillary legal :representative such individual or corporation as my Personal Representative shall designate, in writing. b. I direct my Personal Representative to pay the expenses .of my last illness, the expenses of a funeral appropriate to my station in life and custom of living (including a suitable monument or marker for my grave), and written charitable pledges which I have made. I grant my Personal Representative the power to extend or renew any debt for such time as my Personal Representative shall deem appropriate. c. All estate, inheritance, succession and other death taxes 'with respect to all property passing under this my Will shall be paid from and borne by the principal of my residuary estate, without regard to reimbursement, as if such taxes were administration expenses. My Personal Representative may pay such taxes at any time deemed advisable, whether or not then due and payable. d. My Personal Representative is requested to settle my estate as soon after my death as may be practicable, and to pay or .deliver every legacy or bequest to my beneficiaries without waiting any time that may be believed to be customary in probate matters. _ _ OF FOUR PAGES e. I have served in the Armed Forces of the United States. Therefore, I direct my Personal Representative to consult with a Legal Assistance Attorney at the nearest military installation and with the Department of Veterans Affairs and the Social Security Administration to ascertain if there are any benefits to which my family members are entitled by virtue of my military service. SECOND: I give, devise and bequeath, absolutely and forever, all of my estate and property of which I may be seized or possessed, or to which I may be entitled, at the time of my death, wherever situated or of whatever nature, be it real, personal, or mixed, to DORIS DUNMIRE as ]her sole and absolute property if she shall survive me. THIRD: In the event that all previously named takers under this will shall not survive me, I give, devise and bequeath, absolutely and forever, all of my estate and property of which I may be seized or possessed, or to which I may be entitled, at the time of my death, ,~herever situated or of whatever nature, be it real, personal, or mixed, to BARBARA THOMPSON as her sole and absolute property if she ~hall survive me. FOURTH: Except as otherwise provided in this Will, I have intentionally failed to provide for any other relatives or other persons, whether claiming to be an heir of mine or not. Insofar as I ihave failed to provide in this Will for any of my issue now living or later born or adopted, such failure is intentional and not occasioned 'by accident or mistake. FIFTH: Any beneficiary who fails to survive me by one hundred and twenty (120) hours shall be deemed to have predeceased me, and the gift to that beneficiary shall be disposed of accordingly. SIXTH: Definitions: a. The term "children" as used in this Will includes adopted .and afterborn persons. The term "childrenu as used in this will shall also include step-children, the natural born or adopted children of a person's spouse. A relationship by or through legal adoption shall be treated the same as a relationship by or through blood for purpose of succession to property under this Will. b. The term "descendants" as used in this Will means the immediate and remote lawful, lineal descendants by blood or adoption of the person referred to who are in being at the time they must be ascertained in order to give effect to the reference to them. c. The term "issue" as used in this Will means all persons who are descended from the person referred to either by legitimate birth to or legal adoption by that person, or any of that descendant's legitimately born or legally adopted descendants. ._ _ OF FOUR PAGES c. The term missueU as used in this Will means all persons who are descended from the person referred to either by legitimate birth to or legal adoption by that person, or any of that descendant's legitimately born or legally adopted descendants. d. The term "Personal Representative" as used in this Will means Executor, Executrix, Independent Executor, or any other title of like import which is used to describe such a fiduciary. e. The term "per stirpes" as used in this Will means that whenever a distribution is to be made to the descendants of any person, %he property to be distributed shall be divided into as many shares as %here are (1) living children of the person, and (2) deceased children, who left descendants who are then living, of the person. Each living child (if any) shall take one share and the share of each deceased child shall be divided among his then living descendants in the same manner . SEVENTH: In addition to any powers granted by the laws of the state in which this Will is probated, I hereby authorize and empower ~;he fiduciaries named in this Will, to the extent of the discretion herein granted, to sell, exchange, convey, transfer, assign, mortgage, pledge, lease or rent the whole or any part of my real or personal estate, to invest, reinvest, or retain investments of my estate, to perform all acts and to execute all documents which my fiduciaries may deem necessary or proper in regard to my property. If any of my fiduciaries elect to receive compensation for services, such compensation will be that allowed by law. EIGHTH: If any part of this Will shall be invalid, illegal, :inoperative for any reason, it is my intention that the remaining parts, so far as possible and reasonable, shall be effective and fully operative. My Personal Representative may seek and obtain court instructions for the purpose of carrying out as nearly as may be possible the intention of this Will as shown by the terms hereof, including any terms held invalid, illegal, or inoperative. 2IN WITNESS WHEREOF, I have at ;~*/~~---- ~/~./F~z-~,~7'~z-, this /_/~_~ day of X~/_A~-~_~3f_~_,~L ..... 19_~_~___ set my hand and seal to this my LAST WILL AND TESTAMENT, consisting of FOUR typewritten pages, each page bearing my handwritten signature. OF FOUR PAGES The foregoing instrument was, at /z/~/~'~-._/_~_~_p~L~//y~'~-- , · this /~/~ day of ~/~e.~_~ , 19 ~, signed, sealed, published and ,declared by MYRA L. YINGLING, the testatrix, to be her LAST WILL AND TESTAMENT in the presence of all of us at one time, and at the same 'time we, at her request and in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses, and ~e do so verily believe that the said testatrix is of sound and ,disposing mind and memory at the date.hereof. --. ..... .... ~:--r ........ _ OF FOUR PAGES _ _~ ;State of ~'~~Zz~'~,~ ~ County o ~ ACKNOWLEDGMENT I, ~YRA L. YINGLING, testatrix, whose name is si~ned to the attached o~ ~o~egoing instrument, having been duly qualified according to law, do hereby acknowledge that I si~ned and executed the instrument as my Last Will; that I signed it willingly; and that I si~ned it as my free and voluntary act for the purposes therein expressed. AFFIDAVIT We, ~i~~_~'~/;~~ , ~~ ~_~t~ , and I(O!C~_~ ~._: _~C~ , the witnesses, si~n our names to this 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 willingly 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 was knowledge the testatrix at that time 18 or more ,,years of ~'ge, of 8ound m~nd ~nd undo~ no con~ai n Subscribed, sworn to and acknowledged before me by MYRA L. YINGLING, the testatrix, and subscribed and sworn to beffore me by the witnesses, this --~ day of ~~~, ~ NOTARY PUBLIC ~ Ny Commission Expires: Notarial Seal _ ,. C Elmer Ri~in~e,', NotaW ~m~ I N~anon 1'~.., Lebanon u°un' / J M~ commination ExCJ'es ~. 12,1~ ~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 02/28/2005 ADAMS H ANTHONY 49 W ORANGE ST SUITE 3 SHIPPENSBURG, PA 17257 RE: Estate of YINGLING MYRA L File Number: 2004-01118 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.6 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing is due by: 03/17/2005 Your prompt attention to this matter will be appreciated. Thank You. A:l~ ~ GLENDA FARNER STRASBAUGH Clerk of the Orphans' Court cc: File Personal Representative(s) Judge Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717)240-6345 Date: 02/28/2005 DUNMIRE DORIS 28 WYRICK AVENUE SHIPPENSBURG, PA 17257 RE: Estate of YINGLING MYRA L File Number: 2004-01118 Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.6 (a) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.7, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing is due by: 03/17/2005 Your prompt attention to this matter will be appreciated. Thank You. ~e~~ GLENDA FARNER STRASBAUGH Clerk of the Orphans' Court cc: File Counsel Judge CERTIFICATION OF NOTICE UNDER RULE 5.61al Name of Decedent: Mvra L. Yinalina Date of Death: 11/26/04 Will No. 2004-01118 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 3/4/05 Name Address Doris Dunmire 28 Wyrick Avenue Shiooensbura PA 17257 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date: 3/4/05 ~~) ( Signature Name: H. Anthonv Adams Address: 49 W. Oranae Street. Suite 3 Shiooensbura PA Telephone(7l7) 53d ,3d 76 x Personal Representative Counsel for Personal Representative Capacity: C' t~. : , I . 1 :~. U . ~! v- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: L. Date of Death: 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 R les was served on or mailed to the following beneficiaries of the above-captioned estate on ('f\ CN- c- I.... l{ I 8cp. 5 : Name Address 17d-S 7 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N t0e- Date: ID ~ 0005 Signature (",I Address '/9 Name \..l . .-.-, .. c; ,~ - C_.' <;-J Capacity: _ Personal Representative ~ounsel for personal representative \ .... \~-1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 I- Z W C W o W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL 0SE ONLY FILE NUMBER . G ~ ( - 0 -1- l l l () ""COij'NTY"'Coi5E ----yEA~ - - N'UMBER- - SOCIAL SECURITY NUMBER L. 2 04- 3 0 - 9 2 4 2 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS DATE OF BIRTH (MM-DD-Year) 11/26/2004 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) w !;( ~ -Ul (J o::~ wa.(J J: 00 (J O::..J a.m a. < I- Z W C Z o a. Ul w 0:: 0:: o (J z o i= <C ..J ::) t: a.. <C o w 0:: z o i= <C I- ::) a.. :E o o X <C I- 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) (6) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) [Xl 1. Original Return o 4. Limited Estate [Xl 6. DecedentDied Testate (Attach copy of Will) o 9. Litigation Proceeds Received NAME H. Anthon Adams FIRM NAME (If Applicable) TELEPHONE NUMBER 717 -532-3270 SOCIAL SECURITY NUMBER o 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy oITrust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 3. Remainder Return (date of death prior 10 12-13-82) D 5. Federal Estate Tax Return Required Q... 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) COMPLETE MAILING ADDRESS 49 W. Orange Street Suite 3 Shi PA 17257 OFFICIAL USE ONLY (1) (2) (3) (4) (5) 157,707.03 68,920.00 ,~ 'j (8) 226,627.03 9,670.59 28,961.26 (11) (12) (13) 38,631.85 187,995.18 14. Net Value Subjectto Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) 187,995.18 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 0.00 X _(15) 0.00 0.00 X _(16) 0.00 84,736.92 X .12 (17) 10,168.43 104,197.12 X .15 (18) 15,629.57 (19) 25,798.00 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT SE SIDE AND RECHECK MATH < < \\'1-- Decedent's Complete Address: STREET ADDRESS 9 South Favette Street CITY T STATE I ZIP Shippensburg PA 17257 Tax Payments and Credits: 1, T ax Due (Page 1 Line 19) 2, Credits/Payments A, Spousal Poverty Credit B, Prior Payments C, Discount (1 ) 25,798.00 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E) (3) 4. If Line 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 (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check to: REGISTER OF WILLS, AGENT 0.00 0.00 25,798.00 25,798.00 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; ........................................................................... 0 \Xl b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 \Xl c. retain a reversionary interest; or ...................................................................................................... 0 \Xl d, receive the promise for life of either payments, benefits or care? ............................................................. 0 \Xl 2, If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration?...... ....... ................... ........................... ..... ........ ...... ................ 0 \Xl 3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? ................. 0 \Xl 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 \Xl 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 declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete, Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN URE OF PERSON RESPONSIBLE F ,R FILING RET<URN . '~77 I~, (((:J<:'? DATE ~ C) O~"S,. ADDRESS - r--f' \) <( q 1M ..;:::-~cc"i~;; 1~,~~..il0~~~~~,v;~~~~ .)r~;.. ....' 7,) ~ I 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 P.S. S9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. S9116 (a) (1.1) (ii)]. The statute does not exempt 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 if the surviving spouse is the only beneficiary. For dates 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 parent, or a stepparent of the child is 0% [72 P.S. s9116(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. S9116(1 ,2) [72 P,S, s9116(a)(1 )]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S, s9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1509 EX + (6-98) '* SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Yingling FILE NUMBER Myra L If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Barbara C. Thompson 7 South Fayette Street Shippensburg, PA 17257 collateral B c JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A 5/31/22 Double-house with lot or ground located at 7 South 137,840.00 50. 68,920.00 Fayette Street, Shippensburg, PA 17257 as per deed at Book 252 page 288 #34-34-2415-040 assessed at 137,840 X common level ration of 1.00 TOTAL (Also enter on line 6, Recapitulation) $ 68,920.00 .. (If more space is needed, Insert additional sheets of the same size) REV-1511 EX + (12-99) '* SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Yingling FILE NUMBER Myra L. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Fogelsanger-Bricker Funeral Home 3,037.07 2. Fogelsanger-Bricker Funeral Home 131.98 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attomey Fees 1,200.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Ciaimant to Decedent 4. Probate Fees 324.00 5. Accountanfs Fees 6. Tax Retum Prepare~s Fees 7. News-Chronicle (Estate Advertisment) 84.50 8. Cumberland Law Journal (Estate Advertisment) 75.00 9. Comcast Cable 44.84 10. Penelec (Utility) 38.54 11. PSECU (Credit card paymnet) 20.00 12. PPL Gas 15.39 13. AT&T Wireless 77.30 14. Sprint 60.46 15. IESI-(dumpster for Estate Property) 486.59 16. Borough of Shippensburg 124.07 17. Comcast (final cable) 44.84 18. PPL Gas 20.27 TOTAL (Also enter on line 9, Recapitulation) $ 9,670.59 Debts of decedent must be reported on Schedule I. (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Yingling Myra Decedent's Name L. Page 1 File Number Schedule H - Funeral Expenses & Administrative Costs - 87. ITEM NUMBER AMOUNT 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. DESCRIPTION Chambersburg Imaging (last illness) B.C. Thompson (final oil bill for Estate side of property) Lake's Oil Burner Service PSECU- (payment on credit Card) Chambersburg ALS (ambulance last illness) Cingular Sprint Sprint Lowes Cingular West Shore EMS (Ambulance) Penelec Cumberland Valley EMS Penelec PPL Gas utilities Com cast AT&T Wireless 27.50 1,000.13 81.90 189.45 1,305.77 39.14 45.60 72.30 287.22 17.22 512.49 109.23 59.69 39.72 15.25 44.84 38.29 SUBTOTAL SCHEDULE H.B7 3,885.74 REV-1512 EX + (6-98) '* SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Yinalina Mvra L. FILE NUMBER Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Mortgage to Patriot Federal Credit Union Account No. 63-5000023611 total 000 principal owed $57,922.53 with 1/2 interest in Estate VALUE AT DATE OF DEATH 28,961.26 2. TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 28,961.26 '~~"n~.(* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Y r M SCHEDULE J BENEFICIARIES FILE NUMBER Ino !nO 1vra L. RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Doris Dunmire Sibling 28 Wyrick Avenue Residue Shippensburg, PA 17257 2. Barbara Thompson Collateral 106,488.39 Fayette Street Shippensburg, PA 17257 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ . . (If more space IS needed, Insert additional sheets of the same size) Sent By: OPERATION CENTER; ~ .J. IF TAXt:::> ARE IN ESCROW, FORWARD TO MORTGAGE CO. OFFICE IN SHBC. 60110 BLDG. 111 N, FAYETTE ST rAYAIlL~ TO: LISA l. HELM, TAX COLLECTOR P.O. BOX 266 SHIPPENSBUAG PA 17257 .. OF.SC, MAP NO: 34-34->'415-040 7 S FAYETTE STREET ACRES .190 DEED 002521 OO?88 Residential WI Comm Funct RES/DENTIAUCOMMERCIAL TAX PAYlR YINGLING, MYRA L & BARBARA C THOMPSON 7 SOUTH FAYETTE STREET SHIPPENSBURG PA 17257 OFReF. MON & THURS 8:30.11 :30AM. TUES HOUR!;: HRS ALTERNATE WEEKLY. EITHER 12-6 OR 4-6PM. CALL OR SEE INSERT FOR DATES. (717) 530-7505 7175302639; Oct-27-05 1 :27PM; Page 2/2 TAXPAYER COpy BlIINo: 1363 Bill Date: 3/01120Q4 Total' 137.840 ace ~ 10 1lI 296.22 3.5.84 -ii!'% 27.98 30.78 10, 36~ .52 398.77 1(l , 35.84 39.4, 10 , 30.32 33.35 Control No: 034 - 000112 Assessed "Land Values 15,560 Rates COUNTY RIE Rates COmITY l<IB Rates MONIC. R E 8.ates FIRE PRO'I'C R"te8 ~2!\L~'t LT ~:. ;',1, , 2 J 2C0,4 I , I' V /~ 2004 Statement of Aea' Estate Taxes Improvement Mineral 122 260 0 OF I~nl ~\ 2g0.:l0 2\ 27.42 .00214900 33.44 .00020300 3.16 .00n4900 ~6~.78 .00020300 24.S. .00263000 40.92 .00026000 4.05 .00022000 ).42 .00263000 321. 60 .00 , 000 J 1. 79 .OQ02:fOOO ~6.90 TAX AMOUNT DUE Ralurn alii With Payment. For a Roceipl , Enclosa Setf Addressed Stamped Envalope. ?atriot Federal Credit Union LS247.0 J3-15-05 11:40 AM START DATE: 01-94 ~CCOUNT NUMBER 63-5000023611 BARBARA C THOMPSON 7 S. FAYETTE ST. SHIPPENSBURG, PA 17257 RV DATE 05-16-03 07-01-03 07-01-03 08-01-03 08-01-03 09-02-03 09-02-03 10-01-03 10-01-03 11-03-03 11-03-03 12-01-03 12-01-03 01-02-04 01-02-04 02-02-04 02-02-04 03-01-04 03-01-04 04-01-04 04-01-04 05-03-04 05-03-04 06-01-04 06-01-04 07-01-04 07-01-04 08-02-04 08-02-04 09-01-04 09-01-04 10-01-04 10-01-04 11-01-04 11-01-04 12-01-04 12-01-04 01-03-05 01-03-05 02-01-05 02-01-05 03-01-05 03-01-05 PAYMENT 62000.00 11.41 490.29 14.20 490.29 14.19 490.29 14.18 490.29 14.17 490.29 14.15 490.29 14.14 490.29 14.13 490.29 14.11 490.29 14.09 490.29 14.07 490.29 14.06 490.29 14.04 490.29 14.03 490.29 14.01 490.29 13.99 490.29 13.97 490.29 13.96 490.29 13.94 490.29 13.91 490.29 13.90 490.29 INTEREST .00 .00 258.33 .00 257.37 .00 256.40 .00 255.42 .00 254.44 .00 253.46 .00 252.47 .00 251.48 .00 250.49 .00 249.49 .00 248.49 .00 247.48 .00 246.47 .00 245.45 .00 244.43 .00 243.41 .00 242.38 .00 241.34 .00 240.31 .00 239.27 .00 238.22 , .; MC HISTORY FILE - POST CONV. 3-14~05 NEXT PMT 07-01-03 07-01-03 08-01-03 08-01-03 09-01-03 09-01-03 10-01-03 10-01-03 11-01-03 11-01-03 12-01-03 12-01-03 01-01-04 01-01-04 02-01-04 02-01-04 03-01-04 03-01-04 04-01-04 04-01-04 05-01-04 05-01-04 06-01-04 06-01-04 07-01-04 07-01-04 08-01-04 08-01-04 09-01-04 09-01-04 10-01-04 10-01-04 1l-01-01 11-01-04 12-01-04 12-01-04 01-01-05 01-01-05 02-01-05 02-01-05 03-01-05 03-01-05 04-01-05 PATRIOT FEDERAL CREDIT UNION LOAN HISTORY VENDOR LOAN AMOUNT INTEREST RATE HOW PAYABLE MATURITY PRINCIPAL 62000.00 .00 231.96 .00 232.92 .00 233.89 .00 234.87 .00 235.85 .00 236.83 .00 237.82 .00 238.81 .00 239.80 .00 240.80 .00 241.80 .00 242.81 .00 243.82 .00 244.84 .00 245.86 .00 246.88 .00 247.91 .00 248.95 .00 249.98 .00 251.02 .00 252.07 000 62000.00 5.0000 o 06-01-18 BALANCE 62000.00 81 62000.00 P3 61768.04 01 61768.04 P3 61535.12 01 61535.12 P3 61301.23 01 61301.23 P3 61066.36 01 61066.36 P3 60830.51 01 60830.51 P3 60593.68 01 60593.68 P3 60355.86 01 60355.86 P3 60117.05 01 60117.05 P3 59877.25 01 59877.25 P3 59636.45 01 59636.45 P3 59394.65 01 59394.65 P3 59151.84 01 59151.84 P3 58908.02 01 58908.02 P3 58663.18 01 58663.18 P3 58417.32 01 58417.32 P3 58170.44 01 ~~~~~ g~ 01 P3 01 P3 01 P3 01 57673.58 57673.58 57423.60 57423.60 57172.58 57172.58 56920.51 T/C 03/15/05 at 03/1 DISTR ESCROW AMT ESCROW .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRIS8URG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DUNMIRE DORIS 28 WYRICK AVENUE SHIPPENSBURG, PA 17257 __n__u fold ESTATE INFORMATION: SSN: 204-30-9242 FILE NUMBER: 2104-1118 DECEDENT NAME: YINGLING MYRA l DA TE OF PAYMENT: 12/30/2005 POSTMARK DATE: 12/30/2005 COUNTY: CUMBERLAND DATE OF DEATH: 11/26/2004 REMARKS: D DUNMIRE CHECK# 6274 SEAL ACN ASSESSMENT CONTROL NUMBER 101 TOTAL AMOUNT PAID: INITIALS: VZ RECEIVED BY: REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 006162 AMOUNT -------- I $10,168.43 I I I I I I I I $10,168.43 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA ~OEPAR1MENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX{11-961 RECEIVED fROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT THOMPSON BARBARA C 7 S FAYETTE ST SHIPPENSBURG, PA 17257 -------- told ESTATE INFORMATION: SSN: 204-30-9242 FILE NUMBER: 2104-1118 DECEDENT NAME: YINGLING MYRA L DA TE OF PAYMENT: 12/30/2005 POSTMARK DATE: 12/30/2005 COUNTY: CUMBERLAND DATE OF DEATH: 11/26/2004 NO. CD 006163 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $15,629.68 I I I I , I I I TOTAL AMOUNT PAID: REMARKS: B THOMPSON CHECK# 215 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS $15,629.68 GLENDA FARNER STRASBAUGH REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ADAMS H ANTHONY 49 WEST ORANGE STREET SUITE 3 SHIPPENSBURG, PA 17257 ____u__ fold ESTATE INFORMATION: SSN: 204-30-9242 FILE NUMBER: 2104-1118 DECEDENT NAME: YINGLING MYRA L DATE OF PAYMENT: 03/28/2006 POSTMARK DATE: 03/27/2006 COUNTY: CUMBERLAND DATE OF DEATH: 11/26/2004 NO. CD 006486 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $330.61 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 11781 SEAL INITIALS: MG RECEIVED BY: REGISTER OF WILLS $330.61 GLENDA FARNER STRASBAUGH REGISTER OF WILLS 03-27-2006 YINGLING 11-26-2004 21 04-1118 CUMBERLAND 101 APPEAL DATE: 05-26-2006 (See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ~~!_~~~~~_!~~~_~~~~______~___~~!!!~_~2~~~_~2~!!9~_E2!_!g~!_~!99~~~__~____________________ REV-1S47 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE -OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX MYRA L FILE NO. 21 04-1118 ACN 101 DATE 03-27-2006 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE ~REAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80601 HARRISBURG PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA ___ -.~E.PARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX " ' " \, tS ~ . I . DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN H ANTHONY ADAMS STE 3 49 W ORANGE 5T SHIPPENSBURG PA 17257 ESTATE OF YINGLING J fRESERVATION 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. Total Assets '* REV-1547 EX AFP (06-05) MYRA L NOTE: I~ an assessment was issued previouslY, lines 14, lS and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: IS. Amount of Line 14 at Spousal rate (IS) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 .00 X 045 = .00 83,798.06 X 12 = 10,055.77 104,197.12 X 15 = 15,629.57 (19)= 25,685.34 (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 157,707.03 68,920.00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 9,670.59 28,961.26 (11) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portio of this form with your tax payment. 226,627.03 38.631'85 187,995.18 .00 187,995.18 "' . I ........ R..'W..... T+T AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-30-2005 CD006162 .00 10,168.43 12-30-2005 CD006163 112.77- 15,629.68 BALANCE OF UNPAID INTEREST/PENALTY A5 OF 12-31-2005 TOTAL TAX CREDIT 25,685.34 BALANCE OF TAX DUE .00 INTEREST AND PEN. 330.61 TOTAL DUE 330.61 . If PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS fORM FOR INSTRUCTIONS.l ......... ......- .....- ......:: " ........ ......:: :::= .."-:-:: ~ ~ r= f....~ ttr ~ <( l: 0.. tb {f= ~ ...~ 8 tr: :j !'lo.'J co ti ;fi ~ I-i :t a; Ii r.....~ -=t (".J % : ::::;: ,....- ,.....:: -'~ Q.) en ::J o .r:. t ::J o () ~ ~M c::~ en::Jo -0,..... ==() s"O~ 'f- c:: f'\ Om...... L... L: - <UQ)~ ~.cen en E'- '6>::J m ~uu .....- .....::.: ::::::: ........- ......... ....:: ......- ...--. ......... 4 ~ ;~:! I . ,. ,"! : .}.. .." a.! ::".: ..... I. ..: :.:':.; '" )..: lfj '_,' I W Clj (}l ~ '" ~ .-I Eo< ~ "'" ~ p Z rtJ. ~ 8 < ~ ~ ~ ~ rtJ. 0 ~ ~ Z ~ E-< Z 00 z r:r, ~ ~ 0 0 0 0., :.- ~ Z g ~ ~ ..:l 8 ~ p Z 0 ~ < Eo< 00 rtJ. Z ~ r;il ~ 0., ~ 0., al "'" '1< ~ rtJ. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE r>rcnnr)cr'; (f'!'"'I(,1= nr. BUREAU OF INDIVIDUAL TAXE~t "...J\\L,U..! vrr1v......., INHERITANCE TAX INHERITANCE TAX DIVISION r, !cr:.C'. err=' nr: \,t,IH i c:,STATEMENT OF ACCOUNT PO BOX 2B0601 ,','...\."\'.,' I "I \), \, ,\ ~" HARRISBURG PA 11128-0601 REV-1601 EX AFP (03-05) 20U6 APR 24 PH I.t: 24 CLERK QF ORPHAN'S eQURl H ANTHONY ADAHSUMBERLA;\lD CO" PA STE 3 49 W ORANGE ST SHIPPENSBURG PA 17257 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-17-2006 YINGLING 11-26-2004 21 04-1118 CUMBERLAND 101 Allount Rellitted MYRA L MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this for.. with your tax pay..ent. CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT KKK ESTATE OF YINGLING MYRA L FILE NO.21 04-1118 ACN 101 DATE 04-17-2006 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN 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: 03-27-2006 PRINCIPAL TAX DUE: 25~685.34 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID I DATE NUMBER INTEREST/PEN PAID (-) 12-30-2005 CDo06162 .00 10~168.43 12-30-2005 CDo06163 112.77- 15~629.68 03-27-2006 CD006486 330.61- 330.61 TOTAL TAX CREDIT 25,685.34 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE~ SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT"" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J c Cumberland County - Register Of WiLLE, One Courthouse Square Carlisle, PA 17013 Phone: (71 7) 240 - 6345 Date: 11/09/2006 ADAIv'lS H ANTHONY 49 WEST ORANGE STREET SUITE 3 SHIPPENSBURG, PA 17257 RE: Estate of YINGLING MYRA L File Number: 2004-01118 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COUET RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 11/26/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County- Register Ot WllU; One Courthouse Square Carlisle, PA 17013 phone: (71 7) 240 - 6345 Jate: 11/09/2006 DUNMIRE DORIS 28 'NYRICKAVENUE SHIPPENSBURG, PA 17257 RE: Estate of YINGLING MYRA L File Number: 2004-01118 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 11/26/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File ("n1lnsel Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: \Y1~ r~_ Date of Death: "j(')U~"N'\. \o-Qr Estate No.: ~uD4 - 0 II \ S k ~itv\ \\ ~b I dCOLj ~\G 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&ther administration of the estate is complete: Yes)2S\ No 0 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 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the pers~epresentative state an account informally to the parties in interest? Yes ~ No 0 c. Copies ofreceipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. J~~ Signature -k\, ~~0Y1 \ Name <: t{q lb- Oro.f\~" .s.~ Address .s,^l~~et-.)_;"\9W-~\ -\.. f?2JS 7 1(;- 53')~' 3d 70 Date: "J; , '-"":': ,-: n:) Vd U-J ,J,;-;; it;.Jd~ ItJnOJ S,NVHd80 jO >1831:) Telephone No. O~ :21 Wd L I Aml9DOZ Capacity: ~rsonal Representative ~ounsel for personal representative ~