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Home My WebLink About04-1147 PETITION FOR PROBATE & GRANT OF LETTERS Estate of ELEANOR E. HEFFLEFINGER No. 21-04- II ~ 1 also known as To: Register of Wills for the , deceased. County of Cumberland Social Security No. 207-03-7584 Commonwealth of Pennsylvania The Petition of the undersigned respectfully represents that: Your Petitioners, who are 18 years of age or older and the Co-Executors named in the Last Will of the above decedent dated March 23. 1998 , and codicils dated none The Executor named none died . Renunciations for none attached hereto. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at 20 Parsonaae Street. Newville. Pennsvlvania Decedent, then JlL years of age, died November 20 ,2004, at Carlisle Reaional Medical Center Except as '(oliows, 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: N/A Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property $47.000.00 (If not domiciled in PAl Personal property in PA $ (If not domiciled in PAl Personal property in County $ Value of real estate in Pennsylvania, situated as follows: $ WHEREFORE, Petitioners respectfully requests the probate of the Last Will and Codicil(s) presented herewith and the grant of letters testamentary thereon. Signatu~e(s) and ResidZf1ce~) of Petitioner(s): ,...., .,~~ 0 g = r ---_ ". C. ox:- rr"l ;P~b~ . /~ '. ~ ~ 88 William L. Chron ter ,T1:CO (""") c,';:J.' 211 N. Middlesex Road f'2~::;:; - ,e'l i:?, -'-:0 U1 -.'~ Carlisle, PA 17013 ~u5,^ ";-:; J 00 -0 ---;;'~ "'--'f"1.'n - .:...---,-i OATH OF PERSONAL REPRESENT A TIVF'~ <-:l ~~ ~~ :::9 Ul (/)0 .1--' _ ,~I COMMONWEALTH OF PENNSYLVANIA -.I ss COUNTY OF CUMBERLAND The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that as personal representative of the above decedent, petitioner(s) will well and truly administer the, estate accorJ:ling t.o fa . / /A)' 0' 1/ ? Sworn to or affirmed and subscribed '-P'U", ;, /'L---( '?-:!- =. before me this 15TH _ day of December, 2004. A tv,;I,,,,,,,, < c4".w"i~1"'- .-k-JfViuffi'-.!J!r<"": c<..\.,JA{u-tU.U.;il. ~L( . I ~eglst~r~') it -~" , L fQv-aJ:J;l( i iiJ(f~ \ No. ' r1l 21-04- ! i" Estate of ELEANOR E. HEFFLEFINGER , deceased. DECREE OF PROBATE & GRANT OF LETTERS AND NOW, December 15 , 2004, in consideration of the Petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated March 23, 1998 described therein be admitted to probate and filed of record as the Last Will of Eleanor E. Hefflefinaer ; and Letters T estamentarv are hereby granted to William L. Chronister i \ ~. , , j \ -' - ----- ,':, / (I' )j,))(.J~j;flj)l)j!(~ , Register of Wille r) ) j / /" (i. i),)' ~~- j! t' , r~.l'<', ._-,-' ~N & MCK~j3HT. { \c FEES ') C . ,~ . .,~ Probate, Letters, Etc. . . . . . . . $ 80.00 Ro er 8.1 n Es uire 06282) Short Certificates(-3- ). ... $ 9.00 ATTORNEY $ . Ct.I.D. No.) Renunciation(s) ........... $ JCP .. . . . . . . . . . . . . . . . . . . $ 10.00 60 West Pomfret St., Carlisle, PA 17013 Other Will Paaes (-2-) . ... $ 6.00 ADDRESS TOTAL: .... $105.00 Filed.. ........ .. ... ... ..... ..... 717-249-2353 PHONE 11 2.I-01-/! '51,...~ ~. \='~&.~ NOV 29 2004 - . ...., 0 = <=> = ~~ ~ =rn 0 PnO ~::Eo m (;-)0 n ~:.:'~~ e3 :;g~r- - -~ -gj -;, '-I' :::?:(.f)~ U1 -=CJCJ ='00 '"U qO ; I -r.., r.:.~OJ" :JI: ~(-:o oc . ::D W ;= rTl ~-a --i 0'>0 ...::.;.. Ul .... en HT05.'4JR~21B7 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Pfll"l "AlE''',"~U'''BE~ , INENT NAME O~ OEC<DfNl 1"'''_ ""0"'0. ''''1 '" SOC'Al SE(;URITV "U'"'BEA DATEOfDu'TH,Mcmh,O,,_1eB.r1 KINK Eleanor E. Hefflefinger , F , 207 - 03 - 7584 . 11/20/2004 A(;E:la"S,"""ovl UND€R'YEAR BJilTHPLACE'C,.,..M PlACEOF.DEATHICOec'""yoc."._,,,,,,,,,,",,,,,,,,,,,,,,,.,"""" t.l.,.."...: DaY" 3ta,.o"ctO'lnCoun,"vl HOSPrTAl 82 ." NE'\<lVille, PA lnpa'.....' 23 ERIOutpo,.o"'U g'';:"",O . , COUNTYOFoc.crH AACE.....ooncan'''''.n. Illao'. ""'......c ISpldyJ ~I Cum'oerland Carlisle Bora. Center White D. k " Dl:CEOENT'SlJSUALOCCUl'1ffiON KTNOOf8UsmESS/INOUSTRY w.AlTALSTJJUS.u.a..- SUR"WINGSPQUSI; (~".::''':wr:~1'''::'::~,=r ~._"'''''Vs4._. L~''''~'"'''''_'''''''.l Divotce<llSpecofyj Cafeten.a Worker ..\:'lidcwed ~ 11e.O......,__.. - 20 Parsonage St. - ...... ...Newville, PA 17241 11ll,CotJn Cumberland "",","",p1 l1d.D:=i.~':::::Q' Newville "'- F!lrHER'S'-lAlol~(r;'''.~'''''..'.''1 MOTHER'S NAM~ iF", M<ldle. ~.~Sum"T}<I) ". John Wilbur Finkenbinder ". Lulu Motter I'-lFORIAAHT'SNAIol~(lV\l'O"P"nI) 'Nl'OR211SN~II~'Middl~~~Rd'.sr;'"'Ca~iisle, PA 17013 William L. Chronister - l.IETHOOOFOISPOSITION f't).C~OFOISPOSlTION-NIImoolCe"""ar;;CNmalOly lOCATlQtf-CilylT-..Sta1.,TopCooo BunolO Croma_g] R_~omSl".O ",OI_PIaco _0 0It>0'~'l" l1e.Evans Eagle Cremation Srv" 11"- L(X)la, PA ". S1GH.011.JA~Of W,1Il'ANOAOOAESSQfFACll,TY J!.Nin Brothers Funeral Herne, UCENSENUMlIEA - ,~rzN 52'lt2'iL-. G 'Id(OfOl:ATH 320 AM ... 'Ap"",,_'. :-- . (?teA. e..b-ro O'VOuclttA.. Q.<'AcUJ ["-."""".Il'l IJ.~X/?nJf OUI;lDlORASAS::~SEOUH'CEOF): , I: lD(Qf1ASACONSOUENC , , OlJElDIOfIASACONsEOUEM:E()F)o , -- : , weRE AU1DPSY F'NDlNGS :':'"'"';;/ DA,TEOF,NJUllV TlltEOf'NJUAV 'NJuAv/<rWOAl<1 DESCRIBE HCNI 'NJURY OCCURRED ~ Ill.lIlJJ..ABu,PRlOAlO 1"'''''''.O.y._) i CO/dPl.ETIONOFCAlJSE Horn"'''' 0 OFOE.!lf1;? _0 ~O l. - 0 P.ndin9'nvoo,;",'icll 0 F _ 0 .n 0 NO~Suiciae 0 o PUlCEOF'NJU'W......,"'....ffIl...'."','aetD<y.olfi<. . " Couldnoll>od.,.",,",od "".....<l..c..s"ocM 281>. ... - carr'f'VlIC~OCk"""',"",1 'CEIfT'FY,ItGPHY5JC'AHiPn,-s>c>an<entyongC<>lr.>e"'oc.,~"""".""'t-<>-",,,,,,,.."I>"p'crounc",,""''''.''''(am?I''''''',,,,,,;>31 TQ"""_'QI..yk""..Iodp,dc",,,CICC~<Ttd_,,!Il'l.e.u'~'I'n<1"~nn.''','_ , 'PIIONOUNC,HGANDCERTlFY'NIlPHVS'ClAHIPh""",,,,""""',,,onrufIC"'!jo..,na""c""1y<'>glac'u,,"Q',,,,.,OJ 0 i rQlh."..,Qlmyk""...odg",<lo."'o<:eUf_.lIl>oU....d.'.,."dpla<...lldd""IQtMe.~"('l.Ild..."".,...,~,... I , 'YEDlCAlEXAMINERlCOROOER , Onill.bulo"I.....ill.Ucn.n.dI"'lnvUlIlJ.o11cn.;nmycp'n;cn.dulllcccu'ndal,hellme.del...ndploce.andduel"theeau...(sjand "'.nn......Ulod,. ! ". REGISTRAR'SS'GNATUREANONUMIIER~ ~. ~. I . \\ &..~ 11~1\11) d..6, C\W\- :)3. ..~.... ___._._~_~_~.___._._.~_ ,~___. LAST WILL AND TESTAMENT I, ELEANOR E. HEFFLEFINGER, of the Borough of Newville, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executor to sell any realty owned by me at my death and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do ifliving. 3. I give, devise and bequeath all of my estate of every nature and wherever situate as follows: (a) I give my living room drop-leaf table, my diamond ring and my gold nugget pendant to my granddaughter, Susan Miller, (b) I give my slide bracelet and the sum of$I,OOO.OO to Diane Carole Landis, (c) I give my spool cabinet to Clark Hefflefinger, and (d) I give all the rest, residue and remainder as follows: (I) 20% thereofto William L. Chronister and Carole A. Chronister, or the survivor, share and share alike, (2) 40% thereof to my grandson, Matthew Hefflefinger, and (3) 40% thereof to my granddaughter, Susan Miller. 4. I nominate and appoint William L. Chronister to be the executor of this my Last Will and Testament; he is to serve as such without bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Carole A. Chronister, as substitute executrix, also to serve as such without bond, with the same powers as are given herein to my executor. 5. I hereby suggest that my personal representatives retain the services of Irwin, McKnight, & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 23RD day of March, 1998. / /,,/.;q -,I t(tJ /l};,,\/ (SEAL) - --,.- , ELEANOR E. HE . tEFINGER Signed, sealed, published and declared by ELEANOR E. HEFFLEFINGER, the testatrix above named, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. c:"41/dJ~ ~~of? }J~ 2 ACKNOWLEDGMENT AND AFFlDA VIT WE, ELEANOR E. HEFFLEFINGER, CHERYL L. CLELAND and MARTHA L. NOEL, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will, and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ~., t . "J.. ii, , Ii f ,. ~ - v /' ,- ~ I U ...,' " IC . I 'I t It l L- LL{ i [W .' \.--- I 1f.JJ,~ /~- \...- - "I ,- 'L.A..._'\.~: r"'~~,----/ ELEANOR E. HEFFLEFlNG'ER . ~ t /fdJ/r/ CHER~ L. CLELAND V}1ff~w~~ M THA L. OEL COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF CUMBERLAND : Subscribed, sworn to and acknowledged before me by ELEANOR E. HEFFLEFINGER, the testatrix herein and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L. NOEL, witnesses, this 23RD day of March, 1998. 1'1 . . ( ;/ _.(, '\ J., C-i,i--<. I' ---- .--. N?tary Public . ! "~"_NOtar\al Seal . RJ er 8, Irwin Notary PubhC car\is~e Bore cu'mberland cour~bO My Comrn\Sslon Expires Oct. 3.2 ~^ e .~r~;il;I:;\JI\I,l;\!'" ~\ssnGi8.t\on oj Notaries e,\' , ,',' , CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Eleanor E. Hefflefinger Date of Death: November 20.2004 Estate No.: 21-04-1147 To the Register: I certify that notice of the beneficial interest 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 December 17. 2004. Name Address William L. Chronister 211 N. Middlesex Road, Carlisle, P A 17013 Carole A. Chronister 211 N. Middlesex Road, Carlisle, PA 17013 Matthew Hefflefinger 79 Diamond Point, Morton, IT.. 61550 Susan Miller 18919 Tunker Trace Drive, Humble, TX 77346 Diane Carole Landis PO Box 73, Grantham, P A 17027 Clark Hefflefinger 18919 Tunker Trace Drive, Humble, TX 77346 Shea Hefflefinger 17 Northgate, Media, PA 19063 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none r"'~ A-I:. .^--' ':;~ C~. Date: 12-20-04 . Signature I IRWIN & McKNIGHT Name R02:er B. Irwin Esauire Address 60 West Pomfret Street LL "J 00'"0 .:;t- LLJ -i.. iE Carliste. PA 17013 ~~'.: "J t;:: t:: .' if a6c.'C Telephone (717) 249-2353 C D.., tI} fTj <::) Eefn;? . . &' c:.:; C\J ~:?;._~.:.; Capacity: Personal RepresentatIve O~~ t3 uxES &3 l:t! 0 8:: G; X Counsel for Personal Representative cr: as 0:5 ~ D \)-.. CCiM~,'10"'-\',""A'_T\i 0;:: PENNSYLVANIA. REV 1162 EX(1196) ~E,'ARTr,,~E\';T Of FEVE~uE 8IjR[AU OF INDi\lII)Ui\Oc TAXES OEVi 22.0601 '-;~lRRISe.'JRG, PA. 7' 28-060 1 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 004912 IRWIN ROGER B ESQ 60 W POMFRET ST CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL NUMBER ------ j,""rj __u __H_ ---,-"-- 101 I $4,984.38 EST A TE INFORMATION: SSN: 207-03.7584 I FILE NUMBER: 2104-1147 I DECEDENT NAME: HEFFLEFINGER ELEANOR E I DATE OF PAYMENT: 02/02/2005 [ POSTMARK DATE: 02/02/2005 I COUNTY: CUMBERLAND I DATE OF DEATH: 11/20/2004 I I TOTAL AMOUNT PAID: $4,984.38 REMARKS: IRWIN ET AL CHECK# 021781 INITIALS: VZ SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF wrLLS Inventory of the real an personal estate of Eleanor E. Heffletinger , deceased 1. Adams County National Bank - Club Account 5526426 . 30 02 2. Adams County National Bank - Checking Account 118931. 3,707 12 3. Adams County National Bank - Checking Account 1595458 3,297 07 4. Cash on Hand 49 00 5. Waypoint Bank - Certificate 8010001537 36,213 33 6. 1988 Chrysler New Yorker - SOLD 950 00 7. Jewelry 850 00 8. Personal Property 1,348 50 9. Variable Annuity - DA242517 - USAllianz 20,255 83 TOTAL . . . . . . . . . . . $66,700 87 I ''':) .~'.~ I COMMONWEAI"TH OF PENNSYLVANIA : : 55 COUNTY OF CUMBERLAND : William L. Chronister , being duly sworn according to law, deposes and says that he is the Executor of the Estate of Eleanor E. HcfflefinQcr . late of Newville Borough Cumberland County, Pennsylvania. deceased and that the within is an inventory made by William L. Chronister the said Executor of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. Sworn and subscribed before me, t ~~;r7)( (;tL---- 31>1" I William L. Chronister this _ day of Januarv ,2005. 1 } 21 \ N. Middlesex Road ) } Carlisle, PA 17013 ) Address NW F PENNS VANIA ,\:'f)tar~l Seal Kalen ') '\Ind. ;,\I,~')a ",: ;'ublic Carli&le 80",. '.','1,;rj,U1G Counz My Commission urmes Dec. 8. 2 07 Date of Death - 11 2004 Day Month Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty. 4. See Article IV, Fiduciaries Act of 1449. "0 :1 " ~ c< " " Ii :.u u G " Z of C '" t: 2 d I- :.u :.u '" ~ >< c< " ~ Oll ~ G: 0 > '5 ~ '" "-< o:l ;>, " I- z ~ ~ 0 0 Oll " c: 0:: cD Z, \.ll c< Vl :r: c: ,;>, ",I Eo-< :r: Oll ;; " c: " '" w .~ " iil I- -' "- ~ '" r-- Z , 0 g :;;: <( c< " '" ~ '1" "- Z - - r;.l W 0 " <( "'J11 0 Z c< "" I ;, 0 Z => ~I -.1- a <( 0 ~ Z Vl U " :;:1 c c< ~ "i , "'" W "0 if> c ",I ~ c: <:<: N ""' " ~ ~ -;: , 0 0 " 1 Z .c "0 g ~ 5 -'" I: " I -' (j LL o:l OFFICIAL USE ONL Y REV-1500 EX + ,:6-00) REV-1500 INHERITANCE TAX RETURN FILE NUMBER COMMONWEALTH OF PENNSYLVANIA 21.04-01147 DEPARTMENT OF REVENUE RESIDENT DECEDENT DEPT. 280601 COUNTY CODE HARRISBURG, PA 17128-0601 YEAR NUMBER DECEDENTS NAME (LAST, FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 0 Heff1efinger Eleanor E. E 207-30-7584 C DATE OF DEATH (MM DO YEAR) DATE OF BIRTH (MM 00 YEAR) THIS RETURN MUST BE FilED IN DUPLICATE WITH THE E 0 11/20/2004 04/21/1922 REGISTER OF WILLS E N (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER T ~ 1. Original Return 2. Scppleme'tol Relem tJ 3' (date of death - . . Remainder Return prior to 12-13-82) CAPB 4. limited Estate _ 4a. Future Interest Compromise (date of death after 12-12-82) S. Federal Estate Tax Return Required HpRL X EplO 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ..l:....- 8. Total Number of Safe Deposit Boxes - CRAC (Attach copy of Will) (Attach copy of Trust) KOTK D 9. litigation Proceeds Received 010. Spousal Poverty Credit 0 ES 11. Election to tax under Sec. 91 13(A} {date of death between 12-31-91 and 1-1-95} (Attach SchO) THfS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE & CONFIDENTlALTAXINFORMATION SHOULD BE DIRECTED TO: P NAME COMPLETE MAILING ADDRESS C 0 0 Roger B. Irwin Esq. 60 West Pornfret Street R N R D FIRM NAME (If Applicable) West Pornfret Professional Bldg. E E IRWIN & McKNIGHT Carlisle, PA 17013 S N T TELEPHONE NUMBER 717/249-2353 '") I --. 1. Real Estate (Schedule A) (1) None -""()FFICIALUSE om y 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held Corporation. Partnership or (3) None Sole-Proprietorship . 4. Mortgages & Notes Receivable (Schedule 0) (4) None - R 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 46,445.04 , ",' .. E (Schedule E) "')'1 C A 6. Jointly Owned Property (Schedule F) (6) None c: P I 0 Separate Billing Requested T 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 20,255.83 U L (Schedule G or L) A T 8. Total Gross Assets (total Lines 1-7) (8) 66,700.87 I 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 11,865.71 0 N 10. Debts of Decedent. Mortgage Liabilities, & Liens (Schedule I) (10) 1,119.55 11. Total Deductions (total Lines 9 & 10) (11) 12.985.26 12. Net Value of Estate (Line 8 minus Line 11) (12) 53,715.61 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 53,715.61 C SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 0 M P 15. Amount of Line 14 taxable at the spousal tax T U A T rate. or transfers under Sec. 9116(a)(1.2) X .0 0 (15) 0.00 X A 26,767.82 X o 45 (16) 1,204.55 T 16. Amount of Line 14 taxable at lineal rate I 17. Amount of Line 14 taxable at sibling rate 0.00 X .12 (17) 0.00 0 N 18. Amount of Line 14 taxable at collateral rate 26,947.79 X .15 (18) 4,042.17 19. Tax Due (19) 5,246.72 20. n 1..iCBIOCK8ERE IF'YOU.AREREQU!;$"!f<l(l.AR!;:FUf<l[j'QF.'A~q""ERPAY"'l;1N'1'.'.il > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH < < Copyright (c) 2000 form software only The Lackner Group, Inc Form REV-1S00 EX {Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 20 Parsonage Street CITY I STATE I ZIP Newville PA 17241 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 5,246.72 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 262.34 Total Credits ( A + B + C ) (2) 262.34 3. Interest/Penalty if applicable D. Interest E. Penalty Tota! Interest/Penalty ( 0 + E ) (3) 0.00 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) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 4,984.38 A. Enter the interest on the tax due (SA) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 4,984.38 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRtATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred: ~ ~ b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest: or. d. receive the promise for life of either payments, benefits or care? 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? 0 []] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 0 []] 4. Did decedent own an Individual Retirement Account annuity, or other non-probate property which contains a beneficiary designation? []] 0 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 complele_ Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN William L. Chronister DATE , G:> ~ 211 N. Middlesex Rd ,-(. /0' ------------------------------- -------------------- Carlisle, PA 17013 IRWIN & McKNIGHT DATE Z/l~ '3 c-L 60 West Pomfret Street '-I'-I(j; ---------------------------------------- --------- Carlisle PA 17013 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 is3%!72PS 9116(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. 9116 (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. 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 is 4.5%, except as noted in 72 P.S. 9116( 1 ,2) [72 P.S. 9116(a}( 1}J 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. 9116(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 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00;' REV -.1508 EX + 11-97, I SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Eleanor E. Hefflefin;;er SSII 207.30.7584 11/20/2004 21-04-01147 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEA TH 1 Adams County National Bank Club Account - 5526426 30.02 2 Adams County National Bank Checking Account 118931 3,707.12 3 Adams County National Bank Checking Account 1595458 3,297.07 4 Cash on Hand 1,9.00 5 Waypoint Bank - Certificate - 8010001537 36,213.33 6 1988 Chrysler New Yorker - SOLD 950.00 7 Jewelry - Appraisal Attached 850.00 8 Personal Property - Settlement Statement Attached 1,348.50 TOTAl.. (Also enter on line 5, Recapilulation) $ 46,445.0/+ (If more space is needed, insert additional sheets of the same sIze) Copyright (c) 1996 farm software only CPSystems, Inc. {',,,....... RJ:V_1I:;.nR cv '0_.. , ,,-.' REV 1510EX+(1~97) SCHEDULE G INTER-VIVOS TRANSFERS & COMMONWEALTH OF PENNSYLVANIA MISC. NON-PROBATE PROPERTY lNHERIT ANCE T tv.. RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Eleanor E. Hefflefinger SS!I 207-30-7584 11/20/2004 21-04-01147 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. DESCRIPTION OF PROPERTY '1'0 OF ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. NUMBER ATTACH A CQPYOF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST (IF APPUCABlE) 1 Variable Annuity - DA2425l7 20,255.83 20,255.83 USAllianz William L. and Carole A. Chronister - Beneficiaries 211 N. Middlesex Road Carlisle, PA 17013 TOTAL (Also enter on line 7. Recapitulation) $ 20,255.83 (If more space is needed. insert additional sheets of the same size) Copyright(c) 1996 form software ollly CPSystems, Inc i:m~ a~"\.I_1J:;;1n C'V'",-, , "'~, REV-1511 EX -\-(1-97) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Eleanor E. Hefflefinger SSjI 207-30-7584 11/20/2004 21- 01, - 01147 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES' 1 Dickinson College Funeral Luncheon 204.58 2 Eby Granite Works Headstone 90.00 3 Ewing Brother Funeral Home 2,050.00 4 Prospect Hill Cemetery Association - Cremation Burial 300.00 Total of Continuation Schedule(s) 840.90 B. ADMINISTRATIVE COSTS, 1. Personal Representative's Commissions 3,350.00 Name of Personal Representative(s) William L. Chronister Social Security Number{s) / EIN Number of Personal Representative{s) 162-36-9973 Street Address 211 N. Middlesex Rd City Carlisie State PA Zip 17013 Year(s) Commission Paid: 2. Attorney' 5 Fees IRWIN & McKNIGHT 4,100.00 3. Family Exemption: (If decedent's address is not the same as claimants, attach explanation) Claimant Street Address City State Zip - Relationship of Claimant to Decedent 4. Probate Fees Register of Wills 105.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees 250.00 7. Other Administrative Costs 1 Cumberland Law Journal - Estate Notice 75.00 2 Haar's Auction - Auctioneer 177 . 45 3 Register of Wills - Filing Fee 30.00 4 Roy Gottshall - Appraisal on Personal Property 45.00 5 Sloop's Service Center - Auto Service on Chrysler 73.1/, 6 Sprint Telephone 28.88 Total of Continuation Schedu1e(s) 145.76 TOTAL (Also enter on line 9, Recapitulation) $ 11,865.71 (If more space is needed, insert additional sheets of the same size) Form REV-1511 EX (Rev. 1-9 Estate of: Eleanor E. Hefflefinger Soc Sec il: 207-30-7584 Date of Death: 11/20/2004 Continuation of Schedule H-A (Funeral Expenses) item Description Amount p ,f 5 The Whimsical Poppy - Flowers 289.38 6 William L. Chronister - Reimbursement of Funeral Expenses 551. 52 - - - - - - - - - - - - - - 840.90 Estate of: Eleanor E. Hefflefinger Sac See If: 207-30-7584 Date of Death: 11/20/2004 Continuation of Schedule H-B7 (Other Administrative Costs) Item Description Amount if 7 The Sentinel Estate Notice 129.77 8 The Sentinel Advertising 15.99 -------------- 145.76 REV-1512 EX + (1-97) SCHEDUI.E I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETU RN MORTGAGE I.IABII.ITIES, AND I.IENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Eleanor E. Hefflefinger SS!I 207 -30 - 7584 11/20/2004 21-04-01147 Include un reimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 PP&L - Electric 39.35 2 Sterling Property Rent 450.00 3 Swain Health Center - Medical 630.20 TOTAL (Also enter on line 10. Recapitulation) $ 1,119.55 (\I more space is needed. insert additional sheets of the same size) -~~ _._~- ,~~ Form REV-1512 EX (Rev. 1-97) REV-LS13 EX + (9-00', SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Eleanor E. Hefflefinger SS!I 207 - 30 - 7584 11/20/2004 21-04-01147 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(sl RECErVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec, 9116(a)i 1.2jJ l. William L. & Carole A. Chronister Nephew/Niece 20% of 211 N. Middlesex Road Remainder & Carlisle, PA 17013 USAllianz Annuity 2. Clark Hefflefinger Great Spool Cabinet 18919 Tunker Trace Drive Grandson Humble, TX 77 346 3. Matthew Hefflefinger Grandson 40% of 79 Diamond Point Remainder Horton, IL 61550 4. Diane Carole Landis Grand Niece $1,000.00 & PO Box 73 Bracelet Grantham, PA 17027 5. Susan Hiller Granddaughter 40% of 18919 Tunker Trace Drive Remainder Humble, TX 77 346 ENTER DOLLAR AMTS FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18. AS APPROPRIATE. ON REV 1500 COVER SHEET II. NON- TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SEe 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON- TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 (If mare space is needed, insert additional sheets of the same size) Copyright (e) 2000 form software only The Lackner Group, Ine Form REV-1513 EX (Rev. 9-00) LAST WILL AND TESTA1~fENT I, ELEA:"iOR E. HEFFLEFL\GER, of the Borough of Newville, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. 1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 1. I authorize and empower my executor to sell any realty owned by me at my death and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. , [ give, devise and bequeath all of my estate of every nature and wherever situate as ,). follows: (a) I give my living room drop-!eaftable, my diamond ring and my gold nugget pendant [0 my granddaughter, Susan l'vriller, (b) I give my slide bracelet and the sum of $1 ,000.00 to Diane Carole Landis, (c) I give my spool cabinet to Clark Hef!1efinger, and (d) I give all the rest, residue and remainder as follows: (1) 10% thereof to William L. Chronister and Carole A. Chronister, or the survi VOl', share arId share alike, (1) 40% thereof to my grandson, Matthew Hcft1dinger, and (3) 40% thereof to my granddaughter, Susan MiIler. 4. I nominate and appoint William L. Chronister to be the executor of this my Last Will and Testament; he is to serve as such without bond. Should he die before my death, renOLlnce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Carole A. Chronjster, as substitute executrix, also to serve as sucb without bond, with the same powers as are gi ven herein to my executor. 5. I hereby suggest that my personal representatives retain the services of Irwin, McKnight, & Hughes, as attorneys in the settlement of my estate. IN \VIT"iESS WHEREOF, I have hereunto set my hand and seal this 23RD day of March, 1993. /" ~,/ /'1 i~ /.<, /''l- i "" 1.,1.'_' . -+-'1--(...;-').',(. (SEAL) ~ -,. ,_ . r -'" ,".. 'r, ELEANOR E. HEFFI...EFI\GER Signed, sealed, published and declared by ELEANOR E. HEFFLEFI:'iCER, the testatrix above named, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. rtfyl/c?lL./ '--1!( @J'P~c/? J7,.,.JJ \ 2 ACKc'\O\VLEDG\IENT A";D AFFIDA VIT WE, ELEA','OR E. HF:FfLEFlNGER, CHERYL L. CLEL-\','D and MARTHA L. l'iOEL, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will, and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the \Vill as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue int1uence. , " ,-J (,~_': _ 1 2-~f' ,/ /" / _~ ~.- ,~ . r~ LLi;t(c.t, L,., ';-JCi(.f<.LLrt_-c"---~~ _\::..._',~/ , .. I ELEANOR E. HEFFLEFt','GER .:, /1 6Jtd / ) // " /i .,/ / / r2u/fi'/ . ~i: 'err;; CHER~ L. CLELAND )--/{- (/"' L.-", A /' ~)J( /"[ I "'-W, ---'*' /2C'-D-- :\I..\RTHA L. kOEL CO:\I\IONWEALTH OF PENNSYLVA','IA : : 55: COUNTY OF CU\IBERL.-\ND : Subscribed, sworn to and acknowledged before me by ELEANOR E. HEFFLEFINGER, the testatrix herein and subscribed and sworn to before me by CHERYL L. CLELAND and MARTHA L NOEL, witnesses, this 23RD day of:\larch, 1998. !d - l~C'" 1 ~ _.. , Nbtary Public , r~-----::-:N;\~;:;" 5:;;;----' " Ie ,"';:>r 8 !rw;,n, Not:;rj P!..JbIIC J ,,,-,~. '_ . , 1/ I l~'~'l ",I", n.,',,, l_~I.:n1tJe(!2.nd (.(11)[,\, ~'" 1,,'" _,J '- r: '" .~ -j 3 .)(l[JC L~;~;~:;~~~:':':~':'~~~;~J~'~:~~'~;';;)'ll ~J: ;;~~:;~S Way Rql!lt 12/6/2004 IRWIN & MCKNIGHT 60 W POMFRET ST CARLISLE PA 17013-3222 The information which you requested on the account(s) of ELEANOR E HEFFLEFINGER (Social Security Number 207-03-7584) is/are as follows: Account Number 8010001537 Class of Account CERTIFtCA TE Date Opened 072099 Principal Balance 36139.40 Accrued Interest 73.93 "' , r:.l r" ..... -I ';\ '7" , Balance at Date of 36213.33 ["\" re",1 I, if If ilJJ'Oi, r'~"Cjq) . : ! !J,..;j ''''.;' ".<,_",,A -" I'~ I Death :fi", l~_( ...,,"7,); Account Ownership SOLE u,'" "':-:'':::'j Name of Joint Owner, if any Date Ownership 072099 Was Established Account Number Class of Account Date Opened Principal Balance Accrued Interest Balance at Date of Death Account Ownership Name of Joint Owner, if any Date O\vnership Was Established Additional Z~:t~t;~- Cb:t4 Infom13tion Requested SENIOR SERVICES REP. -,---.,-,.,'-" __0','_" - -,----_.,~ __ ~.._..~_'_._'_'M'_~_'_"_'__n -.----,_._- -------,_.._--_._~---. "-"' --,,-.-.--....-.. -_.' ----.. .,"------_. P.O. Box 1711, HARRISBURG. PENNSYLVANIA 17tOS-t711 -.. - . --- ... ,. ~__ ....._..... ___ -"'_"" '___~I_~_. A_~_ _._,,.,,..... .._-..-.. .. ~ ADi\~1S COUNIY !\ATIO~AL B:\;\;K -\)_.~.- -~- '-7 ~ '.......-"'-it\\. iLnifi '\.:ci ,'{ /' \ P',' ':'I.' , I.~.. ~ .', ~> '4;.;~, :."}. ~ ~ I' \ ,;.<i .... ~ 11>' December 8. 2004 Irwin & McKnight Law Offices 60 '.:Ve~~t Ptm;t!-et S!!'eet Carlisle, PAL 70 13 Re: Estat~ of Elc.-anor E. Hcff1cfiltgcr Dear :VIr. Invin: The following information is being provided as per your request: Acc\. Type Account No. Account Accrued Ownership Date Principal on Interest to Account V.O.D. 0.0.0. Opened Club 5526426 S30.00 S.02 Indi vidual II~I-O J Checking 118931 S\70636 S.76 Individual 2-4-85 Checking 1595458 53,295.85 SI.22 Individual 3-8-94 ^ Safe Deposit Box was held at the Newville Branch. Inquiries concerning ACNB Corporation slOck information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information, please contact me at (717)338-2171. Sincerely_ , Lois Kime Deposit Services , ']' , I,) 11-/ i"1.. 'JS "I' ~" 5"': -- r -." '., \ Al ~ a, I' e,: 'J'~ _.1 . ,-".:t-' ( . ,....... , '_o'~ '. '.' j , .~ 31.:0 ;.',:Fk PO Sri:, -)i)!: p:,\ i ':~, j :;() November 26,2004 CAROLE CHRONISTER 211 N MIDDLESEX RD CARLISLE PA 17013-8490 RE: Contract # 0A242517. ELEANOR E HEFFLEm,GEF, Dear Mrs. Chronister: We recently received notification of the death of Eleanor E. Hefflefinger, who owned a flexible-premium deferred variable annuity. Please accept our sincere condolences on your loss. We would like to do whatever we can to assist you. According to our records, the named beneficiaries of the annuity are William L. Chronister and Carole Chronister. This variable annuity may be invested in options subject to market fluctuation. Please provide the follOWing information that will assist us in processing the claim request as quickly as possible. . Original certified copy of the death certificate of the Contract Owner named above. Please note, only one certificate is required. . The enclosed Annuity Claim form completed entirely and signed by you, as a beneficiary; signatures are required in Part I and Part V. . The original contract, if available. As of the close of business on November 19, 2004, the lump sum payment amount available to be divided between beneficiaries is $20,25583 Since the contract is not valued until claim proofs are received in our office this value is subject to change. Please be aware that the funds remain invested in the allocations elected by the Contract Owner of the variable annuity and could be subject to market fluctuations. The investment options may be reallocated by written request, signed by both beneficiaries. Please contact the registered representative of this contract or me for further information on reallocation. Each beneficiary has several options available to receive the proceeds. The enclosed death benefit information guide was developed to answer some of the most commonly asked questions concerning the benefits available. Please refer to it for assistance. If you would like to receive a current prospectus that details the variable annuity and the investment options available, please contact the registered representative or me. '-j ,j , "" -~ .. " ''''1 hl1J ~ -~ U"'j'j'"Z c-r,:.p r.,..,. .)h I ajl ..;t Ji'~.. v:::ltt:J 3UC 8er'-i'I'!n P;~:k IJ() SUI: 3C:: i Beul';lr!, ?ii, ]';1: :2;)(;:; If you have any questions or require assistance concerning the completion and return of the claim form, please contact me. I can be reached at 800/624-0197, between 8:45 a.m. and 5:15 p.m., Eastern Time or you may contact the registered representative, Taylor K. Ranker. Sincerely, Il.~ rA- 1~ Nancy Rodriguez Howard Customer Service Representative CC: TAYLOR K RANKER Enclosures ) ~ 1 806 DtrtA..'C / ~- j(C / - 1-1- fg r j,-Klt) -_ tr:.;, Cr) /'r- W ,. ~I D"~!q.,L.)(.:;/(' (IHi:')f:-4t{.{) ({) "' lid ..J,.!i;/-,,' -- <"/.6-D j~'~c- -~ f.s--;cil (,,3:rTT,-rcK - f-.{CO /,,f/fJ{,(, /l}oek;2..- f;,{X) 1 ~. TIM,,! ';;qJi..) - 1;/{x) Jt?:"AAv H4mc tJ7.iI..Jcl - L (.7, 00 1- O:":D- 3Y,(!{) ; /;,-'r /\; ", SdA 6,;,D - 3;;-CO ':a7)jJ,ff'r;<t1~(,1 tbFFc-..E-Ii-IIJt - "x..~{t.7 I ' t !',~:: 0/(~'D;'t ~ 17,(/0 ...........ft.,;... , ) 7 C'f;, ,.(: L.7/,iD Ifld~h - i Jrd'O f;!(!fL -?1 7f.t() ?u. / - d~.;i) ['j) ,r':>.t" 0. /(,1/ /. Ntw51APD h' I S,,:/() ;}1/4$t Jd;.f(/S - S:.6'C1 t)~f\.. -~ P CO ;2.!l'dc,?,C.s 3" tv 1/1; ,dcZJ ~~ 0). Ayd ilvDc-.ftqt.JD - (J/{() /1 f1 :1OlW ;1/80, DSlfi6 h~~J,iJO L(j<- "'7 1,7 ~ $( 13q 00 WTfJ..L / [,. , . , ' "," ~ i-(tJX/<... ~;l.c!J:_, 7f/mi!/ .s j, 0 _U ~ --.-/U_ (yU ,111),1) t>!.( . &-t::)- . 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'"<::.::'. ,/, .- },ef... .. ..,- ~ ),~frv( ?p. /...."'. 1/ , - . -X /- ~== / ' '; -7'/ ~- '- :- -~/-? t.",;;;::.,-;L. /' (~~~4'-<' ,,( // / /J i,7 , ~yJ '-' .:/'.......... .A , '..1<; ,''-:::''- 'I \..> - -. : ~ '. .; >-- ~/-t.: /:./~" l'fIi.---;:) ) '~"'" ",,: , ,-,~'. /' , "0/ -:-'< ,:'.'<2'(" r;:r-- (" ' 0 - '- - ;/. " . ;/'/';" . ~&ff5;{r? ' ? c?"' ~ <" C" ././ /C c"" {( ""-~-"'i-----''-f ,. / - ,,\\\\~" / / I / :.. ~ . ' .. ,\~ "~ //C ~/ ;/.. . .-----. I vY/ ,. ! ,. , / . , , /',//// ___.t (/I.;.{ I I" . ,- __ C- 'c +c' I,) )" /"-< /.:;, ~'-.".I!.,.I .__ / ~ . ..J --- "~C~ ! ct ) .' t -I-L~ / y) -- )' .'C' ,11':... I -,Ii.> _ ,,~ ~, , ~ ! 1-' ~. / {,.,t, i\ )"1, ;~, \.) - t<." rl,- f;!.ri ------ 6.5 I .~- (- L) A f>--/'-'--<.'C L ", I )( (VL~J \ 't:._ (. j c' ". L 1...., '- CY' C~-c\...:..' i"" C-f . - c~-,-- L~\.. ~--{L-~' ?-- --""'j-' j.)-)-C'1 STATUS REPORT UNDER RULE 6.12 Name of Decedent: ELEANOR E. HEFFLEFINGER Date of Death: NOVEMBER 20, 2004 No. 21-04-01147 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: -L Yes _ 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. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X 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? X Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphan's Court and may be attached to this report. Signature ).~ Date: 05120/2005 IRWIN & M HT Roger B. Irwin, Esquire Name (please type or print) 60 West Pomfret Street Address Carlisle, PA 17013 City, State, Zip (717) 249-2353 Telephone Number Capacity: X Personal Representative Counsel for Personal Representative ~ ,-; \\~ C;'\ .v r\'-; f- 1.,-' Cumberland County - Register Of Will:3 One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/09/2006 IRWIN ROGER B ESQ 60 W POMFRET ST CAR~ISLE, PA 17013 RE: Estate of HEFFLEFINGER ELEANOR E File Number: 2004-01147 Dear S:<..r/Madam: This notice is to serve as a reminder that the StatLs 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.1, for decedents dying on or after July I, 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 administrati::::m. This filing lS due by: 11/20/2006 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 Farne~ Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Willi3 One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/09/2006 CHRONISTER WILLIAM L 211 N MIDDLESEX ROAD CAR~ISLE, PA 17013 RE: Estate of HEFFLEFINGER ELEANOR E File Number: 2004-01147 Dear Sly/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.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing 1S due by: 11/20/2006 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. S Glenda Farner Strasbaugh Clerk of the Orphans' Cou~t cc: File Counsel