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DECEDENT'S ESTATE �, �J � �
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ESTATE OF Patricia Ann Jumper , DECEASED
No, 2012-00881
PETITION FOR ADJUDICATION/
STATEMENT OF PROPOSED DISTRIBUTION
PURSUANT TO Pa. O.C. Rule 6.9
This form may be used in all cases involving the Audit of the Account of a Decedent's Estate. If
space is insufficient, riders may be attached. Attach the spouse's election, if any; the papers
required under items 8-19 inclusive; and any instrument pertinent to the adjudication.
INCL UDE ATTACHMENTS AT THE BACK OF THIS FORM.
Name of Counsel: Ronald N. Jumper, Jr.
Supreme Court LD.No.: 64346
Name of Law Firm: N/A
Address: 24�North Middlesex Road
Telephone: �1�-385-6372
Fax: N/A
�
Form OG01 rev. 10.13.06 Page 1 of 10
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Estate of Patricia Ann Jumper , Deceased
1. Name(s) and address(es) of Petitioner(s):
Name: Ronald N.Jumper,Jr
Address: 247 North Middlesex Road
Carlisle,PA 17013
Identify any executors or administrators who have not joined in the Petition for
Adjudication and Statement of Proposed Distribution and state reason:
None
Is this the first accounting by this fiduciary? . . . . . . . . . . . . . . . . . . . . . m Yes � No
If not, identify prior accountings,the accounting periods covered, and the date of
adjudication of the prior accounting.
2. Decedent died on August 1, 2012
� Letters Testamentary or �Letters of Administration were granted to Petitioner(s) on
Ausust 13. 2012
Date of Will ('rf applicable): January 18, 1993
Date(s) of Codicil(s) ('f applicable):
Date of probate (if different from date Letters granted):
Was a bond required?[�Yes 0 No If yes, state amount:
Are proofs of advertising of the grant of Letters attached? . . . . . . . . . �Yes �No
Dates of advertising of the grant of Letters: Carlisle Sentinal--August 15-29, 2012
Cumberland County Law Journal August 24, 31 and September 7, 2012
Fo,m oc-o� rev. 10.13.06 Page 2 of 10
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Estate of patricia Ann Jumper , Deceased
3. Was decedent survived by a spouse? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Yes �No
If yes, name of the surviving spouse:
4. Has the surviving spouse filed to take an elective share? . . . . . . . . . . . . . �Yes �No
(See Section 2201 et s�. of the Probate, Estates and Fiduciaries Code)
If yes, date of election:
5. In the case of an intestacy, state the names of the decedent's surviving children or
surviving issue of deceased children (if none, so state):
6. Did decedent marry after execution of Will or Codicil(s)? . . . . . . . . . . . �Yes 0 No
Were any children born to decedent after execution of
Will or Codicil(s)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Yes m No
If yes, give names and dates of birth:
Name: Date of Birth:
7. If required by the Medical Assistance Estate Recovery Act,
62 P.S. § 1412, was a request for a statement of claim sent to
the Department of Public Welfare? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes � No
Form OC-01 rev. /0.13.06 Page 3 of 10
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Estate of Patricia Ann Jumper , Deceased
8. Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7 and 6.8 has been or will be
given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants
listed in item 10 below. In addition, notice of any questions requiring Adjudication as
discussed in item 14 below has been or will be given to all persons affected thereby.
A. If Notice has been given, attach a copy of the Notice as well as a list of the names
and addresses of the parties receiving such Notice.
B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and
addresses of the parties receiving such Notice shall be submitted at the Audit
together with a statement executed by a Petitioner or counsel certifying that such
notice has been given.
C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated
persons),Notice of the Audit has been or will be given to the appropriate
representative on such party's behalf as required by Pa. O.C. Rule 5.2.
D. If any charitable interest is involved,Notice of the Audit has been or will also be
given to the Attorney General as required under Pa. O.C. Rule 5.5. In addition, the
Attorney General's clearance certificate (or proof of service of Notice and a copy
of such Notice) must be submitted herewith or at the Audit.
9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or
knowledge, having or claiming any interest in the estate as beneficiaries under the Will or
Codicil(s) or as intestate heirs if there is a complete or partial intestacy:
A. State each party's relationship to the decedent and the nature of each party's
interest(s):
Name and Address o Each Par in Interest Relationshi and Comments,i an Interest
Ronald N. Jumper, Jr. Son 100%
247 North Middlesex Road
Carlisle, PA 17013
Form OC-DI rev.10.13.06 Page 4 of 10
__ . .. ._.__ � �.�,_ � ..� _ _
Estate of Patricia Ann Jumper , Deceased
Name and Address o Each Par in Interest Relationshi and Comments,i an Interest
B. Identify each party who is not sui juris (e.g., minors or incapacitated persons).
For each such party, give date of birth, the name of each Guardian and how each
Guardian was appointed. If no Guardian has been appointed, identify the next of
kin of such party, giving the name, address and relationship of each.
None
C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for
this Audit (see Pa. O.C. Rule 12.4).
N/A
D. If distribution is to be made to the personal representative of a deceased party,
state date of death, date and place of grant of Letters and type of Letters granted.
N/A
Form OC-01 rev. ]0.13.06 Page 5 of 10
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Estate of Patricia Ann Jumper , Deceased
10. Other than the claim for the family exemption, list the names of all known claimants and
the amount of their claims and state whether each claim is admitted.
Name and Address of Each Claimant Amount of Claim Claim Will Claim
Admitted? Be Pard In
Full?
None �Yes �Yes
�No 0 No
�Yes �Yes
�No �No
�Yes ❑Yes
�No ❑No
�Yes 0 Yes
�No �No
If the estate is insolvent, attach a schedule setting forth the order of preference under
20 Pa.C.S. § 3392 and the proposed payments.
11. Was family exemption claimed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Yes mNo
Was family exemption allowed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DYes �No
Family exemption claimant's name and relationship:
Name: Relationship.•
Form oc-o� rev. 10.13.06 Page 6 of 10
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Estate of Patricia Ann Jumper , Deceased
12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate
Tax paid, the date(s) of payment(s), and the interest(s) upon which paid, are as follows:
Date Payment Interest
10/31/12 5,080.47 100%
13. On the date of death,was the decedent a fiduciary
(personal representative,trustee, guardian, agent under power
of attorney) or surety on the bond of a fiduciary? . . . . . . . . . . . . . . . . . . . �Yes m No
If yes,provide the name of the estate, indicate whether an account has been filed and
confirmed absolutely and all awards performed, or, in the alternative, how the
decedent's estate will be discharged for the decedent's fiduciary administration of the
estate.
14. A. Describe in detail any questions requiring adjudication and state the position of the
Petitioner(s) as to each question:
None
B. Has notice of the question requiring adjudication been given
to the parties identified in Paragraph 9 above? . . . . . . . . . . . . . . . . . . ❑Yes 0 No
15. If Petitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed
or attached, provide a copy of the assignment, renunciation, disclaimer or attachment,
together with any relevant supporting documentation.
Fo,m oc-o� rev. 10.�3.06 Page 7 of 10
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Estate of patricia Ann Jumper , Deceased
16. Had the decedent been adjudicated an incapacitated person? . . . . . . . . . . 0 Yes m No
If yes, attach a copy of the Order if available; otherwise state the Court, term, number,
date, and name of Hearing Judge.
17. A. List or attach a separate list of additional receipts and disbursements since the closing
date of the Account.
None
B. Has notice of the additional receipts and disbursements been
given to the parties identified in Paragraph 9 above? . . . . . . . . . . . . . 0 Yes �No
18. If a reserve is reyuested, state amount and purpose.
Amount: �.��
Purpose:
If a reserve is requested for counsel fees, has notice of the
amount of fees to be paid from the reserve been given to the
parties in interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Yes �No
If so, attach a copy of the notice.
19. Is the Court being asked to direct
the filing of a Schedule of Distribution? . . . . . . . . . . . . . . . . . . . . . . . . . . �Yes �No
As to real estate only? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Yes 0 No
Form OGOI rev. 10.13.06 Page 8 of 10
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Estate of Patricia Ann Jumper , Deceased
Wherefore, your Petitioner(s)ask(s)that distribution be awarded to the parties entitled
and suggest(s)that the distributive shares of income and principal (residuary shares being stated
in proportions, not amounts) are as follows:
A. Income:
Proposed Distributee(sJ Amount/Proportion
Ronald N. Jumper, Jr. 0.00
B. Principal:
Proposed Dastributee(s) Amount/Proportion
Ronald N. Jumper, Jr. $121,447.70/100%
Submitted By:
(�11[petitioners must sign.
Add additional lines if necessary):
, ! t3
Name of Petition : ald N. Jump r, Jr
Name of Petitioner:
Form OC-01 rev. 10.13.06 Page 9 of 10
Estate of Patricia Ann Jumper , Deceased
Verification of Petitioner
(Verification must be by at least one petitioner.)
The undersigned hereby verifies * �t�11t he/she HE ]s dtle Executor
of the above-named name ofcorporation Estate of Patricia Ann Jumper and] that the facts set
forth in the foregoing Petition for Adjudication/Statement of Proposed Distribution which are
within the personal knowledge of the Petitioner are true, and as to facts based on the information
of others,the Petitioner, after diligent inquiry, believes them to be true; and that any false
statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unsworn
falsification to authorities).
? l�
ignature o etit' er
*Corporate petitioners must complete bracketed information.
Certification of Counsel
The undersigned counsel hereby certifies that the foregoing Petition for Adjudication/
Statement of Proposed Distribution is a true and accurate reproduction of the form Petition
authorized by the Supreme Court, and that no changes to the form have been made beyond the
responses herein.
7i /3
Signature of nsel etition
Form OC-Ol rev.10.13.06 Page 10 of 10
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CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
. CARLISLE, PA 17013
Tele: (717)249-3166 Fax:(717)249-2663
September 7, 2012
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Ronald N. Jumper, Jr.
RE: Patricia Ann Jumper Estate �
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
------------------------------------------------------------------
------------------------------------------------------------------
Advertisement inserted on following dates:
August 24, August 31, and September 7, 2012
Advertising Cost $ 75.00
Proof of Publication $ 0:00
Second Proof Request $ 0.00
Payment received $ 75.00
Total Amount Due $ 0.00
Becky H. Morgenthal, Executive Director
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PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYL�ANIA :
. ss.
COUNTY OF CUMBERI.AND .
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according ta law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Cazlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local eourts as the official legal
periodical for the publication of all legal notices,and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
viz:
August 24 Au�ust 31, and September 7, 2012
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and chazacter of publication are true.
_-_---
�Lisa arie Coyne, Edix
SWO TO AND SUBSCRIBED before me this
7 da, o�September, 2012
�
Notary
Jumper,Patricia Aaa,dec'd.
Late of the Borough of Carlisle. „�,��
Executor:Ronald N.Jumper,Jr., NOTARIAL SEAL
247 North Middlesex Road, Car- DEBORAN A COLLINS
lisle,PA 17013. Notary Pubiic
Attorney: None.
CARUSLE BOROUGN,CUP�IBER:.ANO COUNTY
N!y Commission Expires Apr 28,2014
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PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
lackie Cox,Sales Director, of The Sentinel, of the County and State aforesaid,being duly
sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the
Borough of Carlisle,County and State aforesaid,was established December 13th,1881,
since which date THE SENTINEL has been regularly issued in said County, and that the
printed notice or publication attached hereto is exactly the same as was printed and
published in the regular editions and issues of
THE SENTINEL on the following day(s):
August 15,22&29, 2012
COPY OF NOTICE OF PUBLICATION
Affiant further deposes that he/she is not
interested in the subject matter of the
���� ' aforesaid notice or advertisement,and that
�ei�raefem�;ta�y o�fne estete At aA�Ric�►�►NH�u�nPea ia�e Qf tna�� . all allegations in the foregoing statement as
j Bdrqtagh bft'rerlfslA,Cumberlattd Cbun ,Pg�nBylvania,deceased,have .
beeCt ��nted to the,u�derslgned�AfYpersoris kn6WingYhemsBly'es to be
�oqd�m���s�id�state wi11�5al�e`p�yment Cmmetl(ately anil thqse HaVing, t0 t1lrie,place and character of publication
clam§ l preaentthemfore�Ef�eFnent.
~�`�� �� � are true.
Rdri t£ x v �r,Jr Executor
247�������G Floatl' �
,
Cariisfe i�0i�� , ��
Sworn o and sub ribe befor me this
�� �Z
�
Notary Public
My commission expires:
NOTARIAL SE4L ���s�y��4
BAMBI ANN HECKENDGRP�
Notzry Public
CARLISLE BORQUGH, CUP.�fBER�AiVD CNTY
iJly Commission Expires I�.:� '�', 2014 �
THE SENTINEL - LEGAL Ad# 413088 First taken by robik 08/13/2012 08:53
Printed on 08/13I2012 at 08:56 by robik Last changed bY robik 08/13/2012 08:56
(717) 385-6372 Acct# 86448 Given by RoNALD JUMPER JR.
RONALD JUMPER JR. Start OB/15/2012 Stop 08/29/2012
247 N. MI�LESEX ROAD Transient Bill Expir.
Class 10 PUBLIC NOTICES
CARLISLE, PA 17013 Index: EXECUTOR NOTICE LETTERS TESTAMIIVTA
Subacr? N Cols 2 Lines 11 Tnches 1.03 Words 62 Box? N
Pb# Code Rate Hase-Charge Addl-Charqe Total-Cost Ins Start Stop SMTWTFS
MOB2 2.00
O1PRF 7.00
3 IAL 116.82 9.00 125.82 3 OS/15/2012 08/29/2012 0001000
TOTAL AD COST 125.82
***"* TEN'i'ATIVE ***** TENTATIVE ***** TFNfATIVE ***"* TENTATIVE ***k* TENTATIVE **"**
EXECUTOR NOnC�
letEm Testamentary on tho Eatate o(PATRICIA ANN JUMPER late of the
8orouph ot CarNsb,Cumberland County,PennsyNaMs,deceased,have
bsen prarded to tl�e w�derelpned.Ap peroons knowirg themselves to be
Indabted to sald Eslate wNl make peymont immedfately and thoee havi�g
clalma wNl proeent them for settlemerrt.
Ronald N.Jumper,Jr.Execulor
247 N.Mdi�bsex Road
Cerlisb,PA 17013
The Sentinel RONALD JUMPER JR. AD NUMBER PAGE NO.
w w w,c u m b e r t i n k.c o m 247 N.MIDDLESEX ROAD 413088 1 Of 1
CARLISLE,PA 17013 BILL DATE SALESPERSON
� 717-385-6372
G����� 08/29/12 robik
CAR's!�:f Sti??t`:T�3SEURC; P[i2V CG.1N'Y
START DATE STOP DATE
08/15/12 08/29/12
AD NUNIBER AD DESCRIPTION CLASS LINES
413088 EXECUTOR NOTICE LETTERS TESTAMENTA 10 PUBLIC NOTICES 22 * 2 cols
Publication Insertions Rate Net Amount Gross Amount
3 THE SENTINEL-LEGAL 3 LGL $116.82
TOTAL AD CHARGE $116.82
3 MOBILE SITE MOB2 $2.00
3 PROOF OF PUBLICATION 01PRF $7.00
PREVIOUSLY PAID ($125.82)
$0.00 $0.00
THE SENTINEL
Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS
in-column legal ads is 4:00 p.m.two business days prior to PO BOX 540
date of insertion. For questions,call (717)240-7130. WATERLOO IA 50704-0540
Retum thls po►tlon w/th your payment Legal
THE SENTINEL
❑ Check# ❑Credit Card Ad Number 413088
c/o LEE NEWSPAPERS ❑ � ❑ � ❑ � ❑ � Billing Date 08/29/12
PO BOX 540
WATERLOO IA 50704-0540 Acct#: Amount Due $ .00
E�.Date:m m . ` �
Amount :
Name on credit card $
Ehclosed-:
�kv
Signature 'Y 4
Please make checks payable to: THE SENTINEL
�+� 00025� THE SENTINEL
titi RONALD JUMPER JR. c/o LEE NEWSPAPERS
247 N. MIDDLESEX ROAD PO BOX 742548
CARLISLE, PA 17013 CINCINNATI OH 45274-2548
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DEPARTMENT OF PUBLIC WELFARE
April 12, 2013
RONALD N )UMPER ESQUIRE
247 N MIDDLESEX RD
CARLISLE PA 17013
Re: Patricia Jumper
SSN: ###-##-8991
Dear Attorney ]umper:
Pursuant to your letter dated April 02, 2013, the Department's, Estate Recovery
Program, has reviewed the information you provided regarding the above-referenced
individual.
It has been determined that this individual did not receive any type of assistance
during the questioned period.
Therefore, according to the information you provided, the Department's Estate
Recovery Program will not seek any recovery from this estate. If your client applied for
Medical Assistance and had an application and/or hearing pending at the time of death,
please advise us and provide any additional information that may affect a recovery by our
Department.
Thank you for your cooperation in this matter. If you have any questions, please
contact me.
Sincerely
��� ��
Vince A. Porter
Recovery Section Manager
(717)772-6604
Bureau of Program Integrity � Division of Third Party Liability � Recovery Section
PO Box 8486 � Harrisburg, Pennsylvania 17105-8486
COMMONWFALTH OFPENNSYLVANIA REV-1182 EX�11-88y
DEPARTMENT OF REVENUE
BUFiEAU OF INDIVIOUAL TAXE5-
D�T.280601
HARRISBURG,PA 17128-0801
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01671 1
JUMPER RONALD N JR
247 NORTH MIDDLESEX RD
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
""'-' f� """"� ------
101 � 54,796.50
ESTATE INFORMATION: SSN: 162-36-899t (
FILE NUMBER: 2112-0881 �
DECEDENT NAME: JUMPER PATRICIA ANN (
DATE OF PAYMENT: 10/31/2012 �
POSTMARK DATE: 10/31/2012 +
COUNTY: CUMBERLAND �
DATE OF DEATH: 08/01/2012 �
�
TOTAL AMOUNT PAID: 54,796.50
REMARKS:
CHECK# 9530
INITIALS: HEA
sEa,� RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
,. , ,,. � � �. ., �.���,� .� _ .�,-..� �� -�,rt� . . �._ �� ., � �
NOTICE OF INHERITANCE TAX � pennsyLvani�
BUREAU OF INDIVIDUAL TAXES
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE f DEPARTMENTOFREVENUE
INNERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 IX AFP C12-12�
PO BOX 280601
HARRISBUR6 PA 17128-0601
DATE 01-29-2013
ESTATE OF JUMPER PATRICIA A
DATE OF DEATH 08-01-2012
FILE NUMBER 21 12-0881
COUNTY CUMBERLAND
RONALD N JUMPER JR . ACN 101
247 N MIDDLESEX RD APPEAL DATE: 03-30-2013
CARLISLE PA 17013-8490 (SeereversesideunderObjections)
Anount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE -� RETAIN LOWER PORTION FOR YOUR RECORDS 4�-
-------------------------------------------------------------------------------------------
REV-1547 EX AFP C12-12� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: JUMPER PATRICIA AFILE N0. :21 12-0881 ACN: 101 DATE: 01-29-2013
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate CSchedule A) �1� 115�500.00 NOTE: To ensure proper
2. Stocks and Bonds CSchedule B) C2� .00 credit to your account,
3. Closely Held Stock/Partnership Interest CSchedule C) �3� .�� submit the upper portioi
of this form with your
4. Mortgages/Notes Receivable CSchedule D) C4) •0� tax payment.
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E� C5) 3,25 0.00
6. Jointly Owned Property (SChedule F) (6) .0 0
7. Transfers (Schedule G) �7� .00
8. Total Assets (8) 118,750.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) . �J� 4.8 38.9 2
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 1 .712.23
11. Total Deductions �li� 6�551.15
12. Net Value of Tax Return �12� 112,198.85
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) (13) .0 0
14. Net Yalue of Estate Subject to Tax (14) 112,198.85
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 (15) .00 X 0 0 - .00
16. Amount of Line 14 taxable at LineaLClass A rate (16i 7 7 7.1 98_R� x 045 = 5,048.95
17. Amount of Line 14 at Sibling rate C17) _0� X 12 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 - .00
19. Principal rax Due ci9�= 5,048.95
TAX CREDITS:
PAYMENT RECEIPT DISCDUNT C+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
10-31-2012 CD016711 252.45 4,796.50
TOTAL TAX PAYMENT 5,048.95
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
�' �3�z, � �I. zc�
Court of Common Pleas of Cumberland County, Pennsylvania
Orphans' Court Division
No.
Estate of PATRICIA A. JUMPER, Deceased
Late of the Borough of Carlisle Cumberland County Pennsylvania
FIRST AND FINAL ACCOUNT OF
RONALD N. JUMPER, JR, Executor
Date of Death: August 1, 2012
Letters Granted: August 13, 2012
First Complete Advertisement
of Grant of Letters Carlisle Sentinel: August 15, 2012
First Complete Advertisement
of Grant of Letters Cumberland County Law Journal: August 24, 2012
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SUMMARY AND INDEX OF ACCOUNT
PAGES AMOUNTS
PRINCIPAL
Receipts 3 $ 132,934.26
Net Gain or Loss p
Adjusted Balance 3 $ 132,934.26
Less Disbursements
-Debts 3 $ 915.43
-Funeral Expenses 3 $ 3964.82
-Federal/State Taxes 4 $ 5067.28
-Fees/Commissions 4 0
-Administrative 4 $ 1539.08
Expenses
Balance Before Distributions 4 $ 121,447.70
Distributions to Beneficiaries 5 $ 121,447.70
Principal Balance 5
Remaining
COMBINED BALANCE ON HAND 4 $ 121,447.70
VERIFICATION 6
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PRINCIPAL RECIEPTS
Real Estate
404 West Penn Street Carlisle, PA $115,500.00
Personal Effects
2002 Chevrolet Tracker 2500.00
Living Room Furniture 250.00
Bedroom Furniture 250.00
Kitchenware 200.00
Household items 500.00
Members First Checking Account 4513.02
Members First Savings Account 1295.00
John Hancock Insurance Annuity 6524.26
Aero Oil Refund 1009.00
Highmark Refund 132.00
Discover Card Refund 19.98
Erie Insurance Refund 146.00
Total $132,934.26
DI5BURSEMENT OF PRINCIPAL
Debts of Decedent
Century Link 35.24
Verizon Wireless 59.27
Comcast 30.08
Kohl's 37.97
Capital One 191.07
Erie Insurance 406.00
Carlisle Regional Medical Center 10.00
Carlisle Borough Water/Sewer 145.80
Sub-Total $915.43
Funeral Expenses
Ewing Brothers Funeral Home
Carlisle, PA 3714.82
Funeral Expenses—Flowers/Food 250.00
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Sub-Total $3964.82
Administrative Expenses
Cleaning Supplies 30.00
Sollenberger's Title Transfer(Vehicle) 99.50
Register of Wills Probate of Will �
and Letters Testamentary 303.50
Advertisement of Letters
Carlisle Sentinel 125.82
Advertisement of Letters
Cumberland County Law Journal 75.00
Pennsylvania Power and Light 226.90
Aero Oil Co. 678.36
Sub-Total $1539.08
FederaU State Taxes
Pa. Department of Revenue
Joint Bank Accounts 270.78
Pa. Department of Revenue
Estate Taxes 4796.50
Federal Income Taxes
State Income Taxes
Cumberland County TaY Collection Bureau
Sub-Total $5067.28
Fees and Commissions 0.00
Total Disbursement of Principal $11,486.61
Combined Balance Before Distribution $121,447.70
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DISTRIBUTION OF PRINCAPL TO BENEFICIARIES
To: RONALD N. JUMPER, JR in Satisfaction of Article of Will of PATRICIA A. JUMPER.
Real Estate
404 West Penn Street Carlisle, PA $115,500.00
To: RONALD N. JUMPER, JR in Satisfaction of Article II of Will of PATRICIA A. JUMPER.
Personal Effects--All personal effects of the estate herein listed.
�t �3
Ronald N. Jumper, Jr.
Executor of the Will of Patricia A. Jumper
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VERIFICATIt:�N
ROANLD N. JUMPER,Jr. Executar of the Wi11 of PATRICIA A. JUMPER, Deceased hereby
declares under oath that he has fully and faithfully discharged the duties of his affice: that the
forgoing First and Final Account is true and correct and fully discloses a11 significant
transactions occurring during the accounting periad: that all known claims against the Estate
have been paid in full; that ta his knowledge, there are no claims outstanding against the Estate,
that all taxes presently due from the Estate have been paid; and that the grant of Letters
Testamentary and the�rst complete advertisement thereof occurred more than four months
before the filing of the forgoing Fist and Final Account.
This staternent is made subject to penalties of 18 Pa C.S.A. Section 4904 (relating to unswarn
falsificatian to authorities).
Date: �Z- �o!�'
r
Ronald N. Jumper,Jr.
Executor
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBELAND
Ronald N. Jumper,Jr., being duly sworn accarding ta 1aw, deposes and says that the Account as
stated is true and correct and that the Grant af Letters and the first complete advertisement
thereof accurred more than four months before the filing of the Account
Sworn and Subscribed befare me this��day af ? ^' ! A.D. 2�9�: ,�e�'�
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otary Public COMMONW�ALTH OF PENNSYLYANIA
t�ararial sea!
Patricta L.Tameya,Notary Public
Lower Paxton Twp„Dauphin County
�'�Y Commission Fxpires lan.21,2014
Mem6er,Pe�nsylvanl8 Assodadon of NataMes
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