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Home My WebLink About02-0376PETITION FOR PROBATE and Estate of I~ also known as Deceased. Social Security No. ! ~.~' ~' I ~"" ~ Ld E~..~ _ GRANT OF LETTERS P. egister of ~ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut a O.._e in the last wilt of the above de£eden(L dated Z. ~_/~1_~' and codicil{s) dated N / .A in the named ,.+9- 2.000 (state relevant circumstances, e.g. renunciauon, death of executor, etc.) Decendent was domiciled at death irt N/ (q tO~_l~ County, Pennsylvania, with h CO~ ~ last family or principal residence at~_ ~__~~ (list street, number and munc~paidy) then ~_ years of age, died /_~ E:ccepI as follows, decedent did not marry, was not divorced and did not have a child born or adopted afle; execution of the w~d for probate; was not ~Im ,,~cdm of a killing and was never adjudicated incompetent: Decendent at death owned proper~y with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County ~ $ $ Value of real estate in Pennsylvania situated as follows: ~ ~ ~ ~ WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters ~ ~1- l~t_~t'V~ ~ ~ T}~:l~ ~ (testamentary; administratkm ~.t.a~; adfministrat'cn d.b.rl.c.t.a.) theron. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANDk COUNTY OF ._O__D_g&DS_~-I~ f'},e petHioneFO0 above-named swear(s) or aFfi:m(s~ that rke statements in the foregoing petition are true and correct to the best of the knowledge ant~ v ....... ~ cF >~¢ticmer(s) and thal as personal revresen- tative(s) of the above decedent petitioner(s) wiii well and :r:~y administer the estate according to law. 5worq '" ~'~ 't C;rmed and subscribed h,q'ore me ~h;. ..... j 1%~ .......... da5 et : No. Zt-oz- Estate Of MARY E MII,I,E~TICS , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW APRIL ] 2. 2002 j~ , 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. 05-25-2000 described therein be admitted to probate and filed of record as the last will of MARY E MILLETICS and Letters TESTAMENTARY are hereby granted to RICHARD P MILI,~,TICS AND ROBERT N M]'LL~d?ICS FEES Probate, Letters, Etc .......... $ 60.00 Short Certificates( ) .......... $ g_ C}0 I~ftliy~iyglfx..e..x%.r..a..pB..qe..s.. $ 9.00 - jcp $ 5.00 TOTAL __ $. 80. O0 Filed 4- ..... 12-02 r~aiT6d' th' 'ai~jy' 'Oh' zr-' T 2: 02' M/~¥-C Ll~"/ISRegister of Wills ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE LAST WILL AND TESTAMENT OF MARY E. MILLETICS 2J- I, MARY E. MILLETICS of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. ITEM 1: After my demise, I direct that my body be released to the Weideman Funeral Home, 357 South 2nd Street, Steelton, Pennsylvania, with whom I have prearranged my funeral and burial. ITEM 2: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my Estate. I direct that all my just debts and fimeral expenses be paid as soon as practical ITEM 3: after my death. ITEM 4: Catholic Church I bequeath the sum of One Thousand Dollars ($1,000.00) to St. Theresa located at 1300 Bridge Street, New Cumberland, Cumberland County, Pennsylvania, for its maintenance fund. ITEM 5: I bequeath the sum of One Thousand Dollars ($1,000.00) to St. Boniface Catholic Church located at 8330 Johnson Street, Pembroke Pines, Florida 33024, for its maintenance fund. ITEM 6: I bequeath the sum of Two Thousand Dollars ($2,000.00) to my granddaughter, DIANE McCUTCHEON. ITEM 7: I bequeath the sum of Two Thousand Dollars ($2,000.00) to my granddaughter, LINDA BAKER. ITEM 8: I bequeath the sum of Two Thousand Dollars ($2,000.00) to my grandson, MICHAEL MILLETICS. ITEM 9: I bequeath the sum of Four Thousand Dollars ($4,000.00) to my granddaughter, DONNA KNOBLE. ITEM 10: I devise and bequeath the residue of my estate of every nature and wheresoever situate, together with insurance thereon, as follows: A. One-third to my son, ROBERT N. MILLETICS or to his issue. B. One-third to my son, RICHARD P. MILLETICS. In the event my son, RICHARD P. MILLETICS, predeceases me, I bequeath his share to his wife, PATRICIA A. MILLETICS. C. One-third to my granddaughters, MICHELLE LINTA and JODY LINTA, in equal shares, or to their issue, per stirpes. ITEM 11: I appoint my two sons, RICHARD P. MILLETICS and ROBERT N. MILLETICS, Co-Executors of this my Last Will. In the event either of my sons shall not qualify or cease to act as Executor, then my remaining son shall be my Executor. ITEM 12: Upon my demise I direct that my body be buried in the Holy Cross Cemetery next to my Late Husband, Andrew J. Milletics. ITEM 13: I direct that my personal representatives or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~'d~ day of ~ ,2000. MARY E. MILLETICS Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. //~~.~' ~ residing at ~ ~ ~r_.? ~t ~ I- - -(,I /.~./~. z,~.,,,, ~,,. COMMONWEALTH OF PENNSYLVANIA ) ) ss: COUNTY OF CUMBERLAND ) We, MARY E. MILLETICS, C=~ ~t4~ ~//c/. c),~g~.~d4~ ~,¢ O~, and / ~, ~/',5¢t ~t//9. /,-/ ¢. ¢/n/e.~ , the Testatrix and the witnesses respectively, whose names are signed to the attached or 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 therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years of older, of sound mind and under no constraint or undue influence. MILLETICS Subscribed, sworn and acknowledged before me /~¢/~t,~,,~.~_~e/4/e.~, by MARY E. MILLETICS, the Testaffix, and subscribed 'and s~om t~'before me by ~ t ~. ~ ~~ e~¢and ~'~ ~/~ ~J~ ~, the wi~esses, this ~ ~ day of ~ ~ ,2000. Nota~ eubh_'c_ _/ _ .... (SEflL) I ~NRY Y. GO~E, Nota~ Pu~ic I I ~en Twp., Cumb~nd Cou~, PA I ~ J My~mmi~mJune17,2~ ~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: MARY E. MILLETICS Date of Death: February 10, 2002 Will No.: 21-02-0376 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on April 18, 2002: Name: Address: Saint Theresa Catholic Church St. Bonface Catholic Church Diane (McCutcheon) Hickoff Linda Baker Michael Milletics Donna Knoble Robert N. Milletics Richard P. Milletics Michelle (Linta) Dragani Jody Linta 1300 Bridge Street, New Cumberland, PA 17070 8330 Johnson Street, Pembroke Pines, FL 33024 26 Deckert Road, Harrisburg, PA 17109 1854 Bonnie Blue Lane, Middletown, PA 17057 330 Aldeberan Drive, Sewell, NJ 08080 2933 Wayne Street, Harrisburg, PA 17111 63 Regency Woods, Carlisle, PA 17013 200 Ninth Street, New Cumberland, PA 17070 640 Campus Drive, Perkasie, PA 18944 224 Forest Avenue, Apt. #7, Ambler, PA 19002 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: COYNE & COYNE, P.C. BY: ' ~ ~ [ fiCa-Marie Coyne, ~squire ~'3901 Market Street] Camp Hill, PA 17011-4227 (717) 737-0464 Pa. Supreme Ct. No. 53788 Counsel for Personal Representatives COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 May7, 2002 Office of the Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Mary E. Milletics, Deceased Dear Mrs. Lewis Enclosed P3ease find check no. 93 in the amount of $110.00. payment on aceoufft for Inheritance Tax due for this estate. Thank you for your assistance. LMC/cmc Encl. Cc' Mr. Richard Milletics, Exec. Mr. Robert Milletics, Exec. Kindly process this check for Very truly yours, COYNE & COYNE, P.C. COYNE & COYNE, P.e. ATTORNEYS AT LAW 3901 MARKET STREET CAMP HILL, PA 17011-4227 Office of the Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 h,,ilh,,llh,,,,,Ih,th,,Ih,,Ihll,,,,,,llh,,Ih, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001159 LISA MARIE COYNE ESQUIRE C/O COYNE & COYNE ATTYS 3901 MARKET STREET CAMP HILL, PA 17011 ........ fold ESTATE INFORMATION: SSN: 185-10-7496 FILE NUMBER: 2102-0376 DECEDENT NAME: MILLETICS MARY E DATE OF PAYMENT: 05/09/2002 POSTMARK DATE: 05/03/2002 COUNTY: CUMBERLAND DATE OF DEATH: 02/10/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $110.00 TOTAL AMOUNT PAID: $110.00 REMARKS' LISA MARIE COYNE C/O COYNE & COYNE ATTYS SEAL CHECK# 93 INITIALS: JA RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS COYNE & COYNE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW Henry F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, Pennsylvania 17011-4227 717-737-0464 Fax: 717-737-5161 August 8, 2002 Mrs. Mary C. Lewis Register of Wills Cumberland County Courthouse Carlisle, PA 17013 Re~ Estate of Mary E. Milletics, Deceased No. 21-02-03 76 Dear Mrs. Lewis: Enclosed please find an original and the required copies of the Inheritance Tax Return for this Estate. Kindly docket the original return and return to me a "clocked-in" copy with the enclosed, stamped envelope. Also enclosed is check no. 101 in the amount of $15.00 for the filing fee for the Return as well as check no. 102 in the amount of $57.74, which is payment of the balance of the Inheritance Tax due. If you have any questions, please call me. Thank you for your assistance. LMC/amd Enclosures Very truly yours, COYNE & COYNE, P.C. (~ mane yn Cci Mr. Richard P. Milletics Mr. Robert N. Milletics COMMON~EALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT C-cTiCfAL USE Of"JLV FILE NUMBER 21 COUNTY CODE 02 0376 YEAR NUMBER I DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INIT~L) SOCIAL SECURIIY NUMBER ! MILLETICS, MARY E. 185-10-7496 DATE OF DEATH DATE OF BIRTH ~ t,-,,.,-~-~,, trnr~'~'.r-~r~; THIS RETURN MUST BE FILED IN DUPLICATE WITH THE uJ ,,el, 02/]0/2002 12!16/1920 REGISTER OF WILLS SOCIAL SECURITY NUMBER IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) [] 1. Original Return [] 2. Supplemental Return [] 3. Remainder ~ (date of death pdor to 12-13-82) ] 4. Limited Estate [] 4a. Future Interest Compromise (date of death after 12-12-82) [] 5. Federal Estate Tax Return Required [] 6. Decedent Died Testate (Attach copy [] 7. Decedent Maintained a Living Trust (Attach 8. Total Numba' of Safe Deposit Boxes of Will} copy of Trust) -- [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death between [] 11. Election to tax under Sec. 9113(A) (Attach Sch O) ~AME Lisa M. Coyne, Esquire :IRM NAME (If applicable) Coyne & Coyne, P.C. FELEPHONE NUMBER 717/737-0464 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) [] 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) COMPLETE MAILING ADDRESS 3901 Market Street Camp Hill, PA 170114227 None None':-.- None None 20,306.10 1,342.88 None 14,926.00 799.30 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 19. Tax Due OFFICIAL USE ONLY (8) (11) (12) (13) (14) 21,648.98 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) 16. Amount of line 14 taxable at lineal rate 3,923.68 x .045 (16) 17.Amount of line 14 taxable at sibling rate x .12 (17) 18. Amount of line 14 taxable at collateral rate x .1 5 (18) (19) 15,725.30 5,923.68 2,000.00 3,923.68 20. [] 176.57 176.57 Copyright 2000 form sofWvare only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 200 Ninth St. CITY STATE !ZIP New Cumberland PA i 17070 Tax Payments and Credits: 1. Tax Due (Page I Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 110.00 8.83 Total Credits (A + B + C) (1) 176.57 (2) 118.83 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page I Line 20 to request a refund 5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 57.74 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B) 57.74 Make Check Payable to: REGISTER OF I/VlLLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ............................................................................... .[~ [~ b. retain the right to designate who shall use the property transferred or its income; ................................... ~1~ c. retain a reversionary interest; or ...............................................................................................................~,~ d. receive the promise for life of either payments, benefits or care? ............................................................. I I 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... [] [] 3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death? ......... [] [] 4, Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. .~ [] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I dec~a~e that I have examined this r~aJm, induding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, con'ect and coml~ete. Declaration preparer other than the pemonaJ re~o~esentative is based on al mfom~alion of which preparer has any knowtadge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETHRN a~GlaXTU_RE OF PERSON ~ESS'O~BLE FOR F~UNG RErU~ ~PARER OTHER THAN REPRESENTATIVE ADDRESS ADDRESS 200 Ninth St. New Cumberland, PA 17070 ADDRESS 4748 Brian Road Mechanicsburg, PA 17050 3901 Market Street Camp Hill, PA 17011-4227 DATE · ~ DATE DATE 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. {}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 exempta 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 fi.om 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)]. 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. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER MILLETICS, MARY E 21 - 02 - 0376 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 OF NUMBER DESCRIPTION DEATH 1 Waypoint Bank Checking Account 20,306.10 TOTAL (Also enter on Line 5, Recapitulation) 20,306.10 y] Way LOOK FOR US. WE'LL GET YOU THERE. RO. Box 1711. Harrisburg. Pennsglvania 17105-1711 Member FDIC RICHARD P MILLETICS 200 9TH ST NEWCUMBERLAND PA 17070 STATEMENT DATE 3/01/02 PAGE 1 FOCUS ACCOUNT 0700047442 TYPE OF ACCOUNT: FOCUS 50 FREE INTEREST INTEREST PAID ANNUAL PERCENTAGE YIELD DAYS IN CYCLE YEAR TO DATE EARNED (APYE) 34.53 .55 [ 28 AVERAGE BALANCE 22,442.62 PREVIOUS BALANCE 24,867.14 DEPOSITS 5,630.77 DATE 2/05/02 2/06/02 2/13/02 2/13/02 2/19/02 2/25/02 2/26/02 3/01/02 ACTIVITY DESCRIPTION CHECK #204 CHECK #205 DEPOSIT CHECK #2O6 CHECK #2O7 DEPOSIT CHECK ~208 INTEREST EARNED DATE CHECK NO. AMOUNT 2/05/02 204 135.00 2/06/02 205 4,426.04 WITHDRAWALS CHARGES INTEREST 5,742.88 .00 g.47 DEPOSITS WITHDRAWALS 135.00 4.426.04 2,685.7/ ? 50. O0 2.945. O0 . 536.65 9.47 CHECK SUMMARY * indicates ski~ in check numbers;~ DATE CHECK NO. AHOUNT. i OATE 2/13/02 206 595.19 2/26/02 2/lg102 207 50.00 ENDING BALANCE 24,764.50 BALANCE 22,396.68 22,346.68 25.291.68 24,755.03 24,764.50 CHECK NO. 208 AMOUNT 536.65 Online Bill Payment is Way Better! Just think..~.no Iore~writing checks. stuffing envelopes, or pms~ing stamps) Paying all you~6ills with just a few clicks is simple - and way more convenient! Visit us online at www.waypointbank.com to find out how easy Online Bill Payment is! P00-502 (2/02) CustomEr SErvicE Toll-Free I-B66-WAYPOINT (I-866-929-7646) · In York Area 717/815-4500 www.wagpointbank.com COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER MILLETICS, MARY E. 21 - 02 - 0376 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 A. Richard P. Milletics ADDRESS 200 Ninth St. New Cumberland, PA 17070 RELATIONSHIP TO DECEDENT Son JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT 04/02/1996 DESCRIPTION OF PROPERTY Include name of financial institution and bank account number or similar identifying number. Attach deed for jointly-held real estate. Allfirst Bank Checking Acct. No. 003046799 DATE OF DEATH VALUE OF ASSET 2,685.75 TOTAL (Also enter on line 6, Recapitulation) DATE OF DEATH VALUE OF DECEDENT'SINTEREST 1,342.88 1,342.88 allfirst Coyne and ¢;oyne Atllorney$ At I,aw 3901 Market Slrcct Camp llill, PA 1701 !-4227 Atlflfst I;inaneiol ('enter i,O I~a ~j)~ '~ Millh~ro, I)1! May23,2~2 Dear Sir or M~dam: Pec yotn- inquiry dated May O. 2002 pit, t< he ~vir, ed Iha! 'al ~ lin~ ofck'alh, thc ala/v~.~ran~d dcccd~n! lad on (,k'lx'~if will! thL'~ iXltlk the folk,wing: AaS3..'t~t t Cb Se~iccs. (302) 934-2909 COMMONWEALTH OFPENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER MILLETICS, MARY E. 21 - 02 - 0376 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT 1. 2. 3. 4. 1 2 3 FUNERAL EXPENSES: Wiedeman Funeral Home, Steelton, Pennsylvania Alter Servers Reception Gingrich Memorial -- Engraving ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid Attorney's Fees Coyne & Coyne, P.C. -- Lisa M. Coyne, Esquire Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Richard ?. Mi]letics Street Address 200 Ninth St. City New Cumberland State PA Relationship of Claimant to Decedent Son Probate Fees Cumberland County Register of Wills ~ Zip 17070 Accountant's Fees Tax Retum Preparer's Fees Other Administrative Costs Filing Fee--Inheritance Tax Return Income Tax Preparation Fee Executors' Mileage at $.32/mile 7,633.00 50.0O 590.00 80.00 2,000.00 3,500.00 80.00 15.00 300.00 64.00 Total of Continuation Schedule(s) 614.00 TOTAL (Also enter on line 9, Recapitulation) 14,926.00 Schedule H Funeral Expenses & Administrative Costs continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MILLETICS, MARY E. , 21 02- 0376 4 Executors' Toll Calls 75.00 Reserves Postage Legal Advertisement-- Cumberland Law Journal Legal Advertisement-- Patriot News 300.00 64.00 75.00 100.00 Page 2 of Schedule H SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MILLETICS, MARY E. 21 - 02 - 0376 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT Uncleared Checks from Checking Account Neighbor Care (Medications) Metro Medical Transport St. Theresa Catholic Church Mobile X-ray Imaging TOTAL (Also enter on Line 10, Recapitulation) 595.19 19.52 67.38 50.00 67.21 799.30 SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ~TTT~Tr~ MARY E. · ,-.~.~,~.,~o, 21 - 02 - 0376 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY AMOUNT OR SHARE OF ESTATE II. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Diane R. Hickoff 26 Deckert Rd., Harrisburg, PA 17109 Linda Baker 1854 Bonnie Blue Lane, Middletown, PA 17057 Donna Knoble 2933 Wayne Street, Harrisburg, PA 17111 Michael Milletics 330 Aldeberan Drive, Sewell, NJ 08080 Robert N. Milletics 4748 Brian Rd., Mechanicsburg, PA 17055 Richard P. Milletics 200 Ninth St., New Cumberland, PA 17070 See Continuation Schedule(s) attached RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Granddaughter Granddaughter Granddaughter Grandson Son Son 2,000.00 2,000.00 4,000.00 2,000.00 1/3 of Residual Estate 1/3 of Residual Estate Enter dollar amounts for distributions shown above on lines 15 through 17, as appropriate, on Rev 1500 cover sheet NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS St. Theresa Catholic Church, New Cumberland, Pennsylvania St. Boniface Catholic Church, Pembroke Pines, Florida 1,000.00 1,000.00 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 2,000.00 SCHEDULE J BENEFICIARIES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MARY E. l,,~,~o, ' 21 - 02 - 0376 RELATIONSHIP TO NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT AMOUNT OR SHARE DO Not LIst Trustee{s) OF ESTATE TAXABLE DISTRIBUTIONS (include outdght spousal distributions) Jody Linta 224 Forest Ave., Apt. #7, Ambler, PA 19002 Michelle Dragani 640 Campus Drive, Perkasie, PA 18944 Granddaughter Granddaughter 1/6 of Residual Estate 1/6 of Residual Estate Page 2 of Schedule J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 R£V-~,3 EX AFP C09~00) INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 67 Ace 0213q600 DATE 07-26-2002 RICHARD P HILLETICS 200 9TH ST NEW CUMBERLAND PA 17070-1609 TYPE OF ACCOUNT EST. OF MARY E HILLETICS [] SAVINGS S.S. NO. 17q-20-5971 [] CHECKING DATE OF DEATH 02-10-2002 [] TRUST COUNTY YORK [] CERTIF. REHIT PAYHENT AND FORHS TO: REGISTER OF WILLS YORK CO COURT HOUSE YORK, PA 17~01 ALLFIRST FINANCIAL SERVICE has provided the Department with the in~oraation llstad beloe ehich has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you~erea joint eerier/beneficiary of this account. If you feel this information is incorrect, pZease obtain erittmn correction from the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance eith the Inheritance Tax Lams of the Commonwealth of Pennsylvania. guastions may be answered by calling (717) 787-8327. COMPLETE PART I BELON # x x SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Accoun~ No. 00570~6799 Da'l:e 0q-0Z-1996 Es~cablished Accoun~ Balance Z, 685.75 Parcen~ Taxable X 5 0 . 0 0 0 Amoun~ SubSec~ ~o Tax 1,3qZ . 88 Tax Ra~a X . I5 PO*eh*iai Tax Due 201.q:5 To insure proper credit to your account, two CZ) capias of this notice must accompany your payment to the Reg/st~r of #ills. Hake check payable to: "Register of Hills, Agent". NOTE: If tax pa~ts are made elthin three (3) months of the decedent's date of death, you may deduct a ~Z discount of the ~ax due. Any inheritance tax due ~ill become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE !' CHECK ONE BLOCK ONLY PART TAX LINE A. [] The above inhraation end tax due is correct. 1. You may choose to remit payment to the Register of Hills with two cop/es of this notice to obtain a discount or avoid interest~ or you may check b~x "A" and return this notice to the Registmr of Hills and an official assessment will be issued by the PA Department of Revenue. B. ~Tha above asset has been or ~ill be reported and tax paid with the Pennsylvania Inheritance Tax return f~to .be flied by the decadent's representative. C. [] The above inforaati~ is incorrect and/or debts and deductions Here paid by you. You must complete P&~T ~ and/or PART ~ below. If you indicate a diffaran* ~ax ra*e~ please s~a*e ~our rala*ionsh/p *o decedent: RETURN - COMPUTATZON OF TAX ON dOZNT/TRUST ACCOUNTS 1. De~a E$~al~lisned I 2. Accoun~ Balance 2 ~. Percen~ Taxable $ ~ ~. Amoun~ SubSec~ ~o Tax ~ $. Debts and Deductions $. 6. Amoun~ Taxable ~ 7. Tax Ra~a 7 ~ 8. Tax Due 8 PART DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID TOTAL (En~ar on Line $ of Tax Compu*a*ion) Under penalties of perjury, I dmclara ~:ha~ ~:he fac~:s I have r~por~ed above arm *rue, corrac~ and complete '1:o ~ bes~ of my knowl~ge ~ belief. HOME ( ) TAXPAYER SIG"~ / ~~ ~~ TELEPHONE "UMSER LAST WILL AND TESTAMENT OF MARY E. MILLETICS I, MARY E. MII,I,ETICS of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my Last Will and revoke any Will previously made by me. ITEM 1: After my demise, I direct that my body be released to the Weidernan Funeral Home, 357 South 2nd Street, Steelton, Pennsylvania, with whom I have prearranged my funeral and burial. ITEM 2: I direct that all taxes that may be' assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my Estate. ITEM 3: I direct that all my just debts and funeral expenses be paid as soon as practical after my death. ITEM 4: I bequeath the sum of One Thousand Dollars ($1,000.00) to St. Theresa Catholic Church located at 1300' Bridge S~r~et, New Cumberland, Cumberland County, Pennsylvania, for its maintenance fund. ITEM 5: I bequeath the sum of One Thousand Dollars ($1,000.00) to St. Boniface Catholic Church located at 8330 Johnson Street, Pembroke Pines, Florida 33024, for its maintenance fund. ITEM 6: I bequeath the sum of Two Thousand Dollars ($2,000.00) to my granddaughter, DIANE McCUTCREON. ITEM 7: I bequeath the sum of Two Thousand Dollars ($2,000.00) to my granddaughter, LINDA BAIiE1L ITEM 8: I bequeath the sum of Two Thousand Dollars ($2,000.00) to my grandson, MICItAEL MILLETICS. ITEM 9: I bequeath the sum of Four Thousand Dollars ($4,000.00) to my granddaughter, DONNA IGNOBLE. ITEM 10: I devise and bequeath the residue of my estate of every nature and wheresoever situate, together with insurance thereon, as follows: A. One-third to my son, ROBERT N. MII,LETICS or to his issue. B. One-third to my son, RICItARD ~'. MII,LETICS. In the event my son, RICItARD P. MII,LETICS, predeceases me, I bequeath his share to his wife, PATRICIA A. MT~,{,~'.TICS. C. One-third to my granddaughters, MICFrELLE LI1N'TA and JODY I,rNTA, in equal shares, or to their issue, per stirPes. ITEM 11: I appoint my two sons, RICItARD P. iVtTI.LETICS and ROBERT N. MII.I.le. TICS, Co-Executors of this my Last Will. In the event either of my sons shall not qualify or cease to act as Executor, then my remaining son shall be my ExeCutor. ITEM 12: Upon my demise I direct that my body be buried in the Holy Cross Cemetery next to my Late Husband, Andrew J. Milletics. ITEM 13: I direct that my personal representatives or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdictiom 2 IN WITNESS WI-[E~OF, I have hereunto set my hand and seal to this, my Last Will testament, this 2,%J~ day of ~ ,2000. MARY E. ~HI'~LETICS Signed, sealed, published and declared by the above-named Testatrix as and for her Last and Testament in our presence, who, at her request, in her presence and in the presence of · other, have hereunto subscribed our names as attesting witnesses. ~,p~_.~, ~residing at --'"--- residing at 3 CO1VflVIONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) We, MARY E. MII,LETICS, ~/~ ~- J~~~/.~ and / ~/~Sa ~t/t~.t'/'C ~/a/g--' , the Testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being fn-st 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 therein expressed, and that each of the witnesses, in the presence and heating of the Testatrix, signed the will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years of older, of sound mind and under no constraint or undue influence. MILLETICS Subscribed, sworn and acknowledged before me ~/~.~t-'z/~.~o/a/~., by MARY E. I~ITI.I.F. TICS, the Testatrix, and subscribed and s~om t~' before me by ///a.,.-/k_. the wimesses, this c~. ~ day of ~ °t ,2000. Nota H~NRY F. COYNE, Notary PulSe Hamt~ert T~I~, Cumb~al~d CouMy, PA~ My C~mmi~ Ex.,_pirm June 17, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001501 LISA M COYNE ESQUIRE 3901 MARKET STREET CAMP HILL, PA 17011-4227 ........ fold ESTATE INFORMATION: SSN: 185-10-7496 FILE NUMBER: 2102-0376 DECEDENT NAME: MILLETICS MARY E DATE OF PAYMENT: 08/09/2002 POSTMARK DATE: 08/08/2002 COUNTY: CUMBERLAND DATE OF DEATH: 02/10/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $57.74 TOTAL AMOUNT PAID' $57.74 REMARKS: RICHARD P MILLETICS & ROBERT N MILLETICS C/O LISA M COYNE SEAL CHECK# 102 INITIALS: SK RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS 0 ~ BUREAU OF ZNDZVZDUAL TAXES /NHERTTANCE TAX DIVISION DEPT. Z80601 HARRTSBURG, PA 171Z8-0601 COHMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE LISA M COYNE ESQ COYNE & COYNE $901 MARKET ST CAMP HILL PA 17011 NOTICE OF ZNHERZTANCE TAX APPRAISEMENT, ALLONANCE OR DZSALLO#ANCE OF DEDUCTZONS AND ASSESSMENT OF TAX -DATE ESTATE OF DATE OF DEATH FILE NUMBER * ' ' COUNTY ACM 09-50-2002 HILLETICS 02-10-2002 ZZ 02-0576 CUMBERLAND 101 Amoun~ Rami*l:~ad REV-l;47 EX AFP MARY E HAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF gILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THXS LINE ~ RETAIN LONER PORTZON FOR YOUR RECORDS ~ REV-1547 EX AFP (01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLONANCE OF DEDUCTXONS AND ASSESSMENT OF TAX ESTATE OF MILLETICS MARY E F~LE NO. 21 02-0576 ACN 101 DATE 09-$O-Z00Z TAX RETURN #AS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATION CONCERNTNG FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~a (Schedule A) 2. S~ocks end Bonds (Schedule B) $. Closely Held S~ock/Par~narship [n~aras~ (Schedule C) ($) 4. Hor~gages/No~as Receivable (Schedule D) E. Cash/Bank Deposits~Misc. Persona/ Propar~y (Schedule E) (5) 6. Jointly Owned Propar*y (Schedule F) (6) 7. Transfers (Schedule O) (7) 8. To,al Asso~s APPROVED DEDUCTIONS AND EXEHPTZONS: 9. Funoral Exponses/Adm. Costs/Misc. Exponsos (Schedule H) (9) 10. Dob~s/Hor~gage Liabili~ios/Lions (Schodulo I) (10) 11. To,al Deductions 12. Na~ Value of Tax Re~urn 20~$06.10 1~$~2.88 .00 .00 NOTE: To insure proper · O0 cradi~ ~o your account, .00 subei~ ~ha upper portion .00 of ~his fore wi~h your ~ax payment. (8) 21,6~8.98 1~,926.00 799 .$0 (Zl) 15.725.30 (la) 5,925.68 15. 14. NOTE: Charitable/governmental Bequest:s; Non-elected 9115 Trusts (Schedule J) (13) ?,000. O0 Na~ Value of Es~:a~a Subjac~ ~o Tax (14) :~,92:5.68 Tf an assess.ant ~as issued previously, lines 1~, 15 and/or 16, 17, 18 and 19 ~11 reflect figures that include the total of ALL returns assessed to date. DISCOUNT /NTEREST/PEN PA/D (-) 5.79 .00 ASSESSMENT OF TAX: 15. Amoun* of Line 14 a~ Spousal ra*a 16. Amoun~ of L/ne 1~ ~axabla a~ Lineal/Class A ra~e 17. Amoun~ of Line 14 a~ Sibling re~e ~8. Amoun~ of L~ne ~4 ~axab~e a~ Co~a~ara~/C~ass B ra~e ~9. Princ~pa~ Tax Due TAX CREDZTS: PAYHENT I RECEIPT DATE NUMBER 05-03-2002 CD001159 08-09-2002 CD001501 PAYHENT HUST BE MADE BY 11-10-2002~. (15) .00 X O0 = .00 (16). $,925.68 X 0~5 = 176.57 (17) . O0 x 12 = . O0 (18) .00 x 15 = .00 (19)= 176.57 AMOUNT PAID 110.00 57.7~ TOTAL TAX CREDZT BALANCE OF TAX DUE ZNTEREST AND PEN. TOTAL DUE IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 173.53 3.0~ .00 3.0~ ( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUTRED. TF TOTAL DUE TS REFLECTED AS A 'CREDTT- (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR TNSTRUCTTONS. .~NDIVIDUAL TAXES .~ TAX DIVISION ~0601 LISA M COYNE ESQ 'J':" COYNE & COYNE 390I MARKET ST CAMP HILL "MA 17011 CUT ALONG THIS LINE ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX RETAIN LOWER PORTION FOR YOUR RECORDS DATE 09-30-2002 ESTATE OF MILLETICS MARY DATE OF DEATH 02-10-2002 FILE NUMBER 21 02-0376 COUNTY CUMBERLAND ACN n~ Remi{~ed HAKE CHECK PAYABLE AND REMZT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001 747 LISA MARIE COYNE ESQUIRE COYNE & COYNE PC 3901 MARKET STREET CAMP HILL, PA 17011-4227 ........ fold ESTATE INFORMATION: SSN: 185-10-7496 FILE NUMBER: 2102-0376 DECEDENT NAME: MILLETICS MARY E DATE OF PAYMENT: 1 O/18/2002 POSTMARK DATE: 10/17/2002 COUNTY: CUMBERLAND DATE OF DEATH: 02/1 O/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $3.04 REMARKS: TOTAL AMOUNT PAID: LISA M COYNE ESQUIRE $3.04 SEAL CHECK# 110 INITIALS' AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS UREAU OF ZNDZVTDUAL TAXES INHER/TANCE TAX DIV~S/OH DEPT. Z806~]1 HARRTSBURG, PA 171Z8-0601 CONNONNEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE ZNHERZTANCE TAX STATEMENT OF ACCOUNT RE¥-i&D7 EX AFP (01-0Z) LISA N COYNE ESQ COYNE & COYNE 3901 MARKET ST ~, CANP HILL PA 17011 ~i~'~, DATE 11-0q-Z00Z ESTATE OF HILLETZCS DATE OF DEATH 0Z-10-Z00Z FILE NUNBER 21 02-0576 COUNI~/ CUNBERLAND ACN 101 Amoun~ Remi~'l:md NARY E HAKE CHECK PAYABLE AND REHZT PAYNENT TO: REGISTER OF NILLS CUNBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To Lnsure proper credi~ ~o your account, submJ~ ~he upper portion of ~his form wi~h your ~ax payment. CUT ALONG TH'rS LINE ~ RETA'rN LONER PORTION FOR YOUR RECORDS *-~ REV-1607 EX AFP (01-02) -~ 'rNHERZTANCE TAX STATENENT OF ACCOUNT .~. ESTATE OF NILLETICS NARY E F'rLE NO. 21 02-0576 ACN 101 DATE 11-0q-Z00Z TH/S STATEMENT TS PROVIDED TO ADV/SE OF THE CURRENT STATUS OF THE STATED ACN TN THE NAHED ESTATE. SHO#N BELON TS A SUMMARY OF THE PR/NC/PAL TAX DUE, APPL/CATTON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ZF APPLICABLE,, A PROJECTED INTEREST FTGURE. DATE OF LAST ASSESSNENT OR RECORD ADJUSTNENT: 09-50-2002 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYNENTS (TAX CREDITS): 176.57 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID 05-05-2002 08-09-2002 10-17-2002 CD001159 CD001501 CD0017~7 5.79 .00 .00 110.00 57.7q $.0q ZF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( ZF TOTAL DUE ZS LESS THAN 91, NO PAYMENT 1S REQUXRED. ZF TOTAL DUE IS REFLECTED AS A "CREDIT" TOTAL TAX CREDIT 176.57 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU MAY BE DUE A REFUND. SEE REVERSE STDE OF THTS FORM FOR TNSTRUCTZONS. STATUS REPORT UNDER RULE 6.12 Name of Decedent: MARY E. MILLETICS Date of Death: FEBRURARY 10, 2002 Will No. 2002-0376 Admin. No. 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: State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No bo The separate Orphans' Court No. (if any) for the personal representative's account is: interest? Did the personal representative state an account informally to the parties in Yes X No d. Copies of receipts releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Dated: - I0-o2~ c~i;a.~_ _arie C oyne, Es quir~ Camp Hill, PA 17011-4227 (717) 737-0464 Counsel for Estate