HomeMy WebLinkAbout01-0138
No.
To:
Register of ~for the
Deceased. County of~~~CA' yf) in the
Social Security No. /->7' -;;L Y - ~" Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that: ~
Your petitioner(s), who is/are 18 years of age or older ~he e~fZaJL /~/ X
in the last will of the above decedent, dated ;1 C, /~~
and codicil(s) dated
ROBATE and GRANT OF LETTERS
OV "'DI-/3 ~
PEJlTION FOR
Estate of 6-~~~: JC...
also known as
~ed
, 19p-
h~t<-
Pennsylvania, with
~/,
Decendent at death owned property 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:
u~1.oo
$
$
$
$
'"
~
Q)
u
t::
Q)
~3
Q) ...
i:>::Q)
t::
-CO
s::"C
cd -;::
~Q)
~~ ~
... 0,J)
j ., ~~'Ofkf'~f;J20( . /)
:t:>OR.O\~\t ~ l'-'foJ(~ rz Ilk4 AY0..,c~ ~yJ
~ATH OF PERSONAL REPRESENT'ATIVE
COMMONWEALTH OF PENNSYLVANIA I ss
COUNTY OF Clnnberland J
~~S~~
! (testamentary; admini tration c.t.a.; administr 'on d.b.n.c.t.a.)
WHEREFORE, petitioner(s) respectfully r
presented herewith and the grant of letters
theron.
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 etitioner(s and that as personal represen-
tative(s) of the above decedent petitioner(s) will we r ya lste the estate according to law.
and
en
aq'
::s
I:l
....
~~
~~1 ~ ~.J
v-t-villt !f O~
No.
21-2001-138
Estate of
GLORIA L. KOHR
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW February 6th ~ 200 ~ in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that the instrument(s) dated AUGUST 26,1993
described therein be admitted to probate and filed of record as the last will of
GLORIA L. KOHR
and Letters TESTAMENTARY
are hereby granted to CHARLES W. THCMAS, AKA CHARLES W THCMAS JR, AND
OOROTHY FRAKER, AKA OOROTHY S. FRAKER
~)lc~~././~ HML-(~
~ Register of Wills MARY C. LEWIS/-/
REGISTER OF WILLS
FEES
$ 18.00
$ 3.00
$
$ 9.00
5.00
TOTAL _ $
Filed . febmQ.n':6tl1,,2QQl. . . .$.. .:l5pP.Q .
Probate, Letters, Etc. .........
Short Certificates( 1) . . . . . . . . . .
Renunciation ................
X-PAGES (3)
JCP
ATTORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
::J (';-
r-, ;-~
C.:
EXEClITORS WILL PICK UP LETTERS AND ORDER
U'rI".~(l" ~.1:_V 0/~(..
This is to certify that the information here given is correctly copied from an original certificate of death dul~ filed with
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
me as
No.
):i:-~. ~b.L~~
Local Registrar
Fee for this certificate, $2.00
p
6948170
EEB i1ii5 2001
Dale
H105, 143 A..... 2187
COMMONWEALTH Of PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
~INT
AGEtLast9ir1hcSavt
UNOER 1 YEAA'
Montha Clays
$lA'l'l ~'LE NUMHA
---.------------- :~~e~le TI~UR:NU;;R -8896
BIRTHPlACE !C.ty and PlACE ~ oeRH lCt><<;lI 0fIty /)f'8 .... 'r'lIllucloont on 0CI'>er ~l
Stale or FCIltICJtl Counrry} HOSPITAL:
Lemoyne, PA '''''_ /Xl
7. ...
FACfLlT'f' NAME jll n(M1n1MU1lOI1. QNe Slr",~nd numtlefl
DATEOFOU.TM7M~;;;;, Oa,,:':;;;~'--'
lENT
INK
NAME OF OECEDENTlf~__,.;.d~-.-..--.---
I. Gloria L. Kohr
<<I
Cumberland
lie.
Carilsle
.. Feb. 1, 2001
69
v".
:;::",,0
..
COUNTY OF OERH
...
DECEDENT'S USUAL OCCUPJI1ION
i~-=:lif";'~~~::l,:'r
".. Homemaker 11b. Own HQne
DECEDENT'S MAILING AOOAESS (SIr"t. CilyfTown. Stall. Z.pCOdeI DECEDENT'S
'612 Mountain Rd. :~~~E
Newville PA 17241 ~~~~~
11.
FATHEA'S NAME lFirst MiOdIe. Lastl
MS DECEDENT EVER IN
U.S. ARMEDFOACES1
....0 No(j
17.. Slale
PA
MARITAl SWUS. M.rri8d
Newr fMrried, WIdowtCl.
--
,..Widowed
17C.[J.,.,____Ywdirl
SUFMVING SPOUSE
(n iMf.. \1M8 maooen namel
12.
17b. Coun
...
-
....in.
~nn~rlann 1OWnIhip? 17..0 ~~=oI
MOTHER'S NAME (Fitll. Mickl'le, Malden Surnaone)
ln
_.
""'......
NY 10924
2>>. 23c.
v..s CASE REFERRED TO MEOtCAl EXAMINERlCQAONER1
....Kl
No~
c~ ~F 6W
DuE IDlCA AS ACONSEOUENCE OF)'
k
...
1~1.
I iN.,. bMw8en
: onMI and dM1h
,
:
PART II:
0Chef Signil'ant condIIioN eontribuling to duth. but
not ,...utIing in IhIi undltrfyW1Q C8l* oN-.n in PARr I.
ESRb
b.
DUE TO (OR AS A CONSE:OUENCE Of):
DUE TO lOA AS'" CONSEOUENCE Of)"
d.
WERE AlJ10PSY FtNOtNGS
JIMlILAM.E PAtOA to
COMPlETlON OF CAUSE
OF OERH?
_0
MANNER OF DEATH
Nal"''' ff" HemiciM 0
- 0 PmCIit'lg InvMtlg8l1on 0
Suicidl> 0 CouICI noc btI del.""",*, 0
DATE Of INJURY
(Month. OIy, Yur)
TIME OF INJURY
tHJ\JRY 1Cf WORK? DESCRIBE HOW' INJURY ClCCtJRAED.
.... 0 NoD
NoD
II.
~\,~\,d
32.
DATE FIl.fD (Monltl, o..y. ....,
~b ,~ d-,()(:)\
2M. 21b,
CEJIIT.JEA,CI'\edl only one)
"CERTIf'YINQ PHYSICIAN (PhVSC'8"~ cause d de-.th wfletl.a1"lOther phySICo8n has p101"l()t1nCed dealtl and cO'T'IDleled"ern 231
TO"'","m, 1lnO~.de.u.occun.ddueto lhecauu(s) and manner a. stat8d. ..,... .,........,..,...,..
D.
PLACE OF INJURY. AI ham.. farm. stre.. t8CtOty, omc.
buMItnQ. etc:. 1Spec:-M
3Oe.
oltfllONOUNClNG AND CEATIFYtNG PHYSICIAN (Ptlyllltllln bom ;)Ionounc::tng oeoalh.and Cefl"'fW\91O cause 01 de-ami
To ItMi ~ of my kN)~';JI'I, death Dec,,"" at !he tlma. date, and place, and due to Ihe uu.e(a) and mann.,.. alallld.. . . .
'MEDlCAL EXAMINER/CORONER
On the tMai. of ...mlnatlon andlorlnvestlg.,ion, in 1'1'11 opinion, death occurred .llhe lime. dlll,and pl.ce, .nd due to the cau'.f.) and
ma"n.r...ta1ed......,................,....."....." .0..'."......,...,."...,.".."....." ...,.,., .....,. ,.,..
31..
REGISTRAR'S SIGNATURE AND NUMBER
o
"'.
LAST WILL AND TESTAMENT
OF
GLORIA L. KOHR
I, GLORIA L. KOHR, a resident of and domiciled at 1306
Ritner Highway, Carlisle, Cumberland County, Pennsylvania, being
of sound mind and disposing intent, do hereby make; publish and
declare this to be my Last Will and Testament, hereby revoking
all Wills and Codicils at anytime heretofore made by me.
ITEH I
I order and direct my CO-Executors, hereinafter named, to
pay all of my debts, and expenses involved or connected with the
administration of my estate as soon after my death as is
reasonably practicable. However, my Co-Executors need not
accelerate and pay those unmatured obligations which, in their
opinion, might be proper and more advantageous to retain or renew
and pay as they become due and payable.
ITEH II
I direct that the $6,000.00 life insurance policy issued by
Veteran's Life payable to my son, Charles W. Thomas, to be used
to pay the expenses of my funeral and burial in the family plot
at Cumberland Valley Memorial Gardens, Carlisle, PA.
ITEH III
I give all of my jewelry, including my diamond rings, to be
divided as equitably as possible to my four (4) granddaughters:
ASHLEY TROKAS, LINDSEY TRODS, TIFFAHE CALLICH and TINA KEESHAN.
I give, devise and bequeath all of my furniture and furnishings
to my daughter, Betty Jo Callich, provided she survives me for a
period of thirty (30) days. If she fails to survive me, then I
give the same in equal shares only to my children, Charles W.
Thomas and Dorothy Fraker, provided they survive me by thirty
(30) days to bed divided as they may agree.
.Ai 7f. )1.
I direct that my automobile be sold at either public or
private sale and that the proceeds therefrom be divided equally
between my grandchildren ASHLEY TROlfAS, LINDSEY TROKAS, TIFFANE
CALLICH, and TINA KEESHAN and DERRICK KEESHAN.
ITEH IV
I have three beloved children: Charles W. Thomas, Florida,
N.Y., Dorothy Fraker, Newville, PA, Betty Jo Callich, Carlisle,
PA. Charles Thomas and Dorothy Fraker have been amply provided
for and therefore I give, devise and bequeath my home at 1306
Ritner Highway, Carlisle, PA, to Betty Jo Callich, if she
survives me for a period of thirty (30) days, for as long as she
desires to live there. If, during her lifetime, she sells the
property, then it is to be sold at public sale and the proceeds
therefrom be divided equally between my three children, Charles
W. Thomas, Dorothy Fraker, and Betty Jo Callich, per stirpes.
ITEH V
I hereby give, devise and bequeath all of the rest, residue
and remainder of my estate, real or personal, and my property of
every kind and description (including lapsed legacies and
devises) wherever situate and whether acquired before or after
execution of this Will, in equal shares to such of my children
who survive me for a period of thirty (30) days.
ITEH VI
I hereby nominate, constitute and appoint as Co-Executors of
this my Last Will and Testament my son, Charles W. Thomas and my
daughter, Dorothy Fraker, and direct that they shall serve
without requirement of bond or surety. By way of illustration and
not of limitation and in addition to any inherent, implied or
statutory powers granted to executors generally, my Executors are
specifically authorized to and empowered with respect to any
property, real or personal, at any time held under any provision
of this my Will, to allot, allocate between principal and income,
assign, borrow, buy, care for, collect, compromise claims,
contract with respect to, continue any business of mine, convey,
convert, deal with, dispose of, enter into, exchange, hold,
improve, incorporate any business of mine, invest, lease, manage,
fl, i Ie!
mortgage, grant and exercise options with respect to, take
possession of, pledge, receive, release, repair, sell, sue for,
to make distributions in cash or in kind or partly in each
without regard to the income tax basis of such asset, and in
general to exercise all of the powers in the management of my
Estate which any individual could exercise in the management of
similar property owned in her own right, upon such terms and
conditions as to my Executors may deem best, and to execute and
deliver any and all instruments and to do all acts which my
Executors may deem proper or necessary to carry out the purposes
of this my Will, without being limited in any way by the specific
grants of power made, and without the necessity of a Court Order.
IN WITNESS WHEREOF,
my seal this ~ day of
I have hereunto set my hand and affixed
(2.//1 . , 1993. / / "
--=r- ~ (;f. ~
-GLORIA L. KOHR
SIGNED, SEALED, PUBLISHED and DECLARED by the above
Testatrix as and for her Last Will, in the presence of us, who
thereupon at her request, in her presence and in the presence of
each other, have hereunto subscribed our names as witnesses.
~~
Witness .
(JALiJ.t
Address
CP~'R~
Witness
~
Address
<-P~
STATE OF PENNSYLVANIA
.
.
COUNTY OF CUMBERLAND
: SS
.
.
We, GLORIA L. KOHR,
Debra Peters
and
Patricia R. Brown
the Testatrix and the 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 signed willingly, and that she
executed it as her free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the
presence and hearing of the Testatrix, signed the Will as
witnesses and that to the best of each witness' knowledge and
belief the Testatrix was at that time eighteen years of age or
older, of sound mind and under no undue constraint or influence.
gkua ;;{ /~
~estatrix
"t1k ~
Witness
~~~
Witness
Subscribed, sworn to and acknowledged before me by GLORIA L.
KOUR, the Testatrix and subscribed and sworn to before me by
Debra Peters
and
/} / ..,-" II.. _ ~
~IJ? day of ~
~~
Patricia R. Brown
,
witnesses, this
, 1993.
NOTARIAl:.. SEAL
SH,ELL Y SEXTOtt::N.OT ARY PUBLIC
CARllS4E BORO.CDllt6ERLAND COUNTY
MY COMMl$$tON.&l'PIRES'OCl 31. 1994
MtIIltier P.ennsylvuia' Attociation 0' Notaries
,
IN THE COURT OF COMMON PLEAS OF CUMBERLAND County, PENNSYLVANIA
ORPHANS' COURT DIVISION
File No. 2101138
Estate of GLORIA L KOHR SSN-159-24-8896, Deceased
NOTICE OF CLAIM by Universal Bank, NA., filed pursuant to Section 3532 (b)
(2) ofthe Probate, Estates, and Fiduciaries Code, 20 Pa.C.S.A. 83532 (b) (2).
TO THE CLERK OF THE ORPHANS' COURT DIVISION:
Enter the claim of Universal Bank, NA., in the amount of $8813.16, against the above-
captioned estate. The Decedent, who resided at 612 MOUNTAIN RD., NEWVILLE,P A
17241-8653 CUMBERLAND County,
Pennsylvania, died on 02/0112001. Written notice of said claim was given to:
CHARLES W THOMAS
4 INDIANA RD
GOSHEN,NY 10924
on April 4, 2001.
:;1
Universal Bank, NA Account
L..
TAMMY A Z ON, manager
for Citicorp Credit Services, under
limited power of attorney for
Universal Bank, NA
No. 5491130083930784
P.O. Box 20432
Claimant's Counsel:
n/a
Kansas City, Mo. 64195
Address . .
PROOF OF CLAIM
. ~ t.:,:~
ORPHANS COURT DIVISION
COVltT 01' COMMrnq PL~A~
CUMBERLAND COUNTY
O.c. No 2101138
ESTATE OF: GLORIA L KOHR
DECEASED
Social Security Number: 159-24-8896
Date of Death: 02/01/2001
Name, Address & Phone No. of
Person Filing Claim:
Tammy Anzelone
Agent for Claimant
Citicorp Credit Services
PO Box 20432
Kansas City, Mo. 64195
1 800215-6061
Your A1Sd Universal Statement
,--January 25 - February 22, 2001
.~
.
Page 1 of 2
GLORIA L KOHR
Account 5491 1300 8393 0784
Calling Card 9251377724+ PIN
No Annual Fee/Platinum Card
How to Reach Us
Account Online: www.universalcard.com
Account OnCall: 1 800636-8330
(For Automated Service Only)
Customer Service: 1 800423-4343 or write
Universal Card Services Corp., PO Box 44167
Jacksonville, FL 32231-4167
Minimum Payment Due............................................S363.oo
Due Date"..................................................... March 19, 2001
'poymant must ba recaived by 1:00 pm local time on tha poymant dua data.
Amount Past Due ......................................................$180.00
Credit Line ................................................ ........... .$1 0,000.00
Available Credit ........................ ............................... ...... $0.00
Cash Advance Limit .... ..................... ......................$5,000.00
The Annual Percentage Rate on your account
may increase due to one of the following
reasons stated in your Card Agreement with
us: if you fail to make a payment to us or any
other creditor when due, you exceed your
credit line or you make a payment to us that is
not honored by your bank.
Quick Reference
Account Summary
Previous Balance
Payments and Adjustments
MasterCard@ Activity
T otal AT&T Services
New Balance
Note: Detailed activity starts on page 2.
$8,655.73
0.00
157.43
0.00
$8,813.16
Payment Record Amount Paid:
Date Paid:
Check Number:
Please follow payment instructions In the Wlmportant Instructions for Making Payments' section of the original statement.
Account Number Pa ment Due New Balance Minimum Pa ment Enter Amount Enclosed
5491 130083930784
03/19/01
$8,813.16
$363.00
$
Make changes to address snd phone number below:
Add ress Apt/Suite
City
State
Zip
'Home phone
( )
Business phone
( )
o EI 549115 16 00 C
Make check payable to:
Universal Card
PO BOX 8216
SOUTH HACKENSACK NJ 07606-8216
GLORIA L KOHR
612 MOUNTAIN RD
NEWVILLE PA 17241-8653
54911300839307840000363000008813164
WELTMAN, WEINBERG & REIS
Co.. L.P.A.
C,.,K
AITORNEYSATLAW
175 South 3'" Street. Suite 900
Columbus, Ohio 43215-5177
(614) 228.7272 FAX (614) 222.2181
CLEVELAND. COLUMBUS. CINCINNATI. Pl1TSBURGH. DETROIT
May 14, 2001
Cumberland County Register of Wills
1 Courthouse Square, Room 102
Carlisle, P A 17013
RE: Estate of Gloria Kohr
CLAIM OF: Discover Financial Services Inc.
OUR FILE NO.: 02215109
oli-(j 1-/3 il'
Dear Sir or Madam:
Please be advised this office represents Discover Financial Services Inc.. Enclosed is our client's claim for filing in
the Estate of Gloria Kohr. Before you actually file the claim, however, we would respectfully ask you to review
your records to ensure no claim has already been filed for our client, or that this claim is beyond the deadline for
claim presentment. If so, please do not file the enclosed claim but rather return it to us notating the return is due
either to a duplicate claim or the expiration of the filing deadline. We have enclosed our postage paid return
envelope, and you can also telephone our office toll free at 1-800-325-9965.
We apologize for any involved inconvenience to you, but we hope to avoid the Estate incUITing any needless
expense. Please note in advance of our submitting this claim to you, we have made a good faith effort to ascertain
whether the filing deadline has expired or if our client may have previously filed a duplicate claim. Based upon the
information available to us we believe the enclosed claim is legitimate.
In the event the enclosed claim is accepted and filed with the Estate but representatives of the Estate later determine
the claim is time barred or a duplicate filing, WE WILL GLADLY RELEASE OUR CLAIM, upon receiving
verification of its defect. There is no need for the Estate to file any petition or motion to challenge our clients claim.
The Estate representative or attorney can simply contact us using our toll free telephone number, by mail or by fax.
Thank you very much for your courtesy and cooperation. We request that all correspondence and/or payments be
directed to our address, and any checks should be llIade payable to the order of Discover Financial Services Inc..
This law firm is attempting to collect this debt for our client, and any information obtained will be used for that
purpose only.
't- tnliy ?:":"Jt:...fJ
Lee E. Kemp -l
Probate Manager
LEK:sbl
CC: Charles Thomas
Enclosure
FORM 93-0.C. DIVISION
IN THE COURT OF COMMON PLEAS
OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE
OF
NO: 21-01-138
Gloria Kohr
(Deceased)
CLAIM
TO the Clerk of orphans' Court Division:
Index and make proper entry in your official record of claim of
Discover Financial Services Inc. (Claimant) Acct. No.: 6011002500665922
in the amount of $5,039.63 against the estate of the above named
decedent. This claim is filed under section 732 (b) (2) of the Fiduciaries Act
of 1949 as amended.
The said decedent, who resided at 612 Mountain Road, Newville, PA
17241, died on February 1,2001.
written notice of this claim was given to arles Thomas on May 14, 2001
L.
Lee E. Kemp, Authoriz Agent
175 South Third Street,
Columbus, OH 43215
1-800-325-9965 wwr # 02215109
co
oo~
(Y)CO
M6
000\
q-O
C>
en
~
U
0)
.r::
~ u
D.: ~
...J 0)
o ~
o cU
~ ~
~
W -W
a: 00
~ 0
U
CJ
a:
w
ED
Z
jjj
3:
z
oct
::E
....
...J
W
3: ...:l
~ cr1
VI (fl
W
u
ii:
u. I
o rl
3: 0
:3 u
o
o
-WlI)
s::
::J
o
E
~
<:t'
<:t'
N
lI)
0\
o
o
o
~
s::::r:
00
-rl ~
-W
0,
-rl ~
HH
U~
000
O)...:l
QC-'
0\
#0
rl
-WlI)
Url
UN
~N
o
rl
o
0)..........
-W<:t'
cUrl
Q..........
lI)
o
l..
o
o
lI)
-W
s::
::J
o
E
~
~
U
0)
.r::
u
.-0\:.....
..........fi:....;t~
II ~ ~
. :
c:J 0-
~
IU ~
:
,SV13 IS.
Ba 0 S 11d
rJJ
~.
~
~
~
~~
~...:
~~
~
~
S
~
c
w
o I-
~ en
~ r- W
f-< r- :J
S;;; 0
C/J.r, W
r-: N a:
ill ~ en
e<:o W
t;;s:: 0
CI 0 :;:
e: '" a:
::r:::l w
f-< ~ en
t::~ c
::l -l W
00 Z
C/J U a:
;!:: :J
I-
W
a:
-.~
\
~
"-
\
~
,
..........
~
-
-
-
-
-
~
-
-
-
-
-
~
~
~
<...,N
00
....-
2 S
.~ 0
~~
~ ^
O~M
;::: <<S_
;::l;::l 0
o cr< t-
UCll_
II)
"''''<r::
;; g Po.
~..s::= r,
1I)t::~
"Sg~
;::l u ~
u-u
CW)
...
.....
Q.
a:::
:::0
cz:
I
I
fi
IN THE PROBATE COURT OF CUMBERLAND
COUNTY, PENNSYLVANIA
IN RE:
The Estate of GLORIA L KOHR
FILE NO: EHK2SW
DECEASED: GLORIA L KOHR
SOCIAL SECURITY NO.: 159-24-8896
STATEMENT OF CLAIM
The undersigned hereby presents for filing against the above estate this statement of claim
and alleges:
PROBATE DIVISION
DOCKET NO. 21-01-138
1. The basis of the claim is a revolving credit card charge.
2. The name and address of the claimant isFASH10N BUG
c/o The NCO Attorney Network, 5335 Wisconsin Ave., NW, #360, Washington;
DC 20015, and the names and addresses of the claimant's agent are
affixed by signature below.
3. The amount of the claim is $800.38 which is now due and owing.
The amount NOW due became due on the date of death.
4. The claim is not contingent.
5. The claim is not secured.
Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are
true, to the best of my knowledge and belief.
ncka Rosier
NCO Financial Systems, Inc.
NCO Attorney Network Services
as agent for FASHION BUG
c/o 5335 Wisconsin Avenue, NW Suite 360
Washington, D.C. 20015
202-686-7000
CLERK OF THE PROBATE COURT OF CUMBERLAND
by
COUNTY, PENNSYLVANIA
CERTIF ICATE OF SERV ICE
true copy of the foregoing Statement of Claim, was mailed postage
to the ADMIN & ATTY of the estate.
rfl.e/ Ericka Rosier, Agent
Q-
(?
~
CLAIM FORM
Not:ice ot claim by
~,s,~'-' .)
ORPF..ANS' COURT DIVISION 0:-
____. COURT OF ttOMMON P!.E..\S OF
{ 6 ~~~~ COUNTY
~<' ~ NO. d "----D,-- \~ 6:
ESTATE JF r:;~D~~ \..-. ~~~
TQ.. THE "t:::'ZRK OF THE ORPHANS' COURT DIVISION:
Enter the claim of ~o S , a ~ \)
(Claiman~ and Address)
in t:he amount of S l ~\O~,~ fLled pursuant to section 3384, Probate, Estates and
Fiduciaries Code Laws of 1972, Ac~ No. 104 effec~ive July 1, 1972 as amended.
Date G.~Qs- -~ \ ~~\
9441 LBJ FREEWAY
Lock Box 30
Dallas, TX 75243
in the amount of S
\.~~~-(d
against the above entitled Estate. The decedent
who resided at ~ 0 .'->0..,)" " \. '\...-;>
(Address)
~.,;.\...~
Written notice of said claim was ~ to
~~'.
-. G-\ ,
died on -<2::.
(Date)
b.~.~ . ~~~~
(Personal Representative or Counsel)
at on
(Address) (Date)
The basis or aforesaid claim is as follows: (Itemize fully to enable personal represent:ative
to make proper investigation).
~~~
a ~)~ ~'d-I'd~
Claimant's Counsel
v~O- ~\...", A,,\ ~~
BY
~.~
rl441LBJ FREEV\JAY
Lock Box 30
Dallas. TX 75243
(Address)
U~a;me )
(Address)
PROBATE COURT
Cumberland County, State of Pennsylvania
Gloria L. Kohr, Deceased
Case #21-01-138
Proof of Mailing
I mailed the creditors claim to the fiduciary (and attorney, if applicable)
as follows:
I deposited a copy/copies of the claim with the United States Postal Service
in a sealed envelope with the postage fully pre-paid. I used first-class mail.
I am employed in the county where the mailing occurred. The envelope(s)
was/were addressed and mailed as follows:
Charles W. Thomas
4 Indiana Rd.
Goshen, NY 10924
Ms. Dorothy Fraper
209 Southside Dr.
Newville, PA 17241
Date of Mailing:
~ ~. '""d-~~ \
County of Mailing:
Dallas, Texas
I declare under penalty of perjury that the foregoing is true and correct.
Date: ~ '"?7.-~ c'
Boscov's
P.O. Box 741026
Dallas, TX 75374
Deborah Hall
Page: 1 Document Name: BARBARA
\RIQ (
BOSCOV'S CREDIT DIVISION
ACCOUNT INQUIRY
ORGANIZATION 100 LOGO 110 ACCT 0000000000007322720
SHORT NAME KOHR ESTATE OF STATE PA HOME PHONE
TOT CR LMT 0 EMPL CD STATUS Z
CA CR LMT 0 CSH AUTH .00
CASH BAL .00 TOT DISP 0 .00
CASH AVAL .00 CASH DSP 0 .00
O-T-B **********0 CYCLE DB 0 .00
PCT LEVEL / ID S PA CYCLE CR 0 .00
CURR BAL 1,262.12 CYCLE PMTS .00
PAGE 01
04/20/2001
14:58:49
REL
7172492604 BLOCK
NBR PLANS
CARD USAGE
BILLING CYCLE
CODES
H
o
2
4
12
DATE OPENED
CARD FEE DATE
DTE LST BILL
11/08/1988
04/12/2001
l:::
~
__","M.----
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decodeot ~A..I ~N' "'-.
Date of Death: ~~7 /,p- d2..ool
/ .
0200 I - Q:::) / :J ;>
/s-f'j' ~ ,;;. r - ~/rfr,
Will No.
Admin. No.
~-o/- O/~JL-
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the
served on or mailed to the following beneficiaries of the above-captioned estate on
1
Name Address
~2 y~",,~~ ~At ~)!' /P1"~T
6"- ~ot'~.2>~4'~ /,,{;r,/~ ~7';"~(
7My~r;Z~ C;/;z..~,v7.;], ",A/~~;4- / l~
/
~4~if~ ~v'~rAr ~ . ~J)/)~ ~
//~~V6 a~Cft- "4.~t>,uJS ~
Notice has no~given to all persons en~~to under Rule 5.6(a) except
7/;V~/ ~.r61&o("/\/ - ~,~ A1-~~~f ~
Nam
Date:
~
Address ~ ZN;;;~"Ail4... ,
~~, /t{P /?f7
Telephone ~ C-fs7.. 71r'?
,
Capacity: -.k Personal Representative
_Counsel for personal representative
t
L/"J
...Il
IT1
rr
.:r
rr
L/"J
r'l
Postage
Certified Fee
L/"J
ru
CJ
CJ
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
CJ
CJ
...Il
CJ
Total Postage & Fees $
.~pnntC
Street, Apt. No.; or PO 80,,'/.10.--
',\
({t be("~ ~;; )'
m.___ t: Dl. C~, l.
CJ
CJ
CJ 'ciiY:Stiit,,: ZIP+:i m m__ -- -- -- -- -- m. m ----
('-
,r ()llll H()fl If hrudry )000 ,!
'i .~l'$' ',J,! '1
t h, I 10111
!I'I
I . Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: (((\
~W.~1--:
\.-\ ~ k-6.
~ ~ '-< \ \JC\~\..~
.,h...~C1
DYes
I31fo
J Service Type
9' (en iiied Mail
o Registered
o Insured Mail
o Express Mail
D Return Receipt for Merchandise
DC.a.D.
, . Restricted Delivery? (Extra Fee)
__--L. ---------.--
DYes
2. Ari
"
02595-9ll~-17811
PSFI
. ~ JRD/June 30,1992/17858
.. .
JUN1220~
Estate No.: 21-01-138
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
In Re: Estate of Gloria L Kohr
Late of Upper Mifflin Township
NO.
NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: Charles W. Thomas et al
Counsel for Personal Representative:
Date of Grant of Original Letters: February 6, 2001
Date of Delinquency Notice: May 16, 2001
The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6,
Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court
Orphans' Court Rules, was given by the Register of Wills on May 9, 2001, and that the ten (10)
day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the
Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a
hearing to determine whether sanctions should be imposed upon the delinquent personal
representative or counsel for the delinquent personal representative.
Date: June 11, 2001
(}
. Lewis, Register of Wills
fJ1;
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
~/a;,pt
A hearing is scheduled for 7at t;;.3J in Courtroom No.3. If the Certification of Notice is
filed prior to the hearing date, the hearing will automatically I d.
o.K ~.. t ~ ol.., ~ - :>- 0 I
-
/~-- dC3;"-//
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
7Z*
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REV-1547 EX AFP <12-00)
CHARLES W THOMAS JR
4 INDIANA RD
GOSHEN NY 10924
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
08-20-2001
KOHR
02-01-2001
21 01-0138
CUMBERLAND
101
GLORIA
L
Allount Relli Hed
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
ifEY=is4j-EX-AFP-(,i'2=iioY-tiOYiCE--oF-YtiHERiTANCi-YAX-APPRAisEMENi'~--Aii-oWAtfci-OR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KOHR GLORIA L FILE NO. 21 01-0138 ACN 101 DATE 08-20-2001
TAX RETURN WAS: (X) ACCEPTED AS FILED
CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
U)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
3,047.23
.00
.00
(8)
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
3,047.23
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule 1)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Govern_ental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
UO)
5,308.50
.00
(11)
(12)
(13)
(14)
5.308 liD
2,261.27-
.00
2,261.27-
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate
16. Allount of Line 14 taxable at Lineal/Class A rate
17. Allount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX C DITS:
PAYME RE E PT DIS OUNT (+)
DATE NUMBER INTEREST/PEN PAID (-)
US) .00 X 00 = .00
(6) .00 X 045 = .00
(17) .00 X 12 = .00
(18) .00 X 15 = .00
(19)= .00
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
" -
G/
oY-
Date of
STATUS REPORT UNDER
/~
Decedent: ~,<.. '" 'J~-1-
Death: ~}/; /0;
I I
RULE 6.12
Name of
Will No.
af~ N
AUft'". o.
;;2001 - oo/3r-
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
State whether ~inistration of the estate is complete:
Yes No ~r /~ ~{-:Z-~A/r- 44~ ~ 0-0 ST~r-
h/?U1/IIu....\
2. If the answer is No, state when the personal I
representative reasonably believes that the administration will be
complete:
1.
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinde
approvals of formal or informal accounts may be filed it
derk of the Orphans' Court and may tached to t s
Date: /'A~~:2-
17
{~
/~7
( Hs) (; -s-/~ 7?~f /c)<1~
Tel. No.
9>>
Capacity: ~ Personal Representative
and
the
ort.
(MAH:rmf/AM3)
Counsel for personal
representative
/0f~
~"'" G7<-V'P //K d' :;;:;~'U ~ ~<.R-
. "
(,,7/0/
.-
S;~L @J~/(J'v'.5 ,.PJ/v't) /kd.e /vr4/-e/Z ~v' /l-hU P 0-<'1'
~H.,l.... (7'7) ;7'r7-'i?5;;J..7... ?/"" ~7/"'-L ~ 'f,;$,.
/;f~~ .
~ -f ~N-Z ('/b/VoU-~./ cJ;14 # ~"c;.. (?) V~-/
~ . ~ ~ O~cK......,..t- /'
//~) Ar?0z^7~(}.v./ L ,/?~ b f (,/.IC-- ~5 rerv--""1. ~ 5 ~/c/~ /1'
",4,,)Pt'/#I'~-;:;;;1/ 6~ -;~ UJ<..c /F //I/'C1JYz/ij:71:'. f4Pl ,,40tJ
.----,~ ) .- - .d__ {if
~A/CLaS p,C- pi :::..,4 5' If " /jaJ ./ u,../ T ~ cY"/ ,y;.-R-
~q6::j~' %.
~,u """~ {'",J.l"vc.- ~~j~C-- ~,L.</'&' aut ~'{'//V
-
~~ /.k,;ZJdt:- ~ /,utrl ~ $'(.{~5.s,
..J
#K(E~~Y2
)
c."J
P ~r ~~~ ~6d a~ ~? /lw7 (12N~//<--
~~ >~ ~~ fOe/~I/c.-.." ///CLd~~/~0- ~ c?U4/~5
__ '-/r--- ~
4~//1/:; -;-' 7/-'"< "/vt!)/v- rX/?;ff/(;- rC~), .-t c:J/~ c eP/;;;/,vUP
/oo~d&- ~ ~~
~
Hanover and High Street
Carlisle, PA 17013
Phone: (717) 240-6345
..
.
Date: 12/06/2002
DOROTHY FRAKER
209 SOUTHSIDE DRIVE
NEWVILLE, PA 17241
RE: Estate of KOHR GLORIA L
File Number: 2001-00138
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within 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 will become delinquent on: 2/01/2003
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
{)~/J1r!)rb~~/~
MARY C. LEWIS ~~
REGISTER OF WILLS
cc: ~.. File
Counsel
Judge
.
.
REV-1500 EX (6-00)
REV-1500
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
OFFICIAL USE ONLY C.
t - .J..d 2_~.L
FILE NUMBER
d.L-~L OJ:lL~~
COUNTY CODE YEAR NUMBER
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I-
Z
W
C
W
o
W
C
SOCIAL SECURITY NUMBER
/~-1 - 'J'-'
i?89~
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 2. Supplemental Return
o 4a. Future Interest Compromise (dale of death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy at Trust)
o 10. Spousal Poverty Credit (date at death between 12-31-91 and 1-1-95)
o 3. Remainder Return (date of death prior 10 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
I-
Z
W
C
Z
o
11.
III
W
II::
II::
o
()
NAME
aA.<~.s tt.J. /ifcn.1~ -;r:;:...
COMPLETE MAILING ADDRESS .#
7" ~/~/v'# /~~')
~~~ /vy' /~;:;'L~
FIRM NAME (If Applicable)
6s-/- 7JY/
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
(1)
(2)
(3)
(4)
(5)
OFFICIAL USE ONLY
z
o
fi
..J
~
l-
ii:
<(
o
w
0::
(6)
(7)
T .3-0Y7. t?-3-
~ (8)
I 55~? S-o
(9)
(10)
(11)
(12)
(13)
13. Charitable and Governmental Bequests/See 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)
(14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
z
o
~
~
:)
Q.
:E
o
o
g
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x_O_ (15)
x.O_ (16)
x .12 (17)
x .15 (18) ~ /
(19)
I
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
Decedent's Complete Addres :
STREET ADDRESS / :;L
ZIP
I 7~r/
CITY
~~th~1J-
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
r/
/
Total Credits (A + B + C ) (2)
~
I
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
cI
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5)
(5A)
f
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
1. Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred;.......................................................................................... 0
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0
c. retain a reversionary interest; or.......................................................................................................................... 0
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0
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
/ ,:)9~
DATE
ADDRESS
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 exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum 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)].
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 ar
individual who has at least one parent in common with the decedent, whether by blood or adoption.
.REV-1508 EX + (1-91)
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
IS'7 ,. {}.f( - .??
~UMBER
"'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
~/J-/
Include the proceeds of litigation and the date e proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
cJ-.
DESCRIPTION
@-~-V/ll&- *--e>rv.-;VI -- $. s-a02~)(?'-56-
~~~H4 9-A;/d~A/-f
~~/5k~) //;- ~ /7101
/77/ ~a,/, ~4'V'j ~~~, 5 ..--
~S ~~'" .y 0 //8:, ~ ,0 /.;r.r.r-
/I;o/IUrl( ?t'" 00'0 /bll'~$
~C-7 ZU-<-L~ ~ -:f;V
VALUE AT DATE
OF DEATH
;r'-&Y7, ~
I J-ro o. 00
TOTAL (Also enter on line 5, Recapitulation) $ 30 91. c:X3..
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (12-99) .
. .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
A:"
FILE NUMBER
/0-~
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
1.
DESCRIPTION
FUNERAL EXPENSES: ~ ~ /~
~/??AA-V -/~,/7;~~ ~
C~~.dA'C/~ tk.er /!~L ~~
~'!> />d7 '//,-/1
AMOUNT
If~51. S-U
156 . 00
/00. 00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State _ Zip
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
State _ Zip
Relationship of Claimant to Decedent
I ~s: 00
4.
Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
t:~ ~ ~/~~-
I" f~' 00
TOTAL (Also enter on line 9, Recapitulation) $ 6:5 0 ? " 50
(If more space is needed, insert additional sheets of the same size)
~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 1/10/2005
CHARLES W THOMAS
4 INDIANA ROAD
GOSHEN, NY 10924
RE: Estate of KOHR GLORIA L
File Number: 2001-00138
Dear Sir/Madam:
It has come to my attention that you have not filed the Status
Report by Personal Representative (Rule 6.12) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO.
103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within 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 will become delinquent on: 2/01/2005
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Counsel
Judge
LL_
C) C!"~1
LU -- '
(' '.
r.J_~.
L,-_
(~)
r::':-,i
j: ~ ;.'
?';-.
(:]
C)
is:~
Name of Decedent:
STATUS REPORT UNDV RULE 6.12
~,(,.{,.,p. /./ 1~Vt"""
0/0'1
Date of Death:
Will No.:
Admin. No.:
f
(\1(,: '
I.^,,' \
/,:0"
.r
Pursuant to Rule 6.12 of the Supreme Court Orphans' Comi Rules, I report the
following with respect to completion ofthe administration of the above-captioned estate:
1. State w~er administration of the estate is complete:
Yes Ji1 No 0
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
LY
,- T1
''7'
('01
)
3. If the answer to No.1 is Yes, state the following:
a. Did the ~rsonal r~nta~ file, a final a~ount with the C~y:>?: .-:-' c./
Yes;re No kj rrl..f'.D /JIJ.,11?/'f~ c:rl/e'?,-~r.;/' J7. l'itc
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? Yes 0 No 0
c. Copies of receipts, releases, joinders and approval off9rmal or /
informal accounts may be filt;d;~' the Clerk of the' Orphans ' CC}llrt
and may be attached to this report. . /'/'
Date: (;(> - :'~igna~ />' ' f0/ ,
/') ~
:~1"".t;'-.$ tV. ~ /I';':J\~~ ~,
7'~.~,~ ,/l
Address (~k"v: /.< "
J:Ys-: (;,,57~ 71 q
,
Telephone No.
~onal Representative
o Counsel for personal representative
\,,0
c::>
0...
U..(--:;
c::>c:
N
Z
-1:::
m~"
L_u..
0'-
::..]
U
ceo
c;::::;.
=
<'-'
Capacity:
r1'7n,f" '/
/.'/ .r
uJ