The URL can be used to link to this page

Home My WebLink About01-0032 ~t_o:tI<<II OFFICIAL USE ONLY COMMONWEALnl OF PENNSYlVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. Pol. 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT v w ... ~:!;rn "U:" w"" :coo "U:...l .... .. < ~ z w o w u w o DECEDENTS NAME (lAST. FIRST. AND MIDDLE INITW.) Keyes, Lynn A. DATE OF DEATH (MM-DD-YEAR) 12/19/00 DATE OF BIRTH (MM-DD-YEAR) 6/5/57 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ 1. Original Return o 4. limited Estate o 6. Decedent Died Testate (AllachClJf1'forWlll) o 9. Litigation Proceeds Received FILE NUMBER 21 _20010032 -- ClllMlYCOOE - NUMSER- - - YEAR SOCIAL SECURITY NUMBER 202 - SO 3452 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 2. Supplemental Return o 41. Future Interest Compromise ldale ofdealh aflBr 12-12~) 07. Decedent Maintained a living Trust(Mlad\~ofTf'Ji,\.1 o 10. Spousal Poverty Credit (date ofdealh between 12-31.91 and 1.'.95) 03. Remainder Return Idaleofl3ellhpl'O""12-1J.82) o 5. Federal Estate Tax Return Required o B. Total Number of Safe DepoS'11 Boxes o 11. Election to tax under Sec. 9113(A) (Allach Sch 0) ... z w o z o .. .. l:! l'l " i$'$l;l:J1ON iI:1lE COMPLmQ";"Id.1:.COIW'SPONDENCE AND CONFIDENllAL TAX INFORMATION SHOULD BE DIRECTEDJtl::" NAIfh S ckl COMPLETE MAILING ADDRESS anas . Be e 212 North Third Street FIRfW~~~nIMadden Post. Office Box 11998 TELEPHONE NUMBER Harrisburg. PA 17108-1998 (717) 233-7691 (1) (2) (3) (4) (5) z o ~ ::::I ~ a:: < u W II:: 1. Real Eslate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Plll1nomop or SoIo-PropriolOT>hip 4. Mortgages & Notes Rece~able (Schedule D) 5. Cosh, Bank Deposits & MiscoIIaF1e<llJS P_ Property (Schedule E) 6. Jojnlly Owned Property (Schedule F) o Separate Billing Requested 1. Inter-VfVOS Transfers & MisceUaneous Non-Probate Property (Schedule G Of L) B. Total G.... AlIOto (total Lines '.7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Dobts of Decedent, Moogage Uabilities, & Uons (Schedule I) 11. Total Deduction. (total Unos 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental BequestslSec 9113 Trusts for which an election to tax has nol been made (Schedule J) (6) (7) (9) (10) 14. Net Value Subject to Tu (Line 12 minus Line 13) SEE INSTRUCnONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;t I-' ::::I Q. :::e o u ~ 15. Amount of line 14 taxable at the spousal tax rate, Of transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at linear rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 200 OFFICIAL USE ONLY 6.907.18 18.117.14 (8) 25,024.32 8,362.06 19,830.74 (11) (12) (13) 28.192.80 Insolvent (14) x.O_ (15) x.O_ (16) x .12 (17) x .15 (18) (19) 0 ,,'.cr"-.' CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT . '~/":'J:~::.~.'{'<~~:.~.:!!~:~ /',--> > BE SURE:TO ANSWER ALl QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < I'=""--= C......... Add....' 407 Beaver Avenue. Apartmmt I CITY Enola. I STATE PA Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) (1) 2. CreditsIPayment A. Spousal Poverty Credft B. Prior Paymenls C. Discount I ZIP 17025 l Total C,edits (A+ B + C) (2) 3. InteresllPenally Wapplicable D. Interest E.Penally TotallnteresllPenally ( 0 + E ) (3) 4. ffLine 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Cl\eCk box on Page 1 Une 20 10 requesl a refund (4) 5. ff Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter tha interest on the tax due. (SA) B. Enter the total of Line 5 + 5A. This is tha BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT -.-....-.-.'IIIl .. .----_..~..,,~..-._= .~~' '-~.:"~...~.~~e=,~~~~~~;;::<,::;;:'-i";::'ki::.i~if!'.mt~~\."&-~~~ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS -4<t"",~...-."":t-:...R;.",,,,,....r....\.~ 1. Did decedenl make a lransfer and: Yes a. retain the use or income of the property transferred:.......................................................................................... 0 b. retain the right to designate who shall use the property lransferred or its income; ............................................ 0 c. retain a reversionary interest; 0'.......................................................................................................................... 0 d. receive the promise for life of efther payments, benefits or care? ...................................................................... 0 2. If death oocurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate conside,ation? .............................................................................................................. 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or he' death? .............. 0 4. Did decedent own an Individual Retirement Account, annuity, or othe' non-probate property which contains a beneficiary designation? ........................................................................................................................ I2l No ~ B- I5k l2f ~ o 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, J ded.re thai I I'lave e~mjned this return, including accompanying schedules and slalernents, and 10 the best of my knowledge and belief, it ($ trve, correct and complete. Dedaration of preparer oIherlhan!he personal representative is based on all information of which preparer has any knOWledge. SIGNI}TUJlE ()F PERSON RESPONSIBLE FOR FILING RETURN ~hiA :,... 'l. -l /I,; n,prristine Keyes. Achninistrator ADDRESS 2243 Castlerock Square, Aparorent He, Res ton , VA 20191 SIGNATURE OF PRE?ARER OTHER THAN REPRESENTATIVE DATE q -/S"-ol ADDRESS DATE !1~~~~~..~. ___ ~,~~~~.u~~~~:~~:'~~~H:m'!f14~~~~~~~~ For dales of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of Iransfers to or for the use of the surviving spouse is 3% [72 P.S. ~9"6 (a) (1.1) (i)). For dates of death on or afte, January " 1995, the lax rate imposed on the net value of transfers to or fo, 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 return are still applicable even if the surviving spouse is tile 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 dealh to or for the use of a natural parent, an adoptive parent, 0' a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's iineal beneficiaries is 4.5%, except as noted in 72 P.S. ~91'6(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 biood or adoption. '* Schedule E Cash, Bank Deposits, & Misc. Personal Property COMMONWEALTH Of' PENNSVLVANIA INHEl'lITA.NCE TI'V< RETURN RESlOENT DECEDENT ESTATE OF Keyes, Lynn A FILE NUMBER 21 - 2001 - 0032 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 NUMBER 1 Checking Acount - Mellon Bank DESCRIPTION VALUE AT DATE OF DEATH 222.11 2 Savings Account - Mellon Bank 35.55 3 t 997 Suzuki Motorcycle 3,985.00 4 t 993 Ford Escort 1.335.00 5 Miscellaneous Furnirure 200.00 6 Miscellaneous Clothing 50,00 7 357 Magnwn Smith & Wesson handgun 50,00 8 Refund from Fortis Benefits Insurance Company 699,52 9 MetLife Class Action Proceeds 330,00 Schedule E TOTAL $6,907,18 '* Schedule G Inter-Vivos Transfers & Misc. Non-Probate Property COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Keyes, Lynn A FILE NUMBER 21 - 2001 - 0032 This schedule must b~_~~_J!lpl~t~~_~_I1_~~I~.!~.J_f_ the answ~rto a_"1 of question 1~I:t~ough 4 on the reverse side of REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF NUMBER Include the name of the transferee. their relationship to decedent and tile date of transfer VALUE OF ASSET DECO'S (~XA~~~~~~) TAXABLE VALUE Attach a copy of the deed for real estate _ ___m__J.f:'JTEREST Mail Contractors of America 40lk Retirement Plan 8,483.34 100% 8,483.34 2 Teamsters Pension Account 9,633.80 100% 9,633.80 Schedule G TOTAL $18,117,14 *' Schedule H Funeral Expenses & Adninislratille Costs COMMONWEAL 'n-l OF PENNSVLVANIA INHERITANCe TAX RETURN FlESloeNT DECEDENT ESTATE OF FILE NUMBER 21 - 2001 - 0032 Keyes, Lynn A Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES Sullivan Funeral Home 4.424.00 2 Stevenson's Flowers 150.00 B. ADMINISTRATIVE COSTS Personal Representative's Commissions Jason A. Keyes and Social Security Number(s) I EIN Number of Personal Representative(s): none Street Address 212 North Third Street Post, Office Box 11998 City Harrisburg State P A Zip 17108 Year(s) Commissions paid 2. Attorney Fees Thomas S.Beckley 3 Family Exemption (If decedent's address is not the same as claimant's, attach explanation) Claimant Jason A. Keyes Street Address 407 Beaver A venue, Apartment I City Enola State P A ZIP Code 17025 Relationship of Claimant to Decedent Son Probate Fees Probate Fees 3,500.00 4. 57.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs The Patriot-News Co. (advertising fee) The Cumberland County Law Journal (advertising fee) 156.06 75.00 Schedule H TOTAL 8,362.06 ESTATE OF *' Schedule I Debts of Decedent, Mortgage Liabilities, & Liens COMMON\NEALTH OF PENNSYLVANIA INHEFUTANCE TAX RETURN RESIDENT DECEDENT Keyes, Lynn A ITEM NUMBER ------------- 1 Captial One Services, Inc. Visa Card 4121-7413-5705-1999 DESCRIPTION 2 Direct Merchants Bank Mastercard Account Number 5458 0012 5303 2589 3 4 West Shore Emergency Medical Services Monogram Credit Card Bank of Georgia (IC Penney) Account # CG8890737227520 5 6 7 Pinnacle Health System Moffit, Pease & Lirn Associates, Inc. Riverside Anesthesia Associates, Ltd. 8 :T exaCQ Account # 13-204-3171-9 9 Walmart Account # 6032 2031 3025 0888 10 Providian Financial Account # 4559 5013 0042 2767 1l 12 13 14 15 16 17 18 Automobile loan - motorcycle Pathology Associates 19 AT&T TCI Cable Company PP&L Electric Internal Revenue Withholding from 401 k Retirement Plan Internal Revenue Withholding from Pension Account Pennsylvania Department of Revenue (2000 Income Taxes) West Shore Tax Bureau (2000 Income Taxes) 20 Assoc. Otolaryngologists of P A, Inc. FILE NUMBER 21 - 2001 - 0032 Schedule I TOTAL AMOUNT 3, I 09.76 3,512.67 560.37 94.60 ]40.00 1,2]9.00 2,640.00 208.48 303.44 96.00 4,350.26 43.00 14.73 28.50 103.50 1,696.66 ] ,240.00 60.88 8.39 400.50 $19,830.74 -_._... JIeo1r. . kbb.com - MOTORCYCLES NewCarPricing in'sur.ace ~:::.~~ Pronunciation: in-'shur-&n(t)s also Function: noun Motorcycle My Car's Value I Used Car Retail { Buy a New Car . Buy a Used Car I Sell Yoor Car Motorcycles i , Flnancing I <( Insurance i Lemon Check I wamlnties , ACCt!SSOries 1 Car Reviews t Car Previews ~ Decision Guides i Advlce ! I About kbb j Horne ; 'in-" Click on the image above to visit this advertiser Blue Book Motorcycle Trade-In Report September 6, 2001 1997 Suzuki VS1400GLPV Intruder 2-Cylinder 4-Stroke 1400cc Motorcycle Financing Motorcvcle Warranty Buv a Motorcycle Q.elLYour MotQrcvcle Motorcvcle Boo;;:>jQ!:<l Another Report Page 1 of 1 IlUp;...IKW.K.C.I1Ir (KUO;..JO l~.L.O<<';IC;l(X,..G~cx.l~':I1 ,.:lUL.UKl, v ~l'tVV\.JLr V-;OL.Vl11LlUUt:l/+L.l"iUU,L)OL. '::I/O/VI Trade-In Value (Good Condition) $3985 The trade-in value represents what you might expect to receive from a dealer for this consumer-owned unn, Keep in mind that the dealer must then absorb the cost of making the unit ready for sale, advertising, sales commissions, arranging financing and insurance and standing behind the unn for any mechanical or safety problems, Trade-in values are based on clean units in good condnion, with all original standard equipment Mileaoe/conditio[l and additional eQ![ipment may have a substantial impact on the value shown above. Copyright @2oo1 by Kelley Bue Book Co.. All Rights Reserved. Sep-Dec 2001 Edition. The information in this report is intended for the personal use of the customer only and may not be sold or transmitted to another party. We assume no responsibility for errors or omissions. LL OC/.-' f~? ~~,; L~,,_ I C~) r~') ,..1.., CuI [';" (3 C~ l'm' ti~~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Lynn A. Keyes Date of Death: 12/19/00 Will No.: Admin. No.: 21-01-0032 Pursuant to Rule 6.12 of the Supreme Court Orphans' Comi Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 0 No lXl 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: July 1, 2005 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 0 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 of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. c:?'>~ Date: JJ1Qj05 __ ( _~ Signature ...... a ThCJ1"MS S. Beckley Name Beckley & Madden 212N. Third Street P.O. Box 11998 Address Harrisburg, PA 17108-1998 ~-- C,- -,..~ "1,1- n: ~r~'> c;'c:) ~~~~:;, u::t:" 8gs C) (717) 233-7691 Telephone No. <'J ;1.: -- -? v-, = = c"" Capacity: 0 Personal Representative Ga Counsel for personal representative uR JRD/June30, 1992117858 JAN 1 2 200SvP'" In Re: Estate ofLynn A. Keyes Late of East Pennsboro Township ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-01-0032 NO. 21-01-0032 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Jason Keyes & Christine Keyes Counsel for Personal Representative: Thomas A. Beckley Date of Decedent's Death: 12/19/2000 Date of Delinquency Notice: 01110/2005 The undersigned, Glenda Famer-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, 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 ofthe Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on November 10,2004, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 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: 01113/2005 IahdA l~~~~ Glenda Famer Strasbaugh Clerk ofthe Orphans' Court Distribution: Personal Representative (s) Counsel for Personal Representative Estate File 'm~LfJ JMS q~'3oAtII A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. cPf PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of Lynn A. Keyes No. ~ I - 01 - .3;2.1 also known as To: Register of Wills for the Deceased. County of CUmberland in the Social Security No. 202-50-3452 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appl y for letters of administration d.b.n. on the estate of (d.b.n.; pendente lite; durante absentia: durante minoritate) the above decedent. De"ndent was domicHcd at death;o ClInberland County, Pennsylvan;a, ~, j h is last family or principal residence at 407 Beaver Ave.. :/1:7. Eno1a PA 17025 / ~AI:~j.gw (list street, number and municipality) / ~ Decendent, then 43 years of age, died December 19 ,:tt 2000 , at Holy Spirit Hospital Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property $ 6,000.00 (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: Petitioner1L- after a proper search ha ve ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence Jason A. Keyes son 407 Beaver Avenue AParbnent I Eno1a. PA 17025 Christine L. Keves dauahter 2243 Cast1erock Sauare tIle Re!=:t-rm VA 20191 THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration In the appropriate form to the undersigned. ~ '" f~~~ 'ti' V ~.R/ 1j...((J-c:L u l::: <L> Christine L. KeyeS~ :g3 Aason A. Keye <L> .... ,- cG<L> 407 Beaver Avenue 2243 Cast1erock Square l::: -00 l:::';: Apart:rrenJc I Apa.rt:Irent lIe cljO;::: 3~ Eno1a, PA 17025 Reston, VA 20191 <L>...... :;0 <;; l::: "" Vi l )'" 1 I ) - (;10- . r.. \ 'I \ \ E. (~ \ _ c.-, - C~ " OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUI.1BERLAND } 55 The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to, or affirmed, and subsc ribe~d". ~ ~ ~4' ( before me this STH day of /' ~ L~'5 '_ ~ t')AN.!JAR Y ~, _ . Iiid-. l . b{ffiU7.,Q) fU~ !,\-;1'7([ )- ~~ -I!.. /~~ MARY e LEWIS Registe -f ~(""'~~'" 1""'\12.-. "\...... v...;fL"I~~ ,1 v -- '" '-' u ... = .... III = 00 Vi No. ?1 - 01 - 1/ Estate of Lynn A. Keyes , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW JANUAR Y 8, xt'9 2001 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that Jason A. Keyes and Christine L. Keyes xixlare entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to Jason A. Keyes and Christine L. Keyes in the estate of Lvrm A. Keyes FEES Letters of Administration Short Certificates( ).......... Renunciation ................ ~,,() //CI/, '" "I L~'! " 7/t/L~l-.l~, dt;UL,) ~,_t,Jtj" fl':Z I ..,I-?/A, ('1 ' :' .1'/ (j Register of Wills " i MARY CLEWIS Thanas S. Beckley, Esquire ( # 7704 0) Beckley & f'1adden ATIORNEY (Sup. Ct. J.D. No.) 212 N. 3rd St., P.O. Box 11998 ADDRESS Harrisburg, PA 17108-1998 PHONE $ 40.00 $ 12.00 $ $ 5.00 TOTAL _ $ 57.00 Filed ... .1.-:e:-. . . . . . . . . . . .. A.D.xl9<..2..OJll (717) 233-7691 MAILED LETTERS TO ATTURNEY ON 1-8-2001. Th i~ is to certify that the information here give~ is correctly copied from an original ce,rtificate of deat~ du!y flled with l,Dc,] Registrar. The original certificate will be forwarded to the State V Ita\ Records Office for permanent hllllg. me as WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee tilr this certiflcJre, $2.00 p 7022240 No. ~7?C~ Local RegistrJr !lEe 2 1 7000 Date 43 Aev 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STAtE. fll.E ~UM8EA SOCIAL SECURITY NUMBER DATE OF DEATH IMcnIh. Oa". ...;;, .. Dee 19, 2000 NAME OF oeCEOENTlf;;:;:;i.dcie~--._'--- .. SU-- ..male AGE (last Bwthday) UNDER 1 YEAR _ 0..,. s. 43 v.. COUNTY OF llERH .. Cumbe/l.land .1.-. DECEDENT'S USUAL OCCUPAflON (~~':::O~~:zt:T . .~ T/l.uck D/l.lve/l. .~ DECEDENT'S MAll.ING AOOAESS {Sk.... ColylTown. _. ZopC_1 .202 -50 - 3452 ="'10 RACE - Amencan lndian. Baedl. While. etc. (_I Whl:te MARITAl STATUS. ........ N....., Man_. Widowed. ~-~ ..Dlvo/l.ced ,7cfi_._....... E.a4:t SURVIVING SPOUSE Itf MI..;)I\18 maiden natntlt - 407 f3eave/l. .e. E.nola. 'Pa FAfHER'S NAME (First MI()dIe, Lasl) ,.- INfORMANT'S NAME CT_P'''I Did -- Min. Cumbell.1and --' 110.0 :...""::"..'::.. MOTHER'S NAME tFIfSl. Mldde. Malden $umam8) ~ Do1o/l.e4 Shatte/l. INfORMANT'S MAiliNG AOOAESS (~eet. c.tylTown. Slate. Zip~. .407 f3eaveR Ave, Ap:t Y, E.nola, 'Pa PlACE oF DISPOSITION. NamlI DC Cemetery, Cr.mak;wy lClCRlON. CityITown, Stale. Xli) Code or ou- Place A ve A p:t J 17025 .lb. ohn H. /<.(>. (>,4 ;)U4on A. /<'(>.S!e/.J _. ""'HOD OF IllSPQSITIOH _I(] C,......... 0 ~O 0tIl0t (Spocoty) 2'" __51...0 coly-" ..o.Lewi./.Jbe.1l.1l. 'Pa N. ,E.no..La DR, E.nola, 'Pa DATE SIGNED _.00.. _I ':lb. no. ...S CASE REFERRED TO MEDICAl EXAMINERlCORONER. ...0 LICENSE NUMBER _F. D. 011897-L 3OD.. M. JOe. PlACE OF INJURY. AI~. farm. stt.... factof\'. orfiCe lOC.Q'1ON (SIr.... CtIYflOwn. SrahI) ~ Me. ~Spec"~l He. 2ab. 2t. ... CEJrT&f'tEA IChedt aniV one) acanW't'MCl PHYStCtAH (Ph~lC.an c.etblylng cause d Math wfl8f' anOltlet pI'lVSlC.aI1 has pl'OOOUnced dt!'alh ana cOf1'Ipleled ttem 23) To......... 01 "'y knowledQe. de_'" oc;curred..lo.... cauM(.).nd manner.. staMd. . . . . . . . . . . . .' . . DATE PRONOUNCED DEAD (Moolh. Day. Year) 24. "I, 25. 27. PART I: Ental the diM.ses, intUlles Of complicallOftl which caused the death Do not eN... lhe mode 01 dying, such as cardiaC Of ,espifalory aHesI. shock 01 Niart failu.. L_ ontt ON' cause on each""" c..o..\LO\ ~c. ~Q'\\..~'::"i DUE 10 toR AS ACONSEOUENCE Of): l: DUE 10 toR AS A CONSEOUENCE Of): DUE 10100 AS ACONSEOUENCE Of)' WERE AUlOPSY FINOINGS MANNER Of DEATH -'lABlE PRIOR 10 COMPLETION OF CAUSE tfI 0 OF DERH? ...."'.. HDmCide -..... 0 Pendtng Investigation 0 ...!$. V.. 0 ... 0 Suoc"," 0 Could not: ~ delermln8d 0 PATE Of INJURY (Uonlh. Day, 'feat) .PfIONOuNCJHQ AND CERTifYING PHYStclAN jPt'lyStClafl both o.llO(1OUtlCln<) lJeollh IIOdcerufYIOQ 10 cause 01 dealhl To the M-' o'",y knowledg..lMath occurr'" a.........., d.'., and piKe, and d~ to lhe cau..(a..nd manner .a...tlld .MEDICAL EXAMINERlCOAONEA On the u.i. 01 ",",in.tion .nd/or invesUgation, in m'l opinion, death occurred a. the time. date, .and place. and due to the uuse(.) and ",.nn.,.. st.ted.. . . . . . . . . . ., .... - - - .. . . . . . . . . - . . . . . " . , . . . . .. ... . .. - . . . .. . . . . . . . , -. ... .... . ,., " . . ... . . .. . . . , . . . :It.. REGISTRAR'S SIGNATURE AND NUMBER 1~/IJ.rJI/I /?(~ ~. J Apptcximat. ::='.=: I I I ...rp PART I.: 0dl0l' sOgo;/IcotlI_ Clll1lCOu<ing 10 dulh. ... noI rMUIling..the ~ ca..... given in PART l. TIME Of INJURY INJURV 1J WORK? DESCRIBE HOW' INJURY OCCURRED, _ 0 ...0 o o lJ<1l./~ ---- , p ~ u ~ p . IJ ~ .. IA ~ tJ r- .", <ll ~ ..-I -D ~ tJ'1 l"'" U ..-I -r\ g I.r\ ..-I cO P- IA ~ ~ . ~ ~ 0 t ~ ..... ~ ~ ~ .", \;It. .", 0 '-' ~ ..t. ~ ~ . D ~ ~ ~ t) 0 ~ u l if) ~ if) ~ . if) ~ ~ ~ '6 ~ ~ p ~ o;r. ~ ~ ~ Po< if) 0 - ?:-< t-" 0 0;; ~ .~ ~ ~ t-" G if) ~ .- -~'.~ =--=--=-====-= ::.:.:--=---=- ESTATE OF: . Lynn A. Keyes O. c. Ii 21-2001-32 Please enter the claim of "in the amount o.f on this date of $3109.76 3/1/01 Capital One Services. Tnc. against the above estate . The Decedent who resided at 407 Beaver Ave T. Enola. PA 17025-2309~ died on 12/19/00 Notice of this claim was sent to ~eckley & Madden, Attornev At Law. at 212(North Third Street. Harrisburg. PA llqqR ClallnantfcJ --C), A'~ Typ e and s l.gn 'C.f ..:;;yt Claimant Counsel: _ Eyelyn Saunders, Poe Proeesser sign and type name an~ address ..CAPITAL ONE. SERVICES, INC. POBox 85176 Richmond, VA 23285 Estates Division Enclose this type form or letter, any bills or invoices on a filled out ',"BACKER" along with a $15.00 filing fee and a self-addressed stamped envelope for your return receipt. Thank you ~ 520800-01 As a Capital One- cardholder, you may be minutes away from saving as much as $300. per year on your Auto Insurance. ~ylllI__,w.'w'-', ~.. opJ 'NqUIIJIlY.~' "- just like.... ( 1-888-281-5006 I Call toll free ~o request your risk.f~ot._ """1IMIIIIon Kly c.IIlJ ,. UBERlY'- MUTUALJPN Caplfa'Qne" Account SUDlmary PreviouJ Balance Payments, Credits and Adjustments Transactions Finance Clwgcs 52,680.97 5100.00 $474.77 5S4.02 New Balance Minimum Amount Due Payment Due Date 53,109.76 593.00 January 19, 2001 53,200 590.24 53,200 590.24 Total Credit Line Total AVllilableCredit Credit Line for Cash AvailahleCredit for Cash At yollT 8uvic~ To can Customer RclatiOhll or to report a 10.1 or stolen card: 1.800-262-149] Send pByments to: Attn: Remittance Procening Capital One Services P.D. Box 85147 Richmond, VA 23276 Sendinquiriellto: Capital One Service. P.O. BoxSSQIS Richmond. VA 23285-5015 Important ACCouDt Information As the proud sponsor of the Florida Citrwl Bowl, Capital One lRvitesyouto join us New Year's Day to watch the Michigan Wolverines take on the Auburn Tigers, Watch ABC at 1 p.m. (ESl) on January 1st and we'll kiclcoffthe New Year together with this exciting matchup of SEe and Big Ten powers! S8838P VISA ACCOUNT 4121-7413-S70S-1999 NOV 20 - DEC 19,2000 Page I of I PaYlDellut Creditl and Adjultmeatl I 06 DEe PAYMENT RECEIVED - 1lIANK YOU 5100.00- TrauuactioD. DATE 2 17NOV 3 19NOV 4 21NOV S 30 NOV 6 30 NOV 7 02 DEe 8 14 DEC 9 19 DEC OLDE MILL WOOD N CRAFT CAMP HILL PA lHE PEPBOYS 00000021 MECHANICSBURG P A KMART 0000427S MECHANICSBURG PA CONVENIENCE CHECK 2SOO KMART 0000427S MECHANICSBURG PA KMART 00009123 ENOLA PA WC .'CWHlTNEY CATALOG 312-431-6111 n. CASH FRONT END FEE - FINANCE CHARGE 5116.60 3.17 43.89 200.00 30.60 SBI 2S.OO S.oo You could ""vemoney on your auto ioswance with Liberty Mutual', Group Saving, Plus! Call 1- 888-281-S006 for a FREE quote nowl (Mention code L 70 I.) Savings will vary. Cuverage underwritten by Liberty Mutual lnsureDce Company and its affiliates, l7S Berkeley Stroot, Boston, MA. Now, at www.capitalone.com.it.s even easier for you to manage your credit card account. Capital One Online is a simple and convenient way for you to pay your Capital One credit card bills online, view past and current statements, checIc your evailable credit, and much more. Just log onto www.capitaloo.e.com and click on "Register- to make your financial life a little bit easier! Finance Ch...... Please set reverse side/or important information PURCHASES CASH Balance r'rIIt! p,~ app'lftilO rrJIe $943.10 .05425% SZ.068.68 .OS4ZS% c_ "". 19.80% 19.80% FINANCE CHAKGE $15.35 S33.67 ANNUAL PERCENTAGE RATE applied thi, period l1,SZ% CapltalOne' 0000000 ,.. PLEASE RETURN PORll0N BELOW WITIi PAYMENT. ,.. 00 3109760100000093000 New Balance Minimum Amount Due Payment Due Date 53,109.76 593.00 January 19,2001 Total enclosed -, Capi tal One Bank P.O. Box. 85147 Richmond, VA 23276 1..1.1..11...1.11...1.11.,11",11...11...11...11...11...11...1 o 4121741357051999 Pktwprlltl ~cMNprbdQW u(ng 6l_or6lad:W:. ...... ^"'-, City SIaIo ZIP ......PI>oM A1tcnaatcPboDC ~ ~ ~ i~ o LYNNA KEYES 407 BEAVER AVE I ENOLA PA 17025-2309 r - ;;;;;;;;;;;; - !5iiiiiEi! Please write your accolmt number rm your cJreckormoney orde,made paytJb/e to Capital One Bank and moil in the enc/osedf!lt'Vdope. cf- IN THE STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND IN RE: The Estate of LYNNA. KEYES, Deceased Tk uULi :.' :'.:\ PROBATE FILE NO. 21-01-00032 ,..- l.i STATEMENT OF CLAIM The undersigned, being duly sworn, deposes and states, that: 1. TSYS Total Debt Management, Inc., whose address is Post Office Box 6700, Norcross, Georgia 30091-6700, is the attorney-in-fact for Wal-MartJG.E. Capita1(hereinafter "Claimant), whose Account Number is C77W-0313-0250888, and as attorney-in-fact is authorized to submit this Statement of Claim on its behalf. 2. Claimant is the holder of a claim against the Estate of Lynn A. Keyes, deceased, the basis of which is the unpaid balance of charges incurred or authorized by the deceased or on behalf of the deceased in the total amount of $502.24, as of the date of the death of the deceased. 3. The said sum is now justly due this Claimant; and the claim is not contingent or unliquidated. 4. No payment has been made thereon, and there are no offsets against the same, and the same is not secured by judgment or mortgage upon or expressly charged on the real estate of the deceased or any part thereof. This ( ('I day of -k ,2002. TSYS Total Debt Management, Inc. As attorney-in-fact for Claimant Sworn to and subscri !t?!-I-dayof Copy mailed to attorney for Representative or to Representative, if not represented by attorney this 19 day of ~~~. TSYS Probate Representative ,2002. IN THE COURT OF COMMON PLEAS OF CUMBERLAND necQ,,~<COUNTM, PENNSYLVANIA Dot,";" r'~,-"", ' ESTATE OF '02 JhN -9 ?:2 J 7 LYNN A KEYES , Decea~~~r . ClT No. 210132 of 2001 To the Clerk of the Orphans' Court: Enter the c1ail11 of CAP:TAL ONF. Ac('t 412174135701)1999 In the amount of $3,177 .48 , against the above entitled estate. The decedent, who resided at 407 BEAVER AVE I ENOLA PA 17025 died on 12/19/00 . Written notice of said claim was given to JASON A KEYES ,if known to claimant, at (Personal Representative or counsel) 407 BEAVER AVE, ENOLA, PA 17025 on January 3, 2002 (Date) kG.. 0JlfY't1.Ova-- (Claimant) Address: 5330 East Main Street, Suite 200 Columbus, Ohio 43213 Claimant's Counsel Address --------- ~ rn ~ EJ ~ ~ 0 iJ ~ C5 ; 5 0 -1 ~ (j) rn :t. z Z 0 ~ -< ~ (j) U? ~ " (j) 5 ~ ~ () ~ (J'I ,,-. ~ z 0 0) ~ () z C -0 -J 0 ~ J::> ~ -g. --' rn (') -" r- ~ ~ -J ~ ~ z ->- ~ ~ -e f:. ~ -< 0 Cll z rn ~ ~ 0 (j) tv ~ ->- z u:> Z 0 0 to rn rn ->- 0 u:> -\ ~ ~ tv ~ rn ~ iJ ~ ~ C 0 () () 6; 0 ~ 'C ~ ~ (j) 0 :t. ~ u:> tv ->- u:> STATE OF vrnGINIA ) ) ss: ) INDEPENDENT OTY LIMITED POWER OF ATTORNEY Now comes Mike Stevens, a representative of Capital One, and hereby appoints Estate Information Services, Ine. as its attorney-in-fact for the purpose of executing, filing, amending, and/or withdrawing estate claims with probate courts and/or executors throughout the United States on behalf of Capital One. Be it known that this Limited Power of Attorney will be abolished upon the termination of the contractual agreement between Estate Information Services, Inc. and Capital One. DATED this \d-~ daYOf~r'\b/ . 200 1. CAPITAL ONE / / By: #- ~A -=- Its: Director '-==> Printed Name: Michael Stevens Sworn to an subscirbed before me this ~g.., day of September, 2001, a Notary Public in and for the State of Virginia. xpires: {'('a<Ch. ~\ 9a3.-<- ) v OF IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA , ESTATE OF LYNN A KEYES , Deceased No. 210132 of 2001 To the Clerk of the Orphans' Court: Enter the claim of CAPITAL ONE Acct 412174135705'1999 In the amount of $3,177.48 , against the above entitled estate, The decedent, who resided at 407 BEAVER AVE I ENOLA PA 17025 died on 12/19/00 , Written notice of said claim was given to JASON A KEYES ,if known to claimant, at (Personal Representative or counsel) 407 BEAVER AVE, ENOLA, PA 17025 on January 3, 2002 (Date) _ ~ tJifi- MA;Va. (Claimant) Address: 5330 East Main Street, Suite 200 Columbus, Ohio 43213 Claimant's Counsel Address ---------- 0 ~ {11 b ~ ~ 0 -0 ~ ~ 3 :t. 0 -1 0 ~ (j) {11 :t. Z Z 0 ~ ~ (j) ~ 11 (5 f!? ~ (j) S; (J'I ~ g ,...... ~ z C) ~ 0 z C -0 -.l 0 ~ J:> ~ "9.- -- {11 (') -" -.l ~ r- @ 0 ~ ~ z ~ ~ .$> -e ~ ~ ~ 0 ~ z {11 ~ 0 (j) N ~ ~ z 0 0 ~ ~ {11 {11 ~ ()) ~ 0 N {11 ~ {11 fu -0 ~ ~ c 0 0 0 6; 0 'm 'C: ~ ~ (j) 0 :t. .$> ()) N ~ ()) - STATE OF VIRGINIA ) ) ss: ) INDEPENDENT CITY LIMITED POWER OF ATTORNEY Now comes Mike Stevens, a representative of Capital One, and hereby appoints Estate Information Services, Inc. as its attorney-in-fact for the purpose of executing, filing, amending, and/or withdrawing estate claims with probate courts and/or executors throughout the United States on behalf of Capital One. Be it known that this Limited Power of Attorney will be abolished upon the termination of the contractual agreement between Estate Information Services, Inc. and Capital One. ~ DATED this \ ~ daYOf~r'\b,/ .2001. CAPITAL ONE C~ By: A-~A=- It D. -.:> s: lrector Printed Name: Michael Stevens Sworn to an subscirbed before me this ~g., day of September, 2001, a Notary Public in and for the State of Virginia. xpires: {'f'Q1'th '5\ c9a3.~ J V Register of Wills of Cumberland County, Pennsylvania INVENTORY , Deceased No. 21 - 2001 - 0032 Date of Death 12/19/2000 Social Security No. 202-50-3452 Estate of Keyes, Lynn A also known as Christine L. Keyes --- --,.---- -.---------------- The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C S Section 4904 relating to unsworn falsification to authorities. Personal Representative Attorney: Thomas S. Beckl_ex Signature: ~~ Christine L. Keyes '1- /t~~ I.D. No.: 77040 Signature: Address: 212 North Third Street Post Office Box 11998 Harrisburg, PA 17108 Telephone: ((717)) 233-7691 Address: 212 North Third Street Post Office Box 11998 Harrisburg, P A 17108 Telephone: (717) 233-7691 Dated: q - \'5 .0\ Personal Property: Checking Acount - Mellon Bank 222.11 Savings Account - Mellon Bank 35.55 1997 Suzuki Motorcycle 3,985.00 1993 Ford Escort 1,335.00 Miscellaneous Furniture 200.00 Miscellaneous Clothing 50.00 357 Magnum Smith & Wesson handgun 50.00 Refund from Fortis Benefits Insurance Company 699.52 MetLife Class Action Proceeds 330.00 subtotal, Personal Property: $6,907.18 (Attach additional sheets if necessary) Total $6,907.18 \. /6 -O).cJo-7 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-29-2001 KEYES 12-19-2000 21 01-0032 CUMBERLAND 101 THOMAS S BECKLEY BECKLEY 8 MADDEN PO BOX 11998 HBG ESQ PA 17108 Allount Rellitted *' REV-1541 EX AFP 112-001 LYNN A 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 ~ REV = iS4-j-E3f-AFP--n2--00Y-No'T-icE--oF-YNHEififANcE-YA'ir 'A- PPR'A-isEMENT~--A[i-oWAirCE-(fR------------ - - --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KEYES LYNN A FILE NO. 21 01-0032 ACN 101 DATE 10-29-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED 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 ( ) CHANGED (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 6,907.18 .00 18,117.14 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitab1e/Governllenta1 Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 8,362.06 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 25,024.32 28.19? 80 3,168.48- .00 3,168.48- 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~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 19.830.74 (11) (12) (13) (14) .00 X 00 = .00 .00 X 045 = .00 .00 X 12 = .00 .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 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.) c.. ----- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Lyrm A. Keyes, Deceased Date of Death: Decernber 19, 2000 Will No. 2001-00032 Admin. No. 21-01-0032 To the Register: I certify that notice of (beneficial interest) estate administration 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 February 9, 2001 Name Address Jason A. i(eyes 407 Beaver Avenue, Apart1nent I, Eno1a, PA 17025 Christine L. Keyes 2243 Cast1erock Square, Apa.rtment lIe, Resten, VA 20191 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: February 9, 2001 ~~~ Signature Name Thanas S. Beckley, Esquire Beckley & L:ladden Address 212 N. 3rd St., P.O. Box 11998 Harrisburg, PA 17108-1998 Telephone (717) 233.-7691 Capacity: _ Personal Representative ----x-Counsel for personal representative .. Vv OIL .' .,.. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Lynn A,. Keyes Date of Death: 12/19/00 Will No. Admin. No. 2001-00032 pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes No x 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: April 30, 2003 3. If the answer to No.1 is Yes, state the following: a. Did the personal represertative file a final account with the Court? Yes No b. The separate Orphans' C~urt No. (if any) for the personal representative's account is: c. Did t.he personal repre:entative state an account informally to the parties in inte'est? Yes No d. Copies of receipts, rdeases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be at1ached to this report. Date: November 11, 2002 -,,~~~~~ Signature Thanas S. Beckley, Esquire Beckley & Hadden Name (Please type or print) 212 N. 3rd St., P.O. Box 11998 Harrisburg, PA 17108-1998 Address (117 ) 233-7691 Tel. No. Capacity: Personal Representat x Counsel for personal representative (MAH:rmf/AM3) . u'" ~ Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/05/2002 JASON A KEYES 407 BEAVER AVENUE APT #1 ENOLA, PA 17025 RE: Estate of KEYES LYNN A File Number: 2001-00032 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: 12/19/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, MARY C. LEWIS REGISTER OF WILLS cc: J File Counsel Judge Cumberland County - Register Of WillS One Courthouse Square Carlisler PA 17013 Phone: (717) 240-6345 Date: 12/13/2006 BECKLEY THOMAS A 212 NORTH THIRD ST HARRISBURGr PA 17108 RE: Estate of KEYES LYNN A File Number: 2001-00032 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULESr NO. 103 SUPREME COURT RULES DOCKET NO. lr for decedents dying on or after July lr 1992r the personal representative or his counselr within two (2) years of the decedent's deathr shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/19/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Reportr please disregard this notice. SincerelYr ~V~JlW~~2 /'"'J Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) Ql Cumberland County - Reglster ur Wl~~S One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/13/2006 JASON A KEYES 407 BEAVER AVENUE APT #1 ENOLA, PA 17025 RE: Estate of KEYES LYNN A File Number: 2001-00032 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.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 lS due by: 12/19/2006 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, I V ..L/- IJ ?~ ~lUWj J1:tM/~:11G Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel /_~ Cumberland County - Register ur Wl~~S One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/13/2006 CHRISTINE L KEYES 2243 CASTLEROCK SQUARE APT 11C RESTON, VA 20191 RE: Estate of KEYES LYNN A File Number: 2001-00032 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/19/2006 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, IkdL~~~ f / f Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel /J Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Name of Decedent: Lyrm A. Keyes File Number: 2001-00032 Date of Death: 12/19/00 Pursuant to Pa. O.c. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . .. ~ Yes 0 No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. lfthe answer to No. I is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . .. 0 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? ............................... 0 Yes ~ 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. Date December If. 2006 _ ~C:--=:::> V7~ Signature of Person Filing this Form Capacity: 0 Personal Representative : 'l9 Counsel .'rilO -,UO Thomas S. Beckley, Esquire Name of Person Filing this Form 212 North Third Street, P.O. Box 11998 Address IS :2l Hd 61 1:;1~J D'1fiZ 'l.. ..~> J~U Harrisburg. PA 17108 (717) 233-7691 Telephone :~\ ;"! ,,"" -.......1 f ,'" Form RW-10 rev. 10.13.06 ~ BECKLEY & MADDEN ATTORNEYS AT LAW CRANBERRY COURT 212 NORTH THIRD STREET POST OFFICE BOX 11998 HARRISBURG, PENNSYLVANIA 17108-1998 PHONE: (717) 233.7691 FAX: (717) 233-3740 E-MAIL: beckley@pa.net FILE NO. 42840 December 18, 2006 Glenda Farner Strasbaugh, Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, Pennsylvania 17013 Re: Estate of Lynn A. Keyes, deceased No. 2001-00032 Dear Ms. Strasbaugh: Enclosed herewith please find an original and one copy of the Status Report Under Rule 6.12 in the above-referenced estate. Please file the original and return a time-stamped copy to my office in the enclosed self addressed envelope. Thank you for your assistance. If you need anything further, please do not hesitate to call me. Very truly yours, BECKLEY & MADDEN ~.. >,.~-_._-=-_. , / ~.... '.~..' /' / ~..,,-"-~/ ..-/- -""-<-2/ -# Thomas S. Beckley TSB/amn Enclosures i !.it"I/'"V,"-"'( 'UI ,.JJ v,i . -'(j )1J.,J:l']' '/ ,,,,:1 IJ , c r I 1100:1!l, ~ . v... )UU... of ',I ,,...... .-._ J QlOe<) _0 ~ J'\ v*o C) ~ ~N::: ~, rOe<) 0." . ~.')"".<::>"'. ~ ", ~ 'r ,00 0 :' 'E' fA: ~ ~ f N 0'i(,. . :2: ~ 0 ~ 0 iS~" 'DO:: 0. ~~ (f) ~ roO ~ ... Py <0 LLJ 6." ;1"" '" ..J '<"" \'6.1 0 :;: )tl:2W\~ 6, 2: ~ ",.- i\ t t" "'" cO <<J <:) -C) - o \ ... :::: <:> "'" ~ ;; -g'e ~~.g~~ .,.::) cw ~ C\S ("I"'j :e'Eg.~ -= 'Q ..c ~ :: tIh.:llE~~ ~~Y..8"'" F "'" .... 1:: ~ ;; Q;::i ~ ~ .g .0' UO ~ \j ~::: .;!? ~~g~i E,='<sIou ij~ <:> ... <>; 'in ii ~ U) o "'- f'.. .,-! "'- C'i .,-! "" "" o Z :3 00 rr:ZIt: W~o: o :3 XI-ll: If) WOO 0 "lZI.L, ~ -~ (0 (', i (') ""' ! !'- - !'- ('l - (? o ! 01 ""' .... 010 I- I- a zww I'- Irt-J {'J - ""' :::H!..!!l t~ - o f-I:<r 01 (Ii WWZ €') !tl-:::> (') l- M <r Tf o f'.. rl ::J ) ) " ..... ') ~ .J -1 W H )( H U Z m U) kJ >; kJ ~ H kJ :z; H E-f U) H ~ ::r:: U E-f ~ r<I; kJ ~ ~ ()i U)rl (J) ~rl Uo ON ~ kJ ~~ U) r<I; ~ U:Z; o ME-f ~U) NkJ N~ U rl rl (\I Ot (? (1)0 ~ ,~, (l) 0 ~ e,..' !'- rl '" ... I I~' '" ~'\I ~"'I .... ... t1' ... o ~'\I o <P '" cn~' ~-) C") ('l ': . eel 0'- u.l 008 '[:\0 fA' Cl.. N ID~ 010 \flex: U- ,,'00 ~'''-T '::\ l-) - ('l b .:( oc-' ~ -"~' ...... 1"'" --" ......,' ,", -'"' t_..J a) o "" D N --- .LS ~ l!l O\..I \."'\.. 1,(1 \ n C. ~ 1 i o \ll 11)- III \'- lA i"l ill ~1\ 0:.0 0 OCQOC \uQG:. I) 0<13 .r\\ Z. {t 11' UHI'lO 0 WJ.\.l... ~- -:10 i!) i II) :::: <M!: -- \ - - - - -:::. -:::. ~- - - - - f"-' ..-- '" -:::. Ci ::::: ai !1) If) t'l) - <r'l :::: o l'~ -::::. o!"! -- .. - I) ill N G'l 0 0 ('\ ~ Or1' cf) ....0 00 ~ f'- \.) <:) .... r1' ----- r1' -0 \ r1' 0 ,..., c-\ ,-\ .t" :j:\:: ..q E-1 c-\ p... 0 ~ ('. .... Iil 0 ';:)\.0 :J '.2N :J Iilo .. en ~~ Iil ") ~ ~ ~ p:: Iil~ ~ ~p... Iil ~ ~ (:O~ .-l en r-O ~ 0'.2 \J <:t'tu ... .... ::: o l.,) 'd'> ~ ~ "ate ~~~~~ ,::) t.i ~ cd ('f"l ~ e ~ &~ ~~ ..;::lr/i("fl <lit: ~ ~o ~ ~ )~ g ~ '" _ "'" ..c 4. cl.,)"O;:.o.. "".0 ",. ~==~8~ ~:so>.~ \::~ ~8u ~~ o .... '" ~ e. ~ ,.,.I OlllO l-Jr- m -;t:dW n:ttJ ...-I ?Wm 1'- r:> d ...-I 1.J.\H% (t..l';:) III o I- o Z JJl t-I ;( -.. "J:.