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HomeMy WebLinkAbout01-1135 PETITION FOR PROBATE and GRANT OF LETTERS Estate of ~-X;h n 1/ 8/ A/er also known as Register of WjJls for the / j . Deceased. County of 0u..ft)iJer/a~ in the Social Security No. /79'-/2 -,3/ ~ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: No. To: 2]-01-1135 Your petitioner(s), who is/are 18 years of a e or older a the execut (:=J r- in the last willi of the above,decedent, dated and codicil(s) dated named , 19-U- Dec nd nt, then~ at .5 Exce as fo ows, decedent di not marry, was not divorced and did not have a child born or adopted ~fter execution of ~ lill offere.d for probate; was not the victim of a killing and was never adjudicated mcompetent: /}- 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.o. f real estate in Pennsylvania 1~ ~ sit~~ as(I~~:.z~~'if1 / ~ fjJiUe- (list street. number and muncipality) Ik.cemJer ~ , l'9' ../.00 I, ~() oc) , tJ () $ $ $ $ 9tJ OOt) . / WHEREFORE, petitioner(s) respectfully presented ht:rewith and the grant of letters theron. Ii 114 tf~~2 ~o -f- =.::: roo;:: ~'" ~Cl.. "'... 50 ;;; = "" Vi %ffA1i!~{27~ . OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I ss COUNTY OF CUMBERLlu\1D J 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 represen- tative(s) of the above decedent petitioner(s) will well and tru ad mini er the e ta~e, ording to law. affirmed and 14th en ()Q' ::s l:l - s:: ~ ~ ~o. 21-01-1135 Estate of JOHN A BIXLER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW DECEMBER .llL__._ __ h _ Zk_2.Ofll in c"'rr~ici'=faliun , - -'1: the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated MAY 20. 1998 described therein be admitted to probate and filed of record as the last will of JOHN A BIXLER and Letters TESTAMENTARY are hereby granted to JOHN R BIXLER 77;A"rrL ~~..__~q)/J~L~ Re ster of Wills ' - , I' FEES Probate, Letters, Etc. ......... Short Certificates( ).......... x-pag~s. RenUnCIatIOn ................ JCP s s s S TOTAL _ S 226.00 . .nEC~. .14.. 2Q01.................. 200.00 15.00 6.00 5.00 A ITORNEY (Sup. C:. J.D, :-<0.) ADDRESS Filed PHONE nc; .- - :<1:' :::S~ 0", d ...... IJ ('D ,:") () o CJ ~ :g N .b:. o (] 00 ,... '"'cO<, =~ ;:j "." C'i " , ~: r:,',. " , -r;' );., t::l C":l ~ 31 N .b: o d ..... :tl ::Om "~ g ......1 .ep\wills\bixler.ja\5-98 r'. 21-01-1135 LAST WILL AND TESTAMENT OF JOHN A. BIXLER I, JOHN A. BIXLER, of the Borough of New Cumberland, Cumberland County, PE~nnsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my Executor hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. ITEM II: I devise my real estate located at 311 Sixth Street, New Cumberland, Cumberland County, Pennsylvania, to my son, JOHN R. BIXLER, provided he survives me. ITEM III: I devise and bequeath all the rest, residue and remainder of my estate, of every nature and wherever situate, in equal shares to my children, BARBARA A. MORRIS, GLEN R. BIXLER and JOHN R. BIXLER, or to his or her issue, per stirpes. ITEM IV: I appoint my son, JOHN R. BIXLER, Executor of this my last will.. Should my son, JOHN R. BIXLER, fail to qualify or cease to act as Ex~:!cutor, I appoint my son, GLEN R. BIXLER, Executor of this my last will,. ITEM V: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his duties in any jurisdiction. Page 1 of 3 j ,. IN WITNESS WHEREOF, I, JOHN A. BIXLER, have hereunto set my hand and seal 1:his ~ ~A' ~'x~~ SIGNED, SEALED, PUBLISHED and CLARED by JOHN A. BIXLER, the 20 day of , 1998. Testator above named, as and for his Last will and Testament, and in the presence of us, who at his request, in his presence and in the have subscribed our names as witnesses. 11. )(~ r<>- Address ' c.____.. ACd^.Q.~ (\ ----> ,,-. ~- ( c-_j Ad ress (ft Witness / / ,/// / COMMO~~~IA: SS: COUNTY OF CUMB~ : I, JOHN A. BIXLER, the Testator whose name is signed to the at- tached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. Sworn to or affirmed to and .kk. ~ ~ 7 JOHN A. BIX R aCk~wledged before me by JOHN A. 'Y'YJ of ~---;; ,1998. ~~-L~KQ./~ . Notary Public BIXLER, the Testator, this ~v Page 2 of 3 NOTARIAL SEAL ! CONSTANCE L I<ARlI, Notary PUb,lie i New Cumlierl;md, PA Cumberland CO'I My Commission Expires April 13, 1999 I ., COMMONWEAl,TH OF PENNSYLVANIA : SS: COUNTY OF CUMBERLAND C)~;. ..\. J'l'b.... and c; (c<, ~q)- ~ 5-t-tf\~ , We, the witneslses whose names are signed to the attached or foregoing instrument:, being duly qualified according to law, depose and say that we were present and saw Testator sign and execute the instrument as his last ~iill; that Testator signed willingly and that he executed it as his frE!e and voluntary act for the purposes therein expressed; that each of UB in the hearing and sight of the Testator signed the will as witnesses;; that to the best of our knowledge, the Testator was at that time eigh1:een or more years of age, of sound mind and under no con- straint or undue influence. ---"'--""" ~ \, / ~f witne~s c: _________~ ' ,) acknowledged before me by and ~. (;,? ^ L.;.-R. ie, e. St-tk-'(._ , ~n to or affirmed to and ~,.. r-~..r~ witnesses, this ?~ day of ~~ ' 199B. I .~ ~-' / "-- /{,-cuL . Notary Public NOTARIAL SEAL CONSTfii'iCF L. KARL!' i'~otary Public NENJ Curn!)i][l::mQ, PA CUifiberland Co. My CJrmnissitm Expires April 13. 1999 Page 3 of 3 ,-- ~;; ;;'<' t 1 :~! j ~ - , [JJ. t-' ..., :<> ~ c C/.l ,. Z J-3 '" " tor; ;u <:...t ~ j:. J> 0 . - - --j " t-< 0 H ';' j:. --j '" ::I1 t-' 0 "' ~ [!) :<J "' 2: t-' :<J Z 0 "rj ::t 0 rrJ z ~ :<> 0:<> Gl -< ,. ... . "'=j 2: ;.. rrJ (f) r t::I ~ n t'l1 (f) J> 0 :;c IJj --j --j ;u H J-3 :<J r " Ro l><: t:r:1 rrJ 0 ;.. rrJ J> ;u t-' C/.l :::; --j ;:;: ,. t:r:1 J-3 -< [JJ. ::0 :<> 0 0 z ..., ~ ~ c Z 2: t'l1 J-3 ., 9 ~ (, d ...... o C-J ...... .j;:;,. _2c,i f'...J ~ c JRD/June 30,1992/17858 APR 1 1 1002 It-c r" In Re: Estate of JOHN A BIXLER Late of ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-01-1135 NO. NOTICE OJ? FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: JOHN R BIXLER Counsel for Personal Representative: . Date of Grant of Original Letters: DECEMBER 14, 2001 Date of Delinquency Notice: MARCH 24, 2002 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 MARCH 24, 2002, 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: APRIL 10, 2002 Bffih Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for ~.1 1t.(,,1() tJ,2 at 9, - 1/J 4 ./J1)n Courtroom No.3. If the Certification of Notice is fil prior to the hearing date, the hearing ill automatically be cancelled. George . JRD/June 30, ]992/17858 APR 1 1 7002 ~(, r" In Re: Estate of JOHN A BIXLER Late of ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-01-1135 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: JOHN R BIXLER Counsel for Personal Representative: Date of Grant of Original Letters: DECEMBER 14, 2001 Date of Delinquency Notice: MARCH 24, 2002 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 MARCH 24, 2002, 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: APRIL 10, 2002 Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for Q,m.f It.(J ;2;; tJ-2 at fl-' 1t1/J ,/J1]n Courtroom No.3. If the Certification of Notice is fil~;'prior to the hearing date, the hearing ill automatically be cancelled. George . ~ (p-J.{J- Of).. June 14, 2002 John R. Bixler 1040 Highland Drive Mechanicsburg, PA 17055 IN RE: ESTATE OF JOHN A. BIXLER Failure to File Certification Dear Mr.Bixler: A hearing was set for June 14,2002, at 9:30 a.m., in the Courthouse in Carlisle, at which you failed to appear. The certification must be filed in the office of Register of Wills. We must hear from you within twenty-four hours; please phone Donna in the Register of 'Nills office at 240-6409, if you have any questions. Sincerely, Sandra S. Gobrecht, Secretary Judge Hoffer's Chambers ~.-.~ Name of Decedent: JaJOJ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) )J 8/~r- ~ .;2CJO/ Date ofDeath:-E~PI'..em jyer Will No. Admin. No. 01 - I/3S- To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on ?'02... Address Name (J1e11 /2. Rd~r ~ ?S/5&r)dJhkRJ~nw..hJ,/e kf.~ I Rt:t.r)tlra- /J-IJJJ /Un;l5- -/~02t2 jf; /s-/-i -#ye, (jtJ~ t1k. / fCJ? tJ/-c2iJtf Notice has now been given to all persons entitled thereto under Rule 5.6(a) except .~ . ~~,0..2: ~~rw~~'~ Date: ~ f Zo/'~ Si~ure N,m, ~ 1P~ Add"" /tfj/t!/ ~~ .h~--, ~L/ a, //dfS- Telephone (71.% ~ ~ ....3~ ~ oL- Capacity: ~ Personal Representative ~ _Counsel for personal representative COMMONWEALTH OF PENNSYL II ANIA DEPARTMENT OF REIIENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BIXLER JOHN R 1040 HIGHLAND DRIVE MECHANICSBURG, PA 17055 n______ fold ESTATE INFORMATION.: SSN: 179-12-3125 FILE NUMBER: 2101-1135 DECEDENT NAME: BIXLER JOHN A DATE OF PAYMENT: 02/11/2003 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 12/04/2001 NO. CD 002151 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4,365.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: JOHN R: BIXLER CHECK# 0018207 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $4,365.00 DONNA M. OTTO DEPUTY REGISTER OF WILLS .;.'_0' 'OX,c..:,o \1 ~ d-j-3 REV-1500 .' COMMONWEALTH OF PENNSYLVANIA ~t:&. . DEPARTMENT OF REVENUE . DEPT 280601 ,.' HARRISBURG, PA 17128-0601 ""i ..' w r .::.r:::g;tI) u"'" WC-U ,,00 u"'--' "-,,, "- " I- Z W C W U W C INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER s21.--6L COUNTY CODE YEAR _L.L..35 NUMBER SOCIAL SECURITY NUMBER /7 - /02. -Y/02S THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER DATE OF BIRT ~,OriginaIReturn D 4, Limited Estate D 6_ Decedent Died Testate (ArJlch copy of Will) D 9 Litigation Proceeds Received D 2. Supplemental Return o 4a. Future Interest Compromise (date Of death after 12-12-82i D 7, Decedent Maintained a Living Trust (Attach copy of Trusli D 10. Spousal Poverty Credit {dale of death between 12-31-91 and 1-1-95i o 3. Remainder Return (dale of death prior to 12-13-82) D 5. Federal Estate Tax Return Required 8, Total Number of Safe Deposit Boxes o 11 Election to tax underSec, 9113(A) {Attach Sch 0) r z w o z o "- oo w '" '" o u FIRM NAME il/Applicablei ,~ C~;;~tt#l~ Ja/lL /)r j)/ ee),/ fa. ;/tf/...rS'" (111. tJt3 ~ () 6 [) tJ OF\;CiAi 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) (2) (3) (4) (5) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4 Mortgages & Notes Receivable (Schedule D) z o !;;: ...J => !:: D.. <( U W 0::: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6, Jointly Owned Property (Schedule F) D Separate Billing Requested (6) (7) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 9% tftft1, tfg (B) 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) (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 !;t I-' => D.. :lE o U >< ~ 15. Amount of Line 14 taxable at the spousal tax rate. or transfers under Sec. 9116 (a)(1.2) x 0_ (15) xOff(16) ~ .3h-5:M r ~ OtJtJ. tYt1 16. Amount of Line 14 taxable at lineal rate 17 Amount of Line 14 taxable at sibling rate x ,12 (17) x ,15 (18) 18. Amount of Line 14 taxable at collateral rate ~ Jt/;.5:' t1d 19. Tax Due (19) 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT "..M'" r~'::~:~=ae- I STATE A Tax Payments and Credits: 1, Tax Due (Page 1 Line 19) 2, Credits/Payments A, Spousai Poverty Credit B. Prior Payments C. Discount (1) Totai Credits (A + B + C ) (2) 3, InteresUPenalty If applicable D. Interest E, Penalty TotallnteresUPenalty (D + E) 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 I ZIP /7CJ:f1' /j/J~:.r cJeJ , o 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B, Enter the total of Line 5 + 5A This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 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 ......................................................".... ...................... ...... .............................. D d. receive the promise for life of either payments, benefits or care? ,............... . .................................................. D 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? . ~ ~ [B/ ~ ~ Under penalties of perjury, I declare thaI I have examined this relurn, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete Declaration of p(eparer other lhan the personal representative is based on all information of which preparer has any knowledge DATE ADDRESS 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 PS, 99116 (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 return are still applicable even 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 paren or a stepparent of the child is 0% [72 P,S, 99116(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, 99116(1,2) [72 P.S. 99116(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, 99116(a)(1.3)]. A Sibling is defined, under Section 9102, as a: individual who has at least one parent in common with the decedent, whether by blood or adoption. e.ev'~''''"!,,. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ES~ATE oh If :10 h . All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy arsell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorshin must be disclosed on Schedule F. ITEM NUMBER 1. RIA/hI FILE NUMBER :J../ -(]I - //.3Y DESCRIPTION VALUE AT DATE OF DEATH ~~ If? t1tJ{)~ TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 77fJtJd / // \ / / BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ~) DATE ESTATE OF DATE OF DEATH ", .(J7JLE NUMBER 1\ 7 '-~UNTY ACN 06-30-2003 BIXLER 12-04-2001 21 01-1135 CUMBERLAND 101 JOHN R BIXLER 1040 HIGHLAND DR MECHANICSBURG 'OJ JUN 30 *' REY-15~7 EX AFP (01-05) JOHN A PA 1705~; C> Ctllnt;. Allount Rellitted 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--foY:03Y-NO'TicE--O,:-YtiHEififANCE-TA'x-'A-PPR'A-isEifENT~--ALioWANCE-(fR------------ -- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BIXLER JOHN A FILE NO. 21 01-1135 ACN 101 DATE 06-30-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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: .00 X 00 = .00 97,000.00 X 045 = 4,365.00 .00 X 12 = .00 .00 X 15 = .00 (19)= 4,365.00 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (~;chedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held ~;tock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Depclsits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assei:s (1) (2) (3) (4) (5) (6) (7) 97,000.00 .00 .00 .00 .00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expens:es/Adll. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgagel Liabilities/Liens (Schedule n (10) 11. Total Deduc:tions 12. Net Value e,f Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value e,f Estate Subject to Tax .00 .00 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 97,000.00 00 97,000.00 .00 97,000.00 RECEIPT (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02 11-2003 CD002151 .00 4,365.00 BALANCE OF UNPAID INTEREST/PENALTY AS OF 02-12-2003 TOTAL TAX CREDIT 4,365.00 BALANCE OF TAX DUE .00 INTEREST AND PEN. 109.59 TOTAL DUE 109.59 · 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.) RESERVATION: Estates of decedents dying on or before December lZ, 198Z -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section Z140 of the Inheritance and Estate Tax Act, Act Z3 of ZOOO. (7Z P.S. Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGISTER OF HILLS. AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Wills, any of the Z3 Revenue District Offices, or by calling the special Z4-hour answering service for forms ordering: 1-800-36Z-Z050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-30Z0 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. Z810Z1, Harrisburg, PA 171Z8-10Z1, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. Z80601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-1501) for an explanation of administrativelY correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed. PENALTY: The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 198Z bear interest at the rate of six (6%) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through Z003 are: Interest DailY Interest Daily Interest Rate Factor Year Rate Factor Year Rate Year Daily Factor 198Z ZO% .000548 1987 9% .000Z47 1999 n .00019Z 1983 16% .000438 1988-1991 11% .000301 ZOOO 8% .000Z19 1984 11% .000301 199Z 9% .000Z47 ZOOl 9% .000Z47 1985 13% .000356 1993-1994 n .00019Z ZOOZ 6% .000164 1986 10% .000Z74 1995-1998 9% .000Z47 Z003 5% .000137 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. G1 oK STATUS REPORT UNDER RULE 6.12 Name of Decedent: ,JOAn I). B/~;6r 1c1/0;J/o1 Will No.: ciOO/~tJ/JE~r Date of Death: Po,. Admin. No.: otj-y) / -. //..3 S- Pursuant to Rule 6.12 ofthe Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether adm--.Lniyrcnion of the esta~ is. ~ cm m~pletee:: YesD NoM ~ 2. If the answer is No, state when the personal representative re that the administration will be complete: .. . 3. lfthe 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 ~. Date: 0/;03 SiP 7f~ ",70~fl R B/j'~r Name /O.frf /l;q!!a~ !JOVe Address J Net) /ic. /7tJs.;l' Telephone No.' 76'- -56'~ Capacity: ~ersonal Representative o Counsel for personal representative JRD/June30, 1992/17858 JAN 1 2 2005/ Estate No.: 21-01-1135 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Estate of John A. Bixler Late of New Cumberland Borough NO. 21-01-1135 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: John R. Bixler Counsel for Personal Representative: None Date of Decedent's Death: 12/04/2001 Date of Delinquency Notice: 01/10/2005 The undersigned, Glenda Farner-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 narned 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 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: 01/13/2005 ,~~.7r Glenda Farner Strasbaugh Clerk ofthe Orphans' Court Distribution: Personal Representative Estate File ~ '+, :1.005 q:'jO !:>.t<\ 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 cancelle ~ ItJfj IjJ~' f)r/re I!ee/ Address . Pa, j 7tJ.53 (117) ~--J~Y~ ?elephone No. STATUS REPORT UNDER RULE 6.12 Name of Decedent: '" M~IJ // B~k Date of Death: /;l./tt ~I Will No.: :2/ - d/ - /LJ...s- Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Comi Rules, I repOli the following with respect to completion of the administration of the above-captioned estate: 1. State wh~ administration of the estate is complete: Yes ff No 0 2. lfthe 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 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 maybe filed with the Clerk of the Orphans' Court .. and may be attached to this! ~eport.~. Date:*/oS" ~ i? ~.j- Sl ature _ / ,TaAA R, Rif# Name r- C', Capacity: n Personal Remesentative o Counsel for"personal representative )