HomeMy WebLinkAbout01-21-14 Pa. O.C..��Rule 6.12 STATUS REPORT
REGISTER OF WILLS ORJ� � COUNTY, PENNSYLVANIA
Name of Decedent:
Date of Death: 'I / / t! File Number: c26i
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: . . . . . . . . . . . . . . . . . . . . DdYes ❑No
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No. I is YES, state the following:
a. Did the personal representative file a final account with the Court? . . . . . . . 18Yes No
b. The separate Orphans' Court No. (if any) for the personal A(�°OW4
representative's account is:
c. Did the personal representative state an account 1�
informally to the parties in interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Yes ❑No
d. Copies of receipts, releases,joinders and approvals of formal or informal accounts may be
flied wits tthe 00tk'ot the Orphans" Court and njay be attached to this report.
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Form RW-10 rev. 10.13.06
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INVENTORY
REGISTER OF WILLS OF�irt/��%�3—rTa ►� COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA �jU l
COUNTY OF SS File Number 40[/
Personal Representative(s)of the Estate of
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever situate
and all of the real estate 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 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 verify that the statements made in this Inven-
tory are true and correct. I understand that false state- ^
ments herein are made subject to the penalties of �-
18 Pa.C.S. § 4904 relating to unswom falsification to
authorities.
Attorney -- (Name) (Supreme Court LD. No.)
(Address)
(Telephone)
DATE OFJtEATH LAST RESIDENCE DECEDENT'S SOC.SEC NO
FIGURES MUST BE TOTALED
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(Attach additional sheets as needed)
TOTAL: 0.00
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item,but such figures should not be extended into the total of the Inventory. (See 20 Pa.C&§3301(6))
Form RPY-09 rev. (0./3.06
Assets Value Trish M PT' Marion Margare Marilyn
M&T Checking+Verizon Ref $11,010.14 $2,752.54 $2,752.54 $2,752.54 $2,752.52 $0.00
1998 Buick Century $2,500.00 $0.00 $0.00 $0.00 $2,500.00 $0.00
12 Beaver Road less$3K $145,000.00 $0.00 $0.00 $0.00 $0.00 $145,000.00
109 shares MetLife FMV on DOD $4,003.57 $1,000.89 $1,000.89 $1,000.89 $1,000.90 $0.00
AIG Annuity THIS IS NOT LIFE INS $21,482.10 $5,370.53 $5,370.53 $5,370.53 $5,370.51 $0.00
Life Insurance NOT Taxable $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$183,995.81 $183,995.81 $9,123.96 $9,123.96 $9,123.96 $11,623.93 $145,000.00
Expenses
$15,496.95 $15,496.95 $3,099.39 $3,099.39 $3,099.39 $3,099.39 $3,099.39
$168,498.86 $6,024.57 $6,024.57 $6,024.57 $8,524.54 $141,900.61
Tax at 4.50% $7,582.45 $271.11 $271.11 $271.11 $383.60 $6,385.53
5%Discount Not Sure Correct ($42.52) ($10.63) ($10.63( ($10.63) ($10.63)
Inheritance Tax Due $7,539.93 $260.48 $260.48 $260.48 $372.97 $6,385.53
$7,539.93
... .._._ .. 5.....
jPrePayment_,. SSSOOO� ; _ � $zizso - , $-2 izso � ' $uzso $zizsD, $0.00 -
$47.98 $47.98 $47.98 $160.47 $6,385.53
$850.00 $18,888.89
$4,722.22
$212.50
$10.63
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