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Home My WebLink About01-1096 PETITION FOR PROBATE and GRANT OF LETTERS Estate of' f/FLFA/ AIL HJt:l6Pf( also known as No. To: Register of Wills for the Deceased. County of (1 At VItI Ii P P L A .vD in the Social Security No. ,/ 3 ~ / tJ I? 77 fY Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner~ who is/are 18 years of age or older anthe execut~r in the last will of the above decedent. dated JUA/.. .2 t6 and codicil(s) dated #A/"A/~ 2J-01-1096 named . 19.:t..:L- (state relevant circnmstances. e.g. renunciation, death of executor. etc.) Decendent was domiciled at death in (! 'Im6GL2.L MY 0 County. Pennsylvania, with her last family or principal residence at ~ ~ r) U 11/.1"..-.,.. 0 ~ It' ;- 11/ rJ Q "?--u- m J (} (} J r-r7rw Mbu/ 'f" JIJ, :J C~~J ~s-; C; ; A. I '7 C/ 13 (list street. number and muncipality) Decendent. then _<;'2- years of age, died m II p~ N g1 4- , .. .-/ dO I , at . H""Mh .- Ex~ept as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: N'jJ4 Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ /~?~~. /...J (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: 1/ /4- WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters ~e 'S -r1f2 IMI"'!.~ 1'. "'~ ., (testamentary; a ministration c.t.a.; administration d.b.n.c.t.a.) theron. - .e U u C U 00- ._ III IIl_ U'- O:::U C 000 C";:: to';: 3~ u'- 50 ;;; C ClO V3 f!O(JE~T G. JlJl/6EO ~ ~ rUA/r.F-T D~ I~G"" Po i?AY /P/ C i/QLI.r>"5 PA. 17013 {JI4ir-- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ sa COUNTY OF CUMBERLAND 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 truly ad inis er the estate according to law. /6-02.y-R affirmed and ~ subscribed { day of 1::!l d.orJ Register ~ QQ. :::s ~ - ;: ~ ~ ~o. 21-01-1096 Estate of HELEN M HAGER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW NOVEMBER 30 _,__~.2illlL. in consideration (:' ,t~ t:e:iri,-~r~ '.In the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated JUNE 26. 1992 described therein be admitted to probate and filed of record as the last will of HELEN M HAGER and Letters TESTAMENTARY are hereby granted to ROBERT G HAGER 7~r{!iiW~~"'J 1J~)4-'Uffi/ Re stet of Wills FEES Probate, Letters, Etc. ......... Short Certificates{ ).......... ifexfJH~:Ictlion ................ JCP $ 25.00 S 3.00 $ 6.00 $ 5.00 TOTAL_$ 39.00 . . . ~~:-.497~P.QL . . . . . . . . . . . . . . . . . . . . A ITOR~EY (Sup. C~. to, ~o.) ADDRESS Filed PHONE ~~~ ~~- Y7,Y'02.. "I- o Ef1 .':~~~ N ~ '~ a.:: .-- 6: c:) :-"..~ 'i~ '~i o'ch ~&! 0'\ N > ~ 1;,,) ,:~1 p ;ij ,,;.. .0 't::: ~ (I) == Gu f'< 0"< ~":,, ~,o~. . . _ mation here iven is correctly copied from an original certificate of death dul~ filed with me as I hiS IS to .cernfyTthhat t~e. tnalfor t'c. ate will gbe forwarded to the State Vital Records Office for permanent filmg. Local RegIstrar. e ongm cer mc WARNING: It is illegal to duplicate this copy by photostat or photograph. No. ~oc~~~ Fee for this certificate, $2.00 p 7295128 MAR 2 7 2001 Date 21-01-1096 43 Rev. 2117 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAME Of' DECEDENT (For... Mid<Ie. L_I t. Helen M. HageJr. AGE (lUl Bif1IQVI UNDER t YEAR ..... Oaya SEX SWE FlU lIIU~EA SOCIAl. SECURITY NUM8fR DAlE OF DEATH .Mcnoh. 0.). ...., llIRTHPlACE (CoIy and sw. Of Fcreogn COUIlIlYI a. F erode 3. 136 - 10 - 0778 PI.ACE OF DEATH (CNcIo 0Ny Ol>e.- __ oIlSlruc:t.0n5 OftOlMr _I ~: m~~ .... 0 ER/OuIpMienl 0 OOA 0 ==- 0 4. 3-24-2001 ~IO RACE. "-Indian. 8IadI. While. ... (SpegI>,) 10. Wh-i.te SUAVMNO SPOUSE ,........ gnoe-... c:iIy.'t :ZOO/ PART I: 0Ihw IigniIIc:MI CllIrIdIiaM~lOdMIIl.1luI -.....in..~_giwwninfIMTl. .. E .. AN AUlOPSY WERE AlJ10PSY FN)INGS f'EIlRlAMEO? IUIUU8LE PRlOI'110 COUP\ET1OH OF CAUSE OF 0ERH7 MANNER OF DEATH _0 ~ ..0 Nol2J ........ ~ AccidMI 0 SuicicM 0 DATE Of' INJURY .Monll. Day. 'Iltarl TIME OF INJURY INJURY IiJ WORK? DESCRIBE HOW INJURY OCCUAfIEo. Homic:icIe Pending -.gallon .... 0 Ng 0 Could 1llIl" ~....._ ZA. 21. C81r.....CIIck onI) ..... .~ l'ttYSlC&AN (PhySIC*> C8IIlIyong __ d..... _ -1IhYI'C.-n '-IlIClnClUnrAd dNlh ana CompIeltKl "em 23) To............,............._OCCwrM....._CMIM(.'....._r..............................................,............ .. .PRONOUNCING AND CMTlPYING PHY~IPI\ysIcoan boIIl ;)lonoullCong llMIh and c:etIIIyonv 10 C_ 01 dNlll To'" .........1I1ulo.......... ""'OCCwrM" ......... .Ie. _pi..,.,..... d...IOIfleChM(el_ ...._...,.,elI...,............ .. ...... " OIllEDlCAl DA.....RlCORONER :=,~::::~.I~~.~~ ~~~~~..'!~~~: ~ ~~ ~~~~~: ~~~~ ~~~~~ ~~ ~ ~~~'.~~.~: ~~.~I~~~: ~~.~~~ ~ ~~~ ~~~~).~ 0 31L ~~ 34. ,,"' ~ .. 21-01-1096 Wagt lIill mW 'QJ:tstammt I, HELEN M. HAGER, of the Borough of Carlisle, Cumberland County, Pennsylvania, do make and publish this as and for my last will and testament, hereby revoking any and all wills heretofore made by me. 1. I direct my executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. I authorize and empower my executor to sell any realty owned by me at my death, and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as I could do if living. 3. I give, devise and bequeath all of my estate of every nature and wherever situate to my son, Robert G. Hager, and if he is not living at the time of my death, to his wife, Janette L. Hager. 4. I nominate 'and appoint Robert G. Hager to be the executor of this my last will and testament; he is to serve as such without bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Janette L. Hager, as substitute executrix, also to serve as such without bond, with the same powers as are given herein to my executor. 5. I hereby suggest that my personal representative retain .... the services of Irwin, Irwin & McKnight, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal t his 26TH day 0 f J u n e, 1992 . J~ 4 J~0--' (SEAL) c.. Ii' H. IIA6[R-f' Signed, sealed, published and declared by Helen M. Hager, the above named testatrix, as and for her last will and testament, in the presence of us, who, at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. Jfi~ 1lJ]. ~I~ ~~~..~ ~ ~"'~d- 2 , I I . .' .':\; ...... \ IlL' ACKNOWLEDGEMENT AND AFFIDAVIT WE, HELEN M. HAGER, SANDRA B. HI NTHORN and KATHLEEN M. KENNEY, the testatrix and 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 had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. ,3Lt~ 1~. HELEN M. HAG. --'.. .-' ') .~ , )y:~A ~ SANDRA B. HINTHORN ~.D~~ ~~O KATH EEN M. EN EY COMMONWEALTH OF PENNSYLVANIA COUNTY 0 F CUMBERLAND ss: Subscribed, sworn to and acknowledged before me by HELEN M. HAGER, testatrix, and subscribed and sworn to before me by SANDRA B. HINTHORN and KATHLEEN M. KENNEY, witnesses, this 26TH day of June, 1992. NOT ARiM. SEAL 8ETZI A MORP.:SON N()T!~RY PU8U C/;.,A;.~~S~~t~ 3()F~(:, C.~.!?/t8t:r~L./~ND CC)UN Y L_~~\l_~:~~~;~~~i~:~~:~~g[c. ~501 ,,:~/. t',.l:erqb~r; FOf:{,s'y;V2ni6. PSS(}(~EiTIon 01 N,~tar.t~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: II c t- t: xl /11 J.I )of C; € t'2. Date of Death: iJ,1 JA 12 ~ 1../ ..) ~ .2 0 0 I Will No. ~ 0 CJ J - c:J I cJ 9' ~ Admin. No. 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 111 /II f2c 1-1 I ~ ..z 0 0 I Name Address p" L1 ~-Y< T G. 1IJ4 Gel? ,P 0 15 d x I?' ~ ~ # ~L I Cl.. L..- j!J Y-l, I " /1 111 ~ Ie 141 (+) FF AI ,JCl JJ1 J1I2JLJ1.A/(), /.sr.1 1/.(>>1111':;'1' r ')7) lJ!r71!6--J4If117JW~ W. vlt. 1~~1 0' Notice has now been given to all persons entitled thereto under Rule 5.6(a) except VI jI/ Date: 1J1 }fJ2C:/.-I J ~ J ~ ~ :L [(]tEl /0 Signature Name y) ...... J-I fJ (('7 JI"' .I; I? r: C71 J4. &- i:- I? Address p C; - f?".; "Y' / V I \0 fY"l . .. (',"') CL / 14 l? I I J ~ i: ~A. I ) 7 OJ J Telephone ( 1/7- :J 1- ?- 477 1 ~ 0;:: c:::.r::. z::: :....:~. G,," CC p ~) ;:; s::: il} == w:"" -..JJ '-' t:: Capacity: ~ Personal Representative _Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 136-10-0778 FILE NUMBER: 21 - 2001 - 1 096 DECEDENT NAME: HAGER HELEN M DA TE OF PAYMENT: 12/21/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 03/24/2001 NO. CD 000673 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3, 163.96 I I I I I I I I TOTAL AMOUNT PAID: $3,163.96 REMARKS: ROBERT G HAGER CHECK# 6738 SEAL INITIALS: AC RECEIVED BY: REGIS~BR OF WILLS MARY C. LEWIS REGISTER OF WILLS \,. '/~~c~~- P BUREAU OF INDIVIDUAL TAXES ~~HERITANCE TAX DIVISION ~PT. Z80601 HARRISBURG 1 PA l11Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-29-2002 HAGER 03-24-2001 21 01-1096 CUMBERLAND 101 ( '0:2 111\1' -3 (\ 1 " ,'if : :20 JAMES N CLYMER CLYMER & MUSSER 23 N LIME ST LANCASTER c_ ,)\.11'7:602-4348 * REY-l!i47 EX AFP COl-02) HELEN M Allount Rellitted (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 26.30 671439.81 2.500.00 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 ~ REY=is4j-i'X-AFP--((ff=ozl--NoTici--oF-.rN"HiifiTAifci-TAi-APPRjrisiii'ENT~--ALi-owAirci-oR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HAGER HELEN M FILE NO. 21 01-1096 ACN 101 DATE 04-29-2002 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE 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. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of 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: NOTE: (9) (10) 869.30 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. (8) 69,966.11 1.617.65 (11) (12) (13) (14) .00 X 00 = 67,479.16 X 045= .00 X 12 = .00 X 15 = 2.486 95 67,479.16 .00 67,479.16 (19)= .00 3,036.57 .00 .00 3,036.57 .. . . ...... Kt:t.;t:.Lrl T+J AHOUNT PAID DATE NUI'IBER INTEREST/PEN PAID (-) 12-21-2001 CDOO0673 .00 3,163.96 TOTAL TAX CREDIT 3,163.96 BALANCE OF TAX DUE 127.39CR INTEREST AND PEN. .00 TOTAL DUE 127.39CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) ..." REV-14TO EX (6-88) ( '* INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDMDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FilE NUMBER Helen M. Hager 2101.1096 REVIEWED BY ACN John Kuchinski 101 ITEM EXPLANATION OF CHANGES SCHEDULE NO. H 83 Reduced to $26.30. Family exemption can only be claimed against assets subject to will or intestacy. ROW Page 1 REV.150o EX+ (6-00) . I- Z W Cl W U W Cl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) HAGER Helen M. DATE OF DEATH (MM-DD-Year) REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DATE OF BIRTH (MM-DD-Year) 03/24/2001 04/17/1913 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY <E.. 17 -d'-/ - 51 FILE NUMBER ~L-~.L JL....LJLJL.2.... COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 1 36- 1 0 - 0 7 7 8 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER W I- ::.:;::!cn ,,"'''' w"-" ",00 ,,"'~ "-Ill "- " ~ 1. Original Return o 4. Limited Estate ~ 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date afdeath after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy ofTrust) o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o 3. Remainder Return (date 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 under Sec. 9113(A) (Attach Sch O} I- Z W o z o "- <J) w '" '" o " THIS'SECTIOIII'IiIUST!BE'C NAME James N. CI mer FIRM NAME (If Applicable) CI mer & Musser P.C. TELEPHONE NUMBER 717-299-7101 liIPl..ETED. ALL CORRESPONDENCE AND CONFiDeNTIAl TAX INFORMATION SHOULD BE DIRECTED TO: COMPLETE MAILING ADDRESS 23 North Lime Street Lancaster z o i= <l: ..J ::::l l- e:: <l: u W lI:: 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) (6) D Separate Billing Requested (1) (2) (3) (4) (5) PA 17602 .~,""" OFFICIAL USE ONLY ~/" d -I, N i 26.30 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 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) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ I- ::::l Q. :::!; o u X <l: I- 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 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 19. Tax Due X (15) 64,005.46 X .045 (16) X .12 (17) X .15 (18) (19) 20. [ill CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ...' 67 439 81 i_..~j " . :'J ,~ ", 2,50000 (8) 69,966.11 4,343.00 1,61765 (11) (12) (13) 5,960.65 64,005.46 (14) 64,005.46 2,880.25 2,880.25 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 'Decedent:s Complete Address: STr~EET ADDRESS 20 Sunset Drive CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 2,880.25 3163.96 3. InteresVPenalty if applicable D.lnterest E. Penalty Total Credits (A + 8 + C) (2) 3,16396 TotallnterestlPenalty (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) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE, (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + 5A. This is the 8ALANCE DUE, (58) Make Check Payable to: REGISTER OF WILLS, AGENT 283,71 0.00 0.00 PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a retain the use or income of the property transferred; ,.................., ........................... ......................... 0 00 b. retain the right to designate who shall use the property transferred or its income, ..........................., ........... 0 00 c. retain a reversionary interest; or ................... .................... ................ ............... ............. .............. 0 00 d. receive the promise for life of either payments, benefits or care? ................................... ......................... D [K] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................ ........ 00 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ............. 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................. ... ..................... ................. .............................. ........ D 00 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements. and to the best of my knowledge and belief, it is true, correct and complete. Declarallon of preparer other than the personal representative IS based on all information of which preparer has any knowledge SIGNATURE O/~!jl3 R PO IBL F. R FILING RETURN ':-0"" "T ~ ADDRESS 20 Sunset Orf e Carlisle SIGNATURE OF PREP r- PA 17602 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 ~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 exemDt 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 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. 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 II. The tax rate imposed on the net vaiue 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 an individual who has at least one parent in common with the decedent, whether by blood or adoption, .",~'~m~"'" '*' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF HAGER Helen M FilE NUMBER 01 01096 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of sUlVivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION Public Employee's Retirement System - final pension payment VALUE AT DATE OF DEATH 26.30 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 26.30 .""~m.(''''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF HAGER Helen M. If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. FilE NUMBER 01 01096 SURVIVING JOINT TENANT{S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Robert G & Janette L. Hager 20 Sunset Drive Carlisle, PA 17013 son/daughter-in-Iaw B Robert G. Hager 20 Sunset Drive Carlisle, PA 17013 son c JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number, Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deedforjointly-heldrealestale. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 3/31/92 Real Estate - 20 Sunset Drive, Carlisle, North Middleton 134,270.00 50. 67,135.00 Township, Cumberland County, PA as stated in Record Book 1057, Page 188 2. B 1992 M&T Bank - Checking Account No. 1132407. Principal 590.20 50. 295.10 balance as of date of death of $590.20 3. B 1992 M& T Bank - Savings Account No. 15004200897667 19.41 50. 9.71 Principal balance as of date of death of $19.41 TOTAL (Also enter on line 6, Recapitulation) $ 67439.81 (If more space is needed, insert additional sheets of the same size) ,,,,,,,m.,,,,,. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF HAGER Helen M. FILE NUMBER 01 01096 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes, DESCRIPTION OF PROPERTY %QF ITEM INCLUDE TrlE NAME OfTfIETRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AN DTHEDATEOfTRANSFER DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE NUMBER ATTACH ACOPYOFTHE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST (IF APPLICABLEj 1. Robert G. Hager 4,500.00 100. 3,00000 1,500.00 20 Sunset Drive Carlisle, PA 17013 2. Janette L. Hager 4,000.00 100. 3,000.00 1,000.00 20 Sunset Drive Carlisle, PA 17013 TOTAL IAlso enter on line 7, Recapitulation) $ 2500.00 Ilf more space is needed, insert additional sheets of the same size) '''''''';''''':. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF HAGER Helen M Debts of decedent must be reported on Schedule I. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 01 01096 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Cremation Society 45.00 B ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees Clymer & Musser, P.C. 750.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) 3,50000 Claimant Robert G. HaQer Street Address 20 Sunset Drive City Carlisle State PA Zip 17013 Relationship of Claimant to Decedent son 4. Probate Fees Register of Wills 48.00 5. Accountanfs Fees 6. Tax Return Preparers Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ 4 343.00 (If more space is needed, insert additional sheets of the same size) RE~""~"""". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF HAGER Helen M Include unreimbursed medical expenses. ITEM NUMBER FILE NUMBER 01 01096 OESCRIPTION AMOUNT 1. Sprint - final telephone bill 2 Mastercard - final credit card bill 3. Dr. Hartzell - medical bill 4. Drs. Moffit and Pease - medical bill 5. Dr. Pinker - medical bill 6. Carlisle Hospital - hospital bill 7. Comcast - final cable bill 8. Bon Ton - credit card bill 9. Bankcard Services - credit card bill 10 Nutley Chapter O.E.S. - 22.47 940.78 50.00 79.58 7.85 92.90 34.23 52.68 321.16 16.00 TOTAL (Also enteron line 10, Recapitulation) $ (If more space IS needed, Insert addltronal sheets of the same size) 1617.65 e"""E~'[''':. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER , .. ~~n f./I>II>n M 01 010!:)R RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. Robert G. Hager son 100% 20 Sunset Drive Carlisle, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. None 0.00 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. None 0.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, Insert additional sheets of the same size) m1M&rBank ", January 23, 2002 Re: date of death balances for Helen M. Hager To Whom It May Concern: This letter is to inform you of the date of death balances in the checking and savings for Helen M.Hager on March 23, 2001. The balance in the checking was $590.20 and the savings was $19.41. Both accounts are titled Helen M. Hager or Robert G. Hager. If you have any further questions, please feel free to contact me at 717-240-4581. Sincerely /"", 7~: (/&> // c. Wanda L. Dale BSA Carlisle High Street office ;\ ;/ ,{b G Manufacturers and Traders Trust Company . One West High Street. Carlisle. PA 17013 . (717) 240-4536 . Fax (717) 240-4518 :: - "'. ... - "::'JO:~D::.D-C':'F!r= r-. - ,.. ::; =/'\,.... ,- ''''... J: Ill.:. "'- v'"" f1 D. '. -:- 0 - -.' .....11[/........ ~ , c.t.JS "..' ;-:RLAI", C~UIITY-p~, '32 fTiflH 21 Pil 2 38 THIS DEED, MADE THE 67- 3/~ day of M/I/eC# Lord 'one thousand nine hundred in the year of our ninety-two (1992) BETWEEN GRACE B. GALLAGHER, a/k/a GRACE E. GALLAGHER, widow, of North Middleton Township, Cumberland County, Pennsylvania, party of the first part, hereinafter called Grantor, and ROBERT G. HAGER and JANETTE L. HAGER, husband and wife, as to a one-half undivided interest, and HELEN M. HAGER, as to a one-half undivided interest, all of the Borough of Carlisle, cumberland County, Pennsylvania, parties of the second part, hereinafter called Grantees: WITNESSETH that in consideration of One Hundred Sixty-five Thousand and no/100 ($165,000.00) Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey to the said Grantees, their heirs and assigns as tenants by the entirety, as between Robert G. Hager and Janette L. Hager, his wife, and as joint tenants with right of survivorship and not as tenants in common, as between them as such tenants by entirely, and Helen M. Hager, ALL THAT CERTAIN tract of land with improvements erected thereon situate in North Middleton Township, Cumberland County, Pennsylvania, bounded and described in accordance with survey made by Thomas a. Neff, Registered Surveyor, on September 10, 1967, as follows: BEGINNING at a stake on the western line of 50 feet wide Sunset Drive at the southeastern corner of intended Lot No. 2 as shown on the hereinafter mentioned Pian of Lots, which stake is 137.28 feet South of the center line of Township Road 485 known as Union School House road; thenc~ from stake at the place of beginning along the western line of said 50 feet wide Sunset Drive, South 3 degrees 43 minutes 10 seconds East, a distance of 125 feet to a stake at the Northeastern corner of intended Lot No.6; thence along the northern line of said intended Lot No.6, South 86 degrees 16 minutes 50 seconds West, a distance of 170 feet to a stake in line of land now or formerly of Albert c. Kuhn and wife North 3 degrees 43 minutes 10 seconds West, a distance of 125 feet to a stake at the southwestern corner of said hOOf. iDS', F,\GE 188 intended Lot No.2; thence along the southern line of said intended Lot No.2, North 86 degrees 16 minutes 50 seconds East, a distance of 170 feet to a stake on the western line of 50 feet wide Sunset drive. the place of BEGINNING. BEING all of intended Lot No.4 as shown on the plan of Lots known as Kendor Summit, which Plan of Lots il> recorded in the hereinafter mentioned ~ecorder's Office in Plan Book 18, Page 2. AND BEING improved with a two story, brick and frame dwelling house known and numbered as 20 Sunset Drive, Carlisle, Pennsylvania. ALSO BEING the same premises which James J. Gallagher and Grace E. Gallasher, by their deed dated July 25, 1983 and recorded in Cumberland County Deed Book 30 "Il" 651 on July 29, 1983, granted and conveyed to Grace E. Gallagher, a/k/a Grace B. Gallagher, Grantor herein. UNDER AND SUBJECT, NEVERTHELESS, TO A 20 FEET WIDE RIGHT OF WAY OR EASEMENT, THE CENTER LINE OF WHICH IS PARALLEL TO AND 130 FEET WEST OF THE WESTERN LINE OF 50 FEET WIDE SUNSET DRIVE, WHICH EASEMENT IS FOR THE PURPOSE OF INSTALLING A PIPE OR PIPES AND REPAIRING, REPLACING AND ADDING TO THE SAME FOR THE PURPOSE OF CARRYING SURFACE WATER DRAINAGE ACROSS THE ABOVE DESCRIBED TRACT OF LAND. SAID RIGHT OF WAY OR EASEMENT SHALL BE IN FAVOR OF ALBERT C. KUHN AND WIFE, THEIR HEIRS AND ASSIGNS; AND TO THE BUILDING AND USE RESTRICTIONS SET FORTH IN AFORESAID DEED BOOK 30 "H" 651, WHICH BUILDING AND USE REGULATIONS SHALL BE BINDING UPON THE WITHIN GRANTEES, THEIR HEIRS AND ASSIGNS. AND the said Grantor hereby covenants and agrees that she will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, said Grantors have hereunto set their hands and seals the day and year first above written. ~ . .. " . " ~ , . " , ':.'r' ~~-.(". ffA./F'ri.f.AL) GRACE B. GAI:LAGHER 4-= ?'~~'-'E") a/k/a GRACE E. GALL HER . ,', Signe~ / . '-," .," .,:' " Sea 1 t;"d.:a'nd,'De 1 i ver'ed, ", the Prese' ce :. ;,.;"'.\', - .i . ,'/' ~;~J~ ?ennsvlvania } 55 ~'J...:]~tv :)f Cumberland , ,'''' ~ ' ff' f h d' of Dll""c , ",,",' ~ -'" - ',' ,:,' :.,;(,'csd 'n the 0 Ice or t e racor Ing CVv ,"'j:>:7~<;6-:~'H"": "~' ., ,; . 1 a"cl 'or Cumberland countyilj:ll. .. c ,....... ,)....-. ,In'::'n -- p 15 . 'r'-''-',~,'J .~ 8oo.,~Vol._ age ..,C,..::.....'- ",'1: smvhandand~ofoffi~~ tl1: 0).. _,,1r,'~I"', FA thiS ... ~ day of fl 19~ ~~r B~O( 10S', ~U 10il THIS 15 NOT A TAX BILL MAILING OATS: July 1, 2000 Parcel Identifier: 29-17-1576-005. 01.trict. 29 - NORTH KZCDLBTON TWP School..1 CARLISLI ARIA 90 I.ocationl 20 SUNOB'l' DRIVB ~R SmDlIT ~T 4 P8 18 PO 2 2000 Assessed Value Old As.....d Value M.rteet V.lue (2000 Merte.t x 100%) (1914 Marte.t x 2S%) Land 25,000 25,000 1,400 Buildings 109,270 109,270 10,990 TOTAL 134,270 134,270 12,390 2000 Clean and Green Value. Land NOT NOT NOT Building. APPLICABLB APPLICJIllLB APPLICABLB TOTAL Clean and Green values apply to some tarm and torest land. Such values become effectJve only upon application and approval. All applications must be received by the Assessment OffIce by 4:30 p.m. on October 15, 2000. Those previously approved for Clean and Green do not need to re.apply. TAXASLB UNIT/LOT 10..1 L-OQ04 Land 91z8....l .49 acres Property Type, R Residential With Building. Control No: 29002412 CUSKNFPW Pennsylvania law requires that all real estate be valued as of the most recent county-wide reassessment. The last reassessment, or tax base year, was 1974. Since the last reassessment in 1974, properties have been assessed at 25% of the 1974 value (the 'Pre-Determined Ratio"). The new tax base year will be the Year 2000, with the new assessed values becoming effective for the 2001 tax year. The Pre-Determined Ratio has been changed to 100%. Your new assessed value equals your Year 2000 market value. It Is very Important for you to know that when the new 2000 tax base Is determined after l'hls reassessment all taxing districts are required by law to lower the millage rate by the same proportion that the tax base went up. The law provides that in the first year after reassessmenf(2001), the county and all townships and boroughs may not increase overall revenue by more than five pencent (5%) end school districts may not increase overall revenue by more than ten pencent (10%). The county and the other taxing bodies will make these decisions next year, and may choose not to increase overall revenue. Of course, some individual's taxes will go up ordown by more Ihan those percentages. The essential point Is that an Increase In market values does not necessarily mean a corresponding Increase In taxes. Individual changes In taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures. This estimate does not include any borough, township, I)r school district impact. BSTIKATIlD COUNTY TAX IMPACT. CUrrent 2000 County mills. 27.500 Adjusted 2000 County mills. 1.858 $ 341 2000 County Tax BE FORB Reassessment. $ 249 . 2000 County Tax AFTBR Reassessment. 7!Ia:st ~ill anb 'Q]:tstanmrl r, HELEN H. HAGER, of the Borough of Carlisle, Cumberland County, Pennsylvania, do make and publish this as and for my last will and testament, hereby revoking any and all wills heretofore made by me. 1. r direct my executor to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. 2. r authorize and empower my executor to sell any realty owned by me at my death, and not specifically devised herein, at either public or private sale, and to give good and sufficient deeds therefor, in fee simple, as r could do if living. 3. I give, devise and bequeath all of my estate of every nature and wherever situate to my son, Robert G. Hager, and if he is not living at the time of my death, to his wife, Janette L. Hager. 4. I nomi nate and appoi nt Robert G. Hager to be th e executor of this my last will and testament; he is to serve as such w ithou t bond. Should he die before my death, renounce or refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and appoint Janette L. Hager, as substitute executrix, also to serve as such without bond, with the same powers as are given herein to my executor. 5. I hereby suggest that my personal representative retain ., ,,. the services of Irwin, Irwin & McKnight, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 26TH day of June, 1992. __;Ji./(J :-4 j~",..../ (SEAL) ~LEi; 11. IIA6CR !-- Signed, sealed, published and declared by Helen M. Hager, the above named testatrix, as and for her last \~ill and testament, in the presence of us, who, at her request, in her presence and in the presence of each other have subscribed our names as witnesses hereto. ~ f) //11.1 ~/.jJ!...;,j,,'2.J5. ll/iJY-I't~ +~~.. ~ J! ~a"'~d- 2 WE, HELEN H. HAGER, SANDRA B. HINTHORN and KATHLEEN H. KENNEY, the testatrix and 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 had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. In ------- . J~L'-<-t h ~ HELEN M. HAGE~ .r" j//lllL!5- lJunJ':J---.. SANDRA B. HINTHORN ~..~~ ~~~CJ= KA TH EEN M. EN EY " COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: Subscribed, sworn to and acknowledged before me by HELEN H. HAGER, testatrix, and subscribed and sworn to before me by SANDRA B. HINTHORN and KATHLEEN M. KENNEY, witnesses, this 26TH day of June, 1992. 1\'C.Tl,.r::;\l. SEI\L SET:l,\ ~.~:?C.:~C'~-: >(/T/\::;'( :O\.j2.~.: . C'-'~'..:S~...: ~\~..::..: ,~..~:.'.';2~~'./\:;'::G(Y;L'! ',. L~::.0~~~~C.:i C;?:=.~S ?~';. ~~, :,.~ ~f;~~.~;;';::1, P':':"::l::l~"~~!i:. ,:~~':~~;;.~'::: {;j x'~ :":l:;'.~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG, PA 17128-0601 REV-1162 EX111-96l RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 4h_____ fold ESTATE INFORMATION: SSN: 136- 10-0778 FILE NUMBER: 21-2001- 1096 DECEDENT NAME: HAGER HELEN M DATE OF PAYMENT: 12/21/2001 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 03/24/2001 NO. CD 000673 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $3,163.96 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: ROBERT G HAGER CHECK# 6738 SEAL INITIALS: AC RECEIVED BY: $3,163.96 MARY C. lEWIS REGISTER OF WillS Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240 - 6345 Date: 2/02/2005 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 RE: Estate of HAGER HELEN M File Number: 2001-01096 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: 3/24/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, &~.~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge uA Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: .~ /-.trV' J/I. ;!J1<f-&---rL I Date of Death: /#t//.2Ct-l- -:2-4; ~CJ I Estate No.: ;< /)0 / - 0 / cJ / ~ V' 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 0 No ~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: /1/(/1 ( kid WI/(/ 3. Ifthe answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 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.~ Date: )fI~.t 1<: um- /. ~ S~ature ~l?k/2rC I4kC/J?- . Name Po. llex ) rl / C4--t'?ff",~ 111. /101 J Address / / 88:(: tid 81 717-,;2 S-i-- //7512 Telephone No. rJ Capacity: BPersonal Representative o Counsel for personal representative Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/17/2006 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 RE: Estate of HAGER HELEN M File Number: 2001-01096 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. I, 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 is due by: 3/24/2006 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, ~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel '(1/', U~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/06/2006 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 RE: Estate of HAGER HELEN M File Number: 2001-01096 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 is due by: 3/24/2006 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, ~~AJ~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel ~~ Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: II.FLp-A/. iJI 11 ~~ c-Y) ... , r Date of Death: !J1 r4- ~ ~/J ~ ~ ,2 r? a I Estate No.: c-2. CJ'o / ~ /.cJ / 0 q G; 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 0 No ,W 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: D ;-c E U/ K ~ ~ 0 0 ~ /' 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 0 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. s,2L~~ Po fl.e-Je ref! U-C;G,--rL Name Date: -0 y0 ~ a l./") 6~1 Pt/" , Address rJCY J ?/ , , / ~#~/; YCG""" /'il. I' C":; 71 7-.;2 rJr- ~ 77.2 Telephone No. r-"1____.:+..... ~...n"......nl, Do"""'....ono......t-I")+;'TO va.pavay. ~ rlll.,V1UU J.'-~.l-'l~"V.l.u.u.u" '-' o Counsel for personal representative @> cumberland County - Register ur Wl~~~ One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 3/14/2007 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 RE: Estate of HAGER HELEN M File Number: 2001-01096 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 is due by: 3/24/2007 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. Si~'~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel 02:2 Lrt;} UUG Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF COUNTY, PENNSYLVANIA Name of Decedent: 1/ /;Z ~7l/ )It. /!/I+-C;-~-1'2- I Date of Death: ~ 4;/17 I File Number: ..-200/ - C) / ('} 7 (bJ 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: . . . . . . . . . . . . . . . .. . .. DYes ~o 2. If the answeris No, state when the personal representative reasonably believes that the administration will be complete: DE.c~/j' J;'JL ;1..:70,/ , 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a final account with the Court?- . . . . . .. DYes D 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? ................................ DYes DNo 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. lJI~d~ JJ ~7 ~~ ,,/ SigMture of Person Filing this Form . Date ""!D"- 0: C") ," ~ L1 (~5 Capacity: ~sonal Representative D Counsel B I? E7?" ~ till- r; c-/L Nifne of Person Filing this Form f!Z f5. !f:= y / ?/ AdBress . , C#~L-/.\&~ h. /7cJ1? 7/7-d-Jd-- 47~2- Telephone en I' (>') c~ C1<.Ci:- ::::: ..... ~- r;-"::: ~/) D? C);t:' 0::: . O~; o ..-. C:':::) C:::':J- (:'-.',-1 ForIllRW.JO rev.10.J3.06 J Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/25/2008 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 ,. , "',J r.,) c...... RE: Estate of HAGER HELEN M File Number: 2001-01096 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 1S due by: 3/24/2008 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, . (~ '> ~1-. L~"i'~Lj J,. ttkt<4Mr' .f / . . Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. a.c. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF COUNTY, PEN;.,JSYL VANIA Name of Decedent I/r-l- B HI 1t1~;-I 14?c 12.. t " Date of Death: J!( IfnLl1 '? <I; /2 CO I File Number: r!J-ClO / - LJ / tJ ? h / v Pursuant to Pa. O.c. Rule 6.12, I report the follo'Ning \'.'it11 respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . .. DYes 5No 2. If the answel-is No, state when the personal representative reasonably believes that the administration will be complete: o .d?C" 6- I~~/.f P y2.. ..1- 00 r 3. If the answer to No.1 is YES, state the following: a. Did the personal representative file a finafaccount with the Court? . . . . . .. DYes 0 No b. The separate OJphans' COUlt No. (if any) for the personal representative's account is: c. Did the personal representative state an account infol111ally to the parties in interest? ................................ 0 Yes 0 No d. Copies ofreceipts, releases, joinders and approvals of formal or infonnal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this repOli. Dole ;f~ ( 1- ;, ;2..c; t7 r , Signal Capacity: ~rsonal Repi:esentative 0 Counsel !?cl lY 1;; 1;1 r- &. 1-1- H ?- ~ I? Nom: of Person Filing th.s Forl1~ 1? 0\ [::rVK /? I Adth'ess ,- . CJ1r2L l'fl-e. PfJ- 17cl3 , I ' 7 J 1- ;2 '5"?'- 4 7 '1 :2- Telephone . I ^ ) Vd '''\'' - UJ ,..,(J\V-ltfJdy\jnO it/nO,J S,f\fvHdHO 30 >JeB10 IS =9 UV fJ- >1dV 800l For", RW.IO rev. 10.13.06 In Re: Estate of HAGER HELEN M ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA (") Co ~:o .~~~ S:<I5~ o p~~ ~-f NO. 2001-01096 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: HAGER ROBERT G Counsel for Personal Representative: Date of Decedent's Death: 3/24/2001 The Orphans' Court record indicates 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 Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Comi Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. J[fthe required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to detern1ine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. ~~-I&t)~~j.~~ Date: 3/26/2008 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File ~ c::;) c::::;) CD ::tao -0 ~ , ::'":;j ::0 r'''l r:-. C"} (--,-)C) .','-'.'-," '."'-"l (/) _ .~J ..-.; CO) rT1 r'f 1 ~.,.:I CJ C) .'- =H f~?~ <.j) (~) -; I -0 :x ~ .t:'" (..) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 3/03/2009 c~ ~> ~ HALER ROBERT G ~ A'ti ~ 20 SUNSET DRIVE c'? ~~ ~ FO BOX 181 ~~~ to r r CARLISLE, PA 17013 ~c7 -- `~• ~O~ ~ c" _, r.. ~3~ ~ ~ ~~~ , .~ N RE: Estate of HALER HELEN M File Number: 2001-01096 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 is due by: 3/24/2009 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, /% .~. ,~~ Glenda Farner Strasbaugh' Clerk of the Orphans' Court cc: File Counsel Via. ®.C. ~u~e 6.12 ST' ~ i STS P~~~ REGISTER OF WILLS OF f~,y~~= ~~ . ,~,,;~ COUNTY, PENNSYLV ~NI_A Name of Decedent: ~ ~ 1 ~ %~ ~ ~~ N ~ G )~ Date of Death: /~;Jt~~Cr-l ~ 4, -;2 ~'~' I File Number: ~~c'% 1 ' ~` ~ ~ ~~~(~ DLiriuaiii tv Pa. 0.~. Diiie v.i7, i i°"ort the follClxnna ~znth rPCnPrt to c.mm~letinn of the administration of -"Y -'o r`-- r-- tl~le above-captioned estate: 1. State whether administration of the estate is complete :.................... [~ Yes ~'No 2. If the answeris 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 b. Tlie separate Orphans' Court No. (if any) for the personal repxesentative's account is: c. Did the personal representative state an account infom~ally to the parties in interest? ............................... Yes ONo d. Copies of receipts, releases, joinders acid approvals of formal or informal accounts maybe filed with the Clerlc of the Orphans' Court and maybe attached to this report, ! ~ ;.- ,1 r .'~ •F Signt~ure of Person Filing this Form ~" :.3 ,`"~ Capacity: [Personal Representative Counsel .. - - -, ~_ r.. ; " - _ Nmne of Person Filing this Forir~ - -> -~ ~+ ~_, /Y/ _ _ A Tess Te1ep iaie Farm P. VI'-l0 rev. lOJ3.06 ~~ v Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 _ rrr~, ~, Phone : (717 ) 2 4 0 - 6 3 4 5 ~ ~ ' ~ ~ ' ~~ ~ ~ ~'~~~ ~~~~ ," , 2010 FFB I ~ PPS 2~ 24 CLE~,#C ORPHFi~~'S uOURT l3 _. .~~~~~~C~ ..~t~~ . PA. Date: 2/16/2010 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 RE: Estate of HAGER HELEN M File Number: 2001-01096 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 is due by: 3/24/2010 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, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel a. ~. ~ ~ GOU'vTY P~'vTiSyr -VA?~i~. , L Name of Decedent: Date o: Death: F~ " _ .., . .,.+;on of tl;e adm-;r<i;tration of 1 ~ v;~t t;:' f,llQlx(::i~ ~,ritl; recp?;_t t~ r.ntY;pl•_ h urj~iaiit tv Pa. G•r--'• D,.1.e v.i~, irep the above-captioned estate: ...... 0 YeS '~.~10 1. State whether administration of the estate is cor,~plet.e :............. . 2. If the answer is No, state when the pei tion w P be compl~te: reasonably believes that the admmistra R.ECISTER OP ~ti iLLS GF 3. If the answer to No. 1 is YES, state the following:. C]No entative file a final account with the Court? • ~ • • • ~ • QYes a. Did the personal repres bans' Court No. (if any) for the personal b. The separate Orp representative's account is: ~- inforn~ally to the parties m u. ., o o;~d°rs and approvals of formal cr u~fonnal accounts maybe d. Copies of receipts, rele~s..s, > ~zans' Court and may be attached to this report. filed with the Cleric of the Orp. . ~ (]Yes ['No c. Did the personal representative state an account . . ~terest~ ......... . File Nu,:;ber• ~-~ (-Q( 0~! to (8(~narrre oJPzrson Filir:g ti,i ~orm --- Capacity: Personal Representative QCounsel rVmne of Pzrson Filieg d,is Form ~, p 181 ~j~~rZSS l~ 1'L Dt Dnre I ~ d Cam' ~' ~. u,, _:~: S,. L.- - i_,._. 4_ ~ -, L~' '-; 3',~. _,l `` _ ~ Y y1 1.:. ~7 C~ t1"? pct N ~1- 4~~~, !1r,~ ~u`~= ~. lL~ ~ ~~., ~ ui o~ Tzlzphone na caunLy xegzsce~` One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 2/18/2011 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 RE: Estate of HAGER HELEN M File Number: 2001-01096 Dear Sir/Madam: PA This notice is to serve as a reminder that the Status Re~art by Personal Representative under Rule 6.12 is due on the be dw listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT R EIS, NO. 103 SUPREME COURT RULES bOCKET N0. 1, for decedents dying on ar after July 1, 1992, the personal representative or his counsel within two (2) years of the decedent's death, shall file with the R gjister of Wills a Status Report of completed or uncompleted admini t~,ration. This filing is due by: 3/24/2011 Please feel free to contact this office with any questio~sj you may have. If you have already filed your Status Report, ple sle disregard this notice. Sincerely, ~~~G~~ Glenda Farner Str s,baug Clerk of the Orphnis' Court w ~. ~" ~a~ ~ ~~r~ ~~ a ~ ~: ~~ cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 c7 Date: 3/01/2012 '--'fin ~ ~'~~`L` _: ~ ~ ~ - „ .? - CJ's ~ ....._ r , :: -. HAGER ROBERT G ac 7 '- `.., 20 SUNSET DRIVE c ~ ~-~~-=n '"' `~ PO BOX 181 = ~ -. CARLISLE , PA 17 013 y b-°. ~ `~ ~- ~ --r, RE: Estate of HAGER HELEN M File Number: 2001-01096 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, N0. 103 SUPREME COURT RULES DOCKET N0. 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 is due by: 3/24/2012 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, Glenda Farner Strasbaug Clerk of the Orphans' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF ~(,~~~~~<-~, ~,", COUNTY, PEA : TSYLVANIA Name of Decedent: - - - ~:~ - ~L~. Date of Death: ~ ~~y ~ (~ ( File Number: .ADO/ -~ /O l (o 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 :................... . ~,T ^ Yes ~V o 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: l~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, 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. Dnte ~~~ ~ '~~ ,_ ~ ~'~-~t1L~ ' ~• t ,C.~ 1 Stgnntur f Person Ftltng this Form -' Capacity: /personal Representative [~ Cou l OVA ~ 4 y ~ nse ~ 1~: _ ' ~ ~ ~ .. I ~~ ~ t i ~ ~t-t~r ~ -" <,.-. -. r'; Nnme of Person Ftlutg thts Form t ~ t-~- C r i ~ C1 ~.? ~ ~ {~ Y ~ ~~ ~ ~1 ~ -~- V~ , ~ ~Z Addi ess c :~= 0 ~^< L~ C,.. 4 Telephone Form RIB-/0 rev. /0.13.OG _ _ -- ~\~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 l~ECCRpMC C~`aCE OF RECf , i w,~ OF '.':'l~.~g Date: 3/01/2013 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 RE: Estate of HAGER HELEN M File Number: 2001-01096 Dear Sir/Madam: CLC~?K C~ CUMBERL~~~ C~„ RA 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, N0. 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 is due by: 3/24/2013 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, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF ~a~ ran _ COUNTY, PENNSYLVANIA Name of Decedent: ~ M ~-?~ Date of Death: 3 I2 ti 12D0 ~ File Number: ~~ ~ ' ~ ~~ 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 ~io 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 123 i~13 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, 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. Dnte ~ f 1 .~-~ ~ ~ ~U ~~~ -- Si lure ojPerson Filing this F ~:;~ £'~ -~ - Capacity: .Personal Representative ^Counsel ~.~ ~~ d :.` i ~.. 1 ~~ 11 ~ v C 4`~V V.~ ~ J~ I~V~Y ~'''- I ~ :1. i ~ = ^ -' ~ c y C J _ Nnrne ojPerson Filing this Form .; a . i~"i I~. d t.:~-„p ~ t' ~ LU ~' ~ J ~ Address ; c ~2~ ~ _ ~~ t' m C~.~St,~ Pl4 i~ 13 ~ i w ,~ ~ - o ~ ~ ~ ~ _, k~ ~ V Telephate FormRW-l0 ren. /0./3.06 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 n� C7 EE z� Date : 3/03/2014 CD En :00 m a s> -J7 HAGER ROBERT G 5; S�D 20 SUNSET DRIVE �� r PO BOX 181 CARLISLE, PA 17013 :0 RE: Estate of HAGER HELEN M File Number: 2001-01096 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 is due by: 3/24/2014 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, LsaM. Grayson, q. Clerk of the Orphans ' Court Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF M464s }S) COUNTY, PENNSYLVANIA Name of Decedent: lkr F{ IL Date of Death: 3 I'Lq I-Wo 1 File Number: ao0 l -010R(p 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 UNo 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 12(31 (ly 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,joinders and approvals of formal or infonnal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Dale (` ff1d I I U �t QaAdk (�1. Sign ure of Person Filing t Form Capacity: 9[PersonalRepresentative []Counsel ti.! _j' 1— f3.. Name of Person Filing this Form i r= W a E .U_ o ° 1'10 &lo r81 li. W t7.. O U p �Iddiess 0 0 Rai is(� PA t?r/13 ua W ° a cr K N U S w a O E r.0 m Telephone o C> N Form RIV10 rev. 10.13.06 l:~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 ;ECC RR. ^FFr'C7 CF r ID?5nR 3 M10 5 C! Date : 3/02/2015 HAGER ROBERT G 20 SUNSET DRIVE PO BOX 181 CARLISLE, PA 17013 RE: Estate of HAGER HELEN M File Number: 2001-01096 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 is due by: 3/24/2015 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. Sincerel , Lisa M. Grayson, Esq. Clerk of the Orphans ' Court Pa. O.C. Rule 6.12 STATUS REPORT .REGISTER OF WILLS OF CQM2WMtMJD COUNTY, PENNSYLVANIA Name of Decedent: kyn\j rv, 0 Date of Death: 26D 1 File Number:_ 24501--O GCJ t(o 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 ZNo 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . . . ❑Yes. ❑No 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 El No d. Copies of receipts, releases,joinders and approvals of forinal or informal accounts may be led with the Clerk of the Orphans' Court and may be attache•! to this repo-it. Date ✓1 p 1 J C)1,9f.U. (X Md ilJ Siy *tore of Person Filing thi6fForrn Capacity: D9 Personal Representative ❑Counsel Nome of Person Filing this Form co P") /v�iG i fsl Address Telephone Cn "l LJ cr CO Form R W-VA. Cff. 10.tM6 r--