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Home My WebLink About02-0519 04/02/02 12:38 REGISTER OF WILLS 7 6527399 NO. 684 D03 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Eslal~ of L"1da, Jt.... Lo'l'1furlo also I<:no wn tJS :tJ..I-oa -.5/' No. To: Register of 'fills ft tZ e County of u (1J ,'?<.1 , ill the Commonwealth of Pennsylvania DtctastrJ, Social Security No. .I 7".- '10' 73/1 The petition of the undersigned respectfully Tcpre'ents that: Your petitioner(.). who is/are 18 years of age or older, appl for letters of administration on the estate of (d,o.n.; pendente li[c; dlU-aDte absmtiai dUril.nu: rninorit&.le) the above decedent. . ~ 2CxYZ., Deeendent was domiciled at death in per lasl family or principal residence at =enden!> then at ~ Decendenl at death OWned property with estimated values as folllpws: (I(domleiled in Pa.) AI.I pe.-sonaJ property . (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: . -. (t) /500. $ S S $ Petitioner_ after a proper search h,,-- ascertained that dec~dent left no will and was survived by the following spouse (if any) and heirs: Name .,/) " ~11..s (."\ei f; ationship r Z...' 5 r_':: 15Z39 . 1::,77{ -."4 /(/150 II .'r'(5', fie f'.4 I!;~(o: "): P"1 /71/i? ( r , r< r y 1\1 C"" (:") (' THEREFORE. pctitioner(s) respectfully appropriate fl)rm to the undersigned, request(s) the grant lof leners l)f administration in i I the ~ u . ~:E "C "'~ 'l;2 "Wi .,.~ .. i '" /)JJJ~ 1 ( Ft.'~5t;J .fJ;;r- f;;~L If (..(-, / Lj 04,/02/132 12:38 REGISTER OF WILLS 7 6527399 NO. 684 1;104 OATH OF PERSONAL REPRESENTATIVE COMMONWEAL,TH OF PEN~YLV ANI~ } S8 COUNTY OF Cv1m~"l/(~ : I I The petitioner(s) above.nanlild sweot(s) or affjrm(s) that Ithe statements in the foregoing petition are true and correct to the \lest of the knowledge and belief of petitioner(s) and that as person III represmtative(s) of the above decedent pctitioner(s) will well and truly adminiSleT t~e estate IICI:ording to law. '1\ ril j} /'l ~ Sworn to or affirmed and subscribed M"?:tzWffd:. before me tpis ~9.th dal' of r MAY ~ 2002 It ~ MARY C. IS ~ .. .. " ~ .. (;; No. ?l-?OO?-'ilq Estate of LINDA K. LCl'1BAROO . Deceased , GRANT OF LETTERS OF ADMINISTRATION I I AND NOW MAY ;>qth. 1 g-L, in consideration of the petition on the r........ side hereof, satisfactory proof having been presented before me, IT IS DECREED t~at LINDA K. LCMBAROO I islare entitled to Letters of Administration. and in accord with such finding. Letters of Administration are hereby granted to DAVID A. DINNlSON LINDA K. LCl'1BARlX.J MARY C. LEWIS .~ in [he estate of FEES Letters of Administration .... _ $ 25.00 Sl!ort CerllticatesQ ) .. .. . .. .. _ $ 6.0.0 Renunciation (.2).... _...,," $ 10.0.0 JCP $ 5.00 TOTAL _ $46.0.0. Filed May- . 29.tb.. .20.0.2. _. lIXIOOlltX'lOO<XX A'ITORN~Y (Sup. Ct. 1.0. No,) ADDRESS PHONE MAILED LETTER AND ORDER TO ~INISTRATOR ON 5/29/20.0.2 _ 0 C);': MAY-21-02 TUE 12: 14 04/02/02 12! 38 -,'."......r....,: "1...:...1'..1 .-"'c",1 rl c---,,'" '" :1 1.~ 7')", , T 8'3 -it 2 PHEAA ~EGISTER OF W1L~ + 6~7J'9 FAX NO. 7177203929 P. 02 NO. 684 1i'e6 RENUNCIATION 21-2002-519 In R. El8w:. of Linda K. (Dinnison) Lombardo "."""'.0. To the R~.u~r' bf Wilb of Cumberland CoUnty. PetUI!ylvanis. I Hugh & Ruth Dinnison (parents)! i 'h. abov~ deeed<nh I\tt.by ro'OUtl~') lb. ,18/1. 10 Gdminiol", 11>0 "'01' IIIld 'ool'OCtfuJly ..k(') tMI Letle1S .::.rt' ft~,~ fir yf r '7:+/< VI be 188U1d to --1~z vlr~ ,q, 0/1111.1 'e cf) The lltIder8iptCd "r W1TNSSS hondlllit day of .19_, ; ~' ~ . i .' ~L.lh~ i ,SI!'tIllUrt) i :5015 Ozark Drive !Pittsburgh, PA 15239 ~M""') I !/ryiJ ~ I (S1lZUltllfe) c\j 15015 Ozark Drive :Pittsburgh, PA 15239 (^"""'" fSi<<ntUlJrci ~ (Addr_) APR-l1-02 THU 13:02 24/02/1]2 12: 38 PHEAA FAX NO, 7177203929 REG r STER OF LJI LLS 7 6527399 P,02 NO. 664 GJe6 RENUNCIATION 21-2002-519 In Reii:_of Linda K. Dinnison Lombardo dllCtaSed. TO lIIe Rtgister of Wills of Cumberland County. PONlSyJvonia. Th~ IWImiSlled Lianne F. Kriner and Kath Ibe allove lIecedent. hereby rcn()\lll~s) the rigbt to IIdminiiter the est~te and resllOClfully ask(<) tlIat Lotto.. of Administration David A. Dinnison be issued (0 WITNESS hand this cI:oyor ,19__ ~..; / ;f;:~,~ V; (5ilJl\llluftl I , , BoD<: 54G R. D. ill Liberty. PA 16930 CJ..cW.-es) ~~ 'r/L~/~~' 120;3 Murry Chase Lane Mur~ysvi11e. PA15668 (Addr.) (Slgn"=) IMdr...) MRY-21-02 TUE 12:14 PHERR FAX NO, 7177203929 04/~2/~2 12:33 REGISTER OF WILLS 7 6~27J59 p, 02 NO , 684 006 RENUNCIATION i ;If- 0.;2.-58 , In a. Eswc gf Linda K. (Dinnison) Lombardo deceased. To !.he Il.fsi'w tit Will, of Cumberland County. l'eruuylv8ltia. Hugh & Ruth Dinnison (parents): I the abow decedent, l\e.eby ''''OIl''O<(S) the rll!ln '" ""miniot.. the "'t>tc ODd r..poc,r..J11 osk(s) tlllU Letter:; The underligned or be isSU!d to WITNESS hml1t11i$ day of ,19_. , ~ l }- . :~'{:./' '#:>n-J I ISillftal....) i :5015 Ozark Drive (Pittsburgh, PA 15239 IAd4t=) I :7/unf} ~ r v (SiJDInHe) 15015 Ozark Drive 'Pittsburgh, PA 15239 (~ fSi<<lll\lur:ej" (A4_) " ~(, This is to certify that the information here given (s correctly copied from an original certificate of death duly filed with me as Local Registrar. The original ccrrifiGue will be forwarded (0 the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. \1'11,'f~~~1tl'oFPE~",.,~ "'#7 ~4'J);", i~* ......\: ~\ l:!E/... ~" \~~ ~B\ .0;:'1-' ,Ih~ l * \~ ,- ,.',', Ii' * S ~ a\ '-' ..'. /~,~ ~~'--- ._-_//~/'\' '-.._:?IAlENT ~\ ~~"'" ",,,,,,,,,,,,,#,,111/11'1 ~0J\k~ Local eglstrar he tCH thi:-; certificate, $2.00 J - ~. D~ P 8132738 Date Hl0514JAev2lB1 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH TYPElPRl"lT ,. PEAIIA"IE"IT 8LACKI"IK "'GEI~"..e""""'Yl UtfDER'YEAA ..._~. o.yo ~T,". ''If ~u"IIH' Lin~~'~-~'~~~~.~:-~~.La~ba-;~~ ------------- :fF_em~l~ --t!l~~R:'~Q_H -~__7;~~~J~IH~T~;M~~~-J.~D~ -- -------.- P~_E,~_ot~m,o:,~. '.'::'..;~,~~__ :""~'.'_:,,"'.:"~':~" :~':~'..',....'. _ _________J1arc~.,~G::[_- ___ HOSP,TAL OH<l:R fnp.o'....' ~ ERIOI.op.o'...n' LJ lXlA [] :::=..~ rJ ""_nee ~ gr':...IO , h F'-CIUTYN...MEiUnuf"."''''''''''.g.ve"......'''''''''.n_' NAME Of D€CEDENT,I"" M........'~"'I , 53 ... . COU"llYOf DElJtl _SOECEDENTE~ERIN us ...RMEOFDACES1 ....[] ,..,[jCJ ldAAIT"'lST...TUS_M...ood Ne_M."..... W_ed. O..orcoldls.-....' 2 1.Di vorced RACE-A"'e''''onlndiiln,il''ock,Wh.....C \SP<lCrIy) Dauphin ~ DECEOENT"SUSU"'~ OCCUPIlfION IGweluO<lUw<ook.<Ion<I""'''''JmosI "'.....k"'ll.'..<I<>_uw'e'.""l Office Mana er k M. S. Hershey Medical Center White SUAVIVINGSPOuSl ",.....Y'..."_"""n~1 " NIA 7 North 21st Street I"Camp Hill, PA 17011 11.. s'a'e------E.enns~a---- Ood - _.. _noII'I" 17c_L1___..,_.. ---_._-,~""" 11b.c....my Cumberland udrxl :::;.:"'=:::.'01 _Camp--Hi 11 ,.- FMtlER.SN...ME,fo"'....<J<lIela>lJ ... 1NF0000000rsN......E(Ty"'"'P'''''l Hugh E. Dinnison David P. Dinnison l.lOH'ER'SN...l.lf.f.,1 "',",J'" ....,,,.ns""'..".1 ~O l'e. SlGWi7UAE " O...TEOf OISPOSlT'ON IMOfMh,o.Y,_l o 11b. March 9, 2002 FISONACTlNG AS SUCH llCENSfNUMllfR " Ruth L. Hazelton iNFQFlM...NT"S......'l'NO"ODRESSIS"......C".lkJwn.,....,Z"'Code' 201>_ 7571 Red Pine Road, Harrisbuq~, PA 17112 PlACEOfD'SPOSITKlN_Na_"'Co,,,e''''Y.C'On'.fot)' lOCAlKlN.C....Ilo.m.S'.'.,IIllCotloo ",au-Plac. - METtlOOOFOISPOSIJION e"""'IKl c,.....too"D _~.....S~.'e[J OlM/(SI>8U'\" z . o . M o o . l z FD-012068L ""he_oI"'yknow~,<Joa'h""c""""'.""""",e.d.'e.ndr>"".".'.d lSoun;o'u,....-",lone, 21c.Salem-St. Paul's Cemetery 114, Liberty, PA 16930 ..".E.....D...OIlRESSOfFACll!TYTcefz & BQwser Funeral Home I. ge. 22c 114 West MalO ~treet HummelstownPA 1 iO:1 --.-.-.- "CE;<SE"IU"'f!ER IlAl'ESfGNEO 1""""',Il.,.'."" o ~ _e<no24-:>l!<n<>slbo c"""",'o<Il>'; n.... E OF DEATH ]6/,T. E Pf10,.Ouj.'jCfD DE:;;i}!",,,,,,,.. U~Y '~WI __~N~'. . 35' fVl Oln .9.O(B- En1e"...d...........nJu'...."'"omplfC;o"""'.::...~0lI...:..fn.....P~.",~,~.2~Of<Jy~!:~~~..P"~""y."..., ,/Iocke,,,,,.,,!..lu,. l...onry<><>eCiluwon...ch...... nb 23<- WAS C"'SE f![HUllfO 10 "'fD'C"'" E x.....,"IERicoilONf H'I' ...[_J . CL\.~,g\9D~'^'\""0"'q'~JLU'e~3* DuETO~J""'CQNli.EOIJHoCE~l J . A-r ,,' \<'<2'."''''- E"" \0:<;0______ [ -J'\.~TOPl...~...C?"SEO~EOf) 0 n 'l c,_~"I\ S~ 1M. .~~~~L._~[~.___ OUE 10 (OR AS"'COl"IfJOIJENCE Of) -~ . '~I'PIO""'.'" :..,........t>oo'..._n .".......""<18.," , P...RTfl ::>"l- OI~.'.~,f"en1c<l'__c<lO""w"ng'o<Jo."......, ""',._lIl<J..f....-ny>ngCllUOeQn<.n'nPA/ll. " WEAE"'UlOPSYFfNOlNGS """""'-"BE PAIOA 10 CQMPl.ETIO"IOFC"'USf OfOEAJH1 MANNER OF OE"'TH OATEOF ,NJUR' I"""".o..y, '~O'l , , .....--- L._ flMEOF'NJURY ,NJuRy...TWORK1 ~SCRfBE>tOW'NJUf1'OCCURR[O N.,ur,u {f o -.- lJ o o ~CEOf'NJUR'_"'''''me.f.,,,,.':'e.',j~ot)'.ofllc. ... bwkJiRo;I..,C.,S_M - .... CI N"f] Ac<HIe", P''''''''III''''''>I'1l''lOn 'NO ~O -- C""ld_bode....","''''' ,~ J.o~r"'J..-. 2'" lib. aRTlfJER,Cn""""",y"""l .ceITIFV1NG P~YSICI""" fPny"""'" c.....Y"'9 ~-"u... ~ .....,1' ""Of' ."""not ..n......." ,'.. .."'....neo<l dea'" on<> coon"""", "..n ~J' To _ _Iolmw knowledge, d...'~ ot:c","", d...1O Ihe co....(.).n<! ",.n...,.. .tet.. D "MEDICAl EXAM1NEf1/COAONER 0" 'M b.... ol...."'ln.lIon .n<l/o,lny..lig.hon. in",w op,n;on, dUll> O<:cuffed 0' I~. II",.. dal., .nd place, .n<l due '0 'he co"...(.) .nd m."".'...l.l....,.. ... ...... . . .. ....... . . .. ... HEG,STRARSS,GN...TUAE"'NDNu..a.R '--7r7J-~-- .. CuJ!p u I.J~l{L-'~J l},.l CbH{i ,. LJ :~:~~~~r liCENSE NtjllEA ,,,Dill.:01\'lY" IE:. '" N"'ME ...NO"'OOAESSOf PERSON WHO COMPLETED CAUSE Of oe...TH 1""Hl!llfype",p"n'.rAr.; C-:>{ L(J..li~Zi S f- [ J J~' S. Hershey Mcdi~lI Ceruer Hershey, PA DAlfFItEO-:-'::';;';.;;-;;;;'le",' 17033 I .P~~NCING .....Oc~lnlfYINGPHYSICf...Nlf't>_..., ,..tf1 ~""'ouCIC'ng".d'" ~n"<"'''''''''I'''Cdu''' of 'le."., To'''-_I''''''ykno''101lg~,do.IfoOC<~,,,,,,",u..'I''''>d''.,.n4p'''''e.o''''d''''o'l>ec."...(.f.....",.nn.'.....a'.. .....7 -: ,P C):),~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) L"'hdct k. LOMWrdn .3 \.c40 1- 2()() 2 - 005 (9 J Name of Decedent: Date of Death: Will No. To the Register: Admin. No, , OZrO;(<-5IQ I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of th(O'Phr;S' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on ,., 2'j (J ~ : , Name ~ h 'De'rtr\150Vl ~ 'DinY\T~{)Y) ~~'-fhi--S2 OJ ~ ( h\ ~nn(" ~rT~f;- Address 5012' O'UUi< Dr. ~H)~h PA ,1523 ~ 50 IS 02ctrl( /4': ~Uftj~ P4 }5237 /203 Murrlf C/tflf,ela/lf ~drr1ttJk / f/l,f RR,1P / \!/J~ sy~ t-./BE18Zj /)4 /613tJ Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: q ]J~~~J)~~;- Signature Name Pav~ A. DltJfl/'"5011 Jallrd MI. Address {57! Ru.l1h(/Ed. /'i~'J:JZ /J:~ /fU(13Pw?J rA 17[1'2- ff;4./((1 ~'f:?tlf /ell. T",,'"0,,7 ill u5 Z -7 3 9~ r Capacity: ~ Personal Representative ~ Counsel for personal representative Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 DINNISON DAVID A 401 N MECHANIC ST FREDERICKSBURG, PA 17026-9223 RE: Estate of LOMBARDO LINDA K File Number: 2002-00519 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: 3/06/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~~ c." GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge vi Estate of LOMBARDO LINDA K Late of CAMP HILL BOROUGH ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21-02-00519 Date: 4/08/2005 NO.: 21-02-00519 DINNISON DAVID A 401 N MECHANIC ST FREDERICKSBURG PA 17026 9223 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS I COURT RULE Personal Representative: DINNISON DAVID A Personal Representative Counsel: ** NO INFORMATION FOUND ** Date of Decedent's Death: 3/22/2002 Date of Delinquency Notice: 3/06/2005 The undersigned, Glenda Farner Strasbaugh, Clerk of Orhans' Court, in accordance with rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor their counsel, have filed with the Register of Wills or Clerk of Orphans' Court, his/her Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule, and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orhans' Court Rules, was given by the Clerk of Orphans' Court on 3/03/2005 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 their counsel. cc: File Personal Representative Counsel ~~~ Glenda Farner Strasbaugh Clerk of Orhans' Court A hearing is scheduled for June 03, 2005 at 9:30 AM in Courtroom No. 03. If the Status Report is filed prior to the hearing date, the hearing will automatically be cancelled. ~O,g~ vi - Marjorie A. Wevodau First Deputy One Courthouse Square Carlisle, Pa. 17013 Glenda Farner Strasbaugh Register of Wills & Clerk of the Orphans' Court Kirk S. SOhonage, Esquire Solicitor (717) 240.6345 FAX (717) 240.7797 OFFICES OF l\egister of (lUlls anb (!Clerk of tbe l1&rpbans' (!Court !!Count!' of !!Cumberlanb June 30, 2005 Mr. David Dinnison 401 North Mechanic Street Fredericksburg. P A 17026 IN RE: Estate of Linda K. Lombardo, File No. 21.02.0519 Dear Mr. Dinnison: It has come to my attention as solicitor for the Office of the Register of Wills and Clerk of the Orphans' Court in and for Cumberland County. Pennsylvania, that the above estate has failed to file a report of the status of administration as required by Pennsylvania Orphans' Court Rule 6.12. Subsection (f) of Rule 6.12 requires that the Register of Wills notify the Court in the event the personal representative or counsel fails to file this notice after (10) days written notice thereof You have already received written notice of this delinquency by the Register. Kindly accept this letter as written notification that unless the required 6.12 Status Report is filed with the Register of Wills Office within ten (10) days of your receipt of this correspondence, I will be compelled to file a Motion for Sanctions for Failure to Comply with Orphans' Court Rule 6.12. If required to do so, I will request that the Court grant counsel fees and court costs to be assessed against the offending party. v<< Sincerely, / ~).~~ Kirk S. Sohonage ~ Solicitor ccp . ~ -~ Date of STATUS REPORT UNDER RULE 6.12 DeCedent, ~1~Jq k. L,,-,&',Jo Death: 3/t._Lo z 2/- 02, D5 I cr Admin. No. Name of Will No. 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 ad~istration of the estate is complete: Yes No V 2. If the answer is No, state when the personal representative rftasopably believes that the administration will be complete: 7/22: / {) c;- '7 / 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 Cerk of the Orphans' Court and may be attached to this report. Date, 7 !Z;!cY; ~AJ- < , ])a u,;Q fJ D f I) fll5cY] Name (Please type or print) '-/01 N~ VherJ1zM/~ Sf. Address (Y) c... (.L o /76<:(; ('d Ci:) '.' ci:: LU-" --' U (7f? g~!;;~ /50/ Te 1. No. ~personal Representative --) Capacity: Cl Counsel for personal representative uJ (MAH:rmf/AM3) fE'<'-1$OOEXlMOI '* COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE DEPT. 260601 HARRISBURG, PA 17128-060\ REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I!: ~~l2 ..B u,.. I- Z W C W (.) W C DECEDENT'S!WoE (lAST, FIRST. AND MIlOl.E IIIITIAL) Lombardo Linda K. DATE Of DEATH (IoNOO-YEAA) DATE Of BIRTH (MM-OO-YEAA) 03/0612002 12/23/1948 ~F APPlIC1oBlE) SURVMNG SPOUSE'S !WoE (lAST, ARST. AND MIOOLE INITW.) FILE NUMBER ~l-.Q~ COlIfTYCODE '/EM 051-~_ ..- SOCIAL SECURITY NUMBER 178-40-7317 THIS RE1\JAH IlUST BE FLED II DUPLlCA11! WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER ~ 1.0riginIIReturn 04.l.imI\odEslllll o 6. Doc:odonl Died T_ __<<WI} 09.litigotion_- o 2. SlJllIll8m8nlaI Return o 48. Fubn\nterestCompromise(_d.....,~'2-82l o 7. OocodontMainlainod.LiWlgTrust__<<_ o 1o.SpousaIPo'#eftyCredlt(_d~~1Mt.elIlld1-1-i5) 03. RemaInder Rllum{dlttdMll.lllt2-13-12) o S. F_ Eslalll T., Return Raqo.ired 8. Total Numllor d Sale Ooc>osilllom 011. Eiaction to III' undarSee. 9113(Al_"'0; I u NAME David A. Dinnison RRMNAMEt1l_ COMPlETE MAIlINGMlORESS 401 N. Mechanic Sl. Fredericksburg. PA 17026 TElEPHONE NUMBER (717) 865-1561 ,'") --n _J -'1 . ~~.) ro..:t =. = en (/) 1'1 '" I --.J ::T.i ~tI5 G; (::> ch ;:0 -~-II..=:J ~~{J 23 (~C) - '"-; ~'r, -" (-') f"'- f~n C) .::::> T1 z o S ::) ~ II.. 0( (.) w ~ I. RaalEstalIIISd18dtiaAl (I) 2. _and_(8dladUoB) (2) 3. CIoaaIy Hald ColporaIIon, M.."II> or SoI&-I'ropriatorsllIp (3) 4 Monvagas & -. __ (8dladUo 0) (4) 5. Cash, BwlkOal><iallS&__Propeny (5) (Schaduta E) 6. ~ Ownad PIopaIty (SchaduIe F) (6) o SepnIa III8ilg Raquaslad 7.lnlllf.ViwsTransIors&__PIopaIty (7) (SchaduIe G orl) 8. TotoI__(\otlIIlilOs1-7) 9. FunaraI Expanses & M,....,_ CosIO (Sdl8GJIa H) (9) 10. Dabts dDoc:odonl, Morfua9a L-., & liens (8dladUo I) (10) II. TotoI_(\otlII Unao9 & 10) 12. Nal_or_(line 6 minus L<<la 11) 11 ~ and Go.ammatilllllaquaslslSac 9113 Trusts for _ an _ to tal< has not baen _<_J} 1"- Nal_ SUbjact to T.. (line 12 minus line 13) SEE INSt1lIICTIOHS ON AEWRSE SIlE FOR AI'PUCAIlI.E RAm I ~ Amount or Lina 14 ,.>ablUI8la spousaIlIIX ralll, or _ undar See. 9116 (.X1.2) 2,600.38 '-I ..,., z o ~ ... ::) II.. :s o (.) ~ 16. AmoonlolLina14_atllnoalralll 17. Amountolllnll14_.tslbling.... 18- AmoonlofU..,4_at_rata 19. To Dua - ~ 1 t'.:> ~ (6) 7,350.00 2,600.38 (11) (12) (13) 7,350.00 0.00 (14) 0.00 ___ x ,0 (IS) , .0 (16) x .12 (17) , .15 (18) (19) 0.00 CHll~h. HI f,t- I ''fl'[ \~: Rf,;ll! ,,- '1.-; '\ RFHIN[) OF '\N OVERPAYr\1FNr 200 Decedent's Complete Address: STREET ADDRESS 7 N. 21 st Street CiTYC~~-;-Hm I STATEpA I ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Uno 19) 2. CredItsn>aymanI A. Spousal Po'IefIy CIIldiI B. Prior Paymants C. DisCllUllt (1) 0.00 ToIatCradits(A+B+C) (2) 0.00 3. IntenlstlPenalty WapplitallIa D.lntenlst E. Penally ToIat InteresllPonalty ( 0 + E ) (3) 4. n Uno 21s 9-than Uno 1 + line 3, antar IIla ci1Ianlnce. This is IIla OYERPAYIIENT. C_ box on ......1 Una 20 to NqUeIt. ..- (4) 0.00 5. n Uno 1 + LIna 3 is grea18r than Uno 2, antarllla ci1Ianlnce. This is IIla TAX DUE. A. Enter IIla Intenlst on IIla lax due. (5) (SA) B. Enter IIla IlllllI 01 Uno 5 + SA. This is IIla BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X-IN THE APPROPRIATE BLOCKS 1. Did docedont make a _ and: Vas No a. retain ilia use or In<ome ollila pnlIlOIIy transferrod;.......................................................................................... 0 ~ b. retain ilia right to designaIe v.m shall use ilia pnlIlOIIy lnlnsl8mld or its In""",,; ............................................ 0 ~ c. retain a ..varsionary inIarest; or.......................................................................................................................... 0 [i] d. IIlCllMlIlla promise lor IiI8 01 aiIhar paymants, -.. or Cllnl1 ...................................................................... 0 [i] 2. n _ ocamd _ Dac8rnbar 12, 1982, lid docedont transfer proparty wi1hin ana year of dealh wllhout receMng adequate ~1 .............................................................................................................. 0 [i] 3. Did docedont own.. 'In tnlst for' or payable upon dealh bank aCCllUl1t or sacurity at his or her _1 .............. 0 ~ 4. Did _ own .. IndWJuaI Re4I_ Acalunt, annuity, or oIher IlOIl-fJIObate pnlIlOIIy which oontaIns a benaficiary dasignation1 ........................................................................................................................ 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ~derpenafties af~, I dllcIarellallhl\ll exarrinedttis I'IliJm, i1dudrlg ~ sc:heckHs and statemenIs, and IDthebestdrrryknlMtedgeaJdbeief. it is true, comtdn corI1lIMa. Oednlion of~DIher"'lhepersonal ~isbased anal infmnaIIiul dwllich IAP8tWhas fEf'/1cnoMedge. ~ArJPONS~E~~I=-RETURN ... n__ 401 N'--Mechanic~LF'~e~cksburg, PA 17026 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE -7p/ZPJJS. DATE ADDRESS For dates ofdealh on or_ Jtiy 1, 1994 and befae.linlary 1, 1995, IIlaIax rete Imposed on IIla net 'I1lIue of transfers 10 orforllla usaofllla suNi'ling spousals 3% [72 PS. ~9116 (a) (1.1) 0)). For dates of dealll on or _ Janua!y 1, 1995, IIla 1ax..1& imposed on IIla net..... 01 transfers 10 or lor IIla usa ollila suNi'ling spouse is 0% [72 PS. ~9116 (a) (1.1) (11)). The steMa doas not _ a transfar 10 a suNi'Iing spousa from lax, and 1ha stetutOIy raquilamants lor disclosure 01 assats and filing a tax return are sliII appicabIa ""'" n IIla suNi'Iing spousa is IIla only bol1olicIary. For dates of _ on or _ Jtiy 1, 2000: The tax rete Imposed on ilia net ..... 0I1nlnsfars from a daceasad child l'w1ty-ona j8O!S 01 age or youngar at _ 10 or for IIla usa 01 a natural p&renL .. adopCi'Ia p&renL or a stepparent of ilia child is 0% [72 PS. ~9'16{aK1.2)). The tax rete Imposed on IIla net..... 0I1nlnsfars 10 orlorllla use ofllla -.rs IinaaI banafidaries is 4.5%, excoptas nolad In n P.S. ~116(1.2) [72 PS. ~'16{.)(1)). The tax ml& Imposed on IIla net ..... of Iransfars 10 or lor IIla use of IIla _ts siblings is 12% [72 P.S. ~116(.)(1.3)). A sibling Is defined, under Sedion 9102, as an indMdual wI10 has at _ ana parent In common wIIh 1ha _L -... by blood or adoption. RE'J.,508 EX_ (&-98) . COMMONWEALTH OF PENNSYlIlANlA INHERITANCE TAX RElURN RESIDENT DECEDENT SCHIDUU E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Linda K. Lombardo ALE NUMBER 21-02-0519 Include !he ....-Is oIli1iga1ion and the date 1I1e proceeds __ received by the_. AU PfOIMlI1y jointt} a. med with right of survivorship must be clisdosH on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Commerce Bank Checking Account 0513139329 - 100 Senate Ave. Camp Hill PA 17011 2 Payroll Check - Zeppalan Security 3 Clothing and Housewares 339.31 1,176.07 1,085.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed. insert additiooal sheets of 111. same size) 2,600.38 Commerce .Bank Commerce Bank/Harrisburg N.A. 100 Senate Avenue Camp Hill. PA 17011 888-937-0004 STATEMENT DATE LINDA K LOMBARDO 7TH N 21ST STREET CAMP HILL, PA 17011 03/07/02 0513139329 ACCOUNT NO. 5 CYCLE-002 *** CHECKING *** 50 PLUS CLUB BEGINNING RATE ACCOUNT ~ 0513139329 PREVIOUS STATEMENT bALANCE AS OF 02/08/02 ........ ....... ..... .... PLUS 3 DEPOSITS AND OTHER CREDITS ........ ........... LESS 5 CHECKS AND OTHER DEBITS ...................... CURRENT STATEMENT BALANCE AS OF 03/07/02 ................. ........ NUMBER OF DAYS IN THIS STATEMENT PERIOD 27 1.00000 145.69 900.80 1,307.18 339.31 ----------------------------------------------------------------------------------- *** CHECK TRANSACTIONS u* SERIAL DATE 278 02/21 280 02/21 282 03/05 AMOUNT 49.08 35.36 650.00 SERIAL 279 281 DATE 02/21 02/28 AMOUNT 272.74 300.00 ----------------------------------------------------------------------------------- *** CHECKING ACCOUNT TRANSACTIONS *** DATE DESCRIPTION 02/12 DEPOSIT 02/19 DEPOSIT 03/07 INTEREST PAYMENT DEBITS CREDITS 500.00 400.00 .80 ----------------------------------------------------------------------------------- *** BALANCE BY DATE ..** 02/08 745.69 02/12 02/28 988.51 03/05 1,245.69 02/19 338.51 03/07 1,645.69 02/21 339.31 23-2324730 2.74 1,288.51 PAYER FEDERAL 10 NUMBER INTEREST PAID YEAR TO DATE ---------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD DAYS IN PERIOD ......................... INTEREST EARNED. ........ .......... ..... ANNUAL PERCENTAGE YIELD EARNED (APY).... *** 27 .80 1.00% ---------------------------------------------------- NOTF~ SEE REVERSE SIDE FOR IMPORT ANT INl:naU A Tin.... AU6-08-1'005(MON) 00: 01' AU6-01'-1'005(TUE) 13:1'3 COMMERCE 8ANK (ol.er~e Operations Center (FAX)7115409091 (FAXl111 195 11'15 P OOUO 11 P. OOUUI~ Commerce .Bank 'lIll!: BSTATE 01" LI>IIlA Ie LOMIll\RDC mlVUl A DINNJ:50N EXE 7571 RED PINE RD HARRISBURG PA 17112 1-:=n~1 I I 8lOa68e'6011 ACQguNT' NO. ... CHBClCDtfG .-'It'lt BUSINESS ACCOaNT NUMBER 0535007502 PRSV%Ogs ST~MENT BALANCE AS OF 00/30/02 .............._......... J;lLUS 1 DBJ;lOSITS 10lllP 0TImR CREPITS ................... LESS 0 CHECKS ANJ) ODD. DEBITS .............,........ CURRENT S~TEMENT 8AtANCE AS OF 07/31/02 ......................... Nt;lMBD. OF DAYS :m '1'H%S STATEMENT PERIOD 31 O'c:LB-OOB .00 1,51.5.38 .00 1,515.3B _._-_.-.~-~---------------------~~------------------------------------------------- wow CHECKING ACCOaNT '1'RI\NSAc:'1'IONS ow. DATE DESCRIPTION 07/01 DEPOSIT DEBITS CREDITS 1,515.38 -------------------------.-.------------------------------------------------------- n. 1IALANCE 8Y miTE uw 05/30 .00 07/01 1,515.38 " AUG-08-~005(MON) OO:O~ AU6-D2-2005(TUE) 13:23 COMMERCE BANK Co..ofee OoeretJons Conter (FAX)7175409097 (FAX)717 795 7215 Commerce .Bank 'rIlE BSTArE OF :t.D!nA 1C t.ClMIlA:RDO DAv.tD A DD1NISON DB "1571 RBI) PINE RI) HAIUUSBllRG PA 17112 P 003/017 P. UU~/U I ~ I aTAUMINTDAJ nR/'!I' In., le~~~1 CYcJ:.E-008 1 "'.. CHZiCKnlG ....... .8'OSINESS AeOOONT NUMBER O$~'OO"l~02 PREVIOUS ~TEHZNr BALANCE AS OF 07/31/02 ........................ PLUS 0 DEPOSITS Al'ID 0THIi:R c:REI)ITS ................... LESS 1 CBZCXS.AND OTHBR DDZ'rS ....................... CORRBNr BrArEMENT ~ ~ OF 08/31/02 ......................... WMBER OF DA~S IN THJ:S STA'1'EMEII'1' I'ElUOD 31 1.515.38 .00 1,500.00 1$.38 ... amcx T~IONS ..... SZRIAL DATE AMOlmr 91 08/02 1.500.00 SBRIAL DATE ---~---------------~-~----------------------------_._------------------------------ ANOllN'1' ... BALANCE BY OATE ... 0"1/31 1.515.38 08/02 15.38 -------------------------.......--------------------------------------------------- AU6-08-2005(MON) 00:04 RUG-Oc-cOOS(rUE) 13:,3 COMMERCE BANK (om.erce Operations (enter (FAX) 7175409097 (FRX).\. 795 1<1, Commerce _Bank '1'Hl!l ESTATE OF LImJA K LOI'SAAtlO DAVID A I)DlNtSON !:lC!: BeLl) -JWtlRUS mCOR:REC'l' P.015/017 ~. UIU/UI< I SYAftMMT DATK' n~ I~' In~ 1-o5!lU0'i'682 -..... IiQIotlH aCLli:-ooe ..* CKECIaNG .... :SUSINlilSS ACOOUN% NUMBER 053&007&02 PREVIouS ~~r ~CE AS OF 07/31/03 ........................ PLtl'S :I. DEPOSITS J\NI) O'tHE!R CREDrrs ................... LESS 0 ~ ~ O~ DEBITS ...................... caRRBN: S~TEMKNT ~CB ~ OF 08/)1/03 ......................... NUMBER OF nAYS IN 'naB STAT!:MEIt.r PERXOD 3J. 15.38 1,OBi.OO .00 1,100.38 ... CKEC:!I:DlG AC:C011IIT TRANSACTIONS ... tlATE llBSCR:IftZOH 08/26 CREDIT MEMO DBIlITS ______________________________~_______________._~__________._______________._____.w CRllDI'tS 1,085.00 ... Bi\LAI'It:E I'll' DATE ... 0'7/3J. 15.38 08/26 1,100.38 -- - -- - - - - -- - -- - - -........................ - ---..... -- ..-........- - - - ---.- -- - - - - -......... --.... --.... -- -............ ..-.. ------.... BllGJ:NN:ING Sll:l.>T. 11_~ rlEPOSXTltl) nrro A COMMDCZ IlJ\NIC ATI'l B:/' 3:00 pM Wl~ 10'011 BS AVAILADLS ON 'nIB NEXT !lttS11IESS DAY llNLBSS Si'ECIJIL CIRctIl'lS'J:'ANCES AR:ISE. RECEIPT FOR PAYMENT ------------------- ------------------- Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Receipt Receipt Recelpt Date Time No. 5/29/2002 14:38:53 1029501 - -- LOMBARDO LINDA K File Number 2002-00519 Remarks DINNISON DAVID A ------------------------ Distribution Of Receipt ------------------------ Transaction Description Payment Amount Payee Name PETITION LTRS ADM SHORT CERTIFICATE RENUNCIATION HEIRS JCP FEE 25.00 6.00 10.00 5.00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN .. BUREAU OF RECEIPTS & CNTR M.w - Check# 3040 Total Received...... ... $46.00 $46.00 - TRLi?'Z. & HO\;J3F:iI )-'!(}\'jE J INC ~ tUf "ih~3t :'klin Str:el::.~t, :Iu1nm-::l dtOI.-li1 > tJi\ 1. Ffih STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items, we will explain the reason in writing below. If you selected a funeral that may require embalming, sueb as a funeral with viewing, you may bave to pay for embalming. You do not have to pay for embahn- ing you did not approve if you selected arrangements such as direct cremation or immediate burial. If we charged for embalming, we will explain why below. For the Service of Llln::LJ f,G;(d,I"IC,Jd Date ofDeath'wIXC'! b. ',:~I>;': Charge to: i/-'! ,:' ") ,',.. ,c ;' _L'J ,\,1 /".) .~' J J':' /.., " ,( ",-,-;:;, _ , Name Address City State A. CHARGE FOR SERVICES SELECTED, Other clothing 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff . . . . Embalming.. . .......... ... Other preparation of body I agree that I have examined the items of goods and services selected above and found them to be correct and according to the arrangements I have requested. I acknowledge receipt of a copy of this Statement of Funeral Goods and~eryi~es Selected. I represent tha,tJ have sufficient funds available for payment of the cash price for the goods and services selected. I also agree tp mak~ ~rmen~ of S i,~ iJ "t, '" ',' t within. ',' I :. days. I agree to be jointly and severally liable with anY9n~ else who signs below. A late charge of ;-,") -' /) per month amounting to I 1:-";-\ per year will be applied to the unpaid balance beginning > J days from the date of this agreement. I will also pay to the Funeral Director all reasonable costs paid by the Funeral Director to collect amounts I owe under this agreement. Those costs may include attorneys' fees, court costs and other costs. Any additional services or merchandise ordered or requested after the date of this agreement will be considered pan of this agreement and the cost thereof will be reflected on the final bill or stat~ent.,,; ('1 il .' Ste!)~'H.~r,i tt ~ ha.l.l, c}1:\j)t'~rviS:H' h'{ s_ S~ ................................~ SUB-TOTAL OF PROFESSIONAL SERVICES......... Al S~ 2. FACILITIES AND SERVICES Use of facilities and services for viewing (Visitation/Wake). .~ Use of facilities and services for funeral ceremony ............ S~ Use of facilities and services for Memorial Service............... S_ Use of eqWpRlfHIf-Md- services for graveside service............. $~ Other use of facilities if" .'.;" . . . . . . . . . . . .. S '1('t);',.) ,) \ ' - f.,;t>. ()4~' SUB-TOTAL OF FACILITIES/EQUIPMENT . . . . . .. . . A2 S_ 3. AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Home. Local............. ... .. . . . . . .... $~ Hearse (Casket Coach) Local........ .... S~ limousine local........... S~ Family car Local....... S_ Flower car or floral disposition Local.......... S~ lead car/clergy car Local...................... S_ Car for pallbearers Local...........................S_ Out of.JjW~)~"r:~?~~t~~on ;.'.~...l. ',.,;,:~/ :- ,0',. sli:ii) ,'i/{, ,;( j ~;. .;. ;J SUB-TOTAL OF AUTOMOTIVE EQUIPMENT........ A3 S_ TOTAL OF PROFESSIONAL SERVICES, FACILITIES AN~._~gTg~O~I~,E..,<, t',., A . ()"U. v.' EQUIPMENT . f ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. CHARGE FO~i~~~~~~~ISE SELECTED, .; J r) D Casket....:. ...',................. L.:_:_..:....:.. (Description) /-)"'(;':, ~;I:'r:L ,_;',i~ii') /':-;'<"/1' ':';.1 :, .tK/rf-e ,',./" r Other Receptacle................. ._ (Description) Outer burial container . . . . . (Description) j' u..... <. t'i~;;;, It V>!", i 'J f',} ..... s (." L.-. () I lJ-",~ (tll . i ct . /... ( I~ S_ ...~ . . . . . . . .. I ("\~,~.;i Acknowledgement cards ... Register book(s) . . Memory folders ............. Prayer cards. . . . . . Temporary grave marker. . Burial clothing . (Se:lI) ., , > }~i .'.! J',-,'"'~ ./ (Purchaser) ,.,>1././ ,,/ (Seal) /' (Purchaser) @ Pennsylvania Func:n.1 DlrcClors Association form - 600 Revised 4/94 (ltl) 5;)h-,JitSl S_ S_ S_ Cremation urn . . . . . . . . . . . . (Description) OTHER S_ S_ S_ TOTAL MERCHANDISE SELECTED. . . . . . . . . C. SPECIAL CHARGES, FQ,rwarding of remains to ", "" (Funeral Home) Receiving''o(remains from -""'"" '1 jv'-. .....BS~ S_ S_ (FuneratiIQ.me) Immediate Burial. . . . . '~''':';-''''''''':' . . . . .. $_ Direct Cremation. . . . . . . . . . . ":"':'.;--"."l.. ._ 'I~ SUB-TOTAL OF SPECIAL CHARGES. . D. CASH ADVANCED '~;, . j OpeningGrave ............. .... S ,.);.., ,,-,.j x' Cemetery Equipment ."?'.>;'...... .'. .. S:J.4-~t!. ,v~:) Lot and Deed............... I '2:)')";',,' Newspaper Notices-Local ._ Newspaper Notices-Out-of.town. .. S_ Telephone & Telegrams.... S_ Airfare ............ ...... $_ Clergr<M* Offering. . . . . . S . <;. '.),,- Pallbearers $_ Certified Ci~fS of it he pc;~th Certificate ..">". .',.1... .;'..: ....... S~ Police ESCOft .. ......... $_ Flowers. . . . . . . . . . . . . . . . . . . . . s LAr<,,( Vault Service Charge. ,_ $- $- S_ S_ S_ S_ c S-==- 7')o"'~ ....DS~ SUB.TOTAL OF ADVANCES. ... We charge you for our services in obtaining: (specify cash advances that are marked-up) SUMMARY OF CHARGES A. Professional Services, Facilities and Equipment, and Automotive t 6:4'.J.,~;.Q. Equipment. . . . . . . . . . . . . . . . . . . . .. ., B. Merchandise..................... S 5''j-'ft:.:j{.f,j C. Special Charges . . . . . s :"";:-';-'", D. Cash Advances........ . S 7l.t. .~.. TOTAL OF ALL SECTIONS................... PAID AT TIME OF OR PRIOR TO ARRANGEMENTS..., ..................... BALANCE DUE..... ................... ~9N .FOR EMBALMING ",l ""'i< ,/1/ ( .-"~...' /, ,..:- tJi' ",} , ...S~ ..:t>'" ,);,0 '.; If any law, cemetery, or crematory requirements have required the purchase of any of the items listed a!:>ove the law or requirement is explained below. (";>'" ,"", {' /(,.'...---/ ,{:'" 'f ;..~, ,I: .,>" ,,: :,'; ,,'.., ;,~. I ':,-' 8\,,'/,4 ~ ."')'.i,,. ".,~,:f. ,t} /! . /--( .'. ; (Qate) j', WHITE Funeral Director (Licensed Funeral Director) YELLOW Fllnera.l DireclOr PINK Customer COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX 11-14-2005 LOMBARDO 03-06-2002 21 02-0519 CUMBERLAND 101 APPEAL DATE: 01-13-2006 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ~~!_~~9~~_!~~~_~~~~______~___~~!~!~_~g~~~_~g~!!g~_~g~_yg~~-~~~g~~~--~-------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX LINDA K FILE NO. 21 02-0519 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN DAVID A DINNISON 401 N MECHANIC ST FREDERICKSBURG PA 17026 ESTATE OF LOMBARDO REV-1547 EX AFP (06-05) LINDA K TAX RETURN WAS: (X) ACCEPTED AS FILED DATE 11-14-2005 CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets 1I) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 2.600.38 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal 16. Amount of Line 14 taxable at 17. Amount of Line 14 at Sibling 18. Amount of Line 14 taxable at 19. Principal Tax Due TAX CREDITS: NOTE: rate Lineal/Class A rate rate Collateral/Class B rate 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = .00 .00 X 045 = .00 .00 X 12 = .00 .00 X 15 = .00 (19)= .00 (9) lID) 7,350.00 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 2,600.38 7.350 00 4,749.62- .00 4,749.62- l+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 (11) 1I2) 1I3) 1I4) 1I5) 1I6) 1I7) 1I8) IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE (IIIV' A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) L Cumberlana county - Register UL Wills One Courthouse Square Carlisle, FA 17013 Phone: (717) 240-6345 Date: 2/02/2006 DINNISON DAVID A 401 N MECHANIC ST FREDERICKSBURG, PA 17026-9223 RE: Estate of LOMBARDO LINDA K File Number: 2002-00519 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 is due by: 3/06/2006 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~In J' C.P ~~ ~//h..d.<l : ~h"".. i.. . j ct4tU'__ Gj:?I4'-tI?.ff.,.!;~)_c_a . .. I ... . ' GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge ........ /~ In Re: Estate of LOMBARDO LINDA K ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 2002-00519 NOTICE OF FAILURE TO FILE STATUS REPORT Personal Representative: DINNISON DAVID A Counsel for Personal Representative: Date of Decedent's Death: 3/6/2002 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 Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the 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 determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. ~~J&dnJ Date: 4/3/2006 .. Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File ~ Register of Wills of Cumberland County Name of Decedent: Date of Death: 7002 - ()O~ '{ I 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: Estate No.: 1. State ~h~f administration of the estate is complete: Yes ISK' No 0 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 t~ ~onal representative file a final account with the Court? Yes lY' No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the person~ ~esentative state an account informally to the parties in interest? Yes M No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with t ler ffh~ Orp ns' Court and may be ~' attached to this report. ' Date: (p ~ J Signature 4{.,. '~\JicR (-\ . blYJI1I~ Name ,,1 A / . 401 d\), YV'ech?l~U~ S.:;. 717 8(PS (~<o I Address Telephone No. ~~nal Representative o Counsel for personal representative .., t", /' ~ ~ v \:.. ! - ~, Capacity: ! : J 70 'Z~ @