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PETITION FOR PROBATE and GRANT OF 1,JE:TT][R~~
Estate of O/'< t3co./v /?J / (42-'71 "c;d
also known as OK. .8, mil ~~~N
No.
To:
21-200 l::JJQ___. ...
Register of Wills j or the~ /"
County of c:&t-~dl . ~~. .. : n tLc;
Commonwealth J: Pennsyl ":I ,
, Deceased
Social Security No. L3a -- 8z" -- ~,!;J-;3'B
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut..&Lk....____...
in the last will of the above decedent, dated ,Q;-~? ./ 01 .__n.____..
and codicil(s) dated ._..____..__
na::lle,;:.
"-';~)-~~
(state relevant circnmstances, e.g. renunciation, death of executor, :ot:.:'
h ~r
(list street, number and muncipality)
County, P'~nn:): ivania, 'Nitll
<;t=~~ ~:'~=~~=::.==.'
Decendent, then ~.3 years of age, died ~~ ~ /.~___.., ~(_.
at C-/i/2,,(...1 $~~~~;'~ L- ._..____... ... ..__.._.__'
Except as follows, deceden(did not marry, was not divorced and did not havl~ a child bel' 1 ,)f ado pted
after execution of the will offered for probate; was not the victim of a killing :wcl was ;le"(IIJjuclieated
incompetent: .n______..._. ......_.._u.___
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: /t7/ /, Sf$.
/ 13' ~ ~
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~~~r' ;-:c'~':;:4=:~il ~C
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._u.___'y...vt<...__.._. __
WHEREFORE, petitioner(s) respectfully r~uest(s) the probate of th~ last will I~: COdJ::L(:')
presented herewith and the grant of letters ~ /"77l~"'" ~ ~ .nm_____..... _..__..____._
(testamentary; administration c. La,; admirj~:l U;I: .:11 :LD)", La )
theron.
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___..______._uu ...______. ___.._
---__._____. h.. __.._..~__.__._.._.__. _
OATH OF PERSONAL REPRESENTAITVE
COMMONWEAL TH OF PENNSYL VANIA l , ~
COUNTY OF C2u;r)~erv/;'~..v d.. J s~
The petitioner(s) above-named swear(s) or affirm(s) that the statements in [;11: foregoi il;, . "~:L!:iOI) are
true and correct to the best of the knowledge and belief of petitioner(s) and hin as pc:.I ,repn'ser.
tative(s) of the above decedent petiti0ner(s) will well and truly administer tbl' estate ale ,.:go ill\',
Mary
; (y.~ cZ;l~- 7
S't( c..5'4.v
M mJi..UEM~A/
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~o. 21-2001-110
Estate of
0/<
(3 00- ~ Ih I L LE- m,<:J "VI
, Deceased
a/k/a OK B. Milleman
DECREE OF PROBATE A~D GRA~T OF LETTERS
AND NOW April 26th .sA-fQQ I ,in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated /?7 ..A5'y /0 / / '7 '7 S-
described therein be admitted to probate and filed of record as the last will of _ O~ _ ~..v
/?7/L?e/Y7/C)/\/
and Letters 7Gs /';1'J R1~ m .Il.\ /
are hereby granted to S"'-<..€S.4/'1r m. /?J ILL e /?'7/j-AJ, a/l5-/a Su.esan ~ill-~an
e~ V ~fa~d~1J,:Ij
Register of Will~ ary C. LeW1S ~
FEES
Probate, Letters, Etc. .........
Short Certificates( 1) . . . . . . . . . .
Renunciation ................
x-Pages (5)
JCP
$ -18.00
$ 3.00
$
$ 15.00
TOTAL _ $ 5.00
)\Px:::!-:J-. ~.qtJ:l.l. .~Q9.1. ...~.. .~~...qq.
~$4";' .s::c2JA?P<//eLS he;' 2A-';1-3.s-
- --------.--_..-/--_._h.____
ATTORNEY (Sup. Ct. l.D. ."'0.) Ii
O/V.tLL/.4f'~74$)r S~-~ ,)&S'7~/LU~~ /.I
~------~------- / ~/ ~
ADDRESS
Filed
1--1l- - R.. ~ 3 - ~8 :?U-----___
FHONE
CALL A'ITORNEY William S. Daniels
JAN 26 2001
IN THE MATTER OF THE PERSON
AND ESTATE OF:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
OK BOON MILLEMAN,
an alleged incapacitated person
ORPHANS' COURT DIVISION
: NO. c::ll - 0 I - 110
PRAECIPE TO PROCEED IN FORMA PAUPERIS
To the Clerk, Orphan's Court:
Kindly allow, Suesan M. Milleman, the Petitioner, to proceed in forma pauperis.
We, Anthony L. DeLuca and William S. Daniels, attorneys for the party proceeding in
forma pauperis, certify that we believe the party is unable to pay the costs and that we are
providing free legal services to the party. The party's affidavit showing inability to pay the costs
of proceeding is attached hereto.
~~~~ ,
Anthony L. D a ~
kZcf~~~
William S. Daniels
Attorneys for Petitioner
IN THE MATTER OF THE
PERSON AND ESTATE OF
: IN THE COURT OF COMMON PLEAS OF
OK BOON MILLEMAN,
an alleged incapacited
person
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
. NO.
AFFIDA VIT IN SUPPORT OF PETITION
FOR LEAVE TO PROCEED IN FORMA PAUPERIS
1. I am the PETITIOOE:ijn the above matter and beca~se of my financial condition am unable to pay
the fees and costs of prosecuting, defending, or appealing the action or proceeding.
2. I am unable to obtain funds from anyone, including my family and associates, to pay the costs of
litigation.
3. I represent that the information below relating to my ability to pay the fees and costs is true and
correct.
(a) Name: Suesan M. Millernan
Address: 1781 West 44th st., Jacksonville, FL 32209
(b) Social Security Number: 176-54-1591
If you are presently employed, state
Employer:
Address:
Salary or wages per month:
Type of work:
If you are presently unemployed, state
Date of last employment: 02J~..-r> ~ ~ :2000
<0" /..2.. /3 . 'S '3 SJfA.
Salary or wages per month: - 2cu
Type of work: ~ /2..1< L/ pr c::pC/Z4-;r-c/L
(c) Other income within the past twelve months
Business or profession:
Other self-employment:
Interest:
Dividends:
Pension and annuities:
Social Security benefits:
Support payments: ilf as- /c:v~ cL: %L~rrr r
/
Disability payments:
Unemployment compensation and
supplemental benefits:
Workman I S compensation:
Public Assistance:
Other:
(d) Other contributions to household support
(Wife)(Husband) Name:
If your (husband) (wife) is employed, state
Employer:
Salary or wages per month:
Type of work:
Contributions from children:
(e) Property owned
Cash:
Checking Account:
p'/oe
Savings Account:
Certificates of Deposit:
Real Estate (including home):
Motor vehicle: Make 7v.'7<:?r"T Year /7'''7 ~
costlf({ 000 Amount Owed.;p' ~
Stocks; bonds:
Other:
(f) Debts and obligations
Mortgage:
Rent:
Loans:
Monthly Expenses: C/77LJ 7, C'=>~..r
(g) Persons dependent upon you for support
(Wife) (Husband) Name:
Children, if any:
Name: d'';:?-T C?/l/Z..TL~
Age:
/3
.
4. I understand that I have a continuing obligation to inform the court of improvement in my
financial circumstances which would permit me to pay the costs incurred herein.
5. I verify that the statements made in this affidavit are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa. C.S. 4904, relating to unsworn falsification to
authorities.
Date: /-2C-O(
-CY Jl/)()/J1) IYJ- fY)~~
oc....-> &S~..-y /77, ,#} ( LL(E;,r7?~ '1/
H105.H05 REV 9/86
This is to certifY that the information here given is correctly copied fro~ an original certificate of death dul~ filed with
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
p
7248418
No.
21-2001-110
Hl05.144 Aev. 1191
me as
LL~. ~b>-~
Local Registrar
APR 2 3 2001
Date
IPRINT
N
4NENT
;KINK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
B
SEX
..Female
PLACE OF DEATH (Check only one see inSlruc\lons ()(l other side)
HOSPITAL:
,,,,,,,,~m)l:I
g=,y) 0
Milleman
UNDER 1 DAY
Hoors Minutq
BIRTHPLACE (City and
Stale Of Foreign Country)
170.
Clm1berland
2001
UCENSE NUMBER
012748 L
....
TIME OF DEATH DATE PRONOUNCED DEAD !MonIh. Day, -'r)
... 1:45 P M.... April 14, 2001
27. HJIT I: EM.,. the dIMnH. tnjufln or c:omplQtions whk:h Cliused the death. 00 tlOl ent., the mode ofdylng,lIJCI'Iu c.r<be or I'ftPlrltoty.rr.t,shockor heart lailur..
UIt only one cause on HCh line.
b.
e
.
WERE AUTOPSy F1NOINQS
UILABLE PRIOR 10
COMPLETION OF CAUSE
OF DEATH?
STATE FILE NUMBER
SOCIAL SECURITY NUMBER
.. 230-82-4538
DATE OF DEATH (Month. Day. Year)
.. April 14,2001
MARITAL STATUS. Mairried
N..,., Married, Widowed,
DIvofe<<t (Specily)
Widowed
RACE. American Indian, Black, White, ele
(SoociIy)
1.. Korean
SUAVMNG SPOUSE
(" wife, give maiden name)
Old
_n1
live in a
townlhlp?
17cIJ Vn,dKedenlttvedin
South Middleton
Iwp.
eitylboto,
23b. 2k.
WAS CASE REFERRED TO :~L EXAMINERICORONEA? No 0
1~lljmale
,lntlHYlll between
i.......... .....
PART II: Other significant conditions COI'Itrtt:M:ing 10 death, but
not reSulting in the Underfylng taun gw.n In PART I.
No 0
Aocklonl
Pendl"IiJ Investigltion
DATE OF INJURY
(Month, c...,. 'fearl
o Jan. 3,2001
o 10:34A M
o PLACE OF INJUA~.A1 home, farm,ltrwt, ractory, office
~...c.(SoociIy) Railroad Crossing
SIGNATURE AN
o
"fil.
o
Nataql
Nomlc",
.... D...J( Yoo 0
He. 2A.
caRTl"" (Chedl only one)
"ClRTtFYINQ PHYSICIAN (Phylicil.n certifying cause 01 death when another physiCian hat pronounced death and compleled Rem 231
Tolhe btetOl...,k~. de.utOCCurnMlctu.tolhlceuae(.)andlftllnMf'...................,.........,.........,....,....,..."...'".
501e...
...
Could not be detel'mined
"~AND caM'IFYINQ I'HYIICIA.N (Phylidan boIh pronouncing deeth and cer1ifying to C8UIIitol deeth)
TolhlbMtOlmyk~. c1Mth occurredetthe lime, me, and plaice, and due to the C8UM(e) and lNInnet.. ........., , '......, ,..., .,...
._AL EXAMINEIlICOAONER
On the.... of ..Mtlnatton and/or Inftettptton.ln my opinion, deMh occurred M the t...... dete, and piece. and em. to the cauH(.) and
mannerM8tetecf................. '....... ,................... .... ....,............. ....... ....... ....... ..........
3'.. .
REGISTRAR'S SlGN~RE AND NUMBE)i. ~
"td ~I ~llol
\oM \"1. ~t.X\!
TIME OF INJURY
INJURY AT lNORt(?
o
Coroner
D4TE SJQNED (Month, Day, 'fUr)
o 'le. n. A ril 20 2001
NAME AND ADDRESS OF PERSON WHO COMPLETED CAUSE OF DEATH
Ihem 271 Type or Print Michael L. Norris, Coroner
6375 Basehore Road, Suite #1
u. Mechanicsburg, Pa. 17050
DATE FILED (Month, Day, ...r)
~ ~~ ciD dCO\
...
.
/
ESTATE OF OK BOON MILLEMAN, an
alleged incapacitated person
Social Security Number: 230-82-4538
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
PENNSYLVANIA
ORPHANS' COURT DIVISION
No.
PETITION FOR ADJUDICATION OF
INCAPACITY
PETITION FOR ADJUDICATION OF INCAPACITY AND APPOINTMENT OF
PLENARY GUARDIAN OF THE ESTATE AND PERSON IN ACCORDANCE WITH 20
Pa. C.S.A. 65511
TO THE HONORABLE, THE JUDGES OF THE SAID COURT:
Petitioner, Alexander Lee Milleman, respectfully submits this Petition to the Court for the
appointment of a plenary guardian of the person and estate of Ok Boon Milleman, an alleged
incapacitated person, and in support thereof avers the following:
Jurisdiction and Venue
1. The alleged incapacitated person, Ok Boon Milleman, who was born on
December 20, 1937, is a 63 year old widow and is domiciled at 101 Hedgerow Lane, Carlisle,
Cumberland County, Pennsylvania 17013 and is currently a patient at the Hershey Medical
Center in Hershey, Dauphin County, Pennsylvania.
2. Pursuant to 28 Pa. C.S.A. ~5512(a), this Court has jurisdiction over and is the
proper venue for the appointment of a guardian of the person and estate of the incapacitated
person.
3. No other court has ever assumed jurisdiction in any proceeding to determine the
capacity of the alleged incapacitated person and no guardian has ever been appointed for the
estate or person of the alleged incapacitated person.
Interested Parties
4. Ok Boon Milleman's husband and parents predeceased her.
5. The alleged incapacitated person's living adult next-of-kin are as follows:
Daughter:
Suesan Mae Milleman
Jacksonville, Florida
Stepson:
Alexander Lee Milleman
1265 Lakeview Road, NW
New Philadelphia, OH 44663
Previously resided in Carlisle, Pennsylvania
unti/1998.
6. To the best of Petitioner's knowledge, information and belief, the alleged
incapacitated person has no power of attorney.
7. To the best of Petitioner's knowledge, information and belief, the alleged
incapacitated person has no advance directive, including an advance directive for healthcare, and
has never nominated any individual or other entity to serve as her guardian in the event of her
incapacity.
8. The institution providing inpatient healthcare to the alleged incapacitated person
is Hershey Medical Center, 500 University Drive, Hershey, Pennsylvania.
9. The alleged incapacitated person was never a member of the armed services of the
United States and is not receiving benefits from the United States Veterans' Administration.
- 2 -
I
Proposed Plenary Guardian
10. Petitioner, the alleged incapacitated person's stepson, of 1265 Lakeview Road,
NW, New Philadelphia, Ohio, 44663, seeks to be appointed guardian of the estate and person of
the alleged incapacitated person. Following the death of her husband (Petitioner's natural father)
your Petitioner assisted her with her fmances and personal affairs.
11. Petitioner graduated from Messiah College in 1985 and subsequently received his
M.Ed. and Ed.S. from Kent State University.
12. Your Petitioner is a school psychologist and has been engaged in that profession
for ten years.
13. Petitioner has been married for ten years and has two children.
14. The proposed guardian has no interest adverse to the alleged incapacitated person.
15. Petitioner's stepsister, Suesan Mae Milleman, may have interests adverse to the
alleged incapacitated person.
16. Your Petitioner is aware of the alleged incapacitated person having co-signed a
loan for Suesan Mae Milleman which Suesan Mae Milleman allowed to go into default resulting
in the motor vehicle which had been financed being repossessed.
17. Suesan Mae Milleman does not have a stable employment history nor a stable
home life.
- 3 -
I
Factual BackgroundlLimitations of Alleged Incapacitated Person
18. The alleged incapacitated person resided at 101 Hedgerow Lane, Carlisle,
Cumberland County, Pennsylvania 17013 with her husband until he died approximately six years
ago.
19. On January 3, 2001, the car which the alleged incapacitated person was operating
was struck by a train and she suffered serious head and bodily injuries and has been in a coma
since that time.
20. The alleged incapacitated person is unable to understand or follow any directions
and is unable to recognize relevant information.
21. The alleged incapacitated person is unable to receive or evaluate information and
is unable to communicate in any way and is impaired to such a significant extent that she is
totally unable to manage her financial resources or meet the essential requirements for her
physical health and safety.
No Less Restrictive Alternative
22. There is no less restrictive alternative to the appointment of a plenary guardian of
the person and estate of the alleged incapacitated person in that she has not executed a durable
general power of attorney and is incompetent to appoint an agent to act on her behalf at this time
in view of her comatose condition.
23. As of this time, the alleged incapacitat~d person's assets, to the extent known by
Petitioner, are approximately $120,000 consisting oftlhe real estate and house thereon erected at
-4-
I
101 Hedgerow Lane, Carlisle, Pennsylvania, savings cIlccount of approximately $10,000.00 and a
Certificate of Deposit of approximately $10,000.00.
24. To the best of Petitioner's knowledge, information and belief, the alleged
incapacitated person's monthly income is approximat~ly $1,500, consisting of a civil service
pensIOn.
Plenary Guardianship Requested
25. The severity of the alleged incapacitated person's mental condition and her
absolute impairment of an ability to receive and eval$te information and communicate, has
resulted in her total inability to manage her finances O!f to meet any requirements for her personal
physical health and safety. Appointment of a plenary!guardian of the alleged incapacitated
person's estate is necessary to collect, manage and ad);ninister all matters concerning her
financial affairs, including but not limited to:
her cash, checks and any bank cilccounts;
her other individually owned p~operty believed to include bonds and
marketable securities;
payment of medical and other bills incurred to provide her with proper
medical care, insurance and maintenance of her lifestyle;
preparation and signing of tax ~eturns and payment of local, state and
federal taxes;
handling claims made on her behalf or against her;
execution of documents and entering into contracts;
social security benefits and anyl other governmental or nongovernmental
benefits; and
applying for insurance and/or medicare or medicaid benefits.
- 5 -
,
26. The severity of the incapacitated person's mental condition and a lack of viable,
less restrictive alternatives necessitate the appointment of a plenary guardian of her person to
handle all issues relating to her person, including but pot limited to:
authorizing or withholding con~ent to medical treatment or medication and
psychiatric care;
deciding where the incapacitated person will live, giving consideration to
her lifestyle and her preference~, ifknown;
arranging for nurses, aides or other personnel for the alleged incapacitated
person's care, as well as for phtsical and other therapy; and
making decisions about social, Irecreational and other personal care
matters.
WHEREFORE, Petitioner respectfully requests this Court award a Citation directed to
Ok Boon Milleman, the alleged incapacitated person, and to such other persons as this Court may
direct, to show cause why Ok Boon Milleman should not be adjudged a fully incapacitated
person, and Alexander Lee Milleman appointed plenary guardian of her estate and person.
Respectflully submitted,
Alexand~r Lee Milleman, Petitioner
Counsel ~. Daniel Altland
METTE, EVANS & WOODSIDE
By:
p ()~.;r; 2ta:~"
P. Daniel Altland, Esquire
Sup. Ct. tD. #25438
DATE: J ()vI.010V'-! 24; 2-oDI
3401 North Front Street
P.O. Box 5950
Harrisburg, P A 17110-0950
(717) 23~-5000
Attorne~s for Petitioner
- 6 -
. ,
VERIFICATION
I, Alexander Lee Milleman, hereby verify and state that the facts set forth in the foregoing
document are true and correct to the best of my information, knowledge and belief. I understand
that false statements herein are made subject to the penalties of 18 Pa. C.S.A. ~4904 relating to
unsworn falsification to authorities.
~
ALEXANDER LEE MILLEMAN
DATE: 1 /22---/ 0 I
- 8 -
-~~--'.
-
-=",-__ '.J-AN 2 6 21] D~~
..._'~~-_..__._-
IN THE MA TrER OF THE PERSON AND : IN THE COURT OF COMMON PLEAS OF
ESTATE OF: : CUMBERLAND COUNTY, PENNSYL VANIA
OKBOON MILLEMAN,
AN ALLEGED INCAPACITATED PERSON: ORPHANS' COURT DIVISION
NO. .:2 I - C I - ilL"
PRELIMINARY DECREE
AND NOW, this J..(. ~ day of ~ ,2001, upon consideration of
the annexed Petition, it is hereby ORDERED AND DECREED that a Hearing on this
matter is set for the J~ ~ day of j UNAJ-?F ' 2001, at II. .() () L. M.
O'clock in Courtroom No..> at the Cumberland County Courthouse, 1 Courthouse
Square, Carlisle, Pennsylvania, and that a Citation be issued to Okboon Milleman
commanding her to appear at the aforementioned hearing pursuant to the Petition of
Susan Milleman, to have Okboon Milleman adjudicated an incapacitated person and to
have an Emergency Plenary Guardian appointed for her Person and Estate. Notice of the
hearing shall be given to Okboon Milleman by counsel for the Petitioner.
':J ~Stl.J (\o\.~14~,.>
, Esquire shall be appointed to represent the
alleged incapacitated person.
1.
IN THE MATTER OF THE
PERSON AND ESTATE OF:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY { PENNSYLVANIA
ORPHANS' COURT DIVISION
OKBOON MILLEMAN{
AN ALLEGED INCAPACITATED
PERSON
NO. 21-01-110
IN RE: HEARING CONTINUED
ORDER OF COURT
AND NOW{ this 29th day of January, 2001,
hearing in this matter is continued until Wednesday,
February 7{ 2001, at 11:15 a.m. The parties have agreed
that Okboon Milleman is an incap~citated person, having
suffered severe neurological injuries as a result of an
accident. Her daughter{ Susan Milleman, is appointed
temporary plenary guardian of he~ person and property
pending further Order of Court.
By the Court {
Anthony DeLuca{ Esquire
113 Front Street
Boiling Springs, PA 17007
For the Petitioner
I;'
Jason Kutulakis{ Esquire
8 South Hanover Street
Carlisle{ PA 17013
l'
. I
P. Daniel Altland{ Esquire
3401 North Front Street
P.O. Box 5950
Harrisburg, PA 17110-0950
:mae
"
IN THE MA ITER OF THE PERSON AND : IN THE <COURT OF COMMON PLEAS OF
ESTATE OF: : CUMBEIlaAND COUNTY, PENNSYLVANIA
OKBOON MILLEMAN,
AN ALLEGED INCAP ACIT A TED PERSON: ORPHANS' COURT DIVISION
NO. ..2 I - 0 I - 1/ 0
PRELIMINARY DpCREE
AND NOW, this j...t."""" day of ~ ,2001, upon consideration of
the annexed Petition, it is hereby ORDERED AND DECREED that a Hearing on this
matter is set for the ~'i ~ day of j ~ I, 2001, at II. 'c> /) ~. M.
O'clock in Courtroom No.S"" at the Cumberland County Courthouse, 1 Courthouse
Square, Carlisle, Pennsylvania, and that a Citation be issued to Okboon Milleman
commanding her to appear at the aforementioned ~earing pursuant to the Petition of
Susan Milleman, to have Okboon Milleman adjudicated an incapacitated person and to
have an Emergency Plenary Guardian appointed for her Person and Estate. Notice of the
hearing shall be given to Okboon Milleman by counsel for the Petitioner.
'::J "Sw ~,",,~14~,.>
, Esquire shall be appointed to represent the
alleged incapacitated person.
-,
1.
_ ..J
, "".f' '.,
.-
IN THE MATIER OF THE PERSON
AND ESTAlE OF:
:IN 'I1"IE COURT OF COMMON PLEAS
:CuMBERLAND COUNTY, PENNSYL VANIA
OKBOONMILLEMAN
: NO.!
ORPHANS' COURT 2001
AN ALLEGED INCAPACIAlED PERSON
PETITION FOR APPOINTMENT OF ~MERGENCY PLENARY GUARDIAN
OF THE PERSON In EST ATE
AN NOW COMES THE PETITIONER, ~usan Milleman, who, pursuant to 20 P A.
C.S.A. 5513, represents and avers as follows:
1.
The Petitioner is Susan Milleman, the naturall daughter of the alleged incapacitated
person, Okboon Milleman, who resides at 1781 West Forty-Fourth Street, Jacksonville,
Florida.
2.
The alleged incapacitated person is Okboon Milleman, 63 years of age, who has a
residence located at 101 Hedgerow Lane, Carlisle, Cumberland County, Pennsylvania.
3.
The next ofkin of Ok boon Milleman are:
a. Susan Milleman - natural daughter
1781 West Forty-Fourth Street
Jacksonville, Florida; and
b. Alex Milleman - step son
1265 Lakeview Road N.W.
New Philadelphia, Ohio 44663
4.
On or about January 3,2001, Okboon MiUerpan, while in her car, was struck by a
train in Monroe Township, Cumberland County, Pennsylvania which caused her serious
personal injuries.
5.
As a result of the accident, Okboon MiUem3f was taken to Hershey Medical Center
I
where she has been treated for a neurological injury tat caused her to be in a coma.
6.
On or about January 25,2001, Okboon MiU~man, while appearing to come out of
I
her coma, was released from the Hershey Medical qenter and transported to ManorCare
Health Services, 940 Walnut Bottom Road, Carlisle, iCumberland County, Pennsylvania
where she has been admitted for care.
7.
Due to Okboon MiUeman being in a coma, sfue does not have the capacity to manage
and care for the affairs of her person and estate.
8.
Less restrictive alternatives are not available because of her condition.
9.
The approximate gross value of the Estate 040kboon MiUeman is not currently
I
known but her monthly income, consisting of social Fcurity and a pension, is estimated to
be $1,900.00.
10.
The Petitioner, upon notification of her mother's accident, left her job in Florida and
immediately came to her mother and has been with her every day since her arrival from
Florida.
11.
Due to the seriousness of the condition of Ok boon Milleman where immediate
medical decisions may be necessary to be made and due to outstanding bills, the
appointment of an Emergency Plenary Guardian of the Person and Estate of Okboon
Milleman is critical.
12.
The Petitioner desires to be appointed Emergency Plenary Guardian of the Person
and Estate of Okboon Milleman and, thereafter, Permanent Plenary Guardian of the Person
and Estate of Okboon Milleman.
13.
The Petitioner has no interest adverse to her mother, the alleged incapacitated
person.
14.
No application, to the knowledge of Petitioner, has been made for the Order herein
asked for.
15.
No other Court has ever assumed jurisdiction in any proceeding to determine the
incapacity of Okboon Milleman.
.-
16.
The failure to appoint the Petitioner as Emergency Plenary Guardian of the Person
and Estate of Okboon Milleman will result in irreparable harm to the person and estate of
Okboon Milleman.
WHEREFORE, Petitioner prays that this Honorable Court determine whether
Okboon Milleman is an incapacitated person and, if so, appoint Petitioner, Susan Milleman,
as Emergency Plenary Guardian of the Person and E$tate of Okboon Milleman.
Respectfully Submitted, .
~ c_/ ~ Lc:;:7
~-c. .. - rY~. t(1d?~~-<,,:~_
~y L. D a, Esquire
113 Front Street
P.O. Box 358
Boiling Springs, P A 17007
(717) 258-6844
. .
VERIFICATION
I hereby verify that the facts and information set forth in the foregoing Petition for
Appointment of Emergency Plenary Guardian of the Person and Estate of Ok boon
Milleman are true and correct to the best of my knowledge, information, and belief I
understand that any false statements contained herein are subject to the penalties of 18
Pa. C.S. Section 4904, relating to unsworn falsification to authorities.
Dated: \ - ~ \..p - d. 00\
Sllffin\.. (\\~)
Susan Milleman
.
.
.. . r
Social Security Number 230 - 8 2 - 4 538
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
ORPHANS' COURT DIVISION
No.
ESTATE OF OK BOON MILLEMAN, an
alleged incapacitated person
PETITION FOR ADJUDICATION OF
INCAPACITY
CONSENT OF GUARDIAN OF EST A TE AND PERSON
I hereby consent to act as plenary guardian of the estate and person of Ok Boon Milleman
an alleged incapacitated person. I reside at 1265 Lakeview Road, NW, New Philadelphia, Ohio
44663. I am a citizen of the United States and can speak, read and write the English language.
Ii~
/ALEXANDER LEE MILLEMAN
DATE: (1),2- / of
:249175 _1
3-ld-'6Co
COMMONWEALTH
VS
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
: 341 CRIMINAL 1986
CHARGE: THEFT BY UNLAWFUL TAKING (Ct. 1)
AFFIANT: PTL. LARRY KELL
SUESAN MAE MILLEMAN
OTN: B455865-4
IN RE: GUILTY PLEA & SENTENCE
ORDER OF COURT
AND NOW, June 17, 1986, 10:20 a.m., Suesan Mae Milleman,
having appeared in open court together with the Public Defender,
Count 1, graded a misdemeanor 3, her plea of guilty is accepted and
Donald R. Dorer, Esquire, and having tendered a plea of guilty to
recorded.
The defendant further having presented herself for sentence,
sentence of the court is that the defendant shall be placed on
probation for a periOd of 12 months without supervision on condition
that she pay the costs of prosecution and make restitution of $30.
Defendant will be given 15 days to pay the costs and the restitution.
By the Court,
M. L. Ebert, Jr., Esquire
First Assistant District Attorney
Donald R. Dorer, Esquire
Assistant Public Defender
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A TRUE COPY FROM RECORD
In Testimony whereof, I here unto lit my hind
and the seal of said Court 81 CadIII. PA.
ms~ day~ ,!:~~M.
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n.,...+; e Court
~ CumoerIand Countr
EXHIBIT
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In the Court of Common Pleas of the County of Cumberland
COMMONWEAL TH OF PENNSYLVANIA
341
CRIMINAL
1986(1)
CHARGE: THEFT BY UNLAWFUL TAKING
v.
SUESAN MAE MILLEMAN
18 Pa.C.S.A. S392l
CITATION OF STATUTE AND SECTION
GRADE:
IMPRISONMENT:
FINE:
M-3
1 yr.
$2500
The District Attorney of Cumberland County, by this information charges that, on (or about)
Thursday, the 13th day of February, 1986 in said County of Cumberland,
SUESAN MAE MILLEMAN
did intentionally or knowingly take or exercise unlawful
control over movable property of another with the intent
to deprive him thereof.
Movable Property:
Currency
Owner or Custodian:
Sheetz
A TRUE COPY FROM RECORD
In Testimony whereof, I here unto set my hand
and the seal of said Court at CaIUsJe, PA-
Thl ~ day of "-
3:
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Value:
$10.00, more or less
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All of which is against the Act of Assembly and the peace and dignity of the Commonwealth of Pennsylvania.
PLEA OF DEFENDANT
Defendant, being advised of the offense charged in the information and of his rights, hereby in open court enters
a plea of guilty to the charge of
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Defendant
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Attorney for Defendant
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CRIMINAL COMPLAINT
(POLICE)
qOMPLAINTNUMBER
C-63-86
YEAR
1986
Meade G. Lyons
DISTRICT JUSTICE
MAGISTERIAL DISTRICT NO. 09-2-01
112 W High St.,Car1is1e,Pa.
306804 -I
In Testimony whereof, I here unto set my hand
and t~seal of said Court at Carlisle, PA.
ThIs S - day of 20.&..
DEFENDANT:
COMMONWEALTH OF PENNSYLVANIA
VS.
I, Pt1m
4; 4
NAME
AND
of Carlisle Police Dept,Carllis1e,Pa.17013
(Identify department or agency represented and politIcal subdIvIsion)
RSA
AKA
do hereby state under oath or affirmation, to the best of my knowledge, information and belief:
(1) IX] I accuse the above named defendant, who lives at the address set forth above or,
... 0 I accuse an individual whose name is unknown to me but who is described as
o
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o his nickname or popular designation is unknown to me and, therefore, I have designated him.herein as John Doe; .
with violating the penal laws of the Commonwealth of Pennsylvania at Sheetz, 101 W H1gh St.. Car11s 1e
(Place-Political SubdivisIon)
in Cumberland County on or about Feb.13.1986 7:45 pm and
Participants were (it mere werepart,clpants. place melf names here. repearmg menameotabovedetendant; Fe b . 16, 1986 5: 55 pm
Suesan MaeM-111enmn.
(2) The acts committeatiy the accused were: @ 3921 - Theft By Unlawful Taking
Count(a)
did intentionally or knwing1y take,or exercise unlawful celltro1 ever the
property of Sheetz,101 W High St,Car1is1e Pa,to wit;currency,having a
value of $l!I.OO,more or 1ess,with the intent to deprive Sheetz thereof
in that she did take currency from the register on 2=13-86 at 7:45 pm.
Count (b)
did intentionally or knowingly take,or exercise
property of Sheetz,101 W High St,Car1is1e Pa,to
value of $20.00,more or 1ess,with the intent to
in that she did take currency from the register
unlawful control over the
wit;currency,having a
deprive Sheetz thereof
on 2-16-86 at 5:55 pm.
all of which were against the peace and dignity of the Commonwealth of Pennsylvania and contrary to the Act of Assembly,
or in violation of :392.:t:::>.":~,, ;',f.. "'::":';:andi:(ar;~r:.';:~::'~\Y,;:;;;:.':','~<;of the Act of;Pa::a;rii.t@s~"~;"'c)~:l9''l3':i~:.''~;::.:;;.~:~., .:;';~;:.
(Section) (;,ub-sectlon)
or
Ordinance
(3) 1 ask that a warrant of arrest or a summons be issued and that
have made. I swear to or affirm the within complaint upon my
February 18, 19 86 ,before MG. Lyons
Personally appeared before me on February 1~ 19 86 the affiant above named who, being duly
sworn (affirmed) according to law, signed the complaint in my presence and deposed and said that the facts set forth therein are
true and correct to the best of affiant's knowledge, information and belief.
AOPC411-82
SEiE ~IEV!E!'fSE SU}!E fO~ w,~uvm~ J:\u"~D f(')O'!f1N101ES
(SEAL)
(Issuing Authority)
AND NOW, on this date February 18 ,19~, I certify the.complaint ha~ been properly sworn t
before me, and that there is probable cause for the issuance of process. "
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(Magisterial DIS/flCt)
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(SEAL)
.' '
ABOM & I(UTULAI<IS
ATTORNEYS AT LAW
March 9,2001
(VIA FACSIMILE)
Honorable Edward Guido
Cumberland County Court of Common Pleas
Cumberland County Courthouse
1 Courthouse Square
Carlisle, P A 17103
RE: Okboom Milleman
Dear Judge Guido:
I am writing to apprise the court oiMs. Milleman's status and developments since our
last court appearance. I have a 10:00 a.m. hearing before Dauphin County Court of Common
Pleas Judge, Todd Hoover. Consequently, I will be unavailable for the telephone conference call
at lO:45 a.m. My partner Jay Abom will be available to speak in my place. He and I have
discussed this case and he is aware of the developments that have taken place.
At the last hearing, Ms. Milleman was completely non-communicative and being cared
for at Manor Care. In that regard, her condition has not changed.
I spoke with Jodi Lubinsky at Manor Care. On February 23,2001, Ms. Milleman was
transported to the Carlisle HospitaL Her condition had deteriorated. She is still in the Carlisle
Hospital and currently in Room 225.
I then spoke with Beth Gelbaugh, her attending nurse. Ms. Gelbaugh informed me that
the hole in which a feeding tube was located in Ms. Milleman's stomach had developed a leak.
Ms. Milleman had also developed shingles. Ms. Gelbaugh also informed me that Ms. Milleman
was still non-communicative. Her only actions are that she does opens her eyes_ It appears that
problems that brought Ms. Milleman to Carlisle Hospital are improving. They are planning to
place some sort of permanent shunt to feed Ms. Milleman. \\Then able, they are planning to
return Ms, Milleman to Manor Care.
On March 7, 2001, I spoke with Dr. Wood, who confirmed what I had learned from Ms,
Lubinski and Ms. Gelbaugh. He had very little additional information to provide.
I also recently spoke with Diana O'Neil, Ms. Milleman's social worker at Carlisle
Hospital. She too indicated that Ms. Milleman is non-communicative. Ms. O'Neil informed me
that Susan, Ms. Mil1eman's daughter, had been filling her role by signing the various paper.vork
at the hospital. Additionally, Ms. O'Neil indicated that Susan wants an agency other than Manor
8 SO\)TH HANOvc,R STRJ::H. S~!lTli .204
C~IlLlo,LF. PA l7013
(717) 249 -0900
F.".x :7l7) 249.3344
106 \1\1 ALNUT STP,EET
HAIUl.bHUIl.li. PA 17101
(717) 232-9511
.",
ABOM & !(UTULAIUS
AUORNEYSATLAW . ,
Care to perform managed care for Ms. Milleman. She apparently is not satisfied WIth theIr care.
Perhaps most importantly, Ms. O'Neil informed me that Susan expressed her intent to
move Okboom to Florida when Susan returns to Florida. My concern is that this not be
attempted until it can be assured that it will not jeopardize Ms. Milleman's health.
I hope that this information will be of assistance. I sincerely apologize for my inability to
be available at 10:45 today.
Very truly yours,
ABOM & KUTULAKIS
Jason P. Kutulakis
Cc: Anthony Deluca, Esquire
(via fax)
Daniel Altland, Esquire
(via fax)
S S,)'_'TH H""<1\'FR STlU'H. SUITE 204
C \:'li;cl'. P.". 17013
( 7) 7: 249 -0900
f...x (717) 249-334-4
1 06 "V,":_~IUT STltHT
HAFJ1..I\J'l'J>..G. PA 17101
Ill7) 232-951 I
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ABOM & !{UTULAIGS
ATIORNEYS AT LAw
FAX
1. JudgeEdward Guido
240-6462
From:
Jason P. Kutulakis
No. of Pages; 2 Our File No
(including cover sheet)
Comments:
I am unavailable to the conference call at 10;45, however, my partner, Jay Abom, will be.
lIe is familiar will this matter and aWal"e of the recent developments. Attached please find
a letter informing you of this case's changes since onr last hearing.
IF YOU DO NOT RECEIVE ALL OF THESE PAGES, PLEAsE CONTACT THE FAX
OPERATOR AS SOON AS POSSffiLE AT (717) 249-0900. THANK YOU!
PRIVILEGE AND CONFIDENTIALITY NOTICE
The documents accompanying this telecopy transmission contain Information from the law firm of Abom & Kutulakis,
Which is confidential Rnd/or legally privileged. The Information is intended only fol" the use of the individual or entHy
named on t~18 transmission sheet. If YOIl Rl"e not the intended l'edplent, you are hereby notified that any disclosure,
copying, distribution or the taking of any action in reJJRn~1J 011 the contents of t~js telecopied information is strictly
prohibited. The documents should be returned to this firm immediately; we !:an arrange for the return of the orlgio:!1
documents to us at no cost to you.
8 5",-,",:-j HANOveR STl~H, SUITt; 204
C'I'-LIS~F, PA 1701.;\
(717; 249-0900
FAX (7\ 7) 249-33H
l06 W,'\.LNUT 51'lu\'1'
HAJ\J'JSI<UI-cG ['A 17101
(717,2329511
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.2B0601
HARRISBURG. PA 1712B-0601
RECEIVED FROM:
DANIELS WILLIAM S
1 W HIGH STREET
CARLISLE, PA 17013
-------- fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 230-82-4538
FILE NUMBER: 21-2001- 0110
DECEDENT NAME: MILLEMAN OK BOON
DATE OF PAYMENT: 07/13/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 04/14/2001
REMARKS: WILLIAM S.DANIELS, ESQ.
CHECK#1230
SEAL
ACN
ASSESSMENT
CONTROL
NUMBER
101
TOTAL AMOUNT PAID:
INITIALS: DO
RECEIVED BY:
REV-1162 EX(11-96)
NO. CD 000051
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
AMOUNT
$2,875.00
$2,875.00
"
;/R~/June 30, 1992/17858
AUG 3 1 20DltP
In Re: Estate of Ok Boon Milleman
Late of South Middleton Twp
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
Estate No.: 21-01-110
NO.
NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: Suesan M Milleman
Counsel for Personal Representative: William S. Daniels Esq
Date of Grant of Original Letters: April 26, 2001
Date of Delinquency Notice: August 5, 2001
The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6,
Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk ofthe Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court
Orphans' Court Rules, was given by the Register of Wills on July 20,2001, and that the ten (10)
day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the
Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a
hearing to determine whether sanctions should be imposed upon the delinquent personal
representative or counsel for the delinquent personal representative.
Date: September 4, 2001
Distribution: Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled for ()~ /9,ilPt//at f: 3d /'V~n Courtroom No.3. Ifthe
Certification of Notice is filed prior to the hearing date, the hearing will automatically be
cancelled.
Geor
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SENDER: COMPLETE THIS SECTION
. Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
. Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mail piece,
or on the front if space permits.
1. Article Addressed to:
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3. Servj9rType
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4. Restricted Delivery? (Extra Fee)
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2. Article Number (Copy from service label)
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102595.00.M.0952
U.S. Postal Service
CERTIFIED MAIL RECEIPT
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IN THE MATTER OF THE : IN THE COURT OF COMMON PLEAS OF
PERSON AND ESTATE OF: CUMBERLAND COUNTY, PENNSYLVANIA
OKBOON MILLEMAN,
AN ALLEGED
INCAP ACIT A TED
PERSON
: NO. 21-01-110 ORPHANS'
(.:.-....
ORPHANS' COURT DIVISION
ORDER OF COURT
AND NOW, this 8IH day of FEBRUARY, 2001, after hearing on the Petition for
Appointment of Emergency Plenary Guardian of the person and estate of Okboon
Milleman, filed by Susan Milleman, we hereby appoint said Susan Milleman temporary
plenary guardian of the person and estate of Okboon Milleman. All parties have agreed
that this order shall remain in full force and effect until we have completed the hearing on
the separate petitions filed by Susan Milleman and Alex Milleman in which each has
requested that he or she be appointed permanent guardian of the person and property of
Okboon Milleman, an alleged incapacitated person. Hearing on said petitions shall be
held before this Court on Friday. March 9. 2001. commencing at 8:30 a.m. in
Courtroom # 5.
Pending further order of court, the temporary plenary guardian, Susan Milleman,
need not post bond. Provided, however, she may not sell, transfer, or encumber any
interest of Okboon Milleman in real estate without the express approval of this Court.
cc: P. Daniel Altland, EsqUir~j' f\~ M. .Lfi'>
Anthony DeLuca, Esquire I I ~
Jason Kutulakis, Esquire . 0 0'\
I \.
Edward E. Guido, J.
IN THE MATTER OF THE
PERSON AND ESTATE OF
OKBOON MILLEMAN,
AN ALLEGED
INCAPACITATED
PERSON
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 21-01-110 ORPHANS'
ORPHANS' COURT DIVISION
ORDER OF COURT
AND NOW, this 9th of March, 2001, by agreement
of all parties involved, we hereby appoint Susan Milleman the
permanent plenary guardian of the person of Okboon Milleman.
Jason Kutulakis, Esquire, is hereby appointed permanent plenary
guardian of the property and estate of the said Okboon Milleman.
The said Jason Kutulakis, Esquire, shall consult with the
plenary guardian of the person in selecting any attorneys to
represent the estate for any purposes whatsoever. Further, the
said permanent plenary guardian of the estate shall not accept
any referral fee from any attorneys hired on behalf of the
estate.
By the Court,
~
Edward E. Guido, J.
cc: P. Daniel Altland, Esquire
Anthony DeLuca, Esquire
Jason Kutulakis, Esquire
srs
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AUTHORITY TO PAY COURT APPOINTED COUNSEL
MAY 0 1 Z001 (fj;J
~
1. COURT ~mon Pleas 2. VOUCHER _
o District Justice o Appellate o Other N~ J5779
3. FOR (D.J.. C.P.. APPELLATE) 4. AT (CITY/STATE) ! 0 BUD~,?! 90D/E I ] }
I - &'"l Jln -..p'"1 -~
6. IN THE CASE OF I1t 7. CHARGE/OFFENSE (PURDON CITATION) 8. 0 PETTY OFFENSE
:F/J PL ~ tUO.........,..J o FELONY 0 MISDEMEANOR
9. PROCEEDINGS (Describe briefly) 11. PERSON REPRESENTED 12. CIVIL DOCKET NO.
~~I.;:> 1 0 Defendanl- Adult
2 0 Defendant. Juvenile
3 0 Appellant 13. CRIMINAL DOCKET NO.
4 0 Appellee O(fh.
5 0 Habeas Petitioner D 1- \ \0
6 0 Material Wotness
7 0 Parolee Charged WoIh Violation
10. PERSON REPRESENTED (Full Name) 8 0 Probationer Charged Wilh Violation 14. APPEALS DOCKET NO.
~ J{{t&~ 9 0 Other.
16. NAME OF ATTORNEY/PAYEE AND
Appl Date MAILING ADDRESS ~)p /6;~.s;.
01<(2 ~r/O
~ ~ 5. \-\a.nt>~ s-\- .~
NAME OF COM~N PLEAS JUDGE ASSIGNED TO CASE S+-e... :;;LDti
Cctl\\Slt PR l'D'~
17 ~Ly~NE No. 18'~~~?u,;:;NNO
-oqC()
CLAIM FOR SERVICES OR EXPENSES
19. SERVICE HOURS OATES AMOUNTS CLAIMED
a. Arraignment and/or Plee Multiply rate per hour times tOlal
b. Preliminary Hearing hours to obtain "In Court" com.
pensation. Enler total below.
e. Motions and Requesta
~ d. Bail Hearing.
a:
::J e. Sentence Hearinga
0
0 I. Trial 1
f:
g. Revocation Hearings l ~U./O' nl
h. Juvenile Hearings \' . /I .'J. \.. V\
.....
i. Appeals Court \1 ^ \IV 'J 19A. TOTAL IN COURT COMPo
~ Other (Specify on additional sheetsl ~ ....-<fI
TOTAL HOURS .. ~, \ ~PERHOUR =$ C(q.5D
20. a Interviews and conlerences Multiply rate per hour times total
b. Obtaining and revi_ing records hours. Enter total "Out 01 Court"
LL~ compensation below.
Oa: e. Legal researCh and briel writing
~::J
::l0 d. Investigative and orher work (Specify on additional sheets) 20A. TOTAL OUT OF COURT
00 J rl1 COMPo
TOTAL HOURS .. 5'.L/ ~ERHOUR "$ ~4-3 .00
21. ITEMIZATION OF REIMBURSABLE EXPENSES AMT. PER ITEM
MileaQe $.25 oer mile x
a:
w
X 21A. TOTAL ITEMIZED EXP.
~
0
-$
22. CERTIFICATION OF ATTORNEY/PAYEE 23. GR~~TAL CLAIMED
Has compensation and/or reimbursement lOt wont In thla cue previously been applied lor? DYES o NO "'$ ~J7 .50
II yes. were you paid? DYES o NO If yes, by whom _re you paid? How much?
Has the person represented paid any money to you. or to your k~dge anyone else. In connection with the matter for 24. DEDUCT. PRIOR PYMTS.
'"".. '00 - ......... to ....... ...~ NO. '"J::t"'l'P:~. ~ ..~ .....b -$
I swear or altirm the truth or correctness t\-l Ii<.-. lor 25. NET AMOUNT CLAIMED
01 the above statements ~ of Attomey~e~ Date -$
26."I'''''OVHII . "'. ~ ~/7{ · , 27.AMT.APPROVED~
FOil Sognature 01 .. S 31 ,. 'ft:
"AV"ENI JudQe .Oate:
.
Copy 1 - Mail to Court Administrator at completion of service
~
Abom & Kutulakis ~PR 2 7 2001
Suite 204
8 South Hanover Street
Carlisle, PA 17013
Ph:(717) 249-0900 Fax:(717) 249-3344
Richard Pierce April 24, 2001
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A
17013
File #: 01-001
Attention: Inv #: 30
RE: In re Okboon Milleman - guardianship
DATE DESCRIPTION HOURS AMOUNT LAWYER
Jan-29-01 Review and analysis of Petition to Appoint 0.30 13.50 JPK
Guardian
Telephone call to Tony Deluca 0.10 4.50 JPK
Telephone call to Bill Daniels 0.20 9.00 JPK
Telephone call to Alice Waldman @Manor 0.20 9.00 JPK
Care
Attend Meeting with Alice Waldman @ 0.40 18.00 JPK
Manor Care
Telephone call to Dr. Brad Wood 0.30 13.50 JPK
Attendance at court - incompetency wi Judge _ 1.10 49.50 JPK
Guido
Feb-07-01 Attendance at court - competency hearing - 1.00 45.00 JPK
Telephone conference wi Judge 0.20 9.00 JPK
Mar-07 -01 Telephone call to Alice Waldman 0.10 4.50 JPK
Telephone call from Dan Altland 0.10 4.50 JPK
Telephone call to Dan Altland 0.20 9.00 JPK
Invoice #: 30 Page 2 April 24, 2001
.,
.
Telephone call from Dr. Wood 0.20 9.00 JPK
Mar-08-0 I Telephone call from Diana O'Neil 0.10 4.50 JPK
Telephone call to Diana O'Neill 0.10 4.50 JPK
Telephone call from Judge Guido 0.10 4.50 JPK
Telephone call from Attorney Deluca 0.10 4.50 JPK
Telephone call from Dan Altland 0.10 4.50 JPK
Telephone call to Attorney Decker 0.10 4.50 JPK
Mar-09-0 1 Attend Meeting in Judge Guido's chambers 0.40 18.00 JAA
Letter to Judge Guido 0.10 4.50 JPK
Letter to Deluca 0.10 4.50 JPK
Letter to Altland 0.10 4.50 JPK
Telephone call from Deluca 0.10 4.50 JPK
Mar-13-01 Telephone call from Diana O'Neill 0.10 4.50 JPK
Telephone call to Diana O'Neill 0.10 4.50 JPK
Mar-14-0 I Telephone call to Susan Milleman 0.10 4.50 JPK
Mar-I 5-0 1 Telephone call to Dan Altland re property 0.10 4.50 JPK
Mar-I 6-0 1 Attend Meeting with Susan Milleman 0.50 22.50 JPK
Mar-20-0l Telephone call from Dana O'Neill 0.10 4.50 JAA
Telephone call from Diane O'Neill 0.10 4.50 JPK
Mar-21-01 Telephone call to Diane O'Neill re discharged 0.20 9.00 JPK
to Swaim Health
Telephone call to Karen Picking re Swain 0.20 9.00 JPK
Health
Invoice #:
30
Page 3
April 24, 2001
..
p
Telephone call from Robin Moore
0.20
7.50
9.00
$337.50
JPK
Totals
Total Fee & Disbursements
$337.50
$337.50
Balance Now Due
TAXIDNumber
25-1877844
./
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
ESTATE OF
OK Boon Milleman, Decedent
: NO. 21-2001-110
Notice of claim by HCR Manor Care
To the Clerk of the Orphans' Court:
ENTER the claim of HCR Manor Care (claimant) in the amount of $6702.80 (Six Thousand
Seven Hundred Two and 801100 Dollars), against the above entitled estate. The Decedent, whose
last known address was 101 Hedgerow Lane, Carlisle, Cumberland County, Pennsylvania 17013,
and who died: April 14, 2001.
~~~
Attorney for Claimant,
HCR Manor Care
267 E. Market Street
York, Pennsylvania 17403
(717) 846-1252
J.D. No. 20617
v
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
/YJ ../ ~ CJ Ie /J ~o A./
Name of Decedent: , / / / //L.r7? /9# D
,
Date of Death: ,447rl ../ / ~ ~t/(} /
t/ ,
Will No.
Admin. No.
~/o/ - 0//0
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the (?'!phans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on &}-/ ;$ --r?/ :
Name
Address
s-(/-L9~- IJJ" ~d~~",
/?o. 8cX?7-S2 ~
07k-AGs.C~FV r'}/ ~ r L 3 2..2--2- G.
.
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
/)e/V..e
Date:
7-/3-0/
~ /D-??~
Signature
Name hi S; ~~;;V-/G~S
.~~
Address / ?v' ~ ~:iL. 5Y. _r/A-.
C-/fd'/f~p7/j- /r&/3
Telephone tl/f-- ~3-3F3 /
Capacity: _ Personal Representative
~: for personal representative
vo)
,
STATUS REPORT UNDER RULE 6.12
Date of Death:
0/< ~~
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/J; /~ ~~,.J
~/
Admin. No. J2../t/ I - c:/ //0
Name of Decedent:
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 administration of the estate is complete:
Yes No V
2. If the answer is No, state when the personal
representative ~easonably believes that the administration will be
complete: ~ /:~I ~'S
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 attache ~o this report.
Da te: , C - / 2 - 03
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Signat.ure
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Name (Please type or print)
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Address
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Tel. No.
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Capacity:
Personal Representative
Counsel for personal
representative
(MAH:rmf/AM3)
JRD/June 30, 1992/17858
MAY 06 Z003~
-,
Estate No.: 21-2001-0110
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
In Re: Estate of Ok Boon Milleman
Late of South Middleton Township
NO. 21-2001-0110
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative:
Counsel for Personal Representative: William S. Daniels, Esquire
Date of Decedent's Death: 04-14-2001
Date of Delinquency Notice: 3-10-2003
The undersigned, Donna M. Otto, Register of Wills, in accordance with Rule 6.12,
Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court
Orphans' Court Rules, was given by the Register of Wills on 03-10,2003 and that the ten (10)
day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the
Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a
hearing to determine whether sanctions should be imposed upon the delinquent personal
representative or counsel for the delinquent personal representative.
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
Date: 05-05-2003
&-/3.-1)3 q :3dA,/'Jl,
A hearing is scheduled for at in Courtroom No.3.
prior to the hearing date, the hearing will automatically be canc
If the Status Report is filed
d.
~~~
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Cumberland County - Register Of
Hanover and High Street
Carlisle, PA 17013
Phone: (717) 240-6345
Wills
,.......,;
~~\O}
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Date: 3/10/2003
SUESAN M MILLEMAN
101 HEDGEROW LANE
CARLISLE, PA 17013
RE: Estate of MILLEMAN OK BOON
File Number: 2001-00110
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: 4/14/2003
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
cc:
j File
Counsel
Judge
JRD/June 30, 1992/17858
~
MAY 0 6 Z003~
In Re: Estate of Ok Boon Milleman
Late of South Middleton Township
Estate No.: 21-2001-0110
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 21-2001-0110
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative:
Counsel for Personal Representative: William S. Daniels, Esquire
Date of Decedent's Death: 04-14-2001
Date of Delinquency Notice: 3-10-2003
The undersigned, Donna M. Otto, Register of Wills, in accordance with Rule 6.12,
Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of
Common Pleas of Cumberland County, that neither the above named personal representative nor
the above named counsel for the personal representative have filed with the Register of Wills or
Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court
Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court
Orphans' Court Rules, was given by the Register of Wills on 03-10,2003 and that the ten (10)
day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the
Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a
hearing to determine whether sanctions should be imposed upon the delinquent personal
representative or counsel for the delinquent personal representative.
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
Date: 05-05-2003
&-/3.-1)3 q :3()A,l)l.
A hearing is scheduled for at in Courtroom No.3.
prior to the hearing date, the hearing will automatically be canc
If the Status Report is filed
d.
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r
SENDER: COMPLETE THIS SECT/ON
. Complet~ items 1, 2, and 3. Also complete
item 4 if.Restricted Delivery is desired.
II Print your name and address on the reverse
so that we can return the card to you.
. Attach this card to the back of the mailpiece,
or on the front if space permits.
cQ/-a/-lIo
D. Is delivery address different from item 1?
If YES. enter delivery address below:
3. Se~ Type
l!3"'Certified Mail
D Registered
D Insured Mail
D Express Mail
D Return Receipt for Merchandise
DC.O.D.
4. Restricted Delivery? (Extra Fee)
!0l!~510_009~~b2 2023
2. Article Number
(T rans'er from service label)
PS Form 3811, August 2001
DYes
Domestic Return Receipt 102595-02-M-0835
U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Domf!stlc (VIail Only; No Insurance Coverage Provided)
)
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ru
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Postage $
Certified Fee
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Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Postmark
Here
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..-=t Total Postage & Fees $
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ru Sent To
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Cumberland County - Register of Wills
One Courthouse Square, Room 102
Carlisle,PA 17013
Phone: (717) 240-6345
Date: 3/0312005
William S. Daniels, Esquire
1 West High Street
Carlisle, P A 17013
RE: Estate of Milleman Ok Boon
File Number: 21-01-0110
Dear sirIMadam:
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 AMMENDMENTS 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: 04/1412005
Your prompt attention to this matter will be appreciated.
Thank you.
r~~
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
cc: File
Judge
J
Register of Wills of Cumberland County
Name of Decedent:
STATUS REPORT UNDER RULE 6.12
47//~/?7/9r1J . C/Yc ~#
/
Date of Death:
Estate No.:
~o/ -0//0
-
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 m
2. If the answer is No, state when the personal representative reasona!y'y l>elieve~hat
the administration will be complete: J OVA/ ~
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 Orp s; urt and may be
attached to this report.
..-
Date: .f --/1'-- O?
20 ~..--] "1..1
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Signature
~S J#J-p\/?ed-
Name
Cr/, /~;;~S7-J S~, ::e~
C~4';t) p/j-/'fC!fJ
j:J/:}-- 7~;J-3~/
Telephone No.
/
Address
Capacity: 0 Personal Representative
~Counsel for personal representative
vuP
;)I~C'\-CI(D
__MOM cST
KUTULAKIS
..
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ATIORNEYS AT LAW
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21
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September 27,2005
Glenda Farner-Strasbaugh
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
Re: Oakboom MiIleman
Our File No.: 01-001
Dear Glenda:
I was recendy contacted by Ms. Milleman's attorney who appears to be handling her
estate, Bill Daniels, Esquire regarding fees generated by my office to represent her in the
capacity of Guardian ad Litem back in 2001. Those fees generated and billed were $337.50.
Mr. Daniels indicates that you have records within your office indicating that that bill
remains outstanding to my office. My fiscal records indicate that the amount of $337.50 ha
been paid and satisfied to my office. Kindly have your records reflect that this matter has
been paid and satisfied to my office.
If I need to take any further action, please do not hesitate to contact me upon recei
of this correspondence.
Very truly yours,
ABOM & KUTULAKIS, L.L.P.
Y)M e ~MtV~
Jason P. Kutulakis ~ ~
JPK/ ejf
Cc: Bill Daniels, Esquire
REPLY To:
36 SOUTH HANOVER STREET
CARLISLE, PA 17013
(717) 249-0900
(717) 249-3344
1 06 WALNUT STREET
HAluus URG. PA 17101
717) 232-9511
40 NORTH SECOND STREET
CHAMllERSllURG, PA 17201
\>- (717) 267-0900
REV.150U EX,:6.0{)!
REV-1500
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPl 280601
HARRISBURG, PA 17128-0601
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
/'1/} ! !... L e II} 0 / /! 0 Ie:., (36v ..)
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM.DD-YEAR)
,It;;,;: I i... i ~ 2,.:/-'# I f)L.<-. * .2... 0, 19 '3 -:+
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
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~ 1, Original Return
o 4, Limited Estate
IZJ 6, Decedent Died Testate [Atlach copy 01 W,II)
o 9, Litigation Proceeds Received
o 2, Supplemental Return
o 4a" Future Interest Compromise {date of death after 12.12.82)
o 7, Decedent Maintained a Living Trust (Artach copy 01 Trust)
o 10, Spousal Poverty Credit (date 01 dealh belweeo 12-31-91 and 1-1-951
r,JF;'::CiAL USE (}NLY
--.".~.__._.__._-_._,-,-_._..
FILE NUMBER
h1.-3L
COUNTY CODE YEAR
~ a I 10
NUMBER
SOCIAL SECURITY NUMBER
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THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
D 3. Remainder Return (dale af death prior 10 12-13-82)
D 5. Federal Estate Tax Return Required
8, Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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COMPLETE MAILING ADDRESS
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TELEPHONE NUMBER
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
/ / 2,3?;;0. 00
3. Closely Held Corporation, Partnership or Sole.Proprietorship
4. Mortgages & Noles Receivable (Schedule D)
(1)
(2)
(3)
(4)
(5)
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OFFiCIAL USE ONLY
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(12)
(13)
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5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
o Separate Billing Requested
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)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 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)
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SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(l.2)
x .0_ (15)
.0 t-j&(16)
16. Amount of Line 14 taxable at lineal rate
/ .2 8, -75" ~~.~~ :;
17. Amount of Line 14 taxable at Sibling rate
x12 (17)
x .15 (18)
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.
~ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
>:> BE SURE TO AN$WE~AU,',
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Decedent's Complete Address:
STREET ADDRESS _ /1 /' ~
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CITY
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Tax Payments and Credits:
1 Tax Due (Page 1 Line 19)
2 Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
287-S,..00
I ~/, :5 2-
(2)
Total Credits ( A + B + C )
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty ( 0 + 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)
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~ ~-: )6
~) 0:<6, '3 2-
If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
5
(5)
(SA)
(5B)
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
?, I ~S8/ 83
6/4, i-9
.~, A 73. Co.2
1. Did decedent make a transfer and: Yes
a. retain' the use, or inccme of the property transferred;.......................................................................................... 0
b. retain the right to designate who shall use the property transferred or its inccme; ............................................ 0
c retain a reversionary interest; or......................................................................................................................... 0
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate ccnsideration? . ........................................... ....................... ..... ....... ................ ............... 0
3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death? .............. 0
4. Did decedent own an Individual Retirement Acccunt, annuity, or other non-probate property which
contains a beneficiary designation? ..... ............ ...................................................... ............................ ..................... 0
PLEASE ANSWER THE.~OLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
No
~
[RJ
[61
~
~
o
~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of pe~ury, 1 dedare that! have examined this retun1, including accompanying schedules and statements, and to the best of my knowledge and beHef, it is true, correct and complete
Declaration of preparer other than the persona! representative is based on all informatIon of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETUR~ /
S'C-<~'"9"" """7 . 0/ / / .L "?1 "'9,J
ADDRESS , ;;,
'c=
,,",// EL-J
eN, HI/:(':S" -r, / V..L / ?&~ J C/r)ac/,) te/
Ofi:;.C....kS t:"'ov 'v> / ~
/
DATE
rL ~2209
DATE./v .
". /C'--.Cj__
ADDRESS --L.
/:)4
/7-013
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) (11) (i)).
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)).
The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even ~
the surviving spouse is the only benefiCiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 PS. ~9116(a)(1.2)J.
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. ~9116(1.2) [72 P.S. ~9116(a)(1 )J.
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has alleast one parent in common with the decedent, whether by blood or adoption.
LAST WILL AND TESTAMENT
OF
!~
OK BOON MILLEMAN
I, OK BOON
Commonwealth of
TESTAMENT and I
me.
MILLEMAN, Social Security Number 230-82-4538, of the
Pennsylvania, declare that this is my LAST WILL AND
revoke all other wills and codicils previously made by
FIRST: I appoint my daughter, SUESAN M. MILLEMAN as my Personal
Representative concerning this Will.
a. I request that my Personal Representative be permitted to
serve without bond o~ surety thereon and without the intervention of
any court, except as" required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
( my Personal Representative is unable or does not desire to qualify as
ancillary legal representative, I appoint as such ancillary legal
representative such individual or corporation as my Personal
Representative shall designate, in writing.
b. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
in life and custom of living (including a suitable monument or marker
for my grave), and written charitable pledges which I have made. I
grant my Personal Representative the power to extend or renew any debt
for such time as my Personal Representative shall deem appropriate.
c. All estate, inheritance, succession and other death taxes
with respect to all property passing under this my Will shall be paid
from and borne by t~? principal of my residuary estate, without regard
to reimbursement, as if such taxes were administration expenses. My
Personal Representative may pay such taxes at any time deemed
advisable, whether or not then due and payable.
~;
d. My Personal Representative is requested to settle my
estate as soon after. my death as may be practicable, and to payor
deliver every legacy, or bequest to my beneficiaries without waiting any
time that may be bel~eved to be customary in probate matters.
~
tJ/( ~t--77/j~ ..~
PAGE 1
OF 5 PAGES
-cv
Wf/
/
~
ii,
I
e. I may leave a letter of intent with the executed copy of
this Will for the purpose of giving guidance to my Personal
Representative concerning the distribution or sale of certain items of
my property. I request, but do not require, that my Personal
Representative hono~ my wishes therein expressed.
SECOND: I give, devise and bequeath, absolutely and forever, all
of my estate and property of which I may be seized or possessed, or to
which I may be entitled, at the time of my death, wherever situated or
of whatever nature, be it real, personal, or mixed, to my daughter,
SUESAN M. MILLEMAN, as her sole and absolute property if she shall
survive me.
THIRD: In the event that my daughter, SUESAN M. MILLEMAN shall not
survive me, I give, ~evise and bequeath, absolutely and forever, all of
my estate and property of which I may be seized or possessed, or to
which I may be entitled, at the time of my death, wherever situated or
of whatever nature, be it real, personal, or mixed, as follows:
i
f
a. I give all of the tangible personal property owned by me
at the time of my death (except cash), including, without limitation,
personal effects, household goods, clothing, jewelry, furniture,
furnishings, automobiles and other vehicles, together with all
insurance policies relating thereto, to my grandson, ROBERT CARTER as
his sole and absolute property if he shall survive me.
b. If my grandson, ROBERT CARTER is under the age of Thirty
(30) years (hereinafter referred to as the "age of distribution"), then
I give the rest, residue, and remainder of my estate and property to my
Trustee, hereinafter named, IN TRUST, to hold and manage for my
grandson, ROBERT CARTER in accordance with the provisions of the next
paragraph of this document. If my grandson, ROBERT CARTER has reached
the age of distribut~on at the time of distribution of my estate, the
rest, residue, and remainder of my estate and property shall be
distributed to my grandson, ROBERT CARTER as his sole and absolute
property if he shall; survive me.
FOURTH: I nominate and appoint my son, ALEXANDER L. MILLEMAN as my
Trustee. I request that my Trustee be permitted to serve without bond
or surety thereon and without the intervention of any court, except as
required by law. My Trustee shall hold the property to be administered
under this Paragraph for the following uses and purposes:
a. The Trust property shall be held by my Trustee to manage,
invest, and reinvest the principal and collect and accumulate the
income for my grandspn, ROBERT CARTER.
.
0/( ~~~~OF
I
PAGE 2
5 PAGES
-B!J
~.
(J
~
b. My Trustee, in my Trustee's discretion, is authorized at
any time or from time to time, to pay over to or expend on behalf of my
grandson, ROBERT CARTER all or any part of the principal of such trust
for his care, support~ maintenance and general welfare, in keeping with
the standard of living. that has been enjoyed by him, or for his
education, or in the event of accident, extended illness or other
emergency, or to assist such beneficiary to go into a business or
profession.
c.
distribution,
principal and
trusteeship.
When my grandson, ROBERT CARTER reaches the age of
I direct my Trustee to pay over to him the balance
any accumulated income and be discharged from said
of the
d. In the event that my grandson, ROBERT CARTER should fail
to attain the age of distribution, the property being held in Trust
shall be paid over and distributed to his heirs pursuant to statutes of
descent and distribution in effect at the time of his death in his
state of domicile.
e. The beneficiary of this Trust shall not have the power to
anticipate, alienate,or encumber either the income or principal
thereof. No disposition, charge or encumbrance of such income or
principal by way of anticipation shall be of any legal effect or be
recognized by my Trustee. No such income or principal or any part
thereof shall in any way be subjected to any legal or equitable claim
of any creditors of ariy of my legatees.
:f-
f. If, in the opinion of my Trustee, any trust created
hereby shall at any time be of a size which, in the discretion of my
Trustee, shall make it inadvisable or uneconomic or unnecessary to
continue such trust, then anytning contained in this will to the
contrary notwithstanding, my said Trustee, may pay over and distribute
the entire principal of such trust to the beneficiary outright and free
of trust.
FIFTH: If there is a complete failure of takers under the
preceding paragraphs, the property undisposed of shall go to my heirs
determined at the time of my death, pursuant to the Statutes of Descent
and Distribution in effect, in the state of my domicile, at the time of
my death.
SIXTH: Except as otherwise provided in this Will, I have
intentionally failed to provide for any other relatives or other
persons, whether clai~ing to be an heir of mine or not. Insofar as I
have failed to provide in this Will for any of my issue now living or
later born or adopted, such failure is intentional and not occasioned
~ by accident or mistake.
,
. J . / PAGE 3
()/~ ,A-rrh-x ~J.ulZ-h<..r. ~ )OF 5 PAGES
-&1
rwI-
~
SEVENTH: Any beneficiary who fails to survive until thirty (30)
days after my death shall be deemed to have predeceased me, and the
gift to that beneficiary shall be disposed of accordingly.
,:'
EIGHTH: The term, "Personal Representative" as used in this Will
means Executor, Executrix, Independent Executor, or any other title of
like import which is used to describe such a fiduciary.
NINTH: In addition to any powers granted by the laws of the state
in which this Will is probated, I hereby authorize and empower the
fiduciaries named in this Will, to the extent of the discretion herein
granted, to sell, exchange, convey, transfer, assign, mortgage, pledge,
lease or rent the whole or any part of my real or personal estate, to
invest, reinvest, or retain investments of my estate, to perform all
acts and to execute all documents which my fiduciaries may deem
necessary or proper in regard to my property. If any of my fiduciaries
elect to receive compensation for services, such compensation will be
that allowed by law.
TENTH: If any part of this will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, so far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of carrying out as nearly as may be
possible the intention of this will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania,
this 10th day of May, 1995, set my hand and seal to this my LAST WILL
AND TESTAMENT, consisting of 5 typewritten pages, each page bearing my
handwritten signature.
0;( (6tJ~ /?n,~__ j
OK BOON MILLEMAN ~
(SEAL)
, ~~
~
oJ!
PAGE 4
~~~/"t~.;t..3F 5 PAGES
I
i
eJJ-fdl-;9ft-
if'
"
The foregoing instrument was, at Carlisle Barracks, Pennsylvania,
this lOth day of May, 1995, signed, sealed, published and declared by
OK BOON MILLEMAN, the testatrix, to be her LAST WILL AND TESTAMENT in
the presence of all of-,us at one time, and at the same time we, at her
request and in her presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses, and we do so
verily believe that the said testatrix is of sound and disposing mind
and memory at the date hereof.
c3d-~ Jj~~/,
OF {'adJ 1.<. p7/l-
I .
~ L;!d2f
/
OF C;;~ ,/'1'-1 170/?:,
/7013
,.0.'
Ol( ~'m~
PAGE 5
5 PAGES
jkll4
~MI4
171J/}
OF
z2L $- -jl1_
~'
".-........0 ..
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ACKNOWLEDGMENT
I, OK BOON MILLEMAN, testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified according
to law, do hereby ackndwledge that I signed and executed the instrument
as my Last Will; that I signed it willingly; and that I signed it as my
free and voluntary act for the purposes therein expressed.
~
'.
0/) ~/l1~)
OK BOO MILLEMAN
(SEAL)
.
.,
.
AFFIDAVIT
We, esk,< @-G'"Df2"e:: ':JACl(u L !t''lSKLLC , and
Jo~" M\\ \p/" , the witnesses, sign our names to this
instrument, being duly qualified according to law, do depose and say
that we were present and saw the testatrix sign and execute the
instrument as her Last Will; that the testatrix signed willingly and
executed it as her free and voluntary act for the purposes therein
expressed; that each s~bscribing witness in the hearing and sight of
the testatrix signed the will as a witness; and that to the best of our
knowledge the testatrix was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
'-8-" ~~I_ ~~~~ C t~;{JjJ ~
Witness WItness Witnfss
Subscribed, sworn to and acknowledged before me by OK BOON
MILLEMAN, the testatrix, and subscribed and sworn to before me by
€skrt. ~J2.'G
~t\~" t--(\\\~(
ThKZC- t, ;1vq(,''<':'LL
, and
, the witnesses, this 10th day of May, 1995.
j'~
-.' ~:, . ~J
esy: NOT' PU IC
My Commission E
,
t
Not;;;rial Seal
Kim C, Guyer, No:ary Public
Carlisle Boro, Cumberland County
My Commission Expires Nov. 10, 1997
r,.1 'r;l:~~'~r, Pennsylv:"J.niuAssociatian of Notali8S
REV.1502 EX+ (12.85) '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF . .
_ /V1JL!c/J?/;)//
SCHEDULE A
REAL ESTATE
0/<
.....,
b c?v /j
FILE NUMBER
//0/
__7// (:J
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All real estate should be reported at fair market value
which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled
to buy or sell, both having reasonable knowledge of the relevant facts.
ITEM
NUMBER
Kcc r ,". .t:: . . ~Jf~ "
, - ~ . / / .,' / I .l / , " \
',' - I....;'" ___ __
-1'/ '" <," / /:0. .-.,.1 ~. . ,-
t/C L~'-7 __ Co," ,- ,r"" " ,,____..."
VALUE AT DATE
_ OF DEATH
>4'/ /2, S-~d_ 0:)
DESCRIPTION
L
/ ?C/P--.rc.C' //,S..-:-",-<. .,..~., ~ 0' "'CO'. 'v/.<... ..:.~" I
--- . _ /..:" ~h-.-,p;-/,p.n cr.,' C"?'~"I 7", !
/(;o-?-..../...;,.,.~//'/ (" , I
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TOTAL (Also enter on line 1, Recapitulation)
(If more space is needed, insert additional sheets of same size.)
S .//,2 J....>f~/~;i!
._-~- OMS . 2502-0265 i"1"
A. B. TYPE OF lOAN:
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT ,.oFHA 2.0 FmHA 3. OOCONV. UN INS. 4.oVA 5.0CONV. INS.
6. FILE NUMBER: 17. LOAN NUMBER:
SETTLEMENT STATEMENT 2334.2 144517
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is furnished to give you a stat9ment of actual settlement costs. Amounts paid 10 and by the settlement agent BN} shown.
Items marked -(POC)" were paid outside the closing; they Bro shown hare for informational purposes and are not included in the totals.
" ,.... (2334.2STITZEL PFOaJ34.215)
O. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER
Rita L. Stitzel The Estate of Ok 800n Milleman Gateway Funding Diversified
101 Hedge Row Lane 101 Hedge Row Lane Mortgage Services. LP
Carlisle, PA 17013 Carlisle, PA 17013 500 Office Center Drive. Suite 325
Fort Washington, PA 19034
-,.,,,'...
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1736654 I. SETTLEMENT DATE:
101 Hedge Row Lane Law Office of Michael J. Hanft
Carlisle. PA 17013 August 29, 2001
Cumberland County, Pennsylvania PLACE OF SETTLEMENT
19 Brookwood Avenue, Suite 106
Carli.le, PA 17013-9'42
J. SUMMARY OF BORROWER'S TRANSACTION . K. SUMMARY OF SELLER'S TRANSACTION
, 00. GROSS AMOUNT DUE FROM BORROWER: 400, GROSS AMOUNT DUE TO SELLER:
101. Contract Sales Price 1 '2.500.00 401. Contract Sales Prlce , 12,500.00
102. Personal F'rooertv 402. Personal P..ooertv
103. SettJement Charces 10 Borrower lLlne 1400) 4,870.00 403.
104. 404.
105. 405.
Adlustmenl& For Items Paid Bv Seller In advance Adlustm8n'~ For Items Paid Bv Seller In advance
106. CountvlTwTaxes 08129/0' to 12/31101 82.78 406. CountvfTw Taxes 08129/01 10 12131/01 82.78
107. School Taxes 08129/01 to 06/30/02 , ,077.72 407. School Taxes 0812910' 10 06/30/02 1.077.72
108. Assessments 10 408. Assessments to
109. 409.
110. 410.
1'1. 41'.
1 '2. 412.
120. ~ROSSAMOUNTDUEFROMBORROWER 118,530.50 420. GROSS AMOUNT DUE TO SELLER , 13,660.50
200, AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deonsll or eamest monev 1,000.00 501. Excess Oeoes/iTSee Instructionif T
202. Prine/oal Amount of New Loan(s) 111,550.00 502. Settlement Charnes 10 Seller (Une 1400\ I 9.448 82
203. Existina loanis) taken subiecllo 503. Exlsllna 10ai17Sftaken subiect to
204, 504. Payoff of first Mortgage
205. 505. Pavnf( of second Morta,Eme
206. 506.
207. 507. tDenosit disb. as nroceedsl
208. 508.
209. 509.
Ad;ustments For Items Unfjsid BV Seller AdJUstments For Items UnDald Bv Seller
2'0. CountvlTwn Taxes to 510. Counlvrrwo Taxe. 10
211. School Taxes to 5". SchoolTaxe. to
212. Assessments to 512. Assessments 10
2'3. 513.
214. 514.
2'5. 515.
216. 5'6.
217. 5'7.
2'8. 5'8,
219. 5'9.
220. TOTAL PAID BY/FOR BORROWER , 12,550.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 9,448.82
300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
30'. Gross Amount Due From Borrower (Line 120\ , 18,530.50 601. Gross Amount Due To Seller (Line 420 113,660.50
302, Less Amount Paid By/For Borrower (Une 220) ( 1 '2,550.00 602. Less Reductions Due Seller (Line 520) ( 9,448.82
303. CASH ( X FROM) ( TO) BORROWER 5.980.50 603. CASH ( X TO) ( FROM) SELLER 104.211.68
~5~
~
A-.
The undersigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein.
Bo~wer ~, dlljd ,
Rita . SUtze "
Seller
The Estate of Ok 800n MilIeman
BY ;:;;:;:/~~ ~~
~
L. SETTLEMENT CHARGES
700. TOTAL COMMISSION B.U8d on"Prlce $ 112,50000 "" 6,0000 % 6,750.00 P-'lO FROM PAID FROM
Division of Commission line 7001 as Follows: BORROWER'S SELLER'S
701:S6,750,OO 10 Ebener & Associates FUNDS AT FUNDS",T
702, $ to SETTLEMENT SETTLEMENT
703. Commission Paid at Settlement 6,750001
704. to
800, ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan OriainaUon Fee % 10
802. Loan Discount % to
803 Appraisal Fee 10 Arman Leo 275.00
804. Credit Repon 10 Credit Lenders 12.00
805. Flood Cert Fee to Gateway Funding Diversified Mortgage Services, LP 25.00
806 Underwritino Fee to Gatewav Fundino Diversified Mortoaae Services, LP 75.00
807. Tax SeNiee Fee 10 American Realty Tax Service 75.00
80a. Commitment Fee to Gateway Funding Diversified Mortgage SeNiees, LP 75.00
809 FHA MIP Premium to Gateway Funding Diversified Mortgage Services, LP 1.64925
610,
811.
900, ITEMS REQUIRED BY LENDER TO BE PAlO IN ADVANCE
901. Inlerest From 08/29/0 I to 08/31/01 @ $ 29.540000/day ( 3 days %) 86.64
902. Mort a e Insurance Premium for months to
903. Hazard Insurance Premium for 1.0 VP8rs 10
904.
905.
1000, RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance 3.000 months $ 29.16 ner month 8750
1002. Mortoane Insurance months $ oer month
1003. CounrvrrWCTaxes 7,000 months S 19.73 o'er month 136.17
1004. School Taxes 3.000 months $ 107.120er month 321.38
1005. Assessments . months @ $ per month
1006. months@ $ oer month
1007. months fti) .f. ner month
1008. AMrenate Ad'ustmenl months --.. $ osr month -78.94
1100, TITLE CHARGES
1101. Abstract or nUe Search to
1102, Settlement or Closinn Fee 10
1103. Document Preoaration to William Daniels. Esnuire POC
1104. Attomev's Fee to
1105. NOlarY Fee to Nets'N Public 5,00
1106. DRS Lien Searches 10
1107. Title Binder Fee to
finc/ude$ above item numbers:
1108, riUs Insurance to CTIC/Law Office of Michael J. Hanft 652.00
(includes above item numbers: )
1109. Lender's Coverage $ 111.550,00
1110. Owner's Coverage S 112,500,00
1111. Endorsements 100/300/8.1 10 CTIC/Law Office of Michael J. Hanft 150,00
1112. Insured Closing Letter to Conestoga Title Insurance Company 35,00
1113,
1200, GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 25.50; Mortgage $ 35.50; Releases $ 61.00
1202. Citv/Countv Tax/Stamos: Deed 1,125.00' Mortcaae 1.12500
1203. State Ta)(/Stam s: Revenue Stamos 1,125.00; Morlnane 1.12500
1204. Mort aoe Assicnmenl to Cumberland Countv Recorder of Deeds 14.00
1205.
1300, ADDITIONAL SETTLEMENT CHARGES
1301. Survey to
1302. Pest Insoection to AU American Termite & Pest 35.00
1303. Final Water/Sewer to S. M. T, M. A. Acct# 019089 56.30
1304. 2001-02 School Taxes 10 Robert C. Cairns. Tax Collector 1,285.52
1305. Repair Garage Door 10 Scott Jarusewski 80,00
1400. TOTAL SETTLEMENT CHARGESlEnter on lines 103, SectIon J and 502, Section K 4,870.00 9.448.82
.,......,..... I ~ .....,._,... _",n... ""'n""''''.~.~I~. '~..'""ropyo,..,.2 "." ...",.. '.7 ~--P~ 11 j
l~7errffice of Michael J. Ha"'ft
Set ement Agent
-"y""
Certified to be a true copy.
l23342/2:\3.04.2/5 )
Rev-l508EX+(1.97)
ESTATE OF
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
~ I) /,9'n~. /1
/ ~ '--''--"' I I /' ./, J' I
,
-7'._'__ r7,~........ r
../1...... (~-~.,
FILE NUMBER
.'} //'L..':J
~ / .../'" - ----- L.....___
Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
,2"
31
1r
0~J
t,
1.
8)
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DESCRIPTION
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.. '52 ;'/'" --- -; .?", -<. '"
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;1 h:..,Z...;:f/ o:V
Sl' f-1 rz r,4'r/-,.., //7c..-;lh /J / /"'''''-/0
I '9 9 8 /7'~ ,-. c/.,.; h.> S'
C1-;/;{ ~;C':v I
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",':-; .//"
----:.,/
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I / /' / "
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(/V" I ,'- "-_ r __ _ )
r~I'~"'."
(ir
/
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Z .".,/';"-. Cc. 0
TOTAL (Also enter on line 5, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
4^2Q
~. ~ ,,/ ~
i~07;' ';-L
&67:l. c/O
~ O/G,Oc,'
2..2..., ~
8'::;, / ..s
,;2?/ / ~
,,;z/~~ CG;
/3 c;c;9; cP8
)
~
~CO. oC
,sa.GS
3002<7" 2...7-
~ c.. 2? J ) 1-
.....J ., J.j ,_.~....,
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/,1 /" ---'
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.~:>- ...-;.-
/-
$lO~ 3~rJ, j'E
I( 7''7'72, 58-
Total Banking Statement
'NC Bank
o PNCBAN<
-'~"-"-'''-''-~~-' '-"~''''-''''''''''-
Primary account number: 50-8047-0493
Page 1 of 2
For the period 04114/2001 to 05/1412001
_...------~-"'~.~-_.,.._.-.',.-----_.~
Number of enclosures: 1
B
OK BOON MILLEMAN
101 HEDGE ROW LN
CARLISLE PA 17013-4329
!t For 24-hour customer service or
current rates: Call 1-888-PNC-BANK
~ Write to: Customer Service
PO Box 609
Pittsburgh PA 15230-9738
g Visit us at www.pncbank.com
~
~ TDD terminal: 1-800-531-1648
For he:.lf1Jl15 mlp3in~d dient$ 001\
'elation.hip Overview
lank Deposit Accounts
lescri pti on
-
Account Number
~/
Deposit Balance
Ill..,.,-,t Checking
,"'ings
'olal Deposits
50-8017,049:~
50-8035-5719
.00
.00
.00
luy A New Car Or Take A Dream Vacation
t's possihle \\;th a Home Equiry Installment Loan or Line of Credit from PNC Bank. Olll" great .'ates are j\lSr aboU! all you need
f) huy a new car or take a dream ,-acation. And you ha,-e the ability to borro\\" up to 100% of your home's equity. With home
quity 10allS frol11 PNC Bank. the illlnest may be tax deductible (consult your tax ad';sor). Plus, havc your payment autonnlic.-.lly
ledueled from ejlhel' a Premium PlalH" or Choice PlatH checking .-.CC0I1I11 and save an a.lditional 1/2% on your installment loan's
lreadv low interestl'ate, "'c may e,'en be able to offer alternative loan programs 10 satisfy your bill consolidation needs. Stop
'r. call 1-888-PNC-BANK or ,'isit www.pncbank.comlo apply tuda~'.
nterest Checking Account Summary
,ccount number: 50-8047-0493 Account Link @ number: 0230824538
Ok Boon Milleman
lalance Summary
Beginning
balance
~~,t):!i).17
Deposits and
other addition 5
1.4:10.05
Checks and other
deductions
5,058.22
Endi ng
balance
.00
Please see the Activity Detail section for
additional information.
Average monthly
balance
Charges
and fees
2,798.13
.00
'ransaction Summary
Checks paidl Bank card/POS Account Information Teller
withdrawals transactions assistance calls transactions
0 0 0
Total ATM PNC Bank MAC Other MAC ATM Other A TM
transactions ATM transactions transactions transactions
0 0 0 0
nterest Summary
Annual Percentage Number of days Average colll!cted Interest Earned
Yield Earned (APYE) in interest period balance for APYE thi 5 period
0.45% 18 4."'5.17 1.05
As of 05/14, a total of $3.20 in interest was
earned this year.
rota). Banking Statement
r1" For 24-hollr customer service:
Call: 1-888-PNC-BANK
Account numher: 50-81147.fl493 - continued
For the period 04l'4/~,"Et;-J.~4~AN<
OK BOON MILLE MAN
Primary account number: 50-8047-0493
Page 2 of 2
Ilctivity Detail
)eposits and Other Additions
There were 2 Deposits and Other Additions
totaling $1.430.05.
late
Amount - Description
I. -I~tl.OO Deposit Refelenre No.
X05 Intelest Pannen!
I
I
O~ 1-I15~S7 (>. /
I' 17
J,"l 'O~
l-:lle
Amount
Description
Outstanding Item Clme
Dehit :\lcmo Refen?nl'e 1'>0. O~iJS75iHS
There were 2 Other Deductions totaling
$5.058.22.
)ther Deductions
I.-~ f):!
1,-) 02
.00
5,058.:!2
)aily Balance Detail
I=)t-= Balance
'I 11 :\,G~iJ.17
Date
04'Ii
Balance
5,05i.li
Date
!l5.0:?
Balance
.00
)iscover an Extra Day in Your Year
,;1\'1' '2 hours a month pa~ing, receiling amI organizing hills with Web Bill Payment. That's a new day el'e.>ry year. Try it fre.>e.> for 3
IIOllth.s*.
'\")111 te.>1ephonl' seryice or ISP may charge.> you to COIlIle.>Ct.
!tavings Account Summary
'''collnt number: 50-8035-5719 Account Link ill number: 0230824538
...-------,
lalance Summary
Ok Boon Milleman
-I,-I~IOS
Ending
balance
.00
Please see the Activity Detail section for
additional information.
Beginning
balance
-I,-II,'l.9:1
Deposits and
other additions
~'"
Checks and other
detjuctions
~.--/"
'------
Average monthly
balance
2,jG5.8:~
Charges
and fees
.00
',,--
--"
nterest Summary
Annual Percentage
Yield Earned (APYE)
0.99%
Number of days
in interest period
Average collected
balance for APYE
IS
-I.-IIS9:~
Interest Earned
thi 5 period
2.15
'ctivity Detail
Jeposits and Other Additions
'ate
Amount Description
2.15 Interest Pannent
There was 1 Deposit or Other Addition
totaling $2.15. /
/v.;;r d.L-;;z
I~), '02
Jther Deductions
late
I:) 02
1':;'()2
Amount
Description
Outstanding hem Close
Debit :\Ienw Referellce 1'>0. 028Si5S-li
There were 2 Other Deductions totaling
$4.421.08.
.00
-l,-I~U)iJ
Jaily Balance Detail /
late Balance /
'VII 'UI,~.9:~ .
Date
(n.'o~
Balance
.00
Certificate of Deposit
Account Verification
PNC Bank. National Association
Certificate Number
OK BOON MILLEMAN
101 HEDGE ROW LN
CARLISLE PA 170134329 Renewal Type
Aut
Product Description
For Information. Call
PNClBANK
Reference Number
Term
Int paid by: Transfer to Account 5080355719
, ,
n '/
I/Y
C
,/
r', ___ /'
'- /,- ;.
y/
FORM112991-0297
Please see reverse side for Account Agreement
Interest Rate
6.081%
Effective Until
Mav 5. 2001
-_.- ----,,~.,..-......,....;.--,-
CPA
Member FDIC
FINAL SETTLEMENT
Date
6/~~1c /
( I I
OWNER
Address
Date of Sale
Sale Location
Auctioneer
Clerk
Cashier
Other
PROCEEDS OF SALE:
Cash ~n-----mn-___h_n___mhU_m____nu_n
$ /: 3yt-"~,:(6
:~ IYll~~
'-7(..;T ';(,5.~);/
c:<-p 41 5(<...
Checks _h__un_uunm__m________n___u__u_
Other ___m__m
------------------------------------------.----------------------------------.
-------------------------~--------------------------------------------.------------------.
----------------------------------------------------------------------------------------..
Miscellaneous (see attached list)
------------- - -----._------ --._---- --------.
TOTAL PROCEEDS OF SALE _m_nmn_nn_m. $
i0'
199' Co
LESS SELLER'S SALE EXPENSE:
~/ .s:
Auctioneer's Fee -6..L(L:t-n~r:?:f2O'hhm____m___u_m____.____
$ 5CJ(). tiC)
--
Other Seller's Expenses
Advanced bY.. AU.9tioneer, j ~ q ----* _
[\/ '. // /YI'y[I<:::,. '-"'-rd Ice)
(err",--, ct., hk/.., -:<1> - KICr!
4-l~':l-; 5(/r..er)!
?o,i, , ?of /78djJ5.pf"j,'
/ ~ " '<(1: - '$iX~ c; ; /'
tr,pj(j; .f /Y)rJl~/./<'C, ,__13"rb -j J3r;-.<Cr,/
.. \.- ....:. ~- -hc2':"'" c"'"
,J:+f - <-1'/ ;()
'V.., 14(- - ( c <<1:)
Miscellaneous (see attached list) ----n_m__.___hm_.mmn____._______n.
j'2.f/" \,-
c' r...c . cr.';
'6/'1 eel ,/
.--, ....- ,)
_Sf ~) _ o~/ ,.
L'(.!.'! Or\ /~
-J i y1 ~L)
TOTAL NET PROCEEDS TO SELLER _.n_m_nom__mm.___.___ $
'2 .
I .7 / C(
,
.3. I:) l' ~C)
f
DEDUCT TOTAL SELLER'S SALE EXPENSE --m_____m.___.m_n___nn $
I, (or we), the seller of goods, merchandise, and/or property sold at public auction on above date and location, acknowledge and accept
this settlement of proceeds of sale. I (or we) agree to accept all responsibility for providing merchantable title to all goods, merchandise,
and/or property sold, and for delivery of title to the purchaser.
(Date)
(Seller's Signature)
Auctioneer or Cashier's Signature
(Seller's Signature)
Form No. FS Reorder from: MISSOURI AUCTION SCHOOL Phone 1-800.835.1955
REV.1511 EX+ (12.99) ,
~',:,iJ.
.~ ''lo)\
'''';''l.~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF ,/'~/l LC//)/J,"/,
/~,'~
~, if'
~~ ~-") ,--; ,.,~j
FILE NUMBER
~~ ~.' J / - __:""J ./~-'/J
ITEM
NUMBER
A
Debts of decedent must be reported on Schedule I.
1.
FUNERAL EXPENSES: /-If-1/ rr/.J'/
DESCRIPTION
c'...., _,'
,-~ ",/-
:2"
(' n/< Lle;!'.C
/;h C:JYJ <::7 a I /.:;J <:.
s YC, ~/C
B, ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
2
~ )
Name of Personal Representative(s) -->?t. z. ~,.c;> -./ /?7. /.-? / L. L. C -?7,q-,
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address "::> 9 / '1 1.}' '::;,-'-C /1'_ C / 1'.' '~"-L 0"".' ., ^'
City \I--'7o,~:A-::' S'C>.A/ ~ )'4'. State ,:c,( Zip.] 2. 2. C/ c:;
.
Year(s) Commission Paid:
Att F/.'../ ) _- ,-.
orney ees / 7~~? /;17..e /~ ,0-:: ~"r: /// C '--0
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant /\// ~
.
4,
5,
6,
7,
8
/,
/0,
/ I,
/..2,
Street Address
City
State _ Zip
Relationship of Claimant to Decedent
Probate Fees RE&/S7'E/.Z ~?, ://;-...::..~ ::....,.... r;, "
'I
,_ -'v'" ~
Al,(.vUlIlcllll ~ Ft::t::~
',' c
~ .c
- ... ~ I- '
..... /" /_., ~...-, _' t
~' --'..
T~\( OotblrA P,o;;;l-'''J~1 :;, F't:-;;' d~-,
""<::-:1"'" "'"
"'<-.
~ ~
"
c 0 .h-, .::iA,/- .;, __ "./ L-.:y v:."""" /.' //-C -: / /? ({:s.
7/./,.:.<- 0a'/~ ,'Ie.:... - L-EC.hJL /70:::;-
;
L/rf
..:: 7/' )'
YI V c;z..s I ;0~<t.' .A'/p/IZ-A9/ s-,.'.' (
/<:7 V ~ C (j' 77's // ;9//
~;..-; J ...._. . ~' /
/ "--e__ '"=' -' ~- ~........ "... /' ~-./, -
Yes
, -;
+2c/.:.;..""-..,
I
'" . -... "
//Y. r<... -/ /\-
r~~' J.~~ ~
- -'-y
I
.i? c. .s-..-~;:,}Y .!.,/ :-;
/~'~'--
. /'
,;' ,/......;.,-.....
...
, ~.
AMOUNT
~ 9/3; &:i
...5"'/0, 00
73 cr3CJ. OJ
91 2 (, 9, CO
~/
;t.
-::/u
cT;.?
:2 / 7. 00
?s~ 00
87', /j
..2!>u, 00
~ s: 0(7
-2-s-', .:;J t;?
j.
~-
TOTAL (Also enter on line 9, Recapitulation) $ '23;.::;- B.J, '7 /
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX.. (1_97)
SCHEDULE I /-:t
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT,
INHERITANCE TAX RETURN
RESIDENT DECEDENT MORTGAGE LIABILITIES & LIENS
ESTATE OF
/f) / L L C3. /'/) /-:) // / .f',-</ .!..::? C j' j
3//
FILE NUMBER
--?, /' )
~. .' --"'"
_7//J
Include unreimbursed medical expenses.
ITEM
NUMBER
1.
:2.
'/
~
~
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\_~~ .
G
?
8,
--
7
/()
/1.
/-2.
/.3
,
/'i-;.
Is,
1("
DESCRIPTION
,:;/ /'- '- :::: //'/.
1."-"
AMOUNT
~ 92,&;'
-/Ll L/
,.. " / ,to::J I
.t_ - ,-'-:"
_i_......-... "'''''-'"--;'
)/ 9~9, 23
/ c:;:l8.. 58
/';;:5/ -=) S
"1,"'"
) .--'~
. "- ,. "
G:;;
C/7/~ .!.-/.-'-.1.
.../~~.>
,
~ -'lc /":'_ /'//:..:
'../ (;..'
59. 5(;
,;2-2-3,93
),28, &C,
C:b, '72 '
3.25/:/:)
o ,.....__-,-,
...-</5"..: '7"..-::.-......
99/8/
1/ /, 9/
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" /--
/-' /-.
~ ---' j ..... .....~~.- ,/ ~--
~. ,
-.' /-::
/
" /.?.....-.:
o ?/ "c/// /-'c-,/ <..._
-.., :... /- ...~~/
.-II'
......_~~ ,'~ .' ..:?,-'
r/,' '_. I
C /20:';:0
~/Y)Tm4-
, /
//.,/r
,--- /
ex ,~~:/ /"~
;.' /--1' ..:,--
.---
/r'
'-- r v"/~=c'
"
~
'} EL L.:;>t:J 8/ccc C/CC_~
/::=0/ :-,-
'-'"' -"
~""/'(.'''':'' ":"/,;-:""':" C e:?//C E:';'7:'/
, - /
.
C /:.J {/ L .... c /' ._-
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/17 &-:.-//1 r,,' '.' / ;;2,/ [' S- 7/1 cE 5/4
,
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,--:"' ,-' .
~
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C// /7,/, V
?- ~ c.: /~_. ~ (
i
TOTAL (Also enter on line 10, Recapitulation) $ 0/;2 53 . C:;)
(If more space is needed, insert additional sheets of the same size)
RfV.1512 EX+ {I.9])
*'
COMMONWEAlTH Of PENNSYlVANIA
INHUITANCl! TAX R.ETURN
ItESIOENT DECEDENT
SCHEDULE I /./, '2-'1-
DEBTS OF DECEDENT, - .~-
MORTGAGE LIABILITIES AND LIENS
-=:5 ,;~"~_.
/ ,.
ESTATE OF .
/;/// '.'--.,,""
.;, ........LL-,F/j/ J
,J :.:.. <::",:-:' ":"'....,/ /
Please Print or Type
FILE NUMBER
~/J/- 0//0
ITEM
NUMBER
.,
1.!-
/cf
/9.
';;0
2/
'J "
~"
J.-.J
,/5
.2( ,
el7,
.28
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31
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3/1
DESCRIPTION
r'
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:;r// ~ /?~
....... "---{.......,
C //c:: /77 - 2/.2 / /- 0. c;' .:: / " /
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~ ,'. / V J.-> I '-' ~7 ';/-p/, ?- L C?_C/Z ""
z.'" !3 ~ ;'; c. ,Ie'....; ,,:l.'
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c..;....,zc::../;-/-<...
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a,..7 .r- f ___II i~ -
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/..../ '- ,-.; -.' '-' - /
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AMOUNT
..-?/~ 0'
/ ;2 +,
'-
- __:2: =
~'-,.-- -'
~1"-~_::""
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/ -.,;:::; /7/
(; / t-JC/-, 1-1..J
/3(,
/ .....,
{,:;---7
/
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8 ~ , j'-";
~3 5/.00
~rO'(/7 ,
--7;7 J q 27'
""-<1 ~ /,
.,..:,~
~CO, cO
~2 9.
,.
-1' )
."'-' /: /1 ~,. /2 i:.~ ~
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..... / ~/ "- ,~,
; /::: . "'-;"/ ,., " ...r-J 0 15'- ' .:;/::;
v
P t::- ~', .-' /
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r""/ C - ...- ~ ~ ,..:;.....,.....:;:-
-")
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-/
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.I
d?./c
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,
,
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v
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./ /' />/'~"",r~, '~'''''-'''''- ".<..
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TOTAL (Also enter on line 10, Recapitulation)
(If mare space is needed, insert additional sh..e'" of sam.. size.)
/~ 12..
a <)
I --'...I
,2, 7.. 7~-
i/I,
2-2
~........ --,'
S .2.LJj 9 j L/, /1
~EV"512 EX. PQ'I .
COMMONWEALTH OF PENNSYlV.A,NIA
lNHfRrT.A.NCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I /'? 3> ~
DEBTS OF DECEDENT, f
MORTGAGE LIABILITIES AND LIENS
:J /r
ESTATE OF
/>
VII.(' 80:J./'/
Please Print ar Type
FILE NUMBER
;?-/:;;;/ Q/ /::J
,", >~;
.
ITEM
NUMBER
DESCRIPTION
,.,,/
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/
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(
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I ' .
./
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36,
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V
.27,
r;&,k
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/
38.
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c:/:.. _. LAJ
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~ .' /'"
f .I ",/ _' _-
",-. ...--:?/_-." ~ r I
10,
~/""'~"-
~"/'v--' "
/' .
-'
'Y",j.~ './' / 1(; r:cd~//
(
/C-..../,L--1 ...--
TOTAL (Also enter on line 10, Recapitulation)
(If more space ;s needed, insert additional sheets of same size.)
AMOUNT
T' C7 ';2,'
.:; o'. -'.J
7.5'. OC]
}z--~'
7",:;), --
/; / 2-s-".:70
// 283-: .:-::2
/rrfl7/ d'O
$ LJ h R':l'; .,
- /, ~ '.. /. ,:;5 ~
);l~ ( J ~l'-
f- 3Z; t91, 0; )
REV-1513 EX + (1-97)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATEO'/tJ / L.LF /71/9/// .:;/< G?J /J
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRiBUTIONS (include outright spousal distributions)
RELATiONSHIP TO DECEDENT
Do Not List Trustee(s)
FILE NUMBER
~/C/- CJ//Q
AMOUNT OR SHARE
OF ESTATE
1.
S; u s -4// /J7/ L-.L...L ,;l/) ,/ /
~ 9/'7 L y.src-/< C/;"'.. s:
,J:i::Jc/<Svt'J r/ i. Lei /-- L
..3 22 0'7
cI>:J 0
/.? LL
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.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART 1I. ENTER TOTAL NON-TAXftBLE DISTRIBUTIONS ON LINE i3 OF REV 1500 COVER SHEET ;
(If more space is needed, inser: Clddilional sheels of the same size)
_._~ ---+ ..----...-------..-
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
DANIELS WILLIAM S
ONE W HIGH STREET STE 205
CARLISLE, PA 17013
- ___h~ fold
EST A TE INFORMA nON: SSN: 230-82-4538
FILE NUMBER: 2101-0110
DECEDENT NAME: MILLEMAN OK BOON
DA TE OF PAYMENT: 10/10/2005
POSTMARK DATE: 10/10/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 04/14/2001
TOTAL AMOUNT PAID:
REMARKS: WM DANIELS, ESQ
CHECK# 1603
SEAL
INITIALS: RSK
RECEIVED BY:
REGISTER OF WILLS
NO. CD 005878
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,758.83
I
I
I
I
I
I
/
I
$2,758.83
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128.0601
REV-1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 005885
DANIELS WilLIAM S
ONE W HIGH STREET STE 205
CARLISLE, PA 17013
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
n__nn fold
101
$514.79
ESTATE INFORMATION: SSN: 230-82-4538
FILE NUMBER: 2101-0110
DECEDENT NAME: MlllEMAN OK BOON
DA TE OF PAYMENT: 10/11/2005
POSTMARK DATE: 10/11/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 04/14/2001
TOTAL AMOUNT PAID:
$514.79
REMARKS: WM DANIELS, ESQ
CHECK# 1605
SEAL
INITIALS: RSK
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
12-19-2005
MILLEMAN
04-14-2001
21 01-0110
CUMBERLAND
101
APPEAL DATE: 02-17-2006
( 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
9Y!_~~9~~_!~~~-~~~~--____~___~~!~!~_~9~~~_~9~!!9~_E9~_Y9Y~_~~~9~~~__~____________________
REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
OK B FILE NO. 21 01-0110 ACN 101
W S DANIELS ESQ
HUMER & DANIELS
1 W HIGH ST STE
CARLISLE
205
PA 17013
ESTATE OF
MIL LEMAN
TAX RETURN WAS: ( ) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
NOTE:
DATE
07-13-2001
10-10-2005
10-11-2005
+
INTEREST/PEN PAID (-)
151.32
172.93-
309.60-
NUMBER
....... CD000051
......... CD005878
'" CD005885
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( X) CHANGED
REV-1547 EX AFP (06-05)
OK
B
SEE ATTACHED NOTICE
DATE 12-19-2005
(1)
(2)
(3)
(4)
(5)
(6)
(7)
112,500.00
.00
.00
.00
71,497.58
.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 Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. Amount of Line 14 at Sibling rate (17)
18. Amount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
(9)
(10)
23,583.71
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
183,997.58
59.281 62
124,715.96
.00
124,715.96
.00
5,612.22
.00
.00
5,612.22
5,817.41
205.19CR
.00
205.19CR
Rt
35.697.91
(11)
(12)
(13)
(14)
.00
124,715.96
.00
.00
X 00 =
X 045 =
X 12 =
X 15 =
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
(19)=
AMOUNT PAID
2,875.00
2,758.83
514.79
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
REV-1470 EX (6-88;"
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENT'S NAME
Milleman, OK B.
FILE NUMBER
Kathy Leo
ACN
2101-0110
101
REVIEWED BY
ITEM
SCHEDULE NO.
EXPLANATION OF CHANGES
The value of the estate has been adjusted as the result of the correction of an error in
arithmetic.
ROW
Page 1
-
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REV-1607 EX AFP (03-05)
W S DANIElSESQ
HUMER 8 DANIElS
1 W HIGH ST STE
CARLISLE
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-06-2006
MIlLEMAN
04-14-2001
21 01-0110
CUMBERLAND
101
OK
B
205
PA 17013
Anount Renitted
1
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CUT ALONG THIS LINE
NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax payment.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
REV-1607 EX AFP (03-05)
---------------------------------------------------------------------------
-+
RETAIN LOWER PORTION FOR YOUR RECORDS
......
ESTATE OF MIlLEMAN OK B FILE NO.21 01-0110 ACN 101 DATE 02-06-2006
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
*** INHERITANCE TAX STATEMENT OF ACCOUNT ...
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-19-2005
PAYMENTS (TAX CREDITS):
PRINCIPAL TAX DUE: 5,612.22
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
07-13-2001 CDOOO051 151.32 2,875.00
10-10-2005 CD005878 172.93- 2,758.83
10-11-2005 CD005885 309.60- 514.79
01-19-2006 REFUND .00 205.19-
TOTAL TAX CREDIT 5,612.22
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
IE
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
1(..(
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/06/2006
DANIELS WILLIAM S
ONE W HIGH STREET STE 205
CARLISLE, PA 17013
RE: Estate of MILLEMAN OK BOON
File Number: 2001-00110
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 I, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by:
4/14/2006
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.
r~~
(,.,#
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
V}
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/06/2006
SUESAN M MILLEMAN
101 HEDGEROW LANE
CARLISLE, PA 17013
RE: Estate of MILLEMAN OK BOON
File Number: 2001-00110
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:
4/14/2006
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,
/A.~, .~. "~ALJ
~~ 'J""-"'~~'>'.w.A&.- 0'"
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
V}
". ,
Register of Wills of Cumberland County
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
/l/ll L, Lb/7} ;:rrJ
(
or~ g00v
Date of Death:
Estate No.:
';:2..00'(- 0 /10
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~.' . strati on 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: / lrU~ ~eG
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 Orph~a ' ourt and may be
attached to this report.
~
~~
Date:
~-8/C(;
Signature
("'~
('\..1
~rL
Name
~~-
~
f/ )~ AJ,! !SzY"
/
~.
l.
/,4./t:' $'/. I~~- 2tP~
r --' !
Address
TIt- ~ .J-'i3 - ;t r3 t~~b
,
Telephone No.
Capacity: 0 Personal Representative
~ Counsel for personal representative
f~
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date: 3/23/2007
o
,-
70
:, ::0
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:-..........)
C=~
~
-...I
~:
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N
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5.)0
1_., ) --;-,
v
--
SUESAN M MILLEMAN
---j
W
N
01
101 HEDGEROW LANE
CARLISLE, PA 17013
RE: Estate of MILLEMAN OK BOON
File Number: 2001-00110
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:
4/14/2007
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.
Sincerely,
~~~
Glenda Farn~r Strasbaugh
Clerk of the Orphans' Court
cc: File
Counsel
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Phone: (717) 240-6345
Date:
3/23/2007
C)
Co
;~7o
-~ 5; SJ
--; (/) ;;<
(:)
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r'''<:r
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~
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0'"
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c.....)
DANIELS WILLIAM S
ONE W HIGH STREET STE 205
N
CT.
CARLISLE, PA 17013
RE: Estate of MILLEMAN OK BOON
File Number: 2001-00110
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 I, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by:
4/14/2007
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.
Sincerely,
.~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
Personal Representative(s)
In Re: Estate of
MILLEMAN OK BOON
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO.
2001-00110
NOTICE OF FAILURE TO FILE STATUS REPORT
Personal Representative: SUESAN M MILLEMAN
Q
Counsel for Personal Representative: DANIELS WILLIAM S
~ i. ..,
"~G
:':0
c..)
o
Date of Decedent's Death: 4/14/2001
a
The Orphans' Court record indicates that neither the above named personal reptesentati~
nor the above named counsel for the personal representative have filed with the Register ofWillf1
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.
Date:
4/25/2007
~~)~~
Glenda Farner Strasbaugh
Cled -
u.s. Postal Service ""
CERTIFIED MAIL" RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
U1
I"-
.:t'
.J]
I"-
CJ
.:t'
I"-
FICIAL U
Postage $
Certified Fee
ru
CJ Return Receipt Fee
g (Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Postmark
Here
CJ
.J]
["- -r.-......I D~.& Fees $
ru
~ I. DANIELS WILLIAM S
CJ ONE W HIGH STREET STE 205
I"- CARLISLE PA 17013
---
15..~t.t'I'~."'"."_'_ ~._
In Re: Estate of
MILLEMAN OK BOON
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. . 2001-00110
NOTICE OF FAILURE TO FILE STATUS REPORT
Personal Representative:
SUESAN M MILLEMAN
! ;'-'
:::u
C)
o
Counsel for Personal Representative: DANIELS WILLIAM S
I'
Date of Decedent's Death: 4/14/2001
'.J
I
(=:;
~ -)
.., ,
. .
~)
{J, "
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.
~~~
Date:
4/25/2007
Glenda .....
Clerk c
. ~ 4. ..
U.S. Postal Service""
CERTIFIED MAILw RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Distribution:
Personal Representative
Counsel for Personal Representative
Estate File
co
...D
:r
...D
I"'-
CJ
:r
I"'-
USE
Postage $
ru
CJ
CJ Return Receipt Fee
CJ (Endorsement Required)
Restricted Delivery Fee
CJ (Endorsement Required)
...D
("- Tnb:l1 D^...."'__ D ~-
ru
~r
I"'-
Certified Fee
Postmark
Here
...
SUESAN M MILLEMAN
101. HEDGEROW LANE
CARLISLE PA 17013
~
:. I. If.
,
. complet.e items 1. 2. and 3, !>Jso complete
Item 41f Restricled Delivery Is desired.
. PrInt your name and address on the reverse
SO that we can retUrn the card to you.
. Attach this card to the back of the mailpiece.
or on the front If space permits.
1. ArtIcle Addressed to:
'rrf
o
D. Is deIIv.. d~ ttem17
If YES. ~~~ ~ belOW:
-~rn
-: ;:n 5(
(jO
g-n
0'
-0
DANIELS WI~LIAM S
ONE W HIGH STREET STE 205
CARLISLE PA 17013
2. Art\CI8 Numb8l'
(ll1II1Sf8': trom SIJ(VIce /a
PS Form 3811 . February 2004
700b 27bO 0002 7407 b475
1025~-M-1540
oomestic Return Receipt
APR so 2007 II
IN RE: ESTATE OF
MILLEMAN OK BOON
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 2001-00110
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative: SUESAN M MILLEMAN
Counsel for Personal Representative: DANIELS WILLIAM S
Date of Decedent's Death: 4/14/2001
Date of Delinquency Notice:
The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance
with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court
Division, Court of Common Pleas of Cumberland County, that neither the above 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 was given on the above date and that the ten (10) day
notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court
is hereby notified of such delinquency and the undersigned requests that a Court conduct a
hearing to determine whether sanctions should be imposed upon the delinquent personal
representative or counsel for the delinquent personal representative.
Date:
4/30/2007
~~
~
~."
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
Distribution: Personal Representative
Counsel for Personal Representative
Estate File
A hearing is scheduled Julv 16. 2007 at 11AM ~
in Courtroom NO.2. If the Status Report is filed prior ~he hearirl~ring will
automatically be cancelle.cL , ," \ C Y' -;( / \
- " ,. . ...J \~'''''- ~ \(0-''''''1 tQ{--.
\ t \~
c; :! I . ,; ii! ,I,. ~_"J Edgar B. Bayley, J. .
r:-..
APR 30 2007 ~
IN RE: ESTATE OF
MILLEMAN OK BOON
ORPHANS' COURT DIVISION
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
NO. 2001-00110
NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A
HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE
Personal Representative: SUESAN M MILLEMAN
Counsel for Personal Representative: DANIELS WILLIAM S
Date of Decedent's Death: 4/14/2001
Date of Delinquency Notice:
The undersigned, Glenda Famer-Strasbaugh, Clerk of Orphans' Court, in accordance
with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court
Division, Court of Common Pleas of Cumberland County, that neither the above named personal
representative nor the above named counsel for the personal representative have filed with the
Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule
6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12,
Supreme Court Orphans' Court Rules was given on the above date and that the ten (10) day
notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court
is hereby notified of such delinquency and the undersigned requests that a Court conduct a
hearing to determine whether sanctions should be imposed upon the delinquent personal
representative or counsel for the delinquent personal representative.
Date:
4/30/2007
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
(,....,..'
Distribution: Personal Representative
Counsel for Personal Representative
Estate File
~ hearing is scheduled Julv 16.2007 at I~AM . ~ ..
In Cou~oom NO.2. Ift~ Status Report Is,~~ed pnor t9"tne heann~(~~ng WIll
automatIcally be cancellecb .', r '.. // t / // \
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Edgar B. Bayley, J.
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Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS oU~ COlJ"NTY,PENNSYL v ANlA
Name of Decedent:
/?7 /7/~
V?/<-
gc::eA/
Date of Death:
File Number: ~~/ _0/1 c;,
pursuant to Pa. a.c. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether a~stration of the estate is complete: . . . . . . . . . . . . . . . . .'. ., ~es D No
2. lithe 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 fiDalaccount with 1I1e Court?". . . . ... DYes ~o
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an accgunt
infonnally to the parties in interest? ................................ ~es DNo
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Clerk 'ofthe Orphans' Court and may be attach 0 . s report.
Dale
S' -/~' .-</(1-'"
Capacity: DPersonal Representative ..-t:1 Counsel
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Name of person Filing this Form
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Address
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Telephone
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