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HomeMy WebLinkAbout02-0850PETITION FOR PROBATE Estate of ~~-~f'~~ L~~ K~~'` also known as Deceased. Social Security No. '• 10-'~,lfl ^ ~ 1~ ~~ and GRANT OF LETTERS No. ~- ooZ- X50 To: Register of Wills for the County of in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age o in the last will of the above decedent, dated i 1 and codicil(s) dated ~l,(~tnAL ~C-~c.~T~'~ (state relevant circumstances, e.g. renunciation, death of exectrtor, etc.) Decendent was domiciled at death in C~11~~~.su-rrti_~ County, Pennsylvania, with hE ;~ last family or principal residPn~P ar ,~ ~ ~~ a ~lfrt a-ti~,U,~cf +~,~ i Z ~ 4 3 (list street, number and muncipality) Decendent, then ~ ~" years of age, died SE ~~ nft}F ,~ 1 S ~qc at Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 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 i~ Pennsylvania situated as follows: ~ i dc~' $ ~~;4~~` WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters ~~'t trn x~~1t~-'i . ~ (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. <-v-'U-a"i` - o.. ~° ~~ x[ ~.~ ~~1-77 Mc%~1 u~ i/Ve-w UY~...D ~w ~ o c older an the executo ~. named ~3 , 19 ~7 3 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF __C~MBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the 1~.nowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this 1 9th day of ~~ ~^~R er ~_ S1„ „ 00 9/~~7~ MTd/vt eft, ~lL/ k/YI~P ~ JIN~I~.u 1d1^ ~l~ ~~~FiC~ ~ 1~-~'x'Q~ 1~ No.,:lI-O.2..-~ Estate of DOROTHY L KING , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW !':F.P'T'F.MRF.R 1 q r ?nn? xblIx-, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, . 11-23-1973 IT IS DECREED that the mstrument(s) dated described therein be admitted to probate and filed of reeord as the last will of nOROTHY J. KING TESTAMENTARY ROBERT R KING III and Letters are hereby granted to copies FEES 9.00 P b L E 235.00 ro ate, etters, tc. ......... $ Short Certificates( ).......... $ 18.00 ~n .E}<<:~:ril. j'?:g~~ $ 6 . 00 iCD $ 5.00 TOTAL _ $ 273.00 Filed...... ..~:-.1.9:-.:I!l.Q7;.............. called exec 9-19-2002 ~'<'~ '-fiI lU:tn /4JJgp'd-\ ,~ RcgisterOfWills ~~T~ ~"t.A\<t ~ _ "'llll&l ~ ATTORNEY (Sup. Cl.I.D. No.) P.o. ~ 3Ill l~dU. fir no~3 ADDRESS r,,,, ( In) S3;-83IS PHONE .. L'~j tli:~,~;1 17t:: l d 6\ dJS ZOo . . H105.805 REV 9/86 This is to certifY rhar rhe informarion here given is correcrly copied from an original certificare of dearh duly ftled with me as Local Registrar. The original certificate will be fOrwarded to the State Vital Records Office for permanent fUing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. 4 /-1C-V; .~ ~ Ao'/ ',. '/4A.4 AJ7 Local Registrar Fee for rhis certificate, $2.00 p 8387859 SEP 1 6 2002 Date IJJWy_2117 COMMONWEALTH OF PEHNSYlVAHIA. OEPARTMENT OF HEALTH. VITAL RECOftOS CERTIFICATE OF DEATH .. AOEIlW~ uNDEft,YlNI: - - Voltothy Lou.u.e K<.ng S1lltE"'U~ SEx $()CLIlL ~CURt'fY N&JM8i.R . female .21u _ 26 _ 9299 EClF(lE,t,1li"'-\o.w....u, . -t ;f(.I."bQ/5-91lo tu.MEDf~thIll1loWlM,UIC ai-=:~'::::=r ,R.W. Health CMe ~~'Mfg--""'z.- Summeltda.te., PA . 17093 , pe.nMl(lva.n.<a. ~_~.Wlln". 10-12) 12 11.4Gf!i-tt ~)o ......... ~.-=. 80 "'fa. COUHfYOfDUl'H ,... .....~..- .3-12-1922 afY.1MQ. TWfI OF DEATH ORf:OII_M \....OIJw;...j -- <; riP. rr Ho 50'\'1\ 11t. NrSEDUCRIOH CWllb<<land Ea.I>t pl'.IIIl.6bolto ,S HlHEAOSNME!h.......,...LMt ,... Cumb<<land ... - .... ............7 17..0 :a.__=.. HE"" NMIE IF"'w.a.a.. ......s........ " "LO ......--........ ......swus........., --- -- flLidow Wh.ite .......... .......~......- ... ...- Lou..W:t we.imvt ni1MUtQADOIE.I&~ ....lipC"*l 6477 Moun.ta.(n V.ieMJ Olt<.ve, statin ton, .....~ ~o"n~ttf!7 0& - 2002 , PellMylvan.i4 CJte./IIatoJty .... 4100 Jone4town Road UCENSE..... ""''' tJ57//..c.. "CASE ~EllHI ...m JL 18080 .-. /lU.ehae.t. E. K<<w Rob<<t Kin 111 .............0 17109 n fJ Vlln.td 17109 ..0-- _..CMIiIIA..............,.....,~fllr.an..... ,==- ~--....... . I MAT. '**.....~......"......llwt ..............-4>. I, __.....fNIR",. _aCAUll."... .....OIcondi1ion ,..,.,..0Mlll)-- . V",,1J- /cv/ er Ol.JEIO'\OAA$ACOMSEClUl~Oft. ,. i/?rf'- '~0'1 -..- ................... --- tMa,............. .......,-- ........1/l~LM, I: DUElOlOAASAco.5EQl.iENCfOF): DUE 10 lOA AS A CONSEOUENCE Of): ....... MFlEAU'la'Sl'fNllNQS _OF""'" ...-. --'" ............ - ~ - 0 ......... - 0 -- 0 ...0 ..~ ...0 ..Ill '- 0 Could_..-....m.... 0 """.."""'" .0.,._ TlWEOFlNJUIIIY IN.NJAYRWQAIl.? OUCAIIIEHOW1HJURYOCCUARED. ... 0 Hl)O .1IIEOICAL.....-.WCOfM)NII!P1 QIl_bMII.at~~1 'lr~-~"'''llIJopIn\Qn.tluIIriIotcurqQ",~"",-,.d.t,._place,_du.to''''ClNI..tll),,,,, ':11'~""""""""""""""""""""''''''''''''''''''............................<<...................... .....-r_..,.,..........~ J).,1,..v( I >>. U,A:/Ir./ /r(. o 2.. - CU'JWIIIYIO-.....O"WIt 'C8l1..,..J'tt'f'SICIAN~~......~.,.._.......~"-pil~...._~l\eIf1231 .,........................-..........111_......1,1__......... ...... .... .......... ..... ... S1GNATlIAI:NfIJ 0" ". C ANDCUlTIJ'YWG~~_;,JfWOQWtClIIO....;1rldi:*r.tyInQlD<;_oI_1 ,...'*"....,~---.....................;................I)....--'.--... .... ... o REGISTER OF WILLS OF OATH OF SUBSCR COUNTY WITNESS alified according to present and saw Sworn to or affirmed and subscr me this Register (Address) REGISTER OF WILLS OFQh~r\awl COUNTY OATH OF NON-SUBSCRIBING WITNESS ~I- O.;l. - ~O 't-\.;~- lAuriA. &-. 10-~ ~,&..IU"I//J J.., h'/.iy, (each) a subscriber hereto, (each) being duly qualified according to law, depos~) and say(s) that familiar with the signature of Dnmtht.t L. !0.t(.Gl , , codicil J r- testator.::; of (one of the subscribing witnesses to) the @ presented herewith and codicil that ~ ~ believes the signature on the will is in the handwriting of ~Y"7~~ \. ~. to the best o~ \ { knowle ge and 1Jdi)f; Sworn to or affirmed and subscribed before 1 qt-h day of X '3fr:lfu ~ 110lS ~nftp ?rr~ (/'/71 mI ~ai!i ..sH~ /&;lieJ (Address) LAST WILL AND TESTAMENT c:2/-DJ.. -'?50 I, DOROTHY L. KING, of the Township of East Pennsboro, County of Cumberland and Commonwealth of pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my ~ast Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated unto my husband, ROBERT R. KING, JR., absolutely and in fee simple, is he survives me. THIRD. If my pusband, ROBERT R. KING, JR., should not survive me, and if all of my children, namely, ROBERT R. KING, II, PATRICIA L. MYERS, and MICHAEL E. KING, have attained the age of Twenty-two (22) years at the time of my death, then and in that event I give, devise and bequeath my entire Estate in equal shares unto my said children, share and share alike, absolutely and in fee simple. Should any of my said children predecease me and leave lawful issue to survive them, I order and direct that the share or part of my Estate which such deceased child or children would have received hereunder had he, she or they sur- vived me shall be distributed unto the issue of such deceased child or children per stirpes, said issue taking his, her or ~~~~_ ~~_~__~A ___~_~~_I_ ~_ _____~___I _~___ __ _L_____ L_____~___ age of twenty-two (22) years at the time of my death and should they be otherwise entitled to receive my entire estate under the provisions of the paragraph immediately preceding hereinabove, then and in that event, I give, devise and bequeath my entire said Estate unto my son, ROBERT L. KING, III, as my Trustee, in trust, nevertheless, to hold, invest and re-invest the same, to collect the income, and after paying all expenses incident to the management of said trust, to use and apply as much of the net income and principal thereof as may be necessary in the sole discretion of my Trustee for the support, maintenance, care and education of such of my children as may be under the age of ~ twenty-two (22) years, it being my will and intention to provide for each child who has not attained such age and who may be dependent and unemancipated (by reason of disability of full time attendance in a school) at the effective time hereof with the same or similar advantages and benefits during his or her dependency which I have provided to my older child or children together with the privilege of acquiring a college or other post- high school education; and upon the youngest of my children attaining the age of twenty-two (22) years, I order and direct that the balance of principal and any accumulation of income remaining in the hands of the Trustee be distributed in equal shares unto my said children, share and share alike. It is my express will and considered thought that my said Trustee should terminate any benefits under the foregoing trust for any child under the age of twenty-two (22) years who has by his or her personal conduct become independent, completed formal education or otherwise demonstrated his or her lack of .::1____..::1_____ _____ ~1-_ .t:.~.......::J_ .~.........::J__ .&-1....... _............._...._............1- ...........:1 ..............&-........, ......c said children or their persistent display of lack of personal initiative and industry shall be considered by my said Trustee as sufficient cause to discontinue the discretionary distribution provided hereinabove. It is my further express instruction and direction that all discretionary payments hereinabove provided shall cease for each of my said children upon the attainment by each said child of age twenty-two (22) years, thus making available the balance of said trust for use in the purposes set forth above for my younger child or children. LASTLY. I nominate, constitute and appoint my husband, ROBERT R. KING, JR. , to be the Executor of this, my Last will an Testament, but if for any reason my said husband should fail to qualify as such Executor or cease so to serve, then I nominate, constitute and appoint my son, ROBERT R. KING, III, to be the Executor hereof, each to serve without bond. IN WITNESS WHEREOF, I, DOROTHY L. KING, have hereunto set my hand and seal to this, my Last Will and Testament which consists of three (3) typewritten pages to each of which I have affixed my signature this p1JnY day of November, A. D., One Thousand Nine Hundred Seventy-three (l973). LI..u~J-'- ~ ~/- (SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by DOROTHY L. KING, the Testatrix therein named, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence, and i~e;~esence of each other, have subscribed our names as witnes~ ~~ ~.'6lXlIX.(S<<lJ w ~ :.:::$(1) u .n' w"8 ~ai!...l u.... ~ '* ~ OFFICIAL USE ONLY II 811 RE"~1 SDO" INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 02 00850 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 210-26-9299 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 3. Remainder Retum (date of death prior to 12-13-82) 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received o 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95 ..............,... ., o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11.Election to tax under Sec. 9113(A) (Attach Sch 0) Copyright 2000 fonn software only The Lackner Group, Inc. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 ~ Z W o w ill o DECEDENTS NAME (lAST, FIRST, AND MIDDLE INITIAL) King, Dorothy L. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) , .../lII&ll COMPLETE MAiliNG ADDRESS .'.:.:: ::: .::....:. :wt:$:%%Wf:M;:#~M%1 P.O. Box 341 Hershey, PA 17033 (1) (2) (3) (4) (5) (6) (7) OFFICIAL USE ONLY 09115/2002 0311211922 91,000.00 None None None 29,401.19 None None .18) 120,401.19 (IF APPUCABlE) SURVIVING SPOUSES NAME (lAST, FIRST AND MIDDLE INITIAL) 1. Original Return 2. Supplemental Return (9) (10) 4,886.22 654.58 o 4. Limited Estate ~ o <i>~ ~ffi ,,0 OZ ui? ."",.",m,w""..",..:liiilit:.,... AME Scott A Bly IRM NAME (If applicable) Scott Alan Bly, Attorney at Law (11) 5,540.80 114,860.39 ElEPHONE NUMBER 717/533-8315 1. Real Estate (Schedule A) 2. Stccks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship Z o ~ ~ ~ ~ ~ u w " 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly OWned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (12) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus line 13) (13) (14) 114,860.39 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) Z 114,860.39 .045 (16) 0 16.Amount of Line 14 taxable at lineal rate x ~ ~ .. 17. Amount of line 14 taxable at sibling rate x .12 (17) E 0 u ~ 18. Amount of line 14 taxable at collateral rate x .15 (18) ~ 19. Tax Due (19) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 5,168.72 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 5,168.72 20. 0 lmMW!if@tHH@lmlilil\@lmilm1ilg_I@~~ii@!W@ii!i!H!1!HMHm@tllljft{Mfii Form REV.lIOO EX (Rev. 8.001 *' SCHEDULE H AJNERAL EXPENSES & ADMNSTRA11VECO& 1& COMMOtMIEALTH OF PENNSYLVANIA INHERITANCE TAX REnJRN RESIDENT DECEDENT ESTATE OF King, Dorothy 1. FILE NUMBER 21 - 02 - 00850 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: I Rev. Jolm Acri. miniser 100.00 2 v.P.w. Post 23 Honor Guard, military funeral 100.00 3 P.C.C.W. 200.00 4 Cremation Society of Pennsylvania 238.40 5 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State - Zip Year(s) Commission paid 2. Attorney's Fees Scott Alan Bly, Attorney at Law -- Scott ABly 2,750.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills, probate fees 273.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs I Pulication in Cumberland Law Journal 75.00 2 Patriot News, advertisement to sell house 123.85 3 Check printing fee for estate checks 39.62 Total of Continuation Schedule(s) 986.35 TOTAL (Also enter on line 9, Recapitulation) 4,886.22 Decedent's Complete Address: STREET ADDRESS P.O. Box 226 CITY Summerdale I STATE PA I ZIP 17093 Tax Payments and Credits: 1. Tax Due (Page 1 Line 1 g) 2. CredttslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 5,168.72 4,910.28 258.44 Total Credits (A + 8 + C) (2) 5,168.72 3. Interest/Penalty if applicable D. Interest E. Penalty (3) 0.00 (4) (5) 0.00 (5A) (58) 0.00 TotallnterestlPena\ly (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is the BAlANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT mJjlil il in!:: jl:r ~]n :in!.:!l II ]i] I m Ii :I [ II 1111 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;....................... ................ ...................... R 15<1 b. retain the right to designate who shall use the property transferred or its income;.... ................ ~ ~. ;:~: ;:::::f~~~;:~; ~~~er pa;;;;~~~:;;.n~r~~~;~~;~?mHHmHHHHHHmm B ~ 2. ~~~:~g~~~~~~ea~~s~:c;t~~~~.12, 1982, did decedent transfer.:.~~~~..~~~in o~~..~~..~~..d.eath Without 0 181 3. Did decedent own an ~in trust for" or payable upon death bank account or security at his or her death?.. 0 181 4. ~~t~~~e:=i:I~~~=ti:,~~~~~nt ~.~~~~.~~~~~.'..~~.~~r non-probat~.~~~.~~~~~................. 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury. I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete Declaration of preparer other than the personal representative is based on all information of which prepare! has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE f2 f!4- ~ SIGNATURE OF PERSON RESPONSIBL OR FILING RETURN 6477 Mountain View Drive Slatington, P A 18080 lJ.-)lID).. DATE ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ADDRESS DATE ~ ~~'.L~~ 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 P.S. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) Oi)). The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. P.O. Box 341 Hershey, PA 17033 lJ-\q\O:f. " For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.$. '39116 12)[72 P.S. ~9116 (a) (1)1. The tax rate imposed on the net value of transfers to or for the use of the decedenl's siblings is 12% [72 P.S. ~9116 (a) (1.3)]. A sibling is defmed, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. . SCHEDULE A REAL ESTATE COMMONNEALTH OF PENNSYLVANIA IMoiERITANCE TAX REruRN RESIDENT DECEDENT ESTATE OF . King, Dorothy 1. I FILE NUMBER 21 - 02 - 00850 All real property owned solely or as a tenant in common must be reported alfair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a Willing seller, ne~her being compelled to buy or sell, both having reasonable Knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER I DESCRIPTION VALUE AT DATE OF DEATH 91,000.00 403 Mountain Street, Sununerdale, Cwnberland County, P A TOTAL (Also enter on Line 1, Recapitulation) 91,000.00 . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEAl1'HQF Pa.tlSYlVANIA IM-IERlTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kin th g, Dora y L. I FILE NUMBER 21 - 02 - 00850 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right or survivorshIp must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH I Allfirst Bank, Swnmerdale Plaza Branch, Enola, P A---Checking Account 3,085.49 2 Allfrrst Bank, Swnmerdale Plaza Branch, Enola, P A ---Savings Account 21,260.91 3 Miscellaneous items sold at Haar's Auction 2,498.80 4 Refund from Allstate Home Insurance 276.00 5 Sale of vehicle, Dodge Dynasty 700.00 6 Sate of motor and trailer 50.00 7 Refund from Allstate Car Insurance 297.10 8 Refund of prepaid oil 714.35 9 Comptroller Cumberland Co. for veteran's burial 100.00 10 Refund from Pennsylvania Blue Shield 418.54 TOTAL (Also enter on Line 5, Recapitulation) 29,401.19 * ScI1eclJe H Ft.nraI Expensss & Ad.. _.4iwCostsccnlirulld COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX ReTURN RESIDENT DECEDENT ESTATE OF King, Dorotby L. I FILE NUMBER 21 - 02 - 00850 4 5 6 George C. Clauser, house appraisal Closing costs from sale of house Publication in Paxton Hearld (general circulation) 295.00 655.85 35.50 Page 2 of Schedule H . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMOHNEAL Tli OF PENNSYLVANIA IM-lERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF King, Dorothy L. I FILE NUMBER 21 - 02 - 00850 Include unreimbursed medical expenses. ITEM NUMBER I PP & L Electric, for electric bill DESCRIPTION AMOUNT 145.31 2 P.A. W.e. for water bill 51.31 3 Comcast for cable bill 6.19 4 Verizon for telephone bill 40.74 5 East Pennsboro Township for sewer & trash 80.10 6 AT & T for telephone 20.93 7 Allstate Home Insurance 310.00 TOTAL (Also enter on Line 10, Recapitulation) 654.58 ~~~. '~I '7 ip-~'o 1." 5h-/>') (P' ~)- 'r'''=:r 1'J ~ rr"'7/A8 MOp!M '6UI}! " !\\lltuOQ)O &1"elS3 &4\ 10) JQlnoa)(3 III '8u!)! veqo~ 5Ul'>l"161}&4{l1V'l 5u!}! '0 :pOOs Jallas J9MOJJ08 9~"vv~'06 't:i3T13S (YVO't:i::J ) (01 X ) HS'tfO 'COg 90'6CO'C6 I 't:i3MO~~08 (01 ) (YVOeJ::J X ) HS'v'O "coe .', ~ aUI JailS 1m suononpe>l SSi,n "Z09 " ! OUI1 ,aM'mo '0 , PI' IUOOWV".' 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'7 rtI{IO.lO(J )0 alvls:il :aN EEOL,l Y d 'Aaqs~aH ItE xog 'O'd Am U"IY >>03S JO aoYJO M"'1 ~~6t-v'i:6 (w'C:) X~.:i 916Z-t>€6 (wE) :;lllOlld <"'(lhr:IU 'p_H1l1c;ntl\j (\(16 W'iJC"J{l 'V"t\l ,1;""'1U;Y) l"~:>ll"!'H l~.i.~_m'- woz 'n lOqUlOAON lSJIJlle ~ ~. ~ -, LAW OFFICES MARTSON AND SNELBAKE~ !1 Ij, I LAST WILL AND 'i!i:STAMENT I, DOROTHY L. KING, of the Township of East Pennsboro, County of Cumberland and Commonwealth of pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils I_ by me at any time heretofore made. , I I I FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executor, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoeve and wheresoever situated unto my husband, ROBERT R. KI~G_~ JR., absolutely and in fee simple, is he survives me. THIRD. If my husband, ROBERT R. KING, JR., should not survive me, and if all of my children, namely, ROBERT R. KING, PATRICIA L. MYERS, and MICHAEL E. KING, have attained the age of Twenty-two (22) years at the time of my death, then and in that event I give, devise and bequeath my entire Estate in equa shares unto my said children, share and share alike, absolutely and in fee simple. Should any of my said children predecease ~ and leave lawful issue to survive them, I order and direct that the share or part of my Estate which such deceased child or children would have received hereunder had he, she or they sur- vived me shall be distributed unto the issue of such deceased child or children per stirpes, said issue taking his, her or their deceased ancestor's or ancestors' share or shares hereund by representation and not per capita. If, however, any of my said children are under the , ~ I I I' .' age of twenty-two (22) years at t~ time of my death and should ~<. they be otherwise entitled to receive my entire estate under the Brovisions of the paragraph immediately preceding hereinabove, then and in that event, I give, devise ahd bequeath my entire said Estate unto my son, ROBERT L. KING, III, as my Trustee, iin trust, nevertheless, to hold, invest and re-invest the same, i to collect the income, and after paying all expenses incident ,to the management of said trust, to use and apply as much of the ,net income and principal thereof as may be necessary in the sole ,discretion of my Trustee for the support, maintenance, care and education of such of my children as may be under the age of ~ twenty-two (22) years, it being my will and intention to provide for each child who has not attained such age and who may be 1 dependent and unemancipated (by reason of disability of full time attendance in a school) at the effective time hereof with the same or similar advantages and benefits during his or her dependency which I have provided to my older child or children together with the privilege of acquiring a college or other post- high school education; and upon the youngest of my children 'attaining the age of twenty-two (22) years, I order and direct that the balance of principal and any accumulation of income remaining in the hands of the Trustee be distributed in equal shares unto my said children, share and share alike. It is my express will and considered thought that my said Trustee should terminate any benefits under the foregoinc trust for any child under the age of twenty-two (22) years who 'has by his or her personal conduct become independent, completed formal education or otherwise demonstrated his or her lack of dependency upon the funds under the management and control of the said Trustee. In addition to the foregoing directions and LAW OFP'ICES MARTSON ANn SNELBAKER general discretion vested in my said Trustee, the marriage of LAW OFFICES MARTSON AND SNELBAKER i I sai:d children or their persistent di,splay of lack of personal ~ ' ;r.. . " in~tiative and industry shall be considered by my said Trustee as sufficient cause to discontinue the discretionary distribution provided hereinabove. It is my further express instruction and direction that all discretionary payments hereinabove provided shall cease for each of my said children upon the attainment by each said child of age twenty-two (22) years, thus making available the baiance of said trust for use in the purposes set forth above I fot my younger child or children. LASTLY. I nominate, constitute and appoint my husband, ROBERT R. KING, JR. , to be the Executor of this, my Last will an Testament, but if for any reason my said husband should fail to qualify as such Executor or cease so to serve, then I nominate, constitute and appoint my son, ROBERT R. KING, III, to be the Executor hereof, each to serve without bond. IN WITNESS WHEREOF, I, DOROTHY L. KING, have hereunto set my hand and seal to this, my Last Will and Testament which consists of three (3) typewritten pages to each of which I have affixed my signature this ~Ja/ day of November, A. D., One Thousand Nine Hundred Seventy-three (1973). ,-tt<~,.c-~ ~ ~7 (SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by DOROTHY L. KING, the Testatrix therein named, as and fa.;; her Last Will and Testament, in the presence of us, who, at he,: request, in her presence, and in the resence of each other, have subscribed our names as witnesse~ er t /, ! !f~2 Ar#JI f 'l'{ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: DOROTHY L. KING Date of Death: 9/15/2002 Estate No. 2002-00850 State File No. 21-02-0850 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on October 15, 2002: Name Address Robert R. King, 6477 Mountain View Drive, Slatington, PA 18080 a/k/a Robert R. King III Patricia L. Myers, 294 Tuscarora Court, Hopewell Estates, Sparland, Illinois 61565 Michael E. King, 137 S. Enola Drive, Enola, PA 17025 Notice has now been given to all persons entitled thereto under Rule 5.6(a). Date: October 15, 2002 ~~~~~~~~~t A~ B~~~re Address: P.O. Box 341, Hershey, PA 17033 Telephone: (717) 533-8315 Capacity:___Personal Representative X Counsel for personal ---representative l.' ,..J ~.1 61< ri 9 t J~;L! GO. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 1712B.Q601 REV-1162 EX(1 1.96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT Bl Y SCOTT ALAN ESQUIRE POBOX 341 HERSHEY, PA 17033 ------- fold ESTATE INFORMATION: SSN: 210-26-9299 FILE NUMBER: 2102-0850 DECEDENT NAME: KING DOROTHY l DATE OF PAYMENT: 12/12/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 09/15/2002 NO. CD 001940 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4,910.28 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: SCOTT A Bl Y ESQUIRE CHECK# 1013 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WillS $4,910.28 DONNA M. OTTO DEPUTY REGISTER OF WillS PA 170Ulerk.O-::;:~ourt Cumberland Co., PA MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=is4j-ix-AF,--roFoiriioT'ici--OF-'rNiiiififiiici-T'Ax-A'PPiAisiiiiii'f,--ALroiiiiici-oli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DOROTHY L FILE NO. 21 02-0850 ACN 101 "-.-./7-.F9- // BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION IEPT. 280601 HARRIS8I.IIG" PA 11128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, AllONANCE OR DISAllONANCE OF DEDUCTIONS AND ASSESSHENT OF TAX SCOTT ABLY ATTY PO BOX 341 HERSHEY Recoraed ')ff:ce of DATE Register G' Wills ESTATE OF DATE OF DEATH FILE NUMBER "03 ..IIN -2 All :l',OUNTY ACN 05-26-2003 KING 09-15-2002 21 02-0850 CUMBERLAND 101 ~t R_i U'" '*' IEY-IM1El1AFP Ul-8J) DOROTHY L ESTATE OF KING TAX RETURN liAS: I X I ACCEPTED AS FILED I I CHAHIlED DATE 05-26-2003 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fune~l Expen..s/A~. COsts/Misc. Expenses (Schedule H) (9) 11. _ts/Hor~ U"'UiU.s/Uens IS_I. II 1111 654.58 11. Tot.l _Uons 1111 12. Net V.l.... of TlIX Return 1121 13. Charit~le/80ver~t.1 Bequests; Non-elected 9113 Trusts (Sehedul. J) (13) 1'1. Net V.l.... of est.t. Subject to T.x 11'11 NOTE: I~ an a......ant ... issued previouslY. lines 14. 15 and/or 16. 17. 18 and 19 .ill re1'l.ct ~igures 1:ha1: include 1:ha 1:o1:a1 D1' A!..b. ra'turn. ass.ssad 1:0 dll1:e. ASSESSMENT OF TAX: 15. ~t of line 1'1 .t Spous.l ...t. 1151 16. ~t of line 1'1 tliXMl. .t line.l/Cl.ss A ...t. 1161 17. ~t of Un. 1'1 .t Sibling ...t. 1l7l 18. ~t of Line 14 t.xable .t Coll.teral/Cl.ss B rate (18) 19. Principal Tax Due RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. _1 Est.t. ISchedul. Al 2. Stocks _ Bonds ISchedul. BI 5. Closely Meld Stock/Pertnership Int....st ISchedul. CI 4. tIort~slNot.. Receivable (Schedule D) 5. CeshlBank Deposits/Hisc. P.rsonel Prop.rty ISchedul. EI 6. Jointly _ Property ISchedul. Fl 7. Transfers (Schedul. G) 8. Tot.l A...ts III 121 151 I'll 151 161 17l 91.000.00 .00 .00 .00 29.401.19 .00 .00 leI 4,886.22 .00 114,860.39 .00 .00 X 00 = X 045 = X 12 = X 15 = AIlOUIlT PAID 4,910.28 DATE 12-12-2002 IUmER CD001940 INTEREST/PEN PAID 1- I 258.44 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. trKJTE: To insure proper eredlt to your account, subeit the upper portion of this for'll with your tllX ..._t. 120,401.19 1i.1i6D 80 114,860.39 .00 114,860.39 1191= .00 5,168.72 .00 .00 5,168.72 5,168.72 .00 .00 .00 I IF TOTAL DUE IS lESS THAN $1, NO PAYMENT IS REIlUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT"' ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS.I IN RE: .' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ~ ESTATE OF DOROTHY L. KING ORPHANS' COURT DIVISION NO. 21-02-00850 FAMILY AGREEMENT Filed on Behalf of: Robert R. King III Personal Representative Counsel of Record for this Party: Scott Alan Bly, Esquire PA 1. D. #71887 P.O. Box 341 Hershey, PA 17033 (717) 533-8315 ~ (: d :0 f'i' :0 ::s ? w (l) {!) n 0' tg. ;> 9" c- ,"', ".,,' 2 -," Q:.' i";' (i~ ,"', Q N W ..:;:" 3l .-';';'- , c N ""J 1J. , S. ,::\ Lit 0 ," FAMILY AGREEMENT THIS AGREEMENT by and between Robert R. King III, individually and as personal representatives of the Estate of Dorothy L. King, Deceased, of Cumberland County, Pennsylvania. WHEREAS, Dorothy L. King, who resided at P.O. Box 226, Summerdale, PA 17093 died September 15, 2002, having left her Last Will and Testament dated November 23, 1973, which was duly admitted to probate by the Register of Wills of Cumberland County at the above number and term on September 19, 2002 and WHEREAS, Robert R. King III has been duly appointed as Personal Representatives of the Estate of Dorothy L. King, Deceased; and WHEREAS, the parties in interest under the Last Will and Testament of Dorothy L. King, Deceased are: 1) Robert R. King, III, son, Personal Representative; 2) Michael King, son; and 3) Patricia L. (Myers) Lance, daughter. WHEREAS, each of the above-identified parties in interest is entitled to one-third (1/3) distributive share of the residuary estate; and WHEREAS, each of the parties to this Agreement has been furnished with a complete listing of the estate assets, receipts, and disbursements as set forth on the Accounting as attached hereto and marked as Exhibit "A"; and WHEREAS, it is the desire of the parties to this Agreement that final distribution of this estate be accomplished without a formal accounting to the Orphans' Court Division of the Court of Common Pleas of Cumberland, it being the desire of the parties to avoid the expense, delay, and publicity of a formal accounting; and WHEREAS, the'parties to this Agreement does acknowledge to have received from the Personal Representatives the sum of $36,643.06 as an distribution evidenced by Receipts for Distribution which are attached hereto and marked as Exhibit "B." NOW, THEREFORE, WITNESSETH, in consideration of the mutual '. promises, covenants, and agreements recited herein the parties do agree as follows: 1. Each of the parties to this Agreement does hereby release and forever discharge Robert R. King III, Personal Representative, from any and all liability which may from time to time arise in connection with his service as Personal Representative of the Estate of Dorothy L. King, Deceased. The parties to further agree to indemnify and hold harmless said Robert R. King III, Personal Representative, from any and all liability which may arise against the estate from creditors or other claimants. 2. the assets hereto. Each of the parties does hereby acknowledge receipt of described on the Memorandum of Distribution attached 3. Each party to this Agreement acknowledges that this Agreement shall be indexed and recorded in the estate proceedings and that the terms hereof shall be binding upon their respective heirs, successors, administrators, and assigns. 4. This Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. Dated at 6 -/d'<' 0.:3 j"h~pennSYIVania /d) -1ft, day of I fLAt! / this ,2003. QhTNESS, j], '/It"" '71J / ~ ~PN Robert R. King II, individually and as Personal Representative of the Estate of Dorothy L. King, Deceased Mlchael King patricia L. Lance promises, covenants, and agreements recited herein the parties do agree as follows: 1. Each of the parties to this Agreement does hereby release and forever discharge Robert R. King III, Personal Representative, from any and all liability which may from time to time arise in connection with his service as Personal Representative of the Estate of Dorothy L. King, Deceased. The parties to further agree to indemnify and hold harmless said Robert R. King III, Personal Representative, from any and all liability which may arise against the estate from creditors or other claimants. 2. the assets hereto. Each of the parties does hereby acknowledge receipt of described on the Memorandum of Distribution attached 3. Each party to this Agreement acknowledges that this Agreement shall be indexed and recorded in the estate proceedings and that the terms hereof shall be binding upon their respective heirs, successors, administrators, and assigns. 4. This Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. Dated at \31 S. frw/a. Dflve frw~, ~ UJ)e. Pennsylvania this 11"" day of ,2003. WITNESS: Robert R. King III, individually and as Personal Representative of the Estate of Dorothy L. King, Deceased ~A~ )to ~ ~Ch~~ ~ Patricia L. Lance : promises, covenants, and agreements recited herein the parties do agree as follows: 1. Each of the parties to this Agreement does hereby release and forever discharge Robert R. King III, Personal Representative, from any and all liability which may from time to time arise in connection with his service as Personal Representative of the Estate of Dorothy L. King, Deceased. The parties to further agree to indemnify and hold harmless said Robert R. King III, Personal Representative, from any and all liability which may arise against the estate from creditors or other claimants. 2. the assets hereto. Each of the parties does hereby acknowledge receipt of described on the Memorandum of Distribution attached 3. Each party to this Agreement acknowledges that this Agreement shall be indexed and recorded in the estate proceedings and that the terms hereof shall be binding upon their respective heirs, successors, administrators, and assigns. 4. This Agreement shall be governed by the laws of the Commonwealth of Pennsylvania. Dated at , Pennsylvania this 1J.~" day of TVI\t. ,2003. WITNESS: Robert R. King III, individually and as Personal Representative of the Estate of Dorothy L. King, Deceased Michael King . . Pa ricia L. Lance .- STATEMENT OF PROPOSED DISTRIBUTION ESTATE OF DOROTHY L. KING FIRST AND FINAL ACCOUNT OF ROBERT R. KING m PERSONAL REPRESENTATIVE The total value of the property to be distributed is: $109.929.18 The total value of the property to be distributed consists of cash only, To be distributed under the terms of the Last Will and Testament of decedent as follows: TO: Robert R. King, III son 6477 Mountain View Drive Slatington, P A 18080 Cash $36.643.06 TO: Michael King, son 137 S. Enola Enola, P A 17025 Risk Distribution Cash $30,000.00 $6.643.06 TO: Patricia L. Lance, daughter 294 Tuscarora Court Sparland, Illinois 61565 Risk Distribution Cash $30,000.00 $6.643.06 TOTAL AMOUNT DISTRIBUTED $109.929.18 Bxhibit A PRINCIPAL RECEIPTS Assets Listed in Inventory Receipts Subsequent to Inventory: Deposit- Balance from checkiI}g account Allfirst Bank Deposit-Balance from savings account Allfirst Bank Deposit-proceeds from real estate, 403 Mountain St., Summerdale, P A Deposit-proceeds from Haar's Auction Deposit-refund from Allstate Home Insurance Deposit-sale of vehicle Dodge Dynasty Deposit-sale of motor and trailer Deposit-refund from Allstate Car Insurance Deposit-refund of prepaid oil Deposit-Comptroller Cumberland Co. for veteran's burial Deposit-refund from Pennsylvania Blue Shield Total Receipts of Principal 3,085.49 21,184.92 90,344.15 2,498.80 276.00 700.00 50.00 297.10 714.35 100.00 418.54 $119.669.35 Fidiciary Acquistion Value NONE GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS PRINCIPAL CONVERSIONS INTO CASH Real Estate located in East Pennsboro Township Net Proceeds Inventoried at Totals Gain $91,000.00 $ 91.000.00 NET GAIN TRANSFERRED TO SUMMARY Loss $ -0- PRINCIPAL DISBURSEMENTS Debts of Decedent: PA American Water Company Verizon, telephone Comcast Cable East Pennsboro Township Municipal Authority PP&L Electric Bill AT&T telephone Allstate Home Insurance Patriot News, Classified Ad Notice of Publication Check printing fee Rev. John Acri Y.F.W. Post 23 Honor Guard P.C.CW. Cremation Society of Pennsylvania Probate Filing Fees Pa Inheritance Tax Scott Alan Bly, Esquire--Attorney Fees Filing ofFarnily Settlement Agreement 51.31 40.74 6.19 80.10 145.31 20.93 310.00 123.85 75.00 39.62 100.00 100.00 200.00 238.40 273.00 5168.72 2,750.00 17.00 Total Administration Expenses and Taxes TOTAL PRINCIPAL DISBURSEMENTS $9.740.17 $9.740.17 RECAPITULATION PRINCIPAL INCOME Casb Receipts Net Gain on Conversions $119.669.35 $ -0- Adjustment Balance Less Disbursements $119,669.35 - 9.740.17 Principal Balance Remaining Receipts Less Disbursements NONE -~ Income Balance Remaining COMBINED BALANCE FOR DISTRIBUTION COMPOSITION OF BALANCE FOR DISTRIBUTION Allfirst Bank estate checking account .. $109.929.18 $ -0- $109.929.18 $49.929.18 RECEIPTS OF DISTRIBUTION ESTATE OF DOROTHY L. KING ROBERT R. KING ill PERSONAL REPRESENTATIVE The total value ofthe property distributed is: $109.929.18 The total value of the property to be distributed consists of cash only, To be distributed under the temis of the Last Will and Testament of decedent as follows: TO: ROBERT R. KING III, son 6477 Mountain View Drive. Slatington, PA 18080 Cash $36.643.06 TO: MICHAEL KING, son 137 S. Enola. Enola, P A 17025 Risk Distribution Cash $30,000.00 $6.643.06 TO: PATRICIAL. LANCE, daughter 294 Tuscarora Court Sparland Illinois 61565 Risk Distribution Cash $30,000.00 $6.643.06 TOTAL AMOUNT DISTRIBUTED $109.929.18 Exhibit B STATUS REPORT UNDER RULE 6.12 C; ,/ Name of Decedent: ~'l' Date of Death: 01\1'0) ~;l.. ~1-~~-llOgSO , L K\~b Will No.: Admin. 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. Stat~ether administration of the estate is complete: Yes IISl No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal ~resentative file a final account with the Court? Yes _ No )lSJ b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal "!;presentative state an account informally to the parties in interest? Yes 9Q No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts maybe filed with the Clerk of the. Orphans' Court and may be attached to this report. Date: ~\03 Sign~e~ fio.7 BJ &1r P1L111<) 'eL. '1 , t.Sq"ui:. Name '0 (t) f1'i ~~ - 'I) N n: it /f .p.t>. 601' 31\-1 (t\t~'l. ,~ 11q33 Address CJ, ~ li~;)-'&31S Telephone No. " -... (, ...... N ~ cO ;:: ';;J ...;, ..a ~; E u) ..._ Gu Capacity: kJ Personal Representative 72C Counsel for personal representative ~~ .2:: :-'.t,) 0'~ diD ~rr. ;:3