HomeMy WebLinkAbout02-0954
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of RaN'" J4) /...E.E ';::;;.s:r.;-~
also known as
No. dJ - O.;l- q5i-/
To:
Register of ~ for the
County of fil.6.--'i: I.. ~o in the
Commonwealth of Pennsylvania
Deceased.
Social Security No. /4;>'1 - 'f1J - tis 0 I
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl;'; ~_
for letters of administration
on the estate of
(d.b.n.; pendente lite; durante absentia; durante minoritate)
the above decedent.
Decendent was domiciled at death in am hee IIM/lJ County, Pennsylvania, with
h I ~ last family or principal residence at ;:;" '( IV' .'~R.c:/' C:'7 'Yn.ei.J.~Nlq),,.RG(Ct- t7"r,
-o-n .t;.-1. i"tfrl': ~ 'vR b- 80 JC 0 (list street. number and 4unicipality)
., I , I&' ;;1.0 G ;;-
Decendent at death owned property with estimated values as folllows:
(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:
$ (00 o. 00
$
$
$
resBu~ ft;.
las6ueG 179
y
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ClJMRERr.ANO
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The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and
truly administer the estate according to law.
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Sworn to or affirmed and subscribed J
before me this 23rd day of
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No. ~ I - 0.;2. -q 5'""'_
Estate of
RONALD LEE FOSTER
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW OCTOBER 24. 2002 }(J:9~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
lT IS DECREED that RUTH V FOSTER
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
[~TTERS OF ADMINISTRATION
are hereby granted to RUTH V FOSTER
in the estate of
RRNAr~ r~E FOSTER
-.:u~ '-"m. ~ \ ~-+~.p,^
Registe, or Wills ~~
FEES
Letters of Administration $ 25 . 00
Short Certificates( ).......... $ 1 2 . 0 0
Renunciation ................ $ 5 . 0 0
jcp $ 5.00
TOTAL_$ 47.00
Filed ...l.~.-.?~.-:~.q~.~.... A.D. 19_
mailed to admin 10-24-2002
A TIORNEY (Sup. Ct. LD. No.)
ADDRESS
PHONE
HI05.905MS REV.(09fOI)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records In accordance
with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
GtJ.. )/~
~~.s.~' _~,... /~.
Robert S. ~erman, Jr" MPH
Secretary of Health
Charles Hardester
State Registrar
0211773
OCT 2 12002
Dare
H1C!5.10"-"_2187
COMMONWEALTH OF PEHHSYLVANIA. DEPARTMENT OF HEALTH. YITAL RECORDS
CERTIFICATE OF DEATH
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RENUNCIATION
21-D'2..-C\5l-f
In Re Estate of ---1<0. AJ It 1- P
L . C;:::OS7E7f.
deceased.
To the Register of Wills of
0.:0 (D.h ~,-2 / ~ A/I:J
County. Pennsylvania.
The undersigned
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f!t/lp!<.
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
CJ? 1f!J'f'n/NVII-'1I?;X1? If
be issued to RtJ(}} 1I ~ 7 J::-7R.... .
WITNESScS~~~ hand this d2 5" dayof
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(Signature)
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(Address'
(Sillllalure)
(Addres,)
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
f?'DA} ilLJ)
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L. -0s{E~
Date of Death:
:1". ";'OfJ;)...
/
Will No.
0l,1)();}. -6G95'1
Admin. No.
dJ ~O;).. - 0?5"'1
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on
~
Address
Ai 0 IJF
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
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Date: ~ OIl'),;)1 ;)DtJ7.----
B1t 11 9-~f;-v
Signature
Name ~I1--;/
v. r;;STe.e
Address ,1'01' /tI, Illi'c-II ST
JrJi< Chit AI) &..1 tcl?~( 191 /1 (/S j
Telephone {Jt7!
'76t, - ()'1/{,
Capacity: ~sonal Representative
_Counsel for personal representative
REV-1500EX (6-00)
~OMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
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~ 1. Original Return
D 4. Limited Estate
o 6. Decedent Died Testate (Auac!l copy of Will)
o 9. Litigation Proceeds Received
REV-1500
OFFICIAL USE ONLY
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
_--.fl., 90 -?
FILE NUMBER
;11 -~fl _J2~5'L
COUNTY'COOE YEAR NUMBER
SOCIAL SECURITY NUMBER
I IP1 - l-fl-f
'15'01
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
r; s -rG:./Z RONIt-I...'f) L.
DATE OF DEATH (MM-DD-YEA ) DATE OF BIRTH (MM-DD.YEAR)
-r 5 OD-:JU AJ G <1f 5' I
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
Nfr
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
{If/It- -
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of death after 12-12.82)
D 7. Decedent Maintained a Living Trust (Attach copy 01 Trust)
D 10. Spousal Poverty Credit (date ot death between 12-31-91 and 1-1-95)
D 3. Remainder Return (dateo/death prior to 12-1H2)
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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TELEPHONE NUMBER /
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3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Noles Receivable (Schedule D)
COMPLETE MAILING ADDRESS
30'7 ;J. f)/?c/f S"T
WFc-hll-VICS (,v,e6-rt>A /7o!iJ
(1)
(2)
(3)
(4)
(5)
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D 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. 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)
11. Total Deductions (total Lines 9 & 10)
OFFICIAL USE ONLY
(6)
(7)
(9)
(10)
(8)
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(11)
(12)
(13)
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CODa .00
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SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
0000.00
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.0
,.0_ (15)
,.0_ (16)
()
, .12 (17)
, .15 (1B)
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
(19)
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Decedent's Complete Address:
STREET ADDRESS
CITY
'IJ
"tE~
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
ZIP J7()5'S
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Total Credits (A + B + C ) (2)
C)
(3) 0
(4) 0
(5) 0
(5A) 0
(5B) 0
3. InteresVPenalty if applicable
D. Interest
E. Penalty
TotallnteresVPenalty ( D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAVMENT.
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.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
Ves
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1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;... .. ............. .
b. retain the right to designate who shall use the property transferred or its income; ..
c. retain a reversionary interest; Dr...........
d. receive the promise for life of either payments, benefits or care?.. .................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?..
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ..................
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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 preparer has any knowledge
SIGNATUf1.ll!Nl!fJ,ON~G RETURN DATE
AD~~. . ~ ,.b: ~ 65':,- ;).6 d'2--
SIGNATURE OF P RER OTHER THAN PRES ~TATIVE
o
ADDRESS ~
L-jID Cf. tIIIllFC.WrAJIc.slot-R6-/ fir /7050
1IImlll__llIllllllillllll!illililliillillilllillll_.lli,I~.- _iml1U ~___.UIIiIIIll
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. 99116 (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. 99116 (a) (1.1) (H)].
The statute does not exemDt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's Hneal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99118(a)(1)].
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. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
""'-"""A."'" *'
COMMONWEAI.TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT NT
ESTATE OF R,
o~ltl--O
SCHEDULE B
STOCKS & BONDS
L
(P S'1l3-'f
FILE NUMBER
':<0<>':> - 00.,..'1- ~ ';?/-<J.:?-or..'1'
All property jolnUy-owned with right ofsurviYolSh/p must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
U f).eJ'J1i/tL 'HI///fM::;i/ft fli/.c ..,r4'l/IS~I?V~ - ~ -'3 S#/11f'FS
VALUE AT DATE
OF DEATH
/-15'<7. r.:L.
--+-
TOTAL (Also enteron Jine2, Recapitulation) $1.
.1.;J.-
EquiServe, Inc.
P.O. Box 43010 PROVlDENCE. R! 02940.3010 5-12
".. check is in payment of the sale of your 8hare(8). 94291
COMPANY ACCOUNT NO. DATE
Pab~BTIAL FINANCIAL, INC. 2300 513-8639 11/11/02
PAY TO THE
ORDER OF
CHEClINO,
11259914
SHAIlES SOLD
63.000
NET PRICE
FEE
0.00
TAX WITHHELD
29.9987
0.00
NET AMOUNT
"'''''''.''''$1 , BB9 . 92
RONALD L FOSTER
304 N ARCH ST
HECHANICSBURG PA 17055-3315
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To Fle$tNatlonal Bank. BostOl'l.MA 'IMPORTANT TAX RETURN DOCUMENT ATlACHFD 15q~
II"OUi!S!ilil.a.1I" 1:01.I.000B81: Q"2'H 21;1.2SK'
L
i DEPARTMENT OF THE TREASURY. INTERNAL REVENUE SERVICE
--..--. lb CUSIP No
OMB No. \545-(1715 'I Dale alsale 2 Stock. bonds, etc. Reported to IRS } ~ Gross proceeds
Proeellda From 2002 11/06/02 44320 10 2 1 ,889.92 Grossproce8dSIlJ:88C
Broker and $ aod option premiums
Berter ExchMge Form 10911-B
Treollll"II.."" 4F.d,r,llncolll,llIwlthh.ld Account number \ 6 Description
eDJIY 8 $ i SALE OF STOCK
For Reclplilnl 0.00 .2300 513-8639 i PRUDENTIAL COMMO
This is Important tax RECIPIENTS neme. street address, eIty, state and ZIP code PAYER'S name, address. city, slalt. ZIP =ode and tel.phone no
Information and is
being Iumished to the FOSTER
lntemal Revenue RONALD L EQUISERVE, INC.
Service. "rgu 3lIl 304 N ARCH ST PRUDENTIAL FINANCIAL,
required file a
return, a negligence HECHANICSBURG PA 17055-3315 P.O. BOX 43033
penatly or other PROVIDENCE, RI. 02940-3
sanotlon may be
imposet1 on you" this 1-800-305-9404
Income Is taxabte and
the IRS detem1ine.
lhat it has not been
reported. ,
RECIPIENT'S identificatlon number
PAYERSFede!alidllnldIClltlor.r'lUmtler
Form 10gg..S
169-44-4501
43-1912740
INSTRUCTIONS FOR REClptENT ON REVERSE SIDE
DETACH BEFORE CASHING CHECK
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
/... ~srt!?;<'
f<o.tlI'l-....t:7
FILE NUMBER
.:z OCJ 2. - a c>"Jrt - /?4 .9./-D:;7-eJ<JS""'Y
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.
d.
:3
DESCRIPTION
1"1 (,5 Z;/fI?YSU~ A/ew )0/F,KEA "'--F1fll1 S-If/Tf'c.J
S:R-ur- adV~ -rg '/A 6 '~C.,lff/'E!l OtJkl,,";/'Y ~/lo::;kf~,fO',
C"~ ,~ V,/T. 'Y' /l-TT#./J,rLJ
VI1 .RE/J?7lJvII'J'C'~ mli' /?aA/-t-4J 1.. nS~/.!'f t%I/jpi. _ _ -:.
ChI? -::F'A/ S"U~/fA/Cc ,;f~ &rE
VALUE AT DATE
OF DEATH
II/C. If')O
, ~ a tD. 00
Ljl 70
TOTAL (Also enteron lineS, Recapitulation) $/171. 7d
(If more space is needed, insert additional sheets of the same size)
Towing
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Spr'v'lce
ClASSIC CARS WITH CHARACTER
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(717) 795-8780 . 1-866-50'S-CARS
Fax (717) 795-8205 . (1-866-507-2277)
1170W Tnr.dle Rd' Rt 641' Mechanicsburg, PA 17055
ROONEY FELMLEE -- Res (7; 7:,697.7172 JIM FELMLEE
Buy
Sell
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12568283 V3 CO 10 71AA
Check No.
2221 12568283
169-44-450100
RUTH V FOSTER 83
AIC R L FOSTER 00
304 N ARCH ST
MECHANICSBURG PA 17055
10 71
VA COMP
$***1836*00
VOID AFTER ONE YEAR
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05 31 02 19 AUSTIN, TEXAS
34352885 V1 CO 10071AZ
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MECHANICSBURG PA 17055-3315
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169-44-4501
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07 01 02 29 AUSTIN, TEXAS
35017935 Vl CO 10 71A2
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2219 3369713
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08 30 02 89 AUSTIN, TEXAS
36341846 V1 CO 10071A2
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MECHANICSBURG PA 17055-3315
2219 36341841
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FOR AUG
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C(,MMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
oAJIt t..O
t.
r::P s-r~/?
FILE NUMBER
Ol 4X?.;l - C> t?'7fr ~ /?1 .5/ h?.f1-0 '1''7
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
1.
FUNERAL EXPENSES:
C~~mri-rloAl soc".Fry
DESCRIPTION
..r- ap4lSYLn~~//
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s) f EIN Number of Personal Representative(s)
Street Address
2.
3.
4.
5.
6.
7.
City
State
Zip
Yea~s) Commission Paid:
Attorney Fees
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant RIl ., H 1/ . p:o ('7' Ii tJ(
Street Address .2 n'l AJ. ~Rc;t! 'I/'
City yf}~Lb 4-Al1C";:b U/?6 State fA Zip
Relationship of Claimant to Decedenl m err 1/ pI(
/7tH'<:;
Probate Fees Cf/ m!i'-fhtIllP ec(/41T~ ,{l.eGiS1'hf of MI/r ~;lsj,J 1'4
Accountant's Fees
Tax Return Preparer's Fees
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
AMOUNT
11,gS, 0 ~
36'00. 00
i(? /JP
~\f\'\'j()N SOC't
0~aII' l:'/).
. .
o/, \h
/'I;NNSYlV,"':<
"'Jbe SimjJle Dignified Choice"
9-25-2802
Ruth Foster
304 N Arch Street
Mechanicsburg, PA 17055
Ronald L. Foster - Deceased
X Direct Cremation
Special 48 Hour Or Weekend Cremation Service
Nationwide Guarantee Program
Worldwide Travel Protection Program
Private Family Viewing/Witnessing Cremation
Cremation Container
X Medical Document/Courier Fee
Honorarium
Urn
Urn Burial Vault
Arrange For Burial
Cemetery Charges
Arrange/Deliver Remains To A National Cemetery
Burial At Sea
Scattering Charge
Packaging And Forwarding Of Cremated Remains
Express Mail
X Certified Copies 10 @ $2.88
Register Book
Memorial Folders
Thank You Cards .
Do-It-Yourself Memorial Service
Flowers
Newspaper Placement Fee
X Harrisburg
X Cumberland County Coroner Cremation Approval
DNA Preservation
Other
TOTAL
9-26-2002 PAID
BALANCE DUB
Natin
]-800.72:
221085
$1,025.00
$55.00
$20.00
$25.00
$1,125.0
$1,125.0
$0.0
Fax
("71"7) ..41-QQ4'\
With five office locations to serve you...
in Harrisbure:. Philadelphia, Pittsburgh & Scranton.
j\<' -
- ;;;~.iJ?T FOR PAYMENT
.:===~=~===-=======
CUmber+andCounty -Register Of Wills
Hanover and High Street.
carlisle, PA 17013
Reoeipt Date 10/24/2..00:
Reoe~pt Time 10: 43: l'
ReoeJ.pt No. 103088!
FOSTER RONALD LEg
-''''~:<
File Number. 2002-00954
Remarks RUTH V FOSTER
..~.._., ~>' ,2....;.t"
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----------------~-------
Dililtributibn Of Reoeipt - -- -- - -- -- - - -- -- - - - -- - ~
Payment Amount Payee Name
Transaotion Desoription
LJ;;TTgRS ADM. ISStmD
RENUNCIATION HEIRS
SHORT CERTIFICATE
JCP FEE
25.00
5.00
12.00
5.00
CUMBIUUAND COUNTY GENERAL I
CUMBIUUAND. COUNTY G~RAL I
CUMBERLAND COUNTY. G'. I
BUREAU OF RECEIPTS & R ~
Cpeckis$2 .
ll'<;lt'al Reoeived.. ... . ...
$47.00
$47.00
---...............~"."--_.--_...,....--....:-;-,,. ~,-:..-..._~_.
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
/..-11> L.
"/l.
FILE NUMBER
CO ... o.t:J Of..$/ - B .:l/-<1.:J .(}fSo/
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not ListTrustee(s) OF ESTATE
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1.
Ru TH IJ. ~o:;~.ft.
60'1 rJ. ffl?c}/ Sf"
YT)E?C...JlfJ AJ/csfoulCG ,fh /7oss
mo TII6'~
)J 1-L
\::cprEST4-/E)
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 f..N ELECTION TO T f..X IS NOT BEING Mf..DE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II. ENTER TOTf..L NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, Insert additional sheets of the same size)
e;o~
,./
STATUS REPORT UNDER RULE 6.12
Name of Decedent: f((J tf/ 11 Lj) L p;,.f rE;(
Date of Death: S'e"r ~.s-. ~2
Will No. c:!tJO.;?- 00'1.5'7 Admin. No. ~ / - ~c!J L1'sY
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 X No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No.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 X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Da te y"", I ~ ~t>,,:>--
~ 11 ~1iv
Signat.ure
R.u~ V /.::; SIGJe.
Name (Please type or print)
..3 0 I 1, fJRe.H S-rtJGcfI/tI-lIc..sI3/J/?G f/J.
Address 17/!:,-s" I,
01'7) 7 tt - b r / (p
Tel. No.
Capacity:
>( Personal Representative
Counsel for personal
representative
(HAH: rmf/ AM3)
J>
IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE
ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE.
Whether you will receive any money or property will be deter-
mined wholly or partly by the decedent's will. If the decedent
died without a will, whether you will receive any money or prop-
erty will be determined by the intestacy laws of Pennsylv:i!Iia.
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA
In re Estate of f(OfJltJ-~ i,. ~sr~~ ,deceased,
Estate No. e;2 t7 t7:J - t7 P if 5 ;-
(Name and Address)
- /'4 ;1/0 ~ / -"'~ - 0<1.5"'1'
TO: R u rH V. p:; ~-Je/?
::J 0 '1 No. flRcH r1'
ff-rJ~ c..t /l A/I t: sf, v,f 6, tfJ;f I loSS-
Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below.
, at
~rr&K
CA-telt ~fi, pfi-
County,
, died on the~
{' UY>? (3.R A' ;"1 MI'
-r
.:7 ~. J1JJl
-
The Decedent
day of 5l2p-r
Pennsylvania.
RON A........
,~Ot>~
I..
The Decedent died testate (with a Will); or
The Decedent died intestate (without a Will).
The personal representative of the Decedent is
(name, address and telephone number).
F? VTtI II . ~ Sfcl'Z.; /} f) In I jIJ ;a- T,If? I X
/
~O Jf AI. A/elf ~
Y/)~vltlf~jtt//i'~,/iJ- /7osj
717- 7f&,t;-oCf/t.
e:u~
If the Decedent died testate, the will has been filed with the Office of the Register of Wills of Cumberland County, I
Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345
If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the
Register of Wills of Cumberland County, I Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345
A copy of the Will or Petition may be obtained by contacting the Register of Wills and pa2f)g the arge~uplication.
Date: SIgnature:" ~
Name (print) -0 5'T~
Address 30 i N A R.cJ-t 5)
01r;~-/-/f;p-J[~5BiJR.G, fA 176~
(
TelephOneUl1) 7&fr_ D fr(p
Capacity: Personal Representative
Counsel for personal representative
"" /?- '?~ - jp
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 11128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
RUTH V FOSTER
304 N ARCH ST
MECHANICSBURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-03-2003
FOSTER
09-25-2002
21 02-0954
CUMBERLAND
101
'*
REV-1547U AFP Ul-UU
RONALD
L
AlIOunt R..l tted
PA 17055
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 .....
REV:iS47-iiCAiip-m-':03Y-NCificniF-YtiHERiTiNCE-YAX-APPRAISEMEN'r.--ALLowiNcnIR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FOSTER RONALD L FILE NO. 21 02-0954 ACN 101 DATE 02-03-2003
TAX RETURN WAS' (X J ACCEPTED AS FILED
J CHANGED
If an assess.ent was issued previously. lines 14. 15 and/or 16. 17. 18 and 19 will
reflect figures that include the total of ALL returns assessed to dne.
ASSESSMENT OF TAX:
IS. AIlount oi Line 1'1 .t Spousal ....t. IlSJ
16. A.ount of Line 14 taxable .t Line81/Cless A rat. (16)
17. A.aunt of Line 14 at Sibling rat. (17)
18. A.aunt of Line 14 taxable at Coll.teral/Class Brat. (18)
19. Principal Tax Due
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..1 Est.t. (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. "ortsages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property {Schedule El
6. ~ointly Owned Property (Schedule F)
7. Transiers (Schedule G)
8. Tot.l Assets
(1]
12J
13J
I'IJ
ISJ
(6J
17J
.00
1.889.92
.00
.00
1.977.70
.00
.00
18J
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Exp....ses/Ada. Costs/Misc. Expenses (Schedule Hl
10. Debts/Mortgage liabilities/liens (Schedule Il
11. Tota1 Deductions
12. Net Value of Tax Return
13. Charitabl./GoYer~nt.l Bequests; Non-elected 9113 Trusts (Schedule ~l
14. Net Value of Estate Subject to Tax
19J
1l0J
4,672.00
.00
1l1J
1l2J
1l3J
1l4J
NOTE:
.00 X
.00 X
.00 X
.00 X
INTEREST/PEN PAID I-J
AHOUNT PAID
DATE
NUI1BER
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account I
sub.it the upper portion
of this form with your
tax paywmt.
3,867.62
4.67? nn
804.38-
.00
804.38-
00 =
045 =
12 =
15 =
.00
.00
.00
.00
.00
1l9J=
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YDU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.'