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Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF 0 (AM 6 L(1 -A N'COUNTY, PENNSYLVANIA
Name of Decedent: /11��,(�(� [;T- �-� . P`D L L_r AJ S
Date of Death: File Number: oZ D 1 U 3 10
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . . . UYes ❑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 ENO
b. The separate Orphans' Court No. (if any)-for the personal
representative's account is:
c. Did the personal representative state an account 031
informally to the parties in interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L►3IYes ❑No
d. Copies of receipts, releases,joinders and approvals of fon-nal or informal accounts may be
- - — Wiled with the Clerk of(lie Orphans' Court and may be attached to this report.
Date )--G— Lo ( _OQt���T. YLIL�
t,. Signature of Person Filing this Form
t» GAJ
W _.a •—+ , C r Capacity: 1[rPersonal Representative ❑Counsel
Name of++Perrson Filing this Form
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CD . cy C�,� Address
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Forn:RW-10 rev. 10.13.06
NOTICE OF INHERITANCE TAX F "y pennsyLvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX " REV-1547 EX AFP (08-13)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 03-31-2014
ESTATE OF ROLLINS MARGARET H
DATE OF DEATH 02-19-2013
FILE NUMBER 21 13-0320
COUNTY CUMBERLAND
NELSON PATRICIA F ACN 101
2190 MERRIMAC AVE APPEAL DATE: 05-30-2014
MECHANICSBURG PA 17055-9308 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE -9' RETAIN LOWER PORTION FOR YOUR RECORDS E-
-------------------008------------------------------TAX--------------,----------------------------
REV-1547 EX AFP -13� NOTICE OF INHERITANCE APPRAISEMENTALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS_AND ASSESSMENT OF TAX_
ESTATE OF: ROLLINS MARGARET HFILE NO. :21 13-0320 ACN: 101 DATE: 03-31-2014
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) (1) .00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) C2) .00 credit to your account,
00 submit the upper portion
S. Closely Held Stock/Partnership Interest (Schedule C) (3) . of this form with your
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payment.
S. Cash/Bank Deposits/Mist. Personal Property (Schedule E) (5) 3,24 5.78
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) Do
8. Total Assets (8) 3,245.78
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Mist. Expenses (Schedule H) t9) 274.33
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 218,64 9.33
11. Total Deductions C11) 218,923.66
12. Net Value of Tax Return (12) 215,677.88-
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax C14) 215,677.88-
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Lire 14 at spousal.rate _ C15? .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate C16) -nn X 045 = .00
17. Amount of Line 14 at sibling rate C17) n0 X 12 = .00
18. Amount of Line 14 taxable at collateral rate Cie) .00 X 15 = .00
19. Principal Tax Due (19)= .00
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
TOTAL TAX PAYMENT .00
GS" t ll(sCL�]aa�, -I BALANCE OF TAX DUE .00
/}yi�r � n�►� �3 ��`J•7S5/� 17r�.u3V INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.