HomeMy WebLinkAbout01-0550
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of Sa r-Q h B. S1oE'1~1'(\je \
also known as SARAH R STOERZINGER
(per daughter 6-12-2001)
Deceased.
Social Security No. ;;2 () d .9 0 (p.5C) I
No. 21-01-550
To:
Register of Wills for the
County of C/..lvYI~~r ldt"oI in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older, appl ; e. ~
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 ell).. r<\ be'\ \ Q '!,'d . Coun~, PepnsYfvania} with . h \
hey- lastfamiIy or principal residence at IbOD ll). S<-'l.l/th St. -' Co.! \IS e L 50(0<..1:] ..J
(list street, number and municipality)
Decendent, then. 7 d.... years of age~ died
at '000 LV. &cl+h Sf. )0... lisle
,~
Ob0/
,
Decendent at death owned property with estimated values as foIIlows:
(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: jJ ) A-
(
$
$
$
$
1:106. ---
NON e-
...,) G' tJ e.
No {\ e...-
Petitioner_ after a proper search h~ ascertained that decedent left no will and was survived by
the following Sf'OIm: (if any) and heirs:
Name Relationship Residence
L v'\€. Rel,
L.' () ~ rd
o r{{ SfF[ 5
\()iK 5r=IS
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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jerk Spr:v'\) S ~A 17 3 7~
;;1535- Co '-'-V\ f-J L,' (Ie t2ctJ
Yo.k Sprl'fl1s, fJ..+ /737d
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} ss
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. r .' ' , I. () .
Sworn to or affirmed and subscribed f x J)~&t 11, tU~,~ ~
before me this 7th day of ~
JUNE ~2001 2i: ~ ~ ~ - :3
'n~y~~'.J.~J.P~/~1"" WlJ I .f:c;tnPi'~~'-' !
I Reglste L - Vi
No.
21-01-550
Estate of
SARAH B STOERZINGER
aka SARAH R STOERZINGER
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW JUNE 11 )(~ 2001, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that DEBORAH K WESTBROOK AND RICHARD F STOERZINGER
}iWare entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to DEBORAH K WESTBROOK AND RICHARD F STOERZINGER
in the estate of SARAH B STOERZINGER aka SARAH R STOERZINGER
7r(lJf~~'n)fY )~
RIster of Ills
FEES
Letters of Administration $
Short Certificates( ).......... $
Renunciation ................ $
JCP $ 5.00
TOTAL _ $ 33.0Q
Filed . :1.~~~..7. .., .. .. .. .., A.D. ~ 2001
25.00
3.00
ATTORNEY (Sup. Ct. 1.0. No.)
ADDRESS
PHONE
~~w~
H] O,.HO,
HFV I)!S(,
This is to certify thar rhe informarion here given is correctly copied fro~ an original certific~re of death dul~ filed wirh
Local Registrar.' The original certifIcate will be Forwarded to the Srare VIral Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
me as
Fee t<)r this certificate, $2.00
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No.
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P 7401864
MAY 1 5 2001
Dare
21-01-550
""1105. i4J A~, 2181
COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
"'NT
4EHT
INK
NA.ME OF DECEOENT IfH'SI. Mida... l.olSI'
,. Seur.ah R. Stoeltz.i.n
--_.._----~------
SEX
$T,v( FIlE NUMlEFt
SOCIAl. SEcuFlrrv NUMBER
AGE (last BII'1tIday)
UNDER 1 YEAR
Monchl 0.)'5
8lATHPlACE (CoIy ~
3tal. Of FCtfl9'l CounIfYl
'.Female
.. 202 - 20
14,2001
s. 72 Vra,
COUNTY OF OEAJ"H
9.1 '..
Cumbeltland
="YIO
DECEDENT'S USUAlOCCUPRION
(~~"::~'~r~
ilL Cleltk "..US PO-6tal Seltv.i.c.e ,..
DECEDENT'S MAILING ADDRESS (Sfr., CifylTown. SIMI. Zip Cot3eI DECEDENT'S
ACTUAl
RE~OENCE
...."*"'<1oono
onOlh4lfSlde)
Ie.
SURVIVlNQ SPOuSE
,n -e.;MI ~ nwnel
1000 We-6t South St.
'0. CaIt.e.i.-6le, PA 17013
17.. Stat.
_.
FRHER'S NAME (Fitst. Middle. lUll
11. GIt nt L. BOOk-6
INFOAMANl'S NAME: (T yp&'Prinr)
_. VebOltah K. We-6tbltook
ME"1ltOO Of: DtSPOStTIOH
aun.. KJ C,ematiOn 0 ~ from SIal. 0
au... 15,*"""
t7b, Cou
eify~
DATE OF O$SPOSlTION
(MonIh. o.y, "'*)
o Matj 17,2001
2tb.
LICENSEE OR PERSON ACTING AS SUCH
SePSIS
DUE TO (CIA AS... CONSEOVENCE CF):
N EI.II'I ON' / I"\-
DUE TO COR AS'" CONSEOUENCE OF);
...
I Approximate
: interval between
I 0f'IMlI and deactl
,
:
PART II: OtNr S9iil'lcant condIliona conIlitluIing 10 dealtl. bill:
110I rnuling in the lM'Ideftying '*1M giYen in PART I.
f :
d.
WERE AuTOPSy FINQtNGS
A\AII.A81E PRJOA 10
COMPlETION OF CAUSE
OF DEATH?
1-/ (...2 ItE' V'1 E>e.$
j)/SD'.Sc:
DUE lO(Ofl AS 'CONsEOUENCE Ofl
{Y\Se7 ~S ,htEU.../ ru s
V A LV U I-At'L HlZi\(l.:j DI ~ t::ASf3:
MANNER OF DEATH
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DATE OF INJURY
(MCd1. Day. 'I'ear)
TIME OF INJURY
INJURY AT \oYORk? DESCRIBE HOw INJURY OCCURRED.
Homicidl
o
o
o PLACE OF INJURY. AI home. tarm. SCreeC,lactoty, olflce
buitding. etc. l$pec"vl
....
... 0 NoD
Acc__.,.
Pending InYMliglIlion
y" 0
No [3'"
.......
Could not be delermmed
."EDtCAl EXAMINER/CORONER
On the b..il 0' examina'lon and/or investigation. in my opinion, death OCcurred II the time, d.... and plac.. and due-Io lhe caUSees) and
manner al stlled,.., . ..... '., .......... _..,.. ,. ,.,.... ., .., .......,...,. .... , ., ,. _'...,..,.,...... .,.".., ....,..
3'1.
I=IEGrSTI=IAFl'S SIGNATURE AND ~ ~.
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CERTIf"IER ICl'eck or-..,. ontt)
"CEIITIFYINQ PHYSICIAN (PhY5'C"''' CP.l"htyong cause d dealt! wt'ler'l olnOlr>et ph....SIC.an has pront'lllncecl dealt'! ana CClmPlvled Hem 231
To the -.t 01 ""y Icnowlecfge. ..1" oecUrTed due ~ the Clu".'1 .nd ma"ne, .. ,'ated.
...
"'AONOuNCIHQ AND CERTIFYING PHYSICI....N fPh'f$lCIM bofr. .,..~"OUflCong aeath and CertJlylOQ 10 Cause at aeath\
To lhe befl 01 '"y knowl~ft, death oeeur...-d at the lime. d.le, and pl..:e, and due to l"eeause('J and m."ne,., .1.11Id
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REV.1500EX {6-00)
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
Iro-d-.35- l ~
REV-1500
OFFICIAL USE ONLY
FILE NUMBER
INHERITANCE TAX RETURN
RESIDENT DECEDENT
J2Q~S-(L
NUMBER
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FIRM NAME (If NJplicaole)
TELEPHONE NUMBER
/1) ~3d,-Lf{), 75
~Q-~L
COUNTY CODE YEAR
R.
SOCIAL SECURITY NUMBER
dD~ - ao
05;J{
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
.lZ!1. Original Return
o 4. Limited Estate
o 6. Decedent Died Testate (AttaclIcc\lyo(Will)
D 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (date ofdeat~ after 12-12-82)
o 7. Decedent Maintained a Li\ling Trust jAllacn oopyo1Trust)
D 10. Spousal Poverty Credit (date of death l>etween 12.31.91 and 1_1_95)
D 3. Remainder Return (date of death prior to 12.13-82)
D 5. Federal Estate Tax Return Required
B. Total Number of Safe Deposit Boxes
o 11 Election to tax under Sec. 9113(A) (Attach Sch 0)
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
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3. Closely Held Corporation, Partnership Of Sole.Proprie\orship
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.Vlvos Transfers & Miscellaneous Non.probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines t-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
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/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)
COMPLETE MAILING ADDRESS
~5Ci:J1 (20 U r) Iy L,n e
~ rJ-< Spnn}~ Pit
(1)
(2)
(3)
(4)
(5)
/I/O f'{2
/'Iovle
No Y) e.
No 11 e
/fDo :~. :2 t,
;Vone
/Vr; n e
OFFICIAL USE ONLY
(6)
(7)
(8)
/4:>tJ3.2("
(9)
(10)
;J. "'G. :II
/3(P3. oS-
(11)
(12)
(13)
1& CJ":J. ;;Z~
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SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
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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
x.O_ (15)
x.O_ (16)
x .12 (11)
x .15 (18)
(19)
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
20.0
8f,ee
CITY
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
ZIP
17013
Total Credits ( A + 8 + C ) (2)
3. InteresVPenalty if applicable
D. Interest
E. Penalty
TOlallnteresUPenalty ( D + 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)
5. If Line 1 + Line 31s greater than Line 2, enter the difference. This Is the TAX DUE. (5)
A. Enter the interest on the tax due.
(5A)
8. Enter the total of Une 5 + 5A. This Is the BALANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
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; or... . . ..................... ..................
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 nin trus1 (orn 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? .
Yes
.....0
....................0
.............0
.........0
......0
....0
....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,
No
rg
~
g
IZ"
g
g
g
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 an information of. which preparer has any knowledge
DATE
.ft'liI
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 lax rate imposed on the net value of transfers 10 or for Ihe use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)).
The statute does not exempt 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 tile 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 01 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 lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(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.
REV-1511 EX+ (12-99) .'
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
:1.00/- oor.5"o
ESTATE OF
S rtJ G R. 2 I Nr. 6 R.
,
5""" R f1 II 1?
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
i. ;V j/f
7#$ p(/NP~AL NoMIr O//JS /75""1 Pi e lfir€y of
/.IF~ ;J:NS()(Z.AiVCfi poLICy, Tdls, C,,(/~~P
F()N Ei,O, L J,J. y,i'" ~ 1& s:
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions p/W IJ () ~,<j H I~. W p.srl3~"or.::
(l)
Name of Personal Representative(s) R'CHA~[) F _".,..,,;; III Z/ /II r-t2R. c2)
I~ ?/" - '10' '(171
Social Security Number(s)/EIN Number of Personal Representative(s) .:I. 1"I~-'f1l- '1;5:z.
Street Address -::;<;14>1 (?OU /IIT'r h/Ni2" R'o A )) ;ZOO, ? (
.
City to G. fC _yoR./~I..S: State --f?4- Zip 17 3 72-
Year(s) Comm',ssion Pa'ld; ~t>>1
CP- 1170.11
2. Attorney Fees @- /0.,10
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
5. Accountant's Fees
6. Tax Return Preparer's Fees J C'~ F.il ~ If To"', eA
6fflv
7. /'1"3/ ~Mj) }'G"/?;t.. RbI'Jj)" r;'4J'2J)M#lS N, 17:n7' '7'0. 6)0
,..
TOTAL (Also enter on line 9, Recapitulation) $;?'ft>.~1
(ll more space is needed, insert additional sheets of the same size)
.
REV.1512EX.(T.9/i.....
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<101 .
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
S7nE~Z/N{,.el'<:
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
S4~A'''' R
FILE NUMBER
~t!)o/- (')0 .s 5"0
include unreimbursed medical expenses.
ITEM
NUMBER
1.
DESCRIPTION
AMOUNT
S4 RI9H 19. 70 f) t> ,;VI ~ MO 1<' fl L I-IO.M ,=-
It)oo "/1;'. c;;'lwTH ST~G/irr; U9t2L,gLc:,Pt4- l7o,,~
II 31!J. ~~
,2.
pew COR.p- ~MP"'G~/NC'f R~....,
/9.3'{
J.
F/J r CfUJ-tv 11fZ. Cdot1.K~
::2.13.00
TOTAL (Also enter on line 10, Recapitulation) $ /3 GJ. t> r
(If more space is needed, insert additional sheets of tile same size)
. .
'EV"om.".".
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RES1DENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
SrOGRZ IAJ&.ER.
I
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntJy-owned with the right of survivorship must be disclosed on Schedule F.
S',t:} Rq If
R
FILE NUMBER
:<O~ /- t90SS0
ESTATE OF
ITEM
NUMBER
1.
"
DESCRIPTION
VALUE AT DATE
OF DEATH
111.' (.7/9/1/1< - e/if.fc/<:/I'It- !IcCoVA/-r-- /(Pt;3.2f.:>
TOTAL(Alsoenteronline5,Recapitulation) $ I~ 0;3. :lh
(if more space is needed, insert additional sheets of the same size)
t::
--
Name of Decedent:
CERTIFCATION OF NOTICE UNDER RULE 5.6(A)
Sarah
Date of Death: _r1 Q j-----J.9 J
Will No.:
Admin No.:
:')i]OI-OOS50
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 Jt..<n€ 10) .;;1001 :
Name
Address
~bo(a h
K I'Q ~K( (-J
K, IAJest1rooK
r StocrZI'njE'r
c;l5fo I Count"! L,'re Ro~ Yor k Sprl'nqS/ PA
./ J I 73 702
~545 C 6uny Line r~d.) 'lor ~ Spr t:y'1S/ PA
1/3/:)
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date: 9-dlD-O I
7)kJ k !J~mL
Signature
J)e6ra h J<, Wes.t-bvook
Name
J54>\ Coun ~ Utl e R6QJ
Yor Ii ~rl'(1J 51 PA J737d.
Address
7/7- L/&)- L/~ 7S-
Telephone
Capacity: lKl Personal Representative
o Counsel for personal representative
RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred
in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for
life or for years, the Commonwealth hereby expresslY reserves the right to appraise and assess transfer Inheritance Taxes
at the lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE:
PAYMENT:
REFUND (CR):
OBJECTIONS:
ADMIN-
ISTRATIVE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side.
--Make check or money order payable to: REGISTER OF HILLS. AGENT
A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application
for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office
of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour
answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or
speaking needs: 1-800-447-3020 (TT only).
Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment
of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of
this Notice by:
--written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR
--election to have the matter determined at audit of the account of the personal representative, OR
--appeal to the Orphans' Court.
Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue,
Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601
Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident
Decedent" (REV-1501) for an explanation of administrativelY correctable errors.
If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of
the tax paid is allowed.
The 15% tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not
paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation
penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest
that has been assessed as indicated on this notice.
Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of
death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of
six (6%) percent per annum calculated at a dailY rate of .000164. All taxes which became delinquent on and after
January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate
announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2001 are:
Year Interest Rate Daily Interest Factor Vear Interest Rate Daily Interest Factor
1982 20% .000548 1992 9% .000247
1983 16% .000438 1993-1994 n .000192
1984 11% .000301 1995-1998 9% .000247
1985 13% .000356 1999 n .000192
1986 10% .000274 2000 8% .000219
1987 9% .000247 2001 9% .000247
1988-1991 llZ .000301
--Interest is calculated as follows:
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days
beyond the date of the assessment. If payment is made after the interest computation date shown on the
Notice, additional interest must be calculated.
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FORM 16 REG.
WILLS
of all real and personal estate of
deceased. late of G 01--
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lNVENTORY
_ .rh i ~ !tt.j . /.. de .r rr7 I .,-11 =
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(Nu ber and street) C" '\ _ _ \ -' (city)-O--
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).&.,,' IAt,' County. pennsylvania. \ 7 0 SO
(Zip Code)
who died
(Borough or Township)
05"(~1 / 01
(date of death)
PERSONAL ESTATE SCHEDULE
1989 Ford 150 Truck
1981 Honda 405 Motorcycle
pennsy Supply 401(k) Retirement
pennsy Supply Profit Sharing Plan
1970 Honda 175 Motorcycle
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Copyright 2000 David James Thorpe, Esq,
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AFFIDAVIT OF EXECUTOR OR ADMINISTRATOR
Commonweah/' 0/ Penf0'jfvania
County of Cumberland
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ss:
Personally before me,the undersigned authority, a
in and for said County
and State, appeared
who, being duly sworn according
to law, deposes and says that he is the executor or administrator of the estate of
, deceased, that the foregoing schedules constitute a complete inventory
and appraisement of the real and personal estate of
deceased, except real estate outside the Commonwealth of Pennsylvania, that the figures opposite each item of real and
personal estate in the foregoing schedules are determined and stated by the un7~ ~~ be fair value of said items as
of the date of the decedent's death. ~ C j~
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Sworn and subscribed before me
this
day of
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EXECUTOR-ADMINISTRATOR
ADDITIONAL INSTRUCTIONS
1. The inventory shall be filed no later than the date the account is filed or the due date, including any extension, for the
filing of the Inheritance Tax Return (9 months from the date of death) whichever comes first.
2. A Supplemental inventory must be filed within thirty days of discovery of additional assets.
3. An original and two copies must be filed.
4. Additional sheets may be attached as to personalty or realty.
5. See Section 3301 et seq. Of the Probate Estates and Fiduciaries Code of 1972, as amended.
6. The inventory must be typed.
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Copyright 2000 David James Thorpe, Esq.
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Name of Decedent:
STATUS REPORT UNDER RULE 6.12
Sardh B. StoelZ1njer
)l)a~f 6/001
Date of Death:
Admin. No.: JOOI- 00550
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 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 representative file a final account with the Court?
Yes _ No m
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 W No 0
Date:
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk of the Orphans' Court
and may be attached to this report.
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Signature
Deborah Ii. UJestbrooL
Name 0 I
~ 510 I C.O u. l'\~ L \ ~ e 'f\ 0 G 0(
>d r k Sf r i ()3 s I ~ J=t /737 c?
Address
II 7 - 4 '3 d. - 4- 9 75"
Telephone No.
Capacity: 0 Personal Representative
o Counsel for personal representative
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Cumberland County - Register Of wills
Hanover and High Street
Carlisler PA 17013
Phone: (717) 240 - 6345
Date: 4/09/2003
STOERZINGER RICHARD F
2535 COUNTY LINE ROAD
YORK SPRINGSr PA 17372
RE: Estate of STOERZINGER SARAH B
File Number: 2001-00550
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 RULESr NO.
103 SUPREME COURT RULES DOCKET NO. 1r for decedents dying on or after
July 1r 1992r the personal representative or his counselr within two
(2) years of the decedent's deathr shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing will become delinquent on: 5/14/2003
Your prompt attention to this matter will be appreciated.
Thank You.
SincerelYr
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
cc: V'File
Counsel
Judge