HomeMy WebLinkAbout01-0754
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of "Eleanor o. Enterline
also known as
No.
To:
21-01-754
Register of Wills for the
Deceased. County of Cumberland in the
Social Security No. 172 -12 - ] 864 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an 1he execut or
in the last will of the above decedent, dated Augus t j
and codicil(s) dated none
named
, 19~
,Hore.
-:f'11m~S r, SAJ/"'62L/NG
l)/El>
.:::Tv AI F
? 19~
I
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
D d d. '1 d d h' Cumberland C PI" h
ecen ent was omlCI e at eat III ounty, ennsy vama, WIt
h C'" last faruilvOor..Drincipal re.sidence at MFgrlfre *et?5~ & R8habilitation
enter, l/Ul MarKet ~t., ~am ~ , ~ 1
(list street, number and muncipality)
Decendent._then. 92 years of age, died July 16, 2001 ,~
at L;amp H~J.J., .l:"A
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 in Pennsylvania
situated as follows:
$ 46,000.00
$
$
$
WHEREFORE, petitioner(~ respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters t p s r ,qmpn r ~ "'y
(testamentary; administration C.La.; administration d.b.n.c.La.)
theron.
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James X. Enterline
312 E. S1ddou~bur:g Rd.
MQchanicsburg, PA 17055
OATH OF-PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ~ ss
COUNTY OF CUMBERLAND J
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 represen-
tative(s) of the above decedent petitioner(s) will well a d truly administer the estate according to law.
~
en
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Sworn to or affirmed and subscribed {
before me this 14th day of
>r~~r~'h2}~:r
ReglSt
/6- CJ" 7
~o. 21-01-754
Estate of
ELEANOR O. ENTERLINE
, Deceased
DECREE OF PROBATE A~D GRANT OF LETTERS
AND NOW AUGUST 14 IDI2001, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated Augus t 3, 1981
described therein be admitted to probate and filed of record as the last will of
Eleanor o. Enterline
and Letters Testamentary
are hereby granted to James I. Enterline
FEES
~~/Ae)4"~
~ elster ~;o~~
Albert z. kBOg~;;q.
AITORNEY (Sup. Ct. 1.0. No.)
Sup Ct. No. 06350
Probate, Letters, Etc. .........
x-pa~s .
Short 1.:ertificates( )..........
Renunciation ................
JCP
$ 80 . 00
3.00
$ 12.00
$
$ 5 . 00
TOTAL _ $ 100.00
. .~\l~JUr.r.l.4.,. .ZOP.l................
.'\D..D,RESS
P. O. Box j14
Mechanicsburg, PA 17055-0314
PHONE
717-697-1918
auv~
Filed
REGISTER OF WILLS OF
OATH OF SUBSCRIBING W
r:s4
/' COUNTY
ESS
codicil
(each) a subscribing witness to the will prese ed herewith, (each) being duly qualified according to
law, depose(s) and say(s) that present and saw
the testat , sign the same a that signed as a witness at the
request of testat_ in presence and (in the presence of each other) (in the presence of the
other subscribing witness(es} .
Sworn to or affirmed
me this
a subscribed before
day of
19_
(Name)
(Address)
Register
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
JI.f;.
James~. Enterline and Albert Z. Bogert. Esq.
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
each is familiar with the signature of Eleanor o. Enterline ,
~lJ.
the will presented herewith and
~iiB:
believes the signature on the will is in the handwriting of
test at r ix of
each
that
Eleanor O. Enterline
to the best of their knowledge and belief.
Sworn to or affirmed and subscribed before h. ~
me this 14th day of James X Ent~e
?ugust ~2001 312 E. Siddonsburg, Rd. Mechanicsburg, p,
'/;r//4jU'o'I./$ L<~7'.~~ ~( )
RegIster ~C- c~
Alber. Z. Bo )
'P 0 Rnv 110., Mp('h,qn;('~hllrEJ PA
(Address)
...
11 O'>.RO'> RFV 9/Rf.
This is to certify that the information here given is correctly copied fro~ an original certificate of death dul~ filed with me as
Local Registrar. The original certificate will be forwarded to the State VItal Records Office for permanent filmg.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
p
7432289
No.
21-01-754
~ '~:!~~
Local Registrar
JUL 1 9 200\
Date
COMMONWEALTH OF PENNSYLVANIA e DEPARTMENT OF HEALTH e VITAL RECORDS
CERTIFICATE OF DEATH
:3 Reo.t. 2187
NAME C6 DECEDENT (for.. MIdclIe. LOllI'
t.
Eleanor o. Enterline
SEX
2. Female
AGE (l8S1 lk1tldayj
t3.
UNClEA 1 YEAR
MonlIIa o.y.
STRE FIlE NUMlIER
SOCIAL SECURITY NUMBER
3.172 - 32 - 1864
DATE Of DEATH .MoNIl. Oa~. '.,
t. July 16, 2001
IIIAT~ (CoIy ...a PI.-'CE OIF DEATH 1C1>ec:k...,.",. _ ""'UCloOno on Olheo -.
Stale Of fcreogn Counl,yj HOSPITAL:
Hegins, PA lnpat- 0
7. ...
FACUrv NAME (II FlOlIl>SMlJ/lOfl. gMIll1Hl and number.
~o
CUrri:>er land
DECEOENrS USUAl OCCUMlON
(<ONe Iur>d eI work dDtlot dur"'ll""'"'
~~""_ed'
MS DECEDENT EVER IN
U.S. ARUEDFOACES1
_0 NoGl
ManorCare Health & Rehab. Ctr.
Pennsylvania ~
decedMa
... in a
f"nl'1'hprl ;:mn . -""1 t7di::;'~=flI
MOTHER'S NAME IF..t. MocIdIe. ~ Sur"""",,
t.. Carrie Minnich
IHFORMANT'S MAllINGADOAESS ISlraa Citt/bon. ~. Zip CodeI
312 E. Siddonsburg al., Mechanicsburg, PA 17055
PU.CE OF DlSPOSmOH....... flICemalary, er--y LOCAIlON.~. SlaIe. ZIp Code
arOlllerRolling Green Meroorial B k Camp Hill, PA 17011
2t.. 2'''.
Ie.
E~
10- , 2)
12.
DECEDENT'S
ACTUAL
RESIDENCE
(SrIe__
an _ SIda)
17.. SIMa
1700 Market Street
'" CaTp Hill, PA 17011
!'RHEA'S NAME (F"sa. MidCIIa. Lasl,
,.,..
Ie.
N'OAMANrS NAME (TypelPrinl)
Irvin Otto
Jarres I. Enterline
"-'-.... SlaIe 0
~ECAUSe(l'inal
aaa..ar__
...-ng",~-
.........,..----
..... ....... -...........
_.~~
CMIIeto... ar Ifl(U/y
...~-
'-*'0 on _,lAST
I :.
d.
DUE 10 lOA AS A CONSEQUENCE OF):
......
DUE 10 lOA AS A CONSEOUENCE 00:
MSAHAU10PSY ~ AUTOPSY fINDINGS .......NER OF DEAl'
1'EAFlJAME07 AloIUlA8L.E PRIOR 10
COMPlET1ON OfF CAUSE ........ 0
OF DEArH? HcJmicicIe
Accidenl 0 "-ling~ 0
..... 0 No _0 NoD Suicide 0 Could _ be detennlMfl 0
DATE OF INJURY
(Monrh. Day. _I
1Wp.
CiIylboro.
1903 Mkt St, CH, PA 17011
PART I: 0lNr IigniIIea/ll ~-*iIIulingIO~. bul
- -.ling in'" uncIM\PI8- g;-.... PMT I.
TIWE OF INJURY
INJURY R WORK? DeSCRIBE HOW INJURY OCCUAAEO.
... 0 NoD
a.
PlACE OF INJURY. A11lome. ....... ...... tKlOry. oIIIclI
buikInQ. elC. .Spec"",
...
...
... :lib.
c:srr.....CNclc only one.
.ceRTlFYlNG PHYSICIAN (Phy8Cl8fl C8f1IIwoIt9 __ d de8Ih wIlef'I anoIher llhYSoC_ has Ill"""""'*' _ ana completed "em 231
T............,~. ..._OCCurrwd..........cauu(.,__.............................................................
.PftONCM INCIHG ANO CERTIFYING PHYSICIAN IPhvsoan boIh ;>ranoonc"'ll dealh _ ce<1JIylno 10 cause 01 <lea",
T.... _ of my knoMeclge, ...... _rod at ... ...... clale. and piece. .nd due 10 ... c811..(.,anrl m.nne, .. .101_.. . . . . . . . . . . . . . . . . . . . . . . . .
.IIIEDlCAl.IEXAMINEAlCOAONEA
On the bale of ..amiMllon andIOIln"..t~ion. in my opinion, death occurred al th. lime, dat.. .nd pl.ce. and due 10 the cauM(a) and
_.....tocl................................................................................................. .
3t..
REGIS
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o
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21-01-754
LAST WILL AND TESTAMmT
I, ELEANOR O. INTERLINE, of Camp Hill, Cumberland County, Pennsylvania,
being of sound mind, memory and understanding, do make, publish and declare
this as and for my Last Will and Testament, hereby revoking and making null
and void all Wills and Testaments, or writings in the nature thereof by me at
anytime heretofore made.
First; I direct that my funeral expenses and just debts be paid as soon
after my decease as may be convenient to my Executor hereinafter named.
Second: I give, devise and bequeath all of my property real, personal,
and/or mixed of whatsoever nature and wheresoever situate to my husband, James
F. Enterline, his heirs and assigns.
Third: In the event that my husband, James F. Enterline, should pre-
decease me, I then give, devise and bequeath all of my property real, personal
and/or mixed of whatsoever nature and wheresoever situate to my two children,
James and Joan Enterline, share and share alike, their heirs and assigns.
Fourth: All inheritance taxes shall be paid out of the proceeds of my
estate and all bequests shall be free and clear of such taxes.
Fifth: I nominate and appoint James F. Enterline to be the Executor
of this, my Last Will and Testament and if he be deceased or incompetent to
serve, I then appoint my son, James Enterline, to be the Executor of this my
Last Will and Testament.
(a) I authorize and empower my Executor, for the payment of debts
or for any purpose of administration or distribution, at any time within two
years from the date of my death, to sell all or any of my real estate, at pub-
lic or private sale, for such prices and upon,. such terms as to cash and credit
.. . ~
"
r-
a.
as he may deem best, and to execute deeds of conveyance thereof, without lia-
bility on the part of the purchasers to see to the application of the purchase
monies. This power shall not be construed to work a conversion of my real
estate, unless and until the power is actually exercised, nor shall this power
be construed to extend the lien of debts.
(b) I authorize my Exeoutor to retain all stocks, bonds and other
investments made by me for distribution in kind, or in his discretion, to sell
and transfer the same, either in person or by attorney, without liability on
the part of the purchasers to see to the application of the purchase monies.
IN WITNESS WHERIDF, I have hereunto set my hand and seal this .3 ~ day 0
~ ~ ) ..... J,
, 1981.
Signed, sealed, published and
declared by the Testatrix above
named, as and for her Last Will
and Testament, in the presence
of us who have hereunto, at her
request, subscribed our names in
her presence and in the presence
of each other as witnesses hereto.
_M(1,,,j-j: *--~
" eh_ ~ if '~.. ..
t/.JMUr ) (J). f~l 141 ~
(ELEANOR O. ENTERLINE)
(SEAL
-2-
E
.., ..
..
....
Estate of
ELEANOR O. ENTERLINE
Deceased, Late of
Camp Hill Borough,
Pennsylvania
COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2001-00754
ORPHANS' COURT DIVISION
IN RE:
CERTIFICATION OF NOTICE
TO THE REGISTER OF WILLS, CUMBERLAND COUNTY:
I certify that notice of beneficial interest required by
Rule 5.6 (a) of the Pennsylvania Orphans' Court Rules was served
on the beneficiaries identified below by United States Mail, first
class postage prepaid, addressed as set forth below.
DATE of Service/Mailing: ~( dJ/ ~O /
Beneficiaries:
Joan C. Enterline
4998 Battery Lane
Bethesda, MD20814
James I. Enterline
312 E. Siddonsburg Rd.
MeChani~~~
Albert Z. Bogert, Esq.
Attorney for the Estate of
Eleanor o. Enterline
~ t .
'W('. ...
Estate of
ELEANOR O. ENTERLINE
Deceased, Late of
Camp Hill Borough,
Pennsylvania
COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2001-00754
IN RE:
ORPHANS' COURT DIVISION
NOTICE
TO:
ON BEHALF of the Estate of ELEANOR O. ENTERLINE, Deceased, and
pursuant to Pennsylvania Rules of Court, Orphans' Court Rule 5.6,
please be advised:
1. ELEANOR O. ENTERLINE died on July 16, 2001 a resident of the
ManorCare Health and Rehabilitation Center, Camp Hill, Pennsylvania.
2. ELEANOR O. ENTERLINE died testate and a copy of her Last Will is
attached to this Notice.
3. Letters Testamentary were granted on August 14, 2001 to
JAMES ENTERLINE to Estate No. 2001-00754.
4. The Personal Representative is JAMES ENTERLINE, 312 E. Siddonsburg Rd,
Mechanicsburg, PA 17055; telephone No. 717-766-6981.
5. The Attorney for the Estate is ALBERT Z. BOGERT, ESQ., P.O.Box 314,
Mechanicsburg, PA 17055-0314; telephone No. 717-697-1918.
THIS NOTICE is given to comply with Pennsylvania Rules of Court and means
only that you are a person required to receive this Notice, and does
not mean that you will share in the Estate. However, you may have a
beneficial interest in the Estate, and you may request additional
information from the Personal Representative or the Attorney for the
Estate; or you may seek advice from your own attorney.
Date of Notice~7c;?~ ~/
~~
Albert Z. Bogert, Esq.
Attorney for the Estate of
Eleanor o. Enterline
P. O. Box 314
Mechanicsburg, PA 17055-0314
717-697-1918
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BOGERT ALBERT Z
PO BOX 314
MECHANICSBURG, PA 17055-0314
-------- fold
ESTATE INFORMATION: SSN: 172-32-1864
FILE NUMBER: 21-2001- 0754
DECEDENT NAME: ENTERLINE ELEANOR 0
DA TE OF PAYMENT: 10/12/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 07/16/2001
NO. CD 000378
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $3,000.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ALBERT BOGERT ESQUIRE
CHECK# 744
SEAL
INITIALS: VZ
RECEIVED BY:
REGIS'I'ER OF WILLS
$3,000.00
MARY C. LEWIS
REGISTER OF WILLS
'{to-~G -7
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
REY-ln7 EX AFP (01-02)
'02 JUL-1
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-28-2002
ENTERLINE
07-16-2001
21 01-0754
CUMBERLAND
101
ELEANOR
o
:(J 7
ALBERT Z BOGERT ESQ
PO BOX 314
MECHANICSBURG
Allount Rellitted
PA 1~055
Ll:n__ -
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..
RE-y-=i6'ifj-ix--AFP--fol-:02j-------...--fNifERITANci--fAX--STATEHi-tif-crF-Aifcouiff--...---------------- - - ---
ESTATE OF ENTERLINE ELEANOR 0 FILE NO. 21 01-0754 ACN 101 DATE 05-28-2002
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-13-2002
P R I NC I PAL TAX DU E : ..................._......................................................................................................................................................................................................
3,149.52
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-12-2001 CDOO0378 157.48 3,000.00
05-13-2002 REFUND .00 7.96-
TOTAL TAX CREDIT 3,149.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
~ /6 -.;262J - 7
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
- I-lAY 24
ALBERT Z BOGERT ~~6
PO BOX 314
MECHANICSBURG \~~,eA 17055
Curd:,
",'6
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-20-2002
ENTERLINE
07-16-2001
21 01-0754
CUMBERLAND
101
*'
REV-1547 EX AFP lO1-02)
ELEANOR
o
Allount Rellitted
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 ~
RE-Y= iS4-j-EX--AFP-foi-:o 21--NoTicE--oF-'rtiHERYTAifcE- TAx-APPRjfisEirENT~--ALi-owANcE-irR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ENTERLINE ELEANOR 0 FILE NO. 21 01-0754 ACN 101 DATE 05-20-2002
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. A_ount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
.00 X 00 = .00
69,989.26 X 045 = 3,149.52
.00 X 12 = .00
.00 X 15 = .00
(19)= 3,149.52
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
80,277.01
1,101.82
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
6,181.76
5.207.91
(11)
(12)
(13)
(14)
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
81,378.93
11.389 67
69,989.26
.00
69,989.26
TAX CREDITS:
. n.......... ....-..... . II t+ J AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
10-12-2001 CDOO0378 157.48 3,000.00
05-13-2002 REFUND .00 7.96-
TOTAL TAX CREDIT 3,149.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ..CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF
THE STATUS OF THE ESTATE. IF ESTATE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY
UNTIL COMPLETION 0t/
STATUS REPORT UNDER RULE 6.12
Name of Decedent: ELEANOR O. ENTERLINE
Date of Death: July 16, 2001
2001-0'0754
Will No.:
Admin. No.: 21-01-0754
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 XX
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 XX
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 XX No
Copies of receipts, releases, joinders and approvals of formal or informal accounts
:~~~ filed with the Clerk o;a this
Signature
Albert Z. Bogert, Esq.
Name (Please type or print)
P. O. Box 314
Mechanicsburg, PA 17055-0314
Address
D.
/~~
Date:/ .. ~ . (j 9--
717-697-1918
(MAH:rmtlAM3)
Telephone No.
Capacity:
Personal Representative
xxx
Counsel for Personal Representative
R.W. - 27
RE';.15f EX ,6.00'
--- - -
.
REV-1500
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
INHERITANCE TAX RETURN
RESIDENT DECEDENT
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
ENTERLINE
DATE OF DEATH (MM-DD-YEAR)
O.
DATE OF BIRTH (MM-DD.YEARI
ELEANOR
Ju1 16 2001 Februar 15 1909
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST. AND MIDDLE INITIAL)
XX] 1. Original Return
o 4. limited Estate
o 6. Decedent Died Testate (A\tach copy 01 WIll)
o 9. litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interes\ Compromise Idale 01 death aher 12.12.821
o 7. Decedent Maintained a LIving Trust (Attach copy 01 Tru,l)
o 10. Spousal Poverty Credit (dale 01 death between 12.31.91 and 1-1-951
COMPLETE MAILING ADDRESS
P. O. Box 314
Z. Bo
FIRM NAME (If Applicable)
OFFIC!AL USE ONLY
C!-
.._llo.. ...r259 7
FILE NUMBER
2 1 - 0
1
075 4
------
COUNTY CODE
YEAR
NUMBER
SOCIAL SECURITY NUMBER
172
- 32
- 1864
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Return (dall! of deatl1 pno< 1012.13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Altacl1 Sch 0)
717-697-1918
Mechanicsburg, PA 17055-0314
TELEPHONE NUMBER
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
(1)
(2)
3, Closely Held Corporation, Partnership or Sole-Propnetorship (3)
4. Mortgages & Noles Receivable (Schedule D) (4)
(5)
$ 80,277.01
1,101.82
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)
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)
(6)
(7)
(9)
$ 6,181.76
5,207.91
(10)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEe INSTRUCTIONS ON REVERSE SIDE FOR APPL.lCABLE RATES
z
o
~
~
::::>>
0.
::E
o
o
~
15. Amount of line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
x .0_ (15)
x .o~ (16)
x .12 (17)
x .15 (18)
(19)
16. Amount of Line 14 taxable at lineal rate
$ 69,989.26
17. Amount of line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
2Cl.fiI
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALl,. Ql,IESTIONS ON RI;
'~NP~EC:HI::~
OFFICIAL USE ONLY
-.., ~>
c..-,
;........,
(8)
$ 81,378.93
~
(11)
(12)
(13)
$ 11,389.67
(14)
$ 69,989.26
$ 3,149.52
$ 3,149.52
1)ecedent's Complete Address:
J
STREET ADDRESS C 1 h
Manor are Rea t
1 7 0 0 Na r k e t S t.
& Rehabilitation Center
CITY
PA
STATE
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
1
(1) $ 3,149.52
$ 3,000.00
165.76
Total Credits ( A + B + C ) (2) $ 3, 165 . 76
3. Interest/Penalty if applicable
D. Interest
E. Penalty
16.24
Total Interest/Penally ( 0 + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4) $
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5)
(5A)
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
DL""~~~~J:'~~.\;,~~;\~i:t~;:~>:i:~~l1~:d:Ji;.;~4:1~;;'~~i.::~~~~~";~~~.:~:t~:~:.ti~~L~...,~:.:.~.:>~ .'. t ,,_:.~~~~~o~~~:~~~~~1~~~~~~U~~ZU__~l.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a. retain the use or income of the properly transferred;............,............................................................................. 0
b. retain the right to designate who shall use the property transferred or its income; ........................................... 0
c. retain a reversionary interest; or..............................,.........,......,..........,..........,............................... 0
d. receive the promise for life of either payments, benefits or care?.,..............,.........,.......................:........... 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? '......,...........'..'"...".,."...,..................'............"....,...........,..................... 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? '.,........."..,.,..,.,.,..'.,...,..,."".,......,....................,...,.,..,.'............................"...... 0
No
[]J
rn
rn
rn
rn
rn
o
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
PERSON RESPON~OR FI . G RETURN
Under penalties of perjury. I declare that I have examined thiS return, Including accompanYing schedules and statements, and 10 the besl of my knowledge and belief, it IS true, correct
and complete,
Declaration of preparer other than the personal representalive is based on all information of which pre parer has any knowledge,
SIGNATU
DATE
312 E. Siddonsburg Rd., Mechanicsburg, PA 17055
;7RTH ;PR~
ADDRESS
P. O. Box 314, Mechanicsburg, PA 17055-0314
~,T01~~t~$..;!.~1.1.t..~'i~~~~.(8Iaa- [;f r - 1~1~--~--"""""""~1- - -
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 lilf 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) (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 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 lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. 99116(a)(1)].
The lax rale imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
ADORE
, S ~t1:L-
"""~".,",. '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
21-01-0754
ENTERLINE, ELEANOR O.
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were received by the estate, All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
2.
3 .
VALUE AT DATE
DESCRIPTION OF DEATH
HCR-Manor Care: Refund of pre-paid nursing home costs $ 2,280.50
1st National Bank of Marysvi1le
Checking Account No. 41-098-5
1st National Bank of Marysville
Certificate of Deposit No. 3060525
$34,759.94
$43,236.57
TOTAL (Also enter on line 5, Recapitulation) $ 80, 277 . 01
(If more space is needed, insert additional sheets of the same size)
6
;~:}~~f:~~~~~
J.-IL':R. Mano.rC1re
8 683 0001309387
HUH ManorCarc
3:~:~ N. Surmn! t S to.
'1'01 odo. Ohio
(j604-2616
FSTATE O,lt' FIT.RAHOH F:N'1'ERL[~
C I 0 J Aft'K3 KN1' EHLl N I<~
~,? ~~ ~tnDONgYURO ROAD
MD:mAN lCSHURO
PA 17066
....!i?'iI~~~42,;~~~!~~!f~?f'e41~
....,...._.........
Total
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." "'~. ". . .'. .....".~.'.'"H',.~'" ,I., . _'_ ..., ......
'" "..... REMOVE DOCUMENT ALONG nos PERPORAT1ON
---.
'!II. .." .'? ".tlJ.JJllll'~~r.I~~'W~U.('~~;1I il. :lIII~''':~'J'i.l~'l:l-''II'lrr'l. ~oI~ f'f'~'I"" ~"\.:.JI :I'll :;jf..U] '~:Iq-~j".m;ll ~:I ~'1~a
;"M~_ caJlf!f/~mP.: .Hiel. ll(:7l ~~,; . ttO. OOOI.M""
!.1100 M.arQt.$..,,' .., ' .. :
".;'~mp"HiJt,:.,';';:~<p" 17011 "., , , YOJ() ArnR 10 O~Y$,., .' '"
';''i1f1''<,~,~,,, ,"\-"'''' ...r:).,.....",:. ';', DAn H~JOfl""..,..1/r'" . , '.. AMCXNO'... ','. ~_,
V;";"J'f;)~r.,i'1~.;. '}.',;:"':\;"'': /"~'" ."'. , .. ,: ~/~t'l~~~...g~~~ ~Jr~;;' [, ." :", ~~. . v
'~:~I'i1.~{.'.':':'1.;:"'l.i!r1.,' '~.':'''l''.''::.'!r.-~. .' :,~.~..,,$0/1(lO'~:~::"","r'A;~~\~~:g~~J< " 1." .:'~~~.JIl'~;~,~~
I ".~"':"..\"'.'.".m.. .'.....'.'Uf"......~.BLJWK>R',... BlI't. ~...'.'...;,...' " "~,I '.. \;'~\\r.\';:." r~'<'7":"",,".
'" \ it _~. .,........, . ..,.~, :..t;f'rl ,~r........i..~,',.'....:?,'.'\.,...1~.:,..:.~~:~::.
"",o..,::~, . :,~ ""r, ...~t.t.....~:\,'~;~.:::.;.:.,'. /'1,,,!
',f.";:OR... '. . , ',:.. .' ':': ,. . npu~ ~fUII,'.',I..:'
~..":'.';'OF,. . "...... .,
><~:':i?i .',". MJilO~:tQSD~" PAj,7~ae . :.: '
..". .',.L]r~~~~&t~:,~},'{.,;::.,~. ,:::.~.~Q~~~<t~f:.f:".,.
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lI-t'Y):;
-" ,A
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'......"':"..
11'000 J.~Oq 38 1"" I:O~~. J.S. 2bl: 0 U.7? .1.7~ 2.L"'
'.',;', . ,c PA
i l:~'.d.ur)1l
PO
f\1AIN OFF-ICE
101 Lincoln Str eet
Pllont? (717) 957-2196
Fax (717) 957-4578
HIDGEVIEW OFFICE
500 S State Road
Phohe (717) 957.21'4
Fax (717) 957-4678
AUGUST 22,2001
ALBERT Z BOGERT
POBOX 314
MECHANICSBURG PA i 7055-0314
RE: ESTATE OF ELEANOR 0 ENTERLINE 172-32-1864
HERE IS THE INFORMATION YOU REQUESTED PER YOU LETTER DATED 8-15-01:
CHECKING 41-098-5
OWNERSHIP: ELEANOR 0 ENTERLl0:E
OPENED: 3-15-00
INT RATE: 2.15%
DaD BAL: $34,745.61
DaD TNT: 14.33
CERTIFICA TE OF DEPOSIT 3060525
OWNERSHIP: ELEANOR 0 ENTERLINE
OPENED: 4-3.00
INT RA TE: 6.06%
000 BAL: $43,145.60
000 [NT: 90.97
WE HAD ELEANOR'S SOCIAL SECURITY NUMBER LISTED AS 165-38-2467. THIS NUMBER
WAS GIVEN TO US BY JAMES ENTERLINE. I CONTACTED HIM AND HE THINKS THAT MA Y
HAVE BEEN HIS FATHERS.
ANY FURTHER QUESTIONS, PLEASE FEEL FREE TO CONTACT US.
SI~~CER.EL 'l,
j',{( ( (.. {'-tl " i\.:.) c
l.,..... '-
BARBARA REGIER
CUSTOMER SERVICE
""aM"'. '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RE IDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
ENTERLINE, ELEANOR O.
FILE NUMBER 21- 01- 0 754
If an asset was made joint within one year of the decedent', date of death, It must be reported on Schedule G.
SURVIVING JOINT TENANT(S} NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A'James I. Enterline
312 E. Siddonsburg Rd
Mechanicsburg, PA 17055
Sqn
B'Joan Carolyn Enterline
4998 Battery Lane
Bethesda MD 20814
Daughter
c.
JOINTLY-OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number Attach DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT deed for jointly-held real estate VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A, PNC Bank
Checking Acct. No. 5140119938 $3,305.46 1/3 $1,101.82
TOTAL (Also enter on line 6, Recapitulation) $ 1,101.82
(If more space is needed, insert additional sheets of the same size)
~ 1_..
~ TiJ~{l;BA~ng
Firstside Center
500 First A venue, 4th Floor
Pittsburgh, P A 15219-312R
ISCP
October 3, 200 I
Albert Z Bogert
Attorney At Law
PO BOX 314
Mechanicsburg PA 11055-0314
RE: Estate of Eleanor O. Enterline, [)eceas~d
SSN: 172-32-1864
000: 07/t6/2001
Dear Mr. Bogert:
Please find the date of death balance5 >'ou have requested li~ted below.
CHECKING ACCOUNT
#5140119938 Established 07/05/1984
ELEANOR 0 E1'\TERL11\E
JAMES I ENTERU~E
JOAN CAROLYN ENTERLTNE
DOD Balance: $3,305.15 + $0.31 accrued interest
Our office only provides date of deatb balances fur IRA's, CD's, Checking and
Savings accounts. We do ~O Finandal Transactions or Statement Orders. For
Further information please caU 1-800-4-HANKER or your local P~C Branch and
ask to speak with a Financial Services Representative.
Sincerely,
M~9>-~ \},-V'<~"-LQ. '--()
1-800- 762-1775
A member of lht PNC F1n3nt'laJ StrvIC(~ Group
Ont PNr PI~7,1 249 ~,r!h :'vr1~~ :JIlS'j'J'.:" Pt"n~':I..r' :',ii'~ (: '0'
~iEV.'" 11 Ii>.' I p.>'!'))
C> ;1., ,,\
If~-'): \l'l\
:::-:)~+;;Jib'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
j
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ENTERLINE, ELEANOR O.
FILE NUMBER
21-01-0754
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION
A FUNERAL EXPENSES
1.
Myers-Harner Funeral Horne, Inc.
2. Rolling Green Cemetary Company
3. Trinity Lutheran Church - Church, Pastor & Organist
4. Funeral Flowers
5. Family Memorial Dinner
B ADMINISTRATIVE COSTS
1 Personal Representatives Commissions
Name of Personal Representativels)
Social Securty Numberls)!EIN Number 01 Perso~a; Rrl)'eSenlat.lve(s!..-_._
Street Address
City
State
ZiP
Year(s) Commission Paid
2
Attorney Fees
Albert Z. Bogert, Esq.
3 Family Exemption. (If decedents address is not the salT1e as claimants. attach explanation)
Claimant
Street Address
City______
Stale ___ ZIP
Relationship of Claimant to Decedent
4.
Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Cumberland Law Journal - Publication
The Sentinel - Publication
File fee - Inheritance Tax Return
8.
9.
AMOUNT
$
612.65
760.00
300.00
125.00
75.00
$ 4,000.00
$
135.00
75.00
84.11
15.00
TOTAL (Also enter on line g. Recapitulation) S 6, 181 . 76
(If more space IS needed. Irsert addllional sheets of the same sizel
,~, ,\ ..-'
. ~ ~.:r.-~~.<,
~1-:-,,\:~',;i',
..~jm J;ll1MrUIJ5I~":
~::~UJ:rlil! nJ&J~~1
'-~?:". :'.r'"
MYERS. HARNER FUNERAL HOME, INc.
1903 M^RKET STREET
P 0 ~OX 291
C^MP HILL I'f.NNSVLV^NJ^ 1)011
RQSERT H H"'RNER
SUPERVISOR
LOC^I.I.' OWNEO ^N[)
OPEMTED
TELEPHONE
717.7S7.9961
July 30, 2001
AMERIca
p a Box 13487
Kansas City MO 64199-3487
Service for Eleanor a. Enterline
July 20, 2001
Charges for Services Selected
Professional Services
Use of Facilities
Automotive Equipment
$ 3,175.00
$ 3,175.00
O1arges for Merchandise Selected
Casket
Vault
$ 2,860.00
980.00
$ 3,840.00
Cash Advanced
Certified Copies
Hair Dresser
$
20.00
40.00
$ 60.00
$ 7,075.00
612.65
Total:
Received ck # 180 from James Enterline (07/19/2001)
$ 6,462.35
Received ck # 10213085 from Americo Financial Life (07/30/2001)
- 6,462.35
-0-
ROLLIN,,;' GRfp.1 ::u.,nliPY CO,\'1f-JHJ't
1811 CQrkile ROQo . ~ rl,il, PI'- 11\,111 . VII) IOJ....~
:';': 8fl1852
THIS AGREEMENT PROVIDES FOR ENDOWMENT CARE
CEMETERY INTERMENT RIGHTS, MERCHANDISE AND SERVICES PURCHASE/SECURITY AGREEMENT
624 No. I r> C..l"l( (:J.")
Date:
The undersigned. referred to as "Purchaser", hereb~ agrees to purchase the Interment Rights, Merchandlse and Services described
herein, subject to acceptance and approval of the above named cemetery, hereinafter referred to as "Seller".
PURCHASER . "~ TELEPHONE: '.f; (l \ /" 12' I
-
ADDRESS
, .~f ,- -, / I:?")"'~ {;
i I J /
I ,'/ -- S~I;;
-" ,
S'r..' ell)' Zip
Name of Deceased
Description of Interment Rights:
Issue Certificate of Interment Rights to:
Address
51""
City
I
5,""
~. Zip
INTERMENT RIGHTS. MERCHANDISE AND SERVICES
Interment RJgbts (Including Endowment Care of S ) Si .--------
...".......,.................. .
'1( ;-1 ;.s.
Interment Fees, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q\ /
Memorlallzatlon - Type ......... .
Size Design --
., ...... "
Memorial Bale - Type .......,. .
Size Color -. -
......... .
Memorial Endowment Care of ..........................,..........,.......................,.. . ...-.
Memorlallnltallatloo/Inlpectlon Fee. . . , . . . , , . . , . , , , . . . , . . . , . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Outer Burial Container - Material .. .......... ,-
Model Suppller " "-' -.
.......0. .
Cremation Cbarge . . . . . . . . . . . . . . , . , . . . . . , . . , . . . . . . , , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - - .
Urn - Type Size ........ . . '."
Flower Vase - Type ........ .
Nameplate ............................................................................. . .. . - .-'
Lettering. . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . , , . . . . , , . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '--
Otber ......... .
Otber ........ . -, - .
Sales Tax ...............................,........... , ... . .... , ...,........................ .
TOTAL CASH PRICE. . . . . . , . . . . , . , . , , . . , , . . , , , , . , . . , , . . . . , , ., :-~v
..................... . ~, .... ( '"
LESS: ,
Down Payment Casb . . . . . , . , . . . . . . . . . . . . . , , , , . , , ' , . . . . . . . . , . . . s '7: ~,,()
d -
Otber Credit .0.. t....... ...................................... ....----
Total Down Payment ..........,...,.,...,... , '" , . , ".. I'.............". t........ S~ '/1,),,0 >
f {., .--
UNPAID BALANCE OF CASH PRICE .". , . - S -...-----...
,....'".....,...,......,..... .
REMARKS:
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JAMES I. ENTERLINE
JOAN CAROLYN ENTERL, INE ~ ~ ' 60-1273/313102
143 N 26TH STREET 1M J I " '2.0 '2DO /
CAMP Hill, PA 17011 -:- - ~
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ELEANOR O. ENTERLINE
JAMES I. ENTERLINE
JOAN CAROLYN ENTERLINE
143 N 26TH STREET
CAMPHlll.PA 17011
PAYTOTHE0
ORDER OF
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CUMBERLAND LA \V JOURNAL
2 LIBERTY AVENUE
CARLISLE, P A 17013
SEPTEMBER 14,2001
Cumberland Law Journal is published every Friday by the Cumband County Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Albert Z. Bogert, ESQUIRE
RE:
Eleanor O. Enterline, ESTATE
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
==========================================================~======~====
Advertisement inserted on following dates:
AUGUST 31, SEPTEMBER 7,14,2001
Advertising Cost
Proof of Publication
Second Proof Request
Payment received
Total Amount Due
Payment received AUGUST 28. 2001
by Becky H. Morgenthal/Executive Director
$ 75.00
$ 0.00
$ 0.00
$ 75.00
---------.--.
$
0.00
======+====
KI: II-\I{'~ I rjl~ fJUk IIUI\J rUk yuut< t<cl..UfWS
ifMITTANCE ADDRESS IlJlClTO
'HE SENTINEL - LEGAL ALBERT Z BOGERT
P.O. BOX 13 0 CARLISLE, PA 17013
AD NUMBER I CLASS SALESPERSON BilliNG DA TE LINE S
207535 10 PUBLIC NOTICES 28 09/12/01 24
AD DESCRIPTION START DATE STOP DA n:
EXECUTOR'S NOTICE LETTERS TESTAMENT 08/23/01 09/06/01
PUBl.ICA T ION INSL R r IONS RATE NE T AMOUNT GROSS AMOUNT
3 THE SENTINEL - LEGAL 3 LGL 77.76
TOTAL AD CHARGE 77.76
3 2001 PROOF OF PUBLICATION 01PRF 6.35
DAYS RUN . ~ c) /t,
'?' ,):3 3d y
PURCHASE ORDER 'PAY THIS AMOUNT 84.11 100.93*
Eleanor Enterli
· AFTER 10/12/01
MESSAGE:
Thank you for advertising with The Sentinel.
Deadlines for in-column legal advertisements: Monday is Friday at
11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon;
Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday
is Thursday at 12 Noon.
If you have any questions regarding your Legal bill please call
Dauris Henry at 243-2611, ext. 202 or Sherry Clifford ext 201.
Fax your legals to 243-3754, attention Sherry Clifford
You can also EMAIL your legal to: classad@epix.net. Please include
a cover letter and the ad as an attachment.
DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT
THE SENTINEL. LECAL 1 l'
POBOX 130 CARLISLE PA 17013 E eanor Enter 1.
. .
AD NUMBER CLASSO START DATE STOP DATE
207535 PUBLIC NOTICES 08/23/01 09/06/01
AD DESCRIPTION BIL LING DA TE TELEPHONE NUMBER
EXECUTOR'S NOTICE LETTERS TESTAMENT 09/12/01 717-697-1918
GROSS AMOUNT OF
100.93
DUE AFTER 10/12/01
TOTAL AMOUNT DUE
84.11
ENTER AMOUNT ENCLOSED
ALBERT Z BOGERT
POBOX 314
MECHANICSBURG, PA
1,11111111111111,1,1,1111,11111111111,1111,1111
17055-0314
--~-------------'nnq~nnnnnnAU1'h
,,; 1"~'iE'.rl',;, f
~-rt~,~
1f~.'lftlJ~{0
":,:~,;;.;.,~"..(~
COW"0~i'NU,L TH OF PENNSYl VAtI,,',
'~JH"rmANCE TAX RETUR~I
_ r~f~?I:)ENr DEc[D[,~T
SCHEDULE I
DEBTS OF DECEDENT,
~9RI9AG~JJABL~ITIES_~_hJ~t'>J~__ _ __ n_
. ..__....__ .~_.__~.__._._~._ _________....___::..- ._~____.~.____._c.:.-__._.._.'_ .. .~____________,._..t~ .. -'.
ESTATE OF
FILE NUMBER
ENTERLINE, ELEANOR O.
------------
21-01-0754
Include unreimbursed medical expenses.
ITEM
NUMBE.R
DEseR:O f!OII
AMOUNT
6. Hetropolitan Medical, Inc. Wheelchair transport
$ 12.72
60.00
57.26
145.93
4,884.00
48.00
Holy Spirit Hospital
2. East Pennsboro Ambulance Service
3. Mobile X-Ray Imaging, Inc
4. Neighbor Care Pharmacy -
5. Manor Care Health & Rehabilitation Center - July rent
TOT AL (Also enter on line 10. Recapitulation) S 5,207.91
(If more spacs IS neeCE>:! .isen addtional sheets of the samE: sl,ze)
f ,
QUESTIONS? Please Call:
ActDu~1 NumW 1 6 7 5 1 0 5 9
PalieotNnme ENTERL INE ,ELEANOR 0
Se'\'ceStart 04/22/01 _ .~~--~/26/0 1
SI~lBrnijrrt Oa1e :; /~ 1': l_e:;alemcm :late 6 10 1.1 0 1
'\P6~.~Qf"I.7~~~S
7 1 7 - 7 6 3 - 2 1 4 1 \ Contect: \ C. ~ f.... I
"'dye No
1
ACCOUNT BALANCE
ESTlMATED INSURANCE DUE
12.72
.00
TRANS DATE
DESCRIPTION
.....-.----.-1
AMOUf',T I
06/01/01
06/04/01
06/21/01
06/21/01
06/21/01
06/27/01
07/17/01
07/17/01
07/23/01
PREVIOUS
MED CIA HOSP-IP
OTHER PATIENT NON
MEDI PYMT-HOSP IP
MEDI CIA HOSP-IP
MED CIA HOSP-IP
BC 65 SPEC PYMT
PA as PYMT
PBS CIA HOSP
BS 65 SPEC PVMT
BALANCE
M90 MEDICARE liP
CO M90 MEDICARE liP
M90 MEDICARE lIP
M90 MEDICARE lIP
M90 MEDICARE liP
899 BLUE CROSS 36
M90 MEDICARE lIP
"90 MEDICARE liP
B99 BLUE CROSS 36
11,744.77
7,192.09-
26.50-
3,749.71-
6,976.84-
7,192.09
792.00-
77.55-
90.06-
19.39-
II:I
I RHO S G 1 0 0 0 0 24 6 5 2 I ACCOUNT BAlANCE
PAYMENT IS DUE UPON RECEIPT OF THIS STATEMENT.
M90 MEDICARE liP .00 899 BLUE CROSS 36
PLEASE DISREGARD THIS STATEMENT IF YOU HAVE PAID.
rl
1.2.:2.U
.00
Until your Insurance has paid, t~r. PI EASF PAY THIS AMOUNT repre~enls the b8la~ce we IlSlIrnatll yn J own
Any ba.~n'lce J"'\paic b' YC1.;r if]'ilJr3"~e WI) be d...JB frorn you TI',Vl~' UU'
..~
East Pennsboro Ambulance Service, Inc.
Post Office Box 47
Enola, PAl 7025
(717) 732-5552 FAX (717) 728-9501
Federal Tax Number 23-2464545
I
: TO:
\--
F.nll!rlin.., F,l/':Rnor
CIO Manor Care West
i 1700 Market Street
CP H;:OI1
AMOUNT DUE!
$60.00
I DATE
12131/2000 Balance forward
05108/200 I J"NV #0 1.764
TRANSACTION
AMOUNT
60'.00
,_
CURRENT
31-(30 DAYS PAST
DUE
61-90 DAYS PAST lOVER 90 DAYS PAST
DUE DUE
1-30 DAYS PAST DUE
0.00
0.00
0.00
60.00
0.00
~-.
.
AI<<XJNT ENe.
BMANCE
0.00
60.00
AMOUNT DUE
560.00
-
. ..
0
U\:
......
0
...:J
......
0
to'
ollo ~ ig
CX) 0
C7\ 0
...:J \0
0 "->
,0 i. ,O.'-t1.;;Q
"1.11 ",. "'.... Ill'
...... ...... ......
000
..J ..... .....
...... ...... ......
000
,I-<' ,"t'f":i::~.x ",
ollo ...:J ...:J ::o.~' 10' ...:I'
00....(\:)0CX)6CX)
C\O\DO\OO\O
.... -J \D,
0000"->0
000
?~>'~::~<:B~~'?
i ,~,,;,
~ ...;a~i
~.
H
fa
,..
....:; , ,,~ ...
" ltl ltl
,"
". ~ ~
H ....
~ ~
f ·
.Copies of Statements from Decedent's Checking Account _
First National Bank of Marysville
, ... I.'... .., " ...... _ .. . _
H\!~AR,( l\r:c'!': C:;C;M~ Sif<.'.E!1F.::-; "'t:t:I~;r,: <;" 'O~tl?.:")Ol - O~<~I2:;~;l
......................... ...oJ..m;:===/...ooz 1lI:S _ = -.z: =_..: =:; ~ ::II..c...: z::: =::.: J:l ===::. = ZII~':2'=.....": ":Z _= ;':~.a & .;'.. =........&...lol
~ :)'~! 1 ",. (, (; 2
PRFX:~~ ~8 88~:~~ 0: ~ -
- - - -.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -..... .. - - - - - - - - - -.. '" - ... - -.. - - -'" - - .. -.. - - - - -.. - - - -..
c ~ . ~2
):/:.~
3A:.J\l\CE
37,767,9~ Sew. E
~7,~.,8.'P
.. 7 ., 'J ~ '" i! ...... O. 0 .
wi ,c....-',..,I.' v
36, :6~'.:") BAlA"'~,:i:.
35, 742 ,15~
34,H5,.6:
34,666.S6
29,ia~~.3d
:!9,42~.li
28,~:,6.~:'
22,8~:I.H
DESCR~YTION
BALl\NCS :'AS:' S':'A:'=r~E:~':'
FED CHECX l1~
FE: CHZ:X 169
CH i:(:;<S
::E,rcs:1"~
:/\ ::;
)7/0?
C~/l0
2":0,r:-:
.~ s, ~ , -: ~
",- ., .')
.1 I, .. ~
176
~75
179
.., :i . ~: ,:<i.
~ "' 11 ?
') 'U: 0
C"7/J 6
';;7!: i
S"'/li
J 7/2;.
:'/23
-'
reD CHFcr,
Ole CHECK
01'(: CE8CK
FE:; C:iECK
l:I~ D C Ii 1:.;1: K
rl!;;) CHECK
n: :) C Po F. C K
lWf ?AID (....:)')(")111,
l\~~~A~ FCRCE~TAG~ Y!iL~ r~R~~D FeR
IN':'::i\tS:' F:A?H:::l '):JR: l'lG C'{~L~ ?:::<.:.,:;:;
C;.iF:Rc:.;r INTEReST RATF.
,., ,
- , ..
,. I ~ L (; . ,~ J
1":'&
,1 ? i , ~ ~
~'?C.54
~. -: ~
~,?5~,00
3 ~ 3. ,',)
, 'H ~
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, ~.... . ~ I"'~
r.....,\:._
.f to r,.; \ _ .:'
~ 2 .,2
I ~ ' .. I
2 . :: -
Sch. I - Item 4. Neighbor Care Pharmacy
Sch. I - Item 5. Manor Care ,- July rent
Check 11176
Check 11175
$79.03
I
S4,884.00
SPAAAK 3000 SCREEN PRIN'!'
LEANOR O*ENTERLINE
:A!E: 12/03/2~Ol
T:ME: 02:07
ACCC~:}J~ ~~O.
~109a5
P AG E : C 1
..CiA!t 08/13/2001
12 E SIDOONSBURO RO
ECHANICSBORG PA 17055-6011
IESCRI PTION CHC:CKS
,ALANCE I.AS'l'
'ED
'ED
'EO
IMP
NT
.......--...-..-.-(CHECKS REPRI~:E~ :N
DEPOSI'rS
DATE BJ..lhNCE
06/13/2001 28,879.44
o~/lG/2001 28,779.44
08/23/2001 28,712.54
C8/30/~OOl 26,637.54
O~/04/2001 30,918.04
O~/10/2001 30,966.37
ORDER) .--...-.---..........
STATEMENT
181
184
162
:oo.co
G6.~:>
'7~.OC
4:,(:80.50
48,33
C H E C K N"L'1'o1 B E R
Sch. I - Item 4. Neighbor Care Pharmacy - Check # 184 - $66.90
~.(;;';;:i', identified checks were for exnen~~i,~,~a
' ,(0 .",,-i"': . '--;lnvufc:eS:'''or'.cra~n~atimfri~i~f!i'ft..
SPARAK 3000 SCRE~N ~RINT
!' . - 10" .
.......... -,
l'i;; 0:' / t.i)Ol
1':Mt::: 02: 07
ACCOUNT NO.
410965
PAGE: 01
DATE 09/10/2001.
ELEANOR O*ENTERLINE
312 It SIDDONSBURG RO
MECHANICS6URG PA
DESCRIPTION
BALANCE LAST
FED
FED
f'E:D
FED
INT
17055-6011
CHECKS
STATEt'olENT
16S
187
186
183
, ~ ., ''')
. '" , '..
JE POS I TS DATE Ell..LANC!
C9./10/~OOl 30,966.37
O~/~3;2001 30,953.65
09;l4!200: 30,896.39
09/16/2001 30,a36.3~
O~/19/2001 30/752.29
50,33 lO/OB/2001 30,802.61
('\.< \;'("'10(' Nt 1M?1='R ()~ n1='~' . - . - . . . - - . , . . . . . . . .. .
57.26
GO.GO
84.11
............_______ I~u~"vc o~epT~T\;'~ 1~
H,E:VISIJ \X' (~.uu~) I,
. .. . '. ""~
'" 'W.I~~
',1-, ~
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIOENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
ENTERLINE, ELEANOR O.
21-01-0754
2
RELATIONSHIP TO DECEDENT
NAME AND ADDRESS OF pERSON(S) RECEIVING PROPERTY Do Not List Trustee(s)
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec, 9116 (a) (1.2)]
James I. Enterline Son
312 E. Siddonsburg Rd.
Mechanicsburg, PA 17055
Joan C. Enterline Daughter
4998 Battery Lane
Bethesda MD 20814
AMOUNT OR SHARE
OF ESTATE
NUMBER
I
1,
One-.half
One-half
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPHIATE, ON REV.1500 COVER SHEET
II NON.TAXABLE DISTRIBUTIONS
A, SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART 11- ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV.1500 COVER SHEET S
(If more space is needed, Insert additional sheets of the same size)