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HomeMy WebLinkAbout01-0942 CUMBERLAND Register of Wills of County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of SOUTHARD C. BEWARD No. 21-01-942 also known as Late of Cumberland County, Pennsylvania. , Deceased Social Security No.174-16-9474 Barbara J. Beward f'eIIIIOllel(sl. who ill/lIle 18 vear. of Age Dr mde., apply(ies) 'OJ (COMPLETE "A" OR "B" BELOW:) Q A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut_ named in the Last Will of the Decedent, dated and codicil(sl dated State relevant circumlltRfl(;eS, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompatent: ~ B. Grant of Letters of Administration je.t.B., d.b.n.c,t.IL pendente lite; dUlItnte IIbsentie; L1tJftlnh~ minorill!llel Petitioner(sl after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse lif any) and heirs: Name Relationship Residence Phyllis Weller daughter 501 Rick Road Mechanicsbur PA 17055 11 Town Rid e Road,P.O.Box211 Barbara J. Beward dau hter McAlisterville PA 17049 ICO Decedent was domiciled at death in Cumber land County, Pennsylvania, with his/her last family or principal residence at Manor Care. 1700 Market Street, Camp Hill, PA 17011 (\iSI st,eel, numbel Blld fllunicipolity) Decedent, then 89 years of age,. died February .2 6 , ,20QL, at Manor Care, Camp Hill, PA. ILOClltion) Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property .............................. $ 1, 000 . 00 (If not domiciled in PAl Personal property in Pennsylvania. . . . . . . . . . . . . . . . . . . . . . $ (If not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . . . . . . . . . . . . $ Value of real estate in Pennsylvania ............................................... $ Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Real Estate situated as follows: Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence Barbara J. Beward 501 Rick Road Mechanicsbur PA17055 RW-7 Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and 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 Decedent, Petitioner(s) will well and truly administer the estate accordin? to law. n. / Sworn to and afHrmed and subscdbed ~~d~$ /,' F' r~/ &'--r:f{./2~ before me this 11 th day of OCTOBER 20 JU- '77)2uy (/ 17#<-;Pu<I/JU ~ , ( DECREE OF REGISTER Estate of SOUTHARD C. BEWARD Deceased No. 21-01-947 also known as Social Security No: 174-16-9474 Date of Death: February 26, 2001 AND NOW, OCTOBER 12 , 20~. in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 0 Testamentary 29 of Administration (e.ta.; d.h.n.r-.f.; pendente hIe; dUll""!;! absentia, durante minolltlllel are hereby granted to Barbara J. Beward in the above estate and that the instrument(s), if any, dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters.............. ............. $ 18.00 "o/~r (# ?;f!:~'f-j~ 4..)" Reg; f 01 Wills Short Certificate(s).......... $ Renunciation.................. $ Affidavit ( )................. $ Extra Pages ( )............ $ Codicil.......................... $ JCP Fee........................ $ I Inventory & Tax Forms... $ Other.. ........ .................. $ 6.00 5.00 5.00 Attorney: Georqe W. porter, Esquire 1.0. No: 42752 Address: 909 East Chocolate Avenue Hershey, PA 17033 Telephone: 717-533-7130 DATE FILED: TOTAL................ $ 34.00 RW-7a 21-01-942 Register Of Wills of CUMBERLANLCounty, Pennsylvania RENUNCIATION Estate of SOUTHARD c. BEWARD No. also known as Late of Cumberland Countv. pennsvlvania . Deceased The undersigned, daughter (Rp.lationship) (Capacity) of the above Decedent. hereby renounce(s) the right to administer the eJtate and respectfully requcst(s) Ihilt Letters of Administration be isslJed to Barbara J. Beward Witness my hand this qlh X fZ.!()1-Mju________________ -.- P yllis (Signature) Weller ___11 Town ~idg_~__~~~_~~9.~___.!3._o~__:?l}_ (Address) McAlisterville, PA 17049 eJ c.J.a ~ r- day of 'Oc.pt.CmB&U' 2Jl.Q .1 (Signature) ______.._.____._____.______.._ '_.'__.._4 ... __...__.._ __...._ (Address) (Signatum) (Address) Sworn to or affirmed and subscribed be,?! me this (ltL day of L WJA.) ,;( (J<} i . ~i,.-;6~ Notary Pub Ie / /' My Commission Expires: 6 - / f - v<-N 6 '~,,""Hl. ..d .... n' Nm.y fH nth.. ..1"1'.1'" NOTE: Renunciation!l llxecuted ollt!lidl! thl! Office of Rogi!ltllr of Wills are roquired in !lome cOllnlic!l tn bo notar/lod. ",.fIlIi'""' tn IWtIIWnf..., nMh. Shnw tI..,. n' ....uttk.... nt Mnt"','. l':r'In'W,.....~, I NC'"'(":~,F1/\L S:;::f.:,l MARY E. cr':.:r..;A( ~;~'.9_ry Public Fayette ;wp., Jun;~;:;,t:: CO" PA My Commission Expires June 18,2005 RW-13 (Rvsd 9/92) ., "- . .- t. ----- ....-... .-CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: SOUTHARD c. BEWARD Date of Death: Februarv 26, 2001 Will No. Adm. No. 2001-00942 To the Register: I certify that notice of 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 Nov. 13, 2001 : Name Address Phvllis Weller SOl Ricky Road. Mecht=lnic!=:hnrg PJl. 170C;C:; 11 Town Ridae Road. P.O. Box 7.11 McA1isrervi11er PJl. 1704Q Barbara J. Bewt=lrd Notice has now been given to all persons entitled thereto under Rule 5.6a) except: D~e: Novemher 11, '001 b ~ ~Lh (Signature:Y ~ :..: -Name: George W. Porter, Esquire Address: 909 East Chocolate Avenue Hershev, PA 17033 Telephone (71' s:n-7110 Capacity: Personal Representative X Counsel for Personal Representati ve (jeorge W. Porter .9l.ttorney at Law 909 ~t c/iocofate J2Lvenue !}{ersliey, pennsy{vania 17033 [.rD. #42752 (717) 533-7130 ~.9lX (717) 533-9209 March 26, 2002 Register of Wills for Cumberland County Cumberland County Courthouse Hanover and High Streets Carlisle, PA 17013 Re: Estate of Southard C. Beward File No. 21-01-0942 Dear Sir/Madam: Enclosed please find for filing with your office, two originals of the inheritance tax return in the above-referenced estate. Also enclosed is a copy which I ask you to date-stamp and return to my office in the enclosed envelope. A check in the amount of $10.00 is enclosed for your filing fee for filing the inheritance tax return. Thank you for your attention to this letter. Very truly yours, G~~ ~o~f:- GWP/vel Enclosures CC: Ms. Barbara J. Beward, Administratrix --- ,~ :-JI..J ( d N N :.::0 .~I ~'-:~ ~" RE'J.l50Q EX...(6-00) COMMONWEALTH nF , PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN -RESIDENT DECEDENT OFFICIAL USE ONLY C!- /' I .~ FILE NUMBER t- Z W C W U W C W I- :.:::$11I (,)~:.:: wl1.(') xOo (,)~..J I1.lD 11. < z o ~ ::J t- o: <C u w 0::: z o ~ ~ ::J 0.. ::E o u ~ .2.. L - JL L (L9-AJ __ COUNlY CODE YEAR . NUMBER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) BEWARD , SOUTHARD C. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) February 26, 2001 June 26, 1911 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) N/A SOCIAL SECURITY NUMBER 174-16-9474 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER []: 1. Original Retum o 4. Limited Estate o 6. Decedent Died Testate (AllachcopyofWin) o 9. Litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (date 01 death atl8t' 12.12-82) o 7. Decedent Maintained a Living Trust (AIlachcopyofTrus\) o 10. Spousal Poverty Credit (date of death be-. 12-31-91 and 1-1-95) o 3. Remainde/ Return (dale 01_ prior to 12.13-82) o 5. Federal Estate Tax Return Required -4> 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Altach Sch 0) I- Z W C Z o 11. III W ~ ~ o (,) NAME COMPLETE MAILING ADDRESS 909 East Chocolate Avenue Hershey, PA 17033 Geor e W. Porter Es ire FIRM NAME (~AppIicab1e) TELEPHONE NUMBER 717-533-7130 (1) (2) (3) (4) (5) :) :-" ..... ' -'" " OFFICIAL USE ONLY :::J - I'..; 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 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 (tolal 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) o o o o 1,050.00 (6) o (7) o (8) 1,050.00 (9) (10) 7,395.63 25,870.24 (11) (12) (13) 33,265.87 (32,215.87) o 14. Net Value Subject to Tax (Une 12 minus Line 13) (14) o SEE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 19. Tax Due (19) o o o o o . ' x .0 _ (15) x .0 _ (16) x .12 (17) x .15 (18) 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 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT '~_. - j - . , - - . :.t". . ~ . _ . ~'- ~> .... _ _ . ~ _ . REV.'56ll EX -(1.97) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER SOUTHARD C. BEWARD 21-01-0942 Indude 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. DESCRIPTION VALUE AT DATE OF DEATH Refund - PSERS'Insurance 1,050.00 TOTAL (Also enter on line 5, Recapitulation) $ 1 , 050 . 00 (If more space is needed, insert additional sheets of the same size) REV.1511 EX~ (12-99) . '. ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF SOUTHARD C. BEWARD FILE NUMBER 21-01-0942 Debts of decedent must be reported on Schedule I. ITEM NUMBER A DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Brown Funeral Home Robinson's Sandblasting - lettering 6,508.76 87.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Barbara J. Beward 100.00 Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 501 Ricky Road c~ Mechanicsburg State~Zip 17055 Year(s) Commission Paid: 2002 2. Attorney Fees : George W. Porter, Esquire 500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant N/A Street Address City State _ Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills, Cumberland Co. - letters 34.00 5. Accountant's Fees N/A 6. Tax Return Preparer's Fees N/A 7. 8. 9. The Sentinel - advertise letters Cumberland Law Journal - advertise letters Register of Wills - filing fee - inh. tax return 80.87 75.00 10.00 TOTAL (Also enter on line 9, Recapitulation) ,$ 7, 395 . 63 (If more space is needed, insert additional sheets of the same size) REV-i512 EX. (1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ~(- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SOUTHARD C. BEWARD FILE NUMBER 21-01-0942 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. Commonwealth of Penn~ylvania, Department of Revenue, Claim under 20 PA C.S.A. 3392(3) $25,870.24 TOTAL (Also enter on line 10, Recapitulation) '$ 25 870 24 , . (If more space is needed, insert additional sheets of the same size) REV.'~13EX'11.~7) _ ~ . .~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER SOUTHARD C. BEWARD 21-01-0942 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I . TAXABLE DISTRIBUTIONS (include outright spousal distributions) RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE 1. Barbara J. Beward 501 Ricky Road Mechanicsburg, PA 17055 daughter 1/2 residue 2. Phyllis Weller 11 Town Ridge Road, P.O. Box 211 McAlisterville, PA 17049 daughter 1/2 residue 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 AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART n. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) 1. 1. /--? - / ~ - t<.:3 ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX '02 ,'lAY 17 r) ........ :i;l DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-13-2002 BEWARD 02-26-2001 21 01-0942 CUMBERLAND 101 GEORGE W PORTER ESQ 909 E CHOCOLATE AVE HERSHEY PA ~?033 Ct\i '* REY-1547 EX AFP 10I-02l SOUTHARD C 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 ~ REV :is4j-Ex--AFP-foY:02Y-NcjT"icE--oF-YNHEiiiTAi.fcE-YAx-jrp'PRAisEMENT~--ALi-oWANCE-OR-------------- - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BEWARD SOUTHARD C FILE NO. 21 01-0942 ACN 101 DATE 05-13-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. 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 1.050.00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequestsj Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 7,395.63 25.870.24 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 1,050.00 33.265 87 32,215.87- .00 32,215.87- 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Allount 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 TAX CREDITS: .00 X 00 = .00 X 045= .00 X 12 = .00 X 15 = (19)= .00 .00 .00 .00 .00 . "...~n. ..... (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 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 PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December lZ, 198Z -- 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 (collaterel) rate on eny such future interest. PURPOSE OF NOTICE: PAYMENT: REFUND (CR): OBJECTIONS: ADMIN- ISTRATIVE CORRECTIONS: DISCOUNT: PENALTY: INTEREST: To fulfill the requirements of Section Zl40 of the Inheritance and Estate Tax Act, Act Z3 of ZOOO. (7Z 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 Z3 Revenue District Offices, or by calling the special Z4-hour answering service for forms ordering: l-800-362-Z050; services for taxpayers with special hearing and I or speaking needs: l-800-447-30Z0 (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. Z810Zl, Harrisburg, PA l7l28-l0Z1, 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 17lZ8-060l 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, 198Z 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, 198Z 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 198Z through 200Z are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 198Z ZO% .000548 199Z 9% .000Z47 1983 16% .000438 1993-1994 n .000192 1984 11% .000301 1995-1998 9% .000Z47 1985 13% .000356 1999 n .00019Z 1986 10% .000Z74 ZOOO 8% .000219 1987 9% .000Z47 ZOOl 9% .000Z47 1988-1991 11% .000301 ZOOZ 6% .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NU"BER 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. PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THE EST ATE. IF EST A TE IS NOT COMPLETED, FILE a 6.12 FORM YEARLY UNTIL COMPLETION STATUS REPORT UNDER RULE 6.12 (/~ Name of Decedent: SOUTHARD C. BEWARD Date of Death: February 26. 2001 Estate No.: 2001-00942 - PA. No. 21-01-0942 Pursuant to Rule 6.] 2 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: (date) 3. If the answer to No. ] is yes, state the following: A. Did the personal representative file a final account with the court? Yes No X B. The separate Orphans' Court No. (if any) for the personal representative's account is: (Not Applicable in Dauphin County) 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 Clerk of the Orphans' Court and may be attached to this report. ~~ ~ ~ rxeL- Date: September S.."L- 2 0 0 2 George W. Porter. Esquire Name (Please type or print) 909 East Chocolate Avenue Hershey, PA 17033 Address (MAH:nnt/ AM3) 717-533-7130 Telephone No. Capacity: Personal Representative X Counsel for Personal Representative R.W. - 58