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HomeMy WebLinkAbout01-1133 Estate of To han no.. \!. Lu iLs 0 i-J also known as PETITION FOR PROBATE and GRANT OF LETTERS ~ \ - Ol- II 3-:!> No. To: Register of Wills for the , Deceased. County of in the Social Security No. I q I - I 7, - LJ Lf-C1 '+ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or oldlfr an the execut in the last will of the above decedent, dated () ( :t:Q be (" ,.g ~ and codicil(s) dated named ,19~ (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in CJ.. UY\ bet(" l O.J/\.~ Coun,ty, Penn, sylvania, with h last family or principal residence at C h Off' i Po I Il+e. O+- C.L-Lf l\ ~, ~ ,_ (list street, number and muncipality) Decendent, then 1 2 years of age, died D( c e rY\ bt r b , it ZOD I , at Co-y (.15 te.. H 06~1 +-fL I 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: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) ~ '" ~ '" u C '" ~~ "'~ "'... 0::'" C -00 C';: cu';: 3~ "''- 5 0 ~ C 00 Ci3 ,... <.S , 'BOLr+-\e-,~ T.c.1w\ \S Of) /~~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1.- 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 and truly administer the estate according to law. Sworn to or affirmed and subscribed before me this . 13TH day of :~M ' >>~ '1. . 11.JT.D M.J.... . M Rye L E W IS ' Register \1- ~l- 1 en aQ' ::! C:l i: ~ ~ No. 21 - 01 - 1133 Estate of JOHANNA V ~JILSON , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW DECEMBER J3~ _ )oL20ill. :n (,:r:~ici,=r:1liun ( the reverse side hereof, satisfactory proof having been presented before me, lT IS DECREED that the instrument(s) dated OCTOBER 22, 1991 described therein be admitted to probate and filed of record as the last will of JOHANNA V WILSON IESIAMENTARY BARTLEY JAMES WILSON ,'!': and Letters are hereby granted to MARY CLEWIS FEES Probate, Letters, Etc. ......... $ Short Certificates( ?) . . . . . . . . ., $ ................ $ 6.00 $ 1).00 TOTAL _ $ ~i:; 00 Filed ..... .Q~~.E.M~~~. .1),. ?QQJ. . . . . . . . . 18.00 6.00 ATTORNEY (Sup. Ct. !.D. :-lo.) \e~~~~Sion JCP ADDRESS PHONE 90 =<0 ::1::;:' U' c d - :n~ <DO f':.::1 c,:. CJ CJ ',' :~, ~':- I~:,) i," --"'. (" -" W \J f.-j V1 Mailed letters to Executor on 12-14-01 ?1 - 01 - 11?'3 no -- =11' ::j :.~. 0- " ". ,. '.\,.0' 'I .'""1) ~':,~I d -.. --" w I~.~ o n :0:0 Ctl~ c> ~;~ ~,:,:.'. t~:t \.1.. f._!. -0 .... N U1 ?1 - 01 - 1132 oa i' :: ij" d ::tJ ::::J~ ...... (t) (1 0"' cr~. Q ~. <. 0 dl :::',~~ 1& ""...... M 'T' ([';; :: ~I c.:' - VJ t.."./ -0 ..... )~~ N V1 ifiast mill anb (!testament of JOHANNA v. WILSON I, JOHANNA V. WILSON, of 112 Winchester Gardens, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred in Cumberland Valley Memorial Gardens. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my son, Ronald L. Wilson, provided he survives me by thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all said tangible personal property unto rey grandson, Bartley James Wilson. FIFTH.. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my son, Ronald L. Wilson, provided he survives me by thirty days. In the event he fails to survive me by thirty (30) days, I give, devise and bpCIuA~+:h aJ 1 s;=liCl. r-eRl Ast~te llnto my fJ":!:";:l!'V:'lsOl1.. Bartll?Y .T;::Im~s Wilson. SIXTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my son, Ronald L. Wilson, provided he survives me by thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate unto my grandson, Bartley James Wilson. SEVENTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or otherwise, shall be paid out of the principal of my residuary estate. EIGHTH. I hereby nominate, constitute and appoint my son, Ronald L. Wilson as Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or .... " inability to act for any reason whatsoever of my son, Ronald L. Wilson, I nominate, constitute and appoint my grandson, Bartley James Wilson, as Executor of this my Last Will and Testament. I hereby relieve my Executor from the necessity of posting security in connection with his duties, as such, in any jurisdiction in which he may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Executor, in his absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages this ,?::JtLJ day of~, 1991. '1 0<'::+0 b~ 0. I V foJU't-~---1 ( L~/ A/{~ JOHANNA V. WILSON v' Signed, sealed, published and declared by the above named Testatrix ;rOHANNA V. WILSON as and for her Last will and Testament, in the presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. \~~c CV'--- -~-) '~'P'J~. S~ ... COMMONWEAI,TH OF PENNSYLVANIA: ss. COUNTY OF CUMBERLAND I, JOHANNA V. WILSON, Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~ ~OHMrnAV. ~S~~ Sworn or affirmed to and acknowledged before me, by JOHANNA V. WILSON this ,;) :J.Jday of ~, 1991. j ,-- - Cl,~ ~liC (SEAL) NOT ARIA\ SEAL . SUSAN J. OTTO. ::,,:2,'/ Public Carlisle Bora, Cumbcrknd County, Pa. ,., Commission Expires Dec. 12, 1994 ,. COMMONWEALTH OF PENNSYLVANIA: ss. COUNTY OF CUMBERLAND We, \~ ~ . A .l)w-.cr.;. _ and l~.tl,,",d~lA. ~l*,- the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw JOHANNA V. WILSON sign and execute the instrument as her Last Will; that JOHANNA V. WILSON signed willingly and that JOHANNA V. WILSON executed as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. \)l~ ~U~A- c CL1 J\ . " -l,..) I. . .,Q. (jIG. ~ ~ Sworn or affirmed to and subscribed before me by Lv "'"' A .\)~V\. c ~ and \.....)~..........L.-. f\-,. Sl~a..<!~, witnesses, this ~~k.c1 day f ~ 1991. O&ob~ . ~a;:Ji~O (SEAL) C..-. .. --. ....-,.~::--r~,:-I^L~;F!~ --'--J -- ". '- -- -- " . '.:; "/ Public C. : . '-'j)' Fa. I.. .'., i2,! "94 ,.,- .._-"._-"~-_._._~."---_.,-"._--, r~--- () ~ ;.. ~ i" t'l c ~ ~ 0 ~ !" Z -! " tT1 0 ~ tT1 - i" -- 2 ~ ~ ~ Vl Z -<: P"'" ~ tT1 >: . ~ i" '-j t= ~ ~ ~ ~ ~ ~ ~ 'J o w .C.:l in: j~ql"lll'J ...."'..- .... ~i-~JetO LZ: t d f L 3\0 to. SlH/\f\ }O a:)! J:3lS!5att peolo::>SH I <::I . ~ t:""i tn i p ~ ~ t::$ t:Y I~.i';. ~~.f!:l, i~ili =r~ ;i~i' 4UP:~ ( 'I {/ "~I, ,II.,' 11ii!,1li: !l\ I 1,'1 '111,~I.lltll'" ,-<, CERTIFICATION OF NOTICE UNDER RULE 5.6(~ Name of Decedent: Tnn~nn~ V wil~on Date of Death: 12/5/01 Will No. Admin. No. ...)/- 0 J - J 1.3 3 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 Name Address Bartley J. Wilson 44 Fllrn<lce Hollow Rosa, Shippcnsburg, PA 17257 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: //'~'it: Signature Name Bartley J. Wilson '.0 rr-\ Address 44 Furnace Hollow Road C'.,: rv~1 Shippensburg, PA 17257 1-......... ~ Telephone ~ 17) 530-1768 ('.J p ~i: :; .~.;: c..: Capacity: -L Personal Representative _Counsel for personal representative IMPORTANT NOTICE NOTICE OF ESTATE ADMINISTRATION THIS NOTICE DOES NOT MEAN THAT YOU WILL RECEIVE ANY MONEY OR PROPERTY FROM THIS ESTATE OR OTHERWISE. Whether you will receive any money or property will be deter- mined wholly or partly by the decedent's will. If the decedent died without a will, whether you will receive any money or prop- erty will be determined by the intestacy laws of Pennsylvania. BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, CARLISLE, PA In re Estate of Johanna V. Wilson , deceased, Estate No. (Name and Address) TO: Bartley J. Wilson 44 Furnace Hollow Road Shippensburg, PA 17257 Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. The Decedent Joha~na V. Wilson day of December, 2001 ,at Cumberland Pennsylvania. " , died on the 5th County, The Decedent died testate (with a Will); or The Decedent died intestate (without a Will). The personal representative of the Decedent is (name, address and telephone number). Bartley J. Wilson 44 Furnace Hollow Road Shippensburg, PA 17257 If the Decedent died testate, the will has been filed with the Office of the Register of Wills of Cumberland County, 1 . Courtnouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 " If the Decedent died intestate, a Petition for the Grant of Letters of Administration was filed with the Office of the Register of Wills of Cumberland County, 1 Courthouse Square, Carlisle, Pa. 17013. Phone No. 717-240-6345 A copy of the Will or Petition may be obtained by contacting the Register of Wills and paying the charges for duplication. Date: Signature: ~ / , Name (print) Bartley J. Wilson Address 44 Furnace Hollow Road Shippensburg, PA 17257 Telephone (717) 530-1768 Capacity: Personal Representative Counsel for personal representative REV.15G{! ~i (6-00; COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128.0601 ]'1- dl- I REV-1500 w .... ~~CI) ,,0::< w"-" ",00 ,,0:'" ,,-., "- .. INHERITANCE TAX RETURN RESIDENT DECEDENT dL- Ol COUNTY CODE YEAR NUMBER I- Z W C W U w C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Wilson, Johanna V. DATE OF DEATH (MM.DD.YEAR) 12/5/01 FILE NUMBER ;)H:1Gtt.\L UL:,0. '<E,", ~ - o 33 --- 191 SOCIAL SECURITY NUMBER 4494 Robin L. Weigle FIRM NAME (If Applicable) COMPLETE MAILING ADDRESS 331 York Road Carlisle, PA 17013 18 DATE OF BIRTH (MM.DD.YEAR) 9/15/23 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER .... z w o z o "- ., W 0: 0: o " TELEPHONE NUMBER (717) 243-6844 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST FIRST, AND MIDDLE INITIAL) [K] 1, Original Return o 4. Limited Estate o 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise {date of death after 12-12-82) D 7, Decedent Maintained a Living Trust (Attach copy of Trust) o 10. Spousal Poverty Credit (dale of death between 12-3Hl and 1-1-95) D 3, Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required ~ 8, Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach SchQ) z o !ci: ...J ::l l- ii: 00( u w ~ z o !;;: I- ::l ll. :!: o U ~ ~~ (1) 0 ;.../... ~ "" (2) 0 ::5 (3) 0 (4) 0 (5) 3,857.77 (6) 0 (7) 0 Real Estate (Schedule A) 2. Slacks 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) 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) 4,466.50 171.72 (8) r"~ OFFICIAL.-l,lSE ONLY I I J~ I I I' .~ ex, L__ .01 I I , i I I I I I 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (9) (10) 3,857.77 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 (Une 12 minus Line 13) (11) 4,638.22 (12) 080.45) (13) 0 (14) 0 o o 200 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE'SuRE'ro ANSWERiJl.Lt::tlliESTlcms t,,'i!ii~EVElRSE'$tDE.;o.ND RECHECK"MATH < < SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rale, or transfers under Sec. 9116 (a)(1.2) x.O_ (15) x .0 (16) x .12 (17) x .15 (18) (19) 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 .'. ,'\E'l- 1508 EX + ': ~-9?;, . ':<:".' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Wilson, Johanna V. 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. FILE NUMBER ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 2,612.77 M & T Bank, High St., Carlisle, Classic Checking 550310 2. 1987 Isuzu I Mark 4 cyl. 1,245.00 TOTAL (Also enter on line 5. Recapitulation) $ 3,857.77 (If more space Is needed, insert additional sheets of the same size) "1 '(.-24U-451::: r'i:~7 Br-:-IIH :::::::: 1 F'CC' [.1:::1F' 1::::; . CC' 14: '-1=, AeellUN:rNo. ... . ~CCOU'lTTY'" 550510 CLASSIC:. CHECKING _....._.L, ------ -------. I $T~T.H.''lT ".~;oP NOV.10-0EC.07,,2001 PA.E' 1 OF 1 00 1 0'*319"'" 021 1~54 .JOHANNA V WILSON 104 WINCHESTER GDNS CARLISLE PA 17013-4619 ~IQH srReET~c4RLISLE 1,785.85 OEI'O t S OTHeRn. ..... No. ~HOIJHT NO . 2 855.60 1 21612.11 '''OS... ,. ....n~tE.. , .! 11-10-01 BEGIN'lING BALANCE 11-15-01 CHECK ~BER ~111 12-~3-01 rARlIslE RET PLA PAV-ODA-l 12-03-o~ US TKEASURY 303 see SfC 28.6a U.785.85 1,757.17 150.60 705.00 2,612.77 ENDINC aAL.utCf $2...61.2.77 4111 11-15-01 CHECKS ..\,il> '_~ARr 28.68 .EFFECTIVE JANUARY 1, 2002, RETAIL LEGAL PROCESSING FEES WILL BE '100. RECEIVED DATE 03/12/02 15:54 FROM :717 240 4515 ;<:~F, - -'- fW FAX NO, p, t.-~~=~~~l:~~;~l~]--~=~.~...~.~;~:~i~~~i~~t~~.. ....=.........--1 5T^T~"ENT P~RIDD ~AGE DEC.08-J~N,C9/Z00~ 1 OF 1 00 0 04319H HH 017 14441 JOH!\NNh V WILSON 10Q WINCHESTER SDNS CARLISLE fA 17013-'619 HIGH STREET-CARLISLE t__n~::::c;~.~~_:~g~:~~~~ _'~"'~'W'N~_ -.....'''-,~--,,---- DTHER CURRENT -Efiil'i~1i"- N5 CHI:CKS PAID SU8TRACTIONS !NrEREST PD BALANCE T NO, I ~"DUNT I NO. -f-- __H.!QUN1 __,. O~_ 01 0,0'0 1 ~}b12.77 0,00 0,00 ACCOUNT SUI~MARV =J r-~~fri~~ ll"'OO.Ol 12.-1.t(-01 -.- ACCOUNT ACTIVITY - -------.....,...-.-""'.-.-...-_..____.__h____~_____"'"'~...,..~....'~~M_.~.~ p,!;'rOq;T,.T$ J ~NT':; fl,,EST _.,,_TF~t:!~~~.I!Q~~C,~1P'T~_~___"_~.... !t)~!.H.~~~",,~Qp.~.t~:P..~i: '.GHECKS ~. QTHoR' --'--iiiitty- ~k+~Atti1,9.,~~"",.... _----" SALANcE ~H:r~tNf<!!N(;; hALANCl:. CLi."i$!':DUT 2.1'61:?,,77 C~,{'12. 77 D.OO F!'~c!!!G~~~!.~!lCE .___.!~..'oo TliJ.t-HUUG ABOUT flErlNANr..:ltm YOUn: HORlGAGE":' RESISTER WITH MiT'S '.Rl:FIWArCW' At-fD Wf;"I..L MON.lTOR MORTGAGE IN"(E::J\r';Sr r~ATES fOR YOIJJ NOTlfY1NG yoU WHEN VOU GAN SAVE HaNEY BY REPINAHCl-NG. IT"S ^ FREE SERVICE! AVAILMILE Af WWW.M"'Ni:rnU:~:I.COH OR CALL HiT TODAY AT (800) "'0')-4472. THINKING AaOUT BUYING ^ HOME? H~TI.:"; ON Ltm~ M(lirff~"'(;L;: t::w..:tfrj;~ eMI PROVlll~ FAST ANSWERS TO YOUR HO.HEBUYING QUESTIONS INCLUDING HOW MUCH HI'~lr YNI I~AN AffORD AHO !I'IAT YOU~ HORTQAQE PAVMENT WOULD BE. VISIT US AT WWW.HANDTiWALlfV.COM OR CALL HtT nmAV AT (a~o) 40~-4'17:!.. H&T!S AN (QUAL HDUS!N'" lENDER. RECEIVED DATE 03/13/02 10:47 FROM '~;~.'~-~.:.1-;:::'-.JS:::: r,t: T B~.'11 [::'0..:.: r'!r:fr l.:::L.' J~': ~4t ;, OFFICIAL CHECK No.221382 ~!~'.~;.:, ,. "~EA OF .-Ji!jPP.,," :- k) O"TE r..~~ ~4, 2'Gtl ~""""'.I'" ~ ~.-.....~~....~. $ "2 77 """""'.p::. -" -,-,." --."~.-:"'"" , ~ :..~ :"';'.. c.'_ "7-? -'.~c\~ - ". . ... """"~." I '>'_".' f" ,[' I.,' I . '~"";:'~ ,~yf" NOT Ne"G9ti48tE";"if. ..- ",,~ ' ... ,'-_-.....n,~, t'"'''~' ,_ ':0, . ; 0 2" 5 5':88 '10 :: '11. 5'1 ." RECEIVED DATE 03/12/02 15:54 FROM :717 240 4518 '7~ ,.....-~'.c:1Ci-"-15:L:::; r'-C,T E,CjI--jf RECEIVED DATE 03/12/02 15: 51, FROM :::::::: 1 Ff:1S MAR 13 '02 l~:~~ :717 2/,0 11518 KeEey Siue Bopk T~;sec' Car Values .'~~ KelleJ' Blue Book ,~ ..' . The Trusted Resou~:: New Car Pricing Build it (<iiI Incentives My Cal"'!, Value Us~d Car Retail Buy a New Car Buy a Used Cat Sell Y.our Car Motorcycles Financing Insurance ternon Check Wananties Accessories Car Revi ews Car Previews Decision Guides Advice About kbb Home Repairs I Breakdown I Maintenance I Savings I O~!~~l1tl! ~ I Warrantybynet.com ..:J I Click Here I Click on the image above to visit this advertiser B!ue BOOK Private Party Report Pennsylvania' February 27, 2002 1987 Isuzu I-Mark Notchback 40 Engine: 4-Cyl. 1.5 Liter Trans: Automatic Drive: Front Wheel Drive Mileage: 48,000 BUYi,LNe'tl~i!r Ei,ly~~se~C:.<'Ir L-lslYQlJLc:ar FQLSale Onlio", Fi njlJlc:in9-Q!!Qte !n~ u ra n c:~_Q1LQJ~ W<'Irrantv QlLQt~ PAYm",Qt_<::l3JCJJJ1LtQ r Equipment Air Conditioning Power Steering Tilt Wheel AM/FM Stereo Cassette Alloy Wheels Consumer Rated Condition: Good "Good" condition means that the vehicle is free of any major defects. The paint, body and interior have only minor (if any) blemishes, and there are no major mechanical problems. In states where rust is a problem, this should be very minimal, and a deduction should be made to correct it. The tires match and have substantial tread wear left.. A clean titleJlj~tQD' is assumed. A "good" vehicle will need some reconditioning to be sold at retail; however major reconditioning should be deducted from the value. Most recent model cars owned by consumers fall into this category. Private Party Value $1,245 Private Party value represents what you might expect to pay for a used car when purchasing from a private party. It may also represent the value you might expect to receive when selling your own used car to another private party. g~.t ?l..l,L$ed .~gL Tr..9.ctE:'!_~lr:LY.~lM_e Get In\fQj~_~_J~~tsge<illJ:J~w. C~r? -'-'--~----'---'--_.~'----_._-"-'----'------,---.-,---.-... Copyright @ 2002 by Kelley Blue Book Co., All Rights Reserved. Jan-Feb 2002 Edition. The information in http://www.kbb.comlkb/ki.dll/kw .kc. ur?kbb;800822&;p&722;Isuzu; 1987%201 -Mark& 16;IS;B3& Page; of2 2/27/02 REV-151-[ EX+ (12-99) " )Klii~l\ "'''''''&>i' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Wilson, Johanna V. FILE NUMBER Debts of decedent must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Hoffman-Roth Funeral Home 4,421.50 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State"_ Zip Year(s) Commission Paid: 2. Attorney Fees 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 35.00 5. Accountant's Fees 6. Tax Return Pre parer's Fees 7. Filing Fee 10.00 TOTAL (Also enter on line 9, Recapitulation) S 4,466.50 (If more space is needed, insert additional sheets of the same size) Hoffman-Roth Funeral Home, Inc. 219 North Hanover Street Carlisle, PA 17013 (717)243-4511 December 21, 2001 Robin L. Weigle 331 York Road Carlisle, PAl 70 13 The Funeral Service for Johanna V. Wilson 13644.247 We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel free to contact us if you have any questions in regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. (A) OUR SERVICE: TRADITIONAL FUNERAL SERVICE PACKAGE . FUNERAL HOME SERVICE CHARGES SELECTED MERCHANDISE: Elderlite Casket . . . . . . . . . . . . . . . . . . . . . . THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THATYOUHAVESELECTED . . . . . . . . . . . . . Cash Advances Clergy Offering . . . . . . . Certified Copies of Death Certificates. Flowers, . . . . . . . . . Hairdresser. . . . . . . . . TOTAL CASH ADVANCES AND SPECIAL CHARGES. Total Total Cost . . . . . . . . . . . . . . . . . . . . . . . . . . History 12/2 1/2001 M&T Bank. TOTAL AMOUNT DUE This statement is net and payable in full within 30 days of receipt. $3490.00 $3490.00 $699.00 $4189.00 $60.00 $10.00 $132.50 $30.00 $232.50 $4421.50 $-2612.77 1808.73 Please return this portion with your Remittance .................................................... "'............ ---.................................. -................... ...... $ Amount Enclosed Service ID # 13644-247 Johanna "Tv', \Vilson OR)GINAL 2861 ;e' F,4~,' ACCT NO I' ')b.; II~ I LAST BALANCE $ /.) tJ",;j I ~ ,(}1' ., !)'^) d (1/ 1. - I i~ ^' r, I 'I INTEREST ,71"'''Nd",dI;',"m,~_ I JI 1,,_Ja/IL/C I ~ (///1 '(II A ' /I! ' [J ~M'NT ~,-'L Ii' . II~ot!/n/L<L--I~ Irju./\'1d/Li.' ?L/ 01""",," I Funer~ Services ';fL/' 'I 1'. '-4trLLL.t;.[1...L,. 11/100 I SUBTOTAL ,R..uk~d'1 ~-.fj~/'){ ,Yw. !..;, (L J,/ ./..; I/r j I ~CK# cxJ/3.~~ / Name of Deceased I" CREDITS o CCARREDDIT -.c,/ _c:7.l'J.d I /)b I e:.>1~~ C3/lf1(I'// LESS PAYMENT ex k;/1 7 o OTHER FUN;'4,L HOME, me /:;/-JJO/ my jfJr2/! iLl'; .JI~'.e d7i-amh. O((J NEW BALANCE $ / g~l)' 13 '!Z,,"" "".f N~ 007872 ~ .~'> F.O fYl~~ t<J,~aY7 r2--L '~h~.4"~ J 1l/!4.p,;,/ ORIGINAL 2861 ACeT. NO. LAST BALANCE $ I %<EJ ?; o INTEREST D, LATE PAYMENT .~ aWk10 Q%Q1" Funeral Services ~. SUB TOTAL Name of Deceased CREDITS DCHECK# o CREDIT CARD B-bTHER e~?t gz;""" I d- - ')7-D/ cW'~~'1me ~;I~ y(, ~,",!\'!f~/ - LESS PAYMENT /,fl ~ R. 7~ NEW BALANCE $ & - N~ 007876 RECEIPT FOR PAYMENT ------------------- ------------------- Cumberland County - Register Of Wills Hanover and Hi$h Street Carlisle, PA ~7013 Receipt Date Receipt Time Recelpt No. 12/13/2001 15:43:40 1027741 WILSON JOHANNA V File Number 2001-01133 Remarks BARTLEY J WILSON DO ------------------------ Distribution Of Receipt ------------------------ Transaction Description Payment Amount Payee Name PETITION FOR PROBA SHORT CERTIFICATE EXTRA PAGES JCP FEE 18.00 6.00 6.00 5.00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D Check# 3158 Total Received......... $35.00 $35.00 REV-i512EX-(1-g7} ~.~ f-i. . d"~ . '%~ " COMMONWEALTH OF PENNSYLVANI/1. INHERITANCE TAX RETUR~! RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF Wilson, Johanna V. FILE NUMBER Include unreimbursed medical expenses. ITEM I NUMBER 1. Sprint DESCRIPTIOfi J AMOUNT 25.94 2. PP & L 104.51 3. Quantum Imaging & Therapeutic Assoc. Inc. 2.09 4. Spring Road Family Practice 17.18 5. Chapel Pointe at Carlisle 22.00 (if more space is needed, insert additional sheets of the same size) TOTAL (A.lso enter on line 10, Recapitulation) $ 171. 72 '~1'AW;j~:~~~r''''';:::::~."~":'~~~~t~~ Experience the Internet like neve... before witt. Spl-int FastConnec1;"mDSlJ With FastCorlllect you'll he ablo to download your favorite music, take virtual tours of tar i5"'vvay destlriations, rreviev\I movies. and much more in a fraction of the lime. Call today 3nd order. ~ Pk~asf! recvcJe Montlidv statamen'!t: November ~3ff 2001 10f 6 CUSlOmer serviGe '1-800-829-8009 Internet address www.sprint.com Customer number 717-249-6588-656 !Fast Facts !Date Due: December 6, 2001 ;To!al Due: $25.9 Customer summary Previous charges Payment November 12 - Thank you! Balance Current month charges 28.68 -28.68 .00 25.94 Current month charges Sprint local services: page 3 25.94 Carrier selections Local toll: Sprint Long distance: Sprint Nr.NN~',\l"Y lJ PPL Electric Utilities ppl Page 1 I YOttr'BiltAdcolmtN'UiUbei 15130-71005 t!se)Jvhe:ri:dall"'-'\:(:;If::wntfui.: Electric Service Summary Page Balance as of Nov 30, 2001 Charg~s: TotafPPL ELECTRIC UTILITIES Charges Total Charges $ 85.12 For: JOHANNA V WILSON 104 WINCHESTER GARDENS CARLISLE P A 17013 $ 19.39 $ 104.51 Adjusted Final Duplicate Bill Account Balance $ 104.51 Questions about this bill? Please contact us by Dee 26 at 1-800-342 -5775 or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com Electric Use KWH - Average Per Day Meter Reading Information 54 Meter #63112329 45 Nov 29 Adj usted 35994 Nov 16 Actual 35807 36 13 Davs KWH BIlled ----r8i A verage ~ Nov 2000 2001 27 Tem:l3:erature 32F 46F KW Per Day 44 14 18 Yearly Use: Total A verd~e 9 Use Month ~ Dec 1999 - Nov 2000 9295 77 0 'I Dec 2000 - Nov 2001 8929 744 , DJFMAMJ JASOND 2000 Months 2001 This graph shows your electric use over the last 13 ..man ths. Types of Meter Readings: Actual _ Estimated R;))::l Customer D ------------------------------------------------------------------------------------------------------------------------------"------------------ Other important information on back ~ Return this part to address below with a check payable to PPL Electric Utilities Corporation >YbEl:FBliU'.c :Nl.lill Pi}"' otlnt 15130-71005 Dee 26, 2001 $ 104.51 1...111...1..1.1.1.1.1...11.1...11."..11...11,1,,1,1,,1..11.1 JOHANNA V WILSON 44 FURNACE HOLLOW RD SHIPPENSBURG PA 17257 -9611 DDD,otn:rDD PPL ELECTRIC UTILITIES 2 NORTH 9TH STREET ALLENTOWN PA 18101-1175 1 3000001045100000104514 1513071005 'I PPL Electric Utilities Electric Service For: JOH.t-\NNA V WILSON 104 WINCHESTER GARDENS CARLISLE PA 17013 Adjusted Final Duplicate Bill PPL Electric Utilities Customer Service 827 Hausman Rd. Allentown. PA 18104-9392 1-800-342-5775 www.pplweb.col11 ppl Page 3 Y ourJ3:ill-}\rC()l1i,ltNun)ber 15130-71005 U$e.iYUf.:ll.:<;:aHint.'":Qt:wntiii TotalfromLastBill $ 85.12 Billing Details Amount You Still Owe as of N6v 30, 2001 $ 85.12 Current Charges Charges for - PPL ELECTRIC UTILITIES Residential Rate: RS for Nov 16 - Nov 29 Distribntion Charge: Customer Charae 86 KWH at 1.79600000c per KWH 101 KWH at 1.59400000c per KWH Transmission ChaIXe: 187 KWH at 0.37700000c per KWH Transition Charge: 86 KWH at 1.88700000c per KWH 101 KWH at 1. 67400000c per KWH Generation Charge: Capacity_ and Energy 86 KWH at 4.84600000c per KWH 101 KWH at 4.25600000<< per KWH PA Tax Aliiustment Surcharge at -0.73000000% PA Sales rax Total PPL ELECTRIC UTILITIES Charges 2.80 1.54 1.61 0.70 1.62 1.69 4.17 4.30 -0.14 1.10 $ 19.39 Pay ThIs AmOlmt No Later Thall Dec 26, 2001 Accoullt Balance $ 1114.51 $ 104.51 General Information Generation prices and charges are set bv the electric generation supplier you have chosen. The pubric Utility Commission reg!llates distribution prices and services. The Federal Energy Regnlatory -Commission regulates transmISSIon pnces and services. PPL Electric Utilities uses about $10.23 of this bill to pav state taxes. In addition. about $4.55 of this bill pays the PA Gross Receipts Tax. The Transition Charge includes an Intangible Transition Charge (ITq and the applicable gross receipts tax which together amount to $2.02. The ITC is a rer usage cl1arge app'roved by the Pu51ic Utility Commission which PPL Electnc UtilitIes collects as agent for PPL Ele'ctric Utilities Transition Bond Company LLC and which tnat company uses to service debt incurred to recover a portion of PPL Electric Utililtes' 'stranded costs. '!be gross receipts tax, which is collected for the Commonwealth of Pennsylvania, is equal to 4.4% of the ITC. ' For your convenience. vou can now pav your bill using your Visa, MasterCard, or Discover Card. Call BilIMatdx at 1-81)0-672-2413. BiIlMatrix will charge your credit card a service fee for making this payment. We app'reciate the opportunity to have served vou. Because you have paid your bIlls within 30 davs over the past vear, vou have established an excellent payment record with PPL Ele'ctric Utilities. Brighten your holidays safelv. Check liuht strin,gs before using to make sure cords and plugs 'are intact. TUfll off inside noliday lights Defore you go to bed. 57 i~ TElV~ENT QUANTUM IMAGING & THERAPEUTIC ASSOC IATES, INC. BIl_LING OFFICE / A93 FOR SERVICES RENDERED AT: 2527 CRANBERRY HIGHWAY SYi"lPHONY MOBILEX WAREHAi"I, l'1A 02571-5000 185 WITMER ROAD 800 299 9770 / 508 295 5556 HORSCHAM PA 19044 PLEASE KEEP THIS PORTION FOR YOUR RECORDS. *****FIRST-CLASS PRESORT 170 UPGRADABLE JOHANNA WILSON A93*184494*725*09 SARAH TODD MEM HOME 1000 WEST SOUTH ST CARLISLE, PA 17013 EIN: 25-1792806 PATIENT JOHANNA WILSON ACCOUNT NUMBER BilLING DATE BALANCE NOW 184494A93 11/19/01 2.09 PA YMENTS RECEIVED AF'TER BILLING DA TE WILL NOT APPEAR ON THIS STA TEMENT. D . DATE OF I PROCEDURE I ICOg-eM I I SERVICE CODE CODE DESCRIPTION OF SERVICE AMOUNT 10/06/01 11/15101 11/15/01 7101026 1032905 1032905 MEDICAR APPLYIN 511.9 1 1 HAS PR ALL OR CHEST SINGLE VIEW MEDICARE PAYMENT MEDICARE ADJUSTMENT CESSED THIS CLAIM BY EITHER PAYING A PORTION TO YOUR DEDUCTIBLE. 36.00 -8.38 -25. 53 0%. OR ,""" !V ,,'. ;rd STATEMENT JOHANNA V WILSUN SARAH TODD HOME CARLISLE PA 17013 100~, W SOUiH Sf ..q.J...'"1I~letj.r.~~ ! . 11/29/01 I , ' ~ 'lCo1ll(olIllfJ~III1~UllrJI:I:l: , , r"~fur:::::'-, ! lUB i You may now pay by ViSA or MASTERCARD See reverse side for l! ~l r~. additIonal instructions .~_ PAGE NO. i:: SPRING ROAD FAMILY PRACTICE WILLIAM S. KAUFFMAN. M.D. 192 J Spring Road Carlisle. PA i7013 (717) 243-5444 o PLEASE CHANGE ADDRESS IF INCORRECT "I'j[CI'hllI.:::IJ~I"IlI.}"''i~1 PLEASE REMOVE AND RETURN THIS PORTION WITH YOUR PAYMENT ill :i. ::;AT~ ......._.'i _::!tJl.l.l...:. ;::~;Zi lZ, ;:~ \,:i1 C~~, A"-<<rll,l. " li)l! :J~SCRIP I JON Bal.~~"nc:'e F. OJ'~'\.'\i2!.Y ':1 ~ .l. ;~, J ~3UF1~::':._. I j.rjl::NT 1. ~::; :~ :.;:. U P P L._ I ]"1 E 1\j --:.. j'~ () 'r-' ~ ,JOHnNN~) WI LSOI\j " 0~ 13~ I~:~e e!i?2.~-B 2;1216" f2if DEBI! .~ -+If.lij,, ;:~97. 0lL - TOTAL DUE CREDI, I ';'"2! ;, ~:~:';;: ~::d I i I ~ BALANCE f"J' '. il./ D 81~YI!(Y ,/ )<1/;.' v J. ;;. --;:--':...~ \, /?-d 7-- / BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG, PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ROBIN L WEIGLE 331 YORK RD CARLISLE '0.2 hi'll' _? .J I I DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-29-2002 WILSON 12-05-2001 21 01-1133 CUMBERLAND 101 *' REY-1547 EX AFP 101-021 JOHANNA v Allount Rellitted PL\> 17013 (~l rc - 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 ~ REY=i5'4j-EX-AFP-((ff=ozY-NOTicE--OF-YNHEiiiTANCi-TAX-APPRAisEMENT-,--ALLOWANCi-cfi------------ ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WILSON JOHANNA V FILE NO. 21 01-1133 ACN 101 DATE 04-29-2002 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. 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 3.857.77 .00 .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 Bequestsi Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 4,466.50 171.72 (15) .00 X 00 = (16) .00 X 045 = (17) .00 X 12 = (18) .00 X 15 = (19)= NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 3,857.77 (11) (12) (13) (14) 4.638 22 780.45- .00 780.45- . R~~~~' l+J AHOUNT PAID DATE NUHBER 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 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.) RESERVATION: Estates Df decedents dying Dn Dr befDre December 12, 1982 -- if any future interest in the estate is transferred in pDssessiDn Dr enjDyment tD Class B (cDllateral) beneficiaries Df the decedent after the expiratiDn Df any estate fDr life Dr fDr years, the CDmmDnwealth hereby expressly reserves the right tD appraise and assess transfer Inheritance Taxes at the lawful Class B (cDllateral) rate Dn any such future interest. PURPOSE OF NOTICE: TD fulfill the requirements Df SectiDn 2140 Df the Inheritance and Estate Tax Act, Act 23 Df 2000. (72 P.S. SectiDn 9140). PAVMENT: Detach the tDP pDrtiDn Df this NDtice and submit with YDUr payment tD the Register Df Wills printed Dn the reverse side. --Make check Dr mDney Drder payable tD: REGISTER OF HILLS J AGENT REFUND (CR): A refund Df a tax credit, which was nDt requested Dn the Tax Return, may be requested by cDmpleting an "ApplicatiDn fDr Refund Df PennsYlvania Inheritance and Estate Tax" (REV-1313). ApplicatiDns are available at the Office Df the Register Df Wills, any Df the 23 Revenue District Offices, Dr by calling the special 24-hDur answering service fDr fDrms Drdering: 1-800-362-2050; services fDr taxpayers with special hearing and I Dr speaking needs: 1-800-447-3020 (TT Dnly). OBJECTIONS: Any party in interest nDt satisfied with the appraisement, allDwance, Dr disallDwance Df deductiDns, Dr assessment Df tax (including discDunt Dr interest) as shDwn Dn this NDtice must Dbject within sixty (60) days Df receipt Df this NDtice by: ADMIN- ISTRATIVE CORRECTIONS: Factual errDrs discDvered Dn this assessment shDuld be addressed in writing tD: PA Department Df Revenue, Bureau Df Individual Taxes, ATTN: PDSt Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 PhDne (717) 787-6505. See page 5 Df the bDDklet "InstructiDns fDr Inheritance Tax Return fDr a Resident Decedent" (REV-1501) fDr an explanatiDn Df administratively cDrrectable errDrs. --written prDtest tD the PA Department Df Revenue, BDard Df Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --electiDn tD have the matter determined at audit Df the accDunt Df the persDnal representative, OR --appeal tD the Orphans' CDurt. DISCOUNT: If any tax due is paid within three (3) calendar mDnths after the decedent's death, a five percent (5%) discDunt Df the tax paid is allDwed. PENALTV: The 15% tax amnesty nDn-participatiDn penalty is cDmputed Dn the tDtal Df the tax and interest assessed, and nDt paid befDre January 18, 1996, the first day after the end Df the tax amnesty periDd. This nDn-participatiDn penalty is appealable in the same manner and in the the same time periDd as YDU wDuld appeal the tax and interest that has been assessed as indicated Dn this nDtice. INTEREST: Interest is charged beginning with first day Df delinquency, Dr nine (9) mDnths and Dne (1) day frDm the date Df death, tD the date Df payment. Taxes which became delinquent befDre January 1, 1982 bear interest at the rate Df six (6%) percent per annum calculated at a daily rate Df .000164. All taxes which became delinquent Dn and after January 1, 1982 will bear interest at a rate which will vary frDm calendar year tD calendar year with that rate annDunced by the PA Department Df Revenue. The applicable interest rates fDr 1982 thrDugh 2002 are: Vear Interest Rate Daily Interest FactDr Year Interest Rate Daily Interest FactDr 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 11% .000301 2002 6% .000164 -- Interest is calculated as fDllDWS: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any NDtice issued after the tax becDmes delinquent will reflect an interest calculatiDn tD fifteen (15) days beYDnd the date Df the assessment. If payment is made after the interest cDmputatiDn date shDwn Dn the NDtice, additiDnal interest must be calculated. \ ~ ,""""" ()/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Johanna V. Wilson Date of Death: 12/5/01 Will No. 2001-01133 Admin. 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 x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: 5jJd-/Of) --4 /~. Slgna~e Bartley J. Wilson Name (Please type or print) 44 Furnace Hollow Road, Shippensburg Address ( 717) 530-1768 Te 1. No. Capacity: X Personal Representative Counsel for personal representative (MAH:rmf/AM3)