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OATH m' PERSONAL REPRESENTATIVE
COMMONWEALTH OF I)ENNSYJ,V ANIA
COUNTY 0.' CUMBERLAN~__________
HE:C' 01
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The petillllner(s) IIbOl'e-lIIl1ned swenr(s) IIr ufflrm(s) lhut the
statements In the foregoing petition lire truc IInd curreclto the bcst
of the knowledge IInd helieI' uf petltloncr(s) nllllthlll liS personal
representatlve(s) of the above decedent pelltloner(s) will wellllnd
truly IIdmlnlster thc eslllte according to IIIII'.
Sworn to or ,-jfflrmed IInd ',uhscrlbed .c~1.~L~"':',~ '):-: ~~C\..O-1
before me this ~),) LL_ _ dllY of
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No 21 - 94 - J4
.
Estate of
DENNIS A. BRYNER
I Deceased
GRANT m' LETTERS 0.' ADMINISTRATION
AND NOW __JAtHlAIl'L13.._.._..._...___u. 19-.9.4-_, In consideration of the petillon on
the reverse side hereof, satlsfllclorJ~roof h~vin~ be~Ewescnted before me,
IT IS DECREED lhut .!!!.!!~___~.uRY._____.____
IS/lire entitled to Letters of AdmlnlstlUtlon, und Inuc(,ord wllh such finding, Lellers of Administration
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_ __~___. . ."_'_0__ _~__._______~
are hereby gf anted to _____--.-JANINE K ... BRyNER_.__
In the estate of
___.DENN1S_A ..BRY.NEL._.
FEES
Letters of Administration ..... Ll!hQ.9_.
Shorl Certlfleates( 2) $3/.eacn., $__6.J10._.
Renunciation.....,.,.""". L__.
JCP Fee L.5.aO
TOTAL ___ $...29~OO..
Flied. JANUARY .13..,.",.. A.D. 19-..94
Marla Welker
#44069
,\I'IOKNEY (SUI" ('I. 1.11. No.)
230 S. Broad St., 11th Floor
'1'111Tade1pnkBJlKI:!i!!\-j,m--
(215) 735-3326
PIIONI,'
Mailed letters and order to attorney on 1-13-94.
This is to t'l'lliI)' III.!! till' illlllllll,llloll hl'l" ,l:iVt'll j.. (ull('( dr 1(11'11'.1 IllIlll .Ill IIr;'l:ill.d (( II ilieJlt' (II IIt:.lth d1l1~' (iled with 1lIl' as
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WARNING: It Is IIlog~1 to dupllcato this copy by photostat or photograph,
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COMMONWEAlTlI Of ~CNIIBVlVANIA' DE"A~TMENT OP HEAlTH' VITAl ~eCDRDI
CERTIFICATE OF DEATH
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INHERITANCE TAX RETURN
RESIDENT DECEDENi
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
COM~F~"IMll~'lfl,fllWtl~^N IA
t1AR nIBS o~~, 1'2'~ \ ",000 I
FOA DATES OF DEATH AFTER II/D/S! CHECk HEAE
IF A SPOUSAL
POVEATVC~EOITIA CLAIMED
FILE NUMBER
21-911- 31,
VEAR
OECEUENT'S NA.ME (LAST, FIRtJl, AND MIDDLE INITIAll
BRYNER, DENNIS A,
COUNTY CODE
DECEDENT'S COMPLETE .ADOREB9
508 Wont Shady Lano
Eno1a, PA 17025
.90CIAL 9ECUnlTYNUMaEJl
192.50.1,986
X 1, Orlgln.' ROlum
DAlf. or OEATH DATl OF OII1Ht
05 22L2..L-J 03 03 64 CO","
U 2, Supplo"",nlal Rolurn
04,
08.
041,
o 7,
L1mllod Eslale
Fullns InlOlusl Compromise
(lor dOlo. 01 doslh allor 12-12-82)
Docodonl Mslnl.lnod a Living 'fru.1
(AlIseh 0 copy 01 Tru.t)
Docodont Dlod Toslolo
(AlIsch copy of Will)
NUMBER
Cumberland
03,
06.
Romolndo, Roturn
(lor dal.. 01 doath prior to 12-13-82)
Fodmal Ealalo Till(
Rolurn Requlr&d
Tolal Number of Salo DeposlI Boxea
o 8.
ALL CORRESPONOI!NCE AND CONFIDENTIAL TAl< INFORMATION SHOULD liE DIRECTED TO:
'lAME
John E, Slike , Esquire
CO~-H'LEll MAILlNO ADOnE!!.9
Saidin, Guido, Shuff 6< Mas1and
2109 Market Stroet
TELEPHONE NUMBER
R
E
C
A
P
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717 737.3405
1, Rool Eslalo (Schedule Al
2, Slocks ond Bonds (Schodulo B)
3, C'o.ely Hold Slock/PMner&hlp InlOlo.t (Schodulo C)
4, Mo~gagos and Nolos Recolvablo (SChlldulo D)
6, Cash, Bank Deposlls & Mlscolianoolls Porsonsl Propo""
(Schodulo E)
e, Jolnlly Ownod Property (Schedulo F)
7. Tran.fors (Schedule G) (Schedulo L)
e, Tolal Gross Assols (lolOllInos 1-7)
9, Fun",al Expon.e., Admlnls'IOlIvo Cosls, MI.collsnoous
Exponso. (Schodule H)
10, Oobl., Mortgago L1ablllllo., Liens (Schodul. I)
11, Totol Ooducllons (Iolalllnos 9 & 10)
12, Nol Valuo 01 EstalO (II no 8 mlnu.llne 11)
13, Chorllablo and GovOFnmonlal Boquosls (Schodulo J)
14, Not Valuo Sub oct 10 Tax line 12 minus IIno 13)
15, Amounl olllno 14 laxablo 018% ralo
(Includo values from Schodulo K or Schodulo M,I
Ie, AmoUnl of lino 14laxabl. a115% 1010
(Includo valuos from Schodule K or 5chodulo M,l
17, P,'nclpallax due (Add lax from IIno 15 end from IIno 10,)
18, Credlls/Sp Povo~y Prim Paymanls Olscounl
(18)
19, IIl1no 10 Is groalor Ihan IIno 17, onlor Iho dlffOFonco on II no 10, This Is 1110 OVERPAYMENT,
~ 0 ~ horo <<you ..... roquoeijnll. ralund 01 your Overpoymon1,l
20, IIl1no 171s groslor Ihan IIno 18, onlor Iho dlffOFonco on II no 20, Tills I. tho TAl< DUE,
A, EnlOF Iholn'ero.' on Iho balanco duo on IIno 20A
D, Entor tho lolel of IIno 20 and 20A on IIno 20B, This Is 1110 BAlANCE DUE,
Mike ChO(lk PI obi. to: R la'er 01 Wills A nl
.. .. BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECIlECK MATH .. ..
'd;;(j;', r~naltlflt of pOIJury, I dlel",. thlll hhl ,_.mlned Ihll IIllIln, IIlc1udlnglccompanYlnglchldur.. Ill.:! ,latemanll, and 10 lh, blltlol my knowlldgl.nd blllll, illllllll,
i " ,l.illd compl&tl. I dtr.llr,lhatall leal IIlat. hn bun /lPoII.d II tfull market valut. O.cl.uallon 01 pltp"", olhtr lhan lhl p.tlonalflPrtUntlllv. I, bInd on.111 m'ormlhon 01
""",:lprc.p,,,,liulnyknow1tclgt.
Camp
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Eno1a, PA 17025
AOOR[!I$
Saldl9, Guido, Shuff 6< Maa1and
2YO<i' i-itirkc't' St'r~~t"""'''''''''''''' ...... --...
Ciimp' iiii i ': 'PA") 71iii"'.' ....,....... ....... -...
~i:CIIj^lLJRE OF flREPARER OTHE R TtIAN REfiRE 9ENTATlVE
.~f.-\' )'~ J.t.li.
("J. "~Ite) 199110rm loll..wt only Ctnltr PI"t Soflwl,e, Inc.
Hill, PA 17011
Nono
4,372.50
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(18)
(18)
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0,00
(20)
(2OA)
(2OB)
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0,00
0.00
DATE
I/H/7~'
OATE
Ih'>'/~I,'
Form 1500 (R.v, 11."1)
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. PLEASE ANSWER THE FOLLOWING QUESTIONS BV PLACING A MARK (X) IN THE APPROPRIATEBLOCt<S.'
YES NO
1, Old decedent make a 1Tansf~r and:
I, relaln the use or Income ollho property translerred , , , , , , , , . , , , , , , , . , , , '. , . '. . . . . . , . . , , , .
b, releln Iho right 10 designate who shell uselhe property translerred or' ks Income, . . . " ' . . . . , . . . : , . . , . '.'
a. retain a roverslonary Inter89t or. . . . . , , . . . . , " , , , , , . , , . " . , . . , " , , . . . . , . , , , . . , , , , ,
d, recelvelhepromseforlll~0Iellherpaymenta,benefltaoroare7"...,.,."..",.,:.., ,..." ','"
2. II dealh occurred on or belora December 12, 1962, did dacadent within two yeara pr908dlng dealh '
tranafer proparty wllhout r908lvlng adeqllato conalderatlon711 death occurred aftar Deoember 12,
19B2, did decedent trensfer property within one year of doath without receiving adequate
consldoratlon? , , . . , , , , . , , . . , , , . , . , . . , , , , . . . , , . . , , , , , , , . . , , , , , , , . . ',' , , ,
3, Old decedenl own sn 'In trustfor' bank account at hla or har death7 , . , , , , . . . . . . , , . , , . . . . , , .., , , . ,
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES" .
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. .
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Copyrlgtll(o) 1(1(11 form loflwa,. 0'11)0 C,nl., Pilei SoHwl"_ Inc.
Form 1100 (R.v, lj-llI'
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REV- 1508 EX + (a-l1)
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PleIN P~nt or T .
FiLe NUM8l!R
21-94-.34
COM\1Rm~~4'~,~~ANIA
ESTATE OP
DENNIS A, BRYNER SS# 192-50-4986 OS/29/93
(All property olnll -ownod with RI hI of Survlvor.hlp mUll b. dllClolod on Schodull P
ITEM DESCRIPTION
NUMBER
VALUE AT DATE
OP DEATH
1
Proceeds from lawsuit for survival
Court Order attached
Less counsel fees and costs of
benefits
37,500,00
- 12,577,40
24,923,60
2
1985 Subaru station wagon
2 I 000 , 00
3
Yamaha motorcycle . proceeds of insurance on
totally destroyed motorcycle
1,800,00
TOTAL Also enler on line &, Reo "ulollon
(Anloh additional B 1/2" N 11" sh..'.1I more Iploe II needed,)
COIIY'lg~llel 1991 form toll......,. onlv Clnll' PIIU SoH......", Inc.
. 28 723,60
Form 1fOO Schl!full E (Rlv. a-'7)
IIl:V Ull EX + (a~all)
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVIl COSTS AND
MISCELLANEOUS EXPENSES
Pie Prlnl or T
FILE HUMMR
21.94.34
COM~N~11b\~~\;{iW~f1YANIA
ESTATE OF
DENNIS A, BRYNER SS# 192-50.4986
ITEM
NUMBER
A, Fqnerll Expen....:
05 29 93
DESCRIPTION
AMOUNT
1
2
3
II
Sullivan Funeral Home
Gingrich Memorials
St. Paul's Evangelical Church
St. Paul's Evangelical Church
grave opening
cemetery lol
905,00
1,995,00
100,00
365,00
8. AdmlnlllrllUv. Colli:
I, Pef10nal Represenlatlve Convnlsslons
Social Soourlty Number 01 Personal Represenlatlve: 196.62.4735
Year Commissions paid
2, Attorney Fees
3. Family Exemption 2 , 000,00
Cla/manl J anine K. Bryner Relationship Wife
Address 01 Cla/manl at decedenl's de~th
Stroot Address 508 W. Shady Lane
CI!y Enola Slate~ Zip Code 17025
4, Pro bale Fees
C. Mlacolllnoou.l!xptnHI:
1 Cumberland Law Journal . legal ads 40,00
2 Patriot. News Co, . legal ads 55,80
3 Register of Wills filing fees 10,00
4 Register of Wills . short certificate 3,00
TOTAl. (Also enler on line 9, Reo 1I111111on
(If more space Is needed, Inoen additional SINlOls 01 same size,)
(.(JIl~fl'lhl(CllI1111 form ,olhn't onl.., Ctnlt, PlClct Sollwa'l, Inc.
. 5 473,80
Farm 1100 Sehftdllla H IRtv. '-18)
1lE\'-I&12EX. (10.e8)
COM~Nmg~~~~W~r1rANIA
eSTATE OF
SCHEDULE I
DEBTS OF DECEDENT
MORTGAGE LIABILITIES AND LIENS
DENNIS A, BRYNER SS# 192.50.4986 OS/29/93
PILI!NU "
21-94-34
ITEM
NUMllER
DESCRIPTION
AMOUNT
1
One-half of balance of mortgage on property located
at 508 West Shady Lane, Enola, PA
54,.100,00
2
Montgomery-Ward. one-half of debt owed
37,50
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(II moro spaco Is needod, Insert additional shools 01 same olzo,)
~'llpyr!"ht Ie) '''81 'elm lellw.,. only Canl., Pilei Softwar" Inc:.
. 54 137,50
Form 1800 Soh.dul. I (Aov, HII
KYCDlt, GIlCltLIl , OLIn, l'.e.
BYI Marla Welker
ID No. 44069
230 South Broad Street
11th Floor
Philadelphia, PA 19102
(215) 735-3326
Attorney for Petitioner
JANINE K. BRYNER, Administratrix
of the Estate of DENNIS A. BRYNER,
Decsased, and JANINE K. BRYNER,
Individually
COURT OF COMMON PLEAS
NORTHUMBERLAND COUNTY
.
.
vs.
....
DAVID ALLEN SHEAFFER
and
NATIONWIDE INSURANCE COMPANIES
and
ERIE INSURANCE GROUP
NO. CV-94-145
.'
'.- .
AMENDED ORDER
AND NOW, this)~ day of ~ ' 1994, upo~,.
consideration of the annexed Petition and testimony offered, it
is hereby ORDERED and DECREED that compromise of wrongful death
action and survivor's action brou9ht on behalf of Dennis A.
Bryner, Deceased, and against Tortfeasor, David Allen Sheaffer,
Indi vidually and through his insurance company, Nationwide
Insurance companies, and the under insured motorist claim brought
against Erie Insurance Group, is hereby approved upon the
following terms and conditions I
1. Wron9ful death action brou9ht on behalf of Dennis A.
Bryner, Deceased, by Janine K. Bryner, Administratrix of the
II Estate of Dennis A. Bryner, Deceased, is hereby oompromissd and
settled for the sum of $87,500.00.
I
/
;-.
2. The survivor's action ot Dennis A. Bryner, Deceased,
brouqhtby Janine K. Bryner, Administratrix ct the Estate at
Oenni. A. Bryner, Deceased, is hereby compromised and settled
tor the sum ot $37,500.00.
3. The SUlll of $125,000.00 to be received in compromise
settlement ot the above mentioned actions is to be distributed
as tallows I
'1'0: MYCHAK, GECKLE & WELKER, P.C.
counsel tees
$ 41,666.67
'1'01 MYCHAK, GECKLE & WELKER, P.C.
reimbursement of costs
2!58.00
......
.
.'
TOI JANINE K. BRYNER,
Administratrix of the Estate
DENNIS A. BRYNER, Deceased
83,075.33
'.-'
,-
TOTAL $ 125,000.00 ._
BY THE COURT:
f.,. / Lk.u~1 (!. ~
. / I'.J.
E::-;.'~t'hl1 trom the reoordl
a;:.. v . ...nad this.f;L day
of . A. D. 19. il'f
",.",ll~
~otbonotarr
111 Coamission JCxpirss r1rail.
llonda1 ot Jllonual'7. 1998
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HYCBAlt, OEota.B ,. WELKER, 1'. C.
BYI Marla Welker
ID No. 44069
230 South Broad street
11th Floor
Philadelphia, PA 19102
(215) 735~3326
Attorney for Petitioner
JANINE K. BRYNER, Administratrix
of the Estate of DENNIS A. BRYNER
Deceased, and JANINE K. BRYNER,
Individually
-:')
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COURT OF :~:Q!1MOJi PffiAS
NORTHUMB~~COGN'1'y
-< 0
Q)
','1
.
'.
vs.
DAVID ALLEN SHEAFFER
and
NATIONWIDE INSURANCE COMPANIES
and
ERIE INSURANCE GROUP
NO. CV-94-145
.:--
.'
RULE TO MARE ABSOLUTE
Peti tioner , Janine K. Bryner, respectfully represe.!1ts to
. -',
I this Honorable Court that a Petition requesting an amendment of , .
, ......
I
I the Order of March 9, 1994, was filed on July 5, 1994, and
: served on Respondent's counsel, and Rule Returnable was issued
to Respondent on July 12, 1994, with a returnable date of July
25, 1994. A copy of the Rule Returnable was sent by Petitioner
I to Respondent's counsel on July 18, 1994. No Answer was filed
I by Respondent by August 17, 1994, and since it is now more than
one month since the filing of the Petition, Petitioner
respectfully requests that this Honorable Court enter a Rule
J Absolute and grant the requested relief.
Respectfully Submitted,
MYCBAR, GECJtLE ,. WELKER, I'.C.
BYI
Jfl~ wd
Marla Welker
Attorney for Petitioner
-
I
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fEV01547 IX AFP (12-94*
C_ALlIl OF PENIlSVLVANIA
DEPARTII!Nl or REVENl.(
IUREAU Of INDIVIDUAL TIXES
DEPT, 210m
IlAIltlISIUIIO, P, 1/121'0601
/1/_ //3.'1
0JoV-.j
NOTXCE OF INHERITANCE TA"
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TA"
ACN 101
DATI! 04-10-95
FILE NO.
DA1'E OF DEATH 05-29-93 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAN
PAVltENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
JOHN E SLIKE ESQ
SAIDIS ETAL
2109 MARKET ST
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
C A.o"'!.LRo.~ttod
CUT ALONG THIS LINI ... RETAIN LOWER PORTION FOR YOUR RECORDS .....
RiV'- m-i-iif - AFp. i 12':94 Y-iioYie r -0,1- i"NH i:ifi Tiliici-YAx-A-PPRA-i Si:'ifiiii' ~ - -ALrliwANcB -(Iii - OM MOO -- -- -.... OM
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF 8RYNER DENNIS A FILE NO. 21 94-0034 ACN 101 DATI! 04-10-95
TA" HETURN WAS, I X) ACCEPTEO AS FILED
RESERVATION CONCERNING FUTURE INTEREST 0 SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1, R.ol f..tot. ISohodulo Al
2, stooko ond Bond. ISohodulo Bl
S, Clo.oly Hold Stook/Portnor.hlp Intoro.t ISohodul. Cl
4, HorteOGo./Noto. Rooolvoblo ISohodulo D)
S, C..h/Bonk Dopo.lt./HI.o, Por.onol Proporty ISohodulo El
6, Jointly Ownod Proporty ISohodulo Fl
7, Tron.for. CSohodul. G)
I, Totol A..ot.
I I CHANGEII
III
C2l
(3)
(4)
ISI
161
171
00
<: "'.00 \ri
I"
4,372.50
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28.723,60 ..,
Cl
,00
, .00 ._.
III. (8),
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APPROVED DEDUCTIONS AND EXIMPTIONSI
t 5,473,80
" Funorol E,pon,o./Ad., Co. ./HI.o, E,p.nRO' ISohodulo Hl 1'1
10, O.bh/Horte.go L1obUltI../Lhn. ISoh.dul. Il (16) 54.137,50
11, Totol Doduotlon. Illl ~9. ~ 11 30
12, Not Voluo of To, Roturn (12) 26,515,20-
15, Chorltoblo/Govorn.onhl Boquo.h ISol1odulo J) I1S)' 00
14, Not Voluo of E.toto SUbjoot to To' (14) 26,515,~.
NOTEI If.n ......m.nt w.. i..u.d pr.viou.ly, lin.. 14, 15 and/or 16, 17 .nd 18 will
r.fl.ct figur.. th.t includ. the tot.l Df ~ r.turn. .......d to d.t..
ASSESSHINT OF TAXI
lS, Aoount of Llno 14 ot Spou.ol roto 11S)
16, Aoount of L1no 14 to,oblo ot Llnool/Ch.. A roto U61
17, Aoount of Llno 14 to,oblo ot Coll.torol/Clo.o B roto (17)
1" Prlnolpol T., Duo
,00" ,00.
,00" ,06.
,00" ,15.
UI)
,00
,00
,00
,00
TAX CREDITS:
PAYHENT
OATE
RECEIPT
NUHBE R
DISCOUNT I.)
INTEREST C-)
AHOUHT PAlO
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUI
,00
.00
.00
,00
. IF PAID AFTER OATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADOITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN U, NO PAYHENT IS REQUIRED,
IF TOTAL OUE IS REFLECTED AS A "CREOn" ICRI, YOU HAY 'E DUE
A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS,)
I,
RESERYATlONI ht.t., of dlO.dtntl dying on or befar, DIC,lIbIr 11, 1911 ... If IR~ future Intullt In thl IIt.t. " treni<'frrld
In po.....lan or .nJoYHnt to Cl,.. . (aalll'.r.1> btntUalarl1l of thl deoldent ,Ulr tlM IKPlr.tlan of MY I.t.tf for
llf. or for v..r', the Co.-onwulth hlrebv llllp",,1Y r...rvII thl rloht to eppr,hl .od ...... tren.fer InhtrUe'nol "Jell
.t thl Itwful Cl,.. . (coll.t.r.l) r.t. on eny .uch future Intlr..t.
PURPOIE Ilf
NOTICE! To fulfill the rtqulrtllnh of S.atlon 2140 of the Inh,rUInO. and E.t,tll Till Aot, Aot U 0' 1991. 12 P.S.
S.otlon 2140.
PAVHEHT, DetlClh thl top portlQn of thlt Hotlo. end Iubllt wl1h vour PIVI.nt to thl R.gllter of WIU. prlntld on thl flV.,.. .Ide.
--H... chook or oonov ardor p..,bl. tOI REGISTER OF HILLS, AOENT
AU PIVllntl reo.lv.d .hlll first b. appll.d to any Intlrllt whlah "V b. due with anv r...lnder 1flfI111d to Uti tlJC.
REFUND (CA)I A r.fund of " tlM credit, which WII not requutld on the T'II Aeturn, ..v be nquut.d bv cOIIPI.t1no In "Appllc.tlon
for A.fund of P.nnlvlvanla Inherltancl end Etht. "II" (AEV-nU), Appl1cIUon. Irl Iv.llIbl. .t thl Offlol
of thl Rlght.r of Willi, any uf the 2S Aevlnue DhtrJot OUleu, or bv c.Ulng thl IPlo111 Z4-hour
.",werlng ..rvlo. R\lllblrI for for.. ordlrlnOI In PIMIVlllllf'lh 1-800"56Z-205O, outside Ptnn.vlv"'ll rd
within locII Herrl.burl .r.. (111) ,.,-aO,., TDDI (717) 112.2252 (HI.rlng lapllred Onlv),
OIJECTJOHII Any party In Intlrllt not ..thfled with tttllPPrlltHtnt, .UOWIftO. or dllllUowlne. of deduction., or ......Mnt
of t'M (lnolUdlnl dhcount or Int.ruU II .ho,," on thll HoUc. llU.t obJ.ct within .lMb (60) d.V. of rlClllpt of
thil HotlCI bVI
AdHlH
IITRATlI/t
CORRECTIOHtI FeotUll .rrar. dl.oav.rld on thl. ......-.nt lhould bl Iddr...td In writing tal PA o.p.rt.ent of R.venut,
IUrllU of Indlvldull TIICI" ATTHI po.t A.....unt R."I... Unit, DIPt. 210601, Harrlsburlll, PI. 17121-0601
~ (117) 711"6501, S'I PI" 3 of thl bookl.t "In.tructlon. far Inhlrltancl T'II R,turn for I R..ld1nt
Decedent" (REY-1501) for 10 IMpllR4tlon of IdIlnl.tr.tlvllv corrlOtlbl. .rror.,
"'wrltt.n prate.t to thl PA O.p.rtltnt of Alv.nue, loerd of App.ah, Dept. 281021, HarrJtburl, PA 17UI"lOZl,
..,.lIcUon to hav. tttl utt.r d.taralntd It lucHt of the ICCount of thl p.r.on'l rtprlltnt.tlvl, OR
"-lPpa.1 to thl Orphln.' Court.
OR
DIICOUNTI If eny tllC dut II Plld within thrll (3) c.lender IIOnth. Ifter tM dfClldlnt'. OIlth, I flv. paro,"t (IX) dhoCMa1t of '
ttt. tlM plld II IUowed.
INTEREITI lntarllt 11 cher,td Hllnnlng with flr.t dlv of dellnquencv, or nlnt (9) IfOI\th. and ani (1) dlV frOll thl ntl of
dllth, to thl date ef PIVHOt. T.lell which bt<I.... de1.lnquent before Jll"IUIrv 1, 1982 bIIr Intarllt It ttt. rltl Of
,1M (6X) pare,"t p.r I~ c.loul.t.d It , d.IIV rlt. of ,000164. All tIM.. which beo... dtlln4Ulnt on end Ift.r
Janu.rv 1, 19'2 will belr Int.r..t .t a rate which will v.r~ frDI cllend.r v..r to c,llndlr v..r with thet rlt.
InnOURCtd bv the PI. o.,lrtaent of A.venut. ThI IPpllolbl. Int.r..t r.t.. for 1..2 through 1"5 .r'l
!!!! Int"ltt Rlt. Dally Inhr..t Factor ~ Int,,"t R,t. O.llv Int.r..t Factor
1911 In ,DDml 1911 'X ,000141
1915 I'X .DOOUI 1911-1991 m ,DonOI
I'" IU ,000101 1991 9~ ,ODOZ41
1915 Il~ ,000116 1995-1994 1X ,000191
.1'16 In ,ooom 1991 9X ,000141
..Int.r..t I, c.lcullt~ I' follow.!
IN11alEIT . IALAHCE OF TAX UNPAID " HUHIER OF DAYI DELINQUENT " DAILY INTElEBT FACTOR
--An)' Notle. InuM Iftar the tlM btcOlll' dlU"..,t wUl rllltet '" Int.r..t uloUI.tlon to f1ft... nl) dlv.
beyond thl dati of thl ......Nnt. If p.raant II ... Ift.r thl Intlrllt cOIP\It.tlan dati Ihown on thl
NoUn, IdcIltlDnll Interll' ."t bt c.lcui.tld.
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CIRTIrICATION OF NOTICE utfDBR RULE 5.6(a\
Ch, ~\
CUll'" ;, 1'/\
Name of Decedent:
Dennis A. Bryner
May 29, 1993
1994 - 00034
Date of Death:
Will No.
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed
to the following beneficiariee of the above-captioned estate on
May 4, 1994.
Janine Bryner, Guardian
of Eric A. Bryner
508 West Shady Lane
Enola, PA 17025
Notice has now been given to all persons entitled tqereto under
Rule 5.6(a) except: None
Data: May 4, 1994
~
Slike,
BOX 737
P HILL, PA 17001-0737
ephone: 717//737-3405
Counsel for Personal Representative
'.
SAIDIS, GUIDO
&. MAS LAND
2109 Markel Sir'"
. Camp HIli, I'^
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STATUS REPORT UNDER RULE 6.12
Name of Decedent I !J.t>P1 IJis A f!, ~v n ~ ,..
.
Date of Deathl .s-j';9-1r 3
,
Will No. rvJ/1 Admin, No. aI- 9V' 3 Y.
Pursuant to Rule 6.12 of the Suoreme Court Orphans'
Court Rules, I report the following with" respect to completion of
the administration of the above-captioned estatel
1.
State whether administration of the estate is completel
Yes V No
2, If the answer is No, st.ate when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No. I is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes No V/,
b, The separate Orphans' Court No, (if any) for
the personal representative's account iSI
c, Did the personal represontative atate an
account informally to the par.ties in interest? Yes V 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.
Datel
,~-J;s~ / ( S~-
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Sign
10/" (', SJII<P'
NameV(Please type or print)
i).t) {3dX 737.(1tA.,()#/II,A
Address
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Capacity:
Personal Representative
~Counsel for personal
representative
(MAH I rmf/ AM3)
,. JR9/Jun~.30, 1992/17858
b.j3oG'-3110
"
REGISTER OF WILLS
Cumberlond County Courthouse
One Courlhouse Squore
Cnrllsle, PA 17013
NOTICE PURSUANT TO RULE 6,12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES
To:
PeI.lonal Represenlallve
Counsel: ,lohn F.. 1;1 ik"l EAq., 2109 MArket. 1;t.'1 CAmp Hill, P1\ 17011
"
REI Estale or Dennis 1\. Bryner ,D~ed, Lale or
Eno1a
Estale No.: 21-94 -34
Dale or Decedenl's Death: -Mav 29. 1993
Pursuant to Rule 6.12, the above named personal representative or the abovonamed attorney, If
applicable, within two ('2) years of the decedent's death, and annually therC'lfter until administration is
completed, Is required to tlle with the Register of Wills a Stalus Report as required by Rule 6.12, In
substantially the prescribed form, showing the date by which the personal representative, or attorney I as
applicable, reasona\lly believes administration will be completed, The purpose of this Notice Is to advise
you that unless the requisite Status Report Is filed with the Register of Wills or Cleric of the Orphans'
. Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills
Is required to DOtlfy the Orphans' Court Division, Court of Common Pleas of such delinquency and to
request that said Court conduct a hearing to determine whether sanctions should be Imposed llpon the
dellnqueat personal representative and the delinquent p al representative's counsel, If any,
Accordingly, If the requisite Status Report I~ not flied by I l~you are hereby
Idvi.od that I request wUl be submitted to the Court in accordance Rule 6,12,
Date:?J;ntf ~,/995 ~f'd~)"~~.'
uly Register 0 If(s
Distribution to Estate File
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