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HomeMy WebLinkAbout94-00062 II' .. '" " , i'l " '" " ,.,,'1< 'i,",.'" ", I,',. " .' iI' '1, /,'\ " -,," i,' "I',' ",\ 01: "', " " 'I,'. " I. ,'1 I t, I' ,'i' " 'I, .j'" '" I"~ '-,I -\.1 I ,I', ll: I ", '/,,' i~:: ' ',' '(\,':, ,', jI" " " , " ,', , I " t, ,/ "1,,' .1' I, " , ,j ,ll ,J ",.t: ..\ . ',: :',\1 ~"'\"" I ,', " "',' ,', ", ,,(; (, \" \' " i,I,' " ,,:..' '" :', ," r ,,11, ," "Jf' " 1"'L.'r:j' ,1, i I .'.1 , 1 ',' ,l~,. 'J . ( , ';\'111 1(:.\1., , " - ~I .:.~ ' I" " , ' ,\.....,; '.:1;" ";, ('. j" Ii ,'"~I;' 'I , ., .f" '. .''( ,I' " .. \, \ '. ht,. ';.: I' j '~'\ '!'~' I j' ,1 . "'i ~ J' , ' ' , " ,\ '!""t :,1.,:1' ! .. , I.,'.,'" if , <",.. .:\,", \ ',. " ',' '" 'd .,',' 'j ", ,. " , ,,',,'.'\, , ;:.' /. ,. " " " "," '" " ','li: :"1 I l, , , ;' I', (I' " '\.'/' "'.. ".\ ~Ii!;( ,".' '" 'j " " jl; ':.1 "P" 'j.:l. , "' ,<,',x';" .': ,....1. .~" ,'(.,. ,. ':~- " ,d.,",'". ':'! ,.,~,. I, i' 'I" I: .)i'l,", , " "'.' , ,.. '.' ",' .(., ',' , " "~I' " ,;~:,!?", , '\11 ,I,! 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J "I ,'i i ~! ! ~ '" I , " I ,I".; " . , " " 1,1"," " ,"f i' ., f;'~.~: " ~ i", ',/'i,;- ('I', \'r, ,. , ;'::, ,1.'1,' " " 'IJ ,'.i":),',:' J ,l' lJ'r' .. " "/';'~'I \i" '1-'(':1:1, , I', '1:/."" ,,~ " . {". ~,'" (',J" , I , ,I,'" , " .':. I,".' "/:";! ,I, ".1: I;"!'; .::,! n , /'. " "I," " ,J', ',,,' ,'\':, 1\1 ,,1 ~"~ ,\" ,': ',Ir I' " . ,: ~'.'~;: , 1" 'I, .' 1'- I"~ oI,'" ,'I' ." ,',t. :r,' ., " ',-'1,1): ,".,,> ,. ;J) , " "I'h;l" 11' , ' "\' ;", ..i 'f ",:,' ,; /:'~~ ,',,' " ' ,~ " ,f " I : : ' . ~" l r' ,1 'II .,.'!:,I, \ ',I , ' 'I' '\' .,.,;',', . "......, ! ,. ":'1 '\'J ,,' ',! 'r ',. . ~ ," I J " ,)i-, !'j " I " '. ",' ,.',', ',' 't,,' I" ,I", j"" j', 'j'I' I' ." , , ,.i"'''' " ., ." ,t.. "'1 " \' ~', ;'1" I ~ ',; \: 1 ., ,'~ \ J'.. 'r,l " vf:- PETITION FOR PROBATE and GRANT OF' LETTERS &/0/001 ClmS'pEH AT.EXANllEH \~AHNEH No, :J. J.. ql.{ -/~ also known IU ('lmS'I'EH A. W~HNEH To: ReiJlter of WlIl. for the D,ceaJ,d, County of Cumber 1 and In the Social Securl/y No. ? (J? - ? n - r; 1 ') A Commonwealth of Pennsylvania The petition of the underslaned rc.spectfully represents that: Your petltloner(.), who Is/arc 18 years of aae or older an the exeCUl or named In the hLlt. will of the above decedent. dated T" ]1' ?() . 19-21-... and codJcll(l) dated (1111t rcllVlnl clmllllltlllC<l. I.., r.nunell~on, dealh 0/ execulor, Cle,) Decendent Was domlciled at death in Cumber! and, County, Pennsylvanla, with hi" IlLIt famlly or principal residence at 1 6 No r t h P 1 t t S tree t _ r;Jrl1R1PA PA 17013 (IUIIllCCI, numbcrllld munclpIllty) atOeCnde~~~~~ ~{tt sl~~s~:~eif~~e~a~xanul~ ,1994 , Except ILl follows, decedent dJd not marry, was not dJvorced and dJd not have a child born or adopted after executlon of the wlll offered for probate; was not the victim of a kllllna and was never adjudicated Incompetent: Oecendent at death owned property with esUmated values as follows: (If domiciled In Pa.) All personal property (If not domiciled 'In Pa.) Perlonal property In Pennsylvanla (If not domlclled In Pa,) Personal property In County Value of real estate In Pennsylvania situated as follows: $ 4,200.00 $ $ $ WHEREFORE, petltloner(s) rc.spcctfully request(s) the probate of the last wlll and codlcil(s) presented herewith and the arant of Ie Iter I testamentary (ICllamCnl&ry: IdmJnlllllllon e,I,I,; Idmlnlllll~on d,b,n,e,I,I,) theron. 'I'"' 1: I~ ) '/ " . . 'f. ~ ~ ,', L ~ I ~> cu tee: ,.'1 ' 'if/6~" ,,(, - 1\ :NNETH G. S'I' U 420 1 st St. rn"PQP Pnrk Apartments C:J""l~Q'a. Ph 1i()1, OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF rITMRFRT.AND Tho pellUoner(s) above-named Iwear(s) or affirm(s) that the statoments In the foreaolng petition are true and correct to the best of the knowledae and belief of petltloner(s) and that as personal represen. tatlve(s) of the above decedent pelltloner(s) will we~and truly admlnlster the estate according to law, Sworn to or affirmed and SUbSCrlb.ed~.~'" "'. (i; ."':. ,'.;ft,'(tf't'{- C'l bjA'?MAWf )hls / ,?4TH, 1 d~~ or KE,NNETH' G. S'I'OUlJ'I' i' 7l1-t 'l.J ~ I. f,/;~) ),"," ru~.o, ~>"~{(I' !; , M]Im ([. [ffi 5 R"Is/" U_ 1/ ~ 11(.., I II;, ., ,)_, No.. 21 ~94 - 6~ Estate of CHESTER ALEXANDER WARNER a/k/a , Deceased CHESTER A. WARNER DECREE OF PROBATE AND GRANT OF LEITERS AND NOW JANUARY 27 I 1994 , In conslderauon at the petition on the rever.e .Ide bereot, satlatactory proot bavinl been pr"ented betllre me, IT IS DECREED that the wtrumont(.) dat~d ,Tul v 20. 1992 dOlcribed therein be admJttod to probate and filed at record 14 the lilt will at " Chester Alexander Warner a/k/a Chester A, Warnerj and Lotton "'A~tAmp-ntarv are bereby &ranted to Kenneth G. Stoudt FBBS Probate, loiter., Etc. ,........ S-?- 5 , 00 Sbort Corl1ficate.( 2) .... " ".. S h nn ~J~ 'l'i)":u, P'"- {J,7n tft, f1+ '-j . Rt,ulUotWl11I 'n MARY C. LEWIS Rcuun'clatlon tt.t"'I"'I"" $ X-Pages S 6.00 JCP TOTAL S h .DU "ANUARY 2719Q4 4P..68 Piled,.". .Y. J\ f t, f'" .1.. ..1........... W.S. Daniels, 27735 ATfORNBY (Sup, Q, I,D, No.) One W.High St., Carlisle, PA 17013 ADDRESS J117) 243-3831 . PHONB '':I: ~ 0 .~~~ 'l'f)' ". " ~1 0.: l:I i~ C> I',. 'tl ,-x: 11; '. ... ..' ,'fJ' \ ~ P , , ~ I d ,\ ','h l:' u i,J,' ..'1 () tU "'"J 'g' ma: .1" <ll .. a: Gu ," ,. , ! . , '''1 ". , , . I' .Called attorney on 1.27.94.' , ': This is to (,(,I'lif)' (hal till' illhlrlll,llillll hert' g;\,('11 I" lOll!"!!I)' t'opi\'\llllJlll ,llllill,l~ill.d 11'llifH,llt' III dt',Hh dtdy tilt'\\ willi 10cl1 Hu!i'ilfM. Till' t1rigin,d n'nililolll' \~'lll hI' Imw.ll'dtd III lilt, .~t.ttl' ViLli 1\.1"111111.., ( Hli! l' 1111 11l'111l,11ll'1l1 lilin,.,. nil' it ~ WARNING: It Is Illegal to dupllcata Ihls copy by photostat or photogr.lph, 1"'0 fll\' Ihi, ll'1'[,[ir:,,,:, Sl.OO 2132895 NlJ 2~L~.:S~t~~-t~~ .IAN, I 3 1904 \),111' t(~ 04 ,<< Art III' COMMONWEA~TN 0' PENNSYLVANIA' DEPARTMENT OF HEALTlI. VITAL REcaRUB CERTIFICATE OF DF.ATH (Corane.) .., IN' .. C II fnl <>>411". Chester '" I Hnle ^ Worner \.1.'''>.11,1 W~"ll 1,I(yo~, " ~ III (of tlo)..a, 1otofV" "hl~PIICl;<:',I'(! 10"':11 1:11,...., CI'....II PlJ.ctCllC Ih\ .ill.,ll, ....,..,..'" (] f!\'CVfl'."! [J ~,,\o .. ..- ..... C\tmherlnncl "",,,,,,,,, ufL~ ::~...~~~tI l,I()lIIU' ,.,Il,ll ,'u' l,l,\.. l,lw..r>""'I'41 , Non ~B"" 11 .., lYI,,' "''''II',fIIO~II(U,\'", ~.,.\.." I..../"C""I 420 PirBt StrPOtl ~rlisle, PA 17013 I .1 1 ""'''''010' ''''4'''' ""'I'"", \OCA'otl'C4'lon;..~ S<I'.,I..c.o.. ~to""""'(1 IndinntCMn Gap , fiLCi 1tO 1 l\flt Hanovor Two. , "."IIIlOArCMUOIl('lI1 d\1in Brothers f\lneml flam, ~rU"lo, ,0( II HllloldUI OA' IIll"'fD I,l~" I'" .") . ___.J&';'~I!liY.LC.l'.LQnnu.AW.rtlill~ftL.__._._______._+____ OIJt 'QI\)IlI$ A '.r.,~t(i\.)(f"-f ell I '-'.,..-,,-;omrrz;;;il;''''CH''.'-'- .--.----- f -- OtJtroltJll.'A~OW,{C\'t'j(([1, ",AU ~"""001<<J 4Hiall.QfOi'lft .IIII./lJ.It.1'J\lOAlQ CO.....\I,~Qllc....U" M (J'Of,q'tl .......",.... IlOto'ocldl tJ Nt 0 0 M:*'C CJ '''''*'ttrwtll~'<:t\ 0 101 WI,........ .. ....dII 0 CM;l"'lt"'~'-.e4 0 ~O:~~;;l,,,,,,,,,,,,,,,,"'''''.ltclOfyol'n .... .." ~ 'ccll1.,~~:c;alH ""'.....r..""""'**fj~...~.......,...f'>,'IO:"-'t"lfli....^..,_.....I.:<1"I....,....,,1l T."'Mttt'l....,.::.l;,~.....,.........ItNMIItI('I......."'...,..III'" ,......, ... ,...,., ..... ... .... 19 ,'. CUDlborlend , M l~~~~<l;;:,,-::~,;.'f;' Molder C.rll.1e .'''OOl'tlut'''IU,..OI..1A'_ ~rlifjllJ Tire And Rubbor Co, U,'SfMlCfyI\><t<I!;yt'ltlCo.lIl 0( 01'1" ICTUll IlUiOlIlC. ')t..r....:,.,..' 'I'oCl".~"'1 ".1'1" 15 North Pitt Stroot Carlisle, PA 17013 ,ftcw-. "''''''IIl'''''tlmU [J ..,,, " I'D 012633 L !O,,,,,I_~.Ofl'~I)((""l<lll,,,,I""'~"'ll\dll'('I'I't1 0;.".."",11141 AI"".;C:;,"""'1 . 6100" 11, 1994 II 1_.........I,....'"..r~_lfO\O:~~N"""" OOI'lOl,..."''''....:dI~I~''9 t.A~..n'.:NCI<'"P'lIIOf'1.,''''.I'o:.ltI'''..,......, llIl""""" U"" OtlMCI\..... OA.l '"NIIY l,l,..',flot'......l 'HlOHOlJItCItO ....0 CIIl1ININQ PIfI',tClA.H rI'I>""..., """" Ivr<<O~u'l ~ ~~.....1 (0" ,'-''</ ,,' >>.M rj "",1l "III...... "'" k-'Htt, .........""""11'4 ""',f...,,,, flHt. 11'14 .....1IIt't'I'lOf{lll...."'I_I.III1M l~~ ...Llol IWlhlloVll6fll '\OC~I"~Vfll""V~II I 202-20-6150 au. _,4" r~~M it 11>....."....4...'.....1 '11(.I....,~..t4"--______._.... ~rlisle !loro. PA PA 17013 ~&r.ir1i'N "'~ ..0 II .,...~ ~;t""'" .......II~ 0".....""0ital~ H."l~, ~..T~:c~:.:~~~tt ,1,l[Ot'NJIH\f ,IIJ 'AI .. '" INJlJn, '''' '" 0 ..0 llOlI.lJuRl" [] , - ..:. Coroner l.l" """ Ih"O"lo,I,lu,-I'ht,...,;--'. [J Ilt.___.. ",--1.8n.12.199. "u.,~ 1l,t>..OCfI'~SOl' '("SO"WO<lI(.~I"l[1(oc"lIS!o;otA.ltl ~""It,P4l1<PI'''' Michael L. Norris, Coroner ~ 405 f'.1 rway Dr I vo II floch.nle.burg, Po. 11055 U'l "lll'l.Uo1' l'l,'U' " 'b" L~\ \CI'l1:__ -, COMMONWEALTH OF PENNSYLVANIA: COUNTY 011' CUMBF:RI,AND- We, I/;rflllM #&l1lels and S~lllckl. S~//;~-,(- , .the witnesses whosn Aamns are signed to the attached Dr for~going instrument, being duly qualified according to Law, do depose and fillY that \~H were present. and saw testat.or sign and, execute the instrument as his Last Will; that he sigllfJd will ingl y and that he oxecut.ed it as his free ilnd vDlunt.olry ad [or the pUrprHlfJiJ th~rein expressed; that each of u~ in t.he hearing and sight of the testator signed the will as witnesses: and t.hnt t.o the best of our knowledge the testator was at that time 18 or more years ,f "', of eo",d m',,' eo' "rid" 4;;:::"';i2~~~~"'''' II~:) lh trttgf d: ,) /' . ...:>:,..'f!.::,.,,,{(n.- ,:'7(' ~~f~(4.~''/~ - Wi tn8ss I ,-)I. Sworn or affirmed to and subscribed to before me by[)r-9117IQ - UIJlJ/fls and S'lpff,ZUlIJ ;.. S 1::: ,-U(I-:.. . witnesses, t. his ,.2.eI~day of ~;;;:I!~..:,.,,1992' '~d;~.,_~~_,_..~_... _,J, ",j' J. '1..(.", ~_ Notary Pub I i c 1"'] ~::,~~;;;0-11 ;. , ,~ s,~.::.~1IY Publlo : .:;, , ..... ' . dllfltljllolo, CumlMllland CoIlnIY \'.~,\:\ ./': ,(If \ M ~~~18010n Ex II OS Oct. 1t, 1m \"~", ....." \ ... .\ . . ,r.., "'" r. , ',_ ,..' \,J' ~~,.. ...., " "J.. \,Ur. :o.'~ ~, ",'" 'I f ,', \"., , "".""'rllll'\\ [.; CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent I CIII~S'1'EH ALEXANDlm \~ARNER Date of Deathl J~nuary 10, 1994 Will No. Admin. No. 21-9(1-0062 To the Registerl I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court ~ules was served on or mailed to the followi g beneficiaries of the above-captioned estate on Febr uar " 199(1 I Name Kenneth O. Stoudt Address 420 1st St., College Park Apts. Carlisle, PA 17013 NDtice has now been given to all persons entitled thereto under Rule 5.6(a) except None Datel Feb./B 19.9'1 / L.' I / .' / . " ;~'t!/'7<~ ,.C. /) Name \~. s. Daniels Address 1 \~. Hiq h St.. Sui te 205 Carlisle, PA 170!3 r'~l ..J ~( ',. ll' ILl. ':-' !~ ., r", c!~ , Cr'l ~. (11 w. I.', , , '! PI ':,j t; wu.: p, ~2 :1 CJ: UU Telephone(7!1 243-3831 Capacity I Personal Repreaentative x Counsel for personal representative , ""- .', ~.. ..... ..... .... . . ~ . ,- ...L _:~- -' -..:..... -- --.- ....-, -.... _'. ~"'';'" ._._.. 7-" -._ ,__ ._.w_ ._:... _.__. .....l-.. __. _ ___ .__. ....~ ._._ _on'" _ .~ _..... _.... -:--_ _ __ RECEIVED FROM, 6 ACN ASSESSMENT Il' CONTROL ~ NUMBER AMOUNT DANIELS WILLIAM 8 I W HIBH Bll~EET WJ .J~-'.tJ~ CARLI SLC; PA J 7(11 ::J 1010 HUI ESTATE INFORMATION, m MB R U ;? I'. J '194 --(lOb2 88N lWE'" l:'!()-I:d fiEI m NAME OF DECEDENT (LAST! IFIRST) M ~ WARNER CftEGTER ALl" Xi\NDER ~ MT i ~~A~t ~ /'11, ~ .' UNT CUMEtI;H1.:f.\NlI ATE OF DEATH Oil J()~ REMARKS I<ENNEl H [,1., !nOun.,. fa TOTAl.AMOUNT PAIl? 1lo157.5f! : SG RECEIVED By/j''r.I//lr(!",.';(.(.''(..J ,.J.)J f I SIQNA1U~ I. . I. . i -t;; : 11ARY C. I.EW I B /,A,/-J. 0.\4;' 1f'~!I ,: REf.lI STE;R OF ,WI Ll.A . I. r , SEAL CHECI<II '7 REGISTIlR OF WILLS ,--_.,.....- __. n_ __........R..... _ _ _ ----.. _~ ......~ .._. _.._.,_ .,-.. ~. -..., --.- .---.. ,--... .,-.- --~ _~ _._, ___l _ ,,__,_ _.......... _...._...._~_.... _.. , .. , ! " .._..~ --.___-.-...-.-:...,.~_Jl ~ 41~,....-.!~ \ .,. . '_' u_ \ '. .\ ,.IW~'rC\ ,..'lil'v.: COMMONWeALTH or PENNlYlVANIA DlPARTMINlor RIVINUI. DIPT.180601 HARRISIURO, PA 17121-0601 /JI./l.~.,j~ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FllEO IN DUPLICATE WITH REGISTER OF WILLS) 0062 NUMBE~ Rlv.llCO fI, (11,'11 1. Real ~"ale (Schedule AI ( 11 2. Slack. and Band. (Schedule B) ( 21 3, Cla.ely Held Slack/Parlne"hlp Inlere" (Sch.dule q (3) 4, MarlgagOl and Nole. Receivable (Schedule 01 ( 4). 5. Ca.h, Bank Dopo.II' & MI"elloneou. Pe"onal Properly( 51 (Schedule E) 6. Jolnlly Owned Properly (Schedule F) 7. Tra..le" (Schedule GJ (Schadule LI 8. Tolal Gro" A"el. (Iolallln.. 1.7) 9. Funeral Expe..e., Admlnlllrallve Call., MI"ellaneou' ( 91 ExpenlO' ISchedule HI 10, Debl., Morlgage lIabllllle., Lie.. ISchedule I) (10) 11. T 0101 Deducllon. 110101 line. 9 & 10) 12, Nil Value of E.lol. (IIn. 8 mlnu. IIn. 11) 13, Charllable and Governmenlal Bequell' (Sch.dule J) 14, N.I Valu. Sub tel 10 Tax (line 12 mlnu.lln. 13) 15. Amounl of Iln. 14laxabl. 016% role (Include ,01uOl Irom Schedule K or Schedul. M,I 16, Amounl of IIn. 14 laxabl. 01 15% role Ilnclude ,01uOl from Schedul. K or Schedul. M,I 17. Principal lox due (Add lax from line 15 and Irom line 16,) lB. Credlll SpoVlal Po,erlY Credll Prior Paymenl. DI"ounl + +-- - 19, II line 1B I'grealer Ihan line 17, enler Ihe difference on line 19, Thll 1,Ihe OVERPAYMENT, 110 20. II line 17 II grealer Ihan line 18, enler Ih. difference on line 20, fhl. i.lhe TAX DUE, A. Enler Ihe Inlerell on Ih. balance due on line 20A, B, Enler Ih. 10101 01 line 20 and 20A on line 20B, Thl.l. Ihe BALANCE DUE, Mak. ChICk Payabl. fOI R.gl.I" of Will., Ag.nl ..88 SURI TO ANSWIRALL QUBSTIONSON REVERSe SIDE AND TO R8CHECK MATH.. Under Plnchle. of perlury, I declare Ihall hoy, uomln.d Ihh rel'J'", Including accompany/nR Ich.dull' and lIalemlnll, and 10 the bell of my knowledgl ondb";'ii;t It is Irue, arrlcl and complell. I dedor. Ihol all r.al 11101. hat bl.n r.ported allrue markol ...aluo. DlIdorollon of prepare' arher thon the penonal reprollnlatlve II based 0 alllnfo~~~sof w repa,., ha any knowlldgo. ' Ii N R O11n U URN ADDRISS 42lJlst sT' Iillr-' t ( ~ " '. '( .. . ; Kannel!) G. Stoudt College Park Apts. Carl iSle PA ..;" ' liO;:wulr6ffilmrn5fH!niiWIDnm:lf.llfa Aoums . --- .. 0.Ilf-------.. . ,',:." ,;, . ",~~_-\"" .,. Ste.205,1 \1.HighSt.Carlisle I'A '.',..... --~vllJ..iam-s.:.__j.JiWJ,P 1 " -+-:ro.w- ___ ffi ~ Q ~ ~fg :1:2... u..= .. c( ~ !i1 llll!: o :r. U2 'OA DATil 0' DIATH AnlA 12/31/91 CHICK HIAE I' A SPOUSAL POYIAN CAlDIT IS CLAIMID 0 ___ 'Ill NUMSIA IAt SlCURITV NUMBU 21 COUNTY CODE ;mr 16 North Pitt St. carliSle, PA 17013 94 YEAR M WARNER, CHESTER A. ~urn-~2 Of BIRTH 11/10/94 11/08/15 o 2, Supplemenlal Relurn o 40, Fulure Inlere.1 Compromh. Ifor dale. of dealh aher 12.12.U21 I'S 6. Decedenl Diad Te.lale 0 7, De,edenl Malnlolned a LI,lng Trull (AII~c;p.y of Will) (Allach copy of TrulIl e~t CORRISPONDINCI AND CON"DINTIALTAlC':INfORMATI0~SH~~A~~N~IA~~~/~~T8D TOI W. S. DanielS, Esquire Suite 205 T l PH N, UMftlR One West High Street Carlisle, PA 17013 202,-20-6158 ~~ Cumber 1 and o 3, Remainder R.lurn (for dalOl of dealh prior 10 12.13.82) 05, F.deral E.lale Tax Relurn Required ..Q. 8, Tolal Numb.r of Safe D.po.it Box.. [Xl. Original Relurn o 4. Limited E.lal. 'c' ,I :. 717 I 243-3831 ~.J ~ ' '" z o 3 E ~ 4.772 . 69 ~ -.I ( 61 I 71 :' 3,722.56 (8) _ 4.772.69 (111 (12) (13) _ (141 3,722.56 1. 050. 13 1.050.13 (151 x ,06 a z o ~ S .. ~ u a (16) 157.52 1,0<;0.11 x ,15 a (171. Inlurest Cfleck fll.lre if you CUD '~(Iul!\lino u refund of your oVDrflUVllwnt. (181 (191 (20) (20AI (20B) 157.52 !I PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (,,) IN THE APPROPRIATE BLOCKS. . YL -"l.() 1, Old decedent make a transfer and: a, retoin the use or income of the property transferred,'....",........,..............,........ b, retain the right to designate who shall use the property transferred or Its Income, x x c. retain a reversionary interest or ..........,.....,....................,..............,...,.......,... x d, receive the promise for life of either payments, benefits or care? ..........,............ 2, If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate co.uideration? If death occurred after December 12, 1982, did decedent tronsfer property within one year of death without receiving adequate conslderatlon9 ......,....................,................,.... 3, Old decedent own an 'In trust for' bank account at his or her death?...,......,.......... x x x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. , \. , ' , , U'I,UOIfilt,J.I'1 .1o.l.Q. '*' SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plea.. P,lnl or Type FILE NUMBER 21-Cl1-0062 COMMONWURH O'~INNIYlVANIA INHIIIlA CI I. .nU.N 111101 NIDI DINI ESTATE OF WARNER, CHESTER A. IAII proportv lolntlv.ownod with tho Righi of 'u..lvollhlp mu,l bo dl"l..od o. Schodulo PI N~r:.r:eR DESCRIPTION VALUE AT DATE OF DEATH 1. Farmers Trust Company Account No. 637645 $ 4,001.69 2. Cashon person 771.00 , , " , , " , , " , 1 S 4,772.69 (AII.ch .ddUI.".1 81\" . 11" ch..I,I! mOllcp'" II ...dod,! ,I I I . ., I C'I .. . F3"EHit". / .-- '3/-9 j I ,_.._-------------~--------------------------------------~----------------, 4BC All BO--D6SE.3A07 R 23 C 6 11129 1/:31/94 DDDHIST DeMand Deposit Display Histc~y '2033 01/28/94 Acct 006-37645____________ Alpha key WARNECA.02 Last stMt Request 01/07/94 ALLTRANS______________~_____~_ S --Date-- ----Description--~-- -Serial Nbl'- -Refel'ence- -----AMoLlnt----- * 12/0~'/93 CASHED CHECK 374 00404503850 (24.10) * 1;::/06/93 DAILY BALANCE 3,825.79 * 12/28/93 CASHED CHECK 375 00200501440. (24.10) * 12;28/93 DAILY BALANCE 3,801. 69 * 01/05/94 DEPOS IT 00504503760 2CIO.00 * 01/05/'34 DAILY BALANCE 4,001.69 , , , ", , , ' "~I' "J' ',j'. .-, 'I'; " " " I. " ,. ,',. 'I,' , 1-, {" I' , , " I" " , . " l,[' ,.' , , [, {. , , , , ''" 'I 'jl .' , , .11 ,- , /'1 ,..,' Ij "I ", I" " " ',d .', ., I.,:, . . '.J...~- .- _ .---10 ........., I, CHESTER ALEXANDER WARNER, of the Dorough of Carlisle, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me, I, I direct that my funeral shall be oonducted by the Ewing Brothers Funeral Home of Carlisle, cumberland County, Pennsylvania; and that my body shall be buried at the Veterans Administration Fort Indiantown Gap Natipnal Cemetery, situate at Annville, Lebanon County, Pennsylvania. II. I devise and bequeath all of my estate of every nature and wherever situate to my friend, KENNETH G, STOUDT, III. I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV, I appoint my friend, KENNETH G, STOUDT, executor of this my last wlll. V, I direct that my exeoutor shall not be required to give bond ~or the faithful performance of his duties in any jurisdiotion. '\ \ .,~ , ""11"'" ,'" COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND We, !/;rf/IJM )/f:)t:VIl~Is. and Sahck.J.. ~//;c..K , the witnmsses whose names are signed to the attached or foregoing instrument, being duly qualified aocording to law, do depose and say that we were present and saw testator sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed: that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge the testator was at that time 18 or more years of .ge. of ,o"d mf,d ,,' "d.' '~~'~t~::'t;;;;~~'e"e, ~ ~~,~~ ~-x.,u-^- ,/ ~L~~._____ Witness I' l\, ,s/worn or affirmed to and subscribed to before me by tJ"1InIQ - U(JI)/~ Sand S'''JN'.z>''14 t" .sal-t/~/(.. ,witnesses, this,'l4l.o:1day of July, 1992. _;:::~~~,_\~___._.... Notary Public II '" I ' Nollllll BNl Vlllnn s, Olnlelll Notary Publlo &111111 Bolo, CumDIIland Cou M Comnlllalon El Iru Oct. it, ~ " , ,! / /,- ,. j?i~s ~ REV-1947 EX AFP Il0093* COI4ItONWEAl1H Of PENNSVlV'NIA ACN 101 OEP'RTMENT Of REVENUE NOTICE OF INHF.RITANCE TAK BURE'U Of INOIVIOUAl TAMES ArPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~miS:~~~lp, 17128-0601 OF DEDUCTIONS, AND ASSESSHENT OF TAK DATE 09-26-94 S FILE NO. '2rT4-0062 DATE OF DEATH 01-10-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK PAYMENT TO THE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AOENT" REMIT PAYMENT TO: W S DANIELS ESQ STE 205 1 WEST HIGH ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 I AMount RIMlthd CUT ALONG THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS ~ R"EV: i seit "EiC "AF p." i i ij: 93"j "NoT"i Ii r "OF" INti EFfi fANc E" T"Ax - 'A-PPR 'A"i 9 EifENT ~ " "A [reiwA iic E - oR"". -".... 0 - -"""". DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WARNER CHESTER A FILE NO. 21 94-0062 ACN 101 DATE 09-26"94 TAK RETURN WAS, (X) ACCEPTED AS FILED I ) CHANOED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1, Alii Eltltl (Sohldull Al 11) 2. Slookl Ind Bondi ISohldull B) 12) s. Clollh HIld stook/Plrtnlrlhlp Inhrut ISohldull C) IS) 4. Hortglgll/Notl1 RIOllvlbll ISohldul1 D) 14) 6, CllhlBlnk Dlpolltl/HIIO, Plrlonll Proplrly ISohldull E) 16) 6, Jointly Ownld Proplrty ISohldulo F) 16) 7, Trlnlflrl ISohldull OJ 17) S. Totll AII.tl ,00 .00 .00 ,00 4.772.69 .00 .00 ISl 4,772,69 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funlr.l E,plnlll/AdMlnlltrltlvl COltOI Hhcll1.nlflul Explns.s (Schldul8 H) (9) 10, Dlbts/Horlglgl LlobUIUu/Llonl ISohlduh I) 1l0l 11. Tohl DlduoUonl 12, N.t VIlul of TI. Rlturn 15. Chlrlhblo/Oov.rnunhl Blquuts (SOhldull Jl 14. Nit VIlul of Elt.tl Subjlot to TI. 3,722,56 ,00 Ill! 112J 1131 114J 3,722,56 1,050,13 ,00 1,050,13 11 In 1IIIIIment WII illued prlvioul1y, 1inll 14, 15 and/or 16 Ind 17 will rl1110t 1igurll that ino1udl thl total 01 ~ rlturnl alllllld to dltl. ASSESSMENT OF TAXI 16. Anount of Llnl 14 tl.lbl. It 6% rltl 16. Anount of Llnl 14 tl,"bll It 16% rltl 17, Prlnolpll TI. DUI TAX CREDITS: PAYHENT DATE NOTE: 1161 (16) ,00 K.06 . 1,050,13 K,16' (17) ,00 157,52 157,52 RECEIPT NUHBF.R DISCOUNT 1'1 INTEREST I") AMOUNT PAID 05-13-94 886079 ,00 157.52 TOTAL TA~ CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUt 157.52 ,00 ,00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,I '" " , ..,' 'I!" " ',' ,<'II, .\' ., " ,.' ,. ,1 '.' , , REIIRVATIONI E.lolo. 01 6totdtnl. dvlnt on a' bolo,o 000....' 12. 1912 -- II onv lUlU" Inlo,oot In lho 0.101. I. t'on.I."od In poI....lon or enjovltnt to Cl... . (oall.t.r'l) b,",~lollrl.. of thl d.eldlnt Iftlr t~. IMPlrltlon of InV,I.tlt. for llfl or for VI.r., thl Co..onwellth,hlrlbv .Mprl..lv r...rv.. the right to Ippr.I.. end ...... tr.n.f.r InheritInG' TIMI. Dt the llWful Cll.. . (eDl1,t.r.l) rat. on anv .uch future int.r..t. fltJR9OSf:Of' NOTICE I To fulfill thl rlquirlllnt. af S.otlon '140 of the Inherlt.ne. and E.t,t. TaM Aot, Act ZZ of 1991, 7Z P... l.oUon mo. PAVHENTl Dttaoh thl top portion of thl. Notlo. and tub,lt with your p.v,.nt to the Atal.t,r of Will. prlnt.d on thl rlVlr,1 .Ide. ._"01<' .hock or oonov ardor ..vlbl. la, REaISTER UF MILLS, AaENT All p'v,,"t. r.c.lved th.ll flr.t b. IPP\l.d to tny Int.r..t which .IV bl dUI with toy r...lhd.r IPpllld to thl tlM. REFUND (CA)I A r.fund of . tlM arldlt, which w.. not ,.que.t.d on the T'M Alturn, "V bl r.queltld by ooeplltlna In nApplloltlon far R.fund af Penn,y'vlnl. Inherlt.nol .nd E.t.tl TIM" (REY~1515), Appllcltlonl .rl Iv.ll.bll It thl OffiCI af the Rllltter of WUlI, IMV of thl al5 R.v.nUII Dlttrlct OffiCII, or bv ClUing thl .plalll Z4~hour an'Werlng .Irvlol nUlbtr. for for" ordtr'nal In P.nn.vlvlnl, 1~100~S6t~ZOSO, out.lde Ptnn.Ylvlnl. and ~!thln loa'l Hlrrl.bur. .r.. (717) 7.7~1094, TDD' (111) 772~2ZSZ (H..rlne IIPllr,d Onlv). OIJECTIOHII Any plrtv In Int.rl.t not ..tl.flld with thl .ppr.I....nt, ,llowtne. or dl..llow~. of d.ductlon., or ......lInt of t'M (Includlnl dl.oount or Int.r..t) I' .hown on thl. Notle. .u.t obJ~at within .IMtV ('0) d.y. of rlcllpt of Ihh IloUc. bV' ~~wrlttln prot..t to the PA Dep.rt~.nt of A.vlnul, Bo.rd of App..l., DEPT. 261021, H.rrl.bur" PA 11121-1021, OR -~Il.otlon to hlVI thl Ilttlr d.t.r.lntd .t ludlt of'th. Icaount of tht p.rsonll rtpr...nt.tlv., OR ,"-~II to ttw Orphtn.' Court I 'ONIN UTRATlVE CORRl!CTlONI. 1"T!Rt!IT, FlGtutl .rror. dl.aavlrld on this ......-.nt .hould bl .ddr....d In writing tal PA D.p.rt-.nt of R.~.nut, Bureeu of Indlvidull T.MI., ATTNI po.t A.......nt Rlylew Unit, DEPT. 210601, Htrrl.bUrg, Pi 171ZI-060l Phnnt (717) 717~6S0S. SI, Pitt , of the bookl.t "In.truation. for Inh.rit.nol TIN R,turn for I H..ldent Dtctdtnt" (REY-1S01) for In IMpltnation of tdtlnl.tr,tiv.1Y corr.et.bl. .rror.. If any t'M due i. p.ld within thrtt (5) c.l.ndtr .onth. ,ftlr thl d.a.d.nt'. dtlth, I fivI p.raent (SX) dl.aount ofl thl t'N plld I. ,llowld. Int.r..t I. ohlrgtd beginning with flr.t a.v of d.linqulna~, ~r nlnl (9) .onth. end one (1) d.v froe thl dlt. of de.th, to the d.tl of P'Vlent. T'M" Which bta... dlllnqu.nt b.forl Jenulry I, 191Z bI.r Int.r..t .t thl rltl of .IM (6X) peroent p.r .nnua a.laul.t.d .t I dillY r.t. of .00~1'4. All taM" whloh bID'" dlllnquent on Ind Iftlr Jenutry 1, 1.12 will b..r Int.r..t .t . rlt. which will v.ry fro' cII.ndlr YI.r to allend.r y..r with thlt rlt. tnnOUncI.d bv thl Pi Dtp.,t..nt of R.v.nutl, Thl IPpllclbl. Inter..t "tll for 198Z through 1'" erll DIICOUNT, '!!!! Interllt A.t. Dally Int.r..t Flator !!!! Interllt A.t. D.lIv Int,,"t F.atar 1912 2DX ,DDml 191' lOX ,000216 1915 \6X ,ODml IUl 9X ,00026' 1916 IIX .DmDl 1911-1991 IlX ,DDnDI 1911 ax ,DDDIS' 1992 9X ,000261 1991-1994 1X ,000192 ~-Inttrllt It cIloulttla II follow," I~TERElT . IALANCE aF TAX UNPAID X NUHIER aF DAV. DELINQUENT X DAILV INTEREST FACTaR --Anv Notlol luued .fter thl tlM b.aOM' delinquent will rlfllat an Inter..t a.laui_Hon to 'flU.en (11) dlY. beVond thl at. of thl ........"t. If plv"nt It .Idt Ifter the Int.'lIt cOtlPUtltlon dl" lhown on thl 'Not lot, addltionll Int.r..t lU.t be allcul_tld. \\. , q, \ '" ," . ,..' , 'I, " " ',/,' "r " " ,. ,. , \. I.' , 'I.;' " I,', , '-111 " " .\ \, " "~i' ", ,1'-' I' I, , 1,-'" ',I' " " I;"~ d ,j" I', ". I' , , ., , , , " , ,". " " \.' I, . " f" , , ';: .'N 'ID o I .~ ~. \-i N 0, UICll ' ~~ . .~~~ ,.ffil~ .t~ , , ~ o fJl , I ~J' ,', ,~S'3 r'f'btf":F .... 'AI 'lI1lMt.llll uollnQlllllP 10 'I" oJIHIOt""odOldllllM'IOUtpJOOOI Ul .. i pt.~"P UOll~qlllllP pUI AIIIIlIOlq., I*WIIUOO lUftOOO't---stbT"'17'!16UT ~ . ~~fi1' ~~~ III '&J !i" , fLI III U OE-<~ ~~~ fiiC.J . \"j',. , ,l ," ,I'" " " II ,I I" ,. "i, .,' "" " .' " ," . ',' , If i "~,i' , . , , " . .. , I't, ,,', . ,4 ," ,1,1 'i,' 11' , , -", '" If , .. \ "" i~ ~ ~w ' ~, y, t~ " l?a ' ,,) 'w ,., s,' " HI t.lJ, ..' r ' .... D. (J,.q , I (") ,1.," b',{lt ' W ' ,,\., ~:i. #0,.,1 ." :1. l~t '0 ' ,ill1l ~~ W iii ' .1:0. ' , Q, VI " , " " ,. ,.',' 0 'f' ". \, .' " fLIP:: lIt I, . 00 ' ~ ., ~ t; ~~ ltt. fUli. ~~h! e ~ . Il ~ I ~~ $1$) (I :1 HI t 11 I fLIt/) IIIJlj ~ ~~ Ala ~~ ,j vi ~ .~ ii g I ~I IJ I(I~ \\ III ajI1"'~ ~' Is 21' ,.. }. , ,I. " ".': ,.' , ' \, ,L ' "", i, ~. , " \. " " " ij-, , l';: , , " ,-',l f- . ',~, ,'I, ~, " I'"~ '0, ., (. .' I' ,I' II. ',._,.Ii \, ,. .. . " ','1 ",. 1\, ," ..I ",., ,r,.. , " I',. , 0,' ,,' " , ~ j . .,' ",: ,,' I " ol' '\ ,,; I,' I." , \',' '7-:, -': ~ 'j ~ \ - , 0; - 'I.: /, f, : ,1, ':~~'i~\L:~1iii1 ,,',-,' 1'(, t' j- .. , \, , 'j':. 1.',1 '" " 'I':., ;' , , ,"_,-. 1\ " "I II ".t"..1 , , , .,' (\', ;,- - I ',f'. , ,,'. , ~ i," ~ I . " COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 21-94-062 ,ESTATE OF CHESTER ALEXANDER WARNER, DECEASED . A/K/A CHESTER A. WARNER, DECEASED LATE OF THE BOROUGH OF CARLISLE FIRST AND FINAL ACCOUNT OF KENNETH G. STOUDT, EXECUTOR Date of Death: January 10, 1994 Letters Granted: January 27, 1994 First 'Complete Advertisement of Gta~t of Letters: February 11, 1994 PURPOSE OF ACCOUNT: KENNETH G. STOUDT, Exeoutor, offers this , aodount to aoquaint interested parties with the transaotions that have ooourred during his administration. The account also indicates the proposed distribution of the eslate. It is important that the account be carefully examined, Requests for additional information or questions or objections can be discussed with: HUMER /; DANIELS William S, Daniels, Esquire Suite'205 Farmers Trust Bui~ding One West High street Carlisle, Pennsylvania 17013 Telephone: (717) 243-3838 ,,' " "',' '", " , " ,.' , , , ' 'i I ,I: '" . 1 ., " I' ,. ,-/, ::". , ,.' 0, ,. " ." ," " ,. '" 'I: QM!B.: HUMER & DANIELS HILLIAH S, DANIELS, ESQUIRE ESTATE OF CHESTER ALEXANDER HARNER, A/KIA CHESTER A, HARNER, DECEASED RECEIPTS OF PRINCIPAL Farmers Trust Company, CIA No, 637645 Cash in possession of decedent Total Receipts of Principal $4,001. 69 771,00 $4/772.69 DISBURSEMENT OF PRINCIPAL DEBTS OF_~ECEDE~~ None FUNERAL EXPENSES 1/31/94 Ewing Brothers Funeral Home il./ 545 .JUt Mnrni I STRl\.T I ON Ell~.ltrta~s. 1/27/94 1/31/94 3/25/94 5/13/94 To be paid STATE T~XES 5/13/94 Register of Wills, probate oosts 42.00 40.00 75.56 Cumberland Law Journal/Advertising' The Sentinel, Advertising Register of Wills, filing PA Inheritance Tax Return 15.00 Reserve for Register of Wills, Closing Estate Total Administration Expen~es 110,00_ l--Z82.56 Register of Wills, Agent, PA Inheritance Taxes ~_ 157 . 52 FEES AND COHMIS.nmm 10/6/94 W. S. Daniels, Esquire, Attorney Fee $ 895.~ 3 , . HUMER & DANIELS WILLIAM S, DANIELS, ESQUIRE ESTATE OF CHESTER ALEXANDER WARNER, A/R/A CHESTER A. WARNER, DECEASEP. I, " ',', " " ., " , , \' , .. , , ." , " ..' I .' , ,. " : I , ,.. ,. I' ! ,. ", " " ." , ,. ",, , ' , . " ,. ", " " I' ' " , ". , " d, , " , 01, ' ',I, .' " , " I,; ,. " " " "t l' II " , " . I; ., ; I' 'j',' " /. I' '''' ,.",. '.' 'I, ' " , , 4 HUHER & DlINIELB WILLIAM S, DANIEl,S, ESQUIRE ESTATE OF CHESTER ALEXANDER WARNER, A/I(/A CHES'rER A. WARNER, DECEASED COMMONWEALTH OF PENNSYLVANIA: COUNTY ~F CUMBERLAND KENNETH G, STOUDT, Executor under the Last Will and Testament of CHESTER AI,gXANlJER WARNER, A/K/A CHESTER A, WARNER, Deceased, hereby declares under oath that he has fully and faithfully discharged the duties of his office; that the foregoing First and Final Account is true and correct and fully disoloses all significant tr.ansactions occurring during the accounting period; that all known claims against the Estate will have been paid in full; that, to his knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the Estate have b en paid, Sworn to and Subscribed to by UNNET~ G. STOUDT before me this :3 CL day of February, 1995, ~d-~--. Notary publi c -?'- <. ;? 0,- ..,.11'''''''""" /c. /),,'" ,. .) ".,.,/1 , j .c. , ,f/'.:;~':,\';rl:t'".:, (fl' NoUutaISeal , -J:''''''' ".', '. t Wliam S. DN'lob, Nota1Y PWlo ; ,.,J: Ii \ Clll!ilIOBoro,C\KTlllll1andCou1lY ~ ~ ; l) 1 : t , Comrl'Mon E><pIr08 Oct, 19, 11lOO ,:', ;. " (.l. '~. ',~....' ,': ......' .; ".('/JI,r'I\~\~" ."./ ~' 't. ,J, ".' iJ ,,' ,ill .-.. "", I (J 7......... \,,,, .... "'/I,j t1I1V ,.\\1,\\' 11/11/111111\1 ' '. 5 JRD/JuDe 30, 1992117858 REGISTER OF WILLS Cumberland County Courthouse One Courlhou.,e Square Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6,12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Represenlative C..ounsel: WILLIAM S. DANIELS, ESQ. RE: FAille ot C'HF.!,;'I'F.R A T.F.XA,NDF.R WARNIlAleceased, Late or CARLISLE BOROUGH J!'.sllle No.: 21.1994.062 Dale or Decedenl's Dealh: JANUARY 10. 1994 Pursuant to Rule 6.12, the above named personal representative or the above na!l1ed attorney. if applicable. within two (2) years of the decedent's death, and annually Ihereafter until administration Is completed, is required to file with the Register of Wills a Slatus Report as required by Rule 6,12, In ,ubstaDtially the prescribed form, showing the date by which the personal representative, or altorney, as applicable, reasonably believes administration will be completed, The purpose of this Notice Is to advise you that unleas the requisile StalUs Report is filed with the Register of WlIIs or Clerk of the Orphans' Court, as appropriate, within ten (10) calendu days after the date of this Notice thst the Register of Wills Is required to oatley the Orphw' 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 upon the deliDquent personal representative and the delinquent personal representative's counsel, if any, Accordlnaly, if the requisite Status Report Is not filed by FEBRUARY 29 ,19~ you ue hereby advised that a request will be submitted to the Court In accordllll:e with Rule 6.12. . Date: FEBRUARY 15, 1996 Dlslllbutloa to Estate File " , ,i ~ , I , ~, , .. ! .( .; "I I I " .', STATUS REPORT UNDER RULE 6.12 Name of Decedent I (I'Ybo',re,,.z.. /9 LtJ.{"J}X/()CJ/L tvll/CA/tj'Ii:._ Date of Deathl 1--10 ~ (.J 'I Will No. Admin, No, ;:2,1-1C;C;~- Oc..z:.. 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 I 1. State whether administration of the estate is complete I Yes, ~ No_____ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3, If the answer to No. 1 is Yes, state the followingl a. Did the persgslal representative file a final account with the Court? Yes V' 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 No d, Copies of receipts, ~eleases, joinders and approvals of formal or informal accou~ts may be filed with the Cerk of the Orphans' Court and may be attac 0 this report. Date: /-'").q -'9~' ~'~-?",,,,J2'c.... Signature ~. ,(, C:.?JAl.N .J6ZS' , 13-:>,. Name (Please type or print) . 0,,>,.1 t:., /..;;, 'L S>'; I CfIU';-~ Address 1'-' , (.1 '1-' ',1 I.',.. (717) ,?-/j3':7 s- 3 I Tel. No. \', 'i(;, Capacity: Personal Representative _~~sel for personal representl!ltive (MAHlrmf/AM3) \. " "