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21 - 94 - 210
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21 - 94 - m
RENUNCIATION,
In Re Estate of
JAMES R. MOORE
deceased.
To the Resister of Wills of Cumber land
l>EAW.//1 L, Nft1>ofc /J.4(1(tlllf'A-.
The underslsned J'a1ne.~M,"~Moore', -son
,
County, Pennsylvania.
of
the above decedent. hereby renounce(s) the rlsht to administer the estate and respectfully ask(s) that Letters
of Administration
be Issued to Thomas A. Moore I son of the above decedent
WITNESS
my
hand this 1/ day of February . 19~.
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(SllnIIU'O)
JamQS M. MgQI'e
81S'12L1. SLLt,et
Galv8stsR, TK 7799~
"_'I)
(Address)
iJ/2rl.rd J/tp-p -
(Sllnllulo)
Pc11J;.)A I. f/(>(l.t'C
,'18S:1 llIflfl-s"')'oA
t'1I-tllllSTl>,<.' SC oJ./.
, Z-'Wz.
(Add,en)
(Sllnlluro)
Sworn to or affirmed and subscribed
befo~ me this C:<I/(':lf day of
''''-i:!!:.d..-7..u d,a.I ' I 1 994 .
._ () I /--~
V1\..-' C><((~ '~lLN~dJ
No ary Public _'),C ' -,J.
My Commission Expires: q/Il') '1 (.~
(Addlen)
21 - 94 . 210 RENUNCIATION
In Re Bslate of JAMES R. MOORE deceased.
Tolhe Register of Wills of ~berland
County, Pennsylvania,
The undersigned Deanna L. rlcoro fl!u~R tor James H. Hoare, Son
of
the above decedent, hereby renounce(s) the rlghllo administer the estate and respectfully ask(s) thai Letters
of Administration
be Issued 10 Thoma sA. Moore, son of the above decedent
WITNESS
my
hand this .1..3..~ day of February I 19~,
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(SllnIlU'.)
Deanna L. Moore'
1 4 B SA Tln::I.... esa Dx i (e
CI"u.l.." LUll, 5C'~41 Z
(Addlell)
'(~) (II)
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(Sllnalur.)
ames H, Hoore
815 12th. Street
Galveston, Texas 77550
(Addr,")
(Slanalur.)
Sworn to or affirmed and subscribed
before me this ,~ 1rtL day of
" fJ,,JJ.l<l1.d.Il.J..1 , 1 9 9 4 0
(J
~,\.&J!. '"'a,, }'Y}U- rJjk-t4'~1- t.,
Notary Pub - -
My Commisso on Expires:
(Addlell)
II
21 - 94 - 210
HIE AETNA CASUAL TY AND SURETY COMPANY
H.nlord, Conneclicul 06156
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEYISHN.FACT
"
kNOW ALL MEN BY THESE MUSEN1S, THAT THE AfTNACASUALTY AND SURETY COMPANY,. COfpo,fllonduly olg.nit.d und.' th, thY1 011110
S,". 01 Conntchcul. .nd havmg .1. p'lr,cip.1 atfIC,ln Ih, City 01 HlrtlO/d, County 01 U''''old, 51'1' of COMecloCul. hllh mldt, canlliluud end
.ppolnl.d. ,nd doft by It..... p,u,nll m._.. (onllilul. .nd 'PPOII'll
LEON J, FEINERMAN. PATRICIA PIERCE'
0' HARR rSBURG, PA ,II,I'u, and I.wful AI\Ofn,y(.Hn,,.,,. willi 'ull pow.' .nd 'ulho,ity 1I'"by conI. Hid
10 Ilgn, '.'cul' .nd IClnowl'dgl, II In'( pile. ""llhln Ih, Un,t.d St"It, or. if 11'1, 'oIlO...lng Iln. b. flUid In, within th, ,,,.,h,l, dulg'
nfled .Ih. followinginltlur.1.nll.l:
by hit/tl., '01. ligntluf. .nl1 eel. Iny .nd.1I bondi, "colilnl"nc... conl",I. of Ind.mnily. .nd oth., wlllln\1' obriQllory In Ih. ntlulI 01, bond.
rtcOQnlunc., ot Condllloll.1 und.rt._lnlil .nd .ny .nd.1I cun..nt, incld.nlt In.rtla
not oxcooding tho sum (Of nFTY THOUSAND ($50,000,00) DOLI.ARS -
,00 to bInd THI AETNA CASUALTY AND SURETY COMPANY. Ihlt,by 1l.1\.l11y .nd 10 th. 14m. ..t.nl II If th. 11m. WII, .lantd by th. cklty
.utho,btdoffle'rt 01 THI ,UTNA CASUAL TV AND SURETY COMPANY. .nd.1l th. .C1. af uld Ano,n.yl.l.ln,f.et. pUflu.nllo 1M .utho,tty ~,In
glVln. .t. hll.by IIttn.d .nd ronn,mtd
Thl. .ppolnlm.nll. m.d. und., .nd by .ulholily 0111'1' loll owing Sllndi/19 tlu.olulionl 01 uid Comptr,y, which flllolullon'.It now In lull la,,,
.nd .11,1;1;
VOTED, Thll'''''' 0111'1. 'ollo.....lng 0111"11 Ch.ilrn.n, V", Ch"lm.n, rll'ld.nl, Any [.'cull~' 'lic. P'Uld.nt. Any a/",up htcU\l'oI', Any S.nIOI
Viet PfUlld.nl, Any Vie. P,uldent, Any AUiUlnl Viet P'llld.nl, Any Sf(flt.ry, Any Allllt.nl S"flUry, m.y Itom 11m. 10 tlm..ppolnl Ruld.nl
Viet PII.ld,nU. R.,id.nl AIII.lInl 5",.1"111, Allo'n.y..ln.Ft<I..nd Ag.nt. 10 leI fOI.M on b4h.Il of th. Comp.ny .nd m.y Ill.,.. .ny .och
.ppolnte. ,uch .Ulho,ity II hi, CU'II'lC1', ol.ulhOllfy m.y p'IICflb, 10 .ign wllh 11'1, Com~w'1', n.m. .nd 1111 'twllh 11'1. Comp.ny'. ",.1 bond,.
Itcognluncu. conl,tet, 01 inel.mf'llly, .nd 011'111 wfllillQI oblig.to,,. In 11'1. n.lulI of. bond, IIcognlun". 01 (onellllon.1 und'rt.~lng, .nd .ny 0'
lIid olflclI' 0111'1. Bo"d of DII"tOll m.y.t .ny lin'. Itrnov..ny luch .ppolnt.. .n<.l 'hO_, 11'1. POw" .nd .Ulho'lty giv.n him 01 hl/,
VOTED: Th.t .ny bond. 'ICOllnl""". conU':1 ollndemnlty, or wIlting oblig.toly ,nlh. nl1uI, of. bond.llcognll'/'lCl, 0' con(!i1~)".1 und.rt'~ing
11'1.11 b. vi lid 'I'd bl/l<.ling upon Ihe tomp.n,. when 1.IIIII"ed b1 11'1. Ch'l,mtll.'I'h. V'CI Chwm.n, tho p,,,id.nl. ,n [.teUll..... Vlc, P,utd,nl. .
CfOUP hICUli.....,. S,niOl VIC' p,,,id.nt, I Vice P'nd.nt,.n ^UIII.nl Viet Pltlldenl 01 by. R"ld'/l1 VIC' p,ltld.nl. punu'nllo Ih. pow"
p'ucribtd In 11'1. c.nl'I,,1I 01 .ulho,ily 0' luch RUident Vice P'''_d,nt. .nd duly .""t,d '/ld ,.,I.d 'twith 11'1. Comp.ny', ..,I try. SKltllry 0'
Aulll.nl &"r'I'ry 0' trf' RlII'lld.nt AU_Sl.nt 5"It"I)'. purtu.ntII)I'!' pow" plllc'IL.d In 11'1, Glnillet" 0' ,ulhOlify ol.ueh Ruid'"1 Au.,t.nl
5."tllry;0/ IbJ duly ,_"ulld lund.' n.l, II ',qul"dl b'f on. 0' MIa', ^"orne...',in,Ftef pUISu.nt 10 Iht pn......' p'llcrib'd In hiS 01 11'1," C.rtl(lcat.
0' etrtlflClt.. ol.Ulho,ilY.
Thl. Pow., of A<<O/04Y .nd C,rti,lctl. 01 Aulhorlty 1"lgn,.:! .nd lulld b., ,,,,lmll. under .nd by .UlhOll1y allh,'ollo'twlnljl 51.ndlng A..olullon
vol.d by Ih. Boud of DifK1"" of THE AEfNA CASUALTY AND SURETY COMP.lNy 'twhlch Ruorullon It now in lult 10IC. .nd 1flK1:
VOTED. Th.t Ih, 'Ign.tur, of uch 0111'1. following 011 ".". Ch.ilm.n. Vie. Ch,l,m.n. Pltl,d'nl, Any E~"ull"'" VIC. Plllld,nl, Any a,ouP
Euculi\l'. Any S.nIOI VI(' p,,,id,nl. Any Viet p,Uld.nl, Any Al1lf1jntVIU P/."d.nl. Any Sl~rll'ry, An,. "I"".nl S.er".ry. .nd the ..,1 ollh.
Comp.ny rn.y b. .l1lud b,. f'CI,mil. te .n,. po......r of uto,n.y 0' to .ny ~.nllIC'I' llllling lh,r.lo 'PPOlnling RUlcl.nl ViGl P'"ld,nl,. RU,d.nl
AUJII'nl SlCllllfill oJ/ Allo,n...., 'I/l.F tellor pUlpOIU onlv of '.'Culrng .nel .\lIIIlng bondl.nd und.rt."ngl.nd 011'1" 'twfll.ng. oblig.IOry In 11'1.
n'hIF' th,,,of. .nd .ny IUch PO'twtr of .1I0In.y 01 c'/11f1C11I b"'ln; luch I.etimll. ,ign.luI, 0' f".imll, ...llh.1I be 'I,lid .nd binding upon 11'1.
Comp.ny.M .ny .ueh po'twtr '0 '~lCulld .nd c,f1If,.d by IlJCh f.c,imll. ,i;ntlul..nd "Him,I, ...t 11'1,11 b4 'I.lid .nd bll'\dlnQ upon Ih. Comp.ny
In Ih. luM. wHh '"ptcllo .ny bond 01 ul"d''''II/I; to whIch illl.nt<l'I.d
tN WITNESS WHIRl Of, THE AETNA CASUAL TV AND SURETY COMflANY 1'111 C.UNd 11'111 inltr Jm.nt 10 b. 'Ign'd by It I ~.ItI.ntVk. ',uldtnl.
.ndilteorlH)"I....llobth.,tlo.H,..dthlt 30th d.yol July ,1i 93
TH! AnN, CASU~ COM.ANY
B'o;;; . {:~~~' --""--.----
AUIt~ Vie. "ttldt'nt
SI.I.oIConn.C1I(ul I
II
enunly 01 H,nIo,d
H."ford
Onlhil 30th d.yol July .'9 93 ,btloll m.pt"on.Uyc.m. OIOROEW, THOMflSON10 m. known who,
being by m. duly l'IltOln, did dtpo" .nd Uy. th'l 1'1,/11'1' rl Aulll.nt Vice 'fUldtnl of THE AITNA CASUALTY AND SUIUTY COM'A~V, 11'1.
cO'pot.lion d,IC'lbtd In .nd which '.'Cul'd 11'1. .bo'l' In.Hum.lIt, Ih.t h.I,h. ~no""'llh'It.1 oluld co/po/.tlon; Ihlllh'ItII.HI~.d 10 11'1. IIId
In'Hum.nt Il,uch eo,palll. 1t.1, .nd Ih.t h',lh, ,."ul.d th,,1olt In.tlum.nl on b,h.1f 01 the cO'P<Il.t,on by .ulhoflfY 01 h..'h" offlC' und"
Ih.SllndlllgRnolullonllhtf.of
CERmICAT!
~~X~~.
~_______..___... __h______.____
...., to/'f\f'lIIWII liP"" AII911 )1. It.. ~,.. 'IItlhC
OofothyL. M.ttl
I, the undt"lljIn.d, Stettt.,., 01 THE AnNA CASUAL TV AHO IUIUTY Coe.t,ANY.. tlock (O'po,"lon of Ih. Stili 01 COMtC1ICU1. 00 HEREBV
CERTIFY 11'1.111'1. fOlllj1o{ng .nd Ill.ch.d POM' of Anom.y.ntI C.".fical. 01 AlI\ho,ity 11m. in. In lulllorc..nd ''111 nol bt,n IIvok.d; ,nd
futthlfmOIl, Ihllth. SlIndlng Rnolullonl 01 tn. BOlld of DUKto,.. ~. ~11(lMh Inlh. C,Mllle." 01 Aulho,ity, '" nO'l'lln fO/et.
Slgn.d .nd S..l.d till'll Hom. 0111C1 of 11'1, ComPlny, In lhe C'ly 01 H.rt1otd, 5111. 01 Conntc1lc:ul. Oll.d Ihl.
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TH. ATNA CAaUAL TV AND aU".TV COM~ANV
H."flf~, Connoctl.III 06115
LIFE & CASUALlY
KNOW ALL HEN BY THESE PRESENTS, that we 'l'I!O:IAS A. !.:(;Cl1m
and THE AETNA CASUALTY AND SURETY COMPANY are
firmly bound unto the Commonwealth of Pennsylvania, in the sum of om; I!UioliJ.(JiJ)::SlX'!'Y TIIOU;;AND
^ND_____________,______.__________HO/~.QQ.($1(j),(K)O.(JC) dollars. lawful money to be paid to
the said Commonw~8lth, to which payment w~ll and truly to be made, we do bind ourselves
and each of us, for and in the whole, our and each of OUI heirs, executors and administrators,
joinoly and severally
day 0 f lo'J;JJltUAHY
by these presents.
, 19 9iI
Sealed with our seales and dated the
~11,L!J
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH that if the above bounden
'I'HOI,L\;; A, 1,1001\1; administrator of all and singular the goods.
.hattels and credits of
JA1.lliS "t. 1-I00H1':
deceased, do make,
or cause to be made, a true and perfect inventory of all and singular the goods, chattels
and credit~ of the said deceased, which have or shall come into the hands, possession or
knowledge of TI!D:-L\S iI, 1.100m:
tne said AlXUNIG'fR\'I'On or into the hands or possession of any other
person or persons, fer IInl and the said so made, do exhibit or
cause to '>e exhibited in the Register's Office, in the County of GU/.liJEitLAND
within thirty days from the date hereof, and the same goods, chattels and credits, and all
other goods, chattels and credits of the said deceased, at the time of HIS ..death which
H any other time a it e r shall come into the hands or possession of the said
AlJIlINIS'I'!U\ 'l\ii( or into the hands or possession of any other person
,lr persons, ior 11m , do well and truly l7.dminister accord i ng to law, and
further do make, or cause to be made, a just and true account of HIS adminis'
tration, within one year frem the date hereof, or when thereunto legally required, and all
the rest alld residue of the said goods, chattels and credits which shall be found remaining
upon the said administration accounts, the same being first examined and allowed by the
Orphans' Court of the County having jurisdict ion, shall de 1 iver and pay unto such person or
per,~ons as the said Orphans' Court by their decree or sentence pursuant to law, shall limit
and appoint, and shall well and truly comply with the laws of this Commonwealth relating to
collateral inheritances, and if it shall hereafter appear that any last will and telta~ent
Io/SH made by the sald decellsed, the sam. nhall be proved IIccorolng to law, if the said
administrator being thereunto required, do surrender the said letters of administration
into the Register's Office aforeuid, then thil oblisation tI' be void, otherwise to remsin
1'1 f'uJ,L (<> "'4(,
Witness
-ifJ/Xh 't ~~ . r1', OlJt({ J L
j moss
i
':A' ".10'
'''' ',"" "
c:< -345 .~-
E
PETITION FOR PROBATE and GUANT OF LETTERS
N 199,1-00?10
0, .
To:
Register of Wills for the
, DeL'eased. Coullty of CUllux.rl,lI,,1 In the
Social Security No, J90-:IO-?'9!;8 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents thllt:
Your petltloner(s), who Is/are 18 years of llge or older nn the execut or named
in the last will of the above decedent, dllted ~L,y 2'; ,19...2.L.-
and codlcll(s) doted nOIl(! ~ On Hardl <J, lfl<.M, tho Putilionol' Wiln f;WOY!\ in bv thl1 a.urhorlllnc1
rnllnty flfVJ1<lt-m. nr toJll1co ,,<1 hrlndn;<1I-r;ll"nr of 1'111'1 Eat:.u.'-n '11\(> al"L1r.hflfl will hnlnQ nf(nrlyl
Estate of Jil....m HUlll'O 11 Ma:,ro
also known as Jml'K.H1 R. n'tX)["o
CQr rr;Qt,~I'~ "i"1 ""hflc"l"unj. I '.' ,1l "~""H'nrl "II' tl"",....l...I'+. t (} 1" "If'" t~f cUllf'lnymnn!
(Hale relevant drClImSlunccs. e,g. renunciation, delllh of ("ccutor I CIC.)
Decendent was domiciled at death in ~~r1illl<l County, Pennsylvania, with
11 is Inst family or principal residence at 5?J? Hovil1 lJrivn, Hlichilnl""bury, [01/01' 1I110n 1'OW'1nhlp
(list streel, numher and muncipalllY)
Decendent, then 55 years of age, died Febnmy 11 ,19 94
at IInly gpirlt- IImlpltcll. Ell!!! PO!llHltnro'I'oilrlnhin .
Except us follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probllte; wus not the victim of a killing and WIIS never udJudicated
Incompetelll: N/I,
Decendent at death owned properlY with estlmuted values as follows:
(If domiciled in Pa,) All personal properlY $. 5,000.00
(If not domiciled In Pa,) Personal property in Pennsylvania $
(If not domiciled In Pa,) Personal properlY in County $
Value of renl estate in Pennsylvania $ '/s.OOQ.QQ.
situated liS follows: 5?12 Hoyal Drive, Nochantcehur91
Cumborland COlmly, Pmulsylavnln
WHEREFORE, petltioner(s) respectfully request(s) the probate of the last will and codlcll(s)
presented herewith and the grant of letters l'lIslo1lllf'ntnrv
(leslamCnlary; administration c.t.a.i administration d,b,n,c.l,a.)
theron,
~
a
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19
';1~
ll'~
~o
!
Iii
'~'~~i:>>T?'"
1'hc:m:1D ~Uchaol Mooro, corroctly kIn
'nlcm:lf1 A. Mooro
3331 Willow Cro"cont Drive - lIpt 3?
.Eill.!::filX. VlI n030
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OJI PENNSYLVANIA } l:lS
COUNTY OF ClJHl]EHt.llND
The petitloner(s) above.named swear(s) or afflrm(s) that the statements In the foregoing petition are
true and correct to the best of the knowledge IInd belief of petitloner(s) and thllt as personal represen.
tatlve(s) of the above decedent petitloner(s) will well and truly administer the estate according to law,
.~J "I,,/,.! ~ ,'--"
Sworn to or affirmed and subscribe~ ~ - ,'"'I- /,. ,<:..1.. -;f;~ . _", 1)
before me this 27TH day 01 ~&,.~ c:L-~!."'1=
y. 1, 94~. ~
. u... t -:4.'tI" _
L MAR C, LEWI S Rr~isler 1 rJ
Ili-'.:.l{'l-~
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;0'
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B:
.-'
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Ul
/;
Thomas ~Iichaol Moore a/k/a Thomas 1\. Moore
accordln9 to law, daposes aud uys that he is the Executor
of the Eslate 01 James R. Moore
late 01 Lower:../llJ,..p,!), ~'l!'l1,tl?_,__ - , Cumberl,nd County, Pa.. decused ,nd th.t the
within Is ,n Inventory made by Thomas /I. Moore ., the Slid Executor
01 th. entire esltte 01 said decedent, consistln9 01 all the personal propdMY and reel estate, except rul eshte ouhld.
Ihe Commonweelth 01 Pennsylvania, and that the 119UIIS opposite eech Item 01 the Inventory represent It's lelr velu.
01 01 the date 01 decedent's deeth.
being duly
.~~~ ~.II~L
19 94
..--dMW4-1l ~~
eucuto, , MDdoktrntx
Thomas 1\. Moore
c/o McNees, Wallace & Nurick
P. O. Box 1166
Harr i sburg, P1\ 17108
Addllll
and subscribed belore me.
D.te of Duth
11th
February
Month
1~'?r4,
Vu,
.'1
DIY
INSTRUCTIONS
I. An Inventory must be flied within three months alter appointment 01 person,l representative,
2. A supplement Inventory must be flied within thirty days 01 discovery of ,ddltlonal ullh,
3. Addltlon.lsheah may be attached II to personelty or realty
4. Sea ArtIcle IV, Flducl.rles Act 011949,
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
[
REV- 1600 EX. (1t~'11
FDA UATES OF DEAHl AFTER 1211""1 Ct.lC~ HE:HE
IF A SPOUSAL 0
POVERTY crHOIT In CLAIMEO
FILE NUMBER
i
C I r
~ 0
C t C
K K
S
CCM~F~"~~fu1 ~Q1~~J~b~ANIA
HARRJsR~Ii~,~A j~ llI-oe. I
COUNTY CODE
OECEOENT'5COMPLEH ADURESS
5212 Royal Drive
Fairfax, VA 22030
OEt..EOENT'SNAME (LAST, FIRST, AND ~'1I00LE INITIAL)
Moore James
R,
SOCIAL 9ECURITYNUMBER
190.30-2958
X 1. Orlgln.1 Return
DATE OF DlRHi
08 1ZL.!.9]8 Co",,,
Supplemental Roturn
ClImbe r land
03.
06.
04.
[]] 8.
041.
07.
Futuro Intorost Compromlsu
(for d.t".1 duath aher 12-12'B21
Oucod.nt Maintained a Living Tru't
(AlIacn , copy of Tru,')
Umltod Eotato
Decodont Dlod Tootato
(Atlach copy 01 Will)
C P All. CORRESpONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
o 0 NAME
R N
, , David M, Watts, Jr.
COMPLl::TE MAILING ADDRESS
H9/,.ono
y(AR
NUMoeR
Romalnder Rolurn
(lor doto, 01 donlh prlo' 10 12-13-B2)
Fodoral E,"'o Tn'
RntlJrn Roquirud
8. TOlal NUll1bm 01 S~f'l Oopo!lil 801<09
McNees Wa llaca:-t;' Nllrick
100 Pine Street P.O. BOK 1166
HarrisbllrH. PA 11]08-1166
13,582.31
NOll"
NonE'
NOlle
8 ,518 .(,4
~Z~T:q; :j(~~Im::::::::::::::::::::::::: :::::::
HarrisbllrH, PA 11108
AODRESS
t1cNoo!l Wallace & N,lrick
i(i6'j>'in~' iitrei;t:' p':6:' ii;x "t'i(,(,'"......."...,..
Hn'l:i,is"bury,": 'i'A" Tiios.:ii6e,'....' -..."."...,..
R
E
C
A
P
I
T
U
L
A
T
b
N
(1)
(a)
(3)
(4)
(5)
TELEPHONE NUMIlER
111-232.8000
1, Ronl Eotato (Schodulo A)
2. Stock. and Bond, (Schodulo B)
3. Cloeely Hold StocklPartnerohlp Intoroot (Schedulo C)
4, Mortg.ge, and Noleo Rocelvablo (Schodule 0)
5, Caoh, B.nk Dopoolts & Mlocollanooue Porsonal Proporty
(Schodulo E)
8. Jointly Owned Froporty (Schortule F)
I, Tran,'ero (Schedulo 0) (Schedule L)
8. Tot,' Gro,o Aooeto (totol IInoo 1-7)
8. Funeral E'penoos, Admlnlolratlve Co,t" Mlscell.n",u.
E'pen,oo (Schodulo H)
10. Doblo, Mortgage Llabllltloo, Lions (Schodulo I)
11, Total Doductlono (totolllnoo 9 & 10)
12. Net Valuo 01 E9Iato (II no 8 minus line 11)
13. Charitable and Govornmonlal Boquooto (Schedule J)
14. Net Value Sub ocl to Tax IIno 12 mlnue line 13
15. Arrount of IIno 14 taxablo al6% rato
(Includo valueo Irom Schodule K or Schodule M,)
18, Amount olllno 14taxablo at 15% role
(Includo veluo. from Schedulo K or Schodulo M.l
17. Principal tax duo (Add tax Irom line 16 ond Iromllne 16.)
18,Credlt,ISp Poverty Prior Poymon'o Discount
o . 00 + 0 . 00 + 0 . 00
18. If IIno lB 10 greater thftn IIno 17. entor the dmorenco un tine lB, Thlols the OVERPAVMENT.
~ 0 IChlilk here n, you ore requeellng 1 rerund of your ove",lyment.1
20. ""no 17 10 grealor than line 16, onlor the dlllorenco on tine 20. Thl, 10 the TAX DUE.
A, Enle, tho Inlsreot on tho balanco duo on line 2M,
B, Entor the total olllno 20 and 2M on IIn9 206, Thl' I. the BALANCE DUE.
Make Cheok PI Ible 10: Re laler 01 Will. A onl
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH .. ..
Und., plnalll.. 01 PI'JUIY. I d.cla"1hat I h..... ...mln,d IniUltuln, Includln~lccomp.n\,ing Ich'dul.und IIA'.mlnls, and Illlh. hut 01 IllY knllwl~ltU" .\nll hell II, II II l'uI.
corr.elind co mplltl, I dtel.,. 1hal,1I ,...1 ..1,1. h,. b, In "Ilotle d At truI malk.1 vllue. 0 Icll,allon 01 p"PI,II11lh I' IlIar. III 8 rHU ~ rln.,lltfll ~~~nl.\t.~~ I' II'" ~ rlun
.,11111111' 111,"'01111
which P"P"tI IIn .ny knowl'd~',
(8)_
(7)
216.07
.0.
(8)
21,105.55
(10)
(,1 , 8111. 40
(15)
19,180.86
~
(16)
216.01
C
o
M
~
A
b
N
Inloreot
0.00
SIGNATURE OF PERSON RESPONSIBLE FOR FILINO RETUFIN
~-1 ;ff:-nC
ADDRESS
SIGNATURE OF PREPARER OHlER H1AN RErr\E~ENTATIVE
Cop~lllIht(eI1Ul form ,o'twI" tin I.,. C,nl" Pilei flollw'''. Inc.
(8)
82,376.88
(11)
(12)
(13)
(14)
)( .00 1
62,979.95
19,3%.93
None
19,'l96.93
1,150.85
X .15 I
32.41
(17)
1,183.26
(18)
119)
0.00
0.00
(20) 1,183.26
(aOA)--- 0.00
la08) l,183.26
(tAT[
/1)(1/7'1
(11\lf
I!Jkl (ilL
rllwI1S 0 IR,,~, ll'~1)
R,EV-1I04lX + 11-131
COMlWJ\l~~~~W~JI>>'AN'A
ESTATE OF
SCHEDULE C
CLOSELY ~IELD STOCK,
PARTNERSHIP & PROPRIETORSHIP
FILE NUMBER
2194.0210
J amea R. Moore
ss# 190-30-2958
02/11/1994
(Schedule 0-1 or C-2 mUlt be IlIIohed lor Iloh billln"llnter..t 01 thl cko....n
ITEM
NUMBER
other thin I proprlltorelJ!l!:
VALUE AT DATE
OF DEATH
DESCRIPTION
I'
I,
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TOTAL Also enler on line 3, Real lIulallon
, (II more eplce Is needed, Insen addlllcnal sheels of ~ame slzo.)
Copyrlght(o) 1111 t,orm, loftWltI anlV Clnt., Pilei 9oltwlr..I~o,
s
0,00
FUlfil 1600 lIcheltul" C lR~v, ~.Ul
AIV- UOIlx+ 11-18)
, COM~'ml~4\~W,wN'ANIA
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATfl 01'
James R. Hoare SS# 190-30-2958
Joint Ienant(')1
02/11/1994
NAME
ADDRESS
A.
B.
o.
JolnUy-owned property:
PILE NUMBER
2194.0210
RELATIONSHIP TO ~EDENT '
none
ITI!M Lm1lR DATI! TOTAL VALUE
FOR MADE DESCRIPTION OF PROPERTY DECO'S DOLLAR VALUE OF
NUMBER JOINT OF ASSET %INT, DECEDENT INTEREST
Tl!NANT JOINT
1 Pentagon Federal Cr~dit 37.67
~nion, account #100192,
joint with Carol J. Hoare
Total Value $75.34
2 The Security Benefit Gro\\p 178,40
of Companies. Growth and
Income Fund , Class A,
account #84093614, joint
wi th Carol J, Hoare
Total Value $356.79
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TOTAL (Also onter on line e Reooollulallon\ 216,07
(If more spoce 19 needod, Inson oddlllonal, oheela 01 oome olzo.)
Copyrlghtlo) 1811 form uUw.tI onlV C.nler Pllce SoHwaut Inf:.
\
FlllIll 1500 ~r.hllCllll. F IRH"', \2..881
REY-IlIOEX+ IH71
COMl1I\l\l~~'VMW~ANIA
ESTATE OF
SCHEDULE G
TRANSFERS
Ploase Pllnt 01 T e
FILE NUMBER
2194-0210
~es R. Moore SS# 190-30-2958 02/11/1994
THIS SCHEDULE MUST BE COMPU!Tl!D AND PIU!D IF THE ANSWER TO ANV OF THE QUESTIONS ON PAGE 2 IS VES.
ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMBER Inclu~~I~.rn. ollhl t'ln.',,", th,l, OF ASSET % INT. DECEDENT INTEREST
,.lItlon. il~-to dlc.d.nt d,t. 01 tunll",
1 Fulton Bank, checking 9,14 9,14 0.00
account #2219-20904, joint
with Charity F1utrie,
stepdaughter, opened
November 22, 1993
, ,
1
,
,
,
"
,
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,
,
,
,
,
,
,
TOTAL (Also entol on line 7. Recopllulatlon) 0,00
(If mora apace Is neoded, Inaa~ addlllonal ahaata olsan18 SilO.)
Cop)'l'lght leI 111t farm IOftWI" ohlV Clnt., Pillel SoHw.", Inc.
Fn'lIl 1600 ~r.hllltlll. G (RfV, 2.&7)
REV. milK + 12-171
COMlW,(\lrrtJl4\,WX~WN'AN'A
I!STATE OF
SCHEDULE J
BENEFICIARIES
FILl! NUM6ER
2194,0210
Jamea R. Moore
ITEM
NUMBER
SS~ 190-30-2958
02 11 1994
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
1
A. TlJ(ablG BequlIl1:
Carol J. Moore
None
216.07
2 Bonnl.e L, Moore Wife 5,000.00
322 Walnut Street, Rear
Lemoyne, PA 17043
3 Thomas A. Moore Son 3,545.21
3331 Willow Crescent Drive
Fairfax, VA 22030
4 James M. Moore Son 3,545,21
815 12th Street
Ga1veDton, TX 77550
5 Deanna L, Moore Daughter 3,545,22
l485A Theresa Drive
Charleston, SC 29412
ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
NUMBER SHARE OF ESTATE
B. ChllllablG and Governmental Bequ81lla:
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS Also enter on IIhe 13, Reca 1I111allon)
(If mora apaea Is needed, In&en addl1lonal sheels 01 same size.)
Copyrlght(ol ,,,, form loftwa'l only Clnt., Pllet !ollwltl, Ino,
$
0.00
~U'11I 160q Sr.h.dlllfl J (R.\!. ~.e71
"
I,'
Estate of James R. Moore
Pennsylvania InheritanoeTax Return
ache.dule J, I?art A I Taxab,le Bequests continued.,
6.'
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,\
Charity Hope Flury
step-daughter
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MY COI'.~ISSION. ('XPInti"Il~ (~UNli
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V-1547 EX AFP I08-94~
COHHOHWf.ALTH OF PENNSVLVANIA
DEPARI'f.NT Of REVENUE ~OTlCe 0' INlle"ITAHC' 'A~
BUREAU Of INDIVIDU^l TA.ES APP"AlReHeNI, AU OWANCE U" DISAllOWANCE
~i::is:~:~~lpA 1712B'D601 Of OEDUCTlONS AIm AmSSHeNI Of lAM DATE 01-30-95
ESTArE OF MOORE JAHf --r--'" ".....'''.'..~'Fii:i''tiii, "-'''.'!r-r~lf;l'O='~~'
DATE OF DEATH 02-11'94 COUNTY CUMBERLAND
NOTE. 'ro INSURE PROPER CREDIT TO YOUR ACCOUNT, SUIHIT litE UPP'" PO"IION Of III1S FO"H Willi YOU" TAM
PAVHENT TO THE REGISTER OF WIllS, HAME CIIECK PAVAIl.' TO ""EOIIIE" Of WIU.', AOENT"
REMIT PAVMENT TOI
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DAVID M WATTS JR
MCNEES ETAL
PO BOX 1166
HBG PA 17108
t."
ACH
101
REOISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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CUT ALCNG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
il EV: iS47' Eif -A F p" r 0 ii: 94"1' NOY i c i" "OF' INH iiii f ANC;'" TAX- A pjiji"'" i i i H il1r,' -A L rOWAtfc i' iili" -....".. -. -. ...
DISALLOWANCE OF DBDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF MOORE JAMr.S R FILE NO, 21 '/("0210 ACN 101 DATI 01-30-95
NOTEI If.n ......~.nt w.. 1..u.d prlv1ou.1Y, l1n.. 14, 15 .nd/or 16, 17 .nd 18 will
f~fllct ~~Qur~'~h.t 1nolude thl tot.l of ft~ r.~urn. .......d to d.t..
AS9!SSHE~T !lOF TAXI: (.I,
U. A0ICWtt4 of L(~~ J~ II 'rounl roll llil ,00 M .00. .00
16. AIIClUn'4 of L1nl I~ !I'lblD .11Innl,CII.. A rill 1161 19.180,86 M ,06. 1,150,85
17. Aooun4 of l.l'f I~ !I.""II.I Collll..II,CI.., I rill 1171-- 216,07 M ,15. 32,41
18, Prlnolpll T~DuI CUI 1,183.26
TAX CREDITSI .., , ,
PAVHENT) ~ ----;;~-R!iii,T~
DATE ,ulJ.: c/. HUH'~'1
11-10-9 :'HH9at~
lAM RETURN WAS, I X I ACCCPTED AS fll.f:D
RESERVATION CONCERN~ FUTUR~_INTEHEST . Sr.E REVERSE
APPRAISED VALUE OF RETURN BASED ON I OR I 0 I NAl.
I, RI.l Ellltl (Schldull AI (II
2, Stookl Ind Bond, ISDhldul. I) I~I
3. Clonly HIld SloDk'Plrlnlrlhlp 1"10"..1 (Soh.dull CI 151
4. HortO'OII'Hot.. RIDllv.bll ISeh.dull 01 (~I
S. C..h/Blnk DIPo" hlHllo, Plroon.1 Prllpld~ (Dohldull f: 1 1& 1
6. Jolntl~ O"n.d Proplrl~ (Sohldull f I I"
7. Trln,flrl !Sohldull 0 I 171
I. Tolol Alnto
APPROVED DEDUCTIONS AND EXEMPTIONS'
9. Funlrll E,pln...I~d., Co,to,HI,o. C.p.n,.. llohldull III I~I
10, OIDto,HodOIOI l.llblllUI"l.lln, ISoh.dull II 1101
11, Tolol Dlduollon,
12, N.I VIlul of h. Nolurn
13, ChlrUlblo,Oov.rn.lnlel hquIII. fSohldul1 JI
I~, Nit VIlul of E,hll 'UbJIDt 10 Tu
.......--.....-..
DISCOUNT
IN!P.R!IT
III
1'1
....H.ar--
I CIIANOP.O
73.58Z.U,
,00
,Jl.Q..
,00
8J578.44
216,07
,00
18)
82,376.88
21,105,55
(,I. 874,1.0
(11)
1121
IUI
1l~1
6?Q7Q Q~
19,396,93
,00
19,396,93
AHOIJHT PAID
.,,~. ,..- T, '1'ii5':26---
. . ..... ... .....~....... ~{rJ:~ljJ~~;~.~ ..~~~ 1~
IU RIVUIe IF TOTAL OUE IS LESS IHAN U, NO PAYHENT IS REQlJUEO,
INTERII!, I' TOTAL DUE II UfLECTED AS A "CREDIT" fCR), YOU HAV IE DUE
A "EfUND, SEE "EVUSE SIDE Of THIS fORH FO" INSTRUCTIONS,)
. IF PAID AFle" DArt INDIC~UD,
FO" CALCULATION OF ADDITIONAL
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REHRYATJtlHl F..tlt,. of dlcldlnh dYing on 01' ,blfor. Dlc'lb,1' 12, 1982 -. Sf 1M future lnt.r..t In thl ..t,-. II trln.flrr'd
1n Po.....ton or .nJoy..nt to el... It (coUattrlO bln.flal" I" of 'h, dlcedent Ifttr thl IlCplraUon of anv ..tet. for
11'. or '01' VI"" tht co..onw.l1th h,r'bV .KPr...h r...rvII thl right to apprlll" and ...... tran,'.r Inh,rltlnG' 'aIC"
It the law'ul CII.. a (collatllra1) rat_ on any luch lutur. Int.r..t.
PUlPOSE Of'
NOTICE I To fuHll1 the r,qulr"lntt of Section 2140 of thl Inh.rhlnCl ,nd E.t,t, TalC Aot, Aot 22 0' 1991. 72 P.S.
SIOtlon 2140.
PAVItENTl O.tloh the top portion of thlt Hotlc. fVld tUb,1t with your ply..nt to thl RIght.r of Willi prlnt.d on thl r,v,r.. lid',
--Haka chack cr ac..y ordar PlYlbla tCI REGISTER OF HILLS, AGENT
All Ply'.nt. received ,n,11 flr.t be applied to any Int.r.st whtch lay b. dUI with any rl.alnder applied to tns taM.
AEFUHI' (CA)I A refund of . tlM credit, which WII not requ..ted on thl TalC Return, ..y b, r.qu..ted by co~"tJng an "AppllClUon
for Refund of Plnnsvtvant. Innerltlncl Ind estatl TIIC" (AEV.151~). AppltcatJcns Ir. avatlabl. at thl Office
of thl Righter of WI1It, Iny of thl Z] Rlvlnue Ohtrlct OffiCII, cr by clll1ing th. 'Plotal Z~-hour
answering slrvlc. nuabtr. for for.s orderingl In Plnnsylvanla laaOO-]6Z-Z0S0, outside PlnnsYlvanl, Ind
within 10011 Hlrrhburg Irl' (717) 7a7a8094, TOO' (117) 712-Z252 UltarJng I.palred Onb),
OIJECTIUHSI Any party In Interut not IItlsfJ.d with the appr.I....nt, allowlncl or disaUowanc. of deduction., or ......lInt
of talC (Inoludlng discount or Intlrlst) as .~~wn on thl. Hotlcl au.t object within .llCty (60) day, of rlc.lpt of
thh HoUol bYI
'ADHIH
IIlRAlIYE
CORRECTIONS I
-awritten protl't to the PA lllPartllnt of R.vlnu., Baird of ApPlllt, DEPT. 281021, Harrhburg, Poll 17128-1021,
a-.llcUon to have thl ..ttlr d.t.r.lnld at audit of thl ,ccount of the Plrlonal r.prl..ntltlvI, OR
--IPPI.I to thl Orphanl' Court.
GR
DIICOlJIT'
Faatutl Irrorl dltcoverld on this u......nt .hould bl .ddr....d In writing tOI PA DIPart"nt of Rlvlnul,
Burlau of Indlvidu.1 TaxII, ATTNI Pott h....~t Rlvlew Unit, DEPT. 210601, Hlrrisburg, PA 17128-0601
Phonl (717) 787-6505. S'I pig. , of thl baokllt "Inltruetlonl for Inhlrltancl Tax Rlturn fer I R..ldlnt
o.otcMnt" (REV-150IJ for en INplao.t1on of 1~lnhtr.tlvlb corrlctabll error,.
If IIny tex due h paid w!thln thr.. (]) callndar lonth. IIfilr thl dlCldlntl, dllth, I flvl Plrclnt (5:<) disoQunt of
thl tlx p,ld I, allowld.
tnter..t It chlrged blginnlng wUh fir,t day of dlUnqtJlncy, or nlnl (9) .onth. Ind one (1) dlY frol thl dlt, of
d..th, to the dltl of pay.ent. T'IlI' whloh beCIM dtllnqUln~ baforl Jenuery I, 198Z bur Interllt It thl reta of
,he (61n perClnt p.r tnnUII cllculatld It I dally rite of .000164, All tlICII which beOl... dlUnCfUtnt on and IU,r
JIf"ulry 1, 1982 wUI balr Int.rut at at r.tl which NIlI Vlry fro. cII.ndar Yllr to cllllndar Yllr with thlt rlt.
announcld by the PA Olp.rt..nt of RIV.nut, Thl appllcabll intlrl,t rlt.. for 1912 through 199& Ir.,
1HTERfSTI
~. Inter..t Rlt. D.lly Int.r'lt Factor ~ Intlr..t Rite Dilly Inter..t FlOtor
1911 IO! ,OODlII 1917 9! ,m!47
I9n 16! .000151 1981-1991 III .000101
19M III .ooom 1992 9! .000147
1911 U! .000156 1991-1994 7! ,000192
1916 10l .ooom 1995 9! .000147
-.Jntlrlat It cllculat.d '1 follOMII
INTEREST. BALANCE OF TAX UNPAID X HUNIER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
"""AnY HoUoI I..utd Iftlr thl talC blCOMS dlllnquent will rlf1~t en Inter..t OIlcullUon to flHeen (11)' deW,
blYond thl data of the .......ent. If PlYHnt " .Ide IHlr the interl.t OO.,utlUon detl Ihown on the
Hottn, HeUtlon.. Int.r..t IUIt b. cllaulettd.
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APPROVAL OF ACCOUNT. RELEASE AND INDEMNIFICATION
AGREEMEN1' ESTATE OF JAMES R. MOOIlE. DECEASED
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APR 25 r 1 :~;3
The undersigned, Thomae A. Moore, is one of the beneficiat]es named in
CUI'I:
the will of Jameo R. Moore, deceased, and deoiree that the Eotate be
,,'1.
1',~
dietributed without the formality of a court accounting.
The Executor of ths Eetate, Thomae Michael Moore a/k/a Thomae A. Moore,
ie willing to conaent to such a distribution upon receipt by him of a releass
and indemnification from each beneficiary in the form of this document. In
consideration of the willingneea of the Executor to make dietribution without
a court approved accounting and petition for distribution, and with the
undereigned agreeing to bs legally bound hereby and knowing the Executor is
relying hereon, the undersigned individually and on behalf of the
undersigned's heire, personal repreeentativee, succeesore and assigns, does
hereby I
1. Waive any and all rights or powere to requeet or require a filing
in court of an account of the adminietration of the Estate and/or a petition
for dietribution ~f the Estate, and all like and similar filings and
documentel
2. Declare that the undersigned hae examined the attachsd Informal
Account (and statement/schedule of Dietribution) of the Executoq finds .lt to
be true and correct in all particulare to the best knowledge and belief o~ tho
undersigned I accepte and approves it with the same force and effect ae if it
had been prepared and filed with, audited, adjudicated and confirmed
abeolutely by a court of oompetent juriediotionl and as if the balance of
prinoipal and income had been awarded by the Court in accordance with the
Statement/Schedule of Distribution I
3. Warrant that to the best knowledge and belief of the undersignsd,
the beneficiaries named in the Informal Account and Statement/Schedule of
Dietribution are the Bole parties in intereet in the Estate and same are
entitled to receive the entire distribution thereof in accordance with the
Informal Account and Statement/schedule of Dietribution,
.,.
4. Warrant that the undersigned knowe ot no outstanding and
unsatisfied claims against the Estate or liabilities ot tho Eatate, and the
undersigned approvos the distribution ot the balance ot principal and inccme
shown in the Informal Account and Statement/Schedule of Dietribution to ths
persons and in the amounts eet forth theroinl
5. Absolutely, unconditionally, and irrevocably release and discharge
the Executor, and their respective heirs, personal representatives, successors
and assigns, of and from any and all actions, liabilities, clal.ms and demands
arising out of or relating in any way to the adminiotration of the Estate and
distribution of the Estat.e in accordance with the Informal Account and
Statement/Schedule of Distribution, without a court accounting and
adjudioat ion I
6. Agree to refund to the Executor the portion of any distribution
made to the undersigned which exceeds the amount the undersigned was properly
entitled to receive as ths Executor finally determinss or redetermines.
7. Agree to indemnify and hold harmless, the Executor, and their
rBBpective heirs, personal representatives, successors and assJ.gns, from and
against any Claims, liabilities, loss or expense (including without limitation
litigation costs and attorney's fees) arising out of, resulting from or in
connection with the administration of the Estate and its distribution in
accordance with this document, including, but not limited to, any liability
for any Federal Eetate and Gift Tax, Psnnsylvania Inheritance tax or any other
death taxes, and any federal or Pennsylvania income taxes, and any penalties
and costs incidental to any or all suoh taxes, and also including, but not
limited to, any assets received or payments or distributions mads by reason of
any negligence or mietake of law or faot.
Dated I
~//, ;'/,/.,--
__'~ I, /,!:'
'h ,/1 !/m,_,1 #4 .'
Tomas A. Moore
- 2 -
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APPROVAL OF ACCOUNT. RELEASE AND INDEMNIF1CATION
AGREEMENT ESTATE OF JAMES R. MOORE. DECEASED
(C{ I '<1 tj - (j ,:<, I 0
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The underligned, Deanna L. Moore, iI one of the heneticied.. named in
the will of Jamee R. Moore, deceued, and desires that the E411ce be . , '''.
r;i.lll, 1,',\
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distributed without the formality of a court accounting.
..~.._.- '-'_ -/1
The Executor of ths Zetate, Thomas (Hichaei. Mo~re a/k/a Thomas A. Moore,
is willing to coneent to such a diatdbut lon upon receipt by him of a relean
and indemnitication from each bsneficiary in the form of this document. In
consideration of the willingness of the E:xllclltor to make distribution without
a court approvsd a~counting and pst it ion for distribution, and with the
undersigned agreeing to bs legally bound hereby and knowing the Executor is
relying hereon, the undsrsigned individually and on behalf of tho
undsrsigned's hsire, psrsonal representativee, successore and aseigne, does
hereby I
1. Waive any and all rights or powers to request or require a filing
in court of an account of the administration of the Estate and/or a petiti~n
for distribution of ths Estate, and all like and similar filings and
documents/
2. Declare that the undereigned hae examined the attached Informal
Aocount (and Statement/Schedule of Dietribution) of the Executor, finds it to
bs truD and oorrsct in all particulars to the beet knowledge and beliet of the
undsreignedl accepte and approves it with the same force and effect as it it
had bsen prspared and filed with, audited, adjudicated and confirmed
absolutely by a court of competsnt jurisdiction I and ae if the balance ot
principal and income had been awarded by the Court in accordance with the
Statement/schedule of Distribution/
,
3. Warrant that to ths best knowledge and ballef of the undersignsd,
the beneficiaries namsd in the Informal Account and statement/Schedule of
Distribution are the sole parties in intereet in the Eetate and same are
entitled to rsoeive ths entire distribution thereof in accordanoe with the
Informal Aooount and Statement/Schedule of Distribution/
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4. Wlrrantthlt the undereigned knowe of no outatanding and
unutietied claim. again.t the Eetate or liabilitiee of the Eetate, and the
undereigned approvee the dietribution of the balance of principal and income
.hown in the Informal Acoount and statement/Schedule of Distribution to the
per eons and in the amounta set forth therein I
5. Absolutely, unconditionally, and irrevocably release and diacharge
the Executor, and their respective heirs, pereonal rsprssentative8, successors
and assigns, of and frcm any and all actions, liabilities, claims and demands
arising out of or relating in any way to the adminietration of the Estate and
diltribution of the Estate in accordance with the Informal Acoount and
Statement/schedule of Distribution, without a court accounting and
adjudication I
6. Agree to refund to the Exeoutor the portion ~f any distribution
made to the undersigned which exceeds the amount the undersigned was properly
entitled to receive as the Executor finally determines or redetermines.
7. Agree to indemnify and hold harmless, the Executor, and thsir
relpeotive heirs, personal representatives, successore and assigne, from and
against any claims, liabilitiss, loss or expense (including without limitati.on
litigation costs and attorney's fees) arising out of, resulting from or in
connection with the sdminietration of the Estate ~nd its distribution in
accordance with this dccument, including, but not limited to, any liability
for any Federal Eetate and Gift Tax, Pennsylvania Inheritance tax or any other
death taxel, and any federal or Penneylvania income taxes, and any penalties
and costa incidental tc any or all such taxes, and also inclUding, but not
limited to, any assete received or payments or distributions made by realon of
any OAgligence or mistake of law or fact.
Datedl
.~Izu, '/ 5' j9'7.f;'-
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d;!,r~w~::-1 ~t/?o'2X-
Deanna L. Moore
- 2 -
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~!~'~,Mlf,tiIt,IIlo\"~iv.L ' '
'-:JDJT~1~~!l~'O:'~1:s.~iOo~"\U.~~\r.~l..I.!~J~~.~~~,
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~t.t* of South C.rolin.
COUNTY or CllMl#j~... I
On thil, the ,f-/i.....-d.y of
, SSI~,
~Pl>IW _,
1995,
before me . Not.ry
Public, the underei9ned officer, perlon.lly appeared De.nnl L. Moore, known to
me (or latief.ctorily proven) to ba the individual who executed the forl9oin9
inetrument, and duly acknowledged to me that _he executed the eame for the
purpole therein.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
," ,
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'~ary Public
ICITAAYPUBUO POIlIOtTfH CAl\Ol,INA
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APPROVAL or ACCOUNT. RELEASlt.IiliD INDEMNIFICATION' ,
AGREEMENT ESTATE or JAMES R. MOORE. DECEASED
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The undereigned, James M. Moore, io ons of the benefioiaries name! in
the will of James R. Moore, deceased, and deBiree that tho
Est~e ,be
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distributed without the formality of a court accounting,
The Executor of the Eetate, Thoman Michael Moore a/k/a Thomas A. Hoor.,
is willing to consent to euch a dietribution upon receipt by him of a release
and indemnification from each beneficiary in the form cf thie document. In
coneideration of the willingneee of the Executor to make distribution without
a oourt approvod accounting and petition for dietribution, and with the
undersigned agreeing to be legally bound hereby and knowing the Executor i8
relying hereon, the undereigned individually and on behalf of the
undersigned'e heirs, pereonal repreeentativee, succsesore and aeeigns, doe8
hereby I
1. Waive any and all rights or powers to request or requir.e a filing
in court of an account of the administration of the Estate and/or a petition
for dietribution of the Estate, and all iike and similar filings and
documents,
2. Declare that the undersigned has examined the attached Informal
Account (and Statemsnt/schedule of Dietribution) of the Executor, finds it to
be true and correct in all particulare to the best knowledge and belief of the
undersigned, accepts and approves it with the same force and affect as if it
had been prepared acd filed with, audited, adjudicated and confirm~d
abeolutely by a court of competent jurisdiction I and as if the balance of
principal and incoms had been awarded by the Court in accordance with ths
Statement/Schedule of Distribution,
3. Warrant that to the beet knowledge and belief of the undersigned,
the bensficiaries named in the Informal Account and Statement/Schedule of
Distribution are the sole parties in interest in the Estate and S6me are
entitled to receive the entire distribution thereof in accordance with the
Informal Account and statement/Schedule of Oistributionl
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4. Warrant that the undereigned knowe of no outstanding and
unsatisfied olaime against the Estate or liabilitiss of the Estate, and the
undersigned approves the distribution of the balance of principal and income
.hown in the Informal Account and statement/Schedule of Distribution tc the
persons and in the amounts set forth thereinl
5. Absolutely, unconditionally, and irrevocably release and discharge
the Executor, and their reepective heire, pereonal representatives, successors
and assigns, of and from any and all actions, liabilitiee, claims and demands
arieing out of or rslating in any way to the administration of the Estate and
distribution of the Estate in accordance with the Informal Account and
Statement/Schedule of Distribution, without a court accounting and
adjudication/
6. Agree to refund to the Executor the portion of any distribution
made to the undersigned which exceeda the amount the undersigned was properly
entitled to receive as the Executor finally determines or redetermines.
7. Agree to indemnify and hold harmless, the Executor, and thsir
reepective heire, psrsonal rspresentatives, successors and assigns, from and
againet any claim6, li~bilities, loss or expense (including without limitation
litigation costs and attorney's fees) arising out of, resulting from or in
connection with the administration of the Estate and its distribution in
aocordance with this dooument, inCluding, but not limited to, any liability
for any Federal Eetate and Gift Tax, Pennsylvania Inheritance tax or any other
dsath taxee, and any federal or Pennsylvania income taxee, and any penalties
and costs incidental to any or all such taxea, and aleo inCluding, but not
limited to, any asests received or payments or distributions made by reason o~
any negligence or mistake of law or fact.
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State of TelCae
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On th..e, the -.:l da~ of
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1995, before me a 'Notary
PUblio, the undlnigned offioer, penonally appeared Jamea H., Hoon, known to
~ (or ..tietaotorily proven) to be the individual who exeouted th. foregoing
inatrument, and duly aoknowledged tome that _he exeouted the eame for the
purpo.e therein.
IN WITNESS WHEREOF, I have hereunto Bet my hand and offioial "eal.
e DIANE" CAIlP
. Notary NlUo
~ W' STATE OF TEXAS
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APPROVAL OF ACCOUNT. RELEASE AND INDEMNIFIC~
AQREEMENT ESTATE OF JAMES R. MOORE. DECEASED
'9'5 API< 25 r' 1 :~i 3
The undereigned, Charity Hope Flury; ia one of the beneficiariee named
in tha will of James R. Moore, deceaeed, and deeiree that the Ee~~e be
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dietributed withollt the formality of a court accounting,
The Executor of the Estate, Thomae Michael Moore elk/a Thomas A. Moore,
ie willing to consent to euch a distribution upon receip~ by him of a releaee
and indemnification from each beneficiary in the form of this document. In
coneideration of the willingnese of th~ Executor to make distribution without
a court approved accounting and petition for distribution, and with the
underelgned agreeing to be legally bound hereby and knowing the Executor ie
relying hereon, the undorsigned individually and on behalf of the
undersigned/s hsirs, personal representatiVl'B, successors and assi9~s, does
hereby I
1. Waive any and all rights or powers to request or require a filing
in court of an account of ths administration of the Estate and/or a pstition
for distribution of the Estate, and ~ll like and similar filings and
documsnt s I
2. Declars that ths undersigned haa oxamined tho attached Informal
Aocount (and statsment/Schsdule of Distribution) of the Exscutor, tinds it to
be true and correct in all particulars to the bast knowledge and belief of the
undersigned I accepts and approves it with the same force and effoct as if it
had been prepared and filed with, audited, adjudicated and confirmed
absolutely by a court of competent jurisdiction I and as if the balance of
principal and income had been awarded by the Court in accordance with the
Statement/Schedule of Dietributionl
3. Warrant that to the best knowledge and belief of the undsrsigned,
the beneficiaries named in the Informal Account and Statement/sohedule of
Dietribution ara the sola parties in interest in the Estate and same are
entitled to recsive the entire distribution thsreof in accordance with the
Informal Aooount and statement/schsdule of Distribution,
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4. Warrant that the undersigned knows of no outstanding and
un.atisfi.d olaim. again.t the E.tate or liabilitie. of the E.tato, and the
undersigned approves the distribution of the balanoe of principal and inoome
.hown in the Informal Aocount and statement/schedule of Distribution to the
per.ons and in the amount. set f~rth thereinl
5. Abeolutely, unconditionally, and irrevocably release and disoharge
the Exeoutor, and their respective heirs, personal representatives, suooessors
and assignl, of and from any and all actiona, liabilities, clainls and demands
arising out of or relating in any way to the administration of the Estate and
distribution of the Estate in accordance with the Informal Account and
Statement/Sohedule of Distribution, without a court accounting and
adjudioationl
6. Agree to refund to the Executor the portion of any distribution
made to the undersigned which exceede the amount the undersigned was properly
entitled to reoeive as the Executor finally determines or redetermines.
7. Agree to indemnify and hold harmless, the Executor, and their
respective heirs, pereonal repreeentatives, sucoessors and aesigns, from and
against any olaims, liabilities, lose or expsnss (including without limitation
litigation costs snd attorney's fees) arieing out of, resulting from or in
oonneotion with ths administration of ths Estate and ite distribution in
acoordanoe with this document, inoluding, but not limited to, any liability
for any Federal Estate alld Gift Tax, Pennsylvania Inheritance tax or any other
death taxes, and any federal or Pennsylvania income taxee, and any psnalties
and costs inoidental to any or all suoh taxes, and also including, but not
limited to, any assets received or payments or distributions made by reason of
any negligonce or mistake of law or fact.
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IN THE ~T'1'ER OF THE
ESTATE OF JAMES RUSSELL MOORE,
A/K/A JAMES R. MOORE, DECEASED
IN THE COMMON PLEAS COURT OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 1994-00210
AOKNOWLBDGMENT or RECEIPT or DISTRIBUTION
KNOW ALL MEN BY THESE PRESENTS, that I, Bonnie L. Moore,
presently of 322 Walnut Street, Rear, Lemoyne, Cumberland County!
Pennsylvania! a pecuniary legatee named in Paragraph 1 of the
Will of James Russell Moore a/k/a James R. Moore, Deceased, dated
May 25, 1993, which has hean duly probated in Cumberland County,
Pennsylvania, do hereby acknowledge that I have this day received
from Thomas Michael Moore a/k/a 'I'homas A. Moore, Exeoutor of t.he
Estate of James Russell Moore a/k/a James R. Moore, Deceased, the
amount of $5,000.00 as distribution of the specific bequest made
to me under Paragraph 1 of said Will. I agree to return any
portion of the above distribution which ~ 811___L_~ _f 'ehl ~
~B.'e.'el IL~ny court having oompetent jurisdiction shall require.
Dated: "1/11 / 1~
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Bonn e L. Moore
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THE ESTATE OF
JAMES R. MOORE,
DECEASED
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
FILE NO. 1994-210
PETITION FOR DISCHARGE OF PERSONAL REPRESENTATIVE AND SURETY
TO THE HONORABLE HAROLD E. SHEELY:
The Petition of Thomas Michael Moore (a/k/a Thomas A. Moore),
Executor of the Estate of James R. Moore respectfully states
that:
1. James R. Moore (Decedent) died on February 11, 1994.
2. Petitioner was granted Letters of Administration on
on the Decedent's estate by the Register of wills of
Cumberland County on March 9, 1994
3. On June 2, 1994, Letters of Administration were
oancelled and the decedent's handwritten will dated May 25,
1993 was presented for probate. Letters Testamentary were
issued to Thomas Michael Moore (a/k/a Thomas A. Moore).
4. On March 30, 1995, the First and Final Account of the
Petitioner was presented to the estate's residuary
beneficiaries. Each beneficiary has executed an Approval
of Account, Release and Indemnification Agreement. Said
Approvals of Account, Releases and Indemnification
Agreements were recorded in the Office of the Register
of wills of Cumberland county on April 25, 1995.
5. Bond in the amount of $160,000.00, was entered by Aetna
Casualty and surety Company on February 24, 1994, and filed
with the Register of Wills.
WHEREFORE, petitioner requests that this Court enter an Order
disCharging him as Executor of the Estate of James R. Moore,
deceased, and releasing him and his surety from all future
liability on the bond given by them.
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Thomas Michael Moore (a/k/a
Thom...s A. Moore)