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PETITION FOR PROnATE and GRANT OF I.ETTERS
/isla/I' of __J.'V.s. c' f-~f, ._S~/I/t'rlJ. No, .._c.:1L-::q1f....~3..-ql-,,-
111.\'0 kl/oll''' liS _o. To:
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Sodll/ S(,(,lIrlly No, .._ .J'1 'l ~..~S' :_,j,IiJ.X COllllllonwclllth of Pcnllsylvunill
Thc rClltlonof Ihc IIndcrsigllcd rcspcclflllly rcprcscnls Ihllt:
Yo"r 11clltloncl(sj, who is/urc IR )'cllrs of ngc or older IInlhc cXCCIII.._llr___n_,__nllllled
inthc IlIsl will of Ihc IIhovc dcc('dcnl, dlltcd ..____.________;!L~_._.._._,__,____ __, 19~_
IlIId codidl(s) dlllcd ____.______...._____.nn.___.___._____________
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.____h.___.__._.._......_.______.._.._n._..m_ _"__'~_"_'._'______"~___'_'_____
(~lal~' rt.'ll'~'l1ll1 dll'lIl1l~llllll'I.'~, C,I{. rllI1Unl'iallull, dl'alh tlf l'\CCtllnr, ell'.)
Dcccndcnt WIIS dOllliclled ut dCllth In._._.~_"L'_,Iu<L\'\'~,,____ ___ County. Pennsylvllnla, with
h.l1____, IlIst fllllllly or principal residencc III ._lQi.:,,_.Lu.....~L~'d~_.~..,I...,t"',..,h,"'''-)_w (""~7
__.__._______.~_ ___,_._"'_,___ __..~ _.___.__..._________u____._________.
(1l~1 "lrCl'lt 1H1I11hcr UIlt! 11l1lIldpalll~')
DC~l~()nt, Ihcl:t--.-.l/.?~-~. YCllrs of IIgC, died 7J---L-8....l.?Z--.ue,------, 19~_,
lit fixc~i-;Z-I{;fi;;;~.~~~I~b~l~i~~~li~;;;i-I;;~;r~y~;~;-I~ot ~~,7,~;,~i~iJ~it;;;i i;~;'~ a child born or IIdoPted
aflcr cxecutlon or thc will offered for prohatc: WIIS not the victim of a killing IInd WlIS never adjudicated
IncOl11pclcnl: ,_,__,___, u_~... __m_____.___________o.__.___
Dcccndenl al delllh oWlwd propcrlY with cSlimatcd valucs as follows: l
(If domlcllcd Inl'a,) All personal prorcrty $ /(.(XP'
(If nol domicilcd in 1'11,) Pcrsonal prorerly in Pennsylvania $
(If not domiciled In 1'11,) Personal prorerly in County $
Value of rcal cSlate In Penn sylvan III $
sitlllllCd as follows: __._________________
WHEIlEFOIlE, rClllloner(s) rcspectfully request(s) the probate of the lasl will and codlell(s)
prescnled hercwith IInd Ihe grant of ICllcrs '/""!" C!'" +"~ y
(tC~IAmCI\IQry: adllllnlslrilllOI1 C,I.U,; ndrnllll~lrillltln d,b.l1.c.t.n.)
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'711, .:J(, I ./S'I(,
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-------.--.----.------ - ..
OATH (W I)ERSONAL REI)RI<:SENTATIVE
COMMONWEAI,TII 0.. I'ENNSYLV ANIA } 1:18
COl1NTY OJi ____C~~~ERLAND___ . .
Thc pClitioncr(.s) ahoI'C'lHlIlIl'd swear(s) or affirm(s) thlllthc sllllemcnts IlIlhe foregoing retlllonare
truc IInd corrccl 10 thc hcst or IIIl' knowlcdgc IInd hcllcf or pClllillncr(s) IInd thai as pcrsonlll rerresen.
lIItll'c(s) of thc IIhovc dccedcnl pClltlolwr(s) wlllwcll iIIel.trlllY ad~ninislcr Ihe cSlate according to law,
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hcl,nc lIIe Ihls. ., .. . ,;\,. day 1~.1 ,--..~,- _.... ,_no , -.... -'.---......---.----- i
-. _m (IJ . I k ) I....l/1, .. ' ,( l'J-~-\L~.,-{ [,,-,_1.1\'->,- - ...
7~tLL'i !J{lu,(V I_I ,- ',7.~ { ~:Yunn u.n_____n_n___________ ~
M~RY(J" LEWIS !il'!iIS(l'f . n(J-- _un -------------- B:
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LAST WILL AND TESTAMENT
OF
JOSEPH P. SULLIVAN
I, JOSEPH P. SULLIVAN, of SHIPPENSBURG, COUNTY OF CUMBERLAND,
COMMONWEALTH OF PENNSYLVANIA, being of lawful age and sound and
disposing mind and memory, do hereby declare this to be my Last
Will and Testament and hereby revoke all prior wills and codicils
made by me.
FIRST: I direct the payment of my debts and the expenses of
my last illness and funeral from my estate as soon after my death
as conveniently may be done. It is my wish that my final resting
place he at Pleasant Hill Cemetery, Glasgow, Pennsylvania, and that
my Executor, named hereinafter, assure that this wish is carried
out.
I direct that any and all Inheritance, Estate and Transfer
Taxes imposed upon my estate passing under my will shall be paid
out of the principal of my residuary estate.
It shall not be necessary to file any claims for debts, taxes,
or administration expenses nor to have them allowed by any court,
provided that no proceeds from a qualified employee benefit or
retirement plan which may become part of my estate shall be used to
pay such debts, claims, taxes, or administration expenses.
Page 1 of 3
~'
LAST WILL AND TESTAMENT
OF
JOSEPH P. SULLIVAN
SECOND: I hereby devise, give and bequeath to my friend,
STEVEN F. FOR~~EY, his heirs and assigns, all of the rest, residue,
and remainder of my estate, real, personal, and mixed, of
whatsoever kind and nature and wheresoever situated at the time of
my death. In making this distribution, I have considered that I
have many family members and other friends to whom I could make
distributions from my estate; but, having considered them and such
possible choices, I have determined to make my friend, STEVEN F.
FORTNEY, his heirs and assigns, my sole heir, as my conscious and
willing act, meaning no disrespect to those others I have cared for
and been cared for by during my life.
THIRD: I hereby nominate, constitute and appoint STEVEN F.
FORTNEY, of 106 Locust Street, Shippensburg, PA 17257, as Executor
of this my Last Will and Test.ament, to serve without bond or
security, with all the powers conferred on his office by law; and
I hereby also authorize, empower and direct him to sell and convey,
by good and sufficient deed, in fee simple estate, any and all of
my real estate, at public or private sale, for such price or
prices, upon such terms and conditions, as in his judgment is best
for my estate, and to that end to sign, seal, execute, acknowledge
and deliver all deeds or other instruments necessary therefor, as
effectively as I could do if I were personally present.
Page 2 of 3
..
~\\r~;~
COMMONWIAllH Of PeNNIYlVANIA
0lPAR1MINl Of RIVINUI
om. 210601
HARRIIIURO, PA 11121.0601
(L(- '2 (! '6'- '2__
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO ,BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
G
.0. OATU O' DIATH Am. 121~ 1 /91 CHICK Hili
IP A S'OUIAL
POVI.TY CUDIT II CLAIMIO 0
PILI NUMi..---- ..
3q{
RIVdlOO IX. 111,91)
1. Real E.lole (Schedule AI I 1)
2. Slack. and Bond. (Schedule B) ( 21
3, Clo..ly H.ld SlocklPortnellhlp Inlere'IISchadule C) I 3)
4. Mortgog" and Nol.. R.c.lyobla (Schedule 0) ( 4) _
5, Co.h, Bank O.po.II' & Mh"lIan.au. Pellonal Prop.rty( 5)
(Sch.dule E)
6, Jolnlly Own.d Property (Schedule F) I 6)
7, Tronlfer. (Sch.dule G)ISchedula l) ( i') _
8, Tolol Gran Anel. (Iolollln.. 1,7)
9. Fun.ral Expen,e., Admlnhlrallye Call" Mh"lIaneou. I 9)
Exp.n... ISch.dula HI
10, O.b", Mortgog. llabllill.., Uena (Schodula I) (10)
11. T 0101 Oadudlona (10101 line. 9 & 101
12, N.I Value of E.lola lline B mlnu. line 111
13, Charitable and Goyernmenlol BequllU (Schadule J)
14. Nol Value Subj.dlo Tax llint 12 mlnUllint 13)
15, Amounl 01 line 14 loxoble 01 6% rol.
(Indudo yolu.. from Sch.dule K or Schedula M,)
16, Amounl of line 14 laxoble 01 15% rol.
(Includa yolu.. from Schedul. K or Sch.dula M.)
17, Principal tax due (Add lox from 110. 15 and from line 16,1
18, Credit. Spou.al POy.rty Credll Prior Paymenl'
+ +
19. IIl1n. 18 h greol.r Ihon line 17, enler Ihe difference on IIn. 19. Thl.I. Ih. OVERPAYMENT,
110
20, IIl1n. 17 h grealer Ihan IIn. 18, enler Ih. dlfferenc. on line 20, Thl. I. the TAX DUE.
A. Enler Ih. Inltr,,1 an Ih. balance due an line 20A,
B, Enler Ih. lotal 01 line 20 and 20A on line 20B, Thl. I. Ih. BALANCE DUE,
Mak. Chack Pa abl. la, R..I,ter af Will" A..nl
...11I SURI TO ANlWIlAU. QUU'IlONS ON RIVIRSI SIDI AND TO RICHICK MATH.....
Under Plnchl.. of perjury, I dICier. lhat I ha.... examined IhI. r.turn. IncludIng accompanyIng Ich,'dul.. and lIal.mlnl., and 10 Ihll bill of my ~nowl.dg. and hlll.f,
It I. truI, corr.ct and compl.t.. I d.clar. thai 011 r.al 'lfOI, hal been r'po;ted 01 true market value. Oeclorollon of preporer olher than ,he perlonal reprll.nlollve II
baled on alllnformallon of which pr.pare, hel any ~nowl,dg..
I AU' I'll lUll URN ADOREIS DATI
f', R.'6 ~")bl S/';OIlc,,,LIl fJ.r1 17..)5"7 '1,;7 Y I
N ,r~(J AO.gUI . . . . '" DATE _ _,
J.I,... ~ d ~(.,'.. ;.() ,...,....7 r-r.J.../' ~".:v /1 ~LJ r,J 'iOl;' 1-.,j.,J _~ ~
l!!
~~e
529
",Ill
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COUNTY CqOE ..2/
91/
YEAR
NUMBER
i
~
a
Jo~eet., f.
-'lOA.n 0' DeATH 10AT! m 81RTH
!;;J.- .:17.'1:' IQ-'5-5:.
o 2, Supplem.nlal Relurn
S.....lliv~,., ,
IA UR' Y lWMifR
EW1-[,'t. 't>.o"
Count
/Oc. l_oc-us t sf-
5h:ep<.l"Is 01.<-"5, PI\ !l~5"
CW}1(;)f. (lLA! ~/)
o 3. Remainder Return
(for dalll of dealh prior 10 12.13,821
o 5. Federal E'lala Tax
R,'urn Rlquired
_ 8, Tolol Number 01 Saf. Oepo.ll Bo...
181 I. Or/gin a I R.lurn
o 4, limited E.lale
o 40. FUlure Inltre.1 Comproml..
Ifor dol.. of d.alh alter 12,12.82)
Ij{] 6, Decedenl Ol.d T"Iale 0 7. Oecedenl Malnlalned 0 lIYlng Tru'l
(A"ach copy 01 Willi (A"och copy 01 Trulll
ALL CORRESPONDINtl AND CONPlDINTlAL TAX INFORMATION SHOULD III DIRICTlD TO.
,.. - I~MmTl. MAIliNG ADDRISI
S-re..Ve.n r. 'to"" + 1"Ie.'1 P,O, 130''<' ~q.,1
~ ~ 'pf'<!n.$ 0\,,(..1",
.;J. i.? I - i 5'1 !a _\
P'A
11;; 5'7
z
o
~
E
~
III
~3/.17
3/30
( 81
.;l, !3 '+1
(11)
(12)
(13)
(14)
=l1~O
- 0 -
~ 0 ~
115)
M ,06..
(16)
.M ,15..
(17)
DIICounl
Inlere"
C1UI(~ IIl'ff' if you (ilL' 1Nllll'\lInn (J Il'fllhcl of your OVNJlCly,m.nt.
(18)
(19)
(lOI
(20A)
(2081
UY-UlI Ix.. (7"11
*'
COMM(lNWIAllH O. PlNNmVANIA
INHIRITANCI TAX RITURN
RlIlDINl DICeDINT
SCHEDULI H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
ITlM
NUMBER
'\ '
~Q::C.,,"
i' Su.,: , -,1(1,'
DESCRIPTION
1.
A. Punllallxpen....
m(. Qf~OUJ" fLL'" (tll ,J.e, ,''''cL
f.o. 5~'i ~'"
G/QSCJOW, PH I uV 'fl.f
1.
, B. AcImlnl.t,atlve Caltl.
"'nanal Repr...nlatlVll Cammllllane
Social S.curlty Number of Pellanal Rep,.lInlatlvtI
V.ar Commllllane paid
2. Attorney F.ee
3. Family Exemption
Claimant R.latlonlhlp
Add,ell of Claimant at dec.d.nl'e d.ath
St,..t Add,.lI
Stal. Zip Cod.
City
4. Probal. F...
C. MllCeUaneoul bp.n.."
1.
2. .
3.
4,
5, .
6,
7.
8.
TOTAL IAlea enl" on line 9, Recapitulation) S
(If mar. .pace II "..d.d, In..r! additional .hee" 01 lam' .11..)
AMOUNT
. ~13o,
I.
~f5o
EV-1547 EX AFP (08-94'.
COHHONWUl TtI OF PENNSVl ~A~U
DEPARTHEN! or REVENUE
BUREAU OF INDIYIDUAl TAXES
OEPT. 280601
HARRISBURG, PA 11126-0601
IDAfrOF SULLIV~"Ji P - FILE NO.
DATE OF DEATH 12-27-93 COUNTY CUMBERLAND
NOTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK
PAY HE NT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TOI
.r. ?l-) J .. I
11/ ,70Y- :~
NOTICE OF INHERITANCE TAK
APPRAISEHENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAK
ACN
101
(}
DATE 01" 03-95
STEVEN F FORTNEY
PO BOX 201
SHIPPENSBURG PA 17257
=
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I
A.ount RI.tttld
~
CUT ALOND THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV: i 5'(i1 "Eir A F ji "fo8": 94 T - ilo'fi or "aT "INH ER"i t AifcE - 'fAx - iili PRiii S Ei.fliilr; "A i. row AifcE"iiri -"""""..".""" - -""
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JOSEPH P FILE NO. 21 94-0391 ACNOHll
TA~ RETURN WAS I (X) ACCEPTED AS FILED I CHANOE&; ~
._1 _,_'
,
If In aSlalsmBnt was illued previously, lines 14, 15 and/or 16, 17 and 18 will
rlflect figures that include tha total of ~ returnl aSlesled to date.
ASSESSMENT OF TAXI
15, A.ount of L1nl 14 It Spou..l rltl 1151
16, A.ount of Llnl 14 t...bl. .t Lln..l/Cl... A r.t. 1161
17. A.ount of Lln. 14 t...bl. .t Coll.t.r.l/Cl..1 B r.t. (171
18. Prlnolp.l T.. Du.
TAX CREDITS I
IPAYHENT
I DATE
AHOUNT PAID~
T'TAL TA' ""'T ~ ,..
BALANCE OF TAX DUE ,00
INTEREST ,00
TOTAL DUE , 00 --!
IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,)
ESTATE OF SULLIVAN
RESERVATION CONCERNING FUTURE INTEREST - saa MEVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1. R..I E.ht. (Seh.dull A I
2, Stock. .nd Bond. ISeh.dul. BI
5, Clo,"ly H.ld Stoek/P.rtn.rlhlp Int.r,"t (Seh.du!. CI
4. Hortglgll/Not.. R.oolvlbl. ISeh.dul. 01
5. C,"h/B"nk DlpolltllHlle, P.rlenll Prop.rty (Sch.dul. EI
6. Jointly Dwn.d Prop.rty (Soh.dull FI
7. Tr.nlflr. (Sehldul. 0)
8. Toto1 A...ts
( . l
III
(21
(51
(41
(51
(61
(71
.00 I
,. ~i) 0 ~
~. r .flO -0
:_lOO '"
2.~nOO ~
.00
,00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS,
9. Funoro1 Exp.n..I/Ad., COlb/Hile, Exp.n... (Sch.dull HI 191
10. Dlbls/HoFtglgl L1.blli \iIl/Lllnl ISch.dull I) 1l0)
11, Toto1 D.due\ionl
12, Hit V.lu. of T.x R.turn
15, ChorU.bl./Govorn..nhl alqullts (Sch.dulo J)
14. Nit V.lu. of Elhh Subj.ct to T.x
3,130.00
,00
1111
(12)
llSI
(14)
NOTEI
,00
,00
,00
K .00.
K ,06.
K .15.
llU
RECEIPT
HUMBER
DISCOUHT (+ I
INTEREST (-I
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIDHAL INTEREST,
\c.I
U,
DATE 01-03-95
;U
::Urn
(t\ n
'I' .
L
~
, ,I
.-'
~) 0
".
2.347,00
'.]30 nn
783,00-
,00
783,00-
.00
,00
,00
,00
I
RESERVATION, E,t.t.. of d.ced.nh dvlng on or blfar, D.c:.tbtr 12, 1982 ~. If any future Int.rut In thl ..'at. II tran,furld
In po.....lon Dr .nJov..nt to ClI.. B (co11.\lIr.1) bln.4Iohrlll o( thl dlcld.nt ,ft.r thl uplratJon of an~ ..ttt. for
lIf. or for Vllr., thl COHOntlulth h.rtby Ilfpr.uty r...ry.. thl right to .ppr.lI. and ...... tran,f.r Inhll'ltanCl TIM"
tt the hwful el... B (coU,ttreU rat. on IOY lueh future Intlr"t,
PURPOSE OF
NOTJCEI To fulfll1 thl r.qulr..."t. of Section 1.140 of thl Inherltanc. and E.tet. TalC Act, Aat 22 of 1991. 12 P.S.
Stctlon 21~O.
PAVHENT,
Detlch thl top pcrUen of thh Hotlc. and tub.1t wlth your plv",nt to thl Rlght,r of Willi prlnt.d on thl revlr.. ,Id..
.-Heke thlok or .0n1Y ordlr pIYlbl. tOI REGISTER OF MILLS, ^OENT
All pay..nt, rlc.Jvld .hall flrlt b, ,ppllld to liMy lntlrllt whlch"Y bl (Ju. wJth any rualnd.r appU.d to th. tllC,
REFUND (CR)1 A r.fund of a talC or.dlt, which WII not raquut.d on thl TaM A.turn, illY b. r.quuted by coaplatlng an "Appllcltlon
for Rlfund of Plnnlylv.nla Inh.rlhnc. and Eltah TIM" (REY.UU), Appllcatlonl art llvallabl' at th. Offlc.
of the RIght.r of Willi, any of the Z5 Rlvllnu. Olltrlct OffiCII, or by callIng thl IPlelal 24.hour
In.",.rlna urvlc. rl\Mbtr. for for.. ord.rlngl In Plnnlyly.nla 1.800-36Z-Z050, outdd. Pllnnlylylt'll. .nd
within 10c.1 Harrllburg ar.. (717) 187.809(1, TOOl (717) 772-ZZS2 Olurlng lap.lrad Only).
DIJECTIDHtI Any p.rty In Int.r..t no~ aatllflld ",Uh th. .ppr.I....nt, allowance or dlt.11ow.no. of d.duotionl, or ........nt
of tax (Including dllcount or IntlrllU al Ihown on thh Notlc. MU.t cbj.ct within Ihty (60) day. of r.calpt of
thll Notice bYI
..",rltton prot.lt to th. PA D.plrt'ant of A.vlnu., Board of App.el., DEPT, 281021, Harrllburg, PA 17128.1021, OR
...l.otlon ta haY. th. Matt.r d.t.ralnld at .udlt of th. .ccount of thl pYrlonal ropr...ntltJv., OR
--.ppall to thl Orph.nl' Court,
ACHIH
IITRATlVE
CORRECTIONS I
F.ctuII Irrorl dlloav.rld on thll .......t.nt .hould bl addr....d In writing tal PA OIPlrtllnt of RIII.nutI,
Buruu of Individual TIn., ATTNI Polt A.......nt A.vl.w llnlt, OEPT. 280601, tlarrllburg, PA 17128-0601
Phon. (717) 717.6505, Stl pag. 3 of thlt bookl.t "Instruotlon. for Inh.rltlnc. T'M Alturn for I Rllldtnt
Dleld.nt" (REY.ISOI) for In .lCpt.n.tlon of .dalni.tratlll.ly corrlot.bl. .rror.,
DISCOUNT I
If .ny taM due II p.ld within thrll (3) celandar aonth. Iftlr tha d.cldlnt's dlath, a flvl Plrunt (5:0 dllcount of
th. tlM paid II allow.d.
INTEAfST I
Intarut II chug.d b.glnnlng with I1rlt dav of d.lInqulnoy, or nln. (9) 1I0ntha and ana (1) day froll thl date of
dllth, to the dati of ply..nt, lalllS which blel" d.linquln~ blforl JlnUlry I, 1982 b.nr Internt .t the r.lI of
11M (6iO p.ro.nt p.r Innu. calculltld at I dllh rata of ,000164. All till'" which beouI d.lInqulnt eon and l"lr
Jlnuary 1, 1982 will bur Intlrut at a rall which will vary frol clltndlr yur to cal.tldar yur with th.t rltl
'Mounced by the PA DIPlrtunt of RIVlnul', Thl appllclbll interut retu for 1982 through 1995 ar'l
'!!!r Interut R.tl Oally Intlr..t flctor ~ Interut Rat. Daily Intarut factor
1912 lOX ,OOOS48 1967 9% ,000247
1985 16X ,000438 1988.1991 11% .000501
1964 llX ,000501 1992 9X ,000247
19U UX .000356 1991.1994 7% ,000192
1986 lOX ,000U4 1995 9X ,000147
"Int.r..t II calculattd n. follollll
INTEREST. BALANCE OF TAX UNPAID X NUKBER OF DAYS DEl.IHQUENT X DAILY INTEREST FACTDR
"Any NoUc. Iuuld aft.r thl talC b.H;O..1 d.llnqu.nt will rlUlct an Int.rut cllculat10n to flft.ln (15) dlY'
b'!Jond the dlt. of th. ........nt. If p.va.nt It ald. aftar thlt In'erllt cOlputatton dltl shown on tn.
Hottel, addltlon.l Intarut IU.t b. calcullt.d,
" ,
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PROOF OF CLAIM
Estate of nARY R FIILFFR
File # I 21-94-0631
Sooial Seouri ty #: 300-46-6917
County Clerk of CUMBERLAND. PA
( state)
Enter the olaim of citibank ACCT IJ442Rl1~()102R~183
(Visa/Mastercard)
in the amount of $1411.60
, against the above entitled estate.
The deoedent, who resided at 2258 PINE RD. NEWVILLE. PA. 17241-9526
died on .
6/1/94
(Date of Death)
-'
Written notio/') of :~aid olaim was given
200 N HANOVER ST.
BETTY FULFER
(Per.sonal Representative)
2258 PINE RD.
to:
HI CIlFLLF R, Sf. CLAIRE
(Attorney)
CARLISLE. PA. 17013
NEWVILLE, PA, 17241
I hereby certify that I have served a copy of the foregoing claim upon the
individual or their attorney. whose names appear above by sending a copy to them
postage prepaid this (;1'\11 day of M.()'dl~ , 1995.
. i)c ~\,:,' (\.. (A /\ 'r:f~ l
citibank
3940 Olympic Boulevard, suite 400
Erlanger, KY 41018
cc: MICHELLE R. ST. CLAIRE
00
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state of Kentucky )
County of Boone SD:
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BETTY FULFER
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Subscribed and sworn to before me, a notary pUblic,
this q o..h. day of nIl\. 1<,(. h , 1995.
,C; , u,....,,_JJ.J,c..~h I \.
NOTARY t'lJllLI C .
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My commiss~ Expjro~
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
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Name of Decedent I
,- 'Ii
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Will No.
JOSEPH P. SULLI VAN
DECEMBER 27. 1993
21 . 94 - 391 Admin. No.
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Date of Deathl
To the RegisLerl
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 benefic1ar ies of the above-captioned estate on
I
~
-5hIlM F hr4',,~)'
Addr~
PO, 6~, i ;0/ .shippc'I\S~';,j' 7
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) exc~pt
.:J:efM -!AQ. ::.:./, ((""".(.:.:",'rt"'"
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ignature
Name Stc'lIc'n F Fe,d'", t)/
Address (0, &6/. dOl
Sh'ffc".J> bv,'.) PA /'7;1 n
Telephone!"?) .;t./,/S?I.-
Capacity I V Personal Representative
Datel ~'')'1'91
Counsel for personal
representative
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STATUS REI'OR'r UNDER RULE 6.12
Name of Decedentl //}vf~1. ./)1:1;-:;:;
Date of Deathl A--._!..~:~_=_<l '~.-
W ill No.
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Admin. No. A ... I ~- / " /
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 abovp.-captioned estate:
1. State whether ~:iniBtration of the estate is complete 1
Yes___ No.__.___
2. I f the an!1wor j A No, Atate when the personal
representatiye r.~~sonab~y believes that tho administration will be
completel S.l - ;;;1. ~___.___._
3. If the answer to No. I is Yes I state the following I
a. Did the personal representative file a final
account with the Court? Yes No
b, The !wparillE! OrphilnA' ClIurt No. (if any) for
the personal representative's ilccount is:
c. Did the personal represontative state an
account informally to the part ies i n in\.en~st? Yes No
d. Copies of receipt!1, releases, joinders and
approvals of formal or informal accounts may be fil~1~h the
Cerk of the Orphans' Court and may b~ attached to tYr1ort.
Datel T --;1- <) T 4-;~7:?-)~U---7?( ~-.{l,
Signllture .
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Name (Please type or print)
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Address ' I l' '/ ')
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Capacity: Personal Representative
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representati ve
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