HomeMy WebLinkAbout95-00525
No. 21-95-525
Estate of
Dorothy G. Croke
. Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW JULY 12.1995 19_, In consideration of Ihe petillon on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) dalcd...J..Une 17.1991
deserlbed Ihereln be admllled 10 probate and n1ed of record as Ihe lasl will of Dorothy G. Croke
and Lellers 'I'PRt-Ampnt-..ry
are hereby granted 10--Tl1omas J. Croke
'mn"fJ ('.. ~_u~, g><-PA ~~
ReBble, of III.
FEES
Probate, Lellers, Etc. ......... S 70. 00
Short Cerllncates(3) .. .. .. .... S 9 . 00
Renunciation ................ S
xpages S 9.00
JCP TOTAL_S 5.00
~",.uu
Filed ....... .Lltl~'t. .:1.;2.. '-.9. ~.!:i . .. .. .. .. .
Chnrles J. Delfart, III, Esq.
A1TORNEY (Sup. CI. 1.0. No.) 15617
3631 North Front Street
ADDRESS
Ifarrisburg. PA 17110
( 717) 232-7661
PHONE
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LAST WILL AND TESTAMENT
OF
DOROTHY G. CROKE
I, DOROTHY G. CROKE, of Upper Allen Township, Cumberland
County, Pennsylvania, being of sound mind, memory and
understanding, do make and publish this my Last Will and
Testament, hereby revoking and making void all former wills by me
at any time heretofore made.
ITEM I.
I direct that all my just
debts and funeral expenses be fully paid and satisfied as soon as
conveniently may be after my decease.
ITEM II.
I give all the rest, residue
and remainder of my estate unto the following:
A. One half (1/2) of my residuary estate to my son Thomas
J. Croke. If Thomas does not survive me, I give one half (1/2) 0
my residuary estate equally between my grandchildren, Andrew T.
Croke and Susan E. croke, or their issue per stirpes.
B. I give the balance of my residuary estate equally unto
the following:
1. The other one-half of my residuary estate to my son,
Lee P. Croke. If Lee does not survive me, I give this one-half 0
my residuary estate equally between my grandchildren, Jennifer L.
r
croke, David M. Croke, and Adrian L. Croke, or their issue per
stirpes.
ITEM III. Any income or principal
payable to any beneficiary who is a minor or to a beneficiary who
in the sole judgment of my personal representative, is mentally 0
physically incapacitated, shall be held in trust by Dauphin
Deposit Bank ana Trust Company, Trustees, during such minority or
incapacity. Trustee is authorized, in its exclusive discretion,
to expend from income or principal such sum or sums as may be
necessary for the proper care, maintenance and support of such
minor or incapacitated beneficiary directly, without the
intervention of a guardian or committee; or Trustee may pay the
same to any person having care or control of said beneficiary or
with whom the beneficiary resides, without any duty on the part 0
Trustee to supervise or inquire into the application of the funds
by any person to whom payment is so made. Any income and
principal not so expended by Trustee shall be retained by Trustee
and paid to the beneficiary upon termination of the incapacity
(including minority), or to the estate of the beneficiary if he 0
she dies before reaching the age of majority or while still
incapacitated, as the case may be. For purposes herein contained,
the age of majority shall be twenty-one (21) years. In the event
the parent or guardian of the beneficiary, for reasons of
convenience or otherwise, wishes to change the Trustee from
Dauphin Deposit Bank and Trust Company, said transfer shall be
permissible provided the Trust shall be transferred and thereafte
administered by an appropriate institutional Trustee which
provides comparable financial safeguards as Dauphin Deposit Bank
and Trust company.
ITEM IV. All principal and income shal
be free from anticipation, assignment, pledge or obligations of
beneficiaries, and shall not be subject to attachment, execution
or other legal process.
ITEM V. It is hereby directed that my
Executor, hereinafter named, shall pay all inheritance, state,
succession and legacy taxes to which my estate or the transfer of
any property hereunder may be subject and to charge such tax as
part of the administration, payable out of my residuary estate.
ITEM VI. I nominate, constitute and
appoint my son, Thomas J. croke, to be and act as my sole Executo
of this my Last will and Testament. In the event of renunciation,
death, resignation or inability to act for any reason whatsoever
of my son, Thomas J. croke, I nominate, constitute and appoint La
P. Croke as Executor of this my Last Will and Testament. My
Executor shall not be required to post bond or give any security.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this \"l--tV\ day of June, 1991.
~~ f,J.Qz J.,
DO OTHY G. C KE
(SEAL)
The preceding instrument, consisting of this, and three
other typewritten pages, was on the date thereof signed, publishe
and declared by DOROTHY G. CROKE, the Testatrix therein named, as
and for her Last Will, in the presence of us, who at her request,
in her presence and in the presence of each other, have subscribe
our names as witnesses hereto.
--::~~~ Residing at
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CO/o\M~NWEAlTH 0' ~NNSYlVANI'
o 'ARTMINt SI' "lNUI
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INTRY INTO SAFE DEPOSIT BOX
TO RIMOVE A WILL OR
CEMETlRY DIID
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MUST II COMPLItIO IV ."lInNTAtIVI or 'INANCIAL INlmUTlOH WHIRl SA,. OIPOSIT lOX IS LOCATIO AND ."U.HIO TO ABOVI AOOUI$.
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NAMI AND ADD. I 0 fiNANCIAL INSTITUTION WHIRl THI IA,. OIPOIIT lOX II LOCATIO
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TlTLI OR NAMIISI UNOIR WHICH lOX IS RlOIITUIO
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
c
liE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RE(HECK MATH
Und.r p.nolll'l of p.r(u,y, I d.clore that I hay. uomln.d lhh relurn, Including otcompon~lng Ich.dulll and Ilollmlnll, and 'a ,h. lit 9 "'y how .dg. and b.li.l
If II tru., co".d and campI. I.. I d.clor. Ihot 011 ,,01 11101. hot b..n repor1ld ollrue morbI "clue, 0.<1010'10" 01 p"pO'" olh., Iha" 'h. p.,.ollol "p,..."toll,. I
bal.d on olllnrormollon of which II ollr hal any knowl.dg.,
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COUHlY COOl
CIUoINl' eOIol'111I Aootln
1 00 />bunt Allt-n Dr! ve
Mcchanicsburg, I'A 17055
c..~ OJJuber land
A,.OUN1 IIClI"IO I I IN IU(
I
COMMONW\Al1H Of 'INH$nVANIA
01'" MINI Of IlvlNUI
Oltl 11060
HAIIIUUIO, .~ 'II U 0601
ole 0 "" ' ........... III.' . f'" . 1."'0 MIOOI
Croke, Dorothy G.
K)(IA' "CUI." NUM"l
196-14-2205
010 I Of olio H
5/20/95
VlAA... .
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IKJ 6, D.Cld.nl Oi.d T.llal. 0 7. O,cldent Moinloin.d 0 1I,ing T,utl
(Alloch copy of Will) (Attach copy of Trull)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX IN TION SHOULD BE DIRICTED TO.. .,
NAill COu'U I iIIAlIlN AD
Charles J. DeHart, III, Es . 3631 North Front street
, "'.ONI NU.... lIarrisburg, PA 17110
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(l1_l~~980.49
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ISI_I!J055.60
161 590.47
171 --32.,200,.00___
I. R.ol fllolt (5th.d",l. A)
2. SIoc11 and londl ISchedule I)
3. Cia Illy H.ld 5Ioc1/Po,tnerlhip Inl'''11 (5th.dul. C)
.t. MortgaS" ond NOIII Ret.l..obl. (Sth.dvl. D)
5. COlh, Ban. D'polih & Mile.llon,ovI P.rlanol PropII'y
(Schod,l. EI
6. Joinlly Own.d Prop.rty ISth.dl,ll. f)
7. Trani"" (5ch.dul. 01 (Sch.dul. l1
8. Tolol G,on A".lIltalalllnll 1.7)
9. funeral hp.nlll, Adminh',oll". Colli, MilCllloneol,l1
hpenlll ISth,dul. HI
10. D.bh, Mo,tgaS' lIobililill, 1I.n, (Sch.dul. I)
11. Tolol O.dudlonl (lo'alllnll 9 & 10)
12. N.I Volu. of E"al. (Un I B minu, lIn. 111
13. Choritabl. and Oo..ernm.n'ol I.qullh (Schedul. JI
U. N., Volu. Sub Id 10 Tolt 11In. 12 mlnulUn. 13)
15. Spoulol Tron,'e,. (for dol.. of d.alh oft" 6.30.9.tl
5.. Inl'fudlonl ror Appllcabl. Percen'og. on Re"er.. (151
Sid.. (Includ. "oluII from Sch.d",l. Ie 0' Schedul. M.I
16, Amounl of lIn. ,.. 'oltobl. 01 6% '01.
(Includ. valu.. from Schldul. Ie 0' Sch.dloll. M.I
17. Amounl or Un. tA toltobl. 01 15% '01.
(Includ. "olu.. f,om Schedul. K or Sch.dul. M.I
11. Prlnclpol to. d,. (Add 10.lrom lIn.. 15. 16 and 17.1
\9, Credih Spousal Po".rty C"dh P,lor POJm.nll Dllcounl
+ 3.850.00 + 177.38
20. II Un. 19 I, grlO'" than Un. 18, .nler ,he differ.nc. on lIn. 20. Thl, 11 the OVERPA YMINT.
aD
21. If lIn. 18 Is greoler Ihon lIn. 19, .n'er ,he diff".nce on lIn. 21. thill, the TAX DUI.
A. Enler th.lnl,,"1 on Ih. bolonc. due on lIn. 21A.
I. En.or.ho tOlolo' lIn. 21 ond 21A on lIn. 211. Ihl.lI.h. BALANCE DUr.
Moh Ch.cle Poyabl. '01 bghler of Willi, Agent
III --1.Q,..ll2.!i",56
191 7.209.48
1101 _--.1./~.1. 46
11,700.94
59. 125.6L-..____
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1161 _...59,.125.62....-.__.06. __3,547..53_._.
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SCHEDULE B
STOCKS AND BONDS
COMMONWI!AlTH Of PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF
Croke, Dorothy G.
2195-0525
(All proporty lolnlly.owned with Righi olSurvlvo..hlp mUll bo dl"tolod on Schodulo F,l
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
Of DEATH
1,435.50
1.
GlMA Pool/l44839, 12.5% - Surety date 10/15/2010 (See attached)
Federal Heme U:lan l>brtgage o,rp Pool /1950335, 9% maturing
09/01/97 (See attached exhibit)
1,337.00
2.
3.
Government. National l>brtgage Association Pool /126998, 9\
maturing 2008 (See attached exhibit)
Government National l>brtgage Association Pool /108470, 8.5\
maturing 2006 (See attached exhibit)
12,651.00
14,556.99
4.
)
TOTAL Al,o onlo, on IIno 2. Roeo lIulollon
(I' more .pace i. ne.ded, In.." additional .h.,,, 01 lome lI,e.J
$ 29 980.49
.i ,j-!j;.,'"'r::T\~.::~/:\;:f~"'~)~;
.,.,,\JOIII.I'-'7I
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploa.. Prlnl ar l 0
FILE NUMBER
2195-0525
-!j~
COMMONWIAlJH 01 PfNNlYlVANIA
INM..nANC' TAX lnulN
IU.DINt DICIDlNT
ESTA E OF
Croke, Dorothy G.
(All P'....rty .....tt.,......... with the II,hl e' lurvhrenhlp mu,'1M dllel...d en Scheclule '1
VALUE AT
DATE OF DEATH
1,829.00
N~'k~ER DESCRIPTION
1. Janney Montganery Scott Money F\Ind (See attached exhibit)
2. O:mnercial National Bank Savings Account (See attached
exhibit)
3. me Bank Checking Account #5070099686 (See attached e>:hibit)
4. 1994 Federal Incane Ta>: Refund
109.02
327.60
4,248.00
832.93
709.05
5. 1994 PeMsylvania Incane Tax Refund
6. Medical Reimbursement - Capital Blue Cross
S 8 055.60
(Attoch oddlllonoI8~- M 11- ,hul,I' "'0" .poc. I. "..d.d,1
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SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWfAUH O' PENNSYLVANIA
INHERITANCf TAX RnURN
RfSIDfNT DfCfDfNT
ESTATE OF
Croke, Dorothy G.
FILE NUMBER
2195-0525
Jolnttonont(.).
NAME
A, 'Ihanas J. Croke
ADDRESS
3011 Ben Venue Drive,
Greensburg, PA 15601
RELATIONSHIP TO DECEDENT
Son
B,
C,
JolnllVoOwnod PIOPO"V'
ITEM LmER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBEI JOINT MADE DESCRIPTION OF PROPERTY
TENANT JOINT OF ASSET %INT, DECEDENT'S INTEREST
1, A. 8/84 Dauphin Deposit Bank Cllecking 1,180.94 50% 590.47
Account #0024660795 (See
attached exhibit)
TOTAL (AlIa onlo, on IIn. 6, Rocopllulotlan) S 590.47
(11 more 'pace ;. ne.d,d in.ert additional ,h.." a/.ame size)
.,,,",^-',.,< ~
RlV.1510 EX+ 12.171
.
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
COMMONWIAL!H Of P(NNSVlVANIA
INHIIITANCI TAX InUIN
IIIIDIN' DltlOINT
ESTATE OF
FILE NUMBER
Croke, D:>rothy G.
2195-0525
THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES.
- '-IT-E-M'- -....-.----~CRIPTION OF~;;;PERTY TOTAL VAI'UE OECO, . OOllAR VALUE
. ' , EXCLUSION "" OF OECEDENT'S
"~~~BE! ~~~~~.'.!am. ol_~.',o~.~!_..~~!~~.~..~~~~!~!~..~~~.d.n'. dol. oll,anl"', OF ASSET I~T, . . IN1E~ES1 ~
1. Cash Gifts to Son, Lee Croke, within one $3,000
(1) year fran date of death
19,100.00
$16,100.00
2. Cash Gifts to Son, 'n1aras J. Croke,
within one (1) year preceding death
$3,000
$16,100.00
19,100.00
--'-'~_r--
._~_~_..._ _.~,__.___~_.___..__""'.-______~"~_..,.<~^ ._"."_. __._,"_ .!.C?_T~.~J~!'~__!~I!!.!~_I!~!_!~_~!~~~I~~lo~!~~) s 32j_~,9Q. ~q_.
(If mo,. 'pac. j. n"d.d, in..,' addirional,h,,'. 0' lam. I/".J
ESTATE OF
Croke, D:lrothy G.
ITEM
NUMBER
UVI"II"I'''l
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.a.. P,lnt or Typ.
~ NUMBER
2195-0525
COMMONWEAltH Of '(NN~YlVAN1"
INHflllIANCf fA_ RfIUIN
.UIOINT OICIDfNI
DESCRIPTION
AMOUNT
A, Funoral ExplnlO"
1.
Musselman F\meral Heme - F\meral setvices
$3,955.00
B, Admlnl.trallv. Coli.,
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
1.
Personal Representally. Camml..lon, 'l11anas J. Croke _
Social Security Number of Personal Repre,enlollye, .
Vear Comml..lons paid
Waived
2.
Allorney Feel Caldwell & Kearns - Attorneys' Fees and EKpenses
$2,696.00
3.
Family e.empllon None
Clalmont
Add,e.. af Clalmanl at decedent', death
Street Add,e..
City
Stale
Zip Code
Relallon,hlp
P'ob'lt~i'Mter of Wills
125.00
MI,eIUanlou. ExplnlO.1
Carlisle Sentinel - Legal Advertising
OJmberland Law Journal - Legal Advertising
68.46
'40.00
'l11anas Croke - Expense reimbursement (Postage, telephone and
transportation)
123.00
TOTAL (AI,o enler an line 9, Recapltulatlan)
(tf ma,e Ipae. I. n..dld. In..rt addlllanallh..1I of .oml .1...1
7,209.46
s
_ty-unllt 11-"1
'*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI. a.. P,lnt 0' Ty .
FILE NUMBER
2195-0525
tOMMONwtAUH 01 rtNNlnw.NIA
INHUltANCt tAl utu_H
_UUIINIOlttOINI
ESTATE Of
Croke, Dorothy G.
ITEM DESCRIPTION AMOUNT
NUMBER
1. Capital Health Systan - Unreimbursed medical 100.00
2. Messiah Village - Nursing hane services 4,291.77
3. Bell Atlantic - Telephone bill 9.69
4. Souder Tax Service - 1994 Federal and state Taxes 90.00
l
;
I
TOTAL (AlIa onlo, on IIno 10, Rocopltulatlan)
(II more spoc. is n.eeleel, ins.rt aelelilionol sheets 01 10m. size.)
$
4,491.46
nV.lSnUtIU7)
,.
COMMOHW....UH or "HNlnVANIA
INNII"ANa fA. llrulN
'''IDtNf DtctDtNf
SCHEDULE J
BENEFICIARIES
ESTATE OF
Croke, Dorothy G.
FILE NUMBER
2195-0525
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. Taxabl. elqul.1I1
1.
'lbanas J. Croke, 3011 Ben Venue Drive,
Greensburg, PA 15601
Lee Croke, 10 Greenhill Road, Mendham, NJ 07940
Son
1/2 residuary
1/2 residuary
2.
Son
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charltoblo and Govornmonlol BOquIIl1I
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (ArlO onlor on IIno 13, Rocapituratlonl S
(If more 'pac. I, ne.d.d, Inlert additional ,heets af ,am. 1111)
'.D' "'ARKeT .TRlleT
..HILADllL...HIA
...1l....IlR.
NEW YORK .TOCK IKCHANGE, IHC.
OTHER ..RINDI"AL. IXCHANGE_
17171'7:1I."''''OD
~~~~
.et7 ~ f911-/
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~ 9tf;;1' nt7M.~~t79
September 25, 1995
T1D-lAS J. COOKE
I
3011 BEN VEWE DRIVE
,
GREENSBURG, PA 15601
RE: GIoIA POOL #44839
12.50%-10/15/2010
Dear Tan:
'!he value of the above-referenced GIoIA as of ~lay 20, 1995 was $1,435.50.
Please feel free to contact rre at the office if you need any other assistance.
yours,
L. E. Jl.,/) 1e/1J0C[/
"
.1
I'Ne nlnk, N.A.
'12-12 (~"II~Ic' JIIL..,
n""I'IIiIl.I'A 171111
PNC BAN K
August 10,. 1995
To.Whom It May Concern:
As per your request for information on accounts the referenced
decedent held with us, the information follows on the attached
sheet(s) .
If I can be of any further assistance, please feel free to contact
me at (717) 730-2321.
Sincerely,
c!}.Ut:L J~J}
Edith Tancil
Miscellaneous Services Supervisor
Bank Operations
ET/mky
..
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DECEDENT NAME:
DATE OF DEATH:
SOCIAL SECURITY NO.:
Dorothy G, Croke
OS/20/95
196-14-2205
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
Interest Checking
5070099686
Dorothy G, Croke
c/o Thomas J. Croke
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
07/30/90
$327,60
$0.00
$0,00
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
TYPE OF ACCOUNT:
ACCOUNT NUMBER:
NAME(S) ON ACCOUNT:
DATE OPENED:
DATE OF DEATH BALANCE:
ACCRUED INTEREST:
INTEREST PAID YEAR TO DATE:
OTHER INFORMATION:
I
I
I
,
,
'.....
I
STOCK INFORMATION CAN BE OBTAINED FORM CHEMICAL BANK
AT 1-800-982-7652
COMMERCiAL NATioNAL bANk
CorpDrll1 Hlldqulrtsn
P,O. 80, 429
lIIIObo,PA Il651l
~I
5>>1lI161FISl
Anll MllIIOlmlnl
Ind Trull Olvlllon
\I H.nh 1I.ln SI,..I
G"onsil<l,g, PA 15601
136-7e70
Courthoull8qUIrI
19H.rthll.lnSIr..1
G,....il<l,g. PA 15601
136-71S9
Oownlown Latrobl
000 L1g.nlll SI,..I
lIIIObo,PA Il651l
~I
EIIIOIII
GeorglS SIIIi.n Ro.d
P.O. 80032011
G,..nsil<l'g, PA 15601
136-1600
LawlOn HIIOhll
Rouloll81.lTllryWoy
llllObo,PA1S6!O
SJ9.9774
L100nllf
201 WISI1I.lnSI,..1
ligon III, PA 11658
ZJ8.0538
Lincoln HOld
Lincoln .00d Shopping Cenlll
lIt,.bo, PA IS6!O
537.1l9IIIl
Plllllnl Unity
RoutlSlI8l1nd 130
PI....nl Unity. PA 15616
423-5222
Will "lWlan
109 EasllI.ln SIr..1
WlSt Ho.l.n, PA 15OIl9
112-51111
01 Wl~TMOIllI"Nd CotWTY
AUgust 4, 1995
Charles J. DeHart, III
Caldwell & Kearns
3631 North Front street
Harrisburg, PA 17110-1533
Dear Attorney DeHart:
In response to your letter dated August 1, 1995
regarding the balance in Dorothy G. Croke I s savings'
account, the date of death balance on Hay 20, 1995 was
$109.02.
If I can be of further assistance, please contact me
at (412) 537-9963.
Sincerely,
~~~
Patricia Torrance
Customer Service Representative
I..
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CERTIFICATION OF NOTICE UNDER RULE 5,6(a)
Name 0 f Decedent I Dorothy G. Croke
Date of Deathl May 7.0. 1995
Will No.
Admin. No.
1995-00525
To the ReqillLera
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 Collowinq beneficiaries of the above-captioned estate on
Julv 17. 1995 I
Name
Address
Thomas J. Croke
3011 Ben VentlP nri\1("l. r:r('pn~hllrq. P^ 15601
Lee Croke
10 Grppn Hi 11 Jln<'ln. Mnnrlhnm N.1 n7Q40
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Datel
;(n!Jj-
c' ) t,-,-~
Siqnatu;e Charles J. Dellart, III
C1\
Name Chl1TlpQ .1. npHArt-. lIT. Rqa.
.:~ .::(
'0..
:) !?
Address
C:l
3631 North Front Street
co
~
.,
,
lIarrisburq, PA 17110
...J
~'5
Telephone 17l7} 232-7661
'I >,
(1lU;
a:
.,
-I::
.,)/::0
uu
Personal Representative
x Counsel for personal
representative
Capacity:
~
.,r'- -. ._ _ ...-'-' ._ ..
"--~.~-~'\'~=':'!":;5>~,"f=~-- -.- - -- ....- '. - ..- h - -'-'- -- - - -- .- _.- - - .-----
.~-- "".,":,,'.,:'t. C~~MONWEALTH OF PENNSYLVANIAC)j.~()
'.: I ~;N;~0~o4~t~~:;:IALREC~lptllP~~~:t:~: I~~:~~ANCIAND ESTATETAX , ~
L_
RECEIVED FROM,
I
ACN
ASSESSMENT I!'I
CONTROL IiiI
NUMBER
AMOUNT
THOMAS J. CROKE
1 LLOYD AVE. PLACE
SUITE 107
LATROBE, PA 1~6~0
101
..!l,O:Sv.OO
ESTATE INFORMATION,
f:'I fiLE NUt,llER
li1 . 21-199~-O~2~
I:!I NAME Of OECEOENT ILAST)
1;1 CROKE DOROTHY G
II DATE Of PAYMENT
EI POSTMARK DATE
COUNTY
SSN 196-14-220:5
(FIRST) (MI)
CUMBERLAND
DATE OF OEATH
REGISTER OF WILLS
fa TOTAL AMOUNT PAID .a , B~O. 00
SK
RECEIVED BY ?nLVJ.-/.L,~'~<~ "'t'~" t
~ ~ifu"..(.I.~.I:~
MARY C. L.EWIS "v V
REG~STER OF WIL.L.S
REMARKS
THOMAS J CROKE
SEAL
CHECKlI 0172
.'
- -.- -- - - - -- --- - - -.-.":':""'._~.::-,'.,,~ ;-7';;-::;-,_~..~,_~ -~-'"-."- -..-:-- - - -.. -----:'"..,.~.,:-:.,~. - - -:- -:- - -,~ -........ ~.,--;.,7:';"
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- - .! -;--.
Inventory 01 the real and parsonat oslale 01 c:..
D::lrothy G. Croke deceased
Real Estate - None.
Persooal Property:
1. PNC Bank Oleckinq Account #5070099686, O:Ite-of-cleath balance
2. O:mnercial National Bank Savings Account #0293499, t\3te-of-cleath balance
3. Janney Montgomery Scott Inc. Brokerage Account #2462-7475, Date-of-cleath
balance
4. Government National Mortgage Association Pool No. 44639, Interest Rate
12.5%, Series 2010, Date-of-death value
5. 1994 Federal Income Tax Refund
6. 1994 Pennsylvania Income Tax Refund
7. OJtstanding Medical Reimbursement fran Capital Blue Cross
v)
i<i
L~~ 1.....
~j \
,) s
fjo
Total Inventory
327 60
,109 '02
30,373 99
1,435 50
4,246 00
632 93
709 05
38,036 09
COMMONWEALTH O' PENNSYLVANIA ,}
COUNTY OF 411~...n~N.. f),,-,-,-~
....?j!..~ ~. L%./e~
b.lng duly .4<<"t'1..~,- .ccordlng to I.wo d'POIII .nd "YI th.1 he ,..
.t-it".<,:t-~-L 01 th. Elht.., torothy G. Croke
1.1. ., __u___, .__...... ..__._ , Cumbtll.nd County. ,.... d.cu..d .nd Ih.1 th.
wllhln II en In..nl.ry m.d. by --/.A.-"'~' _ I th. I.'d ~~"-c<.tn
., Ih. .ntlre ",.1. .Iuld d.e.dln', conlhtlng .1 .11 Ih. pmon.1 p,op-.rty .nd ,ulul.I.. ..c.pl rul I"'" .uhld.
Ih. Commonwullh .1 '.nnlylv.nl., end thll Ih. ngur" oppolll. oteh 111m I' Ihl Inv.nlory 'Ip,.unl 11'1 ,.1, v.lu.
II ., Ih. d.l. 0' d.ced.nl'l d..th.
d'-rJ~ .nd lublc,lb.d b,'ore ml,
,
III
19 '1"-
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NOTARIAL SEAL
'lANCY L BRESKl, Nolary Public
llarrlstIJrg, PA. Dauphin Counly
My Commission expires Mar. 16,1996
D.I. 0' O..lh 0
D.,
A4dt...
Mav
Muth
1995
v..,
INSTRUCTIONS
I. An In..nlo,y mUll b. W.d wllhln Ih,.. month I .It., .ppolnlm.nl 01 pmon.1 rep,,,.nl.tlve,
2. A Iuppl.menl In..nto,y mu,t b. Wed withIn thIrty d'YI .f dl.co..ry 01 .ddlllon.1 ....h.
3, Additlon.1 .h..h mey b. .ll.ched " 10 p,"on.lly 0' ...lIy
4. S.. Artlcl. IV, Flduel.,l.. Ad 01 1949,
~ l!! 1
.
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Do 5 .
In u .
2 .
en ~ w Q I C'
en i!:
~ Do .J ... r E
I ~ 0 :. 0
In ... .J ~
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In ~ Z a:
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'\
REV-1547 EX AFP (12-95*
CottMOtMAL 1H Of' Pt:NNSYLVANIA
DEPARIM:HT Of' RfYEHUE
IURtAU OF INDIVIDUAL TAM[S
I)[PT. 110601
HARAISIURG, PA 111Z.~0601
ACN 101
NOTICE Of INHERITANCE TAX
APPRAISENENT, ALLOWANCE OR OISALLOWANCE
Of DEDUCTIONS AND ASSESSNENT Of TAX
DATE 03-25-96
FILE NO.
DATE OF DI!ATH 05-20-95 COUNTY CUMBERLAND
HOTE. TO INSURE PRDPER CREDIT TD YOUR ACCOUNT, SUBNIT THE UPPER PORTION Of THIS fORN WITH VOUR TAX
PAYNENT TO THE REOISTER Of WILLS, NAXE CHECX PAYAaLE TO "REGISTER Of WILLS, AGENT"
REMIT PAYMENT TO:
CHARLES J DEHART III ESQ
3631 N FRONT ST
HBG PA 17110
REGlSTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
A.ount R..Utad
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
riiv=iilW-ix-iij:ji-n'2=9finiiificniF-YtiiiiiiiTANcE-i"Ax-APPRAiiiiiiiNT-;-iii.LowANcE-iili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CROKE DOROTHY G FILE NO. 21 95-0525 ACN 101 DATE 03-25-96
TAX RETURN WAS. I X I ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, R..l E.t.t. CSchodul. A) 111
2. stocko and Bond. ISchoc!ul. BI 12)
5. Cloa.ly Held stock/Partnership Intaraat (Schadul. C) (51
4. Hortgagaa/Hot.. Recalvabl. (Schadul. 0) (4)
5. C.ah/Bank Dapo.lta/"lso. Par.onal Property (Schadule E) 15)
6, Jolntl~ Dwnod Proport~ ISchodul. fl 161
7. Tr....af.r. (Schadula Q) (7)
&. Total As..t.
) CHANGED
.00
29.980.49
.00
.00
8.055.60
590.47
32,200.00
CI)
70.826,56
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral E~p.n.a./Ac.. Co.ts/"l.o. E~pensa. ISchedule Hl (9)
10. Dabta/"ortgaga Llabi1Itl.s/Lian. ISchadul. I) 1101
11. Tot.1 Deduotion.
12. Hat Value of T.~ Raturn
15. Charltab1a/Covarn..otal aaqua.ta (Schedule J)
14. Het Value of Eat.ta Subject to T.x
7.209,48
4.491. 46
111)
112)
CUI
11~)
11.7"" q4
59,125.62
,00
59,125.62
I~ an assess.ent wes issued previouslY, lines
reflect ~iguras that include the total o~ ALL
ASSESSMENT OF TAX:
15. Aaount of Lina 14 .t Spous.l rata 115)
16. A.aunt of Line 14 t...ol. at Llna.l/Cla.. A rat. (16)
17. Aaount of Line 14 taxable at Co1lat.ral/Cl... 8 rat. 117)
18. Principal Tax Du.
TAX CREDITS:
PAYNENT
OATE
08-18-95
14, 15 and,or 16, 17 and 18 will
raturns assessed to d8te.
NOTEI
,00 X .00.
59.125.62 x' 06.
.00 X ,15.
I1B)
.00
3,547.53
.00
3,547,53
RECEIPT
HUHBER
AA048131
DISCOUNT 1+)
INTEREST C-I
177 , 38
AHOUNT PAID
3,850.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
4,027,38
479,85CR
,00
479,85CR
. If PAID AfTER DATE INDICATED. SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST,
If TOTAL DUE IS LESS THAN .1. NO PAYNENT IS REQUIRED.
If TOTAL DUE IS RefLECTED AS A "CREOn" ICRI, YOU NAY BE DUE
A REfUND, SEE REVERSE THIS
.'
RESERVATION. r.tlt.. of dK..,,, dying on or bela,.. he...,. 12, 1912 .. 11 MY future Int.r..t In the ....t. I. t"""'rnd
In po.....lon ar enJov-ent to Cll" . (coll,'.r.l) beneflcl.r... of thl dlc.dent .,t.,. the l.plt.'lon 0' any ....t. for
11'. or 'or y..t., the C~.lth hereby l.pr.,.ly rl..tv.. the rIght to appral,1 ~ ...... tran,'.r J~rlt~. 'lXI'
at the l.wful Cl... . (col1.'.r.l) t.t. on ~y 'uch lutur. I"t.r..t.
PUIlPCISE .,
NOTICE. To fulfill tM nqulr..."tl of SICtlon 2140 of thl Jnhllrlt.-.cl Met E.t.t. TalC Act, Act 22 0' 1991. 72 P.I.
SeaUon 2140.
PAVHEHTt IMtKh the top portion of thh NoUct Ilnd tublllt with vou,. pay.." to tM Rlllhtl,. 0' WU.. prlnt~ on thll ,.Inrll Ila.
....... check or ttoney order p.vlabl. tal REGISTER OF' If ILLS .. AOEHT
All p.~t. rKllved ilMll fir" be ."l1ed to any Int.,.ut which HY be due .,ith any r...l".,. IlPPlled to ttMI tax.
RUlJraJ rcah A r.fund 0' . t.. credit, .....Ich .... not r.quut.d Dn the Tax Rlturn, ..y be ,.....t... by coeIPleUng en "Appllcetlon
for A.fund of Pennlylv.nie Inherlt~. ~ E.t.t. Ta." CREV-13IS), Appllcltion. .r. ,vllllbla .t the Dffic.
of the Aegl.t.r of WillI, any of the 23 R.v~ DI.trlot Dffic.., or bv c.lling the 'Plei.1 24-hour
ftn.~rlng ..rvlc. nuabar. for for.. ordering I In Penn'Ylvanla 1-800~S62~205a, out'lde Penn.ylvanla and
within locII ",rrlabur. .r.. (717) 117-.0t4, TOO' (717) 712~ZZ5Z CHelrlng lap.lred Only).
aBJECTIONS I Any p'rty In lnt.r..t not ..tl.fled with the 89prll'aaant, allov~. or dl..IION~' of d~tlon., or .....aaant
of t.. (Including dl.count Dr Inter..t) .. shown on thl. Hotlc. au.t obj.ct wIthIn .I.ty (60) d.v. of rec.lpt 0'
thh Hotlce byr
--..ritt... prot..t to the PA Dap.rt.."t of R.veftW, Bo.rd of Appull, Dspt. ZII02I, Hlrrhburg, PA 171Z1~IOZI, OR
--.Iectlon to hay. the a.tt.r d.t.r.lned .t audit of tha .ccount 0' the p.r.on'l r.pr..ent.tlv., OR
neppul to tlMi Drph.".. Coyrt.
ADttIN
ISTRAnVE:
CQRRfCTlOHSI
Factual .rror. dl.cov.rad on thl. ......-.nt .hould b. addr...ed In writing tOI PA Dep.rt.ent of R.venue,
Bur.au of Indlvldu.1 T...., ATTNI Pa.t A.....eent R.vl... unIt, Dapt, 2.0601, H.rrl.burg, PA 1712..0601
Phone (717) 7'7~6505. S.. page 3 of the bookl.t "In,tructlon. for Inherltanc. Ta. R.turn for. A..ldant
Decedent.. (REV-IS01) for an I.plan.tlon of ldalni.tretlv.lY correctlbl. .rror.,
If any tlX do. I' p.ld wIthIn thr.. (5) c,lendlr ~th. .ft.r the d,cedent., d.ath, . flv, p.rcent (S~) dIscount of
the t.x p.id .. IUovMt.
Int.r..t I. charged beginning with fir,t d.y of delinquency, ar nine (,) aanth. end one (1) d.y froe the d.t. of
o.ath, to tlMi det, of p'v-ent, T.... which bee... ~llnquent befar. J~.ry 1, 1'12 bear Int.r..t .t the ret. of
.i. (6~) percent per ennu. c.lcul.t.d It . d.lly rat. of .000164. All t.... which b.c... d.llnquent on end aft.r
January I, 19.Z will be.r Int.r..t .t . rat. WhIch wIll vary froe c.land.r y..r to calend.r ya.r with that rata
..-.ounc:ac1 by the PA Depert.."t of R.venue. The appllcabl. Inter..t rat.. for 1'12 through 1996 .rel
DISCOUNTI
INTEREST I
'!!!! Int.raat A... D.lh Intar..t F.etor !!!! Inter..t R.t. D.lh Int.r..t Factor
"IZ 'U ,OaOS48 1911 ,. ,GOO247
1913 16' .0aouI 1'....1991 11. ,000301
I'" 11' ,OOnOl 199' ,. ,OaOZlt1
1915 U. .aOnS6 1995-1994 7Z .ooanz
I'" 10. ,000214 1'9S~1996 ,. ,aoozlt1
ulntlr..t 11 calcul.ted .. follow.1
INTEREST a IALAHCE OF TAX UNPAID X NUHaER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Not Ie. I,.ued .ft.r the t.w beco... d.linquent will r.fl.ct en Int.r..t calculation to flft'en CIS) day.
beyond the d.t. of the ..........t. If p.y_ant It ... after the Int"..t co~t.tlon d.ta .hown on thl!
Hotlc., addlUONIl Inter..t au.t be calcul.ted,
j'REV.1607 EX AFP (12095*
COMONWfAl I" 01 P[HHSVlVAHIA
DEPARIHfHf or R[V[NUf.:
IURf:AU Of INDIVIDUAL fakES
DlPf. 11060'
HARRISBURG, PI 17IZI'0.01
;6- '/'/-3
cL
ACN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 04-29-96
CROKE DOROTHY G FILE NO. 21 95-0525
DATE OF DEATH 05-20-95 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBNIT THE UPPER PORTION Of THIS fORN WITH YOUR TAX
PAYNENT TO THE ADDRESS SHOWN. HAKE CHECK PAYABLE AND REHIT PAYHENT TO, ,
CHARLES J DEHART III ESQ
3631 N FRONT ST
HBG PA 17110
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
Allount R..Ut.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES .....
iiiWi6iii-ix.AFp.n.F9Sy--.......uiiliiiliITAili:E"Tiix.sTATEHE.tiT-oF-iii:ciiuNTuiii.-----...uuum-m
ESTATE OF CROKE DOROTHY G FILE NO. 21 95-0525 ACN 101
THIS STATEHENT IS PROVIDED TO ADVISE Of THE CURRENT STATUS Of THE STATED ACN IN THE NAHED
ESTATE, SHOWN BELOW IS A SUHHARY Df THE PRINCIPAL TAX DUE. APPLICATION Df ALL PAYHENTS.
THE CURRENT IALANCE. AND, If APPLICABLE. A PRDJECTED INTEREST fIGURE.
DATE 04-29-96
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 03-18-96
PRINCIPAL TAX DUE I, '3.547,53
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
08-18-95
04-09-96
RECEIPT
NUMBER
AA048131
REFUND
DISCOUNT (+)
INTEREST (-)
177 ,38
,00
3.850,00
479.85-
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
3,547.53
.00
,00
,00
. If PAID AfTER THIS DATE, SEE REVERSE
SIDE fOR CALCULATION Of ADDITIONAL INTEREST,
( If TOTAL DUE IS LESS THAN n.
NO PAYNENT IS REQUIRED.
If TOTAL OUE IS REflECTED AS A "CREDIT" (CRI,
YOU NAY BE DUE A REfUND, SEE REVERSE SIDE Of THIS fDRH fDR INSTRUCTIONS,
~~
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Oat.ch the top portion 0' thl. Notlc. and lubelt with your p.y..n' _ad. peYlbl. to
printed on the r.v.r.. .Ide.
&),;.
:0 -g
C, N
lh.:i~ ond .~...
Vol
~
-<
I
0'\
PAVHtHT I
...- ;;:.
...... .
~r_l'
Wo
-
If RESIDENT DECEDENT .... check Dr lonlY ord.r plyebl. tOI REGISTER OF WILLS, AGENT.
If NON.RESIDENT DECEDENT lak. check Dr eonay order p.yabl. tor CDHHONWEALTH OF PENNSYLVANIA.
All p.~t. tlCllvld .hlll bl applIed flr.t to eny Inter..t which '.y b. dUI with any r...lndar .pplled to the taw.
REFUND (CA)I A r.fund of . tax credit, which wa. not raquI.tad on thl rlx Return, ..y ba raqua.tad by coaplatlng an
"Application 'ar Refund of Pennlylvanla Inharlt&ncl and E.tat. ,.." (REV-Ill)). Application. at. IVIllabl. It
thl O"JCI 0' thl RlgAI'a, of WIll., any of thl 23 R.v.nu. Dl.trlct Olflc.,or Ira. th. D.p.rt.ant'. Z~~hour
an.w.rlng ..rvlc. nu.b.rl for for.. ordarlnDI In P.nn'vlvanl. 1.IOO.56Z-20S0, out.lda Pann.vlvanla
and within 10c.1 H.rrl.burg .r.a (717) 717.I09~, TOO. (717. 772.2252 CH..rlng I.palrad only).
REPlV TOI Ou..tlonl r.g.rdlng .rror. contalnld on thl. not lea Ihould b. addr....d tOI PA Dsp.rt'snt of Ravsnu., Bur..u
of Indlvldu.1 TI.s" ATTHI Po.t A.......nt A.~I.w Unit, Dapt. 280601, Harrl.burg, PA 17121.0601, phon.
(717) 787.6505.
DISCOUNT, If any ta. du. I. paid wlthln thr.. (5) ell.ndlr .onth. .ftar th. d.e.d.nt', d,.th, . flv. pare.nt C5~) dl.eount
of thl t.. Pltd l. allow.d.
IHTEREST. Int.r..t t. charg.d baalnnlng with 'tr.t d.y of dallnquancy, or nln. C'. lonth. .nd on. (1) d.y fro. th. dati of
d..th, to th. d.t. of p.y..nt. T.... which b.ea.. d'llnqu.nt b.lor. January 1, 1'12 b..r Int.r.,t It thl r.t. 0'
.1. (6~) p.re.nt p.r Innu. e.lcul.t.d at . dally r.t. of ,00016~, All t.... which b.ca.. d.llnqu.nt on Ind .'tl'
Janu.ry I, 1'12 will b..r Intar..t at a rat. which will vary fro. ell.ndl' y'lr to eal.ndl, y..r with thlt rat.
announc.d by tha PA a.p.rt..nt of A.v~nu., Th. Ippllc.bl. Int.ra.t rlt.. for 1'12 through 1"6 .ra,
V.ar Int.,... A.t. D.11y Int.r..t Factor YII.r Intarut A.t. Dally Inhr..t F.ctor
1912 ZO;( ,0005"'8 1'87 .~ .00OZ47
1'0 I'~ .OOOU8 1988.1991 11;( ,OODSOl
19" 11;( .000301 1992 .~ .OOOZU
19&5 U~ .000556 1993-199'" ,~ ,ooonz
191' lo~ ,00021'" 1995.1996 .~ .OOOZ~7
ulnt.,..t I. cllcul.t.d II 'allow"
INTEREST . IALANCE OF TAX UNPAID X NUNDER DF DAYS DELINQUENT X DAILY INTEREST FACTOR ~' .
..Any Hotle. I"u.d .ft.r thl t.x baeo", d'llnqu.nt will rafl.ct .n Int.ra.t caleu1.tlon to flft..n (IS) dly'
b.yond the d.ta of th. .......lnt. If paya'nt I. ..d. .ftar thl Int.r..t co.put.tlon date .hown on the
Hotle., Iddltlonll Int.r..t lU,t b. calcul.t.d,
ACKNOWLEDGMENT
::.Ttf'i13 01- JJ~t..J Ja~h"',/
COMMOmfBM.TH OF PENNS'.'I1JANIA)
COUNTY OF H Di4-.(? J..:5
.
.
)
ss:
On this, the ...!SL day of /lfRIL
, 1996, before me, a
Notary pUblic, the undersigned officer, personally appeared Lee
Croke, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the foregoing Receipt and Release and
acknowledged that she executed the same for the purposes therein
contained and desires that the same be recorded as such.
IN WITNESS WHEREOF, I have hereunto set my hand and official
seal.
69445-1
~J.u Ct~
. Nota'Y PUbli,
ELIZABETH A. MALON!:
NOiARY PUBLIC OF NEW JERSEY'
My CommiB&lon e.plr... March 30, 1998
t, .
"
-.~~~
RecoroadOrl/:;o of
RO'/fslel of Wills
'96 HAY 21
P2:J9
C'erk'O:fli;<!I1~ Court
Cumb..,litnd Co., PA
. "".
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IN RE:
ESTATE OF
DOROTHY G. CROKE
) IN THB COURT OF COMMON PLEAS
) CUMBBRLAND CTY., PENNSYLVANIA
) ORPHANS' COURT DIVISION
)
) NO. 21 95-0525
RECEIPT AND RELEkqE
KNOW ALL MEN BY THESE PRESENTS, that the undersigned, whether
individual or corporate, does hereby acknowledge receipt from
Thomas J. Croke, personal representative of the Estate of the
above-named Decedent, of the following assets: $ / ~
,
IN CONSIDERATION of said payment and transfer, the undersigned
does hereby release, remise, quitclaim and forever discharge the
said personal representative of and from all action, suits,
payments. accounts, reckonings, claims and demands whatsoever for
or by reason thereof, or any other account, matter. cause or thing
whatsoever relating to the Estate of the said Decedent.
AND the undersigned does hereby release all real estate of the
decedent and of the said personal representative from all liens,
claims, actions. suits. payments, accounts and demands whatsoever
for or by reason thereof or of any other account, matter, cause or
thing whatsoever.
IN WITNESS WHEREOF, the undersi;ced has caused this instrument
I "I:> "
to be executed this --2- day of ./il/klf , 1996.
W TNESS: J ~
..' '/... d!.e,,( ~l.l:Lt,-",Q,(".......... ~
Thomas J. oke
(SEAL)
Social Security No. 186-34-2402
.". "'"
ACKNOWLEDGMENT
COMMONWEALTH OF PBNNSYLVANIA)
COUNTY OF iV':fll1kl/tI1I'L"J,.. ; SS:
On this, the I()'ih day of
l\niu..Q,
\\
the undersigned officer, personally appeared
, 1996, before me, a
Notary Public,
Thomas
J. Croke, known to me (or satisfactorily proven) to be the person
whose name is subscribed to the foregoing Receipt and Release and
acknowledged that she executed the same for the purposes therein
contained and desires that the same be recorded as such.
IN WITNESS WHEREOF, I have hereunto set my hand and official
seal.
11*III....
c,nHI,..WNIt,=NIlI
G:~- Ccu1W
MIl --....11,'.
-1//JL(i '&Y/(.I;
Notary
c
69444-1
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Recolood O!fioe 01
Roglster elf Wills
, '96 MY 21
P2 :19
Clerl..C)i::h:;n'~ Courl
CUmbeuland GO., PA
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