HomeMy WebLinkAbout96-00972
PETITION FOR PROBATE und GRANT OF LETI'EnS
al -qtp ~q 1 2.
1I"I,'n A,
Kyll'
No.
To:
Eslale of
also known as
Regisler of Wills for Ihe
Deceased. County of ClIl1Ih,' r liIl1<1 in Ihe
Social SeclI,lty No. 17 i.-O',-I 2()" Commonwealth of Pennsylvania
The petilion of Ihe undersigned respectfully represents thai:
Your petitioner(s), who is/are 18 years of age or older an the exeeut..,
In Ihe last will of Ihe above decedent, dated ~Ia rl'h I H
and eodlcil(s) dated ,,,,,,,.
named
, 19....liL-
(ltlle: relevant clrcumu.nc!:s. C.K. renunciation. death or executor, etc.)
Decendent was domiciled at dealh in Cum I", r 1" nd County, Penrsylvania, with
~ er last family or principal residence at 801 North IInnov,'r St r""t. Ca rUs I" ,
p(~.lvnnln (N.'r/l-. "\,;.~,il,'ft"')
(Un sum. number and munclpalhy)
Decendent, then 84 years of age, died Octoh"r 25 ,19 90
at Church of God I,urslnl; 110m" .
Except as follows. decedent did not marry, was not divorced and did nOI have a child born or ado pled
afler execution of the will offered for probate; was nOlthe vielim of a killing and was never adjudicated
incompetent: 11/ a
Decendent at death owned property with eSlimaled values as follows:
(If domiciled in Pa.) All personal property S 500.00
(If not domiciled III Pa.) Personal property in Pennsylvania S
(If not domiciled in Pa.) Personal property in County S
Value of real estate in Pennsylvania S
situated as follows: none
WHEREFORE, petilioner(s) respectfully
presenled herewith and the grant of leners
theron.
requesl(s) the probate of the last will and codicil(s)
(t'~t:Iml'ntarv
(tcuamenlary; administration c.t.a.i administration d.b.D.C.I.',)
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30
a
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~CH ~r. K-yorll!
6 BriJ~ewnt"r Ronu
Newville. Pennsvlvnnla 17241
OA.TH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } 88
COUNT\' O}o' CUNilER\.ANIJ
The petitl'JIler(s) abo~e':Iamed swear(s) or affirm(s) Ihat the statements in Ihe foregoing pelition nre
true and c"rr~ct to the best of the ~nowledge and belief of petitioner(s) and Ihat as personal represen-
tative(s) oi the above decedent pelilioner(s) will well and truly a minist~)he eSlnte according 10 law.
Sworn tll or affirmed and subscribed { ",~A~' r ,,'1!f;.7/ !!>
before me/thi~ _ 'J>'f. ~f ' . '. ~
- y' , 19 a
/ ;
MA . Regislet ~
:5-1'-13-10
1I10".I'ltI\' !Il/,
This is to (l'r1ifr Ih;11 .hi, i, .1 HUl' lIIP)' lit rill' (('lIlIll whidl i... HlIllk IlIlIu' I'l'IIll')'''',lI1i.ll>i\.j,illll III Viltll Hl'llllll... ill .lu,onloll1cl'
will. ^cr (iI, PI. WI. ,11'1'"",,1 h)' rill' (il'll,'"d 1\""lIIill)', .I"I1l' ."1, III~ \
WARNING: Ills 1II0goll0 dupllcoto this copy by photos tot or photogroph.
No,
(t.J..1I~
Fcc for ,hi, <<'rrilk,,,c. S IlX)
Ch,llb 1I"r<b'cr
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NOV " 3 1996
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COMMONWEALlHOF PENNSYlVANIA' DEPAnfMEN' OF UEALT'" VITAL RECORDS
CERTIFICATE OF DEATH
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LAST WILL AND TESTAMENT OF HELEN A, KYLE
I, HELEN A. KYLE, of North Newton Township, Cumberland
County, Pennsylvania, declare this instrument to be my Last Will
and Testament, in manner and form following:
I. I hereby expressly revoke all Wills and Codicils
heretofore made by me.
2. I hereby direct my Executor to pay all my just debts,
funeral and administrative expenses out of my estate, as soon as
practicable after my death,
3, I direct that all taxes that may be assessed in
consequence of my death of whatever nature and by whatever
jurisdiction imposed shall be paid out of my estate as a part of
the administration of my estate.
4. I give and bequeath my two gold watches, which are in
my safe deposit box, to my nephew, Barry L. Snyder, provided he
survives my death.
5. I bequeath such of my tangible personal property as is
set forth in a separate unsigned memorandum, which I shall place
with my will, to the persons therein designated.
6. I direct my Executor to sell all the remainder of my
property, both real and personal, at public or private sal". in
his discretion, the proceeds thereof to be distributed as
hereafter provided.
7. I give, devise and bequeath the remainder of my estate
as follows:
I
A, One-Half thereof to my stepson, James J, Kyle, and
to his sons, David Kyle and Daniel Kyle, If he is not then
living.
B. One-Sixth thereof to my brother, Lester D. Snyder,
and to his wife, Isabel B, Snyder, if he is not then
living.
C, One-Sixth thereof to my nephew, Barry L, Snyder,
and to his wife, Nancy Snyder, and his son, Tim Snyder, in
equal shares if he is not then living.
D, One-Sixth thereof to the Green Spring Church of
God, Newville, Pennsylvania, for its general uses and
purposes.
B. I nominate and appoint CCNB Bank, N.A" New Cumberland,
Pennsylvania, Trustee of the share of any beneficiary who may be
under the age of twenty-one years, The income and/or principal
of said trust may be accumulated or expended for the maintenance,
education and support of such beneficiary as my Trustee in its
sole discretion may determine; and my Trustee, in the expenditure
of income and/or principal for such purposes, may, at its
discretion, apply the same directly without the intervention of a
guardian or pay the same to any person having the care or control
of said beneficiary or with whom the beneficiary resides, without
duty on the part of the Trustee to supervise or inquire into the
application of the funds by any person to whom any payment is so
made, The balance of such income and/or principal shall be paid
to such beneficiary upon reaching the age of twenty-one years, or
to such beneficiary's estate in the event of death prior thereto,
2
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLANO
SS,
I, Helen A. Kyle, Testatrix, whose name is signed to the
attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed it
willinglYi and that I signed it as my free and voluntary act for
the purposes therein expressed.
Sworn or affirmed to and acknowledged befor~ me, by Helen
A. Kyle, Testatrix, this ,it. \:.9,., day of ,"'-C/..J\64-., ,l987.
Jd!L /
)'6C/.~
TestatrIx
(/'1 ,(. ~' j' j,.
I /l)n (, (.( d ) J(t JI_1(/IJ,{) )
I . I
MERLENE MARHEVKA, Notary Public
(clll.b, Cumbcllo!"ld (oun1v, P-l,
"h. Comml'lion Exo;!C', " . -","'?.J
4
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
We, Janice E. Hertzler and '.)l\..~,... \::>' "t \ e''-''..' ,'::::.',. I the
witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw Testatrix, Helen A, Kyle, sign
and execute the instrument as her Last Will; that she signed
willingly and that she executed it as her free and voluntary act
for the purposes therein expressed; that each of us in the hearing
and sight of the Testatrix signed the Will as witnesses; and that
to the best of our knowledge the Testatrix was at that time lB or
more years of age, of sound mind and under no constraint or undue
influence.
SS,
Sworn
E. Hertzler
'j!,~
or affirmed to and subscribed
and ::::,c..~,o{.-" :.:~. \:-\t,~,,,,, )~"
day of ~"""(M~ ' 19B7.
to before me by Janice
, witnesses, this
c~ ~, <..L- ~}. N -e-lt; J2L~
~tness
I~) - ~t~;s i,1) ~)tc-u.<,~'\
r \ '
~"}' ). ~! "'--Y-v~)1') I ' : //;;
I \. i' ,'/ ,..' (J,( ( /J / ,( J') i"'L l,{J.A:.A
! !
MERLENE MARHEVKA, No'ory Pu~li[
(clll,L., Comb:tland Coun:y, Po.
My Commi,lion [xpifCJ (jt Ill;' '1 ()
5
(:U'-4VUNWlAl 'Il or JI[~N~nVA"I^
OlPAR''-l' N' (1' Il('V( Nlll
OL'" 1101'.01
ItAHfU!.OUIlCo,PA 1110'1l-11MJl
20, II Uno 19 is qroalor Ihan Uno 10, entor tho dltlorenco on Uno 20. This is lho OVERPAYMENT.
A. a.lck hero It ou DIe re ueatln 8 refund o' our ove a ent.
21. II Uno 1B is greater than Uno 19. ontor 1ho dll1orenco on Uno 21. ThiS is tho TAX DUE.
A. Entor tho intorest on tho balance duo on L100 21A.
B, Enler Ih. 101.1 01 Un. 21 and 21A on Uno 21B, Tills is Ih. BALANCE DUE.
Make Check P. able 10: Reglste, 01 Wills. Agent
... ... BE SURE TO ANSWER ALL QUESTIDNS ON PAGE 2 AND TO RECHECK MATH.... ....
ndor ponallles 0 perjury. I doctnto 1hatl ha\lo examll1ed this return. Including accompanYlIlg schedulos and statements. nn to 1ho besl 0 my nowlodge
and belief. It 19 truo. conoel and complain, I doclafO th3t ollloal ostalo ha5 boen reported 01 true m<llkot \laluo. Doctafollon 01 prcparor olhor than Iho parson:ll
roptOS tatlvo 19 based on 011 InformatIon 01 wl\tch praparor has nn knowlcdqo.
SIGNA u E OF PERSON nESPONSlflLC Fon F1L1'40 RETURN AOORE:;S
/ <.:1;1 , J:..~' 1:/ ~f) ._ See Schedule attached
OF PR PAfcno.nlER Tr.j.f~ AE.PRtSENTArIVE ADORE';<;'
" 'I I' .( ~l.. 11 East Hi h Street
1 "IF '" Car-lisle, PA 17013
IHIJ.U~,II,h";"'1
DECEDENT
CHECK
APPRO-
PRIATE
BLOCKS
CORRES-
PONDENT
RECAPIT-
ULATION
TAX
COMPUTA-
TION
1'_. 111.- /1,
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
\~
FOR DATES OF DEAlt. AFTER !mlll!
CIIECK IlERE IF A SPOUSAL 0
POVERTY CREDIT IS CLAIMED .
FILE NUMBER
21 9G
COUNTY CODE YEAR
DEC[lJEHr~ COMPLElE ADDRESS
001 North Hanover Street
DATE or DEATH DATE or OIRIII Cad iDle, P/\ 17013
10/25/96 10/20/1 '1l2 Cou"l alll~;edilnd
~OCIAL SECURITY NUMOER AMOUtH RECEIVED (SEE INSTRUCTIONS)
0972
NUMOER
DECEDENrs NAME (LAST, FIRST, MID MIDDLE INITIAL)
K le Helen A.
SOCIAL SECURITY NUMOER
174-05-1205
1. Ollqlnnl Rolllln
5upplumOlllal Rohlln
J. ROl11llll1dor Rohlfn
Ihl' d.I"QI !Jut., PIIQII1,l10'-,)-411
Os
FodOfQI E~IDlu Tax Roturn RoqUlrod
0", Ull1llod Eutala 040 FulUllJ InluHl51 COl1lprOI1lI:iO
(lor dalo:J 01 dOQIII of1m 12-12-02)
lB O. Decedonl Died To~lolD 0 7 Docodont MalnliJlnod a lJvmg TlUSI
(Anoch copy or Will) IAnaell copy 01 TlUSI)
AU. CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
1 O. Tolal Number 01 Sofo OOp051t Bo)lcS
NAME
er M. r.b enthal, Es ire
TELEPHONE NUMBER
717-243'5513
1. R.ol ESI.la (Sclmdulo A) (1 )
2, Slacks and Bonds (Schodulo B) ( 2 )
3, Closoly Hold SlocklPannership InlolOsl(Sch, C) ( J )
4, MOIlgag.s and Nol.s Roc.,vablo (Schodul. D) ( 4 )
5, Cash, Bank DopoSlts & Misccll3noou:J POlsonal ( 5 )
P'opor1y (Schodul. E)
e, Jointly Owned P,op.r1V (Sch.dulo F) ( 6 )
7, Tlansl.," (SchOdul. G) (Sch.dul. L) (7)
e, Tolal Gross Assels (IOIs! Unos 1-7)
9. Funeral Expansos. Admnistratlvo CosH], ( 0 )
Miscellaneous Expenses (Schodulo H)
10, DobiS, Mongago Usblllll.S, Uons (Schodulo I) (10)
11. Total DoductlOns (tolal Unos 9 & 10)
12. Not Valuo 01 Eslalo (Uno 0 minus Uno 11)
1:1, Chontable and Governmental Bequasts (SChodule J)
COMPLETE MAILING ADDRESS
11 East High Street
Carlisle, PennsylV~ 170;IJ
~....:
None
None
None
None
054.90
-,,:0
.t. f')
.,
"I
nJ
N
.-J
'J
,^'
(15)
None (.....I
None N
(B)
609.00
56,697.72
(11)
(12)
(13)
(14)
. ' ,
0.00. .oe ,
0.00. .15 ,
(Ie)
Inlorost
0.00
B54.90
57,306.72
(56,451. B2)
0.00
(56,451. B21
14, NOI Vslu. Sub'ocllo T..(Un. 12 I1llnus Un. 13)
15, Spau...1 Tr.n,fer,{lal d.tn at d..lll.lIPf 6-)0-941. Sn
In.tructlan,lar Appllc.lbl. p.,cenU;e on PoIg. 7.lfncl~d'!
v.lu.' 'rom Schedule K or Scll.dull M.I
16, Amount of Une 14 taxable at G% rale
(Includ. velu.sl,om Schodulo K or SCII.dul. M,)
17, Amount of Uno 14 taxablo 0115% ralo
(Includo valuo. liorn Schodul. K 0' Sch.dul. M,)
lB. Pnncipal1ax duo (Add tax !rom Unes 15. 16 and 17.)
19. Crodlts SpauUIPa\ertyClltd1t Prior PDvmont~
(lB)
0.00
(17)
0.00
0.00
Discount
(19)
(20)
+
+
(21)
(21A)
(21B)
0.00
0.00
0.00
DATE \
J- \.)~ 1\-)
OAf( l /
'1. LV '17
,
C'mY'''JIlI For"" ~ol1.....te On'y, '9~4 "lll':'] 'Ie. "'<.l.;PA,~(11
I SCHEDULE A l
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT. --
ESTATE OF -P1Ll!1lUMDl!n
Helen A. K Ie 21-96-0972
(property 1.lnUy-ownod with RIghI.' 8urvlv...hlp mu.' b. dl..I.lld.n 8.hodul. F) All ,..I.."'.. .h.uld b. IlfIGrtod., ,.1. m."'" v.lu.
whIch .. daftnod ..th. p,lc. ., which plopllty w.uld b. ..ch.ng.d b.tw..n . willing bUY.' ond 0 willing ..nll, n.lthll b.lng c.mp.n.d
\0 b .r ..n, both h.vln "...n.bl. kn.wl.d ..t th. ..I.v.nt '.ct..
ITEM
NO.
REV-l602 EX + (12-0~1
VALUE AT DATE
OF DEATH
UF!iCIIIPlIOII
Ncne
-
TOTAL IAIItO IIlIlm on lino 1. Rocn Ilulation)
(II molU ~pnco m nocdod. Insm1addl1ionalshool5 01 same SIZO.)
$
PAllOl1
'1H'1I!
'."f",qt'I' ",...~"Il.t",,,,,, .,."..,t ''''( 'H4,'''h1'
0.00
. .... ,-. -. -.~~" --.
A[V.l'O" (.'11'''1
SCHEDULE C
CLOSELY HELD STOCK.
PARTNERSHIP AND PROPRIETORSHIP
COMMONWEAL T14 or rfiNN8Yl.VAtlIA
INHBRITANCB TAX RBlunN
RUIDl!NT Dl!Cl!DBNT
l!BTAT1! OP
Belen A.
lIclhedul.O.'
IT1!M
NO.
Ploaso PII"I or T 0
FIll! NUMBER
21-96-0972
~.Iorohl
10
oJ lIlUI' ". .1I,.".d I _h bulln'.. In...' of Ih. deHd
olherlhan .
VALUE AT
DATE OF DEATH
Dl!BCRlPTION
Nooll
TOTAL (Also onlor on 1100 3. RocQ lIulQlion) $
(It mcno speeD IS noodod. Insert addItional shoo19 01 S3n1O slzo.)
PAII04! "" ""
Cllp.,"II'" rOf"" eo.,.." 0.,1." 149" N,I~O, Iflt, U1.PAO.,
0.00
",v-not Ut,'.")
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PtOBOO Pllnt or T 0
COMMONWEALTH OF PENNSYLVANIA
INHl!RITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Helen A. Kyle
All r. .In -owned with the RI ht 01 Survlvorahl
ITEM
NO.
FILE NUMBER
21-96-0972
mUlt b. dllcl.lld on Schadul. F
VALUE AT
DATE OF DEATH
DESCRIPTION
1 Church of God Hare checking account
2 1 Gents J\rrerican Waltham Watch Co. Pocket Watch, 14K yellow gold
Hunting Case
3 1 J\rrerican Waltham Co. Pocket Watch, pendant style in 14K. The
case is a Hunting case, hand engraved design CI1 frmt and back.
504.90
275.00
75.00
TOTAL (Also enter on 1ino 5. RocQprlulQlion) $
(AUnch ndd,t,onal81/ZO. II" shoa1sr' moro spaco Is noodod.)
854 .90
PA15081 NTF ""
CopyngtltFo,ml SoltwlttOnty, '994 N,leo. '"c. NII"PA041
COMMONWEALTli OF PENNSYLVANIA
INHERITANCE TAX nETunN
RESIDENT DECEDENT
l!STAT1! OF
Helen A, Kyle
Joint tln.nl(l):
SCHEDULE F
JOINTLY-OWNED PROPERTY
I
I FIll! NUMBER
21-96-0972
nEV.l&OQ EX. (l~'OO)
NAME
ADDRESS
RELAT1DNSH1P TO DECEDENT
JolnUy-owned properly:
LEnER DATE DOLLAR VALUE OF
ITEM FaA MADE DESCRIPTION OF PROPERTY TOTAL VALUE DEeD'S DECEDENT'S
NO, JOINT OF ASSET % INT.
TENANT JOINT INTEREST
Nooe
TOTAL (Also onlor on Ime 8. ROCQPIlUlallon) $ 0.00
(II molD spaeo 1:J neoded, insort 3ddltlOnal shr.ots 01 samo sizo.)
PA1S09t
NTF 12UIA
CopyTlght Fo,ma Soltw.re Onty. '994 N.lcO,lllC. 'i9.PA091
REV-l&10 EX' (2-07)
COMMONWEALTH OF PENNSYLVANIA
INHERITANeE TAX RETURN
RESIDENT OECEDENT
I!BTA n:. OF
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
FILE NUMBER
Helen A. ~ Ie 21-96-0972
THIS SCH. MUST BE COMPU!TED . FILI!D IF THE ANSWER TO ANV OF THE QUESTIONS ON THE REVERSE SIDE OF COVER SHEET IS YES.
DEseRIPT10N OF PROPERTY DECD, DOLLAR VALUE
ITEM Includo nama ollho UBnslOloa, thoi. EXCLUSION TOTAL VALUE 0/0 OF DEeEDENrS
NO. rolDuonshlo-10 docodont, dato 01 111"510r. OF ASSET INT. INTEREST
Nale
TOTAL (Also onlor on hno 7, ROCQpilUlslionl $ 0.00
(II mora spaee is nceded, Insert additional shoots 01 sarno SIZO.)
PA15101
NTF t217A
COP'f"Oht FOIIl'lS SoHwlII o"ty, '994 tleleo, tn~, N94PA10'
REV-tl" [lhl'-II,
SCHEDULE H
FUNERAL F.XPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pi.... P~nt or TYPe
FIll! NUMBER
21-96-0972
CO~"'ONW[^l.lH or reNN~YLV^NIA
INHERITANce TAll. nrTUAN
RESIDeNT OECEO[NT
ESTATE OF
Helen A. K Ie
ITEM
NO.
A. Fun.ral expln...:
DEseRIPTION
AMOUNT
0.00
1 BEer F\Jneral Hare
(prepaid)
8, Admlnl.traUvl Costa:
0.00
1.
Personal Roproson1aUvo Commissions
SoclBl5ocurlty Number 01 PorsonQI RoplesOnlQlivo:
Ve., CoJT1l'l1ssions pBld
500.00
2, AuolnOY Foos
Name: Flower, M:>rgenthal. Flower & Lindsay
3. Femlly exemplion
elBlmanl RolaUonshlp
Addross 0' CIQlmanl al docodon1's doa1h
0.00
Shoel Addr...
City
SIQIO
Zip eodo
41.00
4. Probalo Foes
C, Mlscnllaneou. Expenses:
15.00
1 Filing Inheritance Tax Return
2 M:m1tz Jewelers - watch appraisal
53.00
TOTAL (Also on101 on lino 9. ROCQpllulalionl $
(II mora space Is needed. Inserladd1110nal sh.eta 01 same size.)
609.00
PA1511l NTF ,'"
Copyw,ht Form' Salt.." Only. '994 Nllto, Inc. N'l4PA111
. .
RIV-IIUUtflll:l)
COMMONWEALTH 0' PENNSYLVANIA
INHE'HTANCE TAX RETURN
"(SIOENr DECEDENT
SCHEDULE I
DEBTS OF DECEDENT.
MORTGAGE LIABILITIES AND LIENS
PI..I. P~nl or .
FIll! NUMBER
21-96-0972
ESTA TI! OF
Helen A. K Ie
ITEM
NO,
DESCRIPTION
AMOUNT
1
Pennsylvania Oepart:rrent of Public Welfare - claim for
restitution of medical assistance
56,697.72
PA16121
TOTAL Also ontor on Uno 10, Rocapltulationl
(II moro spaco Is noadod, Ins"" additional shoals 01 same sizo.)
56,697.72
$
NTF 2UO
Copynoht Fo'm, Softw,,. C"'y, 11111. Nt'tC, Inc. N;"PA121
~,.....,.,
,." -"-:""""~'!lIl1'!f___~---
~_1'~TtJS . l_lEP(JIl.:I'__Ulll!_EII-'~!JI,~; 6, 12
Name of
Decedent: _ J~L~/t' ~1
Death: /11(,
li. ky1~
Date of
Will No,
Adm in, No. (tj 7 t - C1 0 q -, 1..
Pursuant to Rule
Court Rules, I report the
the administration of the
6.12 of the Supreme Court Orphans'
following with respect to completion of
above-captioned estate:
1, State ~her administration of the estate is complete:
Yes No,__
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. I is Yes, state the following:
a, Did the personal repre~entative file a final
account with the Court? Yes No~,
b. The sepal'i1le Orphans' C"lIrt No, (if any) for
the personal representative's i1~Collnt is:
c. Did Lhe personal representative state an
account informally to the parties in interest? Yes ~ No
d, Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date:~
, Tnt, /ltlv1(,r-<-vrt
Signature I
'-~ {I )1,\, U" V G-tl ft-<..{ tJ f
Name (Please typ or print)
q(jfle't". )lWLw, i1'(1 #J, C.T/I~~/JIt,. 170/]
Address --r ,
D 17) L Y 1 ~ , ] J ']
Tel. No,
Capacity:
Personal Representative
~Counsel for personal
l'epresenta t i ve
(MAH: rmf! AM3)