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PETITION FOR PROBATE and GRANT OF LE'rrERS
11-1!fl.7-05~i
EstQte of ntnnl(IY S.
a/so known as
HInck,
No.
To:
art
Register of Wills for the
DeL'cased. County of (~lllIlhnl.-l nwl in the
Sucla/ SecurilY No. '71 (,..I]ll_R 1 .m _ Commonwealth of Pennsylvania
The petition of the undersllned respectfully represents that:
Your petltloner(s). who is/arc 18 years of age or older an the execut Ol'f]
in the lasl will of the above decedent. dated ___ I"c b,'ulll'v
and codlcll(s) dated
named
, 1921L-
(ItIIC relevant clrcumuanCCJ, c... renuncialion. death or clCeculor I dC.)
Decendefll was domiciled at death in CUlllborland _ County. Pennsylvania, with
" 1 n last family or prlnclpld re~\de1lCe at .J19~ 5.t.h..f>.t~.,......S.iJ!llllIIJl'(IRI" - p~ 170<1'1
(numhArland Countv) EAS} PENNb~~C?"..f~'~,~~_, ".,. _n.""__,_
(1111 ureet. number l':ll' r,v\'r.i~)<,Ht)'i
Decendent.then en yearsofage,died_.-..-_..Luno g .19 <)7
atJlQ).y-Svirit Hosnitnl. E. Pennsbol'o Twp....-Cl.101hAT'lnmJ r.ollni"Yr Ph '
!!xcept as follows. decedent did not marry. was not divorced and did not have a child born or adopted
Cor'cr cxeculio., of the will offered for probalc; was not the victim of a killing and was never adjudicated
1'1COI"lJet~nt:
Dccendenl at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not doml.i1ed in Pa.) Personal property In Pennsylvania
(If nOI domiciled in Pa.) Personal property in County
Value of real ~Stale In Pennsylvania
~1!Ualed as follows:
S 25.000.()(J
S
S
S -0-
WHEREFORE. petitloner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the Irant of tellers 1.nnt nmAntgnr
(t....m.nllO': .dminlllfltlon c.I.I.; ldminlmalion d.b.n.c.I.I.1
theron,
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.i2.?':! )i'iahlng Crook Road
JLow Cumberland. PA 17070
p (' Pf\Y ?o?
}j'nn 1 ~I I PA '17n::H;
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYl,VANIA } as
COUNTY Of' .-J'.J.lMlJJl:JJl 6Nn
The petitioner(s) above.n~med swear(s) or affirm(s) that the statements in the foreloinl petition arc
true and comct 10 the b~JI ,'f th~ knowledgc and belief of petilioner(s) and that as personal represen-
tatlve(s) of the above decedr.!.t petltloner(s) will well n .~I~mi~ist.~r:~ 7t accordlnltO law.
Sworn to or affirmed aII'I subscribed ' ".:i. .,. ->-- '"
before mc this 2nd day of ~' 0 n ~.
JUI,'( '. .. 19_11~ !
'-....../Ylfl J.. J I p"1 iJllJ I. f tI" l VIJTt'-;~( J .Illil\';iJ(j, ~ gUl' H. ~~'lH,{Jto'l, ~
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.
LAST WILL, AND 'l'ESTl\MENT
01'
~NLEY S. Bl,ACKL~~
I, STANLEY S. BLACK, SR., of the Town3hip of East pennsboro,
the County of Cumberland, and the commonwealth of Pennsylvania,
do hereby declare this to be my Last Will and Testament,
revoking all other Wills and Codicils heretofore made by me.
ITEM 1. 1 direct that all of my just debts and funeral ex"
penses be paid as soon after my decease as may be found convenient.
ITEM 2. All of my estate, real personal and mixed, of what-
ever kind and nature and wheresoever situate, remaining after
payment of my debts and funeral expenses be frozen for a period
of thirty (301 days.
ITEM 3. After the 30 day frozen period and before 90 days
have pasted, all the rest, residue, and remainder of my estate
of whatsoever nature and wheresoever situate which I may own or
have the right to dispose of at the time of my death shall be
devided in equal share to my four children respectivly,
DOLORES BLACK ESSIG, SHIRLEY BLACK DOSLIN, STANLEY S. BLACK, JR.,
and EDGAR R. BLACK. In the event that any of my above named
children shall predecease me or die within thirty(30) dayS of
the date of my death, I direct that his or her share shall go to
and enlarge the shares of the then-living of the said named
children.
ITEM 4. These items listed must be glven to my four chJ.ldren.
One doctor book (KnoW Thy self): one pearl rosary: one drawing
knife: and one crosscut saw.
Dolores Black Essig, gets the Doctors Book (Know Thy Self)
which was mine since an early age.
Shirley Black Doslin, gets a pearl rosary which was mine slnce
an early age.
Stanley S. Black, Jr., gets a drawing knife that came from my
parent I s home
Edgar R. Black, gets a cr.osscut saw that came from my parent's
home.
.
,
IN WlTNESS
the county
this
to this my
.J._"-T ...-..." " "-"g .
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NO . ..2.
WHEREOF, I have, ln the Township of East Pennsboro,
of Cumberland, and the commonwealth of Pennsylvania,
day of ;:: E B )0/ 90' set my hand and seal
last Wlll and Testament.
.~. vJ."v\f\-~'''^1--' -I. )),
7vr .L.eA",~,L1:J<., rY/rVR~..-' OA r?/~ .-:-....\.1- .
M7i::t...v't.k.~~if.,Y::t-0lb.!':i{1 ~eal
STANLEY S. BLACK, SR.
signed, sealed, publlshed and declared by the above named
Testator, STANLEY S. BLACK, SR., as and for his Last Will and
Testament, in the presence of us, who, at his request, in nls
presence and in the presence of each other, have hereunto
subscribed our names as witnesses.
Xro.4-upx_ 'r-Resldence
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H<V-ln<JO EX + (1-01)
D1!C!DENT
CHeCK
APPRO.
PRIAll!
IILOCKS
CORRES-
PONoeNT
ReCAI'IT -
ULATION
oHICIAL U~l ONLY
REV-1500
COMMONWEALTH Of' f'1'NNflYLVANIA
DEf'AHTMWT OF IIEVENUE
DEf'T. 20000 I
HAIII1I11BUR(l, PA 171?0'OUO~1 _'.~-=-=..===~=='c._ ..
FILE NUMII!Il
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COUN~~CCHlf ~~2?
Ng&,?,~
DECEDENT'S NAME (lAST, I'IRST, AND MIDDLE INITIAL)
Black, Sr., Stanl~ ~.~~_ ,
SOCIAL SECURITY NUMBEH iPATE OF DEATH
716-09-8130 _ _~06/0B/97
,. Ai'i;ucAOLtlBu6VIVINO S"0\l5f'5 NAM'I'A", SOC'IAI SECURITY NUMBER
IADT, AND MIOUlE INITIA.l) .
DATE OF BIRTH
10/11/1903
THISRE11JRN MUST IE FILED IN DUPUCAll!
WITH THe REGISTER OF WILLS
1 0 IgI aI R I "S I , I R I n 3. Im.lnd., .turn
, r n e urn c:, Upp 0010" a 0 ur (d.teo' d.ath prior to 12M 1:1-121
40. foulu" I""'.., Compromi..
4. Umlted Eatate (dt'. 01 duth .ft., llw12-12) e. Federal Eatll. TI)( Rim. Required
6. Dludlnt DI.d hl'"" 7. Olc,dlnt Mllnl.lnld. Living r,u.t
(AU,ch COllV 01 Will) (Attlllh copy 0' Tru.1) 8. Total No. at Sare Deposll Bo)(80
9 UII allon P coods RllCOI"od 10, ~ 01.1141 PO....fly cr.dll(dlol. uf d..th betw.." 11, E!.ollon to I..M l.Ind.r S.o, III 13(AI
, ro , v I -Jl" I an I-I-II!! IAtt.oh Soh 01
THIS SECTION MIlST III! OOMPU!TED, ALL CORRESPONDENCE It CONFIDl!NTIAL TAlC INFOllMA'TIONIHOUl.D .. DIIIICJ'II) TO:
NAME COMPLETE MAILING ADDRESS
David II. Stone, Esquire 414 Bridge street
FIRM NAME (II Appllcablo) New CUrrl:lerland, PA 17070
Stone IaFaver & Stone
TELEPHONE NUMBER
717-774-7435
1, Roal ESlalo (Schodulo A)
2. Slocks and Bonds (Schedulo B)
3. Clo90IV Hold Corporallon, P8Ilnorshlp
or Solo-Proprlolorshlp
4, Mortgag.. & Nol.. Rooolvablo (Schodule D)
5. Cash, Bank Doposlts & Miscellaneous Porsonal
Proporty (Schedulo E)
8. Jolntlv Ownod Proporty (Schodulo F)
7. Into,-Vlvos Transfors & Mlocollanoous
Non-Probale Proporty (Schodule G or L)
None
47 ,577 .19
OFFICIAL USE ONl V
(1)
12)
(3)
(4)
None
None
(5)
(0)
20,464.33
None
(7)
None
8. Tolll G,... Au.1I (IOIa! Un.s1-7)
9. Funeral Expon..s & AdmnlsUatlvo cesls IS"e.,'e HI (9)
10, Dobts of DllC'.odonl. Mortg. UablllUos, & Uons,s".,) 110)
(8)
10,928.34
182. 01
68,041.52
11, Toll. DaduaUon. (Iolal Unos 9 & 10)
12. N.t V.lu..' E.lIt. (Uno 8 minus Uno 11)
13, Ch8l1lablo and Govern"",nlal Boqu09ls/Soc 9113 Tru'ls
lor which an oloollon 10 Ill)( has nol boon mado (Schodulo J)
11,110.35
56,931.17
1,000.00
55,931.17
(11)
(12)
(13)
14.
15.
(14)
K~ (15)
TAlC 18,
OOMPUTA- 55,931.17 K ,00 (18) 3,355.87
TION
0.00 K ,15 (17) 0.00
3,355.87 .
ADDRESS
see Sohedul~ attached
ADDRESS
414 ~ Street
New land, PA 17070
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PA REV-t&OO EX (1-Q7)
Deced.nt'. Com 1.1. Ad~r8":
STRE!:" ADDRESS
U9 5th st.
Pig. 2
CITY
sllllllm'Clale
Tu Paym.nl. ,nd Crlclll.:
1. TllX Du. (pog.1 Una 18)
2. Cr.lill8/Plvmen18
A. Spousll Pov.ny Crodll
B. Prior Plvments -'-~.c')00. 00
C.Dlocounl . 131.58
--1 STATE
PA
IZIP
17093
(1) 3,355.87
TollI Cr.dlls (A + B + C) (2)
2,631.58
3. Inler..VPonll1y II appllo.bl.
D.lnl.r.sl
E. pansny
Tollllnlor.sVPenolty (0 + E) (3)
4. If IIna 21s greller Ihan IIno 1 .lIno 3. onlor Ih9 dllloronoo. This la lhe OVERPAVMENT.
Check box on Plge 1 Une 1. to ,equoa'" retund (4)
~. If line 1 + IIno 3 la groatar Ihan IIno 2. onlar Iho dlllBJor,oo. This Is lhe TAX DUE. l~)
A. Enlor lhe Inlor..t on Iholl)( duo. (1lA)
B. Enler the 10111 01 Une ~ . 1lA. This Is Iho BALANCE DUE. (~B)
Mako Chook Payablolo: REGISTER OF WIL.1.S, AGENT
0.00
724 . 29
If.OO
724. 29
.;';': ',' ,c, "::: ',"-:?::'::>:..-: :::),y_,<:,,'r:-:'< (: ::':.::':,_:' ',".;,,:
ANSWER THE FOL.J..OWINGQUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Old deoedont mako I translor and: Ves
I. retlln the use or Income ollhe propony translo"od;.. .. . .. . . . . . .. . . . .. . . . . . . .. . . .. .. .. . . . . .
b. ,ellln lhe right 10 d..lgnalo who shill UGO Ihe propeny trlnsf.,red or I1lIlncome;. . . . . . . . . . . . . . . . . .
o. retlln orevorslonlll'/ Inlerosl; or. . . . . . .. . . . . . . .. . . . . .. . . . .. . . . . . . . . . .. . . .. . . . . .. . . . . . . . .
d. receive the promise lor IIleol ollhor pavments, bonoll1soroare?..............................
2. If deelh oOGu"ed on 0' bolors Decembor 12, 1QII2. did decedent within two vaars
preceding dellh transler propony without rooolvlng adoqualo conalderallon? II doalh ocou"ed
after Dooombor 12, 19112, did deeedonl translor propony wllhln one yoar 01 dealh wllhoul
receiving adoquato oonsldarallon? . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . .. . .. .. . .. . . .. 0
3. Old decedanl own an "In tru.llo~' or pavabla upon doalh bank account or lI80urlly
II hla or her dealh" . . . . .. .. . . . . . . . . . . .. .. . . . . . . . .. . . . . . . .. . .. . . .. .. . . . . . .. . . .. . .. . . . . . .
4. Old decedont own an Individual retir.menlacoount. annuity, or other non-probalo property? . . . . . . . . . . .
':',:i<'
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,::.,:,',:,;,..:;:,<"...".
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST G AND FILE IT AS PART OF THE
72 P.S. 10118 (a) (1.1) (I) provided lor the roducllon 01 the tllX rale Impo88d on the net valu. of trln.I.,. to or for the use olthe surviving &flou" ~om 8% 10
3% 10' dales 01 dellh on or aner JulV 1. 19948nd bolor. January 1, 199~. '
72 P.S.19118 (a) (1.1) (II) provided lor the reduction of lhe rat. Imposed on Ih. net vllue 01 translora 10 or 10' the use 01 the ourvlv1ng spouse ~om 3% to 0'''
lor dlt.. 01 d.llh on or aftar Janulll'/ 1. 199~. The slalule doos nol oMomDI a tran.l... 10 a surviving spou.. from II)(, and the slaMory requl,emenl8lor
dlaalosure 01 ....Is Ind IlIllIg e tllX return are sllll applleable sven IIlh. .urvlvlng spouse I. the only bonel\clarv.
FOR DATES OF DEATli ON OR AFTER JANUARV 1, 1"5 -- Pl.... answor Ih.lollowlng quostion by plooing an'\I' In lhe approprlsl. space.
Old the decMant o,..le e truel 0' elmUe, I...ngemenl which 'e eolelv 10' the eurvlvlnll epou..'e -.tit to, hie or her enUre'llelIme?
'loa 0 NO~
Uvou Inswared V" to the above qu..llon, lhe II)( on lhe Iru.1 or similar a"ang.menlls pos!ponad untillhe del1h ollhe second spouse, II whloh time II will
bo fullV ....ble at the rel8(') appllo.blo to tha remainder bon.lloI8lv(leo). Enl.r Iho vllu. 01 lhe trIl.1 on Schedule J, PM II, In order 10 remov.1I from lhe
olloullllon 01 the tllX due In this osllle. 'Iou mlV wish to llle SChodule 0 In ord.r 10 mak.lhe oleollon evll18ble under Secllon 9113. IHhe eIeo1Ion II mode,
lhe trIlst or similar ",,"ngomenllslllXod In lhe oslale ollhe lIrsl dooodonl spouse, lhe pon,on of lhe truat or almllar arrangemonl whloh bonefll8 the surviving
spouMls tllXed It lhe ...." .- ^ ,.,_ and Ih. rsmalnd.r Is taxsd allho ralo(S) applleeblelo lhe r.mllndef bonel\clary(Ios). U you ohooselO mok. the .1eo80n,
you mualln80h SChedul~ 0 to alln..., .flled II)( relurn. oIong wllh Schedulo(o) K Ind/or M In orclor 10 ahow lhe apporllonmenl 011118 trIlst or similar
arrangarnenl between tho surviving spouse and lhe r.mllnd.r bon.llcllll'/(Io.).
7 PA11OO2 NfF '0'"
Copyright Form. Software Only, 1111 NIIIlO, 'no.
Estate of: Stanley S. Black, Sr.
SCHF.DULE H, PART B -- Jl.dm.i.nistrative Costs
Item
No. Desoripti.on
7 C\mtlerlMCI Law .1ournal-advertising grant of letters
8 The Patriot News Co.-advertising grant of letters
9 Stanley S. Black, Jr.-Reint>. on bills (Swmerdale Credit union
$5.00, united HealthCare $5.00, keys made for Shirley & Edgar
$2.65, Sadler Fuel oil $125.90, PP&L $42.50, PAWC $11.98, Bell
Atlantic $19.66, Upta..m Cardiology $35.00, PP&L $40.46, Bell
Atlantic $12.13, pAWC $8.83, , East PennSboro TWp. $87.75
10 Stanley S. Black, Jr.-Reil1'b. on expenses as fol1~1 M::lwing,
tr.imni.ng MCI raking yard-20 hours @ $10.00 an hour
11 PP&L-elect.ric
12 D'Angelo Realty Group-appraisal fee at res~e
13 PAWC-water service at residence
14 East Pennsboro-school taxes
15 Bavarian Enterprises, Inc.-appraisal of ~ autarobiles .
16 PP&L-elect.ric ReJ:Vice at residence
17 Stanley S. Black, Jr.-m:l\dng grass at residence
18 Sadler Oil Co.-oil service at residence
19 PAWC-water servi.ce at residence
20 Edgar R. Black-l11CMing and trinming grass at residence
21 PAWC-water service Ilt residence
22 PP&L-elect.ric service at residence
23 p~-water service at residence
24 waste Management of PA-yard roll-off container
2S Claude C. Wolfe' Assoc.-balance due on sale of Qousehold goods
sold .
26 PN:: Bank-check oharge
'!UrAL. (Carry fo.tWllrd to main scheduls)
. . . . . ,
Page 2
Z1-l997-0558
l\I1DInt
60.00
89.28
396.86
200.00
42.59
150.00
8.83
331.09
88.00
22.49
50.00
104.43
8.43
50.00
8.40
57.67
12.69
383.27
837.31
52.00
2,953.34
','
page 3
2l~1997~055B
Estate of I stanley s. alack., Sr.
SCHEDULE H, PART B -- Administrative Coste
lteIII.
No. Description
l\IIOIIIt
-
500..00
27 Reserve far olosin9 expenses
:J
'!UrAL. (Carty foxwax:d to I1lIIitI schedule) . . . · . .
500.00
REV-I&12 EX. (1-07)
SCHEDULE'
DEBTS OF DECEDENT,
MORTGAGE. LIABILITIES . LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANC~ TAX RETURN
RESIDENT ECEDENT
IITATI 01'
stanley s. Black, Sr.
Include unrllmbIJ,..d medlcl'.' enoe..
ITEM
NO.
FILl! NUMUII
21-1997-0558
DESCRIPTION AMOUNT
1 SuaquehaMa Surgeons-debt
2 Dailey Eye AsBOClates-debt
3 Internists of Central PA-debt
4 Tristan Assoclates-debt
5 Internists of Central PA-debt
6 Internists of Central PA-debt
",;
7 CPAla NTP ,....
Copyright Forma Softwa', Onlv. 1"7 Nelco, Ino.
TOTAL Also enlor on line 10, Roc Ilulltion ,
(II more .p"ce I. needed, Inoen Iddltlonll .116018 of lhe .11118 eae)
47.88
111.85
4.48
3.35
5.08
9.37
182.01
Estatfl ofl Stanley S. Black, Sr.
SCHEOOIE J, part 2 -- Charitable and GcNemmntal oistriD.ltions
Item
No.
Description
-
-
1 ~e united I<k!thodist Church
203 Second street.
P.O. Box 190
sUIII1lBI'dale, PA 17093
2 Arthritis Foondation
17 S. 19th street
P.O. Box 668
Cai1t' Hill, PA 17011
'lUrAL. (Carty foxward to main schedule) . . . . . .
pags 2
21-1997-0558
1\nPII'It
500.00
500.00 .
1,000.00
.
.
'.
LAST WILL AND TESTAMENT
OF
STANLEY S. BLACK, SR.
I, STANLEY S. BLACK, SR., of the Township of East Pennsboro,
the County of Cumberland, and the Commonwealth of Pennsylvania,
do hereby declare thls to be my Last Wil1 and Testament,
. revoking all other Wills and Codicils heretofore made by me.
ITEM 11 I .direct that all of my just debts and funeral ex-
penses be paid as soon after my decease as may be found convenient.
ITEM 21 All of my estate, real personal and mixed, of what-
ever kind and nature and wheresoever situate, remaining after
payment of my debts and funeral expenses be frozen for a period
of thirty (30) days.
ITEM 31 After the 30 day frozen period and before 90 days
have pasted, all the rest, residue, and remainder of my estate
of whatsoever nature and wheresoever situate which I may own or
have the right to dispose of at the time of my death shall be
devided in equal share to my four children respectivly,
DOLORES BLACK ESSIG, SHIRLEY BLACK DOSLIN, STANLEY S. BLACK, JR.,
and EDGAR R. BLACK. In the event that any of my above named
children shall predecease me or die within thirty(30l days of
the date of my death, I dlrect that his or her share shall go to
and enlarge the shares of the then-living of the said named
children.
ITEM 41 These items listed must be given to my four children;
One doctor book (Know Thy Self): one pearl rosary: one drawing
knife: and one crosscut saw.
Dolores Black Essig, gets the Doctors Book (Know Thy Self)
which was mine since an early age.
Shirley Black Doslin, gets a pearl rosary which was mine since
an early age.
Stanley S. Black, Jr., gets a drawing knife that came from my
parent's home
Edgar R. Black, gets a crosscut saw that came from my parent's
home.
p" Wl'rNESS
the county
. this
to this my
""";;'_ ,..: __,""-,,'.1.-.. .-"-,,
~o. 3
WHEREOF, I have, in the Township of East pennsboro,
.f cumb" 100" ", t h' c,""o,w..nh .f pO'" ~ '''' i..
doy of F f 8 )1 '(0' "t my h'" ", ".1
last Will and Testament.
Crl'l6V)!-
v
~ v--XW-.t~f'
,"'N" pA..J.-.,iL d-~~vr ot
~}!{f:~~~'JJ5fJl~A~t 'seal
STM1LE'i S. BLT\CK, SR.
Ii"'.' ...1." .~li.h" ." ,.,,"" by the .b'V' ,~.,
TO..,t", STANLEY ,S, .LACK, SR.. " OD' fo' hi. Loot Will 00'
T..t.m.ot. io tho .,...". .f u., vh'. .t hi. ,.,u..t, i' ,i'
.,..eoee .,' i' the .,..e'" of ..eh oth'" h'v' he,.u,to
SUbScribed our names as witnesses.
~ ~
. ""'" _ i--ROO ""CO ~". "'"'" j).
rllM2-lL\~l?-.\)" t. r4' --
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SAFE DEPOSIT BOX
INVENTORY
COMMOHWIAl1" Of ..""SYlVAN"'-
"'''.1IM"' Of UYItM
IMHUnAMCl1,.l DIVI~
DI".I'*'
.......UOO,..",....., _~~ PI.a.. Print or TVp.
~
MUST If COMPLEtED IV IlP~ESENTATIVE Of fiNANCIAL INSTITUTION WHE~E SAfE DEPOSIT lOX IS LOCATED AND RElU~NED TO AIOVE ADD~ESS
CO TY CODE FILE tlUMIEI SOCIAL SECURITY 01 OEAT CE~T1FICAn HUMIER
I~
. '~ l"Alll 11" cou.!!
17(J9s.
G.
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(CIIY) CA.~
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IRElATIONS 1')"
IS1RUT ~ORUSI
{.(J .s..s
c. IHAMII
(Clm
ImUT AOORUSI
NUMBER OF BOX
SS"L'
NAME AND ADDRESS OF PERSONISI HAVING ACCESS TO BOX
G. INAME)
DAn AND TIME OF LAST ENTRV
: <IS- ,4111
'ETlTLfNOER WHICH BOX IS REGI
5 1i11
~. IHAMII
-
ISlREEt "DORUS~
tSTREEl ADDRESS)
iCilY]
ISlAIII (liP COOII IClTY]
NAME AND TITLE Of EMPLOYE TAKING}HE INvENTORy..-......-,--
~.JJLl-..Q U 0: -b. . 'J!.1 fJA:.1 . ~-~ I
WAS A WILL IN THE BOK? ~ES DNa II Y'" G. D.'. :1::UIJ% J^. . foe...
b. Nam. and add,... 0' p.nonClI '.pf...ntClII~.. If namtd In th. wilt
(NAMII
-
ICIlYI
1!1fUU AODRUS,1
c. No",. and add,... of ;t~v. If ;;;y----'--
INAMII
(CIlY]
ISlIl:EUAODltUS,1
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SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS ----.------- ... ...---.-.--..
r i) Ca.h. Ropo-;j-jolol only-:--...--------.- --- -... --.-.-..
(21 Stael... lI.t in dllail Ivery common or prl/lrrld clrli/lcall, warrant or othlr righll found in bo.. Stock. orl
10 be d..ignalld by noml 01 company, c.tllficoll numblr, doll of clrlillcall, naml in which Ilock i. "llisIOrod,
and number 01 .horo. and cia.. 01 stock.
(31 Obligation. of U. S. GaVernmln" Number olitlm., doll of i..ue, lOCI valuo, nom.. in which rlgi.terod
and Iypl 01 awnlrship, i.I., jointly hlld, payable on dlalh, Ilc.
(4) Bond'l olllgnate by nalnl, amount, ..rial number, or other d..ignallon. IBea"r Bond'l
(51 Bank rInd Saving. and Loan POllbook. I 51011 nome 01 dopo.llor, numbor of book, lo.t dole appearing In
book, nome of bonk and branch, and balance.
(6) Jlwelry, CaIn., Stamp., Manu.crlpll, et" lIll and dllcrlbl a. lully a. po..iblo.
(71 DIed., MOrlgag.., Current In.uranu PoUcI.. or ath" IvldlnclI. of Indlbtldnl": lI.1 and dllcrlbl a.
lully a. pa..lbll.
(II All ather cantlnll.
ITIM DESCRIPTION
. ..
. .
\
-'
Dauphin Deposit Bank and Trust COl11pnny
iiIi
1;.\I~Ml:f~" n,,~f.: . \'AllnIL\~t.:
l\'\~t.: 01, Pl'~~\\'l.\'-'~L\
1-I0I',I'EI{ SPLIILH' &: ClI" 1.\:( ,
E,'I,'IT'~S 1\.ltiIUlj,\iil sun'lCu. 1;-..'(,
March 3, 1998"
Stone Lafaver & Stone
Attorneys At Lnw
P.O. Box E
New Cumberland, P A 17070
Re:
Estate of
SSN
000
Stanley S. Black
716.09.8130
06/08/97
Dear Mr. Stone:
Thank you for your request concerning date of death balance information for al\ accounts held by Mr. Blck.
The enclosed listing is for any accounts which may have been held at Dauphin Deposit B~, Farmers Bank,
Valleybank, and Bank of Pennsylvania.
We are happy to supply this information to you. Also, if additional information, research, or file copies are
needed, they can be provided for a service charge of$20.00 per hour (one hour minimum) and .25 per copy.
If you have any further questions, please call me at (717) 255.2054.
Sincerely,
Q!Yll~ 'd fk'-li..trr
Amy L. Haivbr
Customer Management Information
Department
alh
1',0, Box 2961' H.\I\RISlIlJR(;, 1'/\ 17105.2"961
TEI.El'lloSh 717 2fi5.2121 . hIlP://W\\'\\'.ilnYlimchilllk,l'OI1l
Ollt/phln Deposll Bank and Trust Company Rr'Id Hoppor Soliday 8. Co" Inc, are subsidiaries 01 Flrsl Maryland Bancorp, ,
Balik 01 Ponnsvlvanm. F1Hmers Blink and VaUeybank are divisions of Dauphin Deposit Bank, MOll1ber FDIC. EI)91orn Mortgago Sorvlces, Inc, Is a subSidiary 01 DauphIn DepOtlt Bank
Decedent Confirmation
it!
Rc:
Estate of
SSN
DOD
Stonley S. Hinck
716-096.8130
06/08/97
Description Account Account Account
Account No. 15837858
Account Type Checking
Date Opened or Issued 01/01/01
Date Closed or Matured 07/22/97 ( C )
Date 01 Death Balance $8,407,40
PLUS PWS PWS PWS
Date 01 Death Accrued Int. -0-
Joint Owners (II any) lIelen R. Black
Date 01 Joint Ownership 01/01/01
Special Comments: N/A
I"
(Rev 1/8/98)
Date Prepared: March 3. 1998 Prepared bYl Amy L. Halvar
Puge: 2
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TRANSACTION
TRANSACTION TYPE NUMBER AMOUNT
Share II 1 _.~- ---llE5ULAfn,:lI-IAHl::",
1&4 08/09/97 DEATH 8ENEFIT CUNA 191.39
182 08/13/97 CLOSE ACCT - DEATH 1,414.08
Dill Paid YTO
Last Dill Raba
15.01
2.501Z10~
I
---~........---~----,,---
,..............------"'....
0.01i:1
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\PAGE i ,1 \
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.
':rn:=;..:: Bavarian
ENTERPRISES INCORPORATED
I (JCAHD ACR()\; fROM Till I ARM ;HOW
1037:;' Macl,w Street, Harrisburg, PA 17103
phone (717) 234-1212 fax (717) 234-4650
~\!lY 11, 1997
Ref: Black Estate
To Whom it May COncern,
Having looked at the 1977 Chevy Caprice, VIN #lH35L7J123812, we feel
the oar in the condition it is in is worth between $500.00 (Five Hundred)
and $700.00 (Seven Hundred) in todays market.
The 19B7 Chevy 4x4 Truck, VIN #lGCEV14HXHF308637, is worth
approximately $1,400.00 (one Thousand Four Hundred) with the body damage
on the left side.
If you have any questions, please call George Kutt at 234-1212.
SincerelY,
GK/t;l1J
../".
GEORGE KUTT
!)'M
Specializing in
BMW. Mercede, Benz
""d other fine Automobile,
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND j
HI
Stanley S. Black, Jr.. Co-Executor
-..-----.----.-. -~_._-_.._-_.~.-~---~-_._~.,._--.-._-
bol09 duly___."_""'-~~)!"~---.-- accordi09 10 law, deposel aod lays that ha is Co-Executor
_.__________,________.___"__..___ 01 Ihe Eltate 01 Stanley S. .~lnck. Sr.
East Pennsboro Twp. C bid C
lal. 0/ "__,,_ """ " n __ _ _" .__"_~_, , um er an ounty, Pa" deceaud and Ihat Ihe
within is an inventory mado by _"-1it.anley" \\1 or., lr ., the said Co-Executor
01 the ontlro e.lato o/uid docedeot, cooli.lln9 0/ all Ihe personal proll.rty and reallltate, e.cept rill estate ouhlde
the Commonwealth 0/ Ponnlylvania. and that the /19urel opposlle oach Item 0/ the Inventory repreunt It's lair value
.. 0/ tho date 0/ decedonl'. death.
19
it~:~~r.
Black, Jr.
625 Fishln~ Creek Road
and lublcribed before me,
New Cumberland, PA 17070
Acldr...
Dale 01 Death
8
DIY
June
Month
1997
v..,
INSTRUCTIONS
I. An Inventory must be lIIed wllhln three monlhs after appoinlment 01 personal repra~entatlv..
2. A supplement Inventory must be filed within thirty days 0/ dilcovery 01 .ddltionl!~(t1.h.
L -~
3. Additional sheeh may be attached o. to personally or realty -. "
4. SOl Article IV, Fiduciaries Act 0/1949.
,
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t'
Inventory of the real and personal estate of
Stanley S. Black, Sr
InventoIy
Estate of Stanley S. Black, Sr.
From 06/08/97 To 3/2/98
Description
J\ccrued Interest
Cash on Hatxi
Travelers chscks
Railroad Rsti.renent check
Cbec!dnq .l\ooamta
m= Bank-<:hecking P.I:lct.
Dauphin Deposit Bank-checking J\oct.
Savings.l\ooamta
SI.IIrmBrtlale PA Federal Credit Union
Federal Notes IUld Borxis
119 Savings Bonds
IIoosehold Goods & P\u:nislUngs
Net proceeds on household gocds
Mise. Personal property
1987 Chevy 4X4 Truck
1977 Chevy Capdce
Refunds
Metro Health Insurance-refund
Nationwide Insurance Co.-refund
Susquehanna SUrgeons-refund
PA!<<:-refund
U9F&G-hanec:Mners refund
Railroad Retirement death benefit
1
dsceased
Value
270.00
881.00
Total
1,15 .00
2,181.78
8,407.40
10,58 .18
1,22 .69
47,57 .19
4,19 .00
1,400.00
500.00
1,90 .00
95.26
282.20
38.30
8.40
148.00
831.30
1,403 46
68,041 52
.. ._, ,..'....
61 If -' / /
COMMONWEALTH OF PENN8VLVANIA
DEPARTMENT OF REVENUE
lURE AU Of INDIVIDUAL TAKES
IIlHIlRIIAllCE TAM DIVISION
Dl:Pl, 210.01
HARRIIJURU, PA 111le..601
MOTICi. OF INNERITAMCE TAK
A~~RAISEHENT. ALLOWAMCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT OF TAK
DAVID H STONE ESQ
414 BRIDGE ST
NEW CUMBERLAND PA 17070
DATE
ESTATE OF
DATE OF DEATH
FILE NUIlIER
COUNTY
ACN
06-22-98
BLACK
06-08-97
21 97-0558
CUMBERlANO
101
A......;,t RBI tteel
-
[
Ci
,
*
UHU1 U "" 1"'U\
STANlEV
l
S
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE .. RETAIN LONER PORTION FOR YOUR RECORDS ~
iiE'v:!!iit;-iif -AF....-io9':97i" -iioi"ici--o';-YNHiiiifANCi-i"A'x - 'A-ppitXiSiNiiir-;-m:oiiANci-iili--------..- - - - - - - "
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BLACK STANLEV S FILE NO. 21 97-0558 ACN 101 DATE 06-22-98
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral Expen.../A~. Co.t./Hi.o. Exp.n... CSohedul. H) (,)
10. Oebto/Hort_ LlllbUltloo/Llons (Sohedulo 1) llD) 182.01
11. Totol Deductlono (11)
12. H*t Volus of Tox Roturn (121
15. Cherltllblo/Sovorneentol aOQUOsto) Hon-olootod '115 Trusts (Sohedulo JI (lSI
14. H*t Volus of E.toto Subject to Tox 1141
NOTE I If.n ........nt w.. i..u.d pr.viou.1Y, lin.. 14. 15 .nd/or 16. 17 .nd 18 will
r.fl.ct figure. th.t include th. tot.l of ~ r.turn. .......d to d.t..
ASSESSMENT OF TAXI
l/i. _t of line 14 ot Spou.ol roto USI .00 K .00.
16. Aoount of Line 14 {oxoblo ot Llneol/Clo.. A roto 1161 55,931.17 K ,06.
17, _t of Line 14 toxoblo ot Collotorol/Clo.. B roto (17) .00 K .15.
lB. ~rlnoipol To. Duo llBI
TAX CREDITS I
PA YHENT
DATE
09-05-97
03-06-98
TAK RETURN HAS I (X) ACCE~TED AS fILED (I CHAHOEO
RESERVATION CONCERNING F~RE INTEREST - SEE RiVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Rool Eototo (Sohedulo Al
2. stock. end Bond. (Schedulo BI
5. Clo.oly Hold Stock/Portnerohip Intoro.t (Sohedulo CI
4. ttort_o/Noto. Rooohoblo (Sohedulo 01
S. Cooh/Bonk Dopeoito/Hioo. Poroonol Property (Sohedulo EI
6. Jointly OWned Property (Sohedulo fl
7. Tran.f.r. CSon.dule Q)
I. Totol A..oto
(11
(2)
(SI
(41_
(S)_
(61
(71
,00
47.577 .19
.00
~
20.464.33
.00
.00
(II
10,928.34
RECEIPT
_IER
AA24:!219
AA269823
DISCOUNT ('1
INTERESTIPEN PAID (-I
131. 58
,00
2.500.00
724.29
AHOUNT PAlO
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTERaST AND PEN.
TOTAL DUE
HOTEl To in.ure proper
oredit to your acoount I
.uo.it tho uppor portion
of thlo foro with your
ta)( pay-.nt.
68 , 041. 52
11 .110 ~"
56,931.17
1,000.00
55,931.17
.00
3,355,87
.00
3,355.87
3,355.87
.00
.00
.00
. If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION UF ADDITIONAL INTEREST.
( If TOTAL DUE IS LESS THAN .1, NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REfLECTED AS A "CREDIT" (CRI, YDU NAY IE DUE
A REfUND. SEE REVERSE SIDE Of THIS FDRN FOR INSTIlUCTlONS. I
I.Cl "It <l:
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REIERYAllOMI ~Ji.1 of ~..~.:.:"e ... or ..l.r. U.._r It, I9lt e' 11 ""y lulu" Inl"..t In thO .".1. 10 tr......rr...
(Iii po.....IoI1 .r .", I' c,... I 1..IIoI.r.II.....II.I.".. .1 IhO dtctdtnl .It.r IhO ,"plr.II'" .11." ..I.t.
Ill. .r lor ,..... I ..lth hOrobY "pr."1Y r..."" It.. rlohl I' ""r.'.. .... ...... "IIII.l.r I....rll.....
.1 IhO I..M C,... I ,..U.I.r." r.t. .n on, .u.h lulur. Inl"..I.
PIJIlPOSE Of
MOTleE I
,. lulfU' thO r.""lr-I' .f ...11'" ,}4' .f IhO '_rll.... ."" ..t.l. TO' ..1, ..1 21 .f I..., '12 p,',
section .litO) ,
Dotooh thO I... porll'" .1 Ih" Moll.. .... ..-11 with your ,.,..nl t. IhO R.,I.t.r .f WUIt prlntod ... thO r.'"'' 01...,
eo""". _.k .r _, .r..r p.,obl. to. REGISTER OF MILLS, AGEMT
PAVMEM11
A r.fund of . to, .rodlt, ...I.h w.. not r......t.d on thO to' ..Iurn, ." .. "quo.l.d ., ._'ollno "" "A..U..llon
lor ..lund 01 poM"l.onh I....rlt..... .... ....,. to," ",'-13131. ApollOlII.n.." ...11"'. .1 IhO oHl..
01 thO .00hl.r .f Will" on' of thO " ......... Ohtr,.t 0111.'" or ., OIu'n' thO .p..I.' ,,'heur
on_rlno ..r.I.. ..-" /Or lor.' or"""'" 'n P....",..... 1,1......H".. out. I" p....,,'vonl. ....
within 'oc.' ...rd....r. .". 11171 717-1.94, '00' '7171 71H'" ,...,,1111I ......rod onlY'.
REf\IMD (an I
OlJECTlONS1
An. p.r" In Int.r..t not ..II.f1od wi'" thO _r.I._nl. .U'w""o .r dl..lI....... .f ---II..... .r ......-.t
.1 tox O..""'lno d.......1 nr Int.r.." .. .he"" on th" H.t'.' ....t ..j..1 .lthln .Ix" (601 ..... .f "..Ipl .1
thlt MoUClI tly~
_-wrlt..n prot..t to thO PA _.rl..nt .f ....n"'" lo.rd .f .....,.. DtPI, 2110'1, ..rrl......, PA 11"1-1021. OR
e_.I..II'" to hO'. I." .."" dolor. In'" .' ....lIt of IhO ....""1 .f IhO .."....1 r...r.......II.., OR
.......1 to tM Orpt*ll' court.
IUlUW
"TRllIVE
cORRECnDMS ,
F.olo.1 "ro" dhoo.."d n.. thh ....._nl .heold .. ...."...d In .,lIlno to. PA Dop.rl..nt of .........,
lul.OO .f 1""1.1-1 T."'. A".' po.1 ........nl ...I.v Un.I. o..t. "",\, ..rr.....r,. Pi 17121-...1
_ (7\71 7<7...... ... p." . of thO _I.t "In.lr...llon. for I....rll.no. ,., ..Iorn lor. ...I....t
Do_I" 'REVe"'" for" ...lon.lI... .f _lnl.tr.II..1v o.rr.ot.... ,,'0'"
11 or,Y t.. ..... I. p.ld vlthln Ihr.. ,,, ..,."".r eonlh' .11" IhO ...-.'. d..'h, · fl.. ..r....t ,S>' dbo_t 01
the; tlx p.ld 'I .UotIMd.
DlSC~Tl
'hO "X t.. ......" "",,-p.rll.lp.lI... .....", I. o_,.d on thO '0'.' .f 'hO .., .... In,.r." ......od. .... not
p.ld ..lor. J....... II. I.... thO 41'" d.' .".r thO ."" of 'hO .., _.IY p"..d. 'hi' non'p.rUoIP'U'"
.....1.. It _.,"1. In thO ._ .......' .... In thO IhO .... tI.. porl,d .. ,OU voold ...... thO ... .... Int.r..t
t~t hat been ......ed .. i~lc.t.d on th1. nDtice.
PlMAllVl
lntor." It _r.... ..,IMI... v"h ""' d.' of ..lIn......'. or nl... <" _tho .... ... II I dtY frDO 'hO d.t. of
...th. to thO d.'. of ptY_t. t.,.. ...Ioh ..._ ..lI.....n' ..f." ,""'... I. 19" ...r In,.r..' .t thO r.t. of
01. ,"XI ..ro,..t por __ 0.'00'.". ., . d.U' r." .f ...0164. "I t.,., ",'oh "0_ ..1I.....n' ... """ .H.r
J....... I, "" vU' ...r In.....' .. . roto whloh vIII"" fr" ..I.....r ,..' to ..1.....' ,..r vlth 'hO' r.t.
_od ., thO PA ..p.rt..n' of ."...... ,hO ..pll..... .nt.r..' "t.. for 19" 'hr..... 1..1 .r.'
JMlEREST ,
't..r InUr..t Rat_ D.U~ lntere.t uotor y.ar lnter..t M~ u.lU lnt.r..t fll<ltor
- -
1912 202 ,OOOSte6 1'67 ,;: ,0110241
In! 16~ .0004)8 1,a!H991 111. .1300101
1914 11;( .000301 I'" 91, .000247
1'15 1'5;( .ooO]!)6 1IJ'1~1I"4 n ,00n'2
".. 10;( .0002.14 1995"199. 91, .0002.41
p-lntar..t i. calculated .. followll
INTEREST . IALAMCE OF TA1\ UMPIID 1\ NUHIER OF DAYS DELINQUENT 1\ DAILY INTEREST FAC'I'Dll
.-an, MollO' ...""d .".r thO ,., ...._. ..11_' vII' r.II..' '" .n..r..' ..,.ol.tI... '0 fllt- lISI dO..
..,ond thO d.t. of 'ho ....._1. If p....nt .. .... .It" ,... In'''.'' .__t.tlon d.t. ....... ... thO
MoUe., IlddlUonaJ lntau.t lIU.t be calculated.
lor
la)(A'
IN REI ESTATE OF STANLEY S.
BLACK, SR.,
LATE OF THE TOWNSHIP OF
EAST PENNSBORO, CUMBERLAND
COUNTY, PENNSYLVANIA
IN TilE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2197-0558
ORPHANS' COURT DIVISION
RECEIPT. RELEASE ~D WAIVER OF ACCOUNTING
KNOW ALL MEN BY ~HESE PRESENTS, that I, EDGAR R. BLACK, being one
of the beneficiaries under the will of STANLEY S. BLACK, SR., do
hereby acknowleuge that I have received all sums of money and property
due me by virtue of the death of STANLEY S. BLACK, SR., in full
satisfaction and settlement of all of my rights and claims under his
estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further forlllali ties, and with t.he same force and ef fect as if a First
and Final Account and proposed Distribution had been filed in a Court
of Common pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, EDGAR R. BLACK, do by these presents, remise,
release, quitclaim and forever discharge the Co-Executors, their
heirs, successors and assigns, from the acts of the Executor as afore-
..t\r.l\bl.ok.r.l
IN REI ESTATE OF STANLEY S.
BLACK, SR.,
LATE OF THE TOWNSHIP OF
EAST PENNSBORO, CUMBERLAND I
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2197-0558
ORPHANS' COURT DIVISION
RECEIPT. RELEA~E AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY. THESE PRESENTS, that I, STANLEY S. BLACK, JR.,
being one of the beneficiaries under the will of STANLEY S. BLACK,
SR., do hereby acknowledge that I have received all sums of money and
property due me by virtue of the death of STANLEY S. BLACK, SR., in
full satisfactioll and settlement of all of my rights and claims Undel"
his estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a ~'irst and ~'inal Account and
proposed Schedule of Distribution in any Court of Common Pleas having
jU1'isdi.ction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, STANLEY S. BLACK, JR., do by these presents,
remise, release, quitclaim and forever discharge the Co-Executors,
their heirs, successors and assigns, from the acts of the Executor a.
..t\J.l\bllok,r.l
IN REI ESTATE OF STANLEY S.
BLACK, SR.,
LATE OF THE TOWNSHIP OF
EAST PENNSBORO, CUMBERLAND
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2197-0558
ORPHANS' COURT DIVISION
B.l!:C!IPT. RELQS! AND WAIY.!'lR OF ACCOUNTING
KNOW ALL M!N BY THESE PRESENTS, that I, SHIRLEY B]~CK DOSLIN,
being one of the beneficiaries under the will of STANLEY S. BLACK,
SR., do hereby aoknowledge that I have received all sums of money and
property due me by virtue of the death of STANLEY S. BLACK, SR., in
full satisfaction and settlement of all of my rights and olaims under
his estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Aooount and
Proposed Sohedule of Distribution in any Court of Common Pleas having
jurisdiotion over the same, and I aoknowledge that I have had an
opportunity to examine oopies of the books and records of the said
eotate, and I agree to the final di9tribution of the estate without
further formalities, and with the same foroe and effect ae if a First
and Final Acoount and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND TH!REFORE, I, SHIRLEY BLACK DOSLIN, do by these presents,
remiss, release, quitclaim and forever disoharge the Co-Exeoutors,
" their heirs, suooessors and assigns, from the acts of the" Executor as
.
. ..t.'~.l ',-blAok. ".l,...n
IN RE' ESTATE OF STANLEY S. I
BLACK, SR., ,
LATE OF THE TOWNSHIP OF I
EAST PENNSBORO, CUMBERLAND I
COUNTY, PENNSYLVANIA I
IN THE COU~T OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2197-0558
ORPHANS' COURT DIVISION
UCIIPT, ULEASE AND WAIVER or ACCOUNTIIIO
KNOW ALL MEII BY THESE PUSENTS, that we, the SUMMERDALE UNITED
METHODIST CHURCH, being one of the beneficiaries under the wlll of
Stanley S. Black, Sr., do hereby acknowledge that I have reoeived all
Burne of money and property due me by virtue of the death of stanley S.
Blaok, Sr., in full satisfaotion and settlement of all of my righte
and claims under his estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Aooount and
Proposed Sohedule of Distribution in any Court of Common pleas having
jurisdiotion over the same, and I aoknowledge that I have had an
opportunity to examine oopies of t~a books and reoords of the said
eetate, and I agree to the final distribution of the estate without
further formalities, and with the same foroe and effeot as if a First
and Final Aocount and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and oonfirmed.
AND THEurOR!, we, the SUMMERDALE UNITED METHODIST CHURCH, do by
these presents, remise, release, quitclaim and forever disoharge the
Executors, his heirs, suooesaors and assigns, from the aots of the
"""",.....-....7"'l
, .,~
.
,
.
Exeoutors as aforesaid, and of an~ from all aotions, suits, payments,
aocounts, reckonings, olaims, and demands whatsoever, for or by reason
thereOf, or any other act, matter, cause or thing whatsoever, and I do
hereby consent to the disoharge of the said Executors.
IH WITHBSS WBBRBOF, I have hereunto set my hand and seal the I()
day of S e P-Ic:W"l J........ , 1997.
.
SUMMERDALE UNITED METHODIST CHURCH
Witness
$~
r,. LI ~ 1;, 'P c!-;, IT irm 11'7
COMMONWEALTH OF PENNSYLVANIA I
COUNTY OF CUMBERLAND
: ss:
I
On this, the
10
5 -e ,?-!1:rn /,,,~ r
,
day of
, 1997, before
me a Notary Public,
C. L, "I., dl1Jau..
the undersigned officer, personally appeared,
--'-'-'
,
of the
SUMMERDALE UNITED METHODIST CHURCH, known to me (or satisfaotorily
proven) to be the person whose name is sUbscribed to the within
instrument and acknowledged that he/she executed the same for the
pUrposes therein contained.
IH WITHBSS 1fRBRBOF, I have hereunto set my hand and seal the day
and year first above written.
.---t"", />'Z --Irft~
( Notary Publi ..
-2-
Nolaflal S~~\ Public
Tin' M" Shater, ~~mJ'I""d counl~
E.., Penn,bOro ~Wr!'xplre$ Nov 15,199
My GommlM\lO - t otar 6S
iIi-, '~!"nf\!IVI JPIIlit Assoclat on 0
.11111." "
..\'r.l,..~I'a_,r.l't.t1
IN aB I ESTATB OF STANLBY S. I
BLACK, SR., . I
LATE OF THE TOWNSHIP OF
EAST PENNSBORO, CUMBERLAND
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS "OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 2197-0558
ORPHANS' COURT DIVISION
JtICItIPT. RBLBASE AND WAIVER OF ACCOUNTING
XlOK ALL MlN BY THESB PRESENTS, that we, the ARTHRITIS FOUNDA-
TION, being one of the benef.i.ciades undsr the will of Stanley S.
Black, Sr., do hereby aoknowledge that I have received all sums of
money and property due me by virtue of the death of stanley S. Black,
Sr., ill full satisfact.i..on and settlement of all of my rights and
claims under his estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Propomed Schedule of Distribution in any Court of Common pleas having
jurisdiction over the same, alld I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and oonfirmed.
AND THEREFORE, we, the ARTHRITIS FOUNDATION, do by these pres.
ents, remise, release, quitclaim and forever discharge the Executors,
hi, heirs, successors and assigns, from the acts of the Executors as
~""
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trl'A.1YlLJOO'.QBL.mmEILJillklLhll
Name of Decedent: Stanley S. Black, Sr,
Date of Death: Jlme 8, 1997
Will No. 21-97..()~;58
To the Register:
PUI"SUant to Rule 6.12 of the supreme Court Orphans' Court
Rules, I "report the following with respect to completion of the
administration of the above-captioned estate:
Yes
1.
-X-
State whether administration of the estate is complete:
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.1 is Yes, state the following:
(a) Did the personal representative file a final
account with the Court? Yes ____ No_~
(b) The separate Orphans' Court No, (if any) for the
personal representative's account is: N/A
(c) Did the personal representative state an account
informally to the parties in interest? Yes --K- No ----
(d) Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be with the
Clerk of the orphans' Court and may ~~~ ed is report.
Date: t;'- (l '\ 1 ';:~Jk to squire
414 Bridge Street
New Cumberland, PA 17070
717-"774-7435
capacity:
personal Representative
x
Counsel for personal
Representat i VB
\
,
c.