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WILL AND LETTERS TESTAMENTARY
PETll'ION FOR PROBATE OF
in the Estate of h\\/ (, 1\ (,
If \ It I r t<
. , deceased.
To Richard E Anderson, RCDister of Will<, lor the County at Cumberland,
in the Commonwealth 01 Pennsylvania
IS
Petitianer(S') are the execut,. " named in the Last Will and
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Testament of .1,.)[1"-\ _1\_ J}!ICt.lt'. doted C.'CJ.,-,!jUL.-1
Decedent was a citizen of the United States and a resident of
Township
,. _,.nl.'l'}'~--- &<0",,", Cumb.dand Caun'Y, Cammanw.alth
of Pennsylvania.
Doc.d.n' di.d an ___ .__ - ,h...2.l.c':'- daY aL....oh"7r---'
A. D, 19.:ll., in 'h' County of J..LllJj",.l>~- .----. SYat. of
) \ ' () )
__l!~.~y.~!..-D..'2--"'--'-~c---"---- at the age of ..!l...~ years.
hes' has ~.
Decedent has not been married and has not had children born to him
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
_-- 'Irl} (~~C-----'-'- and of real estate to the value of
j\ I)) 0L-.---~----'-' as near as con be ascertained; said real
estate situated as follows ____-~---___.--d.-------------
1(1) t."
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apply
Therefore, your petitioner(s) respectfully applies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated
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Name and address
of Petitioner(s)
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named in above application, being duly _____::5.li...'-C-6,'J::/.....-- according to law
"",(,) ,ho' tho ,'a,.m.n" ", fo"h in thi' p.titian a" t'u' to the
best of ~_110-- knowledge and belief. .' .'
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__---'-~---- and subscribed before ~c-,VfjLJ..ci' ... . ..
- t'L Lt'" IU L I ) I L t CK
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19 '7r
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Richard E. Anderson, Register
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,/1')/ ( t, I,,~-('( '--
Attorney
Filed;
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OATH OF SUBSCRIBING WITNr;SS
COMMUNWI<;ALTIf OF P~:NNSYLVANI^ I ss:
COUNTY (W CUMBI.;HLANIl \
1_1 ':~ t _ _ ,lr"!'tl r'Y ;- __ ':'c,
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hef(n'e 1\1(\ Hichul'd g, Andol'Hon, HegiHtm' for t.he I'l'Obat.o of WillH /Ind gl'llnting l(lttel'~ of AdminiAt.t'altoll
in und for Huid Count.y of Cumhol'lllnd. ill tho.Commonweult.h of PonnHylvuniu, 1)(J!'Honully Cllmo ,......,..",
Jon F. LaFaver llnd Darlene M. Long
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t.ho AubHCI'ihing witnlJHHuH to t.he tbl'ot.(oilll-( illRt.rument. of writing P\lJ'I)(II't.ill~( 1.0 ho t.ho InAI Will ulld
TeHt.nllwnt. of ........ ..... ..R~J.p.1L~,... J!g ~ ~.r.""...., ,.., "..",...."" ,.."'..",.,'.."..,, [Mod 9,~~,?,\.:~X..,?. r.., ~,?, l.S,.. '"
lu(.(, of..,,,........,,,111~Hll?f.\~,~,,?:.9,\'ffi,~,h,~p,,,.,,..,'" """....""...,.."..",..",.."". Cumborlund County I'a,. decollsml
who boint.( duly ........,~,WR.;:n......".."",,....,,' uccording t.o law, dopoHt> und Aay. t.haL .",~J:l,~y'",W~.r,~"""".."..,
pn,HcnL. and rllllV and hel\l'd tho t.oHLa,I;O.1::""."".""""".".. "',, ,Rlllpp" ,A" klUl>:i;" " " " " " " "".. "" " " " " ".."
si~, noal, publiAh. pronounce and doc1Hrc t.he naid inAt.rument. of writing aH and for h~Il."".".", TeAtHmont
und Last Will. and at the t.imo of AO doing """".""""...I.\!'!"""...""""""",.wus of Ho\md und di8plls.lnt.( mind
memory nnd \mder'Ht.anding. to t.he beAt of "."."f;,h~J.t:"."""""""""..""knowledgo, obsel'vat.ion and belief,
Sworn
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''lJarl'~ti'e'' 'r.r:' ..t'6'if~(' ,),., .'.,..., .",. "j' ...."."'...,...""..
Richard E, AnderAon, Hegist.er
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AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND f
"."...,.,...."....,."......".,........, ,q ,~.f?:,nD-. ..!7,~" .~.~,~ ~ ~,r..., ........;... t, ,-;",...."..,. t'" t"." i".,....,.,;.. _\;""!,.,....'.'.",, ,being d\lly
..........~~0.);":t:I..................,..,,,... AUYA thnt aA nearly as cun be ascortained the sl\id decodol!.t .........................,
."",.",..",......., ~.~.~p'.l.~.,~.:,.. ~~ ~ .~.7,~,.""..,......"" i.,....,.,., ,.,....,.. ..."."..,.";""..,..""".,.,.,..,...,,.. .....,...,.,!"."..d ied on
......."W~,~n~.~.H~.Y.".,.....",..i." the ,.,...".g,9.~b.....,..".."day of "..".;..~~1l"i..."....,',.'.."li"""";,. A.D.; 19.?~",
lIt or noout. .........."9..:.R.9..............",,,... o'clock. P.:,M.
......,.....~.~~~........."..............,,,and AubAcribed this
n"L d I' T '-)"'''..
..............,.,.... ,.......,..........".." ny 0 .",'..,..,....,,1..).....
/fkllfl' i)' . (t-) (~..~... .~. . 6(""
c. '.'.......... ...'. ' ........_..) . ',..../
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19, '......". before
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Hic Ill'd E. And"I'Aon. Hf'giHt.,,1'
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OATH OF PERSONAL REPRESENTATIVE
COMMONWI';AL'l'H OF PI':NNSYLVJ\NIA} SS:
COUNTY OF CUMBEHLJ\NIl
Before me, L1w Rogist(ll' If". till' Pl'Obate (If Wills und gl'Hnt.ing of IA,tt~I'H of Adn)iriistrution in und for
thn County ofCumherlHnd, pt'I'S(lllHi]y ('HnW ......",..,.. ",.,.~n~.t;l,n,..~,...,k1t.1J!'l.J;'",,,,.....,,,,.,,,,,,..,,..........,.........
who, being duly ..,1!>>':~);,D............... do ,l?1!..... depDso Hncl SHY thnt ns..,,,~~,Iil,\m.~,9.i:..........,,,,..,......,,,,,..,,,,,......
(If tho lust Will und 'l'oHtHmont of ...........RGI.~ph..t>.,,,.MUl~);'............,.....,,,,....,,,,,..,,,,....,,..,,,,,,....,,,:docoused
......".h~............ will woll and truly udministcl' the goods und ehflttols. rights und el'edits of suid deCOflsed
according to law, And ulso will diligently comply with tho provisions of the luw relating to Transfer
Inhel'itanees, ",,,,.."".S.WR,+.l1..., Hnd suhsel'ibed
before me.
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DECREE
B 't b d'h' h l~t d f 11'" [) l' '\'1 \,'1 AD 1 7.('
e 1 remeln ere lo, 8lo on t e......"."...."....". ay 0, ......"'"....",.:,...:.;.,~.;"",,....."..,'" ' ., 9. ..J,.." there
b ted d d d th I t lI/'I] d T t f ""l"I,.~ "1110]'
was pro a an recor e e as ,"l an es amant 0 ",..,"~:;.,..~,:..,',:..~..:.....-:-....--t"',.,......,'........"....""....,
I ,- t. 'lidd1n"ux 'roHnnhi') C b I de' t. Pl' D d I '
a""o ...."......."""......;."......;..............1......."".."""",,". ,um 01' an ,oun Y. ennsy Vfll1la. .oceflse . ,e.tors
rrP.8t"r"nr'}1Irll"V "1""'11 T 'tI'~j'l'p
............. ...... ,..;.;'.';..::::...":.., .;; ;,'.."1... ..., were granted to ."... ".." ,. """. ,..;:'. :;-.;...!...~:.""./.;., ...;;.t"'...,,....., "".... .....
WitneAH my hand and official seal the day and yom IlfOl'osaid,
...',,,..........,........,,,,,..,,..,,.,,. ."".""........"""..
HichHl'd E, Andel'son, Reg-iAu'l'.
. '~'''; ..
Thl. 'ot"n mcot b" complotod In dotoll end fllo,1 I" d"pllcete, with the Reg'''o, of Will. In tho C"nty who.. tho decod.nt ,.e.lded within nln.
months aher date of dnoth, unliDll' tIll extflnll/on Is grantod by fho Socretory of Revenue,
Misc.
being ~1I1)' SWorn """"'~ing In lilli', depuses 11",1 Sll)'S thlll lit is Ihe __ Exe..cut2E____._______...__..___.__ .__._.__~_
(EXEC" ADM.. LEGATEE, ETC,)
of the eS:llle of .--~J.pJ:lA, }1;I..J..J&.L__ .._____________.____._... IUle 01'__ Mtdc!l_~mt_rQ\mshin .____..______.____..___
{CITY, BOROUGH, OR i"5WNSHIt')
July_26,_tns.._.._
(DATE)
Rec-HI) 100"M.
'*
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
F'OR INSOLVENT ESTATES ONLY
OF' RESIDENT DECEDENTS
---
COUNTY OF
~~rland
Will -?1-?~ _~?
A~mn. NO.___19_~
I, -_.Glem L. Miller
(NAME)
_.____01' R !) -iIJ, M""h,>ni('shl1rg, PA
( ADDRESS)
deceased. and that '-he whole of the estule of said decedent, who died nn
consisted of the IIssets Iisle~ below IInd thlll .llow"hle ~chiS "n~ ~educlions c.\cec~e~ the filir murket value of the """ets IInd
i- ,<1--r
... "---, ..._-_.~---- --~~._~
:::::::::':::',:"::"~:: ~.""; ",,""'"' '"",,' ; tg 'f 'w? 'ilL
j~!!:'1Y Qfl.:::{~F 1929.._ >-4' 'H'f~a::-T~REi( /_( .
, ,""....-( -:"~),, 'i.'ll;u~unnn. M: Ie...... Nol..., PIIiIc
- m' C\1III""UIVI1 b htt Jan, l) "II
/ / Type of A.su New '~mbctland, '" ~1Nl Count,
/ Real e.'ole, PllfI, ASSETS
(/ Prop,rty, Jointly
Hold Prop. 0' (Attach oddllional Sh"Ols If nl;!Couory)
Tran.fe,. Dascrlptlon of Assef
...... -'-.--. ....ExecutoX.__..__._
lTl TL E)
E.t1mated
Market
Volu4
Department
Valuatlon
CAUTION
(Do not writ.
Inthll. ee)
Personal
Cash lTDl1ey on deposit, and receivl:!<i from Lebanon
Veterans Achninistration Hospital, Lebanon,
Pennsylvania.
1.316.77
TOT ALS
1,316.77
I ;0 110.11
REPORT OF INHERITANCE TAX APPRAISER
I. the uodersigned duly IIppoinled Inheritance Ta.\ Appraiser in nnd for Ihe IIbove Count)' do respeetfully repor/lhatl have
appraised the real and ~crS0l1a.1 property as repurted in the for,.e g~jng sehe.dUle.. "21.1h.' vulues set forth opposite each item in
Ihe IIIsI col ,n to the flghl. .. "-,/..J'J', "i. .' 'I / i-", ,.)
D d A , . :J I I t':L11 [I . . '-'L..l..~_ .......c..~_______
ate :-- 7'VY\:' ~ -;-5'--l--L" '---"'f--..~.. ._' (INHERITANCE TAX APPRAISER)
DE8TS AND DEDUCTIONS Amount
~uro of ClaIm - Clolmed
Nome of Payee
Jesse H. Stone Funeral Funeral Expenses 1,878.00
Pofi Menurial Coopany Grave Marker 65.00
Jon F. Waver, Esquire Attorneys fees 100.00
Regi.ster of Wills I~tters and Filing fees 22.00
Amount Appro....ed
by RegllffH
TOTALS
2 065.00
() (,t; (Ii!
REPORT OF mE REGISTER OF WILLS
I. Ihe uodersigned dull' clet'le~ Register of lVills in and for Ihe above CO""I)', ~o respectfully repor/lhllll bllvc allowe~
dcducliolls in tile amnu~'.~.e'el forth in Ille uhO\'e ,.chcdule n!-i IJlaimcd, CH.~."PI. '."hlJr.c I hnvc sel forth.. u grcfllc'r or ICSSl'f fl1l10U.OI
i" Ihe last colullln to thc 'lighl. which greuter or Icsscr UlIl'ttttll rcprc'""ls lhe '''Ill 11110\\1,,1 tiS II ~ed"uiott.
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Dille of Approval: .~. ..' -- . II J!I--_ \._.... \' ( V~'l. J_ '..' ~u_. "....,.--.-:rhr
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