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PETITION FOR PROBATE OF
in the Estate af f J..,SI j;.. M .
WILL AND LETTERS TESTAMENTARY
LG.i<J/oS
, deceased,
To Richard E, Anderson, Register of Will,> far the County of Cumberland,
in the Commonwealth ot Pennsylvanio
IS
Petitioner(s) -&f-& the execut(p<, named in the Last Will and
Testament of .. r:, ~_y Ii,: M.~.. 4.t!.w,S,. dated..J:...rtt.>1LiL73.
Decedent was a citizen of the United States and a resident of
I f\ Township
..bM!l~.&_""Jl"l,.li.:/Jl _...uu..... aorou~, Cumberland County, Commonwealth
~e;ee;e~S:~i:~i:'n _..JkJ~.--u_-- the _2.-.1:_~.. day oL..J.8~~-._-,
A. D. 19.7$--,A' the County of __0I'i\b-t~-.k.....Lg,- ,-m"--'-' State of
________..__1--1.-..-...----- at the age of ----....- years,
~ ~ her
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
/ .l~]) .___'_'_-- and of real estate to the value of
___--,----------tyJ~--.. as near as can be ascertained; said real
estate situated as follows -----.--.----.--------.....-------------.
--------_.---~---
--'"
apply
Therefore, your petitioner(s) respectfully appl ies for the probate
of the said Last Will and Testament and for Letters Testamentary thereon,
Dated _~~ 7 f..--.------ .
Name and address _.L
of Petitioner\s)
-----.....--
.~;lgtL..S' x."H
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COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
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~-- ._--~. ~-,~.- -_..------------------_.-_..-----,-_.~_..?-._--------._.~_...
named in above application, being duly __u.~~L~M-.----.u- according to law
say(s) that the statements set forth in this petition are tr~e to the
best of ...n.-:tY"..-...- knowledge and bel ief,
"
___~P....~.-- .... and subscribed before .\
._.___:. ~_..__--<~___~.....o--------"--~-
197r
...._..~ ...___._. _______._.___ _,_+__,,~____~_.__r'__'.'_
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Richard E Anderson, F~egister
Filed: ]<'ebrUflt'y 13. 1979
~'I' ) '1' 11,\'
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Signed, sealed, published and declared bi the above
named Elsie M. Lew:I.H, aD and for hel:' Las.t W:lll and 'restE.\ITlent,
i.n the prfJf3enCEl of us who havEl subf.~cr:lbed our TII;lITlElS hereto
as witnesses, ut the request of said teGt,l1:r1x,in her
presence and in the presencf! of ea ch other.
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH (W I'gNNRYLV ANIA ( ",,;
COUNTY OF CUMm;m,AND \
'I'his......... ,.....................,~,..",J),H!....,... dllY Of.....,......~.....,'~,~,~,~.~~~,~.."......, A,D" 19.z.~",
before me Hichllrd E, Anderson, lu,!(isu,,' /01' the Pr'ohate of Wills and !(I'l\ntin!( lettm'" of Administration
in find for said County of Cumherland, in t!w Commonwealth of Pennsylvania, personally came ,......,......
7."~
,,' kJ:Jr.,[ll.., "",f""" ~,P..If(,~f~B", ,.,""""",.~"" ,~,~,~,~, r~"" ".?.",A~,~, ,.".""""" ,." "., ." .",."", "."
the subscl'ibing witnesses t.o the thre!(oing instl'Ument of writin!( purportin!( to be the last Will and
'['(,stament of .",..g,~,$.!.!;,..,..M..:..,.....,b.E..w.,(J....."....,.,....",.,....",....... Dllted ...~,r....tt~...7$...,..."
I lite of....,.. ..~" .'.... ,t). ~,'::: ,t:;.,~.N.... ,........L~f,...,.......,........,......,.,......,.,.. Cumherland County Pa., dt.ceased
who bein!( duly .......~,!<Y.,':',!':'..~..,.............. according to law, depose Hnd SIlY, that ,t.~~l,..~.~,i(,"~l........,
present, and saw IInd heHrd the testai.y.U.."..................." .............;;;,bj.J.!;,~......r:J,..~...~.€.~,',~...........
sib'll, seal, publish, pronounce and declllre the Haid instrument ofwritin!( as fllld for h...:I'...~..... 'I'eHtament
and Last Will, and at the time of so doing ...........................S,h.'i:............wafl of Hound and diHposing mind
memory and understanding, to the best of .............:th~.L,c:...........knowledgll, observation and belief.
sworn d'
............................................... an ubscrtbed before
() J/ II'
........1... . ...f..d.,,j.,Ji.....I..I.....,J.j:I,........i'.,.L.............
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..,.,.,. .,.,~.~..Q.:".,1..-f.1?;:<r..-:r.,.",..,.,........,.."..
""""" ..,.."".",....",.".".,.""""""".,,,....,,,,,,,,"''''''''''''
.'"".,........""..""""",.....,..,,,,...........,.,,.,,....",...""",..
Richa (I E. Anderson, Hegister
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBEHLAND f
...........,.." '....'",..".""". fi;, ,~,I" ,~"~ .~!r.'!:,t!,..,......~,:".",., b, ~:':1:,rr.:t!:~,1. il..",..."",.""..""",..",."..", ,being duly
.............?..~,!\.I~................, 8llYS that aH nearly as clln be ascertained the said decedent, ..,........,...............
'.'""",...""".. ,~,!:-. ,?,./, ,€"""""", ,M."~""",,, ,4,...E%. ,IM,(,$.""",."""""",.,.,.".."".."..""""...."".,.,.,.""",....,. ,d ied on
"......,H"Q:Y:'l.dQ.'1........',......... the ,..,.....,~~,",4...""....day of "...,....,)..~,N,~,~.~,y.,,,..,,',,....," A,D" 19..7..1.,
at or about "",,,,),,;,s,IC....,,.....,..,,.., o'clock, f...M,
.....""..,"'~.~og~"....,,,..,..,,..al1d RuhHITibed this
""...........,..~~tI:\.......,"""".. dllY of ..J.,fl.!\?..",....
19, ,7.,?'..; hefore
.'<."."".."..,.,."........."."..,."""".......,j.",..,.........,..",.."
Richard E, Andel'Rol1. He"iRt",1'
.,
OATH OF PERSONAL REPRESENTATIVE
COMMONW. gALTI.I.OF I'I';NNSYLVANIA }
ss
COUNTY OF COMBlmLANIl ' , :
Before ITIl., the Rllgistel' (hI' till' I'r'obate of Wills and gl'lll1ting of Lettel's of Administrution in and for
the County ofCumherlllnd, personally l:lImO ....,f..~,(f,I]"~,~!.H."....,..!7:..'..."~,~,~,~ff..~..Uo?",,..,",,....,....
who, being duly ...s..~.~,~.."...., do el...... dllp<wn Hnd say that Hs.......f.x,f;,C,kl.1,f(,J..lt...,...........".......
of the last Will and Tl,st.lIment of' ..".f.:.,.L::..~.'...~"........~...~,..,..~..~...y..I,.$.............................".deceased
.......~.h..t...".., wll\ wellllnd truly IIdminister t.he goodl\ and chlltulls, rights ond crodits of said deceased
according to law, And also will dillglmUy comply with the provisions of the law relating to Transfllr
Inheritances, ,....."~,~~.Ii',~",,.... and subscribed
before me.
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."",.....,."""",....,;;.,.,..";;";0"""""""';.".."....."............
..
Richard E. Anderson, Register
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DECREE
Be it remembered tbllt on the .......~}~~........ day of ."..........~,~.~.~.~~:r:.:y,................, A. D., 19 n..., there
was probat~d and recorded the last Will and Testament of ....)j:J.!t~.~...1:1.~...);.,~W,~.!L...........,........................,
late of ........ ....~.?)'!.~.~..,~~~.~.~, ..~.~~~~~.~p.... ....... ......, '! Cumberland County! Pennsylvania, Deceased. Letters
L.
Testamentary Elizabeth Laughlin
.....".,.." """.,.,., ".." """" ,."" """"" were granted to 0""""""'" "."" ",.""., ".f .", .". ,"," '" ". ,.""., ".. "',',' ",.......,.,...
---
Witness my hand and omcial seal the day and year aforesaid.
"",,,,,,,,,,,,,,.,,,,,,,"",.,.,,,.,"" ,,,,,.,,,,,,...,
Richard ~;, Anderson, Reg'i~t~'I::
c: /2 17
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INHERITANCE TAX RETURN
r"OR INSOLVENT ESTATES ONLY
OF' RESIDENT DECEDENTS
*
',:OMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
COUNTY OF _"'c.'~,'.":' U
Thll foturn must be completod 1n detoll and flied III dupllcalQ, with the Rogistor of Will, In the COI/llly wheftl Ih(\ dOClldllll! '",idfld wilfu!\ IlirHl
month, ollor dolo of doath, unlos. an oKtenslon I. grantod by tho Socrotory of Rrll1cnllo,
Will
^"mn. Ntl..,.________lt)
I, ....r:r,IZlillI.:.'l'ILL. LQll.G!lLllL___of .2.1lO_.l.iOIJ.l'll.A\ll.:., lUll'OUl!A, Pl..
INId,tli {AIlIlt"l ~;~,I
MI!\(',
hdng duh sworn Ih~l'j)rlJlllg to law, d~pO!'.l'" IIml SIl~'S thlllfth: lh
,1 .(
the __._...._........_."'_B.wt~I..J..L... f..'U (!" L' ;.-.
IF:.:rC't ADM., l.f:'(,ATLF, FTC'
..I' the eslllle or"..,. JU,f,l:!': }1. ,. LgI'IIS
IIlle ..r_T."~IL'.r_.II' , nn. T.ownnllin
----rcTfi, aOTiOlTl'iTi, OR TOW~~<;HIM
t1l'ccuscd, and tholthl.' whole or the l'statc or sllid dn:cdcnt, who died 011
.Januarv 22, 1979
(DA'-TEI
l.:Ollsistl:d of tlll~ lisSL:ls listL'd helow lInd thnt ullowahlc Ilchu. and dedur.:tiollS excceded the rair mnrkL-'t vallH' III the il"'~H'tS illlil
no Pellll!>.yl\'llllil\ TrnnsfL'f InhL'rilnnL'L' Tax is due,
Sworn Qllclsub5Crlbod before me .,( .
f JUN 0 7 197~9 lLSll r.~WI~~IjOOl~Prftl4l~T'
fho. .::;;..}.y 0_.,. '. .. , '~ - . ^'TOIJr/A, lILAI}1 CI\iIifh'"ATlIRd
":-"~;..".L:,_~.'(...,'1..!;j'-L..t~__MY COMMI';:i10N lXI"ll[S !1I1 Y .'~o, I'lHI
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(T(ll.!,1
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T ptI of Allot:
Real e.tole, Per.,
Properly, Jointly
H,dd Prop, or
Tnlluler.
,.
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ASSETS
(AlIach addltlonal.huh 11 necellary)
Description 01 Auet
EltlmClted
Malket
Valve
,'\
Personal
;> "
('.~7 ~
,.-1\ .-I
Savings nrcount f14-0n~0336-4, roromon-
weal th Nati.onal Dan];, ~~ochnnicsh\lrq,
Pannsylvani.n (5% InternRt):
Checkinq l\cCOt1nt ffl4-2l08768-3, rommon.A',I,
wealth National "ank, M0chanicsburg,
Pennsylvania: .
Medicare Payments:
Miscellaneous Furniture:
Cash:
357.86 /,
" (, ~J,
I [p '1, :);! I'
c15.!L.o;V .'
268.40/
25.00 ,/
1.27
\
Personal
Personal
Personal
Personal
TOTALS
cL Qil.i,~57)
Depo"menl
Ynlu~tl(l:~
CAUTION
(00 1I0t wllte
In thls I c.l
"8
REPORT Of' INI1ERITANCE TAX APPRAISER
I. the undersigned duly appointed Inhcritalll:c TflX Apprlliscr in nlH.1 fur the above Cnunty do rcspl'ctfulb rcpol'l thaI I ha\'('
l\ppraised the real und personal property as repurted in lhe foreguing sl:hcduk at Oil' "iIltu:,s !'oil'l forlh OpP()!>.I il' l.uch Ilelll 111
Ihe last column to the right.
Dated: Septe~~.~r _,?!__~??~____,.._ ---ilNtl-ERi'TANCiir';X'Ar;PR-j.i'SERj'--'
Nome of Payee
.p.m?~.NJ>..!l.H).t!S.T IONi.
Nature of Claim
Amount
Claimed
~1ycr!1 Punera1 Home
Rethany Village
r,<1111\lst1 i;tankovic,
~~. r>.
nixon Phllrmacy
Elizabeth Loughlin
'-fohn ~1. Fal: in
'1isce llilneolls
416.00
~31.40
Funeral l1ill:
r.lor1i.cal care hi'll anae:
60.00
97.86
75.00
75.00
Merlieal ~orviccR:
~ledicine :
l\c1ministri'ltri>:' rop\mi!1sion:
jI, t:torncy I R ]'(11"':
F'ilin'l, llotary, Letters of ~,(l..
ministration:
30.00
TOTALS
1,185.26
I Amount Apploved
_~,. by ROOllter
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RI'.I'Oln IH' Till', RHHSTER OF WII.I.S
I, lht' undl'l'siglll'd duly ldCClcd I{q,(islcr "I' Will!>. In ulld for tIll' uhm'(' ('oUllly, do rl:!'lIH'l'll'ully fL'pOII tllllll hil\'l' alln\\l'd
dl'dllt'IIIlIlS illllw nmfllllll... ~d't forth III thl' llhllV\' sch,'dull' "... claltlwd, cxn'pt \\hnl' t hil\T St't lor!1t it ilH'nl\'t 01 it'S'>!'] allllllllll
ill tht, 111'01 ('(.'11,111111 III II\Ji",V,hl' whirll gl~.:~lll:l' (II h.'.ssn n!llflllll\ tl'Pfl''it'llh lh~ "I~1\1 llll',IWt'd liS U.,d.l'CUrl,illn,
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