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';,i"; ,,; I:' ;.i""" ',' :,,:,;: ;,~; ;;: ::v:' "j,c:,:,: i'e', .," '.. ,::...': ,::,:,~ .";-::';>~;,,:':' ;>>":', '''''i::', ;..., ,; ,,'..: ,": ;::~i;;! .' ..,..' , , , ,; " ,'; ,"';C, ::,,,"': '; ,':',;'...',.,;, " ';, ,,',: ',:'" ' " .'::'. ,::,': ,,\ ,.' . " '.__;~":-":,'i::;,_:'_,,::}::;>,_:,", '. ;:'::'<:,:". '. ^ " ' _' '. ,....'I' ':, .",.., '.' :: 'd1 ,:..,< ..'; ~, ~r:1 ~~~~' '.;t .., ;:;.~ ft:. ':4~: ',ii<' tK\~ :;t .~: 1.,'>[;< ,,'''''';'''; '.y,,~~~' :l.~,~i ~'::-... " :; ,:1. :} '" -:>~l. l;r- ';'" " -t ~, ~ " :1' .- '" '.-':, ;:<;~'Y~~::'~~l. " " " , l' ~. ;'Y.. ,; 1 , .. " '.- , ,,; :;~ ,,: ~ I, o .. ,.~~'"' ;--;:i ':. :'," O ;>- ,; ~" '.. '"'" I,.' ;::" ", . " I..', '.. ~ ., . ;1 '.. ,,"'.:' , ..:. J:,",.. ,~ .' '.'.c:-,...... t-... ",..,., I ' - N '::,,\ f't :;~f~~~ ,,0 " CII ,.. ,. a ~ , III - ~; ~- . o Z ., " NO. 2l~J9 .~ .!~~." PETITION FOR LETTERS OF ADMINISTRATION IN THE ESTATt; 0)0' ..........S.~.~X,~...!!.......I.!!~.~.~.~.~L................... IlECEASED. To ........~.t~!,~~,~!?...~,:..,~~,~.~~.~9,~.1....!!.~9.~.~.~.~............,..............................., Register of Wills for the County of Cumberland, In the Commonwelllth of Pennsylvania. The Petition of ........t:l!.IHX....I.\,.,...I.m.li".m~.......,.. ..............................,................................,......,..................... CLOYD R. HELLER .................................. ............ ......... H' respect fu lIy 8ho\\'c lh thn t ....... ........ ....... ..... ............ ............... ...................... Id t f Silver Sp,rinp Township C I. I I C t Stt f P I was a res en 0 ........................... ..............................~~ ' urn ler 1In< oun y, II e 0 ennsy . vania, and a Citizen of United States, and departed this life Intestate in the County of ~.~mp.,C?r.J~.n.~.. ..... .......0......................... II and Stute of ... II ........r. ,e;, n.n.~.y..l ~.~r.a.!.~ ........... II' .... .... ...... II ............. II ............ ..... .............. on .......~~.~~~,~~.?r......., the .........,?.~,~,L............... dllY of .......,~,'?~.:..~!!.:.Y......................, A. D" 19..?,L,. at the age of ...7.0......... )'ears. That the said ......S}.~Y..~...~,......n'?.u,'?.,L...."".""""""",,..,," deceased, left surviving the following named widow or husband, heirs and next to kin, to wit: Name Relationship wife Residence 830 W. Trindle Road .................................................r.............. Mechanicsburg. PA 17055 ................................................................ ~1.!!,~r.."~......~.~1~.~!.................",,....... ............................................ ............................................ ................................................................ ............................................ C,tl!.y..~R,p..r.g,~...p.!.I..,t~.~,~,L...."....... 210 Wertz Avenue ................................................................ M.!:,sh,~~ts.~,!?~r..g.I...,P.~..,EQ,?,L... R.\\l~...~,...,J:I.~lll'lx.."................."..,,' J.IJ!!..1f.~....Ijg.~.~g.l.............................. "..li9.n.".....".....""..""........ ..Jl~,~.8v,!;,C?r..."....,.."".... ............................................ ................................................................ ............................................ ................................................................ ............................................ ................................................................ ............................................ ................................................................ That those above named include all of the next of kin, so far as known. The said decedent was possessed of personal property to the estimated value of $...I;m.\l.~.1;.~m~,t9,g... and of Real Estate. less incumbrance. to the estimated value of $....!H!r.\!1........"...".".. as near as can be ascertained, That the said Real Estate in so far as is known Is located In ......~I.A.............."........."......."..........". ........................................................................................................................................................................................ Therefore. your petitloner(s) respectfully apply(ies) for Letters of Administration in the above named estate. Dated .".f.~,p..r.Mf!.r.Y....?.7.................... A. D.. 19...7..~... Signature and Address of Pelilloner(s) ...&:.:<!.~y....'3.::...l.'L.,-:./.4:~.Z;;;:'................."..." Mary 1<'. Heller 17055 ...~}.9....!~.:....T.r.J.n.~l!Lg!!.:..I.~!.lJ.~,h,~~.?,.S~.!?~r.g.. P A ........................................................................................ ........................................................................................ COMMONWEALTH OF PENNSYLVANIA lss: COUNTY OF CUMBERLAND Mary K. Heller ............................"............."........."........................................."................................."...............".................... named in the above application being duly ........."..~~~,:.!.\........"..........., according to III\\'. say that the facts set forth in the above application are true to the best of .IJ&T........ knowledge and belief, ........."...5wo,rn...to. ............ ............ and su bscribed 1 "~,:?jj':~'" .........1../~;v;....:...:::~::...:........................ .............. before me /, ~. .~..{/ / . .... 1/ ~f..', :- , .d..;..........."..... ....... ......n'..........,"'............................... 19 ..?~.... ... .~~~.~~~~.:.. .!.~.~.~.~ :.~.. ..... ...""... ..... ........... .............. ........................................................................................ Register Flied: ....~.!!~~,~~,~.~......?~.!.......~.9.I'l................... if t;L' ~/-71-N() , . . , " Estate No217.l9...............:.y: . . BOND KNOW ....LL MEN BY THr:SE PRESENTS. n..1 we. ........'...,...., ,'.., ,'..'........'......,..,......................'......,....' .........' ............,.......................,...........,...~.I.~!, !.r....,~,:....I.!,~L~. c.r."""".."""" """.." """,..',..", "",..,"""',.." prinri!"'I,.., ..'. INSURANCE COMPANY OF NORTII M1EIlICA .nd .....'.....................'..........................................,....'.........,.. ",.....""",.....',...."".."...."....'",.."....',...."..,..,...."...."....,......" ............................................................................................................................................"".......................... SUl'C'ty.........., are held .nd firmly bound unlo Ihe Commonwe.llh of Pen"'lhania, in Ihe ,urn of ,..Xl FTIlIJ.N....T1J,QUSAND.. .......,.........................,.......,.............,.....,..,..,....,..' DoII.n (S..,~,s..',~,~,~..~,~,~..). 10 be paid to the said Commonweallh, her certain .lIorner or ...ign'. 10 which !"'yment. well .nd truly 10 be made, we do bind ourselve" jointly and ,everally. .nd our and each of our heirs, executors. adminislraton. '"(C'''5On and assign,. firmly. hy Ihese present', for and in Ihe whole of the said ,urn. February 79 SEALED and dated Ihe ..........................,....,....,............,....,lIy of ..,....,..........,........,.......,............,..., 19..,...... WHEREAS, the above named ..,..,.....~~,~,r.,r,E:, ,..I."c.,1..1,~!,..,............,..,...................................,...................... .................................................................................................................................................................................................. has or have made, or i, or are about 10 make. .pplic alion 10 the Regi,ter of Will, of Cumberland County, Penn'ylvania. for the grant of lelters ..~E...~.~~.~~,~. s.,~,r.!1.,tJ(),~,..,..........,............................................................ on the est.te of .........9,C?y.~..,~,:....I-!,c.}},c.,r............. ..........,........,...., late of .~,g,y.~X...~,p..rJn.!l...IQ~!:!~,!t i p Cumberland County, Penn'yl..ni., dece.,ed, THE CONDITION OF THIS OBLIG....TION is, th.t if the said person.) repre,ent'live .......,.... or .ny of them ,h.lI well .nd truly .dmini,ter the said e'tale .ecord inglo law, thi, obligalion ,h. II be void ., 10 the penon.1 represent.tive or represent.lives who ,h.lI '0 .dmini,ter Ih e ,.id e,t.le; but otherwi,e. it ,hall rem.in in force. SEALED and delivered in the presence of ~~-~~-~~~~"~_._--------_.- (. ~;.f------------_________________._________. -----------------.--------------.--.......- 4./' ) ~ .tJ../_~: l-- :;e?"a.-::~J'..J_ j-J.:--f;k------<:~---_ (SEAL) ~Ia ry KI7 Iller --------------------__________________ _ (SEAL) In a e Co. of N. America _____mm____~-m----------- (SEAL) --_______c~t!._,_~_~__"::._~EAL) avid O. Lillich - --- _n' ___________________________ ___. (SEAL) Attorney-in-Fact W';;;:;'~/j~ie.~Z~~t~~~:~: COMMONWE....LTH OF PENNSYLVANIA COUNTY OF CUMBERLAND .., Personally appelled before me. ............,..,..,.....,......,..,...., '...... '..,....,.................,................ in .nd for the counly .nd 'tale, .fore,.id .........................................,............................ ....... ........... '..,................................,...................,........ ......................, of.....,........,.............,..................,............,...............................,.nd ............... .................................................,.... ...... '..................,..,.. .........................,.......................................................................,of...................................,.....................,................................,.......... ,urities on the .bove bond who being duly ,worn (affirmed) .ccordingto law, depose .nd say that they each own Real Estate worth the whole of the penal ,urn n.med in Ihe .bove bond, over .nd .bo..e their debt, .nd the debtor', ..emption. Sworn .nd ,ubscribed before me thi, ,.... ................................................................................ (Seal) '........... '.........,.......................,....................,......,.......... (Seal) ....'......, ..,.. ...................,.......................,................ .......' (Se.I) ..,..,.... ..'........................................, ,.........,...... .............. (Seal) ..,......,.....,..,..,....,...........,.....,.....",.. day of ....'....."...........'.. .....0.19.......... ,.............................................................................................. AEV.48S ce.71) -, , ~') / /'" .:.. .' . j/r- . i - / t DEDUCTIONS ALLOWED IN OFF ICE OF THE REGISTER Of WILLS STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF I(- rw ,? ') . :J_ fq 'If c-~ OF Cumberland COUNTY AND AGENT OF THE COMMONWEALTH , ; .-, r ~ 1,,, " ~!. t., ESTA TE OF OVI . e er LA TE OF 1 ver Sprln~ TOIms lip OATE OF FILING APPRAISEMENT .1 d....1l:a 11In, DATE OF DEATH ---E.!!..bruary 21. 1979 DATE NO. OF NAME OF PA YEE REMARKS AMoUtlT VOUCHER Mary 1.<. lIeller Pami lv nx<!mntinn 2 000 00 Rel!ister of Wills Letters Adm. ond 3 s.c. 20 00 Ploul!h Ii Lillich Admrx Rand (;4 00 The Sentinel Adv. Letters 16 65 Cumberland Low Journal Adv. Letters 18 00 Reoister of wills Filin!! ReC Il SDD 6 00 Hoffman Funeral Home Services 1.956 72 Dr. Cohen Last illness 260 00 James R. Hurner ~ttornev Fcc 400 00 Reserved for closinl! expen es .lJl.D. 00 TOTAL 4 841 37 . I --.- ----,-- ===....:::;;;~::==.~-..;:;:::...=-.:':"_- - Cl d R II 11 S'l COMMOIIWEAL TH OP PENNSYLVANIA I 55. COUIlTY OF _~\I_mberland I, --__ Mary K. Heller HEREBY CERTIFY, THAT TO THE BEST OF MY KNOWL~DGE AND BELIEF. THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF CloYd R. Hcl~(1r _ DECEASED, AS DEDUCTIONS FOR INttERITAMCE TAX PURPOSES. ') ,/.. ~~ ~ / ~',' ~//.1"1 ,I ~/ ,1"(. "V:}._~.'_/- /,-'}. ,J" I _ DAY OF (L.S.) SWORtI AND SUB~t:ll! BrD BEFO~E ME THIS I ';--1: -_L~_---,4-_\!lllts..L_ 19-La ~.'___/.J.....<,\f"." J," r:.F,';~~ ~CT'.;'. iUr:':~ '.~t C~-r' ':lIC~: :.:: :, '; Ir'i: (:.r~::c. P.\ c.;~~::'~'d (~l:I:l, 'c " t . . " ~ ] . .. . ~ ::II . ',..:I ~ . < CI.l CI.l ... .. re .. ~ .~ r.. c: .. 110 110 0 > 110 - .. < .. ~ a < r: ~ r: Eo< Q ~ l! .. fS c: == 0 ~ ~ Eo< ~ -- ... r.. 0 t; c: 0 oS 0 :Q ~ ~ ~ I e ~ ~ ... ~ [;l 0 c: ... ~ 0 i a~ 0 J 3 c: j '" ~< j 8 REV.U4 U.7.J County, Numb.r ond Noma Fli. Numbor 21-79-0140 Dot. 01 O.olh 02/21/79 Eltot. N.mo HELLER, CLAn NAMEt 21 - Cumberland SUMMARY Cloyd c,nUT NAMU R. UUlTlA1.t COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT REPORT OF INHERIT ANCE TAX APPRAISER I, tho und.nlgnod duly oppolntad Inhorltonco Tox Approl.., In and lor the County 01 Cumberland P.nnoylv.nl., do r..pactlully r.p.rt that I h.yo .ppr.llod tha rani and p....n.1 pr.p.rty 01 ,aport.d In tho I.r.golng r.turn .t the valuel let forth oPPollte each item in the la,t column to the right In Schodule, "A", "B", "C", and liEu. O.tad: September 26, 1979 ',/!,/UZtY..Ir./ )(, ,/;,nu i / INHEnlTANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS I, tha undanlgnad duly .Iactad Ragl.tar 01 Will. In .nd l.r C.unty, P.nnoyly.nl., d. r..p.ct. fully rap.rt that I h.v. .1I0w.d daducllon. In tho .m.untl c1.lm.d by dop.n.nt, ..c.pt 01 to thoo. It.mo wh.r. a gre.t.r ., I..... .m.unt II ..t I.rth In tho I..t c.lumn t. tha right In Schadul. "F", which gr..t.r 0' I...., om.unt r.pr.l.nt. the .um .1I.w.d .1 . daductl.n. O.t.d: H~OISTEH OF WII..1.5 "rOIl Property (Schodule A) Personal rroliorty ISchodulll 01 Jolnt.l feld rroperty (Schmulo E) Tranders ISchedule CI TOTAL GROSS ASSETS LMS Dobts end Deductions (SCHEDULE FI CLEAR VALUE OF ESTATE s none 7 779 50 none none 7 779 50 I ADJUSTMENTS IcODE (HARRISBURG USE ONLVI 00+ 10+ 20+ 30+ REMAINDER APPRAISEMENT CODE 92+ INVENTORY VALUE AS APPRAISED 41). 93- Vnluntlon of life e.tote. or .:L- PRINCIPL.E FACTOR VAL.UE ,.... onnuHlcs....................._ $ ~ ~ ESTATE TAX ASSESSMENTS _ S FOR USE OF REGISTER ONL.Y Tax on S Tax on S Tax on S Tall on S Taw: on $ Exemption, Tolal Estalo ~ COMPUTATION OF TAX 2% 6% 15~' S $ S S S TOTAL TAX $ (.) A. evidenced by Charitable Exompllon Certlflcat.. luued by the Secretary of Revenue. -- t= leu to. prevIously paid 8A LANCE Ln.. 5"" of tnx If paid within 3 monlhs oller death S $ S IlALAIICE OF INHERITAIICE TAX DUE Add 11lIcr~~' at 'oto of 6r. frOf:l to AMOUllT OF ESTATE TAX ASSESSED I!stntr hllf S10ld BALANCE DUE Add I"I':r05t ot rotll of 6~ from 10 $ S '= $ I- S s I S S $ TOTAL TAX BALt.tICE PAlO Supplement.1 C.d..: (FOR USE IN HARRISBURG ONL Yl 4B-^diultmant 49lAdlustmant 56-Annuity 6O-LII. Elt.ta 92lRom.lndar Appr.Is.1 93-Ramalnd.r O.ducll.n 93C-Ch.rlty 94-R.m.lnd.r R..ldu. 96-Successlve LiI. E.tat. FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Wh.r. .ub..quant adlu.tm.nt. ar. mad. t. tho .b.y. c.mputatl.n al t.. by the R.gl.t.r 01 Will., lor pr.p.r r....n "ame Ihould be noted below, with short ~xplanotion. ' I- ..J Z '" ..: .. t:J .. ~ ~ ... ::;; a 0<: " .. ;.. t:J u 0:: .. '" Cl c:. - ..: c.. 0:: ... ..: - - c.. '6 -- ';'.' c.. U. ... C 0 ;. Z w ..: w t:J - 0<: j: j: ;., !!J I- '" l- e " ~ - lI. 0<: " 0:: Z t- o I- " 0 u. '" c:. c:. 0 t:J .... t:J r"? '" 0:: 0:: -= ,2 t:J ;; - t: e " ... ;0 Cii ~ Q .... " 'c Q ;., ~ >., . - =oe .!! " = e '-'0 ... Cl 8 ~o<: ..J U . '-"-. ntv~57 (8.781 . oEPAR'rMENT OF REVENUE OUREAU OF FIELD OPi:RATIONS P.O, OOX 2970 HAIlRlSOUIlO. PENNA. 17105 COMMONWEALTH OF PENNSVLW.iJIA RESIDENT INHERITANCE TAX APPRAISEMENT September 26, 1979 I~H 1<- COUNTY Cumberland filE NO, ::'1.::Z2-QM..0 Whereas, Cloyd R. Heller late of ~ver Spring Townohip in the County of Cumberland CommonweJllh of l'ennwlvJni." having died on the 21st day of February 19~, seized and possesscd of .1n e"tilte subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, Sandra L. Stone ,an appraiser duly appointed according to l.lV/, having beell designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the ca"h value of 0111 annuities and life estates growing out of said estate, hereby file the following appraisement: In the event Illal anv fulu,e Inll!"Ulln lhl, flllale II If.n,llllfed III JlIliUOnlll1l III enjOVll1tlnl to l:ull..h".1 hili" 01 lt1. dec:edellt ..1I1lI 11111 r.pj'.1l1on ot .nv e,I,le 'or 1110 Of for vun, tllf! Commollwo.1l11 he'fltlV elC~)fo"ly ro,ervu' 111(1 rlllht III o1llP,.hll .lld .uen Iranl'e, Inhl!lit.1l1tlJ lau-I allhlll"wlut Clllt.llmoll ,.10 on .nv luch 'ulmelnler.U. UrSCRlJ1l10N or ASS!:l UNI! ('P\JI.uIQnl'n! VALUE!:o "-010" lur 'nllt!lll.lllll! '...I1U1Il,n", Real Property $ none Personal Prooertv 7,779 50 Joint-Held Property none Transfers none TOTAL ASSETS 7,779 50 I Have been duly sworn according to law. I do hereby certify th, t the above appraisement is made in conformity with the law on this 26th day of Se te er 19 7i- . '~.- ) . 1 I I.. I\pp,alu:' II INtlllllH~r MId !J1I<,ell nrrisburg (PuU 0111(1-1 . Penna.