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", ", ',"CoO; .' , .. .... . ~ ~ .. , ';;:';:,::, : ,::",':':,;:,',-,.,:. ~"JIlI'I" ';,'''',':_'{''';'','':'f, .,\..f .,', " " ;'" ., ;.'.., ," " .. , : J .... CI] : , ' . . ' "': >,' I". .. .. ", . . I.' ,', ;;; .~:~: '..' '. ~,~. ',:' ::f " ':, "~ I'\{>;;:', ~ '~CI];> ':. '. ' . ,-'.' ". ',. '.".. ~,~".:;:",: ,," ,;, :::'.."". '1";" "..:~::,,;, '"I::';;;:>,:::' _ ~t ' ':'" ':~"". ,,, " , " o ~~!~;~.:, .:':. i If} , . '; ,i~; ~:~ ':,\ :,,,, :!" III > . . ".' " ':." ". ", i::.r:_ ',OJ: k,;, ~ ~~~ .. ;.'.c:~:;;"",\~ ..~.<1 ~:~ ~II. 21-i9 . . ...:r .~< iii. . ... PETITION FOR LETTERS OF ADMINISTRATION IN Tim I~STAT.: OF ............!:;.\~I~..:!.....!!Q.\,~';mL.................... JII~mAS.:J). To ..............Il.J!;,lliIJ~I1...!;.....M~P!;.~~Q~..........................,....................................... llel(lMler or \\'iIIM rill' Ihe CIlUIII.I' Ill' Cumhel'llllul, ill thc CIlllllllllI\Il'ClIlth Ill' PCIIIIM~'ll'IllIlll. Thc I'clilioll Ill' ................"...........,1.\\J).~I;...N,.,..N.r,:.l.r>,Q.I1....................................................,............................. .......................................................... rCMJlCClrllll)' Mhllm,t h I hili . .....J;.l.r>.I.r...M,....1l9.Wr..r.ll.................................. WIIM II reHldell1 or ...........Ne.ChllnlCllb,Ul's.!;,.............~lt~r~:~ . C'UlllhCI'llIl1li COIIIII~', SllIlc of PcnnMyl. Vlllllu, und u Clllzen Ill' Unlled SllIleM, IIl1d deJlurlefl thiM Ill'" illleHlule ill Ihe COllnl)' or .Cumlll~r.llll1d... ....,..... ............... ............... 1111I1 S 1111 e Il I' ......... .I?I!nns.yl v.anj,n............................. ........ ..... ........... ..................... ........ on ...Sll.tlJ.r.dll.Y................. the ..........g.?t!!................... dll)' Ill' ..........J!l!.1H!1.D!........................, A. D., Jll.z.~...., III the IIl(e or ....7.'J........ yelll'H. Thnl the Muid ...........E.lllic..J...1ID~r:r.ll,.............................. CICCClIMCd, left Hurvivlrll( the rollowlrll( numed wldol\' or hUMlmnd, helrM und nexl lo kill, III wit: Nume llellllillllMhlJl 1l.IlJ)jllm~J}...f......J).Qw.r:.r.I>...................... GMl'.Cl li.nr:...J.....Dr.olltn,... ..... ............... 1!.i;\r.!?!l!.~..I).....J~!1gn.~.r..... .................... R.agen:.. .K.....Dawer.s.............. ............... G.cnc..F.... JlOl~.cr.a... ............................ J.craw.e..P..... now.ers........................... J.anct..M.....N.els.on............................ ........Hullbnnd................... ........D.n ugh:tcr.......,......... ....... .p..~ !-1g!!t.~r.................. ........S,on............................ ........S.on............................ ........S,an............................ ........D.nugh,tl:r................. C'sr:.c..Jl.l:nuu.c;:;tll. t ;iJ;\I1...n.l.l:d ..h.cr.e i 11) ..................... ............... ..... lleMldence F.or.es.t..Glcn..FooonQ...I.ake.;.I'.a...183117 202...ncllllr.e..Dr....Shlr.el11llns.tIf1B lfn . ~.lf:l...!i.,.~.l.i;\" D...ll.t,., .,...W.9.~tllr..1Y.,.r.il.. 18255 2 3.7...F.rlll1kJ.in..Rd..,Dan 1l.i.1lc.rlJ 8 ~ q 21.1.12.. .&1.. B.ct.ira.J1ill~~ '(1'r~i~~ g, 5 23B.O..~I.i.r.a...so.L.nr....Vj.stll.c.aUf . 92083 32.a..I~.Lillhur.n..Rd....~.1.echanics.burg . I'a. 17055 ,....,..,.,.",.,..,.....,.,.,.....,...,...,..".,.'.,.,....,..' ,.,..,..,.,.'.,..."'.'",...,..,..,.,.,...,....,,..,..',.,.,.,. Thnt those llbove llumed include ull or the nexl or kin. MO rur UM known. The Muid decedenl II'lIM pOMMeMM~d or Jlel'sonulllroJwrl~' III the eMlimuled ,'ulue or $.....\!!:l.9.~.t1.m\\:l;.li!.p.... und or Reul (o;Mlule, leMM incumhrunce. lo the cMlimllh'd \'ulne or $......Nan~.................. UM ncur UM cun he nscerlnlned. Thut the suhl Reul (o;Mlule In MO rill' UM iM known iM ioculed In .............NLA............................................ .,..,...,..,."....."...,..,...,...,.,.,..,..,.,.,..,..,..,....".,.....".".,.,..,...,.,.',.,.,...'..,.,."""".".,.,.....,.",..'.""".,.",."",.,..,..,.,'.,..".,."....... Thererore. your pelilloner(M) respectfully uJlJlly(leM) 1'01' Lellcl'M or AdmlniMll'lllion In the ubove numed estnte. Duled ........~Iar.ch........l:?'".............. A. LJ.. W..7.9... Signature IInd Achlrc"M ....,.q...(!,~t:.......t.f~e.i/f:.nN4:~ii.;,............... ..OI?Il...\~r..~j;...r^:j,:;/},\lJ;'T.\..R\1".~.............................. or Pelitioncrt"' .......~),~g!~,gDJ.g.~.1.~!,1,r.g,....r.~r..IJ!!yJy.\\!!J.!!...EP.?.~.. ",......,.."".""".,."....".,.',...,.,...,...,......,......,................,.... c.:OMMONWI':ALTH m' PI':NNSYI.vAl"IA 1 MM: COUNTY OF CUlIIBERLAND r ..................................................JANEX.JI...NE.r.sON....................................,................................................ numed In the nbo\'e nppllcnllon beinA' dul~' ......................:'iI~or.n.............. IIccordhlA' 10 Inw, MU~' Ihul the rncts set forth In the uhove nppliculion ure lrne III the hCMt or ......Itcr... knowledl(e und heileI'. .......SII'.Qr.T.\........................................ unci MuhMcrlhed 1 ......................;...................'.........7J............................... berore me. ....t.~~,..,.~i'iiif(ir.t.'~ii...............,... .......... ,N ~) ....~J................... ... A. IJ,. 1!l.7.!)..,.. {/.........,........................,.....................................,............ , ~Ic of Hel(i"ler ".....,.........".,..,..,..,.......,'.....,..,......,...,.,..,..,....,...,'..,...,..., SNELII^KER. ~lcCl\LEn Ii. EI,ICKER .'lIecl : ....~!.~~.c::~....}..,?"....,)n,9.....,....,. ..'...",...... Ath.H'I1l'~': (ol'cr) . I\CC-BII COlIMONWI_AI,TlI OF N:NNSYINANIA Depllrtment ef I\evenue ENTI\Y INTO SAFI-; DEPOSIT DOX TO I\E~IOVE A WII,J. 01\ CEMETEI\Y DEED \1 \ '1ql ~\/l January 29, 1979 ~~lI~x (Date ef Entry) 1. Name of decedent: Elsie J. Bowers 2. Address of decedent: 7 E. Marble St., Mechanicsburg, Pa., 17055 3. Date of death: 1/27/79 4. Name and address of person who requested the opening of the box: 1.no> M "'01 cnn, 1?R lJ 1.i churn RrI" MechnniC!shurl!, Pa.. 17055 financial institution where the safe deposit box is Commonwealth National Bank, Main & Market Sts., fl. Name and address of the The located: Mechanicsburg, Pa., 17055 6. Number of box: 831 Elsie J. Bowers or Janet M. Nelson 7. Title under which box is registered: 8. Was there a will in the box? (Yes or No) No II. If yes, state date of will, name and addresS of personal representative, if named in the will, and name and address of attorney, if any: And now this 29t~ay of January certify under penalty of perjury that the above record to the best of my knowledge and belief. , III 79 ,I hereby is correct and cnm~lete /- , -;;//) ( f'-v. ( /( . Anna L. Rankin. Personal Loan Officer Print Name and Title COMMONWEALTH Of PENNSYLVANIA COUNTY Of CUMBERLAND l. J 5S: Janet M. Nelson bolng duly sworn _____ according 10 low, dopos86 and soy, Ihots h. .J.s_th" _______~drJl.~'!~s..!=_rl!j:!'i_~___,_____n_ of Iho Edalo of Elsie .1. RONel.'R 101. of Dorough of Mechanicsburg , Cumb.rland Counly, Po., d.c....d and thai tho wilhin i, on lnvenlory modo by ___.. ____~~,~~,~. Nelson ____ , Ih. 'aid_~dministratrix of Ih. enllre .dale of sold d.c.denl, consl,ling of alllhe personal prOl'drly and re.1 esl.I., oxc.pl r..1 edal. ouhld. Ih. Commonw..llh of Ponn'ylvanl., .nd Ih.1 Ih. figure, opposil. o.ch lI.m of tho Inv.nlory r.pr.,ent II', fair valu. .. of tho dol. of d.cedenl's de.lh. Sworn and subscribed bofore me, 1a~.---T %1 q;.,J-.- o " ~~td,"l.hlrltor 328 West Lisburn Road Jrlt.,(bP..I .<0 19 79 ~V"";D ;t;? /~-,~"...,./ CAIHAHINE E. DOUSUM. NOIAHV PUDLlC MECIIANICSDURG DOROUGH . CUllBERLANO COUIHY MY OOMI.tIS.~Ill/l EXPIRES HB. 27, 1982 Mechanicsburg, Pennsylvania 17055 Addr." 0.1. of O..lh __?l1:L.., DIY Jllnuary Mo"th ] lJ7..9 VUt INSTRUCTIONS I. An inventory must b. filed wilhin three monlh, alter appolnlm.nl of personal represonl.llve. 2. A ,uppl.ment invonlory musl bo liIod wllhin Ihirty d.ys of discovery of addilion.1 ..s.h. 3. Addilionol sheeh may bo altachod as to person.lty or ro.lly 4. Se. Arllcl. IV, Fiduciarie, Act of 1949. ~ ::l P<I .a Ul !:a CI .~ .,; U ~ w .. ~ w ~ S .<: .. ~ o-i w CI .. ..... I>. Ul OJ u .. ~ 0 .. o-i 0 w VI 1-4 :<: C '" ,.. ~ w OJ .. l%l .. I J: en l- I>. U. :3 .... .; I>. 8 " I- ..J ~ ..... Z ..J ~ 0 0 0 I>. 0 ..!. w u. < l%l :t > 0 ~ .c: i- < N Z . CI Z 0 c Ij " :<: I! " - VI Z 0 0 0 ~ '~I 1-4 u . z w < 0 .... P<I I>. l%l ." ~ " .. S. ... -;: 0 .. -" ." .... .. E ~ . ..5! 0 .. " 0 ..... U u: CD en COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX OIVISION INHERITANCE TAX RETURN FOR INSOLVENT ESTATES ONLY OF RESIDENT DECEDENTS '* 1j.uj71 . ..... ... ACC.tOJ tj;yjj . COUNTY OF CUNBERLAND This r.lurn mUll b. completed In d.tall and fll.d In duplicate, with th. Regll.e, of Will, In the County where the decedent ,..Id.d wllhln nln. month. aft., dot. of death, unl... on ..t.nslon I, grantod by the Secretory of Revenue. Will Admn. No. 21-79-1719_ I, Janet N. Nelson 4NAMEI Misc. she being duly sworn according In law, deposes ami SU)'S Ihut ha'is the 328 West Lishurn Road "r~lechanicsbur~. Pennsvlvania I ADDRESSI or Ihc eslole "r Elsic J. Bowers laiC "r Administratd2c IEXEC" ADM" LI;:OATEE, ETC.I Uorough of Nechanicsburg ICITY. DOROUGH, OR TOWN5HIP1- January 27, 1979 IDATEI deceased, ollll lI10a the whule of the cslulc IIf said decedent, whu died un consisted of the Qssct!l listed beluw ond Ihat nllnwuhlc dehls ami deductions c~cccdcd the fair market value of the assets ami no Pennsylvania Transrcr Inheritance Tax is duc. Sworn and subscribed be'ore me b2~ ' c4~ J A ~ '?<? 1/ Cj; 4-.-- the tJ da)' 0 . 19...!L.- tNAftj -.---- r:'dlJAlnJ" ;: A;.{__ul~'" CAIIIAII!rlE ~. OOUSUM, N01 n PUBLIC CSI NAT REJ t'[elI.."I~!"l$G 00 0 GIt CUMUlKLANO COU Y ~Y COMMlssrorl ExPIR[s,.9'J.o!~dtS (Altach additional ah..', If n.ulla,,) Ducrlptlon of Au.t A~!Ui~t~~t~lx____ I TITLEI Type of ,butl R.al Eltat., P.,., Proper!" Joln,l, H.ld P,op. 0' Trantf.ra Ettlmat.d Marbt Value Department Valuation CAUTION (Do r,ot .rlt. In ,hit t ee) PERSONALTY: 1. Christmas Club Account, Commom~eal th National Bank, Ualance on date of death 2. Cash in decedent's possession 3. Proceeds from sale of household contents 4. Rent rebate: Commonwealth of Pennsylvania 5. Refund: Erie Insurance Group $ 24.00 42.45 686.05 336.00 3.00 JOINTLY-HELD: 1. Checking Account No. 141-171189-6, Commonwealth National Bank, in~int names of decedent and Janet N. Nelson (daughter); account opencd on 12113/65: balance on date of death: $1,387.99 One-half taxabl' 694.00 TOTALS $1,785.50 I. 78S.50 REPORT OF INIIERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance To. Appraiser in and ror Ihe ob"ve Coont). do respeclrully reportlhotl hove appraised the real and personalprupcrt)' os rerorted in the rurc uing schedule BI the \'Blues set forth uppositc each Hem in the lost cnlumn 10 Ihe right. .....{.) Dated: November 14, 19~ C1NHERITANCt; TAX APPRAISERl Nom. of Po,.. OEBTS ANO OEDUCTlDNS Notur. of Claim Amount ClolI'llld Amount Approv.d b, R.ol.t"r Register 0 W s, Cumberland County Cumberland Law Journal I~est Shore Times Commonwealth National Ua Chuck Brickcr, Auctionee Register of Wills Snelbakel', ~lcCaleb & Elicker Reserve for filing accou Jcsse H. Stonc, funeral Director Hechanieshurg Nedical Homer J. Conaway Uell of Pennsylvania Harrisburg Dairics Penna. powcr & Light Co. Pomero s Letters of Administration Advcrtising Administratrix' Notice Advertising Administratrix' Notice Safe deposit hox inventory Appraisal fee Filing fees Attorneys fee t, notary fees and miscellaneous cos s 15.00 18.00 16.75 5.00 20.00 6.00 300.00 60.00 Funeral cxpenses Cl'nic Professional Rent Account Account Account c 0 I services 1,497.13 11. 00 300.00 8.30 6. 31 TOTALS $2,320.56 5 o 5,(, IIEPllItT OF TilE REliISTEII OF WII.I.S I. the undersigned dill)' elected Itcgi!.ler nf \\'ills in nnd fur the lIhu\'c Cnlllll)'. dn respectfully rerllrl Ihot t hove ullllwed deuuclillllS in the omllulIl, set (nrth in the uhuyc schedule Il' clnimcd. c~ccl11 where I have set rnrth n gfcnler fir lesser nmnunt in the last cnlumn In the rhthl. which grealer or lesser 1.'1111111111 rcprcscnh the" 11 all wcd as a deductiCln, Uote "r APpr<>\'al::2::PV .,"R/ IClryq L~ I O--..J?~ If-- Co -- >.-,: ~~. . ' ~ '.1-< ' , '", jj u 15 w >- .. . Ci w u w en c ~ -l 00(' Do tl..' "' '" .; Do 0 " ;c ... < ... .. c.: W ;. Z '" '" -;, 0. .. W .. I-< 0. = is ... < '" 00( " 0 I-< " en u Q tl.. W c.. z ~ 0 ... 00( c a: Q ... .2 W -5 c.: ;; I::: "' 0 l: u 0. .. ... ~ w 'c < ... Q C c.: :s Q ~ Q 'e E , u c E i i '" ;; " <l: Q Q ..I U u I -- . I , I -.;. ...., } COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '*' COUNTY FILE NO: , ,-.... I DATE TO: " II" I- I ' ESTATE FILE NO, " I" , 'I"~ j COUNTY DATE OF DEATH -, Appraised Value of Estate: Real Estote Porsonal Property 8 + ! I + / 8 , 1- 8 .. " , JOlntlv Held ProportylTransfers Total Gross EstDto Total Approved Doduc:;tions Clear Value of Estate Less: Approved Charitablo Exemptions Clear Valuo of Estate Subject to Tax 8, h Amount Ta.able @ 6% Rate 8 tudue 8 ' ( Amou", Te.able @ 16% Rete tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE 8 . . . * . * A fivo porcent discount totaling · will be granted if the Inheritence Ta. 'S paid by Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT 8 + 8 8 = 8 + = + = Inlor05t DeCrUQS at tho folo of six (6~ porcent per annum on the unpaid balance 01 Inheritanco Tux from 10 date of paymont. Intorost duo if paid by is BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE 8 Assassad by: St'e InfOfmallOn on RO""fU SIde AgentfoflheCommonw..llh \. DlY.\li r~,~U.d Ui ;'1 ;.f ~~Ll. , ~ CON~IONWEAr,TII OF PENNSyr.vANIA ) COUNTY Of' CUNBEHI,AND) SS, JANET N, NI:LSON, being duly SIWl'n accul'ding to llll~, deposes and says: that she is the Administl'atl'ix of the J;state of Elsie J, BO\~el's, lote of the (Jol'ough of Nechanie8bol'g, CLUlIberlnnd County, Pcnnsylvnnln; that the fOl'egoing Account is 0 tl'UC nnd COl'rect l'ecol'd of hel' Ollministl'at!on of thc decedent's estate; that the nttnehed list or schedule (*) contains the names nnd nddresses of nIl pC!!'sons who hnve given notice of theil' clnims, and whose claims l'emain unpaid; that the attached list 01' 8chedule (**) contains the names and addl'esses of 01.1 persons interested in the distl'ibutlon of snid Estate; nnd tlwt the fncts set forth in the wi thin Account m'e tl'ne nnd COl'rect to the best of her knO\dedge, information nnd belief. l ~ Swol'n to and subscribed before mc this ;?tJ-li day o~~"..kJ, 1979, :J ..1} Q {Ol{1a.JU":"'/L cD. /~l"',c.," Notary Public """,".,." 1. HOUSUM, "OIARV PUDUC MECItAII'CSDURG DOROUGH CUMBeRLAND cournv uy rm.u.tlssrnr, f;r1'jIHC; reo 21. 19&2 * PERSONS HAVING CLAINS AGAINST ESTATE 1. Snelbaker, ~lcCaleb & Elicker, III( \~est Nain Street, Nechanicsburg, PA 17055 2. Corrvnonwealth Notional (Jank, 10 Sonth Nal'ket Sqnnl'e, lIal'l'isburg, PA 17101 3, Chuck Bl'ickel', Auctioneel', 93 Texaco Hood, Nechnnicsbul'g, PA 17055 II, Cumbel'land County Hegister of Wills, COUl't 1I0usc, Cal'lisle, PA 17013 5. Jesse II. Stone, Funcral Director, 1101l l'hit'd Stl'eet, NCI~ Cumberland, PA 17070 6. Nechanicsburg ~ledical Clinic, 1100 \~est Nain Stl'ect, Nechanicsbul'g, PA 17055 7. Homer ,J. Conm~oy, 107 West Kellel' Stl'eet, Nechnuicsbul'g, PA 17055 '-'wo,,,c.. 8. Bell of Pennsylvonin, Box 5000, Wilkes-Bm'l'e, PA 18703 8NELBAKER, McCALEB a ELICKER 9. IInl~t'isblll'g Dniries, P. o. llox 20U1, 1I:IPPisbul"g, P^ 17105 -4- l,(,tR (,f '" vd I.'L., 13U