HomeMy WebLinkAbout79-00228
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OATH OF PERSONAL REPRESENTATIVE
COMMONWIML'I'J-! cw pgNNRY LV ANIA}
SS:
COLJN'l'V Ol~ OLJMBlmLAND ,
Bofol'o mo, tho HoglHtOl' fur tho PI'obll\,O of WIIIH lIn\l/ihlntlng of LottOl'l\ 01' Admll\ls~rutlon In Jllld for
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h 0 fO b 1 d' . 11' . Chlll.'lCltte, M,LRowland. '.. .'.' '
t 0 ounty 0 urn or un I 1)01 F1or.l\ y onnlq "'i\!'''I''lnlllllll!lIlliH'HH'''''1I:111'''ljjl;1I'''II''',~I"..I''tl''HI''"""""'i"!!""
who, boing'duly ",;"",~,\if?.-t.n:"""l!' dqElfJlllIl1I doposu nnd BUY thut nSIl'n",,~lH~I~>>I\;t::~.>.\IHHjilllttlliHItHI,~tttllll"'1l
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IlO,C'lIce B. Rowland, ,
of tho lnat,W,il1 and ,Testamont, of '1IItl''-fl'I''''ttll'I'! "" ""'111+1'11111'1 1111"""llHlllill"'II!llllliIH'I"'!lIlIlI/'."'l..".decooBed
...,....,'~,!!~,........ will wcllund truly admlnlstol' tho goodH <<nd ohattels. r1g\1t8 und ol'.edlts of suld deceasod
, '
uoool'dlng te 11Iw. And IIlso will diligently oomply with tho provisions of tho Inw I'olatlflg to Transfer
Inherltnhcos, .~,~~~.~..~.c;>......... /.\nd subscribed
before me.
Febl:'
79
I AI Dq 1911'11l1I!!ti'
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, DeCREE
.' ".' . 6th. . ,~ April. "".' .... ..,.79
Be'.it,romombered~hnton,tho,tHHjjlHHI'i'"'''''' dny of 11";t..Hllitl.ltj,.""....~~.IlI..'nl.itl..o. Af D., 19 ",,,"'t thero
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b tad d d d tl I t Will d'r t 't f' "Horaoe J3 . Rowland "
was pro u .unr'ueor 0 ,10 AS," nn OM nmon 0 H.,,,,o;,,,;,,,,,,,,,,j"""'H'~!l'''iI;f,,;,j''''''''',',I''''+t,,qll'''',
I t 'f Camp Hill Borough, . C b I 'dOt. ')'1 I D' dI'te
u 00 ,,,.;.....,,....;,,...,,,,""..""..I...'''..'.lIfIfO...''i''..'....',,'.., urn or nn ouny, onnsy, vnn n. ' ooaase I .Jot 1'a
,........;f.~'~.?~.~.~~.~,~~,:.~"....fi'.. ""1 W~ltO grnntod to ...,..".,;~,1'~~!:'~~~j~~j"jt;1:;i,.~~~,~~n~., I............;...."
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WltnoHB my hnnd IInd officllll BOllI t.hodllY \1I\d.yoIII' IIfl)I'OBlIld.
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COMMONWI!/lI- TI1 OF FEtlNIYI. V/ltll/l
OEP/lRTMENT OF RBVBHUE
BURE/lU OF COUHTY COI-I-BCTIOHI
IHHERIT/lHCE HX DIVIIIOH
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lNHI::\1IT^Ncr: T^X m:TUHN
F'OH INSOLveNT I:RT^TES ONL.Y
OF m~Rml:N'1' DECEDI:N'I'S
COUNTY OF ,_~~J!MIlNHlJ\ND~,_,----
~" ~
Thl. ,.tU!II mu.' h. ,.m"I.la~ I" ~.tnll n"d flla~ I" 11",,111""', wllh Iho n..ul.I.' nl Will. '" ,h~ Cnu"IV whn.. Ih. d",,,~'''' '.'I~od within nln.
monlh. olt., do'. of ~o.Ih, ""I." "" ..10".10" I. U,,,,,I,,'! IIV tho I"...I"'V of R.,''''''"'
--
..____;r~..._~".._o_.____,~~;___..---=-'.........-.......
Will ,;11-1'1 - r~;J, ~ .
1\~m". Nil, . 1'1.~~.". l, ,....,QlllU;J,ql;..\:-~"Mt.J~9y{:I,l!n9.---.~-~IIi' ...:.CIl_IDlLl!-ill/..,..t~-------
III Mi\tl I AOPRl'.Illil
MiNe. ' ' ' " , ~
11C1,,~ d"I\' 'WtltllllClIlllllIlI" \1111111', III'I'"~'" 1I1II1 .111', Ihllahl..I. Ih" _~~OU~~~___~~-,__..____~..,.-_____H"-"-"'--'''------''~
teX~Ctj 1\1)1.111 \-.UQ",I!(t, l!lc,1
Ill' Ihe "nlllll' Ill' 1101:1100 B. Huwlanc,l .. 1111" 1I1'_~_l\1~_.B.!..~.1:L.J~~.W'_"'''--~''-''''''--_''- ._r'__
\t:rtv, OORoU(lI\; Oil TO II 11I-t II"
d,.e"II."II, uud Ihllllhll II'hl,l" Ill' Ihll ".llill."1' .lIld IIII"IIdl'"II. whll IlIod <HI "....--- i\.1.?r~l,6,.1979
tn^tl~l
""u"lnll"\ui' III" 11.."1' ""llld ''''\1'\\' ullll Ihul II I IC,II'II hl(l II"I!I~ IIl1d dOllt(('II(lII" o'''"Cllo'' Ihc fll'lr illllr~ol VIIIII" (If Ih(lll>>>>"'~ 111111
II" 1',,"lnyIVIIIIII TrllIlKhll IlIh"rllllIll'O '1,'11' \~ d"",
t .,;
R:'rl'i'~~I~; I ~ ~oml1lll nli l'lllrtl hi\Y "_IIIMI ASSETS
rfort'!lty,(~~.tll ,^ ttliH~l!II.iI\1 (,1,11111\ ' ,-.-------
It.ld P'UI', n' ' ~I\l"h IIddlllu".1 .h.." If n....'"'y)
Tfan.I.,. D<<tudpllun bfAIIOI
Sworn and .uhlCflhlfll"I'Il~ ,ITHI
/1:~~;:,,?tJ;~;~I. "L/~CI!~
,-,4~ ~A;;'~, '"EKGlO.UtOl::
lfllQNATURHl' ' IJ~ ITITl-liI' '
eatlmaled
Mr"kot
Value
POpClItment
VuluCl.tlli'_
C.UTIOIt
(DG net' wrlle
In thl... Cft
NaWmng;lllnd Life Insuranoe po.l,ioy
*295715 pllyableto estate
, . '" ," "llHI'OI\'I'JII,IINIII\I\ITi\NCIl TAl< AI'I'I\1\ISHI\
I, tho IIl1dol"I",1I111 dllll' IIPPllilllod IlIhodllln(lll TIIX 1\1\1\rlll>>or IUIIII,Ii'uf thollhuv" CUlluty dll re"pocU'ully rcpllttlhnll hnl'o
"\IPnll.od Ihc runl ,1l11l1,/1(1!OlIunlllrullllrlY 1\" fllpurllllllll Iho l'O~II(lIIl" >>eh~d\llc 11..tllhc. v'IlIIl"",I\QU:"rlh "Ilp"nlto enoh lIeill III
1\0 In"1 ,,"11111111 II' Ilw rlllhl, . ..- ,) C~>:::::- \. \~>, . ...._,/".,__'-Jv-'
II 'I' ,Juna 29 1971\ " - ' ~)-,-~--'-'--
1111,(, ,_____c__ .,,_. __.A,,-~. .~, ...__..__,.d IINII"H'HNCC .P"".ts",,,
oauphin
llooount
H.m. .1 F"Y"
,-
cl1/ld,ott.~1 M., HowlAnd
ceNII llank, N .FI. ,
Frodoriok T. Kull
1'11l10 t:lI 1. l1umo
1'1'/01 J,
Co 1 11l11\1J,1I InAuranoe
Vl fl'l'FI
(llllroIlCo.
cllbJ.u '!'.V.
111111" 1\oUOI:, 'l'Ul<. col
III 1.1111110 1\1Cl\1fiold
II" 1 lor I'll.
\'1111101'0)' 'II
'l'nlll\1I11 g, lIorl1or, 1no.
111'111'11/ Hoobuck
1,665.69
bopos;\.t Bank Trust co,, ol1eck'ing
fi72-8B2-654,~ . , ,
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707.2.('
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TOTAl.S
2,372.93
12-, '-~TL. (t 3
Df,J!.I.!.M!O DeDUCTIOItS
Naturo 01 Claim
Amount
Clalmod
Amount Applo.....d
by ReOI.la1
Family deduotion
Mortgage
Funera,;\. Expenses
Eleotric bill
Insurance premium
oebt of decedent
Dept of decedent
pebt'of decedent
1979 taxes
DePt of deoedent
Telephone pill
Dobt of deoedcnt
Trash co11eotion
Debt of: decodant
CONTINUED
2/000.00
167.13
1,121.25
llO.05
37.30
173.72
B1.00
6.34
107.BO
15.65
8,97-
127.24
9.75
__..23 O. 72 "
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APPLICATION FOR AND C()N~I:Nl
10 TRANSFErl SECLJI~ITlES
REGISTERED IN THE NAME
OF A RESIDENT DECEllP.NT
*'
COMMONwtAll'tt or HNtHYI.VAHIA
Illl'AHl/HNl III AnrNUE
IWHEAU or fino Ol'fAA lIONI
~ (MUST BE FILED IN TRIPLICATE)
10 THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application II h.f.by modo for callOnt to the I/onslor of tho followlno socurltlos of II Ponnsylvonlo
Corporotlon or 0 National Banklno Auoclntlan locntod In PonnsylvClnlo: .
DA1F,Jl Narch .19a.~_
(o),lE3.. ,. ,.JbL.lliI.4p..IJ,i,n.Pe{J<;lf,li,j; D~nk /it, lJ.'r.uat.CallJ;>any .,(c)..cOII\mcn ._.,,_,__._.
(NOTE: In doscrlblng 10curltlOl onto/ In (0), ob "'0, olthor tho oumhor 0/ shoros 0/ slack 0/ till; /nco omount 0/,
reolstorod bonds, In (b), the name 0/ tho luulng compnoy nod In (c) ,ho clllss 01 stock or tho stn'ed Intoreat /oto
and matu/lty dOlO 0/ regllte/.d bonds,) .
ISSUED ON ..Y!'ri.9UB datel!.,_, and hovlno 0 TOTAL MARK ET V A<LUE OF S4,J~~2..QQ .,
(Pa.o)
as 0/ the date 0/ death of the decedont, ___FloE..~,_y'!',-1l.!}~,cl.~
(Nnmtt of Oac:odont)
, '.._.., on :___L Ma;:gh., 197!!..__,
(pato of doath)
who wos late or 22 South 8th .Str.e.lilt_....._.Lt1moyne.",:..
(Stroot and Numb,,) (Palt Olll.e)
Q~(,jtlMc;L".,__---E'IlJlilllY 1 vania
(County) (State)
no secu/ltles a/o reglstored 05 followSl_,_._.,E~9..r.a.y., Shade., ... . . _, .__._".._. ___.,____
(Name or nanlU 'n which cortlfleDtlll are reght.t.d)
ADMINISTRA TOR)
EXECUTOR r-
Eileen J. Brennan --_.,.,..,.-__,.P...,Q.,I3_ox,..J.AS.5..._..Alomogordo, New MA~i CO
(Namo) (Add,o..) 88310
NAME OF APPLICANT .__ ,_ ..... _.......__.___...
COUNTY FILE NUMBER 21-~9-28~ ADDRESS OF APPLICANL.u...h___..__,____._~._,___
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BUREAU FILE NUMBER____SIGNATURE OF APPLICANT Xd,~L2en,~,?c;t"<"'.< /
NOTICE1 IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT LL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
. - _.~-,--_..-.--.--~..... .....'---_....,.,--~... --.-..
COMMONWEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE ,
. cONsg!:LLIQ_I~.All_S.EE:R_S,~~U~.LI!E~' DA TE ...&.CL_C;,r-1!JA'V
I hereby consent to the Iroos/er of tho abovo socurltlos now roglstored In the nome of the aforesaid
\
Docedent and wolve the /lllno 0/ a certlflcot" cortlfylng to tho .poymont of tho trollsfor Inheritanco tax .to which
. .~,..--.-. .,----,._~--~_.----- ,--
tho proporty of said Decedent Is made subloct pursuant to tho provisions of tho Act 0/ Juno 20, 1919, P.L. 521,
os omendod and the Act 0/ Juno 15, 1961, P.L. 373, as amendod, This Is also In accordance with the provisions
of the Act 0/ April 9, 1929, P,L. 343,
This Consent to Transfer the heroin doscrlbed proporty oporates only In referenco to the estate of the
above.nomed Decedent.
*'
Sloned lor tho Socrotary 0/ Rovenuo
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,/),', 'J X '
By___' ilcio/-fi 'I<r'/Ul'~~
I' ' .) '(SI~,;tu,?V " I ,
)f"t:""(:.. /I-'L')I);;:;"/~'''-Ie
',.f.,...,Al.. _ c.L/.. oI.~.L..L......-,---t;~~~___
, )~ Ie) (County)
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