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NO. .~g "1 '.v.'
PETITION FO~LETTERS OF ADMINISTRATION
IN THE ~;STATE OF ......'Q,y1.!,.;.'D......6.~~86.~..s.r:/!I.!,~,'[;)T DECEASED.
To ............. ......,fl:~.r.().1.~., .B..~..,~~.~~~tl.,. ..~~~':1~)(..." ,..., ,.,.,.... ,..........., .... ...""
Register of Wills 1'01' the County of Cumbcrland, ill the Commonwealth of Penlls;'I\'ania.
The Petition of ... .l1A .fl::'l.....J.!I.':I..fi...... ..f.qf.1.~, ,J>.T."......., ...... ....... ,............ .................."......
..............,........................................... respectfully showelh that .,.,])<i,N.IJ1:.P....(5.f.~R.f1..f...,..:f'..r;tf1!tP..T
was a resident of J!.P..P.G.R....4..U!i.~.........,.... 'oll'nship . {'umbcrland Coullty, State of Pellllsyl.
~~~~~~..~;;~t~~~,~.~.,~~ a~:i~~lt~t:~e,~:~~~p.~~~ .t,h.i~,.I,If~.i.l.l.J'~.~:;.':C::~::":f~.~.~.~.J;!l.~
on .......................~1?...... the ...................................... clay of ....... ..IJ.......A..f...........,....,... A. D., 19..7.cf..,
at the age of ....~........ years.
That the said ....~.!.'f..~.ld?.....g..~.K~f.....,J.:t.fl:1.%ceased, left surviving the following
named widow or husband, heirs and next to kin, to wit:
- --
Name
Relatiollship
.Mt.lf?y..v.A-~E....,f.~A.!?~T.. .... .... ....W.lfJ;....,............
................................................................ ...........................",..............
..Tl~.~.r!.ft.....Ib'#.~..,f.,H:~~...............:!Y.,y...............
..,h.!.I~M~b...~.~.~.p....~.-:1~..............!..~~.................
..~~M.~.....Y.R~~....:~.~~l>T.........~.~~m~......
ClH?,.!!..1.lN.(....K~r.....~~~..........)-1y6.t.tni~....
- ....~.!.f....W.~..~1.f.~~................ ..............~.~.:@.E...~.......
HoWAItl> fcftA~'t>T 1S'l2oTl'fER..
....~~.~E...":Tc1i^ili>f................. . ..........NEP'iftw...............
.......J.c.K!...........rc."^g,~.:r.:............... ........ ....NIt.~......... ..........
Residence
5', (' 6fTIY.r /lvfl6- P,/<.c n.ECtl~-
.................... ........,C.J/1V~'('/~..J.i7 0 S"S"
................................................................
5141'\.6
................................................................
II
................................................................
"
................................................................
II
................................................................
............y.~.~.~.,....P.tt......................
..............~~U.fJ?1.......................
..............r.D.~./...~.........................
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 $...~9..~.~.............
and of Real Estate, less incumbrance, to the estimated value of $........:::::::::................. as near as can be
ascertained.
-
That the said Real Estate in so far as is known is located in ................................................................
........................................................................................................................................................................................
for Letters of Administration in the above
Therefore, your petitioner"""" respectfully apply{ies)
named estate.
Dated ..!f...~.......".............".... A, D., 171.
Signature ancl Address
'1l1OJ0j..Ch~u.... .....' ...............................
(j t(-,-;- &1? tw.~ R'ft
,........,.............,.................,............t.:...........}............... ,
,........,..............!.J<<.<:A..~.f1..~.1-#..P..1../70fr
of Petitioner(s)
........................................................................................
COMMONW~;ALTH OF PENNSYLVANIA 1
} "s:
COUNTY OF CUMBERLAND I
.......".,..IY:.!t.~.'(.... J.M~....c(C/!~ J?.T.... ................. ... ...... ,...... ,......"... ..., ....... ..........,. ........ ,.. ....,. named
in the above application beinl\' duly ....v./It!.~,&..P\>....."."............. according to law, say that the facts set
forth in the abo\'e applicatioll are true to the best of ,/;/:~8... . know led and beli<;f. J f L/ .
.."....."./'..I#.,D..fl:.^.l........".....'''..... and sub.,cl'ibed 1 X..;jhtllq(." .......~
before me, } "........."...."./1..... ....... ....."....."......,.........".........
'-~I..,......~--;-~~...~.........".;-....H. A. 1>.. 19?~..... I...................... ..............;1..:~7fid
.....q".'I:-.~.,~..:~.~..I)l~.:;;'J.("'."'."..DepI.ltY. ........ .... ........... ...................U<-::.:
Re~i:;ter
~bl' Filed: ..?,ltc::~r.,..~,..1.979
Attol'lll'Y;
(o\'el')
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INFORMA nON
To insure proper credit 10 your account, the name 01 ttlfJ estate nnd lilo number should be clearly print.
ed on the check or money order.
This assessment is made in accordance with Section 708 of the Inheritance nnd Estate Tax Act of
1961172 P.S. 9 2485.708).
To the extent that inheritance tax is paid within three (3) months after the death of the decedent, a
discount of five (5) percent is ellowed 172 P.S. 9 2485.716).
Inheritance Tax, other than lax on a futuro interest. is due at Ihe data of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. S 2485-711). Inheritance
TaK on a future interest is payable within three (3) months aller tho transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. S 2485-7121. Calculate interest from the delinquent date shown
on the face of this form to the date of actual payment using the following interest table:
----------------------------------------------- - - --- - --- -_._------- -- -- -----
1 month .005 4 months .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months .015 6 months .030 9 rnonths .045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .00389
3 days .00051 13 days .00220 23 days .00388
4 days .00088 14 days .00237 24 days .00403
5 days .00085 15 days .00250 25 days .00420
6 days .00101 18 days .00267 26 days .00437
7 days .00118 17 days .OD284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days .00318 29 days .00488
10 days .00189 20 days .00335 30 days .00500
-- --------- ---------- -,-- -- - - -- - -- --- - ---- ------ -- -- - - -- -~---- --- ----...~
An\, party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 172 P.S. 9 2485.1001 I.
Make check or moncy order payable to:
"Register of Wills. Agent"
Mail to the address listed below:
RC~'03 1~7411
l'
*'
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
COUNTY OF CV/l1tJ aJ.AIID
Thl. return must be complotod In dololl and fllod In duplicnlo, with the Reglstor 01 Wills In thu County whoro tho docudont resldod within nino
months after doto of doath, union an oxtonllon II gronlod by tho Socrotory of Royonuo,
~~I~lI1.NlI. ').1-7~.~t~ I._~~'L J!ftJ~ J'CfIA,z2..L.______lIl_)i( (iQ1IXfiJ/J((~ 13KE. /I16CJ{,{~
INAM"> lefMR.G 'f'I1)f'''''1(/r~ /
Misc. I
heing duly S\\llrl1 lIccordillg In la\\. llelltlSCS ami says IhlltJhc IS Ihe ._!lP.J.!Jl.tlll_f/!.~_1j(.-.-!t~-- - -----
It..)(LC" ^lll,1, , Ll(,ATI,_E, lOTe.l
lIr lhe eslule lIr___J20!!..A..Y;J .6EoR66 .l/J!ljA.1(lrr IIlle 1I1 U f7J!__Et<.,Aii.li.tL-i'l!.,..,.----..-.-
ICITY, 1I0nOUGt1, on TOWNSHIPI
JAN_, 31 14](_u
IDATlOl
deccased, 8ml thut the \..'holl: of the estate uf said decedent. whu died UlI
-..---.--------
consisted or the assets listed he low and that llllowilhle dehts ilml deductions exceeded the fair llIurket value Ill' the lIssets and
no Pcnnsylvania Transfer Inheritance Tax is due.
. /') .' .'
__ 19 rO i /)/a~_~ _~{?1:r<<,_U--d:ica-----c-,.---.--
(1)IIGNATURE1/ - (TITLE}
(J /
Estimated
Market
Volue
Department
Voluotlon
CAUTION
(Do not write
In this. cel
Type of Auet:
Reo I E Itote, Pen.
Property, Jointly
Held Prop. or
Tranlferl
ASSETS
(Attach oddltlono~lf neconory)
Description of Auet
Pe-KJhI(ft/.. PM,~
)5~, ,.-
fifE:/) Mo~ R. VEHiCLES
TOT ALS
00,/
4.r5tJ, tlO
REPORT OF INIIERITANCE TAX APPRAISER --et~dl:
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above Counly do respectrully report that I have
appraised the real and personal property as repurted in the foregoing schedule at the vallles set forth upposite each item in
lhe last column 10 lhe right. (k/, , )....!..#. ,,)
February 21 1980 / . A.'Ud ~l;:' d."'/.
Dated:' (INHERITANCE TA APPRAISER)
Nome of Payee
DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount App~oYed
by Regllter
(1If1/e((/rL H>>~eIIN'.
FIJNā¬flA ,
I!dD, /'
BILL.
TOT ALS
!,Y'OO CD
REPORT OF TilE REGISTER OF WILLS
I, the undersigned duly elected Register ur Wills in and rur the above County. do respectrully report that I havc allowed
deductions in the amounts set rorlh in the .Iho\'e schedule as claimed, except where I have Sl~t rmth a greater or lesser amuunt
in the last column 10 the right, which greater ur less:.:r ,unuunl represents the sun allowed as a deductiun.
,
Dale lIr APproval:-:)I'/O;"_ If, f ~ J:r1 -'
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