HomeMy WebLinkAbout80-00042
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OATH OF SUBSCRIBING WITNESS
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\~O~M()NWEAL'I'H OF PENNSYLV ANIA ! ss: /
CO~l'Y OF CUMBERLAND \
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in and for said !s:Ollllty of Cumberland, in the Commonwealth of Pennsylvania, personally ci.he """""""
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............................... .............................................................................................."....................;..........................
the subscribing witn 'ses to the foregoing instrument of writing purporting to bjtbe last Will and
'l'estament of "",,,,,,,,,,,,.,, """""""",,,.,,,,,,,.,,,,,,,,,,,,.,,,""""',..,,,,..,,",,..,,",,"" Dated ..".."."...."".""."."""",,...
late of."""".."".."""",,"""'" ""......""."."....""..""...."""...".."......."...."... Cumberlan;{' County Pa., deceased
who being duly.""..".......".."... ...."........... according to law, depose and say, thlt "............."...".."......."..".
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present, and saw and heard the t sta."......"......".........".., ......".. ".."........../...".."..... ".. ".........."......."..".....
sign, seal, publish, pronounce and de'lare the said instrument ofwritiIiL and for h.".."."...... 'l'estament
and Last Will, and at the time of so d~~ "...".............".................../....was of sound and disposing mind
memory and understanding, to the best o/\,,,...........,,,,..,,.....,,...........!....,,knowledge, observation and belief.
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Richard E. Anderson, Register
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AFfiDAVIT OF DEATH,
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COMMONWEALTH OF PENNSYLVt}r-UA (
COUNTY OF CUMBERLAND / \ ss:
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......... ..................... ................. ...,/...... ....... ....... ........ .................... ....... ....... ........... ....:. ....... ........ .... ........being duly
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............................................../ says that as nearly as can be ascertained the said decedent ..........................
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..... ...... ...... .... ............ ......., :..... ...... ....... ....... .... .... ...... ........ ... .......... ........... ...... ....... ..............:.. ...... ...............died on
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......,......................................... the ................................day of ..................................................... A.D., 19........
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at or about ......./................................. o'clock, ....M.
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................ ......!................... .... ......and subscribed this
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................. .............................. day of ........................
........................................................................ .........
. ................................................................................
ichard K Anderson, Ret(ister
OATH OF PERSONAL REPRESENTATIVE
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MONWEALTH OF PENNSYLV ANIA }
SS:
CO UN OF CUMm:RLAND
'ister for the Probate of Wills and granting of Letters of Administration in 'and for
the County of Cumberland, rsonally came .....................................................::::.............................................
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who, being duly............................, do..::....... depose and say that aij../............................................................
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of the last Will and Testament of ..................>....................../.........................................................deceased
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......................... will well and truly administer th;A6~d.~ and chattels, rights and credits of said deceased
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according to law. And also will diligently~ply with tll~" p~ovisions of the law relating to Transfer
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Inheritances. ............................ an ubscribed
before me.
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................ ...................................... A. D., 19............
.................................................................u...............
Richard E. Anderson, Register
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DECREE
. 23rd January 80
Be It remembered that on the ........................ day of ................................................, A. D., 19 ........, there
filed a certified copy of
wa'~JOOI\IdeJi the last Will and Testament of .....~~.~.~!:.e.~..~.~y.~.~.}.~~.7.~.~.~~~.~..............,
late of .............~.~.~~.~.~~.':.~...~...~.':':~y..~.~ll~................, CiIOOllfQt~~~JlIli, Deceased. ~
....................................................... ~~Jltl}(~o ............................................................................................
Witness my hand and official <eal the day and year afnre<aid. ,
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'~f1~O;:"5'i':;;2C""..'1',i2' c" COMMOND~P~~J~TO~ ~~~~~YLVANIA
S;if:::':'~;'",." ,OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
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i RECEIVED
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= From,
~ Addre"
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~ File No,
'l'We hllll4n4 .e.s..Ly ..116 doll......
8Ild~-OO_.__"'______WW8__________________s.oI10rs
representing Pennsylvania Inheritance or
Eslale lax due from the following estate:
''''"In '1'yellR ayen
AOOQ Wil.~n AvenUA
2tlt Tax on
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Rt Heat-t. City--.HD
21943
6'lc lox on
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$
go-BO-t14
Dole of Deolh~5-79
1St-A Tox on
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$
'IT 00 ~ [? [L~ @ffi'ITrn
SEA L
,/,,, Tax on S S
Estate lax. Act of
May 7, 1927 $
TOT Al TAX CREDIT $ ')& ? 'i7
less five perccnlum 01 lox if ..., ";1 I
paid wilhin lhree months oller
dole of death $
Plus interesl at the role of
-b-'" from /,:) -:; ';7 c; 930
10 ~I .::,- g j S
TOTAL AMOUNT PAID ~""'1 I\^
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Dote of Payment
'1'.,.41 1;, '9An
Nome of Decedent
Hilllftd o.-~frit.
County
Non-R8aident.
Remarks:
NOTE: Thi. Triplicate Receipt to be rotained for audit purposes.
Melvin Croe.
(Signature)
Received by
NOTE: In accepting the tronder inherllance 10" on fulure e~tale5. prior to the death of the life
tenonl or tenanllor yearl. 01 8/idenced by this receipt, iI Is underslaod that lhe Common.....ealth sholl
I not be precluded or prevented from hereaher oUll5sing addillanal inheritance to.. 01 Ihe death of the
life tenont or tenant lor years whenever iI oppeort that such addilionolto.. may be legally due and
collectible lor any reolon whatsoever.
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