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Home My WebLink About80-00084 I': ..', ,-I"~ .. i . :! , t ~ , .~ 1-4 (l) , ~ 0 , 'Ill l'I.l ~ ~ i ~ . . 0 0 ~~ a ~ s (,:J E1 -- o , s~ .r: O' ClC) . - ~1 o z - NO, ~t.80 PETITION FOR LETTERS OF ADMINISTRATION IN Tm: ESTATE OF .......,..!.p..~........,.(:,........({.R.,<.i"L..,........... nECEASt:U. HAI\OlD 11, J}\'LIINfi. 0 ~(ilv\TY To ............"...,...,.,..,........,...".........."".."'......(.......'...",.,......".,."..,..."...,...,.,........,... Register of Wills fOl' the County of Cumhel'lau<l, ill the Commonwealth of I'enns)'h'ania. The Petition of ,..,"",..:!.T..~Wc.......,0..,..I:!..U, 1/ Q.,~:ll...S..."..,.,."......".,"',..,...,' ...,...".."..""",.",... ........,.,..,......",......,..,.."..,.......... ,.,..,.. respectfully showet h that ",.. .,'(,g!.!"..,...C;':,..,..B.~?.'),..,',..,...,........,..... 'd t f ':n1 ill, '''il 100 {.' Towl\ship (0 I 'I' I C It' Sl'Ite of Pennsvl was II res I en 0 ~..\.....JI.:................".........................Bol.n\lKh . - -11111 lei ,UH Ol n ) I ( '. .. vania. and a Citizen of United Stutes, and depurted this life intestute in the County of ?",~!.!:1..0,S!;;yJ,!YP ....,......,...............,.....,",.., und State of ,...,Y!.i-:!!.I:!./y.(.~:(!.~,((.1."",..,.".,..,..".."...."..,',....,',......."....,..,..".. ......',..,.., on ..........0..'..........,............. the ..,.....),f.,U,I,~.e............ <Ia.\' of ....,..J..1.~,~!.!!..!~,~!................... A. u" 19..?',].,. ut the uge of ..oR~~......, yeurs, That the said ...................!.p.f.t....J7"..B..q,,~,X..................... deceased, left surviving the following ,'--, named widow or ~usbund. heirs and next to kin, to wit: ..R.p.!M.o~,..,..~.Q.~..f.......,.....,..,.....,......o ............................................ SDIl Residence 1111 (, 1J00t"II1IoJOI( Clt!c..~(. ,..n,Hlf!:?,....n..~.(H..c;,,)....E.,!.u,:.0.,':, fJ6 '? Name Relationship ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ That those above named include all of the next of kin, so far as known, o "d The said decedent IVas possessed of personal properly to the estimated value of $..!.....9..:=..............., and of Real Estate, less incumbrance, to the estimated value of $.....I:!.,~,:'!.,?,.............. as near as can be ascertained, IJ ~ That the said Real Estate in so far as is known is located in ...........9.~.S:..................0......,....,........... ........................................................................................................................................................................................ Therefore. your petitioner(s) respectfully apply(ies) for Letters of Administration in the above named estate, Dated ..........&...k,r..~,~,~7-.....J.......... A. D.. 19?,U..... , Signature and Address of Petitioner(s) 00,-< C)/, CJd("'S .1!f.~...;;.....";.~.;i'.....,s-::;;;:t"..;...(i~'x'..'q'o2:.' ...tI.~.;-:~;.,;T;;.~.;...:...'()~.-:,';;'~:....'..T1TI1T'............. ........................................................................................ ........................................................................................ COMMONWEALTH OF PENNSYLVANIA 1 t ss: COUNTY OF CUMBERLANU steve C. Nicholas ....0..............,...................,.......,.........,....,............."................",......."...,..,....,....,.....,...,...,....".."...........,',....".... named in the above application being dul~' ............,......~,~,?,7.~................. according to law, sa)' that the facts set forth in the above application are true to the hest of ....~~,~.... knowledge and belief. ....,......,......o~~~!:.~,..,..,',......."..,..,.,. and subscribed 1 '........'2'."...............,..,.......,",..."..".,",.."..,................... before me. I t ,)(...:~t,..,c."..)J!.:r:d.d(,Q.............,..... ..,................:.~,~.~,~~S~':,..?...,........... A, D" 19..~~.... J ,(1 ~~-ri..\Y.l:(,,~,~..,............?,~~~,~!" It' I 0 . ~eglster February 7, 1980 Filed: ".......,......."".'..0'.......'..."......."..,....,."..,.."."... Attorney: (over) ........................................................................fj?IJ..............' ""_ ;:2,1 ........,..,...,.""",........".,.....,........"....".,.....,.....,....?..... STE vE- c. Nlct'O uP, S,:1' ..1v-)',..N....:Z.."';/.....s:~-..f.;....Flij"6rJX 'lO:-z... 1-f'^"'IL-v,'], ~"'H^' I)IOP OATH OF PERSONAL REPRESENTATIVE COlllMONWEALTIl OF I'E:-INSYLVA:-IIA COUNTY OF CmlBERLANIl } ss: 5TfuE. C /vICHNfj\ ......, ,........... ..,."..",... ...,.,..'...."..", .....,... ,......,., ,...",...,........"........"..,.....".".,..".."."."..,',."..".."..,...,..., peli lioner (s) being duly ............'~:i&..9..f..~............................ accordill!-[ to law do ,~>,.... depose and say that as the administra .tq,~......, of the estate of .............J,9..!J..............c.~..:....G..~,s...?...................................................... ........................................................................................................................................................................................ deceased .... ...8..11.........., will well and truly administl'lo I he goods alld chattels, rights and credits of said deceased, according to law. And also will diligently COlllpl.\' with the provisions of the law relating to Transfer Inheritances, sworn ' ................,..,........0...............,........,..., and subscribe!! before me. ~ '~..r..f..!'!;P.f.!-!,ii!f.Y......I............. A. J)" l!l..JN.. ~~'r2~!'fj~.................~,7.?,~,~r.. Register c ' x.."J?-fh..,....,~..!y.',.,~;,:L&-;;.::.......,..,....,.,.... ............................................................................................ DECREE Be it remembered that on the ............?~?............ day of .............,~.~E.li:~.~.~y.............. A, Do, 19~0~...., Letters of Administration in the estate of ,............... ...Lr.../J......,....~.....t;:.g,f...?:............................................... ,.., ..............,..".....,.....,.,.,.."..,....".,.,..,....,.."...,.......... I a te of ,,[;".!. t.,..... I.:' ~I.~ ,I,,!-:~:::-:.,....72. ::::!, I, ,~.i 111..."......... ...... Cumberland COllnty, Pel1ns,'lvania, deceased, were granted to ........?TL~'.:~......,~....,!Y.,i,~.;,(,.9./;d.!:.... ........................................................................................................................................................................................ Witness my hand a'I<1 otJieial seal the day and yea,o afol'esai~1l An ~A ",...,',...,......".."1H!:{),~~'S.,,..JTl~'f..~.~'t... Register This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with Act 66, 1'. L. 304, approved by the General Assembly. June 29, 1953. cJJ~ l{i~ (Fee for this certificate, $2.00) WARNING: It is illegal to duplicate this copy by photostat or photograph. STATE ".EGISTRAR I NOV 3 0 1979 ..v- ;~ ,,7/ ;/ Date No. HIOS.143 Rov. 3.73 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL STATISTICS CERTIFICATE OF DEATH 003436 LOCAL REG, NO, PRIMARY DIST, NO, ;;; I CJnq . .J \ I 1. DEATH a. County OCCURRED / IN, C'v177.6,,; ''11/// <'I c. If death did not occur in Cily , or borough, give nama of lownahip'L": - L..-;' Z .. 50"'';' 100 not U50 R,D. or Ball Numbor) 11.1/ I c:"'/' 7... . d. ~fl~~5a;I:1 /~ Iy' f /7//-/ or or Institution (if not ifl hosptfa'l,.givo &lreOI address) 2. DECEASED'S a. Street addren. A.D., or Ball Number ~~:'~~~s '77 d ~ .-'~" eQ.v/'c/T /j?,~<r' . b. Post Office, Slala and Zip Code ~o b. City or borough ,.- /w'j;, t:.~'/77 /7 /*//, 3. VETER Yes 0 /? "" // No.D a. Which War b. Serial No. 4. NAME OF DECEASED (Type or print) 6. WHERE 010 DECEASED ACTUALLY LIVE? b. (Middlo) c.(Last) /';:'1'$ (Month) (Day) (Year) ,2.,- 77. c. Did dllceased live in'p-!ownshlp7 2r"'Yvs. dvcellsed lived in ..'Q$ r /"'fF/;"/.;1 town5hip .. /<;,41. MEDICAL CERTIFICATE (hems 20 Ihroug 23 muSl bo compleled by physician only) 20. CAUSE OF DEATH: Enlcr only ono cause per line for (a).lb) .& (cl. PART I. D...h.... c.u..d by' ~~ ~ 1.7 , IMMEDIATE CAUSE (D) , / r~I/I~z z",_ Conditions, if any, which -h gavo tis~ to abovo cause . DUE TO (b) . // (iI) slalln9 the under. lying caUSB lut. DUE TO (c) 21. WAS AUTOPSY PERFORMED Yeso No) 22. a. ACCIDENT Yeso NoD 22. c. TIME OF ACCIDENT 22. f. CITY. BOROUGH. TOWNSlilP Month Cay Year Hour m, E. T. COUNTY STATE 22. d. ACCIDENT OCCURRED 22. o. PLACE OF ACCIDENT (o,g_, home, While 81 0 NOI while 0 farm, strOOl, elc.1 work III work . ~ 23. \1 horeby cor My I;h;; ~.J ~bO," n.m,d d'C"'C~'''h oceun,d I,om ,h. c.u,", .,nd on 'h, dol. ..."d .bo., ul ?~-~ m. E, T. 8. SignDturo //i7'U-.tc- o~. b Address\' ":/1 J C:'-<:'.~'7 ::;1-: /./lri./~c Dato SIgned - :Z-1 7 24. d. BURIAL :;; . b. DATE 24. c. NAME OF C(MnERY OR CREMATOR 24. d. LOCATION (Cily, Boro, Twp.. .& CounIYl(St~lO) CREMATION 0 _ ~ / I. . REMOVAL 0 I':/'} /-'''cll-/';'t/Urc. /4. 25. DATE REC'O BY REG. 27.' ~.JAT~E AND AD~RE~S OF F~ AL DIRECT/&' 1- .3 - ") 7 {. ~C/L,,'C<-<...,~+-- / (,.......s>--<-R. .. 7 \ . AdmllllHtrlltor's Bond with CorllOrnto Surety Know all Men by These Presents: Steve C. Nicholas .. ................... .........a. princIpal, nnd tho That we ....... The Ohio Casualty Insurance Company . as surety tlrD beld nnd firmlY hound unto ............................................ tho Commonwealth or pClluR)'l\"nnln tor tho 11tH! or tho COlIllllOItWClllth nnd 8uch }IOrSOn or persons as may bo Interested thoroln. In tho sum of ($...1 ,cxx>.OO . ) ..One, Thousand and nQ/lOO ... dollars, to bo paltl to SRld COllltl\OIlWCllllh, to which llll)'m~nt well nnd trul)' to he mnde, we blud ourselves Jointly nnd scvcrnl1Y, our heirs, executors and ndmlnlstrntorM. successors nlld perRonnl rcprC8cntutlvos nnd nsslgns, firmly by theso presents. 7th Scnled with our senle. dlHcd the.......... February ............ In the ;rcnr of our Lord one thl)' ot ..... thousand nine hundred Bud .gj..gf).ty "'" 19,,80. The Condition of thIs oblIgation Is sueh, 'I'hat it the ahuve bounden .. S~ey~l:.,N.,i,c;:119~,~,S. , ................................................ .........-............... admlnistrnt ......"..O.r.......... ........ at nll and singular the good~, c1mttcls and cl'edlts of ......IQ~...G....RQ~_~.......................... lleccased, do make or ('UURe to be made, n true nnd pertect im'cutory of all and singular the goods, chattuls alld credits oC the said deceasctl, which havo conte or shall come to hauds, possession or knowledgo of ,.....' ..,....,Steve..,C...Nicholas.., ........... ... ....... .........' ..._.. ......................................... the said ndmlntstrllt .......~~............ . ..... or Into the hands and Ilossesslon at any other person or persons him tor .....................Cumoerland ... and the same so mude, do exhibit or cause to be exhibited into the Register's Office, tn 7th February the County of 1/2xUptr:Ib1, at or berore the .... day of .__......._......... ............................................ next ensuing; and tho same goods, chattels and credits, alHl all other the gauds, (:hattels and credits of the deceased at tho time at ......................h~!:................................... . .. death, which at an)' time ntter shall come to the hands or possession ot the sahl ."nn.."'.....,",..,"""'~~,"y~..l:. "N.i<::,ho~,,,,s.,,,,,,,,,, ................................................................... or into the hands and possession ot any other Ilcrson or persons for .... ._...him............................ ................... do well nnd truly administer according to law. And tluther, do make 01' cause to be mnde, a just and true account of .........h!~....................... said administration at or before the .......?~.~....... ._.... da)' ')f ... ......f~~J?_;~~n'........ Anno D0111tni19.~.~.., or when thereunto required by the Orphans' Court, and all the rest and residue ot said goods, chattels and credits, which shall be found re- mainlng upon the said administrator's Recount, (the SU1I1(l being firlit examined and allowed by the Orphans' Court of the County of Dauphin), shall deli vcr nnd pay uuto such persoll or ]HlrSOllS respectlvel)', as the aforesaid Orphans' Court by their decrce or sentence, llUrsuant to law, shall limit and aI.point, and shall well ami tl'uly comply with the laws of tho Commonwealth, relating to l'enns)'lvRnla inheritance taxcJoi. .-\nd if it shall hereafter appear, that any last will and testa- mont was made by the said deceased, and the samo 5ha 11 he proved accordinJ:; to law, it the said ..S.teve...C............ ......):~!~~.9.!~.~.......... ........ admlnfstr.9..~........... R:i aforesaid helng thereunto required do surrender the said letters of nd- ministration Into the Register's OOlce aCoresald, then this obligation to be \'old otherwise to remain In full force. In Witness Whereof, \Ve have hereunto sct our hands and seals the da)' and l'ear first abo\'e written. ...................................................................... .~ ,~ 1I/'0~,-!!?.................... {eve C. N1cholas \j " ,........" ".. ... .... ,........,......,.........,....,.,........ .,..........,....,. t... ...........................................................r "Chai:les..B.~"'Hiiiiie's..'...Att'O'i:riey;.;;i""'F --------- CERTIFIED COPY OF POWER OF ATTORNEY THE OHIO l.:ASU.AL'I'Y INSURANl.:E (;OMP ANY HOME omCE, IloUIILTON. 01U0 No. 9486 ~"111\1 All Sfn by illhfilf llrl'i1flllil: ThaI THE OHIO CASUALTY INSURANCE COMPANY. iD punuaD" of .uthori., .raDted b, Articl. vi. Section 7 of the By.Law. of ..id Company, doe. hereby nominate. con.titule and &ppointl Charles B. Humes _ _ _ 0, _ _ 0 _ _ - ,- - - - - - - - 01 Mechanicsburg, pennsylvania iu true and lawful aloat and attornoy -in-fact. to make. necute. .eal and deliver for and on it. hehaU a. .urety, and .. it. act and deed any and .11 BONDS, UNDERTAKINGS. and RECOGNIZANCES, Dot escceding in any .inaJa butane. ONE HUNDRED THOUSAND _ _ _, _ _ _ - - - - - - - - - - - - - ($ 100,000.00 - - ) DoU..., ezcludin8'. hawn'er. any bond(.) or undert.kinl(') auaraateeina tho payment of note. and intere.t thereon ADd tho executiOD of .uch bond. or undertakiDI' in pur,uance of thele prctenh, .han bo a. bindinll upon ..id CompaDY, a. fully and amply. to aU inteDt. and purpou.. al if they had been duly ezecutod and acknowledged by the re,w.rJ, el.cted officer. of the Comparay at ill office in Hamilton. Ohiu. iD their own proper penon" The authority araDted hereunder ,up.rlede. any preno\U authority heretofore granted the abo~e Darned attorney(.).in-'.ct. In WITNESS WHEREOF, the undenisned officer of tho .aid The Ohio Calualty In.urance Company ha. bereunto .ubacribed hi. name and affixed tbe Corporate 5..1 of th. aaid Tho Ohio euuollY ID'UUDce CompoDY Ihi, 25th c1ey 01 Aprll 19 67. (Si""od) J. Earl RJchester ................................................................................................ Vice president STATE OF OHIO, COUNTY OF BUTLER SS. OD thit 25th day of April A. D. 19 67 hofor. the .ubacribar. a Notary Public of the Stata of Ohio. in and for the COUDty of Butler. duly commiNionod and quali6ed. came J. Ea,rl R;lchester Vice p .resident _ _ _ of THE OHIO CASUALTY INSURANCE COMPANY. 10 m. penon.IIy known to be th: indinduu and officer de.cribed in. Dnd who executed tbe preceding iDltrument. and be acknow- ledged the execution of the Ame, end being by me duly .worn depoaeth and l8ith, that he i. the officer of the CompaD1 afon..id. and that tho leal affi:ud to the precedina inatrument it the Corporate Seal of aaid Company. and the Aid Corporate Seal and hi. aisnature aa officer were duly affixed and lub.cribed to the .aid in.lrurnent by the authority and direction of tbe ..id Corporation. ~\\\,"lIt1"I"(I: ,&~ .",Ullt~ " ~-....\\.........t s .' \\11"0 i I.o~~"~ '% S.i * a '" ',' I "" . .... ,/,[000 " ~,;,._....,,~J '<>40 ,"lI'o.... 11"1lI1\\~- IN TESTIMONY WHEREOF. I hoy. horeuDlo ,.1 my hODd .Dd olli.ed my Ollicio! Seal at the City of Hamilton. State of Ohio. the doy and year 6,.t .boyo written. (Signed) Thomas W. Hildebrand ..N;;;;;.p~.bi;~..i.;:.;;d'r~;.c.~.~;t;...~rB.~.li;.;:.st;t:.~i"ohi;;'. Febzua.ry 2, 1970. My Commit.ion expire. ....~............................................... Thi. power of attorney i. granted under and by authority of Article VI. Section 7 of the By-Law. of the CompaD1, adopted b, it. directorl OD Apro 2. 1954. eztractl from which read: "ARTICLE VI" "Section 7. Appointmont of Attomo,..in-Fact, etc. The chairman of the board, the pre.ident, any nce-prMidcnl. the lecretary or any a..iuant "cretary .hall be and i. hereby n.ted with full power and authority to appoint attorney..in.fact for the PUrpOI. of .jiDing tho De" Je of the Company a. auret,. to, and to execute, attach the corporate .eal. acknowlGdae and deliver any and all banda. rc.. .)gnitance.. ,tipulation.. unden.kins. or other inttrument. of .urety.hip and poUcioe of in.urance to bo Biven in favor of any individual. firm. corporatioD. or the official repre.entative thereof. or to any county or .tato, or any official board or board. of county or .tate, or the United State. of America, or to any other political lub- din,ion." Thil in.trument il .igned and lealed by faClimile al authorized by the fonawing Re.olution adopted by the direetoJl of tho Company on May 27, 1970: "RESOLVED that the aignature of any officer of the Company authorixed by Article VI Section 7 of the by.lawI to appoint attorney. in fact, the .ignature of the Secretary or any A..i.tant Secretary certifying to the correctne.. of any cop1 of · power of attorney and tbe leal of the Company may be affixed by faClimile to eny power of attorney or copy thereof ilaued on behalf of the Company. Such tignature. and .eal are hereby adopted by the Company al oriiPnal aiguture. and HAL to bo ..lid aDd biadinl upon the Company witb the ..me force and effect a. thougb manually affixed." CERTIFICATE I, tbe underaigDod A..i.taut Secretary of The Ohio C..ualty InlurancCl Company, do hereby certify that the foregoing powelr of attorney, Article VI Section 7 of the by..law. of the Company and the above Reaolution of it. Board of Directo" ar. true and correct copiea and are iD full forco and effect on thil d.te. IN WITNESS WHEREOF, I have hereunto act my hand and the leal of the Company thia 7tl'\lay of Feb. A. D.. 19 80 ,~J.~11.~'~ 0)," ...~ ~i -,,=, ~l SEAL IS ~}.." i.i ~1!!1j~~~ S.4300,C 10.74.3M ft. f:~.:!!:.!!:: RCC-103U-73) INHERITANCE TAX RETURN FOR INSOLVENT ESTATES ONLY OF RESIDENT DECEDENTS *' COMMONWE"L TH OF PENNSYL V"NI" OEP"RTMENTOFREVENUE BURE"U OF COUNTY COLLECTIONS INHERIT"NCE T"X OIVISION COUNTY OF Cumberl and Thl. return mUlt be completed in dotail and filed in duplicate, wilh tho R09iste, o' Wills in tho County whoro Iho docodent resldod within nino month. after dote of doath, unless an utan..ion I. granted by tho Secfnlory of Revenuo. Will ~)/. (,"t' 1 Admn. Nil. ' ('J_ I. Steve Co Nicholas 405 North Second Street Ilf Harrisburo. Pennsvlvania 17108 I ADDRESSI lNAMF.1 Miseo being duly sworn llccording to law, deposes and suys tlHlI he is the Admi n is t ra to r lEXEC., ADM., LEuATEE, ETC.I East Pennsboro Township ICITY, BOROUGH, OR TOWNSHIP) consisted uf the assels listed below and thai l.IlInwilhle Jehts and deductions exceeded the fair market value of the assets and of Ihe estate or Ida G. Ross hue of deceased, and that the whole of the estate of sOlid decedent, who died on January....b 1977 IDATEI no Pennsylvania Transfer Inheritance Tax is due. ~ (;U'vU Sworn and lub.crlbed before mo ') ~'(" ,. ..... " tho 1< 'doy 01 II u I, , , I ))'\('u\,,(, U--"V{,) ), ,,' \ Ir., ':. ISIGNATUREI Administrator I TITLEI 19~ R;:~PE.:~~:I:,<<Mr ^~~ Srrr.,!:t. ~bt.lIY Pub!i( ASSETS Property, ~'~lf9mmlJl n h".rel f.u:1.:!1 I. In] - H.ld Prop-Htr,iJbufi, P D~u hin Count (Attach oddlllonol.heet. if necnlory) T,onsfer. ~ V Description of Auet Eltlmated Markel Volue Ladies'Ring (5 diamonds) Chain bracelet Nastrix Ladies' watch Brooch 1965 Pontiac Coupe Automobile (No value - lost in flood) $ 250.00 125000 15000 50.00 0.00 TOT ALS $ 440.00 Deportment Valuation C"UTIDN (Do nol write in thll' co) 1/ 'f'fO. 00 REPORT OF INHERITANCE TAX APPRAISER J./J/{ I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have appraised the real and personal prnperty as reported in the foregoing schedule at the values set forth opposite each item in Ihe lasl column 10 the right. -fl.' , '1'1.' Ii 0''; A 11 10 1980 IL~" / n' d " Dated: pr , !INHERITANCE TAX APPRAISERI Nome of Payee DEBTS AND DEDUCTIONS Nature of Claim Amount Clolmod Regi ster of Wi 11 s - Cumberland County Melman, Gekas, Nicholas & Lieberman Bureau of Vital Statistics Mohler's Insurance Agency National Central Bank Reese Funeral Home Register of Wills - Cumberland County Register of Wills - Cumberland County Letters of Admininstration $ 14.00 250.00 Attorneys Fee Death Certificate Administrator's Bond (Cost of drilling open safe deposit box Funera 1 Expense Petition for Small Estate 2000 20.00 68.25 1,245000 7000 Filling Insolvent Estate Return 3000 TOTALS $ 1,609025 Amount Approved by Regllte, REPOIn OF TilE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for the above County, do respectfully report that I have allowed deductions in the amounts sct forth in lhe above schedule as clnimcd. except where I have set forth a greater or lesser amount in the last column to the right, which greater or lesser amount represents the Sll I allo "cd as a deduction. Dale Ilr APProval:_O'\\~ ~_ I t., I V \-'tJ ~n~j;.~ (, J 0 - :3/(''1', 7 ~'\\ ''''1. \>0 - E-< a ! = w C. u ffi ~ .~ ~ >- . .c: ::;; w III U ~ t1J w c '" Q 3: ..J - 0 I < I- -< a: .. on ., 0.. tL. 0 '2 ;( '- ~ 0.. 0 0 .. lll: 0 w < w ..CI > II. Z '" '" t1J III --0 >. II. .... t1J .... E-< c c '" -< t: IL < III C '" " = " t:l 0 E-< III QJ ~ u '" 0 Q.. '- lL :z: tL. t1J 0< OJ ~ -< ~ 0 .... ..c 0 t- III E " a: "" .. ::> oS lll: ,e t1J UJ u ';;j 0 .. E-< .. " II. l:l E-< "tl ~ ~ w .... 0 " lll: .. < ~ 0 .2 ::;; 0 ~ E = 'e u " E ~ ,- "" ;; 0 0 ~< ..:I U U COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT *' ()j{!;4.,.,Q.,\ Gtbf 14 ?-v -R ';<1~1f COUNTY t lA"'Y'; DATE OF DEATH~4:,"" ;l 19 t; ~7 COUNTY FILE NO: d 1- (,-0 - If 1./ TO: A"IV. c. 17~J;l."J r!'; 'hL/<, ~k~.c/ ~,' J~~/\j +O~ 'lL,~/I,J ~ '-<fj(fJV1~~ (l~ Appraised Value of Est.te: ~ Real Estate DATE ESTATE a. FILE NO, )?102' $ Personal Property + YYU,60 Jointly Held Pr"penylTransfers + Clear Value of Estate $ '1L10, OD _/boQ..)5 $ ~,Y'ii')-1-7lYL 7(j;,~ Total Gross Estate Total Approved Deductions Less; Approved Charitable Exemptions Clear Velue of Estate Subject to Tax $ Amount Taxable @ 6% Rate 5 tax due $ Amount Taxable @ 15% Rate tax due $~~~::)tYV~' TOTAL PENNSYLVANIA INHERITANCE TAX DUE 1ft 1ft 1ft 1ft 1ft 1ft A five percent discount totaling $ will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT $ + $ s = $ + = + = Interest accrues 8t the rate of six (6) percent per annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid bV is ~ \t, BALANCE OF PENNSYLVANIA INHERITANC~,T:~ Dr, -k $~:'.H,h.Jt ::J1\" / cVL Assessed by: %'I,~1 :::::. 'vv--,;-A,Im--:l... -4AQenlforthOCOrmonwe;l{h/" ..... ----- Se. Info,m."on on R.",,, S'de U\~~).-.1,! i\tfJ''V It UJ ~ t<,:',,: :1 '"I.. .~~~~~et.~k~~'; ., IN THE MATTER OF THE ESTATE ) IN THE COURT OF COMMON PLEAS OF ) ) CUMBERLAND COUNTY, PENNSYLVANIA OF IDA G. ROSS, ) ) ORPHANS' COURT DIVISION ) DECEASED ) NOo YEAR OF 1980 ~/01),.., --'lft( tl.1 ORDE~ OF COURT AND NOW, this~day Of~' 1980, upon presentation and due consideration of the foregoing Petition, IT IS HEREBY ORDERED AND DECREED that the several assets remaining for distribution as set forth in Paragraph 4 of the foregoing Petition be distributed, in kind, in the following manner: To ROBERT ROSS: (a) Ladies' Ring (5 diamonds) (b) Chain Bracelet (c) Nastrix Ladies' Watch (d) Brooch (e) 1965 Pontiac Coupe Automobile This Decree of Distribution shall constitute sufficient authority to the Petitioner, STEVE C. NICHOLAS, and to all other persons dealing with the property of the Estate of IDA Go ROSS, deceased, to recognize the persons named therein as entitled to receive the property set forth without further admini- stration; and in all respects to have the same effect as a Decree of Distribution after an accounting by a personal representative. BY THE COURT: ~/ ~~ ,(~~:~, Jo In Orphans' """ 10--: r,., u....' , (., ,_ "1"5 b.J IN THE f1ATTER OF THE ESTATE ) IN THE COURT OF COMMON PLEAS OF ) ) CUMBERLAND COUNTY, PENNSYLVANIA OF IDA G. ROSS, ) ) ORPHANS' COURT DIVISION ) DECEASED ) NO. YEAR OF 1980 PETITION UNDER SECTION 3102 OF THE PROBATE, ESTATES AND FIDUCIARIES CODE FOR SETTLEMENT OF SMALL ESTATES TO THE HONORABLE JUDGES OF SAID COURT: 1. IDA G. ROSS died intestate on January 2, 1977, a resident of 770 Poplar Church Road, East Pennsboro Township, Camp Hill, Cumberland County, Pennsylvaniao 20 Your Petitioner, STEVE Co NICHOLAS, ESQUIRE, is the Admini- strator of the Estate and he resides at 512 Alden Street, Harrisburg, Dauphin County, Pennsylvania. Your Petitioner, STEVE C. NICHOLAS, ESQUIRE, qualified as Administrator on the 7th day of February, 1980. A copy of the Letters of Administration is attached hereto as Exhibit "A", and made a part hereof. 3. The granting of Letters of Administration were duly advertised as follows: Cumberland Law Journal - May 23, 30, June 6, 1980 West Shore Times - May 22, 29 and June 5, 1980 (See Exhibit "B", attached hereto and made a part hereof) 0 4. IDA G. ROSS, decedent, was survived by the followin9 individuals: ~=('l, 107 " , (,'q-< I..'......\. Robert Ross B019 Hidden River Drive Tampa, Florida 33617 Relationship to Decedent - Son The decedent was survived by no other individuals. 50 The decedent died possessed of the fOllowing personal property: (a) Ladies' Ring (5 diaminds) ------ $ 250.00 (b) Chain Bracelet ----------------- 125000 (c) Nastrix Ladies' Watch ---------- 15.00 (d) Brooch ------------------------- 50.00 (e) 1965 Pontiac Coupe automobile (no value - lost in flood) ----- 0.00 TOTAL ASSETS ---------- $ 440.00 60 The decedent died possessed of the following known debts and ex- penses which have been paid by your Petitioner with proceeds advanced by the decedent's son and sole beneficiary and heir, ROBERT ROSSo Name of Payee Register of Wills of Cumberland County Melman, Gekas, Nicholas and L i ebennan Nature of Claim TOTAL Amount Claimed $ 14000 250000 2.00 20.00 68.25 1,245.00 7000 3000 19.39 18.00 $1,646.64 Letters of Administration Attorney's Fees Death Certificate Bureau of Vital Statistics Mohler's Insurance Agency National Central Bank Administrator's Bond P.eese Funeral Home Drilling Open Safe Deposit Box Funeral Expenses Register of Wills of Cumberland County Register of Wills of Cumberland County Petition for Small Estate Filing Insolvent Estate Return West Shore Times Advertising Advertising Cumberland Law Journal D", J~".:,;\ 107 -2- ~t '" ~ '., G82 2o~ Steve Co Nicholas 7. The known debts of the decedent far exceed the assets resulting in no inheritance tax being due to the Commonwealth of Pennsylvania. (See Exhibit "C", attached hereto and made a part hereof). WHEREFORE, your Petitioner requests your Honorable Court, pursuant to Section 3102 of the Act of July 1, 1972 (PoL. 508), No. 164, 20 Pa.CoS.A. ~ 3102, as amended, to award distribution of the personal property, in kind, to ROBERT ROSS, as partial reimbursement for payment of expenses of the estate. AND, he will ever prayo B"I" 10'0' ".,- ('l43 ~" I., I' .J,,,,,,, i i, I COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS: Personally appeared before me, a Notary Public in and for said Commonwealth and County, STEVE C. NICHOLAS, ESQUIRE, who, being duly sworn according to law, deposes and states that the facts contained in the fore- going Petition are true and correct to the best of his information, knowledge and belief. Wl,';t) , (~CL_ Steve Co Nicholas SWORN to and subscribed ...1'..'........\ .' . .0..'/...' ' I ,,' ),....-'1" ", 0 .1"...."-- ..'. \-0' i"be,T~r.ll',!)1e thlSol..," day ..~ _-11" ' , .: oj 1>" (J __~~ ':; .~' <" :,'"0'''"''' ,,:., '.: A 0 1980 :'......;.:\I~\....~ . _, . . o' Q, 0 _' ": -0 ~ '''. "'rti/j ~ ~.-: .. "0 ~ 7-, ,,:,'l~'}' ..../ 'kL' : . '."'") '? r.. ,. ) ",' 1-11."" . :J~ ~,-c.- ", '......,.. .,' o"{\ .. '. . . "'::<o:~ ~\A~ll' oll.ne. Notary Pubh, .....:M;.~~~ftlm1uion bpilc, ^u;u~t 1. 1983 HlrrilbulQ. PA DatQhln Counly n"" " .,. .~,~\ 10'7 <: G84 . - . ~.'.---. "-' .'."'" .__._~.~_...._-'- LElTERS OF ADMINISTRATION .. .' COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ~ ss I, Probate of Wills and Granting of of Pennsylvania: ' Esquire, Register for the Letters of Administration 'in the County of Cumberland, in the Commonwealth HAROLD B. McLANE, DEPUTY To STEllE C. NICHOLAS AdministraTOR of all and singuhr the Goods and Chattels, Rights and Credits which were of IDA G. ROSS, LATE OF EAST PENNSBORO TOWNSHIP, CUMBERLAND COUNTY, IDA G. ROSS PENNSYLVANIA, DECEASED GREETING: WHEREAS, the said died on SUNDAY the 2ND day of JANUARY 19 77intestate, according to affidavits properly filed, having whilst S he lived, and at the time of decease, diverse goods and chattell, rights and credits, within said county, by means whereof the full disposition and power of granting Letters of Administration thereof, is manifestly known to belong to me; I, thelefore, desiring that the goods and chattels, rights and credits, which were of said deceased, may be well and truly administered, converted and disposed of accord. ing to 1a.w, Do hereby grant unto you the said STEVE C.' NICHOLAS <In whose fidelity in this behalf I very much confide) full power by teoor of these presents to administer the goods and chattels, right and credits, which were of said deceased; as also to ask, collect, levy, recover, and receive the credits whatsoever, of said deceased, which at the time of HER death was owing or did in any way belong to . HER and pay the debts in which the said deceased stood obliged, so far forth as the goods and chattels, rights and credits will extend, according to the rate and order of law; especially of well and truly administering the good and chattels, rights and credits which were of said deceased, and making a true and perfect inventory and conscionable appraisement thereof, and exhibiting the same in the Register's office, in the Borough of C1tlisle, within thirty days from this date, and also a just and true account, calculation and reckoning of your admini- stration, upon your solemn oath or affirmation when hereunto legally required, and diligently and faithfully to regard and well and truly comply with the provisions of the law relative to Collateral and Direct Inheritances, d d b d" d' h 'd STEllE C. NICHOLAS An I 0 Y these presents or am, constItute an appomt you, t e sOl Administ" TOR of all and singular goods and chattels, rights and credits which were of said deceased, within the limits aforesaid, saving harmless and forever indemnifying me and all other officers against all persons by re:l.<on "f )'our administration aforesaid, and sal'ing all others their rights, etc, IN TESTIMONY WHEREOF, I have hereunto set my hand and caused the seal of said office to be hereunto affixed, dated at Carlisle, afo",.iJ, the ,7TH day of FEBRUARY in the year of our Lord, one thousand nine hundred and EIGHTY ,J.;','" . ,", ,/ / . .~i /.. 0' .:"" Register I 0 -,J !./ J., Deputy Regist.ro Per EXHIBIT "A" ....------~.~.--..-.-.-_.-.- ----...-. - .---.-...-- -----.----...--.- ..-~...----~--.-- .. ...-....-... ~" :; ~ ,;.; . . " t---'" Proof of Puhlication of Notice in Cumberland Law Journal (Under Act No, 587, Approved ~!ay 16, 1929). 1'. L. 1734 Stote of !'ennsylvania } ss: County of Cumberland lAMES R. HUMER, ESQUIRE, Editor of the Cumberland Law lournal. or Ihe Counly and State afore- said, heing duly sworn, according to law, deposes and S,IYS Ihat Ihe Cumberland Law Journol, a legal periodical published in Ihe Borough of Carlisle in Ihe Cnunly and Slate aforesaid, was established lanuary 2, 1952. and designated by the local eourls as the official le~al periodical for Ihe publication of all legal notices, and has since 'onuary 2. 1952, heen regularl~' issued weekly in said Coun~\', and Ihal the printed notice or publication allached herclo is cxactly the sallle 'IS 'ViIS printed in Ihe regu!;II' edirions and issues of Ihe said Cumberland Low lournal on Ihe following dales, \'iz: 5/23., 30, 619L~jJ_ Affiant further deposes that he is aUlhorized to verify Ihis slalement by Ihe Cumberland Law lournal. o legal periodical of general circulation, and that he is nol in Ie rested in Ihe subject mailer of the aforesaid notice or advertisement, and that 011 allegations in Ihe foregoing statements as to time, place and character of publication arc troeo . (, ~ >,c.~,,'~: ,~~,,:_...,_, . Ross, Ida Go, dee'd, ~ Late of the Township of ~: 'or 10 and subscrihedhefore me Ihis ,__6.th East Pennsboroo Administrator: Steve C. do' of " June 19 80 Nicholas. 405 North Second -1-" Z ~;::~::~= ~~7J:~,c~L bA/_ Nicholas and Lieberman, COli:::"~ ;fl, ',","",,,d ",0001 405 North Seeond Street, Post Office Box 902, Har- risburg, Pennsylvania 171080 EXHIBIT "B" , . Proof of Publication of Notice in West Shore Times STATE OF PENNSYLVANIA, COUNTY OF CUMBERL.4ND, Before me, the subscriber a Notary Public in and for said County> personally came Philip Michael Clark, who being duly sworn, doth depose and say that he is edi tor" publisher of West Shore Times a newspaper of general circulation published at Mechanicsburg, FA.; that West Shore Times was established on the 14th day of December, 1950 and has been published continuously since that date; that the advertise- ment, of which a copy is attached hereto, was published in the advertising columns of West Shore Times in all respects as ordered in the issue 0 f ~. --"':;?.-?~ X.v.......ri9?c?; affiant further deposes that e is not interested in the subject matter of the aforesaid notice or advertisement, and that the allegations in the foregoing statement as to time, place and character of publication are true 0 ~1j!},w/&~~ (5' gnature ) Sworn and subscribed ../ f'.r- day of before me this 'k 4- ..-- AoD. ./"...98"0 _~-;r~ .....?~._;:,. ~ ~ ""'....,"",,~, . -~.- .- - - oj , NOTICE LETTERS 0 ADMINISTRATION ,on lh: ,Ellat. ofIDA' G. ROSS.lal. ' of the _ TO\A.'nahlp of E..I ' Pennsboro. n .~. - county'~'~'1',or1 Cumberland, CommoDweahli' ~-_.. -.., of P...IiiYIViiiIa-;-hav~, il'Intedl,O the u.delllin.... in I I'Ono.. indebted"lci ,'said: Ellal. u.,..quli.d '10 mw imm.!'la, , te"PIl' me~,.. d"lJ>, 0 se, ',',',' havin. , claim. ,:ptosenl' them fOlletllem 110:'-,' ,\' , "STEVENlcHOL.4.S 405 North co'ndStrOOii Po.i Ofllce Box 902 ,Harrlsbuq, PA: 17108! , AdmlulstratOt . . ." . Notary Public My commission expires ~~~~~ _ Copy of Notice of Publication EXHIBIT "B" or to: " MELMAN.GEKAs;' NICHOLAS '" ," AND UEBERMAN " 405 North Seco.d Streel ' PO'I Offi.. Box 902 ' lIarri.bUli. Pa.:17108, 3T~5, ..... . ..;. COUNTY FilE NO: ;:1/. TO: -.Jtcw: r, <1t:,./,J,oO..) 7/. '~hrJ -('''. h '~r.uv, ~~\J,v<\1 l}-n.t:; ~ .:;?_Ih~ 1,-.1- ~~,,"1~~ 0 fi d!- yO DATE ESTATE ~~~~O,,\ J~llir FilE NO, , Appraised Value 01 Estale: Real Estate ) ?/o!! s Personal Propeny + y. y:,O, () (I Jointly Held Property/Translers + - Total Gross Estale Less: Approved Charitable Exemptions s if <p..1. 0 D - / ~ Q 1. ~-5 5.. ,71 \r..... ~ r ",,\U_14,f'-.:/ -r,- ., ~ ~""""h 'fr"C.....fq,O I Tota' Approved Deductions Clear Value 01 Estate. Clear Value 01 Estate Subject to Ta. s Amount Ta.able @ 6% Rale s tax due s Amount Ta.able @ 15% Rate tax due TOTAL P"NNSYlVANIA INHERITANCE TAX DUE Less Credits: DATE OF PAYMENT ... ... * ... * .. A five percent discount totaling $ will be granted if the Inheritance Ta. is paid by AMOUNT PAID DISCOUNT INTEREST TAX CREDIT $ + $ $ = $ + = + = InteNst llCCru~s i1t th2 rata of silt (s, p~rCl'nt pel i1tlnum on lhe unpaid balance of Inheriranco Tax from 10 dale 01 payment. Interest due if paid by is, 1\ '- f BALANCE OF PENNSYLV;'NI,\ INHERITANCE TAX OpE $::7".... "I, \:o\j.')1' :/'k '"-~!,, H,-,~, .. ,~,I Assossed by: -,-( \..~ ;.\1. ~ ~. ....,........ ..'-':.. See rnfO'fO.l1i~n c.n p.o.:~::~s<;:, SI~O. _' A~llntfO'I:'t'lCOltnmonWfttlh~ 'J, ~ ~ 6t.~VQd,~ ' I~',',~) L,~ {:J L, \ Ji" , , ,: ,;', \~ l J l' \. ""'" , -. I I at, ! 1-, EXHIBIT "C" ~glg~:.-; 0_"......,,'". ~vt~~~' . ~ jjS,,:;'o ~~~>-,\.,:o:).-' a..;,'cn~'O'\ , '?!f1i~~:~.' ';I-: O':.LJJ,......LL.,. '," ':E';Cl. 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'~ 0 C ex:.....Vl 1IJ lJ.J z: co cr: z lJ.J lJ.J Vl Ooex:..... 0 :c S ex: ......0:::......0 l I- lJ.J I-Cl.U U ~ ..... =>1- z: CIl lJ.J I-LLJCZ ..... lJ.J C ~ UJ::I: 1--tL.1J o..l-LJ..:5: 1IJ . ::;: , . , ." .. ", ~:.~~-l!. ,'-'-',' )i . ,"SJ/~ '~l ',.-.S'.. ",~t~~