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HomeMy WebLinkAbout80-00089 ..,';, ~ . . ;~~(-.' -~.. ' f:~i' ~,~ t::~~ 11:,:'.; ~',!..; _".,.'_l r/;~,} ~~;>~. ~~, r~;\: ii t~r;':'~ ,'''',' :~':; :'. i ;..... ) r ~', "c .;ii:i;~:, ~"" J";;"l .;,-..., t.';,~::':' . ~Wf' ".'il~p ':IJ!.~.'<: ( l~~/ fii;:(i~ .-., - {'::;' F-:',:!:,.; r.,:, . ~i!, . \,::..1, . ~ ~ rt.I ~ ~ ~ ell ! ! ~ i ; I " ~ . IZl = " ~ ~ rt.I en B CO 0 " '0 ,0 00 . ~ - J N r-l 'C ci I ~ z ~ UI No, 2'1-80 ,. " ' PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY in the Estate of JUNE E. LAW , deceased. Harold B. McLane, Deputy To n;I.oI,6, d C, Al'\elSfB8R, Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania, IS Petitioner(s) ore the execut rix named in the Lost Will and Testament of JUNE E. LAW doted Februarv 25. :1.975 Decedent was a citizen of the United States and a resident of I~>>IOahi~ Borough, Cumberland County, Commonwealth Camp Hill af Pennsylvania, Decedent died on Saturday the 19th day of January , State of , 61 ~; Ie 01'" I ';)-~l 8 -c2..5J A. D. 19 80, in the County of Cumberland Pennsylvania at the age of 69 years. ~ lboot ' her Decedent has not been married and has not had children born to ~m. since the execution of the above described Will. Decedent was possessed of personal property to the value af $5 ,500.00 and of real estate to the value of None as near as can be ascertained; said real estate situated as follows ~~~ Therefore, yaur petitioner(s) respectfully applies for the probate of the said Last Will and Testament and for Letters Testamentary thereon, Dated February 8, 1980 Name and address of Petitioner(s) t{.-t~ta' --1, \i,2/My/,J!f--v1' H~ aa ~. ~emp~~n 208 Senate Ave., Apt. 108 Camp Hill, Pennsylvania 17011 COMMONWEALTH OF PENNSYLVANIA f ss COUNTY OF CUMBERLAND HILDA S. TEMPLIN named in above application, being duly say(s) that the statements set forth sworn according to low in this petition ore true to the best of her Sworn to knowledge and belief, and subscribed before ').1./ J2rLCI/ ,j! \ 1t'.~?)f. (:7, ,; mDA S. TEMPLIN / me February 8 1 9 80 ~-f5 '":\rW:-cf;fM\...'Z. niSAareJ C. Al'lek, .1601, Register Deputy February 8, 1980 AttOJZII~i~O\\er & Johnson ~- . .' wn.l. <SinKlc Shm) l'ubllehed and Sold by The pJankcnborn Co., Wllliamlporl. I'.. l1'1OI ii " ii " i " .0}420 Wi!'l"lnieco St reet, Ha rr1!(ourg, " ill Ihe Co/lIIly OJ Dp u ph in alld Sla(e of PCIII/sylvallia. beillg ofsOIllld I: Ii milld, IIIcmo/'}' alld lII/ders(n1/dillg, 01/(1 cOllsidcrillg (he tlllcer/aillly of life, do hcrcby lIIakc, pl/blish !, II' alld declare (his lilY lasl 'll1l11ll alld Uestament, hcrcby ret'Okillg alld lIIakillg void allY alld all Ii fonllcr Wills by lIIe a( allY lime herelofore made. ii ! FIRST: I direcl (hal all lilY jl/sl debts alld fl/lleml expellscs be paid by lilY Exccl/lil i 1-. !I \ hcreillafter IlOlIIed, as SOOIl afler lilY decease as may be collt'ellielll. I! II' SECOND: Igive.devisea/ldbeql/ealh ae follow!: il I. DIspnSITIVE PROVISI"NS ~ Ii IT~M 1. I give the ~um of Five Hundrec dollE're ($500.00) to my ill ,daughter, SU~E1n LE1W den Dekker, if ehe eur'vivee me and 1f my executrix I Ilie eble to locpte her wtthin one (1) year~ of the dete of my death. II' II IT.i!:M 2. I give the !um of Two Thnuef\nd dollere (~2,OOO.OD) to DIy! ;:friend, Hild" S. Templin, if !he !urv ive! me. Hild" S. Templ in now II I!reelde.! at 420 lI'i.!c')ni.!co street, HE1rrl.!burg, penn!ylvpnia. i I ITE.M 3. I give my clothing end other per!on!ll effect! of like I [,nature and el!o my hou.!eh..,ld good.! t.., Hilce S. Templin for her di!po!al : lse !he wiehee. "I I ITr::M 4. I give the .!um nf One Thnu!pnd collpre (;l1,OOO.OD) to II:the North Clongregpti..,n nf Jehw!lh'! Witne!!e!' tn be applied t.., any I ~lortg"ge held nn the Kingd')m Hall at 3019 pennwnod Ropc, Hpr'ri.!burg, I IPenneylvania. IT~ 5. I give Rll the re.!t, re.!ldue pnd rempinder of my eetpte , ~o Watch Tower Bible pnd Tr!lct Society nf Penn!ylv!lnie, a non-profit I porporption, with office! !It 124 Columbip Height!', Brnnklyn, New York, I' lZip :ode 11201. ' II. ADMINISTRATIVE PROVISIONS! II ITE.M 1. I direct thet all my ju!'t debte pnd expenee~ of my illn~~! and buriel, including my fravemprker, .!hpll be p!l id from my re~iduery II :eetpte ae e')')n Re prl'cti"pble E1fter my de~e~.!e pe " pert ')f the expenee 1'1 \')f the ed!l1~nietr"tl'm of my e.!t"te. ITi::M 2. I direct thpt my funer~l .!ervice.! be ~ondu,~ted by a \1 ~ini.!ter of Jehnveh'.! Witne.!.!e.! under the juri.!diction of the Wetch Tow~r ;Bible and Trect !':'ociety of penneylvenie. It i!! my de.!ire thet I be I puried in a rep.!')nflbly inexpen~ive menner. It i.! my deeire thet I be I puried in pink or light blue, long .!leeve, .!l umber r')be, 'negligee type. I 'There i!! to be no viewing, except before funeral eervi~e.!. ~' Ii ITEX 3. In edditi')n to power.! granted by lpw, my executrix !!hel I Ihave the Dower to c')mor':lmi!e claim!. ! ! IT~M 4, No b')nd .!hp 11 be required of my executrix but if bond i~i \ineverthle!!e required, it .!hall be without .!urety. II I, ,I II Ii 'I I. I: )it it lttmetubttfb '~r \1 rr=~""="'"C'" , 'I II !I Thai I. JUNI!: j!;, LA Ii " " il II II " !i ! !. " ANDLASTLY.-Idomake.collsfilulealldappoilll Hild? S1 TemDlig.l 4201WiC?ni!C,O st, H!'rr .!Durg, .enn!y vanla II 10 be ExeClltr ix of 1I1IS my lasl Will ami Teslamelll. I' II ]\1 ltllt\1r1l1l IrI1!rrrof. I have lwrelllllo subscribcd my I/ame. and affixed my seal, Ihe I: , " TivE,<"y FII'71/ day oJ FECiN1illJ'Y ill Iheyearollc(hOUSfllld,lille ' hundred alld !eventy five. Siglled, scaled, published alld declared by ...............~..-.-,::~\~.:,~:..:>:~..-.~:,',..~S~..'......h'./~~.~.~,~,~~~~~....... Ihe leslai] R above IIO/lled, as all/I for 17E!? lasl Will alld Testamelll, illlhe presellce of liS, who have 01 hE R requesl, sllbscribed 0111' IIO/lles i/l hEr," presence, and in (he presence of each other, as witnesses I hCre(~. , (. I Y d" 2. ,/v 'L yJ. 7- \.~/~/;C- ....'1~ l,- ,.e~ ~",<.~ - "'1'(;' , L-rY/ /0//, I /",C,!I71 ///, Ga.eLe/f.. ....... ..,........,XL,.."...,............,.."......" ..,... ,,~l,,_,:,",{," ,/ l; ,~,., :,'. / I I. ~ ..-!...:,.,J.':-...\'~r":....,.~ . OATH OF SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY 0)<' CUMBlmLAND \ This.................., .........~.~~.... ..~,~~,..... ................. day of. ...,.. .~~~,~~.~.~~..,........, .......................", A.D., 19...~,Q.. Harold B. McLane, Deputy' before me R:.I._,J K .',I,IL. III. Ikgister for the Probate of Wills and granting letters of Administration in and for said County of Cumberland, in the Commonwealth of Pennsylvania. personally came .............. ."..".........,f!!!~f!y;., ,,~,.,9,~,~9.~~,.., "',."."",~~9", .,"'~~!:l.~~, ..~:,',.~~,~,~~.~.,.......,"',..,......,.,. ...,."."..".,.."....,. the subscribing witnesses to the foregoing instrument of writing purporting to be the Jast Will and JUNE E LAW February 25, 1975 Testament of .,......".""...."",.,...:.....", ......",.,....,....................... ......"",..."".,.., Dated ..,."........,...".,...""..,.."".., lateof..................~!?~~!:l,~~..!?,f...~,~!:l,~...!'!.~.~!:-......................,...................., Cumberland County Pa.. deceased who being duly ...........:;;,~~E~..................... according to law. depose and say. that .....,!:r..~Y...~~.~.<<:;............. present. and saw and heard the testa...j;,+J~..................... ........9:!H!l,~..f:.......~~!1............................................ sign. seal, publish. pronounce and declare the said instrument of writing as and for h...,~.;:....... Testament and Last Will. and at the time of so doing ........$.hlO...................................was of sound and disposing mind memory and understanding. to the best of ..........t;h~,j,h.........................knowledge. observation and belief. .....,....SWCJ;n..,to................... and subscribed before /:' b ~' " " -- ,//' ,;%'({~:;.!1.~'(,...r.("~e.'f:.-e;~........... LUELLA ~GEEGEE /""", / . .................................................................................. , .- . / 1.....-f/P1:/ <~':, . -' ~.', "'/n .,..,1.(.:{7.kI.:C:\..,......,...~{!.f..:::....,...........,..,',..,' DONNA M. CULLER ~~Y.-B:'1x18..a{~."......,',..~,~p..~~;( It "d,,_A... Register AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND \ HILDA S. TEMPLIN . ..........."....,...............",....,..".,..,..",.,......,....,.".,'" ..,...",....,.,.,......"."...,.,..,....,' "....""".",....""..,.....,.....bemg duly .............~~~.7.?........................ says that as nearly as can be ascertained the said decedent .......................,.. ,.."....".." "..~~~~,.~,:,...::~~,..,',.,.,...,' ",.,."......"....,........, ..."., ...,..,.. ..".."... ,., ".........."....."..,....,..."....""".died on ............~.~!:.~~~.~Y................... the .......~,~,~~................day of ......~~~,~~~.~............................... A.D,. 19...!l.Q, at or about ...............,.......................... o'clock, ....M, ....J~!'!p,F.!L.!:Q............................and subscribed this 8th February ................................................ day of ........................ 19, ~P...,. before " ;; )." ,-' .j _<.i::>.(, ,/--1, I ~>~ .,.- '/._ ' . ....'.".'f{rr.fiJ:>....s.:'.'1'~NPLH~').{......""'....,... ",'.. ~U.'S?7.~r~tC;,io~....".....,"~~!?~~.Y R:....lu.u d E. .:u.d.... ..:>vll, Register OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA} COUNTY OF CUMBERLAND SS: Before me. the Register for the Probate of Wills Rlld gl'llnt.ing of Letters of Administration in and for the County of Cumberland. personally came ..........IlILnA..S..,TEMPLIN.........,........,.............,..........,........., who. being duly .......~~~,7.~......,.... do ..~~.... depose and say that as......~,J;<,~~,~~~,~,~..................................,.. of the last Will and Testament of .......,JI.JN.E..E...LAW...........................................................,............deceased ......~~~............, will well and truly administer the goods and chattels. rights and credits of said deceased according to law. And also will diligently comply with the provisions of the law relating to Transfer I h'ta Sworn to d b 'b d n en nces, ............................ an su scn e before me, ....................~~.l?!:~,~!::i..~............. A, D., 1~~......... ~~t?:Jn.c;,~.~".."......!?,~!?~~'t . ud....... 00.;>",.1, RegIster , .),Lt.,~tA:::.Jl...".1.K.{k1f-Jl,..'l4:."......,...,..., HILDA s. TEMPLIN .................................................................................. '..0 d :", :Ul CD: :'" en :'" ~.. .CJ :'" ,C:! U. N: CD: 0 *~ ~~ ....: coj C':l ..J 0 >\ (l\ 0 cn CD ..J H: ~ ~ I - Ill: 0 - .: s: ~ CD $ f.LI~ .: I (J: .0: .-l ~~ ,5 E<: ~ N, f.LI: ~~ 't:l CI 0 '" 00: 't:l CO Z .... >:: . 0 - .s " M: N ~ :jj;' 't:l ~ .s 't:l ~ ~ '" l:: p'; 'M r.1 '" ... DECREE Be it remembered that on the .......~.~~.......... day of ...............,~~.I?~~.':':~y............,.., A, D., 19~~..... there . June E. Law was probated and recorded the last WlIl and Testament of ................................................,..............,............. Camp Hill . late of ...................................................... .................. ...., Cumberland County. Pennsylval1la, Deceased, Letters .......,...........,',!~~,!:!ml.fi!,!1~!~':;:i"... were granted to ...",...".,...., ""~~,~~~...~,: ,..~~~p..~,~,~........... ,.,.....,.....,....." Witness my hand and official seal the day and year afore~ai~ / M ~ ~13;JX,'"::;6,~~",,'?~.J?~~::f. R:_I.~," J E. '.1 i!L Il , Register. I .... J _ 35'0 . '4 .~:.. l,- . ~,. r'REv.SID ce.7U COMMONWEAL TH OF PENNSYLVANIA OEPARTMEtlT OF REVENUE BUREAU OF FIELD OPERATIONS TRANSFER INHERITANCE TAX DIVISION ..:<- PAGE 1 INHERITANCE TAX RETURN FOR INSOLVENT ESTATES ONLY Of RESIDENT DECEDENTS 10-1S"-,10 ~jt\ ~ COUNTYOF Cumberland This return mUIi b. compl.tod in dotall and filod In duplicato, with thu Rogistor of Wills in tho County whoro tho docodent resided within nino months aft.r do to of doath, unloss an oxtonsion is grontad by the Secretary of Revonuo. Will Admn, No. 19_ I, HILDA S. TEMPLIN lNAME! Misc. she being duly SWorn acconJinj; In hi\\', depuses am! says Ihal~ is the of the estate of 208 Senate Ave., Apt. 108 ~ Camp Hill, Pa. 17011 I AonrH'551 JUNE E. LAW Executrix (EXEC" ADM., LEGATF.e. ETc..l---------.-~.- "lie or Camp Hill --I-;QXX~ROiJC.H-.-~lm--.-~ ~ -.----~__ deceased, and that (he whole of the Cslalc of said dcccJclll, who c.Iicll un --_._-~--- ------------ _Januarv_19_'u198 0__ _ ______________ tOATEI consisted of the assets listed hclow llnll that :allowahlc dehts and dedll/..:tiol1s e~ccedcd the fair 1II:lrkct ""llIe of Ihe aSSl'ls 3nd no Pennsylvania Transfer Inheritance Tax is due, Sworn a~ubscribcd be foro me th. ce - day of t:~_'7CIf<,e 19 f'" Type or Auei:: tUl Real Eltotij:Peli\on P,a.1WAh'''''ej<t>Ir, H.la--p;~p. or Tronders I Mi!d<k.J{J:?)"}yb"g~'_~_~Ke_CJJ~J::'j,_lL_______ (SIGN^TUREI (TITLEl Hilda S. Templin ~~ ~ n. Doc, 21. 1981 umbotlQnd Countj ASSETS (Atlach addltlana~1f necessary) Ouscriptlon of Assat Pers. Property Household G:lods & Clothing Bank l\ccounts: Dauphin Deposit Bank & Trust Co. - Checking Account N:l. 54-55-6171 - Date of death Balance _ 'lhe Harris Savings Association - Optional Passbook Account N:l. 20718 - Date of death balance, plus interest - Nightingale Nursing Horre - refund of balance in decedent's account - Insurance: Connecticut General Life Insurance Conpany Group Insurance Plan #33173 - payable to Estate (See Page 2) TOTALS ESllmatad Markal Value Oaportment Valuation CAUTION (Do nol write in this space) 75,00 1,053.03 663.33 ~' 8 -< - Ul 842.20 2,500.00 ;g - REPORT OF INHERITANCE TAX APPRAISER It Ihe undersigned duly appoinled Inheritance Tax Appraiser in and for Ihe above County du respcctfully report Ihat I have appraised the real and personal propcrty as reported in the foregoinS schedulc at thc valucs set forth npflBsitc each itcm in the last column to the right. .Jli'A~f,/I(Ht.!) Dared: January 14, 1981 lINHERITANCE T^X APPRAISER) Nome of Payee Register of Wills Patriot-Evening News CUmberland Law Journal John E. Neumyer funeral Home QJ.ickel-<:onror Associates R. J. Ibmberger & Sons Holy Spirit Radiology Holy Spirit Hospital Holy Spirit Hospital !1{ers, !1{ers, F1CJlo.er & Johnson DEBTS AND DEDUCTIONS Nature of Claim Probate, Letters & Short Certificates Advertising Letters Advertising Letters Flmeral Elq:enses Decedent's l\ccount Mtrker Lettering , D:cedent 's Account j Decedent I s Account - hospital stay from 12/29/79 thru 1/14/80 - balance du Decedent's account - hospital stay from 1/17/80 to 1/19/80 - arrount due Attorney fee 2) TOTALS Amount Claimed Amount ApploYl'd by Rogister 22.00 24.24 18.00 2,257.60 595.00 34.00 80.00 4,403.00 5,334.05 420.00 REPORT OF TilE REGISTER OF WILLS I, the undersisncd duly elecled Register of Wills in and for the abuve COUnly, do respcctfully rcport thai I have allowed deductions in Ihe amounts set fOrlh in the above schedule as claimed, excepl where I have set forlh a greater or lesser 31110unt in the last column 10 II right, which grc.Her or lcsser 1111101111t represenls the su allowed as a deduclio . t/) ~') / /, P / Dale of Approval: ..u/ '- ~ E- o ..' ~ ~ z OJ ;.. ~ W < GJ OJ u OJ '" 9 - ..: .J 0: <( a. ~ ~ '" .; a. 0 c :< w ..: w ~ "" z " " W ;. Cl. I- W l- E- ;., Cl. i!; :r: u. ..: ~ <( E-< 0 E- S :E 0 ~ '" z ,..-... 0 W' <( c 0: - I- .~ W -= "" ~ E-< 0 == E- :;j Cl. "' ~ ~ w ..: c "" ::;; ~ t. 'e c E = ~ ~ '" ~ S' <:: J U U ... '. .~ , .. " ......: ,. . l': ~ E- o 0 " " Ul " Z ~ 0-1 l': '" :>- W < 0-1 .<:: .... :;;; w ..-1 0 0 u W w p;: t:> .... eI) 0 0-1 - ..J '" ..: '" 'tl -<( III 0: " on 0- tL. III l': 'c <( 1-1 ..-1 tJ III & l': 0- 0 0-1' , '" III 0 w ..: w .. II. Z :c :c W 4-l 1-1 .., II. 0 :> 1- W 1- E- ~ 0 Ol a -<( 0-1 .-! i!i :r: .. ..: ~ r.. >< E- o E- ..:l .<:: ;; Q Ul tL. ell ~ Co % .lfl l': W ~ tJ 'c ...: UlN ffi ..-'-\ 0 r<l 0 I- I-I.-! ,~ 0: 1-1 -= '" Ol Po< W' r<l 0 , 0 ~B " E- ~ m " II. . = E- ~ ~ w mOl ~ ..: t:> 0 !: '" . l': :;;; ': :::' ~ Ul ,>< - 'e " c 1-100 ::..., , :: Ol '" ~~ ..J U U ><'Ol :i:Po<..:l ... .... .' ..... .. ...... IN THE COURT OF COMMON PLEAS OF' CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-80-89 IN THE ESTATE OF JUNE E. LAW LATE OF THE BOROUGH OF CAMP HILL ACCOUNT OF HILDA S. TEMPLIN, EXECUTRIX STATEMENT OF' PROPOSED DISTRIBUTION Balance for Distribution as per First and Final Account - -0- STATEMENT OF REASONS No balance for distribution - Estate is Insolvent. ~4 d.v.~~' HILDl>. S. MPLIN COMMONWEALTH OF PENNSYLVANIA: S5. COUNTY OF CUMBERLAND I, HILDA S. TEMPLIN, the within Accountant, being duly sworn according to law, depose and say that the statement of facts set forth in the foregoing Statement of Reasons is true and correct. Sworn to and Subscribed ,...".,'''';'I,.'~I_J,. ~ <" , )." 'f, ...1......... ~e'fp~;-:iii!f/1;.~5 .,) day ;, ('0.": ':,:'\oi.~,', ~o" .. ......"'.i. - #'. :'di(~ch -::l\~'P;\"D.98l, ; ,>;;:r::J~\ ';".; }:~J ' "~. .'.. _ c-y .... ~.: -....:- -~ ..,'.,.;'; :'r...~~T~f. PUBLIC- '~ My'tllm.!I.Sl.... Espito. Doc, 21, 1981 L.:Jl10YUQ, Po. Cumberland CouQI\ Ak~' .,8. J.JIo'>p6&',' HILDA S. TEMPLIN Lt.._li uU I hot 48/:1 n cD c~ ~~ c::..... ~ ~~ ''''n ,.. ~~~o '" V~;O :~c; '" n,r:; i'- ~ ~. ,." .,.!'l :'''::-1 I ._O? N ClS~ " T, ~~:: I." ;:; ".,' " ~ 1.r' " '.r- ~I Z 0 ,.' CIl ~ ~ p., Z 0::: G Z~S "" '"' 0 Z .' :; 0 H ~ 0 o lJl "" H Ul H ~ ~ .: .: ~ ~ ~ 0 H ..: '"' .' " Eo< 0::: ~ ~ " . ~ t ~ 8~~ ..: ~ >< tl !Xl .. , z t f<1 . Eo< '"' ~ '"' ~ "" H E re Ul ..: ;;a E3 0 0 p:; . t 110 "" '"' ~ H '"' c . ~ o p:; tl 0 - '"' lJl , , ~ ~ - tl ..: z H ~ Ul ,",~Ol 0::: ~ "" H ~ 0 ::l p:; tl Eo< 0 0 z ~ ::l N H ~ ~ ~ 0 o - Z 0::: Eo< ~ ,~ <> tl Ul' H t!l ~ H e:: Ul filzO ~ ::l >< 0 ~~..:z g ~ Ul Ul p., :I: :I: ~ ~ ~ 0 '"' g: Z 0 p:; ::l l:a ~ ~ p., ~f:lO t-:> tl p., o. '" . , = .' .' " COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-80-89 ESTATE OF JUNE E. LAW, DECEASED LATE OF THE BOROUGH OF CAMP HILL FIRST AND FINAL ACCOUNT OF HILDA S, TEMPLIN, EXECUTRIX Date of Death: January 19, 1980 Letters Granted: February 8, 1980 First Complete Advertisement of Grant of Letters: Patriot News Co. - February 20th & 27th and March 5, 1980 Cumberland Law Journal - February 22 and 29th and March 7, 1980 PRINCIPAL: Receipts Less Disbursements SUMMARY & INDEX PaCles 2 2&3 $ 8,820.78 8,820.78 Principal Balance Remaining -0- 3 3 269.72 269.72 INCOME : Receipts Less Disbursements Income Balance Remaining -0- COMBINED BALANCE REMAINING -0- lrc"i ~ U I ',of <itsv PRINCIPAL RECEIPTS Dauphin Deposit Bank & Trust Co. Checking Account No. 54-55-6171 _ Harris Savings Association - Optional Passbook Account No. 20718 - Connecticut General Life Insurance Co. Group Insurance Plan #33173 _ Continental American Life Insurance Supplementary Contract 1995 - original policy 179000 - Prudential Insurance Co. of America Policy No. M8-314-157 _ Nightingale Nursing Home Refund - decedent's account Medicare reimbursements (Doctors & Radiology) Blue Shield reimbursements (Doctor) Transferred from Income - TOTAL PRINCIPAL RECEIPTS PRINCIPAL DISBURSEMENTS 2/18/80 3/12/80 3/12/80 Register of Wills - Probate, Letters & Short Certificates Cumberland Law Journal - Advertising Letters Patriot-Evening News - Advertising Letters Myers, Myers, Flower & Johnson - Attorney Fee Hilda S. Templin - Executrix Commission Register of Wills - File Insolvent Return Notary Fees - Insolvent Return Register of Wills - File First and Final Account & Statement of Proposed Distribution - 10/8/80 . . .11.11. L'...." v Li I hvt ....u " $ 1,053.03 666 .62 2,500.00 2,069.40 1,230.74 848.60 171.00 17.60 263.79 $ 8,820.78 22.00 18.00 24.24 420.00 420.00 3.00 1.50 35.00 I I I L, '. PRINCIPAL DISBURSEMENTS, CONT'D 3/6/80 John E.Neumyer Funeral Home - Funeral Expenses Quickel-Connor Associates - Decedent's Account - Holy Spirit Radiology - Decedent's Account Holy Spirit Hospital - Decedent's Account from 12/29/79 to 1/14/80 - n914l9l7 4,403.00 2,002.60 5/9/80 595.00 67.00 Holy Spirit Hospital - On Account of Decedent's Account from 1/17/80 to 1/19/80 - #80007451 775.44 4/9/80 R. J. Romberger & Sons - Gravemarker Lettering 34.00 $ 8,820.78 TOTAL PRINCIPAL DISBURSEMENTS INCOME RECEIPTS Interest earned on Statement Savings Account (Estate) No. 12-60814-9 from 4/1/80 to 1/1/81 - $ 246.71 23.01 Closing interest 1/28/81 - TOTAL INCOME RECEIPTS $ 269.72 INCOME DISBURSEMENTS pennsylvania Department of Revenue - Fiduciary Income Tax Return - $ 5.93 Transferred to principal 263.79 TOTAL INCOME DISBURSEMENTS $ 269.72 L:,,,..", ~Ju I.,~t 48~ ~rJ...Id/ g l~~' HILDA S. TEMPLIN -3- COMMONWEALTH OF PENNSYLVANIA: ss. COUNTY OF CUMBERLAND HILDA S. TEMPLIN, being duly sworn according to law, deposes and says that the Account as stated is true and correct and that the Grant of Letters and the first complete advertisement thereof occurred more than four (4) months before the filing of the Account. )j~j,J~ HILDA S. TEMPLIN Sworn to and Subscribed before me this 31st day of Harch A.D. 1981. ,...I""""""J, ....,~\:. :~ ';~"~~~,;.' 0".' ..,.... .@:';.:.... '. , . " ....'~~ ;.'t;'I'~1::/ .'....:. ";... c.---. \ :''b'~Q.p.....c;u" ,',., .~,--.... :~}.;,:'.i~t'.~ ,'-.\....I;~.: d- ,S . . ~",.. ......1 .. ;'."0' ":'11;'" NOtAl!PUBU .,., ~, .,~ Ir,... . 21 198\ . ',,', :1.{"'Ci;minla;lQl1]frpit.' DIlC.. , . . I~'" ~ .,~ p...: .... Cumberland Count~ <Ul:tmt;l_e, ......,..'. .- , ","; I""~.~.~:, \ :,.,.... .',... ,..,. L:...." ~~ I ..~t l10J -4- ~Is 0 ~ H .0: CIl CIl H ~ H .0: H H :> ~ :z: Il< H ti 0 r>.< ~ ~ Z 0 0 r>.< o - 8 0 .0: ~~ ~ ~ - ti 8 ~ ~ o 0 .0: 8 r>.< ti ti 8 H .0: 0 ti CIl H r>.< - ~ :z: O~ ~ ~ l? 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