HomeMy WebLinkAbout80-00277
NO. 21-80 2'7'7
PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTATE OF ............~~.~}1.:....~9~~......................,.... DECEASED.
To .. ..Rfl'+: 9.~,g ...~, l... J:1.9.Tt.?!!.~..,.. ,P..\U?,':-!,t.Y.... ~~g;i., ~ ,f:i?,'h,.. pJ", W,;i,.:), l~....,...,..
xRRlI'imlltlOK>>lti:llx. for the County of Cumherland, in the Commonwealth of Pennsylvania.
. . John A Kolonauski
The Petition of .,......., ,..,..,..""...,....."...!.. ,.......",.... ,..",'......,..,....".,.,.".., ....",....".,....,.."...."..",..",... ....',.....' ,...
,.......,.....",...,....,...' ,..',..,. ,.........,....",. res pec t full y s howe th tha t "",..... ~D.n.. ,t1 .....RQ.ffi<lJ:\.".,.......,....,....,.....".".
wus u resident of ..,~~~P'...g,UJ.""""""""""'''''''''''~~::;hipK , Cumberland County, State of Pennsyl-
vunlu, and u Citizen of United States, and depurted this life intestate in the County of ..........,..,..........,...
.. .~Mm~ ~.F.J il-X!.<!:,.......... and Stute 0 f ,....'"",. )?,~D. P.. ~ Y. tv. fl.\'!,t.i!"..,.". ,.....,............ ,.......,.."..,.,...,.....,.,..,......,.........
on ....:r,\l.~Il.Q,;\Y......,......... the ....,..J,'$..~,........,......,...., day of ........,.Ap.);",iJ..,............,............ A. D.. 1~,..8,O..,
at the age of ,....~,~..,.... )'eurs.
That the said ........~~~,..~,:....~,?~.~~.....,..........,..,............,....,.. deceased. left surviving' the following
named widow or hushand, heirs and next to kin, to wit:
Name
Charles J. Kolonauski
Relationship
Father
Residence
208 N. Main S't.. Shenandoah.
.....,.........,..,....,....".,.".................,..'t!'f\....
.....................".........................,............,..
................................................................
..............................................,.................
...............................................................,
................................................................
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 $....~,~..??,?....,..,......,..
and of Real Estate, less incumbrance, to the estimated value of $....,......t'J.Q.!HL....,..... as near as can be
ascertained.
That the said Real Estate in so far as is known is located in ...,..,..............,........,..,..............................
........................................................................................................................................................................................
Therefore, your petitioner(s) respectfully appl)'(ies) for Letters of Administration in the above
named estate.
Dated ..........Ap.,;:,U....,2.~.!..............,.., A. D" l~..?P....
Signature and Addreso
of Petitioner(s)
"- ,) IJ-lt, it /./ j., rattJ.
....",..r.::,."I..u...,..,.."".......,.../\...,.,................"".".."..
J~ A. Kolonauski
1902 Chestnut Street
Camp Hill, PA 17011
........................................................................................
COMMONWEALTH OF PENNSYLVANIA } ss:
COUNTY OF CUMBERLAND
John A. Kolonauski
.....',......'..,'..'.'.,.."."..".,...............,......"""".,"""...........",.........."..",...,. ,. ,...,..""..".......,....,.."..',."....".......,..., named
in the above application being duly ..........,..,..,~,!:1:~ID.................., according to law, sa)' that the facts set
forth in the above application are true to the best of ..,..hJii,.., knowledge and belief.
,....,'............,.,..,.."......,.,......,..,....,."... and subscl'lbed 1 ;..d'..' ....d1;;~'lt....,..,;J(jt:;;;;~;t':..,......
.....,... ,..,..,',..,',..,...,',....,/\..,~."."."...,.......,..".,...,...,...
~~:~~::3.....m........... A D, "..!Q ..... ...........m...........................................m.............
Ao.}.L<<.<.,L (:] 9).,~d:L_ c_' Deputy
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;
Filed: ..,..r::!2~.~,~,.....2.~,~,....J~.~,q".....,...,...,...."..,. A ((orne)' : "'" "'..:l,~T!)~.~,..K:""~r.~.9J~.',,..!'.~.':j..~~.
___ .' 9-
(over) L~;J-;l-
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CERTIFIErr' COpy
GENERAL POWER OF ATTORNEY
No.....,.,.....~.~,9.9.9....,..,...........
KnoUl all Men br these Pre~e"":
That UNITED STATES FIDE1.IT\' AND GUARANTY COMPANY, , corporal ion or~'nized and "i,ting under the low, of the
Slale of Maryl:md, and having its principal office at the City of Baltimore, in the Stahl of MJt)'land, does hereby constitute and appoint
Blair G. Husted
of the Cily of Camp Hill
it, true and Io.w{ul ,<marnc)' in and for the Stale of
I Stale of
Pennsylvania
Pennsylvania
for thc' roUowing purposes, to wit:
To sign its name liS surety 10, and to execute, scal and ltcknowledge any a.nd all bonds, and to respectively do and perfonn any and
,II ac" and thing, set forth in the ,,"olution of the Board of Directors of the said UNITED STATES FIDELITY AND GUARANTY
COMPANY, a certified copy or which is hereto unntlxed and made 11 pacl of this Power of Attorney; and the said UNITED STATES
FIDELITY AND GUARANTY CO~lPANY. through us, its Board of Director~, hereby ratifies .1nd confirm~ all and whatsoever the said
Blair G. Husted
may lawfully do in the premises by virtue of these presents.
In If'i.n... Wher.of. the said UNITED STATES FIDELITY AND GUARANTY COMPANY ha, caused this in,trument to be
sealed with its corporate sea~ duly attested by the signatures of its Vice.President ilnd Assistant Secretary, this 2nd day of
August , A. D. 19 74
UNITED STATES F1DELITY AND GUARANTY COMPANY.
(Signed)
8T....,.., ,9,~,q.... ^ ,..~,~,,!!,:(l.<:h ,o!.r:,..,...,..,..."
rice.President.
(SEAL)
(Signed)
.. ..... ..:V.~, ,\'.:. .I,I,F:Y,~:.~,. ,..,",..,...,..",.."
Assistant Secretary.
STATE OF MARYLAND,
BALTI~IORE CITY,
} ..,
On. this 2nd day of August , A. D. 19 7,\ before me personally came
Geo. A. Stewart, Jr. ,Vice,Pr"lden' of the UNITED STATES FIDELITY AND GUARANTY
'COMPANY and ' .. \V. G. If i lyard " " Assistant Secretary of said Company,with both of
whom I: 'am. personally acquai~ted, who being b). me severally duly sworn, said that they resided in the City of Baltimore,. MaC}'l:md;
"thaElhey, the said Geo. A. Stewart, Jr.. and W. G. Hilyard were respectively
tho Yice,Pr"iden' ,nd the A";'lan' Secretary of the said UNITED STATES FIDELITY A~D GUARANTY CO~fPANY, the cor...
"poration described in and which executed lhe foregoing Power of Attorney; that they each knew the seal oC said corporation: that the
sealaifixed to said ,Power of Attorney was such corporate seal, that it was 50 fixed by order I?f, the Board of Directors of said corpora.
tion, and that, they signed their names thereto by like order as Vice.President and Assistant Secretary. respectively, of the Company.
"':,My,c~~mission expires the first day in July, A. D. 19. 7.a....
(SEAL)
(Signed)
Herbert J. Aull
............,............................................'.
STATE OF MARYLAND
BALTIM6RE CITY,
}
Notary Pu.blic."
Set.
I, Robert H. Bouse 1 Clerk of Ihe Superior Court of Baltimore City, which Court is a
'Col.li't of Record, and has a seal, do hereby certify Ihat Herbert J. Aull ,Esquire, before
whom the annexed affid:wits. were made, and who has therelo ~ubscribed his name, was at the lime of. so doing II. Notary Public of the"
State of Maryl~nd. in and {or the City of Ballimort, duly commissioneddnd sworn and authorized by law to administer oaths and take
acknowledgments,or .prool of deed, to be recorded thert'in. T further certify that I am acquainted with the handWriting. of. the said
Nc,tary, and verily believe the ~ign3ture to be his genuine signature.
In Te't;mo~~ Whereof, I hereto set my hand and3.ffix the seal of the ~uperior Courl of Baltimore City, the same being .i Courl
of Record,thi> 2nd d,yof August , A, 0, 19 74
Robert H. Bouse
................................................................
(SEAL)
(Signed)
FS 3 (9.61)
Clerk o/the Superior Court 0/ Baltimore City.
.....,.
"I'"
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
55:
JOHN A, KOLONAUSKI
boing duly __.5,WDrn_h" occording to low, deposes ond soys thot he ,... as.., Administrator
_.____.___._._ ,. of the Estoto of ,_,~l1~.~_'.....~oll1,a.r:.___,.......,__.._.___
tote of Camp....Hill B.m:.oJ.lgh., _...._, Cumberlond County, Po.. deceased and thai tho
within is on inventory mode by . him, , ..h.. ..--, the said_<\9mini,sJ;xaJ.Q.J::
01 the ontiro estate 01 said decodenl, consisting of alllhe personal property ond reat oslato, oxcopl roal .slalo oulside
tho Commonwealth 01 Ponnsylvani." ond thai the figures opposite eoch itom of the Invenlory reprosenl it's lair valuo
as 01 the dole 01 decedent's deltlh.
January 22,
81
19 ____
..,~~,~_~! ' A;.i&~"(~t.~!:._~_._
\?:j Ewocutor . Admillhlt4tor
Sworn to
and subscribed before mo,
9~r. ~
J.1:',~~~:~ ~, r,~I~:~; P'~'I' ,".1.;.,.
., ..., ".....
C~llirJ I-i:P ':)lC'I';' ':1',,;-- ""1(; ", ("/'
foh (~J~'.!;li:,,';I:"! L!.:;> "':,,-' '::;'",''' ,
i.l..mhc;r, rtf';"~;::~:' i",r ;,':".~
1902 Chestnut Street
'c.a!11P.. UilL_J:>iL.lliJ_l_______,__
Addrou
Dale 01 Oeolh _...... ..,]_S_~.__.._.._...__...__,AE!:i1-.-..---,
Do\y Month
1980
YUt
INSTRUCTIONS
I. An invenlory musl be Iiled within three months alter appointmenl 01 personal representative.
2. A supplement inventory musl be liled wilhin Ihirty days of discovery 01 additional assels.
3, Additional sheels may be attoched .lS to personalty or reolly
4. See Article IV, Fiduciaries Acl 0/1949,
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INHERITANCE TAX RETURN
FOR ESTATES WITH GROSS ASSETS
UNDER $10,000,00
CcimmonW8.llh of Ponntylvllnlll
'Department 01 RIII/enue
Trenlf.r Inhllrltllnco Tel(
Realdent Olctdont
Rev-464 EX+ (l.eOI
Estate of ANN M. ROHAN Date of Death April 1, 1980
Last Address 117 November Drive Social Security # 171-24-9421
Camp Hill, PA 17011 Bureau File # 21-80-277
(City) (Stato) (Zip)
County File #
1. Decedent died:
~ Intestate (without a will)
o Testate (leaving a last will - copy attached)
2.
o Executor/Executrix
00 Administrator/Administratrix
Name
John A. Kolonauski
Address
1902 Chestnut Street
Camp Hill,
PA 17011
(City)
(State) (Zip)
3. All correspondence should be mailed to1m Attorney 0 Fiduciary,
4. If an attorney is representing the estate, indicate:
Name
James K. Arnold, Esq.
2109 Market Street, P. O. Box 737
Address
Camp Hill,
17011
PA
(City)
(State)
(Zip)
REAL PROPERTY _ Identify real property located in Pennsylvania by tot and block number, street address and
include a statement of mortgage encumbrances as of the date of death.
Estimated
Market Value
NONE
Total
*'
Department Valuation
(Officiol Use Only)
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BENEFICIARIES
.,
BENEFICIARIES AND ADDRESSES
IState full namos and addrossos of all who have on 1"lorost
olthor vMtod, conlingont or othor inUrrO$l1
RELATIONSHIP
TO DECEDENT
SURVIVED
DECEDENT
STATE YES
DR NO
AGE OF LIFE
TENANTS DR
ANNUITANTS
AT DEATH OF
DECEDENT
INTEREST OF
BENEFICIARY
IN ESTATE
Charles J. Kolonauski
208 N. Main St.
Shenandoah PA
Father
Yes
100%
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INFORMATION
PLACE FOR FILING - The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided,
TIME FOR FILING - The return is due nine months alter the decedent's death. unless an extension for filing has been applied for and granted
by the Secretary of Revenue within the nine.month period,
FAILURE TO FILE RETURN - Section 791 of the 1961 Statute provides that ", , ,any person who willfully fails to file a return or
other report required of him, , , shall be personally liable, , , to a penalty of 25% of the tax ultimately found to be due or $1,000
whichever, is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law."
File Number
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-80-0277
> REY-4!14 EX+ (HOI
Estate Nome
Ann H. Roman
[8] Original
D Supplemental
D Remainder
Dote of Death
April 1, 1980
Social Security.Number
171-24-9421
REPORT OF INHERITANCE TAX APPRAISER
I, th.>undera;gned duly appointed Inheritance rax Appraisorin and lor the County 0/ Cumberland
Ponnsylvanla, do respectfully report that I havo appraised the roal and porsonol proporty a. r"Portod in tho forogoing
return at the values set forth opposite each item in the last column to the right in Schedules lIA", liB", "C"" and IIEII
Dated: March 27 , 1981 ("'orq:/t.'< /a J ifrr~dHi)
INHERITANCE TAX APPRAISER
ADJUSTMENTS REMAINDER APPRAISEMENT CODE
INVENTORY VALUE AS APPRAISEO CODE (HARRISBURG USE ONLY)
Roal Property (Schedule A) $ none 00+ 92+
PeraonolProperty (Schedule B) 8 547 96 10+
Jolnt.Held Property (Schedule E) none 00+
Transfers (Schodulo C) none 30+
TOTAL GROSS ASSETS __-.!l.,liL 96___
Leu D.bts and Deductlontl 40- 93-
(SCHEDULE F)
CLEAR VALUE OF ESTATE
o Life Estato RATE FACTOR PRINCIPLE VALUE CODE
o Annuity
FOR USE OF REGISTER ONl V
Tax on $
CODE
COMPUTATION OF TAX
$
$
$
$
6%
Ta)( on $
15%
Tax on $
Tax on S
T ox on $
$
-
Exemptions
Total Estato
TOTAL TAX
INTEREST FROM
BALANCE
TO
$
$
$
Less Credits
D,ITE OF PAYMEN1'
AMOUNT PAID
TAX CREDIT
S
$
INTEREST FROM
BALANCE DUE
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