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HomeMy WebLinkAbout80-00464 .;:j ~ ~ Cf.l ~ r..:I p.. . >< p.. ~ H lI1 ~. Cf.l ~ ~ Cf.l 0 :<: Cf.l E-< ~ ~ 0 >< ~ ~ ~ P=l Cf.l :s ~ . lI1 :s t~.;. (:j ~ [1 tJ) ~ d ~\ ~ 0 0 .~ 0 - 00 0 .- - N . ~. ..... ~ . ID 0 ..... 1.0 Z ~ NO. 21-80"' PETITION FOR LETTERS OF ADMINISTRATION IN THE ESTATE OF ...c'Mh1;g..1:\h\WJ.'l;(...JSJ;:,r;Uil,T,.;lim............... DECEASED. To ..!:1i!-.F.y.,..~~W.~.~.."..,...,.."."....,..,...,...,."""., """,......,...,..,..,........,",...........,......, Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvania. The Peti tion of ... )i,~y',. ,~J 9.~!:\ ~I!::.., ,~P'.g,.. g~,t.h... ;r,~mp,~I",...."""",.."",,""""'" ....".......""..,. .....,.."..., "...".. ..... ......,..",...,..,..,.....,. ......,....'", respectful I y showe th tha t ,<;;1 f!J);.., g~,F..Y.!i!.Y.., ,!$,~.!?R'+' !i!,F..,..".,."'."'.."'.. was a resident of ....W!?R,j:;...f..~1),n,l?R,9.;J;:R................J;:'= ,Cumberland County, State of Pennsyl- vania, and a Citizen of United States, and departed this life intestate in the County of ..,~)'\mQ.~);'.J.il.ll,<;i ...."...,.."...",.,...."...."..,'" and State of ,.....' ,l?'ilT.\Il.!?Y.J.Y.HX\ ;\.,H"",,""'" ......",..".."""""..."....""",",..,"',..."...,' ......' on ...~!:\~.+.l?g.<;1,Y............... the ........~.!tA'\....................... day of ......f.~!?I!:l.?!.;:y........................ A. D., 19..7.L., at the age of .......Ji,?... years, That the said ,!;;l?!.:j,);...1:\?!.F..Y.!i!.Y....!$.~l?R1!i!.F...,....,................ deceased, left surviving the following named widow or husband, heirs and next to kin, to wit: Name Relationship Residence ..,',.f..<;1,y.,'~~,9~h.~I!t....,...."...........,.... ......,P.~!:lSI!:\!<,~E.,........."..,' ,~:..,.!?:,..JI....~~X'.!!.Y.~.n.!'!.I.,..~!.':.:,.. 17047 ....".......................................................... ............................................ ................................................................ Ruth Jumper ,............................................................... .......?'?:~.<f.~.~.?.~"....."...,',.. R. D. 4, Box 82 ................................................................ Carlisle, PA. 17013 ................................................."............. ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ 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 $.4,1..9.9.9..:.9,9............., and of Real Estate, less ineumbrance, to the estimated value of $....,m:m.'il................... as near as can be ascertained. ........................................................................................................................................................................................ That the said Real Estate in so far as is known is located in .......N.o:t:....!\p,plicil.b.l.e.................... Therefore, your petitioner(s) respectfully apply(ies) for Letters of Administration in the above named estate. July 9 Dated ......,........,....,........................,...... A, D" 19.8,0,... Signature and Address of Petitioner(s) ........;7.~......9.'r,',~4.~/........,.......................... Fay Bickhart ......~,:....!?,:....~,I....~~Y.,?:::~,~,~~.r..X~,:.......~.~,~.~,~... 'f' '1 LJ - ......R~t:t~~;;;p;tr~~';?:~0!.~,.....,........................ ......~,:....R,~,...~,r...,~~~....~},!....~.~;r;.~.~.~.~.<<!:.I....~~.:... 17013 , Ic/l. COMMONWEALTH OF PENNSYLVANIA 1 ss: COUNTY OF CUMBERLAND r ............f..<;1,Y...~~.9~h,~);J.,..~!)o.g..,~,~!;,h...;r,~!!!I?~!...,..,..,.............,............,..,........,....,......................,..,...... nam2d in the above application being duly ...........,S,w,o.r,n........................ according to law, say that the facts set forth in the above applieation are true to the best of the,ix:.., knowledge and belief. .................,....,Slo:lQ,~J:1".........".,',...... and subscribed \ ..,""'7'.."..,"',..".....,;',..,.."..,....,"',..,",..,."........'"...., ,... before me, "....;""~"......,4.~;f.-cl~.;d:....,',.........,"""",.......... .....,....,.,.:......,.-.:!'~~,y...,~..........,.......,.., A. D., 1911,9.,.... ".,..~(I:".;..(,(...:;).;"',~,!,!.y.},',c.,,2.,.."..,....,..,....."'... ......:.i)I<Uf....t:.:'.....;y.L..:,\..,.;;:"~~~';~~~;.... ..................,........................,.......................,.................,.. Filed: ......... ~.~.~Y....k~.f...J.~~9....,.................,..,.... Attorney: (over) ACKNOWLEDGMENT OF SURETY COMMONWEALTH OF PENNSYLVANIA }ss COlJlltyof 1.__- . u____.._. _____._~___, in and for said county in the stale aforesaid, do hereby cerlify that ,_._~___________________________, Attorney-in-Fact of STATE FARM FIRE AND CASUALTY COMPANY of Bloumington, Illinois. a corporatiun duly organized and existing under the laws of the State of Illinois, personally known to me to be the same person whose name is subscribed to the foregoing instrument as Attorney.in-Fact of STATE FARM FIRE AND CASUALTY COMPANY, appeared before me this day in person and acknowledged that he signed and delivered the said instrument as his ami State Farm Fire and Casualty Company's free and voluntary act for the uses and purposes therein set forth. Given under mv hand and official seal this day of .19_ My Commission Ex pires ,19_ ACKNOWLEDGMENT~' PRINCIPAL COMMONWEALTH OF PENNSYLVANIA County of }ss I, o Notarv Public o County Clerk in and for said County. do hereby certify that personally known to me to be the same person (5) whose name .subscribed to the foregoing instrument as Principal, appeared before me this day in person and acknowledged that signed"sealed and delivered said instrument as purposes therein set forth. free and voluntary act, for the uses and Given under my hand and seal this day of .19_, My Commission E>cpires .19,_ o No tary Public >- 0 00000 ~ e , '" 0 ~ u 'E C> (fl ro ro <0: 'E s: Zz ro W > 0 <(<( ..J >- 0- ~ WQ. Z e a::i; e 0 ~ '0 U::o :;; 0- u.. -c '0 0 - ~ :i;U :;; .. ~ 0 C J:: ~ ro 0 <( ~ a:> J:: Z W ~ u U ~ <(I- .. 0 X '" ~ u..-l u.. ~ '" w e C W<( 0 ~ a:a:Z 0 ~ 0 l- e OOZ -S I-::l 0 a: a: E 1-1-<( 0 '0 <(~ ci :J Z 0 E <(<(..J I- " I-U 0 a:a::a:Z4: ~ en u u liiliis:O<(> " ro -c --:I:~Oa: :;; ~ ZZt-=>r:t:W > ~~-~<(~ ~ 0 CCS:X:JO -S C. '- c - 0- ct4: wCJU _ 0 <( o COUflty Clerk ~ ~ ., '0 I ~ '" -c .. d -c 8 ~ a: 21 ro ~ ~ w .s -c ~ -c ~ 0 :s u -c ~ .!! -c c u.. ro ~ '" ro 0- o Z - \ \ ,.r power of Attorney STATE FARM FIRE AND CASUALTY COMPANY ..' ."'..... KNOW. ALL MEN BY THES~ PRESENTS: TlloIl STME FARM FIRE AND CASUALTY COMPANY, an lIIinlli, corporation. with its principol officr. in Blllllmill!lllln, IlIillll", dll""III""hV ",,"'tillltll 0"" "PPllinl: H. Davtd Miller, ,Tr. of P,O, Box :361, Carlisle, Penna. 1'101:3 ils Ii Ii" and lowful Allorllev(sl-in,Focl.IU makll, eXllcute, seal and d~liver for, and on its behalf as surety, any and all bonds, undertakings or olher writings obligator v in the naturll of a bond as follows: Administrators, r.xecutors, curalor, cOllservotor, guordian, Iruslell undllr will - $25,000; Receivers or Trustee in Bankruptcy _ Federal Court _ $10,000; Plaintilf's Court Bonds - $2,000; Public Official - $10,000; License and Permit that do not guarantee payment of taxes (compliance onlvl - $10.000, This appointment is made under and by the authoritv of a resolution which was passed by the Executive Committee of the Board of Directors of State Farm Fire and Casualty Companv on the 24th dav of July, 1974, as is duly authorized by the Board of Directors in Article 11, Section 6 of the By-Laws of the Company, which resolution is: Resolved. that the Executive Vlce.Prosident or a Vice-President of the Company is hereby authorized to appoint and empower any representative of the Companv or othor person or persons as Attorney,in.Factto execute on behalt ot the Company any bonds, undertakings, policies. contracts of indemnitv or other writings obligatory in the nature of a bond, which the Companv might execute through its duly elected officers. and affix the seal of the Company thereto, Any said execution of such documents by an Attorney-in-Fact shall bo as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officors of the Company, Any Attorney,in-Fact, so appointed. may be removed tor good cause and the authority so granted mav be rllvoked as specified in thll power ot Attorney, Resolved, that the signature of the Executive Vice-President or any Vice-President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Socretary, Vice,President or Assistant Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company, Any such power SO executed and sealed and certificate so executed and sealed shall. with respect to anv bond or undertaking to which it is attached, continue to be valid and binding on the Company, IN WfTNESS THEREOF. STATE FARM FIRE AND CASUALTY COMPANY has caused this instrument to be signed by its Vice,President, and its Corporate Seal to be affixod this 11th day ot December 1974, This APPOINTMENT SHALL CEASE AND TERMINATE AUTOMATICALLY AS OF DECEMBER 31, 1977, UNLESS SOONER REVOKED AS PROVIDED, \ I I I \ \ \ I I ~.~",,,\,\, l M."i... ~ ~o ~'J,., I", :- ",..," ",:~4/ ''r, : ~.,' ,.-) I . ).. , ~ D ~ ." ;:::=....c"ll\ 4r (.' .'2; \ ~;:;: .-0- ~. ~ ,::",~lE!,,[, fi \,~(:~~,~,""'" ~~~~; '"",(.;.uM.\\\..... " ". STATE FARM FIRE AND CASUALTY COMPANY {/~ tf$~ BV: Vice.President and Secretary STATE OF fLLlNOIS COUNTY OF McLEAN On this 111h day of December 1974, before me personallv camo Philip G, Buffinton to me known, who being duly sworn, did depose and say that he is Vice-President of STATE FARM FIRE AND CASUALTY COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to said instrument is such Corporate Seal; and that ho executed said instrument on behalf of the corporation by authoritY of his office under the BV-Laws of said corporation, ~~ ....."llu"stllll..... ,"<'" I.. 11"^', ""l...,\~,,'''''''!'r,/:,'', ~~".., ...v(';'" f~/ ~CTAR\' \~\ pci :~~ ~ \ : . E , ~'. PUBtlC .."" 10', :v:: .....l'( _0,. .....,..:: "f'~ ........ ......... ";,.,!' COoJ"....... '""''1''''' CERTIFICATE I, the undersigned Vice,President of STATE FARM FIRE AND CASUALTY COMPANY. do herebv certify that the original power of Attorney of which the toregoing is a true and correct copy, is in full torce and effect and has not been revoked and the resolutions as set forth are noW in force. Notary Public MV commission expires November 3, 1978 Signed and sealed at Bloomington, Illinois. Dated this / .-rJ.. { t( dav ot ,""""\"'. _~.\\ J.~~ C4,<:,/;"', ~.- '.', " .......,~ 'r, : ~.. - /;. I ;~'.: 1')Q.\lOol.4r '......'f {;:t. .-.)_ ('.~. ,::,;' ~lF.~" n; ;; ... 'It> ~b.:- \'..'.,'" ,...-- I '" "S'O~ \\ \.. . . "" Vice-President REV.455 (1.80) COMMONWEALTH OF PENNSVLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT -, B- J,,~P.,IC)lV SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS ........... FileNo.2/-iD-l{6'i ~_.._---=------------ '-'~'-,":~;'==::" --~- Estate of CLAIR HARVEY KF.SSLER Date of Death February 8. 197q WHEN CLAIMING THE FAMILY EXEMPTION. COMPLETE THE FOLLOWING: Claimant Ruth Jumper Relationship to Decedent Dauqhter Claimant'sAddress R.n. 4. Box 82 (I.lest pennsboro Two.) Carlisle. PA 17013 ITEM OATE NAME OF PAYEE REMARKS AMOUNT NO. Register of wills Letters Testamentarv $ 13.00 R"n' ~..-- rd' ,.",,- D~~" " ^^ Register of wills Short Certificates 2.00 Nichols Funeral Home Funeral Exoenses 1 e;RR ~n H. David Miller. Jr. Aaent Administratrix Bond 42.00 Paul Bovles Auctioneer Annraisal of personaltv <~ nn Cllmhl'>rV'nr'l Law J 1 A" , ; "i nN T.o....o_~ 18.00 The Eveninn Sentinel Advertisina Letters 1 R nn Rll+-h "..~".. .,~~ 2,000.00 Masland Associates Medical Care 250.00 Carlisle Hospital Medical Care 184.50 Belvedere Medical Corp. Medical Care 1,555.00 Reqister of wills FHina Inventory & RCC 6.00 Reaister of Wills FilinN Debts & Deductions 3.00 Bietsch & Moraenthal Attornev Fee 250.00 Janice E. Hertzler Notary Public 10.50 Ruth Jumner/Fav Bickhart - . Reserve for Closina Costs . 25.00 TOTAL $6,103.40 . TOTAL THIS PAGE I $6,103.40 I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes. /-:7.." "!f:.;:';:.,,-/ V'Ix'..11 ,\ " ""e'':/ <>l \ 'f lru v SIGNATURE OF ATTORNEV/FIOUCIA<RV ATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF S ~/ c3, /.lei , AT j.~<<!:,,- 'cPERCENT. 3~1 ;% " /2-//-FJ DATE GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration, altorn6Y fees, fiduciary fees, funeral and buriai expenses including the cost of a burial lot, tombstone or grave marker. All debts being claimed against an estate are subject to the approval of the Register of Wills with whom the Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being claimed should be attached to this schedule. A family exemption of $2,000 may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be claimed by a parent or parents who are members of the same household as the decedent. t: '" 0 n ~ tTl ~ :s > 0 0 CJl Z C'l n ~ 0 ~ z 3: z ~ tTl tTl ;;0:: '" 9 - 9 z Z tTl .., tTl .., z 9 9 .., -< CJl tTl - CJl Z 0 CJl 0 .., ':'l ~ 9 ':'l ~ 0 "'1 - "'1 ('J ('J 0 - ~ L.... Z n ,- :J> :; '" (T~ 00 H ~. "" 5o~ t>J :<I t"" 1.1..,', 0 u E1 $J c:: ('r' e;: ~?n CJl ~:. .'-' ?;; tTl - ~ ...' -0 0 0:: ex; <1:-' 0 ",4. Z 60.;: N ",<l ~l.:.~ 0:-' >< t"" c"' ..... oD: -< -< -< 0:'" l!€ ,"J ~ tTl tTl ~ Q- ~~ ,,'" t>J > ~ or.- Ul ....w 0 I,~j ::J '" 0<0: EO -,'-' Ul (J t"" t>J :<I INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemption is being claimed, indicate the claimant's name, address and his/her relationshipto the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amount column. 2, Assign consecutive numbers to each item listed. 3. Enter the date on which each debt was incurred and/or paid. 4. Enter the names of each payee. 5. Provide a brief explanation in the remarks column for each debt claimed. 6. Enter the amount of each debt being claimed. 7. The form must be signed by the person who has assumed the responsibility for paying the debts. ,- 0- :5.., I.,. ~, 0" on: 11.J:".i c:;, u' S'~~ E: (j')L' ,u ~.!.:.. =p ~ 42'. 0'::.' if:] '0: N ~'" 5 ~O~ ~:n ,'" 0- C; ""~ u'" "'- ::J ...... 0 ,......(..) a:'" SIC --, u E-< Il<' Z ] 'M: ~ r.l ,c. ..:l :::; lJl' < fjJ . .. f .~ CIl p:::i:l ... ... o. " < < ~: E-4: 'S III III r... H' " ~ ~ 0 tIJ" O. '0' > ~ ~ tIJ: 1-1: ~. ~ < '" < '" rz:l ~. 0, Ill: ~ ~ 0:: r.l E-< ~: .0' .-4' 0:: i:l .. < lJl' 1-1' ~ Z ~ is = 0 E-< ><: ~: Q): < E-< CIl ~~ ~. ~: ..... -- r.l Q)' 0 E-< ~ 0:: r... Il<: ::I: .0:: ~ 0 12; u. ... 0 ~ 0 i ~ .' ~ ... s:: ~ ~ p::: ..... ~ r.l ~ 0 6 ~ H' ..... . ';:; ..:: 0 ~ ~ .~ H' 0:: z 5~ .s ~ u: ::l j " 0 of ~< to) U , File Humber INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) 21-80-0464 R'r:V.o484 EX'" poBO} Estote Nome __.__Clair_Har.vey_..Ke6s1e1:.___ Dote of Deoth Februar~~)-1979 Sociol Security Number REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tox Appraiser in and for the County of Cumberland Pennsylvania, do respectfully report thot I have appraised the reol and personal property os reported in the foregoing return at the valuos set forth opposite each item in the last column to the right in Schedules uA", "B", IICU, and "E" Dated: necemb~~ ", '9RD---- -tJ'/ IV, /. I ./,. tl'll" v J ) INHERITANCE TAX APPRAISER INVENTORY VALUE AS APPRAISEO ADJUSTMENTS CODE (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE Real Property (Schedule A) Personal Property (Schedule B) Jolnt.Held Property (Schedule E) Trontlers (Schodule C) $ None 00+ o 10+ 92+ 00+ None 30+ TOTAL GROSS ASSETS ___~3,,'566 50 Leu D.bts and Deductions (sCH EDU L E F) CLEAR VALUE OF ESTATE 40- 93- Valuallon of life Clltates or annuities. . , . . . . I . . . . . . RATE FACTOR PRINCIPLE VALUE CODE FOR USE OF REGISTER ONLY Tax on $ CODE COMPUTATION OF TAX $ $ $ $ $ 6% Tax on $ 15% Tax on $ Tax on $ T ox on $ Exemptions Total Estato TOTAL TAX INTEREST FROM BALANCE TO $ $ $ Less Credits DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST -- 5 + 5 S = + = BALANCE 5 INTEREST FROM TO ___ S BALANCE DUE 5 :I.AX CREDIT ~ ~ ~ 'JJ ~ ~ ~ ::; ~ :z ~ ~ 0 I>l ~ '" ~ ;:l ...l 0( k .-4 C1' .:T - ~ .-4 co :d :z I:.. 0 ~ I:.. - 0 ~ t) ~ I:.. 0 I:.. !i; 0 '" 0 :z 0 I>l '" :>< E- O - ~ E- I>l Z Z S Z ...l 0 - 0 z tS I<l I>l ...l Z ::€ z Ci ;:l " Z - ~ '" ~ 8 0 0( :l ~ I>l Q '" " COMMONWEALTH OF PENNSYLVANIA I COUNrY OF CUMBERLAND J 55: 'on_____ ___ _.Fily'.B~9J<l1al:t. and,~l!tl1_ JumpeJ:"_,____ _________________ _____,__on__' being duly sworn mn_m__ according to law, deposes and says that they_ar.e-the________ __"._J:.dJ!l!n.!,!;:!;.;r..aJ;):jg)3!;1__ _________,_____, of the Estato of Clair Harvey Kessler late of W. pennsboro Township , Cumberland County, Pa., deceased and that the within is an inventory made by ._,________.___ J;h!"!JIl________ ___ ___m'_' tho saidll.dmin..utratrices of the entire estate of said decedent, consisting of all tho personal properly and real ostate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite oach item of the Inventory represent it's fair value as of the dato of docedont's death, Sworn and subscribod before me, 9.i c::::> c.:t 0 \-,. ~ g ~ ~. lcfu~-~ 'ANICE E, HF~T7LFR, t-.\OTARY PUBLIC r b~rla~.J Count" Carlisle, PA 11m..' I 7 1983 Mv Commissiorl Expires January 2 I Date of Death __~~h___- Day 19 80 X j".'1 V X.:-'d,~~t'/L-~~~.'A ) ~K' Ad lnistrator A5.;Al,o.Io-f - R. D.._l,_.L.o_y.s_vill.eJ.fu... 17047 and RJl~, Box 82.'- Carlisle, PA. Addrou 17013 February Month 1979 Yoor INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. ~ ~ I ~ I N >- I- W 3l !;( Q" I- o III W '" W :r: Q" ... U. ...J o <1: Z o C III Z 3l <1: Q" ~ o I- Z W > Z ...J U. <1: 0 W '" ci Z II ~ ~ (J) (J) ril ~ ~I :1 Hi .0:, ..:I: U, P< 'M .c: III ~ o ... o 14 o .Q III i:: = Q) II< -.j . . . . u . C '1 17 -' < :t ~ 3 ?;R Q) (.!) 0- tl'<< "-< lQO'lGQ.. Q,,::< :I! , , :II~ ::< ~!!! ~~~3 0: . Q" .;. ~ c o o U ." c . -;: . .tJ E o U ." ~ i.i: -" o o '" , ~ ... - o . ~ . ...J 0- ,- ". 1._ N ::.1.... (-" t.,;.IC u,l.. C u '. (.:' :a: (,()L) ;;: .U ::::p u.. o.? <.t;.... 0':; :r::7i 6~ N "-...J W\1l - ""~ 0>- g 0", ~. 0::'" 'Cl:l oCj ,,;..- U'" f";L. -::;, ~o; ~ hJ(.) " ..J U