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HomeMy WebLinkAbout80-00500 '~~..fF.;\ ,"..,.i qf';")",:~/ ,'JS:l~"':'" ~~-~~:,:, " I ~': ! ~ . i .., . ..:l t9 I c.. ~ (") ,....' '.-.' Ct ..... co 0 . - jl N ~. 10 . -= 0 Z LIJ :0-;0. 21.80-J' PETITION FOR LETTERS OF ADMINISTRATION IN Tim ESTATE OF7:kM.~..,!:::...:r"..<':J~~~~A..~............ DECEASED. To ...............................,...."..,.....".."....",..,....,..,......",.......,""""",."""".,.,.....,....",.. Register of Wills fOl' thc Count~. of CUIl1Lcl"lancl. in t hc Comlllonwealth of Pennsy"'ania. The Petition of .....lf1~o:r.~,....~.',....(;~,~,~.'!!!.f. ~ ~"',.,"" ",..,'....."" ,.........,......,...,..",....,.................,............ ................".......................""..,......".. respeetfully showcl h t hat ",7Jf!"f.ff.~.~.t;!,..!;,.'...;r"....r.~~.~.~t{,-:!,.1.':I.......,.. 'I t f /' ",,,u., $' ~- TOI\'n"hip (' 1 '1 I Ct. St. t If Pen yl was a resl( en 0 .....~.............."....1'W...............................Rm.ough . :1101 Jel um oun ~ I .1 e ( ns- vania, and a Citizen of United States, and departed this life intcstate in the County of .................,.......... ..................................,..,.. and State of "..,',.."w.I.!~~~",..,kb.~"!!.'!:!..~...,..........."...............,..................,.......... on fi;.I.,Q..f?y..................,.. the ,................l.~I...~~........., day of ..../rJ.!!./(f...If................,............. A. D., 19..!..9., at the age of .....,.......... yca)"s. That the said A.~~."fI!?p...,!,.'..J......C~,~.~,1.,~~'Y..........,.......... deceased, left surviving the following named widow or husband, heirs and next to kin, to wit: Name ;;Z';-I ....;(/.,(,1': /..c.~...... .............,'..... ..... .......... .d. . rz ../../.({iif:c~e.....................,...................... ...l,/~(Jz-l..f(,......~............................. ....~/.!:!5......~............................. Rclationship Residence /.a.~.R.6P.1:'c.,rmi/.~,..~.rA'"..r.,.cl ;?t24...~-:f!..~.~..a~.~. /...r..;r...t4.4-"d./.i9/..~.~..~M :r. ~!..<$-::z....Dt;.o/fk..r...dt:...ar.kJ ;fJ. .......f.'au.......,..,........,."...... ...9k~.I.6Ci:::............... .., ,.,s:;-~........."...... .........,.. ,...d..4~........"........... ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ That those above named include all of thc next of kin, so far us known. The said decedent was possessed of personal property to the estimated value of $.................................. and of Real Estate, Icss incumbrance, to the cstimated value of' $....!,...r.:f!.~:,~p........ as near as can be ascertained. That the said Rcal I';state in so far as is known is located in ..C~,tg.If!,..U,':!,~.~....,(;P..':!/:l!.J............ ..M.~...CfJI!P.~lMO'......,......,.......,',...,',.....,..,........... ,.............,",.....,..................................."................,.............. Therefore, your petitioncr(s) respectfully appl~'(ies) for Letters of Administration in the above named estate. Dated ,.Q!,.?:..,..J.I,.!..t,.,.:;..........,............, A, 0" l!I.~P.. Signature and Address of Petitione,'(s) ~~.......~4~L:.................... "."~~"r,z.,,..,',Qo/t:6.f......7:d:,......... ..,',....,....,.....,....~~......~.......,.......... "",...,..."....,....,....,..................,...,...........................~ ~ : I I Ic~o ~: 9JlycYs/7'6'O OJ /-fth!,OO //- 99-.!L ,-,,,;: COMMONWEALTH OF PEN:-:SYLVANIA 1 COUNTY OF CUMBERLAND I ss: ................................,..,."...............,......"d~4.d~.,..,........,.....,....,.......,...". named in the above application being duly ...~~................. according to law, ~a)' that the facts set forth in the above application lire true to the best of ,...... .... knnwledge II ~e.!ie!;; ..b.e.~o..r..e....m...e..,........................................ and subscribed 1 ' ~_..,..,...................... I.' ........................................................................................ ...................,............,...,...,..........."."... A. D., 19....,...,. ,..,...",.".,...............,.....,..................,..........,..................... .......:J;~t.~/".t!!.....~f.~/..,..,...,..........., I Register ........................................................................................ Filed:, ..................................,..."......,........,..".....,...".. Attorney : .,.....,.."".....,.,..........,....,..........,................. OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 COUNTY OF CUMBERLAND ss: ............~............................................<;?..~~~~............................ being duly ....J a:~";~........................ according to law administra 4~.. of the estate of ...~~ ~~~~:~~~..:::::C1.:::::::::: .,~~;;;..:~;;. .~~~,.~;~.;~..~~~;~;.~~~; .~~~ ~~~~~. :~~. .~~~~~~;~.:.;;.~~~~..~~~. ~;~.~;~~.~~.~~;~ deeeased. according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. .......................................................... and subscribed before me. petitioner(s) . epose and say that as the .....................lj....... ........................ A. D., 19.......... ......................... ......;.:.k-~I.:t......................... Regist~Jn 't.-fAj- L! ,~vV.--/ /T tI DECREE ,~~ ~~/~C~-- '=- ..~............................................ ............................................................................................ Be it remembered that on the ................................ day of ................................................ A. D.. 19.......... Letters of Administration in the estate of .............,.. ............................................................................................ ............................... ....... ....... ..................... ................ late of ..... ................ ................................................................. Cumberland County. Pennsylvania, deceased. were granted to ...................................................................... ........................................................................................................................................................................................ Witness my hand and official seal the day and year aforesaij, /~, , .-- ~ J ..............:;?2h?T...~...~.~.~t~~........ /30:: Estate No. .~,!,~~~...........:.~~., BOND KNOW ALL MEN BY THESE PRESENTS. That we. .,.. "".."...."/....ok.7t..-:1...".,.I.".....,C,4,, //A!1A,M ,,'. ..'.,.'...,",.,..,'..',...,..,..,..,'. principal.....,... and ,....,BlVNs..yj"v.Arf/././L,&4 .f:.J,:~IY.AJ,. ;A,tl.;.,T.:,L'-4...l..........,...,........,............,.., .."CAJ'..I..>.A../.,:/.y"',j#.r..~~t;.-.~.~,IkY.~,(...".,',...."....,.,,........':......,... suret.y......,. are held and firmly bound unto the Commonwealth of Penns)""'ania. in the sum of ....~..,v.:,e.......-.:::::............ -I.,fJ..Ci..\.~,r...,&lr.d,.............................., Dollars (S..~~....Q,t\.(L....). 10 be paid to the said Commonwealth. her certain aUorney or assigns. to which payment, well and trul)" 10 be made. we do bind ourselves. jointly and severally, and our and each of our heirs, executors, administrators, succ(.'ssors and assigns. firmly, by these presents, for and in the whole of the said sum, SEALED and daled the ................,?:.....;f.'..,~:,~ ..,....,.<la)" of ........,J'......,Jy,...................." 19...Q..O WHEREAS. Ihe above named ",.....,A,"'~,/vl..f''.rv,.T,..f:A./.J6f?../,x.............,',..............,......,.............., has or have made, or is or are about to make, application 10 the Register of Wills of Cumberland County, Penns)"lvania, for the granl of lelters ............o;.!,E.......A-tP....(S.J.N..I.~,fl.1/.tf::/c:IY..................,.......... on the estate of&4wAJ,A.....?...,.:r:.,C.A..((.<1!?4I.J....... late of ...,C/.!.M..!~r.~................. Cumberland County, Pennsylvania. deceased: THE CONDITION OF THIS OBLIGATION is. that if Ihe said personal represenlative ........,.., or any of them shall well and lruly adminisler the said estale accord ing to law, lhis obligation shall be void as to the personal representative or representatives who shall.so administer th c said estate; but otherwise, it shall remain in force. SEALED and delivered in the presence of .' ~~~iJ&~~ (SEAL) ('2rxN::i.'i)1L-'W/t.MlJi?~c:..r,)Jj,_. (SEAL) ~u~tL_C.d'...[~~.(_~<&.-c..-r.fJ:E~) ,~:YLJ.m~ . ~_mm_ (SEAL) A_fb:My_~,~..-:_~~t:________ (SEAL) ," " , ... J . r "~<';", ", !, ",' COMMONWEALTH 01' PENNSYLVANIA COUNTY OF CUMBERLAND 55; Person.lllyappeared before mr, a"" ""'..,,,""'"'''''''''''''', ,,""" """" .., '.."..""",,,,,"..,,....,, in and for the county and state, aforesaid ......... ....... ".... ...... "...... ................ ...... .............. .... ".. ........ ... ....... ..... ...... ...................................................................... of..,......................... ..................".. ............ ,,'...,,'......,.. ........,.... and "...... "...", "" '......., ..............................................,....................... .................................,....,...........................................................,0f............,....................,.........,........................,................................ surities on the above bond who being duly SWOrn (aWrmed) according to law, depose and say that they each Own Real Estate worth the whole of the penal sum named in the above bond, over and above their debts and the debtor's exemption. Sworn and subscribed before me this ....................................................,.. day of ..,..".................., A.D. 19.......... ...., ...... "............. .....,..................................,......... ......... (Seal) ".."".., ...................................................................,...... ( Seal) .......... "...., ....................,..........,............,..,.........,.......... (Seal) ...., .....................,.......................,:.........,....................... (Seal) ............................................................................................... J .,"J I' \.\- '~;.' ,_., '. ,11l~4~::,.)<:~;~, ,::>,l',- "--. REV-ll'V Ek+ 17-1101 . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX RETURN FOR INSOLVENT ESTATES (Instructions on Reverse Side) ,.. -._J ,..,,) Estat. of (~r;Mrj L f ~'IIt?I}(,dl Ln.t addr..._.? 1:(7 j)",/6k~ ell' ISTREET) ... (;,,. h ~ If> A z / 70/3 w c w (CITyl eSTATEI (ZIPI u w I-~/'t:'h c /L/ / 9,ft) Dot. uf D.ath , Q "3 / <' - of" /, ,1 Social S.curity No. < 7<) 'L(' _ L0. L TYPE OF ASSET DESCRIPTION COUNTY NO. ,,:> 1 . ~'..., STATE NO. ( ) Exec. Cn Adm. Hama/r1/"'''' /F Social Security Ha. Oth.r . ~- 4 n h~ v' ~1~J;~- {/~~i' ~ Addrc..;/1::,7 "/)b//y~ ( clr u (STREETI ~ (;;rj rlf'.f7A /7t)j~ (CITY) ISTATEI tllPI Under penalties of perjury. I declare thot I haw e:lCamined this return and to the best 01 my knowledge and belief it is true, correct and c pletB. -"J,n' ,4~_.", V Date ESTIMATED MAR~ET VALUE DEPARTMENT VALUATIDN (OFFICIAL USE ONLY) HtJt'I/e.. '€!.QL 6-;;; Co AulD i/c", (?r"Sor1a L ~. SI1VJrl &J ~ ~ C:I",! '- )(;'1 V J}ulCA {aLJ/lIOL t..j' ,",00. " 'riolb,.Tv oJJle; :.. ,L)O 8,,1 Ud!. (~ C'J J/J / C}O () Ct,17",-<: 8r6Ur.;/I/,1/ ? t) L' (} ''tOrel VuiI (j""rt 1'1 tJt';,,~,/ S., ) 117P l () C () 'ffo/t.r-r;e's hlf'/>1 lure _ j!ot/Je j,o/J eJl"t7i ,7." ,<::100 &o? r7;1MtJ~al.l;' ..<.-hhlt't/L - , , ,. n~, c: :1:' m' ~!; ~:: ~ a. ,.,'. ~ :". i ) 05 - ",'" 1"~ r,")o ~f t:;'" '-ll 'D "'ffl ' OJ ~ :.:0 .,'.', ,"1 .r; ;J:> \0 " l1u K-o/1;r'-rIe~ clh,'ur JJ1'~J/I/OJJecj /Jrt' JIIIT!.; o/L)A.led- ,~ ~ I do hereby certify that the above assets were appraised in accordance with Pennsylvania law. TOTAL 1-; ~, ~ OFfICIAL USE ONLY DATE NAME OF PAYEE ue ~ / to tJi4LketL. 'Kt..J1111 H..OK-'{) /Jft./L nkD wAIAJer" i?J/II/I/li'V :I/tu, -1L,J!".J./S'tJ r!L/,nJ;,,/,ko1d cfl,l {"/lC'! ~ 6-1.111/ /sP ])""J.flJ.! u,JJcluJLr l7ai. ~ A/" 1)pc $'0 Sear.rZ<!b"c J:. ~ marc!. /f-tJ J:"r. /JJ'JIII/(. Or. (rl?d,;- J/" !i t: cl"je.. k'J1t3IH'J,l~M's .. e ,t " I!Or/c,/1c.e 1!lu,<r6c/0,t?-- ~ H 111' , I, .f u -r:r-.fa 111 ;-Iv LI J 10',') ALL ~) , rro/~rffi5 Ilf}o" OFfICIAL USE ONLY /1-99-.2- s ) ~.vf1'f1 J'-/f'l~.A.J,.J ) APPRAISER T NATURE OF CLAIM AMOUNT CLAIMED ilTfL)"'I"v~(sc/Tk oN,p,erJI"i' u,(!. ;:7:;: ,'0 __ ~-:J - J'''~l.l P: /-u"erc;L Y Ot.il""/oL., :2/ .2~o ~ -r:;;v "h, lelfo/. i1"<'rolllcl"l/I/1so;:Ji:I~ 1'1. 0<' Fe",;:::;',.. J,,/7/'..-JJ1o?rJr ;-::;:d, J;;1I- Ji(if /,;u: ~~ < l'hC'//'7-(- PeL./. ...;-C. ,..2yo). "0 .1.0",) .:zlo, 010 /l/o/n;,,/rc: .I-~ ,~. 7~./<.!rl'-l (.2 drd:~'1clQ"r .IIc"'J,' o%fl../h"r;e_ " ,. .L. o~, ....., 4J&,~ <~ Ule JOIl1JZ'I-C),'JJ/<'d.. ~) <3 "-J'/ DATE COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT COUNTY FILE NO: -, / .('. - .,,'-() )/A_ ' TO: o/f <' {' ,. .( /,.) .i ) /' , ..... ._ /(~',,7f;t- f' / - ( :;~ 1/, 'j ,/1 "-(/;~I' [ ,,(,,:,".b-, - v~1: J-- " . I /" , ":' I ;.:' Appraised Value of Estato: Real Estate G Personal Property " + ~v ,".'--7'"1 Jointly Held PropertylTransfers + .. Total Gross Estate G " ,.!/ ...../,/1 / / 'l - "~I .. oJ' ; I, ~ ,_ , Total Approved Deductions Clear Value of Estate G -- Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax 6 __~ Amount Taxable @ 6% Rate $ '*' DATE ' /> / ' /7 , "j )/'i N,?/ ,.- , .' ,,. 1/ ' .// / ;' (.;( //.I'_h~--l , l:f' , 1- ,,' ... '(I ESTATE I ' FilE NO, COUNTY /, / ,.I. '. ( t, ,I / ~-' ~ I' j ..' " . ~ ~..l. - DATE OF DEATH ,Ii, i '(' / J /,/ /1'.1'1 '!' . .... ,..",. (, ( I ~ i ~ '",I; ,(,' r/"I to~ddo.I,.. (, t..... L...... t."" J""_ j " . ,.....--' <.1 ,/..-I ,. tox duo " J. 1'-'..-'" TOTAL PENNSYLVANIA INHERITANCI;,TAXP,lIi1 (, ~' "f- " - ), ):/1" /1 1" '("" - ,J Y Amount Taxable @ 15% Rate .. .. * .. .. .. A five percent discount totaling · will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST $ + $ s + + TAX CREDIT = G = = Interest accrues at the rate of six (6) percent por annum on the unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by II -----.-..- , ' BALANCE OF PENNSVLVANIA INHERITANCE TAX DU~"" ,11,- ,. " ! A......d by SU Intorm'llon on n.y.,u 6u1' ,.....I..:......'.'A~;f".;.;...lIi ---' r "'; ~ " (/.c'J/~,/,J '/ 101 'fl. CQmmql'llI~ I) , '),'1 ~,,-c-:.. " Ago