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Home My WebLink About80-00502 ~~'tl='.,,:.., ";A l\r.i'1\l"'"'''' . ~2~.~h:'\'" . :{..~",~\~,~.;,'~/ . ITI~; ~"'^""'" {;~l\t1~/ '~i,t;.'/'<, ". '~':". :.. :.'~'; -:1 ':,\':~', ' ~""" , :~R!i.::~:'~-~~ .- ~ ~~}l'~~i'/::(it . >')t~r'\\,' ' ,', f:tW~~.;~/;<"":.' " . ~:~;>,'I~i,j~ ,~ '1Ii~:,!; I ,'" . 't""::."!::' :,. ~.\.,' 'I :};t.:,:; !f"""" , r{ ';f:;u.~,:.,-,;,,- . ~t :J~'~';;':7::51,'<:~ t.~.,~",;".,-" ,.', (~I(ry .. '~:I:l<<'" .' ...',' ." 7~~' " ",:,_ , " ~}~~}l>;:;, _ -':.,j:.'f"'~\:"" ". "', kl'?~.h""" ,OJ" . J.~~f;ii;/>i: ~~.' '1~1/,'~':""':' "N,. J. ~";:,,,,:,;.;',I({,:,:' ;;. $f)(;-~;;'" ~t{Cl';:Y .' j"',t-,..,.- ~.r:.",:.:"t ..;" ,w~ J..{~:~\'!F "....'....... : ~~~:1;~r:, '. '.. ", ;,' ...,." -.,.....-,. ...; - ' "f '. I I " ,.',- >4 ~ - o .! CD - W' LIJ . O. Z ~ '~ ~ fi ~ ~ i ~ e ~ ~ ",. .' ., '..'. ...., "0- ~ -t' :~~~.: ',' "'-. ':>:, .~~ ,:,r" ",',' :, '.~ .' . -'~:'~: . ~ ~ :;...." . . .-..., ',.- " "'_H', .' ~ ~ ~o/P 21-80 IIEGISTEII OF \\'11.1$ OF ""GMmlu;;d.!!1.14"."",,,,, COUNT\' NO. 1'~;TITlON FOil 1'1I0BATI, OF \\'11.1. AND J.E'I-I'EIIS OF ADMINISTIIATION CU~I TI,STA~mNTO ANNEXO Url"l'ElIS OF AIlMINISTIWrJON DE BONIS NON l.I,nlmS OF AmllNISTIIATION m: BO:-':IS :-':ON CUM TESTA~mNTO ANNEXO 502 ill II". Eslllh' lIf """~!I,~y'",Il.U,~llb.eth."S.p.O.tt.ll"""",, d"l"'II,,'d, I'"IiliOlIl.r( s), ,,,,,.,,,,~!!~!?,~~,,,~.~,,,,~.P.,~~~,~,,,,,,.,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,......,,,.,."',,,,,,,,.,,,,,,,,,,,,,,,,,,"',,,,,,,,,, 1II1,,~"(s) Ihllt: is llI!'jQ~ 1. Pc..titlmH'r(x) JmQ' 1\\'(.nt)"lI1U' )'t'lIrs uf "f.tt' nr nld.'1' allll applies for Il'Ih'r.'i of mhninistraliol1 ..................".................~.~.~..~.~,~...................................... in lIlt! nl.o\',' (.'ill,linlH.d ('stilh', 2. D"l...d""1 dl,.d .11I '''''''''''''''''''"J.!J.;!.y."'~..,,,,+.9.,~,Q,,'''''''''''''''''''' III """""""""M, ill the COllnly of """"""""""~,~~~,!:,!:,1.~!).~" SIi,h' of """"'"~~~!),~)!.~Y.',~~:l:,~''''' III Ih,' II~" lIf "",~,Q."."""",,,.., Y"'"S, hllVillg mlldt. """bllt" 1.,,1 \\'illlllld T,'slmn"lIl dlll,'d Ih,. '''''''''''''''' dll\' of """""""''''''''''''''"''''''''''''''k^,D,' 19"64,, , uep'o8~t Dan [, Trust Wh"r"ill ,~.\1Ii\",,,,, IIPI'"II111'd b!lm9.y.!!.o;;",lrl\Il.~",~I1.\I.lP!i\llY...",n.Ol!l".n!i\l.\ph;l.nZ"".""",..", Ex"e ,.ut.o.r...., Which Exec \ltllt,,,,,, hilS sillc,' ",,,r.eoaunced,,in,,.fay.or,,,af.,,petiti.oner..,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,.., 011 011 ................ day of ............................................. HJ......... Lc.'lh'rs of Admillislmtion Wl'W granted to .................. Co. .................."............................",,,............................................................................................................................................. 'lllI~ llllbllxocK.x 3. L"lI"rs tlf "clmillislralitln e,l,a, all' net.d,'d l><,ean\<' "!;>J....\;P..ll"'t~.IlMJ:\~,iii\t;l..QJ:\",O!,,.t,h.EL.. XlI:f.l ....p.;:!~.~E.y....~~~.~~~.~I.................................................. ;lllll!ll'tition('r(9Q npp il's in ...h~JL......... capacity ns ,..,~!:!!;.Y.!Y.!!HL~P.!?!:!~,~,',''''"..,''',..,'''''''''''',..,''',....,,,.... , 4, Deced,'nl dicd domiciled in "'",j;>,IlI.1I.1IlY.J.Y.lIJ:\;I.Il"......,,,.....,,, with his lasl family or principal (state or ('uulltry) residence at ......,,,,,S.l6,,.ll.\lmmel,,,Av~nue,.,,L~moyne.,,,p.e.nns.y.1.vania....,,,,,,"'"....,....,"'"...."....,.......... XIilX lOXIl< 5. (\Vhere decedent died tl'stall') Den.dent was not married am] II child was not born to or adopted by decedent after execution of the will (and w)l('fl! applicant is ;alleged spollse) nor was decedent divorced from applicant after executioll of will nlld at death. 6. The said decedent was possessed of Goods, Chattels, Hights and Credits to the estimated value of $",}.,8",0.0.0",0,0.", ancl of Real Eslalc. 10 Ihe estimaled S'aluc of $,,,,,..!L.,,..,,,,"',,...... as oear liS enn be nscertained. 11mt the said Helll Estate in so far as known is located in ................................................ 7, (\Vhere del'edent diN} intestate as to an)' portion of this l~!oitatl'). PctitiOlll'r after tI proper search has ascertained that decedent was survived hy the fol1o\\'ing~named persons entitl{'d to distribution under Ihe Inlestllte Acl of 1947: Name Helatiollship Residence 1, J.~,(\~,llo;;;-.;\.,l!Ii\"'~,U~,"J?Ii\~h",Ii,;I,!)!!!l9.!!,(\"..,,g:l':!:m.!!.!!i1,!I,g.\11:,!I...""",,,,,J.MiM..JI.J.(\,!!Il\..,!,l,t;,,,.,,,!i.g,Q"-bridge, Va. 2, ,y.,+...&:J,!1;\.,?"'~,!1,~"'!~J!!?~h""......"...,,""",..,,g:l':~!!.Mi1,\!,gh1:,~,r.,,,........9.,?,Q,?,J!.m!1.t.u...x.i1,!!,~,,,,..f.,(\1.. fax , Va. 3, ,K~Uh,,,::;,!:9.~.I;"",,..,,"'''''''''''',,......,,''''''''',,....,gtil.ml,a9.n,,,,,....,......",..,..~O,~~...::;,tii\tll",J.l.\l.,...",G.<I1lII1..,/;l;l.l1, P a. 4, ...;ti.\~,!$"'~.~,!!,!:,!:"'''''''''''''''''''"..,,,.....,,,....,,'''',,..,,g!;.~!!.~!.~!?l!...."....,..,.."_..,,,nJ..,g~I!!!~,\},,,~Y,~,,,....~~,I),I.!!Y.l!e, P a . 5, ,1:!Ii\~,o;;X\..,::;.\1i1,.,Q},l...r,~,+.!!.!1y.,,,..,..,,''',......,,,,..,,g!i1,l!ggi1,!I,gh~,~,r............~.?,7.,?".RQm~..,b.y.lll.1!.\~..".Al!,li\P..~im, Calif. 6, ,RllY.lllI1.ml."IJ.,,,..s,p,Q,\;U,,,,,,,,,,......,,.."',,..,,....!.\!I.!!:P.i.\mL,,,,......,..,..,,"....,?J~..)!!:!!!!!11,~,L!\.Y.'~",.,,,1~E)!?Y.l!e, Pa, x:JPPi!x Therefore, pctitiuller(.,o n~speclfllny applies for (prohatl' of the \\:i11 pfl'sel1ted herewith and for) lette.rs of administrlltion ......"S.!.!;..:'.~.~..................................................................................~........O:.........~. Dilled: .."'~,l?:;!,:i.,.."',1,~,!,,,,,,1980 5ignCd~~.JI~.. Address: ?J~...."!.\mmo;;.+."Ay.!i\!!,\!~,,...x.~gY.J:\~,.,..r a, ,..."....""...,,,,,"....,,..,,...,,,,,...,,,,,,,,,"....,,,..,,,,,,,..,,,,,,,..,,,,,,......" ~~~,~~~,~~~~:,I~~~~r~~:'~:,~~~~~~} 5S ,..,''''..'''',."'''"..,'''''''"...".,.."'''''''"..,..,,..,'''''~,!!Y.\!\9.!1!!.,,J:!.,""~P.!?,!:,!:!?",, "..,,,.,,,.,,..,,,..,,......,,,,,,,"'.., the l'elilioner(.) in the above application, heing duly ................~~.l?;r;.!ln('conlin~ In law S;I)'(S) that the statements set forth in this pclitioll aft' trill.' 10 the 1>('st of ......his.......... kllo\l,'ll'd~c and lu'lil'f. . IJ ....~,~,~:r::~""~~,,,..,,,,....,,"'" :I'H\ .nhscrihed hd"," R~J::(bti:/Jz:::,... July 16 \ 80 ?lif171"~,;; ::=:=~~:::~::::::== Filed: July 25, 1980 Attorney's Name nnd Address II-qr- .1 ,S,tone.."'Saj.er...&"S.tewar.t,,,...........,,....,,,.............. (~:"~'''cit~~~~rJYP ':<hf~ -o~ Z- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss: . ....,..............,................... ....................,...,~!!>.'!!\~~~..Ii ....,~J?,'?,H!L........ ...... .............................. ........... peti tioner (s) being duly ..............,!I;I:(9...'L.................,.........., IIccording to IIIII' doel.........., depose IInd SIlY that liS the administrat,Q.t:A..';",l; .fIt. the estate of ........,..,....,......,..,..~!-,I,Sy...~.H!l:!!R,~,~,h..~,~~!:.~,'!....,......,........................,.... ........................................................................................................................................................................................ deceased ...........1;t,!!........, will well IInd truly administel' the goods and chllttels. rights IInd credits of said deceased. according to law, And also will diligenll~' compl~' with the provisions of the law relating to Transfer Inheritances, ............,......~,~!!~..,~!!....,..,....,..,....,' IInd subscribed before me, July 16 .......................................~....... A, D,. 19..,.80.. f/l!1/P7...l!..:..~~~................, ..:/?~.J.-I.4oij;................, ............................................................................................ DECREE 't remembered that on the .....,..........,.............., day of ................................................ A, D.. 19......,.::1 Letters of Adm 'on in the estate of ................ ,..,...............""............,,,,,.,,.........,,......,,, ..................... ..............."....................."....................", ............ late of ....,..,,,...........,....,_...................,................,.................. Cumberland County, PennsylvlInia. decease . ntt!llto ..............,............................"......................... ........................................................... ..,............................................. ............................................................. Witness my official seal the day and year aforesaid. ...."..............................................................''ii~iii~t~~.... 11Tust 3.Iill ault Qf~,htlltl\ut I, LUCY ET,IZAPETH SP01' TS, of the IJorour,h of Lomoyne, County of Cumberland, and State of Pennsylvania, do make, publish and declare thi~ to be my List Hill and Testament, hereby revoking any and all other Hills by me at any time heretofore made. 1. I direct the payment of my just debts and funeral expenses as soon after my rleath as nay be convenient to my Executor hereinafter named. 2. I give and bequeath the 1960 Chevrolet titled in my name to my {;randson, KEITH ALLEN SCOTT, or any subsequent car titled in my name. 3. I give and bequeath whatever fund~ I have in my account at the State Capital Savings and Loan Association of Harrisburg at the time of my death, in equal shares, to my grandchildren, KEI1'H SCOTT, SHARON SCOTT, JACK SCOTT and the children of my daughter, Helen T{irsch. 4. All the rest, residue and remainner of my estate, I give to my husband, I1AynO!\'!l H. SPOTTS, provided he survives me for a period of thirty (30) days. 5. If my said husband should fail to survive me for a peri on of thirty (30) days, I direct that the residue of my estate be divided into two equal shares, one share to be given to my Son, GEORGE H. fPOTTS, and the o~hcr share to my daughter, HELEN KIRSCH. 6. Should any of my grandchildren take under the terms of this Will while still a minor, then I appoint LE!-IOYNE TRUST COMPANY to be guardian of such ~randchi1d's estate. ~~<=; Page 1 of 2 pages 7. I name, c~nstitute and appoint LEHOYNE TRUST COMPANY, of Lemoyne, Pennsylvania, te b'3 the Executor of this my Last Ifill and Testament. this IN ).,1 tI.. lfITNESS 1'IHEREOF, I hereu"to set my hand and seal day of ~ ,A. D. 1964. '7 ~~~~~mL) Signed, sealed, published and declared by the above named Testatrix as and for her Last Will and Testament in the presence of us who, in her presence, at her request, and in the presence of each other, have heret~ subscribed our names as witnesses. ~ IQ,(Y1~. _'A~.,-" /' ~ C1.tJ~ Page 2 of 2 pages h~7 .- OA TH OF NON-SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA l. COUNTY OF CUMBERLAND J 55: J ~ I ( This, the { [,11." day of .c.C\ N Q. t' '1 L ~)JJ (\ A. D, 19~, before me, R-ieRerd'-E, I\Fleel3ol" Register for the Probate of Wills and Gronting Letters of Ad ministrotion in ond for the county of Cumber- land, in the Commonwealth of Pennsylvania, personolly came He I~", S. 1~~V'<;c"" G.N...~ c,^ (H,I<'s H. 'Ytll.ltle who being duly 'S~~'f'" according to law deposed ond say thot they are well acquainted with the handwriting of L- '-\."'-'( 'Gf h 0. ~t ~ '~O..nJ -' whose name is attoched as 'tQ ~6:1''y '''r to on instrument of writing purported to be _ L,.u...'-'1 8. (('1 o..l:....1'k ~ J late of L-~ 1M '" '1 v.. ~ the Last Will and Testoment of , deceased and that the said signature is true and genuine. -QR8 tRet tlole ~Qid ;~ "O~ dcce osed nr nh~ent SWORN nnd subscribed before me, this 16th day of July A. D. 1993~ "/~,.t<!..",,J"0~'"'''''' ~~"Al,.~"""."",,,, q;1d4~.~;~i~" per J Deputy Register OATH m' PERSONAL REPRF..5ENTATlVE COMMON TH OF PENNSYLVANIA ss: " ~ COUNTY OF CUM B014tl.O ' ~ Before me, the Register f~;~C'p{\1.bale of Wills and granting of Lellers of Administ~rn;;;;;; for the Counly of " ~ "~.... .,." Cumberland, personally came '-, _____ ", --- .......... ~- who, being duly , do depose and say thatas ~---- :;0.-, of the last Will and Teslamenl Of___/--- ""-... deceased ~~ '. will well and Iruly ad mini ler1~Ods and challels, rights and c~:~o~aid deceased according to law. And .0,,19_ e provisions of the law relating 10 Transfer Inheritances. d subscribed before me. Register ;,.; 0; ;lJl CD' ; Ol C'l :~ ~f :Cll ;0 tI); LL ~1 l"l: 0; CD: 0 Po: *1 tI); 1:1:1 .!II: N N ...J eo: 8 0 lil: 0 III ...J ~n l:Q Ill: In I - " N1 0 N: - 0: - .~ >,: CD ~ H: ::= eo: I H; lil1 .-t: .-t lil: i::: ::so N ,~ "'1 ><1 "Cl \D: 0 0: Cll \D: CO ,,; p: "E \D: . Z ..:q 0 *1 - " N .s ~ Cll 1 ~ .s "Cl llD - i::: ~ ,~ '" r:.. r::l Ol Be it remembered that on the DECREE July A 80 , ,0..19_, there was probated and 25th day of recorded the last Will and Testament of Lucy Elizabeth Spotts late of Lemoyne , Cumberland County, Pennsylvania, Raymond H. Spotts Deceased. Lellers of Administration, w<;;I'1:Tg'l'~ed to Witness my hand and official seal the day and year aforesaid, ~~~I (J ,~~ ' y Register' ~ ~' ..-.... (.':P-9 i I , :,\~ 2\-80 SOZ, No...,..........,....,...,..,....,. Renunciation and Request ------- In thc Mauer of thc Estate of ,..!:-.u.~~,.,~,~~,~~~~,~,..~~~,T.~,~........,""....,..........'''....................,..",,,,,,,,,,,,.................," To ..,.....".""".."............,!:!!!,Ii',y...1!!~!:!:',.,......................"..,..,.,.."....",..,....................,... Esq,. Rcgistcr for the Probatc of Wills and granting LeUers of Administration for the County of Cumberland. in the Commonwealth of Pcnnsylvania, ..,..~..,... the undersigncd. being the ,......~~o::,<::~,~,~!:...~.'~~~o::.d.,.~,n.,.,!:!!~.,w.,!:g...,.."."",...........,..",..,,,,..,..,....,,,..,...,""" ,....,...,..."".............,......,.....,.....................,..............................,..,....,,,,....,.....,..,..,..,.........,..,,,..,..,....,........,..,...,..,...........,.....,..' ,....,..........,.......,..................,..........,........,.............,....,......................,..,..,.."....,..,......."..,.........,.......,.....................................,.. ,..... ".............",...,.....".............,.......,......, .......................,......,.......,.".......,..,......."""',.".....,,....,..,..,......,..,..,..."",,"',....,....... ,...,....,....................,..,..,.....,..,..,..,........,......................,..,..,..,........,..........,......"..,......,,,,..............,......,,....,...,,..,..,............,."..... do hereby renounce .......,..........,...........,..~>.'.,...............,....,.. right to havc Letters ....T.~,"'.;.~~.n.!;.Il:F.Y.....,....,............"..... ...........,..,,,,..,.....,..,........,..,...........,........,..,..,..,.. on said Estatc issucd to ".)?Il:!'.P.h,:!-.n...,~~.P.!!."',!:,~,..:J)'.\!,"'.!;..,<;;!!.'!!E,Il:!!Y,' ,......,,,..,...tgP.!!!!;J.Y....~~))!!?y,!!~...1'.1':!!,l?.!:..,<;;!?)!!l?!i,!!Y....,..... ......,........,..,..,............. and do hereby requcst you to grant the same to ,.................,...........~,~~~~.~..~,:..,~?.~E,!:~..,.. ,..."....,..,......,...........".......,.........................,,,.........,....,............ ! / t1{- Witness.. ..........."...hand........... .....and seaL........",. .this. ".,. ".,. ".., ....!t.. ""..,,,,,, ,...... .."..,....."...........,,,,..,..,,........ ,",. ....fJa1r........................'. o. ,,'to Sealed and deli\'ered in Jlresence of ~O ' .......,..,',..,..,~.lJ,~,..,m......'..'..".......,.. ................................................................................ ................... ........................................................... ................................................................................ .........................................................n..................... ................................................................................ ................................................................................ DAUPHIN DEPOSIT BANK AND TRUST COMPANY ,..~x..,1J~,d..4~:Ji~,~. S.) 1?If!4'Vt "..,..,.......,..,................................ ...........(L.S.) .....,...........""""".."...,..........,...........,......(L,S.l ,.....,..,..,....."....",..,................................., (L. S.) ..,......,......., ,...,.."..,.................................. (L. S.) ,,, ..,......".... ,...,..".."................................. (L, S.) ,...........,.....,.."...,.....,..............................,(L,S.1 . - Estate No.~~,~,~,~..___"..,,,.___~~?2 BOND KNOW ALL MEN BY THESE PRESENTS, Thai woo ....'...'.. R.al'm().n.~...ll:....~p"?~,~,~....,,,,,..,..,,,,..,,..,,,,... ....." ..... .....~.~.6. ..~.~~~~.. .~:'~~.t1",!", ~~~.~l'll.~. ...P',~,~!:,.~,y'l ya nJ a ,~ ~OI,.3... ..., .... ...... "..............,... principaL.."" and ,,,...... ..}.~~~r.!1,'!!';.E!..c;.o.!1'P'!!1)Y,..o. f "Ng,t: ~h..Am~.d Ga,.. 16,00.. Ar.c h.,S t.re e t ..,.. ..... ..,..,,,....,....., ....... """'''''' .......... ........ ......l!.O.UIl.\\ l:lphia., ...P a........ 19.106....................,.",.,...,...................... """ ",,'.......,.. ..",....... surel.Y.........., arc held and firmly bound unlo Iho CommonwoJlrh or Ponnsl'h'JniJ. in Iho sum of ..'!:h.i,t:~y.::.l?~~...:J;hg)!.~Il,l,\!!,,,.. ....?(),l,~,~.~:~..,~,~?..,:::::::::.:::,::::.:-.:::::::P.o.f.1.o.0Dollars (S.,).6.,O.OQ.,.OO......). 10 be paid to the said Commenwcalth, her rertain attorney er assigns. to. which paymont. well and truly to. bo made, wo de bind ourselves. jointly and sc\'erally, and our and each of our heirs, executors, administrators, successors and" assi,gns, firmly, by these presents, for and in thc whole of the said sum, SEALED and datcd thc 16th ...........,day of July ...................................................., 80 19,......". WHEREAS, the abovo namod .........~~~,~(),?~..,~.: ...s.I'.o.~.t.s..,....S..l.~...H.~~".~..~~",~~,<;,]"..L."~()>.',~,,.!...!?,~". 17043 .................................................................................................................................................................................................. has or have made. or is or arc about to make. application to. thc Rogistor of Wills of Cumberland County, Pcnnsylvania. for the grant of leltcrs .........MmUUs.TRATOR.................."......"'51'6..liiiiitiiieI"A:ve'iiiie................ on the estatc ef ..Lu.c.y...Elizahe.th..Spott.s....,......".............."........ latc of .~~~?'y'.'!!!.,..J',!m.':\~YJY,?!!J"L.., Cumberland County, Pcnnsylvania. deceasod: THE CONDITION OF THIS OBLIGATION is. thai if the said personal reprcsenlativc ....,......, or any of them shall wcll and truly administcr the said cstalo accord ing to law. this ebligation shall be void as to the personal representative or representatives who shall so administer th e said estate; but otherwise. it shall remain in force. SEALED ielivered in tf Jresencc of _____A_C,!-:<L-~."dj!L:".L.{l{,~-:::'.._--.,- -~.H~~- (SEAL) n___nnn___n_n______nnn__n_n. (SEAL) I~~~I1~~~~~~~~~~~:-;: ~;~;;::;,~~~:~ :::~; --:La.-'o..I--!.,i- _ _..(?d:~_h (SEAL) , AttorneY-1n- act , . COMMONWEAI.TH OF PENNSYI.VANI^ COUNTY OF CUMBERLAND ss: Personally Jppeared before m,', a .. in and for the county and st:ltc, aforesaid ..................................... ................................. ....... .... of""""....""."""",,,,,,,.,,,,,,..,,.,,.................,,,...,, ....".."..".",,,.and..,,....,,,,.. ,..""..""".."""..,,,,,,,,,,,,,,,,,,,,,,,..,,..,,..........,,,,,,,,,,......,,,,,,,,,,,,.."of......... "..".......",,,..........,,...,,,,,,,,,,...,,,,,,,,,,,,,.,,,,,,,,,,,..,,,,,,,...,,,,,,, ,urities on the abovc bond who being duly sworn (affirmcd) according to Jaw. deposc and say that thcy each own Real Estate worth thc wholc of Ihc penal sum named in the abovc bond, ovcr and above their debts and the dcbtor's exemption, Sworn and subscribed before me this ..............".."""""""..........."".."..,...."..."".,.........",,,, (Seal) ",'.'................",...."".""...."",..",,,,,..,,,,,..,,..,,,,,,....,,.,,, (Seal) . ,.... ".......', ..",,, .."",,,,, ".."."""".,,,,,,,,,,,,,,,,.,,.....,,..,.... (Seal) "..,..............."..".....".....,,,..,,...,,,,..,,,,,,,,,'....,,".,,,.,,,,,,,, (Seal) ,..""""".",.",,,,,,,,,,,..,,,,,,,...,....,,...., day of ".."......",,,,,,,,.... A,O,19,...",... 'INI\ POWER OF ATTORNEY INSURANCE COMPANY OF NORTH AMERICA PHilADELPHIA, PA. Know all men by these presents: That the INSURANCE COMI'ANY OF NORTH AMERICA, a corporation of the Commonwealth of Pennsylvania. having its principal office in the City of Philadelphia, Pennsylvania, pursuanl 10 the following Resolution, which was adopled by Ihe Bo.ud of Direclors of the said Company on May 28,1975, to wit: "RESOLVED, pursuant 10 Articles J_6 Jnd 5.1 of the By-Laws, the following Rul('~ !iohall govern the ('.('cullon for (he Company of bonds. under. takings, recognizances, conlracts and olher writings 10 the nalure Ihefeof: (1) That the President, or any Vice-President, Anistol"l Vice.President. Resident Vlet'.President or At!ornev.in.fact, may execute (or and in behalf 01 Ihe Company :lny and all bonds, undertakings, Ic":ognizances. conlrtlch and olher writings in lhe nalure thereof, Ihe Sol me to be attested when necessary by lhe Secretary. an Assistant Secrel.uy or a Rt.'!lidcnt ^!lSi~ld.nl Secrelary and the ~eJI of the Company dffixed thereto; and thai the President or dny Vice.President moly dppoint and oluthorilt.' Rl'~ld('nl V.cc-Presidl'nls, Rl'<,idcnt ^!l<,...lolnl SCCll'tdllt.'!. and AtlOlnc~'s.,".Factto so execule or .1Ilt.'~t to Ihe execution of all such writings on behalf of the Compolny and 10 oIffix rhe !leal of the Company Iherelo. (2) Any such writing executed in accordance with Ihese Rules shall he 0I!. binding upon the Company in any case as Ihough signed by the President and attested by the Secretary. (31 The signature of the Presidenl or a Vice-Pre~ident and Ihe seai of Ihe Company may be affixed by facsimile en any power of attorney granted pursuant to this Resolulion, and the signature of a cerlifying officer and the seal of the Company may be affixed by facsimile to any certificale of any such power, and any such power or certificate beanng such facsimile signa lure and seal shall be IMlid and binding on the Company. (41 Such Resident Officers and Allorneys-in.Facl sh.tll have authorily 10 certify or verify copies of this Resolulion, Ihe By.laws of the Company, and any affidavit or record of the Company neces~ary 10 the discharge of their dulies. (5) The passage of this Resolution does nol revoke any earlier aulhority grJntcd by Resolullon of the Board of Directors on June 9, 1953." does hereby nominate, constitute and appoinl E. STANLEY YOUNG JR., JOHN C. BAKER and KAREN K. BORDNER, all of the City of New Cumberland, State of Pennsylvania , each individually if there be more than one named, its true and lawful attorney-in-fact, to make, execule, seal and deliver on its behalf, and as ils act and deed any and all bonds, undertakings, recognizances, contracts, and other writings in the nature thereof in penalties not exceeding FIVJ::' HUNDRED THOUSAND DOLLARS ($..~.9.9,.Q.QP.,.!).Q...) each, and the execution of such writings in pursuance of these presents, shall be as binding upon said Company, as fully and amply, as if they had been duly executed and acknowledged by Ihe regularly elected officers of the Company al its principal office, IN WITNESS WHEREOF, the said..............!::",..UI\lW,.!...UIlI\l\E..,..............................,....,., Vice-President, .has hereunto subscribed his name and affixed the corporate seal of the said INSURANCE COMPANY OF NORTH AMERICA this ............ .............,1~!;.\1..............., day of ..,..........S.ep,tembe.r...................................,......... 19.,.~~...,.."" (SEAL) -C ~ ~:~+y ,'\~~ OF NORTH AMERICA by......,........................Q,..............,....,......,,,,,,.,...'............. C. DANIEL DRAKE Vice,Pre.ident STATE OF PENNSYLVANIA } COUNTY OF PHILADELPHIA H. On this......,J~.th......,. ......, ..daV 0(, September ,A.D. 19 7~" , , before me, J NOlarV Public 01 the Commonwealth of Pennsvlvania, in and for Ihe County of I'hiladelphia, c.1me C,...,PI\l'l.U:,J:,.. PRI\!>E.., . ...."'''''''''' .......... .....,............'........................... ....... "', Vice,Pre,idenl of Ihe INSURANCE COMPANY OF NORTH AMERICA 10 m,' personally known to be the individual and officer who executed' the preceding instrument, .lnd he .1cknowledged that he executed the same, and th.lllhc seal affixed to the preceding instrument is the corporJte seal of s.lid Company; that the said corporate se,ll ,lnd hi~ signature were duly a((jxcd by the authority and direction of lhe said corporation, and that ResolutiOn, adopted by lhe So.lId of Difl'ctors of said Comp,lny, referred to in the preceding instrument, is now in force. ,! , , IN TESTIMONY WHEREOF, I have hereunlO sel mv hand and afii~~mv fiiClal seal at Ihe Clly oi Phi~P2ia: I"} dj)' ,lnd year first above written. p~ ..,... "',. '.,........,....,..........................,................................-..',....... (SEAL) MAUREEN SCHELL /';otarv Puhl". mission expires August 13, 1983 ersigned, As,istant SccrctJrV of INSURANCE COMPANY OF NORTH AMERIC II' NEV, of which the foregoing is a full, true and correct copy, is in i force Jnd e' 'e . .. S "h~fgb~ have hereunto sJ'31cyibed my name as Assist.mt Sucre H: l .lffr~t'cllfi corp 'R" ............,..............,davo(......... ,.... ,..,..,.. ............,......,..,.....19....., 4 C' (orpur.i- ELMER NESHEIM Assi..lant SccfClary, SB.2B 6/75 PRIHHD IN U.S.A. ..-----------.--------------.-- ..-- ..._.... ' ___~__ ",--,,-__"""-'L __ ___ r:..:L___,..".... ........,...=.... - \~~~~f~~'X781 ,'. COMMONWEALTH OF PENNSYLVANIA ' 'Nol:i..063382 . , , DEPARTMENT OF REVENUE a';tD'~' ,'.' ,",' OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX If '" , .' '" ; RECEIVED 1\ = ' .m: , b << I, II File No, I Date of Payment "*~ _____________________PIVB HUNDIUm 'l'HIRl'Y-SIX " 28 100-----------mmors representing Pennsylvania Inheritance or Estate Tax due from the following estate: tt:. C/O Stone, S.jer " 414 B:d.dQ. Street stewart, Atty.. -tress 2fA Tax on s s N.v Ctt",'harland. pa. 17070 6% Tax on s s 21-80-502Dot. of Deoth7-6-1980 15'1, Tax on s s Nome of Decedenl LUCY ILI!I!.A'RM'H SPO'r1'S s I october 2. 1980 fit Tax on S Estote lox, Acl of Mov 7, 1927 s Counly CWIlbedand TOTAL TAX CREDIT Less fi....e percenturn of tax if paid within three months after dole of deolh Plus interesl at the rate of _Ik from 10 s 564.50 ~emarks: s 28.22 .PAID ON ACCOUtlr" s 'TI'OO~[p[L~@g'ITrn SEA l TOTAL AMOUNT PAID s 536.28 NOTE: This Triplicate RltC1tiptlo be retained for eulSit purpo.... Received by NOTE: In ace..pling Ihtl Irander inheritance lal on fulure I$IOres. prior 10 the dealh 01 Ihe 1,Ie lenanl or lenonllor .,ears, os tlyidenCld b., IhiS receipl, it It. undenlood Ihollhe Cammonweolrh ,hall nol be preduded or preyenled from h.reaher aueuing additional inheritance 10_ 01 the dea'h of rhe lile lenonl or lenonl 10f yean ""henl~lr II oppeor$ thol such addilionallal moy be legally due and collectible for on., reo,an ""hohoeyer. r----------------------------------------- I I I I I -I , Rt:.....4'O Ct"80' COMMDNWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE" A" REAL PROPERTY (Instructions on Rcvcrsc Sidc) ESTATE OF Lucy_EJ.tz_ab_e,th_Sp.Ql;,t,s DESCRIPTION NONE ESTIMATED MARKET VALUE DEPARTMENT VALUATION (OFFICIAL USE ONLY TOTAL THIS PAGE N~ ;'k,) ~ REV""',51 EX+ (~.80) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of ITEM NO. 1. 2. SCHEDULE "B" PERSONAL PROPERTY (Instructions on Reverse Side) Lucy Elizabeth Spotts DESCRIPTION Savings Account #002-20-12753 at State Capital Savings Assocation in the name of Lucy Elizabeth Spotts Accrued interest on above account UNIT VALUE TOTAL THIS PAGE ESTIMATED MARKET VALUE $18,400.00 16.61 $18,416.61 . DEPARTMENT VALUATION (OF FlelA L USE ONL Y) /i:lff(",fD/ .".'/~t;.' QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within tm years of death, make any transfer of any matcrial part of his cstate without receiving valuable and adequate consideration? (Answer "Ves" or "No".) NO 2. Did decedent, within tm yeals of death, transfcr property from himsclf.' helsellto himself/herself and another palty or parties (including a spouse) in joint ownership? (Answer "Ves" 01 "No",) ~ 3, If the answer to Dne or lwo above is "Yes" and the transfers are claimed to be nontaxable, provide the following information: a, Age of decedent at time of transfer, b. Copy of death certificate. c. Affidavit by the allending physician indicating IIle state of decedent's health at lime of transfer. d. All other information suppoltinl~ nontaxability of llansfer. 4. Di d decedent, in his/her Ii fetime, make any twnsfer of property withont receiving a valuahle 01 adequate consi deration therefor which was to take effect in possession or enioyme~t11 or after his/hel death? (Answer "Ves" or "NO",)NO a. Was there any possibility that the property transferred might relurn to (rill1s(eror or his/her estate or be subject to his/her power of disposition? (Answer "Ves" or "No",) b, What was the transfelee's age at time of decedent's death? 5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for hisilter life or nrry peried which does in fact end before his/her death: a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Ves" or "ND" ,) ~ b. The right to designate the persons who shall possess or enjoy the property transferred or income thelcfrom? (Answer "Ves" or "No",)NO 6, If the answer to five b, aoove is "Ves," state whether the right was reserved in decedent alone or others, 7, Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Ves" or "No".) NO 8. Did decedent, at any time, transfer property, the bmeficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Ves" or "ND".) NO 9. If the answer tD eight above is "Ves," was the power to alter, amend ollevoke the interest of the beneficiary reserved in the decedent alone or the decedent and others? (Answer "Ves" or "No" ,)NO REV-453 EX.,. 13-S0) COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT OECEOENT SCHEDULE "0" BENEFICIARIES '*' (lnstructlolls on Roverse Slde) Estate of Lucy Elizabeth Spotts BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DECEDENT DATE OF BIRTH INTEREST OF BENEFICIARY Katherine Elizabeth Simmons 14649 Balsam St. Virginia Lee Kirsch 9502 Nanmill Lane granddaugh ter yes legal one-fifth 2022 State Rd. rands on Helen Sharon Perdew Rome Avenue ia 2 The above beneficiaries are living at this time except for the following: NAME DATE OF DEATH , REV-C54 EX+ (HO) . l;.OMMONWEAlTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT * SCHEDULE "E" JOINT\. Y O\\"'ED PROPERTY (Instructions on Reverse Side) Estate of Lucy Elizabeth Spotts TOTAL PE VALUE OF DEPARTMENT ITEM DESCRIPTION MARKET \ DECEDENT'S VALUATION NO, VALUE INTEREST (0 ffleiel Use Only) T NONE (;/\ - .' ,-', ....'.' ..... TOTAL THIS PAGE ~ '80 OCT -2 P2 :09 r:>:: r:>:: -< -< w w ~ :>< :>< ~ z 0 w <I) ;;l ..:l -< - z u - 0 ~ - ~ !;: 0 ~ ci ~ r:>:: ~ ~ Z E-- 0 '" '-' ci en '" ;,.. E-- ci Z ~ "" w "" w Z Z ...l ci - ci ~ 1>:: Z ~ w - 0 ;;l u W ...l Z ,.<, Z E-- " Z ~ 0 '" 0 0 0 -< ::i <: ~ -< u 0 p., 'lSaJalU! S,luapaoap alll !O anleA la>jJeW alll aleolPul '\7 'lSaJalUI S,luapaoap alll!O aBeluaOJad alll aleolPul 'E 'A1JadoJd paUMO AI1UIO! allllo anleA la>jJeW lelOl alll aleolPUI '(: 'pallS!lqelSa seM dlllSJaUMO lUIO! alll alep alll pue (S) JaUMO,OO alll!O luapaoap alll 01 dlllsuOllelaJ pue ssaJppe 'aweu alll apnloul '..8.. alnpallos JOI sUOllonJ1SU! alll U! paleolpu! se AlJadoJd leUOsJad lie aq!Josaa ',:If.. alnpallos JOI sUOllonJ1SuI alll uI paleo!pul se A1JadoJd leaJ lie aqlJosaa 'L 'lSJII alelsa leaJ lSIl 'papnlou! aq 01 aJe A1JadoJd alq!BuelU! pue alq!Buel <1108 'd!lISJOA!AJnS 10 lllB!J lIl!M SlueUallU!o! se sa!lJed JO ^lJed Jallloue lIl!M ^pU!o! luapaoap a<ll Aq pauMo 'leUOsJad pue leaJ 'AlJadoJd lie apnlOU! lsnw "3,, alnpallos ,,3.. 31na3H::lS ElNI.l31dINO::l ijO:l SNOI!::lnij!SNI , File Number, INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) 21-80-0502 REV....U EX+ lHO) Estate Name SPOTTS, Lucy Elizabeth III Original o Supplemental o Remainder Dale of Dealh 07/06/80 Social Securi ty Number REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritonce Tox App,olse, in ond for the County of Cumberland Pennsvlvanio, do respectfully 'eport thot Il10ve opprolsed the ,eol ond personol property os reported in the foregoIng retum at the values set forth opposite each item in the last column to tit. right in Schedules llA", liB", "C", and liE" Doled: December 4. 1980 .;1// oN / 'I I :iffI' ';,1)( j ) INHERITANCE TAX APPRAISER CODE ADJUSTMENTS REMAINDER APPRAISEMENT CODE INVENTORY VALUE AS APPRAISED (HARRISBURG USE ONLY) Roal Property (Schedule A) I None 00+ 92+ Personol Property (Schadul.. B) 18,416 61 10+ Jolnt.Held Property (Schedule E) None 20+ Transfers (Schedule C) None 3D+ TOT AL GROSS ASSETS 18,416 61 le.. D.b.s and Deductions 40- 93. (SCHEDULE F) CLEAR VALUE OF ESTATE o Life Estole ~ FACTOR PRINCIPLE VALUE CODE o Annuity FOR USE OF REGISTER ONLY Tax on $ COOE COMPUTATION OF TAX $ $ $ $ $ 6% Tax on $ 15l!o Tax on $ Tax on $ Tax on S Exomptlons Total Estato TOTAL TAX INTEREST FROM BALANCE TO $ $ $ Less Credits Dol. TE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST + $ S = + = BALANCE $ TO S $ TAX CREDIT S $ INTEREST FROM BALANCE OUE REV-457 (1.ao) , COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX APPRAISEMENT - - .~~ ~ Estate of SPOTTS, Lucy Elizabeth File No, 21-80-0502 County Cumberland Date of Death 07/06/80 In the .Vlnt that any futurelnterw In thlsertatels tranderrod In possossion or enjoyment 10 colllltural hoirs of the decodent after tha expiration of any estate for IIf. or for vears, the Commonwealth hereby expressly roserves the rlghl 10 nppralso and a55I'S' Ir,mf.r inheritance t~UU'lI.t .hlt 'awful cortacafe' fat. OR Itnv lOch future 'ntefest. PROPERTY REPORTED BY THE ESTATE DEPARTMENT'S APPRAISED VALUE 1. TOTAL REAL PROPERTY - SCHEDULE "A" . , 2. TOTAL PERSONAL PROPERTY - SCHEDULE "B" 3. TOTAL TRANSFERS - SCHEDULE "C" , . . . 4. TOTAL JOINTLY OWNED PROPERTY -SCfIEDULE "E" None 18,416.61 None None TOTAL REPORTED PROPERTY 18,416.61 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY None TOTAL GROSS ASSETS 18,416.61 LIFE ESTATE OR ANNUITY CALCULATION I do hereby certify that the above appraisement is made in conformity with Pennsylvania law and has been filed this day with the Register of Wills. .11"9"'>0',, J Yf'l'nl., 'f,/ .J APPRAISER 12/04/80 DATE L' '" Eo< ~ C"1 ~ "'" ~ ~ ~ Po< Q) 0 '" ::l ... ~ ..... ~ !e ~ tl ~ Iol ~ < .... II) ..... Po< 'd '" ;:l Q) fa H ! . ...l Ii! Q) ..... < ~ \.< - Q) U ~ t; 0 ~ - -D l.1 '" ::l ..... ..... '" '" - on ~ U ..... '" "'" 0 ~ d -- '" '" tn 0 II) 0 z d Iol II) >- tl d - ~ z z ~ E-< Z :3 d - d S t5 Iol Z )1 Z E-< 0 ~ IZl ; ~ II) ~ 8 0 Z Iol 0 "" :3 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT '* TO: A / "rC'-/ ,(,...C, (j,zZ;.. . t/ ,t, ~) ~ /1>> ::::TE )~' :. :~(';: /;~' & J;.' FILENO, ~/~~~?-f1)i~~~ ;r/ COUNTY FilE NO: .;.' / - Yfl - ,)-() .':; , COUNTY , /, t. e' (.!-."(r. . '~ _,~A ~"'__....tl ,. a /'/eJ )tJ DATE OF DEATH \, ./ Personal Property $ + /?/.//(,., ~I I . / / . , Jointly Held Property/Transfers + Less Credits: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST t8X due $ ,I) I-> -'/. /J ~ Total Gross Estate $ / '/ 4/(/0 /" / I ., I I , ~I ('l If ,% 1(, / $-/ 4,') f '/ /. 1/ ~ I - Total Approved Deductions Clear Value of Estate Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax s C/4(J,.r. sI 'J -- ~/ Amount Taxable @ 6% Rate $ 1 f"J !/ / v Llr-,- / - Amount Taxable @ lS% Rate lax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE , $ ";''';' 1-/, /, /J '" . * * .. .. .. .. A five percent discount totaling $ will be granted if the Inhoritance Tax is paid by TAX CREDIT It!- .~ .f,iJ $ /,-:J,(,..,.?Y + $ '1% '1,:;J - $ ...... ",. = / '7 ,I $ ) /" 'I "lJ + = + = Interest accrues at the rate of six (6) percent per annum on the. unpaid balance of Inheritance Tax from to date of payment. Interest due if paid by is / .' ....Jf $\.41/.\ BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE , ' Assessodby: C---;i'/ /'.,/ . . Aglnlforth.COmmo" See Information on Reverse Side ~,.- . , 1/ .' /':.4, ,l -., ' nr;i~;~j:h CJ: . .J. , , , .-,- - - -,- I IHN.455 EX" (3.ROI COMMONWEALTH OF PENNSVlVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS Estate of Lucy Elizabeth Spotts Date of Death 7/6/80 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: ~~\ ~ , - File No, 21-80-502 Claimant Relationship to Decedent Husband Raymond H. Spotts Claimant's Address 516 Hummel Avenue. Lernovne. Pennn. 17043 ITEM NO, DATE NAME OF PAYEE REMARKS Re ister of Wills Cumberland Law Journal Pa ri -N w Co. Probate and Short Certificates Le al Advertisin Le al Advertisin New Cumberland Insurance A enc Administrator's Bond William A. Sullivan M. D. Medical Bill W. S. Dietrich, M. D. Medical Bill Heckert Memorials Grave Marker Musselman's Funeral Home Funeral Expense Ste henson's Florist Ravrnond H Spotts StOne Sa er b Stewart Raymond H. Spotts Funeral Flowers A ministr~tor s Commission Attorne s Fees Family Exemption Total Debts and Deductions AMOUNT 110 392.00 18.00 1 130.00 3 237.92 '2 :....: <=; 9 008.16 TOTAL THIS PAGE . 9~00R'l i; 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 Inherita Tax pur oses, ,FIDUCIARY OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ ~ iN) ,y, / t, /" AT 1;( fI A 'fGI~~ oF1df~d DATE PERCENT, /:J, _?-,?'o DATE GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against hislher taxable estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration, attorney fees, fiduciary fees, funeral and burial 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 S2,OOO 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, The family exemption is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws, C "tl 0 () > m > a'i > 0 0 C tIl 0 Z Cl () c: c ~ z :: z t"" :-rl t"l ~ Z ::0 9 - 9 t"" Z Z m ..; r:1 ..; z 9 9 ..., -< tIl m - tIl Z 0 tIl 0 ..., "'l ::0 0- 9 "'l ~ Ii=? ~ 0 N - 'Il 0 'Il 0.. - Z () - ~ > t"" ~ c::: tIl trl ~ 0 Z -< -< ~ m trl ~ > > ::0 ::0 INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemption is being claimed, indicate the claimant's name, address and hislher relationship to 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 andlor 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, COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I. J ss: RAYMOND H. SPOTTS ,_ according to law, deposes and says that heis administratoL~t.A. _____ of the Estate of Lucy Elizabeth Sootts late of -..,- -...-.....'" ,'- ,Lemoyne..Borough ,,_, '__'___, Cumberland County. Pa" deceased and that the within is an invantory made by ,.. ,_ , the said 01 the entire estate of said dacedent, consisting of all the parsonel prol'drty and raal estate, except reel estate outside the Commonwaalth of Pennsylvania, and that the figures opposite each item 01 the Inventory repre,ent it's fair value es of the date of decedent's death, baing duly sworn Sworn and subscribed before me, ~~:!r:tf3l!c.t.a. L\)_Ho~J2Vl )f 0 l.J 516 Hummel Avenue I ,~.\',:~) ',', ~. ~ L. .';":~ii' .;'~:.i:~r.~ lly C::r.,~,I..s'::.n [ pi 's. ~Jew. ..'~,' .~.:. r:cw Cu:r.~Nhlld, P . Cc:r.bcllimj \,;:;, Lemoyne, Pa. 17043 Addrlu Date of Death 6th 1980 Vur July Month D.y 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, ("') a5 ,- ",::0 n,.., 0 C:;:c ",'" ::1:::>; C> to, 0 u; ~C) m ,., ~::c c-:> ,~ r" - ~ p- z> \0 " f) >- "ti 0:;; .-:: - .. 8 " :;;: w ~ " " .... ," ~ .. , C'> t:. 'J w "" " ,~ .. a.. .... u ":' ~T ~ I 0 If> " .. ..~ '1 0 UI W C '" 'C ,.. r, J: co: .. .. I- a.. a.. c &, l- -' U. .. ~ Z -' "" 0 a.. 0 u. :I: I W 0 "" w ,,:. ..... II > z co: - "" '0 z 0 c c " 0 II - If> Z 0 co: U Z w "" ... a.. "'0 c - .. -;: I 0 " .l> "'0 -" " E - .. 0 I .. " 0 , -' U u: CD I , , ",\ Invontory of Iho roo I and porsonal ostoto of I I LUCY ELIZABETH SPOTTS docoasod. REAL ESTATE: NONE PERSONAL PROPERTY: Savings account #002-20-12753 at State Capital Savings Association in the name of Lucy Elizabeth Spotts Accrued interest on above account TOTAL $18,400. 00 16. 61 I 18,416 I 61