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:-10. 21.80
PETITION FOR LETTERS OF ADMINISTRATION
IN THE EST An; OF .....P.ru\m~r..m..,J......OllV.:r;S~..,................ IlI,CEASED,
526
To ....... Mary... C,..., Le.wi s,:, .".........."..,.... ,. ,.....".....,..,....... .......,..".,..,.. ,...,....., ,'..
Register of Wills for the Count.I' of CumiJel'llll1d, in the ('omlllollwealth of Penns.I'll'lInill.
The Petition of ......,.,. ,. ...,H1\ruC,S,....OAVI,S.,... '...... ..,',.................,... .,..."..,.."........"......................"......,....
......................,...,..,................,... ........ respcetfnllr showel h I ha t ,.,.,f.r.<\nkly.n....1....,O,<\:v..t,a."...,.....,....,..,.....
was a resident of ,.......Me.chanic.sb.urg:....,........':nllXl)fo Ill, ~h ,Cumuel'llInd Count,\', State of Pennsyl.
_lg .
vania, and a Citizen of United Stlltes, and departed this life inteslale in the County of ............,....,..........
.C.UmQli!.1::1~Il.Q...,....,..., lInd State of .....................~~m.l:\!?y.Jy.~!).;i,.~,..,............"..........,..,.....................,..............
on .....l:'x1daY................. the ............llth....,.......... da.\' of ...............J.uly..,..........,........... A. D., 19.8.0....,
at the age ,of .....~,fi...... ~'ears. ,
That the said ,...........F.J:ank~y.n..J.....nallis.................... decellsed, left surviving the following
named widow OXlilmllxim!, heirs and lIext to kill, to wit:
Name
Relationship
Residence
...I.rene..,M.....DalTls....,..... ..............
...!U.ah.ael. ..J... ..D.a.v.i,s............,......
...Di;;!,n~...Gbe.an...............,................
...Ma~k... S.A.. .D.<\.v:1:;......... '....... ..........
....Wife..,..,..............,......,..
I
.,..S.O'D........,...,....,.....,......,..
....D.aJ.lgl:\t~~....... .,....,..,..
....S.O'T.\........,.......................
.2.5.7...l:Ialnut,..S,tr.eet.,..SbiPblensburg
Pa.
,,l,.QJ....J;;""a.1;...l:Ji:\.tXl..,~t1;'~li!.t;.,,...~.~chb 'g.
Pa.
.,l,.~.?...R,...I1""l:k:.~.1;...~t".,....~glr.h!?. 'g. Pa.
, .i1.Q::?....19.t;I:\..,~.\;.,.,....Ng!l'...!;.!,1.I))/?,!U::land,
Pa,
I
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......,.........Mark,s......oalT.i.s,...........,.....,....,....:....~ I
.....,..,........2!),S....');'.enj;,Q...S,1;~e.~,1;....,................~
................................................................
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................................................................
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............................................
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That those above named inelude all of the next of kin, so far us known.
The said deeedent was possessed of persona' pl'oJlel't~. to the estimated value of $,..3."O,QD!~.aD......,....
and of Real Estate, less ineumbranee, to the estimated value of $,......N,one................, as near as ean be
aseertained.
That the said Real Estate in so fill' as is known is located in ......,.......llat...appli.callle..,..........
..,..........."..............................................,.........,.........."........................,..".......................,..,...,...............,............,..........
Therefore, your petitioner,OilJ respeetful/y appl.l'(iesJ fol' Letters of Adminish'ation in the above
named estate.
Dated ..:......~~9..~..XL........,..,.......... A. D., In~,~,...
Signature und Address
(~/: v/l.
....,..,..~:?~cd..A.../;q;.::~,::.:.................
of Petitionel'!s)
/ /-/o,s- -,'f
.,.....,....,...~e.w".c.Umb.e.rland...,I?a......11.0.7.0...
COMMONWEALTH OF PEN:-:SYI.VANIA
t 55:
COUNTY OF CUMBERLAND I
. ................ ....' .....,.,...,....,.... ..""..,.,....,. JIh,nK..s...." PI\. v.~s.",...,.""....""""""""'"'''''''' ........,...... ,.........,......
named
in the above application beinl{ dull' ....,........swo,rn....,................. aeeordinl{ to laW, 5a~' that the facts set
forth in the ubove application are true to the best of ....his..... knowledge and helief.
.....................JilllP.l:T.I....,.. ..... ......,..... und subscribed 1'.'...,.... .,., ,.,.......... ..,.....,....,...,............,....... ......................
..,.'/.>:~::. ic.~-(~..,..(:./.,~....tI~:;.:;::.,;...................,......
~,~~~~.~.~;.~....u............ .."..........".., A. D., 19..a9.,.. ....."............,.... .., ........,......................................,......,......
tJ21/'1..e,~;;;~;;;;; .m.......................m..........m.....................m....
Filed: ' .......,~~~,?~.~,...~~.!.......~?,~?.........,............. Attorney: ......J.9!?r;J~!L.~.,...I~J,.));)V,l..,...................
OATH OF PERSONAL REPRESENTATiVE
COMMONWEALTH OF PENNSYLVANIA
,COUNTY OF CUMBERLAND
\ss:
. .........:....,:,............. ,..... ..... ....... MARK ...6..,.. Dr... )lIS,....,..............,............... ....... ..... ............... ,..... ....." petitioner (;xl
being duly ,..........,s~Rl:n,................................ aeeording to law do e.s....... depose and say that as the
administra tor......... of the estate of ...................,.........,Frank~y.n....;r.....D.al1.iS..,....................,......".........
deceased, .JlIa................ will well and truly administer the goods and chattels, rights and eredits of said
deceased, aeeording to law, And also will diligently eomply with the provisions of the law relating
to Transfer Inheritances.
............sworn............................,.... and subscribed
before me.
Aug. n
..z;JY;.............?/.....51.......:;. D., 19.B.0....
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.................,....,........,.....,...............,................................,..........................................,......,...............................................
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............................................................................................
Be it remembered that on the ...........}.~.~~......... day of .............,~~~.~.~~,................. A. D., 19~.Q.....
Letters of Administration in the estate of ......,......... F.lU\NKL~...J.....p1\.V.Is...............................................
...........................................................................,...... late of th~...~.QJ:p.~gn..,9.;t;...I1~.t;;b.aJ:\".t;;!?R.\U..g.,...........
Cumberland County, Pennsylvania, deceased, were granted l;O ..........Ml\EK..s.....nA.v.~S..........................
DECREE
,.........................................,....,.............,.............................................................,.......................................,....................
Witness my hand and official seal the day and year ~said. Y'
......:1Jl~e7~;;j;,,;m
21.80 526
No.................................
Renunciation and Request
In the M.Uer of the Est.te of ...,...f..r.!m,Hy.n...J.",...p..~y..t~...gJ.J.n.}:l.,...,t1".r..1s.l?.t...~t,."..N.~~h1!JJJcsburg,
Mary C. Lewis .
To .................................................,.........,...,......,.......................................................,..., Esq., RegISter for the Probate of
Wills .nd gr.nting Letters of Administr.tion for the Cou nty of Cumberl.nd, in the Commonwealth of Pennsylv.nia.
.....1...., the undersigned, being the ..ldf.e,...o.f...F.r.ankly.n...J......O,a:v..i:;.....M........,......:,.....,......................,....
.................................................................................................................................................................................................
..................................................................................................................................................................................................
.................................................................................................................................................................................................
............................................................................................................................"....................................................................
do hereby renounce ............,...my..........................................right to have Letters ..,..Qf...~.g!)).tn.tl!.!:!.~.:t:.~.~.I}........
..................................,..,.,'....,.................,.,........ on said Estate issued to ....me.......,..,..........................,............................
..........................................'...................,..,...........,................... .....,........,........,.........., and do hereby request you to grant
the same to .....J~~.~.~....p..~y..!~..!..,.~.~.I}...~i...~.?:.~.I}.~,l.y.~...J.,.......~.~y..~.~............,..................................................
, . 11th
Wllness,..my.......,.,h.nd.,..............and seaL..,.......,. "th.s...." ..,....'..,........,'..,................. .............,...............'..,..........
day of .........~~~.?.~.~.................,..................A. D. t9.J.Q.
Sealed and delh'ered in presence of
tl. 1:1, ,('
.....!.'::~S.':{.....;.~. (u'S .:....,.J...:.!..~;!..c.~... ...................
1 _ I
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I ....../ ./l?IL&2 ) II i "'f a t.r~..~,.
........,.......:.,..............:......,;::....................(L.S,)
Irene Davis
. ............................................................... (L. S,)
................................................................................
.......................,........................................(L,S.)
...........................,....................................(L.S,)
................................................................................
................................................................(L,S.)
................................................................................
................................................................(L,S,)
................................................................................
................................................................(L.S,)
~.~~
S:l..,/-f'/
COUNTY NO. -::( 1- [/ () - 5~ (,
RE V-."lO EK+ (1.aOI
COMMONWEA~ TH OF PEHNSY~ VANIA
DEPARTMEHT OF REVENUE
TRANSFER IHHERITANCE TAX
RESIDEHT DECEDENT
INHERIT ANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
Estate of
Franklyn J. Davis
122 North Market St.
ISTRF.:ET)
Last address
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Mechanicsburg, Pa. 17055
(CITYI
(STATEI
(llPI
July 11, 1980
110-10-4387
Date of Death
Social Security Ha,
TY PE OF ASSET
DESCRIPTION
STATE NO.
( ) Exec,
(xl Adm, Other
~Iark Davis
194-44-9293
Namo
Social Socuri ty No.
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205-A Tenth Street
,STRE.ET)
Address
New Cumberland, Pa. 17070
,CITY) (!iTA TEl (llPI
Under penalties of perjury. I declare that I have examined thi$ nJlurn and
to the best 01 my knowledgo and belief it is true, COI reel and complete.
C/,,j' j 0
(/; i/l.'/t4t--. .Jv-......- -L /71
Signature of Fiduciary Da
1<<9/
ESTIMATED MAR)(ET
VA~UE
DEPARTMENT VA~UATION
(OFFICIA~ USE ON~Yl
Checking Acct. No. 121-310-7, First Bank and
Account Trust Co. , Main and Market Streets,
Mechanicsburg, Pa. 260.45
Savings Acct. No. 3774, Defense Activities 05 ",'"
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Account Federal Credit Union, Mechanicsburg, ,:,g
'" Pa, 1,013.85 :z: ;fi:b
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W -.:"11
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'" Insurance Insurance proceeds, Defense Activitie :;-::'. -0
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Account 616.01 -,
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Auto 1973 Ford Torino, Title No. B25051523 500.00
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I do hereby certify thot the above assets were appraised in accordance with Pennsylvania low.
OFFICIAL
USE
ONLY
DATE
NAME OF PAYEE
5/21/81
'" 5/21/81
~ 5/21/81
E 2/24/81
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Myers Funeral Home
Joseph P. Alexa, Esq.
Chestnut Hill Cemetary
First Bank & Trust Co,
Master Charge
Sears
Montgomery Ward
Visa
OFFICIAL
USE
ONLY
//_10
$ iJ39L/. & 1_
)leDUc. nONS ALLOWED
TOTAL
AU ~j( /0 )'-fP[t A" ,yJ )
APPRAISER
June 18 1 81
DATE
NATURE OF CLAIM
AMOUNT C~AIMED
Funeral Bill
Attorney's Fee
Burial Lot
Loan
Charge Account
Bill
Bill
Charge Account
$1,808.29
400,00
510,00
459.83
308.33
289.77
354,99
263.48
TOTAL
$4,394.69
DATE
-'
-, '
INSTRUCTIONS
ASSETS:
TYPE OF ASSEl _Indicate whether the asset is real estate, personal property, transfer or jointly..owned.
DESCRIPTION _ list all assets owned solely by the decedent or owned jointly with another party or parties os tenants in
common or as loint tenants with right of survivorship ot the time of death. Include the decedent's percentage of ownership,
the nome (5) and relationship to the decedent of the surviving joint owners and the estimated market value of the decedent's
interest 05 of the dote of death. Include intangible personal property titled in the name of the decedent but payable at death
to another party or parties including but not limited to P.O.D. U.S. Savings Bonds and tentative trust accounts. List any
property transferred by the decedent within two years of death for which he/she did not receive valuable and adequate
consi deration.
Describe all real estate located in Pennsylvania by lot and block number, street address, number of acres and include 0
general description of the land and buildings" Also, include the book and page number in which the deed is recorded and the
elC;act title os indicated on the deed.
DEBTS & DEDUCTIONS _ Unsatislied liabilities incurred by the decedent prior to his/her death are deductible against
his/her talC;able estate. In addition to debts incurred by the decedent, other items arc claimable including the cost of
administration, attorney fees, fiduciary fees, funeral and burial expenses including the cost of 0 burial lot, tombstone or
grove marker. list the dote on which each debt was incurred and/or paid and the names of each payee. Provide 0 brief
explanation of the nature of each debt claimed and the amount being claimed.
Evidence to support the decedent's or the estate's liaLility for the dr.bts being claimed should be attached to -this return
A family c'(cmption 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 wha is a member of the same household can claim
the eycoTIption. 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.
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INFORMATION
PLACE FOR FILING _ The return is to be filed in duplicote with the Register 01 Wills of the county wherein the deced,nt
resided. .
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TIME FOR FILING _ The return is due ni.ne !i,.ot\t~~J~~!"lit~~ecedent's deoth, unless an e.tensian for filing has been applied
tor and granted by the Secretary of Revenue wiH.in 'the nine-month period.
FAILURE TO FILE RETURN _ Sectia~ 791 of t~l~q,I,StqfAte provides thot" , ' .ony person who willfully fails to iiI, a
return or other report required of hin1JshJillbc t16rs"MUlly lI~blc . . .to a penalty of 25~o of the toY ultimately found to be
due or Sl,OOO whichever is the less to be recovered by the Department of Revenue as debts of like amount are recoverable
by law." .. -.'1:"3"
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NOTE: Fees paid to an estate represenlative: namely, an executor or administrator, lor services performed in ad.
ministering an estote is reportable for Pennsylvania Income Tax purposes. This taxable Income ilem shaud be reported an
farm PA.40.lndividuallncame Tax Return,