HomeMy WebLinkAbout80-00560
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PE!I!IO~. F~JETT~~SJ~ AD~INISTRA~I,ON
IN TJ/h ESTA1 E ()(o .._..Cj7<J&..Lit...,Kj,~l.b~............ DECEASED.
To "~~~22~:";:::',~'~:;:;;;;;;;~;:;;;;;:;:";;;";',;~";':~~;;;;:;;;~~:~;'Ith of~!e~~~'lvania, :>60
The Petition of ,....... .,' ,..,..M,Jh.,~::\-<..............,..............,:,......,......,..,............................
......,.....,.........",....,..,....""."""""""" .'espectfnll\, showelh that ,J!.c;)'J..~tI.,K.'J?~'''''...".,..............,
.'d f ..'-"'\/Y2....r.:-v11l - Township,) '1' I C 'S ' . P -I
was a rest eat 0 .........(..I,cJ./..,'}(''''-'W1...............,..'......gm'''''!!'h ,Cumhc. .Inl ounl),. t"te 01 enns~..
vania, and a Citizen of United States, .and departed this life intestate in the Count\. of ,C!.,....~J.fu..W
..'.."........;.'...."....'.."'...." and State of ':":t~"1,~:..,',..,',....,..,',....,.,..,....,.....,...."..,.....,......,........,.
on ...3..r,j,<S::..ft.,(n..,.. the .........,/..1:-., ,....,L,..,.... tla.\' of .....::a.L~.J,d.......,..,....,.. A. D.. 19..8::p.,
at the age of ....~.t?.... )'ears, IJ
That the sllid ....,:J!.~t^,J?~:Y.';,O,<L.........,.., deceased, left sUI'\'iving the following
named widow or husband, heirs and next to kin, tu wit:
Nllme
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................................................................
y~.k,~J?~.
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................................................................
Rellltionship
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.........,......................................................
That those above named include all of the next of kin, so far as known.
$'.
The said deeedent was possessed of personal propert.\' tt) the estimatcd mlue of $..../..If.i:!..~.Q]?..........,
llnd of Real Estate, les" incumbrance, to the estimated value of $..,~~...... as near liS elln be
aseertained.
Thllt the said Real E"tate in so far a" is known i" located in ,.......~~,...........................
....................................................,.,........................."...........,................,........,...,............................................................
Therefore, your petitioner(s) respectfully llpply(ies) for Letters of Administrlltion in the above
named estate,
Dated ......,~..a~", A. IJ" I!l.k~
h';- Signature and Address
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,.,.,.,...,.,',."..............",.........,...........................................
...,',.....,",.,..,....,..........",.........,..,.....................................
COMMONWEALTH OF PEN:-;SYLVANIA 1
COUNTY OF CUMBERLAND \ ss:
..........,...,..".,...,..,...,..."..,",..,',..,"',.,..,',.".,~,,.f.Vl,'y~:\..<,",.,',.,',........."..,',.."."..
named
in the above application heing dilly ..,......,,<J,u.~../)'......, acconlinl( to law, say that the faets set
forth in the ahove application are tl'llC to thc lll'st of ,~.,knowledge and helief.
<, _n.A__ "1111 'ullsel"lllell' .//1/[;,./10. tY1 C;I'.},"r",'A
~=:':'.v.r.-""""""""""""""'" s l .,',~~<~,I.,..",.~\.',~,~','.',','.',,',',',',',',','.','~,',.,'.',~,',.".,'~,',',',','.'.',',',',',~..,'.'..,',',','.'.........
,..~t(i...~.;......,..:?'s'....'. A>IJ., 19..~~. I ..........."............,.............,...................................,..........
......,I.././.1.1",L_,,(..,~)'"'.(.~,::?:2.:....'R~;i'~~~~.... ",. ,.."..".."",'" """"........"""""........""..,...,..,..,"',..........
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OATH OF PERSONAL REPRESENT A TlVE
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND rs:
..........................................~.fh...]~.................................................,petitioner(j1')
being duly ....~.........................., aeeording to Irw ~..... depose and say that as the
administrar~......... of the estate of ..:P.~-:eLI.s.....,j),~.....................................
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deceased, according to law, And also will diligently comply with the provisions of the law relating
to Transfer Inheritances.
.~................................. and subscrihed
before me.
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............................................................................................
DECREE
Be it rememhered that on the ............~.~,~~.......... day of ..............~,~~,~.7:~,.................. A. D., l!fl.~......
Letters of Administration in the estate of ................ ..........................I?~~,~.~~...~.~...!?~.~~.~E.........................
Monroe Township
............... .......,......., ................ .....,.. ...........".... .......... late 0 f .. ,......,.......,...., ..........,...' ..,....., ....... ...... ..........................
Cumberland County, Pennsylvania, deeeased, were granted to ....~.g?:.!t~:t::.!!-..,~"....Q,!!-~n!?!?......................
........................................................................................................................................................................................
Witness my hand and official seal the day and year aforesaid. .
I JI ...... ,.........
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,.......,......./.,' ..{';~::I........".:...i:::?~r.(,',.;.1~iii~t~~........
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND ss:
Person;tlly Jl'pe;t,,'d ""fore me, ;t......Nc:>'\;iU'Y.,P.\\!?.1ic, ..'........"..........., in and for the county and
slate, aforesaid .,....,.Loret,ta,.M...,Oannex:. ".p.rillcip.aL. and...~..".....,,-"5...!,,...dAl.de.If.,;:;.,I?...N...
of..:J;:.l....Ji./.1f.:5!i~~<r.P/l.,......,...and .."'.,~~ :J~'~J;;..i3,/..111..1f!f'"''''''''''''''
.......,......................,....",........,....,. ,., ,.....,..,.....,... ,.."....,.............Of....,jf;.~(..Jl,(]...If...iV.(/.P...v.'I....Z"...........,...............,
suritics on the above bond who being duly Sworn (affirmed) 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.
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/.....:;:O,.,....d.,...,(~, . .~;;~~........... (Seal)
.,..'..... ................ ,.. ....,...........,....,......,..,.....,....." ........... (Seal)
Sworn and subscribed before me this
...,.................;,tf.",.,tL....,..... ~ay of dt,~:i(.,:.d...
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3. The ll.ttorncy ices of John J. I:raf13ill, Jr., E6quira,
for services render-cd in car:.nc,ction I/i th t~_'." action, aro horeby
approved ;u boing f;rlr =d eql1i tabl",.
4. l.l!stributian of the total 5t,ttl<}%Jlent of $50,000.00 ia
hereby directed as follows!
(a) TI1e allocati.on of .$3,600.00 towards the
survival action, pa.yable to Loretta H. Danner to Pll).' her
fn=ily eYAmption and r~iDbur~nent of funeral expanses,
in conaideration, ducodont only l!.urvived less than one
hour of ti~..........___...........................~......$ 3,600.00
(b) John J. Krnfsig, Jr., Esquir.o, for
professional services rQnder~d._...........................$12.SOO.00
(c) Loretta ~l. Danner. wideN under tho
ItNroh9ful Death Actstt......................................$11.300.00
(d) I.)a>m L'\ee Dee Dtumer, A :rinor child,
Trust Account ~d th Dauphin Deposit Trust Company under
the Itl\'rongful ~3.th. Acts"................................. .$11,300.00
(0) Dallas Ann Danner, ~ minor child,
Trust Account with DlIuphin Oeposit Trust Company under
tho "l-\'rongf'ul Death A.cts". _ _ ~.. _....... .................... .$11,300.00
5. Upon plJ.Yl1lent of the a:CoresD.id sums in the manner above
descril>cld, l.oLetta H. Dann..-::-, Administratrix of the Uotate of Donald
K. Danner, is hereby authorizp.d and dircctod to execute 11 9Qod and sufficient
release of all claimG of th,", l!~tl'.te of the decec!clnt or at his surviving
beneficiaries agl1inst the Estl:\t." of the said Estate of John R. Miller,
deceased, his Ildmini"tr"trb,. his heirs "r.d assigns, and h100 insurance
carrier.
6. The plIVlJ!er.t of the aforesaid SUr.l() shall constitute
conclusive ev1.dcnce c-f compl"te ~ati Bfaction 01< an}' IUld all claims and
demands of whataoevler kind or nature of the Estate of Donald K. Danner
800;'; ,107 t.'.Gt 8;)5
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICtAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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ESTATE
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OF
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COUNTY FILE NO:
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DATE
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FILE NO,
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COUNTY
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Appraised Value of Estate:
Real Estate
DATE OF DEATH' ;1;;11/''''*/:(' /15!J
/i /
v'
$
Personal Property
~: .
+ J.. /,,' 1/-// "I_/,/
Jointly Held PropertylTransfers
+
Clear Velue of Estate
/'
$ t-"1(,'/~1/ /"1')
I
,'/ / j,), /)7.1
'/
$ .
Total Gross Estate
Total Approved Deductions
less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
Amount Taxable @ 6% Rate
$
/ F~
, /';1 /""
tax 'due,::~l:J;"'{U$" ;f; /'1" )~L.J;
l' _0 ,
Amount Taxable @ 15% Rate
tax due
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I , -, #"/
TOTAL PENNSYLVANIA INHERITANCE-TAx;QUi;::t- ~,v"_., r'-;!:7 # ,b' o?
1. - jY-
I
'* '* * * '* '* A five percent discount totaling $
will be granted if the Inheritance Tax is paid by
less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+ S
s
= $
+
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from ,j
to date of payment, Interest due if paid by is' ' ... ,a", ....-/
BALANCE OF PENNSYLVANIA INHERITANCE TAX 'OUj';}l..-/P./J'V:4/'z:', / ''./ ~.....?
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See Information on Reverse Side
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Rl::'V-sn (I-tlO)
....e"'~~EAL TH OF PENNSYlVANIA
, DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Instructions on Reverse Side)
COUNTY FILE NO.
O? I s:-- L\ - -5 (,t/:l.-.n-ftJ
*'
BUREAU NO.
Loretta M. Danner of Lot #120, Williams Grove Mobile Homes, Mechanicsburg,
(NAMEI IADDRESSI Penna_ 17055
being duly sworn according to law, deposes and says that he/she is the Administrutrix
LotE~f2d~MWtll~T~~E~fove Mobile Homes
of the estate of Donald K. Danner late of Mechanicsburo. Pennsvlvania 17055
(STREET ADDRESS)
deceased and that the whole of the estate of said deeedcnt, who died on
Auqust 12, 1980
(DATE}
consisted of the assets listed below and that alloll'ahle dehts allll deduclions e,cecded the fair market value of the
s~M'f}st'g1diWdP~r$s6vJ~~~Jr%~sfiflll~ler~':!!'J;~ab}s due. / --:/\(1 0': ,/, /;" ['" . ), , ~, Adm; ni str"tri x
December, 1980 ,,,/ ,,,,_.-;::1....;~ L <iI3J/.I'o, / /Lo~e~Hu'M'! Danner (TOTeEt
ESTIMATED MARKET DEPARTMENT VALUATION:
VALUE OFFICI L 1
TYPE OF ASSET
ASSETS
Award by Judge Harold E. Sheely, of the
Cumberland County Court of Common Pleas
for survival action claim to #4513
Civil 1980
$3,600.00
TOTAL
$3,600.00
(OFFICIAL USE ONL V)
I do hereby certify that the above assets were appraised in accordance with l'ennp'lvania law.
.il/~~:,J J-(r'/n1Y ~j. 2-25-81
-- APPRAISER DATE
DATE
a/I /ao
a/I /ao
8/1 /ao
8/1 /ao
8/1 /ao
a/2 /ao
12/ 3/ao
12/ 3/ao
NAME OF PAYEE
Loretta M. Danner
Stone Funeral Home
Mt. Olivet Cemetery
Mt. Holly Springs Ambulance
Carlisle Hospital
Register of Wills of
Cumberland County
Prothonotary of Cumberland
County
Loretta M. Danner
DEBTS AND DEOUCTIONS
Family exemption
Funeral bill of deceased
Headstone for deceased
Ambulance service to deceased
Hospital bill of deceased
Letters of Administration
AMOUNT CLAIMEO
$2,000.00
$1,642.00
$ 200.00
$ 30.00
$ 15.00
$ la.OO
Cost of filing court petition for
survival action
Administratrix's commission
$ 25.50
$ laO.OO
TOTAL
$4 110.50
(OFFICIAL USE ONL V)
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DATE
" - 114-1
"
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INSTRUCTIONS
ASSETS _ Describe 011 Real Estale lacaled in Pennsylvania and held solely by decedent or held jointly with another party
or parties os tenants in coRman or os jainl tenants with right 01 survivorship. Include the decedent's percentage ol'ownershlp
and the estimated market value. Lisl 011 tangible and intangible personal property owned individually by the decedent or
jointly with another party or parties os joint lenants with right 01 survivorship at the lime 01 death. Include intangible
personal property titled in the nome 01 the decedent, bul payable at death 10 another party or parties including but not limited
to P.O.D. U.S. Savings Bonds and tentative trust accounts. Li sl any property translerred by the decedent, within two years
of death for which he/she did not receive valuable and adequate consideration.
DEBTS & DEDUCTIONS _ Unsatislied liabilities incurred by the decedent prior to his/her death ore deductible against
his/her taxable estate. In addition to debts incurred by the decedent, other items ore claimable including the cosl 01
administration, attorney lees, liduciary lees, luneral and burial e'penses including the cost 01 0 burial lot, tombstone 0:
grave marker.
Evidence to support the decedenl's Dr the Estate'. liability lor the debts being claimed should be allached to this return.
A lamily exemption 01 $2,000.00 may be claimed by 0 spouse 01 0 decedent who died domiciled in Pennsylvania. "there
is no spouse, or il the spouse has larleited his/her rights, then any child 01 the decedent who is member 01 the some household
con claim the exemption. In the event, there is no such spouse Dr child, the exemption con be claimed by 0 parent or parents
who are members of the same household 05 the decedent.
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INFORMATION
PLACE FOR FILING _ The return is to be filed in duplicate with the Register 01 Wills 01 the county wherein the decedent
resided.
TIME FOR FILING _ The return is due nine months alter the decedent's death, unless on extension lor filing has been
applied for and granted by the Secretary of Revenue within the nine-month period.
EA!!:..URE TO FILE RETURH. _ Section 791 01 the 1961 Statute provides that" , . .any person who willlully lails to Iile
o return or other report required 01 him sholl be personally liable. . .ta 0 penalty 01 25% 01 the taX ultimately lound
to be due or $1,000 whichever is the less to be recovered by the Department of Revenue as debts of like amount are
recoverable by law."
/
RC:C~4Z .::-1'..'. -
alMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVEHUE
i\UG 251980
BANK NO.
NOTICE OF DECEDENT ACCOUNT STATUS
DATE FILED
RETURN COMPLETED
FORMS TO LOCAL COUNTY
INHERITANCE TAX OFFICE
NAME
Unknown
BANKIINSTITUTION ADDRESS
Dauphin Depoeit BAnk and Trust Co.
Attn: DASD
213 Market Street
Herrisburg, Pennsylvanis 17101
,
Au ust 1
sT~.\usokF1ACCOl..U"lT NO: t:l,QJNt, TRYST. OR INVE~TMENT
Gnec n -.Joint "t,'f J,8 zOIi 5
9-1-76
NAMES ON ACCOUNT
SOCIAl. SECURITY NUMBER(S)
Donald K. Danner or
Lorette M. Danner
DECEDENT INFORMATIOH
NAME
DATE OF DEATH
ADDRESS
CITY
BALANCE OF ACCOUNT AT 000 $
INTEREST ACCRUED AND COLLECTIBLE AT 000 $
TO TAL $
BANK AUTHORIZA TION
1 HEREBY CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS A
CORRECT REPRESENTATION OF INFORMATION IN OUR FILES IN ACCORD
WITH SECTION 742 P I Ii E TAX ACT OF 1961.
SIGNATURE OF FIN AN Cl3fjlAI.. INVESTIGATOR
/' -./ "///
-,_j.~. !..e-cc..;'
DATE
a 18 80