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HomeMy WebLinkAbout80-00707 ;~j~?::. '. '/ ,-; 'i~~i~' . " " . d,'_. '..', " '1.. ",! !:;' ,", ;'1.' '': " .. S I:" f .~ c:>> CO . - l"'o4 ...... o . o Z ~ ~ ~ tIJ I Clt - CO -= LLI ~ r-l ,1.( .,; ~ ". . ','; '-'~<- " 11.80 '70'1 IIEC;ISTI':II OF II'II.I.S OF ....(;\l~1~.~1~1;.1It:l\)... ....... COU:\TY :\0. I'ETITIO:\ FOil 1'1I0llATE OF 11'11.1. .\:\Il I.E'ITEIIS of ,\Il\\I:\ISTIIATIO:\ el:\! TESTA\IE:\TO ,\:\ :\EXO I.ETTEIIS OF AIl\\I:\ISTIIATIO:\ IlE 1I0:\IS :\0:\ I.ETrEIIS OF AIl\II:\ISTIL\T10:\ DE 1I0:\IS :\0:\ ell\! n:ST,\\IE:\TO ,\:\:\EXO pditilllll'r(s), 1I\1,'~,,(s) Ihlll, ill the Estill<' "I ......~1.^.~q.^.~I~~'..~.~....ll~~,S..S~.N.~.........." ,It.c,'"s",\. Holly J. Loutzenhiser .............,......................................................................................................................................... is ,rppl)- I. pt'titillllt'r( OJ) a...-lwl'lItY'lI1u' Yt'OIro; III ag\' or nldl" ,lUll applit.s fur \t'lh'rs of administratiun .........9.~.~...!~.~.~~.I,l:1.I!:~~.':?..~~.~.~~.~..."................... ill lilt' allOW ('''pliOlH'tI ('shlh', 2. Deced"1I1 di"t1 nn ......g~.~e,~.~;:...~.h...1..~~'O'.......................... III )..7.,;)9.11.\1. in Ih,' Coonl)' 01 ....~~m.~!?:;J;i:l:9.9........,....".., Stille of ......~glln.$.y.;t,..'!o!.~mJAA.......". at tlll' a~(' of ..."Z.Z.................. Yt'.1fS, ha\'in~ ma,ho ......~~,:" l.a,1 Will "lid T,"(""lt'11 d"l<,d tilt' ...A.~.l!.... daS' IIf .............J!!!.Y....................... A.D: Hl..?~.. , . WIlt'rein ....,..~~~.. "1'1)(Iinlt~L........~~N..~...~.~.l}~ .,...~.'....II.'................................. ............................ E.eeU.tD,r........ \Vhich EXl'C ...~.~.~.E... liaS SillCl' .....!.~~!?~~.~~~....~.~.~....?r.p..~.~~~~~~.~.............................................................. Oil On ................ day uf ............................................. In......... I.etlt'rs of Atlruinblratiun Wl'rt' ~rantl.d to .................. .................................................................................................................................................................................................. >I:bl4I. JlJb><KO<lllli 3. Lelters of Administratillll e.I.:I. art' Ill'l'lh'd hecilttsl' ......G~~.~...~.~.n~.l...~.:....t:.:.:...............O~~........ .....~~~.~~~~.:~...1.~...f..~~~.~...~.f....~~.~,:....~.:.c.~.~.1.~.~:i;a pl'1ilitll1('r(S)~);'~es in ,......her..,..... e"p"eil)' ns .....~~~...~!?:!-.!!.,;:~.~.}.g.!!.~f.y....!?~.!!.!!,f.~.~.~~.!:.y....!!.~'!!'7d in the Last Will and Testament of Margaret". BJ.essJ.ng. . 4. DeC:t'dl'nl dil'd domidll'd inGMTIlP.~F.J.~~.g....f.g.~~.~.Y..,....~.~.:. with his last family or principal re,idellee lit ..,..,~~.{?::.;.~~,~~~;:~~~~~~1~"'.gil:mP....!Ig.1,J....'f.!),.,........,"..",........"...". It'ltx ~ 5. (Wlll'ft.' tll,('(.dent died t('stale) Det"l.dL'1I1 WiIS not married ami a child was not horn 10 or IIdoplcd hy dccedent alter ...cclllioll ollh.. will (ami where "pp1imnl is al1e~ed spnuse) oor was d,'eedenl dh'orced from applicanl afll'r l'X('clltion nf will and al dl'ath. 6. The said dL'Cl'Clelll WilS PUss('ssed of Cuods, Chattds, Bights and Credits to the estimated value of $...3".O.QO.".OQ........ :Hul of nl'ill Eslah.'. to the estimated Vilhll' of $.....:7.0.7.'."""............ as near as can he as('ertained. 11ml the said Heal Eslatl' ill so far ;lS known is lo(,iltl'l1 in ....."......................................... '. .................................................................................................................................................................................................. 7. (Whl'fl' dL'cedenl dit'd il1tl'slatt' as tn any portion uf this ('slal('). Petitioner "fter a proper search has aSI.'crlaincd thai dL'l'l,dl'nt was sur\'i\'t.d hy lhl' foll()win~.lIamcd persons l!ntitl(.d 10 distrihution under the Intestale ..\(.t nf H).Ii: Name IlelatiOllShil) Residcn('(> 1. ..............................................................................................................................................................,.............................. 2.............,........................................................................................................................................................................,....... 3. .....,...,.....................................................................................,..........................................................................,.....,............ 4.........,........................ .......................................................................................................................................................,.. 5.............................................................................................................................................................................................. 6. .......................... ..............................................................................................................................................,............... .................................................................................................................................................................................................. apply Thcrdnre. Pl'litill1\t.r( s) n'sp(.('tflllly applies fllr (prcll)al(' of till' will prL'sl'nl(.d lU'rewith and :~:I :,,::',II~,~;.~:~d:~~,I:.::r:~,~.?9..'...,.........,.., ........"'....."'..~.i~;::::;.;.....::...:,...:..::.:::..:....,';.,...,..:','.....,........:::~..':..:.',::.,....:::.::i:......::.,::;'.::::::::::::::: . Address: ....~.z.~...~~~,~.r....~o.~~.~...~~.~.~~.'....:~:..... /.~! .~ . / /J~J '0' (I{O \~ //-ItJ.'1- Y CO~I~I():-;IH: 11.'1'11 OF I'E:-;:-;SYL\'A;>;IA \ SS ."."..."."""."..."""."""."".""."..."".."..."."....".............".... ....."........"....,...........".............""..."...COl;;>;T\" r " HOLLY J. LOUTZENHISER . ......................................................................................................................,..................................",..... tht. pt.tllliJlI('r(,) ill tilt' ahun' ilppli('alillll. he'ill!!, duly .......~~9.~~"...,.. ;ItTonlill~ III I.IW ...aY(!Ii) that tilt' !lliltctnl'lIts M'I Corth in this pl'lilioll art' IIllt' 10 lilt, 11l....11l1 .....hex.. ........ kllnwll.t1~t' .11It11ulij'l. .~ ......~.~,?E.~....~?....... ........., :lllll \uh,nillt'd Ill'llllt' \ ....;/.~.:..\\..::,.>..:..:)."":"..:,:.:,,J............:.,"""...)..;.. \ ) ) ........................................................................... ........................."............................................................. 1I11';71..~c:>Y.'''.?i''...;;t,"''.'''':;!lOu ..u..lff~/'...(f,'.,..~-t.~....ii;,~;;;:,; Fih,d, Nov. 6. 1980 Attornt.y's ~amc ilud Address Richard W. Stewart ............................................................."................................... uu.uu..uu~.~.~u.~E.i.~.!;.~u.~.~E~.~.~.................................... New Cumberland, PA. 17070 n (")~ 0) ~;7J 0 ~~ 00:.'0; C)n ~~ ,~ Ol~ }-,'s.. r-~ <: r;:~ ., >-;.. I ~~t.., COUNTY OF CUl\IBERI.AND gi.; Ulo __ 1-' n., .,., ~ 0..... ~ _'~:.' .......................................................g9~YL:!.,...!-:R~~.~]';!'!m:.~.~!j.......,',.................,.............................:~fpetitiPFer(s). ;: ~ being duly ............~!i.'?r.n................................... according to law do Em......... depose and say' that::as the ,. administra .J,r.~~...... of the estate of ...........~!i!Jg!\r.~LJ"...Il),.e.!;l.9.;l.ng.............................................................. OATH OF PERSONAL REPRESENT A TIVE COMMONWEALTH OF PENNSYLVANIA ........................................................................................................................................................................................ deeeased ........'!,~~.......... will well and truly administer the goods and chattels, rights and credits of said deceased, according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances. ...........Sw.o.!:n...t.o........................."... and subscribed before me. ............~.~.':':.~....?............................. A, D., 19...~,~... RfJl1a1',...e"..-1t.<<.~4.!.................. ... :::../:.':. ~~,; ;,' ~:. . ;:~ ....;-, . ;... ~. . ~ . ~~:~~;~. ;..~:r~.-. .. \ .', \ .'.-.:.. ~:;. ;.~... )"-" '.... '\ ............................................................................................ DECREE Be . lembered that on the ................................ day of ................................................ A. D., 19..~9.... Letters of Administra he estate of ......~!!.':,~.~.':."'.L~.,...~~~!?(l.!,ng......................~,..... ........................................................................... .. late of .....J::."'~~.J).e.nnll. 9.J;\l~,1.p........,...................... Cumberlund County, Pennsylvania, deceased, .. ntel 0 ...1:\9.Uy...J......J,..9,\1~.~.e.t;l.\1;l.Il~X...................... Witness my hand an seal the day and ~'eal' aforesaid. / .5t.e- ......................................................................... .................. Register i'~' -...~-:~ .\ STOHIE. SIUKR II STEWART Attornoys.t L.W 310 Bridge Street Now Cumborl.nd, P., 17070 , STONE. SAJER & STEWAllT ATTORNEYS AT LAW 310 BRIOGE STREET SBW CUJ.tDRltLANn, I'A. ,,17070 .....",; ". ..~ Ii I I LAST WILL AND TI,STMIENT OF ~~RGARET J. BLESSING I, MARGARET J. BLESSING, of the Borough of West Fairview, County of Cumberland and Commonwealth of Pennsylvania. declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my body be cremated and that the ashes be buried in the Enola Cemetary on top of the body of my late husband, JAMES O. BLESSING. ITEI'I II: I devise and bequeath all of my estate, of every nature and wherever situate. to my friend, HOLLY LOUTZENHISER, now of Tower Road, Enola, Pennsylvania, if she survives me. If the said HOLLY LOUTZENHISER fails to survive me, I devise and bequeath all of my estate, of every nature and wherever situate, to her son, TIMOTHY LOUTZENHISER. ITEM Ill: I appoint CCNB BANK, N. A. of New Cumberland, Pennsylvania Guardian of any property which passes either under this will or otherwise to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income Ifrom time to time for the minor's support and education (including college \edllcation, both graduate and undergraduate) without regard to his or her parent' lability to provide for such support and education, or to make payment for these I I \ Page 1 of 2 pages ~f)'''i AJ. .":-- .:,;" 1"'- if~i';'.~~oelO>':'MJ"~"'--""';:'~'-I""""';"";""""'" . ~'r~~:'-, _' .;If':,~' ~". . D t 0 Z f-< < ,. z 0 .... Z \0 0 .. '" ~ ~ ;: ~ '" ~ :: ~ f' . ~ '" . . '" III 0 ~ ,.., f-< . ~ '" '" . ~ .. Q '" OJ 0 ~ u Z f-< " ~ '" < ..., ~ . \0 C ~ <=> ~ z '" Q = f-< ~ .., 0 Z ;: '" '" <: ;; ~ m = ~ . 0 ~ III " ,.., . ~ 0 m D ,.., 0 . ~ u ~ . ~ .... . ~ ;,: . 0 '" ~. f-< f' Z '" III <: ,.., ,,- " .. .' . OATil m SUBSCRIBING WITNESS COMMONWEALTH OF PENNSYLVANIA I ss: COUNTY OF CUMBERLAND I 5th November 80 This day of A.D..19 , before me, Register for the Probate of Wills and granting lelters of Adminislration in and for said County of cumberland, in the Commonwealth of Pennsylvania. personally came Richard W. Stewart and Fran~es Y. Gahpl the subscribing witnesses to rhe foregoing instrument of writihg purporting to be thllast Will and T~stamcnt of Nurguret J. Blessing Dated Nay 4, 1978 . . East Pennsboro Township Cumberland County Pa.. deceased who being duly late of sworn according to law. depose and say, that. they present. and saw and heard the testatrix Nargaret J. Blessing sign, seal. publish. pronounce and declare the said instrument of writing as and for h er Testament and Last Will. and at the time of so doing she was of sound and disposing mind memory and understanding, to the best of their knowledge. observation and belief. Sworn to and subscribed before tfr/,'I d;f""y~ Register /;\ ...<.j /),/ ,.}L". j-.- ~-""'''.' A \.l. ~.. ~~9 ~ AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA l ss: COUNTY OF CUMBERLAND \ HOLLY J. LOUTZENHISER sworn says that as nearly as can be ascertainecl the said decedent being duly Nargaret J. Blessing died on the 28th day of at or about 12: 30 o'clock, A. M. Sworn to and subscribed this 5th day of November 19.~. before ~~.~d 9J!/u/~ (? Register October A.D..19-Rll. .' ; ,'.\ ,r> .-,.--- .' '-" I,. \, \ ,)' \ , . , r , Estate No. ...~~~~9................?07 BOND KNOW ALL MEN BY THESE PRESENTS. That we. ..H9l,ly.J..1-,R.U.~.Z.,,!}.l:1;I,.~."1;............................. ................................. principaL....., ................................................................................................... ....... ......... .1~~.o...~r.".h. ..S.~1:'.e.".t..'... .p.\li.~"~,,.l.P.Il i.,,?. ~"'. .. 1.91.06............. .....,............... ........... ...., suret.,. y......., and ......... I!1!l.u.,,,.!1!'.".. ~.CllllP.")'IY.,.Cl t. .~R.,~.l:\.. An!~.,tc,:".. ............................................................. arc held and firmly bound unto the Commonwealth of Pennsl'h'aniOl, in the sum of .....Six...Thaus.and................. ...................................................................... Dollars ($..6..00.0..0.0........), to be paid to the said Commonwealth, her certain attorne)' or assigns. to which pal'ment, well and trull' to be made, we do bind ourselves. jointly and severally. aod our aod each of our heirs. executors. admini strators, so((essors and assigns. firmly, by these presents, for and in the whole of the said som. 4th ........day of .........No.y.~mb~.r........................., 19.....80. SEALED and dated the .......................................... WHEREAS. the abo,'e named ...... ......fI(),1.1,y...~.,.. .I,().u.~.,,"'!).h.:i,.s.E!:r.................................................................... .................................................................................................................................................................................................. has or have made, or is or are about to make, application to the Register of Wills of Cumberland County, Pennsylvania, for the grant of letters .....~.~lIlJ!1;!..~t+.a.~:i.Cl!!..G...T...A......................................................................... on the estate of ..........w".,g"'~.t;..L,...B.:!-.,,!l.~J!}.L... ......................... late of ....!::.~!!.~...?"!))'I~!?,Cl'.'?..J'.Cl!'!):l.~!),~P Cumberland County. Pennsylvania, deceased: them shall well and truly administer the said estate accord ing to law. this obligation shall be void as to the personal THE CONDITION OF THIS OBLIGATION is, that if the said personal representative ............ or any of representative or representatives who shall so administer th e said estate; but otherwise, it shall remain in force. SEALED and delivered in the preseoce of -------_..--~----------------------------_. \ I \ .-:\ ~\ +- . _.1:1:3:1-- \,,__ Lr-;~U~-l.;- ..'L;. i.C 1.(:; EAl.) / '- \ ' - - , ') _ _' _ n__nn____n_un_n__ __ _ _. _ _' __. (5 EAL) _ nn_____n_ _' n _ __ ." _ _.." _..'" - .. - (SEAl.) INSI RANCE COfWt\NY OF NOltT11 NII':UI Ct\ ----7-------.-n,l/-...---)---.. (SEAl.) _).::_""""'~'.j,..f-"';)!."-!/d--:~.... .. (lmAI.) At torney-tn-I' ,1C t ------------------------------------------- ------------------------------------------- ------------------------------------------. /." J1 'J(- i _"".:~~~l.:-::--'-:.. ,__Lti!. ,..:'-~~.:::..!~:----------..-. , . IN~ POWER OF ATTORNEY INSURANCE COMPANY OF NORTH AMERICA PHILADELPHIA, PA. Know all men by these presents: That the INSURANCE COMPANY OF NORTH AMERICA, a rOfI'Of.'llllll or the Commonwealth of Pennsylvania, having its principal office in the City of Philadelphia. pennsylvani.I, I'I"'U.H1t to the following Resolution, which was adopted by the Board of Directors of the said Company on May 28, 1')75, to wit: "RESOLVED, pursuant to Articles 3.6 and 5.1 of the By.laws, the following Rule~ shall govern the ekcCullon for the Comp,my of hond~, unll,!" takings, recogninnces, contracts and other writings In the nature thereof: (1) That the President, or any Vice.President, Assistant Vice-President. Residt'nt Vice-President or AlIorney.in.facl, may rxecult' for 011111," hl'h.lll III the Company ~ny and all bonds. undertakings, re~ognizances. contracts and other wrilings in the nature thereof, the S"nlC 10 he oIlIl'Sll'd ""WI1 nl'(I.\\,lI~ by the Secretary, an Assislant Secrelary or,) Resident Assistant Secretary and lhe seal of the Company affil(cd Ihrrcln; dnd lh.1l IIIl' f'u!\ldl'nl or oln~' Vice.President may appoint and authortlc Re::'ldenl Vice. Presidents, R('sidcnl A::,slslant Secrclarles and AIIOIm'~\.m....\CIln \f1 C'IN,Ult' nt "111'01 In 1I11' execution of all such wrilings on behalf of thc Company and 10 affix the seal of the Company lherelo. (21 Any such writing executed in accordance with these Rules shall be as binding upon the Company in Jny e.l!le .IS IhoUK" SIROI~d hV till' P,l'\uh'nl ,uul anested by the Secrelary. (3) The signature of the President or a Vice-President and the seal of the Company may be affixed by fdc...inHlc on any power of oIllurnl'Y Kf"nll'C1 pursuant to this Resolution, and lhe signature of a certifying officer and the seal of the Camp.my may bc affixed by fo1C\imilc to .mv ct.'ltlfteJlc' nf ,lO~' such power. and any such power or certificate bearing such facsimile signature and 'ical shall be VJhd and binding on the Comp.my. {4} Such Resident Officers and AltorneY'i-in-Fact shall have authority to certify or verify copies of this Resolulion, Ihe Oy-lilw\ of lllf' r.f.mll..n~', .Incl any affidavit or record of the Company necessary to the discharge of their duties. (5) The passage of this Resolulion does not revoke any carlier authority granled by Resolution of the Board of ()ul'(lor'i on lunt' 9. lfISl." does hereby nominate, constitute and appoint E. STANLEY YOUNG JR., JOliN C. BAK1m and KIIREN 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, execute, seal anu deliver on its behalf. and as its act .1nd deed .1ny .1net .111 bonds. undertakings, recognizances, contracts, and other writings in the nature thereof in penalties not exceeding FIVE HUNDRED THOUSAND DOLLARS ($.~().9 ..OQ()".o.o.) each. .1ncl the execution of such writings in pursuance of these presents, shall be as binding upon said Company, as fully .1ncl amply, .1S if they had been duly executed and acknowledged by the regularly elected officers of the Company at its princip.11 office, IN WITNESS WHEREOF, the said. ............c.....Ql\tUE.!...OIlAKE................, Vice-President, h.1S hereunto subscribed his name and affixed the corporate seal of the said INSURANCE COMPANY OF NORTlI AMERICA this ,.............J.~);.l:1................ day of .............s.eptember......................... .........19..!9. (SEAL) -C ~:.~~+Y (O~ Of by .......",.....................(:1. . ........ .... C. DANIEL DRAKE NORTH AMERICA Vice. President STATE OF PENNSYLVANIA } ". COUNTY OF PHilADELPHIA On this.........19.t:h.......... ..day oj.. September ,A.D. 1') 79 ,heforp n1l', .1 Nol,lI~' Puhlll': 01 the Commonwealth of Pennsylvania. in and lor the Counll' 01 Philadelphi.l, (.,me . C. DIINIEI. PHAKI, .......................................... ...... Vice-President oj the INSURANCE COMPANY OF NORTH AMERICA 10 111l' p('r~tHl.l11v known to be the individual Jnd oHicer who executed' the preceding instrument, ,md Ill' .1C\...l1o\Vled~I'd thallw l'~el"ull'd Ihe ~.mw, .met Ih.11 tlw seal affixed to the preceding instrument is the corporate seal oi said Comp.,n)'; Ih.1l till' ..,lid corpor.lll' ,,1.',11 .md hi.. !<tlgn.tlulc Wt.'I(-' duly affixed by the authority and direction oj Ihe SJid corporatIOn, Jnd that Rcsolutlt>l1, ,ldOPlt'cl hy llll' Uu,lIcl of Di(I'dOl~ oi s.lId Cnlllp.1nY, referred to in the preceding instrument, is now in lorce. ~ . IN TESTIM.ONY WHEREOF. I have hereunlo sel my h.1nd and .)fil'~~l m~' ( 111(1,11 !'It',ll .11 tIlt' Clly III 1"1I~P21'~ t1 dj/'lnd year (Irst above written. plA'~ . .. ... -. (SEAll l.iJ\IJREI-:N :;('111-:1,1. "",.or\, I'uhl... fl"llt.... Ih.ll Ill(' om:lf1.d (' (ullllll,t- 1:1.1,\1:1< m::all':I~' A\\I\I.H11 S4'cn'I"'~. SB.2B 6/75 PRINUC IN U.S.A. 21.80 707 No................................. Renunciation and Request ------ In the M.Uer of the Est.te of ......~~~~~.!..:!::....~!:-.~~.~.~!'g...................................................................................... To ...........t!?);y....9.......t,~.W;!..~.....,................................................................................... Esq,. Register for the Probate of Wills and granting Letters of Administration for the County of Cumberland. in the Commonwe.lth of Pennsylvania. ............. the undersigned. being the .....J!).~J;.gM!;l~m...!\i!m~!;I...9.\>...tb.e...J:J\!:.cl).t.Qr...Q.L.t.he...Las.t..Will...... and Testament of Margaret J. Blessing .................................................................................................................................................................................................. .................................................................................................................................................................................................. ...... -......................................................... ............................................................................................................................... .................................................................................................................................................................................................. do hereby renounce ...............~.~.'3......................................... right to h.ve Letters .....Te.stamen.tar.y,............................ .......................................................................... on s.id Estate issued to .......CC.NLllank....N....A................................ ................................................................................................. ................................... and do hereby request you to grant the s.me to .......l!9J,T,.:Y...J.....J&U:r.Z,EN..l!IS.ER................... ......................... .........,...........,................................................. Witness........;i,J.!l...h.nd............... .and se.L............ ..this........... ...........~.9JJ:I.......................................................... day of ..................~.~.~.O'~.~"...........................A. D. 19..~.9.. CCNB BANK, N. A. Sealed and delivered in presence of , ..--. 11 ,'1i~JI,,-..,:1J /Jz///Ll(v"'I'?- ...........:;..............C...................................................... ................................................................................ ........................ ....................................................... ................................................................(L.S.) ................................................................................ ................................................................(L. S.) ................................................................................ ................................................................(L.S.) ................................................................................ ................................................................(L.S.) ................................................................................ ................................................................(L.S.) Commonw..Uh ot Penn.vlvanla Departm.nt at Rev.nue Tr.n"er Inherltenee Tex Resident Decedent Rev-464 E)t'; ('.80) · INHERITANCE TAX RETURN FOR ESTATES WITH GROSS ASSETS UNDER $10,000.00 .1-/1 C) I - S'{) - 'J D'7 * Estate of Hargaret J. Blessing Oat. of Death October 28, 1980 Last Address 208 Senate Avenue Apt. 220 Social Security # Camp Hill Pennsylvania 17011 Bureau File # ICltv) (State) (Zip) County Fil. # 21-80-70, 7 1. Decedent died: o Intestate (without a will) []J Testate (leaving a last will - copy attached) 2. o Executor/Executrix []I Administrator/Administratrix c. t.a. Name Holly J. Loutzenhiser Address 621 Tm,er Road Enola Penna. 17025 ICIlY) (Stote) (ZIp) 3, All correspondence should be mailed to [XAllOrney o Fiduciary. 4. If an attorney is representing the estate, indicate: Name Richard W. Stewart, Esquire Address 414 Bridge Street Box E New Cumberland Penna. 17070 (CiW) (Ststo) (Zip) REAL PROPERTY _ Identify real property located in Pennsylvania by lot and block number. street address and Include D statament of mortgage encumbrances as of the date of death. Estimated Market Value Department Valuation (Official Use Onlyl NONE Total ..(!I9fC " .. (( .;;CC~QU-3 ~o: as o~ I I I , I I I Account I . , 180-2649-2 MAIN OFFICE 331 SRIDGE STREET NEW CUMSERLAND, PENNSVLVANIA 17070 17171774-7000 CCNBBANK,NA Stone, Sajer ~ Stewart 414 Bridge Street New Cumberland, PA 11010 ATTENTION: Richard W. Stewart . Date December 4, 1980 . RE': Estate of Margaret J. Blessing Name of Decedent ~he fo::'lowing is a complete record of the above decedent's accounts October 28, 1980 Date of Death No. Type of Account Balance on Date 01: Death Principal Accrued Int. Names on Account (All Owne:r:s) Checking $ 12.00 018-001533-1 Checking $1,051.49 008-704248-7 Savings $2,091. 34 " None Margaret J. Blessin Date 01: Creatior. 01: Joint Qwnershitl 10/28/80 7/24/74 ;/!, )c= F. C. Witz~l-;;, V.P. Authorized Signature llone Estate of Margaret Blessing Holly Loutzenhiser $9.22 James Blessing Markaret J. B1essin BENEFICIARIES BENEFICIARIES AND AODRESSES (Stat. full "am" and .ddresses of all who have an interest either vosted, contlngont or other interestl RELATIONSHIP TD DECEDENT SURVIVED DECEDENT STATE VES OR ND AGE OF LIFE TENANTS OR ANNUITANTS AT DEATH OF DECEDENT INTEREST OF BENEFICIARY !11 ESTATE Holly J. Loutzenhiser 621 Tower Road, Enola, Pa. 17025 le al entire C "0 0 n )> m )> ~ )> 0 0 0 en C Z G'l n c c -i s: r- m m '" Z :Il ~ '* '* r- ~< ~< m -i m Z -i -< en m ~ ~< en 0 0 ." " ." ~ 0 0 ~. Z '1l '1l :":", n \.- ~ ',. ro ,_'1 :; ~ ~.n ~~. .. :<;0 -< -< c: b.' r-- -..:.:. m m en c :::..,,' )> m - )> 6.. ~_l " " 0 wl" a. ':Jffi Z Q~ "'" o:~ :z= -co ~ Ot:. :<:~ <.>'" n:::::J ~'" - ~<.> ~ u INFORMATION PLACE FOR FILING - The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided, TIME FOR FI LING _ The return is due nine months alter the decedent's death, unless an extension for filing has been applied for and granted by the Secretary of Revenue within the nine-month period. FAILURE TO FILE RETURN - Section 791 of the 1961 Statute provides that ". , . any person who willfully fails to file a return or other report required of him, . . shall be personally liable. . . to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." REV_.u4 EX+ tHO) INHERITANCE TAX SUMMARY SHEET (BUREAU USE ONLY) rn Originol o Supplementol o Remainder File Number 21-80-0707 Estate Name Margaret J. Blessing Date of Death 10-28-80 Social Security Number REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and lor the County 01 Cumberland Pennsylvania, do respectfully report that 1 navCt appraisal! the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "AIt, "S", "Cu, and liE" Dated: April 1, 1981 jj?lL!J1l,] J -!?/,.Ii,1 if) ) INHERITANCE T.\X APPRAISER INVENTORY VALUE AS APPRAISED CODE ADJUSTMENTS (HARRISBURG USE ONLY) REMAINDER APPRAISEMENT CODE Real Property (Schedule A) Personol Property (Schedule B) Joint-Held Property (Schedule E) Transfers (Schedule C) s None 00+ 5 204 39 ta+ None 2lH None 30+ 5_l.2_Q!!... _3.9 40- 92+ TOT AL GROSS ASSETS 93- Len O.bts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE o Life Estate o Annuity RATE FACTOR PRINCIPLE VALUE CODE FOR USE OF REGISTER ONLY Tax on $ fQQE. COMPUTATION OF TAX $ $ $ $ $ 6" ,. Tax on S 15% Tax on $ Tax on S Tax on S Exemptions Total Estate TOTAL TAX INTEREST FROM BALANCE TO $ $ $ Less Credits DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT S r S s = $ + = BALANCE TO S REV.4S7 (l.SO) COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEOENT INHERITANCE TAX APPRAISEMENT .. - Estate of Margaret J. Blessing File No. 21-80- 0707 County Cumber land Date of Death 10-28-80 In the eVlnt that any future Intlrast in this estate Is ~ransterrad in pOSSOSSlon or onjoymnnt !o collateral hoirs of the docedont aft..r the expiration of any estate for life or for years, the Commoow831th hereby Bkprosslv rosorves thD right tu appraise and BUMS transfer Inhoritance truces lit thlllawful collateral ratll on any such futuro interert. - -- DEPARTMENT'S APPRAISED VALUE None PROPERTY REPORTED BY THE ESTATE 1. TOTAL REAL PROPERTY - SCHEDULE "A" . . 2. TOTAL PERSONAL PROPERTY - SCHEDULE "8" 3. TOTAL TRANSFERS - SCHEDULE "C" . . . . 4. TOTAL JOINTLY OWNED PROPERTY - SCHEDULE "E" $5;204.39 None None TOTAL REPORTED PROPERTY $5,204.39 PROPERTY NOT INCLUDED IN RETURN BUT APPRAISED BY THE COMMONWEALTH TOTAL UNREPORTED PROPERTY None TOTAL GROSS ASSETS $5,204.39 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. ..At'l~Th l-Ifft>.1:H)) APPRAISER April 1. 1981 OAT I! ..... .c bO oo <= ~ ..... ~ ~ oo ~ ~ oo ~ OJ .... 0 Z ~ ~ III r.. 0 >- 0 ~ . ,0 .., oo '0 en <= <= ;l ..., <= <1l ...:l OJ OJ .... r.. p... r.. 0( <1l OJ ~ 0\ ~ - bO ..., ,0 ~ ~ U ;z: r.. oo 3 ~ - 0 <1l <1l '" - ::E: r>l U '" ~ 0 I>. 0 ~ I>. Ii; 0 en 0 Z 0 ~ rn >- !-o 0 - ~ !-o ~ ;z: Z ;z: !-o ...:l 0 - 0 fS ~ ?5 :.: ~ ~ ::E Q u ~ ...:l ;z: ~ ;z: ~ 8 0 z - rn ::l ~ ~ Q '" --------------------------------- - ...._...... __ ~ __ __ __ __ __ __ ~~ ........a. . >>REY..1102EX' .".- '. : ~>/.,., '..; . ....,.' .'. .'. COMMONWEALTH OF PENNSYLVANIA 4 'No:K000559' . DEPARTMENT DF REVENUE . ,,~;-.,.:,. ... .'.. ..... OFFICIAL'RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX . . \'" ,. . " . '" ; It = lI! -u TAX AT 6'10 TAX AT 15% , , RECEIVED Bolly J. Lout:..nh18er \ FROM TAXAT_% ,t 0 . . sq ADDRESS 4l4Bd e St:reet: ESTATE TAX 1f8W cUlllberland. pa. 17070 TOTAL TAX CREDIT 612.65 .--esTATEIN-FCiRMATiOr6Ci--is---19S0----------- DATE OF DEATH .. 21-80-707 FILE NUMBER LESS DISCOUNT PLUS % INTEREST (FROM TO_I DATE OF PAYMENT March 17. 1981 NAME OF DECEDENT MARGJUUrr J. BLESSING m m TOTAL AMOUNT PAID 612.65 .COUNTY CWllberland -- ----- - -- -- --- ---- I I , i I . , POSTMARK qf:T5rim ~EMARKS' p 011 AC~VUN.L.R SEAL RECEIVED BY ., /;--1--. ')//'~I C. ~~U/ I Man t!IG~a , Reg ater 0 W1Ua REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 5S: being duly sworn___ .__ according to law, depo.es and says that she - ~. t.a. _ _ .. ._' _ _ _. _ __. of the Estate of ..-.lillrgaret J. Blessing; lete of _ ,.East pennsboro Township _ _'_'_ ---, Cumberland County, Pa., deceesed end thet the within i. en inventory made by........ ..m_ _llolly_J.-Loutzenhiser.... ., the said ~rlmini Rtratri>LC.ta of the entire estete of seid decedent, consisting of all the personel prop.rty end real estate, except reel estete outside the Commonweelth of Pennsylvania, and that the figures opposite eech item of the Inventory represent it's feir velue es of the date of decedent's deeth. ___JI()ll}'J. L".'!.t~enhiscr is a1ministratrix, ._- Sworn to and subscribed before me, ~A/~ If, 19 81 j 621 Tower Rd. Enola, Pa. 17025 Addrus Oete of Death 28th Oay October Month 1980 Vur INSTRUCTIONS I. An inventory must be filed within three months after appointment of personel representative. 2. A supplement inventory must be filed within thirty days of discovery of additional .ssets. 3. Additional sheets m.y be attached .s to personalty or r.alty 4. See Article IV, Fiduciaries Act of 1949. n n' c:~ 3::"": ~~:~ ;u;;' f~~ LIZ " . C:lU'l n . 0:> ",'" - ('f1~ ::l: ~o (/')::0 "" '~IO ."" ',l"l - ..l? -.J .,"::) ,--\ " . ~'1 .;~~ -- I~ , ) .. 0. ..... "" '" Ul c:: S -ti >- 'M ~I 0 ~ ... w ~ ~ '" '< Eo< ~ w ~I ~ 0.. ... 0 u ~ 0 0 III :\ ... ~ '" ,.. w '" w 0 C " ~ I- :I: 0.. ,c Do c: ... -' LL Ul .,; ~ Z <: 0 ",, El 0.. 0 Ll. -' ~ W <: w 0 '" ~: OJ .;. > z ~I p., ~ Z 0 c: 0 ... ~ .; III Z '", 0 '" ", Ul U Z w <: ;111 .;'11 ... 0.. -0 , c: , " - -.: 0 ~ .D -0 ... " E 0 ~ .!! .. ~ 0 -' U u: CD COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION COUNTY FILE NO: I / /4 ~J:; I, ",-<, / ~ ;/() - /'t:) 'I OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT *' DATE (~ ?,~-:.I.a .~ X I' ESTATE . I , ;J . ..,..-.... I. ,',/'-" .I.....'./..A-. / 1/.;. / ',' /;-, r,- ; ,., I.~' __ .s;...' ../ /' r ' _' /,;,//;/,l, ,,P.. 4.j:.' (~<' /'/() ,/,) - Appraised Value of Estate: Real Estate Personal Property Jointly Held PropertylTransfers Total Gross Estate Total Approved Deductions Clear Value of Estate Less: Approved Charitable Exemptions Clear Value of Estate Subject to Tax FILE NO, COUNTY /,1-(///1 f;":./,P./At!-~ DATE OF DEATH Il~';;~(/jY /150 $ - ./ I. /1 .qq + ':' I , + $ /)~ -; '1-/ ':;( 9 " I 1'/ /1 () (!') I -:111 01 jf $ ,< , . I $ ./;/ t/'? 1/ ..~ -'I Amount Taxable @ 6% Rate $ LJd/? /f' 1 </ / tax due $ tP /.:;. iP s - Amount Taxable @ '5% Rate tax due TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ ~/:R, 0.5- .. '* ... it '* ... A five percent discount totaling $ will be granted if the Inheritance Tax is paid by Less Credits: DATE OF PAYMENT :J. /1 ""j J - - t1 Interest on the to date , , accrues at the rate of six (6) percent per annum unpaid balance of Inheritance Tax from of payment. Interest due if paid by is . /-t:./ .-A:., $ \ -/ /:l'. .,"!:::../ I BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE S,"o Information on Reverse Sido ~ ~ l'o ( ~ ::...~ : _ , 2b~ /J INFORMATION To insure proper credit to your account, the name of the estate and file numbp.f should be clearly print- ed on the check or money order. This assessment is made in accordance with SectIon 70B o! the Inheritance and Estate Tax Act of 1961 (72 P.S. ~ 2485-7081. To the extent that inheritance tax is paid within three (3) months after the death of the decedent. a discount of five (5) percent is allowed (72 P.S. S 2485.7161. Inheritance Tax, other than tal( on a future interest, is due at the date of the decedent's death and becomes delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. ~ 2485.711). Inheritance Tax on <s future interest is payable within three (3) months after the transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P.S. S 2485.7121. Calculate interest from the delinquent date shown on the face of this form to the date of actual payment using the following interest table: ------------ --------- ---------- --- ---- - -------- - - --- - --- -------- -- -- - - - -- -- 1 month .005 4 months .020 7 months .035 '0 months .050 2 months .010 5 months .025 8 months .040 1 1 months .055 3 months .015 6 months .030 9 months .045 12 months ,060 1 days .00017 11 days ,00186 21 days ,00352 2 days .00034 12 days 00203 22 days .00369 3 deys .00051 13 days .00220 23 days .00386 4 days .00068 14 days .00237 24 days .00403 5 days .00085 15 days .00250 25 days .00420 6 days .00101 16 days .00267 26 days .00437 7 days .00118 17 days .00284 27 days .00454 8 days .00135 18 days .00301 28 days .00471 9 days ,00152 19 days .00318 29 days .00488 10 days .00169 20 days .00335 30 days .00500 __ ___________________ ___ _ _ __ __ ___ __ _ _ _ ___ _ _ _ ___ _____ _ _ _ _________ _____e Any party in interest, including thE! Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (601 days <lfter receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P S. S 2485-1001) Make check or money order payable to; "Register of Wills. Agent" Mail to the address listed below: .... .~ " , hI. r- :,; ~.~ ,-,. . O. ... 'L ~~~-. 0,1..... ...,. t'J'"' C:.'-. ,- r.:....; Wl1. :0-' :..:;:; '~ 01- "" C-'CJ 0::'" :EO I a~ 0.- ~::: ",'" "'w - ll.l~ ~ CC,C: II" _J ' U ~ ~ " .. C Z ~ c. f>< ..: 0 ,~ ~ " .~ H H :E c "' ." f>< ..: 0 f>< ~ !;; '" 0 .... 0 :;:; '"" .. ,- P- .,. -, ~ o:l '" t: " ~~ ~ '" !;: o:l ~ .... '" " . . ~ !;: c: ',;; .!:: '-' ~ " " .~ 0 ~ Eo< .", Eo< .S " '" ,...l p.. Z '" ~ ~ ~ ;- .. ~ " '" o:l .... ffi .... c ~ ., ~ ~ ~ 'J, ~ ~ 0 z -:<: ~ " - ," " '" ~ 15 z o:l t}'" p.. '" S I) .. - 0 ~ ~ .!< ~ ~ " ~ ~ c- o:l is z ~ f>< :.- cij . ~ ~ ci ~ p.. H . 0 ~ ~ " ~ " :; 0 '" ~ Z C ,r. ~. u , '" ~ t: i:S i>: " ~ ~ < f>< '" Eo< o:l " - > U ~ ~ .- .., . ~ ~ U ~ 0 o:l ~ S t: - :;. -. ~ z ~ 0 . ~ ~ lil '" '"" ~:j .., 0 z ;: . f>< g c: 0 ~ t c; ~ " ~ " - <: ;; ~ m ~ 0 <t o:l 0 U o:l g 0; .- ~-.. (fj . 0 'r: i2 .~; " :~ " ~ ~ ( 0 Eo< '" :<: r. 0' ,. :~ ~ ~ 0 0 :; t:l u .... ~ ..., '" ! u " ,. ,C to, ,. g r4 . '" u '- I Z '" C .' .- ,- ~ ~ ;!:: c. Z . rtl ::> ~ 0 -" Eo< Z " U Z ,. ,-' . - 0 Eij 0) ~ o:l ~ ,.c: ..- " " 0 . '.1 !-< Z U I o:l p.. o:l ~ ~ "-c. " " c ". f2 '/ (fj ;l .... is o:l '" ,., . . o:l N Eo< ~ 0 ~ .' -:l -- -- - '-:j ~ is o:l ~ '" p.. t c c -c ~" t; ~ Z -< lil '" i.: ." ., 0 .... o:l u \ t E ii '" ~ ,. " :.- " Z Z p.. \.<. ~ ~ 0 o' " , .... u c - '~J .~ ~~ :l ;.: 'C ~ ~ ~ - .~ -::; ~ S ~ ., 0: - '. L.... c.~, . lW. o ,~ It.:.. C':' 6['"(: !Vl..w 0>- 0:'" 0- U'" wlLl a:'" I' C. OCT .~. ;.. ,-" :~Et ~::' 1.1.I~ -' ..., >- "" :!:: I logl .' t eo6ll,mi<!" ... ""....4.0 III . . f -.eeoU"'. d~crP'"d dir.'I:r\bu\ton d ab!ooh..LteIV and :.>, ...rop(')sed sene . d r.(~ ......,' '\ y au the 'n 8<'C." af'i. nefewlth. ~ f dl"uibul\on !\.. 't- ul& (J ~ - . '1 \. \; ~ 1...Q\1."J .-!~ eofrt :k ' '- ( ,,~, ~ fO " H ~ oo 0< oo ~ '" tIlH .-'I ;Hi Itl ::> 00 .-'I:> <t:u "'!>l ",...,0 = ItlQ zoo E""" oo ~ OZ '0 ~~ ~~~ol J:'. ~""'~ U "'~E-< < . \ ~ ~ E--i cnUH .00 E-< < Z ~ ~~ ;J~"'~;; \ 8 "" ~H!>l 0 "'~o= 0 .... 19 ">ell t<~ Q I <"'zz ~ 0 E-<E-<:3Z co ZOOjO'" = ol I H~ E-4~ E-< ... '" N Z ~ H 0 U Z ~ ~ E-< ~ o U u < ~ ~ ~ Q ~ E-< CIl <t: H ~ \" ~ IT . . ", :/, ~ . - ~ :::I ~ :) :J .~ G ,-j '-" :~.. u:g r.:. :.l .~ 05 ~ ~. 't.? _ OJ ... i: ~ .:~ ~ CJ ~. .... \) ~ .oS:5 ~ ,- ...:..: '- :I2 ~~ : .1i :5 ~ 15 :.; r::;~.8 1:! ~.. .~ [3 ::; g '- g _ 'f; ;;: - '- :..:: ,"j ~ iU !.::' ..c --..:::: ~ o '" ~ 1:; (5 ,S 'lJ " .2 g ~. ..r:: .S '.' .' Co '" .. " ..;::' "E " u o .::! :.: .- o .~ "0 ;:: C "V ~ _;:) ~ s.. E ~ c:J 0 .. u Cl) u) '-' :-; '/; ~.) ... :: ;... -"=' " ~ " ., ::> u < '" .~ \ ~ t"- .y t'- ~\~ ~ ~ .~ '0 ;.') ")' :i ~ >> .... '" :g ':; :~ , "" <'" ,~ :::; ~ ~ ~ I>l ;: ~ ti ~ ~ ct w ~ ~ .J Q: a:: l- I- ci cij 8 <. II) Z ~ ;i ~ ~ ~ ~ z W Q D! ,., ~ ~ a: III < III 0 In !ll, en~~..S .. g 4 :t tJ ~ . ~ o < w I-< Z en , Deissler's Flowers, funeral flowers Paul D. Loutzenheiser, reimbursement for death certificate and decedent's final rent New Cumberland Insurance Ap,ency, administratrix bond Dr. Leland Patterson, final illness Frances Y. Gabel, notary fees Register of Will, filing inventory and appraisement Reserve for closing Register of IHlls, inheritance tax TOTAL PRINCIPAL DISBURSEMENTS INCOME RECEIPTS INCOME DISBURSEMENTS $ 18.20 50.00 40.00 50.00 6.00 6.00 75.00 612.65 $ 1,732.70 -0- -0- -, \~ I .JTr-\\'.\ ..\ .~'0(~(Jl:.-,\"\.\~~_.~ Holly J. Loutzenhiser;~Administratrix c:r.A. ,of the estate' of Hargaret J. Illessing CO~lom,EALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND Holly J. Loutzenhiser, being duly s,~orn according to law, deposes and says that the facts set forth in the foregoing First and Final Account are true and correct to the best of her knowledge, information and belief. 'i. . il,-.' '.,0 ~- . Holly J. :." :~-:'.. /1':',1; ":'. :' ,.:<,:. ':..SWi>8n ,to an~subscribed STONE,SA,;iR ,;.t/; ::t:'i.i:'.trl';"s:' ...1 ~ day of ,~. _'''' )~ ,.."lus:.;;. ..... ~ 6: STEW"(IT-..:....~..t';t '.:;:"19' e'I',o c.:: .,. .....c.;.z.. '," ..'., Attorneys at.~'vi.:-': ~!,~: 1'\ .'- ".: .I'\l~' , . ".' ~,. 414 Brld'i.~Sltilllit..:..:':!'~;; '}. ..: ( Ii " , ,: ,t.:II, ." -~ '.~ .. . New Cumberland\. 'P.1,'lf.. - / t,\ ." '" : .. loB "."" PubliC ... ,', ('., \. .....' 'ES Y G. . ~ 17D7D' i..;'..J-~.,..\v.','IRAN" . El'. 01,2;\'82 ",',.,' .~;_?"...__;;.. .'~1 c<.mmlsst6n r ., ; , . .1., . .' .:. I". Cumtetbnd, p,a. ...... ,." -3- , ..-t-. , I,; i...' -,,_)\ Lou tzenhiser, -',_8.'-~, , LW< t"u fill.': l,'J