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Home My WebLink About80-00708 ,T ~. ,. " ,~, ' ,I. ;~.~, '::T< ~:. ~. ~K.... 'it.~t"Yr.."",",\(r;..\ '.': '~.:.~;}*,;:..... ~(l."::-"'.''''''' ~~~~;::;- 1"",rf.~{'1."'" . f~r ';~':;'I,-,.t..,.-, ~~A~:~>~:\ ~~~~~~~.;'t"" r~i;l~};f:~~ '.~ ' l~i~l, :'. :'~O.:.~;,: ':'., r.~.\~, '0- t' .' ~~@t.(.~;,;, ',' ~~~'Tht~::,.",:'.:':: \ ;.~t:t.u;,,,,:,,__,,,, fett\',li\;'(' iii:'<:iI!'f,"',' . ~~~f,f~;,:~ . :'~~ , L ',' ",', ;',~ ,". .,.' ~ . ~ :>i .. ~ I tIJ I ~ .;.,''', " p:; ~ . ,00 . p:; ".' = tIJ .0 ~ ~ . {'w. i t) -- 0 Clt - ~ . co 0 - lit Z LLI Fl'd. p 0 9 5 53.8 930 RECEIPT FOR CERTIFIED MAIL t.U 1:.:-'lJfl:,~;U CC'.'tHr,(~l rf~(\Vi!lf[) ~.(jT lOP. ifnl.m~:d:()~j:,L W,11 (Set' Reverse) ~ Sent \0 ~ Jl\Y 'II. . . .. ro ~ KLl\UBEfl Slreet ,Hl(1 No 17291 W.aLnuLSL PO . Stale ao'j liP Codc ~ YOl'ba Linda,_C~L._..(L;L 86 ci p051age $ <Ii oj .. C.)rldil!d Fell Special Deli~p.ry Fee A051flcled Oell',rery F e.1 Return Reel',pt Showing 10 whOm am1 Oat() Delivered ~ Relufl1 H.lCClpt Sflo.....ing to .....hom. OJ CaW, and AddresS 01 De\lvory .ri TOTAL post~ge and Fees S ~ u. g P05lmar~ or Caw '" .., E (; u. '" a. 2-10-89 " / ill . SENDER: CDmpl...lt.ml 172. 3 Ind 4. ... !i Put your addrllU In Ihe "RETURN TO"lPace on ,ht :I ,lYeI'M lid.. F.Uur. to do 'hi, will prevln, thl, card from I being ,eturned to you. The r.tur" reellot feo will Dravld. ... YOu 1M name 01 thl penon delivered '0 and thl detl of ~ d.UvMV. FOr additional'", the followlnllM""icn Irt ~ available. Consult postmnttr for 'en and check bodnl ':C 'or ,,,,,'uCs) requ"ted. i 1. m Show to whom, dl'l Ind addreu of dlllv,ry. 2. 0 A..trlctltd Clllvery. l 9.l 3. Article Addr.".d to: Jay W. Klauber 17291 \1alnut SL Yorba LInda, Ca. 92686 4. Type of S.,."lce: Artlel, Numb., o Registered 0 Insured I!lI c.nlfied 0 COD P 095 538 930 o Express Mail Always obtain signature oladdreS$eeJU,agent DATE DEL ED. i 5.51 e .n X .., '.: -I. \ '0 ~ I 0() o I ..:J o '" 2 '70u NO. .' 1-80 " PETITION FOR LETTERS OF ADMINISTRATION IN THE ESTATE OF ............}.I.~,:.y....!!.:....~.9.!l.~X.~...."......,..,.... I>ECEASED. To ...~lfl..R.y.".~. ,. ...~E.WJ.!?.... ,......,..... '..... .......".....,. ,..... ,.."...", ,....,.............., ,.....,.... Register of Wills for the County of Cumberland, in the Commouwealth of Pennsylvania. The Petition of ..... ..J!!,l\l.!1.? ...~. ,... ,1.!!!.!1i.~!.. ,.....,...' ,,""" "..,... ,.., ,...,...... ............. ,....., ,.............. ..." ,,,..... ............ ............. ..... ,...... ........ "... ....,..'.... ..", ,.. respeclfu Jly showclh that ., .1In.r.x... kl..... R Q.l\.~ r,:;.,.. ,......."""..... ............ waB a resident of .......!;.g.r..U.?:t~......,..........,....,......~~~o~ ,Cumberland County. State of Pennsyl- vania, and a Citizen of United States, and departed this life intestate in the County of ....CJ\1o.b.~r.lllnd .....,........."....................... and State of ....."......,...,.......,,, .""..,."..,.......,.~.~T.l.n.$.y..~:v:a.n.ia....,.......,..".............,....... on ....Sa.J;M!.H.l1-.Y...,........... the .....,....J.~.\=.h..,............" day of .............J.MA.Y............................. A. D., 19...~..O.... at the age of ....7..fl....... years. That the said .......MIlJ:.Y....l1.....R.Qg.~x:S........."....."..",.."....... deceased, left surviving the following named widow or husband, heirs and next to kin, to wit: Name Relationship Residence Grandson Unknown ............................................ ................................................................ . J.~.Y. ...~-*~.~.~!:l.!.......... ........ ".. ",.......... .~U.~.I:\fl.~,t..l.q.flM!?~.r........................ ........(ir.e.l.1~.?!?!).".,............ H.H....T.i1-.y.1R.r....!?.1;J.~.~.t.....A..p..1;.,.. 3 0 1 San Francisco, CA 94132 ............................................ ................................................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ That those above named include BlI of the next of kin. so far as known. The said decedent was possessed of personal property to the estimated value of $....17.9.Q..,l:l.Q............ . and of Real Estate. less incumbrance, to the estimated value of $........~.~!:l:~....,........... as near as can be ascertained. That the said Real Estate in so far as is known is located in ..........N.9.u~..",..,..........,........,................ ........................................................................................................................................................................................ Therefore. your petitioner(s) respectfully appl)'(ies) for Letters of Administration in the above named eBtate. Dated ..Q!<.~.9.~.~,r...........~.?...I.........' A. D., 1!l..~..9""J?fJ- Signature and Address ~e.:.';;.~.Hi:iiiie~:'..............:..~.~';;\..,............... of Petitioner(s) ~ ....1.ii~.iT~.W;....~l:T7'iiI3..............".".................. ........................................................................................ ........................................................................................ COMMONWEALTH OF PENNSYLVANIA lss: COUNTY OF CUMBERLAND ............"."..........,~.~~~,~".~.:"..tl,~~~.'!'.."..........................................................................................,,,.......... named in the above application being duly ............$.w.Q.r.T.l..................,..,.. according to law, sa~' that the facts set forth in the above application are true to the best of ,Jl.i.S...... knowledge and belief. ..........~):(R.r..I.1,..~R............"..,............ and subscribed before me. :::::'.::,,:~;;;:~~::~::>(:,::~);t;:;;;;;;::::::::::::::::::: ......-a.9.!?~.:.....~.?....~...............~.. A. D.., IJ'..~.Q.. ......::./l~~1};f.l!:...... ~ua~.:.......... 7 7'- Register ~ "/e . Flied: "...N.<;lY.l:ml;l.l:x:..,fl.."....19.aO."........,............ ....................................................................................... ........................................................................................ .......J.i!.IJl~.:l...)t,...J:I.~m~.r..............,........ ;';~j,'lr ~ Attorney: (over) .;? 1-,ftJ - ?o?' /7~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTII OF PENNSYLVANIA COUNTY OF CUMIlEIlLAND ( sso .................... ........J.i!-.m~,1i....~,.....J:!Mm.'il.I.... ..... ..................................... ...................,..,.............................. petitioner ( s ) being dnly ................,........sl~o.r.n......,................ accnnling to law ,10 ,es.............. dcpose and say tbat as tbe administra ..:t:.9X.......... of the estate of ...........................Mar.y....H....Rog.exs........................................................ .................................................................................................................................................................................................. deceased ........IUL............. will wcll and truly administer the goods and chattels, rights and credits of said deceased, 'Il'cording to law, And also will diligelltly mmply with the provisions of the law relating to Transfer Inheritances. ...............................~.W.Q.r..Ij....t9......... and snhscribed hefon'I1lt'. rf.,,~.':':::.::.::....~...~J+::=,::.~...:........... C./.................................................................................. ...ZfYj....,.......Q.S}.Q.R.~.~}...:.;,:F, 19,Jl.lL. .i;~~~(fV'I...e..,...'9.t.~~................................ DECREE Be it rcmembered that on the ..............~.~.~................ day of .............~?::.~.~~.~E............ A. D.. HP..?....... Letters of Administration in the estate of .........~~E:(....~..~....~.<?9:~.;:~............................... .................................................................,................................... late of .......~~!::.~~.~,~.~................................................ . James R. Humer Cumherland COllnty. PennsylvanIa, deceased, were granted to .............................................................................. .................................................................................................................................................................................................. Witness my hand and official sealtbe day and year aforesaid~ ~. / .."......,............/../.l<!.d#",cf!:..~~.:...... ,f/ RegIster Estate No. }J.~.~.9.............?:)H BOND KNOW ALL MEN BY THESE PRESENTS. That we. ...........J.;1In\3~..JL...Jlmnc.r................................... ...................................................................................................... ................................................................. principaL....... and ...........................................................................................................................................................................,............. ........................................................................................................_................................................................. suret..y........, are held and finnly bound unto the Commonwealth of Penns)'h'ania. in the sum of ...T.ht.r);.Y..~.F..9.Mr....t!1!!J..g..T.ed ..i!:n~....~.gjJ.Q.Q.7..7..7..7..7..7..7.~.~.~.7..7..7..7..7..- Dollars (s..3.4.0'0....0.0.........). to be paid to the said Commonwealth. her certain attorney or assigos, to which payment. well and truly to be made. we do bind ourselves. jointly and severalty, and our and each of our heirs, executors, administrators, successors ;1nd assigns, firmly, by these presents, for and in the whole of the said sum. SEALED and dated the ....................;.>..t.4......... .............day of October ...................................................., 19.~.9... WHEREAS. the abo\'e named .........................~.a..~.e..~..,~.:....~.\l.~.e..r................................................................. .................................................................................................................................................................................................. has or have made. or is or are about to make. application to the Register of Wills of Comberland County. Pennsylvania. for the grant of letters ............9J....!\~m.t.n.t.~.);.r..!!.U.9.!.!................................................................ on the eslate of ................H~.r.Y...J:!.,...J~.9.g!;!X.~........ ......................... late of .....C.a.rl.i.sl.e............................. Cumberland County. Pennsylvania. deceased: THE CONDITION OF THIS OBLIGATION is, that if the said personal representative ............ or any of them shall well and truly administer the said estate accord ing to law. this obligation shall be \'oid as to the personal representative or representatives who shall so .administer th e said estate; but otherwise, it shall remain in force. SEALED and delivered in the presence of ------------------------------------------ ___ "_c..':.":.~=__~~:::_::::~____ (SEAL) (SEAL) - ------------------------------------- -----------------.------------------------- n___n_____nn __ n___n__ _ _____n_ _n _ _ __ ___ _ _ ___ __ ___ _-- -- -- --- -- n - --. _n - -- - _n (SEAL) _ ____n__ ____n_ ___________ _ _____. _~.; __ ~:: --~-O':--,i:~~ _0_: ~-~-~~.:~~ ~ifuAL) ~~~.d.-&-'~~. L _______~_:_:./G____:_::~__.c.-- (SEAL) ~by David O. Lillich, Attorney:in-fact COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: Personally appeared before me. a.................................... ..................................................... in and for the county and state, aforesaid .... ............ ............... ................... ....... ............. ....... ......... ......... ...... ........................... .... ......... ............... ............. ....... of................................................,... ............................ ............. and ........ .......... .................................................................................. ...................................................................................................of..................................................................................................... surities 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 som named in the above bond, over and abo,'e their debts and the debtor's exemption. Sworn and subscribed before me this .....................................,.........................................,..... (Seal) ..................................................................................... (Seal) ..................................................................................... (Seal) ,........................................................................ ............ (Seal) ....................................................... day of .......................... A.D. 19.......... ............................................................................................... ..,... POWER OF AnORNEY INSURANCE COMPANY OF NORTH AMERICA l'IIII.,\UI-:I.I-III.\. ..:\. ~no\1) all men b!? t1)C5t prr5tnt5: That the I:-':SURANCE COMPANY OF NORTH AMERICA, a corporation of the Commonweal", of l'ennsv1\'3ll1a. havin~ its principal office in the City of Philadelphia, Pennsylvania, pursuant to the following Resolution, which was adopted by the Board of Directors of the said Company on June 9, 19;), to wit: "RESOL\'EO. pursu.w\ III Arllcll's :1.1; <lnd ;1.1 111' the U)'.l.aws, that thl' fnllll\\'in~ Rule:; ghall ),:'o\'crn the execution for the Company of bonds, undertakilll{S, rcco~nizanccs. COlltral'l!O and other writin~s in the nature thereof: (1) "Such writin~s sh.1l be ,i~ned bl' the President, a Vice President, an A"ist.nt Vice President, a Resident Viee President or an Attornc)"oin.Facl. (2) "Unless si~ned bl' an Attornel'.in.Facl, such writin~s shall have the seal of the COmpany affixed thereto, duly attested by the Secretarl'. an Assistant Se"etarl' or a R,.,ident Assistant Sew'tnrl', When sueh writinl<s .re sil<ned by nn Attol'Oel'.in.Foct. he ,hall either am, an imp"""i.." ..f th,' Compan!"s ,eal or use ,onw other ~eneral1l' accepted metho,1 of indicatin.: use of 11 seal (us b)' \\'ritin~ tht, word "Seal" 0)" the letll'l":; "L.S," "ht,1' hi:-> gh:nntun>). (3) "Resident Vice Pr"id"nts, Re,ident Assistant SCClplalie, and Altornel',.in.Fart may he appointed hy the Pres;.lent or anI' Vice PreSiDent, wltn sueh hnuts on tneir authoritl' to hind the Companl' a, the appninting offieer may seu fit to impose. (~) "Such Re,ident Ollicers and Allornel's.in.Facl shall have allthodtl' to aet as afore,aid, whether or not the Pre,ideat, the Seeret.ry, or both. be absent or incapacitated: and shall al,o han authoritl' to certify or verify copies of this Resolu. tion, the B)'.La\\'s of the Company. and anI' aml.avit or record of th" Company neeessary to the discharge of their duties. (5) "Any such writin~ executed in accordanee with these Rules sholl be as binding upon the Company in any ca.e as though signed b)' the President and attested by the S(>cretary." does hereby nominate, constitute and appoint of Pennsylvania DAVID O. LILLICH, of the City of Carlisle, State its true and lawful agent and attorney -in-fact, to make. execute, seal and deliver for and on its behalf, and as its act and deed any and all bonds and undertakings io penalities not exceeding FIVE HUNDRED THOUSAND DOLLARS ($500,000,00 ) each in its business of guaranteeing the fidelity of persons holding places of poblic or private trust, and in the performance of contracts other than insurance policies, and executing and guaranteeing bonds or other undertakings not exceeding FIVE HUNDRED THOUSAND DOLLARS ($500,000.00 ) each as aforesaid. required or permitted in all actions or proceedings or by law required or permitted. All such bonds and undertakings as aforesaid to be signed for the Company. and the Seal of t;he Company attached thereto by the said David O. Lillich, individually. And the execution of such bonds or undertakings in pursuance of these presents. shall be as binding upon said Company. os fully and amply, to all intents and purposes. ~s if they had been duly executed and acknowledged by the regularly elected officers of the Company at its office in Philadelphia, Commonwealth of Pennsylvania, in their own proper persons. IN WITNESS WHEREOF, the said. has hereunto subscribed his name and affixed NORTH AMERICA this llt;h IIUGH M.. SINCLAIR . Vice-President, the corporate seal of the said INSURANCE COMPANY OF day of . August.. ....19..70... INSURANCE COMPANY OF NORTH AMERICA by IIUGH M. SINCLAIR.. Viee-Preside;;i:....... (SEAL) STATE OF PENNSYLVAXIA t COUNTY OF l'HlLADEU'lIIA\'" On this 11th day of August ' A.D. lU 70, before tho subscriber, a Notary Public of the Commoow..alth of 1'.'nll'l'lvallin. in "nd for the Countl' III' Philaddpllla, duly eommissiooed and qualified, oame IIUGH M. SINCLAIR ' Viee.Presideot of the INSURANCE COMPANY OF NORTH AMERICA to me personally known tu I," the individual aod offieer described ia, and who executed tho preceding instrument, and he ael<oowled~.~d the exeelllj,.n of tbe ,ame, and, h"ing by me duly sworn, deposeth and saitb, that he is the officer of the Company afomaid. and that tb.. ,,'al ani xed to the pree..dlll~ in,trument i, the corporate se"1 of ...id Company, aod the said corporate seal and hi, si~n"lIIr.. as offieer were duly affixed and ,ubserihed to the said iastrnment by the authority and direction of the said corporation, and that I\e,oh"ion, adopted by tbe Board of Directors of said Compaay, re- ferred to in tbo preceding inst.fuffit!nl. is now in force, IN TESTl:>IONY WHEREOF, I have hereunto ,et JIll' hont! aud anixedllll' omeial ,eal at the Citl' of I'hill>delphil>, the day ~D_~.~ea.r first above written. . ...LILA E.BAILEY. ...., N~t~~y"~bli~~" ...... (SEAL)..._' / /:;;" ';0 . ;' /.: "Oi)ii1,:':o';:e..pires May 22nd, 1972 ~:VV(~il:~~~P..~.~:.'~~~.~t'flTli~hi~~'l';~~.r~r;;;,i~bh 1~1>"?f.~yo~e~~~:i.C,:>r.AIr.~~~ a~:.Soc~r?:~P.'1e~~~,~sm~~IC;io~.b:~~b~lf~~:~fyfth.t 1ft "',.z;.. J' w,:oo ~ ave 8l1IU6 su SCn na.me as SSISt.&nt ret.&ry & e corporate se... 0 the , .It'.~. I'll / ~-~ V C' ra ~>"~~~7..~s-:........d&y or............~...........A~....3:t.J a ~ (~Ll ~/ / .....dt.;jj{4......d1.. .... .........,........... ....................... ~/ Aui,t&ot "'t&r1. se.2A I"RlHTlED IN U....... 21-80 7llb No................................. Renunciation and Request ----- In the Matter o( the Estate o( .....J.!!!.r.Y....J.I........R.9.g.~.r~.............................................................................................. To .......}!bg:!....g..,....~.!j.wI.~....................................................,.............................'. Esq.. Register (or the Probate o( Wills and granting Letters o( Administration (or the Cau nty of Cumberl.nd. in the Commonwealth o( Pennsylvania. .......J... the undersigned. being the .....g}:.?!!.d..?o.~...!?.f.....~l.a.IY....t!.,....g!?,g~.r.?..............,....................................,.. .................................................................................................................................................................................................. .................................................................................................................................................................................................. ............n.................................................................................................................................................................................... .................................................................................................................................................................................................. do hereby renounce ...............................ffiY........................... right to h.ve Letters ...g.f....A4ffiJ.!:\j..~.:t;.r..<!.tJ.9.I!......... ...............,.......................................................... on s.id Estate issued to ....,.,..m~.....,........................................................ ................................................................................................. ................................... .nd do hereby request you to grant the s.me to ....J;),ffi!:l.~....R......J:!Mm.~:r...............,......................,.........,................................................................................ Witness....ffiY........h.nd. ......... ......and se.L............ ..this.... '..... ...41................................ ....................................... day o( .............9..c..1:!?!?~.!".............................A. D. 19....?.9 Sealed and delivered in presence of ..\'. f\~JS....~...........(L. s.) '~hael Klauber ................................................................(L. S.) ................................................................................ ................................................................................ ................... ........................................................... ................................................................(L. S.) ....n.......................................................................... ................................................................(L.S.) ................................................................n.............. ................................................................(L.S.) ................................................................................ ................................................................(L.S.) ................................................................................ ...............................................................(L.S.) "~. .. INSTRUCTIONS ASSETS: TYPE OF ASSET _ Indicate whether the asset is real estate, personal property, tronsfer or jointly-owned. DESCRIPTION _ List all assets owned solely by the decedent or owned jointly with another party or parties as tenants in common or as loint tenants with right of survivorship at the time of death. Include the decedent's percentage of ownership, the name (5) and relationship to the decedent of the surviving joint owners and the estimated market value of the decedent's interest as 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 consideration. Describe all real estate located in Pennsylvania by lot and block number, street address, number of acres and include a general description of the land and buildings Also, include the book and page number in which the deed is recorded and the exact title as indicated an the deed. DEBTS & DEDUCTIONS _ Un.ati.fied liabilitie. incurred by the decedent prior to his 'her death are deductible against his/her taxable estate. In addition to debts incurred by the decedent, other items ore claimable including the cost of admini stration, attorney fees, fiduciary fees, funeral and burial elCpenses including the cost of a burial lot, tombstone or grove marker. List the date on which each debt was incurred and/or paid and the names of each payee. Provide a brief explanation of the nature of each debt claimed and the amount being claimed Evidcnc!t to support the decedent's or the estate's liaLility for the debts being claimed should be attached to this return A family exemption may be claimed by 0 spouse of 0 decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spousc has forfeited his/her rights, then any child of the decedent who is 0 member of thc some household con claim the ewemption. In the event there is no such spouse or child, the cxemption can be claimed by a parent or parents who ore members of the some household as the decedent. .... ~ )>- Z ... -0 C n )>- m )>- ~ m C ~ Z )>- 0 0 C '" C ... " n c Cl n c: c -I ~ ... m ~ Pl '" m a m m '" z '" )>- Z Z ... -0 'i m , z m .... m -I P z P :I: I-' '" !t P z -I -< '" m '" 0 '" .... 0 p '" .... Z .... Z 0 0 '" '" III 3 P " " )>- m I-' I-' ;3 0 Z Cl) Cl) '" ::! P -" '" ~ n I-' "~ 0 III N 5:: z ::0 ~ n 'i I-' ;xl :0:: '" C I-' -< ...., .... ~ ;3 ,.... -" I-' - ~ -- ;; C' 0 c' '" .- ...., " ;;; ::r ;. (1) I-' > 'C " ;3 'i Cl) ::0 " ;J> . en Cl) , I-' ,.... 6 ~ m '" N m ... 'i III Po -< -< ... ::! . ;. ;:s '"Cl Cl m m VI 0 Po > Cl) tTl )>- )>- I n ;xl ;0 '" ~ VI 0 I-' en en 00 - ...., ... VI .0 0 I-' I-' I-' ..., , v, _0 !!: ~I-' n a ~ '" ~ INFORMATION PLACE FOR FILING _ The return is to be filed in duplicate with the Register 01 Will. of the county wherein the decedent resided. TIME FOR FILING _ The return is due nine months after the decedent's death, unless an e'l(tension for filing has been applied tor and granted by the Secretary of Revenue within the nine-month period. FAILURE TO FILE RETURN _ Section 791 01 the 1961 Statute provide. that" . . .any person who willfully lail. to lile a return or other report required of him shall be personally liable. . .to a penalty of 250~ of the ta'l( ultimately found to be due or S 1,000 whichever is the less to be recovered by the Department of Revenue as debts of like amount ore recoverable by law." NOTE: Fees paid to an estate representative; namely, an executor or administrator, for services performed in ad. ministering on estate is reportable for Pennsylvania Income Tax purposes. This taxable income item shoud be reported on form PA.40.lndividuollncome Tax Return. it ~~.~~~~.~ TR~~~, ,~~~~~~ Date Novenher 17, 1980 James R. Humer Esq. One West Hi~h Street r:",.1i.1.., p,,_ 17011 Re: Estate of. l..~r:." u Rn:~,..., Date of Death ~~'-~ 19RO Dear ),1,... nl1m~r In answer to your request concerning accounts owned, either separately or jointly, by the above referenced decedent and the balance in each account as of the date or death, we have checked our records and are submitting the following information in duplicate. We suggest that you file one of these letters attached to the Pennsylvania Inven- tory forms (RCC) to substantiate the balance you report. "i Note that we have sho'wn the correct registration for each account. Also, interest accrued to the date of death, if any, is listed as a separate figure. , Very truly yours, Farmers Trust Company ittlt~:ii~(:,''-'1...~ Olive Bolinger V Supervisor Bookkeeping Department ."t. Balance in account # 4-)1615 $1,676.27 -~, !- , " , ,~ -' c;:) =.."" w: r0- t..) " 0- '/lC r::' ~-(_\ --c, ,,-, <.z c;{.. - ::.;1 cc: - ~'-' w~ :5 ae::: o~ , '"~ et;U". -, ,,..,9] oc:; 0::":" UUJ w'" ~"" - -,U ~ U INFORMATION To insure proper credit to your aecoun!, the name of the estate and file number should be clearly print- ed on the check or money order. This assessment is made in accordanco with Section 708 of the Inheritance and Estate Tax Act of 1961 (72 P.S. ~ 2485.708), To the extent that inheritance tax is paid within three (31 months after the death of the decedent. a discount of five (5) percent is allowed 172 P,S, ! 2485.716), Inheritance Tax, other than tax on a future interest. is due aI the date of the decedent's death and becomes delinquent at the expiration of nine (9) months after tho decedent's death (72 P.S, S 2485-711). Inheritance Tax on a future interest is payable within three (3) months afler the transfer lakes effect in possession and enjoyment and is delinquent thereafter (72 P.S. 9 2485.712). Calculate interest from the delinquent date shown on the face of this form to the date of actual payment using tho following interest table: -------------------- - - --------- --- ---- - - ------- - - - -- - -- - -- - ----- -- -- -- - -- -- 1 month ,005 4 months .020 7 months .035 10 months .050 2 months .010 5 months .025 8 months .040 11 months .055 3 months .015 6 months .030 9 months .045 12 months .060 1 days .00017 11 days .00196 21 days .00352 2 days .00034 12 days .00203 22 days .00369 3 days .00051 13 days .00220 23 days .00386 4 days ,00068 14 days .00237 24 days .00403 5 days .00085 '5 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 Any party in interest. including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (60) days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 172 P.S. ! 2485.1001). Make check or money order payable 10: "Register of Wills. Agent" Mail to lhe address listed below: ~~-,.....-."".!~ _...-1 :.~.t t""!"""~;;':;~ .... COM~IONWE^LTH OF PENNSYLVANIA COUNTY OF CU~IBERLAND ) ) SS James R. Humer, being duly sworn according to law, deposes and says that the facts set forth in the foregoing Statement of Proposed Distribution are true and correct to the best of his knowledge, information and belief. Sworn to and subscribed .,,~':b'\l,fore me this / t 1f. day j... 'l;l~ :,S~ptember, 198T:" .';"\.. ....!.,..l.li'. '.~ I :.:~. ','. .' ~I ",0;) "':J . !.7 ~..,c:-) .1.~II-;1. - )"/' ,~,,-,:u.. //-:-...,;:-.,. ',~ )/,1 ;<(1"., .. :J F( i/lL1J.. /./;../~ (~.I>.J. /) ..', ~. -\"'1 , , . :.' '/:<':',;,. '. ,~$~/Ahler1NOTARV PUBLIC o i :" .". ~ ~~ 6lrnimission ~'pi"S JulV 1,1. 1985 ", '~i!? :(. ,\,c.rli~'" PA 'Cum\jCrl,md County ..... . lI~lR 99 FAGE 780 n 03 nr ",'" c-:~ - "'~ .f"':~ -.,-. ~o ~..; I Zl .:1):::0 :.1..-:: =9 ...0 ;:.=:t; ,'j", ~" 'j" - .~ t;.' " :::> . . '-?~~ .'" " Z '0 0 ." ',' ", .:; .- .. ~ '"' ~ H .- - .. .. <r: E- , .. " . ~ ~r. '0: :, - . ". H - .. :z. <"l - ;.> .. ~ .-' " ." u:l<r: H ~ :.J", -'" ~ .. '.' <r: :>- '.' .~ ~ ...1 l-U E- 1: ... . ~ 0 ...1>- ....1 u:l ~ ., " Il: 7- ~ :! p., u:l u:l u:l H .. ~ ~ Q " 0 ~ . r.l " :z :z ~ H Q :> " " "" ~ " . !:: ~ ...1 " : ,,', ~ " ...l 5 ~ :z z 0 " '"' , Ul .: 0 ~ H c:: p:: Q .:! " ;J ~ ~ 7- - t:l.. u:l C <r: l-U -;:; :r: = '" ... .iZ ~ - H p:: U u:l ., " :- . 0 ~ .... .- cd ::a 0 .:>- 0 - ~ ., .. .. "' t<l ~ " u>- H , ~ p., "' 7- .. ~ oj E- Q ::r: 0 0 0; " " 1/1 c: . . ~ p:: - - ;o;"r.l " ~ :z ~ ~ 'C - 0 x ): III 0 ::> E- >- ~ p., ~;;:: ~;g .. t: ~ " :; 0 p:: co p:: E- " ?- " .. 2 E 'I::--' < To " " .' .- 7- E- U ::> 0 <r: <r: ~ r " < " - ~ 'j ~ 0 u p:: 0 ... :;;: ...1 0 ., 2 ::> Q u I - ~ f 0 :z 0 ~ . E- , .. s ~ lfj u '< - 00 0 Q :z .;:. .. ~ ] "" ~ - s - ...~ ...1 u:l I .... E .. '-' " ~ t::: :z ..... ~ u:l t.:l 0<- S .. 0-, ". ... ::r: ~ <r: N E- <r: ::> ~ '> .. 0- ; C ~, " - E- <"l ::r: <r: ~ ~ E- ;.., ~) c; :;;: p., E- U <r: :0 - ..- ? .~ 0- 'f. ~ ~ ~ ~ "- :z ::> p:: 0 u:l ~ 0 E- -J " 'C .. ~ ~ " t H U 0 :z u.l Q P'l u:l .'!:. ~ :; ~ " -- ... -" ~s - 1 --- - - .' -' ". v COMMONWEALTH OF PENNSYLVANIA COUNTY OF CU~BERLAND ) ) SS James R. Humer, being duly sworn 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 his knowledge, information and belief. Sworn to and subscribed before me this ~ day of September, 1981. "":",,,../ / " .,' ~:' ...:::;,."f~'!/ -:/j'/ / '..."v:",,1~[;l:'j.rL..~"'(~// :/:.. (I/~~{'_;j,/./ , " ,~;' '/ ',. /7 . :c'L.' ,:.. ~;\ :1' f/NOTARY PUBLIC . Vi : "Shirll::4 ~-o"~.e!;;. 98~ ~'. ,"\,' ~ ""-!lion,' E)H;lires J'Jly H. 1 ',' loll cornmy-, . co ty ", ,....'... ......-;.'Ol-.,'. cumt..elland un .(. '.',~ I l~h$le..'~ I . oi .~.) . ,"1 ',~; Y .\~ 0 '"..~--, 7-( f! -'" L1BLR 99 PACE 778 0 ex; 0'- ",'" c~ - "'~ s:?: "'0 r:"\). :z> (~; ::0 ?E:;,; ':;J ....':::J "I'"Yl . '~.J - ,::> ........ -- .. <::> .~ .,,-.- -;-,....: ..,., ", r, .. 'C .. ..; ..; . .:, ;:. 2 .'.j ..... ~ 'n r..,' Z 0<: 2 ::: '- ~ "OJ en..; 0 'Q'tJ I G) \ 0> IV 1I'O..c: . " ... ..;> E-o E 11.' v... -U <:.h.. :.:: " ~ ;-; " u ..) ~ t.:J~ U-l ~ ~ ~ .t: >- I ~ ~ 1!:Of ~ 5 on ...:1>- ....:1 0 '-' .. ,- "",en V) rJJ E-o 0> a .. " ZZ 0<: E-o V) '-' ~ ~ 7- ..... U C Q J: ) ~ " zzo U-l ~ z..... o \/l.t:: ~ - , - 7;; :,J Q " 0 ..-j .. _ 0 ~ ~ <: ~ OU-l..... <.:l 0<: ~z .. >. - ~ ~ !Xl c" Q. Ql i..J 0> -. ....1 .. -""'V) 0 < 0 >-< :J =' 0 ...""" '-' " .- ~ .- :0 ~ III .( 5E: ..... o D ... Q) .2 '" ~ ~ f' 0<: U U ., u 1: 0.-,= " .' ;I: X 7. o .;> U "" urh.c . (3 ., ~ .. a 7. u>- >-< ~ < < <:'Cj~~ ::: ~ >- ~ " '.'" E-ol"l :r: 0 cj '- .. .- :g OJ ~ :; c. ,~ -I"., ~ .. ~ ., Z {:. ,,; ... Z ~ c:; .. "- ~ ~ ~ '" ~ Ul ~ O~E-o >- U-l <c.:: 9j C u.D"- -- - 0> 0 I': ~ " ~ C- .. _.r ~ \' I,J 0 ~ en 00<: <Xl 0<: E-o Z U-l :-. ." ~ - ~ ,.. '""']:~R .. ~ ~ en E-o u~ '" < < ..... ~ .- "1 -. a ~ .' " '" I' < 3 " c.:: 0 .... ::;: ~ ~ == <<)i~oU " 7- ( - 'j ~ ::>l"lU 0 ~ ....., U'5- .. . ... I 0 u oz '" ~ l"l . - to: '-1t -. ~ -+.JI ~ III ~ -:J - .. 0 0.< u..;- <Xl 0 l"l Z . - ., , .. ... ~ ...:IV) U-l:r: <0<: ~JJ c- 0 ~ , --.. 10_::1 0 S' .. - -= ] i:J :::; ~ c.::Z .... ~tf.)t.:j - - ~:ii N E-o <::> E-oV) c:; "s ;., '-' E::: :: ~ < ~o Vl U-l u ., '" ::;:p., E-o uc.:: 0<: ::;: " :- - ... ~. ~ " " Z ~O<: 0 V) "-10 ..... < '" ~ ..) '-' '" ':j ..... UO Z "-1 l"l~ ~ .., ::; .,' .. <: ~ :.:: ,. " " - ~ :.' 'J'. - " .. ~ -- - ~ . . , r \ IN RE: ESTATE OF MARY H. ROGERS, DECEASED IN THE COURT OF CO~IMON PLEAS CUMBERLAND COIJNTY, PENNSYLVANIA ORPHANS' COIJRT DIVISION NO. 21-80-708 ORDER OF COURT AND NOW, to wit, this ~I day of October, 1981, upon . ."--. presentation of the foregoing Petition by James R. Humer, Esquire, Attorney for the Estate, and upon consideration of the facts therein set forth, James R. Humer, Administrator of the Estate of Mary H. Rogers, deceased, is directed to pay the distributive share of William Jay Klauber, $488.73, to the Clerk of Orphans' Court of Cumberland County, Pennsylvania. By the Court, ~ (}!J. "08 '-48 ec:r.... rAGE I ., ,..._".,... . . r'j:-nl.~... . IN RE: ESTATE OF ~IARY II. ROGERS, DECEASED IN THE COURT OF COM~fON PLEAS CU~IBERLANn COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-80-708 PETITION TO PAY BENEFICIARY'S IHSTllIBUTIVr: SHARE TO CLERK OF ORPHANS' COllin TO THE HONORABLE THE JUDGES OF SAID COURT: The Petition of James R. Humer, Esquire, respectfully represents that: 1. He is the attorney for the estate of Mary H. Rogers who died July 19, 1980, and was appointed administrator of her estate on November 6, 1980. 2. That he has filed his First and Final Account and Statement of Proposed Distribution showing the sum of $488.73 distributable to William J. Klauber, one of decedent's two grandsons, whose address is both unknown to and unascertainable by your petitioner. 3. Your petitioner, in an effort to discover the where- abouts of the said William Jay Klauber, made inquiry, without success, of the follO\~ing individuals: Michael S. Klauber, brother Helen Weber, great-aunt Ann Fravel, cousin Cynthia Klauber, former wife William F. Klauber, father Cumberland County Domestic Relations Office United States Office of Personnel ~lanagement, Employees Service and Records Center, Retirement and Insurance Division, Civil Service Retirement System Mechanicsburg Porsche-Audi, Inc., former employer ee:l; :':"08 P~GE '745 4. 'I'ha t subsequently ~lichae 1 S. Klauber, brother, provided your petitioner with an address for William Jay Klauher at 1601 West MacArthur Boulevard, 29A, Santa Ana, CA 92704. 5. On September 1, 1981, your petitioner directed a letter to William Jay Klauber informing him of the pendency of the estate, and on September 10, your petitioner directed another letter to William Jay Klauber at the same address enclosing a copy of the First and Final Account as filed, Statement of Proposed Distribution, copy of the will, and a letter informing him of the filing of the account, the date for presentation to the court, and the last date for filing exceptions thereto. Both of said letters were returned unopened and are hereto attached as Exhibits. YOUR PETITIONER believes that he has exhausted all avenues for discovering the whereabouts of William Jay Klauber, and that the said William Jay Klauber is concealing his whereabouts for reasons better known to himself. WHEREFORE YOUR PETITIONER prays your Honorable Court for an Order directing him to pay the distributive share of William Jay Klauber, in said estate, to the Clerk of Orphans' Court of Cumberland County. And he will ever pray, -----.,,/ 1/.7 l- I .' !j ~<.--",...--,. /' \. 'It{:' - , , J<}fnes R. Humer, Administrator I1state of Hary H. Rogers, neceased , \.. ~cc~ 108 pm '746 ~ c,t, W .- t'. u"::' 5 LL~ ~. (".J , \J." c~ c." _I 'j a:: .~, . c;. , ,. 8::;: ~ "~J -~: :.: ",'-' C'O:J 0:'" - ~u fO co < H Z VJ UJ< <:> >-O~ ~.... 0::0:: ....>-0 <~ "-UJ ~ ......... ~ .. ~ ~ c: z zz uu ~ E " 3 zzo >-0 ..... ~ " ~ O~H 0:: "'-0 " ~ ". ~ ~ .. < :Z~tf) ::i ~E- :l .. ~ Ul ::;: H """ Z ;!: '" ell ~ Z o -:> ~~ ' .. - z U>-OH "'- P'l0::E- pi ,. 1Il 2 " E-!Ol O!Ol >-o~~ w :: ~ 0- "'-Z ~ 1/1 Z ~ ... ,; O::>E- ~UJ <UJO c: . · " t:1 0 ::: ~ . 00:: co E-< "" U - h " ~ J E-U::>O <~ ~ ". x ~ ~ 0:: 0"- E-U 0>- ~ < ::: z < ::>!OlU , UJ~ E-H 'J ~ 0 u OZ 0 ~~ E-Z U<- co Z::>< ....UJ I o~:r: ~o::z...; ..UJ .....H"- ::C~<N ~o:: E-O::O:: e-.~::::: O::~ HE-O :z p.. . <.::l E-UJ Z::>O::O :2:0 ~H~ .....UOZ HO:: ""!OlO , , . ...... ... \l ~'H W~ I"')~ \ SI{I.!i.. 'i.t" 'foRB!\- ~tJ()A-, CAu r. 'la~<2:b l\c.lvUV\e,~~q, \'\~ ~ e. htwl S R'ifrlsraA It ~ wi u.S ~~~H.AN.o <!.olW~ <!(}.,u'2X~CA~~ CAa,US<.i / ?~fo.}NA-. tlot?> \)z.a.R t<b. ks:.w's " ~ c;;wf eolJ()U<S AflOP of failll4 's OAf( RmAfIi)/NI'r ~ ~5rA f'i 0 f' 'fr\A [Il/ ~ . Ro~ fA. ~ G.1<JI /olD IYIOi H-">R. I '" Ho p'sSW /.\v>il'1. :l>' (f,J!~ ,1"190. PW~'i. ~'i. tLW> ~<UX"t/>.. M ~dWi. f\lA18<>flA1't 1'0 /1.~A6~ --ri*- :1IJ1l-~n,"t'f. ~ 6'1 'PI.\.. A~ 0 11/-'i. <!~t.)i./lCftl- l'IA1Io/JA~ 6A t-:k I /I.q~ Buf1-6". ~,,"JI. . 1'0 ~I G"RI' W .ICtAll.6q<. I %~ m-3HSD /IS slI'L w/s!i-'iJJ . 1: 1"NA"'" ~lilI foldl.t ~o<<fl ~PI iJQ/LI!lll: ,.y R6~tPCi/ !1J1u-tS ~vP... ~~) ([""ITW .l(Q~ m ~.:: . ' . r.;.. ;:~~ -:-~! W1T lJi~<; : State of California) County of Orange ) ss. On November 29, 1988 before the . ita~e of cal1forn1a,'personally a~~~~~~~g~ed'wa Notary Public for the o e the person whose name is subs' ay. Klauber. known to me acknowledged that he execute~the cr1bed to the within instrument and _ s~. ' &;:'n __) ~-' €t_~ , ( .. I .,......,..,. .-' "--- ..-- \ " 'II ~, I ':, -, "" \ . ...1 \\ ','\<' ..a ~ \ ..' ,,0 '\\'.~~\:::' ' _'\~".~/ILJ; ;.:r':'1 I ..... ....,. \;_1 ~"..:t~-~~ . 1 . -""1,,1' > )~)p--'~'i~~,~ .\ [~ I "t, 'i. ~, .. .' \-c: .I / "<'." .- . :! --~. , . , ,\ ~ J.1l Vl :> o :>:: l;; :> ffi 8~ CO .... :> Vli:~ :j .... Z...... :.: ~5. ;o.tLl""u< <t&lUQa.. ..,E-o ~~~~~ ~CC:Xl.lll-4 ",,!iio!i!"" ;Qt3e~ " , , ., , ) ~ , .... ~ -~. ~ ~~l ~ , <Xl t1 0 VI r:: ~ - O~Ol ~ . ~ 0 ~ c i ~-"- ::;0 . -'" C.g" .:)(5 ,0.0 8~ o lXl '" VI .- o ci ~ " .~ _"-:I: ---0 V + B ;j N V L -r 0- -' ~ <V DC C I.- -' -' ...r- <ZJ DC " .-, , r IN RE: ESTATE OF MARY H. ROGERS, Deceased IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA : ORPHANS' COURT DIVISION : NO. 21-80-708 ORDER OF COURT AND NOW, February 6, 1989, the Clerk of the Orphans' Court is directed to pay to William Jay Klauber the sum of $488.73, plus accumulated interest or a total amount of $713.17. The sum of $488.73 was, by order dated October 21, 1981, directed to be paid to the Clerk of the Orphans' Court pursuant to petition filed by James R. Rumer, Esquire, attorney for the Estate of Mary H. Rogers, Deceased. By the Court, =~c~ ~ .X~ ,C) .;:) ..... .J) Harold E. 'Sheely, P.J. '.. <l' I ,7.) :pbf ~. ~ \,..... V "" '.'.... <- Oil ~. ....; 1 A'.) ...., . ,..1,,, _..~) t... n,el"\ ,.':'J.l:J 00 tvy'J'lD ~I-~OO '70/; P 095 538 929 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROViDEO NOT FOR INTERNATIONAL MAIL (See Reverse) ... Senl to ~ Ja ~ ~ .. .. ~ W. Klauber 6 c:i 0: d Postage iii ,; . s Certified Fee Special DeliY'cry Fee Restricted Delivery Fee Return Receipt ShOwing to whom and Dale Deli....ered ~ Return receipt sho.....lng to whom, en Dale, and Address 01 Delivery ~ .g TOTAL Postage and Fees S "- g Poslmark or Dale '" M g ~ - 7 -C;;9 "- en .. " 1 I \ I I I PURCHASER'S COpy OF CASHIER'S CHECK DRAWN ON BANK SHOWN HER~ON ~w The Commonwealth National Bank 23 CORPORATE HEADQUARTERS P.O, BOX 1010 HARRISBURG. PA. 1710B 60.82 313 052565 . .. <~ DATE~. 7 1989 PAID TO Wl11t alii Jay KlIIuber fOR 7" 76 .'...:-.... .,' .' ... NOT NEGOTIABLE .. , '.... Mary~.. Lewis 180-~17535 ::;'. .',' CASHIER'S CHECK ,.- / ,,'/ / ,/ ~/ / (/"./ " '. SAv<THIS c6\.:~ FORYQU~~coRir- ~ " . .~.. '.. 'd- .... "'?