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Home My WebLink About80-00792 ':.. ;"c .;., IJ~ {1~~' ),~~j:'. ~~L.~ I:~ ;~(<~. "" "'- ..... ~:.: . .,' ..... :,.;. ...;........:' '. " "',.'- .... ..... ........;. "., . i:i >< ~ " ~ i;:l tIJ H ~ tIJ ~ SE t'I ~ t:l ~ . t) N ~ z r:1 0 0': tIJ ~ H r-.. ~ H ~ ~ t) CI ... 00 0 . - N ~ .. \R . CO 0 .. \0 Z .. LLI " I-";I(},I"} t' . ]~... , ; J I I NO, 21.80 PETITION FOR LETTERS OF ADMINISTRATION IN THE ESTATE OF .Lo.t:tie...Blas.zak........,....................... JlECI~ASE(). To .......,....~~~!:.'I....~.:....~~~.~.~....................... ...............,................... ........... ..... ....,.. Register of Wills fol' the ('ollllll' of ClIl11hcl'lalld, ill t he Commonwealth of l'ennsl'lvania. The Peti tion 0 f............ !3~.~~.. !.~~. ~.~ !?~...... ........ ........................ ..,............,. .............. ,................,., ,.,... .... ......' .., ........,.. ,.,...........,......................,...... respect f II Ill' showe I h I hat ..., .~~. j;.~?,.~... ~J~ ~.~.i1-.Js..........,.,........... ...,.,..... 'd t f Carlis le i4loK'lll41tpc C I' 'I' 11 COli tv Slo te of P 'nns)'I- was a rest en 0 ..........................................................Rorough . unt Jel ,1I ( It ~ I" \ e vania, and a Citizen of United States, and depal'ted this life intestate in the COllnty of .~.~~!?,!:E.!,~!:I:~, .... ..............., ..,...." .........., and State of ... .?!i!.n.I:\ .i?y.~y.i'l.1:\i..<I.......... ..........,........,...,..,..... ....... ,....,......"......... ............. on ..~~,~,~~,~.~~.Y......,..... the .........~.~.~...................... dal' of ..,.!'!.<?y.!::~.!::.;:......................... A. D.. 19,..?9,... at the age of .,..!!.L..,.. years, That the said .....,...J~!?,j;!;Jg...~Jil-.~.~.il-.l!;............................... deceased, left sUl'viving the following named widow or husband, heirs and next to kin, to wit: Relationship Residence Name Rose Nelson .....~.<:':~,9.~!:-.~.~ ......,.. ......,.. ..!3-.~.!?~..EI....~,<?~...~~.?!.\1....n~~y,U.le , ..(;.9.};'.I1fi\l}.t~.k,~y.Ul..e",."J:llil).oj.s ,.!"!-,<?!.~~.~.';L.!1~~.g9.!'f,~.!,...~!,~,~!?-,~~ s Carol stream, Illinois ................................................................ ................................................................ ,...~,<?~,li:J?h-..,~.~,. .!i~,~!), *.~!;,....,.......... Henry E. Hoehler ................................................................ .....~.9.!L.......,..................... son ............................................ granddaugh ter Doreen Ruzanski ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ ................................................................ ............................................ ................................................................ That those above named include all of the next of kin. so far as known, The said decedent was possessed of pel'sonal Jll'oJlel'l~' to the estimated value of $...~.Q.Q.~.Q.9................ and of Real Estate. less incumbrance, to the e<timated value of $..~.~~~...................... as near as Can be ascertained, That the said Real Estate in so far as is known is located in .....................................,...........,..........,.., ........................................................................................................................................................................................ Therefore. your petitioner!ll) respectfully app~(ies) for Letters of Administration in the above named estate. Dated ...,......?.~~.:....~~........................ A. V" l!l.~g... Signature and Addl'e" ltWJ!-11 ~ "'Re; s-e" 'Ne 1: s'on:" .......... ..... .........,.......... ...... ..., ......... R.D.#3, Box 325A "'Newv-il'le ';'" PA:.....Hi2.4-l....'..".........,................ of Petitionerls) 1/10 ........................................................................................ ~:<hr/) - 71;.- .......... ......... .............. ......,.. ..,............,........, ..................... ..----4 ~ f.j ,......,.......,...... ......,.......,..~~,~~...~~~.~9.11. .......... .................... .... ...... ......... ..........,.........................................., named in the above application bcing duly ......~.~~!:.r1............................. according to law, ~ay that the facts set forth in the above application are true to the be~t of ..l1,~.r....... knowledge and belief. ,......... ...Ji~9,P:\............ ................... and subscribed ....................... ,....................,...... ................ .... ...,.. ..... ...... ...,..... .. r.tUW....(!,:.. ~~<<~:!-:!..........,.......... {I 7: Register Filed: . ...,.P~.~.<::!?~~~......~.?.~....~~.~.~,.................. COMMONWEALTH OF ['I';N:O;SYLV ANIA COUNTY OF CUIIIBERLANIl 1 I ss: ........................................................................................ ........................................................................................ ...t~....1:2~.........,...,........ A llorne~': ....Il.~~~.~~~.r1...c;:.~....!?a.~.~.~,.!...~~.g.~., OATH OF PERSONAL REPRESENT A TIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 1 ss: ...............,~'?,~~...~,~.~~.~!:l:........... ........ ......... ...........,.......,. .... .....,..... ..... ..,. ............... ..... ..., ......,.. ......., petitioner (s) being duly ........,~,~,?:7.~,.........................,.......... according to law do es.....,.. depose and say that as the administra .*,:!:~....... of the estate of .....,H.9.:\;j;J~..JU;;l.~.;!;a.k".,................................,....,................................ ........................................................................................................................................................................................ deceased .......~.h~......... 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, Sworn ' .....................".,..,.......,...................... and subscribed before me. Dec. 19 80 ...:a:;;,.......,..........~................. A. D:, 19...,...... R~{;~(!(.~....e,,:.,dft.~............. I I I i \ \ I I \ I , I I ......g~.....,1i..~~................. ............................................................................................ DECREE Be it remembered that on the .....,...3.?.~~........... day of .........,p.,!7.s,~,!!',e~!:"................. A, D., 19,9.R.... Letters of Administration in the estate of ,.....,.)~!?!<:t;Jg...!r!..iMl.?~.K............................................................, .... .......... ....... .......,. .................... ..... ...., ........ .............. late of ,..., ..,~~.~...!!,'?!?,~,'::s:h...~,t...c;:,a.!?,~.~~,~~.!............... Cumberland County, Pennsylvania, deceased, were granted to ......E.os.e..,N.el.s,on................................... ........................................................................................................................................................................................ Witness my hand and official seal the day and y~~,~..~~.~,~ql~4.:.:lu'....e:. ~.~.......... t/ ~J:b. Register .\ .:- \ \ I \ I I \ N o...~J.:~.Q...............? ~)2 Renunciation and Request ------ In the Matter of the Estate of ......,..)~9.~r.I];:....12.~b.??:.~............................,................,.....,...,................................... To ..............,.....,....~,~,;::y....~.~,...~.!;.~.t.~..,...................,.....................,......,.............,... Esq,. Register for the probate of Wills and granting Letters of Administration for the Cou nty of Cumberland. in the Commonwealth of Pennsylvania, ........,.... the undersigned, being the ........)::~~.~....~.~...~~.~.~.~~...~~.~~.~.~~.................,...,......,................................. .................................................................................................................................................................................................. .................................................................................................................................................................................................. ...... ........................................................................................................................................................................................... .................................................................................................................................................................................................. do hereby renounce ..............ffiY........................................... right to have Lellers ....QJ..,b9:mi!)J.~.t.!'!;\:tJQ;}.......... .......................................................................... on said Estate issued to ...............~X.~~.~!.......,...........,........................ ................................................................................................. ................................... and do hereby request you to grant the same to .................RQ.~!?..~!?.;!..~.9.!!.............................. ............................................................................................... Witness.......~~.....hand................and seaL............. ..thiS..........lq...~............................................................. day of ........Dec~CI.\.,.............A. D. 19W Sealed and deli\'ered in presence of ../~1...t:..2~....(L. S.) Henry Iv.' Hoehler ................................................................(L.S.) ................................................................................ ................d.............................................................. ............................................................................... ................................................................(L.S.) ......................................................................--........ ................................................................ (L. S.) ................................................................................ ...........................................................,.... (L. S.) ................................................................................ ................................................................(L.S.) ................................................................................ .....__.........................................................(L.S.) 21 80 .-.0'" . I .. J''''~ No................................. Renunciation and Request ------ In the Malter of the Estate of .........J,.9.:J::J::U::....~.!:>b.??o.N.L..............................................................................,....,.... To ,..,.........~~:.Y.....~.~....~~~~.~................................................................................,Jfllql. Register for the probate of Wills and granting Letters of Administration for the Cou nty of Cumberl.nd. in the Commonwealth of Pennsylvania. ......~..... the uodersigoed. being the ..............h~~.~.......,..'?f.. ...L..~.~.~.~~...~~.~.~.~.~~..............,.......,........................... .....,............................................................................................................................................................................................ ................................................................................................................................................................,..............................,.. .......................................................................................................................................................................................... ...............................................................................................................................................................................................,.. do hereby renounce .................my.............................,..........right to have Letters .......9.F.....b.QmJ1}b.!?:l;;F..~.!:-.~g!!...... .......................................................................... on said Estate issued to ............ID.Y.$.!'?J.J.:.............................................. ................................................................................................. ................................... .nd do hereby request you to grant the same to .. ...........................B9.?~...~!?.+..!?.9.!l:............... .............................................................................................,... Witness..ffiY...........h.nd.................nd se.!.............. ..this...... .....J.9.~:......................................................... d.y of .........~.QMVk...................A. D. 19.~ Sealed and deli\'ered in presence of ;jo'se' . 'G~"'H~12f.~B.) ................................................................................ ................................................................<L. B.) ................................................................................ ................................................................<L. B.) ...................-.... ....................................................... ................................................................<L.B.) ............................... ................................................ ................................................................<L.S.) .......................:........................................................ ................................................................<L.B.) ................................................................................ ................................................................<L.B.) ................................................................................ ( ) e.ec. \Xl Adm. Other Nome J~.. ~Q c..~ Sociol Security tlo. 35' 't". 0'1- l/-If 5'7 S Address 1<. D. .. 3 - \?> tn:- 3 .1.5" A u t A (J (STREET) ~ ll~I1~D"" fa. 11 ~ l.\:.1 ICITYI (STAT!:.) rz.IPI Under penalties ot perjury. 1 declare th:n I have examined this roturn and to the b~5t 01 my knowledqe and belief it is true, correct end complete. -R ~s~gn"~o; ~~ o!.~ -/7" S/ I do hereby certify thot the obove ossets were opproised in occordonce with Pennsylvania low. ~~bv~ REV-519 EX+ (12..&0) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT INHERITANCE TAX RETURN FOR INSOLVENT ESTATES (Instructions on Reverse Side) STATE NO. COUN TV NO. Estate Ol~' ~? /JA- '-+I Lost address Jt..p, 3 - B r1'f.- .3:l 5' ft. (STREET) i ruJJ~. ~ t C1TY) w o r a... . (STATEI 11 ;}..11-( (ZIPI Dote 01 Deoth Q!I'lIll.......JJlh. 5", L9.50 Sociol Security No. 3Lf-O- /10 - '300 '1- I I I , I I I I TyPE OF ASSET 1 i~u- DESCRIPTION ESTI"'A TED MARKET VALUE 'Ii /:; 35. 73 rvt ~~ yfJ ~ ~ii :/i#'< s&z.."1u~ WVY"/~~I/i-- - , f~~ 1tI~ ~ ;;/Ilia ai ~Wvjif~ ~ 1Jt~itf~~<t~ ~~~.~ II 0 9 ? b3 S1J 1). DO OFFICIAL USE ONLY NATURE OF CLAIM DATE NAME OF PAYEE ofJ,4.(!,. /~/'1 ~ !3t,,,/,...dw~< ~ ~~..-.--' "'-'7' ~. (f?A.~ ~ ~ fI/I:~/98'() B~~ .:f~~~ i 'M":19/91, AL.,/J.JJL~.A"')~ ~ (P~ A~ ~ '7T~ fI,...,,- #~ ~ ~~/ (o2Ji) ~:Z;~Pd)~~ (~ m~ OFFICIAL USE ONLY - I /- s 1 t' .f"7-, liP oi'OUCTlONS ALLowED , .) Vi j .vi- I R'2J' TER OF WILL OEPARTMEHT VALUATION (OFFICIAL USE ONL YI 1, t.~.1, 17 Jfl ~-,;z,'1-$ OAT~ AMOUNT CLAIMED If. :J- 55. :L9 / ~ b 3~' eo 'j ftP-. b:L 3 9S.00 /.2. 2. ~r S,/.6'13 Ij-.:{ 3 -J7 DATE INSl RUCTIONS TYPE OF ASSET _Indicato whether the asset is real estote, personal property, tronsler or jointly.owned. DESCRIPTION _ List all ossets awned solely by the decedent or awned iointly with anathar party or parties as tonants in Coiiimon or as laint tenants with right 01 survivorship at the time of death. Include the decedent's porcentage 01 awnorship, tho namo (s) and relationship to the decedent of the surviving joint owners and the estimated market value 01 tho decedent's interest as of the date 01 dooth. Include intangible personal property titled in Ihe name 01 the docedont hul payable at death to another party or parties including but not limited to P.O,D, U.S, Savings Bands and tentalive trust accounts. List any property transle"ed by the decedenl within two yeors 01 doath lor which he/she did not receivo vallloble and adequate consideration. Describe all real estotelocated in Pennsylvonia hy lot and block number, stroet address, number of acres and include a general description 01 the land and buildings, Also, include ,he hook and pogo number in which the deed is recorded and tho exact title as indicated on the deed. DEBTS & DEDUCTIONS _ Unsolislied Jiobilities incurred by the decedenl prior to his/her deolh are deduclible ogoinsl his/her laxoble estote. In odditian to debts incurred by the decedent, olher items ore c10imable ine/uding th.. cost 01 odminislrolion, ottornoy leos, liduciory leos, funeral ond buriol expenses including the cosl 01 a buriollot, lombstone or grave marker. List the dote on which eoch debl was incurred and/or paid and the names 01 each payee. Provide a brief explanation of the nature of each debt claimed and the amount being claimed. Evidence to supporl tho decedent's or the estate's liability for the debts being claimed should be attached to this return A lomily exemption moy be claimed by 0 spouse 01 0 decedent who died domiciled in Pennsylvania. II th..re is no spouse, or if the spouse has forleited his/her rights, then any child of the decedent who is a member 01 the some household can claim the ex"mption. In the event thero is no such spouse or child, the exemption con be claimed by 0 parenl or parenls who or.. members of the same household as the decedent. -< Q 10 r " 10 ~ "Il :I: 0 :z 10 :z ? " " " " ~ ~\ }>- :z c ~ C a ;U 10 ~ m 0 '" - '" (; 3 0 '< ~ ;; ." .. 0 ~ 0 ;;; :;. " 5' ~ m '" m ;. ::J 0 0 ~ - a ." ~ !:, n a ~ !: "Il C n }>- m > ~ :z > 0 0 C II> C C'l n c: c -< ~ r m 10 "" :z '" > :z :z r z z 10 -< m -< ? ;: ? 0 -< -< II> m II> ? 0 II> 0 ~ -< Z '" ? 'TI 'TI I }>- -< 0 Z -< m > '" INFORMA TION PLACE FOR FILING _ The return is to be liled in duplica'" with the Register 01 Wills of the counly wher..in the decedenl resided. TIME FOR FILING _ The relurn is due nine months olter the decedent's deoth, unless on extension lor filing hos been opplied for and granted by the Secretary of Revenue within the n:l\c~month period. FAILURE TD FILE RETURN _ Section 79101 the 1961 Statute provides that" , . .ony person who willlully loils to lile 0 relurn or olher report required 01 him sholl be penonnlly liable. . .to 0 penolty 01 25% of the tax ultimately found 10 bo due or $1,000 whichever is the less 10 be recovered by the Deportment 01 Revenue as debts 01 like omaunl ore recoverable by low." NOTE: Fees paid 10 on eslate represontative; namely, on execular or administrator, for services perl armed in ad- ministering on estate Is reportable lor Pennsylvania Incomo Tax purposes. This taxable income item shoud be reported on form PA_40.lndividuallncame Tax Return, INFORMATION To insure proper credit to your Dccount, the name of the estate and 1110 number should be clcally print- ed on the check or money order. This assessment is mode in accordanco with Section 708 of thu Inheritance and Estate Tal( Act of 1961 (72 P.S. ~ 2485.7081. To the extent that inheritance tax is paid within three {31 months after the death of the decedent, a diseount of live (5) percent is allowed (72 P.S. ~ 2485.716). Inheritance Tex. other than tax on a fUlUre interest. is duo at tho date of the decedent's death and becomes delinquent at tho expiration of nine (9) months after the decedent's death (72 P.S. 9 2485-711). Inheritance Tax on a future interest is payable within three (3) monthS after the transfer takes effect in possession and enjoyment and is delinquent thereafter (72 P.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 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 .00186 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 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 -- ---- --------------- .-- -- - -- -- --- -- - - ---- -- - --- ---- - - - - --------- --- --. Any party in interest, including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (601 days after receipt of this NOlice as provided by Section 1001 of the In her ita nee and ESlate To. Aet of 1961 (72 P.S. S 2485.1001 I. Make check or money order payable to; "Register of Wills, Agent" Mail to the address listed below;