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Home My WebLink About81-00015 21-81 1~; :-10, PETITION FOR LETTERS OF ADMINISTRATION IN 1'111" ""1' \1"" ()I'- t(~>I J CJ (( . I' /, / l!~', / /'1 "-r; 1)"'('I~ \'-'Ij~n ' ", /, ....o.."..<.I""'/I,,,,,,,,{..,,,.,,:..,,..:,,-',,,,U, 1,,/.. """" " ,/ ,." . I I / MAllY C. LEv/IS To """",..,""'""""""""""""""""..""",",.,""""",."""""""."""..",.,.,..."".."""""" ~::';:~t;:., \:;""::t~;:,t;::..':';:{"h;Z:;;(;,I:~;:::':'~~,:,:'.h.::r.:'::"::":::::';,............ ,'....,...." "..""",,,,,,,,,, '""""",.."" .". '-("CHPC. c. 'l~dl)' ".~ o\\'e I h I hat """"...dG:<'::r.;~~~/.,..<.', "" ,L::,;;, /c.f.c4~..:.,t~, 'd t f y~C ,../ /:" 1t'l"'-((~'I.C 1'o\\'lIHhip (' I 'I' 1(' tl' "t, I> at' P"llns 'I was a resl en 0 ..........t.J::... ..";.'...".-...,,';.......,,;,."'......"'lJ.~h ,lllll Jel tllH ,olln.,~").1 u ..... vania, and a Citizcn of United StatcH, Ilnd depal'ted IhiH life illteHtate in the County of '"""........,..",,,,,,,, C6,,:<<lt(;1i;&.~,'(;:k:,(.... and Stale of ...."/~.},i;f',,",,.. """""..".."",,...,"""""'/"" ''''''''''''''''"""""""""""",,,,,..,, cr-" / . 0'V" on ,.."7.:;,.,LU,rf'.(/:",,,..,, , the ...."..":?,(,.,::"""""""",, dll)' of ..""",'~,,,{/"',~,;,''''',..,,'''''''''''' A, D,. 19,,:'1,,(..,1 at the age of ,,,I.,r;,",~! ,l'eaJ's, r~.' That the said """,."<6.J.~71."("."(;!;,/;~1,;,.:.4!,\,YcleeeaHecl, left HUl'viving the following named widow 01' husband, heirs and nexl 10 kin, to wit: 't ., "Name /' V L.;I /,/ (/ ;Z,.. / t.~it~:::,t~~'~'7?' "11/i"" {.L '" 71:' -L'U:V "...,{,!~"~;;:"'{~~',.."" ':'~;;l~~"""'" ""2,~.."""""......"./k"."..21,,.., '::::~~~~::~~::::::,'~~:~::~:L: ................................................................ ................................................................ ................................................................ RelatiollHhip ('</c ' . , .......i-7'..e;..r..y..\;;.~~;,.;:,....... ............................................ !laC.i?;,! t~-- """,."..""'7""",..,',;",,,,,,,,, """",{?a:h,u.1.r.t"':,..",,, /) / /cd. "'..,, ".,:I:Z:~.y;., ,,~..," L".." .............................,.............. ............................................ ............................................ ............................................ Residence 1-1 t, j, - ,../,7,x..,,~:V,:(.1,:fh!:>;..,~~ "{Z,?:v.:.::,,,...., ..,.- "J --- c'--11A 4; /-i:i" /? e' 7::J ,.." 'lei ~.'i;;:"" ;if" '7 ........",..",.." ......,.."" /"f.. ..,..-:z--t-n_~"./J...F:rl_{t..?1A.., ~~ ~ .............,;;.....~....\';...........,............,~f;(:. 1:1 - :0,:1 t..t.; (...../, 'l. '/' ?'i t'. ~'_ -, ~ t. " -? ...........~;-.:..}.~...c::r/.......-;::.':(..-:................... .. ')' '/ t <.. '-/. ~~l-~-c-'-~'.J , C'--lc...... . .~ t C 'd'-i? /.fC ,-- "..",,,,,,1, ..!.','" f.a:.., r.:" ;r.,;, ,(" [,t, ,q,7,~, ................................................................ ................................................................ ................................................................ ................................................................ That those above named include all of the next of kin, so far as known, The said decedent was possessed of pel'sonal propel'ty to the estimated I'alue of $"..y.,(?(i~?.~~..(!...0! and of Real I~statc. Jess illcumbl'ance, to the eHtimaled value of $..,....I.r::"/.'/!...",,..,.... as near as can be ascertained, That the said Real Estate in so fal" as is known iH locatecl in ,,,,,,1.'.,/,,,,<<:1..,,,..........,,..,,..,,,......,,,,,,,.., ........................................................................................................................................................................................ Therefore, your petitioner(s) I'espectfully llppl)'(ies) fOl' Letters of Administration in the above named estate, Dated ,..i:tL.c.",,,"/:2.,,..,,.,,,,,,,,..,,.. A, D" l!l,::;:i:1 Signature and Addl'l'", of Pelitionel'(,) ~,fc7 1/-/lJ"-y d~' i J~ / l,', L/, /~r: .". ..o4"Jf."Sy!.1.(",y.:.", ~"t.:.:-:(;".(",)7..",....,....".., / './ J / (; '. "".., ..,,,.)"','~""'" k;,<,:, /,,~d;l (.. "(,,f.':!l' ,,'1,<;:':;1,.1.,(,.... -.- : // /1 ~. ,.. /-. // "/"7 --- ... ....~::../(-:.dl.:(0/.....L.~:d;,".................::..?-::.6.~?.......' ",.,.,',.".,',..,",..,"""",..,,,,,,..,..,..,..,,,,,....,,....'....'..".."../J ~ COMMONWEALTH OF l'ENKSYLVANIA tss: COUNTY OF CUMlmHLAND L I """"""""/~::IJf..C,{I:.I..:;,.., "><..." ,~, .,;;.!, , ,/ ,f.;,.',/.....,.".,."......." ,,,,.,.,,, "'" """". """,..", """ ",.." named in the above applici;'tion IJeinl( dll1/ .""...,:;.,:CJ,::,./>.LI,....."...., alTOI'dinJ( to lall', say tlUlt the facts set forth in)he ah~\'e application a"e trlle to tbe hest oJ: ,/,,,.1;:;:. ~lIo\\:ll"!.f(C and ~Je~er., ~. ;' ......' .........'(1,(;( Ir.;, , ,L, ~,;", "':.""..",.",., and s 1I bscrilled "",.", Co:" (,,;.c:.~ (;/";1.: ;{"" Ix(" '/(((;?' /, f.:. :C;(.; "'o<'t;~ II.. (/ ~ 1 before me, """......".."...""""""""""""."""..,,,.,,",,,,"""""'" , "".. ""..,..,,,,,,,,,,, ",!J,~,~,:""~,2",,,,.,, ,.,.."", A, I),. 1 !),8.9"", ..... ",... ,.". ",.,." ",.""", ..,.""" ""","" ",.""""""", ."""....', ,..,..~?iltL!.cl",e...""if~-1!c!..",,',..,':",..,',.. I Reglste,' Filed:. ''',.'!.~,::~~,!:X..,9.,~''''',1.~,f3,l"".."""''',,.,,'''' ..........................".......................,..........."....................... A UOl'ney: "",I3,~,c.~ ~.e.y, ",&,,, !1<l;Cl,~~.~,~""~,t.:t::,y.~, . 240 N. Third St B9~ 877 Harr~sburg, pa.' 1 108 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } COUNTY OF CUMBERLAND, ss: ....:..",fa.f.!{~7",..!Y!.:lJ~,;.4,~v:.........,..,",....,""..,"""..,""".."",.."""".."""..",,'. petitioner~ bemg duly ....",.."<.<...t(.',~2,1.-::I..(.........,..,""",,....:. accordmg to law do . '{,<'(-;r , depose and say that as the adnl1'nl'stra---t;,t.,/l/, of the e"tate of .t.!.:: ~';;(5/' ,.. />',;, c/:;(/-//j;."rz..-' ,(",!io T."" " ""..,..-"..,.~..'7 '..'..'.."'..'.....'...."/"'.""',..'''''''.. """..""""",....,......"", ........................................................................................................................................................................................ deceased ....t(;,:.h..C."", 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, c' ,..""......:i?-d!;,tf.?.1.;l::k::...,,,,.......... and subscribed before me, Dec. 12 80 .......,,,"........................"..".."....,...., A, D" 19..,,,..,,, Rf!i7'.."(1.'..,..~~'''"......,,'''' . / ~ / ,;:,. .f<, c/' ""' ,0" ::::::::::::~~~,~~~::~::::~~<::~:~~::-:~:L:::::::: DECREE Be it remembered that on the ,,,........,?~,~....,"),.... day of ....""..,~,~~?,~:':.Y..."..,............ A, D.. 1~,~...... I ;" ';;6/ 4 " , , /ft-y'{c: {: /, -- (',., Z Letters of Admmlstrahon m the estate of .......,.."',~,o.:..)2,.c.....",L.."...., ..i::?..C "~..,.<:.. ...... ....,............, . C-:'.~ 1 / ~ -'( .:_' ('_' -,'-J'L -?'l,..., ^ ':e'''-...Gtf'1." C; ,..,........,......,........,....",........""....."".."....,,,..,,.......... late of ""'..""..v.;I....J:.\("..............~".7d .~~. ....26....." {."r.,k 7J t/ /, :i1(.!, 7'~ ~ / .' ~~:,~,~,~~~~,~"'~,~,~,~,~~:,"~~~~,~~~,~,~,~,~~:,'~~~~,~,~,~~:,"~,~,~~ ,~~~~~~,~"~~,,::,'~::~:~t~~:::::,:',~:::,:'~,',:::~~::~,~',~::::: Witness my hand and official seal the day and year afores,lid, ~ /' -- '.1 '/' . ) L--'!. ,..' ~ ,.. '" "...."'7/fz7 "..6;, ,.." .. ,L'i:1:'ii:gi~t~~"""" REV~!l19 E)(+ 17~8o' COMMONWEAL TH OF PENNSVLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estoto of INHERITANCE TAX RETURN FOR INSOLVENT EST A TES (Instructions on Reverse Side) Georae W. Fordnev Lost address 152 Wyominq Avenue (STRF.~T1 ... z Enola Pennsylvania 17025 w c W (CITY) (STATEI (ZIP' u W " Dote of Oeoth September 26. 1980 Sodol Security No. 716-09-6624 TVPE OF ASSET pers.prop. II II II II II II. II II II II II II '" ... II II W '" II II '" '" OFFICIAL USE ONLY DATE '" z c ;:: il U ::> c w c c z '" '" ... .. w c OfFICIAL' .USE 'ONLY DESCRIPTION ( ) Exec. (x) Adm. Evelyn L. Nome " , ,_.'./, ....:, '., . .i. -s- J'/ COUNTY NO. J. / - ;r / - 15~ 1'/,1/1 J STATE NO. Oth.r Fordney Sociol Security No. 2.0b16-4734 >- ~ Address 152 Wvominq Avenue ti (STHEETI g Enola Pennsylvania u: 17025 (CITYI ISTAn:, (llPI Under pcnoltifls of perjury. I declare that I have examIned this return and to the best of my knowledgo and be:',f it is true, correct and complete. (;,1 a,1 ;; , % '- ' ,.,. ,..... - 'I.. . Sl!}fli:lturc of Ftdu iHY 1969 Volkswagen HC 1968 II Sedan 1967 II Sedan 1966 II Sedan 1970 Plymouth Sedan 1972 Chev. Motor Home Sp.Constr.Trailer (boat trailer 3000 lb.) 1970 Air Boat (homemade) Reg. Pa. 4668 Z) Fishing Boat ESTIMATED MARI(E VALUE 300.00 300.00 300.00 150.00 500.00 2,000.00 400.00 400.00 150.00 All other assets held with spouse, Eve yn L. Fordney as tenants by the entireties. TOTAL $4,500.001/ Dall! DEPARTMENT VALUATIOH (OFFICIAL USE ONLY) I do hereby certify that the above assets were appraised in accordance with Pennsylvania law. NAME OF PAVEE velyn L. Fordney Jack W. Richardson Lewis HetriCk, Summerdal Penna. Register of Wills, Cum- berland County '.1" !~:.; aN'n~381~n~ . '.O'j ::,I'IW,j;oli}- \1~31 Ll\1 S- iB.:! I. ~;la3~ ~: ,J.; oj ~. $ _;? ()d!f, If) ~~DU.fTION5 ALLC?fEO /1 '/1- /'70-'f ...&lil"y/,} /Y!'/(f.i1,,}(,!) APPRAISER NATURE OF CLAIM Family Exemption Funeral Expense , Repair and remodeling home Letters of Administration and Short Certificates March 27, 1981 OA Tl~ 3,400,00 22.00 TOTAL $8,008.10 ,~.J 4--2-Jl/ LlAT~ INSTRUCTIONS ASSETS: TYP E OF ASSET _ Indicate whether the a..et is real estate, personel property, transfer or jaintly.owned. DESCRIPTION _ Li.t all a..ets awned solely by tho decedent or awned jointly with another purty or partie. os tenants in common or as joint 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 tho surviving joint owners and the estimated market value of the decedent's intere.t os of the date 01 death. Include intangible personal property titled in the nome 01 the ,lecedent but poyuble 01 death to another party or parties including but not limited to P.O.D. U.S. Savings Bonds and tentative trust accounts. List any properly tronsferred by the decedent within two years of death for which he/.he did not receive voluoble and odequote consi deration. Describe all real estatc locotcd in Pennsylvania by lot and block number, street address, numher of acres and include 0 generol description of the I,and and buildings, Also, include the book and page number in which the deed is recorded ond the oxoct title as indicated on the deed. DEBTS & DEDUCTIONS.- Unsatisfied liabilities incurred by the decedent prior to his/her death ore deductible against his/her taxable estote. In addition to debt. incurred by the decedent, other items are claimable including tbe cost of admini stratian, attorney fces, fiduciary fees, funeral and burial CKpenses 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 D brief explanation of the nnture of each debt claimed and the amount being claimed: Evidence to support the decedent's or the estate's liobility for the debts baing claimed should be ottached to this relurn A family examption may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decadent who is a member of the some household can c10im the c'I(cmption. In the event there is no such spoust' or clli1d, the exemption can be claimed by a parent or parents who are members of the same household os the decedent. -l .~ Z ,.. "ll I:) n ~ m m n :r: I:) ~ :;: z ~ 0 0 I:) '" ,.. -< III I:) G'l n C I:) -l m ~ Ii ;0 m 0 m m ;00: z .., >- a :i: -l "ll Ii m z m -l m :>: 1-" en 0 p -l -< en m ~ p 0 Ul en 0- z 0 '" 0 z 0' 3 P "11 "11 m ~ l\) - -<. . z Ii ol> 1-" "< P 0 I-' tIl ~ I-' ~ () ::l ~ Z 1-" . ~ 0 '1:l . III " I-' f1) S ;; 0' III ;:J Ul ~ f1) ;;; . -< ;:J ;;; 11 .L. ~. 11 > Ul -< 0- I-' '1:l -< . a III CO !!II-' m (J) :;:: "" ;:J ::l m :r ~ :! .-t III 0- ::l . 0- 0 III ;:J 0- 0 . 1-" f1) ~ ~ III '1:l ;:J 0 ~ . .0 I-' 0 -.3 . L. a 0 I-' 1:ll Ii e, l\) ~ -.l 0 n 111 0 ~ I-' X ~ 0 ~ Cll Cll -.l -.l INFORMATION ~ ~ tl Z' ~ ,.. z ,.. p Z P en .... '" ~ .... i5 z -< -< m m >- >- '" ::<l PLACE FOR FILING _ The return is to be filed in duplicate with the Register of Wills of the county wherein the deced.nt resided. TIME FOR FILING _ The return is due nine months alter the decedent's death, unless on extension far filing has been applied tor ond 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 willlully fails to file 0 return or other report required 01 him shall be personally liable. . .to 0 penalty of 250; of the tax ultimately found to be due or Sl,OOO whichever is the less to be recovered by the Department of Revenue as debts of like amount ore racoverable by law." ' NOTE: Fees paid to on estate representative; namely. on executor or administrator, for services performed in ad. ministering an estate is reportable for Pennsylvania Income Tax purposes. This taxable income item shoud be reported on form PA.40.lndividuallncomo Tax Roturn, 21~81 No...............,},;?:........, Renunciation and Request ---------------~ In the Matter of the Estate of ".....,....9.'!g,r..9<:!"'~~.~"..f.g.r.~ll}~.Y"..",.....",.."".."..,.,,''''',,......".."......"....,..."..,......... To ...M.<u;Y...,C,."..I...f.,w.iS........,.,,,..........,,..,,,.,,,..,,,.......,,, ....",....,....,...."............""., Esq" Register for the Probate of Wills and granting Letters of Administration for the Cou nty of Cumberland, in the Commonwealth of Pennsylvania, ,~.e.,...., the undersigned, being the "...'?,l}Jy...~.!!J).,9,f~.!l....'?.f.."g~.'?.rg~....w.,~....I::.'?.,r.9.l}~,y..1....p.,~r.;~i):~!?,9.. .................................................................................................................................................................................................. .................................................................................................................................................................................................. ...... .......................................................................................................................................................................................... .................................................................................................................................................................................................. do hereby renounce ,,,.........,,.....,.....9,~.'....................,..,...,.right to have Letters .....J.~.?.!;~!!1~D.t?.-.Dr...",......,""..,.. .......................................................................... on said Estate issued to ........~~............................................................. ..................,.....,.,......,...........".................,........",........,............ .......,.................,........, and do hereby request you to grant the same to ...., ..,..,...,.~.\I,E!.1.y.,n...,k~....f.g,r.?n!z.y.,......,....... ...,...,....."... ............ "...... ..... "..............,...,......,...., ",.,..,,,......, Witness.. g)1.:r....,..hand.?.."....... ..and seal. ..5.... ,..... ..this..... . ..9.t.!!. ......... ...............,......,.... .....,.. ....... ...,.....,.......... f January 81 day 0 ...,.."....,.."."....,...."...........,...................A, D, 19......., Sealed and deli\'ered in Jll'es~nce of ) , ....$J,,~~::..Q~JL'Pi'f.l.....m....1j)~J.'J'10;\::,m....m......(L " "..............,79 GlJ!.,.......,...,....,....,.,..,........,..." !k:i....{/,,:. ../!!::~..;t..!.L':::'l...........,..., (L. S.) .. .......,....... ,... ...... .,..,.......,.....,.....,......................, .....~!.r~...?J.,:'-it!l(i/....i?/I:........(L, S.) ,., .,.....",....".,.,."..,..,., .."......".../......,.".. (L. S.) ................................,............................................... ................................................................................ ,...,..........,.............,.,...........................,...,(L.S.) ................................................................................ .................".............,............,.......,..........(L,S.) ................................................................................ ,.................,.,.....,.......,......,.,..,.................(L.S.)