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PETITION FOR LETTERS OF ADMINISTRATION
IN TilE ESTATE OF ............Nl~.!!^.I~I,).,...q;q............. ............ IlI,CEAS~;().
Tu ................~!!~~...q.......~E.~I..!?................... ...........', ..... ........................
Register of \VilIH fol' the COlllll~' of Cumherland. ill l l!{' ('Ol1llllo11\\'(~a1th or Pclln:-i~.l\'ania.
The Pelition of . ...I)......~O'~~.~.~...}~..... .L.~o....... ................. ...... ............. ........ ..... ... ..... ................. ..... ... ...................
.......................................................... reHpectrull;' showel h I ha t ..Mi.c.hael.J....Le.a...........................................
Wll8 a resident of ...."(,9.\'!!"J...^~.+.~.!\....................... ......'~:;~~p ,('ulllhel'iand Co~!'ly,))ti\\e.\'f Pennsyl-
vania, and a Citizen of United StateH, and depart.ed this life intestate in the County or ............................
...~ ~!!'.~.7.!:~~~.d................ and S ta te u I' ......... P. !:!:.':'. ~y. ~ :V.I!- !:.i.~.......................................................................... ...........
on ........'!'.\\H!:p..9.?:Y.............. the ........~q.~)).................. ... da;' of .........T:l~:v.~.'!!R~!:........................ A. D., H).SO.....,
at the, ~g'1,o.f ......?9..",.,. rl'ea"~. .IK I ' I ., ',.
That the said ........!1~.~.~~~.1...J......~.~.O'....................................... deceased. left surviving the following
named widow or husband, heirs and next tu kin, to wit ~
Name
Relatiollship
Father
Residence
Robert H. Leo
......................................,,,.......................
............................,...............
128 Allendale Way,
................................................................
........................................".".."...............
............................................
.C.<\I))p...J:l.Ut,...\'l\.....17.9.U....................
................................................................
......................,.......,....,.,..,...
."..............,..............................................
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"............."...............................................
..............................................,....,..,........,
...........,...............,..........,.....
................................................................
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................................................................
.........",....,.........,................."...............,..
...............,.....................,,',...
................................................................
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....,........................,....."......,
................................................................
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That those above named include all of the next of kin, su far as known.
The said decedent was possessed of personal p,'opert,\" to the estimated value of' $.25.0)00...................
and of Real (,state. less incumbrance, to the estimated value of $....:-:Q::........................ ''" near as can he
ascertained.
That the said Real Estate in so far as is known is located in ................................................................
..............,.................................,................."......................"...,...........,......,..,.............................,....,...............................
Therefore, YOlll' petitioner(s) respectfully appl;'(ies) ifo,' Letters of Administration in the above
named estate.
of Petitionl'l'(~)
............~~....................."..
..............1 Z.8.. ."11.e.ndiil.e...W ilY....... ....................
Camp Hill, PA. 17011
23
Dated ........January.................. .......... A. D., l~I....8.L
Signature and Add,'e"
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.......,...,.............,............,..."......................................".... ./c::
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COMMONWEALTH 01" PJo:1';-':SYLVAl'o:IA 1
}"' :
COUNTY OF CUMBI':RLANIl I
ROBERT N. LEO
........................................................................... ....................... .............. ........................................................ naml,d
in the above application heinJ( dn1y ...................~.~~r:f}................... accordinJ( to IlIW, say that the facts flet
forth in t.hc ahove application arc t,'ne to the hest of .h.i.~........)'~.a~d he~
......~.~!l.':.l~..~!l.................................... and subscrihed 1..............~~~.............................
before me. .... ...... ................. ............ .... ......... ...... ..............................
.................::r~.n.~~.~X...~.3................. A. D.. 19..aL. .......................................................................................
..0?(..<<yl..(l......~~:........R~~.i.~.;~~.... ........................................................................................
Filed: . .....r;:l!.~.~~.~~y.......~.!.....)~~.1.................... At to"I1O)': ..~.t,Q.!l~A...~.~j~;J;...~..S.tlllll/l.I:'~......
OATH OF PERSONAL REPRESENT A T1VE
COMMONWEALTH OF PENNSYLVANIA 1.s:
COUNTY OF CUMBERLAND r
. ........................ .\W )l)j:.I!J... ~.l., ...l<]';R................................................... .................................... ................., petitioner (s)
being duly ..........~~.~.~?...................................... according to law do e.9.......... depose and say that as the
administra tor........... of the estate of ..............~~~~.~~.~...~:...~.~?.......................................................................
...............................................................................................................................................................,........................
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 subscrtbed
before me.
......................~~.~.:...n................ A. D., 19..ftL.
f!JfA~....(!.....a{1:.~..~~~...................
............................................................................................
DECREE
Be it remembered that on the .............~~?........... day of ..........~.~~~.~~~.Y.................. A. D., 19...8.1...
Letters of Administration in the estate of ......Jl.~.s~.~.~L:!.,...!:~'?......................................................................
.... .................. ...... ............... .................................... ... late 0 f ..... .Low~r...A11~.n. .IpMns h.i,p. ....... ..... ............. ..........
Cumberland County, Pennsylvania, deceased. were granted to .....)l.Q.hllJ:~..lIh..L.~Q.....................................
........................................................................................................................................................................................
Witness my hand and official seal the day and year afo~~s~id,' :1 --;J .
............q/.ff.j!...{::......1C.td/.t.~t~~........
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21-81
Es P')
tate No. .................'~.............
BOND
KNOW ALL MEN BY THESE PRESENTS, That Wl.
Robert H. Leo
.........................................
......._. principaL.....,
and ....................lns.urance. Company...of...Nor.th..ll1uedca,
...........................................................'"
....."...... ... ..... .."...
..L600..Arch..St.r.ec.t ,..I'h il"delphia, Pa...... ......... ......................................, 5urety.........,
arc held and firmly bound unto the Commonwealth of Pennsy"'"ni", in the sum of .....()r\"'...:J;):\~?),1.~~.n.rt...................
..a.~.d...~~i.~~.O'::::.:::::::::.:::::::::::::::::.::::::::::-.::::-Dollars (S.l.,.OO.O..OO....), to be paid to the said Commonwealth,
her certain attorney or assigns, to which payment, well and truly to be made, we do bind ourselves. jointly and
severally. and our and each or our heirs, executors, ,dmini stratnrs, successors and assigns. firmly, by these presents,
for and in the whole or the said sum.
SEALED and d,ted the
26th
...day or ........J.an).la);'y..........................., 19...S.t..
............................
WHEREAS, the above named .........Rober.t..H...Leo...........
.............................................................................
......,..........................................................................................
..............................................................................
has or have made, or is or arc about to make, application to the Register of \'(fills of Cumberland County,
Pennsylvania, for the grant or lellers ...a.dminiatr.atiolL.....
..........-.............................................................
on the estate of .....I:tl.!:.\.1....c..J.....J......L.e.o....... ................. ........................, late or ..Lower..Allen..To.wnahip......,
Cumberland County, Pennsylvania. deceased:
THE CONDITION OF THIS OBLIGATION is, that ir the said personal representative ............ or any of
them shall well and truly administer the said estate accord ing to law, this obligation shall be void 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
,~ ~_mum (SEAL)
Robert H. ~u__
___ ____uu_un..________u_uu_._____.. (SEAL)
(SEAL)
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---------------------------------------
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_ _" _I,:_<."..,.",,<~- _l )b~J:.:!0:r~:::-~::___u (SEAL)
Attorney-in-Fact
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IN~
POWER OF ATTORNEY
INSURANCE COMPANY OF NORTH AMERICA
PHilADElPHIA. PA.
Know all men by these presents: Th,lI lhe INSURANCE COMPANY OF NORTH AMERICA. a rorporation
of the Commonwealth of Pennsylvania, having its principal oWce in the City of Philadelphia, Pennsylvania, pursuant to
lhe following Resolution. which was adopted by the Bo",d of Directors of the said Company on May 28. 1975, to wit:
"RESOLVED, pursuant 10 Arlicle~ 3.6 ,lnd 5.1 of the By-Laws, the following Rule~ ~h.lll govern the execution for the Company of bonds, under-
takings, recognizances, contraW and other writing<; in the nalure thereof:
(1) Th,lI the President, or any Vice-President, Assisldnt VIce-President. Resident Vice-President or AlIorney-in-Fact. may execule for and in behalf of
the Comp.H1Y :lOy and all bonds. undertakings. rer;ognlzanc(>s. contracts .lnd other wrlllngs in Ihe n,lIur(~ thereof, the same to be attested when necessary
by the Secretary, an Assislant Secretary or ,I R.esidenl AB;sl.101 Secrl'Wy .:lnd dw sl"ll of Ihe Company affixed thcwlO; and that the President or any
VICe-President may appoint and aulhorize Rt'sldl'nl Vlce-Pil~sld('nls. R('sidcnl Assistanl SeCrelMll'S and AIIOrnl'ys.in-Factto so ell:ecute or aile!'! 10 lhe
execution of all such writings on behalf of the Company clnd to affix lhe seal of the Company Ihereto.
(2) Any such writing executed in accordance with these Rules shall be dS binding upon Ihe Comp,lOY in any case as though signed by the President and
alleslcd by the Sccretary.
(3) The signclture of the President or a VIce-President and Ihe ~cJI of the Company may be Jffixed by facsimile on any power of atlorney gran led
pursuant to this Resolulion, and the signature of a certifying officer and t~e ~eJI of the Company may be affixed by facsimile to any ccrtificolle of any
such power, and any such power or certificate bearing such facsimile signature and seal shall be vdlid clnd binding on the Company.
(41 Such Resident Officers and Allorneys-in.f,lct shall have authority to certify or verify copies of this Resolution, Ihe By-laws of the Company, and
any affidavit or record of the Company ncccssdry tD the dischclrge of their dulies.
(5) The passage Df this Resolution does nol revoke any eMller aulhority grdnted by ResolutiDn of the Board of Directors on June 9, 1953."
does hereby nominate. constitute and appoint E. STANLEY YOUNG JR.. JOHN C_ BAKER and KAREN K.
BORDNER, all of th~ 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 and deliver on its behalf. and as its act and deed any and all
bonds. underlakings. recofnizances. contracts. and other writings in the nature thereof in penalties not exceeding
FIV' HUNDRED THOUSAND DOlLARS ($..~Q.9...Q.Q.o.,.Q.9...) each. and the execution of
such writings in pursuance of these presents. shall be as binding upon said Company, as fully and amply. as if they had been
duly executed and acknowledged by the regularly elected officers of the Company at its principal office.
IN WITNESS WHEREOF, Ihe said ...............C....DAm:S.L..ORAKE........................................., Vice-President. has hereunto
subscribed his name and affixed the corporate seal of the said INSURANCE COMPANY OF NORTH AMERICA this ............
..............lQ.\:.J:\................ day of ..' ..........5.eptember............................................ 19...r~..........
(SEAL)
by .!:~Q.Y?~*~...~.F..~~~~.~..~.~.~.~:~.~
C. DANIEL DRAKE Vice-President
STATE OF PENNSYLVANtA }
COUNTY OF PHILADELPHtA .<S.
On this.......l~th... ...day of.. September.. . , A.D. 19 ?~.. before me. a Noto1rY Public olthe
Commonwealth of Pennsylvania, in and for the County of Phil.1delphia, came .. C. DAtlIEL PAAKE...
................................. ...., Vice-President of the INSURANCE COMPANY OF NORTH AMERICA to me personalty knoll'n
to be the individual and officer who executed' the preceding instrument, and he acknowledged that he executed the same, and th.ll the
seal affixed to the preceding instrument is the corporate seal of Solid Company; thai the said corporate se.ll and his sign.lture were duly
affixed by the authority .1Od direction of the s,lid corporation, and that Resolution, adopted by the BO.Hd o( Dirl'ctors of said Comp,lny.
referred to in the preceding instrument. is now in force. . ' .{
IN TESTIMONY WHERlOr, t have hereunto set my hand and afii~~mY (fiici.,1 seal atlhe City oi Phi~P2ia: IIy dif .1nd
year first above written. I p~
..,-,. ..d,' ...-'....,............................................................................
ISEAll_ MAUREEN SCHELL ~otary Publ".
C Corpor,l-
ELMER NESHEIM
Assi~tant Secrelary.
59.28 6/15 PRINTED IN U.S A
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
'*
COUNTY FILE NO:
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DATE OF DEATH';'
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Appraised Value of Estate:
Real Estate
$
'0____________
Personal Property
+
I -",.-/ ..-
","/1),':. /" J
Jointly Held PropertylTransfers
+
Total Gross Estate
$
.',-..
/-. ,I ,,< ,if. i
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Total Approved Oeductions
'I' '" li-,) -'/ '/
~/....J ~ " (J
Clear Value of Estate
$
Less: Approved Charitable Exemptions
------......--..
Clear Value of Estate Subject to Tax
$
.--.----
Amount TaxBble @ 6% Rate
$
tax due i
/
.. I'I,.$",', ,,;T
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(//,,'-()',,4'r:t.._y'
Amount TaxAble @ '5% Rate
tax due . .' ~<~".. ,.,......J
, I, f ,y )/1 _h
TOTAL PENNSYLVANIA INHERITANCE T~ 'DU!1' ,:n~i ,c/ ,I, / /!il_. .,,' ~T
'II: * 'II: * .. 'II: A five percent discount totaling S
will be granted if the Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREOIT
$
+ $
s
=
$
+
=
+
=
Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to data of payment. Interest due if paid b't
is
,."/-~,)/ ,l'/-/'
/ /($-! J.'t /(_.(._(:_/~, .; J. 40--0
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE"
/ /
Assessed by: / / , - (, .',' -/ (~
See Informalion on Reverse Side Agentfor1h.Commo~.I\~
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COMMONWEAL TH OF PEHNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
/ / - ;qS - .J
INHERITANCE TAX RETURN
FOR INSOL VENT EST A TES
(Instructions on Reverse Side)
( ) Exec.
Last address
Estatoof Mi",hnr:>l T Tfln
Name
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Camp Hill
ICITY)
STATE NO.
COUNTY NO. 21-81-82
Ix) Adm.
Other
Robert M. Leo
269-68-3945
128 Allendale Way
(5TRI:;ETl
Social Security Ho.
Penna.
(STATE)
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Camp Hill
l7011.
Address
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Date of Deoth November 20 , 1980
Social Security No.
TV PE OF ASSET
per. prop.
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OFFICIAL
USE
ONLY
OATE
11/25/80
11/22/80
2/23/81
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OFFICIAL
USE
ONLY
269-68-3945
128 Allenda~
(STRI'T TI
Penna
17011
(liP)
lavc examined this return and
true, correct and complete.
DESCRIPTION
SIgnature Of Fi clary
ESTIMATED MARKET
VALUE
CCNE Bank, N.A., checking account #014000-0611
Internal Revenue Service, refund 1980 taxes
Nationwide Insurance Co., refund, ins. premium
$25 U.S. Savings Bond Series E UQ 6241 798683E
Miscellaneous household goods and personal eff cts
TOTAL
$ 101.95
212.16
72.90
21.14
50.00
r~t...Y /
D,lte
DEPARTMENT VALUA TION
(OFFICIAL USE ONLY)
$ 458.15 .i-} j'Y I:F
I do hereby certify that the above assets were appraist'd in accordance with Pennsylvania law.
d4 " A;
</' . ~~ ,y-;;J-IA.(:;t,<-t-'
IIPPRp SER
NAME OF PAYEE
NATURE OF CLAIM
Catholic Cemeteries
Myers Funeral Home, Inc.
New Cumberland Ins. Agency
Register of Wills
burial plot
funeral expenses
Administrator's bond
letters of administration and
short certificate
short certificate
notary fees
family exemption
1980 income tax
1980 wage tax
final illness
Debt of decedent
delinquent taxes
final illness
Attorne fees
Register of Wills
Frances Y. Gabel
Robert M. Leo
Penna. Dept. of Revenue
West Shore Wage Tax
Richard W. Fide1er
Exxon
Lower Allen Twp.
Holy Spirit Hospital
Stone Sa er & Stewart
.
733-t! !.f
o{OUc. TIONS ALLOWED
,f- 02 f'~ 31
DATE
AMOUNT CLAIMEO
$1,300.00
3,192.89
20.00
14.00
1.00
6.00
2,000.00
19.05
8.65
170.00
346.39
116.55
7 350.48
t/-/tJ-?!
DATE
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