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HomeMy WebLinkAbout81-00294 N{l 21 81 ~fM , ,. PETITiON FOR LETT~S OF ADMINISTRATION IN 1'IIJol NH'I'A'I'I'J <lI:', .."..,,,,,tl.',ip,~...B.o,hm........,,..,,...,,,..........,,,,,, llNCIMHlm. 'ro "".", '" I """"'" ,i..lI. i..w,~ '1:,"1, I ,Q,,,., ,1.~~~ ~,Jt, i",""""" I, ,,,,,,.,;,., "'",.,.,,.. '" """"".;", H!IUIKtOl' of WIIIK I'PI' thll COlllil~' Ill' Cllll1l1lll'llIlld, III Ih" C'oIllIIlOIlW('lIllh of I'UII 1111.1'1 1'1111 III. Tho Put I tlon or '" In~n~,t~, i. ~Q,\1rn,,,;,,,,,,,. H'" '"'' "'" t. 't ,',;" I"""" I,..", ",,,,.,, '''''''' ../,.,.It"" Ii; lo "',,, Ii 11\,,, II' till" "'" II ill. ",,"'" "j""" i. ,.j H" ',',"'" 'to'" '''''''' "" t'Otl1HJut,f1l1l,\' HhO\\'(I U I IhH t ," ,'r,~nA-" ,M ", "a.'rlnm",,,,,, ". ,',,,, ',' il!'"'' it",,,, II, '" II t f p.~ ck~nson '1"lwIiKhll' WRH n reR ( on. () It.ll.. ,....'t."."t1,""'..lJ"'''H'''''''''',.,,,.''.'~"KClH ,'('111111101'1111111 (:ulIl1l;'. Htlltu ol'l'ul1nK~'I. vnnlll, 1I11l!,1I Cltlr.OI,1 uf Ullltllcl HtntllK, I1l1d dUllul'tod Ihl~ IIl'u Inlolltlll{, 111 thu ()()lIl1t~' ut' ..,...."";"""""".,,, :,Ctiinbe r;land. uq "" I ,i Hlld HlIl to' of ,;.,~ ~,n1:\~,Y.' ,~.~,~n,t~"""""", 'I ,,",",,,",,,,, "" "." '111'" "," "II H. ".. Ii ;;, It, ,Ii, ';111 H,~' on .,i",,,",..i"""'\'ttfl''';''''''; tha "".,,,,...\'..'a,~,\l'\I""'"'''' dH~J oJ' ,...,.J:J~'y."'ii"""''''''''H'HH"','"",, A. IlI1 lo'1j7'~"11 nt tho ""(LOr 1"~.7]""",, ~IUHl'M, , \"l1l1t tho Hlllcl .,,.,...,,~inli\..M,,....RQ,hm..........,,.,,.......,,......:.,,..lIl1011llHud, Illft Hlil'vlvllll\' tho fullowlnlf nRllllldwldow 01' hllHhnnd, hoh'~ l\llll lIuxt to kill, 10 wit: Nunlll HollIlllllIHhlp 15 W 1 RQijldunOll o mar Manor ..~,g,~M~M~~ .IM~~l1r*,?,gl.?", ."",. "J? ~'.tlft~h1,~s.t, 'Ir.,~., I' '1~,7,R,~.~., 'I'" 'I' 1,Ii.'1i',fl,l;'l~~.~1), .J.~S?~m,,,,,,, ',","""U"""'"'' . ..,~ ~,~~~,'f.""""" ,., II.....'.., I. ..~'RIl'),t:t;:,tl;,,~~hmtt"'It"""'"'''Ill''''''''''' "m~, ~.1:\~,~, '"~ ",'. i,,,,,,,"""'" 11"'1"""""\""",.,....111'11""'1'1"."",,.,.,.""",., IH"""""''''''.""",..",,,,,,,,,,.,, . ."'.,.il!.'''.''."..''I........''''.'HIIIH'j'..''''',''''''1 lIHhl....."I.illi"j',...,..Ij.lt""""''''''I''';.'..,..,,, ,,,,!t""""'fi'"'''''''''''''''''''''''' . ".,"'"''''....'HllI'''.''''I'IlI..'',..!..'.~HjjH''''''-''' '!!lii'''''''''"I111'''''''''''''''''-''''''''''''''''II"..Il'' , , "''''I'II''''''HI''II'''''''''''''+I''II'' . '''.. 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Only potential estate asset $,,,,nQJ:\~""'"''''il'"Ii''' vnluo of' $."";nQue".",,,,,,,,,,,,, HHnoUl' UH is wr'ongful death action. , olin ho Thnt thoAnlcl-Honl ":l'4tnto In HO fHI' Il~ IH known 11'4 loontod In ",n.~n~,,,.,,ti"""""II"'II"I"II""I"'"''''';''' ii"..""j'.I""';"".,',..,,''''',-'..''''I.;'....'''''I''t'j....,..141"""'''",.""" """,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,;,,,,,,...1;,,,,',,,,.'.'n''''.''''''\\11I1I 'rhorofol'o, yow' potltlollur(R) l108poctftlll~' IIpply,(loH) fell' "ottOI'H of Aclml,IlIKtl'lIt1011''lll tho IIhevo nllmod OBllltU. Dlltou ",.."..."....kl~.Y...4.,....;J...~.~+.",... A.I).. III......... ~lgnat\ll'a IInd Acldl'UHII lit' I'UIltIOIlIlI'(II) , 1/ '/1,',1, . 'f . Jr' ,"!.. > , ) ,., ,1!,1i\,~ftf,(r.'"""r,...,(", """,("",,,,,,,,";'''''H,'j'''II''''''jI,,,,,,; Bonita Rohm . 'BI l'~~~'~~~": M~2P.h'1 ','(jI g" ". ,.""""" '" "'" '" ".;., ~tl)o. "",,,,,,',,,,,,,,;,''''';'''''''''''''''''II'''I,,,,,,,,,,,,;,,,,,.j"'1111'11""""". ~...")/ ~r(l,~..Q9~' J! ~ ,~L/(,.l <3 ..........."........"..,..."..,...,....,......,...."..,'""..,'"..,,'''''.""@~ I' t ~ COMlvIONWI':AI/I'II,CW 1'I':NNHYl.VANIA (JOUNTY 0)0' CUMIlI~lIliANY) , \ AA I ." ""::......,,, ," ",.". ~01:'l;rri.\., ,~~Jl\1,."". ,'"""..""",." "....".,.,:.."."""...,.",,,.,,,,....,..,,,....,,,,,.,.,..,,,,,,,,,,...,'" ",," nllmoct lu.tho 'nhoYl) lI\lpllcHtiUll hUI1Il{ clllh' """,;,swor,n..,,,,,..,..,..,,,,....,.. HCl'(l\'dl1ll{ III lilli', ~II~' thHt tlW tnelH ,HOt f~rlh In tho HliCJ\'ll 'llppllcHtiflll HI'" l1'IIU t,fl llw hll~t III' ..".l~I'l,r".. hHOII'lucllllll~l)cl hullol'. II ',P; II," ,. '! pI".. ,,,,,...,.,,,;,, ,';:., ".""."",.", It nd tHI hl'H~l'lhud '\ Btdi~A';'({b'H~X:'; '.f., ,/,Ii),..:,." ,..,.,.,........"...,..."".... beforo me" "'''!l"",;",,,,'i,,.,,...''''I,,,..,,,,.....,,,,,,,,,,,,,,,,''''''I''''!"""'fI,III '''It;,tll!.,M~y,;,,\\;;I.\''''';;'''''H''''' ",.",,, A, 1)'1 1 u""f),~, ,,,,,,,,,,. "".""""",,,,,,,,,,,,,,""""1"""'"'''''''' ,'''';''I'tt"lIlllt'' ",.,,,,,,,,,,,.,,.',,,,,,,,, "",..,;1;",.,;"....".".",.,.""",,1;,1,',"""""",."..""I'II,'jil'il'fll"II' HoalHlol' ,.',..;,.". I" ,t1,~ y.",?.~;.; ,t.~. ~,~,.,"""',...,',.,';";.," Atlnl'IWr: )' 'i)' <) .~~~ .r- I" -'~,. '.~' ',.-jC -'.--'/ ".,,,, (,'" <~.~,~:.~, l.., "-,1'..,,,,,,',;, .~'/Ji, ~~ 'H, .~, 'I'" j;. i COUNTY OF OUMBFJRLAND /),-'(/ II" , -)/'<' ,"'c ,L(/-;/ 'I C; !, ^' (, i / OATH OF PERSONAl" REPRESENTATIVE '(;1 ~"'" fJ91 '-' ~~ m~; f.I ih:n ~fJG1 f.~ '~f;~ "~,,~~ I "''l' ';:~' :-.-, Ja 'I~ \':).'" "\ .",;;:~,Q~~:1:A" ~O.m1" ",.,... ....,...., ",... ,. "',""'" ."... "... ,... ..,.. ,... ,. ..... .....,., ,"" ,. ...,.." ,.,. ...""... """",.\'t,;;i pott\!loner(s), being duly ,,,,,. ",,,,,.. s.WGlt'.n,,:. ".""....."" " ".. " " IIccordlnQ' to IlIw till ,~.e"'''' (lapOHO lIn<i:$L1Y Ihlft liS th~ , \1' "~I ndnltnlfttra tt",t.X'f"" of tho ORtU to of ..'r.LNA"jM ',i ROtIM ".".., .."", I"~ II' I"',':' ." ".j'l "" i., ""'il"" "',1' .1..1 'I" i,.III' 111.tli, 22 \ , ,.[.;1' , ,:) lCL I ' 17'i~'" COMMONWIMI,T\'j Ol~ PlDNN8Yl.V ANIA }HAI ',IlI'''f/jOj'"''''U'!'''U",,,,",,,,,,,,,,,;;..,,,,..,..''''''''''I'I.,,,...'"'''II..''''.",li'''''...''.H..'...''..,,,,,,,,''''''"i!'IU''I....'''''H"1""",,'III,"I;lilllll deceaMd ...she...""...... will woll IInd truly IldmlnlRlor lhe aoodR IInd chllttelR, rlahtR lllld, credits of said docotls~dt IIccordlng to IlIw. And IIIRO will diligently comply with the P:'OVIHloIIR of tho IlIw rolaUnlt to TrllnAfer Inhorllances. "'I'I""I""'I,al?Q;t;l').,,,tP"'I"";""""'" and HubHcrlho<l beforl,l mo, "',,II ....." 1"'1'" 11~~'~""'''1t '11'" ,11,1.. '" r A. DiI 'H),,,,~J,, / 'lWt"",c.,,,,,~,,,"~:"''''''''''''':''''''''''''''''''''''''''''''''''''''''''''''''''''''''''",,"" Ij I ' !. /-' (/..'" 'J. ! '1(.' yi" 'I I " ) ;'11' Io,)"Ij-" r(,n~,jt .111, I Ii I.. II/110ft 11.(,1'11''''''11' 11ft"" IltltHI,"itIHUllil Be II rememhorod thllt on the, ,,,,,.,,.,,,.?.~.Ii.....,,,..,, 'tlllY ot ,,,,,,M1l.Y.,,,,,,,,"""""""'''''''''''' A, D" 19"",~.~ Let.torH of AdmlnlHtrntlon III tho olllnte of ""....:n;l.oa".M....l1,phm,,,.....,,,,,,,.,,,,,,,,,.,,,,,,,,,,:,,,,,,,,,.,,,,,.,,.."""'"'' '"'' ::',.,''''''',.. ...,. ...,."".. ,,:,.. ..""...,.,.,." ".,.... .", ,..""", 11110 of . ..,n,i.QX~O/il,P.n,,,~',QW.Ml1,~P, ,.,., "::,,,,,.., ".", ,,'''''',' Cumborlllnd Counly,l'on~sY1YnnI1l' (Iecellkod, woro grllnlo(1 to """,fl,m:l~.\;1l."~J;\\1m:""..,,,!,,,,,,,..,,,,,,,,,,,,,, , 11111.,I!'.'ll"I.III.."'.'.I"I"...'..,;I....'..,I"I.'1."I.i'I...,'I.II,;,.,.'I.,I.I'" "IHI'I'I'IIII"'II"'lllllll.'III'II'll,I'II'I,"II'I''''tI'I.,jl'II'ill'II".II,llljjllll'I., 'Wltnoss my hllnd IInd offlollll 80111 the dllY nnct YOllr IIforeRald, .. J Rev. 11I47BX (B-S3) flUllEAU OP ACCOUNTS SETT~eMENT NOTlOe Of INHIRITANCe TAX IACN PENNSV~VANIA DEPARTMENT OF ReVENue APPMISIMINT. A~LOWANce O,RoISALLOWANce, P.O, BOX ~0~5 HARRISUURG, PAI71DS Of De\lUQTlONS, ANO AssailMeNT Of TAX _. __" A..._____IMTL 07~05~83 UTATe OP RoMH TINA H fiLl NO. 21 ai~0294 llAIl_QLll.IA'llL.~lll3:-7g __._._-~---~--~._-~__._...QllUNl'L-.mtMUe:w..lINl2.,...,.---- NOTSI TO INSURe PRopeR CReDIT TC YoUR ACCOUNT IUBMIT THB uppeR PORTioN Of THIS NOTIce WITH YCUR 'fAX PAVMINT TO THI RIOIITIR Cf WILLS Of THe ABOVUCOUNTV. MAKe CHICKS PAVABLI TO "RIOIITIR Of wiLLS, AOINT" . 101 lILBERT BOYlilRT 22 m HlIIN ST HlllcHANIOSBURG PlI 17058 PLEASE RETURN THIS RORTION TO REGISTER OF WILLS IF PAYMENT DUE Q':I1: 1\L9t-l~.1HJ~ .~!N.~..... .~. f\~TI\II'.l..~Q.W~R..P9I3T'9t-l..~O.R. Y91,J13-'~.SSJ9~pq ..~_........... -.. - -" -- NOTIce or INHIRITANce TAX APPMIUMBNT, A~LO\lANCB 0" OISAL~OWANOB or OBDUCTIONS AND ,ASSISSMBNT or TAX RIV, IU71X (B-sa) , ' BSTATI Of ROHH TINA H, fl~e NO,21 el.~0294 ACN 101 DATI 07~08.e3 ,:,__~___jt-_.,....,_.____ - (, I CHANQ~P ~--- , ' T AXAETURN yv AS: (XI AC.9aPTr.~ AS PI.aD 8liMV AT I ON 'Ol)~_ltLI'.l.l.Ilm...lt:lIl8W-:J.Ili...BJYJl8U APPRAiseD VALUe Of ReTURN BAUD ONI ORIGINlIL RETURN 1. Rul Eal.te (S6hed~le Al 2, Slooka '.nd,Uonda (Sohedule III 3,Clo..ly Held Slook/PerlnerahlP Inlereat (Sohedule CI 4," Morlgage~ and NolU (Sohedule 01 5. Ceah S. Mlaoell.neoua Peraonal Property (Sohedule al e, Jolnlly Owned Property (Sohedule PI 7. Tr.nafera' (S6heQule G) 8. Total' Anele ( 1) ~_---.,J.QQ.....- ( 21.. ,00 (31 .00_ ( 4) ~~ (51 -1_ .00 (6) .00 ( 71 ---" ,.l.QJL.. ( 81 .00 APPRoveD 01~Ul)T10NS AND ixeMPTlONSI 9. puneral,Expenau/Admlnlalr.live Cotla/Mlaoel'laneoua ( 9) ---' , _" .00' expenaea (Sohedule HI ~ . 10, Depla/Mon9.au/Llena (Sohedule II (\01.00 11. TOlal Oe~uotlona (11) .00 12, Nel Velue of T.x Relurn (121.00 13. Charlt.ble/Governmental aequella (Sohe~ule J) (1.31' 00 14, Nel V.lue of Eal.le subJeot 10 T.x ,(\41 .00 NOTal If .n,....Ul1MInt w.. pr.viou.1Y t"u.d, l1n.. 14, IB .nd/or, III '.nd 17 wt" r.fl.ot flgUr.. th.t, lnolud. the tot. 1 of ~~ r.turn. .......d to d.ta, .A~SISSMINT or TAX' 15. Amounl of, line 14 t.x.bl. 1\ e,% rale (151...!-___......&Lx,oe. .00 \, IS. Amounl of line 1411x.ble 1\ 15% r.,e I (16) .00 X.15._ .00 17: Prlnclp.1 'r.. Due ' (17) .00 TAX ORIDnS' PAVMeNT RECEIPT DiSCOUNT (.1 AMOUNT PAID DATE ,n INTijRSS1' H -' TOTA~ TAX CREDIT .00 BALANoe OF TAX OUI .00 -.,.----..,. INTeRIIT' -,-.00 TOTAL DUe ,00 (If B.I.no. Due II t.u Ih.n .1.00 no paymenl la reqUlredl . IP PAID APTSR THIS DATE sae REVSRse FOR CALCULATION OF ADOITIONA~ INTeReST