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1I1':(;(STI':1I OF \l'II.I.S OF ...C.!J.Mlm.RLAN.D...... COU1\TY
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I'ETITIOt\ FOil 1'1I0llATE OF \1'11.1. A1\1J I.ETTEIIS OF AIl\I1:'\ISTIIATIOt\
CU\I TESTA\I1'Sro A:->:\EXO
I.ETTEIIS OF AIJ\II:\ISTIIATI01\ m: 1I0:->IS :->0:->
I.ETTEIIS OF ..\IJ\II:->ISTIIATIO:-> IlE 1I0:->IS 1\01'1 CU\I
TESTll!E:->TO ,\1\1\I';XO
III IIIl' 1';,lal<' of ......JQ!:!N..JL....,n,;I;.NQR......................., dl'l'l'a",d,
I'l'lilioo,'r(~, ..Hele.n,..H......Minor...................................................,...................................,..,............
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I. P('lititl1H'r(~ ~t\\'C'lIty.OIh. Yt'aJ'\ of a~t. ()J' oldt'r ami applil's for Il'lIt'rs of administratiolJ
9.~.~..J;~.~.~~~!7.!}.~g""Ann,~.?:;9..."..".".....".... in tIll' ahow (,ilptiOJu'd ('slatc',
2. 1)"l','d"II1 diPd 00 ,....January....2.6.,.....1.9,8.1................... al ..........A...M, in Ihl' Coonty of
g),!mp.,~;rJ.g,n4................. Statl' of ..,..J?enns.y.l.y:ani.,a.... at Ihe agl' of .........~:.Q..,........ Y""", hll"ing
madl' .....n,:j,.s.. I.II,t Will aod Tl'st:uIIl'ot dated till' ,..l.7.th da" of ..J,uly.................,..........., ,I,D: 19..7..9..
H'liIitMIl: ...............,lIpqllllll~1l: '.. ...........,........ ................ ........,................... .........,................., ..........,...... ~;w, ................,
HIb~XIlE .............,.. IlllK9llKIK.......,..,............,....................,............................................,....................,........................
011
~l(xxxxxxlK~oIxXXXXXXXXXX.xxxxljlx,XX*lI!irnll!i{l\:l1l1':illiltll!li!KooRX~OOj!:lt*><..............,;:;,
..................""............"..,..",.............,',..,.",.....".........."......."..................,.....,................"....."......."............""........................
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3. L(,(h'f,~ of Administration c.La. art' lll't'dt'd hl'C;llIS{' ,,11I.O........f~c:.'..a::'1.&......k$!.t.!;-$":.........
........,d.fI:!J:r.~,r1......Yi..1fj:::.f;.r.,J........."'......,..,............ and 1'1'Iitiunl'r( ~ ~~t; in .........he.!:.., l'apacity ",
~~,::.y.~~~.~f;?....~,p.?.,~~.:...........,.............,..,..."'...... ,
4. D(,(,l'<1('l1t di('d domiciled in .....r..~nn.R,yJ:y~n.tg....."........ with his last family or principal
(statl' ormulltry)
residen,'l' at ~.?.Ql..!:!g);y.,~...g,..Ay.~n,1J,~,."...,G.g,mp.",.tUU.....,..f..~,nn,s.y,ly..<m.;l,iil.,......."....",.."..,..,
~K was
5. (Whcre deccdellt died h~slatl') Deced('flt was xot married and a child was not horn to or
lldoptt.d hy decedent afh~r (,Xl~('ution of tlw will (and wh('re applieant is alll'gc..d spouse) nor was decedent
divorced from applieilnt after (,Xl'clltion of will and at death.
6. The Silid decedent was poss<'ssed of Goods. Chattds. Bights and Credits to the estimnted
"alue of $.4.~.Q,Q.....9..Q,........ and of Hea! Estale, 10 the eslimated "allle of $......np.n,~...........,.. as Ilear ",
can 1,{' asc('rt,dlwd. That the said H{'al Estate in so far as known is locnted in ....n./..a.................................,
................................................................................................................................................................,..................,..............
7. (Whew dccl'dent di('d intestate as to any portion of this (.stille). Pc.titiOlll'r after a proper
search has aSl'l'rlaillcd that dec{'(l{'nl was SUrvi\'I'd hy the folln\\'ing~nrllncd persons l'ntitlNI to distribution
under the Intesllllt' Act of ]947:
NllmC'
Helationship
Residence
1. ....,.............,.."........""....,.............,..........................................,..,................,..,..........."......,....""......,,,..,..,....................,,....
2. ..,........................""........,........................................................,...................................................................................."......
3.....................................................".....,.....................................,.................,..,.....................""",........."..,,,...............,..,,,..,,,
4. ..............,.........'....... ...,..,..,,,....,,,,,..................,.......,........................,..............,.........,.."..,............,.....................,.............
5......"..,........."....... ..............."....."...,..,....,....,.....,...........'............".........,,,..........,.......,..............,..,,,......................,,....,,,,,,,
6..........,....,.....,...., ,..,..........................."........'..,....,...............,..........................,......."......"...........,............,.......................
....................,.........."...............................................".,..........................,....................................................."........................"..
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Thl'rl'fof(', Pl'litiolll.'dx) rl'~pl'l'lfully applil's fur (prohatt' of the will prescntl'd Iwrcwith and
for) !l'ltl'r~or ad~lillislratillll ..........G..,':r"..A.......,,,...........:........,............;..,..'l'...........,,.......7V..'/fi;......'..............'
Dated: fO"..!1..,?(..,....,.... S'glled: "'..2.v..~d....21......./.(,:.~..
.-Id:ll"<''': 28.01 Harvard Avenue
Camp'.ililf;..p'A'''''..fioIi...''......'..,
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(:O~I~IO~\I.I.:,\I.TII OF 1'1,:;\~S\'l,\'A;\I,\ I SS
.......... G.lJJ:mg)\M\NP......,.................,..COlI~T\':.1 ,.
...,I.l.e.J.liln....U,..J1i.nQ.1:.... .. ",,,,,,,,,,,,,,,,,,,,,, tis" \,<'1111"""1'(1<)
ill this Iwlitioll arl' llllt' to 1111' h('~1 III ' h.~J;
ill llll' ;llul\'I' ;lpp!il'.diull. b~'illc. dlll~' ...sworn.... .. ;ll'("(Inlillg III bw ..ay( s) lllal tlH' stah'lI\t'llts Sl't forth
..S.H'O'RN...... ... ;IIHI ~lIh..('rillt'd lll'lorl'
lIu/June..Ui......'2'....,....;/. 1
,....'?l!tVl'..(!...,..,t/i(La.."i.,'~i,;;,
~~ Fil,.d: June 18. 1981
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Helen H. Minor
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Attorncy's ~amc and Address
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Camp Hill, PA 17011
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF I'ENNSYLV ANIA
COUNTY OF CUMBERLAND
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being duJy ........,......,sltlo.rn............................, accon1ing to Jaw do e.s....,.., depoRe and say that as the
administra ,t;r,;i.~...., of the estate of .... ,,J.o.hn, JL. ..Mino.r..,......,......,..,..,......,......,..,..,..........,..,..,..,........,..,..
........,..,..,.,,,..,..,,,...,,.,,,....,...........,......................,......,..............,...................,...................................................,.............,
deceased ......J,):HL......, will well ancl truly administer the good" and chattels, rights and credits of said
deceased, according to law, And also wiII diligently comply with the provisions of the law relating
to Transfer Inheritances.
,....".......,..,~,W,QW!!,""",.....,',.."..,"" and subscribed
before me,
..J,1JJ:\!i,....n,........,..,..,....'2~.. A, l)" 19..U..
R/l{Jtuy",f1"..j:tad/"',....."..,'"
,..,.,2~:!..,.1r..!2l..~~;("......,..."..,',.,....
Helen H. Minor
...,...........".....,............,........................................................
DECREE
'~membered that on the ....................,......,.... day of ...........,......................,....,........ A. D" 19,........,
Letters of Adiiilnts~n the estate of ...............' ....,..,..,........................,....,....,..,..,....,..,......"......,..:.:..,:.:....:.'
..,..,.."....,..,...."....".."...,..,"',..~"'~.., late of ~"";;,:"'.."..,....,.......".."'....,..".......,.,..,....
Cumberland County, penn"ylvani:~\\ere:gr:ll1t_e(I, to ..",.."".."".,..""""...,....,.,."...."....,',....,...."...
........,..,.,',.."..,..,..,",..,'~....""'..,......"""""'.".".,...""";."".,..,..:."",..".."..""",,....,"'""",..,..,..,..."..,.."...
..~~Iand ollicial seal the day and year aforesaid, -,
...................,.....,...................................,.........."..................
Register
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OATH 01' rER~eNAL REPRESENTATIVE
ss:
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the Probate of Wills and granting of Letters of Administration i
Cumberland, personally ~ame
who, being duly
, do
deceased
of the last Will and Testament of
.----'
.../
will well and truly adm~r-thegOOdS and chattels, rights and credits orsaid~ceased according to law. And
also will diligently comply witb,t~ovisions of the law relating to Transfer Inheritances. ~bscribed before me.
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DECREE
Be it remembered that on the
18th day of
June
81
,A.D.,19_, there was probated and
recorded the last Will and Testament of
John H. Minor
late of
Camp Hi 11
, Cumberland County, Pennsylvania,
Deceased. Letters of Administration, Jei; gfained to
Witness my hand and official seal the day and year aforesaid.
G51
Helen H. Minor
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, .
OATH OF NON.SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLVANIA } 55:
COUNTY OF CUMBERLAND
This, the
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,___.1 'I -
day of
::r'v tV E
A,D.19J! ,before me, Register for the
Probate of Wills and Granting Letters of Administration in and for the county of
Cumberland, in the Commonwealth of Pennsylvania, personally came
k/1 TfI~ YAl ;11,
IJJ 17 T7 If f: u.J 5
who being duly
according to law deposed and say that they are well acquainted with
the handwriting of
::to H tJ fl.
a71A)orf!..
whose name is attached as If S TI'I To e
purported to be --+h IS )
-~ !l111L10a,
late of Of/lll? ,I!t!f, 'P?NrJS u/ l./AAJI>.)
to an instrument of writing
the Last Will and Testament of
, deceased
and that the said signature is true and genuine, and that the said :72)(1 A/-IL, tVl/ NO r
is now deceased ~seftt
sworn
and subscribed before me,
this
xi/x 17th
day of
June A.D, 19~
ffl(~~~"
~!(tJJi . rr) 111, 711 CUti'." ,.,->
per __,__,___,
Deputy Register
849
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LIFE & CASUALTY
llIE ,;uNA CASUALTY AND SURETY COMPANY
Hartlord, Connecticut 06115
POIrs..:R OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT
KNOW ALL MEN BV T1IESE PRESENTS, THA T THE .-f.TNACASUAI.TY AND SURETY COMFANV, a cOIporation duly organiled undor tho laws of tho
Stale of Connecticut, .md having Its principII I oflicl' inlhc City of Itartford. County of Hartford, Slale of Connecticut, hath mad" constituted and
appointtld, and dOflS by Ihest! pro!loents'ma\l::c. tonfllitulR and appoint R. W. Moore, Thomas W. Morkl~y, G. L.
Shaffner or Darrell D. Diodato - -
of Camp Hi 11, Pennsy 1 vania ,ils truo and lawful Altorney(sHn.Facl, with full power and 8uthorityhereby conferred
10 sign, e),erule and acknowh!dgc. At any placo within the Unllod Slatos, or, if tho following lino be fitled in. within the ar08 there desig-
nated . Iho following instrumont(s):
by his/hor solo signature a/Hi act, any and all bonds. rocognilancos, conlructs of indomnily, and olhlJr writingt; obligalory in (he nalure of a bond,
.recognizanco, or condilional undertaking. and any and all consents incidents thereto not exceeding the sum of ONE
HUNDRED THOUSAND ($100,000.00) DOLLARS _
and to bind THE A:TNA CASUAL TV AND SURElY COMPANY, thereby as fully and 10 tho sarno extent as if the same wore signed by the duly
authorized officers of THE JCTNACASUAL TV AND SURETY COMPANY, and all the Dcts of sBidAMornev(s).in-Fact, pursuant to the authority herein
given, are hereby ratified and confirmed.
This appointment is made under and by authority of Iho fOllowing Standing Resolutions of said Comr>any which Resolutions are now in full force
and effect;
VOTED: That each of the following officers: r.hairman, Vice Chairman, Presidenl, Any Executive Vice President, AnySenlorVice President, Any Vice
President, Any Assistant Vice President, Any Secretary,Any Assistant Secretary, may from time to time appoint Resident Vice Presidents, ResIdent
Assistant Secretaries, Anorneys-in-Fact, and Agents to act for and on behalf ofthe Company and may give any such appoint68 such aUlhority 8S his
certincate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contrapts of
indemnity, and other writings Obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of
Directors may at any time remove any such appointee and rovoke the power and authority given him.
VOTED: That any bond, recognilance, contract ofindemnitv, or writing Obligatory in the nature of a bond, recognizance, orconditional undert8klng
shall be valid and binding upon the Company when la) signed by the Chairman, tho Vice Chairman, the President, an Executive Vice President, 8
Senior Vice President, a Vice President, an Assistant Vice President or by a Resident Vice President, pursuant to the power prescribed in the
certificate of suthorityof such Resident Vice President. and duly attested and sealed with the Company's seal by 8 Secrotaryor Assistant Secretary
or by a Resident Assistant Secretary, pursuant to tho power prescribed in the certificate of authority of such Resident Assistant Secretary; or (b) dUly
executed (under seal, if required' by one or more Attorneys-in-Fact pursuant to the power prescribed in his or their certificate or certificates of
authority.
This Power of AMorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the fOllOWing Standing Resolution
voted by the Board of Directors of THE ..cETNA CASUAL TV AND SURElY COMPANY which Resolution is now in full force and effect:
VOTED: That the signature of 88ch of the following officers: Chairman, Vice Chairman, President, Any Executive Vice President, Any Senior Vice
President, Any Vice President, Any Assistant Vice President, Any Secretary, Any Assistant Secretary, and the seal of the Company may bo affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or
Attorneys-In-Fact for purposes only of executing and anesting bonds and undertakings and other writings obligatory in the nature thereof, and any
such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such
power So executed and C8.1ified by such facsimile signature and facsimile seal 5"all be valid and binding upon the Company In the future with
respect to any bond or undertaking to which it is attached.
IN WITNESS WHEREOF, THE .ETNA CASUALTY AND SURETY COMPANY has caused this instrumonllo bo signed by its
Vice President , and its corporale ..al to bo hereto affixed this 6 th
doy 01 November ,19 80
Assistant
State of Connecticut I
58. Hartford
County of Hanford
,<~.~..~~~,....
i'.:i'~ .."....
.,~ ~':.
fl HAIlIICMP. ~1
\~.~<~:::,:;*j
By R. . T: t2. f, ...<-.
Assistant Vice lesident
THE
.ETNA
CASUALTY
AND
SURETY
COMPANY
On this 6 th day 01 November , 19 80 ,boloro mo PDr!;onolly came R. T. RIPPE
10 mo known, who, baing by me duly sworn, did depose ond soy: lhat he/she is Assistant Vice President of
THE A:TNA CASUALTY AND SURElY COMPANY, the r.orporation described In and which executed the above instrument; that he/she knows the
leal of laid corporation; that the seal affixed to the said Instrument is such corporate seal; and that he/she executed the said instrument on behalf
of the corporation by authority of hislher office under the Stllnding Resolutions thereof.
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CERTIFICATE
I, tho unde"ignod, S ec re tary of THE .ETNA CASUALTY AND SURETY COMPANY, a stock corporation o!tho
State of Connecticut, 00 HEREBY CERTIFY thatlhe foregoing and attached Power of Anorney and Certitieeteof Authority rem.insin full force and
has not been revoked; and funhormore, thai the Stllnding Resolutions of (he Board of Oir~ects, as set forth in lhe Certificaleof Authority, are now
In lorco, :+J
Signed and Sealed It tho Home Office of the Company, In the City of Hertford, Stllte of 0 ~ecticut, 0 this 1 ~daY 01
,June , 1981 ,''''';:'';~;''''''
(?~:'A~':l>~j By
\,'. l! Secretary
.....~~.,...,..~~::....
(S.11122-E; (M):H'
PRINTED IN V.SA.
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss:
Helen II. Minor
.k.... _ .'-
----.-----..----------..----.--- ---- --..-
being duly SW.o..Jl, _ .,_ according to law, doposes aud says that Q,e ,i.s._th,e....1\QmiIl,U;,tr,atx'Jl{_
g.,J~A'.!.._H"_ ,'" ,_,..'_" of tho Estate of _':Lo.bn H. Minor
1alo of __..Camp Hill Borough _ _,..__....__, Cumberland County, Pa., deceased and that the
within Is an Inventory made by ,Helen_H._..Minor ,,-, ,-- -,---" the sald-Adminis,t:t:a.b:ix
of tho ontlro ostato of .ald de.edent, consisting of all the personal prop.rty and real estate, except real estate outside
tho Commonwealth of Pennsylvania, and thaI the figures opposite each item of the Inventory represent it's fair value
as of the dalo of decedent's death,
_....:iLl/,) t
~"
H ^U~Y A. ~J11 ~1U1" Nt,my Publh
C'I:IP Hill, (I lnhell'lHl eel" ~il.
~.. Clllllllllnilln :):rirer lune 2', tq.
19 0' CJ-
.x.2r.I~:,/ 2c/. ~J/2~-r<-d-t)_____
Exoeutor . Adminhtrator
Sworn
and subscribed before me,
,~l:l..Ql"Harva;:9, Avenu~_,_,
j
caml2....!I_~!.~!'~ 17011
Addrlln
Dale of Death
26th.
Day
,~nuar)l
Month
1981
Vear
INSTRUCTIONS
I. An Inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may ho attached as to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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REV.1500 foX + (!Joeh
BUREAU OF EXAMINATION
PENNSYLVANIA DEPARTMENT OF REVENUE
P.O. BOX B327
HARRISBURG. PA 17105
Decadent's Name I Last, First, end Middle Initiall
. I +l
DECEASED. . .
Soc181 ecurlty Nu ber Data 01 Doath
II -;,) &74' -~.
INHERITANCE TAX RETURN
RESIDENT DECEDENT
File Number .JJ - g'( - 0313
Decadant's Addre"
.;l~D I .Ha rvo.rd Aut.
CcfM -I-h II/ PA l':JOII
3. Remainder Return 0
CHECK
1. Original Return ~
4. Lifa Estata D
2. Supplamental RRturn D
APPRO.
PRIATE
5. Foderal Estate Tax 0
Roturn Required.
6. Decadent died testata 7. Decedent maintained a living D B. Number of safe deposit D
IAttach copy of Willi trust (Attach copy of trust) boxes invantoried
Ail correspondence and confidential tax informetion should bo directed to:
BLOCKS
CORRE.
SPONDENT Name
~.
ell
State
City
Recapitulation
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) I 2)
3. Closely Held Stock/Partnership Interest (Schedule C) ( 3)
4. Mortgages and Notes ISchedule 01 ( 4)
5. Cash & Misceilaneous Persnnal Property (Schedule E) ( 51 '5~.33.0D
RECAPIT. 6. Jointly Owned Property (Schedule FI ( 61
ULATlON 7. Transfers (Schedule GI ( 7)
B. Total Gross Assets Itotal lines 1-7)
AND 9. Funeral Expenses Administrative Costs/Miscellaneous
Expenses ISchedule HI ( 9)
TAX 10. Debts/Mortgages/Liens (Schedule II 110)
11. Total Deductions Itotallines 9 & 10)
12. Net Value of EstateOine B minus line 11)
CALCU. 13. Charitable Bequests ISchedule JI
LATION 14. Net Value subject to tax Uine 12 minus line 13)
I B) 5 ~33.00
J
(1) 5jOl}'l,3R
021 ~a3.LD~
113) 'i/d3.lc~
114)
Computalion of Tax
15. Amount of line 14 taxable at 6% rate 115) ~~3. \,p;;L
(Include values from Schedule K)
16. Amount of line 14 taxable al15% rate (6)
!include velues from Schedule K)
17. Principal tax due (add lax from line 15 plus tax from line 16)
lB. Total Prior payments:
(a) Amounl Paid
(bl Plus Discounl
(cl Minus Interest 11 B)
19. Balance Oue (Hne17 minus line lB)
Meke Check Payeblelo: Register of Wiils, Agent
... PLEASE RECHECK MATH'"
x.06=
L..\'l.I-\:L.
x.15=
117)
J.tq, L{-:L
119)
Under penalties of perjury,l declere that I have examined this return, inciuding accompanying schedules and stetements, end 10 Ihe besl of my knowledge
and belief, it is true, correct, complete. Declaration of preparer other than the personal representative is based on all information of which preparer has
any knowledge.
ADDRESS
DATE
SIGNATURE OF PERS
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
DATE
Zi
REV-f49 EXt tOoflOJ
COMMONWEAL TH OF PEHNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
*",
" - I,
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STATEMENT OF
FIDUCIARY
(Instructions on Revers. Sid.)
Estate of John H. Minor
Lasf Address 2801 Harvard Avenue
Do te of Doa th
January 2..2., 1981
Social Security No. c:-'", (') - (')7 - S/ / (~
Camp Hill. PA 170]1
ICtTYI (STATE' (ZIP)
State File No.
County File No. 21-81-373
1. Decedent died:
( ) Intestate (without a will)
(X) Testate (Ieoving a last will--copy attached)
2, Is the filing of a Federol Estate Tax Return required for this estate? Yes_ No X
3.
Executor
(X ) Administrator C7A
Name
Hplpn H. Minnr
Social Securi ty No.
Address 2801 Harvard Avenue
~:Hlf
(elT
r..HJl p7\ 17011
. (STATE)
(ZIP)
4. All correspondence should be mailed to (X ) Attorney
5. If an attorney is representing the estate, indicate:
Fiduciary.
Nome David R. Dodd. ESQuire
Telephone No. (717) 7hl-7l~n
Address 3133 Chestnut Strep.t
C,ffil?y, IIi 11, PA 17'J 11 (STATEI
(ZIP)
List all sofe deposit boxes regisfered in the decedent's individual namer or jaintl)' with, or as on ugent or deputy
of another, or in decedent's individual name with right of access by another as agent or deputy, Include the name
and address of the bonk or ather institution where the safe deposit box is locoted, the nume (s) in which the box
is registered and the relationship of the joinf holders to the decedent.
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT MAINTAINED A SAFE DEPOSIT BOX
NAME OR NAMES IN WHICH
SAFE aEPoSIT BOX IS REGISTERED
RELATIONSHIP OF JOINT
HOLDERS TO aEcEOENT
Bank and
John H. Minor and Helen
H. Minor
W'
Under penolties of perjury, I declare that I have examined this retuOl, including accompanying schedules :"d
statements, and to the best of my knowledge and belief it is true, correct and compleTe.
/) /{ ')///1, .' !
X /V'-J--u,/ /\. /Itii(tt.-l/
I
SIGNATURE OF FloUCIAR\'
/-r-
~', j,-, / ~__ / '11;,(..
,
DATE
IHW"4!O teXt (10-1\01
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERIHNCE TAX
RESIDENT DECEOENT
SCHEDULE" A"
REAL PROPERTY
.:<....
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"", ":;'vA' ,,'
(/nstructiollS all Reverse Sidf..')
ESTATE OF John H. Minor
---- - ._~ ,-
ESTIMA TED DEPARTMENT
ITEM OEseRI PTION MARKET VALUATION
NO. VALUE (OFFICIAl. IJSE ONL YI
- -
N/A
TOTAL
If additional space is necessary, use 8%" x 11" sheets.
REV"4!11'[ ,\:t (8~l!OI
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
.Estate of
SCHEDULE "B"
PERSONAL PROPERTY
(Instructions on Rcvers(! Sid!!)
John H. Minor
DESCRIPTION
UNIT
VALUE
Automobile - 1975 Dodge Cordoba
Registration No. SS22K5R298395
Coal rights in Monongahela Township,
Greene County, Pennsylvania, undevelop d
69 1/3 acres. Originally purchased by
Carl C. Minor in 1921 for $8666.25; De edent
inherited 1/3 interest under Last
Will and Testament of Carl C. Minor in
1959 and was conveyed another 1/6
interest in 1960 by Bertha Minor.
ESTIMATED
MARKET
VALUE
~ ~~:~
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;~ ~:", ~.:tx_":jl::,~:t,/..t,
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DEPARTMENT
VALUATION
{OFFICIAL USE ONL YI
$1500.00
as per attac ed
receipt
$4333.00
If additianol space is necessary, use 8'/" x 11" sheets,
TOTAL $5833.00
,
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,
QUESTIONS CONCERNING PROPERTY TRANSFERS
1. Did decedent, wilhin two yems of death, make any transfer of any material pmt of his estate without receiving
valuable and adequate consideration? (Answer "Yes" 01 "No".)
2. Did decedent, within two years of death, transfer property from himself/ herself to himself/herself and another party
or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) -
3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable. provide the following
information:
a, Age of decedent at time of transfer,
b, Copy of death certificate.
c, Affidavit by the attending physician indicating the state of decedent's health at time of transfer,
d, All other information supporting nontaxability of transfer,
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or aller his/her death? (Answer "Yes" or "No".)
a, Was there any possibility that the property transferred might return to transferor or his/her estate or be subject
to his/her power of disposition? (Answer "Yes" or "No".)
b. What was the transferee's age at time of decedent's death?
5. Did decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death:
a. The possession or enjoyment of Dr the right to income from the property transferred? (Answer "Yes" or "No" ,)
b. The right to designate the persons who shall possess or enjoy the properly transferred or income therefrom?
(Answer "Yes" or "No",)
6. If the answer to five b, above is "Yes," was the right reserved in decedent alone ( ) or decedent and others ( ).
7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No",)
8. Did decedent, at any time, transfer property, the b61eficial enjoyment of which was subject to change, because of
a reserved power to al ter, amend, or revoke, or whi ch could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".)
9, If the answer to eight above is "Yes," was the power to alter. amend or revoke the interest of the beneficiary reserved
in the decedent alone ( ) or decedent and others ( ).
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.'
D
Dauphin Deposit Bank
and Trust Company
MAIN OFFICE: 213 MAnKET 5 TREE T, HARRISBURG. PENNSYLVANIA 17105
717255.2121
uecember 18, 1981
Dav id I,. Dodd
3133' Chestnut Street
Can,~ Hill, 1'0. 17011
Ite: John H. Ninor
January 26, 1981 uceased
Dear f'ir. Dodd:
In regards to the a1,ovc nlentionCG, we' 6ubn.i t the follO\dng information as of
the da le of den th:
Checking account ji60-97-5431 balance ~1(l52.0l Joint with Helen H. Ninor
If we can be ,,[ any further nSRistance, please d" not hesitate to contact us.
Yery truly yours,
-:~Q~"G~~
~ JoAnn C. Stover
Assistant Treasurer
JC5/lf
. Jk.wd (f)(1/7 &
.,
Re: Estate of:
.Jolin II l~jll()L-..
Social Security No.
Date of death:
1-2G-BJ
-.-.--.......----.-
Account Numbeds) 2-1-7097l1[) 7l-J6jj2
Type of Account P alHJuook _tlfl!:.~\H)uU.... .-- .. ---.
Date Opened j-29- 76 -_.____0..___.-.
Principal Balance 1694. 76_illLQL1-26-!J.L___ __.__ ___
Accrued Interest
{l.G5
Balance at
date of death
1701. !!L-.__..__.
Account
ownership
Joint
-----
Name of joint
owner, if any
Helen H I~inor
Comments:
FIRST FEDERAL SAVINCS & LOAN ASSOC,
BY: S. Carroll
"
, ;''::~,.............-. .-
."
REV'455 EX+ (3.801
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
. ...~f.:";'..,;~..-..~ -...
__~.u
SCHEDULE "F"
STATEMENT OF DEBTS
ANO DEDUCTIONS
Estate of John H. Minor Date of Death 1/26/81 File No. 21-81-373
WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
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Claiment's Address ot time of Decedent's Deatll 2801 Harvard Avenue, Camp Hill, PA
ITEM
NO.
Claiment He 1 en H. Minor
DATE
NAME OF PAYEE
Relationsllip to Decodont widow
REMARKS
AMOUNT
Expenses of Last Illness
Funeral Service
Ex enses of Last Illness
Expenses of Last Illness
e$ 160.00
210.00
3680.75
120.00
50.00
Greene Count Memorial Cern ter Co. Interment & Tent Servi
unt Memorial Cern ter Co. Memorial
B hm Funeral Horne Inc. Funeral
Hol S irit Hos ital
Dr. Stewart Johnson
n M.D.
Cardiovascular & Thoracic
Assoc., Inc.
Cumberland Law Journal
Metro-West
Re ister of wills
urance Services
David R. Dodd Es uire
Rister of wills
Register of Wills
Floral arran ement
Legal Advertising
Le al Advertising
Letters of Administration
Administrator's bond
Attorney"s fees
Filin fee for return & invent ry
Reserved for filing final acct.
21. 63
16.00
55.00
350.00
II
II
TOTAL $5009.38
I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts funeral
expenses and expenses of administration submitted to the estate as deductions for Inheritance Tax purposes. '
filLo<' 'J1')).'tIl ,:.{. (j:..? /s-I? /j~
SIGNATURE OF FIDUCIARY DATE '
OFFICIAL USE ONLY
DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $
.'
~:. .
AT
% TAX RATE
REGISTER OF WILLS
DATE
.........
. ...~.~. "..:-:~.;;:~.-.: '. '.,'
GENERAL INHERITANCE TAX INFORMATION
- .
Unsotislied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable
estate. In oddition to debts incurred by the decedent or estate, other items ora c1airnable including the cost of
odminisfration, attorney fees, fiduciary fees, funeral ond buriol expenses including the cast of a burial lot, tombstone
or grave marker and other related burial expenses.
All debts being c10imed against an estate are subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed, Evidence to support the decedent's or the estate's liability for the debts being
c10imed should be attached to this schedule.
A family exemption may be c10imed 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 decedent who is a member of the some
household can claim the exemption. In the event there is no such spouse or child, the exempfion can be claimed by
a parent or parents who are members of the same household as lhe decedent, The family exemption is allowable only
agoinst assets which pass by a will or by the Pennsylvania Intestate Laws,
NOTE: Compensation paid to an estate representafive; namely, an executor or administrator, for services
performed in administering an estate is reportable for Pennsylvania Income Tax purposes, This taxable income
item should be reported on form PA.40.lndividuollncame Tax Return.
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INSTRUCTIONS FOR COMPLETING SCHEDULE "F"
1. If fhe family exemption is being claimed, indicate the c1aimont's name, address and his/her relationship to
the decedent. Enter "family exemption" in the remarks column and the amount claimed in the amaunf column,
2, Assign consecutive numbers to each item listed.
3, Enter the date on which each debt was incurred and/or paid.
4. Enter fhe names of each payee,
5. Provide a brief explanafian in the remarks column for each debt claimed,
6, Enter the amount of each debt being claimed,
7. The farm must be signed by the person who has assumed the responsibility for paying the debts.
IF ADDITIONAL SPACE IS NECESSARY USE By," x 11" SHEETS.
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INFORMATION
This document is the Notice required to be given under Section 709 of the Inheritance and Estate Tax Act
of 1961 (72 P.S, section 2485).
If the tax is paid within three (3) months after the decedent's death, a discount of 5% of the tax paid is allowed.
Inheritance Tax becomes delinquent nine (9) months after the decedent's dealth. Interest is charged at the
rate of six (61 percent per annum on the amount of unpaid tax. (SEE EXAMPLE BELOW)
EXAMPLE: If a balance of tax due of $2,000,00 is in a delinquent status from 3-3-80. and payment is made
on 5-23-80, the interest is calculated as indicated below:
STEP 1
Determine the rate of
interest from the table below.
STEP 2
Multiply the balance of
tax due by the rate of
interest
STEP 3
Add the interest
to the balance of
tax due.
2 Months =
20 Days =
Rate of interest =
.010
+ .00335
.01335
Balance of tax due
Rate of interest
INTEREST
$2.0DO.OD
x .01335
S 26.70
Balance of tax due
Plus Interest to
Date of Payment (+)
TOTAL tax and
interest to Date
of Payment
$2.000.00
S 26.70
Interest from 3-30-80 to 5-23-80
Results in:
$2,026.70
---------------------------------------------------------------------
1 month .005 4 months .020 7 months .035 1 0 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months .015 6 months .03D 9 months .045 12 months .06D
1 day .00017 11 days .00186 21 days .00352
2 days .00D34 12 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days .OD386
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 1 7 days .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 1 9 days .00318 29 days .DD488
10 days .00169 20 days .00335 30 days .00500
---------------------------------------------------------------------
Any party in interest, including the Commonwealth and the personal representative, not satisfied with the
appraisement and assessment may Object within sixty (60) days after receipt of this Notice as provided by
Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S, sec. 2485 - 100ll.
MAKE CHECK OR MONEY DROER PAYABLE TO: "REGISTER OF WILLS, AGENT"
DETACH THE TOP PORTION OF THIS FORM AND SU6MIT WITH YOUR PAYMENT TO THE REGISTER OF WILLS FOR
THE COUNTY SHOWN ON THE REVERSE, SEE THE INHERITANCE TAX INSTRIJCTION 800K. FOR ADDRESS.
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IN RE:
JOHN H, MINOR ESTATE
IN THE ORPHANS' COURT OF
Late of Borough of Camp Hill,
Cumberland County, Pennsylvania,
Deceased
CUMBERLAND COUNTY, PENNSYLVANIA
NO, 21-81-737
FIRST AND FINAL ACCOUNT OF
HELEN H. MINOR, ADMINISTRATRIX C,T,A,
OF THE ESTATE OF JOHN H. MINOR
Date of Death:
Date of Granting Letters of Administration,
C,T.A. :
Date of Advertising Letters:
January 26, 1981
June 18, 1981
July 7, 14 and 21, 1981
Patriot-Evening News,
Metro West;
July 10, 17 and 24, 1981
Cumberland Law Journal
PRINCIPAL OF PERSONAL ESTATE
DR.
The accountant charges herself as follows:
To goods, chattels and credits of the decedent
as per Inventory and Appraisement - final, filed
in the Office of the Register of Wills on
February 16,1982 $5,833,00
CR,
The accountant claims credit as follows:
As listed under Schedule of Debts and
Deductions filed February 16, 1982
1. Greene County Memorial Cemetery Co,
interment
160,00
2, Greene County Memorial Cemetery Co.
memorial
210,00
3,680.75
3. Behm Funeral Home, Inc, - funeral
LIUln .i..1j;'" rAGE 427
.,\
.,.
IN RE:
JOHN H. MINOR ESTATE
IN THE ORPHANS' COURT OF
CUMBERLAND COUNTY, PENNSYLVANIA
Late of Borough of Camp Hill,
Cumberland County, Pennsylvania,
Deceased
NO, 21-81-373
AND NOW, this
ORDER
r:'(!A
'J.- ~day of
Ar~~Z
, 1983, upon
consideration of the foregoing Petition for Decree Awarding
R~al Estate, it is hereby ORDERED AND DECREED that the herein-
after described property be awarded to Helen H. Minor, widow
of the late John H, Minor, in accordance with his Last Will
and Testament.
ALL THAT CERTAIN undivided one-sixth (1/6) interest
in and to all the coal of what is known as the Sewickley vein,
and commonly called the Mapletown vein of coal underlying all
that tract of land situate in Monongahela Township, Greene
County, Pennsylvania, and bounded and described by courses and
distances as follows:-
BEGINNING at a hickory; thence by lands now or formerly
of Leroy Hartley, South twenty and one-half (20 1/20) degrees
West sixty six (66) perches; thence by same South seventeen and
one-half (17 1/20) degrees west seventy (70) perches; thence
by lands of Hugh Keenan North forty eight and three fourths
(48 3/40) degrees West forty and two one hundredths (40.2)
perches; thence by N. M, Hartley north ninteen degrees and ten
minutes (190 10") east thirty four and nine tenths (34,9) perches;
thence by same north seven degrees and ten minutes (70 10')
east twenty (20) perches; thence by same north sixteen degrees
and twenty minutes (160 20') west, twenty two (22) perches;
thence by same north nineteen degrees and ten minutes (190 10')
east fourteen and one half (14 1/2) perches; thence by same
north six and three fourths (6 3/4) east eighteen (18) perches;
thence by same north thirty three and one half (33 1/20)
thirty seven (37) perches; thence by same North
seventeen-Gegrees and forty minutes (170 40') east fifty six
and eight one hundredths (56,8) perches; thence by same south
. roo '.!
tJul. .i..Lv I'I.G. u,,",'.t
IN RE:
JOHN H. MINOR ESTATE
IN THE ORPHANS' COURT OF
CUMBERLAND COUNTY, PENNSYLVANIA
Late of Borough of Camp Hill,
Cumberland County, Pennsylvania,
Deceased
NO. 21-81-373
PETITION FOR DECREE
AWARDING REAL ESTATE
TO THE HONORABLE, THE JUDGES OF SAID COURT:
1, By his Last Will and Testament, the late John H.
Minor gave, devised and bequeathed all his interest in certain
real estate and coal rights located in Monongahela Township,
Greene County, Pennsylvania, as described in Exhibit A, attached.
2. The First and Final Account and the proposed Schedule
of Distribution of the estate were confirmed by this Honorable
Court on January 11, 1983.
3. The Administratrix C.T.A. of the estate is Helen H.
Minor by virtue of Letters of Administration C.T.A, issued by
the Regis ter of Wills on June 18, 1981.
WHEREFORE, the Administratrix C.T.A, respectfully requests
this Honorable Court enter a decree awarding real estate located
in Greene County, Pennsylvania, to her as the named benefici.ary
in the decedent's Last Will and
T~':'i t7 j / L
D:b~;'h J ,(~~;n
Attorney for the Estate of
John H, Minor, deceased
Cov!\
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:, LL U1C unui v jded ono-third i Ilterest in Ilnd to
,\LL t.he conI of what ;;,s I'ilown us the SewicltIey voin, and commonly
called the :,:.lpletown .vein of eOlll unc.lcrlyintt all that tract of .1and
situatc in i'.1unon!~uhcla '!'OWIIHiJ ill , Groeno County, Pennsylvania, and
bounded and deSG1'i iJctl lJy ,;Ullr:,u;c :l.,c.: dis~ances n,; follows;-
13EGINNING nt a hickory thence by lands now or for
merly of Leroy lIa rtley , South twe n t:i nnd one-halt: (20 1/20) degrees
West sixty six ( ()(j ) pel'c.ilc5; Ll1€lH~C by t;:lI:1e South seventeen a nd one i
i
hillf ( 1'1 1/20 ) degrees west sevellty CiO) perches; thence by lands of i,
!
Hugh Keenan "lorth forty eight nnd t:I'l'ce fourths (4b_3/40) degrees Wes
forty and two one hundredths (10.2) perches; thence by N. M. Hartley
north ninetecn degrees and ten minutes (190 10') east thirty four an
nine tenths (34.9) perches; thence by same north seven degrees and
ten minutes (70 10') east twenty (20) perches; thence by same north
sixteen degrees and twenty minutes (160 20') west, twenty two (22)
h b 1.1' t d d ten ml'nutes (lUO 10')
perches; t ence y same nol' '1 alae een "grees an ...
east fourteea and o~e hulf (14 1/2) perches; thence by same north six
and throe fourths (0-3/.1) east ei!c:hteen (Ill) perclles; thence by same
north thirty throe aad one half (33 1/2")
thirty seven (37)
perches; thence by same Nurth seventeen degrees a I'd forty minutes
(170 40") east fifty six ,1I1d eight one hundredths (56.8) perches; then e
by same south seventy nine a lid one ha If (79 1/2) cast eighty one and t 0
one hundredths (81.~) perches; thence by land now 01' formerly owned by
Leroy Hartley south thlrcy seve''' and three fourth" (37 3/40) west nine y
four (94) perches tu "he pInee of beginning; the whole tract containil g
.. .
sixty nine and thirty three one hundredths (69.33) acres.
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