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HomeMy WebLinkAbout81-00462 NO, :2,1..81 ~1 {l ~ ; _~, ,. ,PETITION FOR: L_TTER~OF A~MINISTRATION / IN Tim IDS1~A'I'ID ()~:' /1~tH.(fJJ,;t,,,,,~(,,a,,,,,+J.."(.I.!.:~.,tJ.,, IlIWlq^A~1U, To ";i~~~"~~'fi~"~~;;;~~:~~~~:";;;:'~':;;;;i',~':,;:;;;;::;',";;;";';;;:';':;;;;;;;::;;;;;:;;;\11 h ,n!' i'UIIII~yll'lIl1ll1, '('ho POlllhlll, ,ot' ,(;J.it.tJ"J,~f'f"!~'~'" Jd.., ,C) }i;r:.<,.~,,,, ~:,'" ')""""""'" '" "" ""::J ?',' :" "":"'? "'.""'"'' 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"""""".."...""".,..,..,."...,.,.;1""".".,i..I".., """""'"ll''''''''''''''''''''''''''''' ""","""r,,,,,,..,,,.;H,1/,,,"H;'I,,II,,,,II'''IIIII''1i ..""",..,,,....,,,;....,,.,,,..,,,,,,..,, , .., ,,""..'".""."III"f!.\I".....""..""'...';Ij."'III"I ;""'I,,,,,,;,,,,,,,,.,,,j,,,,,,,,.,,,.,,,, ,:..."."...."",;..';."j".."...I.I.H'illll.....;;Ui,....". 1'hllt thORO IIbovo 'n1l11101\ Inelll!\o 1111 of tho noxt nl' kin, Rol'1I1'I\H Ilnown,~t.~--'1"\..~'tir~)U',~ Tho 8111d (loo()(I~11t. WI\H pOHHGIIH',,1 or plll'HOllllI pl'(lpi!l't.)' to tho 'nRllmnlllll vlIluo of $",,,,,,;}:,,,,,,,,,,,,,,,,,,,,,, And of HOIII 1']Htllto. ,IORA h\Clllnhl'lIllcO, tn tho oHt.hlll1tod Vllhlll of' $,):t.~~"""",,,,, ,ilK nOllf ilK OUn he . ' , IIRcertllh\od, Th, lit tho HIIIllI'o II} 1","tlltO III "Il fill' II" I" kllO,\VII I" Ill",llt"ll 11'1 . ." 0 ." r'I 0 . n ~ '"' "",,,..,..""'''''''Ii......ll.''''..'.....HI.'li..!.ljjjl.. '''' ".',,,;,,,,,,,, ,." """ ".,,,,,, ""," ,.. ''I'''' "..,;.,.." ,._". ..., ,..." ...., "i.:';" " ,j"."-,....,..,, ,i." i" "" ""i.,., ,'",."., If" "I" It..., ""..Hi .'~...." 'H'It.II'H! " 1'hOI'Of~I'O. YOUI' potltlonol'(K) !'OIlPllotfully IIpply (InK) 1'01' ),0((01'11 of AdmhllKtl'nt\on In t,~e IIbove Ilamed ostnto, Duted ""l?v..C~",J.,'/..,,""""""':"',.. A. IJ" 11l,tI , (J Cl' SlglllltUl'l'l IllldAcldi'l'RH ~1..rA~'" ")47 6JN~ ~'" . "~j~,UK..~'~'~"I.6i"",tZI.""~"."'., ,.:;.!f.,:J.,",.J..'"/.tf..,"~"""..:,",..,,.,",:,(.'.i.,':' e.VJ~l.. 'VI') rlJ /tJ ;<) A' ,. .,'~-; ''Iff; "77'.."',,,j0~f,'J...,~d:"-~,,~~!..~KI,i1llil.-;"'H!".i: ...."" ";"",..,"Ii".".,....I'.i,..ill.."...i,....I.~.21..I.j.,/,i.H,tl,.HIII nl' ('"tHlnIWI'!H) (::)I-r'l-r~.,~ )1 - ,,~8"7 -3 <." INSTRUC.I.!.2!'Jl ASSETSI TVP~ 9F AHI!T -Indlcoto whoth.,r tho ouot I. rool ,.tolo, pmonol proporty, tron.for ,r lolntly.ownod. SCRIPTlON- L.I.t ollo'40h ownod t~loly by tho decodont or ownod 10lntly with .nothor po/ly or pollio. at tononh In common .r at oint lononh with right of Durvlvorthlp ot tho limo 01 doa,lh, ncludo Iho docodont . porcontoga .'ownor,hlp, Iho nom. (t) ond rolotlonthlp IlIlho d..odOl"of Iho ourv1vlng lolnt ownor. and tho utlmol.d ma,kot ,valu. of tho doc.dont'. Inlor..t ot of tho dot. 01 doalh. Includa h\tanglblo pononol proporty tlll.d In Iho nomo of tho d.ood.nt but payabl. 01 dOolh to anoth., pa,ty or/arllot Including but norllmll.d toP,O,P. U,S, Sovlngt Pond. and I.ntallvo I""t qcc:ounl,t. Lltt any proporly trant'orr. by th.duodont within two yoor. a' doolh for which ho/.ho did not rocolvo val,uoblo ond odoqual' oon.ld.rollon. ' Pucrlbo 011 roal attolo loo,otod In Ponn.yl vonlo by lol,ond block' numbor, .tro.t oddr..., numbor of ucr..ond lnoludo 0 gonoral d..crlpllon of tha Idnd ond building." Alto, Includo tho book and pogo numbor In which tho d.od I. rooordod and Iho o.acl 11111 at Indlcal.d on Iho dud, " ~T~ & peDUCTI9~~ - Untalltflod liablllllu Il1curnd by ,Iho docodonlprl~r to hlt/her dooth oro doductlbloagal",1 I. hor to'obl. "tatl. In addlllon I. doblt Incur,"d by tho dotod.nl, othor 110m. oro clalmobl. Including tho COtl of admlnl.trollon, attornoy fUI, flducla,y '''St funorol and burial o1.on..~lnc,ludlng tho .,oat of 0 burial lot, tombtlono 0' groVe morkor, Lilt tho dala on whloh oath ~obl waa Inourrod and, or paid and tho nomoa 0' ooch payo.. Prllvldo 0 brlof a.planotlon of Iho,noturo of loch dobt clolmod and tho amounl bolng clalm.od, .. hldonco 10 tupporl tha docadont't or tho Ulatois Iloulllty for Iho doblt baing clolmod should bo ottoohod 10 Ihlt ,r',lurn A family o~ompllan may bo cl.lmo,d by 0 tpouto.f o'docodont who dlod damlcllod In P,onntylvunla. If tho"~ Is np'tpoutl, 0' If tho tpo..o hot fo,f.ltod hlo/ho, ,Ighh! thon any child of thod',codont who. It 0 1110mbor of tho t,omo houuhold CM .Iolm Iho o.omplllln. In tho,ovonl, Ihoro I, no .uch tpou.o or child, thoo.ompllon oan bo clalmod by a,paronl or paronh who o'a 'I')ombon 01 tho .omo houuhold oS Iho docodont. ... pi ~ i m ~ ~ n :j :l 8 l :;:: ill m g ~ u j ~' '~ ii\ i d :t, ~ . m' '" m ~ ~ ~ i . B' e, i " t: '1J ! B ~ ~ i ~ Z I> C'l ~ 0 ~ m m lIll ~ ! ~ ~ !!l m in ~ t . 0 0 z i p on '" ~ ,. )t + ., ,~ 0< ~ Me E ~ ] INFORMATION PI.ACEFOR ~II.ING-Th, raturn Is to bo filod In dupllccito with tho Rogl'sto, 01 Wills oflho co~nty who,oln tho d.~odonl ,.,Idod. . " TIME FOR "ILING ~ Tho ,alurn.'s duo nlM mantht ofter ,tho docod,nl't dooth, unlo.. on "oIo"slon lor,/lllng hoi boon appllod ~y tho Soc,otary of Rovonuo wllloln Iho nlno.manth porlad. " fAILURE TOFII.IlRSTURl'l- Socllon 791af Iho 1961 Stotuto provldo",hat ",. ,allypor.on who willfully loll. " fllo 0 roturn 0' olhOl toport roqIJlrod III,hlmoha I bo personally 1,loblo, . .to 0 ponolty 01 25% of tho 10. ultlmaloly lound to ba duoor $1,000 Whlche"er It the 10" to boroallvatod by tho Dopart",onl 01 Rovonuo.. dobuaf Il,ko omounl 0'. ,ocoveroblo by low," ' , . ' . NOT~l Fees pqld to On e'tqte reprelGntatlve; namely, o.n exocutar ar, qdmlnlttratqr, for servltes perfo,med In ad. mlnltterlng an eolqle I, r,portqblefor I',nnsylvonla IncomeTOx purposet, Tkls taxqble Income Item tkou(i be reported on form PA.40.lhdlvlduollncome Tqx Return, ' 1'",.,(:",'" ."',,' ".1..., ",,' ~ " .. , , U 0" H--\Y,d' .';-; ,,;;,~...'OI/""a f~l,\O~<<"" __-:'it-',,:,--/.-' ,." ~. H~.' . ,. "RI P<<AHCIS " 'RI~I OR "RlM4RIA-'T A PA"K, DieD 01 ,. fa aOI,,$,I',"IT CAMP H,~L PA lTOll " K "QK , C H e 'C;ft s flU,,", "A"DI.INT ',V10,' )Y,,'!,',: <1._,"'# IlZ., J:4OlJ',' 51.8. 1/'28, 1~10~ .0.00 rla~"1',~11 v, 115.0(1 11alt lltUv H.U 7/UHU \.-'" , "'.69 Volt 141ft I...... " 1.;19 illO' 1415\,..01311.4' .1I1ft .l)8PO$lT 1129 Dl$PCI$O. !lID" OI:PO$lT . a "J' . a . . jl . u /' ., " i. ,.,'10111 i'. .I,I'IL'l.I9U1 ~iri; f~"""''T'' .OATI :L i\ - ;~'-(,,- - h+ tn~h,'~j , c;H lie K . . OAn,. "', ", A~l.lMl 081&2 141~ naOO 08111 1itaT,~'O.OO 0,"2 l~';""'. 'laU OOIV. 1._0"-' 11,.. 0,,0/, 18,',' 14U~,"."'..' 08111t 1.n~ O,lht)O 01/1' lIt,8 ,-,~(hOO Ii . . . . . . . . . ...... J4+ . . . . . . , . . 'If""'" '-2900 aOO... . . . . . . . . . 100aOO+ UNK ANVTlMe Oil DAY OR "IGHT WITH .OUR Al.,~-TH&"TlMe"'T&Ll.BR cH'CK1N~ "ACCoUNT .t4'M''''" C H . C KS DATI. AHQUNT OelO' 1ltUv n.OO 08/0.'14'"4''' U.IZ 01/10 1419~ :n.,. ()8/UIItIO-- ,000.00 \lalO' '422"'" 100,0.00 ()8/01 1ltU V ,ltZ .02 08111 14a4' --ao.oo 08111 llt25"'-' n,3l " ..