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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA III
COI)NTY OF CUMBERLAND
Before me, the Realster for the Pro ale of WillI and.~ranllna..~) Leller~ of Admlnlltrallon In and fot tho County of
Cumberland, personally came ,,,", ", C!.- H' ~ . .-::Z '. "
who, belna dUI~, do ~~~ depose and say that al 'I:.~ t'!.) l' L . ..J/!'! V
orlho !alt WlUand ;ostament of .. J'ttl J~/j/ ri..j D r:1/f t.p.d? i::,:v. dooeased
_1:: will weiland truly administer the aoods and challell, rlahts and credits of laid deceased accordlna to law, And
UaentJy comply with the provlllons of the law rolallna to T~.nsf r Inherltancei~;~nd subsorlbed before me,
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DECREE
Bo It remembered that on tho 8th day of OCtober
rltOordod the last Will and Teltament of Mildred D. RU99aber
,A.D,,!9..!l..., there was probated and
late of
CIl\lP !J~11 , Cumberland County, Pennsylvania,
Deceal~d, Lettors. 'l'e.talllentaa:y wore Ilr~ntod to John o. RUffaber
Witness m~ hand and ofnctalsoa! tho day and yoar aforelald, t:-:J1, '. "/,,, '. . ,r;~ " )
",' G8S ~~~,{),t_~
I' ' , ' ,Roslster
IHS1 RUC1IOI-IS
ASSI!TSI
TY P I! OF r\SS~T _ Indlcalo whothot Iho ~uo, I G fool Ollato, po"onal pr.p~rIY, tral..I~r or lolnlly.~wnod.
DIlSCRIPTIOI-I ... \.111 all cUcll ownod lololy by tho dilcadlot or oWllod lolntly with ooolhor pOPy or portio, a' tonaoll IIi '
common'OI 01 \Qlnll.nanl' with right 01 lurvlvollhlpot tho tlmo 01 dopth, IIIcludo Ih. dO~Qd.ot I p.reootugool oWllor,hlp,
tho opm. (,l and rolotlQlhhlp to tho doe.doot ollho "'HVlvlnglelnt ownou alld Iho Qltlmnlud markot valuo 01 tho doeodont',
Intololt 01 ollho 'doto 01 douth,. Ineludo Inl.nglbl. p.lIonal proporty tltlod In tho namo 01 ,tho docodonl bul poyabl.ot dooth
to anolh.r party orlorllo"10~lu,d,109 bUI not Ilmltod 10 P,Q.D, U,S, hvl~g. Boo,d' or,d tanlatlvo tru.t, a~,COUnh',' L.lllony, '
plapolly troOlfollO by ,tho docod,ot wllhln twa,YOOII 01 dooth for whlchho/.ho did nol rooolvo va.luablo ond adequato
conlldorotloo. '
QOIcrlbo oil 1001 ..1010 looplod In Ponn'ylvonlo by 101 aod black oumber" .troot addro.., nuo,bor of atro. aod Includ. a
gonorol d..arlpIlQh of tho land a~d hulldlogl. Allo, Ihcludo tho hoek ood pogo Mmbor 10 which tho deod I, ro~ordod and tho
Q10ct tlllo a. Indlcaled on Iho dud,
B .,' .Unaolllllod Ilohlllllo, Incurred by tho docodont prlo! 10 hl./hordooth oro doductlble agolnll
II hor lo.ohl.o .Ilato, In addition to dobllJnaurrod by tho do~odont, othor 110m' aro clolmablo In~ludll\g,lhe 00,1 of
odmlnlllrotloo, attarnoy 1'01, frduclMY foOl, fUnetol ood burial "pon.o. Including tho coil of a burlollQI, 10mb,Iono or
grove markor. L.I't Iho do to 00 which oochdoblwal Incurre~and/or pold ond tho nomOI of oaah pay~o, !'rovldo 0 brlof
OKplooollon of Iho noMo 01 ooch dobl c1olmod ond Iho omouot bolng clolmod
Evld,nce 10 lupporllho d...donl'urtho OItoto',lloblllly-for tho dobll bolng clolmod ,hauld bo ottoched to Ihll rolurh
A family Q1empllon moy bll clolnloc!. by a 'pOUIO of a doo~donl who died domlcllod In PQnn.ylvnnlo, If Ihero,II no "pOUIO,
er If Iho IpOUIO hal forf.l.tedhll(h..r rlghll, Iheo ony chlld.of Iho docodool who I, 0 momb,r of Iho .amo houlOhold con claim
tho Q1omplloh, In thoovonl there Il'no luch. ,paUlO or child, Iho o.omptloll can bo clahl10d by 0 peronI or Parool' who oro
momboll of Iho lamo hou ..hold 01 Ih.c docodonl,
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lliPORMA TIOI-I
!'!.Ace FOR FIL.ll-1G _ Tho retuttl 1110 bo IIlod In dupllcote wllh IhoRogllter of Willi nf Iho county whololn tho docodont
relldod. .' '. "
TIME POR FI\.JJili. _ Tho rolum 1.1 duo nino month I alter tho docodoot'I doath,uolo.. an o.t.o,lon for IIIlog hatb"o applied
~y tho Socretory of Rovoou, 10111010 tho oloo',moothporlod, .
FAILURE TO PI!.! RBTUR~ _ Soetlon 791 of the 196\ Slol~,to provldOl tho' '.f , , ,ony pOIlOO who wlllfullyfdlh to 1110 a
lotuln or othllr roport requ rod of him Iholl bo pOlluoally lIablo , . .to a ponalty of 25~. of tho lb' ulllmatoly fauod to bt
duo or $1,000 whlehovor I, Iholo.. 10 bo rocovolodby Iho Doportment of Rovoouo 01 dobh of Ilko omouol aI, rocovOloblo
by law," '
t!Qlli Feol paid to an o,lale re!,rol"nlalivo; I1On\oly, on e.ecut"r oradmllllltrator, .101 lorl/lcel performod In tld.
mllllllorlnll an oslale II roPQrtable for ponn,ylvanla Incamo Ta~ purpoles..Thll IQ~able Incamo Item Ihoud be roporlo<f on
lorm PA.40.ln~IVlduQII~camo Ta~ Rolurn,