HomeMy WebLinkAbout01-0918
A TTORNEYS AND COUNSELORS AT LA W
Eric J. Krathwohl, Esq.
Direct: (617) 556-3857
Email: ekrathwohl@richmaylaw.com
September 25, 2001
Cumberland County Registry of Wills
One Courthouse Square
Carlisle, PA 17013
Attn: Vicki
Dear Madam:
Pursuant to our recent conversation, I enclose herewith the following documents and
filing fees in support of my request to be granted Letters of Administration in the Estate of
Carlton L. Krathwohl, through a "short certificate":
1. Petition for Grant of Letters of Administration, including an appropriately
affirmed and subscribed Oath of Personal Representative;
2. Petition for Grant of Letters After Twenty-One Years;
3. Renunciation by Kristen Ledson;
4. Renunciation by Lisa Marum;
5. Death Certificate of Carlton L. Krathwohl;
6. Estate Information Sheet;
7. Check to the Orphans Court in the amount of $9.00; and
8. Check to the Registry of Wills in the amount of $43.00
As we discussed, I do not know the value of the single asset of Carlton Krathwohl's that
currently remains in the hands of a third party. Once I learn that, we address the tax filing
requirements.
Please acknowledge receipt of the enclosed by stamping the attached copy of this letter and
returning it in the enclosed self-addressed, stamped envelope.
Thank you for your help.
~~
Eric J. Kiohl
Encl.
K: \utl \oth \54029c1kestate. 9-25
RICH MAY, A PROFESSIONAL CORPORATION
176 FEDERAL STREET, BosTON, MA 02110-2223
T -(617) 482-1360 F- (617) 556-3889
www.richmaylaw.com
I
RichMay
I
ATTORNEYS AND COUNSELORS AT LAW
Eric J. Krathwohl, Esq.
Direct: (617) 556-3857
Emai1: ekrathwohl@richmaylaw.com
September 25, 2001
Cumberland County Registry of Wills
One Courthouse Square
Carlisle, PA 17013
Attn: Vicki
Dear Madam:
Pursuant to our recent conversation, I enclose herewith the following documents and
filing fees in support of my request to be granted Letters of Administration in the Estate of
Carlton L. Krathwohl, through a "short certificate":
1.
,(
f
5/
3f
-~
Petition for Grant of Letters of Administration, including an appropriately
affirmed and subscribed Oath of Personal Representative;
Petition for Grant of Letters After Twenty-One Years;
Renunciation by Kristen Ledson;
Renunciation by Lisa Marum;
Death Certificate of Carlton L. Krathwohl;
Estate Information Sheet;
Check to the Orphans Court in the amount of $9.00; and
Check to the Registry of Wills in the amount of $43.00
As we discussed, I do not know the value of the single asset of Carlton Krathwohl's that
currently remains in the hands of a third party. Once I learn that, we address the tax filing
requirements.
Please acknowledge receipt of the enclosed by stamping the attached copy of this letter and
returning it in the enclosed self-addressed, stamped envelope.
Thank you for your help.
Enc!.
~fl
Eric J. irlohl
K: \utl\oth \54029c1kestate. 9-25
RICH MAy, A PROFESSIONAL CORPORATION
176 FEDERAL STREET, BOSTON, MA 02110-2223
T-(617} 482-1360 F- (617) 556-3889
www.richmaylaw.com
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of
also known as
Carlton L. Krathwohl
Carlton L. Krathwohl
No.
To:
Ii
Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Security No. 070-09-5779
The petition of the undersigned respectfully represents that: Eric J. Krathwohl
y our petitioner~, who is/are 18 years of age or older, appl y for letters of administration
on the estate of
(d.b.n.; pendente lite: durante absentia; durante minoritate)
the above decedent.
Decendent was domici~ed at death in Cumberland County, Pennsylvania, with
his lastfamilyorprincipalresidenceat 5214 Deerfield Avenue, Mechanicsburg
(list street, number and municipality)
Decendent, then 54 years of age, died April 25
at 5214 Deerfield Avenue. Mechanicsburg
, 19iJ__,
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
*
$ 00 .OO~
$
$
$_ ~OO
Petitioner_ after a proper search ha---2- ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
-z[
Name ** Relationship Residence
Betty A. Krathwohl Spouse 5214 Deerfield Ave., Mech
Lisa C. Krathwohl Daughter -- 5214 Deerfie-raAve., Mech,
Kristen M. Krathwohl Daughter - 5214 Deerfield Ave., Mech
Eric J. Krathwohl Son ..... 5214 Deerfield Ave., Mech
anicsburg
anicsburg
anicsburg
anicsburg
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the
appropriate form to the undersigned.
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* See attached explanation.
** Deceased
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
} 55
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) will well and&-'~
truly administer the estate according to law. 0_ ~.. . Il~
Sworn to or affi~nd subscribed I 6vvL-J/c -~ ~
befOf me t . S ( day of _ _ _ 'tr
~.;7~( 6
/' {'~~ I ~
/3 ;;;~ ~ 7R~gW; L ~
1Ef~~'<~
No.
Estate of
Carlton L. Krathwohl
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW 19_, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Eric J. Krathwohl
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Eric J. Krathwohl
in the estate of Carlton L. Krathwohl
Register of Wills
FEES
Letters of Administration $
Short Certificates( ).......... $
Renunciation ................ $
$
TOTAL _ $
Filed ..................... A.D. 19_
Eric J. Krathwohl. Esq.
MASS - 279440
R. h ATTORNEY (SuP. Ct. I.D. No;! t .
lC May, a -~rOL~SSlona~ Gorpora lon
176 Federal Street, Boston, MA 02110-2223
ADDRESS
(617) 556-3857
PHONE
Attachment to Petition For Grant Of Letter Of Administration
To the best knowledge of the person filing this Return, minor amounts of
assets were owned by Decedent and all such assets were passed on to ,
Decedent's spouse, with appropriate Estate tax payment and report'
At this time, no such assets exist as Decedent's spouse die ithout
assets. Further, no one is now alive that has any further owle
such matters,
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21-01-'118
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THIS IS TO CERTIFY THAT THE
FOREGOING IS A TRUE COpy OF A
RECORD ON FILE IN THE OFFICE
OF VITAL STATISTICS, ONONDAGA
COUNTY HEALTH DEPARTMENT,
SYRACUSE, N.Y. DO NOT ACCEPT
THIS COpy UNLESS THE RAISED
SEALOFTHEONONDAGACCUNTY
HEALTH DEPAST;~~::NT 13 AFFIXED
TH::F20N.
DATE OF iSSUANCE
MAY 9 2001
7/~J ~ ~.r-3
Commissioner of Health
, . c.'....,..... ._";;'"'-...H.....;..._'......,...__"""'_..__,,.&,....,,_,"..,,O.~.-'-,.,...,....,."".~-.....--_~
RENUNCIATION
~ 1- 0 I - 9 ii
In Re Estate of
Carlton L. Krathwohl
deceased.
To the Register of Wills of
Cumberland
County, Pennsylvania.
The undersigned
Kristen K. Ledson, daughter
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s)' that Letters
of Adrninisrr~rinn
be issued to
Eric J. Krathwoh~
WITNESS
~~~~
hand this
~(...
day of -4~
,at>>~.
~~
31 Chattanooga Road
Ipswich, MA 01938
(Address)
~ .b~Y>
(~ I{/
(Address)
(Signature)
(Address)
RENUNCIATION
.21-ol-Q/B
In Re Estate of
c'Rrl ron T, KrRrl'H.Jor1l
deceased.
To the Register of Wills of
Cumberland
County, Pennsylvania.
The undersigned
Lisa K. Marum, daughter
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration
Eric J. Krathwohl
be issued to
WITNESS
~ <) [~
i .. and this
't-o day of
1r1-~ ,~ )to I.
~ k: ;1(~
(Signature)
3640 Johnson Avenue 7F
Riverdale, NY 10463
(Address)
(Signature)
(Address)
(Signature)
(Address)
tv/I
OCT(~5 2001
6
.
Estate of Carlton L. Krathwohl
Deceased
In the Court of Common Pleas
Cumberland County, Pennsylvania
Orphan's Court Division
No.c:;ll- 0 I-q 18
DECREE
AND NOW, Ihis r~y Of~ ,2001, upon consideration of Ihe annexed
petition, the Register of Wills is authorized to grant Letters of Administration upon the Estate
of Carlton L. Krathwohl, deceased, to Eric J. Krathwohl, under the provisions of Section 3152
of the Probate, Estate and Fiduciaries Code.
By The Court
.
K: \utl \oth \54petition. ejk
Estate of Carlton L. Krathwohl
Deceased
In the Court of Common Pleas
Cumberland County, Pennsylvania
Orphan's Court Division
No. ~I-DI-Oq IB
PETITION FOR GRANT OF LETTERS AFTER TWENTY -ONE YEARS
TO THE HONORABLE, THE JUDGES OF SAID COURT:
The Petition of Eric J. Krathwohl respectfully represents:
1. Carlton L. Krathwohl died April 26, 1969, a resident of and domiciled at 5214
Deerfield Avenue, Mechanicsburg, Hampden Township, Cumberland County, Pennsylvania,
intestate leaving as the persons entitled to his estate under the interstate laws the following:
Name Relationship Address (current)
* Betty A. Krathwohl spouse Deceased
Lisa K. Marum daughter 3640 Johnson Avenue 7F
Riverdale, NY 10463
Kristen K. Ledson daughter 31 Chattanooga Road
Ipswich, MA 01938
Eric J. Krathwohl son 1 Stage Hill Road
Ipswich, MA 01938
2. Your Petitioner is Eric J. Krathwohl, son of the deceased, who resides at the
address shown in Paragraph 1.
3. Petitioner has no knowledge that any letters have ever been granted in the estate
of Carlton L. Krathwohl, deceased. More than twenty-one (21) years have elapsed since the
death of the decedent.
4. It is necessary that Letters of Administration be granted for the reason that an
asset recovery firm informed the Petitioner the decedent owned other property, previously
unknown to any of the decedent's successors and it appears to be necessary to obtain a Grant
of Letter to best address such asset.
*Betty A. Krathwohl died without assets. Petitioner had a full power of attorney and
was her executor and administrator.
AI
Your Petitioner therefore requests Your Honorable Court, under the provIsIOns of
Section 3152 of the Probates, Estate and Fiduciaries Code, Act of June 10, 1972, P.L. 508,
No. 164, ~2 (20 P.S. ~3152), to authorize the Register of Wills to grant letters of
administration upon said estate.
Date:
3"<f ~w "L<-{) ~ 1
8?JM:A
Eric J. Knlthwohl, Esq.
Rich May, a Professional Corporation
176 Federal Street, 6th Floor
Boston, MA 02110
(617) 556-3857
VERIFICATION
I verify that the statements made in this Petition are true and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa. C.S. ~4904 relating to
unsworn falsification to authorities.
Date:
~~~ 2-~") 1.001
~ ~;t;j~~
Eric J. Jfrathwohl
K: \utl\oth \54petition. ejk
, ,
kI/'
oerlXl' 5 2001
(j
Estate of Carlton L. Krathwohl
Deceased
In the Court of Common Pleas
Cumberland County, Pennsylvania
Orphan's Court Division
No.c;ll-Ol-q 18
DECREE
AND NOW, this r~ay OfCP;J: , 2oo!, upon consideration of the annexed
petition, the Register of Wills is authorized to grant Letters of Administration upon the Estate
of Carlton L. Krathwohl, deceased, to Eric J. Krathwohl, under the provisions of Section 3152
of the Probate, Estate and Fiduciaries Code.
By The Court
.
K: \utl\oth\54petition. ejk
A TTORNEYS AND COUNSELORS AT LAW
Eric J. Krathwohl, Esq.
Direct: (617) 556-3857
Email: ekrathwohl@richmaylaw.com
July 3,2002
Cumberland County Registry of Wills
One Courthouse Square
Carlisle, PA 17013
Attn: Vicki
Dear Madam:
Pursuant to our several conversations over the last few months, I enclose herewith the
additional documents and filing fees you advised were necessary for my request to be granted for
Letters of Administration in the Estate of Carlton L. Krathwohl, through a "short certificate":
1. Revised, Resubmitted, Re-signed and re-attested Petition for Grant of Letters of
Administration, including an appropriately affirmed and subscribed Oath of Personal
Representative;
2. Original, Death Certificate of Carlton L. Krathwohl with raised stamp;
3. $45,000 Bond of Pennsylvania National; and
4. Check to the Registry of Wills in the amount of $43.00
Also, for information, I enclose my September 25 transmittal letter marked by your office as to the
remaining items required. Further, I believe the Bond makes unnecessary the Waiver/Hold Harmless
Agreements of the other two heirs (my sisters), but I enclose those anyway. As we discussed, I do not
know the value of the single asset of Carlton Krathwohl's that currently remains in the hands of a third
party. Once I learn that, we address the tax filing requirements. Please call me if you have any
questions, or if anything else need be done.
Please acknowledge receipt of the enclosed by stamping the attached copy of this letter and
returning it in the enclosed self-addressed, stamped envelope.
Thank you for your help.
JZ'Y ~
Eric J.~thWOhl
Enc!.
K: \utl\oth\54029clkestate. 7-03
RICH MAy, A PROFESSIONAL CORPORATION
176 Federal Street, Boston, MA 02110-2223
617.482.1360 FAX 617.5563889
www.richmaylaw.com
Eric J. Krathwohl, Esq.
Direct: (617) 556-3857
Email: ekrathwohl@richmaylaw.com
July 3,2002
Cumberland County Registry of Wills
One Courthouse Square
Carlisle, PA 17013
Attn: Vicki
Dear Madam:
Pursuant to our several conversations over the last few months, I enclose herewith the
additional documents and filing fees you advised were necessary for my request to be granted for
Letters of Administration in the Estate of Carlton L. Krathwohl, through a "short certificate":
1. Revised, Resubmitted, Re-signed and re-attested Petition for Grant of Letters of
Administration, including an appropriately affirmed and subscribed Oath of Personal
Representative;
2. Original, Death Certificate of Carlton L. Krathwohl with raised stamp;
3. $45,000 Bond of Pennsylvania National; and
4. Check to the Registry of Wills in the amount of $43.00
Also, for information, I enclose my September 25 transmittal letter marked by your office as to the
remaining items required. Further, I believe the Bond makes unnecessary the Waiver/Hold Harmless
Agreements of the other two heirs (my sisters), but I enclose those anyway. As we discussed, I do not
know the value of the single asset of Carlton Krathwohl' s that currently remains in the hands of a third
party. Once I learn that, we address the tax filing requirements. Please call me if you have any
questions, or if anything else need be done.
Please acknowledge receipt of the enclosed by stamping the attached copy of this letter and
returning it in the enclosed self-addressed, stamped envelope.
Thank you for your help.
Sincerely,
Eric J. Krathwohl
Enc!.
K: \utl\oth\54029clkestate. 7 -03
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of
also known as
Carlton L. Krathwohl
Carlton L. Krathwohl
No. 21 - C; I - q I <t
To:
Deceased.
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
Social Securiry No. __Q2g-09-5779
The petition of the undersigned respectfully represents that: Eric J. Krathwohl
(d.b.n.; pendente lile; durilnte absentia; durante min()rita~e)
the above decedent.
Your petitionerf5t, who is/are 18 years of age or older, appl y for letters of administration
on the estate of
Decendent was domiciled at death in Cumberland County, Pennsylvania, with
h is last fam i1y or principal residence at 5214 Deer f ie ld Avenue, Mechanics burg
(list street. number and municipality)
Decendent, then 54 years of age, died _~ril 25
at 5214 Deerfield.Avenue. Mechanicsburg
,19_~_,
Decendent at death owned property with estimated values as folllows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
*
$ . 00. OO~
$
$
$_ 00.00
Petitioncr__ after a proper search ha~ ascertained that decedent left no will and was survived by
the following spouse (if any) and heirs:
Name' ** Relationship Nesidence
Betty A. Krathwohl Spouse Decease
Lisa C. Krathwohl Daughter J640 Johnson AV8nue 7F, R
---
Kristen M. Krathwohl Daughter j1 Chattanooga Rd., Ipswi
Eric J. Krathwohl Son 1 Stage Hill Rd. . Ipswich_
.-
--.
iverd.ille NY
ch; MA
. MA
THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration 111 the
appropriate form to ' signed.
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* See attached explanation.
** Deceased
\\- \5- 5
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
} ss
The petitioner(s) above-named swear(s) or affirm(s) that the
statements in the foregoing petition are true and correct to the best
of the knowledge and belief of petitioner(s) and that as personal
representative(s) of the above decedent petitioner(s) w~ell and
truly administer the estate according to law. 01 ~ 0
Sworn to or affirmed ~d subscribed J 1-0/
befor e this ~. f.~ day of _ n_
Zkr-_. .~~~
0"-.- ~ /~r-?Z I
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No. ,~I - C I - C) I ~/
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Carlton L. Krathwohl
, Dece~ed
GRANT OF LETTERS OF ADMINISTRATION
AND NOW JULY 15, 2002 1~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that Eric J. Krathwohl
is/are entitled to Letters of Administration, and in accord with such finding, Letters of Administration
are hereby granted to Eric J. Krathwohl
in the estate of
Carlton L. Krathwohl
FEES 8 0
Letters of .~dministration Ml\' .. $!l1 ,0
Short Certlflc::!t.es( )\Jj).;;:... $ .
Renunciation..... .~... ~
TOTAL _ $
Filed. :z,:- J 5.-.2002. . . . . . ... A.D. 19_
o
Eric J. Krathwohl. Esq.
MASS - 279440
. h ATTORNEY (SuP. Ct. 1.0. No..) t .
R1C May, aProL~sslonal corpora lon
176 Federal Street, Boston, MA 02110-2223
ADDRESS
(617) 556-3857
PHONE
, #
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W AIVERlHOLD HARMLESS AGREEMENT
Agreement, attestation and confirmation made this 1Lii day of November, 2001 by
Kristen K Ledson.
WHEREAS, I am one of the only three remaining heirs to Carlton L. Krathwohl, i.e.,
Lisa K Marum, Kristen K Ledson and Eric J. Krathwohl; and
WHEREAS, such heirs wish to have Eric J. Krathwohl made Administrator of the Estate
of Carlton L. Krathwohl now, due to the recent discovery of an asset of such Estate; and
WHEREAS, such heirs wish to save the cost and delay of obtaining a bond to protect
their respective interests;
NOW THEREFORE, I, Kristen K Ledson agree, attest and confirm as follows:
1. That, on my own behalf and that of my heirs and assigns, I release any and
all claims I have ever had or may ever have against the Register of Wills
in connection with any grants of Letters of Administration to Eric J.
Krathwohl, without requirement of protection of Bond; and
2. That I will indemnify and hold harmless the Register of Wills against any
co'St or liability with respect to any claim I have ever had or may ever have
cfgainst the Register of Wills in connection with any grants of Letters of
Xdministration to Eric J. Krathwohl, without requirement of protection of
1\000.
Signed under pains and penalties of perjury this lit) day of November, 2001.
~~ 'if {~
Kris en K. Ledson
K:\ut1\oth \54049W aiver.jk
;
--,
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-" ,.,.~
'j J(
WAIVER/HOLD HARMLESS AGREEMENT
Agreement, attestation and confirmation made this {qfh day of November, 2001 by Lisa
K. Marum.
WHEREAS, I am one of the only three remaining heirs to Carlton L. Krathwohl, i.e.,
Lisa K. Marum, Kristen K. Ledson and Eric J. Krathwohl; and
WHEREAS, such heirs wish to have Eric J. Krathwohl made Administrator of the Estate
of Carlton L. Krathwohl now, due to the recent discovery of an asset of such Estate; and
WHEREAS, such heirs wish to save the cost and delay of obtaining a bond to protect
their respective interests;
NOW THEREFORE, I, Lisa K. Marum agree, attest and confirm as follows:
1. That, on my own behalf and that of my heirs and assigns, I release any and
all claims I have ever had or may ever have against the Register of Wills
in connection with any grants of Letters of Administration to Eric J.
Krathwohl, without requirement of protection of Bond; and
2. That I will indemnify and hold harmless the Register of Wills against any
cost or liability with respect to any claim I have ever had or may ever have
against the Register of Wills in connection with any grants of Letters of
Administration to Eric J. Krathwohl, without requirement of protection of
Bond.
Signed under pains and penalties of perjury this fq~ day of November, 2001.
i--Ma- 'k: J{ M~
Lisa K. Marum
2' - (.:', -o.~
J
"'"
PENNSYI.JVANIA NATIONAL
MUTUAL CASUALTY INSURANCE COMPANY
Harrisburg, Pennsylvania
In the Matter of the Estate of: Carl ton L. Kra thwohl
KNOW ALL MEN BY THESE PRESENTS, that we,
Eric J. Krathwohl
of the Estate of
Carlton L. Krathwohl
as Adminis tra tor
and Pennsylvania National Mutual Casualty Insurance Company, a Pennsylvania Corporation, of Harrisburg,
Pennsylvania, as Surety, are held and firmly bound unto the
Commonwealth of Pennsylvania
,
in the full and just sum of Forty-five thousand------------------------- DOLLARS,
($ 45,000.00 - - ) for the payment of which, well and truly to be made, we bind ourselves, our heirs, exe-
cutors, administrators, successors and assigns, jointly and severally, firmly by these presents.
-z.4~
Sealed with our seals, and dated this~ day of
.:JV"\.L
· . 1
LJ.pr~
IlJ 2002
, -
WHEREAS,
Administrator
Eric J. Krathwohl
, has been, or is about to be, appointed
of the estate of
Carlton L. Krathwohl
, by the
Common Pleas
Court of
Cumberland
County.
NOW, THEREFORE, the condition of this obligation is such, that if the said
Administrator
Eric J. Kra thwohlshall well and truly discharge the duties of said trust according to law: then this obligation
is void, otherwise to remain in full force and effect.
t ..~ iu..~ Witness
2t~~
(SEAL)
PENNSYLVANIA NATIONAL MUTUAL
CASUALTY INSURANCE COMPANY
Form 78.168
:J
..
PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY
Harrisburg, Pennsylvania
POWER OF ATTORNEY
Know All Men By these Presents, That PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE
COMPANY, a corporation ofthe Commonwealth of Pennsylvania, does hereby make, constitute and appoint
PATRICIA K. ARBEGAST, DAVID W. HOPCRAFT AND JEFFREY L. SCOTT, ALL OF CARLISLE,
PENNSYLVANIA (EACH)
its true and lawful Attorney(s)-in-Fact to make, execute, seal and deliver for and on its behalf as surety as its act and deed:
ANY AND ALL BONDS AND UNDERTAKINGS PROVIDED THE AMOUNT OF NO ONE BOND OR UNDERTAKING
EXCEEDS THE SUM OF SEVEN HUNDRED FIFTY THOUSAND DOLLARS ($750,000.00)---------------
------------------------------------------------------------------------------------
ALL POWER AND AUTHORITY HEREBY CONFERRED SHALL HEREBY EXPIRE AND TERMINATE WITHOUT
NOTICE AT MIDNIGHT OF THE 30TH DAY OF SEPTEMBER 2002, AS RESPECTS EXECUTION SUBSEQUENT
THERETO.
and the execution of such bonds in pursuance of these presents shall be as binding upon said Company as fully and amply, to
all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the Company
at its office in Harrisburg Pennsylvania, in their own proper persons.
This appointment is made by and under the authorization of a resolution adopted by the Board of Directors of the Company
on October 24, 1973 at Harrisburg, Pennsylvania, which resolution is shown on the reverse side hereof and is now in full
force and effect.
In Witness Whereof: PENNSYL VANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY has caused these
presents to be signed and its corporate seal to be affixed on SEPTEMBER 20, 2000
. - ~,.~,
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PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY
By t;4~/dV,flt,~
- / Kenneth R. Shutts-Secretary
Commonwealth of Pennsylvania, County of Dauphin- ss:
On SEPTEMBER 20,2000 , before me appeared Kenneth R. Shutts to me personally known, who being by me duly sworn,
did say that he resides in the Commonwealth of Pennsylvania, that he is Secretary ofPENNSYLVANlA NATIONAL MUTUAL
CASUALTY INSURANCE COMPANY, that he is the individual described in and who executed the preceding instrument, and
that the seal affixed on said instrument is the corporate seal of said Company, and that said instrument was signed and sealed
on behalf of said Company by authority and direction of said Company, and the said officer acknowledged said instrument to
be the free act and deed of said Company. .....;\~:;.ii'J~. .<,.
..... ~:;i:~::..;:.::;~~;~~<
Commonwealth of Pennsylvania, County of Dauphin - ss:
(\ ~,'~t/\ f'. ~"\..{"_t?~
Public
NOTARIAL SEAL
CHRISTINA ENCK, Notary Public
Harrisburg, Dauphin County
My Commission Expires Jan. 27. 2003
I, Thomas L. Vehar, Vice President, Surety of the PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE
COMPANY, a corporation of the Commonwealth of Pennsylvania, do hereby certify that the above and foregoing is a true
and correct copy of a Power of Attorney, executed by the said Company, which is still in full force and effect.
ir
\:~:1>C~:'"~.'/
In Witness Whereof, I have hereunto set my hand and affixed the corporate seal of said c~ompanY o...n.. 2 2 n d 0.. ~ ~ ~r i 1
. / (?~002
7/.t'vL- 'di
Vice President, Surety
IMPORTANT NOTICE: This border must be RED in color. If it is not RED, this is not a certified copy. Telephone us at Area Code 717-255-6870. ~
78-190(Rev 1/99)
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r
15056051058
REV-150 06
5
0 EX
(
-0
) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes
PO 80X 280601 INHERITANCE TAX RETURN
~ ~ ~ ~ ®~~
Harrisburg, PA 17126-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BE LOW
Social Security Number Date of Death Date of Birth
070-09-5779 04/20!1969 07/30/1915
Decedent's Last Name Suffix Decedent's First Name MI
Krathwohl Carlton L
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Krathwohl Betty A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
_ 1. Original Return `v 2. Supplemental Return 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate 4a. Future Interest Compromise (date of 5. Federal Estate Tax Return Required
death after 12-12-82)
6. Decedent Died Testate 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received _ 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number rv
C'~ ~'
Eric Krathwohl °
617 556-3857.-0 ~'
~ ..7
~'
°~
Firm Name (If Applicable) _v
REGISTER OF Wil~.~1$E ONL+rC [_'
Rich May, PC `= r p ? -~ :~'~
First line of address ` 7 ~'= ~• y,~
~ Q --:_~
~
176 Federal Street ~
~ ~ ~- r-'t
-
, " :~
_
-~ "r~ ~
Second line of address
6th Floor ~
City or POSt Office State ZIP Code DATE FILED
Boston MA 02110
Correspondent's a-mail address: ekrathWOhl@rlChmaylaW.COm
Under penalties of perjury, I declare that I have examined this return, Including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, cortect and complete. Declaration of preparer other than the rsonal represent is as on all, information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDRESS
" G JC.~c~ v- `~-~ ~ ~"t~ !~`~l~l..°~o~ --,~` __DC~II"G'~.. _-- t/`'G~ l)Z_ I_f U --- --
_. __ _ -
SIGNATURE OF PREPARER OTHER T AN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
15056051058 15056051058
V-V
J
15056052059
REV-1500 EX
Decedent's Social Security Number
Carlton l Krathwohl 070-09-5779
Decedent's Name:
RECAPITULATION
1. Real estate (Schedule A) . .......................................... .. 1.
2.
.....................................
Stocks and Bonds (Schedule B) 2. 10,000.00
..
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3.
4. Mortgages 8 Notes Receivable (Schedule D) ........................... .. 4.
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ...... .. 5.
6. Jointly Owned Property (Schedule F) °_: ,Separate Billing Requested ..... .. 6.
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
(Schedule G) - - Separate Billing Requested...... .. 7.
8. Total Gross Assets (total Lines 1-7) .................................. .. 8.
9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 1,975.00
10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) .............. .. 10.
11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 1,975.00
12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 8,025.00
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ...................... .. 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. 8,025.00
..
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
025.00
8
15
481.50
,
(a)(1.2) x .0_ .
16. Amount of Line 14 taxable
at lineal rate X .0 _ 16.
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. TAX DUE ......................................................... 19. 4$1.50
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ----
15056052059 Side 2
15056052059
REV-1500 EX Page 3 Ffle Number
Decedent's Complete Address
DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER
Carlton L Krathwohl 070-09-5779
STREETADDRESS
5214 Deerfield Avenue
- - - -----T----- _ -_ _ -
I STATE ~ ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19) (1) 481.50
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments
-- - _ _ -- -
C. Discount
----- _ ----- - - ---- --- Total Credits (A + B + C) (2) 0
00
3. InteresUPenalty if applicable .
1,050.00
D. Interest
---
E. Penalty
121.00
_
Total InteresUPenalty (D + E) (3) 1
171
00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. ,
.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 1,652.00
A. Enter the interest on the tax due. (5A)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 1,652.00
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :.......................................................................................... ^
b. retain the right to designate who shall use the property transferred or its income : ............................................ ^
c. retain a reversionary interest; or .......................................................................................................................... ^
d. receive the promise for life of either payments, benefits or care? ...................................................................... ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. ^ ^x
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ................................................................................................ ^ ^x
........................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exem2t a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116{x)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as nosed in
72 P.S. §9116(1.2) [72 P.S. §9116(x)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(x)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1503 EX+ (6-98)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Carlton L. Krathwohl 2001-00918
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
~n more space is neeaea, insen adoiuonal sheets of the same size)
REV-1511 EX+ (12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES 8r
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Carlton L. Krathwohl 2001-00918
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
e. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)lEIN Number of Personal Representative(s)
Street Address
City .State
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State
Relationship of Claimant to Decedent
4- Probate Fees
5. Accountant's Fees
6. Tax Retum Preparer's Fees
~. Miscellaneous Disbursements: bond costs, filing fees, copies, phone etc.
Zip
Zip
TOTAL (Also enter on line 9, Recapitulation) I $
(If more space is needed, insert additional sheets of the same size)
1,975.00
1,975.00
COMMON OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
N0. CD 010516
KRATHWOHL ERIC J
1 STAGE HILL ROAD
IPSWICH, MA 01938
fold
ESTATE INFORMATION: ssrv: ono-os-5779
FILE NUMBER: 2101-0918
DECEDENT NAME: KRATHWOHL CARLTON L
DATE OF PAYMENT: 1 1 / 1 0/2008
POSTMARK DATE: 1 1 /07/2008
COUNTY: CUMBERLAND ~~
DATE OF DEATH: 04/25/ 1 969
REMARKS: ERIC KRATHWOHL
SEAL
CHECK# 252
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 51,652.00
. TOTAL AMOUNT PAID:
INITIALS: WZ
RECEIVED BY:
51,652.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~' 'tlr PSI°i ~{ ~ ," NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES J ~ AppRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~.. ~ f..~^1 ~~~ '"•,". ," ~x DEDUCTIONS AND ASSESSMENT OF TAX
PO BOX 280601
HARRISBURG PA 17128-0601
20(19 APR 13 A!9 l0~ 55
CLE~~C ~r
ORPk'~,~~'~; ~~1JRT
ERIC KRATHWO~~~°~~~~ '~~~~ "~" R~
RICH MAY
176 FEDERAL ST 6TH FL
BOSTON MA 02110
cl) .00
I2) 10,000.00
c3) .00
c4) .00
c5) .00
c6) .00
~7) .00
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------
-----------------------------------------------------------------------------
REV-1547 EX AFP (01-097 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KRATHWOHL CARLTON L FILE N0. 21 01-0918 ACN 101 DATE 04-06-2009
TAX RETURN WAS: C X) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
REV-1547 EX AFP (01-09)
NOTE: To insure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
ce) 10, 000.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
1,975.00
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0
11. Total Deductions (L1) 1 .975. DO
12. Net Value of Tax Return C12) 8,025.00
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 8,025.00
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate C15) •00 X 06 _ .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 8, 025.00 X 06 _ 481 .50
17. Amount of Line 14 at Sibling rate (17) .00 X 00 = .00
18. Amount of Line 14 taxable at Collateral/Class B rate C18) •00 X 15 _ .00
19. Principal Tax Due C19)= 481.50
TAY CQCiITTC.
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
01-18-1996 AMNP PEN 182.48 .00
11-07-2008 CD010516 1,170.50- 1,652.00
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-08-2008
~ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL D
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL D
A REFUND.
DATE 04-06-2009
ESTATE OF KRATHWOHL CARLTON L
DATE OF DEATH 04-25-1969
FILE NUMBER 21 01-0918
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 06-05-2009
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: AMNESTY NP
PENALTY ASSESSED
TOTAL TAX CREDIT 481.50
BALANCE OF TAX DUE .00
INTEREST AND PEN. 116.32
TOTAL DUE 116.32 +
UE IS LESS THAN S1, NO PAYMENT IS REQUIRED. `
UE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162EX111-961
NO. CD 01 1431
KRATHWOHL ERIC J
1 STAGE HILL ROAD
IPSWICH, MA 01938
fold
ESTATE INFORMATION: SSN: 070-09-5779
FILE NUMBER: 2101-0918
DECEDENT NAME: KRATHWOHL CARLTON L
DATE OF PAYMENT: 07/02/2009
POSTMARK DATE: 06/30/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 04/25/1969
REMARKS:
CHECK# 254
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $1 16.32
TOTAL AMOUNT PAID: $116.32
INITIALS: AJW
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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FAMILY SETTLEMENT AND FINAL RELEASE
IN
ESTATE OF CARLTON L. KRATHWOHL, DECEASED
KNOW ALL MEN BY THESE PRESENTS, that WHEREAS, Carlton L. Krathwohl, late, of Mechanicsburg, Cumberland County,
Pennsylvania, died on April 25, 1969, leaving unclaimed property;
WHEREAS, Eric J. Krathwohl was named Personal Representative of the estate opened and established on July 15, 2002, to administer
distribution of said unclaimed property;
WHEREAS, the said Personal Representative has gathered the unclaimed property with a total value of $89,62'.00, as set forth in Exhibit
A, which is a statement of account of the said Personal Representative, and which is attached hereto and made a part hereof, and marked
Exhibit A;
WHEREAS, the distributions shown in Exhibit A have been paid;
NOW, THEREFORE, KNOW YE, that I, Kristen K. Ledson, being the child of the said decedent do hereby acknowledge that I have this
day had and received from the aforesaid Personal Representative the amounts due me, and which amounts are iin the amount set opposite
my name in the table and schedule of distribution in said statement attached hereto and marked Exhibit A;
AND, I do hereby stipulate that in order to avoid the expense and time involved in the filing of a formal account and schedule of
distribution, I agree that no account is necessary and I do hereby agree that I do consent to distribution having been made without the
filing of an account and schedule of distribution, the same to be with the same force and effect as if they had been filed and confirmed by
the Orphans' Court Division of the Court of Pennsylvania, Cumberland County Branch.
THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said Personal Representative, Eric J. Krathwohl, heirs,
executors, and administrators and assigns, of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims,
and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever touching upon the estate of the
said decedent.
//~
IN WITNESS WHEREOF, I have hereunto set my hand this ~ day of,_) ~.Iv~~' , 20~.
Signature of Witness
>G~~~cr~
Si ature of Heir
.~'
On this, the ~ day of ~,.) l1~ y~-~ , 20~, before me, a Notary Public, the undersigned officer, personally appeared Kristen K. Ledson
(known to me/satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
[Name of notary public) ~ ~ ~-~-~--~' ~~\a ~ ~~
Notary Public ~ 1 ~ UF~tCIAL SEAL
ANNETTE CAMPBELL ~ ~~
My commission expires ~ -`` '' ~ --°:
._,~vVUa ~ N4TARY PUBLIC ~ C~~ ~.. ..ate
[date of expiration) COMMONWEALTH OF MASSACHUSETTS ~ ~ ~. ~~
I maintain my office in ~ I I ~' 1 / My Comm. Expires Feb. 11, 2016 ~` ~ ;~~ ~ t~ ~: ~:~~ ~
.~ m ~:. ~~
[Name of city) , [Name of state) !~' _.
.~ __~
--:-, , ,
W`~ ° ,n v~-e C~ ./~(~ ~~ tip ~c L~Lu~~ti - ~'' c~ ~,
~ ~ ' ~ 1 ~~
'.U i~ ~?
`~V ~...j
FAMILY SETTLEMENT AND FINAL RELEASE
IN
ESTATE OF CARLTON L. KRATHWOHL, DECEASED
KNOW ALL MEN BY THESE PRESENTS, that WHEREAS, Carlton L. Krathwohl, late, of Mechanicsburg, Cumberland County,
Pennsylvania, died on April 25, 1969, leaving unclaimed property;
WHEREAS, Eric J. Krathwohl was named Personal Representative of the estate opened and established on July 15, 2002, to administer
distribution of said unclaimed property;
WHEREAS, the said Personal Representative has gathered the unclaimed property with a total value of $89,625.00, as set forth in Exhibit
A, which is a statement of account of the said Personal Representative, and which is attached hereto and made a part hereof, and marked
Exhibit A;
WHEREAS, the distributions shown in Exhibit A have been paid;
NOW, THEREFORE, KNOW YE, that I, Lisa K. Marum, being the child of the said decedent do hereby acknowledge that I have this day
had and received from the aforesaid Personal Representative the amounts due me, and which amounts are in the amount set opposite my
name in the table and schedule of distribution in said statement attached hereto and marked Exhibit A;
AND, I do hereby stipulate that in order to avoid the expense and time involved in the filing of a formal account and schedule of
distribution, I agree that no account is necessary and I do hereby agree that I do consent to distribution having been. made without the
filing of an account and schedule of distribution, the same to be with the same force and effect as if they had been filed and confirmed by
the Orphans' Court Division of the Court of Pennsylvania, Cumberland County Branch.
THEREFORE, I do hereby remise, release, quitclaim and forever discharge the said Personal Representative, Eric J. Krathwohl, heirs,
executors, and administrators and assigns, of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims,
and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever touching upon. the estate of the
said decedent.
IN WITNESS WHEREOF, [have hereunto set my hand this ~~day of
Signature of Witness
d! u~2~
20 f 1
~~! ~~ ~
''1.~.Ci1'-'L__..
Signature of Heir
On this, the ~~ day of _ ~i.{/~~- , 20~, before me, a Notary Public, the undersigned officer, pE;rsonally appeared Lisa
K. Marum (known to me/satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged
that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand a d official seal.
[Name of notary public) ~ I
Notary Public ~`~'~t ~`'~`~~~~
My commission expires B E ROY GRE~NVNA~.~
[date ofexpirationJ NOTARY PUBLIC, Statp o* ~~'~~ ~> `~~~Ic
I maintain my office in No. Q3-6b~^~'; ~;
[Name of city) ,[Name of state) Ot.l~ljfigd ~!^ ~~~-. ' ~ ~~
Exhibit A
Date Paid To Amount
1/10/OS
Kristen K. Ledson _
$22,000.00
1/10/OS Lisa K. Marum $22,000.00 ~
6/20/03
Hopcroft/Carlisle Insurance _
$225.00
6/20/04
Hopcroft/Carlisle Insurance _
$225.00
6/20/05 Hopcroft/Carlisle Insurance $225.00 A
3/14/06
Eric J. Krathwohl _
$22,000.00
6/20/06 I Hopcroft/Carlisle Insurance $225.00
~
6/20/07
Hopcroft/Carlisle Insurance _
_
$225.00 ~
6/20/08
Hopcroft/Carlisle Insurance _
$225.00
11/10/08
Register of Wills, Agent (PA Inheritance and
Estate Tax) _
$1,652.00
2/ 1 /09 Kristen K. Ledson $10,000.00
2/ 1 /09 Lisa K. Marum $10,000.00 ~
Various
Administrative Costs (Bond Costs, Filing Fees,
etc.) _
$625.00
TOTAL $89,625.00
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