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HomeMy WebLinkAbout01-13-05 Estate of Flora G. Vo~1 REGISTER OF WILLS CUMBERLAND COUNTY, PENNSYLVANIA PETITION FOR GRANT OF LETTERS No. :1 J -0 S- --06'-/ / also known as , Deceased Social Security No. 090227614 Brian J. Vo~1 Petilioner(s}, who is/are 18 years of age or older, apply)ies) for (COMPLETE "A" OR "B" BELOW:) o A Probate and Grant of Letters and aver that Petifioner(s) is/are the execut Decedent, dated and codicil{s) dated named in the Last Will of the G;l u__ (,V) C"( - 1..1...1 .,.. ~~~- s.,"~~ ~- .."._ _ _ _ State relevant circumstances, e.g., renunciation, death of executor, ate Except~ tollows, ~ederliJ.iiklOtmarry, was not divorced and did not have a child born or adopted after execution of the documents offered for probat'e~-..was not the vict~ '"01 a killing and was never adjudicated incapacitated: ~~~' :: ~~.. n 8k!>rant eB..etters ~ministration .., . .. W L 1 _ \....._, l.t":) 0 ~J (c.I.a., d.b.n.c.t.a.. pendente hie, durante absentia, durante mlnonta1e) 'ietitioner/ilji after a pro);Jr search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) anoneirs: vi L Name Relationship Residence I Mark K. Voql Son 7082 FM 1795 Biq SandY, TX 75755 Kevin R. Voql Son 11790 NW 1st Ct. Coral SDrinqs, FL 33071 (COMPLETE IN ALl. CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 35 East Gate Dr., #304, Carlisle, PA 17013 (list street, number and municipality) Decedent, then 74 years of age, died December 11 ,2004, at East Texas Medical Ctr., Gilmer, TX (Location) Decedent at death owned property with estimated values as follows: (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. Total. C) $=0 $ ''l~ "!;:lC) $ ",!;:~ $ ", ::..~~ $ "-' = C::::l rn :::-0 '_'_.JI'I ~"-:'-; ~~; ',..~ "- ?~ .r:- i','i - ""::=r~; =: (---) '-.~ Real Estate situated as follows: _"-:- . __ ,""? Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition al1i~~e grant 6f~etters:iry; j..:"Tl the appropriate form to the undersigned' ;:::: ... ~ I ~ ~ Signature Typed or printed name and residence I liAO Brian J. Voql 307 E. Elmwood Ave., Mechanicsbura, PA 17055 Continuation of Petition for Grant of Letters 8.1-0') - OOf{ / Flora G. Vagi Page 1 List of Surviving Spouse and Heirs J Name Relationship Residence I J Gregorv D. Vaal San 1840 Park Forest Blvd. Mount Dera, FL 32757 Sharon L. Bloss Dauahter 4414 Alta Vista Dr. Fairfax, VA 22030 ;;( l-05~o()l/ J Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best 01 the knowledge and belie1 01 Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed before me this~_ day of / DECREE OF REGISTER Estate of Flora G VOQI also known as ~9~ Deceased No dl-O!J -(X/II Social Security No: 0902?7614 Date 01 Death: AND NOW, , in consideration of the Petition on the . reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters 0 Testamentary lEI 01 Administration are hereby granted to Brian J. Vogl {(c.t.a.. d,b,l"\.c,t. pendente \i\e~ durante absentia; durante minor'lale) in the above estate and that the instrument(s), if any, dated described in the Petition be admitted to probate and filed of record as the Last Will of Decedent, FEES Letters ...... $ Short Certificates(s) $ $ $ $ $ $ $ $ Renunciation. Extra Pages ( I.TR.. JCP Fee .. Inventory.. Other ................. TOTAL ...... .....................$ hLJ.(~.~!fJ r~~ Signature .t Attorney: R. Mark Thomas 1.0. No: 41301 Address: 101 S, Market SI. Mechanicsburg Telephone: 717-796-2100 DATE FILED: PA 17055 '. Estate of Flora G. Vagi RENUNCIATION No. 0<1 -oiJ ~ ooq / also known as , Deceased The undersigned, Kevin R. vagi, Son (Relationship) of (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Brian J. Va 1 Witness Yr..v ( hand this 1/1'l.1 AJ"J /$:1 (1--. ..,r. (Ad~ress) (Signature) (Address) (Signaturel (Address) Sworn to or affirmed and subscribed bEjf()re me this d 6L day of :.J1jk tit Lw/- , .2 QiY-( Xc/)L-ktL C~ 1/<-.0./ (/:. Notary Public My Commission Expires:0-11 - L)/e; Notarial Seal Anne Carmody, Notary Public . Mect\a.nicsburg Bora, Cumberland County My Commission Expires Expires Mar, 11, 2006 o :-...0 ~~~ C) !>,! ....-"'r4 , !~J) :~l~ ,..., = c:.-, <c-, ~-;: :,:;:: ::-0 r-;'j (-) c:> ....J ;'c:~ '~-:) C'l :';f"1 -~-'1 C"S, h"l C> -'I .c- "':",! ?:~) o o (Signature and seal 01 Notary or other official qualified 10 administer oaths. Show dale of expiration of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized, RW-3 " RENUNCIATION Estate of Flora G. Vagi )1 ~Of)- OQf.f/ No, also known as , Deceased The undersigned, Mark K. Vagi, Son (Relationship) (Capa.city) the above Decedent, hereby renounce(s) the right to administer the estate and respectfuily request(s) that Letters of Administration be issued to Brian J. Vogl Witness 171 '-1- (J hand thiSX~:L --Jay ;~t d -ij- {Signal"') ;7oY'z ~ f77j--?t" ~o/. -& "'k1jJ- (Address) (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this c.:I6L day of ''.(0') 1/ i..LJ/~ .;z D2YY /)df...e C&J....7'L'-<JJ" Notary Public My Commission Expires: <:J'-lf,J<0 "" c::-;:> ':~'.::",) ~:.n '-- :;.:-::;. ::' ,,, -'] /~... Notarial Seal Anne Carmody, Notary Public Mechanicsburg Boro, Cumberland County My Commission Expires Expires Mar. 11, 2006 v r",.) C:J Cl (Signa\ule and seal 01 Notary or other official qualified 10 administer oaths. Show date of e)(plrs\iol'l of Notary's commission.) NOTE: Renunciations executed outside the Office of Register of Wills are required in some counties to be notarized. RW.3 of ::)',1 I-f'l C) (-:-~) ?~; !~: 'i c:; -....., I '~'l-l ---"1 (-') II', ~~ " RENUNCIATION Flora G. Vogl Eslate 01 No. :2.1-0:> ~ ()OLf j also known as , Deceased The undersigned, Sharon L. Bloss, daughter (Relationship) (Capacity) 01 the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Brian J. vogl hand this ;X2 day olD ec- , ,;{ 0 DL/ f ~ or. ~4.( " (Signature) 14) J.j BL-rA '1it'-T ~ ))~. FA'&te~/VI ifJ-~~"~l:J Witness rn \.j , (Address) (Signature) (Address} (Signature) (Address) Sworn to or affirmed and subscribed before me this ' :./,! 71 d... day 01 I),'C'I? HL0/~ , 2..Ddf. V~)C'ILi!. (I (1i.A J!--t.Zyl d- No ary Public U My Commission Expires:J' -// - tJb Notarial Seal Anne Carmody, Notary Public Mechanicsburg Baro, Cumberland County My Commis$ion expires E;<p\1es MaT, 11, 2006 .--, C~ C:::) on '- ~!:~; C) ~ I~~~ ;", .!=- .,') -\."] -'1-) CO) -",'-\ ~,""1 ("') r-n C) -n ,>? (Signature and seal of Notary or other official qualified 10 administer oalhs. Shaw dale of expiration of Notary's commission.) o o NOTE: Renunciations executed outsIde the Office of Register of Wills ace required in some counties to be notarized. RW.3 " RENUNCIATION f) ( - 0 C; /00'-1 / Estate of Flora G. Vogl No. also known as , Deceased The undersigned, Gregory D. Vogl (Relationship) (Capacity) the above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that Letters of Administration be issued to Brian J. Vogl Witness my i;< 00 tj hand this of (Address) , ])c;>ftl. FL 3'Z.Th7 (Signature) (Address) (Signature) (Address) Sworn to or affirmed and subscribed before me this >>. n~ day of Il4:c 11< !<.dl'- , olOlJ'Y . ;/: kAUL l~} I <..0/ r.f Notary Public (/. My Commission Expires:0-/I-uh r-> = c:.::.> ~., "- .~ ~;::2 .'- hi "",'] ~ ~j:" C:' -0 -n Notarial Seal . Anne Carmody, Notary Public Mechanicsburg Boro, Cumberland County My Commission Expires Expires Mar. 11, 2006 (Signature and seal of Notary or other official qualified 10 administer oaths. Show dale of expiration of Notary's commission.) o NOTE: Renunciations executed outside the OffJce of Register of Wills a~ required in some counties to be notarized. RW.3 r<> C) ; i~J, C) .-, ST ATE OF TEXAS l.:.;"l ,- N"ME"O,DECE'ASFii' --I~'-." ~-lbl-MIDDlE --, . Flora Ganor I '~~~:i.,. ,nn _~CClOE 7013 17. MOTHER'S MAIDE~ NAME Hattie Walter ~.~~_,-DN?___ la,P!.ACEOFOEATl-l{CH C"'ONLYON I OOEFIIOUTPATIENT OOOA OTHER DNURSINOHOME o RESIDENCE D OTHER (SPEClfYJ 2{), CITY OR TOWN IIF OV1SIOECITY L'loIlrs, GIVE p"fnNCT NOI 21- NAME OF HOSPITAL OR INSTITUTION (II OO! in in.t~ulion, .how 5tr~p,"'(klr;;Si--- Gilmer "" East Texa. Medical Center ,~, Gilmer --~----- 23 MAILING ADDRESS OF INFORMANT 7082 FM 1795 Big Sandy, TX 75755- 29. NAME & ADDRESS OF FUNERAL HOME y- Son 2&I,ptj,CEOFOI$POSITIONt/iAr.tfOl'CEIlIE1ERY, C_TOIlYOOon<t:RPlACEJ Fairway Cremato 2lI,LOCATION(CI'N,BTATl:) Van, TX 21. SIGNATURE OF FUNERAL DIRECTOA OR PERSON ACTINO AS SUCH lO9.'!\ ot+e.r Heme . l ~i I" .Ii 8" !~ d Iii .ll,; h .- ~~ h f! il ~. f1 ~t 08URI~ {gCRliM-.tfOO o REMOVAL FROM irAtE o DONATIoN DOTHE;iII{'$PECrFYJ 25b. ,~'" '''' ,. ."~ un'lKIWnlll 2ll. OATE OF DISPOSITION 12/14/2004 Craley.E\,lnei"al P,Q.Box 835 Gilmer,TX 75644 30 CERTIFIER OCERTlfYINGPiWSICIAN TO THE BEST OF MY KNOWLEOOE DEATH OCCURREO ATTI-lE TIME, DATE, AND PLACE, AND OUE TOTHE C!>.uSE\S\#IDMil.t4t*1'I AS STI,1EO 0. ME(){QAlEXAI,4iNE:-R } ON THE BASIS OF EXAMINATION ANOIOR lNVESl1GATION, IN MY opiNION, DEATH OCCURRED AT THE TIME, DAltO. Pl.ACf'. AND DUE TO THE ~JUsrlCEOFTllEPEACE CAUSflS) AND MANNER AS STATED YEAR ~DEA1H-'~ 10:50 AM, JUSTICE OF THE PEACE PCT. 2 A ADDRESS OF CERTIFIER 32,DATESIGNED MO DAY 12 YLE POTTJlR 405 N. TITUS GIlJlER, TK. 75644 35. PART let.lT,ER THE01SE,O,SES.,It<LJURlESORCOW'\.ICil.1'1OOS 1'1-\"'1' C"'USEO'T'Hl: DEMl-t DO Nm EN11:R THE MODE OF DYING SUCHi\.S t;AROJAC OR RESPIRATORY ARREST, SHOCK, OR HEART FAILURE'. LIST ONLY ONE CAUSE ON EACH LINE ~~fDla:;,E r;:u~~~:~I~:~~ja.a -+ a MYOCARDIAL INFARCTION DUE TO (OR AS A UKEL Y CONSEQUENCE OF) -t--~'---- l Aw""imale : Intervale..twe<>n ! Onwtando",,!I'1 ~_~..HI'NS_~.,_ ~J n~~- 3Bb.AUTOPS'l' FINOINGS....VAllAalE Pf:IfOR TO COMPLETION OF CAUSE OF Df>'lTI--!? SEVERE CORONARY ART/lIl.Y DISEASE ClUE TO (M A8 II lIKELY CONSEOUENCE OF) {' iE SeQuei>llallVhJl:Wnd~k)ns lIany :'!IlmldIrIIJ(ql~ale""US8Enter lS IJNDERLYlNGCAl)SE'(dsMs. c ~ Of/tfllfY#M1In11f8Ifcf_ QUE 1'0 lOR il.S il.LIKEL'f CONSEOOEliCE OF); w ~m<l\liwfll)LAST ~ p",RT ~ OrHER SIGNlFJCANT C0NDmoo; CONTRI9UT1NG TO D1EATH BlIT NOT RfSU' mm INTHE UNOEFlLYlNG CAUSEGNE,N.iMPAflT \{I.~..~~""'","--,~,"".l DYES llII,o 38. DID ALCOHOL USE OONTAIBUltO TO OEATI-l 11. OlD ToaACCOUSE CONTRJBUTE TO DEATH DYES OPROBASLY o Noll UNKNOWN ~O M,A.NNEflOf PEATH 41a. DATE OF INJURY ~ ~ATuRAL o ACCIDENf ~ ~ OSU!ClDE :> O~\PE ~ 0 PENDINGiNVEisnGATION (\j OCOUl.ONOTBEDETERMINED :: 4.2a.REGJStRAflF1LENO ~ 01-00178 AT TIME OF DEATH 0 YfS $lNO DUNK WITHIN LAST 12 MO. ...0 YESl8lNO DUNK ~ld. PLACE OF INJURY'-ArJol(ll.lE,fii~"':$TRfET.fACTORY.O~f'Cc ErC.(SF'WFvl 411. Q'<'SCflIBE Hem ~R'I OCCURRED ~2b. DATE RECEIVED BY LOCAL REGISTRAR 42C.SlGNATUFlEOFlOCAlREGISTRAR~ 12-14-2004 20295 'THIS IS TOCERTIF"YTHAT THIS IS A TRUE AND CORRECT REPRODUCTION OF THE ORIGINAL RECORD AS RE:COR:lJE:;O iJij THIS OFFICe. ISSUED UNDEHAU7HORITY OF SECTION 191.051, HEALTH ANOSAf'ETY COOE. DATE,SSUED l ;)"IY-bll_n~ G\~ ~~ ROB'Nu~~~~~B~;~N;j~~~~'"~.....G ~ '..J c:) DATE 11-21-2005 ESTATE OF VOGL FLORA G DATE OF DEATH 12-11-2004 FILE NUMBER 21 05- 0041 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 01-20-2006 ( See reverse side under Objections) Amount Remittedl I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF VOGL FLORA G FILE NO. 21 05-0041 ACN 101 DATE 11-21-2005 -",...,r (',~ ("'VI ,- , ,'I ....-..r.....r-, \-1"" BUREAU OF INDIVIDUM:-(F..J!Y;:"'VU u'" '-' INHERITANCE TAX DIVISI~=-'.:\~' -,. , " \ PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX r>-..f'""! {~O n " ",':,: G '5 rJ 1-\ C':\ r,(J R MARK THO~S ESQ 101 S MARK~r ST MECHANICSBURG PA 17055 REV-1547 EX AFP (06-05) T AX RETURN WAS: (X) ACCEPTED AS F I LED ) CHANGED If an assess.ent was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of !bh returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 12.430.41 .00 17,901.99 (8) 2. Stocks and Bonds (Schedule B) 3. 4. 5. Closely Held Stock/Partnership Interest (Schedule C) Mortgages/Notes Receivable (Schedule D) Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 4,001.00 13.286.33 (11) (12) (13) (14) NOTE: (15) (16) (17) (18) .00 13,045.07 .00 .00 X 00 X 045 = X 12 = X 15 = NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 30,332.40 17.~87 33 13,045.07 .00 13,045.07 (19)= .00 587.03 .00 .00 587.03 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 12-06-2005 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 587.03 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 6.92 TOTAL DUE 593.95 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. r'.~ IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DU~ A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)