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Form No. RCC.62 (6-70) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 1', 1"1.
EFFECTIVE JANUARY I, 1962. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED>
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OFFICE OF'THE REGISTER OF WILLS
County of . 0 .~\l~g~~.C!-t:l~ . . . 0 . 0 . . . . .
. 0 . . . . . . . , . .W:j.)), :j.p..I!). 0 r..o . W.i.I)..t:~.J,~r. 0 . . . . . . . . 0 .. of . ~ f.8. .l?P.q+ p.. . ~~.,. . W~.E!t. .~9-~.:r:V:j.~.W ,. o~~. .~ 7 P.2 5
(Nr.me) (Addrea)
being duly _.m~~_<?~n-um.mmu.____m_.according to law, deposes and says that he is the _.m~~_~~A.Y.:~!:l_g__j~J_~:tmt~_~~!l:.!:u
(Exec.. Adm., L~~, Etc.)
of t~en~~_._._~_~A_~_u~:!:!?-.~~_~_~!___m.um__m__ whose last residence was__?_~_?__~.!.l.~J.~._.:g~L~~.l?_t.__f.?!J.fY..!~~, Pa
(No.) (S,reet)
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mu__m.mu.___muuuu.m_m_mmu___deceased, and that the whole of the estate of said decedent, who died __m_<?9-:t_<?!?~.fm?.Q_! 19 72
(Ci,y, Borough or Township) (O.,e)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
none
Personal Property
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0
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Jointly Held Property
Estimated
Value
Lot of land situate at 628 Enola Road, West Fairview,
Cumberland County, Pennsylvania, fronting 19 feet on the
~t~f, 16?O west side of Enola Road and extending back 140 feet, and
J...JltN~ ~
J Jt~ having thereon erected a semi-detached frame dwelling.
Assessed from 1957 to 1975 as having market value of
re-assessed 1975 as having market value of $8480.
I
$360q;
I
Estimated value as of date of death: $8000. Joint
tenancy with William F. Winteler established
1955,
Deed Book l6-L, page 26.
X~OOO
Transfers within TWO YEARS Prior to Death
None
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That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly wit~, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:-
I RELATIONSHIP OF JOINT
I HOLDERS TO DECEDENT
!
,
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
none
BENEFICIARIES
AGE OF LIFE -
RELA TlONSHIP SURVIVED
BENEFICIARIES AND ADDRESSES (H step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
William F. Winteler son (. yes entire
,
!
RESIDENT .DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOTE: List first five items in the space's so provided, observe notations thereon, and instructions.
DEBT OR CLAIM NATURE OF SAME
AMOUNT
Funeral expenses paid
$
I
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
'.
Administration Expenses ·
Counsel fees ·
Fiduciary
commission ·
OTHER DEBTS AND CLAIMS.,
(.) See Note below
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Total
Subscribed and sworn to before me this. . . . . . . . . . . . . . . . . . . . . .
actually paid in settlement of any fee, commission or debt is greater
~~~?{ji'Jr/L!
~, (Executor-Adm''inistrator
..{~.?.~..~......,........,...,.
(S~reet Numb(i
.....~..f:~,...!.................
(City or Town and State)
!':ote: The estate agrees to advise the Register of Wills if the amount
01' less than the estimated amount claimed and allowed.
. ... ... ... ... ~ ~.h.... . day of ,~""....A:A:_.. ....,19) .6
~ ~..
...................~~....... ... ,_...............
NOTARY PUBLIC ~.-
'r i .~. ;)='8~oa Expires Dec. 21. 1981
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