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IN THE COURT OF COMMON PLEAS
OF WASHINGTON,COUNTY,
PENNSYLVANIA
ORPHANS' COURT DIVISION
NO • 6 3-71-216
IN·RE:
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W'ILLIS·L. CONKLIN, DECEASED
PETITION FOR SETTLEMENT
OF A SMALL ESTATE
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ATTORNEY AT LAW 415 GLOBAL."BUILDING 150 WEST BEAU STREET /
WASHI~G~i :~~;V~Nj/.01
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IN THE COURT OF COMMON PLEAS
OF WASHINGTON,COUNTY,
PENNSYLVANIA
ORPHANS' COURT DIVISION
NO • 6 3 -71-216
IN RE:
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WTLLIS·L. CONKLIN, DECEASED
PETITION FOR SETTLEMENT
OF A SMALL ESTATE
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LkvV'-RENCE R;:,ZEWE
ATTORNEY AT LAW
41 s GL.OBAL 'BUJLOING 150 WEST BEAU STREET /
WASHI~G;_: :;~;VA~Nx~01
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA
ORPHANS' COURT 'DIVISION
IN RE:
WILLIS L. CONKLIN, DECEASED' No. 63-71-216
PETITION FOR SETTLEMENT OF
.. A. SMALL' ESTATE
TO THE HONORABLE, THE JUDGES OF SAID COURT:
AND NOW, this·· /ff~day of March, 1973, comes Arlie
Conklin, surviving parent of Willis L. Conklin, deceased, and
petitions your Honorable Court for the settlement of the estate
of Willis L. Conklin based upon the following facts:
1~ ·Your petitioner is Arlie E. Conklin who resides at
R.D. 3, Washi~gton, Canton Township, Washington County,
Pennsylvania, and who is the surviving parent of Willis L.
Conklin, deceased.
2. Willis L. Conklin died on February 21, 1970, and
on February 16, 1971, letters of administration were granted
to Arlie E. Conklin, your petitioner.
3. Decedent left no will, having died intestate.
on February 21, 1970 at Washington, Pennsylvania.
4. The sole property of the decedent is the stim of
$500.00. which were the insurance proceeds of the Medical Pay
Provision of his insurance policy.
5. The following disbursements have been made to
the estate prior to the filing of this petition:
March 15, 1970 -Funeral Director -$1,300~00.
6. There are no unpaid claimants to the ·estate for
any debts owing by Willis L. Conklin.
7.. The only debt, , which is the funeral bill, was
advanced by your petitioner, Arlie E. Conklin, who claims re-
imbursement for the same out of the proceeds of the estate.
..
·~
WHEREFORE, your petitioner prays that the Court direct
distribution of the net assets in the amount of Five Hundred
($500.00) Dollars to Arlie E. Conklin, ~our petitioner, as
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re-imbursement for her payment of the debts of the estate.
COMMONWEALTH OF PENNSYLVANIA) ·
) SS:
COUNTY OF WASHINGTON )
Personally appeared before· me ,;the undersigned authority
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Arlie E. Conklin, who', being duly sworn according to law deposes
and says that the facts set forth in ~he foregoing Petition are
true and coriect~~o the best of h~s·k~owledge, information and
belief.
Sworn to and subscribed
before· me,-this·· · t4 !L day
of March, 1973 ·
Arlie E '~ Conklin
;(),I~· tC_ .. ·_/!\ iA~ -LJ,-. ~~ ~
Notary !Pu lie ¢
ALVIN G. UAVITT, NOTARY PUBLIC
· WA'!-HINGTOH, WASHINGTON COUNTY ~:y OOMMISStON EXPIRES MAR. 3, 1975
1.1e~nbef)Pennsylvanla ·Assoctatlon Gt ftctartes
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IN THE COURT OF COMMON PLEAS OF·WASHINGTON COUNTy,_ PENNSYLVANIA
ORPHANS I COURT DIVI~ION 'II
' II . I
IN RE: ·) 1
1
WILLIS L. CONKLIN, DECEASED ) Nd.· .63 ~ 71 J
1
1 216 . I
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' D''E c .R .E·E II
AND NOW, this) G'ctay of March, 1~73, upori cons i deration
of the petition heretofore fi 1 ed by Arlie E .llconkl in, it is . . I
I: II
1:
II . 0 R'D'E R E D ~
' ' II th~t the proceeds of the estate i~ the amounf of$500.00 be distributed
td Arlie E. Conklin as reimbursement for theldebts of the estate and
it is further · I
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il . ·o·R·o·E·R·E D !
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that the. said Arlie E. Conklin. l:ile r:elieved o~~ ,h~r.dyties anc;l re:?p.onsibilitie
as administratri~ ~f the estate of Willis o.f Conklin and be absolutely
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discharged from any further 1 i abi 1 i ty for tne· same. ·
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FORM 67
REV. 1-50
REG. WILLS
Appliratinn fnr 14~tt~r~ nf Abministratinn nn tq~
Estate of .................................... :W.J.~Jj,.§ ... b .. : ... s;:;.Q!}.ls.Ltr.: .................................................................................................................................. .
late of.. ............. :GJJY. ... Q.t.W..~ .. f?..h~ng.t.QXL .................................................................... , Deceased.
Before the Register of Wills of Washington County
personally a p pea re d .......... A.r.lA~ ... E ...... G.Qilklin .................................................................................................................................... .
who, being duly sworn deposes and says that ......................... W.U.li.S ... L ..•... .C.Q.oklin ............................................................ .
age .... ~.~ ......... , having .... bJ...s ...... last family or principal residence at ..... H9.r.d.ing .. A:v..~.ll.U~ ....................................... .
(Street and Number)
.................... W~.l?.hJ.QgJ.QD: ......................................................................... , Washington County, Pennsylvania, died intestate
(City, Borough, Township)
at .... W9.~ .. hJ.D:9.t.9..0..t .... ?..§.O.D:.§.Y.~Y..9.:D:J.~ .............. , on t h e.f.tf?..t.day of ............... .f.§Q[lJ.~.rY. ........................................... .
A. D., 19 .... Z.O ......... , at ... 6.:.0.0 ... Q.~.c.lo.c.k ........... .P. ..... M., possessed of personal estate to the estimated value
$.5.0.0 .... 0 .. 0 ............... , and of rea1 estate in the Commonwealth of Pennsylvania to the estimated value of
$ ... N.ane .................. , situate in ................................................................................................................................................. : ........................... ..
The names and addresses of the decedent's surviving spouse (if any) and other heirs (including
heirs by adoption) are as follows.
RESIDENCE
.E.v.9.le.mLM ...... C.Q.O.kl.in .............................................. D.9.JJg.bte.r.. ... R ..... D ...... l.~ .... SY..C.9IDQ£§.~ .... P..~.O.D..s.Y.l..Y.9.0..i9 .... .
. B..~.th ... A.O..D: .. W9..r.P.h~.§kJ. ................................................ D.9.!J9.b.t.~.r. ..... ~ ... W.illiam .. S.tre.et.,. ... W..asbing.ton., .... Pa .•.
A.r.U.~ ... f; .. ~ .... G.Qn.~ttQ ......................................................... M.9.th.e.r. .......... l\lfs·pt~~i~hJ{~?etgffe· ... P.a .......................... .
B.e.tty. .. Jane.Jhlillhaf.t .................................................. S.~.§.t.§I ....................... QD:.t .......... JQ.Q}.?. ............................................................ .
··J
GlY.d.e. .. .C.Qnklin ................................................................ Br.o.thet. .......... lZ.O ... W.arrick.A;.;.enue.,. ... W.ashingtan., .... Pa •
RaliJh .. G ...... .C.Qnklin ....................................................... B.r.9.t.b.~.r. ............ R .•.. .D.a ... l., .... S.y..ca.nio.r.e.,. .. .I~.enns.y.hr.ania .. ..
J;;.lJ.9§.P.:§ ... C..9.P.:kJ~n .............................................................. B.r.9.th.~.r.. .......... R. .... D. •.. .l., .... Sy..camar.e., ... .P.enn.s.v.lv.ania .. ..
R. D. 1 B.lJ.t.h .. .B9. . .P.~.§.QD: .................................................................... S.i.s.t.~.t. ............. Way.n.e.sb.ur.g . ., ... .P.enns.y.l;.;.ania ..................... ..
That deponent is over 21 years of age, resides at....R. ... .D.a ... 3.,. ... W.asbingtan.,. ... P..enns.y.lv.ania .. ~
..................................................................................................................................................................................................................................................
is a citizen of the United States and a resident of Pennsylvania, and respectfully applies for Letters of
Administration upon the Estate of said decedent, no letters having been previously issued thereon .
Sworn and subscribed before me this .... l.O.th ............ .. .. ~~.~ .. C.. ... ~~~!?.~ ............. _
day o~~~-D., 19Z~ •
................................................................................. ~ ........
REGISTER
, --
COMMONWEALTH -OF PENNSYLVANIA } SS:
WASHINGTON COUNTY,
And now .......... f..§Q.f.!J9.f.Y. ... HL ..................... , 19 ... Z.L., comes ............... .Ar.H.~ .... B .. , .... C.QD.~Ho. .................................... ..
who being duly sworn doth depose and say that. ..... sh.e .............. will well and truly administer the goods and
chattels, rights and credits of .......... WU.U§ ... L ...... C..Q.O.k.Un ........................................................................................ , deceased,
to the best of...he.r.. .... skill and judgment in strict compliance with the laws of this Commonwealth, mind-
~ul of the laws relating to inheritance taxes.
Sworn and subscribed before me this .... .lO.th ............ .
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REGISTER
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GJ-71-2/b
APPLICATION FOR.
Letters of Administration
ESTATE OF
!
I .......... WIU.IS ... L. •... .CONKLIN ................................. .
·Deceased
R $ ............................. .
Letters ....................................... :.............. ,t:j tfl-t:
p $--········r···············
Extra Alias .............. $ ............................. .
Certificates ./AJ.~ ...... $ ............... / .... q~_u
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Total ........... : ................................. /1:J.: ..... :::4 ... q. ... ." .. : .. ..
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Attorney
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Estate of .W.~.1.1.~f3 .... ~.~ ... 9.~~.k.:.l..~~........................... }
Cit f W h. t No .................... of 19 ......... . late of ........... Y. .... Cl ......... !i.~ .... :Ll'l8 .<:>!1 ........ , Deceased
KNOW ALL MEN BY THESE PRESENTS,
That we, .~r..l.:i.f3 .... ~.~ .... G.cm~.l.:i.~ ... !i.~ .... ~X~.~~~.~.P.!i.~ ... S...I?-~ .... lJ~~.~~.~ ... ~.~~.~~ .. s .... :fi'~.<i.~.~.~.~!... .. ~~.d
........ g~.a.-.r..~.I1: ~.Y. ... 9. <:) .~ .... J3.B:.l..~.~~.c:>:r.~ .. ~ .... ~~ .. ~ .... ~.~~~. ~.Y. ................. " .......................................................... " .... ".
all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl-
vania, for the use of those interested in the estate, in the sum of ....... J:".~Y.~ .... ~~.J?..<i.~.~.~ .............. Dollars, to
be paid to the said Commonwealth, to which payment; well and truly to. be made, we do bind ourselves,
jointly and severally, for and in the whole, our heirs, executors, administrators, successors and assigns, and
each and every of them, firmly by these presents. Sealed with our seals and dated the J9..t.h.• ...... day of
................ .f..~.P.r..~.~r.Y ................ A. D., one thousand nine hundred and ..... ~~.Y.~P..~Y ... 9.P.~ ................ .
THE CONDITION OF THIS OBLIGATION IS, That if the above bounden ............................ .
Arlie E. Conklin ····················rtx····································································································································································
Administrat~ .......................................................................... or any of them, shall well and truly administer
the estate according to law, this obligation shall be void as to those who shall so administer the estate; but
otherwise, it shall remain in force.
Sealed and delivered in the presence of:
'SF{L)
................................................................... (s{_AL)
~tatrmrnt nf ~urdy
I, ------------------------------------------...................... , surety in the sum of$-----------on the
administration bond in the estate of -------------------------------------------------------------------........ , say that I reside at
____ , Washington County, Pennsylvania; that I am the owner of real estate, the
title to which is in my own name and duly recorded, situated in .................................................................................................... ,
Washington County, Pennsylvania, worth above all encumbrances $ .. _______________________________ ; and that I am worth the
amount expressed in said bond, over and above my just debts and liabilities ..
·-------------------------------------------------------------------------
··---------------------------------------------------------
Street P.O.
&tatrmrnt nf ~urdy
I, ------------------------------------------·--------------.. -----------------------------------------· surety in the sum of $ ................ : ........... __ on the
administration bond in the estate of ; , ........... --------------------------------:----------------------------------------· say that I reside at
---------------------------------------------------------------· Washington County, Pennsylvania; that I am the owner of real estate, the
title to which is in my own name and duly recorded, situated in .................................................................................................... ,
Washington County, Pennsylvania, worth above all encumbrances $ ................................................ ; and that I am worth the
amount expressed in said bond, over and above my just debts and liabilities.
····-····················································································································
Street P.O.
COMMONWEALTH OF PENNSYLVANIA, } SS· WASHINGTON COUNTY, "' .
And now ......... ,.............................. 19 ............ , comes ............... -...................................................................................................................... ..
who being duly sworn, says that he is acquainted with the financial standing of the securities to the within bond; that
the said obligors have each executed the said bond and th.::~t the sureties ·thereto are the owners of real estate in their
own right of value more than the penal sum of said bond over and above all incumbrances and exemptions.
Sworn and subscribed before me this ............................ -
day of .................................................................................... A.D. 19 _____ __ ·-·············--------·-···----------------------··----------------
Co.
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~3-71-2/b
No ... .Jk07 ·····-----------
1\~miui.atrntinu 1Bnub
IN THE ESTATE. OF
WILLIS L. CCNKLIN -----------------------·--------------------------------------------------
And now XC?P..r~.:r.Y..J:§ _______________ , 19 7! ____ _
Bond approved and Letters issued to
Arlie E. Conklin --------------------:;;.---------------------~------~--------------
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u.t •• ~ c:ualif"Rd -,_ -who was ~I.U-;Y r_,Ef ·~ --------------------.:.:.:--o-..--(}5----------=--------------------------
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BAOZIK PRINTING ~9 DONORA
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