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HomeMy WebLinkAboutOC1971-0448 - ESTATE OF FOSTERIN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS'COURT DIVISION NO."-1--4 K 4 l 9 7 t IN RE: ESTATE OF CLAYBORN W.FOSTER, Deceased. 1 PETITION FOR FAMILY EXEMPTION OJ ""111 t!jZ ;:!0 ~rJJ~...~d rJJ ~<3::ur»z t;:jr -111J'I Z -< ~!!l?iC'1.:u_::l ~0 U1-1~OO ~~,.\I>- " ~~.~ '.~~,~~~~\~ r Ql ~ .....",,;:::;::Jprn::=a (/)C)c::c ;-:::cn-....~;(:) ;:~:--J :J',f<n -t ;:~ C:."J~c'.'c)i?::t::u _r -'.u ...-~ ;»("C-, :::l::.':::J!'-c "v ::!:="-,.--"" t.'-' (..:::J Ij-'''--'''o4! ,jl !~~_..~,. I~,AI......... JESS D.COSTA ATTORNEY AT LAW 107 MAIN STREET /~~v:E3A.33 3 c{/ I [ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: : ESTATE OF .. CLAYBORN W.FOSTER, .~. Deceased. PETITION FOR FAMILY EXEMPTION TO THE HONORABLE P.V.MARINO,JUDGE OF SAID COURT: The Petition of Cheryl Marie Johnson respectfully represents: 1.That your petitioner resides at Box 542,Ellsworth, washington County,Pennsylvania. 2.That on April 14,1970,Clayborn W.Foster d~ed domiciled at the Borough of Ellsworth,Washington County, Pennsylvania. .'.. 3.That the petitioner is a child or the decedent and is of legal age and formed part of his household at the time of decedent's death'.· 4.The decedent was not survived by a spouse. 5.The decedent was survived by the following children: Cheryl Marie Johnson,age 22;Marjorie Ellen Foster,age 20i Dorene Mae Foster,age l8i Clayborn Woodrow Foster,Jr.,age l6i John Thomas Foster,age lSi Norman DuWayne Foster,age l4i and Douglas Patrick Foster,age 13. 6.No Letters of Administration have been granted on the decedent's estate,and no application for Letters of Administratio will be made on the decedent's estate. -1- .' 7.The personal estate of the decedent consists of the amount of Five Hundred Sixty-Six Dollars and Seventy Cents ($566.70)due on the Black Lung Claim from the Department of Health,Education and Welfare,Social Security Administration. 8.All the expenses incidental to the burial of the decedent have been paid. 9.Your petitioner claims the aforesaid amount of Five Hundred SixtY-Six Dollars and Seve~ty Cents ($566.70)as part of her Family Exemptio~under Section 211 of the Fiduciaries Act of 1949,as amended. WHEREFORE,Y9ur'petitioner.requests the Court,pursuant to Section 211 of the Fiduciaries Act of 1949,as amended,to set aside and award to her the amount of Five Hundred SixtY-Six Dollars and Seventy Cents ($566.70)due on the Black Lung Claim from the Department of Health,Education and Welfare,Social Security Administration,as a part of her Family Exemption and further prays your Honorable Court to direct the Department of Health,Education and Welfare,Social Security Administration, to make payment of the aforesaid amount of Five Hundred Sixty-Six Dollars and Seventy Cents ($566.70)to your Petitioner. And she will ever pray. -2- COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF WASHINGTON ) SS: ," Personally appeared before me,the undersigned authority, CHERYL MARIE JOHNSON,who,being duly sworn according to law, deposes and says that the facts set forth infue foregoing Petition for Family Exemption are true and correct to the best of her knowledge,information and belief. Sworn to and subscribed before me,this 1~ day of April,1971. I'll:",, -3- IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF CLAYBORN W.FOSTER, Deceased. o R D E R AND NOW,this 3(day of'~~+-~;Z;z.-,-1971,upon consideration of the within Petition,there Cheryl Marie Johnson,under the authority of Section 211 of the Fiduciaries Act of 1949,the amount of Five Hundred Sixty-Six Dollars and Seventy Cents ($566.70)due on the Black Lung Claim from the Department of Health,Education and Welfare,Social Security Administration,as a part of her Family Exemption from the Estate of Clayborn W.Foster,deceased:and further, that a copy of this Order shall be adequate authority for the Department of Health,Education and Welfare,Social Security Administration,to make payment of the aforesaid amount to Cheryl Marie Johnson.' By the Court,