HomeMy WebLinkAbout94-00805
11ETITION ..-OIt ..IWHATE nnll GltANT OF LETTEnS
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ill the hl!rll willl1f !!&l' ahu\'c,,' dCl'l'UL'1l1, dilICI.I.,_~;_-::L__..tu..rJt.:.:._,_. ._.. ....._______.~______ .19--9lL
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h..' ll--.- liI,1 flll1lil)' or princip"llc\idenc" III __.....J.1.:LllE_0ilU?J_..LDr. , Ellol n ,
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lIi~1 \111.'1.'1, Illlm",," :1Il~t 1IllllKipillilU
1),,'.:cndcl1l, then _-..:J.!L- Y\.'llr~ of a~e, died _______.A.u+:-Ull.t.-3.o..,.-, 19 ~) It I
tit ___~_._6 .l;':"_J~~Oll..t. _S_L.~,.--..-lio r..o.Ut.;.h-.Q.,r __t.lo.r,v--:,.'./..i-l-.1-o.-,-P-A, ,
E\\:Cllt u, r"lhun., del'cdent did nm murry. wn, luH dl\'oh,'l'd nnd did 1I0t have 11 child horn or adopted
"her e,eculinn nf lite II ill offered for p",ltillc; ,"" n"'lhe vielltn of" killing "ml \l'1I\ never udiudleulcd
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l>ecendel1t UI dcath uwned propcra)' \\'1111 e,timatctJ valllL" as follow..:
(If d"mlclled ill I'a.) All PCI\\1I111111l0pelll' S lO .000.00
(If ""1 d"miciled ilt Pa.) Per\!lllal prupell>' ilt PCIIII\l'll'lIltia S
(If 11l1l d"miclled lit I'll.) I'el\,,"al p"'pel\)' ill CUlltII)' S
Valuc"freale'llIleiltl'eltlts}'I\'Unia S $50.000.00 U:60,ooo.00)
~ilutlted as I'nllmn: 31llL!..-J~!)2J,J\..~-SJ_.__KuQ.l.n....-.El1nt P~nnnb(')r() tot.al
~'ow lU!Jili.........<.:.1!mlLgJ:J..luuL.~ll.u.t.Y..- .rJ\..__.
WIIEIWFOIlE. pClitinlter(l(} respcctfully le4I1e\I(.) Ihe I"ohale of lit" IUSI will j\1}?d<'l!llC;i,11/i1
Ilrc~enlcd herc\\'hh umlthe grunl urlctlers 'fentnmentnry
(ll'~lilll\l'''lilf): i1lhninl\llillilll\ ~..,I.lI.; adlllini~lrnllun d,h.II,I.',I.n.}
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OATH 0... 11EltSONAL REPlmSENTATIVE
COMMONWEALTH OF I'ENNSYLV ANIA I ~M
COUNTY OF CU/.IBERI,fdlD . f ..
The pClitiol1erl~) uhu\'c-l1ullled ..\\'cart..) ur uITirlll(s) lhal the swtclUenl.. in the forcgoing petition arc
true IIml corrcct to IhL' hcst of the knllwledge and hl.'licf of pelilioner(x) and thul U~ personal reprcscn-
HlIi\,l,,'(s) of the lIho\'c decedenl pctitiollcrt~) will well and truly administcr Ihe eSUHc according to In\\',
Sworn \(l or "ffirnlCLl llnd SlIh'cril.'ed. ~ _._.Li:J!.t..idU:.J...;.~(ji' ~
!;;r;L;C IItC IIt~Ef'T -EMBERj~TH 1Pl~4"r -j)7\rtii-~-f.mT'1;E g
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'MAJIJ~. LEWIS 1I('~,.II"r c.Li.__~_..____ ~
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No.
21 - 94 - 805
Estlltc or
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I>EClmE OF 11RonATE ANI> GItANT OF I.ETTEns
ANI> NOW. SEPTEMBER 21. 19~. In mn,lderlllilln llf Ihc pCllllon lln
Ihe rC\'C[,e ,Idc hereof. '"II,fIlCIOr)' pfllof hll\'lng heen prc,clllcd hcrore me.
IT IS I>J:CIWEI> 1IIIIIIhc III"rulllcllIl.) dnled .' 'i ,I 1111" l',oJ,
dc,erlbcd thcreln be ndllllllcd III probnlc nnd filcd of recllrd liS Ihc Ill" wllllll'
1,1-:\113 W. f,!,IITll
IInd Lellers
IIrc hcrcb)' grllllled 10
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--!&.au (!) '/Iwr:, p,,- [) /J1.r'&i fk7'-
I I. / R.~I.", of Will, / (
\L\ARY C. LEWIS'l""'--\ ..
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115.00 __.':,1 . I .0,.. ,~ I <c.( I)
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Sholl CClllncnlc'l 5) .. . .. . .... S 15. O(} ~O~'A'--rfi'^'IM 'c'llRNI"O' "!1"1",'''',11-'p: N;;.I #15508
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Re~~~~lg~~O....".....,.." S~:U8 105 tH. \.e~' _.r., EllOln, PA 170;'5
JCP S--5~O ^llIM!:SS
TOTAL _ S 144.00
" SEPT. 21 1994 ('71'r) 732-355;'
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Mailed letters and order to attorney on 9-21-94.
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LAST WILL AND TESTAMENT
OF
LEWIS W, SMITH
I, LEWIS W. SMITH, widow man, of Enola, East Pennsboro Township,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this to be my Last Will and
Testament, hereby revoking any and all Wills and Codicils previously made by me at
any time heretofore.
FIRST: I hereby direct that my personal representative, hereinafter named, to
pay all of my just debts, funeral and testamentary expenses, including Pennsylvania
Inheritance Taxes, as soon after my demise as may be practicable.
SECOND: All the rest, residue and remainder of my estate, I hereby give,
devise and bequeath, eQuallv and per capita, among my five (5) children and three (3)
step-children, subject only to provisions of Paragraphs THIRD and FOURTH below, as
follows:
A. DARLENE CASSETT
8. SHARON SHREINER
C. CRYSTAL COOK
D. JEFFREY SMITH
E, TERRY SMITH
F. LINDA PROSSER
G. RITAOSWALT
H, DAWN WHITE
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THIRD' BE IT KNOWN that. I hereby give my son, TERRY, first option
to purchase my residence known as 317 S. Enola Drive, Enola, East Pennsboro
Township, Cumberland County, Pennsylvania,
A. To exercise this option, he must give written notice of his
intenton to do so to my personal representative, named herein, no later than six (6)
months following my demise and must arrange financing and settle no later than one
(1) year following my demise.
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B. If Terry is still living in my house with me at the time of my
demise, he shall be entitled to do so, rent free, for a maximum of twelve (12) months, iI
he pays ail property taxes and insurance, sewer, trash, water and electric bills and
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otherwise maintains the premises in a safe and sanitary condition, fair wear and tear
'- VI.r; eXJU!9ted. He shall be responsible, at a minimum to provide for snow removal, lawn
culling and making minor repairs as may be necessary.
FOURTH: In the event that my step-daughter, DAWN WHITE, should pre-
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decease me, her fractional share shall pass to her husband, FREDERICK WHITE,
not to her sisteres or step-brothers and sisters, as per Paragraph SECOND above,
FIFTH: I hereby nominate, constitute and appoint my step-daughter,
DAWN WHITE, as Executrix of this my, Last Will and Testament. In the event that my
daughter, DAWN, predeceases me, fails to qualify, ceases to act, or for some reason
Is Incapable of performing such task, I then nominate, constitute and appoint her
husbaand, FREDERICK WHITE, as alternate Executor of this my Last Will and
Testament.
SIXTH: The above named persons shall not be required to post
bond or surety in this or any other jurisdiction for faithful compliance of the office of
Executrix and/or Executor.
IN WITNESS WHEREOF, I hereby set my hand and seal and declare this to be
my, LAST WILL AND TESTAMENT, consisting of this and two (2) other typewritten
pages, Identified by my signature,
dated on this, the j 'J day of J 1m .;J
.1991/.
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LE IS W. SMITH
(Testator)
The preceding instrument, consisting of this and two (2) other typewritten pages,
Identified by the signature of the Testator, LEWIS W. SMITH, as and for his Last Will;
who at his request, In his presence and in the presence of each other
have subscribed our names as WITNESSES hereto,
j}fuv,1/C tU1ld~--
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Residing At(,/~~,....I- JI. Jrf~~/lc...,
Residing At
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COUNSELOR.AT.LAW
105 "'T. v.I.W D".
EHOLA. PA, 17018
PHON" C7171 732.3881
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I.A$I Wllt6NIJ "~J/AMCN'
OF
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I, I.EWIS W, SMITH. widow 111IIn. 01 EllOln, Fnst Ponnsl)olo l'ownship,
CUlllbOllnnd County. Ponnsylvnllln. being 01 Slllllld 1\11(1 disposin!J mind, memory nl1Cl
1lI11lorslnnllul!), do horolly Illnko. fllll>lish !lnd cloclllfO IhlH In llo lilY Lasl Will and
lostornonl. horoby IOVOklrlH nny nflr! 011 Wills nl1(1 emllclls pleviously mado by me at
nny limo hmetoforo
FIf!1;JT: I hereby diroclthollllY pOlsonnl rl!J1II!~;rJl1lnlivo, hOlOlIlnflor named, to
pay all of lilY lust debls, funeral and testmnenlnry oxpor150S, including Pennsylvania
Inhoritnnr.o Toms, as soonnftor lilY dermso ns rnny 1>0 practicnblo
SECOND: All the rost, resillue and romnll1clor of illY eslate, I hereby give,
dovlse and bequeath, eg!Jill!Y anflJ~or capita, alllon~J illY live (5) children and three (3)
step,chlldron, subject only to provlfiions of Parngl11ptls THIRD and FOURTH below, as
follows:
A, DARLENE CASSETT
B. SHARON SHREINER
C. CRYSTAL COOK
D. JEFFREY SMITH
E. TERRY SMITH
F. LINDA PROSSER
G, RITA OSWALT
H. DAWNWi'HTE
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Itl PUlt.:hIl1;U Illy /(J!;idIJllt.:u kllowlI iI', all :" I. ""!. , I """, I 1111111, I iI:;t l'unnslJoro
r(lwn~hip. Cllfllh()11111111 COllllty. """Il';ylvnnm
^ In I!Xr!lr:I';" 1111'; opllol1, II" '''''',' IjIVP. WilliI'll 'Hllleo of 11m
""""1''''101111 ';11 III lilY PIl/!;OI1I1I "',lfOfol1l1lnlilm II It It "01 11"'0"1, rllllnlm than six (6)
IIt(lIlIlI~ 1011rlwII'I/ lilY rt"lIIiso 1111,1 ItIl";IIIIIiIl1!JI! ,,,,,,,,, ""I :11111 foollh'lIn lalor limn ono
( t ) Y"III Inllllwlllq lilY rtn.llli~o
II If I r!lry ifo ';1,11 Irvlll9 in my II"", " ""III 11I0 ill 1110 time 01 my
""lIIffoO, hn foll:,II hn 011 II Iiocl10 elo ';11 r0111 free, 101 II It "1"11111 1111 01 Iwolvo (12) months, II
III) pays aI/ plOpmly Il1xos al1d il1foll':HH;O, !iower, 11:1'.11, \'/:llnr 1lI1f!lJloc;trlc bills and
..1I""wl~;O lII:t1ltlnrll'; IIII' P'''''',i!ll1~ '" n follfo CHid '::II"h, \' """rltlio". r:w wear ollellem
n~Wlfled, I III 51lrlll UO responsilJllJ. nla mlnlmulIIlll '''"Vldu for SIIOW removal, lawn
f'Illlinq I1nclllll1kil1q lI1il1nr lepnlls II!; IIIny be necl""""\,
rOUllll', In tho eVOl1llillll my stepd:lIl1/l,lo" DAWN WHITE, should pro-
dnr:oase 11I0, hili Irncllol1ol share shllll pass to hor IIII';llillIll, Ff1EDERICK WHITE,
Itllt 10 her sistems or step-brothers ilnd sisters, as PIl' l'ilr^gmph,SECOND above,
fjFllj: 1 hereby nomlllnte, constltuto :Jllrl ilppolnl my slep-daughter,
I lAWN WHI fE, as Executrix of this my. Last Will and I no;lilmenl. In tho ovenllhal my.
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rI:lIJ!)htor, DAWN, predeceases me, In lis to qualify. cnl1!;ns to act, or lor some reason
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Ilushnnrlll, , Ill: 1J1,11IGI~ WIlli I . "'i alloll1(l10 I ..., "" 'f \II III1Il IIIV LII~1 W,lI11nu
loslnlllolll
!ilX III r ho Ilh()Vf~ f1illllOd purr.oll'; '.",,11 filiI h!! rll'll/HOU 10 pOSI
hllfld 1If "I/IIlIV Iflll1ln or OilY 1111,,,, jllrlr,dlcliofl f", ,;,,",'"1 Ctllnphnflcll of tho olllce or
r ~f!l:I/IIIX iHllllnr J ~f)Cl/lor
IN WI I rJlm; WIIEflF< l/ . I hllfohy firll "''>' 11.111,1 IIIIlI !;Olllllnd declmo this 10 be
IIIV, I A!lI Will ANI J I ES I AMI tJ I, COIl'llllllfl" ,,' II...; :lIllllwll (;>) olhor typewrltlon
paIJOS. Idonllfln" hV lilY SI!JIlIlIlII",
dill,," fill Ihln, IIl1!,; /. I flny 01
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I I ~V,!; W. SMITI f
(Tosllllor)
fhe precedlllg IlIstrumentl COnsisting 01 this alld IWII (;;>) other typewritten pages,
Identified by the signature of the Testator, LEWIS W SMITH, as and for hIs Last Will:
who at his request, In hIs presence and In the prnr,p!ll:o 01 each other
have subscribed Ollr names as WITNESSES hmnlfl . ,
dJ'uvo",C t<J.Jl,i;4 _ n."d1e. AI?/A 1","",:.11. :>,f~';e<.411:,
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.Hes ding AI "__T
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COMMONWIAI 'II OF PENIJ! ;YI VANIA)
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COlJNIY or LIJMIIEIlI.Aflll )
WE, -1-~~~ __~ ,,\1. ;1/:--. __, _..,<__\.) I' II j..~~J~., .1.... , AND
--._L~/I"-.J_~. , , Ille T'3staloi: nil" lilt} Witnesses, respectively,
whose namos aYe signed to tho allached and 1010\lOll1g illstrument, being first duly
5worn, do hereby declare to the undersigned AulI""ily that the Tostator, LEWIS W,
SMITH, sigl10d and executed lho Illstrument as III~. I i1!1t Will, And that he signed and
oxecuted It willingly, and that ho eXP.Cuted It as III'; fron al1d voluntary act for the
f1urposes therein expressed, thaI each of tho Wil",,';r,r~s, in lhe presence and hearlng
01 the Testator signed the Will os witnesses, /llld IIt:lllo 1110 hosl of our knowledge
nllel sight, 1 EWIS W, SMITH, Wi1S althe timo ('nlhll'I'/) (10) or more years of age, of
"""nel and dl5pnsfrll) mind, mnl1lnry and unrlm 11" I flll!.lIninl or IIndue Inlluence,
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I I 'NI:; W SMIII f (Te;fulor)
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Subscribed, sworn to and acknowledged before mil hy I. EWIS w, SMITH, the
Testator;,who personally appeared before me, tho IIll1lorsigned orrlcer, and
sllbscrl~ttt: t~en~~~~71~,,'J (':J'~~l his,
Ih.. ';;>:1-- d.y or",f..-..c-.. \., 19.'r. rtJ
c= ..l~dl/~ _
ND T ^' I Y PUBLIC
My COlllmlr.slon [xplros:
Nollltlll Sel'
Donald s;~' HelMY r..IJlic
East 'P.MIbOtO ~ Cvmt)flllnfllf County
, I' . 'My CllmllllMlol! .".... Nov. 21, 19')6
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,I. DAlES OF DEAnt Ann 12/31191 CHECK HERI
IF \ SPOUSAL
POVERTY CREDIT 15 CLAIMED r. J -
ilLI NUMBER ~.'~ . ~-------r:"'-
;, 1 1)11 ()I\t)~
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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:f:'16. (If!(f1denl DilHf teunlll I J 7. Olluldflnl Moinlolnod n Liwing r,uSI
(AUnch (OilY 01 Willi I^unch copy of fru'l)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI
ii~Mi- OMm If MAIUUO ADUll
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Utlllft I? I, O'flulflr .Imn line lB. ellllH Ih" difference on line 20. Thll II the OVERPAYMENT.
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IIUI1f! 181s 9'l1oler Ihl'm lInIt 19, "nlell"e diUelence on line 21. This Is the TAX DUE.
A. Enler Ihll InltHel' on th" bolonce clUII on line 21 A,
B. Enl'" Ihlllolnl of Line 21 nm' 21A on lille 210. Thll Is Ihe BALANCE ')UE.
Make Chit!. Payable tOI Re~!sler _oJ. Willi, Agen'
(19)
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C ec:k hot. If you oro to uOltlnO a ,ofund o. your ovorpaymont.
71.
. . ... ....._.____.~~ BE SURE TO ANS~_ER ALL QUESTIONS ON REVERSE ~IDE AND TO RECHECK MATH 'V P';'t \.:'}'<\<
th"l.., pnIHlhi", of pfl1Iul)'. I cI,.t1nlft lhul I hovII unnlhuullhl, reluln. Induding Qccompan'iing "h"dules and slolemenh, nnd In the bell of my .nowledge and bell.f
il i, hll". (('I",.r' and (Dmpl~I", I drlclnle .hnl nil 'flnl ",Inl,. hIlI hefl" reporled ollrue morkel ...alulI. Oeclorollon a' p,epou'll olhe. Ihon Ihe penonol reF?'9'!nlollvel
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At! '1\8 011994 p'ovldol lor Iho roducllon 01 tho talC ralol Impolod on tho not volu. 01 tranll.n to or lor
Iho UI. 01 tho "pOU"O. Tho ralol 01 prolcrlbod by tho ItaluI. will b.,
. 3% (.03) will bo appllcabl. lor oltalol 01 d.codonll dyIng on or altor 7/1/94 and b.lor. 111196
. 2% (.02) will bo oppllcablo lor oltalol 01 docodonll dyIng on or altor 111/96 ond b.lor. 111197
. 1% (.01) will b. appllcablolor ootolol 01 docodonll dyIng on or alter 1/1/97 and b.lore 111198
. Spouo.1 tronllen occurring on or ollor 1/1/98 will be elCompt Irom Inhorltonce talC.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK kIlN THE APPROPRIATE BLOCKS.
.'m_ _~..Q_
1, Did detedonl moko 0 Ilor"lol and:
x
0, lololn Iho u.o or Intomo 01 Iho plopolly Iron"orrod, ..,..,...............,....,.,..........,..,.........,..
b, rololn tho light 10 dodgnolo who .holl u.o tho proporly Ilon.lorrod or It. In torno, ..............,
x
c. rotain 0 rovorsionary intoresl; or ...................................................................................
d, rotolve Iho promlle lor life 01 eilhor poymon... boneli.. or core' .........,.....................,.......
x
2, II death occurred on or beloro December 12, 1982, did decedent wllhln two yean preceding
doolh Iro",ler propelly wlthoul rntolvlng adequate can.lderollon' If dealh otcurred after
December 12, 1982, did decedent tran.ler properly wllhln one year of deolh without receiving
adequate constdorollonV ...........................,.................,..... It................... to....................,....
x
x
x
3, Old docedonl own on 'In tru'llar' bonk octount 01 hll or hor donlh"'......,........,....,...............
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
~
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HeglAter of Wills of CUMBERLAND County, Pennsylvania
certlflcato of Grant of Lettors Tostamontary
No. 1994-00005 PA No. 2194-0805
ES'I'A'1'1l OF SMITII LEWIS W
'{ I;I\S'l',FTllS'l'/MmDGE I
I,ate of
EAs'r PENNSnO/lO '!'OWNSIII P
CUMnERGI\NP-COUNTy,
,
Deceased
Socinl Security No. 203-10-5372
\~III';IU;IIS, on tho ~~ dny of Soptember
rill tnd _~J~l.lno 27 Lh 1994
HMl IIdml ttod to probnte as tho InAt Idll of SMI'I'II LEWIS W
(I;/lS'IO;-FTRSll', foil vDLt; I
1994 an instrument
InLo of EllS'!' I'ENNSnO/lO '!'OWNSIIlP CUMBEIlLIIND County, who died on the
..J.Q..LJl dny of AUQust 1994 nnd,
mIEIlEIIS, a truo copy of tho will as probated is annexed hereto.
'I'IIEHEFORE, !, ~ll1nY C. LEWIS , Register of Wills in and for
thl'! Counly of CUMBERI.IIND in tho ComPlonwealth of Pennsylvania, hereby certify
that I hove this day granted Letteru '11ES'1IAMEN'I'AIlY
to_..D1l1m IWl'I'E
Hho ha..!!.... dilly qualiUed as Exoclltor(rix)
and h~!l_ agreed to admlnlstor the ostate according to law, all of
npponro of rocord in lilY OfUco at CUMBEIlIJIINlJ COUN'I'Y coun'l' 1I0USE,
CIIIII.I SIJE, I'ENNSYLVANIII
IN 'mS'!'lMONY WIIEREOF,
of lilY OfUce the 21st day
which fully
I hove hereunto set
of September 1994.
my hand and affixed the seal
tJ, (). (V,. tJ
lJ~" ('" f1./J)'J, ,]1.J) . 1.1.:;,
R q scer Ot WlllS t'l
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1.1\81
WItt .ANI)JE!3[f\..ME/YJ
Or:
/.EWIS W SM//I f
I, LEWIS W. SMITI t, widow m;1I1, of Enoln, East Pennsboro Township,
Cumbarlnllll County, POllJmylvnnin, being of sound and disposing mind, memory and
Ilnclerstl,mfinlJ, do hereby mnke, Jlubllsh and declme this to be my Last Will and
Testament. horaby revoking any and all Wills and Co(Jicils previously made by me at
nny time herelolore.
l;;N!
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tn
EB~J:: I hereby diroctIhatmy personal representative, hereinalter named, to
pay nil of my lust debts, lunorill ftnd testnmentmy expenses, including Pennsylvania
Inheritnnce Tnxes, as soon alter my clerruse as may be practicable,
Q..!;C:;OIiR: All the rest, rosldue amI remainder of my estate, I hereby give,
devise and bequeath, egually a[l.c.L.per capjla, among my five (5) children and three (3)
step, children, subject only to provisions of Paragraphs THIRD and FOURTH below, as
en
"1
~>
,..
follows:
A, DARLENE CASSEH
B. SHARON SHREINER
C. CRYSTAL COOK
D, JEFFREY SMITH
E. TERRY SMITH
F, LINDA PROSSER
G, RITA OSWALT
H. DAWN WHITE
"
.
,-
l~ll1l1:npnlllo of pOIforlllin\l SUGh InGk, Ilhonnollllnlllo, Gonsllluto ond nppoint hor
~
11I15IJilamJ, FIlEDEIlICK WHilE, 115 ollulIlato Exuculor of this illY losl Will omJ
losllllllont.
~IXnL Tho ohova nomod porsons shall not bo roqulred to post
bond 01 surety in Ihis or ony othor jurls(licliun for lailhlul complionco 01 the olllce 01
;
,
.
;
i
,\
t:xfJGulrix and/or Executor,
IN WITNESS WHEIlEOF, I hereby set my hand and seal and declare this to be
lilY, LAS I WILL AND TESTAMENT, con~istlnu of Ihis emd two (2) olher typewrlllen
"
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pnunG, Idonlllied by illY signollllo,
dnlod onlhis, thO.:?..Z . ..doy Of) 1.,1/1,,\,__,__., 19.:J.~1
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,
_~~Lld:,.L.~if_
LEwiS W, SMITH
(Teslalor)
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lho proceding Inslrulllent, conslsllng of this and lwo (2) other typewrillen pages,
Idontlfied by Ihe signature of the Testator, LEWIS W, SMITH, as and lor his Lasl Will;
who nt his request, In his presence and In the presence 01 each other
hflve subscribed our names as WITNESSES hereto,
f'
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d..at:':tl~~{~:'..t<l;1&-t~~____Residlng Al~_ld__l~ J/. '"b1~~
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V"hll't'hm 5l"r.llnn
UN.RM RESIDENTIAL APPRAIS. REPORT '11. No,
n"'!!""l
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1,'1 II d ,.
"'''"0Ili'1I1'' 011 ("1)1.1 AlllHuM II 11lU hAS. 'OUII f' (,I cflll nllllrtlAIO,
..,II' \;l!,lIl '-'1111111' 11I1I1 'nit Ulill'llll /lIl'1. 1111 HUH. V^ And rlllIlA, th.
''",1'''1.",." /f'lllil'tllllll f'( 1!/IOllltl I"" nllhp 1'!f'I"".,.1
II/A
I . I."~ rIll ','" VAllll
I ':IrtV,III' jllllU IIHII III ,Ill t 1';1 In Will 11.11'1111'.'1 t.'1 fjl~;
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I,tlt I . "'II III"! 1"..1 Ih.....
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I'''i<,,''al I rlllllll'l',alll"..tlHI
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I
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, r'If"IIIPf,r,,'uI1I1'1Il'l
lirllatlf',CiUP(l11
, "m' h. P"I"I.IJf>I\...
IflUIC^lrll v^' lJr UV cOSt ArJ1f1tMCIt
. -h'.-iil~----' ~lllIUI (.1 C1lf.lI'IIIIAIIII fj\) I n 1I.11'^,1^,1l1. Ul' i' t:ot.U)M~M~I.IJ2_!,l~)~_~__ __._.
?,1,'. .';, 11111101 IJrlvf! 270 SlIsqlll'hlllllla Sl. 2nD rrolll Slrl'el 212 se~arlll Slreel
,'...."'1 '.. ~,I,:~.~ ~ 1II111111illlilllllllllllilli 't~I~:,111 1'~I~I,~"l,J~r,rltl ~w ~ _~_ _ '1Iwllellslll~IA~~~ I ~w~~~~=~=
;,",,',"": ". /''''1 : ~5:~~U' II 1!1I111~1~~I~j"illlll\ ~~lflnl~~I~II!1II1 s '3U~11111 ill$IIMlnflffl~mlllll's ~ 46.~I~~~IVII~~III~fifinlllllll
IflSPEC110fl CI'MI., 511:11 CI'HL, SI[1J CPML, STEU
.~,'t~I":'I"::;'I';;I~;';;.':; I';~l; 11~t~'~I{I?r~1U U~, '~I?r~I'!:I~U 53rt I I' ~ lj_"""~';' ._ ~~(!~(~~f'lI:t~'l.~61~~_i,,; ~ ~'.'J,:t,l.::;~. .~_~_~~lS~f-,'ngr(1_~fi~-~-;~~~"~~nl
I VA Assumahle filA:
34 UUI1 30 UO/L154DOM_.._~___
I 01/14/94 06/06/94 ~~" ~ 03/24/9L.~'
SUburlhln'Avu SulJurlHHl/Avu '" SulJurul1f1/Avg ; u. _..__ 5ulJuruan/^vu~~
",,,,,,,,..'.,.,.,,, ree.Slmple ree SlmlJ!e ..... Fcc. SlrnlJle.; _ __ ree_SlmlJle~__._
. .41 Acre/AlJ .12 Acre/AlJ .. .16 Acre/A!J .., __ .1LAcre/AII....;
Avera!Je AveralJe Average .., ,~__.__ _Averay!L..-._:_.
1l'.""J""It"^I'I'(>;l1 2 Sly Silltl/A l SlY..Slf1!J/A ...."tSly.SlnU/^_~._~_._l._Sty_51ng/^_;
""".,"',.".,,,,,,,,,, Alum/AvlJ. .Alum/AvlJ..... _.__, Er/Mas/AvlJ. _;__________ _Vlnyl/Av\l._;
130/2U .74/ lL ~q;.. ..~__ __._45/15 ......;.._._..____ _~9/5__;..=.2.000
Avera!Je. Guad . :.:-5,OUO.... AVera!Jc.. ... ;_.______. __Good__~!LllilO
"'1' (1"."" n~'h td,'! 111,,,.\ ,1,,11.\ l(,nl ru,"" Ih'!', I 'nlal Adr.... J11t'~" I
9 : 5: 2 7: "4 ~.. '2~:Jj~~~X~i .5-:~ +1,000. _6~Q-:-5:J +1,000.
2.172 Sq rt J ,9uO fi'l f"l...:~t? .120 ..~.. _1. 97A_. S~l_.!_I__:j.l. 900._ _ tl~56_.~~0~;-t]-.j
"";'''11..,,1 ^ r",,',h"il ru II IJsml.. Fu II IJsmt. I Purl Usmt. : of 2 .000. Fu 11 Bsmt. :
: II""",'. (I,.,,,,, !l,,,". Un! In I shed Rec Iwam ...;.~ 1. 5.00.. ... . unfl.rll shedu~.~__ UnLinJ.shlld_:
Average _. Average. ___:. _ Averaae ._____:.-_____ _Av^e[jlg~_~
GasIMNa.C/A Gas ''MC/A._:-3.0UU.-. ..011lIW/C/^.....::3.0o.o.._ _EDD/llo_C/JL'
NOlle UonQ.__: __ ..u..__.. None.___ >_.:___.._~n. _,None_~
Uone None. __: ... _ .. ~,.._. __.None _ ._______:_.___.__ _~one :
Porch Parch,PaLla : -1.000. Palla : +500.. staap : +1.500.
Nalle . ( 1). F I rep I ace; ~.1 . 000. .~~_ (2 L F I relJl ace;.-.L 500.._. Nane '
flalle .Nalle. . .~. ;~_ ._..,,_ JlaJ1Cu.__~~_.:~~___ None :
Ul.llllylJld.!L:~3,()OO..~~_~u,,__._...--':._~ ..'
11\lIIllfllll~11II111 :....;:: ::~:= Il\lIillfllll~~fIllL'~2 l:::~ -1I\1]lllfll[lIIm~lltl:~::.
i;"'IlIll"llt~, "'! !~.1!"'\ Cnlltp",j..on tUlf:llldUlI)lho r.uhjl'r.llllnlll''''''~, I.Wl1pi\hlllhly In Illn 1lI"nhhnrlmOII, file)' 1.l_ i s__no.led__lha l._LLIEL-gr:Oss-1l.vln
area for cafllparable~1I3 Is sl!JnHlcanLly less lhan_lhaLoLlhe suhjecl....hnwever:..._the_sale
chusell are Lhe besl .avallabll'.. ^ppraprlaleatljuslmenLs_havILbeen_.made_.f.or_aILdLEf.er.eoces
Ihe dales uL sale reporlcd ! .Jr lhe com~'arable salc5-are_.lhe..clnslnll_dates.__ML,lhree.....
cOlllparolh 1 e sa I es. are .Inca lcu.l n ..lhe same rnarkeLarea...as_lhe..subJecLand.wouldJlc....c.onsJder:ed
llle same Purjhaser.1f a 11 were on lhe markeL-a 1...1 he_same_ lIf11e~ as-thc-surJec
IIIt.t SlJlllrC;1 COMP^"A1I1E1HJ I C(JI,II'^n^U1E 1102 CaMP^fMOlE tlO. 3
- -. - - --- - ~~- -- ~- -.- -~.-- ----
"".. ""., ''','' , ", NOliI' UOlle Ualle Uane
"''''''''''''1'''''-111''1
. ""'.' """"",.." Stell Sleb _Sleb .. . H . ___...__._ Steb
f.gll,"<; 0' flll( rW'l'I'1 <H11f'f'l1H"nl 1'1 ~nh'. "P!ll"l, f.ll "~lll1fl utili" !':IJhjl'CI pmp"'ll" "ntl nni1'~o;i'l 01 Any 1111(1/ Snlf''llll ~ubjf)cl and comflellable!! wllhin
ono yoar ollhl'l dnlo of appraisal:
1 he aPpra i ser . has rev lewed .llIfarmatlon and was..unable.lo.JJncLally..record.oLlhlLsubJecLo
cumparall I os lrans! erri 110. aWllershl p..aver.lhe .lJrev lous....12~monlhs_oLLhe_efJecll veJlaLe
"""e^ 1111 VMllF flV 5^lF~ COMP^,lI~orl ArrflOACll, , . , . , . . . , . , , , , , , . . . . . . , . . . . . . . . , . . . , . , , , . , , . , , . , , " s .l2.lJ.0
ItlUleA Irn VAlll[ I1Y U1COMC APPI10ACII II A I 1111:111110 [~,lillll1l.'d t.1iuklll thllll $_. HI A IMu , Oms, Ilonl ......1I11Iinl .N.A . s N_A
11"~"'r'I"rol. ,1,<. 1Il~.'h' I X 1\'01'1 r.lihl11fllllllln lI'pilll'. al!f1Ii\l1llll'l. HIr.llr>cIIOn1t, 01 (;ond(hon~ 1:~H'(llUllo'N _. 'IulljOrllo complfllion JlOf fllan, find spoclficalrons,
""."",... ""'1'1""""" 1111 s aPllra I sa 1 u I s..rnade "AS J S"..no..repa iI's. 01'_. candltl 1'05.. required.
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fll"pl,'fl'(';).f'IC
ff'll'l', Plltll. ('Ir.
^,lflJ,.I/'ll !~llw. !'Iiln
Ijl'! ^"J 111'1.11)
1l11'nll'l':lIilHI'
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,...,,,,,,,,,,,, ,',,'" IlIe sales cumparlson.approacll
. lIIelllOd of aclilevlnn a Jail' markeL value.
lo value..Is..cnnsldered.lo he 1.I11'.lIIosLaccuraL
.
1
lI'f' 1"1'1"'<" "I It,,~ :1111'1.'\1',,111'; In (",1,(1111" 1111' !Il,ll~"1 ~ill\J" pi !II" /"al ptlll'f'll)' Ihill (5 Iho f'uhjl'l:1 III Ih ", h,'''f',l Ilflllm nlJOvf' cOlld,llOO!i
Rod tho cmlilicnlion, conltngont
""I, ""'dl" ",!.t., f1';. ,1',,1 m~I~"1 0,1.11111' '!I'I"l"lmlll,;'!! ill(1 0;1:11"'1 mlh,1 n1tncIH'd r'f'drl,f' Mac r'OII11 .1:1'11' . '.1.11' rmlll 100HI tnevisC'd ___6i93_1,
IIWF\ Fr, I'MA II' IIIF MAnKEl V^lllf, ^S DfFIIIEll, OF lIlE Ilf^L PIlOrEllTY 'IIIAr IS 1111: 5UIIJECT aF 1111S IlErOnT, AS OF .Octobedi .J.9!l!
IWIIICIIIr, IIIF 1l^IE OF 1115PI:CTJOI AlIO IlIE UFrCIIVf, IlAIf, or 11115 nFl'OnTllO liE S ___72.000. ,____ _'
^"""A";FQ,: '. / 1/';1 5UPEIIVI50nV ^prllAlSEn (ONLY IF nroull1EOI'
""1''''''''' '2-*? ;<), It. ,(""f'L . s.!1"~h"o..q._._._____~. ~________ 0 aid 0 Old Not
. II"",. 6/ ulul II. Walak "."'0 .._- I",poet Propo'ly
'II'" IlI'l ,,' '1l1pd 'v I~;;~~ 1(li iJi!~n-~J~~~j.~lIj'~O~I~~=~~~~~~~~=~=_~
I,r ,T" t 1 1" 1'''1ll /I BIIl\(' filnlo Cmt.r,cnllonlJ . ~___~~_._.._~_S'nl~J__
f 1, ',L,I.. III "II':" II ^n-U50~09 L lilnln P^.... ,_ OLS'~J~.I:I~~flr.O! _um.._.____ -". ._____,. .._ __~'l1'o_,_,,~~.~~,1
I'M1r"",? - -..--.-,..---.--.-' I ,llllllD M(lf.rtll'II 11)(104
r,np.,lr O"c'lpllon ~ UNIFORitnESIDENTIAL APPRAISAL 40RT FII. No,
'!"I'f"'~ ^d,!rl",., 317 s. 1:1101 t1 Drl VP (.1; f IH) 1 a fir,I'" {)^ "jl-i;f-;;j~17025--
l "r! II Pl"" 11,'11(111 Alluc heu (;llll/llV' ClHnl)l~ rTa'wr --'---.--
^",P<"", ., f'i'" '-I Un U~ -1 ti- 121) 1 ~ 300 I iH ~ 1''' ~J4/1)~J III IllU"" U04 t"!}, !~pIICllli ~~~(t!>5in~n~~s._-;--_._n__-
II''II''^I'I Iw,,,,.lll...,,,,! .. ()llltP,II,1 I If)YioI"".'~r~] ~~!-~~~~r=I~~i~-;I-
1""111'11 Ill/Ill'; ill'I"ilIo;f'd IN' ~'ill'll.. 1/',,'.,.lullol 1"t'I";' 1)1"> I I Ptlll I COlldmmllllllll. ~IH~DI~~.~ml~! _~~I_t~}^,~ _. '~'__h__'~!-!~
fj'l!lh"l'lhll"rl PI "'PI"11 Ua"',, ','.11' ",'fI'IPIIl" 3240 ~~_'~~'~.:.~ft~._lPZ.__.__u______
~ ft,." l'lt. ,. f. II'''' pI ~;,lj(l ll.'~, "1""'1' ilfl.' S /ull';llf'1 '" 1\l~'ll h,1'4"~Jl (>/ll"'l~If"'.11I I,f' fl"",ll'~ <<;,'lIm
""",,,,,,,,..,,, !.('wis W.."lIIllh, !.slulll M"'''' JI7 S. !.lIulu Ilrlv(!, [1I{)i'l.I;^jZIJ2~.-:"'-:"-=-=-----'-'-'-
'II",""'" Jul,lI II. If MI'...." 'I rl'pl 11,11'1'1 shun I'^ 17111
I '''I''''" I jlhl';1Il X I 1;'4111101';1"1 111'11,11 Slngl.. Inmll., huu.lng Prtl,"ntlllnd Ut. ~_ llmd UI. chenge
1'11.1'''1' I Irhfllll'''ll Xl;"""" I 11",.,,,,;.,,0, ;",:::" ~',~i ""nl,,,,,,'v _.,60_ [XJuolh~e'yl~LikOI~
fil<l.\I" ,,1'" i I n;ll'.'1 X ':t:1lth' I 11.1"" X lO""1I'1 20. low J~cw M . i''' Imllll., _ _1 0_ LJ In fl,ocOII
I""r-"". ~','q,,~ I 111l"'t'II"IIl" f X J~I,llolfl JOI'flllll"lf J I, ',lIll /J~ Itlll" 1QU MuIUI.1111i1V _.10_ '0_
""'''''''''''_111'1''. I f,hllll"'n" I X I I', I ~!,~... I PH.t l'II'I"i Y;l.,ll"(l) ~~... 11 IiJlll_~~I_f"'II!'lI'l'l'_'_!J1111ll11 .cnmnHHclnl. ~__.1 0_ .__~
t.lll~"hl,ql"'II'1 IUr"h'I:l,nn, X ll\ltl!'" l)...,r.I!lU'l t' l\,l'~"-!!""'''~l ... tVactlnt___l0__ _.'_
UIlI" IlltfP And lIut ,nclnl COlllflU\UluIl ul Ihp 1lp.lghhOlhnod ale 1I0t ""I""I~nl lacloll.
II,'"''''''''''''''''''''''''''.''''' n,,,1 '''0'''''''''','''' UUUIIUCU tu thc Ilurlli lJy .944, . tllC . Soutli. byJ-/prml cy~.bm.:Y, Lhc [as l bv
lli,! 5u~llUeharll1u riVer. tll(! Wcst by thc COllulIu~ulllctdCrcek.~
I.. t..,.. "'11 .,,,... I Itll' 1II0011of'10IInhl., IIltI," l"t'flI'II!I"" ill Illn lU'I\lhllmhfiH'1 (",milllil., 10 Pll1lllnpllr'lll AmI AIllf'IlIt1...S, mnpluYlnf'''' SIAhllitV. OllflORllo
mlukel, elc.):
! II", ~lttJj l.'C t properly I ~ s Il\lu teu 111 a slOa II SulJlJrbull.lle I uliborllOollwtlll _yar.19!!~_L<l!l\l uses
i I'I\!Sl!lIt. Al thouuh .lhc lllwcrty Is zOlleu Conuncrcrclal-Llml teu., _lllc.1 C\,,-UglJt.Joml!1.~rclJ!L!!~
~ III the area arc~conUIlOII III thlsllcluhborhoouallu.uo 1I0tauversely.aLfect .LIJe.JDilr.keial.lilUy. 0
. II'.. ~\llJj I'C l property. IlIc suhj ec t lIu s (,',1 sy ucccs~.to mU 11. s.lJPPQrJ.lnY.J:.<l.cJ 111I es I nc 1 ulll nq
i
~LI'l)() Is. :,hopplllll. .111111 recrnal.lU/L allll elOpl oymenl'm_~_ .___
',tll~I'1 f'''",lll''m~ in Ihn lubl,'rl rll'iUhl'OIhl)tlllltl1rllldmu "uf'pmllflf IlIn "hovl) nlll((u\IQn"l H,I.l!UIJ hI Iho lIond 01 PWI'l'fl., \lnluo!. domnnd/811flply. Rnd ma,lcoling
lime
'_11' II 11<; II.,IA IIn ('()lt1p"III!~f' '.."IItHlt.... 1m ~11'" 111 lhn !u'itlhhOlhflfllt. <l"~l:flpllf)n of lhn p,ovntl'ncu 01 snl...! And linnnclnu concessions, elc,):
II,el e ure no_ (orseealile economlc.trellus which mlyhLs lonlfJ cilnlly_ln[JuenclLma.rll.e.l. 0
III lhis areu. Jllc current. tnorlyalle tnurkclorrers ..u.wlue_.vur.lety_oLconv.enLlonaU.o.illlLW
U"III"!lilive Intercst rates. ^S u result. tl1c.tcrms.oLrlnuncjng.Jlu...c~JJJJ.IJtL_1LIH!Y-,-1mPJ!
011 s~ I (!s pI' 1 ees.. ..1 f I II tern:, I. rates rema I n. rc,lsonablc .propcr.ty._vulucs.,unu.JIJur.k..e1ubl.illy
I "
r,nIN:llnto,,,u'lllon lor PUOs III IWlllu:nhlt'l . . Is Iho ,h'"W"loPI'l/hllllth', ffl culllwl of Iho HOlllo Ownols' Associalion (!fOAl? Yes [Xl No
"I'J'I"'"''.I''' Illlal rlllll1hl'l nlullll"! hi 1111' 1HII'lt'd (1I11)'Ic;I_ _ HI ^~~_~_ . Appro.lrnitle InUII numtmr ollJllIls 10' snle In tho sublecl ploject --1jLft
.!",r,rrtl'" f-tJlll"I'Jfl (l1'-'lIlrllll!t nllllll'rl";I'ltlllj\ll;ltiMlfl~
P",'..".."".. 100X199Xl00X1Cil ... .._._.L..~_____~__._ lnpou'o,,"V S1.9PJ.ng
';,,,, ",.." 1 U. 000.1.4 1. ^c rc .. e"",,, l,,' UU Yn. [J tlo 5110 A'I.ll.I:illle
!il'!'t Ilu: llllUtH' da~!'iihcnliun nnddor.r:liptioll ,Conuncrc i u 1. Ll miled, _____~__~__~__ Shop" Rectangular
;"""'1) ""II>I,II;lIll"'t' I_~__I t f'Qnl 1,_xllrOill nl'rlc(>rIINm:llg iOt.l'l,1l;tlh..I('l! Il\~ll__ _lllll'IJOII [-.J t~o 10""lg OrnltmgfJ Goo
II'j"''',I.\ 1,""1 u':lJ,~~_~~I~I~~.!:~, Ix] ~~.~,_.!tl ~.!l"~ L~~J_~I_I!~!lf.~,!_II~~ll_IOl_il_l)____,________, _.._.. _.. Viow Av_er..ag
IJIUlIl"" Pllhhr. 0111", OI"IItl'lnlI"nvPl1lplll" IYllI' Pt,I,Iir. f'livale LAndscapil1g Av_cr..age
II..,,,,..,, UU Su,'., r'lacullulll ___.___ CJ I~J 1J,;,.wovSUllnc. SloneLlllr:
"" I XJ_______... CU'''''I''''''I _.concrete ._._.____ I-J -:J A""...nl nn......",. NoneJlP
W.".., I xJ '_'_.._~__~_" 5'~"wn" _ COliC rete... ._.1 LJ rEMA 5".clnl nood IIM..d A'.. 0 Yos ILl No
~1'1I','r\' 0;'....,1.' t X,',] _..~,_,___ ~~_~__~ Slll'''llltlhl~ .__Puu Ii c ______ ~.l Ll. rE""A Zonn _C MRp Date
,;,,,,,,, ......., I xJ___ ......___ .~lI':r~___l'ub II c_____l_LL=.L !,EMA Mn" tlD'120.3.5.91J1l1& 1-0
{'('IIIIl11'III" lill'l'rllf"llll nll\llllsn nlllif'll1t'nl!1. nllclOncltlllf'III"'. !ip"!:I,,1 /1t;~f'for."lfHlls. r;lido nren", lIIogol tlr Ir.Qnl nonconforming zonlnR use. Ole,):
awarcn t ullv.ersc..cilsemcn l S ._encroachmcntLOr:..O.thcr:..auXerSILc.OnU l.t.ions...oJLtlJ
lH 1l1'1l^1 llE!,Cntf"lot~
!7XIH1I0I1 n[OCnlPllnu
,.,jll'lIlAl,OII
Sinh .None __._.__,
CI11wl !lJlACn _30%'__+_'___4__
IIn'""',,nl _D 1..r:.tLCQ.lJC~._
BUlll11 "limp .Nouc______
"0"'1"'." Jlone_Noteu.
5.11''''''.''' Jlo!J.e_No t~Q.
11l1f'st/lliml
"'5EMwr
Ar"n Sfl, n.
o,b 1'll1lfilm<1
CflJllnU
Wnlls
nom II IrJ.LCo
Ou"ide E,,',y WaJ k-out
'NSULA liON
nODI 0
Ceiling _ D
1'1011. _0
floor _ D
Nono D
UnknOllln =: [X]
i
III' "llhll'"
fj'lu!!i!mil.q
Une rlllllutillion .Slolle
2.1/2. "'''',I..,Wn'l, ^Iulll...._
. Ue l...... n",,1 B",lnrn COlllPOS It I Ofl.~.
2 .I/2...St O"II..,,,^,,,,,,,,I'" 1I1ulll......_
Exlst._.. 1'/1",1"" r"," Uhl ..lIully.....
80 _.(s.t. ^ 51mIllJnrrf'f'Il~ Uone
2 MilllullltlUrmllltJllr,n
'~I"'IIM/AIII
IIw,llIlll~it~I"'1
r.l..rtll(11I'rt'I",r;IHI
1111"P'I<; 1
1111'1110'" All" {l"~ I
"Oll'.l~ rll'r'f'1
Il_l~r>n"'I\'
~..I~~I~n_._
Ullltfl!'
Kiltlu'lI
Up"
r Il~!!l!'~!
IIf'c nm.
()f'lhOOITl!l
" (lath!!
lnundlY
Olher Area Sq. FI,
.. ...... __"h'_ .____ ._1__.
h_.___.___ ___4_ _1_.
_._"_.. __.._._ ___.L.__
I illl'.lll',1 :11f'" nhove Qlndo r.Olllilltm I1IlOlll'i; 5 1I00frnollll'lJ: 2 Unlll(sJ; 2 172
i UHI'"01l Mrtlmlal!tIC(lIuhIiOIl 11f:^IHJll kIfCIl[U EQUIP. Allie AMumlES
. ",,"" Cpl../Hll./Vlnyl/^v. Iyl'. ...I'II^... n."'II"t/l'llIIX] I/"nn 1=1 r1.."I3C."I'_D
IV"", PlusLer'/f'alJeII^vu.~. ru.1 ._vas.__ nn"!lnIO'."LXJ Sinh, UU "nh" 0
Ol.."",n' 0-- 0101> 51"i, I...J..-..'j Onck .___ 0
IIiul" Illi.." _ Wood/Av.g ,_,~___. _~~~j.":~~_...AvU ,_ .' __~
,",",,,,,,,, llleLllvQ.._..u.~ COOllIIO Ol..hwn..h.. [J 5cu,IIn rD'C".C.v.d.P-OI:CW
11"", W"I"..r.n1 EOfJlll.caLEanLAv Cn"..nl .Nonc_ rmollfnnd UU nn,,' UU r.nc. D
II""" SlC(!l.lWood/.Ava.__. OlllDl .lIone_ Mlclowo.o 0 lionlnd UD Pool 0
COIuhlioll \-'I:&shr.llOrym r1nlshod
"1"'''''''.''1..01'''0' I..""cln' n""'IIV .II'cl.nlll."'., n'cl_Co~v,er.ed_[rJ)Il.Lpo.r:ch._Co.l'.ered-5ioo
._I.u.
H.l
__.1. .
---1..J.9. .
lllA-
---19.
SqUArO fool 01 Gross living Area
CAn STon'OE:
IX]
Nono
Oorogo
Allnched
Delached
Bulll,l"
Carport
Drlvowav
II of cars
''',d,'
1.-3
1 1'I'I"I'~'kn nlllll' 11Tl1lInVmlll>II!Q. d"p,f\cinllnfl 1I1hvslt'ol, lunr.ltollnl, 111111 oltmnol), '"lInlrs nondod, qUl1lily 01 consl,uctlon. romodolingfnddltlons, ole.:
T p~\ I ~ ~IJOP r II n n~etJ or. repa I r. .:JlieurOOmS_JICeU_upuateu ._Chimney_neeus.-r:epoln.led.
I Y nlshetJ nec.lloomantJ.p.ilrJiaIlYnLlnl.sl1g\L!,J,utILlJL1.oweLlC!.Y.el.,
\
J
,'I,t""',I'!'n\liIIIIlIlIOlllnlrnndill'lIl't( 1- --. .,.. __._."_.n_O..___ _____u
'Ulr 1 Il'l~ hul 11011llltlll'd Ill, 1ti1l,Udntl!1 \,/....,lnl\, In_it': Pluh"iI,IIlf':fl". nle) fHf'l!lllllt In 11m Improvemonts, on 1110 silo, or In lho
..""",,,,,,,,. 'i,,,n". "I ",,' """1'" """I""" ll\('r~ art'! liD known apparenl udv(~rse env I ronffientaJ c.ondJJ.J.onLLI1il.L_
wuuld neuatlvely Impact Oil 1I\(' I' .. . ........~-
.,.lot,..r,I."IIl""tl-1 IIil -lIIi~11 . .vt1lJeolll1epropr.rt.y.
"',(',1 101 ;, 'nnnlo MAil F(ll~IIO()4 8-9:1
SKETCH ADDENDUM
Ih"",wnrl CIIIlIII ....[sLnLr.
"",pllrIY'Mdlnr.d 3.17 S.
('lly [nola
I flllllHI_
of Lewis W... Smllh
LllolaOrlvc .. .
Gill/lily. .cumber I ilIlll
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.. ~_...._-------
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IlFIIN' III1N OF M,\ II KET \' ^ 1.111': I hr /II""I"III",hlr I'"l e "hflh 0 1''''llCny ,hollld hrillK illlll"IIIllCtilive ond "l'on
llIal~l>IIllHkr nil ulllcllliollS U'tluisilr 10 n 'ili, \Olk. lhe hu)'..., anti srlll'r. (,Oldl Itcling prude"tly. kntlwlc"Rr.ahly-and a~~1Ul1ing
tht'pfitt' ili 1I11111lkf.:Il'cl hy undue "1111I11111\, Implkit in this tldinition i~ (he COIJliiUlt1111nlinn or n sale IlS uf R 'ipcdficd IlJ.Hc 11m!
tllt'I';'"illR III lillr rlllll11wlll" III hu)'rr IIllth'r UlIllliliulIS ~ IU'lehy: (I) hu)'('f allll seller me 1)'lllc.:ally moth'lIu'll; (2) hoth parties
alt' wl'll ill It II fllt'tl or wrll alh'hl"t, orul ('~tlh ill nrlill)t in ,,-hal hr (onsitlrrs hilii own hrsl 111I('n'sl: (3l3 (l'.a'innaI1Ie lime Is nllnwrd
1111 1"1'11"11I(' illIIH.' IIp(,IlIlHU~I'I; (.$) 1':1)lIIt'nl i"i maliI' in lI'Ull" or nt\h in U.S. dollins or in h'Ims or rillillu:inl nltall~clUrnL'
l'I1llll':tlahll' thl'U'IO; mill (~) till' pllce U'I"l'l.,('III." tht'lllumnllunsillrrntinl1 rllr Ih~ p",p<'II)' soM Ulltllfclh'd h)' special m\.'(l',,:\U,,"C
11Il;lllrill~~ or "'1h-'i l"Illlll'S"iillIlS' ~nUllrtl h)' .UI)"lIm' as\ndntrd with 111(' ,11c,
. Alllll'oll1u'IlIS 10 lhl' L'OlIlI';Uilhlt''li 11111'1 he mAlic 1m "I't('cinlor ncati\'e lillnlH:inK Ilf I\.alrs (lIlln'sIliion!\, Nt) ollju~tlnl'nts nrr
Ilt'II'\0.;:1I)' IlIr 1ho~l~ fI'l~t" whkh iHl' normall)' paill hy .....IINS a!\R rC"illlt or Uiltlilinn or Iilw in a 11I:111...'. iUl'a; lhr\(' l'Ulit!\ me I(,';hllly
Idl'1l111i"tlh' ,inn' Ihe \l'lIrr "a pi Iht'se l'n'il'~ in \"htunll) :\11 \1I1t'." lranlO:u"lil1l1s, 5p"'cinl m {,fralh"" rinam:itlK IkljllsllUrnls ('an
I..... 1II:lIlr tolhr llunl'itrllhh'llflllk'lI)' h)' lOIHI'.uisOlllli In linan{"intt trrms olrrrrd hy a Ihird parlY iU'lillltinnallclUlcr th:ll is fUU
;11I1'illl)' III\"ohrll in Ihr pll1l_'11)' nr tlanlilKlilln. All)' lulju,unrnl !\houltl nol he l'alculnlrd un n f1It'l hanil'ul dllllnr ror 1I1111ar (osl
III I Ill' lillanrlllJt or nmn'ssinn 1\111 111('110111\1 l\llUnlllll.r an)' 3Iljll\UlIClIl ,hl1uhl al'prn"illl8lC Ihe IllW).;l'I's Il'al'lilmlnlhr (inanl"lng
or nllln"slllns ha'\l'tI nn Ihe nl'l'lili,cr's jutl~lI1rlll.
n:1I "FJ("^TION ^NIl S'IXI'EMENT OF L1MITlN(; CONIlIlIONS
C TIIIII,W,\'IION: "hr ^1'l'loi,rl <,rHilir, 01\11 A~IO'" Ihol:
I" "I he Al'l'raiv:'r h;,,, no I'fr",'nl 1If c:nnll'lIIl'lalrtl future intrrrsl in the prllprl1Y npprni'riCd; Ami neither lhe rll1l1h1)'I11Cnlln
111:1~,I' Ihl' ul'llfni\al,nnr llll~ 1:1I1l11'1('nllii:llil1n for il. illi ((mtingenl upon the 1ll'1'raiscII value or the I1roperty.
:, I ht' ApIHI'I1'"I'r has IIll Pl'flliil.lllltl iUll'fl',1 in or hias '" ilh rc."peclln lhe suhjt"Ct matter or lhe apprnis,11lrpmt or lhe p;utici.
1',11I1' 111111(' ...all', "I he: "E'lilllalc or Mml..rl Value" inlhe al'lu3isnl rrpm1 i~ nnl h.1~d in whole or in palt UJ10n the rAce, color.
Ilf f1:lIlllllallllij:illl.r IIH' III I 1'1)('(1 i..'c t'V.'lIrIS t1f 1Kculli.U1l" nr lhe l'u'I)('I1)' appmi!\Cd. or upon the race, c.:ulur ur naliorml origin
111111(' J'U"1'1I1 OWllt'I'i or o(,(lIpoml" of Iht' pflll'(.rticS in lhc vidnity or thc propcrty al'praiSt'd,
1" I hr' 1\1'lllai"'f has I1t'lsOl",lIy ill'l'l'l"ICtl thc ploperty, hoth inside and mil. anti has rn.\Jc an cxtrrinr In~pc('lion uf ull
(1l1ll11;Uahh' \all'" li"tctl inlhr 1l"I'IUI. Tn the 1'11.'\1 or the Al'prni~r'5 knowkdJte Dntl 1\Clicf. all sli.ltCIIICI1L~ Dnd inrnrmaliun in
Ih", U'lNHt arc lrur: alllll'mll.t'I. aml,ht' ^l'pnlilO,Cr has nol knowinRJy withhchl nny si~nificanl informa1ion.
,I" All l'l1l1lilllll'1l1 alllllilUilillltClnulitinn~ areconlaincd hcrein (hllf'lllSCd hy Ihe tCIIHsl,flhcollisigllfllcnlnr h~ the umterslgncd
ill It'dill t-t the allal)'lIiit'S, ol'ininns.lIIHI ,nnclusinn'li cnntninctl in Ihe I'Cport).
'; 'I hi~ 11J1lmli~allrlkHI ha!i hrt'lIlIIalle in cOllrnnnily with ami is collhjl'(11n the rCttUirclllcllt.'i uf lhe Code of Proressional
Fthil'\ :nlll Stnrulaul" or Plllh's'iitlflal Cmulul'1 of Ihc apprnislll nr).tanil.1IiOll'li wllh .....hich Ihe Appraiser is amllall"d,
If" All UllIl'hl,ioll'i nlUl11l'inillll'li l'lIl1n'rnin~ lhe Ic..1 eM.alr thai ,He sel hU1h in lhe apP,aisal rcpm. werr Ilfcl'ared hy Ihe
'\l'l'rai\l.'r \A ho~ \i~n;HIUr: "1'lk':II'" olllhe I1l'prailO.:,1 rCI'c.nt,lIl1lrs!'ii iruli{"furd as "Rcview ^p(1rJiscr ," Nn challlotc or any itcm in
Iii,' "1'1"",,,,IIl'I"1I \h"III.'IIU..k 1>)' OIl)'lIl1e IIlhrl lhanlhc Apl'rai,ol, AlIlIthc AI'I"Aisol \hall hasc nlllc'l"m,ihiIiIY for ony
"Ill h 1I1l111111uni/l'd llmn).tc,
I '( IN IINca':NT "Nil J.\MITINl: t'ON II IT II INS: lhe eeltilieolilln IIf Ihc ^Pltrdi~cl AI'l'e.1lil\g in tllO APl'rn;,al IOlxJrt is
'""j"l'Itu Ih" lulllllVjll~ (Ollllilillns on,llu "lCh "Ihol cIlCcilie ond Iirnil;n~ CllIlllililln~ 1\.' AIO sel funh hy Ihe Al'prni,er inlho
H'I\4llt.
L '1 he AI'I''''i'rl 0""1111" IIlllr'pun,ihilily 1m 1II1111CI,ul B IcKolnollllo offreling Ihc pllll'ony OI'PIO;'Otllll tl,c lillc Ihelolu,
lI1lr ,1"0' II", ^1'1"Aj,cr lCI11kl 1I11Y Ul'in;IInll' lu Ihc tille, which i, ossurnolllll he KIXx1l1ntllllalkel"I>lc, '111e pllll"'ny l~ol'l'rni~cd
;I" tlllltlp,h mllkr rC~l'llltsihlr I1wnrrshil"
~, Any ,It..teh in lhe n:l_ut m<1)' ,hit\\' nppll1,imalC dill1ension~ ami i~ indudetl toa~sisllhe readcr in vi""ali/.in~ lhc I1fuPCr1Y.
I Ill' 1\l'lllai\l'1 has malic Iln lliilll vry or thl' 11II11~lt)',
, "I hr ^l'l'ra"~irr i~ nollrtlllin'clltl p,i\"c Icslimnn)' or :ll'pr.u ill court N-causc ur havil1K m.ule the npprai!ial with reference
1H tht' l''''I'Il.'II)' in qurstion. IIl1ll"" an:1Il~(,111t:nls luP,c bcrn pleviously malle Ihcldnr.
,I. Any ,I;s\lihnlilln "llhr '1I11I:II;lIn in Ihr Irl"1n hclwrcn h\llll alllllrnl'lllvrrnCnl.S Al'l'lie, I1nly nnllrl Ihc e.i,ling plllgml1l
,,' IIlllil:lli"n. Thr "'I"'''IIC vOII1:1I;IIn, fm l:ln,llIntl hll;IIling I1I1I'llml hc l"Otl in cunjllnelil1n Wilh ony I1lhcI apl'roi",1 Anti ore
ill\'illlll HSt111S(.'(1.
~, Till' '\lll'rni~'r a~SlIlllrS Ihat IIH'le arc 110 hhhlC'fI or unnppmcnl cnlUlitinl1!\ or Ihe l1rt1pcr1y, ~Uh!illil, or !\UUl'llUC!\, which
\\.lltlltllt'IIIII~' ilIlHIU~ or h's" \'nluahlc, lhe Appmiser :ISSllllll'~ no rcsl10mihilily fur !;uch c.:nntlitillll~, ur for cnginccrin~ which
migh1 t\C ll'qllilCtl10 tlisct1\'l'r ,,"eh rm:lm!'ii,
h, Inrt1lll1lllilll1. ('slirllnh',S,llllllllpillilln~ rurnishl'd In the Aplllaiscr.lllul conL1il1l.tI in the repurt. were IIhu.tinctl rwm S()lIn:c~"
l'llnsioll'lrll ,eliahlc AIIlI helievrll 11I1",lrue allll WIIl'C!. lI11wcvel, nil rC'IKIII,II>i1l1y fnl oecllmey III ,udl jlclll~ fllruishcd Ihc
1\I'I"ai......, (";111 he :t,,~utlll.11 h)' till' AI'lllillsrr.
7, 1 l;,rJll'IIIC III Ihe clllllelll.S nlllrl' :11'1'''';'01 frl>llt I, gllvrrnril h)'lhr lIylaw~allll Rogulaliun~ Ilflhc I'llIrc~s;llllallll'l'ralS:11
tll)1.lIni/atil1n~ wilh which lhc ^Pl"ui~r is aHiliatrd,
H, Nl'ilhl'l all, nm AllY 1'''lInf thc elllllrnlnf Ihe "'I"llI,nl wpy 1IIl'Ionl (inchllling cllllrJu,inn~ AS 11\ Ihc pllll'CUY volUC,lhc
ith-ntilY tlr llll~ Appmi"'rr.llmrcs'ional tlt'~iRlIaliol1~. fl"rCfCnCc 10 any proressional 31'Pfilisal (1r~ani/~lIlun!', or the finn with
IS Irith Iho ^1'1"a;,rl i, cnllllecll',l). ,holl 1","",,1 fnl :tIlY 1'1II1"sc~ hy Anynllo hUllhc c1lolll 'l'ccificll;n tllC Il'pun,lho hurrower
if :I1'1'''I;,al fer I'a;d hy '''lIle.lhc lIIortgAgoe nl i1~ "'''0''''15 allil o,~ign'.lIlmtgogc InsurcI~,cllll,ull:tUIS,pllllosslllnol OPl'roi",1
m~!ani/.llillllS, an)' slalc m rrlll~rally npPIO\'l'cl Hnancial ill!'iitillllinn, ony departll1cnt, l1gelley. or instrumenu.,IiIY oflhe Uniled
SI:lll'S 1II any '~lIr lIIthc lIi,uicIIlI CllllllllhiA, withulltlhc plcviulI~ wlillrn CUMCIII ul thc Al'l'mi<el: IIor ,hall II ho CUllve)'cll
hl' an)ullc Illlhc I'uhlie Ihruugh IIl"'ru;,iIlK. I'uhl;c Icl:lliun~, ncw~, ':Ilcs. or nlhcl 11I01lio, wilhllUllhc wtillOll con<enl :tlld
:l111'1I1\'al or Ihr. ^pl'laisl~r,
IJ. On alll1pprai~al!'i. stlhje{' I 'II s:nisrU(lnry nunplction. rrpairs,m UItt.'IIHiclll!i, the appraisal fl' I 'It)! I allll ,,'nine conclusion me
l""linK,'nluIKlIl clllnl'll'llllII ul Ihe 1IIlI'Illvl'I1ICIllS ill 0 wlllklllAnlikc I1IIUIIIO..
\lall':
I
IJ3i
N' ~:.~, :':::~,.... :::::":::::::" .,',.: 'jt:~.. .~~~..",.. ~., ".
, tNA rOllTl 10040 l"'lftl
1111 l,IC rOlm4N llill~l
PHOTOGRAPH ADD EN'"
fl"I!!....,., 11"'111
I""I"flll"""I":,<,
"" 111111 a
1'.LoIll' III 1 "WI~, w. :,11I1 L11
31 / ~. LlIlJ I d IJtl VI-
(,)III1I~ f.llllllfl'l 1,1I1d
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/lpCUdll 17025
11'..d.',
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FRONT OF
SUBJECT
PROPERTY
REAR OF
SUBJECT
PROPERTY
STREET
SCENE
.
.
1I111~IIION OF M'\IIf\1:I \',\I,I'F: Ihe """'1",,",,101"1'''' r ,,1,,<1t a 1""11('11)' ,hllllllll'''n~ in a ..../III...,l\i.c ",,,I "pen
IlI;ult'IIIIII!t'J ..II (.lIllIiI1i11l\ Irqlll"'ll'> 10" lall \.'11..,lh" Illl~r' lUul ,rllr,. r:u h nrlinto:: plmlcnlly, kllowlcdJtrahly nn~1 n"u"'!"R
1111'1'111 t' I~ 11111 jilIn Irlll')' llllllllt.' 'IllIllllllllri. flllplli'lll!f tlll'\ tklillllillfl i~ the l'IUl'ilJlllllllllicJf1llr a ":lIe IIlI nr II "prt:inCII rune and
Ih"ll'l'qlll>: III lilh' (11111I \,'11"1111 hll)I" U1uln U11llhllnm ",-111',('11)'; (I) I'")"rl nnil \rUN are l~'pirnll)' lI1uu..'nlt'd; (2) hnth panie.li
.tll' \\ dlmfllrtllrtllll "dl iI.h 1\"11. :\Ild ('mil j, urlill): in" halllt' run\Hlrr\ hi~nwn I\("~l inl"'H"': (\) 8 ll'm~lInahlc lime ill nllnwrtl
lilt 1"1'111\111\' in 111l~ 111....1) lIliH~I'I: (<I) pa)IIU'IIII'i matlc '" h'llIIli ur \'a,h 11I1I.S. dollars or in Il'rn1!\ uf nnancittl arranll('IHl'nt,
, . Hili' 1I.II,ho 11I1.'"It): illlll<< Ii) (hl'llth r ft'P'('~'III.\ 11a(' 'Hllflli'll, fl,,\illt'fillhH1 ftlf Ihr pUII~II)' ~)It1 unarfl'clrd hy ~I'cdal nrcreali\'e
11I1:111. 1lI~~ III "'111'\ lllfln'\',io",. ~~lillll(',1 h) :1I1~'1IIl' ."'1"- lal.l~,1 ....lIh Ihl' ~,k.
. ,\dpl'llIIl'III" lit Iht' (111lI1'.U alll\'~ 11111"'1 ilc.' 1I1:111t' Illr 'lll'd:,1 m Orllli\(' lina'h"lI1~ IH \,1lrfi rOllL'rlli\iOlU, No Ulljuliillllcnt~ Drc
Il", 1",'.:11 ~ fl'l IlIml'l o\h ~hil h;tlC" 1I111111:,lIr 1',ull h)'.....II,.'\ a'C a Il'\llll uf 113tlilillllIU Iii\\' in a marLrt uu'a; lhrsr cent' are rrallily
1,1"lllIll.lhl,' '1111 " 1111' \I'III'f 1';1)' Ihl'\" l"u\I" 111 \ 1I111;ll1y ull \;Ilr, IlIUl....1( IInll'C, Spc.'dalor (rralivc On:mL'inp; AlljU\llIIrnl, ran
I.., IlI'ld!' III IIII""IIII':llalllt'poll""'I)' h)' '1\11I1';11'\011\ 11.IiMIlI 11I)t te.llls nlfr'fll hy a lhiul pari)' in"lilulinnal h'mler that is nnl
,lltl';III) 111\111\1'11 IIlIIll' pllll""I~'11I '';In\.l'llllll, '\II~' a1lill'llllrnl \htlultllllll hr r,lh::ul.lll'd on a fIll',h.1f1inllllollar fur dl11lar l'oSI
1.llh" fllli1lH 1I1~ III ('I Ill!. r"\llln 11llllhrllllll;u ;lIllllllflltlf :11I) ."IJII\lmrlll \hllUhl"l'l'fOlIllHltr the m.uLtt'" ,e.ll'tilln Inlhe fin;"".:inlt
III 1 111111'\\1011\ 11""'.1 till Ihe 31'1',ai\t"\ jUII.:mrflt
n:IlIIFII',\IION MW S IXI EMFNT OF I.IMITlNI; C:ONIlIIIONS
I I 1111111',\ liON: IIII' ^1'1'I:""'llrllllil" "",I "v,r"'IIr,ll:
I 1111' 1\1'1'1:11\('1 h.l\ fln p!t'Y'lIlm l'IIIIII'I1II'I.llt',1 flllUll' IIlh'ft.'\1III Ilu'I'I1IP('II)' :l1'1":li'o,('II: ;nul u('llhL'r the rlllph1)'fIIfnlln
111'111' 1111' :11'1'1.11\;11. 11111 Ilu'lOlHI"'II\;ltillllln. II, i\ rlllltlll~~l'nllll"m Ihe :tl'pral'i<l'll \'alue of Ihe PWI-":fI)'.
.' r hI' '\1'111:1I'l" 11;1\ IIn 1...."..11;11 il1ll'll'Q III "I l1i;" ....1111 .('\I....lllllllt(' \uhJf\'( m.1l1rr uf the OPPHU\all 'C'l'm1 nr Ihe p3r1id.
I' Ifll\ lilliit' ....all.. '(Iu' ~1\tilll;llr III M;IILl'l \"..IIII.'-'flllI(' ..ppr:t1\~11 'l'P"" i~ flul t\,il~'d in wholr nr in l1aJlupon lhe Ull'r. colur,
I" tl:llillll:lIII'IJ.!il1 'If 111I'11'll\llt'l'li\(' 1)"'11('1' "'IloI.f.'UP;Ull" nlthr pnll'C,'rIY al'llmiSl'd. or ur..m the r:u:r. t'ulnr or IUlional miRin
1'11'11' l'Il'Y'1l1 O"'lIt'" II' tlL"I.:t1I';lIl1lii ullhr p,nl"'flu'" In tllr \'kinrl)' of Ihe (lrnpcny Rl'l'rui\!rII,
t lilt' '\I'I',ai,(" ha\ pr.\.un:dl)' ifl\I""III'd Iht' l"ol....rt)..Ill,llll in..i,le anlllllll. anct has ma..le an e.lrrinr in"I'IC{tinn nf nil
I OIIlI',It.I"'" "all...Ii\!t'11 in Iflr IITon. Tn Ihl' hC''li1 "f thl' ^PIII:li\('.'s ~no.....It'(I~r and hclief, all \1.1Irl1lrnl~ allll i"formalinn in
Ihl.. f1'11011I1ll1'uur :lUll flnll'l'l. mllllhl' ^1'1"."""r 11,,\ nlll Ll1m~inftly willlhchl an). ~i~niric.ulI information,
1 ,'IIt'llllllll~I"H allllllllliljll~ (,'llllllllilJU'Ili mrn!lllmnrtl hrfrm (imposed hy the t{'nnlinflhe a\!liIotI1I1\Clllm h)'lhe urulcuiMnrll
.1111'1 IIII.~ Ilw :l1l.l1)\(""" 111'1fIilU1'. mil) t:nnclu\ilH1' cClflt.,inl'd in the report).
~ I hl\ "1'l'fill\;11 1I'lll II I ha\ lirc.'1I m:lIle ill nmftlllllit). ....ilh .IIH) is 'Iliuhjn:llu Ihe rrtlui,emrnts uf the Codc of Pw(cllisiunal
111111 \ ;11111 SI;IIIiI;IIlI\ III I'mll'"iflllill Culltllll't nf thr ;11'1'1;li\alllr~:mi/alinnlii ....ilh ",11Il:h Ih(' '\1'11.31\rr t'C alliHaled,
" ,\II nllh Imillll\ :11111 ..piIllOIl\:' IllllI..t1il1~ IIIl' ll'alnl;llt.lhal me \1-1 fllllh in the ;11'1"ai\~11 ICl'mt ....rre l',rl1iul'lllt)' thc
'\I'I'LII\I'I .... hll\,(' \1).'Il.llllU' nl'I\II';U\lllllhl' "1'1":11\,11 fl'I"'"I,lIl1k\\ indKOIIC'11 3' -Hl'\'irw '\I'prai'it"'" Nn ("han~e of any il(,,1I11U
Ih,' ,11'1'1:11..,,1"'1"111 \11;1111,,' 11I:1lh' h~' :1I1)IIIIC tllhrr Ih;lIllh(' AplllOlI\I". antllh(' '\I'p.ai,r. \hall ha\'l' nn Irspnn\lhililY for an).
'Ih II 1lII.lIlIhllll/l'lllh,"I~l'.
I'll:"; IISI ;FN r ANIIUM 1111\;1; C'ONlln IONS: 1 he <rll,lkalllln HI Ihc ^1'I',ai", al'I'c.lllll~ ill tl,c al'I'rai.a1 'cl~ln is
\lllli'" I 11'lhl" flllll'''' lll~ l'f)fltlilitHl'i :IIHI hi '11\'h l'IIIl" 1ii1"l'(iliL' anlllilllllintt ,;nruliticU1s alii arr !'iCI furth lly lhe ^pl'rJi~r in lhe
11'1\11"1.
,. '1 hi' ^1'1'rilj'l'r ;'\\IIII1('IIiI1I' U"I'tn1\lhllil)' flU lIIattr...nf illrlt:'II n:llmr nlfl'L'lillJl; Ihe l1fopen)' npprai\t"d or the lille therctn.
Illtr IIllt'1i Ihe '\1'1'1;"\1" '('1111," allY tlplllilHl n\ In Ihe lillt'..... hilh i'li a\filll11C'tllll he 1t...."1 mill flInfkct.1hle, 11u~ 11Iopcny l,upprnisetJ
.1" tlltlll~~h 1Il1lk. ".'I....llllilhl.. ownrJ\lup,
.'. "1I~ '~"lIh in I Ill' ,rl'iUII fIl;I)' ,ho",' Rl'llll1\il1l;lIr tlimclI\ion, anti Iii irKlmlcd IUR\\i\llhe fcadrf in \'i"ua1ilin~ lhe property.
1111' t\I'PI,II...t'l hil\ m;I,1r IU. \11I\(')' nflht'1'1t11't..I)'.
, lilt' 1\1'1":1\11'11\ nlll fe111l1f{'(111l ~1\'('lr\lII1lIHl' '11 a'll"lt'~lf 111 fourt t'<.'G1U\r of havin).t mollle Ihe appraisal wilh reference
11'111\'111111"'11\' III '1llr\lllll1.lIllll'" mIiUl~rlHl'I1lS hOl\r 1,,'rlllllc\llltl\l)' made Ihr.efur,
., ..\11\' tll'11111IIIII'" fir Ihl' '"itlll;t1IlUl in Ihl' U'I'IHII,,'I\,I,l'I'n laml ;",,1 ill1lln1\'rmrnll\ appli('''i only lI'lllrr Ihe r~iliilinR JlfU~rnm
!llllllll!allnfl. I hr ,,'p;llillr \'1111101111111\ lor I,,,ul allll "lIlltltn~ 1H1I\IIlOI he 1I~I'd III L'onJIII1L"t1on wllh an)' nlhrr apprtlls,,11 :nul me
Ill\;llld II \11 """'11.
"'. I hi' 1'l'l'liliY', ;1\'IIIII1'S Ihallh('fl' nIl' IIn hllhlt'll OJ llllilPJ1iUl:IlI1'1llHlillllf1\ or Ihe I1flll~J1)', 'iuh\oll. or SlrU(IU'CS. whiL'h
\\ fluid 11'lIlk. illlUlIl' t\' lr,'C valu;ll1lr, '1 h~ '\JlIHill\l'f a\\UIIU" no re\I~U1\lhllil)' for \u(h l'WHlitilll1li, or for en~~inCCfilltt ....hi(h
Illu~ht I",' lI'qulII'llto t!l\rll\'I'r \Ilfh riIL'IOIIi,
II lllflltfllalillll, r'lIl1llllt.". otlltllllllllillll' fUI111\hl'd to Ihe '\l'lllai\Cr. ntHI conlllincd in the ICpOrl, we.e nht.1incd rrnrn ~uun.:c.,
1I'Il'.jlft'Il't1 fl'fmlllt' illltl hl'lll'\'l'(lln I'C IJIIC 111111 \."llnrd. 1111\1,,('\"(", no ,r"plIlI\ihilil)' fllr :u;L'Im:u:)' of e;uch itr.rn~ fUflli5hcd the
'llPI:lIt,('1 l:1II I,,' a.....lIfl1t.III'). lllr AllltlOli..I".
, I )1<;r1I1<.;lIH' of Ih('ll1l1lrl1l\ III lilt' appt:Il\;IIIl'IOIillll\ J.:o\t'lIu'll flY IlIl' n~ 1~1""\ alld Hr).:ulalllJl1'iollhc profr'il\iOlml appmi\';ll
,'r.~:IIlI/;1I11111" ~ IIh "" !lith Ihr AI'I"ai\l." I' ~11'ili;lh'll.
S, NI'lIlw. illl.llIu ;111\' pall ollh(' l'llllh'lIl fir 111(' fl'I'II II I, tll Ull')" thr'l'"f (ltllltlllin~ l'OIKlu"ilHl\ as In Ihe pmpcny \'altJl~.lhe
I,I"HIIIY ullll..' '\I'I'I;II~t", plOrr"lllllal ,k"'~~Il;t1IPIl~, .dt'lrlllr III all)' I'lOfl"~lIlnal aPI'Hus.I' ofJ.:allll...111on'.11J Ihe fi,m ",'ilh
\\ hll II 111\' Applai"'1 i\ (1II1I1l'flr,ll. '\h"III'o(' u"L'(1 tor all)' PIIII...I\('\ hy an)'onc hUllhc elknl ,pl'dfirll in Ult' ,eport.lhe l'lCuru""'c:r
11,11'1" :11I..,,1 fl'(' p;lhl hy \o1ll1t'.lhl' fII11rt~a~rc.' or ite; \lUlt'\'\tUlri :11111 a\\f~II\II1IIHI!-:.a~c lIIslIlfn,C:III1\ullafll!\, profrs'iiollal al'prdi\31
111~'allll~lljtlll~, all)' 'tilt. "' fc.'lkl:III)' :1l'l'w\t'tllm;u1ri;11 in'lilllliulI, :HlY Ikp;ulInrnl, :1).:Cl1l..)',lIf in'iInUnent.11i1)' or the lJnilrd
"il;"t'" III .11I)' ,,1;lll' o. lhe l)j\1.il'lll(<< '"llIlIIhia, wilhClllllh,' plr\'ltlll~ "",illrn Cflllc.rfll nf Ihe ^pp.ai~,; nor c.hall il he conve)'ed
11Y all~llll(.ttl th,' plIl,lh, tIUllllJ.:h alhl.rti\il1~, pullin: .rl;llf(I,,'. nCW'i, Sfltr.'\. ()J ulher m('tlia. wilhoullhc wfitten cun\!rnl and
;11'1'fl)\';t! ur Ih~ APPJ;1iSl'r.
I), ()f1 nil ;I11prailii;,I", 'uhjt'l'IIO "111\1:ll'10I)' rtllllplrlll\fl. u'I'ai'Ii,or allrr:lIinnli. (h(' :l11pml\'" ,rpofl :md \'olllc condu,inn a,c
lllllllll~('f1lllpOn l'11ll1(1h'tilln of Ihr implOvl'lll('I1IS in a worLIIl:lIIh~c IIIl1flUcr.
11,IIt':
/(.)/'~.I(L.' 1,,1'1'. 'J ,J /1 / ) ~L
." I' '\1'1'1:"""(\1 rJ~'~ ,v,{v.f:,r-/..~ ~~..~._...~
1t.!.',I:1 P,tM' III ",,\"'f'~" t "'''.''_ fllll}l"" tilt, ,.' ''''.1 II ,.'j 'i" '11'1, 'il """.II!' .~, /'I ',;'1_0 ' I IIlf'
111I ~U14nl 1'JIt
HjVAIl)lml(J"lotnlt.llll)
"'lucrOtmUlIl"MI
. JMW:jev
t~~ ,~~
;:, . ~I.: 1'(1<1'. I-;r I~I III
I ' ; . : :' f . ~ I' 1\
. . r rEllEll ?O ~ H Atl 69
(~~~
, 11/ t~ll\fmg~:z.:", 1
relltl ~ YL V 1,1;1,\
,HII"" Iii"
7 f-J,
dllll"! mAY
.\'illl'/':I'II hlllldr.'d 1111.1 oixty-eighl: (19GO)
'~nthUttn I,mnS W. SMI'I'J\ and I<J\TllLElm F. SMI'l'll, his wife, of East"
Pennsl)Qro Township, CumlJerland County, Pennsylvania, GMN'lIORS,
. . ;
'. . ,.;1:
."
. - AND -'
--
,
LEWIS W. SMI'l'll and K1\'l'JILEEN F. SMITll, his wife, of East Pennsboro
'rownship, Cumherland Co'unty, Pennsylvaniu, GRANTEES, --______________
~nihttggdl~, '}'//III. in I!,,"sidcratio" "lOne ($1.00)--------------------
--------------------------------------------------- ---- ------DollaTs,
il/. hOlld floid, "'Ill TCI)C;III. /II/IIlT""! i,~ I/.(lTc/I!! oclmow/I,d/t"d. lho ,~(/id/trantos do
',,'rl'lllll!rlll/.I. olld "0 III'''!! 10 tho .wid/trol/./,c" s,
their
hdn and a,~8il!n,~,
ALL that parcel or..lot of ground--situate in the township of East
Pennsboro, County of Cumberland and State of Pennsylvania aforesaid;,
more particulLlrly described'Lls follows, to wit:
BEGINNING at a point, the northwest corner of intersection of State
Road and Adams Street, thence westwardly along the northern line of
Adams Street, one hundred ninety-nine (199) feet to a fifteen (15)
feet wide alley, thence northwardly along the eastern line of said
alley, one hundred (100) feet, mor.e or less, to a point on the south-
orn line of Lot No. 131, as "hown on plan of lots laid out by John
Q. Addnmn and Joseph Pyne; thenco eLlstwardly along the southern line
of said Lot No. 131, one hundred sixty-on (161) feet to State Road,
thence Ilouthwilrdly along the "Iestern line of the State Road one
hundred (100) feet to the place of BEGINNING.
Deing Lots. No. 127, 128, 129, 130 as shown on silid plan.
1'1' BEING the sume premises Which Jacob E. Rohland and Edna V. Rohland,
his wife, by their deed dated May 15, 1946, and recorded in the
office of tho Recorder of Deeds in and for Cumberlilnd County, Pennsyl-
vania, in deed Book 13-F, page 546', granted and conveyed unto Lewis
W. Smith, who joined by J!i,s wife, Kathleen F. Smith, are Grantors
herein.
'1'hi3 conveyanco i3. from Husbunu and Wife to llu3band and wife and is
Exempt from Roalty taxes.
ouaC :2JrAGE 397
II
'I
---... J - .
:Au:o. 1//,. ""id I!r""I"r~
""1',,1'11 -----------.-------- \Iln 1"1'1,"/
"II
G " N E It ^ ), J. Y
III,' l,r"I"'rly 11"""1'11"11111"'11"",
~;" ~Uih\tGg ~UI~crc,'f, ,wli" :!rllllloru "we ""/'1'/11110 ,,"l their/lllmls
rill" ""I//n
I II,. "rill 1/11" 11"111' /11'," I/luJlIt, /111';11,'11,
$i~,ntb. ~t'llt~ 'lIIb ~tlhltrtb
~ lilt lJrtS~:lCt Ilf
/:.__2'Y:1JJ"J. J2"T
hL0_t~.~
~2s \'1. SMITII)
IJfC(!I!('~,;-=_-:;f,_/lJ.";z',G
(J<A'l'IILlmN 1'. SMI'l'lI)
.
,
I:
(/f"II1II'"\lItnlll/ "f lltllnsuh"lnill }
(/f,',,"I\! "f ~~ {!:l.Illl~I1.y'/t1,.1j~ ss.
II" 1/,1.,. ,,,.' ?~~/"/I "/7l~5j- /II 60, '"'1''''' 1/1,' . a Notary Public in
ilncl for nil~tl ~JtnmOnweal th tinc.1 County I -------------------------------
II", IIlId",..i!!II,'d "n','rr, "",w,wl//I "/'/",,,,d LewJ.s W. Smith and Kathleen F. Smith,
his wife, -----------------------------------------------------------
klltlU'lIl" IIIr(onm(",.,r,w/uril/l /lr""r'Il)I" b" th,' p('r/fun S wlunr.lluII'r. s are Rfdnrcribcd to tilt! within,
i",'(r"""'III. awl ",'A-IIm/'I,.,/:!rd 11'1". tilt' Y t',fi"l'IItrd the .'am,. for Ow P"'"O,'f'- thrrf!in co"ta;lIncl~
1,1' 11'11:1'/:'.'1.'1 WIIIWIWF, I 11,,/,. 11"1'.1111/0 11I//11111111 ","I no rial 'Cl/I,
j.....~ ~t?'
<Ii ,111\ 1111'11 \II t II 111/
tlj"IIIIIU "f
'd' '.ri,' rI n ,/ ' 'I..;.
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,.... ,'. \
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Nnti:lry. Pllhli,. ~t:l:. ~.~~t.I'
[-II J 'w'" ....!'PRY rUi'Q1 ..! ...),,'. , :.
lit .' .' 'I'"'' '.,)~! t!.';.J"' 'f" "ft: .
h,,~,hlo io..r,~~!~, C\lm~:fl.n. ~ ~'....X" "-':'t'" l"
.lIIlMIUIOllIXfIR[\ mmm \I~.I ,,>S',,>. ~."" '^ ., ,'.,.,
.h \...., v ~ '" '\" ,'...,
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t IH'/Of,! "If!
""11 "f
19
Ih,' IInd"T,o,;t!lIf',f HII't','r, 111",,,,,,,,111/ fll'/H'(If,'d
kilO"'" I" 1IIf1(or.llfll/iff(""forllt/ prm'r.,,) 10 1Jf1 1./1,. JlU~(J" mllmm """'f! .IIflllnwri!Jr,d to th" wlt.h',..
;",~'''''''''''/, fI"d 'It''''''nu''e''~rd Owl'", ,'.t'flOut.rui ,h,! .'UII'''! lor tlU! /HlT/JlMC thrrd" cOIlinirud.
1,1' WI7~1'1i88 fl'I/NllliOJo', I 11,11'" 111""1111'" .". 11/1/ 11111/1/,,,,,1 "",,I.
;l 1!~C1'ct~u ~crHf\! /./11I1, I,hn "rnei'~')(!'I,rc,~,~ of till! :!r/ll/I.t!rl '~c,rcin is
'lIt'" . \ /)
. I r--: ,', '. 7u.~--Y; ~.:..9.
.3I7S,E.,.lo//} D...'1c. \.Jt}.;- - - -/
Eu=l,. ?t.;l UOUKc.. :.?:3i'.iCE 398 _t.t;QJ:IICy_foJ.'_gr-,mt:CC:L
$fllf, &1f
9i" Ill" U II f
On this, the
.
"cry 0/
} till,
.
/1) ,(,e/ore /116
,he undersigned officer, personally al'l,uared
kllCJrlll' lu mdu, 1Ir11i,'/fIf'tOt"lI prm,,.,,)tu t", ,hf1/''''''WII II'IIuu! "lIm,t 1I11/l!wrll'I'" tll /I". ,,.Uh',,
i'llItr"""mt, ",ul ud:tlulIl!rull1,.d 1111I' h,t rA','rut"" t"~ A"UlC lor tJ,,~ IHf'/W,u' tiff!',"," '!lJullli,,,'''.
IN WI1',\'h'SS 1I'J/ RIIJ:'OI", I 1/III'1l Ilef"I/IIlo ,"I. 1,IY 11<1I/l/IlI/l1 "".,1.
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Ql:&1nt:n~l1n'l\te&ll~.~ &1f lJennguhi&lUh\ l gS.
OJ&11Jnt~ &1(~~d=L__
in /.he Onlee for Recordilll! of ))eeds ;/1. alld fora,v?t./.!.."L
;/1. /)e/)d /look(! No..:? ..3
POl!c..s9'? lac,
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'lltihu.IJ ,m/l IWI/Il om/s/w/ of Olllee /.hi.v<';<cr /-1
day of /T-;e:t:t;~ "hiI/O /J()'.I.';~li f!) (;,f'
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925(.3C\3,.n
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III. I 11111'11 ~, 1'19',
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1111 ^t:t:III1111 I I!:rrll MlIlvr Ilh'; 111'1'11 I ^"111 I I II III ^';I:lIll1lMICr: Willi
III': 11111'1 1111": III' I I VI II.
1111 III I 111111 1:111'1:1: 1Ir111\1 1/l1'111'!':r111S 1111111111" Ph'{lII III!; P^III III!Vllllll lilt!
I "II,rll ^I 11111 IIhlr,
II \'1111 IIhVI' MIV IllIr~' lilli', 1:111/1:1"11111111:
11111 II/II' ^' I 111111 'i;"l 1,111111, nllr III
1'1 1'111':1 III^I Ivr'; \.1111 111 l.thll III 11111'
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sr:nVICI!
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,_.'....-..... ~...- ...-..,-.....-...-------':-
POLICY tHl"'nr.n COMP^,'Y DOLLAR.,,"'OUN!;;',.,:,' CHf,CK II"
lJ 1)& 211i!i!3 [)I./O& ALLSt^,E I NSUKANce..... .::.+.s.:.~i.S~~F::.'3),&7'l'll.
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SCHEDULE F
JOINTLY-OWNED PROPERTY
..!lD.D_R.E~1._____.___~ __!!.EJ.ATlONSHIP TO DECEDENT
(II;' ,,""Pld. nl... J.1tll'.vflvl11.'O. l'A ,:1.('1'- (InlJ,~htr't'
1'{O;'I~1
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ITEM
IIUMnE
LElIER
rOR
JOIIlT
TWMlY
^,
DATE
MADE
JOINT
DESCRIPTION OF PROPERTY
TOTAL VALUE
OF ASSET
1,
II /~i/n:J l)lIl1plllll Ih'ppn II. H'ltIk - l:1'.IIl'~ ;tl 'f;?I,. G~
^PI'1. II (Hr{~II.I(;;' j~i) - tiP,! rtt.l.lll'll '11
11."
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11/0',1/11' Ilnllphlll 1't'I'Pult./Pn\'IIW,fl ^cpl ;1:'(1,(,.01
!!Jlfl ~;"ill()'{HII _ nf'l! nt.t.lll'lIl'll 1 \.1'
AI'I''' 1'f'(1 t lltP)'P1:1. ;'''. 93
DECO'S DOLLAR VALUE OF
,",INT, DECEDENT'S INTEREST
50% .' 36;', :n
,,'
~o:: 3'(3,IoJ
~in~ J;' ,10'(
'If MIni" 'I'ntl' it ",.~rlf'rI j",,,,, nr/eJj'ionul 111ft"" 01 saml! Ii,,.}
TOTALI^I.o .nl.' on lin. 6, R.copllulo'lon) S
""'"
"""'
o
Dauphin Deposit Bank
and TII ml Company
".1;11' fll t '0 I .., ""II'" f "'1111' """', ,.,'''1 "11111"'IY^"IA HII"
,'t' ,. ....,
IIn('o,lI'nl "..nll,m,,1 Ifln
IIm"o:
I nwl q w. [',II;'"
nontnl !tOl:lIf'ttv tin," "11110 '-,:I1?
IInlo of IInnl h (1)1)1) I: '''\/.\II/!l~
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15739260002
'W17'l'lf'l;>Y,1
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(''',.,ckln!l
Pntl~"fl"l~ nnvt"Q~
Installment Lonn
lI,to 0"...,,,.,
III Ill""",1
"'/III/1~
11:1/11"/111
117/25/!I4
111'101:10"1',1
III Hnlll'n,t
lI'1il1n/!1~ (elo..",11
0'1/'''''''' ((:1....1'<1)
1"'1' fir llonth
onlnrwn
f.I;>~.111
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3')" ..I~/..
$3,370.?3
l'lll!>
11,,1' of llont"
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I) 'I 1
$5.75
$?~ .'11
,In Int (.....,1',"
(If ony)
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nrtrtttto"ll tnro""'Unrt IVltlabh .t '10,flO r-r hour. On. hour .tn'IIUM.
Unlo "'llllllrnd:' ()(:tflbor ?7, 199~
I"I'lInrnd by: Cheryl A. Bowers
O'"-''-"n!' Mnnngnmnnl Illr", milt 1011 DnPI. (1'111)
t. .
Inlephone No. (717) ?'55-2054
Pn~lfl I flr :'
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BlAH or
ITEM
/lUMnER
A,
8,
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C,
1.
2.
3.
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5.
6.
7.
0,
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SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCElLANEOUS EXPENSES
Ploa.. P,lnt 0' Tvp.
'rllE~~~I~~.E_~'/JO~~-' ...'~:.~, m~==
AMOUNT
. . .... _d__.___._._
...._,------_._-.---
:'111'111. 1.11>1:: II,
DESCRIPTION
runotal E~fl."IO'1
1.
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Ilf',"l~;t.f\ll" - t-:IWI'!t \' IIII'.
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I','I>I'I',-::n "'1'11"'11 Ill" liq'ld/l.'put} 1','" 1"1111")'01
110l' or t'lllll'('1I
l~tl.O;~
50.00
1.
Admlnl.hall.. CD.h,
Po"onol Rop.o.ontallvo CDmml..IDn. "^WII WIII'I'I';
Social 50cu.Hv Numbo, of POllanol Ropro.onlalivol~~L:-__..--=_~O~ - 5G30
".001l.00
Yem Comminlonl paid
J ~Jr)~J 'i
7.
Attorney fro,
".ooo.()O
3.
fomily [komplion
(Inimullt .'1'1';!'-'~'{
RolallDn.hip
non
------_.._._-_._-
2,000.00
:.'1.11'1'11
Add.o.. 01 Cloiroonl 01 docodonl'. dOlllh
5111101 ^ddrolt~ _l~L~~~.~}:!lf! ~" ,~,"h.':___ ...__ _~.______~."_.'._.
CHy 1':""ln. ~ ._.",_,. _.._____..510/""-_ Zip Cado__J1Q~~_
P,obala r co,
11,".00
15.0lJ
O~;.OO
1'1 I i Il,~ I.ll' Ill.'hl.n ,ft Pc-duel.Jolln
^dd It. i Olin I 1",'nll1l!.p Fp0
Mlu:ollnnoou'l EJCponlOl1
1'lIl.t'lnl. Ikwtl/I.P/~'11 ^1)vPI'I.lnllll'
50.50
"lIillll"I" tllld 1,111,1 Ilnlll'lPLl /111.'I~n I ^I\vf'l'l,) n-lllft
110.00
lrhlllll~ ,\'PtI Uld,I'f1/I'f1t:1.1Wr-.!FIIIIPI'ul
<'!:I. 00
(~"^ l"I'I'"/FIII,,/~ ,,\, loho!I'^ 1IfI/FII,l'IrdnJ',V
nLn.l.e Pt I"ctlel'nl
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IiJ'H 1,1.I'/I<"l.nl.l''' I!t'I'OV"" ^"l. - 1:.,,'I.I/'lr)(1 I-hill
]'(5.00
2,29
HIE t'Ol!lIninnlnll OJ;'' (^tlI.J{~ipnl,Pll)
5,01,0.00
Ill'nl 1';"I,nl.l' '1'1'11/"'\'1'1' 'I',,,: (^"L1dp"t;"d)
'(20,00
TOTAL (Aho nnlo. on lino 9, ROCllpllulotlan)
s
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AMOUNT
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back if 111"cn dOM n01 pO"'" . ..I I 0 nO)l;' to
. Wlite "Rsluff' Ilocelpt notlueaUtd on Ihe mal p ac Consult pOI,mutef fOf lee.
lho...!~~~!!!.t!!!!~!.:..---'-> ..) 411. ArUcla N~m')Uf
-i Altlcle Addruu~d ,~.,..._.l. p 030 .. 11- . r: I
DCI.nrmcnL oC"Public WclCnre
, U i t 4b, S.,vIC. Typ.
'rill, CnnuHlty n Ll Regi.,olod
EuLnt.c Hccovcry Pro("rnm OQCel1l1led
1',0. BOll OhOG De-pl.IIM.I)
WIlluw Ouk BuildinG
IInrrluhurC. PA 17l05-6h66
6. SignolurO IAddle.lee)
o InlUled
Deoo
n nutu," Receipt 101
~x IlchnndllO
7, O.to 01 DOUVO'NDV 0 2 199~
B. Addlossoo" AddlolllOnlV If requ8l'e~
.nd I.. I. p.'dl
. .u,a:opcl ',t90-:rn.ee1
DOMESTIC RETURN RECEIPT
1'1111' I ';Inll! of 1 FWI~; W ~;MIIII
('slnl!> /I ;.> 1 ,,<I lInW,
I nlll II1I! nllollll!Y lI~plflsn"lIolJ Il1fl fl51nln 01 I I WIS W SMIIII
!'\IIswlIll 10 ^cl <19 or \!J!J<I In;.> I'S s 1<11 ;,)." Iho pOlsollnlrcplosenlnlive 01
I'1lf'l1 flslnlo is tp.quilp.c1lo yiVfl Ilollcn 101110 DP.pfllllll.mlln SIlC\IIP. a slnlemolll of Iho
1'''1'111111I11111 ofl'lI111h: Wo1ln1l1's "'nit 11, il nllY, 10 lOl:ovm mmticnl AssIslance pnld 10
IIld,vidllnls wl10 wm') G? yonts old III olclm al Illp. lilllp. nssislnllCfl mlgl1l have boon
!,flid"
tho dO':p'llnnl wns !JOIll NnVOllllm! ;~', 1!11f nnllllip.1I ^\IU"fJI31, 1994, Hawns
Iii Y"fIIS of flUP. rlll?G YOnlS plocOltin\J hlfJ lIonlh 11I110slllml nl ~\17 S. EllOln Dr.,
I'IIllln, (;\Illll1nllnllll CoullIy, rOllll'Oylvanla Tl10 r.Incollnlll's sudnl Sllcurily H Is
;J()'\ 10.:':\1;'>
to 1110 hllslnr lho knowlp.lIlJn. nnd Imtio! flf 1110 pP.I sflllfllmplcsanlalivo, Ihe
dpI'oclonl did nol Incoivp. Illnlllrnl nsr,ir,lancn
VOIII!; IIIIly.
/ .' " A 1,/
, '
, /)
. \ i( " ,.
llur~^\I) 13 OWFN
Illlfl(n'
11.: 1 )nVltl1~ Wl1iln., r~ocllllI~
D
Dauphin Deposit Bank
and Trust Company
M^'" 0I1rel f'l' I.l^''''f' !:tlll f' 1I^"IlIMllHHl 1'1 Wlr"IV^,U^ H'OI
''';''',;'1;'1
1I0c:o<lonl Conlirmnllon
Nomo:
Lowlq W. Smith
Bocinl Socurlty No.: 203-10-5372
IIn too I lion I h (001)): 00/30/94
^CI:tMIIII No.
0079962351
49327461114
15739268002
- -- - - -- -- - - -- ------ - - - - -- - - --- ----- --- ----------- ------------------------
fYIif'!
Clmclling
Pn5sbook Sovlngs
Installment Loon
------------------------ ------------------------
"nlo OflOllllll
nf' 15!iul'Ht
04/01/74
03/09/07
07/25/94
---.-~, -~.__.-.._----_._--- - -- ------------------- ----- -----------------------
IInlo Glll!lf'lt
"' Hnlll,od
09/00/94 (Clospd)
09/08/94 (Closed)
---- ---------------- - -- P' __ ______________________ _____________________
"nlo III 1I0nlll
Ilnloncn $724.61
$746.8\
$3,370.23
----- --- -......---------....-- - ------------------------ ------------------------
I'I.IIR
"nln 01 l>eoltl
^c:r.llIflIJ Inl. Non-lnleror.1 nonrinll
$24.93
$5.75
------------------------ ------------------------ ------------------------
.Illinl C\oiIlOr!l
(i I ony) or ()nwn E. While
or DOI'I1l E. White
None
__ ______..4 _______________ ____________________ ____ ___________________
"n'n 01 .Iolnl
nMI'" r,h i II 11/0'i/!1?'
11/05/!!2
-.-.-.--.....- ,..-.......----..--- --..--------------------- ------------------------
------ ------------------------- ------------------------ ------------------------
np",:inl C:otmlenl!l: N/^
Artr1ltton,,' Inrnrllnttnn av"thbl. at '20.00 Jler hour. an. hour ..lnINUIl.
Onto Prl1pnrod: Oclober 27. 1994
Prepared by: Cheryl ^. Bowers
CII",lnmer Hnnng!!m!!nl Inlormot Ion [J!!pl. (011)
Telephone No. (717) 255-2054
1m", fill u;on':'l" (nrv 71ft:.)
Pog!! 1 0 I ?
--
-..----...-.....--
, '...., II 9.il,-g,~~~~,:;;;,;\I.~
u J (:~; 1fF-lfofl I AI, IfORKIl
fl,Il,'2 /lOX 14:1
III'''' 1I11111mf .I'lt.I, P^ 170ClII
:; 'I' ^ ". 1-: M I~ N '.'
DATE
1."1011,; W, Smith
'117 1;, Enoln lJrlvn
09/23/94',
onDEn NUMnrn
. '~.; ,-,E, ..
lillll/n I I'^.
17025
35027
II.\'If:
1lF.!;C:flII'T'OIl
,.-l.,....?_;....?-~,t_-..."l~ ",
BA[;ANCE' , ...
MfOIlNT
"" /) ',/'1"
"'1/1 '1/'11
1111 n I""
t II :/(11 <1'1
1:'1;1'1/<1'1
II:'U'I/'II.
":'0'1/'11,
IIII! 111/'11,
/I^J.^Nt;~; FOflW^""
1'/'11 Ul0
1"'11 r:^SIl
1'1'11 C^HIf
INV
1'/1'1'
INT
CIW
1'lfT
""Ill, 00
:WII. (10
;100,00
1 'lilli, nil
:' "0, (lfl
".07
!i,07
;lOU.OO
-40/),00
-600.00
-1100,00
5R8.00
3311.00
343.07
338.()/)
138.00
l "1
EIHt
INT
UII9
.1' ,",'J'"'-
.' .,/'
"1. ""tlllttEtlT
'\'11 mllTlf. I,F~'I'; - K^'IIfI,FHI
/ ....,'/ 1,'/
)" " , .'
AMOUNT /'..:- --)'
DUE $ C_,138;00',,;,
_~r.,:
.-........- --.-...,.....-
:;0'11' , A. ." .ib1t. ;::;
I!STATE Of' LEWIS W. B.MIT~ ' '.''t' "'!.;":>!!"~' ,,~, F.:.'; r.;
DAWN WIlITE IKIC, 'J' ;.,..,.~ ,.\. 11, i .,)
~.. i: I .,,' , I"r~(l"" , ~.J.......::...:....c:.. I.,",,' I''';';! ~fl
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, .!. "~'.. w,':
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@Bell Atlantic
.. -_._---_._.,..-.~'~,
~v-2Ly-our ICcount
I'~gn :I o( 0
711 732-2300-304 ov
: ~ -- - :
S"ptl'ntller I, 1904
. I
,JIlt d.
i .F
\ "
y' )
'I' $.00
I' 1"'/
\,,
I'
$20.73
$20.73
-----.~.,--_._------ ,-,--..._-_..~~.- .-. .."---
Chn"91lA ("llln '''It hlonth
--.-"111'111111 Ilf VOl'" Inol hili.".,."""" $7.20
AII1","!t VOII p"lrI 1I11'01l9h Sllp Ii""" __ -l.2.lL
^,n()lult you It ill own I.............................
----..- --..---
Chllrgn" fo,' this month
.", 011,. t::hn"OPI . . . . . . . . . . . . . . . . . . . . . . . . . . .___ $ZUa..l.L
Cnll 1 800-060-7111 If YOII hnv" n '1110.tl0I1
lotnl (0" thl. 111011111,.... Duo !Jato Sop 29 ,........
loin I 1I1110llnt dUA
fo,' Spnlll.h .ppnklng <:1I<tOIl1PI'I:
SI lI.t"rlllo "1111,,"do () 11"l1n "lgul1n ''''''fllIl1ln ."I",n n.tn
(n<:III1'1I IIml10 III 1 OOIl'4tlJ'03Ilft, I'r"C/IIIII;u .oll,'o pngos 0
n''I'''g/OA rln 1'ngo IInl1lo nl 1 6UO-8J4-lilOO,
'II S"o "OVOl'AP sleln (0" IlI1po"tnl1t 111 (ol'll1n 11011,
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,: : :2'~, 1. r:) 1'91 t;~~
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G
REV-1547 EX AFP 112-941* l
CQHHONwrAl Tit OF PINH5VI VANIA ACH 101
nfPAA'H[HT OF RLVrHUr NOTJCE Of INIiERITANCE UK
IIURUU OF INDIVIDUAl lULS i ..' APPRAISEMENT, AllOWANCE OR DISALLOWANCE
~~:~isi~~ci~'pA 1110'8-0601 a:" or DEDUCTIONS AND ASSESSMENT OF TAX DATE 08-14-95
EstATE~OF-SHrTH n~B=~~\F . ---- . ~ 'FiLE No;-~2194-1HI'65
DATE OF DEATH 08-30-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TIlE UPPER PORTION OF TNIS FORH WITII YOUR TAX
PAYHENT TO TltE REGISTER OF WILLS, HAXE CHECX PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
il EV: is'47" EX. iii: j; - i i'lf: 94"i" NOTI c niT "iNti fif I i ANCE - T AX"XP pilX IS EHENT -; -ii i. i."owAiic E 0 ijli.." -"" - om -""" --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
LEWIS W FILE NO. 21 94"0805 ACN 101
DDNALD BOWEN Esa
COUNSELOR AT LAW
105 MT VIEW DR
ENOLA PA 17025
ESTATE OF
SMITH
TAX RETURN WAS I
1 ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.t. (Schedule AI III
2. stock. end Bond. tScheduh B) 12 J
3. Clos.ly Held stock/Partnership Inte,...t (Schedul. C) (3)
4. Hartg.ges/Not.. Receivable ISchedule 01 141
5. Cash/Bank DeposUa/Misc. Personal Prop.rty (Sch.dule E) (S)
&. Jointly Own.d Property {Schedule Fl (b)
7. Transhrs (Schedule G) (7)
8. Totel A.s.t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
IJ. FunerBl Expen.e./Adn. Cosh/Mhc. Expen... (Schedule H) (IJ)
10. Debh/Mortgage Liabilities/Liens (Schedule I) nOI
11. Total Deduction.
12. Net Value of Tax Return
13. Charitable/Governnental Baqu.st. (Schedule J)
14. Nit Value of Est.t. Subjlct to Tax
NOTE: If an assessment was issued previouslY, lines
reflect figures that include the total of &bh
ASSESSMENT OF TAX:
15. Anou"t of Line 14 at Spou..l rata ClS)
1&. Anount of Line 14 ta.abla at Lin.al/Cla.' A rata (1&1
17. Anount of Lin. 14 taxable at Collateral/Cl... 8 rat. (17)
18. Principal Tax Due
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
1-
A'IOU"t Rlni tt.d
~- .~~-
I X) CHANGEO
SEE
DATE
ATTACHED
08-14-95
Non CE
72,000,00
,00
,00
,00
8,440,12
748,19
,00
IBI
81.188,31
15.962.37
4,421,15
Ill)
1121
1131
114)
?n,383 ~?
60.804,79
,00
60.804,79
14. 15 and lor 1&, 17 and 18 will
roturns assessed to date.
TAX CREDITS:
PAYHENT
DATE
RECEIPT
NUHBER
DISCOUNT It)
INTEREST 1-)
,00 X ,03=
60,804.79 x,06=
.00 X .15=
IIBI
.00
3.648,28
,00
3.648,7.8
AHOUNT PAID
INTEREST IS CHARGED FROM 05-31-95 TO 08-22-95
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
3.648,28
75,69
3.723,97
, IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN t1. NO PAYHENT IS REQUIREO,
IF TOTAL DUE IS REflECTED AS A "CREon" ICRI, YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,I
t...---
~
I.,
I
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yon !I" X
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1IlI'In~H:-IIIJl'l\,d rp,,.lt1IHlh'r IH~lll\vpr; thi\t thf? nd1111nJattiltlol\ wlll be
"111111'11'\''-': An nOOH un the mu,lol' w;ucl.__illu~(;ldl t.he horne- - to ho:1inted mid .Junc.
,
.1.
If thn illHH'lH r 'n IIn.
In YPIl, fll:aLC! Lhe fullowlng:
;1. pld IIIn p"l-n",n.,1 l'epJ'oflnnl:.,tlve file a fl.nnl
i1t'I"Ulln!. wi 1.11 t.ho Cnlll"' .r' Yon Uo x
h. '1'111" !11"H11'ill P (lI"l'hllllfl' Clllll'L Un. (i r fillY) for
tllll J1l1111I.lIH,t 11'I'IIIfH'IlI"1Ivll'n jl(~(:OUllt ill:
l't Pid I hl! 1!fII'nOllill I"pl'rnHIIHt.nllve "Cntf! nil
;""'PlIot '"lnrllln11" LIl l.h-- p.1 I' t: Inn 111 i"tr:H'PRt? VUB__________ t-tu Yo
d. l'llJ1inn nf l"PCf?ipLR, '~elpilfH~A, joilldel.S ilnd
;'ppn,vlI 1" of form,' I 1)1' III fonn.,). .,cCOUI1\'R I1lIlY be (lled wIth the
,'PII: III I h.. llrphnl1ll' Clllll\. IIl1d 11l.,y bn 1l1.1.1Ic:hod 1.0 thlfl 1.'OPOI:l,
I'nl P: '..1if/J7I.i':(' ;/)/)'
-~ ,- ( .,
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,/"::: L ,;z,{;':"':..L-:.~..!:::-fl~ _t:~-c1!te a~.
[;.1gI111 1..11 1:0 .'
DAHl! HIlJ'l'E ,
11llme (l'le.~se
612 Front St.
I,lnrynvil 1c. l'^
ii.tidre5s.----
Ey.cclltl'lx
Lype or pdlll)
1'(053
"(l'( ,)5'(-2568
1___)__________..
'I'el, !lo.
CllpU<:l.Ly:
XX
l'erflonal Representallve
Counsel [or personal
l'npl'eaenta I: 1 ve
(H/lII:nn! /1111:1)
- , . - ~
Al r.. /) I, ,,,( r 1(1
O AA 082236 COMMONWEALTH OF PENNSYLVANIA
NO. DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
IlV-llnUI~-"1
\\
~)t~
RECEIVED fROM:
i
ACN
ASSESSMENT Ii'
CONTROL t.:,I
NUMBER
AMOUNT
PROFESSIONAL ABSTRACT INC.
3920 MARKET ST.
1'01
53';709-;03
CAMP HILL, PA
17011
- 'OIO~'"
'OIDWU'
SSN 203-10-~372
(FIRST) 1M')
aL3CU5'
REMARKS PROFESSIONAL ABSTRACT INC
m TOTAL AMOUNT PAID
.3,769.03
V2
SEAL
REGISTER OF WILLS
'( "
RECEIVED BY .'_..:.,....:.....I:_,.,_,__'-'_~~ j
:/ ~IONA? /~' ,/ /' I '
MAR V C. LEWIS .', . ;-
REGISTER OF WILLS
CHECK" ~9933
.~- - - --..- -----~- - -------.------ -- --- - -.- -.- - --- -- ---- - ----- - -- ---
,
11'1 ;
" '
- - - .............,..".-
,
'.- .-.~--_.:
..--.........Jl4.~ 4.~.~..v... ....
i INHERITANCE TAX RETURN
I RESIDENT DECEDENT
(OMMONW'.lI"0' ..."""",,,. II' (TO BE FILED IN DUPLICATE
01 "....RTMWI 0' R(....INIJI
"....,fJ:6 ~~orJ:" 01001 i WITH REGISTER OF WILLS) COUNlY COOf
tll{(O(t~ !J t~AMI (lA'!l-I"I!JI, .Hll Mlll[),! ",,11,1.1] 0l(11lI'~'~ COl',lPtl I AOO"Il!!
i'!.iITH, LI.',.:r:' '._. ; ( ::. lll'-'; 11 Lr',
!Io(l,,"i 1.!{UI,,, HU,,"'" - - ]OA!I 01 01.'" - 10A1IOII..,H -- JI. J: It t I A 1 'rO. 01)
,O.._lJ_')j.{,' )'')(.),/I'j ,d/,'t,Jll1( Co~~! ('{!~j<;!h:,i\l:l
[-..",-("".".,:... ~'-'V_~-ll il,.~~i~.;" '.I'''',D ..ti".<, .,,- --~]!I(XIAl~i(Ui;J,t<<il.o.I.~-J- - "'M-ou"'t-fltCli\iDli(flf~!l'l:u(""fi()Hii-
IJ,'/\ :: I!\ :: //\
..--- 1=J--I--0;;;n~R~'~~~--~ -- 1'~ 2-~Suppl~~enlal k'l:r~- --". . j ED- [J 3. Remainder Return
(fOf dal., of death prior to 12.13.821
[] 4. limited hlale [_-J 40 fuMe 'n""" (ompromi,. 0 ,5, Federal Eltale 1ak Relurn Required
(for dat.s of death alter 12.12.821
rJ 6 D.ud.n! Died "'lale [J 7. Decedenl Maintain.a a liying Trust
IAllach copy of Will) (Alloch copy 01 Trustl
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
" '.
. .
At"-I'lOO r_.' "q..,
~
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ua:.c
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ult'"
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FO~ DATl~ IlF DEATH linER 1~'31191 CHECK HIRE
~o~::~n:~Dnl~..ClAI.MElln____~_
~I~E NUMBEB'f (},'O'.
YEAR
NUMBER
_ 8. Tolal Numb., 01 Safe Deposit BOlleS
iITiiii10Ni1fii';;.iii-- ----~ ..-,.
~-1 __3J 'OC:"_-_"",-=="=::;L4.;~_>~!j/~-;:=,,,,,;::,,"^-,---
COM'II I MAIlING ADO' US
I"n'Jli~1f>1(11~ I\t. Luw
_....n________~___ lOj r.tt. View nl".
,:::.":_,.:".;:-=:;,=~~.:.::...-=:....c=UL~JJ_~-=, I '!t
Spou.al Trnnsf.,s Ifa, dote. 01 d.alh oh., 6.30.Q41
See In,truction. fot Ar,plicoble PelcentDge on Re~en. (151 _...
Side, Ilnclude ~orues rom Schedule K ot Sch.,dule MI
Amount of line 14 'oxable at 6% tole
(Include yolues !rom Schedule K or Schedule M,l
Amounl 01 Line 1 A laxoble at 15% tole
I'ndud. ~alue' from Schedule K or Schedule M.I
Principal 10'" dun (Add 10'" from line, 15. 16 and 17.)
Creditl SpoulDl Poye,'y Crudit P,ior Paymenll Discounl
___._._____________._u ... ~~_'J_V}.(J3 J~} +lU/l'r/~j~_
14AMlnOHAJ.1J H. Oh'Ui, L!:q
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1. Real Estale (Schedule Al
2. Stach and Bond, ISch.dule BI
3. Clo,ely H.ld Stoc~/Portn."hip Intere,t ISchedule q
4. Morlgag., and NOle. Receh.oble (Schedule DI
5. Ca,h. Bon~ Depo.its A Mi,celloneous Personal Property
15ch.d,l. E)
6. Jointly Owned Properly ISchedule F)
7, T'o".le" (Schedule GI (Schedule 1I
8 Tolol G,on Auet, (Iotollin., 1.7)
Q. Fun.tal hpe",es. Admini'lrotiye CO,II. Miscelloneou,
Expen,e, (Schedule H)
10. Deb". Mortgage liabilities. lien, (Schedule I)
11. TOlol Deduction, (tolal Lines 9 A 101
12. Net Valu. 0' Estate (line 8 minus line I"
13, Charitable and Go....ernmental Beque," (Schedule JI
14. Net Value Subject to To. Iline 12 minus line 13)
1 II.
121 .~.
131.
(41_
(51.
(61 ____...._____._.____._.__
(71 ___~ __.._._..___........,_....._____
(q) -,~~__Z!,? T~__.____
( 81
15.
16.
17.
z
0
1= 18.
..
.... 19.
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u
>< 20.
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21.
(10) ..u_.__.~_.
(111 --=:!:..52_B. '(l
(121 _____~.~O~
(131
(141 .~O~
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- ;~li, ~/)e. '(]
(161
__>< ,06 II
::'{1j.92
(171
.._._~_~____~_.)( ,15 III
1181
Inlere,t
119)
120)
_-ZI5..!l2
If line 19 is greoler than line 18. enler Ihe difference on line 20. Thl, Is the OVERPAYMENT.
mm
!lline 18 is grealer than line 19. enler Ihe difference on lina 21. Thi. Is Ihe TAX DUE.
A. Enter the interest on the bolonce due on line 21A.
e, Enter tha tolal of line 21 and 21A on line 218. This is the BALANCE DUE.
~al.. ~hllCk Payabl. '01 R.ght.r of Will., Ag.nt
Check hero if you 010 rltque.t1ng a refund of your ovorpaymont.
121)
121A)
(218)
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<--<
Under penaltie. 01 perjury, I declorethal I ho....e uomintld this ,atu,". including accompanying schedule. and statement.. and 10 the be,' of my ~nowledge and beli.f.
ill, Irue. corre(l and complele. I declaro Ihal 011 real.'lal. ha, been reporled otltue morhl yolue. Declaration of propare' other Ihon Ihe personal t.ptelllnlOliye i.
ballld on olllnlormotion 01 .....hich preparer hm any ~nowledge.
SIGN";'.'7~.'" ~t~,so:~ ..UPO~i!.iiii-'OtITl~~-iliujlt-t l~Dih~~-;-'-~---' ", ." ~" 1 1, 1" 1, ','ll/.-, '~, DAn / . . ._
1'1I"'II.I,1.}.,) J">.t'\~'l)l ... 1} 1. l'llJlll,. ., l..ll"...I..f, 1\ If) 211/"''l
I a: .' L ( , ~, ' ,
!IIGNAfUR, -; ,if;;ffr;OI~I~l'1hPi[slr;f.,i./-\ :l... "';.l:oi~'" - -- - - - -----..---- .-- bAil
\:-!J~I~~:;.:L.0?;(fi)j~=:::t.:V~".~.~i'!~~~-l.:,!.:~':!_l.../:.._ L'-";~, 1<-
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Act #48 of 1994 p'ovldel for Ihe reduction of the tax ralellmpoled on the not value of tranlferl to or for
the ule of the Ipoule. The ralel 01 prelcrlbed by the Ilalule will bel
. 3% (.03) will be applicable for ellalel of decedenll dying on or after 7/1/94 and before 111/96
. 2% (.02) will be applicable for ollatel of docedonll dying on or of tor 1/1196 and before 111197
e 1% (.01) will be applicable for oltatel of decedonll dying on or after 1/1/97 and before 111/98
e Spoulal tronsferl occurring on or of tor 111198 will be oxempt from Inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (~) IN THE APPROPRIATE BLOCKS.
"yES_ NO..
1. Did decedent make a tran.ler and:
x
a, retain the u.e ar Inca me althe praperty tran.lerred, ..,..........,...........,..,..........................
i:
b, retain the right ta designate wha shall use the praperty tran.lerred ar Its Incame, ...,...........
I,
c, retain a revenlanary Interest; ar .....,.............,....,........,........,...,..,......,..........................
d, receive the pramlse lar life al either payments, benel;ts ar care~ ..,.................,.......,..........
..
X
X
.
2, II death accurred an ar belare December 12, 1982, did decedent within twa yean preceding
death tranller praperty wlthaut receiving adequate ca",ideratian~ 11 death accurred alter
December 12, 1982, did decedent tran.ler praperty within ane year al death wlthaut receiving
adequate conslderationV.................................................................... to. I..."......................
3, Did decedent awn an 'In tru.t lar' bank account at hi. or her death?................,....................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
ro
I I It;"" .1 '9 !'"\ I IJ ~ t t ::5 n ~ I~ (") ~ E S a ION A LAB B T RAe T
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D AA O'e' 2'2'';;~':':;; COM'MONWIiA~'jircHrji&N~.~'"V"\NI4' ::';'I:lhii;\\r:i.!\ii::'l:,\:;;~"
tlO, , ,\J~:::;:(~;::::I:i;:hl(:L'il~'A~l II.i'r'i)~'.~'V.NU~"i~I\\'mi\\l\lrl;~IXI\\..\\i:\\;::!U;Ih. ."i ~ ,}
, :",.".. "'"''':''\'1''' "'iJ'UI"'::" ..,..,.... "l\'~..i'. J),,' .11!\hl.1~.\...\",."t I'
~::" "Y "1__ ' " 9',"C,~..,R'"~,I,,,!~,!I!. P.EH!2~',~..fl.~1 H, ',~'1! l':\C;. R . II .,.., Y.~.Tf'.~;\ :;h'>i':':ti'; ',',
ACN
O(WVED fROM, 1:1 ASSESSMCNT Ii' AMOUNT
(,I CONTROL WrI
NUMBER
.
PROFESS~ONnL nBSTnnCT INC.
3920 NARI(ET ST..
.; .
101
.3f7~
CAMP HILL, pA 17011
0"'" 'OlD".".
......,.....---.-. . .....
.. ..... .." ,"' ......
.
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!$IATf IIIf0RMAIION,
1':1 'ii! fiUi.iii'R
L:I e 1-1994 -0806
r:1m~iEofDLCiDiNI Il"SI,
~ SMITH LEWIS W
m PA M
. iOJ 1:2.l!lS ".
r.I POSIIMRKD~,i.: ',:, :.7""'"'":;"
so. ~... .............. .""".
. . ....:.
COUHh'..:: '.. ....oA)~.:~7 ~
=' CUM'BERLAND.. ".:~. ~~,
li/.II011iV.yrr;::::" . .' '. "
~ ... I ~ ....,.
08 "'n J""" " ,
--=-- ..L.W\"",~::-;r-:":~ -
RrM^\Kf~ "'fRq!:::g6~JONl"L ~ ~bSTRf\CT
.;. \",,: ..... :.,.""01 ..... .'.s-
'" ~. .... ..-.-...
~!"l ~", 'CI-jEeJ<lr~:S9'13::f
1'/1. __..,... ..'
'1,. .
.....01......'
SSN e03-10-:S372
IHimr 'I
ra TOTAL AMOUNT PAID
INC
$3,769.03
VZ ... .
RECEIVED BV ~~dR~-/~~
MARY C. LEWIS ~~
REGISTEA OF WILLS
TAXPAVER
"
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.'
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P~V-1547 EX AFP (1~9C.1* I
'. ,,""ONW'AllIl IIf prHHSVl "ANla . . .
Illl'."'"'"' nr PfVrHUt HOllCE Of' tHIlERlTAHCE TAM
~1I111 All Of INDIVIDUAl 1AlCU . APrRUS[HENf f AllOWANCE OR DISAllOWANCE
::~~~i'i~~:~~lrA l1ua-aul ' or OfUUCllOHS AND ASSESSHEHT Of' TAM DATE 08-14.95
ESTATEoF'SHITII ('fillS-- FILE NO. ,=Oll05
DATE OF DEATH 00-30-94 COUNTY CUMBERLAND
tlOIF. TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBNIT TIlE UPPER PORTION or TltlS rORN WITIl YOUR TAX
PAVNENT TO TIlE REGISTER or WILLS, NAXE CIlECX PAVABLE TO "REGISTER Of WILLS, AGENT"
REMIT PAVMENT TOI
CUT ALONCl THIS LINE ~ RETAIN LOWER PORTION FOR YOUR REr.ORDS ....
it E oJ: i 54'7 -E if. A "p.- (IF 94T - ilii'fi c ni F - YHilER i i' ANC E -YAir iiPPRA is EHEii'f;-ii r. UiiiANc E- iili _m - -.. - -- -- -.. -.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
LEWIS W FILE NO. ZI 94-0005 ACN 101
TAX RETURN WAS. I ACCEPTED AS fILED I XI CIlANGED SEE
If an assassmont was issued previouslY, lina8 14, IS and~or 1&, 17 and 10 will
reflect figuras that includa tho total of ~ ro~urn8 aS8os8ad to dato.
ASSESSMENT OF TAX'
15. A"ount of Line 1ft .t $pouul rat. US)
16. Allount of Una 14 bMabl. .t lin..lICI... A r.t. 116)
17. 'nount of Lin. 14 t.Mabl_ at Coll.t.ral/Cl... 8 rat. 117)
18. PrIncIpal TaM Due
DONALD BOWEN ESa
COUNSELOR AT lAW
105 MT VIEW DR
EHOlA PA 17025
ESTATE OF
SMITH
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON. ORIGINAL RETURN
1. R..l E.t.t. .Sch.dul. A) 'U
2. Stockl and Bondi (Schadul. OJ (2)
5. Clo..1y fleld stock/P.rtn.r,hlp Int.r..t ISch.dula C) 15)
4. "or-tuau../Not.. Rae.lvable (Schadule 01 .~)
5. C..h/Bank napo.li./Hllc. Parlonal Propa,.t1 ISchedul. EJ ISI
6. Jolntl'J Ownad Property (Schadul_ FJ (6)
7. Tronlf.rl ISchaduh OJ (7)
8. Total A...t,
APPROVED DEDUCTIONS AND EXEMPTIONS.
ct, run.,.al bpan.../AdJl. Cosh/Nhc. E)lpan... (Schadul. tn 19)
10. Oabh/Hodaaga lhbilitI../Llanl (Sch.dul. U nO)
11. 10t.1 Deductions
12. Hat Valu. of TaM Raturn
13. Charthbla/Govarn..."t.l hqu..t. (Schadul_ JJ
\~. Hat Valua of Eat.t. Subject to taM
NOTEI
TAX CREDITS.
PAVNENT
DATE
RECEIPT
HUNBER
DISCOUNT 1'1
INTEREST I-I
ACN
101
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
I
A~ount R..ttt.d
DATE 00-1',-95
ATTACHED NOTICE
7Z.000.00
,00
,00
.00
O,440,IZ
740.19
.00
IB)
01,100.31
'.
15,96Z.37
4,4ZI.15
Ill)
112)
liS)
IIql
:>n.383 5Z
60.804.79
,00
60.80',.79
f,
.00
60.004,79
,00
X,03.
X.06.
X ,IS.
UB)
,00
3.&4B,2B
.00
3,&40.Z0
ANDUNT PAID
IllTF.REST IS CHARGED FROM 05-31-95 TO OB-ZZ-95
AT TilE RATES APPLICABLE AS OUTLINED ON TIlE
REVERSE SIDE OF TillS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
3.648,ZO
75,69
3.7Z3,97
. Ir rAIO AfTER DATE INOICATED, SEE REVERSE
rOR CALCULATION or ADDITIONAL INTEREST,
If TOTAL OUE IS LESS TlIAN 11. NO PAVNENT IS REQUIRED.
If TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU NAV BE DUE
A REfUND. SEE REVERSE SIDE Of TIllS fDRN fOR INSTRUCTIONS.)
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INHERITANCI TAX
EXPLANATION'
OF CHANOIS
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COM~NW(Al1H OF P(NNSYlVAN1A
INtURIlANC( 'AX RETURN
RUIDfNT OfCfOfNI
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.a.. Prlnl or Typ.
FI E ER
?1-9~-BO~
RTA E OF
m,ll~'II, I.E\;IB Ii.
ITEM
NUMBER
DESCRIPTION
AMOUNT
A. Funeral Exp.nll"
1.
B.
1.
2.
3,
4,
C.
1,
2,
3,
4,
5.
6,
7,
8,
Admlnl.lratlv. Ca.I..
Perlonal Repre.enlatlve Camml..lan.
Social Securlly Number of Perianal Repre.enlatlve,
Vea, Camml..lan. paid
Atta,ney Foe.
Family exemption
Clalmanl
Add,e.. of Claimant 01 docedont'. doalh
St,eol Add,e..
Rolation.hlp
City
Slale
Zip Code
P,obolo Feo.
MllCollanoou. Exp.n.e.. AMENDED/SALE OF !lOUSE AT $55,000.00 10/16/ ~
to puy Inhel'itllnce ~'axes - Settlement Costs
R/E Comminnlon - .John HnlllK - C-21
tlotnry Fcc
$ 3,300.00
Ii ,00
'1'l'llflo1'el' '1'1lX - 1% H/E
550.00
Pest Inspection
30.00
School Taxes - 1995
626.96
87.75
Sew/Trash
TOTAL (AI.o onle, on IIno 9, Recapitulation)
(If mort .paCt I. n..d.d, Inll,I additional .h.." of .am. .Ilt.)
s
J 59 .71
_~.H .. _ ~ .-
I ^ _._- -.
US. OfPAnTMfNT or !tOUSINO 1lI1ld lJnl1AN ()[VnOPMCNT 01.10 No. 2602'0265
' . . . SEnLlMLNI SIAllMf.NI
.-. murno
PROFESSIONAL l...,p'''''
.
ABSTRACT Il, TYPE 01' LOAN
3920 Markel Slreel
Camp Hili, PA 17011 1.1 I IliA 2.IIIMIIA 3. 1 I CONY, UNINS,
411VA 6. i I CONY, INS.
APronlS for: 8. rilE NUMom 11, LOAN NUMOER:
Lawyors Tille nsuronce Corporallon 9733
8. 1.1001. INS, CASE NO.:
C. HOlE: lhl.lo,m I. furnl.hod 10 glvo you 0 .Iolomonl 018Clu81.01l10010'" co.,.. Amounl. p81d 10 8nd by Iho '01110010,,1 ogonl all.hown, 110m. mallled
t{p 0 C)I wore pAid oulsido the rinsIng; they BrA ,hown hBle for Informational purPOUI and 8f' not Included In lho lolall.
Il ""Mr Mil) A(mntss or nonnowrn: E NAME A'm A[)l,nESS OF BELLm: F. NAME ANOAoonESSOF UNO{R:
VICTOR R. KRESGE ES'l'A'rE OF LEWIS W. SMUll CAS II
.
---.-
n l'lIf)I'OllYIOCAIION: If. S[l1lf.MlNf "O[IH; I. BEmEMENT OATE:
J )" S. ENOLA DRIVE PROFESSIONAL ADSTRAC'l' INC. 10/16/95
E^[;'J1 PENNSDORO TOWNSIIIP, PLACE or SETTLEMENT:
CUMIlEIlLAND COUN'rV, PA. 3920 Market st. camp 11111 PA 17011
J, SUIIlIARY OF BORROWER'S TRANSACTION. K, SUIlIlARY OF SELLER'S TRANSACTION,
''''' OROSS AIlOUNT DUE FROIl BORROWED .00 OROSS AIlOUNT OUE TO BelLER
101 ConlfACIIR18I price :>:>000.00 401 ContrBClulOI price .00'
10' Porsonol properly "01 Personal property
10] 601ll0monl cheronla borrowor (lino 1400) 1014.50 401.
'04 '0'
1M 40&.
AdJultment. lor 110m. paid by lellor in advanco AdjuIlmonl. fOf Itom. paId by lollor fn advance
100 CityITown tax 10 400 CUyfTown ta. 10
1M. County II. 10/16/9510 12/31/95 36.96 ..or.County tal 10/16/!I~0 1: '!I:> 36.!lb
lnll Annum.nl' 10 ..os.A.....m.nl. \0
- School ;T951006/30/9~ 441.96 40i. School 10/16/950 06/ 3D/!l61 441.90'
'0'
110 SEw/ ~r 11 '/2.20 .'0. 10/ ~ / 3 1 72.20
..
"' ..It,
"' 417.
'''' OROSS AIlOUNT DUE FROIl BORROWER 56565.62 ...OR088 AIlOUNT DUE TO SELLER 55551.12
'00 AIlOUNTS PAID BY OR IN BEHALF OF BORROWED r.oo. REOUCTIONS IN AIlOUNT DUE TO SELLER
;001 Doposll or Gamell money 1000.00 501.Exee.. dopo.11 (.eo In,'ruellon.)
'0' r,'ne'p.lamounl 01 now Ioan(.) 5OJ.Soltlamenl chergo.lo IOII.r (line 1400) .71
lO' [,;sling Ioon(.) I.kon .ubJ.ello 50S. Exl.llng Ioan(.) lokon lub/eello
'0' ,",Payoll 01 FIlii Mo,lgegoloon
, REGISTER OF WILLS 3769.03'
, :'n~ ....P.yoll 01 Socond Martg.go loan
I .
'00 ....
;oor 501,
,no ...
'0' ...,
.
Adju.lil1ol1l. 101 110m. ul1pnld by .ollor Adjullmonl.lolllom. unp81d by loller
'10 CilylJown 11111 10 61..CllylTown I.. I.
'1' COlJllly 11111 10 Ill.County tax 10
"" Aunllrnollll 10 SI2.AIIGI'menll 10
11:1 SchODl 10 513, School 10
"4, 514,
"It> 616,
>I" 6HI.
",. 617.
'" 618.
". 611.
nn TOTAL PAID BY/FOR BORROWER 1000.00 6>O.TOTAL REDUCTION AIlOUNT OUE BELLER 8367.74
:mo CASU AT SETTLEMENT FROM OR TO BORROWER IOO.CABH AT SETTLEIlENT TO OR FROIl SELLER
:lnl Or055 nmollnl duo from bOHowor (Iino 120) .62 8OI.GIOII emounl due 10 Boller (IIno 420) 55551.12
;10' tor.!; nnloulll paid bY/for borrownr (linn 220) 1000.00 &01.LolI fAducllon Rmount duo sollor (1lno 520) 8367.74
'''' CASU (00 FROM) Il ] TO) BORROWER 55565.62 80S. CASH COO TO/ III FROM/SEllER 47183.38
,
.~.-;C?...L'7) /-? ~.~~ ~'I~t/ It/ Ju:t.l.., C.~:/I fi:t~~/,;;," I
Ouyor or Aorrowor'. SlgnAturo c;:;' .
Sollo,'.Slgnaluro
HUD- I Rov, 5/S6
... "
~i1111 t:MrNl fiT^HMEtn
, " I .ml'; i:ifAnai:s -'--.7j h)
'l' I 9AlEiiiRokiii'8-COliM-18iloH-b~ on ,"1;:-.' 55000.00
< ., "I f;i CUlllrniSIIOft (1111;' lu6iP'S inIl;:;w$ '}IO a J , J 0 0 . 00
"I ;";r,o,OO 10 C-21 WALAK & ASSOC.
, ';i)il:'iio 10 VON OWEN, F.SQUIHE
, II'j":~~I'I'i~ii~(j Air.;n1ii"",i;rJ-----~--------.--.
f'l
. h.. _
<low. If I...... "AVAILE IN CONNECTION WitH lOAN
""! I "-"I {J;IUlllaltnnf88 '-
ql,',' 1<'.1" (hkt'OlJUI ""
I~ . I ^I'l-.;m~nl '-oe to
!'o' I (-"'~~l'l H811ml 10
! '''ld'HI Inlpeclion Flte
U lIi\I~"UO IIlsurance ^ppllcalioft foo 10
i', '_' !/flllllfJn roe
~
q..~
~
,
""1
..
.
fll"
.11
'I., iirui REOUIRED BY LENDER TO DE PAID IN ADVANCE
"_II
I';;""-;;Ilturn 10 16 95
- ,.~.;,itj-~u" InStHAnCe Premium for
iLi';trd h't.UlBflr:O rlfllf,ilJtr1 for
/d8Y
1010
'''11
Jl 95
mo,lo
yr. to
yra 10
0$
\11'"
"'\1
""',
,/1'1(1 nr9EnVE8 DEPOSITED WITH LENDER FOR
""l li~inrd Inlurance
,..' ;;;;;i\lIlue Insuranco
'1'''1 i~;'Y/JnwrllftJ(
I()I:" --;:;;Imly 1111;
!OlJI~ 'i\ss;;,r;fflonla
!/}f\fj
mo.OS
mo. 0 $
mo. 0 $
rno.O$
mo. 0 $
mo, 0 S
mo.OS
mo.OS
1010.
Imo
lmo.
14.79 lmo,
/roo,
52.25 Imo.
Imo.
Imo.
''''1'
III1IA
"00 111 LE CHARGEB
\10 I Snlll8mof11 or clating loe to
110;) AhWRct or IIl1e sealch 10
IIOJ. 111I01I.llsrniflSlion 10
1104 '.lIn insurance bindor to
t IfJ!) I)oc.;umonl preparallon 10
lOG U'l'nry foes 10
t 101 AlInrnoy'I'901 to
(Includos ftbovo lIems No.:)
1011 '.tln IfltiUrnnce 10
(lrlclurJns above Uoms No.:)
llO~J l.omJor's coverage S
1110 Ow-nor's covorage $ 55,000
1111
, II'
,
-
CASH
4":00
PROFEGSIONAL ABSTRACT IN
lll.l
1;'1".1 GOVERNMENT RECOROIHO AND TRANSFER CHAROES
'"'II Jlncorlting I.." O..d S 12 . 00 Morlg.g. S
';"11 C:tlvlrnllflly Ink/stAmps: OBed $ 550. OOMortgogo S
!/~~ 1 ~~IRIO lax/slomps: Dood S 550. OOMortgage S
'?Ol
Mlle. $
12.00
550.00
-!;I~'O. OC
.....".-
I,"~)!.
I~()() AUDITlONAL SETTLEMENT CHAROES
UIlI. ~urvoy 10
IW~ Pnsllnspoclion to
"". 95 SCHOOL
,,,,j'I;"W TRASH
PENN PEST
ALICIA D. STINE
EAST P N SBORO TOWNS IP
JO.OI
(;7.6.9(;
87.n;
"",
'''''J TOTAL SETTLEMENT CHARGES (onl.r on Iln..l03 and 602, SocUonlJ and K)
1014.50
4598.7.1
"."",,, ."'8" Ih.1 nn hbAlr" ...umed by S.Ulltmenl Apenllot the aceullcyollnronnlllon fU'"~ed by olh.,. I' aho,," on IhIIlUD.1 S.U'-mlnl 51.'lImlnl, S."""".,.I '".'nt ".'lIby'.I.'
,.....rv...lhIlIIuM IlJ dapolll any .",ounl. enlflcl.d rOI diaburumlnlln an Inle,." b..rlng Iccountln. r*r.IIy 1n1U1~ ,".'hllla,. and 10 Cladll any Inl.lu. ~ ..tn~ft'l.' r>1IWI '.'flun'..
ado',
''''''1'''1.,...110" t", .lll ..rvk:..1n IhMIII,....clnn
HUD CERTIFICATION OF IUYERB AND BELLERD
I khn cAlnflllly rovlnwod 111ft flUQ. t 5olUomonl SIAtom.oland 11'1 Ih. b.., of my knowtedg. and benol, III, . true and .CCUt.to .!alomont of 011 ror.ft1rtl. and ditbur&en
rfll',l... "'1 In)' Account by mo In Ihl, lIRn..cUon, I fu,lh" C.fUry thai I hlvorltCllvtd. copy of lhe HUO., Seltlemanl Slalomonl.
"
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s...". N.. Addr..., f'tlon.'
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II,,, t/\llll l;"l1Ielunl St.I"""."1 Milch I 'I..... pl.P'led" ."u. .nd ,cCUI.I. 'CCounl 01 IhlllI.n..cUon.I h.ve uu..d Of wi. C,u"lh. funtM 10 be ditbuIMd In .ccord.net "'"h I"it .t.t.,...,
I
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(0/1/.,0 {<=is-'
r,IIIlIolm."tAu-nl 0.1.
WAlUmm, II".. n 10 "no.lng~ mi.. 111M .,.tem.nl.'a Iha Un~l'd SI.,.. on Ill.. Of.ny ,",11.I, IIHm ....n."...' "fJ~~ corl't'ldlml un 1nr.1"11o , Ilnll "lIllrnplle.onm.nl,
'II'" Ill' .:0. end. Gklk.on 1001 In"fi.lcllon 1010.
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.
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.,~ ,~ '. This ((',m rCrOIJlIIICtlll.:u IInU tlll;Ho\cd r~'r, bUI nOI rl:strlctctlIO, "
". lilt b)' membell or lh. Or. ,II., II:II.h\""B ^"~d.I';')n ur REAI.TORS.
/'''--M1r:NT FOn SllllE~_-:J' [-S,"? ^~~~n~" "ib"" ] .[~~ .^(a~~T :I,'OR UU~"R 'J
;1.,:;,2tt4:;1 WM hvJ..!ts;'i. " , " , ': , " '., : .
---PA, llCIlNSl!1> UIWKER- :, ','I'/~'.I.!C(;N~I:rJ 1I1l0~ql -PA,l.lCENSED UROKER
o"7tl . ", ", I , 1r-r7-:J _'If Ilr-
Thh ^~'e.mcnl mo"c Ihl. ()-!.:!:~__._'d,.), "f ;..,...:....._, .(;.,/,O~~___ ---;-.19.:J.'>_.
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(ltli~i"B II -, s.U..'l..,$,_~t,()Ll':,.c)fi.~'4:'.' ',L:L....,_,,:. .--l
h,,:J~"ncr cRlled Scllcr, Mnd'O"n:~ j;;:'fo(l, ./" Ji-Kq.iJ ~'."T1:7lr'.<, ~I ~~'Ti lo..---':----
(,c'ld'''8.' - -;);g,,-("O ,m__xll!-..ti!1.,...8l)..J__.,f'J./l.fl.,L'=V.!.."'-f _~__J__. --,.--l
Ill,clnnrler called Durer" ,
2, PROI'('Il lV: Seller h.'cbr .B'cc~ 10 l.ell a'id ..on\(~ III l~"?r; ."h,! hCIC~y ,RB'cellO "urcha'c: ALL 1'1/,\'f Cr:RT ^,N LOI Or piece
or B'ul'"d "lib rullilil1~ and Ir~Ptov.}I'e"ts !#l,'un <)!:!l~fl.,it )Wj'"tno...n '~--:--'::7('I:'\~ __.. '.. _
...--.- --- 3LL~ LBNQ~JL,:,J)(I."v.:t;...')...f;.1.(().J./!I_rA..1. (QQ'..J--_.______ ,
J, ZOI'iISG: lonl"8 CI."ificalion _-'.':'.~-".__~,...~,_.~:q.. ...' .,.__._ __ __-..:...:.' ,
failure or 11,1. ^a,tcmellllo eonl,lln Ihe "'0111" 01"";(;'311/111 .lc'CJlllll "nlel "he,olhe P'UPCrly' (ur cacb r~'cellhc'cOf. 1r.lubd!\'ld~bl.1
It INICd ',.Iely ur prImarily to "..mll <I"Slc,r"nllly d"c1I111il 'h~ Ihl! ^arcI'nlClIl 'oldub c ollb. !>Jl',on ~(lhc,D"y.' RJld ,f VOIded
'dc'ro,llIlcnde,.d by lhe BII)'er Ilull b. rclulned t~hcls'r ...111, 1 . r'fj;lrell1cnl Of.~.'lon, ~/' ,',', :, , ,
. .-7 , ,( nw.f1 ./.J1l!J. ' , "
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.-.:..-.0'::.,::-.-..,-.--'- Go O~;.?- ~:6.lii:i.!I._-:t:.'kt.( (5-0'01 ~~~/'t\-v,),~~'i'
10 be pMd by Ihe~1 'er.. fullu".: . . ~~
(It) OU'OMrClll:\",C'p\hn,s,,'t~JllIlt~IE"rll,,-Jr!ll.t~' . j :"1" . " 5 I OD"", II
.llf,'ttlllth!, 't~"t,lp' o. 'Ahl~'h 1',llel~b1,~t~lO,"I~drt~ \...!.':.'.,...r,...:f.,)"......,....,......,..... , _.,. _,~ 9J1J
U Nr.'le, 10 be rtdctUlC'd on 01 berNe Ihe .-.. ~~ ~ _ : d,,)' ~lr ..L.. ,::...~.~ 19...::::",. I' I
h) ^I)UIIION^I. OCH'OSl'f due on or l-cr('lrc Ihe- ,:' " ! : \ I , ,
, - . ;' :. i .'. , i ~ - 5. ,_ .
-- _doyor._.4.. ~;.....~._........~...._-_.J......:..\'~_......_......,.,....,.... ____._______._
(dJ n',\IM"re. OF rUItCHMir; rRIC"EII ,cUlrnlt,'I; ;';: ,;.~,':,,' ,: 5 ".l..U1.-"""'~-=t:r~~l>>,
(','h, "'IiO,a 'h,,\, ,,~'"' .,"",''.' I",,~,) ....,....I..",..,.~i.."',,............,..,........, __,.~____.I_.
" ; , :.; . ,htir~ iCno\L .'.....l1.6.til'P..-'--6:~/.2'-DD_~s:-~~Q~,
(0) \1',;",,,,,,"0"'01 S,U.. ,. ,b, .. ol~:r~,~,"I~ ':'~vr:L--;'i~'~ ,~~y 9(~:..l:.I!Jj:J . _.::< 19 fi5:., ,
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.) TIle (01111'1.-1", ,hldl be' Or,fICl1l1unw lI'o.nlo III {.l .vlll:ll fhnc u aCflll1utl,1l J'beJ IIllt\ol'" pnd ilW'l'<d. ttnlt, Inltl\'~' On Illllrf!.ICt 1111111111'1"11I. cnllJIOfllinlUIl\
rrt.
nil II hllnlC'o'*lIer n'I(kltlllln r"u Ir ;my. ~p. ltr '111 /(11 lI\\~rl fl'tlllt ~Il', Illfl'OltJ \fit" An)' OI"~llitll"h't h'unlcil'lllt"I~t" ^. 1J)Z~,J'I~:ll\lrC't TIUC'. )I!.IJI
lot dj"i\J. ,d
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<, ii;;^~i"i,;c'co-;'ii,;'c.{~!. ~1~'~~;-;:,;:;~,i;";;;i.J,irl~'II';'nl~I;'.i~;~\~r."Ir.r.~\~I~ T;~'-' N./.I.~____,_.. _'0' '~''-:-:~._~'~, ','
M rRINCII'Al AMOlM I M./ I\-::.\J.!;,".....:...!.'..:.!..! i;I't,f. -...:...;!;...I:(.I.'I!!__._ MINI~IUM TJ:IIM ---;..~At';'-0' _
~MX"IUM INlT/AL "II' '; " . , A/fA ."
,m!!n'lSl KAlI! ..,.1.1<-."'- 'l'. ~"\~'~ll!i".t:</rAl ~Olf'll!~\.ft':~I,UI)'l"l}l91H OIlIOItlATION FLU, TO R~r'\I~ DX TIIB IJl!rllR'./.vJJ"(....
T'.RMINAL DATE r.t Oh'.!nl". n"".,o. C.m,..hm,"! ___,__ 1-1I.'.,.1.'11___._.,.....,_.._,.......,'..... __..______
' " U'uler m,'1 "dIll< O"l" .r ro.,lb',,,,,,,..'.1 .nt'''I, ,ji "'ude b" '0~"91 I',"." ".pon.'h/li,y I., .hlAl.lu, D.,,,', .'."1"" II ..Id I.an ""01 b, ob"ln'd
0' he'eil'lllfO,hltd, 11,1.. ^11\.tlllC:llIllhu11 tlc: ~lIU. ANIJ \'i.JU> lIIlll 1\1llJrf"ld' R1U!lI(1 .I\nll be' ICI"rued 10 Iht Du)tr on 0' txror,," dlt'O or ~lIl~'nr"1 A' r'(J~ldclJ
h':ltlfl,
,utljetf "O'olC'\"' 10 Itlr Plu\hll'llU In Illll,1Ir,tllft1I)(hl Bhd ~~). : : t ,I,.. . I / ~ :' . I 'j . ,
I~I 0"1" .10,/1 ''''h IIO"'pl",6 'rrlic"I,,, ,o""I'O."h', 1"'~h,.'i,,'Ii''''~ 1M Ih, .',~ '0" .h"'" ~.//J_ '"'''''''1 d'I' I.,'m Ih, So/l,,', '1'"."" h,,,.f,
Sllflullllllt RUler rlllllO "';jlc ,u..:h ('omJllcl~d ~rpl,\:nIlIJlI ~i1htil'~~ 'lll-:ltl(~ lill,~.11 ,ft;1l1 ~ IIIh4 fl!"l')n Drl~i: StllC:'1 ""'IMn nH (J) ,,",,'rnllllf d:l.' IhtlUrltr
101
(i) P~"ilrr III, ^1lC'1o'l"~nl Ntll. ^~U VOW, AI "lliClllI,tlt, !Ill "IOIII.:,i~\tllJ H'l "(U~llnl ."IU be (or died 10 Sell" Aj J qllidlllCd d<4Il1.I,C1; 'lIhJrd 10 lhc Auln And
RC,1I1111h11llo Ihe rennl)hIOI, Rtal t.\U1C C"l1if'!llul,It'l.. ell 1'1 nll:.J 1.1 " ',' , : ,.; I I" II i, .'. . :.' . ., 'f .
(II) I. .I....,,"r .,111,. ."'1,, 10 'h, lI"yer b'll" Stller ~,,"uhil: ,)ill ^~'C~li,"1 "'1l~ ^ND VOII), Ih' lo"dlll.n '"d '."""8".'1 "ulld." 10, I. 'hi, r.",,"i''''
lt1"lhu "'llh IIn) Ollie, (1I111ll..II1' tnnlhltt'ucl:\ UlJl In.J),,b'c ~1'~ln"rH tll!}JIK..J hrr'lo; 'hllll hu 'unlcr prcHIIl, Qn~ lhls ^.reClIIcnl ,1I:'111 rt/llnl,.. "rrC\llvt "c\;tlfllma
10 IlIletn" In the IMlf lnOllt1er ~\ It Ih(.tll.lldllr"n inll ~nlllllt'!II~i' '" Ie lil'tt I/l: n hl"Jc:ot. ; ..' I
M Sflltr or ,"fcnl nHi" rC'\th(R ",Iucn fommlcllltUI "'Mid unllllhe Unl. or,culj ICIl(: rM hr uld 10:\1\, on flr bCrCl'lIlht ICfmlrl:d 1I1lc III srcdri<d. ftlht\:lltJ coin",rl",cn~ .
II IIN rUIn ,1m' 'A1t" Ihr: I(Un, nl1rc:dntd hurln ,o,'lJn Ol~nt~'nb \lr~~Iq.J In ",,111"<< br. 'he Bll)'er. Of'! or blJro,e 111P: lJ'C"Clticd d lie, S~llcr 111:111 ha\c Ihe ollllan.
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III),;U ctalC". 01 ~II. nlltlll t1111t! t111:Ic:uhtr, durlll1 lilt' l~rm "r (II , .\~t(Cljlhll(, unllll bill nnlllc)'lfld Ihe dlllc ot ft.dr' or the eonul1l1ll'l~nl b)' the Sellcr. or
^~"C"l, '0 ..
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10 lI,c OU)'CI. 'ubJt'CI,IO the P:\tRlC'f11 rC41l1,ttJ. Ir an)', Phil laird roJl.ll) rlllh'l\lltl!h' J:.(b):- en, (III. fln~ (ill). , . , :1 \, '.. f
Idl SrlJe, hefdl)' 11111"t)10 Pt',mll "IIP(~lhJQ\ b)' '"lllllrllfllllrrr"l\ch. ttlllll~bl~ ~ulmm n.m,llJf III1.tr a. mil)' be rtqulre" by the Jcnlllll,ID"ll\lllon ", I",urln, 111("(/(1,
I, 5,1'" 10mb,. "."" lD P'I "'I'"lunlll mO"I'" ~I. I'''''' POI"" ."d/of' QU; uIIL""'~9~ r..ln "" or. b'lll oblUlllln, 1'",.,1"1 r,ulII'. ',,,d;,,,I..,,,",,,," req,I,'.. '
11")' ont 01 1111 or .rUf~"\lIld rc~", pruvldln.lIle l<,lllll ~r \1I1~ 'fc1 U"tl tll.1 t'~ml u./t9~,r Ihc IImOllnl or the mO'llhl(,". t. 'i,g 'D.' !. ; j'l 'j .
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7. SJ.\tllS tU "^'I,1l Arm M:\\I.ltl 'id/t.'I ~'llFl\"f' 11.11 Ih 11"(lI'jll)' II j' VJ;,'d by_..... .y.~ ~"'t('.lI!IlJ. '-1' .. .._..,...,._~;,
IC'ACt. I'Vtlhrl, Stller WnrrDflll thllllhCII .t'I"," Dlt III)' r.1\ltl'(lr,:It1\. 'II ~r IIC' illite orlhl~ IICHCIIICnllll'r n IJllhrM1v,) OJ't1tlllnl: (oiiJTITI1I1. T( ~rllll;r ar1re;aid
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" ~'U~lllr"',I'IlpnOVI:~It,NTSI ~,II" 10M no noli", uf n"",ld".II!",orqVl'l.l.h ('"'b,, Ild""~,, ,"rbl, ne.) ""pl-.I.Y.'O,...e X. ea1/"./?()I:::';Jo_
..- --'-"-- --.---.-...----..: AttcU t~. ,n..bUlo' Idhd infl,)""Il/rrt fJ',U.'lIt" or. 1U~liw.J)" tlttl/ll,lllt!)' rt,mll r'um lilt Otr:ulrntlll or TIOIlUpo"lllinl'l,., ,
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'n.lI 11r",or, .,,~ Ulher "".Ift"tI" I""",", If '<II nt.1I ""t", ,""'~'y ,,,hI, T'Y,l1"'~"'", """','IlII~ lUlU' '11I'mf,lo~""tI. 'h ..11 '0 .."..."",." l<,"", Illltm :
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\He Il:r;l') "I"t'd In hc at 11'0 \,l,\ttln' or Ihi, ^1i"'t1l11:1I1. !ihiJlllaJ lilt UIIJefl
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(I \ l"hl( 0' rnlllU rulllll nll\I rcrf"'ll1'l nn)' orltlt ttrrn1 0' Cton.l!rhlhlo tlr 1M' ^C,.1'I"Cnl,IIIl:P\ In luch ealt, ;lUlIo:rr1dl mOllln .IIIi' olher IU,"' r.sl" b)' Iht Oll)',r
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11) h, III, Stllt'f 011 ft(t'OIIIlI of Ih(i'"\llIl\e Jult(, "'''\1M I"~ nller dCf\llmU tho t\lll FiJtlh.uc r'lrl~c, or
fhl fit 11'Itlnlrr to tic Drl'"nl1o lhe , rile,', d:lnl~Re', or .
(lill lIC l,quIJ~lt~ ~Illl\n,t\ ru, ,ucl, ft,I"I.
oJt Ihc ~.II:I "':'I) clc't. alld In Ihe CVCllllh.lllh~ ~cll!:r fkl.h III hlllltt the Inonle. IjUl1l1lt.1,lTcll ":al1llcn In R"\lrJancc wilh P.u:lt'.,\rh 20(e){iil), Ih~ Seller J11"IIl.t
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In fdJlh'l! 10 Ihl. ^lfrcmenllhull bt 'uhl1'lillcd 10 nlcdll1fon In 1I1'...o"blltr ",111. Ihe U (.\ 'Iu1 J'll,I('(lhlJ~1> nr thc Rell O\I,IIe Oi'l'Iutt Rt'(lIIIIIon S)'uc",. Oi'f1ute,
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I tiC r.~.ill~11l1 or Ihh Jll\r:'\"Dllh rcll1ll"Jltlltle\U:lllolI ,hall 'UI\I"Q Mlklll4'l11 on Ole lulJJC(1 f1rl.lflC'fl)' Ot cll,llcr 1ermlnMlun of Ihl, ^~fnmtn'.
tlot)!! nll\lltllCf ntkno\\led,t Ihl\llhC')' hJYc rcceh'fd, rc:ul, Aud !lndenlllld Ihe lt~nJ~rt1ll1nn\'lunttfll~nt brodlutt :lftcJ ruin Inli' rrocrdu,u (or the "'~'al r.'ll\lc O;'rll\t
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REV-1547 EX AFP 112"941*'
co""m~wr"'IHlOf'IIHHSVlYAHI" I ACN 101
DlPARUUHI or "IYIHUl NonCE OF' INHERITANCE TAM
!UAUU Of INDIYIDUAI fAlll S ~ . . APPRAJStHEHT, ALLOWANCE OR DISALLOWANCE j
O(PI. """ J OF DEDUCTIONS AND ASSESSHENT OF TAX : DATE 12-18-95
tl"AAlnURG, Pi 1I111.0bOl Il" !
ESTfi'fICilr=-SHTTH L~ilT'S- - .~~=~~. F-ILE NO.~2r'R:'j)il'Or
DATE OF DEATH 08-30-94 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION DF THIS FoRH WITH YOUR TAX
PAVHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILlS. AGENT"
REMIT PAYMENT TO:
DONALD BOWEN ESQ
COUNSELOR AT LAW
105 MT VIEW DR
ENoLA PA 17025
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
r-- Anount Rllltt tad
r
.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiEV: iSi;i"EiC -Ai: p - i i z: 94"1" iioY iCE" "0 F" "iNti Eif i lANCE oYA X - ,'-p pili, is EHiii'f; 0 Ai. L OWANC E 0 'liR"" 0 0.. - - 0 - -""""-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SMITH LEWIS W FILE NO. 21 94-0805 ACN 101 DATE 12-18-95
TAX RETURN WAS, I X 1 ACCEPTED AS FILED
I CHANGED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO, 01
1. R..I E,t.t. ISchadul. AI III
2. Stock. and Bond. ISchadul. 81 12l
3. Clos.ly Hdd Stock/Padn."'hlp Int.,...t (Schedul. C) ISI
4. Hortgag../Hoh. Receivabl. ISchadul. OJ 14.
S. Cash/Dank Depolits/Mllc. p.,.lonal Property (Schedul. E1 IS)
b. Jointly Own.d p,.oP.,.ty ISchedul. F) It.>>
7. T,.ansf.,.s tSchedul. G) (7)
8. Tot.l AU.ts
,00
.00
,00
,00
,00
,00
,DO
181
.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
". fune,.al hpen..s/Ad... Costs/Misc. [)Cpens.. ISch.dul. H>> Iq>>
10. Debts/Mo,.tgag. liabilitl.s/LI.ns (Schedul. I) 110>>
11. Tot.l Deductions
12. Het Value of TaM R.tu,.n
13. Cha,.itable/Gove,.nnent.l Bequests ISchedule J)
14. H.t V.lue of Est.t. Subject to TAll
4.598,71
,00
1111
112)
1131
1141
(LC;qA 71
4,590,71-
.00
56,206.08
NOTEI
14, 15 and/or 16, 17 and 18 will
raturns assessed to date.
If an assessment was issued previously, lines
reflect figures that include the total of ~
ASSESSMENT OF TAXI
15. Anount of line 14 at Spous.l
lb. Anount of Line 14 t.M.bl. .t
17. Anount of Line 14 t...bl. .t
18. Princip.l r.M Du.
,..t.
lin..l/CI... A ,..t.
Coll.t.ral/Cl... B ,..t.
1151
(hi
1171
,OOX,03.
56.206,08 X ,06.
,00 X ,15.
1181
.00
3,372,36
,00
3,372.36
TAX CREDITS:
PAVHENT
DATE
10-17-95
RECEIPT
NUHBER
AA082236
DISCOUNT C +,
INTEREST 1- I
116,62-
AHOUHT PAID
3,769,03
TOTAL TAX CREDIT
iBALANCE OF TAX DUEl
! INTEREST i
TOTAL DUE
3.652,41
280,05CR
,00
280,05CR
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REflECTED AS A "CREDIT" (eR), YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FoRH FOR INSTRUCTIONS,)
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---.-
,
..--
RECEIPT, RELEASE. AND ACKNOWLEDGEMENT
UNDER THE ESTATE OF
LEWIS W, SMITH
KNOW ALL MEN BY THESE PRESENTS, That the undersigned has this
day received of the Executor of the Estate of LEWIS W. SMITH, late of Enola,
Cumberland County, Pennsylvania, (Estate U 21-94-0805) the sum of $3,894,14,
which constllutes mv one elohth (ll8thl share to which I, the undersigned, am entitled
to under the Will. after payment of all expenses, bills, and taxes, Including Inheritance
taxes,
I have been furnished with a copy of the Will as required under the Probate
Rules, an accounting of all monies collected and disbursed on behalf of the estate,
and a copy of the settlement sheet. I hereby consent to $ 100,00 of my share being
withheld for preparation of fiduciary tax returns and any unanticipated bills that may be
presented to the estate. Any monies not expended from this $ 100.00 to be held In
escrow, shall be paid to me as soon as IInal approval Is received from the IRS and the
State In regards to Fuldlclary Taxes In approximately six to seven months.
IN CONSIDERATION OF WHICH PAYMENT, I do hereby forever release and
discharge DAWN WHITE, as executrix, and DONALD B, OWEN, as attorney of the
estate, of any and all claims by me for accounting of said payment.
IN WITNESS WHEREOF, I have executed this Receipt and Release for this
Payment, this the fl day of . ~ , 199', Intending to be
legally bound hereby, c:;--
<::::::.
DARLENE CASSATT
.......*....................................~~.~:.f~~?:::~.~{;(~:.....................
STATE OF NORTH CAROLINA )
) ss,;
County of )
ON, this the -1!l day Of~' , 19~, before me, a notary
public, the undersigned officer, ~0riiiiiY appeared
DARLENE CASSATT known to me ( or satisfactorily
proven) to be the person whose name Is subscribed to the within Instrument and
acknowledged that she executed the same for the purposes herein contained for
payment of Inheritance under the Will of LEWIS W. SMITH (Estate No, 21-94-0805),
. "IN. WITNESS WHEREOF, I h~t~ se~y hand and officI seal.
~ ill II 1:, " '. '7\A l
,4 I~~'~;~')~~ ~', - - -Notary itlT[1' O~
,t .LV1y' , Iqn Expires: I d- - d- - ~,-
, *.. ,,I "I ~
',U ..,I;
'.', 0 LIC' ,
, " ,f"4': to ,..~.."
"'", . ......
I~) ,,\"'! ':'1, ',I. ..
~. " .
!lEel '11'1, IlEl "N',r I' NLJ N~I<NOWLELJCiEMEN r
I JIll If!l 11 IE [~3IArE OF
L rWIG W f,MITH
I(NOW At L MEN BY11IESE PRr:SFr~ rs, ThAt tho ul1Ctorol{lnml hl10 Ihls
dilY Il'cpivOlt of tho EXf1cutor uf tho Enlnte 01 LEWIS W. SMITlI, Illto 01 Enoll1,
\ :1I11lhmll1nlt County, f'ollnsylvl1IlIrI, ([stnto /I 21.94..0005) tho sum of $3,894 1-1,
'.'/1 lid I cllnstilulns InY.one ei!lhth( I filth) t,hlll 0 to which I, tho under signed, 11m ontill(![1
III un(IOI the Will, nltm pnymenl uf nil oxpenses, bills, nnu tnxos, Including Inllolitance
!;O(O';
Ilmvo booll lurnlshed wilh n copy of the Will as raquned under the Probata
Illllos, I1Il flccounting 01 all monies collecle<1 nnd disbursed on behall of tho estate,
,ll1d 11 copy of Iha sollrement sheot. I hmp-by consent to $ 100.00 of my share being
'....ilhhnld for plopmntion of flctuc:iary lax 1(41U1I1S and any unanticipated bills that may be
prosonted to tho eslnte. Any monios not expellded from this $ 100.00 to be held In
l',;elOW, shall be pnid 101110 os SOOIlIlS final approval Is received from the IRS and the
'3lnln inlegnrcJs 10 FuidlcilllY Tl1xos in opploxill1olely six to seven months.
III CONSIDERAIION OF WHICH PAYMENT, I do hereby lorever lelease and
dl';c1mrge DAWr~ WilliE, I1S execulrix, I1nd DONALD B. OWEN, os attorney 01 the
''''Into. of any nnct nil claill1s by me lor accounting of soid poyment
IN WI1I'JESS WIIEREOF, Ihavo executed this Recoipt and Release for this
I'nYlllont, this 1I1P. . H: day of ...1 .' .. I ,.i.;'~'-" 1995, Intending to be
'''qlllly houlld l1P.roby.
/ I .) \ ' :.".
.jEFrREy;~JlITH:-)'-;-'..) 1,.-,,-,....., --,-
SSN: tr;.) ./.,; t" (, " '1
...........................................................................................
(:OMMONWEALTII OF PENNSYLVANIA )
) (;S.:
(~(1unty 01 )
iJ I
ON, this the ,) ) doy of vllAllh!'-...J<'..'__, 1995, belore me, a notary
public, the undorslgnect officer, porsonolly appeared
,i1TFnEY SMITH known to me ( or satisfnctorlly provon)
III lJo Iho pOIson whoso nallle Is SLl!Jr,Clibod to tile withlnlnstrulllent and
rlt;knowledged that he executed the some for the purposes herein contained for
!lnymenl 01 Inlleritance under the Will of LEWIS W SMITH (Estate No, 21.94.0805).
IN WITNESS WHEREOF, Illereunlo set my hand and official seal.
,(yo~,O~?1.~_II!!_.._.___.., _ ......_.
{j Notary Public
My COJ1lmlsslon Expires:
.\.----II'iii,;',",;.~.I,.1 ~..
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II ECFI I' I, IlEI EASE AND ACI<NOWLEDGEMENI
UI'lI)f,RIIIE ESTATE or
I.EWIS W nMIl H
I<NOW ALL r,,1EN BY TIIESI:: PIlI:SEI-J 1'8, That tho ulldelsignod has this
day IlJcoivml of 111<1 Exm;utor of tllo Estato 01 LEWIS W. SMITH. lale of Enola.
(:lIll1llcrlnnd County, PlJIlIlsylvanin. (ESlnt" /I ;'1-9<1.0005) the SUI11 of $3,09<1.1<1.
wllh:h rormlituto5 illY (jno.olghlll,( 1/Ulh) , ~hnrc 10 which I, the undersigned. al11 entitlml
III I II IdOl tho Will. nlllJl paYl11ent of all OXprll1S05, bills, and taxes. including Inhelitflnco
tn~0r;
I havo heon flllnishod wilh a copy of tllo Will as required under the Probate
Ilul!!!;. nn accounting,of nlll11onlos collectr>llnnd disbursed on behalf of the estate,
:llld n copy 01 tho sottlelllent shoot I herelly consent to $ 100.00 01 my shore being
'/:Itllllold for prepmntion 01 fiducimy Inx retulns and any unanticipaled bills that may he
pro5ontod to tho eslate, Any 1110nles not expended Irom this $ 100.00 to be held In
(',,;rlO\'/, sllnllhl) paid to llIe as soon flS finnl approval Is received Irom the IRS and tho
~~lalo In legmds to Fuidici!llY Taxos In flpproximately six to seven months,
IN CONSIDERA liON or: WHICH PAYMENT, I do hereby forever release and
dl'1r,:lImne DAWN WI liTE, fl5 execulrix amI DONALD B. OWEN, as attorney of the
P'1tnlo, of nny and 011 cloims by l11e for nccounting 01 said payment
IN WI1 NESS WIIEREOr:, llmvc oxoculod this Roceipt And ReleAse lor Ihls
l'nYlIlr)llt. tills 11m ,'1. llayof ,,'.' " , 1995, Intending to be
"'onlly lJOlIlll1 llolt1hy
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DAWN WI.IITE
S"N' , . 'f 1./" .. " "
0:"'1, J (I . . 7 t- . '.~ (.". ~ to,
.......................................................l..~.~....................~.........
COMMONWEALTH OF PENNSYLVANIA )
) 55.:
COllnty 01 )
ON, IIlIB Ihe /,L',:day 01'),'/ _:;~,'}Jt..J,.'.r..!..... 1995, before me, a notary
pllbllc, tile undersigned ollicer, personally appeared
IMWN WHITE known to me (or salisfactorily proven)
to be tile [lerson wlrose name Is subscribed 10 the within Instrument and
ncknowledged Illal she execuled tile same lor the purposes herein conlained lor
pnYl11enl of inlleritance under tile Will 01 LEWIS W. SMITH (Estate No, 21-9<1-0805).
IN WITNESS WHEREOF. I hereunto set my hand and official seal.
f"y Commlssiun Expiles:
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RECEIPT, RELEASE AND ACKNOWLEDGEMENT
UNDER THE ESTATE OF
LEWIS W, SMITH
KNOW ALL MEN BY THESE PRESENTS, That the undersigned has this
day received 01 the Executor olllle Estate or LEWIS W. SMITH, late of Enola,
Cumberland County, Pennsylvania, (Estate H 21-94-0805) the sum or $3,894.14,
which constitutes my one eighth (llOthl share to which I, the undersigned, am entitled
to under tile Will, alter payment or all expenses, bills, and taxes, Including Inheritance
taxes.
I have been lurnlshed with a copy or the Will as required under the Probate
Rules, an accountlpg or all monies collected and disbursed on behalf of the estate,
and a copy of tile settlement sheet. I hereby consent to $ 100,00 of my share being
wilhheld lor preparation of fiduciary tax returns and any unanticipated bills that may bo
presented to the estate. Any monies not expended from this $ 100,00 to ~e held In
escrow, shall be paid to me as soon as rinal approval Is received from the IRS and the
Stale In regards to Fuidiclary Taxos In approximately six to seven months, ,
IN CONSIDERATION OF WHICH PAYMENT, I do hereby forever release and
diSCharge DAWN WI-liTE, as executri,{, and DONALD B. OWEN, as attorney of the
estate, 01 any and all claims by me lor .:Iccountlng of said payment.
IN WITNESS WHEREOF, I have executed thls,Recelpt and Release for this
Payment, 11115 the .jf... day 01 ___fil'.' , 1996, intending to be
legally bound hereby,
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SHARON SHREINER
............................................~~.~;.~~.~::.~.~::.~~.::~..........
COMMONWEALTH OF PENNSYLVANIA )
) ss..
, :, ~".ty Ll )
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l'dUlle, 11'10 11l1UOi '.od OfllCOl, pOI :;onally appeared
(~I'l\fl(Y: '1/1E"~ER kl'L'Wn to 11,.
C' ",I,,!; ",,' vi Ih.. i'Gr'O',., whot"? 'nine is ~ubs(;ribed to tile wtthir> IIh,!
.'1.;!'rilJWledr/ud thil! sh-) vxecuteu the !arne .Dr Ihe purposes h,'
:jol~"IIIJ1l1 01 ml18ritanC'e under tile Will of LEWIS W, SMITH r: ..;
IN WnNESS WHE::r,EOF I hereunto ~,et my hand amI ');i.~lal SOtI!
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RECEIPT. RELEASE AND ACKNOWLEDGEMENT
UNDER THE ESTATE OF
LEWIS W. SMITH
KNOW ALL MEN BY THESE PRESENTS, That the undersigned has this
day received 01 the Executor of the Estate 01 LEWIS W. SMITH, late 01 Enola,
Cumberland County, Pennsylvania, (Estate If 21-94-0805) the sum 01 $3,894.14,
which constltules mv one elQhth (11B!tlL share to which I, the undersigned, am entitled
to under the Will, alter payment or all expenses, bills, and taxes, Including Inheritance
taxes,
I have been lurnlshed with a copy 01 the Will as required under the Probate
Rules, an accounting 01 alimonies collecled and disbursed on behall of the estale,
and a copy of the settlement sheet. I hereby consent to $ 100.00 of my share being
withheld for preparation of fiduciary tax returns and any unanticipated bills that may be
presented to the estate. Any monies not expended Irom this $ 100.00 to be held In
escrow, shall be paid to me as soon as final approval is received from the IRS and the
State In regards to Fuidiclary Taxes In approximately six to seven months.
IN CONSIDERATION OF WHICH PAYMENT, I do hereby lorever release and
discharge DAWN WHITE, as executrix, and DONALD B. OWEN, as attorney 01 the
estate, 01 any and all claims by me lor accounting 01 said payment.
IN WITNESS WHEREOF, \ have executed this Receipt and Release lor this
Payment, this the .J.5... day of ~M~W\be(" , 1995, Inlendlng to be
legally bound hereby,
('n'l"t~~_
cRYSTAL COOK
SSN: \'\.'S-'S ~-lo?-~g
...........................................................................................
COMMONWEALTH OF PENNSYLVANIA
)
) ss.:
County 01 )
ON, this the \ ~ day of (\) <l'l,,\,,,,,I.:..~~ ,1995, belore me, a notary
public, the undersigned officer, personally appeared
CRYSTAL COOK known to me (or satlslactorlly proven)
to be the person whose name Is subscribed to the within Instrument and
acknowledged that she executed the same for the purposes herein contained for
payment 01 Inheritance under the Will of LEWIS W, SMITH (Estate No, 21-94-0805),
IN WITNESS WHEREOF, I hereunto set my hand and olflclal seal,
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Notary PUblic
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RECEIPT, RELEASE AND ACKNOWLEDGEMENT
UNDER THE ESTATE OF
LEWIS W, SMITH
KNOW ALL MEN BY THESE PRESENTS, That the undaralgnod hos this
day received 01 the Executor 01 the Estate 01 LEWIS W. SMITH, late 01 Enola,
Cumberland County, Pennsylvania, (Estale # 21.94.0805) Ihe sum 01 $3,094.14,
which constitutes my one elQhlh (1/8thl share to which I, tha undersigned, am entllled
to under the Will, alter payment 01 all expenses, bills, and taxes, Including Inheritance
taxes,
I have been lurnished with a copy 01 the Will as required under the Probate
Rules, an accounting 01 alimonies collected and disbursed on behalf 01 the estate,
and a copy 01 the settlement sheet. I hereby consenl to $ 100.0001 my share being
withheld lor preparation olllduclary tax returns and any unanticipated bills that may be
presented to the estate, Any monies not expended Irom this $ 100,00 to be held In
escrow, shall be paid to me as soon as IInal approval Is received Irom the IRS and the
State in regards to Fuldlclary Taxes In approximately six to seven months.
IN CONSIDERATION OF WHICH PAYMENT, I do hereby lorever release and
discharge DAWN WHITE, as executrix, and DONALD 8, OWEN, as attorney 01 the
estate, 01 any and all claims by me lor accounting 01 said payment.
IN WITNESS WHEREOF, I have executed this Receipt and Release lor Ihls
Payment, this the.2:- day 01 /,)... , 1995, intending to be/
legally bound hereby, ~', N' .~\\') ^O"J'~':'-
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TER~'~~I~~~ )~l~__( 1:'/,0 ~ "~~),';
SSN: /L.,I.-L)SClll/'7\ \f;, ~o/~'
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COMMONWEALTH OF PENNSYLVANIA ) \. -1:\1
Counly 01 r.:.-. Lt{)~'J ~ sS.: ~'" -'
ON, this the ~ day 01 j,).- , 1995, belore me, a notary
public, the undersigned olllcer, personally appeared
TERRY SMITH known to me ( or satlslactorlly proven)
to be the person whose name Is subscribed to the within Instrument and
acknowledged that he executed the same lor the purposes herein contained lor
payment 01 Inheritance under the Will of LEWIS W, SMITH (Estate No. 21-94-0805),
IN WITNESS WHEREOF, I hereunto set my hand and ofllclal seal.
--~'
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Notary Public
My Commission E
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RECEIPT, RELEASE AND ACKNOWLEDGEMENT
UNDER THE ESTATE OF
LEWIS W. SMITH
KNOW ALL MEN BY THESE PRESENTS, That the undersigned has this
day received 01 the Executor 01 the Estate 01 LEWIS W, SMITH, lale of Enola,
Cumberland County, Pennsylvania, (Eslate 1/ 21-94-0805) the sum or $3,894.14,
which constitutes mv one eighth (11B1hl share to which I, th~ undersigned, am entitled
to under the WlII, alter payment 01 all oxpenses, bills, and taxes, Including Inheritance
taxes,
I have been lurnlshed with a copy 01 the Will as required under the Probate
Rules, an accounting 01 all monies collecled and disbursed on behalf 01 the estate,
and a copy 01 the settlement sheet. I hereby consent to $ 100.0001 my share being
wllhhElld lor preparation 01 fiduciary tax returns and any unanticipated bllls that may be
presented to the eslate, Any monies not expended Irom this $ 100,00 to be held in
escrow, shall be paid to me as soon as final approval Is received Irom the IRS and the
State In regards to Fuldlclary Taxes In approximately six to seven months.
IN CONSIDERATION OF WHICH PAYMENT, I do hereby forever release and
discharge DAWN WHITE, as executrhc, and DONALD B. OWEN, as attorney 01 the
estate, 01 any and all claims by me for accounting 01 said payment.
IN WITNESS WHEREOF, I have executed this Receipt and Release lor this
Payment, Ihls the _ day 01 , 1995, Intending to be
legally bound hereby, ~
::(A~ ~C((2.'uICC/-
R'if A 'oSW AL T
SSN: /J7/f 3C- t//cP
...........................................................................................
COMMONWEALTH OF PENNSYLVANIA )
) ss.:
County 01 )
ON, this the W"(l'day or -1J.J1()fIJJ6~ , 1995, belore me, a notary
public, the undersigned ollicer, personally appeared
RITA OSWALT known to me (or satlslactorily proven)
to be the person whose name Is subscribed to the within Instrument and
acknowledged that she executed the same for the purposes herein contained lor
payment or Inheritance under the WlII 01 LEWIS W, SMITH (Estate No. 21.~4.0B05), "
IN WITNESS WHEREOF, I h.ereunto set my hand and olflclal seal./ 'J=" , ",' ':, ("'"
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RECEIPT, RELEASE AND ACKNOWLEDGEMENT
UNDER THE ESTATE OF
LEWIS W. SMITH
KNOW ALL MEN BY THESE PReSENTS, That the undersigned has this
day received 01 the Executor 01 the Estate 01 LEWIS W, SMITH, late 01 Enola,
Cumberland County, Pennsylvania, (Estate /I 21-94-0805) the sum 01 $3,894,14,
which constllutes IllY one elqhth (ll8lh) share to which I, the undersigned, am enlllled
to under the Will, alter payment 01 all expenses, bills, and taxes, Including Inheritance
taxes,
I have been lurnlshed with a copy 01 the Will as required under the Probate
Rules, an accounting 01 all monies collected and disbursed on behalf 01 the estate,
and a copy 01 the settlement sheet. I hereby consent to $ 100.0001 my share being
withheld lor preparation 01 fiduciary tax returns and any unanticipated bills that may be
presented to the estate, _ Any monies not expended from thIs $ 100.00 to be held In ._.
escrow, shall be paid to me as soon as final approval Is received Irom the IRS and the
State In regards to Fuldlclary Taxes In approximately six to seven months.
IN CONSIDERATION OF WHICH PAYMENT, I do hereby lorever release and
discharge DAWN WHITE, as executrix, and DONALD B, OWEN, as attorney of the
estate, of any and all claims by me lor accounting of said payment.
IN WITNESS WHEREOF, I have executed this Receipt and Release for this
Payment, this the JL day 01 /Jec-.,. , 1995, Intending to be
legally bound hereby,
.~:.._~ ...
LI DA PROSS
SSN: I~ 1_ ? ,J_ U /, "J/)
..................................................Jf.~~.~...~.j'....I..l{:~~..............
COMMONWEALTH OF PENNSYLVANIA )
I ) ss.:
Counly 01 J;J;t.IA.'pIJIYI )
ON, this the iL day of :]Jeat!!/j,d::u!.r, 1995, before me, a notary
public, the undersigned officer, personally appeared
LINDA PROSSER known to me ( or satisfactorily proven)
to be the person whose name Is subscribed to the within Inslrument and
acknowledged that she executed the same lor the purposes herein contained lor
payment 01 Inheritance under the Will 01 LEWIS W, SMITH (Eslate No, 21-94-0805),
IN WITNESS WHEREOF, I hereunto set my hand and olllclal seal,
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