Loading...
HomeMy WebLinkAbout95-00684 SEP . "'d~:;:::;{~Z;1~;~1~ 11995 "," 'i"",c",,,,,"lf'c,,,:\',..J ." "'~ '~, ,:.'~;\.il~':~,:; "". ,'".,. ~;>.-, --"- -/," , h _." _.~.--.--.. IN THE HATTER OF THE I IN TilE COURT OF COHHON PLEAS I I CUHBERLAND COUNTY, PENNSYLVANIA I ORPIIANS' CXJURT DIVISION I NO. (~Tr'i YEAR OF 1995 I ESTATE OF DOUGLAS BRANNON a/k/a D. H. BRANNON, DECEASED AND NOW, THIS ORDER \~{t, day of ~, 1995, upon consideration of the foregoing Petition filed by Audrey Jean Brannon, asking that the Court avard her, as the surviving vife of Douglas Brannon, a/k/a D. H. Brannon, ten (10) shares of the common stock of TRW Inc., an Ohio Corporation, and that thls Court authorize her attorney to eKecute any necessary stock pover to transfer the TRW Inc. stock to her, it is ORDERED, that the ten (10) shares of TRW Inc, stock ovned by Douglas Brannon, a/k/a 0, H. BRANNON, at his death, be avarded to his surviving vife, Audrey Jean Brannon, and FURTHER ORDERED, that Leslie B. Handler, Esq., a practioing attorney and the attorney of the Petitioner, be and hereby is authorized to sign any necessary stock paver and related papers to e;C;Cect the transfer 0;C the ten (10) shares of TRW Inc. atock to decedent. s surviving vife, Audrey Jean Brannon. ;'."itJ~R~n~ {. J. '.~ '! "'--, c' ---. .- .- ." -.,,' '5.,,, ...... ~) ...... ... , ,...... .- .- "t:!t:'- "80;:" .,' '~.-'t;;,'- tf;' ~ '. - ;,_. _1 'j'u:, , . -.. r -..~T ~ .' " .~ '",;,- -:';.<-i' ',> " ':<. ~~ ,-' ;.' , u.;' '. ,~ ',e" ' ~~~ ~I~ 1'1 . "'1Xl '... W" ','. . '. .' " . , ~ ", r " "(" . ,"'" . , '" ',~ '"' p~ ~,", ~;, . \~, '~~ ~ ,f~ ~. . '.. '.' (" '-,f:/~: . .. ,.; r,::1 ' =!1'" ,;:'l/ ,;g : - '. ,.:J' '. '\.iJ ~ . '-" 't'- ;r- , .~ ',' -',. -.'1 ".- , ~ ~ ' '] ." , ,...., -. ''-~ '.~,' . ,,,". '-"". ~":.~:, ',' :~. :~;~r.:~\ :";'C'" ._" ~ :;, ", .' ~ ';,', . > _'__,W .'... 'r;':': ..,....' j(,."' .- i:, . , ....-. '.. , .. IN THE MATTER OF THE t IN THE COURT OF COMMON PLEAS I I CUMBERLAND COUNTY COURTHOUSE I I NO. fL.K' L/ YEAR OF 1995 I ESTATE OF DOUGLAS BRANNON alk/a D. H. BRANNON, DECEASED PETITION UNDER SECTION 3122 OF TilE PROBATE, ESTATES AND FIDUCIARIES CODE OF 1972 The Petition of Audrey Jean Brannon respectfully represents I 1. a/k/a D. H. Clrcle, Camp Petitioner is the surviving spouse of Douglas Brannon Brannon, who died June 23, 1995, domiciled at 3 Wayne llill, Cumberland County, Pennsylvania. 2. No Letters Testamentary or of Administration have been granted in the Estate of Douglas Brannon a/k/a D.H. Brannon, deceased, and none is expected to be granted. 3. Besides your Petitioner, the only other heir, by law, is Colleen E. Brannon, the only child of the decedent and your Petitioner. 4. The only asset of the estate of the decedent is ten (10) shares of common stock in TRW Inc., an Ohio corporation, and which stock is publicly traded. 5. Petitioner is informed that on January 23, 1995, the said ten (10) shares were warth $811.25, and, pursuant to the family exemption allowed under Section 3121 of the Probate, Estates and Fiduciaries Code of 1972, your Petitioner, who resided together with the decedent at the time of his death, does hereby make claim for the ssid ten (10) shares. 6. Colleen E. Brannon, daughter of the decedent and of your Petitioner, is joining in this Petition to show that she agrees that the ten (10) shares should be awarded to your Petitioner. WHEREFORE, Petitioner prays that, pursuant to Section 3122 of the Probate, Estates and Fiduciaries Code of 1972, the court award the said ten (10) share of TRW Inc. stack to your Petitioner, and that this court also authorize Petitioner' s attorney to execute any necessary stack power to transfer the TRW Inc. stcck to Petitioner. J~DERI ~6 .;.;~ . ~ C leen ~. rannon, Daughter of Decedent '::I~a---~~ Audrey e'n Brannon, Surviving Wife of Douglas Brannan, a/~/a D.H. Brannon, deceased .. ~. ~ .:,", . '.. '- . . .... , , '. IN THE MATTER OF THE I IN THE COURT OF COMMDN PLEAS I I CUMBERLAND COUNTY, PENNSYLVANIA I ORPHANS' CXlURT DIVISION I NO. YEAR OF 1995 I ESTATE DF DOUGLAS BRANNON a/k/a D. H. BRANNDN, DECEASED ORDER AND NOW, THIS day of , 1995, upon oonsideration of the foregoing Petition filed by Audrey Jean Brannon, asking that the Court award her, as the surviving wife of Douglas Brannon, a/k/a D. H. Brannon, ten (10) shares of the oommon stock of TRW Ino., an Ohio Corporation, and that this Court authorize her attorney to exeoute any neoessary stook power to transfer the TRW Inc. stock to her, it is ORDERED, that the ten (10) shares of TRW Ino. stock owned by Douglas Brannon, a/k/a D. H. BRANNDN, at his death, be awarded to his surviving wife, Audrey Jean Brannon, and FURTHER ORDERED, that Leslie B. Handler, Esq., a praotioing attorney and the attorney of the Petitioner, be and hereby is authorized to sign any neoessary stook power and related papers to effeot the transfer of the ten (10) shares of TRW Ino. stook to decedent's surviving wife, Audrey Jean Brsnnon. BY THE COURTI J. .~ .. N ..,:.;;... ..... .... ...,,'. i VERIFICATION The ~oregoing Petition has been made subject to the penalties o~ 18 Pa. C. S. Section 4904, relating to unsworn ~alsi~ication to authorities, and is true and correct. -6~~ AU?J:;i, an Br~n 1-- e ~ Calleen E. Brannan Dated, August j9. 1995 /5-- S:l, -'I fOR DATIS Of DIATH AnlA 12/31191 CHICK HIRI INHERITANCE TAX RETURN ~o~::~yug~DITISCLAIMID 0 RESIDENT DECEDENT fILl NUMBER COMMONWEAllHOfPfNNmVANIA (TO BE FILED IN DUPLICATE '1 / ~~- DEPARtMENt Of R(VENUE " 7 V om, 210601 WITH REGISTER OF WILLS) COUNTY COOc" YEAR HAIUIISIURO,'A 17 2'.0601 DIj),~';;i;I;"~ANOM10l)~I;"T,l~ S- O(CI/~~97t t/;';~L4-_ VJ- LJ 'OCIA,mU'"'NUMIIA OA1lOf D''Il'' EPII,f""\J.' ~r/'tj'6/ r~, /7d~7 ;2.tJ/-/4> ~ 1)&'(, ?~.;?;{. CO"", C"'M6~/a- I" ?;~i;~~~~N.M"H::iMlnou lj;, AMOUNt .(ClIV(O ISlt INSTRUCTIONS) -. . REY. UOO Eh 1,.Q"j l!! ..:5" bllE!j ",as u~.. * ffi li'I bl a Original R,'urn o 2, Suppl.m.nlol Relurn o .., limited Ellcl. 0 AD. future Inl.rl.1 Compromile (for dot.. of d.ath ah.r '2.12.82) (31), Oee.d,nl DI.d T..lat. 0 7, D.Cld.nl Malntaln.d 0 living Trult (Alloch copy of Willi (AIIDCh copy 0' Trulll ALl. CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTlD TO. . NAM~ I I,-;J 7/ J J COM'll If MAILING AD~U' ' ^ ,-, M- ,.... rrvr;r..m k./1 vr / ~ t'1 1'1j/J~r /,./r mIPHON'NUMIIA '^ 13.7//o4,;-7-Sp,,'/n C;'" t, -d - (); ~ g / (7 I lilffi "'a "'z 8~ 03, 05, d, ~/~ NUMBER R.malnder R.turn ('0' dole. of dealh p,lo, 10 12,13,821 fed,rol Ellolt TOk Relurn R.qulred _ 8. Tolol Numb., of Sof. Oeposlt Bo... '1/ ~:!i (f'. ;ul /) "3'3(). .3~ ~, Jf{,:3, 9(, , "8'.37 . .;? f!' K.__ t?~..P() )( ,06. h ~, /7~d7 (81 8', ljfl~. dotJ . z a 5 g bl '" 1. Reol E.lole (Schedule A) ( 11 2. SIDCk. Dnd Bond. (Schedule 81 (21 3. Clo.ely Held Slock/Partne,.hlp Inle,e.1 (Schedule CJ (3 I A, Morfgogll and NollI Receivabl. (Sch,d"l, 0) t II ) 5, Cosh. Bonk D.poslts & Mllcelloneoul Penonol Prop.rly ( 5 ) (Schedule EI 6, Jolnlly Owned Property (Schedule fl (61 7. T'Dn.fe,. (Schedu', GI(Sch,dul. II (71 8, Tolal Groll Au... (10101 Lln.. ,.7) 9, Funeral Exp.n.,.. Admlnhlrolin COlh, Mile.lIoneoul (9) bp.n... (Schedul. HI 10, Deb", Mortgog. lIabllille.. lI.n.(Schedul. II (101 11. Tolol Oeductlons (toloIUn,. 9 & 10) 12. N.I Valu. of Ellale (lint 8 minus Line 11) 13. Charllobl. and Governm.ntal e.ques.. (Schedul. J) lA. N.t Volu. Sub.et 10 Tax L1n. 1'2 minus line 13) 15, Spousal Tron,f.n (for dol.. of d.ath oft.r 6.30.94) 5,. Inllrucllonl 'or Ar,pllcobl. P.rcenlag. on Rev.ne (151 Sid.. (Include values rom Sch.dule K or Schedule M,I 16. Amount of lIn. 14 taKable 01 6% role (161 (Includ. values from Sch.dul. K or Schedule M,) 17, Amount of lIn. 1.4 taKabl. at 15% role (17) (Include values from Sch.dule K or Schedul. M.I lB. PrlnclpalloK due (Add laK from lines 15. 16 and 17.) 19. Credih Spou101 Poverly Credit Prior Poym.nls )( ,15 .. Discount Inl.resl (Il) (121 (13) (141 q~3t'11 ~J/ ('- 1.:t.,1,~) t)(). OtJ z a ~ .. a u S t>CJ'~?:J (101 Ot). ()c:; (19) (201 + + 20, If lInl 1911 gr.ot.r Ihon line 19. .nl.r Ihe dilfer.nc. on lIn. 20, Thlsl1lhe OVERPAYMENT. aD 21. If line 1811 great.r Ihon line 19. .nl.r Ih. differenc. on line 21. Thl1Is Ih. TAX DUE. A, Enl.r Ih. Inl.rest on Ih. balance due on lIn. 21 A. B. Enl.r Ih. tolal of line 21 and 21A on line 21B. This Is Ihe BALANCE DUE. Male. ChlcSe Payabl. 101 R.gllt" o' Willi, Ag.nt BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECH!CK MATH Und.r penohl" of perjury. I d.c1or. that I hove uomlned Ihis relurn, Including accompanrlng lthedul.. and stolemenh, and 10 ,h. b.s' of my Icnowledge and b.lief Ills Iru., corr.d and compl.I.. I d.c1ore Ihol 011 real ellole has been reporlea ollrue markel value, Oedoralion of prepar.r olher than ,he p.nonal r'prelenlalive ,; based olllnformollo whlth pre arer has any Icnowledge. SIO " !If 0 us s,a II( m/t INO ItEtUItN AOOItU\ .A 'LJ / A DATI" /, Jl/ ~.,.1/ /r2P"? .;~~~"e p,e ,l';?ItI,/,>e-,Ij ~ r~ i?7".!J-Ott'JC 'Hilt lHAOUUNTAlIVf ADOItUS is , II' 7"'?&Jd7 DATI Ch('(~ hefe if you Ole fcquc"ling 0 refund of your overpaymont. . . (211 (21AI (21BI tJ cj .t'J CJ - // t2. t2t2 . .~ Act '48 of 1994 provld.. for Ih. r.ductlon of Ih. lax ral.. Impo..d on Ih. n.1 valu. of Irand.r. 10 or for Ih. u.. of th. .pou... Th. ral.. a. pr..crlb.d by Ih. .Ialul. will b.l · 3% (.03) will b. appllcabl. for ..'0'.. of d.c.d.nl. dying on or aft.r 7/1/94 and b.for. 1/1/96 · 2% (.02) will b. appllcobl. for ..'0'.. of d.c.d.nll dying on or aft.r 1/1/96 and b.far. 1/1/97 · 1% (.01) will b. appllcabl. for ..'0'.. of d.c.d.nll dying on or aft.r 1/1/97 and b.for. 1/1/98 · Spou.al Irand.r. occurring on or aft.r 1/1/98 will b. ex.mpl from Inh.rllanc. lax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (.....)IN THE APPROPRIATE BLOCKS. 1. Did decedent make a transfer and: a. retain the USB or Incomo of the properly transferred, ....................................................... b. retain the right to designate who shall use the property transferred or Its Income, ............... c. retain a reversionary inlerelt; or ..............,.................................................................... d. receive the promise fa, life of either payment., bonefits or care9 ....................................... 2. If death occurred on or bofore Oocomber 12, 1982, did decedent within two years preceding death tran.fer proporty without receiving adequato con.lderatlon9 If death occurred after Decembor 12, 1982, did docedent transfer properly within one year of death without receiving adequClte consideration' ............. II to.".................... 1O....oo................. II ,.......... IO, to........ ,....... 3, Old docedent own an 'In I,ust for' bonk account at his or her death9...................................... YES NO IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. .1\lnOlUt,UTI '* SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY , Ploo.o P,lnt 0' T~ 0 FILE NUM8ER OL/- ?S.d 'I'if COMMONWfALTH 0' PfNNSYlYANIA INHIIITANCI TAX lININ IIIIDINT DlelDINT 5. n(/I7iI11~ IAII prop.rty lolnll~ d with Ih. Right .f Survlvonhlp mUlt b. dl.c1o..d on Sch.dul. 'I ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH I) (! It €. l t.., /1 '7 /l (1 ~ II {;<-II..;f- J ,:)35" a79 8' r; 7 '^ 0 . ?,;z.., "D~~)1I1 :D~tJs;f P cf 73o~ JfEa;.... flar'N~bV'lI,t:b /7/11 ~ K/JtA .5fp~jU5 d:;,r/dffll1tf/1.:1 {III/. (f{~t!/ JIb; 89.3. 1ft ~H/I !A.JlfAdm/,u paj/l1?ti,1-! ~ fYL/-v,,n t7n //) VlSr/>1f6ct- J) fY1, 5(1, f he e k-s - ACt ,d gf"l.!C'ly{;o;; )~(l 'Blue (iross Ji 37./-ftP /'1ul, t/A-rr!.- eA tel< ':! /pl rJ If ~b-' 3~ ?a ,73/ v f.. j), ,'Lld .1$// 3~ /);/ I/.Jpvt {'ftc.i.s ma.h. ~ 'fIL t !J-ft<..,le a (' e t9 UJll ...I/- J ~3 ~ 8.637 J::C<.A.J~),f-: ])~~sil p, b, Be> ~ Ll33~ if ~7' Rr. I 7/11 ESIer./f /Tt't!/?~url cpt-/lut 9'-/;J.-9.s- Il1'S(1e./Itt,U&v.5 ~r.StYt1M Ph'~/. l/!;tJtJ.cJtJ '( iL) e/oCjf,~ I c'O.i!vI11l' d'-pu~ ' LIl'. TOTAL AI.o enlo, on line 5, Roco lIulDIIDn 5 (Anach addlllanal 8\ol," )( II" .h.... If more 'POClIt n..d.d,l .1....UOtlhll...aa '* COMMONWIAUH 0' PlNNSYLVANIA INHUltANCI fAX InUIN lellOINT OfCrOrNT ISTATI~ t ' .LNrl /1<' SCHEDULE F JOINTLY-OWNED PROPERTY s. J?<.II~ m&:.;') PILE NUMBER ,)-/ ~ fS - ~ 0/'8' Jlln""n"n'(IJ. NAME A, t!i7/~,'J/;l)tv r( !c1far B. tYlre., .Pi /.:f,z.-llzer c. Pa.dA~ 'If. c;e"X'Jf. Jolnllv..wnld properly. ADDRESS 1111 ;t.~7.tU't' e... 0, ~. r) 1 17a'/Ir..."cStJ-<-(j /if 170S Kt>Jl AJ.7 .:f6>.rO ~U~ ~ /?..:J.,l..l... RELATIONSHIP TO DECEDINT .Dr:tA--g V.e.-U. l>a-~.eA/ tRap A:!'C7j<- tUt~;1hY, ~ d..f,~,C! relY) I (}I. ~(, 013. 2J '7'J.-....I, ITEM LmER DATE FOR TOTAL VALUE DECD'S DOLLAR VAlOr OP NUMB!I JOINT MADE DESCRIPTION OF PROPERTY OF ASSET 'l(, INT. DECEDENT'S INTEREST TENANT JOINT 1, A g-~-'lI .:5& wtt-I"l'\I~! 00., ...uhll~,t-I- ..3 .so~ t./o . I~ c;:.uh "de. 1:1 ..r;>(). :: 9?()o . e/l':',,,brr~t'fJ ~ /YL 'l17a-fi~ -..1M "10 C. Ie. kcl. ;: o. AJ", 0:' 9 f) 6~"tu71M aM ~. /70,;)7 !-- 1 ~ ~. B g.:/ 7'/ lSf~uxJ.ltW/z.~ v2/}p~.:)I7I~.~ 1.l?~O. JI.3 I;l... .zt: lIPo/- ~......1l)." &.I'1u,.. ~Z 610. ~~~ a~ cu.;,ry:J :3 c.. $-.;l-p/ ~/e.w(l.''l,.~~~:''''I?~,~.J 1<<.:10. ~3 :;02 (,/0. ' .).. Ii '7'1 () 5? ./v",d<.:u.. 'I( Y""'/(O Sa-"L<. a.4 a.-Q~ ~' TOTAL (Alto In'or on IInl 6, Roc"pllut"lIon) $ /930. 3" (II more spac. is n..d.d Inl." addiliona/.h..ts 0' .om. sill) . IIYUIII..I''') . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWUlfH Of 'fNNSnVANIA INHUlIfANCf lAIC f!l:TUIlN .UIDfN' DfCfOfNJ ITEM NUMBER A. B, 2, 3. 4. C, 1. 2. 3. 4. 5. 6. 7. 8. s, ;:;. ul.z,,,.,., a." Plea.e P,lnl 0' T e 02.1 - 95""- Go ~y DESCRIPTION I. Fune,al Expln..., , ~ pnfi~51 t>ruJ !J arVl (( 5) r~ t., It ht 5 I e,/I/I /Jm~ t A.s,{d: 1 1't1t'l-1r egplfJ/IH?""" , f I' J) DittY-I, "l.I'#I;t'n./~5 (i9"tll -).0) #-),"",rd'?l.5,St.r' ~> II!t""rlit / "'.' '"v",../\.-r) II) t'J,IWI.,rlj /ldvrJrlv (A1trl.f fJ> .f1It'wl.h Admlnl,',allve Co.'" rel...t14 ""'ON fPr.t;.J..M~ Pt' 13" y. II!>/ 11M 6rl7itdd~ ;:'d' 1:11+ _ I'7~?~ 1. PorsDnol Rop,o.onlollvo Commission. Social Slcu,lIy Numbo, of Porsonol Rop,o.onlollvo: Voo, Commission. paid NA AItD,noy Feo. ).a e fA- 1.51 Jr. tulvlu ,,,, ul1C4 1 Family ExompllDn ClalmDn' Address of CIDlmon' 01 docodont'. doolh -.I)Ur PItY,{'t(l"",tJ/l'J tJ/I;u ,p,...~ $IV't. ..I1'~1 . .,1""", /../I/t;I'~ /1"'1' /"If'. '71111 ,/. RolDIlDn.hlp 51'00' Add,oss City 51010 Zip CDdo P'Dbalo Foo. l?(}f/.5/~. .,!' 1U,t!.5 - tJ041 (J5IAIs.-, . () /I,vt/.ll {.pry ;f;hhj MllCellaneou. EXPln.e.. /' 1 -'- / 1111 In L~.v J~J.t.rn4- - aPMry/s; ;.jm.:re- Ail In f//d,,/p/ IJU.v..5' tu1w,rh.5t' '.sI.a../~ TOTAL (AI.o onlo, on Uno 9, RocDpltulDIlDn) (If mo'e .poce I. nleded, In.ert addlllonol .hoot. of .aml ".e,) .. ....,~ ..'~-~'"-''''''''''''._.__.~..-.---,.~--.-".,~~- AMOUNT )/ ~ .:< /l.s: ~ t:J JI?P. PO 1/5/l -I. t'I1 I; y. ='.:c .J f).A.. , If:) It) # '75". f)0 /,d. Pf) 1f).tJd "111 t' ,t:'IJ l.Ag, ~/j s 'J;J.j/'E, 9~ ''''''''''1'''' .- COMMOHWIAlfH Of PlNHI"W.NIA INHUIIANCI ... InUlH "llOIH' 01(101"' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS ESTATI ~ eLl V"rol '^l;/ {/ S. H-c)I7, /YltU1 PI.a.. PrInt or T . FILE NUMBER ~I - 95'" - (,'/8' ITEM NUMBER DESCRIPTION I, Vijtt f!.,r~dd 6u--d 'DtW/',J? ])0/1/).5/1 ;.1) . B()~ Jf~!J).... ;fMr/fJI1/1/ Pa ';7/11 fill d IN/ ff I;. p,/f 6-- ('.ill. 1'111, . t1 \ ~ //~/ i{. ~VIAI1I/ZI1,J;,. .s;t)j/~ t.5laJlb rl-//I?/;V,-~~tI J/c-rl R. Prvl:J:./YIt:2-Yl, J, , /)f) I ';'/IS/'1t>- ae.v/ -..JI:. /o~u~3'?J1 TOTAL (Alia In'.. on line 10, RlcapllulotlDn) $ III mo,. 'pac. i, ""Jed, in..rl oc/cJitional .h..ts of lome sin.} AMOUNT i/8a'l. .),$ U\IJ1JlatIUn * COMMONWIAllH O. pfNNlnvANIA INH.'"AMCI 'AIC .nU'N '''IDlN' Dle.OIN' SCHEDULE J BENEFICIARIES ESTATE OP f)o(()'+A ~ 3, PN -/F../lItal1. PILE NUMBER aLl ~ 95 - ~/.I8' ITEM NUMBER RELATIONSHIP AMOUNT OR SHARE OP ESTATE NAME AND ADDRESS OP BENEFICIARY 1. A, Taxable Blque'I'1 tV(td<..,~ rf. t/e'lUl!i. ,>)31 tJ.etnf<"t&b/u?!~ TU1.n/~ ,.6'~;-:r1 V, t:)t,OI.:J y( a;u.., ~ /3Jr-u.-AJ ,,€.t> .:l ,8 OX dt> PO F.u'h,n /?U /7-"..\..1. , .j)("-U.Jllhv c:>s :?. .l)oA./~ <<'s:?, .(, a. . ./ ~ V~I"/~ 9j. C1J .. /h'/ /t.Ja-I"VlO~ ,.LJ~ '779<--"-"" /'.L.."e,.) .0 0' <L- /70J-.,:,- -;;!./M./ .;205- % 'f. 4u ~!..<.II a. ~~tU..~ n< -:J!J. I/n," 5f' ...,~ IhroslZ- )fit'p(. (J~ /1;/101 Pa.. /?plI ~ 0:>':'-% ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OP ESTATE B. Charllable and Governmental Bequeslll 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Alia enlor on linl 13. RlCopllulallan) S (If mar. .pac. I. ne.ded, In.ert additional .he." of .am. Ilze) .';' ......;-~. "";-""".'-"'''''~_'.'''-''.'A''''\''''~''h'_''~~'.''''''' ..._.<'~__.__~_,.,..