HomeMy WebLinkAbout97-00675
PETITION l<'()R IJROUATE and GRANT ()Io' U~nl~RS
. Es/a/e ol...~,-,-th>,.S~(:l.olmu_n~. . No. .2j~L:L-'_J.5._-_--_~
a/so knl)wfI as ______..'...-- .w____n ... '('0:
_____._________..._____'___.'.____._ Register of Wills for Ihe
________..___ ,_~ 0","'0,1'('11. emull y of ._!:~I!!!lll1 r ~!!.I!!L__ In Ihe
Social Security No. _...llI1-=,l&:-.!tu~b.-,-.----..- Comnltluwealth of Pennsylvania
The petition of the undersigned rcsp"ctfnlly represents lIull:
Your petItIDner(s), who is/aax: IK years of IIge or older IIn the exl'Cul.!:L"--_...._____ named
In the lasl will of the above decedent, dilled ____~J~!!l!'-,7.lJ____..______....______. 19...Jl..L
and eodiell(s) dated -AP.r.iLlQ.........l2.9.1__,___________________'_
---~,-----------_..,._~--"-_._..-~-
--_.~.,_.._"-_.-
(state relevanl clrclIlnUanCes, e,K. remHlciRllon, dealh or eKCcUlor, etc,)
Deeendent was domiciled at death in Cllmbo! land ____' County. Pennsylvania, with
II er _last family or principal residence at...1.92 CJll:atnut Street. Mt. Holly Spri"is.
rA 17065 ,~__..,,____-
(lisl meet, number and muncipalllY)
Deeendent, then ___f!f!.__. ~.'ars of age, died Julv 27 .19 97 ,
at-1il!!lOr CJ!I.!l.. Health..,ll!lIJlL;es. South Middleton Township, CumhArlnnd County, PA
Except as follows, decedent <lid not marry, WIIS not dlvDrced and did not hllve a child b\lfll or adopted
after execution of the will ofl'rrcc\ for probate; was not the victim of a killing and was never adjudicated
Incompetent: .___- -----. .
Decelldeflt al death owncd pr.:>peny with estimated values as foIlDWS:
(If dDmlcilec\ In l'~.) All personal property
(If nDt domiolled jOl 1"11.) Personal property In Pennsylvania
(If nDI domiciled In Pa.) Personal property In County
Value Qf real estate in Pennsylvania
situated as follows:
$ 790.000.00
L
$
$
---.-
WHEREFORE. pelitloner(s) respectfully request(s) the probate of the last will and codlcil(s)
presellted herewith and the grant of letters testamentary
(tCSll\menlarYi administration c,La.; adminlsuation d.b,n,c,l.a,)
theroa.
t
!.!!-j
~.
i~
A',! /1 .;
" J'. /
, . 7 r: (' (' ~I t,/..--I L ,/.J JJ ( (
.J).2dB-S. Gl eim
202 Chestnut Street
Mt. Holly Sprinw., PA
1706';
;/'
(//' .
(<I,:' c .~-~ (.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH O.f.PENNS\'LV ANIA } ss
COUNTY \11<'. CUMlI~I.AN}l --
The petltloner(s) Ilbove..nan,ccl swr,,',r(s) Of IIfflrm(s) Ihat the statements In the foregoing petition are
true and cerrec! to the best of Ihc knowledge and belief of petltloner(s) and that as personal represen-
tatlve(s) of the IIbove decedent prtltlo'ler(s) will well ~lId truly administer the estate according to law.
I .' (//..
L; ..,,,' / ,-'";) I ~- __ .~; .-' .f < '" _~'.l ,
Sworn to Ilf afflr~d linG subscribed
befD me thi. ___ to' ___ day Df
. 9:L.L.
'1 I I 2-",
l!{"-I q -,_ ..ipl" a Register
~// II_'
{-
\!l
..'
- g
~
---
t~ -I
..
j... 'I " ~
W I I, I.
I, DOROTIIY S. c:loEnl, of 202 Chostnllt St.I'oot, MOllnt lIolly Spdllgs, Cllmhol'/nnd
County, Ponnsylvnnla, declu1'l,thls to ,'" m)' lust will nnd I'ovako nny Ivlll
proviously uwdo hy mo,
I'I'HM ONIi: I dll'el't that all my ,lehts IIl1d 1'111101'111 exponses, Inl'ludlng my
grnvemal'kl.r shllll ho paid from my l'osldllai'y ostato as soon as practicnhlo
uftcl'my dOl'onse ns n part of tlH' I'xponso of the IIdmlnlstl'ation of my estllto,
lTl!M'I'IVO: I give, dl'vlsc' ulld I>('qll,'alh all Ihl' l'ost, I'o,idul' iI1lll l'I'mllilllkl' of
.,
1m)' astate to my daughtl'l', [IOIUS SALO~II:, (;LI.IM, Shollld my daughter prOdOl'11aSe
me, I diroct thnt my ostnll' ,><, dlstl'lhlllod oqllally hotl"'en tho fallowing
I four (Ill organiz,utiolls:
I
I
i
,
I
I
I
I
I
A, Cumhol'land Coullty tlllil AUI<'l'Il'an Call1'OI' Socioty, 117 North lIallovel' Stroot,
Carli.sle, Pennsylvania.
Il, American lIeart Assocllltloll, South Celltl'al Pellns)'lvania Chapter, .,805
Paxton St.reet, lIanishl1rg, Pennsylvania,
C, Alzheimer's l1isease aad Related l1isorders Association, Ine" Pennsylvania
Chapter (if no Pennsylvania Chapt.er is organized at. t.he time of my death,
paymant should ho made t.o the Chapt.er loeat.ed at. 360 North Miehlgun Avenue,
Chicago, Illinois 606(1),
i
I
II ITEM TIIREE: 1 appoint my daught.er, DORIS SALOMI! GLEHI, Exeeutrix of this my
'1'1 last wi I], Should she fai J to qual i fy ar ceasn to act as I'xecutrlx, r
appoint CUMUI'RLANIJ COUNTY NATIONAL BANK, Mount 1101 I}' Springs Brandl, to aet.
;II as IJxeeut.or with the same right.s, powers and duti.es,
~II ITfiM FOUR: All estate, inheri.tance, suceesslon and ot.her t.axes, imposed or
"'~ll paYllble by reason of my death, and int.erest and penalties thereon, w.it.h
~-:'.jl respect to all property eOll\prisl.ng my gross est.ate for tax purposes, whet.her
\11 or not. such property passes under this wi 1.\, shal I be paid out. of t.he principa
'~~ of my residuary estat.e, without apportionment 01' right of reimbursement..
Ji ITEM FIVE: I direct t.hat. my personal representative or guardian shall not he
J;1~ required to givt' bond for the faithful performance of their duties in any
'~i jurisdiet.lon.
'~I
0011
Ii
II
II
II
"
!i
!(
ii
II
'I
II
11, Arthritis Foundation, 21st. and Chestnut. St.reets, Camp lilli, Pennsylvania
17011.
ITIiM SIX: In addition to the rights aad pmvors given t.o the fidllelaries by
law 01' elsewhore in t.his will, r give to my lixecutor during the full time
necessary and for t.he administrat i.on of my estate the follmdng rights and
powers to be cxcrcisc{1 ill Ilis sole discrctioll.
A, '1'0 ret.ain any real OJ' personal pJ'operty which may at any t.imo form a part
of my estat.e so ] ong as he 01' sht' deems It. advl sabl e,
B. To invost 11\ an)' 1'('al 01' 11l'I'sonal i"'Opl'l.ty without restriction t.o !eglll
investmonts.
C, To repair, a1t,'r, improve 01' lease for any period of time flny roal or
personal property and to give opt.ions for loases,
PAGB ONB 01' THREE PAGBS
.
.
" .
0, '1'0 sell
security to
options for
lit public 01' prlVUll' slIlo, rOl' cllsh 01' l'rodlt, wHh Of'
(' xchllnge 01' to pu l'tI t Ion 1'0111 0 I' pel'SOIl/11 p I'OPO t'ty IInd
10ases, '
\~Ithout
to give
I
!
I
1
Ii n,
II F.
I
I
i
II
II
II
II
Ii
'I
II
II
II
II
Ij
I
I
1
I
To mllko distribution In Unci,
I
, ~h. \ I
IN WITNESS WIIHIWOP, I havo herounto, set my hund this ~ 'I . day of ::;/;1\.<'" 1984. I
I
[
S IGNliIJj) It ti!/hc'jcY(dj('_&1__-~1
Tho preceding Instrument, consisting of this ond two other typewritten pages
ouch Ident.lfied by the signature of the Testatrix was on the day and date
thereof signed, published and dec1arod by the Testatrix theroin named as and
for her last will, in tbe presence of us, who at her requcst, in her presence
and in the presenc,e of each et.her have subscribed our names,
'1'0 o,ol1lprol1li se c 11I1I1IS ,
C)6~$~
. /~, ( :)
~~7~<21l(,~ ~17J2A.~~
COMMONWEALTH or PENNSYLVANIA
SS
COUNTY OF CllMlIER1.AND
I
I
II
II
I
,
I
I
Ii
II
I[
I
i
II
II Sworn and
II
II to before
II day of JUne: 1984,
I! .~~.. / Il~?<
Ii . 'lJ,Jrl''.&';;l. ' ,~
II - ~:rtotary Pu 11 i' -
II \cl\I((!~: ;\'lfJn." I'I';'I\';!'; f'1J';tfL
"l,.
I
I
'\ ) 'j,
We I{c, ~ t.v.)':' K G.- {(tC) { and (IJ ')51/ c/u M, ~ DS n (J witnesses
whDse names are signed to the attached or foregoing instrument being duly
qualified according to law, de depose and say that we were present and saw
the Testatrix sign and execute the inst.rument as her last w.l1l: that she
sIgned willingl)' and executed it as her free and voluntary act for the
purposes therein expressed; that eaeh of liS in the hearing and sight of tho
Testatrix signed the will as witnesses; and that to the best of our knowledgo,
the Testatrix was at the tlll1(' 18 01' mere years of a~e, of sound mind and
under no constraint 01' undue influence,
(;J6'0~ '( (
~ /. I?
. '-1'v:l.1<"'[O )1(7, I--O~
subscribed
?7fA
me this ~,
07" I!i<\ '!?f>
hU;:f;~:- 1'1/_ ?_\ ';l}(t1
PAdP. TWO or ..1'11RBE P AGllS
~,"""."."."
-:. ...... '-'. ,-...- .-.'
.;' -. .
" .. . ';'
.
\
\
\\\\'<I\"'/, \ \
. C,\\\ , 0 \\\\' \
SS \\,'!o\~\\'" '\ \,-\'/,\\\ I'.\\l\\' \
\ l- \,-CO \\\\1'. . 1\'\' ~
.,,,,.. '. '0 ,''''.",,' :"",\1 ',.",'" . \
\ \'\\~ ' \0 1'., I\C"-"O II'. 'II C\,\ C \,
\'~\\ 0\ ,,\ '/,\\CO \ n~O\''i \0\\00,,, I'.\\c" \
1A~\"l- ' 'J.,\\ \ '!o' \0 \" \ \'- " "o"'c, .-/'
C.ol,'vP , ,.,,,.,,,,,'" ",,,,,,,. \- ,." ell' ."" .' ~.--,
,W ' ~\\O"'c ,,\,o '11\\' ~o" ~t1'.' ~ \
\~~'\ ," ~\\,,\, . .o"o\\\"~ \I\\'-\ ~ ,,~\, . IJl )V ........~
<0' . ,,,. I ,0' .. "" b P"'-- \
\,C\\\ct~\\'\ ~I\\\~~~~\\"'C'\\ I~~:O '<10\\\\\\ IeYI,4~~ )t11~ \"'~~. 'I,
\, 0\\\'1 \\0 \\" ~~co ~~~ \ C, ~.\.\" th (\~
\,00" It\)O I'. '\'" ",'I ' ~\\ .' 11. 1 ril\'i \
\)l,Oc,", ~ I\" \\\I:l.C\ <I'
\ \\\'I."c' ,"c \,\\\ '" \
~o"o
ri \,0
'11\00'/.0
~,e."-\\o
\\\'\0-
o I'.()
'~\""'o
",,0 \\ \
,S'IloC'!:" ,
\, or 0 .,' \"
\\ ",;. ,;' "II'"'' '''.:'';,1.
\\., ,I' \'\i\\' I"" ..\,,>., '
-\\ ;,'
.
~,
l
I l:;'(.'O
~~ v~ '
~ ,,\\~
..; "{\\v..~'(.(\. ,"
'..,. ..",,~,J,I\.
~
CODICIL
I, DOROTHY S. GLEIM, of 202 CheBtnut street, Mt. Holly SpringB,
Cumberland County, Pennsylvania, having made my last will and
testament dated June 27, 1984, do hereby make, publish and declare
this to be a Codicil to my said laBt will and teBtament.
ITEM ONE: I amend my will to delete Item Three thereof and to
sllbBtitute therefor the following:
ITEM THREEI I appoint my daughter, DORIS SALOME GLEIM,
Executrix of this my last will. Should she fail to qualify
or cease to act as Executrix, I appoint BROUJOS, GILROY'
HOUSTON, P.C., to act as Executor with the same rightB,
powerB and duties.
ITEM TWO: I hereby ratify and confirm my said last will and
testament in all other respects excepting insofar as any part
thereof is revoked or modified by this Codicil.
IN WITNESS WHEREOF, I have hereunto set my hand thiB 10 f.l day
of April, 1992.
SIGNED n ~/~-v:J, A'~ /Y/~
ifciROTHy S. GLEIM
The preceding Codicil, consisting of two typewritten pages, was on
the day and date thereof signed, published and declared by the
Testatrix as a Codicil to her last will and testament, and we, in
the presence of each other, have subscribed our names as witnesses
hereto.
-/)k;A
SIGNED/:~/o/ U--
SIGNED)1.J./lt.1 /~X.l1yfA./,) ~
COMMONWEALTH OF PENNSYLVANIA
.
.
: SS
COUNTY OF CUMBERLAND :
We ct...v 1'(101-(('-' (. ({r)r.u~ and jjorx' L AyuJ..
witneBBeB whose nameB are Bigned to the attached or foregoing
instrument being duly qualified according to law, do depoBe and
PAGE ONE OF TWO PAGES
/5'-1'11-,
c
..
COMMONWIALTH OF PINNSYLVANIA
DIPARTMINT OF RIVINUE
NOTICI OF DETERMINATION AND
AIIEIIMINT OF PINNIYLVANIA
IITATE TAX IAIED ON FIDERAL
EITATI TAX RITURN
In.mum 'fl.'"
IUREAU 0' INDIVIDUAL TAXES
INHERITANCE IlK DIVISION
at;PT, ZI"II
H.-...IURQ, P. 11121-0'01
DATI 02-16-98
ISTATI OF GLEIM DOROTHV S
DATE OF DUTH 07-27-97
FILE NUMIIR 21 97-0675
COUNTY CUMBERLAND
CHRISTOPHER C HOUSTON ACN 201
52 W PDMFRET ST I AOlOunt R.elt't.d J
CARLISLE PA 17013 --
MAKE CHECK PAYAILE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HOTEl To inlure proper credit io your .ooount, tub.it the upper portion of thll for. with your t.x p.y..nt.
CUT ALONG THII LINE ~. RETAIN LOWER PORTION FOR YOUR FILES 41
Riiv:4iii.ix..AFp..COj:.;7i'.....ii.Niificii.op..DiTi.RHiiiAfioli.AiiD.AS.iisiiHiNii............................
OF PENNSYLVANIA ESTATE TAX lASED ON FEDERAL ESTATE TAX RETURN ..
ESTATE OF GLEIM
DOROTHV S FILE NO.21 97-0675
ESTATE TAX DETERMINATION
ACN 201
DATI 02.16-9B
1. Cr.dit For St.t. D.ath T.x.. .. V.rifi.d
24.690.00
2. P.nn.ylv.ni. Inh.rit.nc. T.x A......d
(Excluding Di.count .nd/or Int.r..t)
3B.992.44
3. Inh.rit.nc. T.x A......d by Oth.r St.t..
or T.rritori.. of the Unit.d St.t..
(Excluding Di.count .nd/or Int.r..t)
.00
4. Tot.l Inh.rit.nc. T.x A......d
38.992.44
5. P.nn.ylv.ni. E.t.te T.x Du.
TAX CREDITS I
PAVMENT
DATE
01 SCOUNT (+)
INTEREST/PEN PAID (.)
RECE I PT
NUMBER
AMOUNT PAID
TOTAL TAX CREDIT .00
IALANCE OF TAX DUE .oa
INTEREST AND PEN. .00
TOTAL DUE .00
01' PAID AfTER THIS DATE, SEE REVERSE SIDE (If TDTAL DUE IS LESS THAN 11, NO pAV"ENT IS REQUIRED
fOR CALCULATlllN Of ADDITIONAL INTEREST. If TOTAL DUE IS REflECTED AS A "CREDIT" CCR). YOU "AV IE
DUE A REfUND. SEE REVERSE SIDE Of THIS fOR" fOR INSTRUCTIONS. I
,DO
_ClI'
HOTlC! j
To fulfill the rtqUlretHtn" of 'Ictlon Zl~S (b) of the l~rltlnC. and !It.t. TIM Aat, Aat -21 .f ."1.
(12 P.I, I..llon '1411.
PAMNT I
OIlM" the top portion o' 'hil Notice Ind tubtllt with your ply..n. to the R..llta, of Nll11 print" on the
rlv.r.. ,.de.
.. """. .hook or ..... o.do. P...... \.. IEDIITEI OF MILLI, AOENT.
REf'UND ((tUI .. r.fund of . tlM credit ..v tt. r.....ted by a.,laUng !In ",,,llaltlon for A'fund 0' P...,!wlvenla
InhlrltllnCll Md htl" hk" (REv-Utll, Appl1cIUont Ir. I"'U"., It the Officii of tt.. A......,. of MUll,
IflY of the 2J R.venue Dh'rlot Offic.. or frol the D,p.rhtent', Zit-hoUr ""Mlrlng ..rvlcl nuMllrt 'or 'or..or.rlntl
In Penn,whl.,...a 1-'OO-SU-ZOSO, outtln Pennlylv."t, " ..!thin local Hlrrltbur. .r.. (711) 7'7-'OM,
TOO. (117) 712-2252 (....rlng l"llrlld Only).
ODJECTlOMII Anw partY' In lnt.r..t not ..Utflad with the ......Mnt of tlM II shown on tnh notlc. "Y object within
I1MtV (60) d8YI,O' rec.t,t of thl. Hotlc. bYI
....ritt~ ,rot..t to the PA Dep.rt.ent of Rlvenue, lo.rd 0' "p..lI, Dept, 211021, HllrrhbUY'l, P. 17121-1021, 0..
-MIlaoUnII to MY' the ..tt.r c:tet.r.tnad .t audit of the persOMI r.r...ntaUv., OR
--.....1 to the Orphan.. Court,
IllIlIH"
111RAlIVl!
CORRECTIONSI Factu.1 .rror. dl.cov.red on thl. ........nt .hould be ~r...8d tn ..rltln. tOI P. Dep.rt..nt of R.venue,
lur.au of Indlvldull TaMI', .TTHI po.t ........nt A.yl... unit, Dept. 2'0601, H.rrl'bur., PA 1112'-0601,
Phone (117) '.'~6S01. S.. page 1 of thl bookl.t "In.tructlon. for Inheritance T'M R.turn for. A..ldant
DeCldent" (AEV-lSOll for en .Nplen.tlon of ldalnl.tr.tly.ly corr.ctabl. .rrot.,
PfNAHY,
The IS~ ~.. .-nI.tv nonMpertlclp.tlon p.n.ltv 1. c~tld on the tot. I of thl t'M and Int.r..t ......Id, and,not
p.ld blfor. J.lU.rv 1', 1"6, thl first dlY Ifte,. thl .net of the t.M .....ty p.rlod, Thl. non"p.rUclPIUon
PlMUy 1. .....1..1. In thl> ... IlN'IMr IIftd in thl ttMI .IM U.. Plr lod II vou would .....1 thl t.M Met I"tera.t
thet hit been ......Id I' lndlo.t.d on thl. notlCI.
tHTnt:IT I
For dati' of de.th on or If tar 10-)-'1, Pann'Ylvanl. E,tlt. T'M b..ad on tha 'adlr.l E.tltl TIM
r~tutn becoae. delinquent It thl Ixplrltlon of nine en'l eonth. frOl thl dat. of de.th.
For det.. of dI.th prior to 10-J-'1, P..,.,lylvlnl. Est.t. taM bu. on thl Fldan' Est.t. TIM r.turn
ble.... delinquent .t the 'NPltltlon of .Iltht"" (1'l IOnth. ft.. the dati of dI.th.
T'M" which .... dellnctUlnt befora Jenul"y 1, 1912 be.r 1ntar..t It thl rat. of .Ix e6:(l p.rcWlt "r IMUIl
OI'lC1ulltu .t . dally rat. of .000164. All tINI. which bM... _11,",,*,' on or .ftlr JtnUllry '1, 1'" ..111 heir
Int.r..t .t I r.tl which ..Ill Ylry froa cllendar y..r to C1.land.r V'lr ..lth th.t r.t. ~unold bv the PA
_artHRt of R.vlnUll. TM .,.,Ucable Inter.lt tit.. for 1912 through I'" aral
Vilr In~.r..t Alt. D.l1y lnt.rl.t Factor V..r Int.,'..t R.t. Dilly Inter..t FHtar
...2 20le .010141 1911 ,~ .1002,.,
I'IS I'~ .000411 1'11-1"1 11:( .000501
1'" m .000501 1"2 ,~ .0002~1
I'" In .000556 199)-1994 1~ ,0001'2
.... lOX .10021~ 1"1-1". ,~ .000241
.-Int.rllt Is a.lculetad .. folloN'1
INTEIElT . IALANCE OF TAX UNPAID X NUNIEI DF DAYS DELINQUENT X DAILY INTEIElT FACTOI
--Any Mottal ...UICI IU.r thl tiN baclae. delinquent ..111 r.naot In Jnter..t cllcul.Uon to flft"" (11) dlV'
HYond the dlta of tM ......unt, If PIVllent It lid. .ftar the Int.n.t COIlpUtlUon det. .hOwn on the
Notlt., additional Int.r..t ~.t be calcul.tad.
//(./(17-/
IUR!AU OF INDIVIDUAL TAX!S
INHERIIIHC( IRX DIVISION
DlPT, II060t
HAMIIJl.ItG, PA l11n.0'01
COMMONWEALTH 0' PENNSYLVANIA
DEPARTMENT 0' REVENUE
.>
L......
*'
NOTICI OF INHERITANCE TAX
A~~RAISIHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
tn-I'OUt" ,".m
CHRISTOPHER C HOUSTON
52 W POMFRET. ST
CARL ISLE.
DATI!
ISTAn OF
DA n OF DBA TH
FILE NUMIER
COUNTY
ACN
DOROTHY
02-16-98
GLEIM
07-27-97
21 97-0675
CUMBERLAND
101
E--;ioount R..!!Jt.d 1
MAKE CHECK PAYAILE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .... RITAIN LOWER PORTION FOR YOUR RECORDS ....
iii"V':ii4-j-iif" Airi"-! oii:,ri-iliir-i ci-op.YNHiifif AileE.' Ail" APjiiiA-iiiii"iil'r;.AilowANci -cfli---- .--- _n -. - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
DOROTHY S FILE NO. 21 97-0675 ACN 101
PA 17013
ESTATE OF GLEIM
DATr.
02-16-98
UX r.ETURN liAS. (X) ACCE~TEO AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON, ORIGINAL RETURN
1. R..l Elt.t. (Sch.dul. A)
2. Stockl end londl (Sahedul. I)
.. Clol.l~ Held Stock/~.rtn.r.hlp Int.r.lt (Sch.dul. CI
4. Horlll_"/Nat.. R....I....l. (Sohedul. 0)
I. C.lh/lonk Gapolltl/Hlla. P.rlon.1 Prop.rt~ (Sch.dul. EI
6. Jolntl~ OWned ~rop.rt~ (Schedul. F)
7. Tronlf.rl (Sch.dul. GI
e. Tot.l AII.to
e I CHANGED
.00
543i639.04
.00
.00
.00
149.940.83
.00
(II
111
(2)
ISI
141
(II
161
(71
NOTEt To in.ur. proper
arecf! t to lJIour M100unt I
lubelt the upp.r part Ion
Of thll faro with ~our
taM pay..nt.
693,579.87
APPROVED DEDUCTIONS AND EXEMPTIONS I
,. Funar.l E.panl.I/Ado. Co.t.IHllc. E.panl.1 (Sch.dul. H) e'l
10. _to/Hert.... LI...IUU.I/Llanl ISohedul. II 1101 39.50
11. Tot.l Oaductlonl 1111
12. Hat V.lue of T.. R.turn (121
IS. Ch.rlt...l./Do..rnaantol I.qualtl' Non-.l.ct.d 'II' Trultl (Sch.dul. JI 11'1
14. Hat V.lue of E.t.t. Subj.ct to T.. (141
NOTEI If.n ........nt w.. i..u.d pr.viou.ly, 11n.. 14, 15 .nd/or 16, 17 .nd II will
reflect figur.. th.t includ. the total cf ~ r.turn. .......d to d.t..
ASSESSMENT OF TAX,
11. AMount of Lln. 14 .t Spou..l r.t.
16. AMount of Line 14 t.....l. .t Lln..l/Cl.11 A rat.
17. AlOOUnt of Line 14 ta....l. .t Cou.t.,'.l/Cl... I r.t.
Ie. Prlnclp.l T.. Due
TAX CREDns,
~AY"ENT
DATE
10-24-97
9,462.54
Q.~n" n4
684,077 .83
.00
684,077 .83
(11)
1161_
(17)
.00 X .00.
684,077.83 X .06.
.00 X .15.
1111
.00
41.044.67
.00
41.044.67
RECEI~T
HUNau
AA2423 4
OISCDUHT (+ I
INTEREST/PEN PAID e-)
2.052.23
AtIOUNT ~AID
52.250.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
54.302.23
13.257.56CR
.00
13.257.56CR
· IF ~AID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
e IF TOTAL DUE IS LESS THAH .1. NO ~AYHENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YDU HAY IE DUI
A REFUND. SII REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
S
RESERYATIONI E.t,t.. of decedent. dvlne on or blfor. neo.-blr 11, 1.11 R_ if ~v future tnt.r..' In the ..tete I. tr~.f.rr.d
&n po.....lon or enJoy.."t to U... . (ool1etflr.1) btMflallrl.. o. thl dlcect.nt Ifter tN Ixplr.Uon of 'SlnV IIbt. .or
U.. or far vllr., ttlt c..on....Uh n.r.by I'"pr..,h r"lrY" thtl right to ."rlhe and ,'MII trtn,f,r Inh.rUanel ll.1I
.t ttle 1Mi1.u1 CI... . (coUat.nt)' rlt. on tny .uoh futurl lnt.r..t.
_OF
NOllCEI lo fuUl11 tM r..,lreHnt. a. SeaUon 21ftO of the I~rlttnOI and Ett.t. lax AClt, Aat 21 of 1995, (12 P,S,
SIOtlon 'lltO).
PAVHEHll Debeh the top portion b' thll NoUn Imd .ub_1t ..Uh your paYllant to the RI,I,t,r of NUl' prlntH on the rlvlr,e ,Id...
~*""I ohlck or aan.v order plYlb1. tal REGISTER OF MILLS, AGENT
REF"*D (CR)1 .. ",und 0' I t.1C oredlt, Nhlch .... not r,qu'lt.. on thl TtlC R.,urn, .tY bf, r.qu..t.d bv cQIlPI.Ung .... ..",lic.Uen
'or RI'und of P.nnlv1v.nla InhtlrJtanol ..,d E.t.t. y.x" (REY-UlJ). appUc.tlon. arl t"llIebl. It the Offlc.
of thl RIII.t.r of Will., artY a. the 2S R.vlnut ol.trlct Offlol.,or by o.Ulng thl tptCllt1 I"d~ur
tn....rln. ..rvlo. ~r. for for.' orderln'l In PIOn,y1v..,lt 1~100*S61-IOSO, out,lde ptnn.ylvlnla and
..I thin 10011 Harrl'bur, arlt (111l 717-1094, TOOl (717) 112-21S2 (H..rlnl 1.,.lrld Only).
OaJEClIDNSI Any plrty In int.rl,t not ..U.flld with the apprtll...nt, .llowlnc. or dh.Uo"'IM' a. deduCtion., or ......HRt
of t,M (Including discount or Inter"t) II ,hONn on thlt Notlcl .u,t objlct ..Uhln ,lIetv (60) ay. of reclipt of
thlt NoUel by I
~-Nrlttln prot..t to the PA D.ptrt.ent of R~venut, lo.rd of Appe.I', D.pt. 211021, Hlrrl.burg, PA 1111'~10Zl. O~
..~.llMItlon to hl"l the .att.r deterllMld .t IUdlt of thl ICCQUf'lt of the penon.l raprtl..,t.Uv., 0..
--W..l to thl Orphtn.' Court.
~DMIN
111R~1I""
CORRECTIONS I
Ftctu.l errort dl.covared on thlt ........nt shoUld be tddr....d In ..rIUn' tal PA Dtpart-.nt of RIVlM'fLII,
lur.au of Indlvldul1 TelC", ATTNl po.t A.'~s...nt R.vlew Unit, Dlpt. 210601, H.rrl'bur" PA 17121~a601
Phone (711) 717-6S0S. S.. p." So, thl booklet "In,tructlons for Inherlt.nc. TeM R.tu"n 'or' R..ldent
DeOldlnt.. (REY.UOU for In IlCpllnatlon of "lnlttrttlvlly corr.cttble .rrort.
If In'; tax dufI I' p.ld ",lthln thrH (J) cll,nd.r eonth. .ft.r thl Hcldtnt" d..th, I flv. pere..,t (S:,o dllcCM,"t of
t~ hM plld II .UON.d.
Tht llX t.~ aane,ty non-p.rticlp.tlon p.ntlty Is coaputed on the tot.l of thl talC end Intlr..t ........, end not
p.ld blforl Janullrv II, 1996, the Urlt d.y aftar ttll .nd of thl t'M tlnllty period. lhlt non~p.,.tlolp.tlon
ptnaltv 1. ,ppl.llbl1 In the ....lInner .nd In thl the .... U.. periOd II you would lIPPI_I thl t.1C .nd Int"..t
,htt ha. beln ......ed II Indlc.t.d on thh noUc..
Int"..t it chtrpd blllnnlng wU~ Urst d'lI of cttllnquency, or nlntl (,) .onth. and one 01 d.y frCMI thl d.t. o'
...th, to the d.t. of p.~,. TIlM" which becalM dtllnqutnt be,ort January I, 1'12 bl.r lnt.r..t It thl rite of
.s. (,:0 p.rclnt pe,. tnnUII ctlculat.d It . d.tlY rtt. of ,00a16~, All t,M.. ..hlch ble... dIIl1~t on tnd tfter
Jtnutr!l 1, 1912 will blar In'I"..t.t a ra'l Nhlch will vary frOll calender !III' to ellendar yllr ",lth thtt ".t.
WlnOUnCld by th.PA O.ptrt..nt of Rlv~. Thl ."lIctblt Inte,...t rtt.. for 1912 through 19'1 '''"
DIICOlItll
PENAL lV1
IN1ERlll1
'!!!t In,.",t R.t. D.lly Inter..t FtCtqr !!!! l!!.t"tlt Rlt. p.lh tnt.r.,t FtCtor
1912 20X .00Ditt' 1911 tX .D002"1
1915 16:< .000"51 1'11-1991 11:< .00OSOl
1.14 llX . DODJOl 1..2 .X .000247
l'U 11:< .0005S6 1991-19M 7X .000192
19" lOX .00021" l"S~l'9I 'X ,0002'"
-Rln'tr.lt h cllcu11ttd .. followll
INTEREST. BALANCE OF TAX UNPAID X NUNIER DF DAYS DELINQUENT X DAILY INTEREST FACTDR
uAnv MoUoe t..UId Ifter t'" tllC bKOH' delinquent ",Ill ",UICt,8n In,,,..t cl1cul.tlon to flfhen OS) diY'
blvond the dati o. tMi ......IMt. If P.Y..lt 11 Hd8 .fter the lntar..t COIIPutlUon d..1 DhoNn on thl
Hottol, IMtdlUanl1 Inter..t tu,t be 0.lcu1.tld.
/5-/9 '1)
BUREAU DF INDIVIDUAL TAMES
INHERItaNCE TAlC 1III#1510N
DEPT. 21061)1
HARRlS'U~O, PA 17tza-0601
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*',.
.I
.
~ U
c
"~.IUII. '" 111."1
CHRISTOPHER C HOUSTON
.52 W 1'0MFRE'( ST
OARLISLE PA 11013
DATE 03-02-98
ESTATE OF GLEIM DOROTHV S
DAT! OF DEATH 07-27"91
FILE NUMBER 21 97-0675
COUNTY CUMBERLAND
ACN 101
t~_~~unt R'.5
MAKE CHECK PAVABLE AND REMIT PAVMENT TOl
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARl.ISLE. PA 17013
NOTE I To insure proper C1redU to your Iccount, lublllit the upp.r portion of this for," with ~our tal< pay...nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ...
iiiv: i/iiii - i'X - AF' - i iii: q'1Y - - - - - - iiiii;-i i'-HER i Y AileE -'r 'A"{ -STAT EHENfiiF -'AccouNf - - .-.ii - - - - - -" - - - - - - - - - - - - --
ESTATE OF GLEIM DOROTHV S FILE NO. 21 97-0675 ACN 101 DATI 03-02-9B
THIS STATENENT IS PRDVIDED TD ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANEO ESTATE. SHDWN BELDW
IS A SUHHARV OF THE PRINCIPAL lAM DUE. APPLICATION DF ALL PAVNENTS. THE CURRENT BALANCE. AND. IF APPLICABLE.
A PRDJECTED INTEREST FIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT r 02 - 09-98
PRINCIPAL TAX DUE, 41.044.67
PAVMENTS (TAX CREDITS),
PAVMENT
DATE
10-24-91
02-13-98
RECEIPT
NUMBER
M242384
REFUND
01 SCOUNT (+)
INTEREST/PEN PAID (-)
2.052.23
.00
52,250.00
13.257,56-
AMOUNT PAID
r:~)
'';;':
.,.,;
--
TOTAL TAX CREDIT
BALANCE OF TAX DUE
41.044.61
,00
.00
,00
. ~ ~J
r:)(j
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER THIS DATE. SEE REVERSE
SIDE FDR CALCULATION OF ADDITIDNAL INTEREST,
\ IF TDTAL DUE IS LESS THAN fl.
NO PAVNENT IS REqUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" tCRI.
YOU NAV BE DUE A REFUND, SEE REVERSE SIDE OF THIS FDRN FDR INS1RUCTIONS. )
PAVHEN1'
O....h th. toP portion of thl. No\lo. .nd IU..I\ ..Ith ,..r p.v..nt ..d. p....I. t. tho n..' .nd .ddr..'
prlnt1d on t~. rlv,r.' ,tde.
If RESIOEHl OECEOENl .... .h... or ..n., .,d.r ..,.'1. '01 REGISTER Df WILl.S. AOENT,
If HOH'R..IOEHl OECEOEHl .... ,h..' or ..n.V .rd.r ..,.'1' t., CD~HDNWEAL TH Of PENNSVLVANIA,
REf UNO (CR)' . r.f.nd of . t., .r.dlt, .hl.h .... not r.....t.d .n th. 1" R.t.,n, .., .. r.ou....d ., ,...I..ln. .n
"AP.ll,..I.n for R.fund .f ..nn.,ly.nl. Inh.,I..n.. .nd E.t.t. ,.," (REV'I'\'" '..ll,.'I.n. .r. .y.ll..I' ..
tho Offl'. .f .h. R..I..or .f ..Ill., .nv .f th. " R".nu. "..rI.' Of II..' ., fr.' th. o...r...n'" ,"'ho.r
.n...,ln. .."I.' nu.'or. f.r f.'" .,d"ln.' In r.nn"ly.nl. 1_.OO"OH65', .u\lld. p.nn"".nl.
.nd .I\hln ,...1 tI."I..u,. .r.. 111" 761-...4. IDD' <1111 712-m2 (tI..rln. 1...lr.d .nl,'.
~EPLV 101
Qu.,.l.n. r...,dln. .,r.r. .on..ln.d .n ,hl. n..I.. .h.uld .. .ddr....d ... P' O...,...n' .f R.y.nu., lur..u
.f Indlyldu.1 '",... AT1H. ro.' ........n. ..yl." Unl\, D..'. 26'0", tI."I..uro. P' 1112&,.0'\. .hon.
(117) 7"-6!ilOS.
DISCOUNT I
If .n, ... du' I. p.ld .I.hln \hr'. m ",I.ndor .onth. .ft.r ,h. d...d.n", d,,'h, . fly. ..".n' "X) dl...un.
of the taM pald 11 allowed.
I]E~AL1V'l
lh. "X ... ..n..tv n.n-p,,\loI..\I.n p.n.'tv I. ...put.d.n .h. .0t.1 .f .h. to' and In..r..' .......d. .nd n.'
p.ld ...... J.nu." U. lC'O. tho "'" d.' .,..r ,h. .nd .f .h. t., ..n"tv ..rI.d,
INTEREstl
Into'... ,. .,,"ro.d ...Innln. .I\h lI"t doY .f d.lIn,u.n.'. 0' nln. (C) ..nth' .nd .n. (\l d., fl'.. th. d.t. .f
d..th, t. th. d... .f ..,..nt. ,.,., .hl.h ...... d.l1nou.nt ..f." J.nu." I, \.12...r Int.,..t .t th. r.'. .f
.1. (OX) ..r.."t .., .nnu. ..l,ul.t.d .. . d.lI' ,... ., .00"0'. .11 ..,.. .hl,h h"... d.lIn,u.nt .n .nd .1\"
J.nu." I. 1.12.111 bOO' Int.,... .. , ,.to .hl.h ,Ill ,." 'r.. .,l.nd.' ,... t. ..'ond.r ...r .I\h th.t r.t.
.nnoun..d ., th. r. D...r...nt .f R.,.nu" lh. ..pll"OI. Int.,... ,.t.. f.' 1..2 'O,.u.h \"" .r.,
v.ar tnter..t Rata Dally tnt.r..t factor
'lIar
Inhr..t Rat.
Oally tnt.r..t Factor
1982 20X ,QOO!i46 1961 9% ,000247
1911 16X .000418 1988-1991 11% ,000101
1914 11Y. ,000501 1992 9% ,000247
1915 Ui: . DOOlS6 1995-1994 7% .000192
1986 loi: ,000274 199!Hc;l9' oX ,000241
~-lnt.r..t 't calCulated .. followSI
INT~R~ST . 8Al.ANC~ DF TAX UNPAID X NUH8~R OF DAYS D~LINQU~NT X DAILY INT~R~ST FACTOR
--'n, Ho.I'. l..u.d .ft.r .h. t., '.'0..' d.llnou.nt .11' r.,I.,t .n lnt.r..' ,..,ul..,on '0 fl,t..n lIS) d.,.
...ond th. d.t. of .h. ........n', If .....nt I. ..d. ."., .h. Intor..t ,...u\o\l.n d.'. .h...n on .h.
Notice, addltlonel Int.rett Mutt be calculet.d,
08-31-1998
GLEIM
07-27-1997
21 97-0675
CUMBERLAND
202
r~t il..IUed ~
MAKE CMECK PAYABI.E AND REMIT PAYMENT
15:19'7 .(
BUREAU OF INDIVIDUAL TAMES
1.....I1....,E 1AK UIVISIIlN
OOP1. !1,601
HARRISIURO, f.1A H128MO.Ol
COMMONWIALTH OF PENNSYLVANIA
DIPARTMINT DF REVENUE
NOTICI OF DETERMINATIDN AND
ASSIS8MINT OF PENNSYLVANIA
ESTATE TAX BASID DN FIDERAL
CLOSING LETTER
DATI
ISTATE OF
DATE OF DEATH
FILE NUHaER
COUNTY
ACN
c
'*
TOl
S
IIOTEI To InlUr. p..-r oredlt to your 1OO0ount,. .ubIolt the _r pod Ion of thlo fora with your t.. p._t.
CUT ALONG THIS LXNI ~ RETAIN LOWIR PORTION FOR YOUR FILlS ...
itl'\;:736"iX--AiijiYiij'::'9'7r----ii.-NOfici.-iir-liiTl'liiiiiiAi'iori-Aiili-Ai'liiisMiNi"------.-.-------------- ----.
OF PINNSYLVANIA ESTATE TAX BASID ON FEDIRAL CLOSING LITTER NN
CHRISTOPHER C HOUSTON
52 W POMFRET ST
CARLISLE PA 17013
~!..,u U ." III.Ul
DOROTHV
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ISTATE OF GLEIM
DOROTHV S FILE NO.21 97-0675
ESTATE TAX DETERMINATION
1. Cr.dit For st.t. n..th T.x.. .. V.rifi.d
ACN 202
DATI 08-31-1998
24,690.00
2. P.nn.ylvani. Inh.rit.nc. Tax A......d
<Excluding Di.count .nd/or Int.r..t)
38,992.44
3. Inh.rit.nc. T.x A......d by Oth.r state.
or T.rritoria. of the United Steta.
<Excluding Di.cDun-l: .nd/or Inter..t)
4. Total Inh.ri t.nc. T.x A......d
5 . P.nn.y I vania E.t.t. T.x Due
6. Amount of Pann.ylv.nia E.tat. T.x Pr.viou.ly A......d
....d on F.d.ral E.t.t. T.x R.turn
7. Additional p.nn.ylv.ni. E.t.t. T.x Du.
TAX CRIDI1'81
PAVMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
38.992.44
AMOUNT PAID
TOTAL TAX CRIDIT .00
BALANCE OF TAX DUE .00
INTIRIST AND PIN. .00
TOTAL DUI .00
.IF PAID AFTER THIS DAT!, SEI RlVEIlSE SIDE UF TOTAL DUE IS LESS THAN n, 110 PAYHENT IS REflIIIRED
fOIl CALr.IILATIIIN OF ADDITIlIlIAL INTEIlEST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (cal, YOU HAY IE
DUE A REFUND. SEe REVERSE SIDE OF THIS FO"" FOR INSTRUCTIONS.)
.00
.00
.00
u!
F-
e;;
CO
<-(
t:L
!''-'-'~
T
tb
'....0
(~,
CC
\3\
,
,.,
,-5
" 5-'-
,1. :3
I.)(J
,
"
_Of
MOTlCEt
10 fl.llfUI the requlr..nt. of Section 2145 (b) of thII Inherlt.,ce .net bt.t. ,...( Act, Aet 21 of 1996. (12 P.S.
hoUon 9145).
PAY1Q1.
Det.... ttM top pordon of thll MoUe. .nd 1UbIl1t ..ith !fCtUr PIWMlflt to the Aegllter of NUh printed on the
rev.r.. .lde.
._ .... cMok or IIOMY or.r p.yml. to. REGISTER OF MILLS, 'alNT.
OIJECTlOHSI Any pIIrb 1n inter.lt not ..thfled ..ith the .1II...Rnt of taM .. theM, on thh notlc. ..y objltOt wlthln
.het" (60) dayI of rae.lpt of thll Notlc. by.
--..rltten prote.t to the PA Dep'f'taant af A.VIInUfl, Board of Appeals, Dept. 28U21, Karrl..r" PA 17lZ.~ltZl, H
--.I"tll'lll to MVI the ..tt.r cMtar.lncd at Mldit of the per.onel repr..ent.tiv., OR
__...... to the orphWl" Court
A r.fund of . taM eredit .ay be r.que.t~ by cOllPl.UI'llI ., "Applic.tion for A.fund of P.......yl......I.
InMrlt.nc. and ut,t. laM" (REII-Un), Appllc.tlon. ar. .....l1lbl. .t tt. Offio. of the A..bt.r of NUll,
....y of the n A.....nue Dhtrlct Of fie.. Gr frOll the Dep.rt..~t.. 24.hOUr ."....dng ..rvle. nuabln for for.' or.ri....l
In Pannlyl...."I. 1.100-562-2050, outaide Pann.ylv...l. and within 100.1 H.rrJlbur. .r.. (711) ,.,.1094,
lUOI (717) 172-2252 CHeering l.,.lrad Only).
_IClll'
,ADMIN-
IS'fIlATIIIE
CCMltECTIOHSI
F.otu.l .rrOrl d..co....rad on thll .....uent shoUld be addr....d In wrlt1nt tOl PA o.pertMnt ofR4.......,
auraeu of Indl...lau.~ 11M'" AllN. po.t A...,...nt A....lew unit, Dept. 280601, Harrisburg, PA 11128.0611,
PhonI (111) 111.6505. s.. P"" S of thl boOkl.t "In.tructlon. for Inheritanc' leM A.turn for . A..I~t
a.o.dent" UIEII-lSOl) for an e)Cpl..tlon of adIllnlltnU....ly corraetabl. .rror..
PENAL TVt
1he IS;: taM ....ty non~perUclp.tlon psnalty 11 cOllPUted "" tiw total of the taM end Int.r..t .....Nd, and not
paid bafor' January la, 1996, thl flr.t day aft.r the .nd of the taM ~.ty periOd. lhl. non-partlolp.tlon
plMlt)! it ~.labl. In thl ... .annal' and In thM the .... U.. period " you would appaIIl ttMt taM and Intarl.t
tNt ham bHn ao...ud .. Indlaated on thll notlc..
Addltl~l pann.~lvanla E.tet. '.x ......ad e. a r..ult of . c~ on the Faderal Eatat. 1.)C elo.lng
lilltt.r bee'" delinquent .t thn .xplration of one (1) aooth frOll the data the final noUe. of thl lnor....
In Fader.l E.t.te laM I. r~.I...ad.
T8)lI' MhlctllMuM dellnqu.nt befora Janu.rY 1, 1982 balr Int.r..t et the rata of ,he (6X) peroant plr ....
caloul.ted .t a dally tat. of .000l~. AlltaMa. which bae... delinquent on or .ft.r January 1, 1912 ..Ill ~r
lnt.r..t at a ret. Which ..Ill "ary froa c.lend.r y.er to calendar y.er with that rata .,~ad by t~ PA
Dapartaant of Alvenue. ThI ~lioabl. Intor..t rat.. for 1'82 through '991 .re.
'!!!!: lnt.r..t Ret. Dally Inter..t F.ctel' ~ Intar..t Aat. OeUy lnt.ra.t Factor
1912 20X .000S(lI 1911 'X .000241
19.5 16lC .1001tJII 1918-1991 11;( .000301
I'" IU .IOOS01 1992 'X .OO02(r;1
I.es UX .000556 1993-1991l 7X .0ODlU
19I~ .0:< .100l1'' 1995-1991 .X ,ODOZlt1
~-lnt.ra.t I. calculatad I' follC*.t
IHTIlIlEIT . BALANCE OF TAX UNPAID X "UIIIIER OF DAYS DELINQUENT X DAILY IHTElEST FAllTDR
.-Anv tlGtie. I..u.d aft.r ... tax bIo.... delinquent will r.flact an Int.r..t oal.:ul.Uon to flUIIn US) d8y.
beYond the dIlte of thl ..........t. If payeant 11 ... .fl.t the Int.r..t COllPUtat\or. dat. shOWn on the
MatlOl, lL1ddlUonal Int.r..t lIIJat be calcul.tad.
lM'r_111
. ~,~":,,J~~
cDMMON~~YLVANIA
DEPARTMENT OF REVENUE
DEnT,26060\
1 I
OECI!DENrS NAME \LAST, FIRST. AND MIDDlE INITIAll1IM' blri. block rJ MIl." *Old.
G LEI M D 0 ROT H Y
~
~I~
I
u
15-19''/-1
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
~
w
o
w
o
w
o
s
SOCiAl SECURITY NUMh~R
DAn Of OEAHt
7/1
7/2
9 9
7
6
o
6. I,
6
3
1
8
7 . 1
(IF APPlICAIIl.E) SURVW1NO SPOUSE'S NAA4E (lASl". FIRS!, ANC\ MIDDlC INITlAl)
SO(;!AlSECURI1YNI/M6ER
FlENUII8I!R
2
7
o
6
O~
7
5
Ciil1, Or~loal Relum [I 2 Supplemental Retum [I 3 Remainder Retum I'" 01"'''''.''. '1'''''1
o 4, L1mllad E'tate [J 4a Futura lolarest ComprolOl..ld..o'....""", \1,11"'1 [I 5. Fed".1 Estate Tax Retllln Required
[E 6, Decedent DIed Testate (...nacll c~y of Will) 0 7, Decedent MaintaIned 8 Living Tm3! {Anach copy of Trull} 1. 8. Total Number of Sale Oe009" Boxes
[I 9, lll~al~n Proceed, Received [J 10. Spousal Poverty Credlll""'''''''''''''''' 11.JI'" """""1 0 11. E~ion to ta, under See. 9113(AII""'S<'OI
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAM€ COOPlETE MAiliNG ,lOD;!ESS
Christopher C. Houston 52 West Pomfret Street
""'""'" 11l"'~"'1 Carlisle, PA 17013
TELEPHONE NUMBER
717 241-5970
1, Real E'tate (Schedule AI
2 Stocks and Boods (Schedule B)
(1)
(2)
5 4 3
3, Clos.~ Held Corporal~n'partno"hip or So~.Proprteto"hlp (3)
z
o
5
E
~
&!
4, Mortgages & Notes Re<elvabl. (Schedul. D)
5, Ca'h, Bank D.poslts & Moeellaneous Pel>Ooal Property
(Schedu~ E)
6 Joint~ OWned Property (Schedule F)
7, 10ter,Vlvos Treosl." & Ml,cellaoeolls Non.Probate Property
(Schedu~ G or L)
6, Total 0'0" A..ttt (totallloe, 1,7)
(4)
(5)
(6)
(7)
149
9 Funeral E,peoses & Admlnlslra,ve Cos~ (Schedule H)
(9)
9
10, Debts 01 De<e<I.nt. Mortgage liabilitieS, & lleos (Schedule I) (10)
11, Total D.ducllonl (total lines 9 & 10)
~
~g
~
12, N.l Vllu. of Eltat. (line 6 minus lloel1)
13, Charttable and Govammeotal Bequests/See 9', 13 Trus~ lor which an ele~lon 10 ta, has not been
mad. (Schedule J)
14, Net Vllu. SubJ.cH. Ta. (line 12 mlnu. Line 13)
15, Amouol 01 lIoe14 taxable
allh..pousal ta, rate , I X ,0
See instru~loos on reverse side lor applicable perceotage
16, Amouololllne14 taxabla
nt6%rale 6 8 4 ,0 7 7 .8 3 X06
1/, Amount 01 lloe 14 ta'ab~
al 15% rate X ,15
16, Tax Due
19,
o
9
.
DATE or OiRHt
o
81 l
J
71 I 9
o
8
THIS RETURN MUST BE FILED IN DUPLlr.A1E WITH THE
REGISTER OF WILLS
6 3 9 0 4
9 4 0.8 3
(8)
4 6 2 .5
3 9 .5
(11)
(12)
(13)
--
(14)
(15)
(15)
(17)
(16)
, 6 9 3 , 5 7 9'" 8 7
4
0
9 I 5 0 2 . 0 4
, 6 8 4 , o 7 7 . 8 3
6 8 4 o 7 7 .8 3
4
,044.67
4
o 4 4 6 7
_ .._ .~. ~__. _._..LR~..Iak.A....A Mli..' ill. I"... rlV'''''. anr1l'1VJlnUllfl rwl:vtllioo nloreMtlrolMr
Decedent'. CompletB Addre..:
\ STRF.E1 ADDRESS 202 (:hCHtTI\lt Str~ct
F Mt. Holly Spr tnga
--
EpA
liP
17065
TIX Plyment. Ind Credit.:
1, Tax Doe (Page 1 Line 18)
2, Credits/Payments
A, Spollsal povMy Credit
B, Prior Paymenls
C, Discount
(1)
41,044.67
-----;T, 250. 00
2.052. 23
Total Credits ( A + B + C ) (2)
54,302.23
3, IntBrBslIPBnally If appllcablB
D, InlBfest
E, PBnalty
5,
TotallntBrBsVPBnalty (D + E) (3)
If line 21s grBaler Ihan line 1 + IInB 3, Bnler the difference, lhls Is IhB OVERPAVMENT,
Check box on Plgll L1nlle to requIslI IIlund (4)
If line 1 + line 31s greatBr Ihen line 2, enlBr Ihe difference, This Is IhB TAX DUE. (5)
A, EntBr IhB InlerBst Dn the lax due, (5A)
B, EntBr lhe lotal of Line 5 + M, This Is Ihe BALANCE DUE. (5B)
Make Check p~~blel to: REG/ST~R OF W1LLJ~GENT
PL.EASE ANSWER THE POL.L.OWING QUESTIONS
BV PLACING AN "X" IN THE APPROPRIATE BL.OCKS
1. Old decedenl make a Irlnlf~r and: Vea
a, relaln Ihe uee or Income of Ihe property tranBferred; .............................................................0
b, relaln Ihe rlghllD dellgnale who Ihlll U81 the property trenlferred pr It I Income; ................ 0
c, retain a reverllDnary Interolt: Dr..........................................................,......,..................,........ 0
d, receive the proml81 for life Df either paymente, benefltl or care? .................."........,............ 0
2, If death occurred Dn Dr befDre December 12, 1982, did decedenl within twD yearl
preceding death transfer property wllhout receiving adequate conllderatlon? If death Deeurred
after December 12, 1982, did decedent transfer property within Dne veer of death without
receiving adequate conBlderatlDn? ""...."......"........"......""...........,",....".."....",..,"",....",.."....,0
3, Old dBcedenl own an "In truBt fOf" or payable upon dBath bank account Dr security
at hlB or her dealh? ........ "........".............. "........,...... "..........,,,......,, "..........".., ""........"...."...... 0
4. Old decedenl own an Individual retirement account, annully, or othBr non-probete property?".. 0
13,257.56
4,
ND
~
[il
l!l
@
72 P.S, S9116 (a) (1,1) (I) provided fDr the reduction of the tax rate ImposBd on the net value of transfers to or fDr thB UBe Dflhe
lurvlvlng lpouse frDm 6% 10 3% for datBI Df death Dn or after July 1, 1994 Bnd befDre JanuBry 1, 1995.
72 P,S, S9116 (a) (1.1)(11) provided for the rBductlon of the rate Impaled on the net value of tranlferl tD or for the U81 Df Ihe lurvlvlng
Ipoule from 3% 10 0% for datel Df death Dn Dr after January 1 I 1995, The Itatute dDeB nDt exemol a tranlfer ID a lurvlvlng Ipouee
from tlX, end Ihe ItetutDry requlrementB fDr dllclDlure of BlSetl and flllng a tax return are BIIII applicable even If Ihe lurvlvlng lpoule
II the Dnly beneflclary,
POR DATES OF DEATH ON OR AFTER JANUARV 1. 1985. Please anBwer thB follDwlng queBtlDn by placing an 'x. In Ihe
appropriate space.
Old Iha decadanl craala a trual or almltar arrangement which la aolely for Ihe ,uNlvlng ,pouaa'a benaflt for hi, or her antlre
IIf.tlma? Va. 0 No K2l
If you anlwered yeB to the abDve queltion, the tax Dn the trust or slmllaf arrangement Is poslpDned until the death Df the lecond
IpDUle, al which time It will be fully taxable at the ratB(S) Bppllcable to the remainder benBflciary(les). Enter the value Df the truII on
Schedule J, Part It, In order to remove It from the calculatlDn Df the tox due In this estate, VDU may WIBh tD flle Schedule 0 In order 10
make the electlDn available under Section 9113, If the electlDn Is made, the trust or similar arrangemBnt Is taxed In Ihe ellate Dfthe
flrst decedent spouse, the portlDn of the tfusl or slmllaf arrangament which beneflts Ihe surviving SpouBe Is taxBd at the zero lax rate,
and the remainder Is taxed at lhe rate!s) appllcablB to the rBmalnder bBnBficlary(les), If YDU choose tD make the electlDn, you mUll
attach Schedule 0 to a timely-flied tax return, alDng with Schedule(s) K and/or M In order to ShDW ths appDrtlDnment Df the trult Dr
Ilmll~r arrengement between the surviving SpOUSB and the rBmalnder beneficlary(les),
IF THE ANSWER TO ANV OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPL.ETE SCHEDUL.E G AND FILE IT AS PART OF THE RETURN
'IV'.1l01 u+ 1',161~.'rlt. :J
~~
I:;OMMONWfAl; or PENN,nVAH1A
INHI'" ANCI TAX mU'N
mlDINl DICIDIN! .
ISTAlI 0'
DOROTHY S. GLEIM
SCHEDULE B
STOCKS AND !SONDS
.... ........-::= -.-..="
I
.ILI NUMei.
2197-675
-- . - ~
(All prop.rty lolntly.own.d with Righi.' Su,uluo..hlp mu.t b. dIIClo..d on Sch.dulo ',I
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
Of DEATH
543,639.04
---
Miscellaneous Series E and EE Savings Bonds, as per attached
1.
TOTAL (AI.o .nt., on IIn. 2, R.copltulotlon)
(limo,. .poc. ;, no.d.d, ;nl.rI oddll/ono; ,h.." 0/ ,omo .Ize,)
S 543.639.04
UV-iSOtI_.I1Ult
r
.
CO/o\MONWIAIIH 0' 'INN,VIVANIA
INHIRITANCI T.~ AIIUAN
.UIDINT DICIDINT
"TATI 0' ---
DOROTHY S. GLEIM
SCHEDULE F 1
JOINTLY.OWNEDPROPERTY . .
___~_=-~~=___~-~-'-l'LENUMm~I~7.6;:---
Join' 'onon'I.I,
'-----
A.
.--~_"..._r~___.~..,.~,~_____._____.~___~..>.._~_~ _~__ __ ....,__,~_____.o______.__
ADDRUS
-----~--
202 Chestnut Street
Mt. Holly Springs, PA 17065
RliATioNSHIP"TCloiCEDINY-
Daughter
NAME
1J0r1s S. Gleim
I.
C.
Joln"y-ownod proportYl
ITlM LmIR DATE DECO'S DOLLAR VALUe 0'
'OR TOTAL VALUE
NUMI!I JOINT MADe DISCRIPTlON OF PROPERTY OF ASSET 0/0 INT. DECEDENT'S INTEREST
TENANT JOINT
"
1. A 2/4/90 Financial Trust CD#6410069682 28.667.40 50% 14,333.70
2. A 1/6/88 Harris Savings Bank CD
1/17-16116668 29.120.23 50% 14.560.12
3. A 7/27/92 !lnrris Savings Bank CD
1/17-56-229004 20.075.23 50% 10,037.62
4. A 1/9/87 York Federal CD#100-0142759 20,056.43 50% 10,028.22
5. A 7/5/90 Mellon Bnnk CD#180-075573-C 26,073.58 50% 13,036.79
6. A 5/26/91 PNC 8ank CD#21001052280 21,363.19 50% 10,681. 60
7. A 11/5/92 PNC Bank CD#21001052315 24.281. 07 50% 12,140.54
8. A 5/8/94 PNC Bank CD#21001052371 12,129.14 50% 6,064.57
""
9. A 5/1/63 PNC Bank Checking Acct. 1/
5140184721 21,351. 20 50% 10,675.60
.
10. A 7/7/93 Core States Bank CD#
5719731995953090 16.051.09 50% 8,025.55
(Rolled over from CD#
5719731991973599 on 7/7/97_
oWned by same joint tenants)
PLEASE SEE ATTACHED
TOTAL (AlIa enlor on line 6. Recapitulation) 5149,940.83
- -
(If more .pac. Ii ne.d.d ins.rt add,tional ,h..,. 0' some sin)
\
r
.'TATa or
Dorothy S. Gleim
SCHEDULE r
JOINTLY-OWNED PROPERTY
rxu IItlNIIQ
2197-675
JO.l.Dtly-oWlled propou:ty:
--
LlT'1'III
XTIIK 1'01\ DAft
IIIIIIIIU. o7OIII'l' MADI DI.CIlIPTION 01' Pl\OPIRTY T<lTAL VALUI 0100/. DOLLU. VALUI or
TIIIWIT JOINT or ASIIT % III'l'. DIOIDIMT/ IMTaRI.T
11. -x-- 1/11194 CareState. CON-'
573~093533609753 30,071.63 50% 15,035.82
12. A 1/11/94 CareState. CoN
5736093613609761 33,079.03 50% 16,539.52
13. A 8/5/88 Caras tate. Savinqs
Acc6unt N8338148403 17/562.35 50% 8,781.18
.,1'-
_oj
-~.-:~~~jit~~.:i\;~~"",i;1f~"r.oH',i.""~"'ii:,'!":.
- - - f - ,. ~ -, '- - -- - - ---
j SCHEDULE H
,f~ FUNERAL EXPENSES,
COMMONWfAl1H 0' PeNNSYlVANIA ADMINISTRATIVE COSTS AND
INHIMIl.NCI lAM mURN MISCELLANEOUS EXPENSES PI.a.. Prlnl or Tvp.
'UI,!lINLOEC!OINI _~ '
ISfATI O. DO~~THY _~'_,.~!:.~aI'_'____.___.~_h.__.___._ _. -__~]:~L~ NUM~~~,2 ~97~6!_~_____~__
IIV.U\lI~. (/.8'1
ITEM
NUMIER
-,--...-- ~._~------_.
DESCRIPTION
AMOUNT
A. fun.ral Exp..n.."
1.
1.
I. Admlnl.trallv. Casl.l
-'
2.
3.
4.
C.
I.
2.
3,
4.
5.
6.
7.
8.
Personal Repr..enlatlve Commission.
Social Security Number 01 P.rsonal Repre.entatlve,
Year Comml..lon. paid
Attorney fees - Christopher C. Houston, Esquire
3,500.00*
Family Exemption
CI I Doris S. Gleim
amanl __ .
Relationship
Daughter
.3,500.00
Addre.. of Clalmanl 01 decedenl" dealh
S Add 202 Chestnut Street
Ireet re.. . un
City Mt. Holly Springs ,_Stale PA Zip Code,
17065
Probate Fees
499.50
MI.e.llaneau. Exp.n"'l
Boyer & Ritter - Accounting Fees/Preparation of 706 and
Fiduciary lncome Tax Returns
The Sentinel - Legal Advertising
1,700.00
68.04
Cumberland Law Journal - Legal Advertising
60.00
Register of Wills - First and Final Account
120.00
Register of Wills - lnheritance Tax Return
15.00
TOTAL (AI.o enter on line 9, Recapltulallon)
(If more .pae. I. n..d.d, In..rt additional .h.." of sam. .1,..)
$
9,462.54
JIU:llBt Z7, 1M
OlrL<>tq;ffir C. \b..IstCrl
52 ~Eat R1!1fret street
Qlr1isle,P,\ 17013
BIj~~~~~
OIWraliol\H Cl'ntl!f
635 North 12th Stl'lJet
L<,moynt', 1','nnRylvaoia 1704:1
717/731-1440
Tho inforr.\ntion which :rou rcque:::to~ on the I'.ccount(lI) of rnrot:hv S.
alelm 00cms00 (!;llr.inl Sncurity Humber 187,-16-<:6:'6 ) is no !ollovm.
/'ccount llumher( r.)
Cll'.!:ll of Account
!Into Opence!
Princi?ol EulRncQ
ACCT'Jp.d !ntcrc.ot
Dalnnce nt.
Date of Death
/'ccount
u"'ner~hi,?
!lame of Joint
Owner, if !:Iny
Dnte Ownnrshil'
WIlS tstnblinhcd
hrldltion!:ll Infor-
matlon ne~\\nr,te~
17-16-11f(i'8 17-56-22S'OO'l
QJrtificate Cl:rtifiO'lte
--
1-6-ffi 7-Z7.Jil2
$29,COO.CO $20,cm.CO
1:xJ.23 75.23
;;.9,120.23 2l),07~.23 ,
Jo.int ,1n;nt
[):xis S. Glelm Siml
1-6-88 7-Z7.Jil2
P1a~ have tre Slll:Vl.\Ur ot t:lYlro ,:annts silJl the en::1ceed w-9 fOl:ll1
an:'! retUr.TI to OJ[' aftire in th.'l [XWicm SlVe.1cp;!. 'Jhank. yaJ.
-
Siroll:'ely,
.
, . -1'":':': .-' .' ~
('" /". / / ( " I
_ ~/~____.L(..__!_<;c....--.._~ ,~.-' ....:-
Ci:et:c:ta1 L. Gale
Sr. ~it O::x:\JTEJ1tati01 :'etvi03S ~.
."" ....,.... ".A.
rtr"I"''1lh, r" "'~ft,
Decedent, Repo~ting
Two PNO Plaia 33rd 'loor
Pittebrughr Pa 15222
PNCBANK
September 10, 1997
Christopher C Houston
52 West Pomtret Street
CarliUe, toa 17013
RE: Estate at Dorothy S Gleim
Social Security Number: '187-16-4636
Dste of Death: July 27, 1997
Dear Mr HOuston,
Please find the date of death information 'yOU have reQue.ted listed below.
CERTIFIOATES OF DEPOSITS
121001052280
Established 05-26-91
Dorothy S Gleim
Date of Death Balance
Doris S Glsim
$21,150.00 + $213.19 accrued intereet
Established 11-05-92
121001052315
Dorothy S Gleim
Oat. of Death Balance
Doris S Gleim
$24,000.00 + $281.07 accrued interest
121001052371
Established 05-08-94
Dorothy S Gleim
Dor.is S Gleim
Date of Death Balance
$12,000.00 + $129.14 accrued interest
CHECKING ACCOUNT
.51401847.21
Bstablished
04-01-63
Dorothy S Gleim
Doris S Gleim
Oate of Death balance
$21,347.48 + $3.72 aecru,d interest
Sinc~/OA L~ __ A4!.,_
~ ,.,.a~l~
TOTAL p.e1
>l<..~'~c!lI::lJ.OJ.*>l<
1M!
IIII!; s
II!!
!II
"hd;
Ii
II:;,
il
I
I
\1
=
~
,
:l
i
.. _tl~1
Jill .
JI
ill1
leal
I I I "
.11.
.
OIl
.
1"1
...
8
i
.
10
...
1 11
~I~!
~ ~.
i)1 i i
~1D!1!
U
lot
~
~
lit
, I I I , I
~=~i..;
J~
a;
.
...
..
f!
u
,
i
~
o
.
..
.. i
I !J~H
I h~h
I aii!!
I g~I~~
, .
c0/c0'c! ~69l~e~l~l6 OJ. ~1~6 ~ss Sle sc!o ll~J.3~ ~llHd ~~ 80101 ~6f6 J.~O
'\.
9/<,
0/'5')
Jo/
JO/
S')
JJ/
JS/
5')
JJ/
JO/
5')
J<,/.
6/S')
J<,/
6/$')
1/S0
~O
O/:J
0/$')
/11
'"''
.1SS
./.:?
'J')
O/:J
0/$')
"00
'/8
801
'S6
<00
'.19
1/$
. /6
.1SI
'5<
801
'S6
f,
~""'-~ '
JJ:' ~/~
'I1t: it .t. ......
JJ:' . /to././;./e.f1/1
.... " " 8" OJ:'
'7t: OJ, "'J:'.f 00
. /to././ G./e.f 1194. J:'O(
J:' ;- $1/1 0 P,If
'8/>/ JJ:'>t 'PJ:'.f J:' 00
'G./ 'J119: I( 119.s J:'0t:
e.f1/1 it, p G./e ''',If f};-
J:' :IJ,:l1/1
'8/>J:" JJ:' OJ:' ,.; <1ft:
Je/119/ 1(. J:'". ~ liO./J
1/1 ' P,If GJe.f 0J:'0t:i/
J:. ' 0.(' 1l1, ...... :J
'PJ:'.f JJ:'" <lfJ:' ''ft:.
Je.f 119" 1(. ". lJ lio././
1/1 ' P,If G./e, 0J:'0t: ;-
J:' ' <1/1 f};-
J" I(: oJ:'''; <1ft: $
e.f1/1 . G./ '71:'" . #, .
, ~ e.f . 0 0././
J:'. t:. 1/1 OJ:' OJ:'Ot:;-
'PJ:'.f JJ:'" 110././ <lfl:' f};-
119" 1(. ;- $ ". lJ $,
J:' ' G./ 'PJ:', OJ:'
J " I( OJ:' k e.f1/1 <119: ol:f}
e.fI/1' G./ J:',,' <1ft: it, />;- $
, It e.f . lJ. ;IJ,
J:'. t:. 1/1 OJ:' 01:'0t: IIo./J
'PJ:'.f JJ:"" IIoJJ <lfJ:"" f};- 8;-
Je.f 119" 1(. ;- $ . lJ . G'
1/1 ' P,If GJe 'PJ:'.f 0J:"0 <e.f
J:'. ,:/.1/1 119" t:f};- 1/1
'PJ:".f J~'ot OJ:" ~. <1ft:. #, , P,If 8,
Je.f 119" 1(. .s. lJ oJJ
1/1 ' P,If G./e.f 0J:"0t: .Y
/" .t ' OJ:" ~ <1ft: f};- $.
e.f . G '7J:"" . #,
1/1, ~ Je.f . lJ oJJ
J:'" I( t:. #,1/1 OJ:' 0J:'0t:f};-
Je.f . G oJJ <lfJ:'" 'J' 8.
1/1, ... Je.f .Y $ . 0
''ffo 1/1 _ 'PJ:', o~_
Ii-?()
.J,
,
"08
'80
<0
"'''0
C<,s
06:J
9,]J
C<,S 0;:
06,]
9,]<,
l:J,] 1;:
6<0
.9JO
<;:
Q'sJ
<"J
<'.9<,
J;:
C:Jo
<16
'6?
1;:
l,S
10.1
0.9?
C,]S 0;:
<<'0
061
QJ6 0;:
.1'6
600
6')
QJ6J ~
166
000
,]~
l1S
'0.1
0.9.9
J~
C:Js
,].9')
:JO')
l'6 1~
J<S
J6?
6~
QJ6:J
0<,<,
10')
C Oe
'3s')
<'JJ
6<')
CJs ~
,.
1//
.86
69/
'''8
69/
'''8
J"8. ,.
If oonllnu.lIon IhMI II nol ulld, pl.... d.uoh lhl. IhH1 blllor. Iubmllltn, lhl. torm,
CONllNUATlON SHEET FOR USl1NO BONDS
PRINT IN INK OR TYPE AlllNFORMA TlON
- INSCRIPTION
000
ISSUE DA To REDEMPTION SERIAL NUMBER (PluMl'/l>O Of prinllII....., nctudIng m_ III"," or
_II, _1.1CIlflty_........., """V.and
VALUE Iddrn'" II k\ICftbed on" bOndI.l
22/60 166.14 Q1839220582E Mrs. Ira K. Gleim or Mrs. Dorothy
S. Gleim, Mt. Holly Springs, PA
19/60 335.46 L533282711E Mr. Ira K. Gleim Mrs. Dorothy S.
Gleim, Mt. Holly Springs, PA
19/60 167.73 Q1839220593E Mr. Ira Gleim or Mr.s. Dorothy S.
Gleim, Mt. Holly Springs, PA
16/60 339.34 L538234458E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, PA
16/60 169.67 Q1839220600E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, PA
/13/60 339.34 L543891396E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, PA
/13/60 1/\9.67 Q1849186529E Ira K. Gleim or Mra. Dorothy S.
Gleim, Mt. Holly Springs, PA
/25/60 329.46 L545894360E !Mr. Ira K. Gleim, Mt. Holly
Springs, p.o., or Mra. Dorothy S.
Gleim
/25/60 164.73 Q1853216825E !Mr. Ira K. Gleim, Mt. Holly
Springs, p.o., or Mra. Dorothy S.
~i.eim
/23/60 330.]2 L545894367E ra K. Gleim or Mrs. Dorothy S.
.1oim, Mt. Holly Springs, PA
20/61 330.12 L545894370E ~r. Ira K. Gleim, Mt. Holly
, prings, p.o., or Mrs. Dorothy S.
31eim
20/61 , 165.06 Q1864175740E ~r. Ira K. Gleim, Mt. Holly
~prings, p.o., or Mrs. Dorothy S.
pieim
17/61 333.28 L545894375E ~r. Ira K. Gleim, Mt. Holly
~prings, p.o., or Mrs. Dorothy S.
leim
17/61 166.64 Q1864175752E r. Ira K. Gleim, Mt. Holly
prings, p.o., or Mrs. Dorothy S.
loim
17/61 137.14 L555563798E ra K. Gleim or Mra. Dorothy S.
loim, Mt. Holly Springs, PA
24/61 337.12 L555563807E ra K, Gleim or Mrs. Dorothy S.
leim, Mt. Holly Springs, PA
7/
8/
0/
9/
9/
10
10
11
11
12
1/
1/
2/
2/
3/
4/
14)
Uconllnu.lton .hHl I. no. ulld. pllln d....h thl. ,heel belore .ubmlt1tnglhl. lorm,
CONTlNUAll0N SHEET FOR USllNO BONDS
PRINT IN INK OR lYPE AU.INFORMAll0N
nOIl INSCAIPTlON
SEnlAl NUMBER 11'1oo" typO or print......., Inc:ludIn9 n_....... or
Issue DATE KEIlEHI'TlON _, _1-..111-"-, ~Inf,'ncl
VAWP: _....._...""'_.1
4/24/61 168.56 Q1975494696E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, PA
5/26/61 327.30 L560914449E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
5/26/61 163.65 Q1975494697E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
6/23/61 3211.26 L560914456E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
6/23/61 164. 13 Q1992151555E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
7/21/61 321l.26 L560914463E r. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs Dorothy S.
Gleim
7/21/61 164.13 Q1982151566E r. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
leim
8/13/61 331. 4U L560914466E r. Ira K. Gleim, Mt. Holly
prings, PA, or Mrs. Dorothy S.
leim
8/19/61 165.70 Q1982151579E r. ILa K. Gleim, Mt. Holly
prings, PA, or Mra. Dorothy S.
leim
9/15/61 335.12 L562558954E ra K. Gleim or Mea. Dorothy S.
leim, Mt. Holly Springs, PA
10/12/61 335.10 L562558959E ra K. Glllim or Mea. Dorothy S.
leim, Mt. Holly Springs, PA
10/12/61 167.55 Q1906184424E ra K. Gleim or Mea. Dorothy S.
leim, Mt. Holly Springs, PA
11/10/61 325.34 L565993016E r. Ira K. Gleim, Mt. Holly
prings, PA, or Mro. Dorothy S.
leim
11/10/61 162.67 Q1906194430E r. Ira K. Gleim, Mt. Holly
prings, PA, or Mea. Dorothy S.
leim
I.'
If contlnu.tlon .h... I. nol uMd. pi.... d.t.ch thl. .hlll bIIor. .ubmnlln, Ihl. lorm,
CONTINUATION BHEf.'I' FOR USTlNG BONDS
PRINT IN INK DR TYPE ALL INFORMATION
12
000 INSCRIPTION
SERIAL NUMBER I""""""" '" ""'" N"", Indudlng - N.....,
ISSUE DATE REDENPTlON _, _I 1OCIIrily_",,-,M.....,.'"
'!AWE _.._on"'_.)
/8/61 326.28 L565993020E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mea. Dorothy S.
Gleim
/8/61 11i3.14 Q19061B4441E Mr. Ira K. G1eiln, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
19/62 326.28 L57043254BE Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
19/62 163.14 Q1919612693E Mr. Ira K. Gleim, Mt. Holly
Sprinqa, PA, or Mr.. Dorothy S.
Gleim
16/62 329.44 L570432553E Mr. Ira K. Gleim, Mt. Holly
Springa, PA, or Mrs. Dorothy S.
Gleim
16/62 164.72 Q1919612700E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
15/62 331. 84 L5766B2755E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
13/62 331. 80 L5766B2760E Mr. Ira K. Gleim, Mt. Holly
:springs, PA, or Mrs. Dorothy
. Gleim
/13/62 165.90 Q1924210795E ~r. Ira K. Gleim, Mt. Holly
prings, PA, or Mrs. Dorothy S.
~leim
/11/62 322.14 L5766B2764E ~r. Ira K. Gleim, Mt. Holly
prings, PA, or Mrs. Dorothy S.
leim
/11/62 161.07 Q1924210S05E r. Ira K. Gleim, Mt. Holly
pringa, PA, or Mrs. Dorothy S.
leim
/8/62 322.96 L576697791E r. Ira K. Gleim, Mt. Holly
prings, PA, or Mrs. Dorothy S.
leim
/8/62 161. 48 Q19385689B7E r. Ira K. Gleim, Mt. Holly
prings, PA, or Mrs Dorothy s.
leim
12
1/
1/
2/
2/
3/
4/
4
5
5
6
6
(4)
lIoonlln""lIon .hHl I. nol UllIcI, pl.... cI.l..h lh . ...... before .ubmlltlnv till. lonn,
CONTlNUA110N SHI!ET FOR US11NQ BONDS
PRINT IN INK OR TYPE AU.INFORMA110N
7/
DOll INSCAIPnON
SERIAL NUMBER 1_....",.'" pIlnInImII, Inducllng - no_Of
ISSUE DATE REIlEMPTION _, _ .......,_....-, ~1tPf, Ind
VALUE __.._011"'_,)
20/62 322.~6 L580413474E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
20/62 161.4A Q1948899193E Mr. Ira K. Gleim, Mt. Holly
Springs PA, or Mrs. Dorothy 5.
Gleim
17/62 326.08 L580413482E Mr. Ira K. Gleim, Mt. Holly
Sprj,ngs, PA, or Mrs. Dorothy 5.
Gleim
17/62 163.04 Q1948899208E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy 5.
Gleim
14/62 328.38 LS8461S742E Mr. Ira K. Gleim, Mt. Molly
Springs, PA, or Mrs. Dorothy S.
Gleim
/26/62 321l.40 LS86950933E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
/23/62 318.82 L586950837E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, PA
/11/62 3,201.40 D84401439E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, PA
/19/62 320.14 L586950839E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, PA
19/63 320.14 L5969S0945E "'ra K. Gleim or Mra. Dorothy S.
fUeim, Mt. Holly Springs, PA
11/63 3,232./,0 D94564002E ~r. Ira K. Gleim or Mrs. Dorothy
,. Gleim, Mt. Holly Springs, PA
19/63 161. 62 Q1975277461E ~r. Ira K. Gleim, Mt. Holly
pringa, PA, or Mra. Dorothy S.
~leim
19/63 323.24 L590604210E ~r. Ira K. Gleim, Mt. Holly
prings, PA, or Mrs. Dorothy S.
lileim
29/63 324.76 LS96731237E ~r, Ira K. Gleim, Mt. Holly
prings, PA, or Mra. Dorothy S.
!eim
7/
9/
8/
9/
10
11
12
12
1/
2/
2/
2/
3/
I')
If aanUnu.Uan Ihlll I. nol u..... pl.... d.\lIClh lhl. ohMl boI... .Ubmllttn,lhll form,
CONTINUAT10N 8HBET FOR UIT1NO 80ND8
PRINT IN INK OR TYPE ALL INFORMATION
\lOll INSCRIPTION
ISSUE DATE SERIAL NUMBER I_II ljpI Of .... ...moo, -.0 m_ ...mo. a,
Il.liIlEMI"I'JON _,_1--"_"'-'""'1,100
VAl.lm _....._011..._,)
28/64 317.88 L621602231E Ira K. Gleim, Mt. Holly springs,
PA, or Mr8. Dorothy S. Gleim
28/64 319.40 L621602239E Ira K. Gleim,Mt. Holly Springs
PA, or Mra. Dorothy S. Gleim
24/64 319.38 L62l6022 4 7E Mr. I.a K. Gleim, Mt. Holly
Springs PA, or Mrs. Dorothy S.
Gleim
22/64 310.06 L623444148E Ira K. Gleim, Mt. Holly Springs,
PA, or Mra. Dorothy S. Gleim
5/64 3,121.40 D865635l4E Mr. Ira K. Gleim, Mt. Holly
Springs, PA, or Mrs. Dorothy S.
Gleim
19/64 312. II. L623444153E Mr. Ira K. Gleim, Mt. Holly
Springs PA, or Mrs. Dorothy S.
, Gleim
20/64 312.14 L605142673E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, I?A
31/64 315.IR L605142607E ",r. Ira K. Gleim, Mt. Holly
, Springs PA, or Mra. Dorothy S.
Gleim
10/64 3,166.60 D86B40472E l-tr. Ira K. Gleim, Mt.Holly
springs, PA, or Mra. Dorothy S.
Fleim
25/64 316.66 L61290532BE ~r. Ira K. Gleim or Mra. 'Dorothy
S. Gleim, Mt. Holly springs I?A
/23!64 316.66 L612905334E r. Ira K. Gleim or Mrs. Dorothy
. Gleim, Mt. Holly springs PA
/6/64 3,074.40 DS6B40476E Mr. Ira K. Gleim, Mt. Holly
pring., PA, or Mrs. Dorothy S.
Gleim
/20/64 307.44 L63725602BE ~r. Ira K. Gleim or Mrs. Dorothy
~. Gleim, Mt. Holly Springs, PA
/lB/64 154.7\ Q20B0644308E ~r. Ira K. Gleim or Mrs. Dorothy
. Gleim, Mt. Holly Springs, I?A
/18/64 3,094.20 DB6B4449BE r. Ira K. Gleim or Mrs. Dorothy
. Gleim, Mt. Holly Springs, PA
/29/65 309.42 L637256045E r. Ira K. Gleim or Mrs. Dorothy
. Gleim, Mt. Holly Springs PA
2/
3/
4/
~/
6/
6/
7/
B/
9/
9/
10
11
11
12
12
1
(4)
II conllnu.lIon.- II not uHd, pi.... de\lCh Ihl. .....1 before .ubml\1lntlhllr_.
CONTlNUA110N SHEET FOR UI11NO BONDS
PRINT IN INK OR lYPE ALL INFORMA110N
INSCRtPl10N
ISSUE Oil TE DO\) SERIAL NUMBER t_lIl'/llIf1I pml"'_' i\l:OldI"'l"- N_ '"
RIUmMI''I'lON _,-,~_""",*,IIffl,lnII
JAlI1" _...........-M...-,)
9/ 22/67 503.72 C4B11?l116E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly springs, PA
10 /6/61 2,518.60 D90l50319E Ira K. Gleim, Mt. Holly Springs,
1'.0., or Mrs. Dorothy S. Gleim
10 /26/61 503.72 C4Bl1?l11BE Ire K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, 1'.0.
11 /17/61 50R.n4 C4B111l1BOE Ira K. Gleim, Mt. Holly springa,
1'.0., or Mra. Dorothy S. Gleim
12 /15/67 514.80 C4B2539216E Mr. Ira K. Gleim, Chestnut
Street, Mt. Holly springs, 1'.0.
11065, or Mrs. Dorothy S. Gleim
1/ 2/6B 2,574.00 D90153965E ' Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Springs, 1'.0.
1/ 26/68 514.80 C4B25392B6E Ira K. Gleim, Mt. Holly springs,
p.o., or Mra. Dorothy S. Gleim
2/ 23/6B 504. 72 C4B5B39613E Ira K. Gleim, Mt. Holly springs,
PA 17065, or Mrs. Dorothy S.
P1eim
3/ 22/6B 504 . 72 C482539296E r. Ira K. Gleim or Mrs. Dorothy
. Gleim, Mt. Holly Springs, 1'.0.
7065
4/ 19/6B 504.72 C4B2539300 E ~r. Ira K. Gleim, Chestnut
, Street, Mt. Holly Springs, 1'A
7065, or Mrs. Dorothy S. Gleim
5/ 11/68 2,51,8.40 D903?llS7E ra K. Gleim, Chestnut Street,
~t. Holly Springs, 1'A 17065, or
rs. DorothY S. Gleim
5/ 31/68 509./lR C4B5B39651E r. Ira K. Gleim, Mt. Holly
prings, PA, or Mrs. Dorothy S.
leim
6/ 2716B 515.80 C4B5B39660E r. Ira K. Gleim or Mrs. Dorothy
. Gleim, Mt. Holly Springs 1'A
7065
1/ 26/68 515.72 C4B5B39661E ra K. Gleim, Mt. Holly springs,
A, or Mrs. Dorothy S. Gleim
8/ 12/6B 2,528.00 D90732971E r. Ira K. Gleim, Mt. Holly
prings PA 17065, or Mrs. Dorothy
. Gleim
(.)
* U,5, ""0: 1996"'05-0151 \"
I
Issue DA TF.
8/23/68
9/20/6e
10/18/68
10/18/68
11/29/68
12/13/68
12/27168
1/24/69
2/21/69
3/21/69
4/18/69
5/16/69
6/13/69
6/27/69
L If .ontlnu.llon._ I. nol u...., el.... d.lach thl. .httt bel... .ubmlttln, thl. form,
IJOl)
KEDliHI'TION
VAJ.tIIi
50S. /if.
505.60
2.528.00
505.60
510.52
2,587.20
517.44
517.40
5U7.24
507.24
507.24
512.16
2,448.80
489.76
CONTlNUAll0N SHEET FOR U8T1t4Q BONDS
PRINT IN INK OR TYPE ALL INFORMATION
SERIAL NUMBER
INSCRIPTION
(_"I'/IlO..pmtN_,~_N""O'
6NMIII,IClClIIl HCUrtfV 1lXlOUftI,..".,., f. l"i. Ind
__11_"''''''_.'
C487220429E
C490902144E
D90732979E
C49090227E
C4942620B2E
D90958083E
C494262092E
C494262096E
C492579731E
C492579740E
c49S2B6142E
C4952B6147E
D9095B087E
C50037B372E
\
Ira K. Gleim, Mt. Holly Springs,
PA, or Mrs. Dorothy S. Gleim
Ira K. Gleim, Mt. Holly Spdngs,
PA, or Mrs. Dorothy S. Gleim
Ira K. Gleim, Mt. Holly Springs,
PA, or Mrs. Dorothy S. Gleim
Ira K. Gleim, Mt. Holly Springs,
PA, or Mr., Dorothy S. Gleim
Ira K. Gleim, Chestnut Street,
~t. Holly Spring., PA 17065, or
~r.. Dorothy S. Gleim
~r. Ira K. Gleim, Mt. Holly
Spring., PA 17065, or Mr..
Dorothy S. Gleim
Mr. Ira K. Gleim, Mt. Holly
Spring., PA, or Mr.. Dorothy s.
Gleim
~r. Ira K. Gleim, Mt. Holly
~pring., PA 17065, or Mrs.
Porothy S. Gleim
~r. Ira K. Gleim, Mt. Holly
springs, PA 17065, or Mrs.
Oorothy S. Gleim
Mr. Ira K. Gleim, Mt. Holly
prings, PA 17065, or Mrs.
Dorothy S. Gleim
~r. Ira K. Gleim, Chestnut
treet, Mt. Holly Springs, PA
7065, or Mrs. Dorothy S. Gleim
r. Ira K. Gleim, Chestnut
treet, Nt. Holly Springs, PA
7065, or Mr.. Dorothy S. Gleim
r. Ira K. Gleim, Chestnut
treet, Mt. Holly Springs, PA
7065, or Mr.. Dorothy S. Gleim
r. Ira K. Gleim, Mt. Holly
pring8, PA 17065, or Mrs.
orothy S. Gleim
(.,
1I..ntlnu.llan 1_ II not uald, pili" delle" thll 1_ befall lubmllltngl/lll 'arm,
CONTlNUATlON BHEET FOR UlIT1NQ BONDS
PRINT IN INK OR TYPE ALL INFORMATION
,
,
(JO(J I INSCRIPTION
SERIAL NUMBER IPloaMIypO lit.... ..._, it<MIlnlj..-....... Of
ISSUE DATE RlmEMI'TlON _, _......,_..-, Monr, Ind
'/AI,'JE -.....-......-,)
4/ 3/72 403.36 C534B35517E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Sprinqs, PA
17065
,
5/ 4/72 2,016.80 ' D95210113E Irs K. Gleim, Mt. Holly Sprinqs,
PA 17065, or Mrs. Dorothy S.
Gleim
5/ 4/72 403.36 C1000682521E Irs K. Gleim, Mt. Holly Sprinqs,
PA 17065, or Mrs. Dorothy S.
Gleim
6/ 5/72 404.52 C1000682856E Ira K. Gleim or Mrs. Dorothy S.
Gleim, Mt. Holly Sprinqs, PA
17065
7/ 3/72 204.22 L836597391E Ira K. Gl.eim, Chestnut Street,
~t. Holly Sprinqs, PA 17065, or
~rs. Dorothy S. Gleim
71 3/72 204.22 L836597390E Irs K. Gleim, Chestnut Street,
~t. Holly Sprinqs, PA 17065, or
~rs. Dorothy S. Gleim
7/ lB/72 2,042.20 D95210256E ra K. Glsim, Mt. Holly Sprinqa,
A 17065, or Mrs. Dorothy S.
!eim
8/ 3/72 409.36 C1002439383E ra K. Gleim, Mt. Holly Sprinqs,
A 17065, or Mrs. Dorothy S.
leim
9/ 5/72 409.36 C1003938574E ra K. Gleim, Mt. Holly Sprinqs,
A, or Mrs Dorothy S. Gleim
10 /3/72 397.44 C100393B588E r. Ira K. Gleim, Mt. Holly
prinqs, PA 17065, or Mrs.
orothy S. Gleim
11 /3/72 397.44 C1006701574E r. Ira K. Gleim or Mrs. Dorothy
. Gleim, Mt. Holly Springs, PA
11 /13/72 1,987.20 D100490755E ra K. Gleim, Mt. Holly Springs,
A 17065, or Dorothy S. Gleim
12 /4/72 398.32 C1009100854E r. Ira K. Gleim or Mrs. Dorothy
. Gleim, Mt. Holly Springs, PA
7065
5/ 10/74 3.781.60 M101B57200E r. Ira K. Gleim, 180-09-4949,
t. Holly Springs, PA 17065, or
orothy S. Gleim
- i
I
(') k',
I
<<u.s. GPOrl~%./'OC;.41l)/1
II conltnullIon IhHl II not u...., pl.... d_h lhll 1_ bIf.... lubmlWnt thll lonn,
CONTlNUATlON SHEET FOR U8T1NQ BONOS
PRINT IN INK OR TYPE ALL INFORMATION
11
DOll INSCRIPTION
ISSUE DATE REDEMPTION SERIAL NUMBER 1_IIl'OOtprinl......,Inr.OldInlI-_llf
-._-.riIV-_.....".nd
VALm~ _..-....-.1
7/78 2,767.60 M20B085545E Ira K. Gleim, 180-09-H49, 202
Cheatnut Street, Mt. Holly
Springs, PA 17065, or Dorothy S,
, Gleim
3/78 2,713.20 M20a085547E Ira K, Gleim, 180-09-4949, 202
Chestnut Street, Mt. Holly
Springs, PA 17065, or Dorothy S.
Gleim
8/78 2, 713.20 M208085549E Ira K. Gleim, 180-09-4949, 202
Chestnut Street, Mt. Holly
Springs, PA 17065, or Dorothy S.
Gleim, 187-16'-4636
/6/78 2,713.20 M208085551E Ira K. Gleim, 180-09-4949, 202
Chestnut Street, Mt. Holly
Springs, PA 17065, or Dorothy S.
Gleim
/3/78 2,738.80 M208462620E Ira K. Gleim, 100-09-4949, 202
Chestnut Street, Mt. Holly
Spring, PA 17065, or Dorothy S.
Gleim
/1/78 2,746.40 M208462627E Ira K. Gleim, 180-09-4949, 202
Chestnut Street, Mt. Holly
Springs, PA 17065, or Dorothy s.
I, Gleim
4/79 2,746.80 M209201810E Ira K. Gleim, 180-09-4949, 202
Chestnut Street, Mt. Holly
Springs, PA 17065, or Dorothy S.
Gleim
5/79 2,692.80 M209201B12E Ira K. Gleim, 180-09-4949, 202
Chestnut Street, Mt. Holly
~prings , PA 17065, or Dorothy s.
Gleim
3/79 ~,7lS. 20 M20935B357E ra K. Gleim, 180-09-4949, 202
~hestnut Street, Mt. Holly
pringa, PA 17065, or Dorothy s.
~leim
6/79 , 2,1\72.00 M209358360E ra K. Gleim, 180-09-4949, 202
heatnut Street, Mt. Holly
prings, PA 17065, or Dorothy S.
IOleim, 187-16-4636
7/
8/
9/
10
12
1/
21
71
8/
141
213/81
3/3/81
713/81
713/81
1/6/81
1/6/81
1/9/82
1/5/82
2/4/82
2/4/82
~&'<l
IlaUB CIA T1!
L 11" ...",tnUII""'._ ,. not und. ple_ ...... It...._
._IItI"'....lonn,
RIWEMPTION
Vf\l)IF,
1 . 662 . 40
831. 20
1.622,80
811. 40
1.575.60
787.80
1.575.60
787 . 80
1 ;529.60
764.80
t>08I!let>~L 1 L-O I
-.;II:-L---'
CONTINUATION SHUt' 1'0" USTlNCl BONDI
PRINT IN 1Nt< on TVl'1l ALL lNPOAMA TlCIN
SERIAL HWBER
M820136EE
Ol34586EE
M8208391!lE
Da34~S8EB:
MB20840EE
0834589E!
M204!6b3l!:E
0834593!1!:
M2044541EE
D834591E!
(~J
\
lNllCl'llP1lCf1
~",,*OfIlfO'C_,""""'_"'_"
___--,""'1,...
..........~ 1M _...)
I~. K. Gleim, 180-09-4949. or
Oo~othy S. Gleim, 202 Chestnut
Str..e, Mt, Holly 3prin~., fA
1706!
Ir. K. Gleim, 180-09-4949, or
Dorothy S. Gleim, 202 Che.enut
Se~eet, Mt. Holl~ Sprinqa, fA
17065
Ira K. Gleim. 180"09-4949, 202
che.tnue Street, Mt. Holly
sprinq., fA 1706!, Or Dorothy s.
Gleim
Ira K. Gleim, 180-09-4949, 202
Chestnut Street, Ht. Holly
sprin~., PA 17065, or Dorothy 3.
Gleim
lr. K. Gleim, 180-09-4949, 202
Chestnut Street, Ht, Holly
$prinqs, PA 17065, or Oo~othy S.
Gleim
In K. Gleim, 180-09-4949, 202
Chestnut Streee, Mt. Holly
Sprinq., PA 17065. or Dorothy s.
Gleim
I~. K. Gleim, 180-09-4949, 202
Chestnut Street, Mt. Holly
Sprinqs, fA 17065, o~ Doroehy s.
Gleim
Ira K. Gleim, 180-09-4949, 202
hutnut St~eet, Mt. Hol,ly
$pr1n9" PA 17065, or Doroehy s.
leJ.m
ra K. Gleim, l80-09-4P49, 202
hestnut Street, Mt. Holl~
pr1n~., PA 17065, or Ooroth~ s.
leiJll
ra K. Gleim, 180-09-4949, 202
.hestout Street, Mt. Holly
p~inq., fA 17065, or Dorothy S.
leim
~]~~I~ ONV ~]^oa 9~:81
---. -'--~-- -,,-+.__~---,..~.,:,....-........dl b. ,- r :,,-,,!41'~"'.'
"f"ri' ~ -j i
,.-,,-,\..~~,,~-
II conllnu.llon I~HI il nol Uled. pi.... d_I~I. oIl_ blfOfl IUbmltllnt Ihll 10m,
CONTINUATION SHEET FOil USTlNO BONDS
PRINT IN INK OR TYPE ALL INFOIlMATlON
1
UUIJ INSCRIPllON
SERIAL NUMBER 1-1'/1>0 '" ptW......., ""*"*'9 _It....... Of
ISSUE DATE REDEMPTION _,_~__,jlnl,'nd
VALUE -.....-.....-,)
15/65 3,094.20 D86844499E Mr.s. Dorothy S. Gleim, Mt. Holly
Springs, PA, or Mr. Ira K. Gleim
3/67 2,569.00 D90150375E Mrs. Dorothy S, Gleim, Mt. Holly
Springs, PA, or Mr, Ira K. Gleim
22/67 2,518.60 D90150378E Mrs. Dorothy S. Gleim, Mt. Holly
Springs, PA, or Mr. Ira K. Gldm
2/68 2,574.00 D90371l81E Mrs. Dorothy S. Gleim, Mt. Holly
Springs, PA, or Mr. Ira K. Gleim
/12/68 2,574.00 D903711B2E Mrs. Dorothy S. Gleim, Chestnut
Street, Mt. Holly Springs, PA
17065, or Mr. Ira K. Gleim
23/68 l,523.6U D90371l84E Mrs. Dorothy S. Gleim, Mt. Holly
Springs, PA 17065, or Mr. Ira K.
Gleim
8/68 2,523.60 D903711B5E Mrs. Dorothy S. Gleim, Mt. Holly
Springs, PA, 17065, or Mr. Ira K.
Gleim
12/68 2,578.60 D90957955E Mrs. Dorothy S. Gleim, Mt. Holly
Springs, PA, or Mr. Ira K. Gleim
23/68 2,528.00 D9073297BE Mrs. Dorothy S. Gleim, Mt. Holly
$prings PA, or Mr. Ira K. Gleim
/15/68 2,552.60 D90957959E rs. Dorothy s. Gleim, Mt. Holly
prings, PA 17065, or Mr. Ira K.
leim
/13/68 2,587.20 D909580B2E rs. Dorothy S. Gleim, Mt. Holly
prings, PA 17065, or Mr. Ira K.
leim
24/69 2,587.00 D9095BOB4E rs. Dorothy S. Gleim, Mt. Holly
prings, PA 17065, or Mr. Ira K.
leim
23/69 2,560.80 D9095BOB6E rs. Dorothy S. Gleim, Mt. Holly
prings, PA, or Mr. Ira K. Gleim
25/69 2,472.80 D9095BOBBE IS. Dorothy S. Gleim, Mt. Holly
prings, PA, or Mr. Ira K. Gleim
,
19/69 2,478.40 D9095B089E rs. Dorothy S. Gleim, Mt. Holly
prings, PA, or Mr. Ira K. Gleim
..-....-....-...,.. -,--,---
1/
7/
9/
1/
2/
3/
7/
8/
11
12
1/
5/
7/
9/
(4)
- ,"
, ~I
~"
'I
('-.l'. '1
~ I
~''\
'\
........-.......
2l"97"6H
W 1 I, L
II
\:
1\
\1, DOROTIIY S. GLEUt, of 202 Chestnut Stretlt, Mount lIo11y Springs, Cumberland
County, Pennsylvnnin, declare this to be my last will and revoke any will
previously made by me.
lTllt.! ONE: I direct thnt nll my dehts nnd funeral expenses, including my
grnvemarkor sholl be paid from my resldunry estate as soon as practicable
aftor my decease ns II part of the exponse of tho ndminlstrat Ion of my estate,
ITEM TWO: I give, devise nnd bequenth n11 the rest, residue and remainder of
my estate to my daughter, DORIS SALOMIl GLEIM. Should my daughter predecease
me, I direct that my estnte be distributed equally between the following
four (4) orgnnizations:
"
'I
,I' A. Cumberland County Unit American Cancer Society. 117 North lIanover Street,
!i Carlisle, Pennsylvanlll.
II
B, American lIenrt AssociRtion, South Central Pennsylvania Chapter, 3805
Paxton Street. lIarrisburg, Pennsylvania.
C. Alzheimer's Disease and Related Disorders Association, Inc" Pennsylvania
Chapter (if no ponnsyl van in Chapto r is organi zed at the time of my death,
paymont should be made to the Chapter located at 360 North Michigan Avenue,
Chica'go, Illinois (0601).
0, Arthritis Foundation, 21st and Chestnut Streets, Camp lilli, Pennsylvania
17011.
lTE~1 TIIRRE: I 01'1'01 nt my daughter, DORIS SALO~m GLR 1M, Exccutrl x of th I s my
lust wi 1\, Should sho fuil to qunlH)' or coase to nct ns Executrix, [
appoint CUMBERLAND COUNTY NATIONAL BANK, Mount lIo11y Springs Branch, to act
as Executor with the samo rights, powers and duties.
ITIlM FOUR: All estate, inheritance, succession and other taxes, imposed or
payable by reason of my death, and interest and penalties thereon, with
respect to all property comprising my gross estate for tax purposes, whether
or not such property passes under this will, shall be paid out of the princ1pa
of my residuary estnte, without apportionment or right of reimbursement.
\~
, ITEM FIVE: I direct that my personal representntive or guardian shall not
,~required to give bond for the faithful performance of their duties in any
'~ jurisdiction,
.~
~' ITEM SIX: [n addition to the rights and powers given to the fiduciaries by
" low or elsewhere in this will, I give to my P.xecutor during the full time
~ necessary and for tho administrat ion of my estate the following rights and
powers to be exercised in his sole discretion.
I
I
A. To retain any real or personal property which may at any time form a part
of,my, est~t~ so l~na,as he or she deems it advisable.
B. To invest in any real Ill" personal property without restriction to legal
investments.
C. To repair, alter, .improve or lease for ony period of time any real or
personal property and to give options for leoses.
PAGE ONB OF THRBE PAGES