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HomeMy WebLinkAbout79-00062 I' " . ~ ~ . ci' ell f3 m " f:l 15 III t!l ~ 0 ~ u . N '~ I I1'l to G 0 ~ Ul . b :~ ,J: f,ll t:)oo '8 L'..... I "'- N '. ~ D l~ ,-1 '(~ d .i ~ z \() N 2'1' "11'\ 0, "..lP PETITION FOR PROBATE OF WILL AND " c.-, 1/ ,", ' in the Estate of ~_(~LL,) tj~..'l,"_(r),<J/e LETTERS TESTAMENTARY , ,.""1' ",;...., , ,_ " deceased, To Richard E. Anderson, Register 0+ Wills for the County of Cumberland, in the Commonwealth of Pennsylvania, IS Petltloner(s) are the execuL~'..c:---- named in the Last Will and 6:~::.~~t::s ~;~ ~~;~~"'S;~;":~d -:;~~~:~%f'p~a, &))(11/ (' c,vr' ._ ~~~'~~ Cumberland County, Commonwealth of Pen sylvan~a. ). ,', ' lI-rr1 Decedent ,died on iJ./e(YII('rl~(/ the -/..I... ,. A. D. 192f-, In the County of (~(/I//; tf:EI/i/ ' ".-:;;' Tr'j//I..\/J.I!')!;Cj at the age of L:" years. /.M.- .- .. Decedent has not been married and has not had children born to him since the execution of the above described Will. Decedent was possessed of personal property to the value of ~}f/ 2_1 (JO~) and of real estate to the value of ~ ' day oL':J01/W1C/-__, I State of' as near as can be ascertalnedi said real estate situated as follows/t.;i/O- /;-I<:-J2:ly'jrr;~' ,'O~';)(GL&?'Jt;/I);/;i/;f;0Fq/~: 100 '-~.-".1' j 1,'"- \.l' -' ,', /;;' ! ( PI- 'lfN,1;, 'f((J/ \)T ~.'1,0//,)J,:/i:;/rq '-- III:"~-( t, '-- ( (apply Therefore, your petltianer(s) respectfully applies for the probate of the sal~}~, ~il~ and Testament and ~or'7e,t"t,ers T~~tam, e,r:t"ary the,r,eon. DatedL"J_)" l . . l/i/-<-cf:/( /J/. , t~,Jr"'-i:"'r(!-. , Name and address ffi(',;i'/f;f: I;JID( >-/;',:;;j' ,//ll.""r{ of Petltloner(s) ,c: <'r-~- J-iL' , , /,1 l) :...L7-fl/;' 7' \~ , -1/Jc9i't')//V" ~e?'/ 111' , /?ol') ------ COMMONWEALTH OF PENNSYLVANIA t ss COUNTY OF CUMBERLAND ' ~ .---L!i~c:( . /1Yj.{,kpL~ c/ . named in above application, being duly -j:!d!(?~'tf::'----'--~"i according to low say(s) that t~e statements set forth In this petitlor'! are true to the best of ~,_.!.;;' '~__._,.. knowledge ond belief. , >;/ 9;:), (ti.-;-?-..~ ___,______ and s bscribed before .J....,,..c";;;-;",e..::;:,,;r..d:' ')...)..L..d/-t:~"".,,C'.(t' ... t",," .~________..~~__.T_~_.__.:--______..-- me, , ..,Tm\\ flt'y .,.;:>,.) '" \.__. 1979_ ,-~- ---l-' . '~- t:,.. ,"- Richard E. Anderson, Register ~__~..n__"____'''''_'''''''_~'__''''''-'___~_____'_'_''~'~___ - - ~.._.......-_...__._._--~~_.~ ...---------------- Filed; /10;1\11"1 Py ;'1 J l(i"C) , " ,,' . i/o~;';;f5~;~~r;"~- ^ttornev /?i';;1). ~rMI ~ I' 1'/6 ) ~ !7.1b'l- . . ." :::Tv L.'( ~Q I~'b 9 y.. ~ ~. !.-u.::.1 ';JV ~: -.-:...... ..-"- h-1 'Wv~ -J.....:.... ~ ~ ~ l' ~~ ~ 0 b ~ I ~ "",l.,~.&.- ~~t.IAI ~ r ~ ~ ~ "^'1,~....';~ .. ...' . '", ' ~. - ~-b ~o!-.rw.:vr(~.Y\ cJ-..~~~ ~ J.J:::._4,q ~ Q~ "'" "'I 4?<..-- \.-\f \ 04 ~. '/. ,,,. " .. - I L"f .,.. 'R ""V .0. ,.V..L It \.V.,..,O !; "J'M.,~ rir_1 ~ SJv, "rr~ ~ u. 11. ~, vt !!.f $j 0 r 1-. '^ ~ "'1 ~J. 1 ~ t~ <11 \bO~ 11'1._ I ;t f . n I\~- II l>- 12.4 tV ~~J/.. v\- ~~VV t} \) ~ ~ ~..~~ ~ 1(/'_ l(~ w.' ~Q.~.v ~, I ~ (J t\ -\. ~. ~ 4-A-. .., I Sl a-- . '-l..U- r ~...... ~ ,)..~, 'V\<., '}y .,....L t I (W..~':""'" a:t;~, ~ ~r ..\.. ~..:...... J.t" '^'~cI..-L. ).. o...M:.., ~ ~'1 s ;L ~ "'^^' --, :..... 4 ~ k" t., to ~ ~ '" ~ ~, "::b, ':t.4. '\IV\. , ?Y crr-L. ~~ 'Vv-. , 'YY'"~. '~cct:.w. A II T' 6 "1' 0 ~ll\' l-, " T". . If A-Il. t<!"{. \4" II I {..I h e ~ <11\- . ~~~ '^.4 · 't tv~ 0; '0. . ..:2,.), ~"'VI..>.- """- ~ 'h.-vr. 1 .'.c. ....f.'.... OATH OF PERSONAL REPRESENTATIVE (,JOMMONWIML'l'Il ()Jo' I'I~NN, SYLVANIA} HH: COlJN'I'Y (II<' OllMBI<:HI,AND 1l0fOl'lJ IIlU, tho Ho!{IH(,UI' fhl' (.\10 I'l'obllt.o of' WIIIH IIl1d !{1'lIl1t.1l1!{ of' 1.1.(.I,ol'H of' Adl11 in iHt.I'lIt.lon in IInd Ihl' " ' ',/ / /,',,/ / ) ,,/ tho County of Cumbol'lllnd, pOI'Honnlly ClIl11ll ." ..../../.,(.:':)';,;:... ."..C:... ,(.({./..Q,i?Ir..... ...... .......... .......... ..,......... , ~ ,._ c~-""--M Wll(llulnOTdllly .',"<0"')' I C", I. II II (, /-"'\'I;~'l ,I) ti ....."...""......;..(......,,, (n ....'..".. (<-POl'lO n 1( HllY ,lit ..lfo;......"""....""..',,,,,(..........,,.....,,,,,.....,,....,,. , . . / ;). '0;; l;// ('(~-~ "/1; of' UllllnHt Will nnd ) UHt,lInlllllt of ..........UI.::....,......(...,.,..,.........:.i8...,......""......"...."""....................,dUClIHHOd ......"................. will woll nnd t.l'uly ncllllinlHtul' tho goodH IIncl chn(,tdH, r1J,thtH nlld Cl'udltH of' Hnid docolIRud IIccol'din/{ to Inw. And nlMo wl11 dllllll.nUy comply with Ow p\'OVIH!OIlH of' t.holnw ,'elll!,!II/{ to '1'1'lInllf'el' Inhol'itnncuH. .:;;J:i.1.1,;~;.',I,0..."';' IInd suhscl'lhud boforo me. .......~A. D" I9.:r.L... 0'" .. / ....."10.......................,...,........ E. Anderson, Register ,/' .'1 ). ,/ /" ,../ /,""",-'<""<.,, .,( ,i;;.:; . I. ' / ,/ / ,'/ /Cl ,), ,/ : :J'" rt'~Ji.;,.fi:',{l, '0 'f;~{.'t';:.,.,;~ t'~(;~~~;~.....,.""...... j... ',_. ...."..... ".."...,.,.........",.............,...."........"............................ Richur Il . . , o.,j i t"-. !~ C) 1 I j i I LL. I 0: . j UJ: I I . N 0 j ~tj I ('I' I (~ . I ..l<l ....... '...J rr:j ~ N! C.Jl . ...J C:' I . I I I a c., r.1 - I"l r~ ! , . (\11 ;: ,. ~ 11; o.J cl I 'jl e,l ~ I ~ rOI .~ (}.; ud .~ I i (\1 : 1-;.1 ~ '1 r-ll ~ ~~~ j I 1 0 '11'1 ! I ~ . I III 1l ~ I 1 l ! r= c.. DECREE B i' . h d tl t t} 231.'u d f' .TnnunT'Y A I) It 79 I o "Iomom ore 111 on 10 ........"~.........,,.. ny 0 "..".........."......"......"."..."...."f . it r) ........t t loro WUR prohated nnd rocordod tho InRt Wlllnnd ')'ostnI110I1t of' "..,\.!......~~f1.9.rJ:".9.~.9I~...".".................,............., I tc f' ' vlol'mlllynbllL"~ C } ',I 1(' t I' I I D' d Lo n 0 ...."............."...",....."....\.,..""."........."4......'......,,, Ulll )01 nnc Alun y, onnAY vnn tl, oceaso. tt,ors H. H. WOOd, [J/ldo ~ ..... ......"..".... ..'F.~.~.~~!~?!~J.~.~~::.~..... woro J.trnntocl to ,. "."............. ..H~,l,tl~:}. )1.~" .\:~~.9.~~ ..."."........".' "..... .........".. WitnoHR my hund nnd officilll HOIII t.Iw c1I1Y IInd YUill' nfOl'oHlllcl. F'~' . Y' ""'''''' ...,. 'iii~: i;;; ;:;j 'i~':' ^';~;I ;;;.~;;;~:' i{~',{'l~k,'~: . '. . ,) " , , (' .. J'/~ -t/7'l 1 ~ c C.U"'" 4.731 ' COMMONWEALTIl OF PENNSYLVANIA OEI'/\HTMENT OF HEVENUE IIUREt\lJ OF COUNTY COLLECTIONS '* RESIDENT DeCEDENT COUNTY OF~_CU~ll~.R."r:I.!\~() _~m_'_ 'IM'P'o R TAN',.;" ThiN rlltlltlll;'UHt'~7.'I'I~l;I~OI'l~li"l~l ,,~qlllllll\lllilll(i IlIlltIPlh'I;H', W-i-I'I~';,nl'llIllll~~~~;~11 with thl'_lh,;j;ttl;'nf wiii'~.';,f~~ ClluIlH'whNO ,IQ"II\It'1l1 I(lhhh!I'i IhllUm iN diU' wlthlll lIilll' lIlulllh.. 1If111f dUlr III lit. 1\1 II. ulIll'"'' nn 1'll;II'll'dllll iN llf\IIIIlIII hy till! N(lNI\tht)' IIf 1{c\l~IHlll, (Slll\llulI 7tU llf thll Inhllllll\lWI' IIml EtHIIIl' 'fUll; Al\t or IlJfd ,I -~- - .__','_7r__ _,_,,~, ..__. "'or". IN Tlln MATTHII Ill' Tlln nSTATn OF W. SCOTT COBLEl -_TTThY^'Ttru~iMr("if'llli(rrtf]'i'-N-l;--~"" ',~-.~- } ^FFIIIA\'IT Ill' C.. <--,- ~:~:'~~ nun y ~.lo of ....~,__..Cumberland,--..,---, -" ,..--- :':~:,:l.~,~~_=~ ~;~~~~_~n~L\',=~-~,-"J ." HUGH M. WOOD " ",. "'OOUI'" I1ONt4KKMWX'.----.;j"ih;;.~~~-~~~f__;I~;-~.I:o~~;n~~~~;I-d~~~d~~~I~ b;l~;'d-~I~ ~~-~'~~~;' rl~~;~;;-_..-~;~~---.----~- 11I,,'(,delll died __Januarv 17 , 19 79__1 '00'." 1..,lnu 0 1.., will, copy 01 which " h.",o ."..h.d. ) (MONTlll (rIAyl !Vl->:AUI \JUUf9tK Nom., and addre.. of aUornoy or } ~Jl()\'lard._D, l<r.ug.. ,-_~Esg"ui~e other oulhorlllld leprfrlonfllHvo 10 whom' .11 ""..pond,",o ,ho.ld b, ",II.d, ....l'.J.lrce 11, .NIaa ;!,,~y...L_Kr!!9. & Ha},ler, 1719 N. Front Street, Harriaburg, 1'1\ 17102 Thill 11. .,lOh ElxeoutQf...__,__dePllllOlll is 1'1l",llillr with Ihe 1I1'I'II1rs III' .lIld oslllle 1I1llllhe prllpor!l' e"""lilltill" i I,XECU10 R. "d)Mlt~HiT Il A TO nl Iho "" sels Ihl1relll' IIl1d Iholr I'lIlr ",,,rklll 1'1I1"e. Thnlllt the tlO1ollr douth ,thero WUN no safe deposit hox rc~ifoitercd in dl\Ccdcnt1li lndl,,-hhllll ntllllC, or jnJutly with, or as llgent or deputy or IInnthor, ,or In decedent' H lud\vidlllll "Hme, with right (If Ilccess hy nnnthcf 118 ugenl or dCPllt)'l with the l:xCel1tlul1 or the l'nllnwing: - -===-~=~-==~'"""'--==-. ~=l:''='=- - -=.... ........ NAME AND ADDI~ESS Of BANK ol~ onOIR lNSTt1LI1'10N IN WlilCI1 DF.Ce:l)I"NT IH!NTETi ... S,d;!:: PEf'Of>IT DOl( =",",=---,-=~ -.. Tt-l15 fi/,r1~ l)1!f10fi1T tiOX IH'NTtD IN N'AME Ofl N^M~5 OF .......~....~.._"'" ~EL.,.,Tl0NSt11f' OF JOINT HOI.DF-RS TO llF:CEl)fNT _-.NanP. ----r Thut Ihe eOlllent. "I' "U id .nl'e depoHII hox "r hoxe. ure .lteOllzed lindoI' Schedule. with Iho exccpllo!!,of the I'ull"wln", I'oe Ihe ,'ell."nH herelnnfter "01 forth: 01' IhlH returll, Thill Schedule A nllnehod horoto ulllI mlldc. pllrl heee"f set" I'orlh full)' ulld In detllll nlllho reul propeetl' In Ihe COOl",ouwoII\th of 1'0nnHl'lvnn!u of whloh deeedenl dlod hnl'ln" IIn IUlo,""1 Ihoreln, 1\ nlHo Hel. forlh Ihe nWn"""e elleumhruueoH upou onch 11III'eo1 01' reul properll' ul the dUle 01' donlh, gll'ing the umoUl11 .111\ due ul dOllth, nllmO of mnrtg,ngocl dutcl rnte of intorcstl nud hunk IInd pngc or record therenf. Itnlso HctR rorth in thc colullll1H provided Ihorol'oee Ihe u".osscd \'nlllllllon of oneh "I' suid 1"\I'eels, Ihe e.llmllled muekel I'nllle Iheeoof U" cf dnlC of donlh nf doeodenl. '1'111\1 Schedule B Ulluel",d hereto und mllde pnll hOle"r .el" I'orlh I'ully und In dolll11 1111 peelionnlprnporll' whOl.sol'er sHnnled owoed hI' Ihe doeodont ul Ihe limo 01' dOlllh; nil I1wl1eys left hy the deeedeot ullho tlOlo of dCRlh, whcther In dccedt'nt'N lmmcdinlc l~nHHcHsilln, slnndlng to decedenl's credit In hunks of dC110Nit, HlIvings tHUlk", trURt cnmpanics, or other institutionsi whether indi\'hluully, Of In trllst for any other poftwn or pcrHons giving IlIso sellnrntcly the nccrtlcd intcfes1 Ihcrcol1, ir nny, dO\\-'n tn thc In~t intercst tllIY prll'Jl' 10 decedent's dlll\th In the CIHiO of snvings lH\llkf1lllnd tn thc dute of doccdc,llll'N dcnth in nllllthcr CnSCNj 1\11 honds, pnfitnt iHwingsl tronsufY curllrlclttcli m n(Jh~s lIud other e\'ldolll.l'C or indllhtcdnesR of the United Stnlos to tho dc.. cCllent: nil lIhllg(\tinrl!~1 whether hy stututc nr IIg1'l~cl1\cnt lhey IIfC dt~l'i~nlltcd ItS tux free, or the United Stlltcs, IIf (lny !Hntc1llf 11/llltlcnl tluhtll\'lfdlll1 thcrc.nL Ill' of uny foreign country, which uro owned nt thc time (If dcnlh; nil wcuring IIllpllrel1 jewelry, silvcr\\-'llrc, pict\lrt's, hooks, works or nrt, hnusclwld rUl'nlturel horses, cnrrll\1JCHI l\utolll11hllcsl hootH, nnd uny ond nil other lHllSlIl1ul challels or whlttsoc\,c,\r. kind or naturc, Icrt hy decedent, logelher Wllh Iho flllrll' osthuntod IIllI,kel 1'1I111e lIIOH'ol': 1111 hootl.. <1nd mOI'lgnge. held bl' doeedonl IInd 01' 1111 cllllmH due nnd owing decedent nl tlw timc or dCilth, nnd nil IlfOmlssnry noles or other Instruments in writing for the pnyn\llllt HI' IlHJ11CY n( which decedcnt died pnsNI'sscd, or whntsflc\'cr nature, with interest thereon, If IInl', "1l'lng Ihe I'lIeo \'111110 1111<1 osllllllltl,d 1'111, IIlII,kel \'111"" Iherenl', IIntllf .1I<:h e,II01l1lod 1'111, mllrkl'll'nlne he less thllll Ihe I'lIeo \'lIll1e, II sels I'lIrlh h,ll'I'I)' 111(\ 1'011""11' fill' H"eh dorrecintloll II' III olleh 1!em; 1111 money" plll'nble III Ihoo"'lIle I'rll'" 111'0 in"urlln'''' Iwlleie. ",,,,led hy (!(ocellent; 1111 IInnlllll' IInd olldowmont conllllot" the proceeds HI' which weH~ lH1)'uh\l: IIpllll thu tlenth (If the Ilccedcl1t~ nllll1\d Ihe ,:urpClfntc stockfi und diVidends dlH~ thureon IInd Ullllllld ils nf tl1,' dll1c Ill' (knllll hlll1tls nnll Ill~rl'llt~d intcrcsl thereon to the th,tc (If dt.'cedcnt's dCllth nnd other 111\'cstllll'1I1 ~i'l'IU 111'~ {,'-qll:d ,b~' tlw deiCl'dcnt III the tl111C or denlh, w1th the Innrkcl vnllfc 1here.. of nl stich lillie, , III till' t'tlttll nt' ",111111'11111>> 111'11111111' Ill' l'/\lult,\" 1'lil'lllll'1l11uIIH, 111l! \'1\111111-\ l'I'PUI'll'tl HI'U IHI I'ftl' ilK ,,"HHlllln tlllliHllIllllnt.llll, 11)' l'tll/llll' I ,II H1UII'lllllld'I of' 11111 t\IlI'11l1I'nllnll'i, 1;IIU\IIII1/1, tllll /ltilW!H "ud 1111111111111" tlll'I''-lItl' IItl nl' IlIn ,Intu nf' lh'IlHI. 'I'll!! t-Whflllllll\ /I1lHl "Illl'" 1'111'111 1111' 1II1.I"'flHI, III' tlf!t'lllh\lll "" Ihl! tllnl' Ill' It..nth III Itll~' l'Il"IIHI'tl1l1l'Hlll\l nit lJ\IHlllllHH, hucl 111 ~HlpP"I'1 ot' Ihl' \'/1111" 0(' 4"1\11 11l1,III'IIHI 1111l1'11 tll Illlllll"l(tlll III Hlllilld'hp.",l,', 1'lllltlll'lnl htlltnlnfllllk t.llllWIH",lhIIIlHllfllll IlllfllllthlllLll'K Ill' ,.'"ltl 1'''.'pIII'IIlPI'uh111 Ill' hll.,\lInhH. ,\ "lIp~' ,II Il\p'i'n"l"tl'1111l1'Hldp /lHI'Il11Il11'llt,t (11"/11'111,1\ IIt,III.11l111l1l1 lintlllll'. j'III'1I1 tllll 11111111'11 Ill' IIII' In~I'f"\'l\lqil) 101'1'1114'1' 'Iltll II >>ll\tlllllllul ,wfltUI!, l'ol'I,1i till! 4111111'lll'lnl' Ill' tlln IIIIHIIII"PI, II" 1111'11111111, 111111 HUllh 111,\1111' 1'II1'IH }'I'I'I/,III\III' tn Illn hllHtllllHH ilK mlt~' hI' pl.'I'I11I1I1I1 10/1 ('Ill" /tlld ,\1I'il, 111'111'11111111 Ill' 1 Ill! c11l1ll!d,'"I'H 1111/'1'01;1 1 1i1'1'f1 III 1.11,,1 11.. "Ill 1111 I 1-1.'111. It HhOlllcl nlHfI Hfll. "01'1.11 1'1 111'mli'lId 1'111'11" 11I1~lltllfll' 1'.'11.11 Ihll 1'1\11' 1l11l1'I"n! \'111110 1111'1"'111', Hll\ 0111111' "1'1I\l"I'l~' lIWlIIllllll' huqunlllllflll hy fill' 11111'1,,111111 III 11111 11mI' "I' dlllllll. Till! ',(f'f'rful" (, III.tlwhlHI hHI'!lfCl 111111 IIIllflll 1'111'1 ltlll'wtf' ti!llo; 1'01'111 1111'1111 ItIlKWfll' fll II/WI! 11I'I1111'~' t!Olllllllllllt 1.111'1'1'111 "mlllll.lll! I1tlHlllJl'I.I'lllltil'lll'NIII'I'I'OI""'I.Y, l'I'Hl Ill' 1"'1""111'11. wll.\dtl t,WII ~'l'nl'H cd' 4111111'llnllt.1tt c11'llllll III l<olll.fllnplut.lllfI nt' IllH'.ndplll.'M dOllth, III' 11l1111l,llId tll I HI,II ol'f'IIl'!. 111 I'lItif;f1HHloll 01' lit I I uYlllfll11 /If III' 'tfl,I'I' lll'/llll, Hlllft HC1hflcltlln HlltH f'ol'!.1I t.1I1l tllll.~II'" /111ft, \'Hlllf! 01' HIII!h 1'1'1l1'1'1'1~'. In \'IlIulIl !. I'HUH 1'01'1'1''', tllll rl~ III 1, I Hllfillll' nf' !.hn l,rllUH f'OI'IHlH 1.0 t.hn 110CIIlI\1I1I 1" lill! pffll'fll' 1.1 f11l1l1,I' Hllu 1'1' l'Il'lI' I Villi hy fl/wh 1,1'IlIIH t'lIl'flll lllllt ull Illllllr ('llol.H nt' Il 1'lll'l.tllflllt lIal,1I1'" I,,,,~nrlllll~ HU'II t.l'lIl1HI'I'I'H. III !.1l11 I""H' 01' 11'IlIlHf'III'H ItttllTlIlIlll to t.llkl' "t't'PI'!. III IlllHHf1H"lnl1 flf 1'II,IOYlllI11ll. Ill, III' nl'tfl]' rllIllf.ll. IlInl'll IH UIHO IlII.tlnl!I"1 10 Ih" ,tHl11l1l11l111 /I (H1I1~' uf' l.ho Cllllll\, t,I'UHt. IIA1'llOnlnllt. or nt.hl'f tnHl,I'llllllll1f, llI'H/tI.IIlI~ tll11 t,I'\llil., 'l'hl'l'11 I~I nlHo Hot I'ol'tll III Nltld twlll'dlll P II IIIi I of' Ill1 prlll'''1' t.~', rfHl' /tllll pnrl:Wllll It wi 1.11 II.H V 11111", wh I nil IIII~. HOH Ill, tll1rllltlllllll Ii Ih'll tit ,,~' VJI't11I' lit' 1.111' nXU1'otfW II)' IlflllOllnllt" nll,hor 11lf\lv1dlllllly, f11'.Inllltl~' 'wlt.lI 1II1111,II"I'j III' /Ill,\' I'OWIII' 01' 1l1'lHltlll.~ nWllt yust.nlt Illl1nI1IHlnllt., olUlol' lllfllvllhllllly Ill' .I"II1t.I~', Iiyl.lll' \'tIll, dIH"l. 01' uUII!!' IIIHl.l'lIl1\f'1I1. ot' 111Ioflllll', wi tll /I 1'1111~' nt' !.hn 1 "" t.rI1l11IlUt. nrt11\t. 1 m1, HIWII !loW!!I' II t.t,/llllll'd f,11 t.tll\ HIIIIl"hl I 11, 1\11111. SC/I(ldl//" f) flt,I,lwhlHl 11111'111.0 Hll1l nlllfll' '1"11'1. hlll'nlll' snt,H 1'01'1,11 thfl 1l111111~H 1111" nrhlt'(tHHI1H f1f' 1II1 }lllrHIlJlH ;ht'IIIt1'llllnlh' illf.nrllRtl1C1 III t.hlH IIHtltt.fl Ilt. Ull! 1111111 01' IIOl'lHIl!lIt'H 1\11111,11, tho 11111,111'0 nf' l!tnll' I'CH;- 111101.1\'1' Ilitlll'f1HlH, t.holl' )'Olld,10IlH1II)I, It' IIny, to Ull' Ilr'(Hlfll1Ilf, l,fll~flllll!l' wiLli UIlI 'lIr,fH; Itt. !.lto ttmll ot' 1111I'I.f1l'lll.IS '\01ll.11 Ilf' Itll mlnnrH, tllllllltt.l\l1t.R nil II hllllHf'lnlllrtflH 1'01' IIf'I'UI1III'1' 1"'('lIlhlll.t.'H Will, II.IIIHO 011111.11111" II 111,11 t.OI11OI1 I, Hh(lwtn~ whlnh of' t.hn honlll'lllllIl'lllll Ilnl1lnd 111 f,11I1 Ilr'I~I"\l'lll'!; will, It' lillY, tllllll prllll' 10 dl'r~l,tlllllt., t.ho Ilnt,oH 01' t.hnll' Ilnnt.Il. t.hnll' IHHII(I, IIlIlll.hl' l'l1lnllllllHI1IJl 01' IiIlO" ItHUlI. 1.0 UIP hnllflf'I<1InT'Y. Thnt, S.:IIf'du/(' r Ht,I,IIChfHI hornt,{I 1\1111 Illudn It I"tl'!. llj'l'j1ld' twl H 1'01'1.11 /fll \ll'ol't."t.y, 1'01\1 Ilwl 1"'1'- HOllll11 OWl1nll h~' I.tln c1000lInl1t. ,lotllt.1y with llllflt.ll11l' 01' nt.l!l1rHt l'll'l\lfIIHJ~ IIlI,llllglhll1, HlltlHl\IIJI. In tho 111111I" nl' I,ho I\!Hlflllf1nt. .ltllll nthnr!i, 1111lR t.l1l! 1111t.ll nwt plllnl~ 01' 1'1'llIIl'll 01' '''flll'WIIII'll.ti Itf'f'I'f!I.tl1l~ t.lIn \11";1.11.111'" ot' rnnl os!.hf.n Ill'" 1,110 lint." of' ftlHI\1IHIUul1 ur 1l11l"HJlIllll'~'j )Itlll' t.hn flltllll'l 1l1\l11'1~IIH HilI! l'Il'Ill.!UIH,lllp, 11' 1111:'0', 0(' ClO"CIW/lfll'H t.11 Lhll IIfluflllnnt.. 1'hnt Sc/t~du/~ r nUllnholl hfll'OI.II nnllmlHln II }lflft, hOl'Oll1' fwfN l'III'I,1f l'IIII~' 11111'111 1111 l.fI I 1 /lIt Ilnht.", Ilull 111'clllottnllH olttlmncl f'or HIIII un hollllll' Ill' t.IIIH c111I\wll1l1t.'H lIHI.HtI" 1III!IIIIIIIlJt 1~IIlHI'1I1 f1XllfllHH1ll plllll~ t'llInlly OXlIl1\pl.t01\, whoro IIppl1on\ll111 IHlRt.H flf' IIclll1ll1IHt.I'ut:!llll /ff' t.lltH lIHfllfll1 'f!lllllHml I'I!IlH IIllII 1\ld'r~lfll'~"" eflltlIlll HHlollH PUl11 or t.o 110 1'/llll1 CliNt flXpfHICIOlI i'nl' hll1'lul f.I'UH!.H, t,ClIn\1I11.IlIl11H fiT' '(I'~t\'H",III'k(lI~HI /I"" rflll- Almlt; Hnl'\'loOf'i, In nlH1Rnclltnnc~n ot' l.llll "nllt.1I HI' t.I1" Ilnlllllll'lIt.1 tlflht.K 111\11 nl/fll11H tJwtllJ,t Itllll 11111111111 nl. 1.llIln 01' Itnnt.lll f,rtlWK no(~rllIHI uhflrJ{.nnhll~ f'or 'llll'lclI' prior 1.11 tlllIHlllftHl!'" 1111 It f,11 (I'XPOlll. 1,1IoHll 1I11own,I tlllcll!)' HI'I'l, loll flrll ot' tho Itlhorlt.IllHlO lIIlCII':Ht.ntll '1'11'( 1\01,)1 1.IIW,U!I',I' wtth II HI,III,I'IIIf'IlL 111'1:011111,111'1.' 1"llI1J.tl'd 1'0" llhlt'tll- t.tnllHj It' "ny. It. IH n~~rolll' t.hnt. f.hn 1'ldwdlll'Y will 11I'm"l'll!. pl'out' nl' "wid .1'1111111011 oldl!l.Ilt.lflIlH 11111111 1'''- qUflHt., tllllt it' thn Ilmount, Iwt.llnl1~' pnll' In Hllt.t.I1I1II11111, lit' 1111'/ ('lln, llolll11llHHIlIII Ill' Ill'hl. 1M I'H;M l.Il/l1I 1.110 fJsftlnlltl'rllllltfHlIlt, 1111111111n~ It1ll1 nllovt'lIIl. 1,llnt till' tillllll' will hi' l'IIIHlI'I,nll 10 UIl' 1l(l1~I,HI.nl' 01' Will", /lllll f.hlll !.hl' 1I11l011llt. 01"1.11'( UfiHI'HHlll1 nltn lw 1'(\/I~HiIlSliflfl I II llf'llnl'll/lIlI'I' ll1nl'j'w 1111. 'l'hll1- UU! lf1tnlR uf t.hn npl'roprtltt.lI cHllllmll" III HnlHlIllIlnH "'\"1 ."11", "CIt, "I':", Itllll "I"" IlHI11!'.'C'!.I'l' 1.I1f\1'1I1111 hltVfl II1.n'n 1'll1'l'tOll t'ofwllrl' IIna pl'opnl')~' 1'(1~IHIHT'1I11 III Ull' HlIlIllI1BI',\'. subRcrlbed~nd RWOrn to before me thiN "',' q "I ....\;ri'/':>-..!. dn,Y,Of} ~,??J'ULr- ..,..('," , l( ~ ';:~l/ t.' (0 ,:,/.. , , 1,:l1I ft, W \' f!, >>.'1 "" rU~:K \! Mv {Oltlr1lJ_t f,. 1'1 II . ..~d 4, '111 HIt'l".1\o..... lU,. t\~ HL}9 II ' \, ;'/<:~iFf.~;;;;~~r:i~~d~(:!(,:;,.. "",..", 1. e S., ,)'J;QntS,t., (Sh'eet NumLer) Wormleysburg, 1'1\" P043 (City or Town tille!, Stilte) N1I1'1-:1 1III"",'n HIf1,nllll~ Id'f'I,IIt\'11 flIlIl,I' HIli'" 1111 ldllllli Hl"lnf'~ 111 ,,,,, IIf'I'ld/lvll /11111 Iwllf'dlllflK 1l1l1l11Xll" 111'11 f'IIII..1 III wl!.tl Ih'l,ltll", Ill' Ull! w/ll'd "Sllll~'''1 /lllll III l'IIHl' III" IIhHI'I.. 1111'11111l' 1',111'1' Illlflllldlhll!/l HIWlIrll.tl'H, tillf~II1'lltl'H of ('IOHO Ill' l'nllltly f'"I'IHII'lltlflllh Ill' /Ill 11/11'1'111;1 111 all.\' "II"Pll1'11I1'1'''-hll' III' hllUIIlf'tiN, 1.1111t Ilill illlt./I hllll "flltl'Ill('1I1H I'P,!lIlt'l'l' IIl11h'I' 11II' l'"I'lIlt,I'III'h Illtll\'I',I'l'IIlIIIlJ', III ~khIHI\llll "U" III'" Ilttlll1hl!ll. \lhllllud,I' 1"'I'lftll1 Uf/lt 111111111111 /fl III thl' "HnrlulIfll'Y" hllH 1""'11 !'1'1l1,,"'I,\' \'111111'1"1"11 /1" 1I11l,\'(,-I\II'I'('Il'rl. AC C.U (4-711 COMMONW~AL TII OP /leNNsvl1vANIA DePARTMeNT OP ReveNue !lURe AU OP COlJN1'V COLLeCTIONS TRANSPIR INHPRIT ANCF. TAX RESIDeNT DEceDENT SCHEDULE "A" REAL PROPERTY *' RoolllCopeelY In Pennlylvonlo, with >>Iolomonl 01 lIIor1oooo ol1c"IlIl1ronen "pall ooch flurcolut doolh 01 doe 0, dunl, Proprrly h,ld by tho doeodont (I>> tOil (Ill I In con'Inon with (lnotlllH ot olhol, .1I0uld IIn Idolltlflnd (1110 qU(lnlulIl 01 Inlotolt (llId tllo ulllllolod I'oluo ~houl(1 110 thllt 01 tho docodont's IntOtllbl <lllly. (Proflorty hold (II lolnl tOllonl1 with rloht 01 survlotnhlfl 01 1011 olley Ill' ontll'01l05 should 110 IOflolloll "11 Schodulo "E.") Th. real/rop.rIY locat.d In th. Comn1onwlallh uf r.nrl.ylvnnla .hould t" d..c:rlb. by lot and block numb.r, .tr.., dnd ,HUI .Iuntlulf, 'ag.'".r wit" a g.n.ral' dlurlptlan of ,h. prop'rty, wilt. CI "f'ftlncfl to tha r.cord of the eony.yance ~y which the d.ud.nt took "tl., If n farm .ta', numh.r of Q. cr.., allO .tatent.n, of mortuag. .ncumhranc.. UJ'lon lachpClful h' ,llftt!. of dec.d.n" Tax.., anium.nt., aecr".tllnl.,..t. an mo,'uag.., ,'c"CI'. to b. Ii.t.d on Sch.dul. "P" and mu.t l1at b. d.ducl.d ham thl. .ch.dul.. (1) ASI~SSI!l> VA~ue POll VEAII or oeCEDEN,.'1 UOATIl The following properties situate fn the Borough of Wormleysburg, Cumberland County, Pennsylvania, more partioular1y desoribed at Deed Book "'r", Vol. 11, Fag( 38, Cumberland County reoor.ds, BEING NO. 18'llouth Front Street ., ':'..?,7(J, NO. 11r:: 11l'North Seoond Street , ".; '1- 1 (J, ,,,,'" r. 7r[)4 NO. 10lJ"':102 North Seoond S1Jeet ~~-'1'1 O. NO. 116:::'118" 'North Seoond Stmet .,21'4'10, ,J. 1'.<. .0, NO. 12cr-122/South Front Street, and ./ ,; .po, 124 South Front Street __'__":1. '/;.10, .I. '0'lJ(!. Inuet thIs totol opposlto "tonl propoety", Sehodulo "A" In tho X X X X X "AI ROPQelod" column on tho lost pogo 01 this roturn. ' (7) nl onPAHTMnH,. VA~UATIOH CAUTION (Du not w,ll. In 'hi. .pc...) nHIM^HO MAIIllI!T v^LU~ 27,000.00 20,000.00 20,000,00 22,000,00 26,000,0(,' 15 I 000. OOV'" / /,j-- tJ () t), ()() I '\\ .I' , '@\::h .J" V L- Y ,~ ~ , of' ., '\ , , l.:4 , ~....,... )...'1 I , (', I \,. _~ \.':, t..,~ \J...., ." ,1....\ ' ' ... \ f......'. I \ ,'." '~).I;I''\",I",," )... . """""'""'-""'" ",,.,-.L. I IV f' / c" / .".. ,. \. j .. \ ( 1 .. "1 -' ( l_ ,,^ I ,'<., ,', ,'v'" """'\ : It 1\" . ","'"t. \ - ty. l~:,"-':;\<""'" I ,5) 1,.._ ,'","V ,<1J1..,,~ ('" ,~'G..("{'i, ,C,......,~, , \""",^"^,"~,, .C.,. .l""-Ir"~ ~) ,,>' '-""f Jll,,..~(. ", )~...-11~- " ~ ~ (.t. 0" ., " I ~ I "~.~ j:'ly..t,.,.... J1 II () \ ' ,~ .1" ,)(~ \.."C ,1 ,,, \ II ",,"'0 ',,'VA- "....,v 'C\.-I'~l:.."IVv1t" ~-',. " ~. 'V\), ~ \"1 ~ ""'-...' Y\ ; ....."'^,.Zo.\/ r;t-.. . .~" tX-t. l~ I <, ' "~, I I, ' Y OJ (j) ,...'. \ )"" ,...... '. \~ ""'v .........""'.Ll1 (I""'~1 f C\..... t, I. ,. ,\ \ ,j' IJ _ j.. . ," -y- ""...." \ 1.',~ II 'I - (t i':) 'i ' 'I '.) ", ".A' .II' I -i~ SA- .-;";;)'., "~" "'r' I, ?,/'L'\J, f\" '.."\, 'j 'rM....t.' 'tv", (.; 11, ,...) ,,, ,. ~ "~. '\..~J"\..-d~ ....r...... t:.1,." i:o 'J . I _', ~',' ),.... v \ " "';. "-," ,I '~"J-"" 'l1"\V'" ~ ,( ,: _.iI I ( ~ A'~~~" '.' " ~'-\ .,40. ." ,._~", ...' 't.;;.:",. t,\ ! , ,< , , . I ./ (\ i' I' ~ I ,', ,....., I , " ,~..' t ' /\ ).,.^."",J" " . J _-1., ~ ,. ../ ( ,., ,.~...-",~ I,' , " /\ I II I , " II... .,..- 1\ .. I>'~ \ /, 11 '\'/ , ' 1 , ........,.........~.,'."..,., ,.{ f.' '~ I '- \, ' I ,(, ' ..(.-. ..,'.......,,~ (,"'~v""'-r,k V7 91.-.1 \v l' 1"'... o '~"-' ,J '........r..'~vol..4I ~~ i;, (} .v;~.~~dL .;t\-, i :,,1 ~'V\,'\;~,'I .\.{ (1,\"\ ''A,' ~,>,...("",,~,: ,P'Ii-, ,j.. ..IIt, , ,..A. .,,1, , ,~-j ~\. . , 1',,~ "/\1\- 0'/ I .1 '() , .v......, ,.' " " \ '- 1,,;"-, '-,,'t...."'l_ I,' I i~.'> { \ r;-. \p i .,l, \. ...... ,.." 1\"" . , , J '\. '. L' I ~'l t ~t~1 ," 1<""-"""1'\ ',' k~ f',: ..1'..( : ','VY\,.. '~"( \1' ''!- ", v..;. , . (I \"I,l, '._ ' " -, , ,.~,'I ',/ . ,.." 'y.. {~....v',Jo...JV'-j'--, t...."'" ..,\, '" ._t." _,..'....... 1 (., I., j,\ ,_,..l: n I 14 "'~'.t... ~l''''''---'\~._ f]' ..... ;" .' ,r:j..,'r. ' " J\,k'I\\/vt'''' \! i:. ,I.. llJ<I,~,~. ' ,\ ,*~ ~...l,_, Vh '~.l!'1' ...... . -I p fV~," ' '')''r ;<)..,.'1....,., '-\.-' ..' ~.... to:' ''L-''~''''''''' ; ~";\"-'\...AA\"'\\,\)C~ ;\'t.1W"'( ".. " , '..~ (, (\ 1\ /~": \1,;" II f,'.lb, ~~ r~ ~ ~\\ C \., (~/""" · ,~~t., ,.x.::..,\..t~ / ' , i, , .,/ (1. u " j- !I \A..j, \ " 1\. \. 1,',(,) _~J ......"\'? ,t.,1<.-,,,.,,< ", "n,,_. _ -~ '_ ' . l_...,-....'\\...~ /\.('.'1', " t.. ,,, o . ....<;l ~~~ J~i <( a, ~8'2 ~~i ,>1 a ., l'j '~ .......-_-.,...__~_..__~.._____T-.~--...-+--.._~-----,." .~.~. _.~_.~~_.._.._,.-. ~..-~~ -.-.-'...-------''(1).........'.. '......'..-'.'.-....'-('2) SliM MAli\' ' (AI 1\"I"'r\l'lI) I AI 1J!'!"III1II1<.<i) (Sd" "A") $ $ (Sl'b, "II") $ $ (Sob, "c;" ) $ $ $ $ $ , $ $ , $ \10111 I'enlll!r\y "oesolllll I'rlllll!rly Trllns!ers ,,,,,,,....,,,' Gruss, TlIxlIhll! Esllllo ' t;. I .5 ,B :i! .... .... t..l l!l v. ~ I.l.. .~ ~ i>-I 0 ~ t ~ ~ ~ ~ ~ ~. of. t..l r' ~ 0 il l= ... = '1'. 0 ~ " ;,', p.., of. \L. "t; ~ ~ 0 ~ " - c ffi ~ 0 "" Q. 'r: ~ "I ~ ~ ~ ~ e.: 0 ~ ~. :; " -. 0 e r.:: 'e .... ~ g e ,~ "tl .J ~ 0 :;:.-r: Ci I ...J ~ ~ il l!l ... e ~ III :::F. ~ ... ;... UJ ~ Vl Q.. :;: " ~ ~ 'i3 ~ u. III :. Q.. 0 - ~ ~ ~ ~ ;0.. ~ VI ~ ~ Ol c: 0 Z, u. <( ... 0 #,:, I-< 0 ~ Q.. Q.. U. .... UJ 0 0 ~ r--;;" ..c et: - - .2 UJ III l= ... - ... " ~ 0 ~ - ~ '- ..... VI ;l; ,0 '8 - ~ c: ~ :='8 " III C ,~'t:I ...J U U ;t:~ IUV.<1'j'f (f1.781 ' . I)UI'AnTM~NT OF RrV!;NUr. IIUIWAlJ Dr FiElD Ol'rIlATION!i 1',0, 110X 2070 IlAIlIII~IIUnl1.I'FNN/I: "/101; J COMMO'NWEAL TH OF PENNSYLV, ; II^ RESIDENT INIIEI1IT^NCE TAX APPI1AISI:MFNT ..-------- --.----- y'- \'"'' _,_2-Jlill hot' 1 '1.22._ (JOUNTY (111 rnhn"l',1 ,lUll\ 1'1\1' "0,..2-1._')_\1_0,06.:1_,____,__ ...... <+-_._~. ............-..-.'.~.......- ~_........~----- Whl'l'oan, \I C:~ni'i' r'nh 1 n ..__ lato of __,Ilo.unll~h nf._..l/.o..P.mJ.Jl,\t..GblP'~ Illlho County of Pllmhn"J..!lJl'( COlnmollV/oilllh of POl1l\sY!l'nnI.1, h,wing dlod Oil thn dliY Df _ 1') _ I !it11"Oc\ our! POSHOWlOd of /Ill nBlnlo tillbJllct I() Inhol'itonoo Tax undo'.. tho laV/~of tho COnlmonV/uidth of !-'onlWyIVillll,l; Thoroforo, I, c:.nnrhHl ~~.,."t'lt, ,an appl'ili!lor ,duly ilppoinl,od ilGCordlnu to law! hilvingboon donignlltod to mollo n full'ilnd c:onncionl\blll ilPPl'illuomollt of tho nald 11~tlltO, and to il!~IOSU ilnd fix thl' Gnuh valuo of all nnnuitlo!l and IIfo onlatos growing out of nnid O~lotll, hOl'oby fill' tho foll?wing ~pprnIROnlOnt:' In thu lI"onl tllo1\ .11lV fuluro Intm"..t 1111111\ tlSllltn Is IliHUf(HHlfllrl pn\~U~\llllllll on/t.IYlIlunl III foll,\lor.llllulfs ul IIl{1 (h!{;(l(lfjnl .,HIlI Iho o)'plll\lllIl\ 01 MlY oSlilto flU Ilftl or for YOiU", 1110 CnfJlll1UlIWIli\lllIlIurolly tJ)(proHly rllhutvuS IlIn Ilr,llllll ilJiPr,llllllll11J aUU$\ Iriltlloful IlIl10tlliltlff' t"l\'ll~ ,It 11l(l1;,wf~11 l'1I11j111'1'11 1<,ln 1111 .11lY 'JUrll fult/ro Illtonilt. ---- ul:!,cnIPTIONOF {\S~lll ItJ,~f-l- 1\J'PI,'1V~I\\';1I1 V{\UJH,i MilIl'.! 1I1111I1olll,HHI' Tilt" 1'1l111l1iP~ RnAl r.~+-I1TP i\ , ~ ,nnn Inn , Pe.%'C1nnn' Pnnpn't'1+lt 25 ,319 35 'T'.,..l1nRrPJY\n ilonA - . JoJntly Owned -- ".. TotRl 140.319 35 -.----.-. ---- - , , , . -,-' -" " - , .. - , . , -- - . , " , , - - , i , - , . -.-.- ...- I--.----~. -,- -~._._-- - " ----. - ------ +..., ~- , ---~--.....-,~--.-.-- - - -- ---- - - ------ 1--'---_.. .._~-_._._. ,-- - --,--- -- - - - .- - I lavll boon duly RWOl'n uccol'dln\ll.o law, I do hOl'cby CIll'Ufy lhlll tho ilbovo apPl'liillOlnOnt iR mado in conformity with tho Inw on this. lr; I. dil\' of QAt~"~~, ,/, , , ' 19 .::J.!J.~, '<--" ,--J /_-,y' .'Ii ... _// J-' f I --~Joll~1l1 __...'!.!'L-..._______ lNUJlIIII!1 'ltHI !~lr/1f)11 POll 110'1. (Pllil Otlil i') . '. de . . . 1 I Ill' , . I j I rl ! , i j I ~ I I i I I bD . , j i I I I i 1 . ~i i +. j i i j I I I j 0\ I 0 Ii II "1. j ..... , I i ! I ~ .al I I j I i I, I I ~ III I I I iJJ I j 01 . i ~ ! ! j c3 l>>rl , Ill! :;, i ! ~ ~' i 1 . 'j j ! j z i I . I I II> I j i j I , < i 0 I UJ I i i I I ~ ~ I ! , ~ j 1 . ~ 1 I , j ..J' I j i 0 : j I I j ..r ID ~ i ~;j j a:: ~ I I j " .g i I f i I l I g ~, ~ . i u. I .! I I ~f 0 I ~'t1i 'l3 ~ ~ :::; . j ~l ~ 1 5. j , ~ I I ~ I I W l!l J!l.a t ~ ! ~l..d u ~ I I ! cU UJ ! ~ I I~ ~I z ~ J3~ , g I ,v, .g ~, j ~ i I ~ '1:l ~ '1:l ' nI. i~ l' ~ I Iii ... j I Iii I ~i t::l MI 0: I ::J ffi l .... .-II I it 11 ~ i <t.1 ] '" ~ i fij Nt 'l3 1 ! 'ill 11:\ u! :c &J , UJ , J i ~ .~ .... 0 j III I ' . , i ., i ,a S ,~ 8 I , ~ : ffi 'l3 I ~ I i I I . i 11 Q &J ili Q ! ., 6. ~ , it; ~ i .... ~ I in d P'; I w j a: COMMONWEALTH OF PENNSYLVANIA COUNTY OJ' ClAMlEtiANR DAUPHIN I. J III HUGH M. WOOD ---< _.,...~. . ..~---~-~---------------"........_...~-"_.-----...-------.~-~_.~_.,~~--,._...... bolng duly ,__nJil\'l.Q;r.n.., __, according 10 law, dopoSOl and saYI Ihat he j..ILj:JllL.Exe.Qu.tQ;r~___,_,_, ,-- --,--,,,, ,,_ ....____.. ,," of tho Estat. of ,-_~~cott Coble late of ..", Ho;roughofWorm1ayspurg , -~'__-""~'_' Cumberland County, Pa., deceased and that the within II an Invontory made by ,.,Hugl1-~.,-Wooa_,..~.,_, , ,..____""___,,,,__-'_, the uldJl:~01.ltor of the enllro OIlato of said deoedenl, conllltlnq of all tho petlonal prop'~rly end real estate, eKoept r..1 Gltata ..!)uhlde Ihe Commonwealth of Ponnsylvanla, and Ihat the flgurol oppollte oach Item of Ihe Inventory repr...nt lt'l fair value as of the dato of decedont's doath. 19 ..~,l~::/:/(/' \~.::(t,L ,-e-c-r;(" ( , euaut., ' Admlnh".t., Sworn --'- and lubsorlbed bofore mo, =J'-?.L~h'./ / )". , "- /_~ ,c1./ .f' -J IJ./ .. __ '/" ,A), ,_. , ..' , .-',.. ,.(~I'b,.' ? ,.( . , " (A "_.. ( /.-.,...: " " 1/" -,,;fi;;i,~1 .0< \." M~'d~'!', (, .L, S" ";11';"., I" ./,((,"/ 1I~.,~~"Tt': H. ' , tlilli"Jim Cbwtlr f , 79 18 S. Front Street ..._~----~~_._- - ,,_~_~~!Il1eysbur_,:!.! Pa 17043 A~d,," Data of Death ~__12."_,___,_,,_____,____~anua.:x D.' M.~h 1979 "- Vur INSTRUCTIONS I, An Inventory mUlt b. flied within throo months aftor appolnt",ent of personal reprolenlatlve, 2, A supplement Invontory must be flied within Ihlrly daYI of discovery of additional amh, ' 3, Addltlonallhoeh may be athched as to petlonalty or rea,lty 4, See Article IV, Flduclariu Act of 1949, " \ lJ. , \ '~, ,,": \" . '1 C' ~' ~ fk,. ~, r.! " 'J' "\ ~ "'. \:) ~ .. ~ "- " ~ , u \ " . ~> ~ Ll.l a: Q 1\ III It ,. il: ... ,:, r-......, ... -l LL .'! r ~ , LL -l ~ 0 '{ ,:, ", 0 ~ i- Ill~ , ~ a: \' ~'~ I' 0 Q ,.' j' !i I - ffi ~ '\ d 0 '... Z '. ... ... 11 .. ... ";:; ~ \\~"I 0 .. ... "0 ... .), '--'-I .e e I .. ~ ..!! J -l U u: Inv.ntory 01 the r.ol and p.rlonol ..tot. 01 W. SCOTT COBLE______....,___,..'____,______d.c.a..d. ...-._---_.-..-...-.-.-..._.__..~._----~.-. ~~---~~_._~._~_._.__..----_.._- ---_...~.._~-----.__.._--_._._----------_.-... - --- Real Estate Situate in the Borough of Wormleysburg, Cumberland County, Pennsylvania, described at Deed Book "T", Vol. 11, Page 38, Cumberland County reoords, BEING No. 18 South Front Street No. 111-113 N. Second Street No. 100-102 North Second Street No. 116-118 North Second Street No. 120-122-124 South Front Street 7,000 00 0,000 00 0,000 00 2,000 00 26,000 00 Personalty 1964 Cadillac, Manufacturer's No. 64F030327 Harris Savings Association Account No. 1-02-101571 Balance $6219.12/ interest 17.64 300 00 6,236. 7 2,072. 90 4,959 6 36. 3 9,822. 9 836. 0 22 0 22 0 1,012 00 State Capital Savings & Loan Assoc., Acct. No. 001-00-00811 Balance $2068.09/ interest 4.81 State Capital Savings & Loan Assoc. Acct. No. 001-25-01540 Balance $4945.85/ interest 13.21 State Capital Savings & Loan Assoc. Acct. No.' 002-32-01732 Balance $36.14, interest $.09 Dauphin Deposit Bank & Trust Company Checking Acct. 23-22-149-6 National Central Financial Corporation - common stock Cer. No. 04382 - 12/7/70 - 38 shares at $22. Cer. No. 11873 - 2/22/71 - 1 share at $22. Cer. No. 19887 - 2/15/73 - 1 share at $22. Cer. No. 76909 - 7/31/79 - 46 shares (replaces lost certificates Nos. 24941,dated 3/31/73 for 1 share, No. 35546, dated 5/7/73 for 41 shar~s/ No. 51046, dated 3/14/73 f~r 4 shares) at $22. TOTAL 11\.(0.\1-1./1' AI'I'I.ICAlION rOil CllAI1ITMII.E EXEMPTION FnOM I'ENNSY~VANIA TRANSI'ER INHEHITANCE lAX (Atllll Muy 11\, 19~j(). P.L, 11!t7, tllld Act 01 Junfl 15, \'lid, P,L. 313, Ul UlllrHldf'IlJl COMMOHwtALHI or rr:NNSYlVAIIIA Of.PArnMrt~T or nEVI:IHH: (llIREAU or COUNTY CO~I.I,CTIONS '~r -~ -- ." - -~ --~.-.-. - Appllcullol1 i. horohy Iliad for tho opp,ovol of un c)(omptlon from Ponnsylvanla Tran,fvr Inho,;tonco T". on tho tran.for of tho propo'ly door.,;bod holowl 1. Bu,oou Fila" 2. 0"10 of Do"th January 17, 1979 3. Dato of Approv,,1 n"\"Uf'!'/' (()')'i 4. Hamo of D~~t ,,' W! S_9()t~ ..Gob1~, 5, Tho Commonwoolth'. appral.od val,ua 01 thopraporty for which an o.omptlon I. clolmod I. $ __2.~_O"';~__~~,_m.' (Hotol Who,o Iho proporty I. othor Ihan a .poclllad amount of cash, tho o.omptlon cannot ho appravod until Iho vnlua 01 tho prop arty hns boo" ~.Inbll.hod by apprnl.ol hy tho Commonwonllh, oxcopt ,n tho.. caso. whoI'. tho amounl of tho gift or haquo.I roprosonh a .Ialod fractional or porcontago portion of tho ontlro o.toto or tha onllro r..ldu., In tho.. ca... ontor such fractional or parcontage amount aboyo). 6, Ch.ck tho mannor In which tho tron.for was offoctod and submit a copy of tho documont aulharl.lng tho Iran.for, unlo.. .uch mato,;al has b..n proviou.ly fllad, WILL ~; DeED 0; TRUSTIHDEHTURE V'I SURVIVORSHIP (J; OTHER 01 (If alhar, o.plalnl.__~___......,,__......,__~,.. _nn c_.._____ _... .---.... _..-,.~--_.. ..~-.-._._-~-- M._________ 7, Carroct Bu.ln... Ham. and Addro.s of Charltabla Organl.atlon racolvlng proporty' HAME __.,__'rll~__~lI1 vat:,i..CJ_~, Ar~.__..__,__,_,___,___. ADDR Ess_,___1.1.3~_~:ee~,.,s._trEle,~L,~!~r,=-:!-.s~,::~g L!~..171..o_~. OSee IIslln9 011 reverse side for addltlonol choritoble er90nlzations covet~d. 8. I cortlly that tho Information contaln~d h~~lry I.,to th.,bo.t of mI' k7Wlodgo and,ballafl truo and corroct. ,-../,:::" -c. ___"",--~_:;-' -' __..Ii) _, _ '-/<'" Slgnoturo of Appllco,nt __...-,.c.1:--7!:....1..L---,-:..,~--"--'--..:-...':.,_c__.._-.-...,---'---' 18 S. Front street, worm1eysburg, PA 17043 Addr... of Applicant _,_"--_~_._.--.-.....--,....-..~-_.._-,. -~,---~'- Official Tltlo _,..__~,__j;1~~~CU~,t:l,:;:.--....-,--,--,..--------,--~ Data _..~ugue~_,_15 ,_1979.__,___ Thl'lI form mUltbo camplotad In trlpllcClto Qnd allthruo coplos dcdlvn"otllo thl'l Ruglstof of Will. lot tha CU\Jnty In which tho docodont rosldod, or In which lottor. WCHO l..uad for a non-fu&lllont c1vcodonllll t1filUlo, If Ihn docodonl wrta a non.fosldoht of Ponnsylvanla (lnd Idlors worn not IHuod hy (I ParHlIy'lvonln Roglsltlf of WI 1111, dollvul olllhroo toplOl; to tho Director, Buroau of County Colloctlons, Ponna. Doportmont of RflV6nut1, 265', 4th SHe of, 1~(Urll"bu'lJl Po, _,..,____,._,_,__.__,_._.._,.---R~~O) w,~I,to b~.L..VI__'_"!~..!I;1.~.~_"! OHI~.f.aI_.\!..~..Q.~! ,-,---- APPROVED' For tho Socro'ory 01 Rav.nu. REFERRED to Buroou Handquartors Approvod 0 For Sac rotary of Rovonuo ), [" _~L)=\I..i(-s\~~lt~r:-~f R ~~~~;'~~W'I~I~J~~---(I~~;~~i~--:;-~~~~~: of V1;~-.;-_._-' - ""'" ''';:i " \ , Danlod' {/ (Aut~orl..d SI gnaturo) _~_.................~...........~M_-'"-----:'_'__________ i (couM("{1 ,..~_" n______~"~"~~q.:.~'2A~l~, (Dato of Approvnl) ._~._--~-_...~~.__.._-...-,_._~.._----- ---------~--~---- (County) (Tltlo) -------~_..,-~------~ -----------------' (Dato of R.lnrral) (Dot. of Action) ~ SC"o royorso 51no for ronson" MLlST liE FILED IN TRIPI,ICATE 1(\I.j"I-<' APPLICATION FOil CltAHIT AnLE EXEMPTION FI!OM PENNSYLVANIA T1lANSFEH INIIERITANCE TAX (Ad nf Mny 211, 19!i6, P,L, In,!, '-HId Act uf Junf'l 15, 1?61, P,L. 313, llli 111l1t1lldfldl COMMONWEAI.TI, Of PfNNSYI.VAIlIi. OEPARTMENT of REVENUE nUNI!AU 01' COUllTY COLLECTIONS ,- --. ......-. -- --- .,......-. ~-'-..... -,,, - Apl'llcatlon I. ho,ohy fllod for tho ol'I',ovol of <Ill oxoml'tlon !tom POllnlylv"nla T.onlfo, Inho.ltonco Tax on tho t.anlfor nf 11.0 p.ol'o,ty dOlcrlhod holow, I. Bu.onu Fllo " .' 2. Dato of 01'<111. Jllml~).'Y 17, 1979 ,,(<"Ut ,'/'LJ(/:/(j. 1" Namo of Docodnnl _ w. S_co.J;"t, Cob1.e -,.. - ~ 3. Dato of App.oval 5, Th. Commonwoalth'l app.al,od voluo of tho p.opo.ty fa. which On oxomptlan II clolmod I. $ _..l.iL-OOO...Q'Q'____.. (Nato' Who.o tho ploporty II otho. than a Ipoclflod amount of call., Iho oxbmptlon cannot ho opPioved until tho valuo of tho I"OI'Olty 1.0. boon o.tabll.hod by 01'1"01101 hy 1"0 Commonwoollhl oxcopt In tho.. Col'" whuI. tho amount 0/11.0 gift a. boqu"I .0p.o..n\5 a Itotod f.octlonol, a. po.conlogo porlian of Iho ontlro o_Ioto a. thoonll.o ...Iduo, In tholo COlO' onlo. luch f.octionol or po.contogo omaunt obovo), 6, Chock Iho manno, In which tho I.on,f.. Wol off.ctod and .ubmll a copY of 1"0 docum.nl oUlho.lllng 11.0 t.anlfor, unl... luch moto.lol has boon p,ovloully fllod, WILL bt; DEED 0; TRUST INDENTURE 01 SURVIVORSHIP 0; OTHER 0; (1/ otho., oxploln)_____.......,_______......,....,..,....__,.. ".---,.. 7, COHoct BUllno.. Namo and Add,o.. 0/ Cha.ltabla D.gonllation .acolvlng p,opo,Iy' NAME~!.: Pa..u1' s Un~_t:ed _Metl~<?_~is!...c..J:1_\l.!'.~b....__, ADDRESS Fr3n~~_l',?_<?_us,,!:_~t..l:'eC3_~~.LWor.!!'_1.~ysl:lu~'il:L PA I?'Q,1.~__, o See listing on rovorse side for additional charitable aegol1lzotlons covered, 0, I co,Ilfy tho~ tho In/ormollon mtolno~ ~/? 1:~,~:Ih:b:,"I, 0/ m~)OWI:::_o:n~ bollofl Iruo and corroct, Ignaturo of ^ppllcnnt~,:L"_c-::"~~"/ ~ _L_~'--'':--T---' , 1'lugl1 M., Wood, Exeoutor Add.o.. of Appllcanl ___,..l,a,__s.~_.F.rQn,t,.S,tr.ae,t,I~.Woxmley.sbw:.g I l'a 17043 Official rltl.____Exeq),ltor~,..-,...--,__.,_.--,..,,--Dato...-,_____1,\ugust 1 Ii, 19.19.-~ Till' form mu.t bo complot~,j In IrlpllcQlo and alllhroo capltu dollvoro,lto fila RI,gl*tor,ofWIIlI fOI tho Counly In whlth tho doe"del1' Inlldad, 01 In which loUnrs worD l..uod for a "o".,olddont docud'1nl''11 tllitU'tI, II tho due(ldunt WClll ClI10".fosldonl of PO"",ylvunla nnd lottol. woro nol llluod hy Q Ponnsylvanla Roglllar of Wills, dullvar all_ tl1l00 COfll(li 1(1 fha Dlractol, Buroau Qf County Collection., , Ponnll, Dnpnrtmont (:If Rovonuo, 26 S, 4lhSltoot, Henrl,burg, Po. ___...__..____________,__00 not wrll~ bolow ,!.hI_~J.!.!1~..:J'o. ..Q!fJ.~,L".!Jl.'_"._9nl APPROVED, For tho Socralo,y of ~OVO!lUO REFER RED 10 Bu.aau Hoadquo'la.. App.ovod 0 For SOcl9to'y of Rovanuo ~~L."C;'ikw,-m-f\'7lr-- (Slgnatu.o .f Rogl.lo, of WII'I~~(&r\ Donlod' 0 -~-_.._--~--_.~--~~._.- (I,nltlall of Rogl.lo, of Wills) (Aulhorlud SI gnatu.o) II --,..-.--------.-- ~_._.~._~~--~._.._,._~-~--- (COUllly)'" ___,____.~__,__LL'>4..(/-..J..\,'L.l:.r l/ (Data of App.oval) (CounlY) (Tltlo) ....---~~-~~_._._---_..-----~ (Doto of Ref 011(1) (Data of Action) .. Soo tevatso sldo for ttHlfions MUST DE FILED IN TRIPLICA TE HI (. \ L'\" (, . ^PPl.IC^T10N FOR CII^llIT^III,t tXEMPTION FI10M PENNSYLVANIA TflANSFER INlltRITANCE TAX (Act of Mil)' 2t1r 19!J(J, P.L. 1757, {Jilt! Att (,f Junn 15,11)61, P.L. 3731 (11 llfl,tll1lll'llll COMMOtlWfALTtl or f'EHNSYLV^,IIA IlFI'AllTMI'tH Ill' RFVI<tIllF lllJRF^U 01' COLI tHY COLLECTIONS .." ... <..H Apl'lIcntlDn I. horDLy filod for th. opl',ovol of (111 oxonlptlon from Ponn6ylvQI1lo Tran,for InhorllnllcD Tn. 011 tho t'"h,for DIthD p'Dporty dOlCtlhDrI bolDw, 1. Bu,oou 1'110 II 4. Mamo of Docodont ' ~anuary 17, 1979 I ' '1'1 I (\ '1 Cl \."\...\'((1 ,.d ,,_.t'r \~. (Scott Coble 2. Dato Df Doath ' 3. DDto of Al'p'Dvol 5, The Cammanwoalth'. oppral.od valuo 01 tho p.al'o.ty for which ah oKomptlan I.,clalmod I. $ 42. Q.Q.o....DJl___", (No to. Whoro tho p,oporty I. oth.r than a .pocillod amount 01 ca.h, tho oKomptlon cannot bo approvod until tho vDluo of tho prapnrty ha. boon o.tabll.hod by appral..1 by tho Cammonwoalthl OKCDpt In tho.o ca.o. whoro 'tho amount of tho gilt or boquo.t roprolOn" a .tatod fractional a, po.contago partlan of tho ontlro o.toto Dr tho onllro ro.lduD, In tha.o co... ontDr .uch Iractlonol o. po.centag. amount abovo), 6, Chock tho manno. In which tho tranlf.r wa' olloctod and .ubmit 0 copy 01 tho documont autha.lzlng tho tran.lo., unlo.. .uch motorial ha. boon p.ovlou.ly lilod, WILL Lit; DEED 0: TRUST IMDEMTUREO; ~URVIVORSHIP 0; OTHER 0; (II oth.r, o.ploln) .._..,__..m~__"'''''__'' ,..,_'_......__.._......,-...__m..-.___.___ 7, Co"oct BUllno.. Mamo ond Addro.. of Charltabla Organization racolvlng proporty' MAME __\.'Iorm1eysbl.U;:'SLChurch oL.Q9..9..........._.._, ADDRESS 113..~~e_9.~n(L?.1:.. WOJ;!'l,~~Ys...burg,L~ 17043 o Soo listing 011 eaVO,SQ sldo for additional charltablo organlz~tlons covorod. 8. I cartilY'that tho Information contalnad:;roln I., to/:ha(b~.t ol,my ~nOjdgO and~o,lIofl truo andaa"oct. Slgnatu,o of Applicant _" ....-;. '''4L /L........'/'/ ,', " ':,' ,..,,',,/(.. .. \,' /' " Addre.. 01 Appllcont ___l~.'..J?-,-.....F:t;,QnLS~f!'let. Wormleysburg. FA 17Q..4.2-____ Executor ,D August 15, 1979 Offlclol Tltlo __....,_,___",..,_,.:..___.._....,~.___.._..,..,~.___ at. Tllll form mult h'o complotod In trlpllcnto and all thruocofllul dollvar(ld to Iho Roglltor,of Will, for'lho Counly In which tho docodont fOllu(ld, at In wldeh loltors warn I..ued for a non_ro.ldont (locodCln,ls otIlolo, If tho dncodont was 0 non.rosldonl of PO"nlylvnnlo and IQIlor. waro nbl l..uod by (1 Pnnruylvonln' Ragls'or of Wills, dnllvnr all throo c'oplo!l to tho Dlroclot,I Buroou of County Colloctlorll, Punno, DopC1rlmont of Rovflnun, 26 S. 4th Stroot, Hartl.hurg, Po. ",_,__ Oa..,~.~t,!'..!.I.~~olaw thl!..~_:..F_or OI,I!.c.!..n!l'.....".,Q.!'! APPROVED' Fo. tho SocrDtory of Rovonuo REFE~RED to Bu.oou Hoadqualtaro "_\4\~~~:l.Q..l-il_LJ_~~QN:J';I',(,, _u,__..____ (Silgnat~to~f,R~~~,.tor of Will~l\~})~.. (Initial. 01 Rogl.tar of Villi.) _..___,..,__~---,~~_iW--------- .-~-- (Co~ri ,.\:'" (County) --...-----~-(D~;;;~f-Ar~~~) :1.'( I if'?,'!_ ----(D~~iIR~io"ai)---- Approvod 0 For Soc.otary 01 Rovonua Donlod' 0 (Autharlzod Slgnatu!o) (Tltlo) (Dato DI Action) . SOD revorso side for roasons MUST BE FILED IN TRIPLICATE ., '.E'V."'IH~ 11I.,81 OBDllCTIONS ALLOWell IN STATEMENT OF DEBTS TI~E SliM Of _.._ I,I~LJ)J:I-..i.l. AND DeDUCTIONS ,t (I) L' "".(1 J(t n Ij Cumborland '., fN Ie AP?,~YEo.'_'- L:._,:-'__l, JT ::~;;~-;--;;~~ OM ON'W~~UL~~V (Iv IqJ.t.:::.Jjt:...'..1~~.__ ..___,..,_ ,~~,_~.~_~..,'__..___ " (..:.- ., / _.:...:..~ JX&.~!.~~~~::~"::~~'.~~:'.'t1:_.__,., ESTATE OF W. SCQ'r'l' COBLE LAT~ OF Dorough of Wormleysburg ,A__.__ -.....-___..._._.___..._.__,__.......____..._.~.o___.._._.... nD~H OF FII.INO ~p~~~~ Q~l',,::: 1i.0~ D~F OEATH...__Ja~u~r:, 1 ~,~ l:}L,_=-::;::~::=~:;, NO. OF NAMe OF FAYEE IWMARKS AlAOUtH VaUCItE" OFFice OF THB RroISTr.R OF WillI DA 11. --. --..---.. --. -...-_. ---_...._'-_.__..-----_._._---~--- --+---_.-._~---~... -,,-.. --~_. ._~ ......-....-.-.- ........-,.- 1/30/?9__.._._.."" !!.<:>}y..~piEi t.-!!.~~~_~_t,~.~",....,'_ ,.__ _~~.12~ce~..__,_.,'_ .....,..___._____ __ ..,J:~._.~.Q. ,~l~0(7~.__.....,_ ..~eg~_s.~.er of _ Wi!.l~.____.__,._ .. rJ~t.~ors _'!:,<?,f.3..1::,tI.~.9..!:~,arL___..,.,._ _ 4 B 00 1/30/79 Dell of Pa, Telephono service 11 14 .. . ____._._.__ '___... .__.a..__.._~___.__._........._.~. _ .~_..__ ___..._~ .... ...__.____ '_'_.n._~_",""", '" n' . .___ .,.~. ._.__ 1/30/79 O. L Jacobs Balance due on repairs -".., .."", ......".., ,...... .-.-......---.-.....--.-,--....-,-,-, -.:;/~/-76 ..---,..,..,....-- ....,.....,,---, ..--44 --as. .!l;!Q/79.. _...,__ Wq,~J!1,~,<:ly.sl?llrg Re..fuse ___,..,_... _.RQf,llile--YElri:o,~I!...E!QPert,ie'iL_ ...._JE--.2.Q.. JD..Q,L7.~L .____,,, NQ.t11lllil~Y.t'.9._JlQw.QL___, Var ipus I?rQ~e.r.t.ies .,:J:L~9j}9......._.._.._... 9.~~,:.._,J c:~~~E.'.__..__....,.._,,_,..__,_ ...2~~A~n~~_=-._Va~io~s .m_" 2/8/79 P P & L Eloctric - 18 S. Fro~t st -..,-...".. ,,,- ,-"...,-, -'-'" ,. -..---,....,-.-.,-----..-,....-.. , 2 S , EJ:ont..-~-,__"_.._.._,_._ 1/30/79 Arnold Coal & Supply Fuel balance - 120 S. Fron -------,..- - "'--" ,--'->-....".-----,..--------- ~. 12/22 ,L+-fJ-<md-.J.f.9/+.\l---, ,--24,8. ,~ ,!l~..9L79.,...__,__ ~~nl}Cl.!cLC9al & Supply.. i~~~ ~~7~~.f;,~Q~~AL.. ..-a ----4d- 2 I.?: ?/.79 .. ____,.._ f,l}meer_l;..a_~~_~~~?u~~al.._,__ l\dvertising ~_ett~_,_...____ 18 00 3/12/79 West Shore Times Advertising Letters 19 39 ....._._.._. _n... ._'." ~_ __..._.__..._... ___~.._.~.___~_________._ 3/15/79 Musselman Funeral Home ..._!to!i. _-'La.. _,_ AJll ..21l.. ,_..,.."..9_3 ,...Jl.2.. Services 3,121 35 6/25/79 ..... .---_... 3/13/79 ~.- ......... 3/13/79 Register of Wills .._.~.-_.,-- --...--_.._._...~._-_._-_._. 1 00 Short Certificate ._----.----~.__..__._--.._--_._.- _......._~ '-- Var~oua Properties --J?-O-l:'.J.ol.'l-ll'; 2 0 /':]'S-t;.~-20,l.+9 1/2 month 1979 Doro/County -,r--ea-,l-'ea-l"il-t.€-l"il*-----,-- various propertIes -. --.~..__. ._-~~_.._.__..._---_._-_._----_..- ----,. Paid to District Justice, Rental collection ReI H'U,,_" P,rothonota1;y..-&-Shet',.i,f..f;.,,-,.. -J.OO-..N........2rn.'1-.s,t.-_,______ ,,___l..6.1 ..2..5.. ,.1'..l!.rg~J1.1N,i.!I,!I..~(JyJI(1:1,!9,_~.!!..~1 ~,~~to!=nor~_~'ee ___,__,_ _ld~.!5 ...1l Hugh M. Wood Exocutor's Fee 7,015 97 - ,." H'" .~'~~j:~~-:~-~'~..~i~~,~'.-...n'-.-.'- -'FTi'ing Invent'ory antf--'--"-'- ---- -- ..... , ,..n"_,' - ,....--.,---,--..,-..----..,..--D!ilPt.!i--&.-Olildl.lction.il._ ." -'---_9. ......o.a. RESEl~Y.!!1P .u,.....'.....__n_'__'__,., _~t}~~~~bn~~~f~~ogo~fr__.._fOO _QQ. Riverton Consolo Water .Jerome Van Nost,Tax Coll. 25 82 .-.... ,.-- .....-..--..... -.. _, I.:: "_C- _ ;~:'_-__:.'- ..,:.,.;::;-_....; .-'.;''':;''-. ;;~:.:~~~:-:-::~I::;:.::.=_.:.:=~:".::=;...:::::.;.~.:===~=~=;.:::.:-= .__ tllMMONWEAl:TH 01' PI'II,',lHlVANIA I SI. COUlny ol'....])a,uph~n ,.,__u_ I, ., , "....JILJ,G1.l..l1.!..JvQQ,n..,__.....______,____ Hel\EflY CER T1FY, THAT TO THE REST OF MY KNOWLCIHil; AlW A~llltt', lllE FOREr-OING IS A ,IUIT AND TRUE STATEMENT Of OEIITS, FUNERAL EXPENSES AND I.XI'I!NSn 01' ADMIIHllRA1ICHI SlII.lMITTI,t' TO THE F.STATr: OF_....J\'_t....E.Q,T.'l'.....c:QBr.I~ D~CfA~ED, AI DrllUl'.1I0NS POR INIH;RITANCr: TAX PURPOSES, // IW~ll~ .ANI) SUUSl~ID~P U"Ef'O, HE M,E THIS 79'.) ,-.. 1,_\":,(../+"",,, y.Jt.rl'~"'" 0' ",,-1-__ 19__ _"",' :" ~" ~~-l,.~, /. let.., ',(I '._..~,.. __._ r v f: 'I, .; '/", N"llt', /'\1'11; 'I ,..II""" ; \;' t, I~M L..nI\' OA V Of '~t-' ",r/j~ " '/ ,..,. . ".'> [r ) .... " .,-/,(' ~... (L,S.) Iii nh".,H)~ tn.lfI) P I\GE 2 D~DlJeTIONl A~~OW~O IN TNE SUM or ___ I ,0:( 'L2uJJ. , , (0,1 ,';0 /(/.'I')lj \gn A "Po ~v~~ D~:~-~,"--+- -'-(- , ' _LJlt, ,.!"",-~ -- ~ - ,--_~[tOI H-:R 01" 'h1l_1.'. AillHH "\ '\.~^'~. \+ " ------,...---~--..---_.~~._-- l-A TE OF Borough of Worm1eysburg --------...- .-----....- . OFF ICE OF TliE RI\roISTER OF WIl.I.l STATEMENT or DEBTS AND DEDUCTIONS Of' _"Cun!bArl Rn.d..._ COllNTY AND AGENT OF TH~ eOMMONWEA~TH _~.~._._..-.______._____u._ [,ITA TE OF W. SCOTT COBLE DA TE OF FIl-INO APPRAIIEMENT DATE OF DEA TH January 1lt. 1979 DATF. ~ _. - -- - --. - - - - - - - .- NO. OF NAM~ OF PAYH RtMARKS AMOllN f VOlle HeR ~... ------ ----------.... , ,._~--,--.....;., ..-~-.~--- -,-- !Hugh M wood Loan to W . S cott Coble !.Q.O~ . ...1D. 0 / 7 1 5 0 0 --- 4~___________.__ ~----_.~~...---._._-~-~_.__...._--- .. Sc'ottcob1e~---'- -"....- H.~~!U1 I.oan to W . ____.u_ "n_~_'__'_ . Wood .---- - - ",]J.y.Jlote de..t,esL,.lD.L7.L. .1...ML ....QQ.. _..u .. .._-~..-~-- ....~...-._._._~_._--_...-_._~._-_.- ---_._-_._~--_..__...~~....-.__.._-<,.,.,-.- .. ~_.~- .~~~.. .-- , .,-"._~ ~--_._.~.~- ~._..----_...........--_....--_.__.-- ----.. ....-_...-.~..._~_..- ---- .- ,-- --- ---.-. ...--..--. ,- ---.- -,- -- --. e---- - - -- -- , , ,--,- ---'-~~'~' -.------.-..... ------.--- -.----- .---- ___._U -- -_.~._..,--,--_._--_...._- -- -----.--.-------.--.------- ....--.-- -- -- -----.-----.~_. -.~.------------ , - ....--' 'Hn -~-~ _<~_________M .- , .. ,- ........,...-- ----. -.-.......--- -- -- - .,....... ---.........- -~--_.__. --J; , -- -~~-- - '-,-- f--.....-, " .-----..-- - ,-- , , --, -- --- --- - ---- , ...--- ,..,---~ ---.---.--- - ~ - , _..._-..-~--_._- --~-----~--------- ,- --- _T_~_ .. ..-..<-~~----". ....__._-~..- .- --- -._-<--- --_....__..~.._.. .._,----,-----,----'-----'-- ~-----,----- ,-- ..~~ ....~.< .~-_. _.__U _.-...-...... _.._,____".--"m-'------- --... ....._..--~-- -- - _._._~... .._...,,~._.... ....,- --~-_._-_.-._--- ----------..-- I~'----" ..---- -.--- -- _..~...~. ,---- ~-~..,. ...--~ --, ~.'n.__...__~.__.___....___O_+__..._ .-_..._~-- .- '" -.-. -- ---.. .. " ,._ ._T__~_____........._____~__.~___...__~__ - ..---J-_____ , -'-'- TOTAL 2 7 , 7 B 1 16 ..._.. "~__'____'U_" ---~. ,'~-:'':.-.~'L':::~'-'-::.,~~:;.:_::;'~~,;.;~:c::_':_.__::c;.-:,;.;::.::.:'_~.._:=-- -' _n__~ .__,.._...__u..._~ - .. .. .. ~ ----~....._-.- _..,,-.~---_.--' ....--~~..... COMI,IOtlWEM.. TH, OP, p,eNNsnVAN1A \ C:OLltHY OF .._.,P.~~r.>.h.!:~,_~_~_ IS, I, _..,.._,H~gb,.~,L..\~O..9_d,_,__,-...----..-,-...----, HEREBY CERTIFY, THAT TO TIle BEST OF MY KtolOW~EIlGC At~D HELlH, TIlE FOREGOING II A JUH AtolD TRUE STATEMEHT OF DEBTS, FUNERAL EXPENSES AND [XrEN~el OF ADMI,NISTRATION MJBMITHl) TO THE ESTATl! OF __"JL""",......s..cat1., r.n, 'h1e_, "j' rJECEASEO, AS IlEIlUCTIONS FOR INHERITANCE TAX PURPOSEI, // , ---.( /- /' ( 2-J /' ,/ . /~j ~,' .__c "1, - '-'..(--- J.. If'!' ..- -4.?,~'~,.~1/!' ~ _r - , , IWORH~~~"Sl~,B~~I<1ZIB"",EO"",EFO",RE ME",T~IS ,:J DAY OF ' ,/ -...-,-,~.ll,..q'-.f-, ,,-"'r -r"'(', /,'9....12 _______ ";;,J.;.(.d...}!_ ';'-,';"'---"'~';;'-;;" --- \' _ ,d'" ~.,/ ;'.1 . .,/ \, j'/fII' , ,..I,f,,'" '...~. (L,S.) . . ' _ If':; ~f !tLC.U l\l"Oltl COMMONWEAL Tli OF PENNSYI_VANIA DEPARTMENT OF REVE~lUF IIUIlEAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO Tf~ANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT '* ~PPLlCATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application Is heeoby mode foe coosont to tho transfer of the following securities of 0 Pennsylvania Coeparotlon or 0 Notional Bonking Association localed In Pennsylvania: (0) _ 94 (b Lu_~~t.i_~~~_:J.._~~.n t::_~~n ~_~~!lr\~_illl,~Ol:p,_..- (c) _~_~~m.mo_~,,_ (NOTE: III describing securities onter In (0), ab (){e, olthar tho number of shores of sleek or the foe 0 dmountof eeglstered bonds, In (b), the nome of the Issuing compony and In (c) the closs of stock oe the stoted Interest rate and maturity da,te of registered bonds,) i Boe reverse side ISSUEDON~~_ous_________, and having 0 TOTAL MARKET VA>l.UE OF $_~lU2.,OO, (Dolo) as of tho dote of doath of tho decodont, DA TE__~ClY,-J:.~Ll9 ~9 W. S09tt_9.9J?JIL...._ __.._..__~_ , on,____JZAn~-17. 1979 (Namu of Docpdonl) (Oato of doath) who wos late of 10.Jl. Froll_t.St,.___\io,~.m;l,.QY.!!R!,\;:g,__c::..1.ll\I:l..9~;I,~!l,g/J.?!L_l7.QA.3____, (S"oot ond Numb.,) (Po.. Offl,.) (Counly) (Slota) The socurltles ore eeglstered as follows:'i!__P_(J~~t,9()..I?~..El.._ .. _..__, ....' ,....__..~_,___._,_~______ (Nome at nomoI In which cortlflcatol ota roglllorod) ~__ UU~!_WO!,d,Ll:..lL~_J'.r_Oll,1:SJ,!.I~()r_I!1.;I,~Y.s..!],l!.~gJ_LU04L___ EXECUTOR) (Nllmo) (Add,o..) NAME OF APPLICANT ____,llugh_11. Wood...._,_.._~_ 18 S. l'ront Street COUNTY FILE NUMBER 21-79-62- ADDRESS OF APPLlCANT..worm!.n9bU;-~rPa-1TrJ'l BUREAU FILE NUMBER______SIGNATURE OF APPLICANT.' ,,-;~(,' 1....;J+ l(>'-i-,"C::( NOTlCEI IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLIC,o\f'rIONI IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES .. ---,---------,---..-,-----~- DA TE --J! (II) 19 N '7 '1' I hoeoby consont to the tronsfer of the abovo socurltlos now reglsterod in the namo of tho oloeosalLl Decedont and walvo the filing of a cortlflcato cortifying to tho paymont of tho transfor Inhorltance tax to which the proporty of sold Docodont is made sublect pursuont to tho provisions of tho Act of June 20, 1919, P,L. 521, , os amondod and the Act of June 15,1961, P.L. 373, os amondod. This Is also In occordanco with the provisions of the Act of April 9, 1929, P.L, 343, This Consent to Teansfor tho hoeoln doscrlbod property oporatos only in roferonco to tho estato of the abave.named Docodont, Slg~od fotho Seceotary of Rovonuo "~', By_~...iJfl./QJ,L :., _,_h~.':,i.;;,q~\-:.-:__ ~, ,",' ,(Slgnolu,.) \1, ;', ~' ,(\" 'I ' III lin ( ,I '-.\'(\',:.. ")' '-\' \ L - - , } k1,L.\J..,LL"'(7, ".1._ "__'.\"{', -J.,J.:,...,''1 ~ ,\ (TIlr~) 1\ (County) '\ ~~.~-... - --CO~MON-:~;~~~~~~:;;IA IlliJJO~34182 DEPARTMENT OF REVENUE ' S'," , , OFFICIAL REOEIPT' PENNSVLVANIA INHERITANCE AND ESTATE TA)( ll'~--.-, ,- _...,~==-==-~=='''=".~'~'',--,-., e II ; II A 1719 N. Ii'ron~~_tL ~ ' ",,-- - .-~. RECEIV ED __~_-::~_~==.=~:" .-.::=~:,=_~.-..-.:,:,..=.-.'rm!:~X,:N~IiT,,~~~Jt:m..~~._!~~~:~.().u.~_~ _2 !~~Pr,9. I up' nf,onllno PonraylvOluu Inhorllo"(o or E"IClln lox duo frolll IIlfl following 8.1010: F"HI" _._.....p.uraall4--..ll1iule.y, _ Kruq &, Hal r 2V,Tm:on $.....__ ~----_.-,.,-" ____~Ia.rr}.b~L_~_Il. 171.03 6'/, 1m: (In t..._.,_,___ L. File No,--2..b.79-62_Dole 01 Do"lhS~17-197.9, ( .00 1!J'k IOJ( on t S 'It> lox on ' L $ E.lol" To" All 01 MoV I, 1927 S TOTAL TAX CREDIT $ 2,R~4.'~ loss flvo f1or('l,nl~lm of Ime If polcl wllhln tllleo lnontl" ollar clolo of rlllolh ~ Plu. Inloro.1 01 Iho role of U),'illronl__.llle.U......?9_ 10 __._.,__.l.hc..~7-"'-'Q S Q.c:lR TOTAL AMOUNT PAID $", 2,644.27 Dolo of POVlnonl_Novamb.r_7.1-..19,7.9, , Norne 01 Doc.clonl W. SCOTT COaLS --.-.------...." ---.---- Counlv ____~'!JIIb4I_rlaJ:!c1...__,.._,...___..___..,.. P 11nrkl: "paid in full" 'D] I~ [] [p ~~ ~ @ ill'TI' [~ SEA L NOTE: Thll TrlpllCIUt n.cel,l' 1C.l be ,.tllned tor .lId', IIIUIIOlfll. g\ 0~ ~ii1 ' (~" l}\_" .....', i ~J, \ Harold It!Q. 'WI Iner,' ~.~~cy Regiater of willa (1It1.) Received hv NOH:, III oUlpllnQ Ih, han,f.r Inh.rUant. lell on 'ull," e~tlllj". fHlOI 10 Ill, denrh I'll H,e Iile '.nont or !tnonl lot Ylor., 01 ....ld.nud hy !tlll 'I,eip', II II IIndllll!(Jod tllII! Ih, CornmllllwIIO''', 111011 not b, p"clvd,d 0' P'I...lll,ed from h."alr., a"...lng udditloMI Inh'IIUiHl(U Ill_ tlI tllll de"It. 0/ Ihe Ill, Ilnonl Of I.nonl fa, V'0I1 wh.n''<II' II oppe"" IIHlI l\lel1 (Iddlllonollo, Mloy he I.golly due nnrl (nll,Cllblt for ony rlolon whallohlf, 1'1UNCIPI\T; D..!m3URSErmN'l'S lJ.79 1/30 1/30 1/30 Holy Spirit Ilospi tal Dell of pa Register of Wills Probate and Letters Testamentary 1/30 Estate of 0, L. Jacobs 1976 repair balance - various proportie~ Worm loysburg Refuse - 1\11 properties Wormleysburg Bewer - 1\11 pr6rerties O. L, Jacobs - 1978 repairs - various properties 1/30 1/30, 1/30 1/30 I\rnold Coal & Supply - 1978 and Jan. 1979 fuel balance ROI 18 S. Front Street 1/30 I\rnold Coal & Supply - 1978 fuel balance ReI 120 S, Front Streot 2/8 p P & L Re: ,18 S, Front and 122 S. Front Street properties Cumberland Law Journal - I\d\(ertising Lettera Rivorton Consolidated water VurioU~ Properties 2/27 3/13 3/13 Jerome Van Nest, 'rax Colloctor 1/2 month 1979 Dorough/County Taxes \'lest Shor,e Times - I\dvertising Letters Husse lmanF'uneral Ilome 3/12 3/15 5/7 District Justice Carl Re: Landlord-Tenant Complaint 100 N. 2nd Street property District Justice Carl 5/23 7/25 7/25 7/25 Register of Wills - Short Certificate l','l.I\ ~~~ j.Ll. 1,:,,~'7 $ .16.00 11.14 48.00 441 , 88 127.50 405.00 483.20 569.03 278.40 93.02 18.00 114.24 15.75 ,19,39 3121.35 25,00 8.50 26,25 30, on 1. 00 Inventory of the real and po,.onol utah 01 _w.......sCOTT,~,COnLE.~~,~.... ."""_...n,___.., ~__ doc.a..d. . ......-..-----.- . .-..----.---. -, ..~ _.~__~__~'_~_._n'"__..____+_____~_~_..~_'._______._ ..--_..-_.__.__._.._--.--~_.-_...-."......._-.-.....-_..-- i i I I , , I I I [ I i Real Estat. Situate in the Poroughot Wormloy.burg, OUmberland County, Pennsylvan,h, d.soribed.t Deed l1oo!t "T", Vol. U, paqe 38, Cumblaa:land County recor"., llI:';Ilm No. 18 South Front Street Un. 111-113 N. Sooon(! Streot: No. 100-102 I.orth floconLl ~trQet I/o. 116-118 North Socond Street Ho. 120-122.-1:14 South FX'ont:. atreGlt , '. . Per.onalty 1964 Cadi11ao, Manufaoturer'. No. 64F030327 Uarril Savings AlI8oc1aUoll Acoount. 110. 1-02..101571 D~lanoe $6219.12/ int.rent:. 17.64 , State CapitAl Saving. .. Loan A..oo. l\cot. no. 001-01)-000U Balance $2069.09/ interept 4.01 State Capit.al Savlnl)8 " Lo~n A.lloo. Aoot. No. 001-25-01540 Balance $4945.85/ 1ntere.t 13.21 State Cap1tal Savin9~ " Lonn ~soc. Acct.. Ho. 002~32-01732 DaIance $36.14, 1nt.er~ftt $.09 l>auph1n Oopol!l1.t nAnk. , Trust: Co~p"ny Chocking Acct:. 23-2?-149~fi r:",'~,tOIl~) (.:(1;','I;1:'111l"i'I.1n0181 Corporation ~ cor::non Rtock Cer. No. ~43K2 - 12/7/70 - 38 RhArcn at $22. Cor. No. 11673 - 2/22/71 - 1 share at ~22. Co}r. /;0. 19687 - 2/15/13 - 1 f1haro at $22. Cor. !lo. 7€909 - 7/31/7,) - 4(, al1aruo (rllf11acOtlil 1t')'l1: c(nHfir.'(ltn IloB. 24941, ullt:eli 3/31/73 for 1 IIhllr" , Ha. 35546, d1.lh'C\p/717~\. I'ot' ".' _k___.. ,'_ C''t''''r .,.. . ..,...._........ -., .-.~..",..... .._"-_.. ,,",- .....'--'-<.-+~-~-, 7,'100 0,000 .1),000 r,l2,ooo tl.(., llOO OQ I no I)Q no , 00 300 00 fi ,236. 7 2,072. 'II) II, \) ~9 . 6 36. 3 9,nn. 'I , ~3t;..) J:.! r) 2iI ) 0 Invonlory of tho rooJ and p~"onal 0I1alo af I". RCOT!L..COnLIL_,__'___________~__,_~_,.,..___ doc.aud, ...__.___._________..__,._~__.._.__n_____~_____..~__..~___~___._.~_,_ ___"_ _.~__. . .__",. ~ ---.--~__ r'_ .r' ___~.__ .UU. ..___....., _...~'"__~..m.._~.___...~.~.. ..a .,..__,___.~_. .._,_ _'~_'_ .........__....__._1.. ...n' -~----. Real 2.tat. sttuat. in the Borouqh of Wormley.burg, Cumberland County, 'enn.ylvani., ~ellcl'lb.d at Peed nook "T", Vol. 11, [la90 38, CumlMa:lancS county recor~., DJ::Itm No. 19 South Front 8treot n/). 111-113 N. SOClon,! Streot No. 1.00-102 I,orth f1l!loond ~troet 110. 116-118 North Second f3tr.et Ho. 120-122-\:14 South Front strecat , '. . Penonalty 1964 Cadillac, Manufaoturer'. ~p. 64F030327 l1uri. Saving. "8IIooiatioll Aocount 110. 1-02-101571 D~lanc. $62l9.l~/ intor."t 17.64 State Cap.ltl\1 SIlvin98 .. t.olln Allloc. I\cot. 110. 001-00-00n11 Balance $2069.09/ inter.pt 4.01 State Capit.Al Saving8 .. t.oan AIBoc. Acot. lIo. 001-:15-01540 Balanos $4945.85/ inter..t 13.21 State capital savin9~ , Lonn ~ROO. Acct. No. 002-32-01732 aalance $36.14/ 1nter~ftt $.O~ Uauphln Dopos.it Bank' Trust. compl\ny Chooll:ing J\oot. :13-0!:!-149-!"i 11'\'~,1.011ll1 (:(l:'.tral Financial Corpor.:ltloll - common Beock C~r. No. 043~2 - 12/7/70 - 38 nharuB at $22." Cor. No. 11673 - 2/22/71 - 1 ~hare at ~22. Cur. Ho. 19687 - 2/15/73 - 1 pharo at $22. Cor. !lo. 7fC109 - 7/31/7') - 4!"i IIharUIl (rllplaCl€l. ,11")01:. "'HHt'iC'~t,o Nos. 24941,uate,1 3/31/73 for 1 sl1D.rl'l Ho. 35546, dl1t~'(' 5/7/7~\ I'n'l' 41 shnre., :;0. 5104(;, <lai:.od 3/14/71 foc)r 4. llIhares) ...t $2:1. '"""'... 7,1')"0 00 0,000 00 ,1),1)00 1)1) 2,00Q QO .r.,000 00 301'1 Qr) fi, 236. 7 J 2,072. 1)1) 4, !)'j9. (, 3(" 3 !l,n.n. I) 836. .'J '),) 0 -- 2:1 0 1, \12 I:) 10\0,11. )~; ~~ ...:1 >1 Illu) .... ~ ho ~ ..:, ~. jIl.'.l 0 ~~~ ~, H o -I> U~' H r.. ,::; 0 o e:; 10' e' 8 ~ ~ 0 88u u ':1. ~Ul ~~.~ "Sill "'::,. ~ H 0 N '" I 0\ r- ~ N .. ~i 1:1\ ~ ~ ~ u .Q 1:-, Ul ~ 'H >, 0 <II U ...j Ul 11 B , (lj 0 ~ .,.. H ",' . o z II Rj f;1 r.. o ~ 1:-" Ul rLI --4 ("~ BinI{ ,&~.-."(}~,, 'PllqO~ '4l1Mo.. ' T"J1'c"i- " ,.." "".~POR"r/o,'d I.IO"nql' l.j /s/'OO O"'Uj4ij~./;OIH1q',j~tl,,,'IM 9;"11J1~~j,JO €II" lunOD- "1,1. ' O~."'e .Jv""'''''" ,"'I<~H' - Ul II 0....'..' 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SCOTT COBLE, OECEASfflO IN TilE: COUR'l' OF COMMON PLElIS OF cmmERLAND COUN'l'Y i PENNSYLVANIA ORPHANS' COURT DIVISION NO, 21-79-62 ~ ) ANO N:>W, this ~c"-r) o I clock,' DECREE H ,day o~71t ct,~./ , , 1980, at 1~~1., UPo~ Howard n. ~rug, Esquire, it is herepy d~c+eed that, in acoordance with the statement of pro- posed distribution confirmed by this oourt on May 6, 1980, the ,fol- lowing described real estate be awarded to the\~ormleysbu.rg Church of God, of Wormleysburg, Pennsylvania: ALL THOSE CERTAIN tracts or parcels of land, with the buildings and improvements thereon erected,' situate in the Borough of Wormleysburg, Cumberland County, Pennsylvania, bounded and described as fol- lows: TRACT NO.1: BEGINNING at a point on the west side of Second Street distant from the northwest corner 'of Second and Chestnut Streets, 200 feet at corner of Lot No. 677 thence westwardly along said Lot No. 67" 150 feet to Hill AlleY7 thence northwardly along line of Hill Alley, 25 feet to corner of Lot No. 697 thence eastwardly along line of Lot No. 69, 150 feet to Second street I thence sout.hwardly along line of, Second Street, 25 feet toplacs of BEGINNING. TRACT NO.2: BEGINNING at a point on the west side of Second Street distant from the northwest corner of Se- cond and Chestnut Street.s, 225 feet at corner of Lot No. 687 thence westwardly along said Lot No. 68, 150 feet to Hill AlleY7 thence northwardly along line of Hill Alley to corner of Lot No. 707 thence eastwardly along line of Lot No. 70, 150 feet to Second Street7 thence southwardly along line of Second Street, 25 feet to the place of BEGINNING, TRACT NO. 1 BEING Lot No. 68 and TRACT NO. 2 BEING Lot No. 69 in Plan of Lots known as Plan of Edge- water, recorded at Deed Book "IJ", Vol. 4, Page 1, Cumberland County reoords, and HAVING THEREON erected a two and one-half story double frame dwelling known as Nos. 116-118 North Second Street.. " 'I)"; \" ".'.'\ ..t.\, I,,~, t. (AI . ~ f5~z ~tlf:1 ,) ~ ~ illUl .~ t~' r.. ~~' ~ 0 ~H ill~~ 0 ~rLI ~g~ u 0 d o~~ u Ul rLI !" ,. ~ ' b ~U N , ~ ' ~~ . ~ o 0\0 ,13= tI . ~:l UOU,I ('" I>':E-l ' ~ ~~. ~ r.. rLI (~ ~~ 0 0 J o UlI ~ ~~ "'.-I II . ,. ,.~ ~rLI ~'N ~ ~ ,.~ !Xl o ~O i::j Ul 0 ') ) ~ rLI U ,I) r . , - ~ r..Fl1 ~ O~f5 !Xl I ~~~ 8 ~ ~ -s ~ (:, ~g ~ r~..; ~~ zio 0 u.. u ._--. ~ i ~ ~8~N Ul [-< . , ~~ tg ~ . ci 8!8'f s: ~ . ~ '"T .. ~~ ~. ~l .. ~ r.. cJ ' G 0 0 ,- ~ o UlI rLI I~ ~r.. J' !;! ~l ~ ~ .. rz:l ~ r:J, ~ ,J r.:IO 8~~ci e-; 0 .. U 0121 ~ ~ f:j )!~ . I " ..... "... . .. ~ ""~ r.:1 o~:z; ..., ~o '!Xl 0 ;~ ~ ~ mp,liJ ~ U (\ .~ ..!;; E-i '" ~~! ~ ~~H Eo< ll- 0 r.. 0 Ul Z , 0 U ~ ~1 ~O~ I>': Ul i'l o to U i1u N 'rLI . i5~ ~ ~ ~ o OU> ~ ~ .. , ~q UOUI f5 'tl i";;1 '" ~ ,._~- ~r.. 0 ,.... r..rr-. -, o UlI rLI ~O J ~M ~ ~ ~ .~"/'j tlrLI N ':~ u 8~&!o [.... ~ ~ !{J ~ '1\ uuoz I ) - .. .. " , , . caMMONWEALnl OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINATION OFF!CIAL NOTICE OF INliERITANCE TAX ASSESSMENT '*' ESTATE (1'\ Vlvd ( I Ii) ;~i I ~ C"<JIJ ( ,rt t L, ~< ;. COUNTY FIl,E NO: TO: \'\,~"'~V',) Gd ')\/0\( "O~ ~., I ),, < < , ,'" ;-1 ,tj .\!'L--'- \, 'N\)\UJ\N.I"-~ ~~ 1 Y I {) ). (~ ,') '} ( ,:'t DATE FILE NO, ( 1 'I . '9 'ICi I Approlsod Voluo 01 EsISlO: Ronl Est"o L.._ Porsonsl Propony + Jointly Hold Proporly/Tronsfors + $ TOlol Gross E8\810 TOIOI Approvod Doducllono Cloor Volllo of ESlolo $ Loss: Approvod Chorlloblo E~ompllons Cloor vO'po of ESlole Sub)OCIIO T,,~ ".{)N,,1 1.0 Cc("udJ 1 ~J!,L, u(;,) ''''0" C,\\ )A;;'~~, T~k\~I. ~ 6~~~t $ $ ')()/5 (,/'7 In~ duo $ ,(1 (, r...f ;ZO _.~ Amounl To~oble @"6% ROle lo~ duo ( \ 4, TPTAL PENNSY!-lY, A, NIA IN'1~RITANCE T"X DUE 8 If, d.. 0 I (1 b ft2k- iv':;,J(p'1,;1 '(\i,fil 10./'"/,. '7'1 ,o/I"/-f<1 / 0 r::.,,),1I \1 (, / <l. ,5) ___~_._L, I A . . . . . . ,A f1vo porcenl dr.oounl 10lellnU $ 5' i), ~ .:;, 0 -r;;.'tN( will be uronlod ,If Iho Inherllonco To~ Is pold py Leu Credlls: DATE OF PAYMENT AMOUNT PAID /1.,'1'- V. I $ lfJ.11. C) (., DISCOUNT INTEREST TAX CREDIT + $ 8/05. '),l! c $ 5 d C:" d,U + c - + = Inle,osl sccruos 01 Iho rAlo of sl~ (6) porconl per onnum on Ihe unpold bAlonc. of Inhorllonce To~ from-'----' 10 dolO of poymon\. Inler081 duo If o::JN:: OF PENNSY~~ANIA I~H~'~;~ANctTAX DUE---$-~:)(t 0.. j~ " ,,/, ""(" / . " -~:l._._'''' i ;' / ' , ASfiftSsod by:. ' / / l (,-/ (. ( ei 600 Informallo" on Rovf'lf11O Sldo Agonllor It, .Cortlm ullh.~ \' C /ll,! !.j " / , -- ii i I j, j,' GENERAL INHERITANCE TAX It~FORMATlON Unsatlsllnd Iiabllltlos Incurrod by tho docodent prior to hls/hor dOllth 01'0 doductlblo against his/hoe taxablo ostote, In addition to debts Incurrod by tho docodont or ostato, othor Items are claimable Including the cost of administration, attorney foos, fiduciary foes, funeral and burial eXllenses Including the cost of a burial lot, tombstone oe geave marker and othor related burial oxpensos, All debts being claimed against an ostote are suhiect to the oppeoval of the Register of Wills with whom tho Inheritance Tax Rotuen Is iliad, Evidence to support the docoden.'s 01' the estate's liability foe tho dobts being claimed should bo attachod to this schodule. A family oxemptlon may bo c1almod by a spouso of a decedent who diad domiciled In Pennsylvania. If thero Is no spa usa, or If tho spouso has for/olted hls/hor rights, than any child of tho docedent who Is a momber of tho same housohold can claim the oxomptlon, In tho ovent thore I s no such spauso or child, tho eXlIlnptlon can be claimed by a paront or parents 'who 01'0 mom bars of tho soma housohold as tho docodont. Tho family oxemptlon Is allowablo only against assots which pass by a will or by the Pennsylvania Intestato Laws. NOTE: Componsatlan paid to an ostato eeprosontatlve; namoly, an oxecutar or admlnlstmtar, for soevlces per/armed In odmlnlstorlng an estato Is reportable for Pennsylvania Incamo Tax purposos. This taxable locome Itom should bo reparled on form PA.40.lndlvlduallncame Tax Rllturn, ~, .." t:l 8 ~ tTl I ~ ;.. 0 ~ Z ~ C'l S ~ t:I ~ P t't1 ~ ~ Z ~ P o-J Ul ~ Z 0 Ul 0 'p 'Tl 'Tl 0, 0 "'" Z ;1"_.1 U 1;.( 1 ,:.._4 .' ('~'< :!i: '""1..1 1':( , 1(4., .) (_~l ~i'~, ~.-- 11_1 t~l:::; If. ~ 1'0 ~Mj(..) (.J ~ ~ " INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If tho family exemption Is being claimed, Indicate the claimant's nama, address and his/her relationship to the decedent. Entee "family exemption" In tho eemaeks column and tho amount claimed In the amount column. 2, Assign consecutive numbers to each Itom listed, 3. Ental' tho data on which oach deht was Incurrod and/or paid. 4. Enloe tho names ef each payoe, 5. Provide 0 brlol oxplanatlan In tho remoeks column for each debt claimed. 6, Enter the amount of each dobt helng claimed. , 7, Tho form must bo Signed by tho parson who has assumed the eosponslblllty for paying the dobts, IF ADDITIONAL SPACE IS NECESSARY USE 8li" x 11" SHEETS.