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PE1'ITION FOR PROBATE OF WILL AND LETTERS TESTAMEl';TARY
in the Estate of ,."..liUlllUc1 S. 1014:-
I deceased,
To Richard E, Anderson, Register of Wills for the County of Cumberland,
in the Commonwealth of Pennsylvania,
~~
Petitioner(s) are the executor!, named in the Last Will and
Testament of _~a~ll"l.f>.....!,ol1J.'-______.. . .. dated .,HaLl2--,-JnL_,
Decedent was a citizen of the United States and a resident of
E. Pennsboro Township
___,_~_______ ~~ft, Cumberland County, Commonwealth
of Pennsylvania.
D d t d 'ed IVednesday th 17 th d f
ece en I on _,____,._,____ e _--,-,__._, ay 0
,January'
A D. 19_~_, in the County of __,Curnberl~:~_.____,-__.__..._._._.._, State of
______ at the age of _,__~ years.
:hm bas:
Decedent has not been married and has not had children
since the execution of the above described Will.
Decedent was possessed of personal property to the value of
*mil
born to him
$2,000
$40,000
and of real estate to the value of
as near as can be ascertained; said real
estate situated as follows 16 Sharon Road ,.,En.,'!!;.. Pl'nn~.g,QI9J\iQJl!l!.lin..._Curnberland
County, Pennsylvania
apply
Therefore, your petitioner(s) respectfully <lJ8Ipli'u for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated
January 1 r) ,1979
Name an~~d~res:-_-I/ ~.~,. 0,,___
fP .. () ~u~
o etltloner s 9.15 \'Ierteville Road, E\101a, PA
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)'2U.l.I'I7' lIare
1003 Alder Lane, Hnunt Prospect, 111. 10056
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
f ss
KenneLh Hundia and Paul Iv. Hare
( 1,/
t/
d' b I' t' b' d I sworn ' d' t I
name In a ove app Ica lon, elng u y __-'__,__.__---- accor mg 0 ow
say~) that the statements set forth in this petition are true to the
best of __the~~___ knowledge and belief.
) c J'}' (i /
"'__..sWO!!~____. and subscribed before ' . . . _~_~__..__,.,----
K nneth fundjA '
m.,}~~~ 19 '9. ~i\4~~~:-_===
Richard E. Anderson, Register 1,
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,
Filed;
..21,11" '/.1'
,,,
I .,(
Attllrl\C'v
Holwrt E. ~lv('rH
100 York Rd" Nt'w Cllm1> "1' 1 Ilnd, I'A
OATH OF SUBSCRIBING WITNESS
/
/
COMMONWEALTH OF Pl';NNSYLVANIA / ss:
COUNTY OF CUMBgHLANIl I
This..,.."...,.,............"............ .......' ...........",.... ....... duy of."..... ,.l,\\\w.~.iY........... ,.. 'y.,',..,......" ..., ......, A. D" I f),,(9., '..
before me RidHll'd ~;. Anderson, HHgist.ul' 1'01' t.he I'l'Obat.e of Wills und fP'nnting lot.t.el's of Administ.l'ut.ion
in nnd for said Count.y of Cumberland, in t1l11 Commonwoult.h of Pennsylvnniu, JXll'sonnlly cumll ...........,..
.,..,..... E.ob~); t..Il", .11y.\\U,. .@~,. K()nnl:),~h, .Mmll\j,~.,.,.,..""..,..,.........,.",.."..".,."""....,.."..."",."....",."."".""".,.."",
t.he subHcrihing wit.nesses t.o t.he fomgoing instrument. of writing purporting t.o Ill' t.he last. Will und
'['estument of ...... ..&amuf;\l, $", ,),onl', ....,..,.......... '.... ,................." ...........,'..,..... Dated . .HIIY..ZZ. ..),9,7,(\ ...., "........
law of...Eaat..I~e.nns.b.orD"Iownahil1.........":,...............,,.....................,......,. Cumhel'lrll1d County Pa., deceased
who being duly ..Ilwm:n,......"....,.........,....... according to luw, depose und say, thut. ..~))Ij)1....,.."..,,,,................
present, und saw und heard tJ1e'iesta..t,Qx............,............, ,........~amuf\J...S".J...Qml.............,......"".."........."..
sign, seal, publish, pl'Ono.utl~e and declare the said instrument of writing as and for h,..hi.ft,...." Testament
/
and Last Will, a~~/at the time of so doing ,,,......h.()..........,,.,,,,,........,,......,,was of sound und disposing mind
memory and\,U'i'del'standing, te the best of ........~h~~k,....."".....,....""..".knowledge, observation and helief,
Richard E. Anderson, Register
,........",.......,,,,,.,,.,,.,,,,,,,,.........,..................."".."....,."
.".............~'~.~'''.'''.,.g"..,'r,>.'''''':;''''''.',..,..
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....,...... I "" ""0"'" .......', .....,..,",..l-......".,"",.'....~l..
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....,..."',."..."..",.....",..,...."....""",..""."...,...."..,,,,,,..,,
....." ",..S.I>'.Qxn.."........"......,..". and subscribed before
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
....,...... .~,~.~.~.~.~h. .~~~n~ ~~...,',..,""',..,',..".,."....,."...... \l",....,."".....................,..."...,....,.".,.,..,..,.",..."..,.; being duly
...."..,...."..,..".........."....,,,..,.... says that as nearly as can be ascertuined the said decedent ....,....,.."""........
....",......,. ~.~.~';1.~.~., .~.~, .~~~R,.,,,,,,,,..,,...,.....,. ........,',...,...,.......,.........,."."...,.,',.",...,.,.....,..""..,..,....,.".,...",.. ,died on
.........y~.~.~.~~~~y.."...",........... the ......}.~.~~;""."..,....",day of .."....::~~~~~~.."".."..........".."..... A,D., 19':,:...,
at 01' about ..?,:,~.~""..........."..."..,,,...... o'clock. ~"M.
Sworn d b 'b I t.l .
.""..,....""..".."""".........".."....",un su scr! (l( liS
19, ..?,9..., before
)
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It '. .' ",::ZA/, . /7 . / . -,.('~ .
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...,.. ":,,:,,.1<0.1;.1'. (...... .fJ.... .1, .2t"".". ".l..,~.......... I,. ,...
I ,. T
..,,,,,.......,,. ...'",..;!!.."..,..""".... dllY of ""~,~.':',\',~X.:r,,.....
1
/1011 .
"",....,.k,.~L,"M.dw.,...~".,"',..,.,..,.,.,..,'".,
Richard Eo Andl'I'Hon. H..~ist.l'I'
OATH OF PERSONAL REPRESENTATIVE
COMMONW~~AL'I'H OF I'ENNNYLVANIA}
COUNTY <n' CUMB/<:HLAND SN:
Bllforo me, the Hogistol' fill' tho I'l'obllto of Wills IInd grunting of Lettol's of Administmtl(ln in. IInd fio'
the County of Cumberlnnd, P\!I'sllllully eun1<' .",..~lJlll1~~h..H\\\".\j.e",Q))Il..l?lm.t..W~..nl\r.I\...,.."....".,...........""...
who, Il\'ing duly ,...~:-!,'?~~~..............., do ......,... deposo IInd SIIY thllt IIS,..,....~~~~~~~~~..........,.......,........,..........
of the lust WilIllnd Testument of ...SIll11JJI).l..S....l.mll~.....".",......"..,.............,............,...,....,..........",...de\~eus\'d
.they....,..,..,..... will wellund truly udmini.~tor till' goods IInd chuttols. rights und cl'Odits of suid deceused
according to law. And ulso will diligently eomply with the Pl'ovisions of the Inw rolllting 1.0 Trnnsfol'
Inhel'itances. .....~~~~~....,......... and subscribed
before me.
January
'I
. ,
.~~~k,.~....................,
.' ) '., f_
..\~?~.{r,.!"..~,.'\.J........,..,..............................
Paul W. Hare
Richard E. Anderson, Register
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DECREE
. 10th ,', ., 'Y '/',
Be It remembered that on the .....,'.................. day of ""''''''''''''''...........,..",............., A. D., 19 ...;...., there
b d d d d I 1 W'll d'1' f' ""'" '" i' .,)."
was pro at.e an recor e tIe ast I IIn estument 0 ...........:............:,..,:.:'..;...'......,.................,......,..,....,
I f 'i'"",/- n"II.a)'Cl'n rp"l' 1'"'\--'" '
1, ,., ,~ l, lid ) u . ", I 'I ,;, ~ l.l. I -, 1 . , .. ~ ..
ate 0 .........'.............'.....................................,.......,......, CumhLll/lnd Count~, Ponnsy!vlllllU, Dece/lsl'd. Lett~l's
. , I. d t KC';,J"t, i ~~'lddi1'!f. ,j, PllIl I.,. iJHr'O
........................................... ,........... WLro gmn 00 ....,.........' .............,..' Yo......;,'.,......,..,....."",....., "....,.~.,......,.
Wit.ness my hund and oflicilll sonl t.hl' duv und vou!' nfm'psllid.
. . .
".".,..,.".Y1e~~:.">.,,,.,'
Hidwl'll I';, Andl'l'son, Hl'giHhl!',
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-
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THE .ETNA CASUALTY AND SURETY COMPANY
Hattford, ConnlK:IIClJI 06115
l-lrE:"~ CA!.;UAtr)
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S).IN,FACT
KNOW All MlN IW THI~_;1 f'flrSrNE, THf~1 THr ,ot-'TNA CASUAUY AND SLIU_"lY CC1-v1PANY, (-j I.mpc:x{tllon dill..... (.uan1lod undt'll tt'oft lawI of In..
BlaHI (11 (~IiIl1fWtIClll, nnd hIIVIf\(J ll!i ptlllC![lIll officI! 111 Ill(! CIlV 01 Hnrtford, Countv of HWtfOfd, Sl<ll~ [~f l',()f\r\o<:;lil':1l1 hath mado (';I.)ll!ilillllod and appointed, and
dOUfi hy ltU'nHl Pfil!lOl\t~ Jnilkil, fiOfl$lltlJln and nPfwlInt 1(, VI. t.:ooreJ HI G. Hoore 01' Thomas \'J~ l'inrkl~.y - -
of
Camp lIill, Pennsylvania
AItOHlQys,in.Faat, with full power and authc)fj'V herooyconloned to ai"",,
tho follow iog hno he filled In, wllhin lh(l ,Iren ther(l deSignated
, illi 1rue Ind lawful
Ul\ecu\n IInd !tckrmwlEW:lgfl, III Imy plllr.ll wdhJr\ the UnilfJd Stllt(lS, Qr, If
lhe following Insln.imentlsl
bv hili flolo si{1laiuro ftnd net, any Bnd all bonds, rocognil6nces, conlfachl of indumnity, ttn~ o~het writings obligatory. in the n~tml~ of B bof\dcroo~l18no&, or coo-
dl/lona' ""dO,"k"~I, ond anv and all co",onl, inc'dool thereto not exceecli.nl the awn of ONl', HUNOhJ,lJ TlIOU"AND
$100,000.00) IJOLLAllS -
LInd leI bind THE kTNA CASUAL T Y AND SURETY COMPANY, thereby as fully Bnd to the same Glltent 8S if the S8me were li{1led by the duly authoflzoo offlcera
of THE ...fTNA CASUAL TV AND SURETY COMPANY, und all tho acts of said Attomeys-in-Fact. pursuant to the authority herein giVWl, 8I'e hereby r8Ufied and con-
firmed
This appoinlmflnl ie. modll under and by 8uthmity of the following StondingResolutions of ~id company which Resolutions aro f"OW In full fOl'ce and effeet:
VOTED That each of the following offlcels Chairman, Vice Chairman, Prosident, Any Elleculive Vice President. Any Senior Vice PreSident, Any Vice President.
An" Assistant Vice Prosidont, Any Secretary, Any A!!si!!lclni Secretllry, may Irom time to lime appoint Resident Vice Presidents, Resident Assislant Secretaries,
AlIOfMys.in.Facl, and Agent!! tC' act tot find on behlll! of tl19 Company and may give any sllch appointee such fluthorily flS hiS certilicate of authority ml\Y
prElseribe 10 ,>ion With tho Company s nAme llnd sou! With Ihe Company's seal bonds. recognizances, contracls of indornnH". 8nd othet writings obligatOlY In the
11(11uro 01 iI bontl, focognilanco. or cotldllllmal \/n(fllrtllking. and any 01 said officers or the BOEHd of Director!! may al any lima remove any such appointee llnd
revoke Ihe POWCf and allltlQtlt" {lIven rum
VOHD That ,lilY txlml. rf!CnOnllilllCfl conttact 01 indemnity. or writing obligatory In the 'leture of a bond. recognllanCa, or condllionallllldortaktng Shllll be valid
and binding upon Ill(] COlnp/lIlY when lal slgne(j hy tlln Chairman. the VICIl Chairman, the President, an heeulive Vico Presidont. II StH1IUr Vice President. a Vice
Pt6Sldonl. <In ASSistant Vi[]{1 Pte~ident Ot by 8 ROSldent Vice President. pursuant 10 the powet prescribod In the certiflcilte of iluthority 01 such Aesidnnl Vice
PtO!>idenl. [Iud cluly 1IItiliil{>(1 !Il\d stJ81{~d w!lh the Company's seal by II Secretary or Assisll:lOl Secretary or by Il ROsidant Assitlll!\l StlCrctaty put!lllantto the power
prflscrJbod in 111ft r.ertilIC<l(e 01 a\,thOrlly of "Juch RfjSlClollt Assistant Secretary or(bl duly 6Kecuted (under sea:, If roqulfecll by one or mole AllorneYIl.in.fact pur.
~uant 10 1he powar ptfls(;tibM In hi.. or thelt cmtdicnte or certificates of AuthOrity
This Power of Adorney and Cenificate of Aulhoflty is slgnfld and'sealed by facslt"da under 8nd by au\l'x>rlty of the following Stanrjing Resolution votod by the
Goard of Oiroclors of THE A:TNA CASUALTY AND SLftETY COMPANY whic,", A3Solution IS now In full 1(lf{le and effoct
VOTED; That the si",ature 01 ~Rch of thll10110wlOg officer~: Chairman, Vice Chfllr1Yllln. Plresident. Any Executive Vice President. Any SooiOl' Vice President, Any
Vice President, Any A,sistant Vice President Any Ser;ret~ry. Any Assistant Secretary. and the selIl of the COmpany may be atfiKoo by hlcslmile to any power of
attorney Or 10 any certificate relating thoreto nppointlng Resident Vioe PreSidents. Resident Assistant Secretaries or Attorneys-in-fact for purposes 001'1 of
IIxElC'uling and all6tlting bonds and ilndettokings and othet writings obligatory In the nature thereof and any such power 01 attorney Or certIficate bearing such fftC-
'llmile Sig18twe Of fACSimile soal shall be valid and binding lIpon the Companv and Bny such POWOf so executod and certified by such faCSimIle sl~8ture and fac-
slInllo seal shall be valid and binding upon th~ Company in the future with respect to Bny bond or undertaking to whicl'! II IS altac;hed
IN WITNESS WHEREOF, THE ..€TNA CASUALTy AND SUReTY COMPANY has caused thiS InstnJment
~)eCretary find its corpot(lt~ seal to be hereto 8flixed thIS 15th
to be signud by Its
dav of January
t976
<~~~:~';" ~'~~";;'\\
I 'I~"HO"D <j
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THE ~TNA CASUALTY AND SURETY
Stutc of Connecticut
I
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By ,_~_~ j _.
~C Secretary
5S Hartford
Count" of Hflrlford
0" thIS 15th dov of January , 1976 , beloro mo ptl<tlOt1a11v com. C. Q. SWARTS
tn mo known. who, being by me duly sworn. dId doposotli and SAy: that he is Secretary of
rt-. ..fTNA CASUAt,TY AND SURETY COMPANY tho corporation described in and whim oll.ocllledthe above instrument; thaI he knows the seal of said cor-
11(Jtillion that the ~eal affililld to t~lt:I swH In!!trumant IS $uoh corporate seal: and that he 8k9Cuted the sllld Instrument on behalf 01 thf! OOtpotalloo by authority of hiS
olflr.fl _Imler the Slnnding RasolutioM 0'l(lr601
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t.1 J%2uJaMJ-----
~h 31 1!l 00./ Notary Public
CfR11flCA If
I, I". QndAt"\I1od, Assistant Secretary of THE .t'TNA CASUAL TV AND SLlRE'f Y COMPANY, a \toe' corprna;,on of lhe &;.,. of
ConIH'!{'tlcut DO Hr::Rt'BY CFRTlrYthalthfllorogoln~J iind allaohl'ld P()wEir of AHOrnElV l\nd C8l'tillcllte of AuthOrity remlllll!> In full forci! and has not been reyoll.ed;
(Inri 'urthen'nclfo, that thPo S!afH1mu RefioliltlOn~ of fM RClHrd of DirActor~, as sat forth In ttm CAflillcahl of Authorlly, are now in fOIr.{1
Slgl'fid ~nd Sllflled at Iho Home Office ul
JANUARY , 19 79
the Company In the City nl HElflIord, Stflll'l of ConntlCtlcut Daled thuI
19TH
day of
o i~ ~,f2
"'I ~.IJ
Assistant Secretary
.g 1'1/; ()t 'M' ,~. }'l
Ill! /;, I<J-hlll
COMMONWFAL 1H OF PFNNIYLVANIA
OFPARTMFtH OF IlEVENUF
BUREAU or COUNTY COLLFCTION'
APPLlCA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
*'
APPLICATION (MUST BE FILED IN TRIPLICATE)
- ..
TO THE PENNSYL VANIA DEPARTMENT OF REVENUE:
Application is herflby mode for coosent to the transfer of tho following securitios of 0 Ponnsylvonia
Corporation or 0 Notional Bonking Association locatod in Ponnsylvanla:
DA TE-'Ju1y
1979
(0),34 __ (b) Dauphin Deposit Corporation------ _".._, (cL_.Cap1tal ..--"
(NOTE: In describing securities entcr in (a), ab 010, eithor the number of shores of stock or the foce amount of
registered bonds, in (b), the nall10 of the issuing company and in (e) tho closs of stock or the stated interest rote
and maturity data of registered bands.)
ISSUED ON _M!\l'~h U. ~27e __, and having a TOT AL MARKET V AWE OF :_
(Ooto)
as of the dote of death of the decedont, ______~aml!.e~ S. I,ollg
(Nome of Decedtlnt)
_ ___11010..00
_____,on___._Jl\llua;n>,tL_J.9.12,_
(Ooto of dOClth)
who was lato of _ __ ~6!lharonRoad.t Eno~II,r,:IIBt:1'!3I!l'lBll!'!,Q_'!:'~!'IJ~!1'l_L,.c_l!!!'I1~J:lRn<L<::9J!J!t.Y._1'~,!!J!syJ,Y!lnia
(Stroot and Numbor) (POllt Office) (County) (State)
The securitie,\ ore ragistered as follows:
~
EXECUTOR )--
..!If!ll1\!l;Il_8.1QIU:____ ____. _.__...-,,_________ '
(Nome or names In whIch certlflcote. ore regl,'ored)
1003 Alder lalle. }It. Prospect. III 10056
Palll.. ~1..1.lare_~n~I{~llnClt:h._11undi.B. 915_~.R!tzv1:11".,Rd ._LEn~la__'__!'.A____,,__.
(Name) (Add.e..)
NAME OF APPLICANT .R.<'bert,,, E_~-':lyClr8j!~tOt;ll_'!Y...!OIJ,!'I!!l.t_~
COUNTY FILE NUMBER_...:..._,_.._~,.:._ ADDRESS OF APPLICANT __l~/~.T}_-M-,-dJ~-c:umb!!!-'Jal}!L...J'!.
~' ./11/ /~
BUREAU FILE NUMBER__p.-__SIGNATURE OF APPLICANT J-;:!m.:l::''<!_' ~=-____n
NOTICE: IF YOU FAIL TO PROPERL Y FILL IN ANY PORTION OF THIS APPL ^ TlON, IT LL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOil COMPLETION,
COMMONWEAL TH OF PENNSYL VANIA ,- DEPARTMENT OF REVENUE
~ONS~N_T TO_TRANSFER SECU~LTIES DA TE_l:__lO_-.."
I hareby callsellt to tho transfer of the above sccurities now registered in the nome of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the praparty of said Deced~nt is mode subject pursuant to the provisions of the Act of .Iune 20, 1919, P,L, 521,
os amended and the Act of .Iune 15,1961, P,L, 373, os amended. This is also in accordance with the provisions
of tho Act of April 9, 1929, P,L. 343.
This Consent to Transfer the heroin described property operates only in reference to the estate of the
obova'llomed Decedent.
By_.__
(Signature)
L-'
, '
ITltle)
(County)
RCC~lIJ 14"'1;\1
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,~ ", . ~\ll ,,^US\
CO~ QrM\J ,IllS fomi\
~ccO"^I'f\,, I
('OMMONWI'AI.T11 OF I'ENNSYLV ANIA
1)Io:I'ARTMFNT OF IH':WNIII'
BUREAII OF ('tHINTY ('OLI.I'(TIONS
*
RESIDENT DECEDENT
COUNTY OF Clll1lh,'rIElnd
.=.u"_._...,...._..,.."..,,....._._____.c.______..__.____"._______.'.,_.'__.."__...._,".. ...._......_.,._n_...m.
IMPORTANT-I'- ThiN ;~tU(f\ 11\tlPi! 11l~ lHl1Ilflll\tt'd ill dl'llIilllud flied ill duplicutl', \,-llh nil illl;ldH'd, wilh lilt, Hl'~jsh'r uf Will" of till',
COUlIl)' WhlHU dCCNllnlt 1t1Nlt!l'<!; Htll11rll iN dUl' withltl 1Ii1\C 11llJtllhs IlfllH dUll' of tlt'lIlh, IIlllt'f;l'l 1I11 I'Xit11l",jon iN ,KrlllllNt
hy the Secrclury of 1{e\tClHlIl, <St'l'lI111l70.l of tilt' InlwdllllKt1 nlld I');jII !l1 Tux Al'lllf 1"(,1,)
~
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.. _ n.,
IN TIlE MATTER OF TilE ESTATE 01'
Samue1 S. Long
--- ----TSTATEn~.U-L L NAME () ,...l1i':c 10 [',J-i,';;:;'TI"--_n
Cumberland
LQte of ____......n_'. _________
.... }
County
I':n:('u'/'Ol\ "
AI'FIIlA\'!'/' (lI'
AIlMlfI<lSTRATlIll
S'a'. al ~ennsy~.':,~~i~.....~_.~...,}
.11
Coun'r 01 _~.YD.rk._.,....,______,_.,
Paul W. Hare and Kenneth Mundis
~JUK "~~~"-'~f~h;T;I~~le -of the Qbov".nam"d--d-;;~d-~'l;; .b~<i'~'~~d-;;~--~~or~~ dopo~M-'--.~~d ,ay
Decedent died Januarv ] 7 , 19l2..-_{lo.tafe leovlnQ Q 1011 will, copy of whlr,h II herelo..,ttached, }
IMONTHl lOAY) (YEAH) lnYIN>>>>X
NOMe ond oddre.. of attorney or}' Robert ~~.~~er8 !-~~~~, ----.."t-
other aUfhorlud repreuntotlve to whom
all corr..pand.nce .hould be mailed. ___.J.QO.-Y.oxk....B.d....-,.---N.e.W---.Cumheuanc1..,.-E..A.-_. 1707n
Executor
Thut as such. Executors are duponent is flllllililll" with the ulTairs of said eslutc and the property constituting
(g XECU TO R'APMINI Sl RA TO Rl
the assets' thereof nnd their fuir market value.
Thot at the time of denth there was no safe depol'ilt box registered ill decedent's inJividuul IHlmCI or Jointly withl or
as agent or duputy of another, or in de"~cdcnCs individuIIIIHlll1l.\, with right of access hy unother IlS ngcnt or deputYI with the
exception of the following: -
NAME AND A.DDRESS OF BANK OR OTHER INSTITUTION
lN~I' DECEDENT RENTED A S,~FE DEPOSIT BOX
THIS SAn: tHiPOSIT aox RENTED
IN NAME OR NAMES OF
REL.A",ONSHIP OF JOINT
HOLDERS TO DECEDENT
None
Thut the contents of saId safe deposit box or boxes are itemized under Schedules__of this return,
with the exception'of the following, for the reasons hereinafter set forth:
Th.t Scheclul. A .t1llChed hereIn nl1<1 made pnrt hereof se(s forth fully nl1d in delai1 nil Ihe renlproperty
in t1HI Commonwealth of Pennsylvania of ,,'hich dcc{:dcnt died having nn interest therein. It also sels forth the
mortgage encumbrances upon each purce! of real pfOpcrly Ht the date of dcnth, giving the amount still oue at
death, name of mortgagee, date, ratc of interest, nnd book I\nd page of record thereof. It alsn sets forth in the
columns provided therefore th~~ assessed valuatiun of ellch of said parcels, the estimated market value thereof
as of date of ueath or decedent.
That Schedule B "Hitched IWTelo and made pan hereof sets forth fully and in detail all personal property
whcrcsovcr situated owned hy the decedent lit the tlnlL' of death; all 1Il01l~YS left hy the ucct:dent at the time of
dentll, whether in dc:cedent's irnmedintc possessiollj standing to decl'dcnl's credil in hunks of deposit, savings
hanks, trust companies, or other institutions, whether individuall}'j or in trust for uny otl\{:r person or persons
giving also sepurutcly the llecrUl~d intcrest thereon, if anYj down to the last inteH~st dllY prior to decedent's
dcuth in the case of savings banks, und to the dute of decedent's dei\th in nil other cases; nIl hCHlIJsl postal
savingsj treasury certificates or notes and other evidcllcf~ of indchtl.\dness of the United Slale}, to the de..
cedent; nIl obligations, whether hy statute or Hgrl'Crncnt they ure designuted l~s tax free, of thc lInitl'd SIateRj
or nny statc, or political subdivision thcrl~of, or of any foreign country, which are owned lit the time of death;
all wcuring l"lllllurel. jewelry, Sil\'f'rWarc, l'icttll'CS, hooks, works of (Ht, IWllsehnld furniturel horscN, carriage.s,
automobiles I hoals, and lll\~' and all other persullal l'hlltteh.. of whlltsoever, kind or nnture, left hy decedent,
together with thc fuirly cstimutcd lllurkcl vuluc thereof; fdl hunds and mortgages held by deCl~dent und of all
claims due and OWing dl~cedcnt lit the time of death. and 1\11 promissory flotl'S of uther instruments in writing
for tit,: pllymcnt of mO!H'Y of whkh det.:edcnt died posst'sscdj of whatsoever Ilhture, with intlnCSI thereonl if
any, giving Ihe fllt.:c vnlne and cNtimated fair mMkct VllJuc thereof, and if such cstimuled fair markel value he
less than the face valut', it Si,ts forth hridly Ihe rClIsol\S for such dCJHcciation as to cuch item; ull moneyl'
payable to the cstate f!"Om life insurlIncl,.' policies cnrrit'd hy dec(~dellt: all ltnnllity IInd endowlllent cOlllracts
the lUO"~e(~ds of whil'h were pnYllhlt: upon the dt~ath Ill' the decedent; all and the cOfllorl\te stock!; Ilnd dividends
due thercon and unpaid ll!i of the dute of dCllth, hllnds nnd nCL'nl{~d interest thl'reon tll the datL' of deL'cdent's
death and olher investment securities owned hy the dl:cedent lit the HnH' of (leltlhj with the Alurkl~t value therc~
of nt SUdl time.
In !.lm (JaRf' of' HfHlurittfHi or' cl{IHO or fundly l'I)I'IH) t'nl. IOIlH, l.Iw vnJunH rnpnrhH' tlrfl ,,,, far ""
llllRHthln Htll1Ktuutlntl!d hy 1'lnlll1oll1l Ht.fltlll1lUnt8 uf' till! OOrp"J'ut.tllIHil iih~lwtllJ!; "'If I fIHfWt.H ntHI Illlhl1tttnH
thl\r~nf fiN of' tho rlllln of' clflltth. Thn flohnclHln nlHo Ht!l~ 1'orth till' 11Itt'rllHI, nf' Ih'l(1OII(lII1. Ill. fho UlI1n nf'
i1nnth In I\I\~' 11n-pftfl.nnrHlllp Ill' bllRllIllHHI 11IIlI III Hlll'lHlrf of' till' \'1111If' lif' Mllnh l11l.llrllKt. thurf! IH 1U1IIOklll' to
Nflld RI'hllltl1l111 "(,ulIwlnl Mlllt.O"!I'llUl Hhowllll1, l,hnllHfHlI.Ii /llld 1Itddltl.lllI; of' HIlII! llll-flltrl,l1nrl4hlp or hllHlllflKH,
^ f'ol'r of' Uw cO-I'f1rtll'lrHhtp II/~rf!l'mPld'l (If 01'/11, II Rtntnrnl1flf ~wltlllv, f'orth UIf1 IInturfl HI' thl! IIKrnnlllllllt)
IU,I!;I'llll'I' with Ii MtntnmPlI1. HI'IIIIl/!; f'fll'l.h till' l'hHI'IIl'l,l'r of' 1111' hllHI 1II'''IH, Il.A lUI'HtIIlU, RllII Hllnll otllllr "nol.H
pt'I'IHtllll1g 10 llH' tlllldnflHH IlIi IIlIlY Ill! pOI'tlll('lll to n !'Idl' 11I1f! .lllHLllpprlliHnl of' tlin ItlllHlltfl"I'h tntofflHt,
llll'rl.tll musl Ill' foIllllmttt,llfl. II Hlllluld IllfHl HIll !'"rill In It/lllllll!d ('OI'IIl, tOl1.tlUIf1t' with lhfl fnlr "utl'kot vltlun
thl'rl'of', ItIlY oUlI'r I1rllpt"'t~' l1WIlHl! Of hlHIUnllllll'd Ily Ihll f!"I~l'djllll III 11111 1 'mn of' dnnl,li.
Till' Sr:ht'duh' r II 1,1 1I('IH1I1 litll'nlo Hnl! 1II1I1!1' plll'l h"I'pof' Holli f'orlh II tt"If' flI\HWflt' t,u 11lll1h in1lutry
cOlltnllll'd thnrnln RIllI ItlUw l'flfiflol'l,I'llnHI'f!I'!iof'III'nlll"'tr~ 1'1'111 or P"I'HOIlIII, wlthlll two YOllrl'l of'dmlrldent'A
elp/dlll tn I!ollt.nmplnttoll of dnfll'lil'llll Ii ltnllllll nl' Inllllldnd tn tuk" nfl'fl!'t III pOAHflHHlolI or oll.luynUlnl ut or
aftpr ""nth, Hltlct HI~lwdllll! IwtH t',,"lh tllH IlHtlll'j> /lnd vullll' of' "HlI'!l pl'Ollf'rlj'l to whom trIUlHf'nrrod, tho
relationship tlf the t.T'lIllsf(lrtH!1i H) 1.111' clOtH-dolll_l Ihl' prop"I't,loHlltll Hhurn l'n~olVllll hy oneh t.rIl1l8f'flreo nnd
Itll otht!r f'IWtN of' It lH1rt.ITlOIlt 1111t.\11'1l rflgllrltll\~~ Hutl! t.I'11IIHl'flT'l'l, III lhn OUR'! of' tr!lnRf'f)rK 'nt,\H1fhHt t.o
take of'f'eet in pORHflHs1nn Ilr en.loYl1lf'l1t lit. 01' /if'lI'I' dl'ltl-hl IIIPI'P IN 1I1HO uUIl/'hnlt to tho Hchfutulfl tl oOIlY
of' the' Iteml, t.rust. ngt'11ommlt. 01' nUlflr illHtrllmnnl nl'I!lII.IIl'~ tlln f.I'lIfoll, 'rhnrn IN nlso Ret fort.h In sntd
schn(htlo Ii liNt of' 1111 prO)lort.y, rlllll IUHI I1nrHollul, with 11,,", vlIlufll whlllll 111t!";RllH lit docol1unt.'H dllnth lIy
'11rtun of HII' flxnrcisp tJ~. d(l~(!th'"l, "llher lll(tlvlduully, nr.lllllltly wlt.h ItllOthf'lr. or RIIY IWWt'r of' appoint.-
ment vO~It.(ldtflcl(l(1oftollt.1 eitl1(!r Illlllvldllnll~' or Jolnt.ly, hY!.!I" will, duml, fir nUHlr inst.rument of'allothnr,
w1th n llO}1Y of' the InHtrumfllll, nrfHlttnp; ~1I(l1l power Iltt.nC'hod to t.h41 Helwduln.
Thflt Schpdu/p D t1tt.nelwd hOl'ol.o find mlld~ !,llrt IWI'HOt' Rnt.S for I,ll 1.110 nlilllOR flnrt Itltrlro~RoR of nIl
pOl'sons h(llH!rlclltll~' tnterflflt.oll in this oHtllt.n Ill, tlio UIllI' Ill' dll(~llf\I'IlI,1 tl delltht t.ho nltturn of' tholr ros-
IWl'tJVf! Int(lrHRtR, their relnt,I(IIIShlPl tf' nny, to thp {\pcnetont., 1,Ilp;otltnr wlt.1I tile tl~OA at tho thin of
ctuceoentls '(\altt,h of Itl1 minors, tlllll\lHunt.H 111111 hf!1wf'lelnrtns fUI' 1If'0 1I11r!nl" rtncodent.'H Will, It also
eOIlt.n11lR f\ Rtnt'~metlt. Rhnwinp; whle!l nf' UlO l)OIlOfle~lllrln~ 11lll1l1'd 111 thn dl!(1orlnllt.1 A wLl], 11' Imy, dled llriol'
t.o rtecnclont., IlIp dut.cs of t.hnlr clnnUl1 UHlir' iSSHf', hUrl till' l'plntlollflldp of' such iRflUC to tho hOlTf'floIRry,
Thnl. S,:/1l'dv/t' f at.UlChod Iwro(.1l nuel mllcln n JlIlI'" I1nrfluf' :ifl!.f'i fort.h 1111 property, ronl nnd per-
sonal, owner! hy tho decNlent. ,jointly with tlnnt.hpr or othorH, IneludlnJ!, Int.IUlp;1hle, stnnrllng in the nnmo
of' the docerlont and othf!rR, plus lhB <Into /Iud pllwp of' rocol'r1 of tllRj,r\lmnnts of'focttnR the vAstttllre of
t'CI~l ~st.tlto /lnd t.ho dlltl~ of' /lOeIIlIH.I t.iOIl of' porsollllll'Yl plus tho 11 limo, lu1ctrosH unrl rolaUonship, If Rny,
of CO-OWllf'lt'6 to the docedent..
Thltt. Sc/1edu'e F RUflOhorl hnrf'JLO fmd mnrlo It pnrt Ilot'oof HOt.S forth f'ully Bnd in dotllil all rlebtH
tinct tlNtUCt10IlR cla1med for /lnrl on lmhnlf of' Uds dr!C'f'I\ellt.1s oRtntp, jllclllC1tng f\mernl OXPOllfleR paid;
f'/tmlly exemption, whore npplllH'a111Pl CORt.S uf' nrlmtnlstl'(lUon of this pstllt.el eO\lnsel f'eoN and f'urllrtnry's
commissions paid or t.o llfl plllrl1 cnRI, OXPf1I1(jflCl for 11I11'Jl\l tI'lIst.H, tomhst.nl\flS or IiZ;rfi.vemnrkors, nnrl ro11-
p;tous services, 1n c()nseq\HHIC'I~ of l.hl' clul\t.h of till' Ilecodullt.; d('llls nurl cllllms owln.c; /ll1ft IInpl\lft ftt time of
rlcnth; tllxeA nccruocl ch/lrRcnhlo f'or porlol' pl'lor to ilnCl'elon!' ~\ ltoflt.h (O)(co)1t t.hORO nllowod 111\11nr SAotio"
051 of' tho 11l111lritllnco und EHtlltn 'fllx /\et) \ t.lIg11l.hnr wlt.h II stllt.nml.lllt, of oollntorlll pledgort for ohllp;a...
tJons, If Ilny. It is nr.rend t.hllt Ihfl flrllletfll'Y will prnsf'llt proof' of' A/lld olntmHII oh1l1v\t1onA IIpon ro-
quest., t.hHt.lf tlu' Ilmount IIctIlHll~' Plllel in snt.t.lnl1lonl, or Hny rnn, COl1lmlRl'i1on or doht. Is tORR thfltl the
osttm/ltNt I\mollut r-1l1lrnlnp; Hllfl nllnwlHI, thllt. t.ile HIII1IO will hn l'I'IHlI'l,flf\ 1,(1 I,ho H(\~I!1ter IJf' WO lR, and that
t.ho nrnClunt of' tux nSHflRfwrl eml he rPlIssesHl'l1 III llol~ol'llllnl'l' thl'rnwllh.
1'hllt t.llf' totlll", of thp f\pproprtfl.tP OolUml\H 111 Rnhndlllns "A", "11"1 ffe", "1<:"1 I\n(\ II~"" fiR "troetod lherAtn,
hl\v~ hpon cnrrlflrl forwnr(i ami proJ1nrlr rf'~I!'itl1rotl 111 tho S\I1Mlflry.
.,., day of
July
,.., Ill.)?
~~[lfhJll K,j.L(-,
\'.:i2~J!.?L,..,.1",(h~".,,,.,,.,,,,,,,,,,,,",,,,,,,,",,
(E3lecutor-Adminlatmkw )
((!.. '
(.,PG3,..,""',..{d.~:1,':"0:?:,l~,,
./ Street Number) ,
j I ~+. . L'c':'1":,d,, !JIJ:p ["(
(City or Town and State)
Subscribed and sworn to before me this
,..5JJ)
.)I~((Ll I
;.(, (:,
t"
....> f
'.)
II', ",
NI"i'lt;' Pl1t,I'~, f;-cll";'l't.' I,v;}" Vorl' Co.
M)' t.ull"i!..:"iHi ''"''ll(o::: I~,IV, li, 1982
NOTE: Dftforo sJ(l:ntnsz; nfrtdnvlt mnkn RllrO 1\11 hlllllk RpllCHK ill t.IIO Rf'f'Ic1IWit. nnlt R('h(lft\lloR nnnflxf.tll uro
fillel) In with dot/dls or t.ho word "Nono", HUrl III ells.... tho IlSH(lls tl10111l11- t'nro fUll) unl,tRt.fHt SflCllrlttf:lfl,
secllr,1ttns of clMle or,fnndly onrporllt,tnllH or IHI tnt.f'Jrllst in nll~' f'O-pltrl.llt'rHldp or hURhHIAS, that the
(t/ltrl /lnrt st,lIt.pmrmt.f'I roqutrollulldor t.ho JlIlrn~rllph lIbovl1 rnltlUnp; kl SchlHlulfl "B" lire ntt.nohfHt. AIRo mnke
cI!rt.ldll thltt cohlmn Nt in f,lIn "811",llflr~'" r.flR hoon proporly completert liS Illlnvo-dlr~ct.I'Hlf
EMPLOYEES FEDERAL CREDIT UNION
.,1
tool STATE ROAD
.
PHONE. 737.3431 EXT, 8\
CAMP HILL, PENNSYLVANIA \7011
c/o I.. B. SMITH, INC.
F.bruary ", 1979
R(lbl'rt E. M;yers
Attorne;y at Law
'00 York Rd.
New Cumberland, 1'1'1. 170'70
REI SlAmulll S. Lon I': , deceased
Dear, Mr.M;yere:
W. are encloeing hel'owith our Cheok No; 14361+ in 'the 8.1110tlr.t of
&844.69. This oheck represents theSlla.res .in Hook No. 840 8.S
well ae the insuranoe on the Share....
V~ry truly yours,
SMI'!'HOO UoIPWY\,;E$ n~DF;l~L
OREDIT UNION
Faul SOhell, 'rrEJIAS\lrer
'nit
~Jncl. (1)
.
1<
\.,
(
l
I
!
.
,
t,
.
RCC- 17 112-61)
COMMllNln:ALl'lI OF I'ENNS\'\'LANIA
TIlAN8f'F:1l INIIEllll'ANl'~; TAX
R~;SIDENT !lECEDENT
SCHEDULE ul)"
BENEFICIAHlES
,~..
~VJr
. -'IlEI,ATIONSIIIP ~..-
BENEFICIARIES AND ADDRESSES (I( .tep,chlldren or SUllVIVED !lIlT!': INTEIl~;ST (W
Bta' 0 tull ""mea and addro!t808 of all who illegitimate chlldr.n DECEDENT (lI' IlEN~:I"JCIAHY
"\'0 an Jntcl'csl, \'oRtud. contingent or otlwr" aro involved, .ot 8T A'rg YES IN ESTATI':
WiH(!, in 08tate) lurth this Il\cl.) Oil NO HI 11'1'11
- .. ---
- ~-_. -~--~--
JlInet Hundis, 917 11)('11) i
---- H ,. , ~-~-_.- ..
Wertzville Rd. , Enola, PA Yes of age $10,0.00.00
--.-.
--, -- --._--_._~ ----....-
Paul W. Hare, 1003 Alder Rd..
-.--
___Mt. Prosoect Illinois Step-son Yes __, of Slle Residuary
_.~._...
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,
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f\lrt.htlr RtlYS t.hat 1111 t,lIe above-named benefioiaries arc 1.tvln~ o.t thtA Umo oxoopt he}nw:
NAME
DATE O~' DEATH
H~;Slllf;Ncr;
___________.,___,L..._...._..
"'
I -
<:
t9
e~
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II}
SUMMAIIY
",.(Soh. "A")
".., ...",.. (Soh. "B") "
.,.(Soh. "0")
Ileal Property ",..,'.. , .....,
Penonal Properly ..,.... .....,...
Transfers
Gross Tn~nble Eslllle '
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d k; Il:; <<:
Inventory of the reol and personal ..tate of
HfHllUtd 8. Long
deeeaud.
1. Iloun and il1t: HHuatt\ In I\ost 1'01ll1sboro Towl1ship,
(JulI\barlltnd County, I"ltlnsylvonia, Lot 3'>, \'enn Heights, known
ON 16 Sharon Itd" gMl/l, bainll the 80mo which .Jack D. Bnten and
PauHIW V, !laton, by duad d/ltNI Jnnoul'Y 30, 1967 and recorded in
Iloudllook 22V, PaRa S63, lll'untedond conveyed unto Samuel S.
and Anntl M, I,onll
2, Ollu,llhin IlepoBll llunk & 'l'rt!st co., Clll,eking Acet. No. 56 23.398
3, Illlrrhburg 1I0llpl till. refund on over pnyment
I,. Smltlwo I\mployt\/,o \i't\dcrnl CredH Union
5, lIhw CrOBB I'rfJIul UIII refund
fl, clllnp lIill NUl'i'dng 1I0llle, refund on over payment
7, 1976 Clltluas Oldsmobile automobile
S, HOllHahold furnhh:lngs And appliances
9, 34 shares common stock of Dauphin Deposit Corporation at $30.00 pet' shar
41,500
1,893 7
2,100 5
844 9
33 5
533 f2
2,500 0
955 0
1,020 00
COMMONWEALTH OF PENNSYl.VANIA
COUNTY OF CUMBERLAND
55:
Paul W. Hare Ilnd Kenneth Nundis
b,.;ng duly sworn .. according 10 law, dopos0s and Sftys that X~ _.tlI~~_llr.e_..,
Executors of the Estate of .SalllUel.S..Long
I.te of East Penllsboro Township, , Cumberland CQunty, P.., decused ftnd that the
'h" . t d b them' Ih Id Executors
Wit In IS an InYen ory ma 0 y ._~'. 0 1ft
of tho ontiro .stato of lftld decedent, con.1.t1n9 of "II tho perlon.1 prop.rty and l'e.1 estato, oxcept real estate outside
the Commonwealth of Penn.ylvania, .nd that the figure. opposite each Item of tho Inventory repr~sentlt's fall' valllo
os of the dote of decedent', death.
~_.tJ2k&'-/L(.. c.." '~ 19.zZ_
/f) ;,0 -'Y"j. tv / .. ,
'._.____.-iUI L , ;'~' I/'(.-)~i{'
1 \<..QKt'i'i~\ry'w~QA.D
',L 1~
....... ,._..__..,,,..._.,..~-~-~--..-.__..,,
El/fJc\ltor . Admlnhtu.or
C::YCt,.,Q. 0-1 l'..lo-,",,---~
Sworn f
-.____.___,_ Md subscribed be or. me,
1003 Alder Ave., Nt. Prospect, III ~056
r"F,n' , ''':n,IIAOl:
NohHV f'ui F ,'-'I Tv/p" York Cov
Myevil\ t !.plres Nov, 8. 1982
Add"..
Date of Death
. '.. U ,,__,__________ .,.J,1\ml.<lJ~y... ____,,__~___~.2.?J1. __~,._,________..
D.y Month Y..r
INSTRUCTIONS
I. An Inventory must be filed within three months of tor appointment of porsonal representative.
2. A supplement Inventory must be mod within thirty day. of discovery "f additional usots.
a. Additional shoels may be athched a. to personalty or realty
4. See Article IV, Fiduciaries Act of 1949.
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ili'l'\IlI.\IFNI 01" 1{1'\'I':Nl'l
lllllll\li (II' (OliN I \ ('(lI.I.H 'lIONS
*
If ///'0
SlJPP1,gMENTAL
hf\ltJU~T [lrrClJi,t~T
COUNTY OF
CUlllh"rlllnd
IMPO'~ f'At..J i
I'll!" 11,llllil 111\1\1 Ill' l';;-H;~:;~:;I:;:I";;:J~j:~;~n;~ll:ti";I-;-~i'~'I~;i;~~:HII.:, witil- il'llllttH('I\(~~i,-~"7;;~;-I-t-"i~'~~;~~';~f~\\'-I--l~i;';;-i~""
!"lllil\'\\lwlt', lIl'Lllli!'f1t rtHidijtl, Ih'tUJIi.11' dlW within IIltW 1lIi1111hfi Hiler dllll' of dt'l\lll, 1I1111nl!lltll {\Xtt1l1HJOI\ I" iltlltllNI
1,\, Ill!' 1)'_TII':,[I,\ Ill' !{C\!('II\lI;, iSf'l'lioll 70J uttlln 11I11I\dlllll(~(' nllll Lfoitnto TlIX ^~'t olllJhl ,J
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IN '1111\ \1,1111.11 'II' '1111, I'ST,ITL 01'
,..3
1',XECtl'l'{IR
,II'FIIJAI'IT OF
Samuel S. Long
':,I"'IL 1:lit Utd,ll' (,ti-:;-I:F;dJf:-iil:,
LUll! {,f
Cumberland
AIlMINISTRATOIl
COllllly of
P_cnnaylvania_
York
} ..,
Sill'" ,,1
Allr,dni"ll;illll
Paul W., Hareuan<LKenneth__l1u_l1c1J,s
ExceUlt)r
c,/ Iii!) r~I'J1o Clf Iht OLOV6"IIQltlod dnclldont bolng dilly sworn, dopo..
Ih'Ci'dl'lll dipd
JanuaD'_!7._..m_
'_~__""""._'.'_~U' 11.J~?J.__:~{ft'llt(l'e leClv!n" (I
'I'A,I \YF"ll) ~
and uy
Icul wIll, copy of whleh l, here/a ottached,_}
i.h;HTHl
N'lnlP {lIid '~Itld",~ ~ ,,/ (I n--;'f\~r ('r }
olhllr ti"thflrllfJd r{1IH('~On,I'II':"I' ~r. wIHH!\
nil cClrrc~rt'ndNltl' ~h",d ,
Robert E. Myers, Esq.
---rOU'Yor!{'I<<T:-;-ReWCumber1and. PA
17070
. ._._'--~~-~---"---~----------~-_._--------
rllill as S\iI'1l
Exe"c\.\t.Qt,s___-,---__'_ndl:pOl1l'l1t is rllll\lliar with the uffuirs of said cstl\tfJ nnd the prcq1crty constituting
,-!JH.'!~.^[lMINI';l RA'lORl
lhe il"SI'bt!tl'_fCll!'- ,llId 'd!l:JI' filiI' l1lilrkct \'llllll~.
Chat al tlw timl! uf dl'Hfhthefc was 110 sufe dl:POSII hox registered in decedent's illlli\'iduul namel or jointly with, or
ilS ageni {If deputy oj' ilttother, (1I' in dL'.j.~lJdcnt's individual l1i1ml' , with right of Recess by another ll~ agent or deputy, with the
CXC('p!iUlI o('lhe following: ~
_'n"".un..._,_..
..__.,-~~
NAI..\E ,\t-II) {,llllfn,",s'or HM-jk {)F'! OTI-!I-::R INST('rUTION
IN WI-lleH DECEI'JLNT rn'N'fliT!.,\'S_\FE DEPOSIT flax
':'-"""'-".""""'-"'~='_"";"_'.,i',~,="""=~",==~===,,~,,,_,
THIS SAFE. DfiPOSIT BOX RENTED
IN NAME: OR NAMEtS OF
RELAiIONSt'IIP OF JOIN"r
HOLDERS '10 {H,Ct:"~
,.~~..___._ _~~'__~+--,---.--.---.-.__..."_..~.__._n......~..._.__"-
=,.=.....=.>."'....""=.~==-~~=-l.=~....-.,:;;."'''''--.:=~.,.........~=--''..:.'===.
ThaI the contenls of' suld snf,D dt:posit box or hoxes lIrc itomizcd undc'( Schedules
,villi thcex{;('ptiu1inl' the l'ollnwingl fur the reusrins hCl'cinaftor set forth:
of this roturn.
Thai Sch~dul~ II attached herelo alld llIade pnrl hereof scts forlh fully nod ill det.11 .lIlhe real properly
in the CnmmOnWl1'1I!th of Ponnsylvania or which decedent Jicd haYing an interest therein, It also sets forth the
illOrlgagi; ('I1t;iilnlm\llCi~S upon i.:l1ch purl'ld of relll properly at the date of dcuth, giving the nmollnt still duc at
duath, jIaIl1l' of 1l1OrtgHgCC; datc, filte or interest, und bonk {lnd puge of record thereof. It also sets forth in tht~
GOIIIIIIII" pro\'i(\(\(\ tlll~l'l'l'orl' thl' assessed vnlUlltinn-nf cuch of said purccls, the estimnte-d market value t1H:rcof
liS fir dHlt~ or Ul'ilth of dl'(:e(ktll.
That Sc:hod~/(} 8 HtlilChl'd Iwrl'/u lInd made part hcreof sets forth fully lInd in detail nil personal property
wIH\i'CS!1Vtf ~j(\lalcd oWl\ed hy the decedent nl, the time of death: nil rnoney~ Il~ft by the decedent at the time of
dl'illh, whl'fhcr ill d(\cl'd(~ilt's imll\cdiate pnssl'sldnn, Sllllldillg to decedent's credit in bunks of dcpmdt, savings
banb, Ifill-ll companies, or other illstit,iltioIlS, whl-'ther illdividuully, or ill trust for nny other person or pers(Jlls
gi\'il1g'ol~o sl'parati.-1Iythu ill~i.1rll('dintl'1'l1st thereun, jf any, drlwn to the lu!!t interest day prior to decedent's
lkath ill Ihc clIse or savings bUl\ks, and tn the link nf dccedf~nt's dellth In all other l'il~('S; all hnnds, postal
_O;ilvlllgs, tr()H.'Hll'Y l:crtlficatcs or notes Hud other c\'lucllce of indehtedness of the tlnlted Stales to lht: dc~
t'('I.\i'llt: all nliHgilllolls, whether hy st,ltuh' or lI/-!!"l'C!l\enl they tin.' designaled as tax fret'., of the tlnltl'd Statl"-,s,
(II illlY :-;Illif'; Of political ~uhdivlid(111 !hl~\l'Or, Of of any ru[dgn country, which Ufe owned fll the time of death;
,d: ..Uilllll~ ;\jJjHllti, ;iv,vch), "HV~'i\Vall', pil-'IIIII.'SI bonks, wurks of urt, hnUl-Ichold futniturc, horsus, carriages,
i1\ltlllJluhilt',H, bonis" !lnd <iny and fill ot,IH:'r pnsoiHl1 rhnllds of whutsoc\'cr. kind, or nature, left by decedellt,
tOlH'lhl'l-wllh \lie fuirly rstinwlcd f1Hlrkl't vuhll' thncof; ull honds nnd lllOrtgngcs hold by d('cctlt'llt and of all
vlaims dlie I_lilt! Owing dcc~~dl'nt III tht: Ilnw or dl'lllh, flnd nIl prnllliH!-.llry notes or other instfuments in writing
fOl'lhe P.lYllIl'll( \If money or which dccnknt died Pos!H\ssed, of whatsoever natufC, whh intcf(~st tlwrenn, if
nny, givint'- tile fHc\.' \'lIllit' alld ('stlmllit:d fail' 1l111I'klJt yuille Ihcrcoft nnd ir sllch cstlmatt1d fair market vnluc he
less Iha,n the Tacu vnlwc, it Nt!.... furth hrkfl\' the rnlSOIlS for ~llch dCPfcciution ns to cnch item; nil moneys
payahle to lite ('stilte fi'ni\l Iih', insurall('l' policks ci\\'rit'~1 hy decedenl; nIl nlll1uity /lnd endowment contrnl:ts
the procecd~ or which ''-('' If\\/[lhle lipOIl tho dl'lIth or the dCl:cdent; nil and thl' C'orporutc stocks nnd dividends
dUl\ thereon nlld l1l11',11d jJ~: .-,1' tL, dale ill' dc;dll; bnnds and accrued interest thereon to the dute (If decedent's
deilth Hilt! olhi'l Ii\'_';":!'ik\\! ni\fll:f1 hy tlw t!t'l'f:llcnt lit the time Ill' den/h, with lhe marKel value thcrcM
ul' H f sllch I illll',
.,
.
III tilt' tHUW 01' 80CUl'fUllf,l or o)()S~ ur f'nmilr oorpnrnttollf'l, tho VU]llfJH 1'f-lJlortl1fl 1\1'0 ilK fur 1\8
PotHdllln HuhJlllllll.tl\j.mj !J~' f'tllllllolnl f1ttltomuntR of thn nnrp()rntt0l1fi1 "'hfl"'h11~ UIO IlHHl]tfl \mrt ltllhllit.1oH
Iht+I'flllf' 11M ot' tilt! dllto of' lItHIlIl. Tllll Ht'lllllllllft ulMO flOtH "!lnti tll(' IlIt.fll'I'HI of' 11(l(HHIHI11. Ht tho UIl1I~ of
II"fllh tll IIIIY ('1I'"'pI1rl1lnrHlllp fir l11IJiljflllltH, HllII In H\lppol't. of' I iii' \'lIJuP ill' ~ll('h 1 1It.(II'IlH I thnl'll IH 1I1111t1XIHI to
H/lld 11 l'IlI\111I 1 1'1 f'tIIlIIlI'lfll ftllntnmflllt" "hlJwtl1~ U"'/IN'IHU II lilt ItllhlllllnH of' flli.'d (.o....plll'lllllrHhlp or IlllsilllHU..
,\ I'llp~' nl' Ull' ('O-plll.ttltlf'~!ltp tt~rfll\,"I~llt., (If (If/d, II Ht,lItflfll""t Hflllll1p' f'tll'lh tlln 1l1l111!'f\ III' tll(' 1l'{fI1fllllf'nt)
I OA-" I hll I' \\-lIh n stllllll!l(llll ",ntlIIlK ('01'1,11 tilt' {'IIIlI'IIf't!'r 0" '1111 IJlI",IIlI'1<4N, 11\'1 hll'f1ttllll, /l1If1 MlIf'h ntlwr f"H'tH
.1''''lltllllll~ III !JIlt hwdllttM1<4 fll!l rnllY 110 I'''I'IIIIHIII II! 111'1111' Illld .111M 1 Ilpprlll"lul uf' lhll t\tlnt'llolll'H tlltfll'f!N!.
Illlll'lIlll Illwd hll HIlIIlI1JI tl'ti. It Hhlltlld ""HI ,wi f'III'11! In I tlnnlIt!lJ f'lIl'lll, tllgnthnr \dlll Ulf< I'lltr"ml\l'knt \'Iltw,
lllllr(\uf', !IllY othor 11rllfltJl'I~' OWI\IIII ur hOQlll1llltwd by IIII' dlll'l'd""1 III 1111' 11m'! of' dl'/llll.
Till' Srh,'r/III,' ( Ilttll(.tHHI lllll'nlo IIllllUlIHIll JlIlI'1 hnl'llof' ,"Ilts forth /I "'!ll! 11IlHWI,'r III {Hldt hltllltry
tHIllllltllf1cl th"rl'ln 111ll' tlll!ln tHINfl of 11'IlIlNfnrH O""I'lII'M'I"" I'I"l! 111'1'111'.'1011111, wllhlll two ~'{l111'1'l of' ctnl1t,ctflllt'foj
(tlllltll, in oOflt{lntpl/lt.loll of' IhHHHI41I1t.'H dtHlth, ("I' Inlollllolt to Illkl) Uf'f'f'l'l. III IlllHHoHHlon or I'IJ,loymnnt at. or
nf'tftr (hll1th, !wirt Hcllmtt11n Ret.s f'ort.h tho nnturtl (lilt! VI\l\lH nf' HtIl~h JlI'opnrl.y, tl1 wtlnm tl'Hflflf'I'rroet, tho
,'ul'ILttH1Hhlp of' thn t.rnnAf'ol'ooH to t.ho rtf:l(wlhHlt, (1m 11I'O)lOrt.lollut,f' Rllllrfl rAtwlvnd hr 011011 l.r'tIllHI'ON'w unci
IIJ 1 (lthtlr I'Ml!.H of' II porUnnnt. notllrf' rOJ(flrrllH/l, "nltl tt'f1IlH!'I)l'Ft. In 111(1 {'ltAn of' tl'III1Hf'('rs tllt.nndod to
lnko Qf'f'ont. tJl IHIRtltH'RJon or (lIl.lo~'f1,ont Itt or' 1\l't,OI' rltHII,h, lllOre l!'l also Ilttlll'lllll1 t,o tho Hllhn(\ulfl /I DOilY
of' tho (luetl, trust. 4~reemtlnt. or othnr illstrllmullf. oreltt,lfl~ 11w trust, 'rhflrll hi nlso H/'t, f'orf.1l In Rllid
:il~llnd\llu n IIHt of' 1111 prOllert,y, rOllt Itnd porsollul, wlt.h ItH VIl]\W, whleh ]Info. AMI nt. r!ocOllflOtfH dont.h hy
vtrt\Hl of tho oxor<1fs(' hy rlCCf'dOIlt., (llt.her indtvtdllnll~', or,lnllltly wit.h IUlot.llnr. (,r /IllY IHlWHI' of' 11Jlll0111t-
m811t \,ost.{l(l tndecprlotJt, nitller tr1tiividllftl1y or .Iointl~', hrthf.l will, rtANI, 01' oth('I' illstrllR!l'llt of' llnothor,
with n ~opy of t.hu in~trllrnf"nt crtll\t.II1~ H\HJh pnwt.r nttllchod t.o tho H(!hl1chlln.
ThAt Sch~du/@ 0 attnclwrl hereto fUlt1 ,"lulo pllrl. hflrflof' Sf't ~ forl,11 tlw IlllmeR fllld Ilctrlrn~Fins of' /Ill
pnrMollR h('O~t'icift.ll~' tnt,cl'eflt.ed in tilts fIst.file Ill, thf' limo 01' df'('otlunl's (lollt.h, thl' Illltlll'(' 01' t,hnir ros-
lHl(~ti\'o tntorl!st.s, l.Iwir rel/lt1on:'lhLp, if' /lIlY, t.o till' rtAcnd('nt. fop;f'lllnr with tho IlgO!; I\L tllf:' t.tmn of
dl"H'Il(lent.'R rtellt.h of 1111 minors, antlllltnnt.M anti hnntlt'1('1nt'ioR {'Of ]if'fl IIlHtnr (j(>CfH1Hllt's Will. It nIso
cnntn:llls II stlttement. showin~ whtch of the hl'nef'1etltrtt>s 'HUIIl'd in t,ll1~ rlfl('o,hml-' s wtll, If lillY, dtOlI prioT'
t.o rlpCf'rtflnt, the c1l\tOR or t.he.ir dontll, t1wir lS!'lHo, (Uld 1111' T'oll\t1oflslllp of' sll~h IRAllf! tn tho h(>Hot'ic1/1ry,
ThAt. S.:h(>dulp r nUnched Iwreto llnd mllde 1\ pl\l'1. hl!I'f'lof' Hpt~ f'nrtl1 nll tlro}lorq', r€lul Hull per-
SOllll] , owned hy tl.n rlOCflChlllt, .Il)lnt.1~. wIth Il,HOttlf'I' or others, lhcludhlg Inj,l\n,u;ihIC', sUIIHlln,Cl; in t.he Ilume
of UIl' dC'certont llnd nlhprs, pIllS t.he IIl\to nnrl pl/lCO of' roeol',1 of IIlHlT'ul1lt'llts nf'f'ectln.c; t,h(' \'osUtl1re of
rOil] t"!st.lll.f' lInd t.ho rlnt.fI of' ncqutRlt.toll of IWl'li'olllllt,y, plll!'l t.ho II Hmo, /ulflNHiH (lIHl rnlnt"lollHhlp, if IlIlY,
of co-owners to t.he decorlon t.
Tlwt Sc/1(>rlule F nttl\ched horPto And mnrJo 1\ Jlnrt Iwroof !'I(l!-S forth f\lIly llnd in flf!tull nIl rlt)bt.s
unrl deductions clfdmed for And on hohulf of' this rlectldent'fj ostn!.e, incllldill,Cl; f'tlll(>rll! flX1H-'IHIeS 1l/\1rl;
rI\TIl1l~' oxemption, where nppllcnlJlel t)OAt.R 01' llrlmtflist,rfltioll of' this NII,ntf!j noullsoI riles 1111(1 f)lrUcdnry's
cornmtsslons paiet or t.o he pnidl cost I'xponllod for huriAl trusts, t.omhst.ollns or p;rllvnmllrkf'l's, nnd rnl i-
~1ous Rorvices, in consr~qllf'nco of' t.hn dfH\t.h of tho dncnrlent.1 tlohts nnrl Cll\tmR oldll,U; llml tUlJlHid nt. timc of
rlf!nth; tRiCes RCCr\lorl chnr,R;cnhle for puriml prinr to decedent's dont,ll ((IXC!f'Jlt thORO IlllnwHcl 111lctfJr Soction
051 of the Inheritllnce nlld Estlltn 'J'nx Act)1 top;f1t.1wr with It stfltnmont of' colllltf>rnl p](l(lgnrl for ohltgn-
tJons, if' nny. It. lA Il.~roerl t.hat t.hf'l fjrhl(~lnry will Ilrmwnt proof of sldd dnltllorl nlJlll~llt.ions upon rn-
fjlwst, thnt if thn flmOllnt nctulIlly Illdd In Flett,IHl1ll1nt of Ilny {'fH'. {'o11l11l1ss1011 or df'ht is less t.hal1 the
est.illllltprlnlnOllllt (~ll\'ltIlillg llmt nIlowod, thllt thn R/lme will ho repof't.nrt 1.0 t.lle Hpp;istor of' W111s, find thllt
tho amount of' tllX I\ss(!s~e{l (Inn lJ(~' rOIlHsfHHH'd ill HeCOr(tIlIH'(> tJlf'l'f!wlth.
ThIll I,hl> tol-1I1s of the npproprtate columnR in ~h1hortlllos "A", "n", "e", "E", /ltHI "F" fiS rl1J'{~etfHl therotn,
hlIVC! hopn cnrrh'Ht fnrwnrrt Hnrl prnporl~' regtAtorod in t.ho Stunmnry.
I ~,
Subscribed and sworn to before me thio ",l..t....,
day of
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",v,~'" I"'"' lCOMIVlONJJL/\UII OF p(i.lfj~~,{I.VMjll\ 'I""" _llL,!!.,,_VeEbex::..},9},~_.
fl'J~~,~I\j~i~~\gFO\lf~KWiN" Ill' :>IIJli'H II\IHEi{1 f1\NCE Ti\1< Cl\lINfV c.uhflt'lanI.L....-
H^nl1l~;i(,)'li~~~'12~~~, \~__. ~......,__~:':)~/,~I:~ Mr:r. .._..____.'__.~'~_~~.~~:,~ :~O 07 A
WllerDil;-lj ~~mll. 1 r:: .,-1.0JJ...f,f..........--....--...---....."'" 1,llu (~,f ,_~, 'r~,qR1. PAnnRO.c.r.O_ ,.1'tLP..---,"
ill ',ho Coullty of ___r,~l.!!J.lJL_,-,-,-_._.-.,-...-'"_._- ("""'"011','1(>..1111 ,,( \\'1" Inni", II""",,, ,\"
tho _ 17th ._ 0\,,\' 01 .....lJ1.n\!,Bt;1--......_- Ii) '17_, ""\'-"',,1 ,11'<1 piS'''",., tl ,[ "" ""
subject to In\wl'ttanco Tax \HH1{!r tile I,-Wh; ()\ thn Cntfil1\()II','}i}alth or \-\))I\r::vlv:ill]i1:
Therefore, I, __'_ _, lIluJ:j,l.l,.~I.....u..lJ;L"u;,:,L, ,.", "l'lil '11': 'I' ,lI:I'! '11",""1\<.'<1 ,n "li,,'I'" ,:;
Ililvinq \)eon do!:iqnated to 111<11(0 a fair ,Inti ('1'I1C:ciuIIOIblo ,q'I"',j;;;","unl Dr I\!" "'1\.1 ""Lll", .u,' 'J"';""" ",,,,l i.i, ib,"
value of all annuities ilnd life estatog (IrowinrJ oul of uaid O"I"le, heroby filo Ihl) fo]\owin(j ilppl'iliuelnd:\t:
In \tHl llV\11l1 0111\ .,ny 'u\lllf~ ltit[lrfl~\ iI\ H\i.,'l~\,lhj 15 \1,J(1~i~II[lci ill i"i~';I'~~I"1\ nr i'iIlOYllhl!l\ \'lJUlllillt'L11 il.111'. "I II;;> (!,'<:iHlnd! ,\1\"1 \i:'~ ":-:pp.,1 ,>I
III <IllY (1',11110101' lilt! (ir 1m YIlIH~f the C"rr1I1lDn.voaltllIIiHf-,bY ;;:'il!ij,ly if'Wf\'!)~ Ow '!Jill Iff ,gil'fi1ls!) '!lId i\~""~5If,\i\5j;'r il\!\('t\~;ll\('l L!".;'1 rd iI"\ 1,1\'.'1 Iii f ,;I! '\;<.1'
11l1(){)I\/lt\~\II(lrolr\lor(l\t, _ ~.... ~~_"__",~,,,~,""""_'_ri';__'~'_""u'''_'
- -"'- -.......- __".
[11 5cfdrlj{)t;j Of: /',',',! 1
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Personal Prope~ty
Trans fers
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Have been duly sworn according to law, 1 do hereby certify thai tho above appraiscmcntJu mado in conformity
with tht' law on this _ H W""lIAll>lIl"dayof - -7T7. ", ,)9 -T79 .
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COMMONWEALTH OF PENNSYl.VANIA
DlPAHTMlNI OF HlVENlIf.
INHI,HI'lANC,: TAX DIVISION
OI'nCIAl. NOTice OF
INHEHITANCF. TAX
ASSESSMENT
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DATE..
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ESTA TE OF "77__' ~;L----,-- .'
"'--"\""-
,-.~-- -,
FILE NO..,,,,-.!~-,.~--....:---,
COUNTY OF _,,,_~_-L.-'--____,_
For County lnforllliltion -'HH~O!j(Jn only
I
COUNTY FILE NO,__
,DATE OF DEATH_2'--------------,
--------...---.----.-----..---.----.
.. .___~.'..,..__._._~..,.,__'_ _.._ ....._ __2U.' .__, _ ._._ _~_'_""_ .-..---- ----~" - -. ..---- ",,--
Appraisnd VnlllO of E!iIOla:
Real [SllllO
Perr.o/lfil PlOporlv
Jointly Hold Proporty /Trnnafors
" '
$ ~-.!...-_.~-'~_._-
~~_,___:..J~
Totel Gross ESUl\o
" ,)
(l__'_'T'~_"r ~__
I
/
TotAl Approved Doductlons
, '_..h____.___.___
/
Clear Valuo of EStllle
Q....:..:,
loss: Approvod Chnritablo Exomptlons
Clear Valut'l of [;slato Subjuct 10 Tox
$
Amounl Taxable @l 16% Rate
&~.::....:.::-"
I II
(
I) <l
J ')l)
lax dua
J / .. , , , )
$ /
,I j (J 0 " :!
Amount Taxable (~) 6% RatE!
r'.j i ~
/
(
tax due
TOTAL PENNSYLVANIA INHERiTANCE TAX DUE
;/1' 'I,
i C;" '1,1" . j
~---=-......:~--
LOHS Crodits:
__ DA.!I~_91 PA ....MENL
"AMOUNT PAID_
J?,I&c;,OUN.L
Jtfl!,REST"
TAX.QREl?lL
", ') ')
~..L:_~_~-'
J'! I/!
_____L,_
1,/
l.~.~__-_' +
t.~~~~~_~_i
L___
+
+
BALANCE Of PENNSYLVANIA INHERITANCE TAX DUE
,I) ,
~ :;Y':..'..~f:~::L ~'::.:--
I
1'1 I
In'o,",1 will accrlle al 111. lala of I six (61 per coni PQr
I n h (1 r i t lJ nee ,t a )( fro In __.._ ,'.......: . L.~ +-~~-./-.~
flnnum on the unpaid balance of
,..,..____10 Il1e <Ii1te of paymenl
A5S0ssod bv: ____._._--t-' _____.:_L.__.._.. '.--11.~~___:,,_-,-w. '---
AYllnl f(ll llit. cornmonwil/\Ilh,
SH /lfV(fln SlOt fOflINSTHUCT\ONS
~; r:i!i' I (-H (;1': \VH! ';-; L 'v
r
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fir [1\JcllON~ All 01'1111 HI
STATEMENT OF DEBTS
AND DEDUCTIONS
)'.
I ~Y(b) -<
Ofl'f"ICE 0'" THIi
1ll10lflTER OF WH.ltJ
Cumberland
0' ___.~._. . COllNTY
AND AGi:NT C"- 11-11( COh{MONWIALlH
l;:BTA"E OF Samuel.....Ji.L. LOIH!
r, ~
ClATE OF PILING "f'''R^IU:MINf ~~
l)"Tf':
NO opt
VOUCHIi"
2/26/ 9
2/20/ 9
-2!T3}
.....Jl12L 9
2/27/ 9
--2/21.1-
3/6/7
-m
3/26/
9
4/24/ 9
-.\
5/25/ 9
18
-j:<t
20
7/10/ 9 25
7/:1"1/
7/30/ 9 27
8/9/7 29
n!91
8/14/ 9
9/79
----
8/79
HH ~UM O/'
, fl
T
(i^Tt: ^I'P'WV~t)
,/ 1\
IJlf 'j' . I' Ji' ""
. ~. f _' '_.
i fI'lli.)u uJ IiI;. AII.~j -.~
'-..0..-.
,
L....Tli Of'
!\nst I'l'nllsborn 'I',;wnsl;'il!.LCun'.!'.~',Ll,!\l1d COllllt y
Jnnuary IS, 1979
rJ...n 0'" O.ATH _
,
.,
N/d.U 01" p"vu
RlMAIlKI
AMOUNl
Crockett Mtg. Cu.
Mtg, pnynlPllt
1'Ilel un--
Final illness
Te. ep 10tH;~
Electrlclt
Mtf\. Payment
118 50
--'f,]'j
55
-53 14
-12_ ,Ai
11,'; 50
Sll4-- ,-1).11.,-
12 37
:1
J. . ." ,
Louens C. Tzanis, M.D.
Be1'1 of Pennsylvan1n
PP&L
Crockett Mtg. Co.
, R'I,...hnl"rlQnl
1<',11".)'1"(\1
5
6
8
PP&L
Electricity
J. elepnonl~
Mtg. payment
. ,ec ,ricity
Fuel Oil
Postage
115
--]]".
90
7
:I.
12 28
--4,13..
115 50
-"
115
2
100
115
10
liP rellllHylvtllllu
Crockett MtR. Co.
13
11,
C.R. Sadle~~,nc.
U.S. Post Office
16
I1.eliS.-
T., lephone
Bell of Penllsylvan1a
&t PeRRs..r. TslI'~
Crockett Mtg. Co.
Mtg. payment
EleLLl.Lt..:JLY
Mtf\. payment
'ectrTCTIY
Funeral oxpenee
Htf\. Payment
111nprn 1 ExpAn~fI
Elec tri ci ty
a~"lnlAn t
Trash and sewnge
2 50
J+I;;-
1,8
Crockett Htf\. Co.
Blue Ridge Memor1al Gardens
Crockett Mtg. Co.
BltlPBirliP MpmnriRl ORrdAnR
PP&L
k9tt:. Htg eQ.
East Pcnnsboro Townsh:lp
Kenneth Mundis, Jr.
10 ~lUnd1S
Lawn work
Bank
charge
Robert E. Myers, Re1mburscment:
Letters, 33.00; Bhort certlf cn
nfj bond, 1.00; l1dv(~..s..in.g. ~ ~
proposed distribut1on, 2.00
~LJl!jlH Ull btlll:~ u;
Debts and Deductions, 5.0
'llinR 1nventory, 0;
, I, ..Ji.5.;.....llioruJ..-. r.
133
65
rrpnrHLlull, l.rtt:t1tt,
415.00; mtg.~off to
notary, 1.50; trash, 5.67; trnn fer tnx
Crocket Mtg. Co. ~
8512
24
Contj,l1uec1
COMMONWEALTH or- PENNSYLVANIA
}..,
Hare
COUNTY OF Yo~k
I,We, Kenneth Mundis And Paul W.
HIAUy CIArl"'r, THAT. TO THW lIUT or
MY KNDWLI:DCU: AND .n,IE"', THE: "ORIiQOING II A JlJST ANO T"U I ......TIMINT 0'" DIiBtl. "'UNrllt"L, VCI"INIIII .A.ND EXPf.NII" C\~
ACMINJITH"'TION 'UBMlrTlO TO THE UTA,Tti. 0' Samuel S. Long, , OICI:.AlltJ, ". DI:Duc"rONII 'OR
INH''''tANcr T^X """PO." ," _ _-(,~l~n'::~-.;~~~fi'l~)::_,--, ,_,.',._.,_,__.__'L'.'
.WI.~";N A~D .U"'C~IIl.O U:FOtU: Ml TUt. - _DAY Of' &1.../.. ~l,..~-____
~ /' '-_L~..;.i.LLL________ 18 -+2-
i:lw L.. .jl(/' ,"" j' \:.I'l ... Paul H. Hare
---"'---~'""'"' --;~ ' .. . j
I"
No~.", rUi
My (;O(fl
',(':r"
T' ',Yorl, (';n.
h),', n, 'l!;lilt!
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,~ RCC'I~7"l1 COMMONWEALTH OF PENNSYLVANIA
"NO,1/ 0 6 3 5 50 DEPAnTMENT OF REVENUE
g OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
\I =~,,="~~-"'='O-"."'7='C" =. ,--....
~ ______________...'fI'1J<::NTY -TWO H.UNDRED &
~ RECEIVED ____.___,.____...."__.'._ ,,,_m"..
II
i_..~,,~~.l!~'t....!: ~_Ml~rs, E8Cj.,
U
;"
II A, "'. 100 York Roac1 "__'-"
i
II
I FII. No_~-7~-.r~__Dot', of D.olh_~-l7-~~I~_
...
~---.._=....
*'
EIGHTY DOLLARS------.-------
. __ ...__._..._____....____..__._._....__.__....__.....__.__.. ..~_... dollofs
I (\prc~nnting Pennsylvania Inhorll<H1Ce Of
bl(Jlf) 1m due from the following ('l~t(JIIl'
...lKe~eth .~und~_IlL
2'(\; Tox on
$,--..---- $,
6~t Tax on
$
$_-_.
New Cumberland,Pa.
----~----~_.,~_._---~---,.. .---.,
I 5 'A, Tax on
1___-- $
$.
----- I
2,400.00 1
laO.oo t
Dol. of PaymAnt _ ~C?!l._}o,~9TIl_.,
"It.> Tax on $
Estol. Tox, A'I of
May 7, 1927
$
Nome of Dl3cedent
SAMUEL S. LONG
County _
Cumberland
TOT AL TAX CREDIl
Less flvo percontum of lox If
paid wllhln :hree months aflor
dol. 01 doalh
Plus IfllerElsl 01 Ihe role of
_~%from_._.
$
$
arks:
I
~
II
$______1
I
uW~[JJQJ](05[iJV~ 5 E A L TOTAL AMOUNT PAID 'l~'-' $ ,~280.~_ -'"
NOTE: lhl. Trlpllo." RfJoelpt 10 be retained tor audit pur po.... :~ ( . ~ \
Recolved by \ \ L AI, ~
NOlL 'n ""p"" Ih, "on.'" Inn,,"o'" to"~ 00 ",,,, ,"",,, .",,'" "",, """h d ,'" ,,';----Rtchard .alAft .ri~-'--
tenant or 1.nCln' for yeorli, 0' t1vlclOl'lCeu bV thili rtlLOlp', II Is ur'ldllrsjo"d 'hol 'ht! COIll!ll(,nwfwllh stHr\l Regist.r of Wills
nol be pr.c1vd.d or prflv.n'f1d horn nor"oftlH UUllUHlI] odd'l,cJIl:11 rnl,l!If'!o,'(t.' 10' at tho (hllllh d Hlfl
Ill. te/'lcm! or l.nord tor yeor, whunevor 11 OPfJllorl ,hu' Il,(h oi!dili(lll(Ji 10_ mol' I.HI IIJ\,(oIl) ,hill r,lld--~-~(fiij;)-_H_._._-
(oHe(lIbl. for /jf\y r.mon wholtolvlH
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