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PETITION FOR PROBATE OF WILL. AND LETTERS TESTAMENTARY
in the Estate of _~,10f,1:1. J, SII'I:
, deceased
To Richard E, Anderson, Register of Will'; for the County of Cumberland,
in the Commonwealth of Pennsylvania,
It:<
Petitioner(s) are the execut()I.~" _ nomed in the Lost Will and
Testament of ......-1lilz("._I,..._S.il'.",_ '.. dated 111'1'1'111111'1' ill, 1.',lll
Decedent was a citizen of the United States and a rcsidenl 01
r~lStwl~
Meehan i cslJlIl'lL______ Borough, Cumberland County, Commonwealth
of Pennsylvania.
Decedent died on
1'Iol.l<1.'IL_..._ the
.t II . day of 1'.'111'11" I,'}'
A D. 197') ,in the County of ' !:IIIIIIII'I'I,,"d
Ponns..iLvan i fl ,_,.__,,__ at the age of III
ttoo< .'Om:
Decedent has not been married and has not had
since the execution of the above described Will,
Decedent was possessed of personal property to the
State of
years.
her
children born to him\(
value of
Llnestlmntpd
and of real estote to the value of
as neor as can be ascertained; said real
llnesti,mate(l
estate situated as follaws _j~.J.:.i!HII(I'III'I: SII'I',I'I.. ~11'1'11"llil'HI!III'l!"
Pennsylvaniu
apply
Therefore, your petitioner(s) respectfully >ClJllrotlw< for the probate
of the said Last Will and Testament and for Letters Testamentary thereon.
Dated FeIJ1'llUI'Y 9 ~.2..--_,~________
Name and address
of Petitioner(s)
'~ ' I j'
/.. ./ . >,'. , ,'".. - {- " ,
L.. , v'J1i':tin't' '1\"rl~,f. 'i~s...- .--.---
( I!;.!l, \1'1;111. ~I'.' 1." HI ,:''''1, .~ }l~"'.~'!.'.II~HI2'.!,r1\.L. I,'^
'... \lL..J:,
!lill71
oJ' 't ~ ~I j 1,,1\
'I' J; t i~~d {j',J,,1L--_.......,
"J I I' ,- ~, frt........, (Ill' II,~ It', p,t,
COMMONWEALTH OF PENNSYLVANIA l55
COUNTY OF CUMBERLAND \
WilH()1l I., Sip" illld 1'01111 II, HI<<'III'I', "
m___.____ _,_ .~
named in above applicCllil1n, boino duly "\VOI'II according to law
say(lS) that the statements ~ot fOlth in this, petition are true to the
best of .,
Illl,ll'
knowludgo
nnd belief,
L4vifH Itl"t:'~cfllll~Lr-u_,-
i:it;(" ;l~7It0,i- ....~=-~
R\VCll'll
and !,ubsCllbnd bofolo
~/lJ 19 "I
Richard F ^'Hhll!i(lIi, HO(lIhtol
me,
. (/
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'.'
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Filed,
V.""'lilll'.V 1\, 1"1"
(1'1 .1111",' ::NI.I,II,\ld.H, ~l"i:l\I.I:1I ,\ 1:1,li:hl:H
.
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and s(!!ll to this, my Lust WIll <lnd'l'('sbul1ent wh:lah OOTH,lshl of thl"('(>
(3) tYPOWl'fttell pl1ges to o[wh of whJoh J havE! affixed illY signatul'o this
, )
,~/I ",-,f duy bf /...C",(,,,,,,)'I( '("~"'1..J , ^, ,Il., Om' Thousand N:llle IhUldl:ed
Sev(mty-s(!VC'n (1977).
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(SJ:Ar.)
,The pl'(!('(>dfnp; :I1,lsh>lllllent, (!()lls:iHtlng of th:ls llnd two (2) othel'
typewl'ltten pages, eaeh Idont ffled by the sf,gnatuT'e of the Testl1td x,
wus on the date thereof s fgned, Hoaled, publ.:/ sheri and declared by
HAZEL T. SIPE, the Testutl'lx thl'l'wfn named, us and fcll.' hel' Last Will
and Tl1stament, in tho [Jl'l'Sl'nOl1 of us, who, ut hel' request, 'In hl'~'
presenCll, ilnd In the presence of eaeh other, have sllbsol' ibed OUI' names
as witnesses hereto.
~ I.d." )It, '/O-v,-;;",
..../)\ / J , )
fc ('{ I( Of) Ir a II). it Mcl1.H.,
LAW O"'FICf.I
SNELBAKER,
MCCALEB a ELICKER
OA TH OF SUBSCRIBING WITNESS
<,:OMMONW";ALTII <II<' I'I':NNSYLV ANI;\ I >iH:
CO\JNTY <II<' CUMm:HLANIl \
T'hiH, '''''''' '"''',''' ,,,",", ~,~~""'" '"'' "'"'''''''''''''''''''' dllY of "", '''' ,.!:f:II,r,',1,I,\I,I:Y." ''''',,'''','''''' """,, ""'" A,()., I H",? ,',I,.
hof(lI'(' nl(! Hiehlll'd 10;, Andol'HOn, Ho~iHt.I'r fiJI' till' I','ohlltl' of WillH IInd ~1'II1lt.in~ IOt.t.III'H of AdminiHtI'1I1 iOIl
in IInd 1'01' Rllid Count.y of CUlllhl.,'land, in (,ho COllllllOIlWlIlllth of PI'1lI1HylvII1lla, (ll\l'Honally ('aIllO ""''''''''''
"".""",.""""" ,'),1;1,1, \~'~" t:1,~ ,. .r(,~!: !:~" ,l!1,1,~I",!l!! ,I:! l,i,',! :';\,,!:,',., y!~,I,! :\\\!!!"" """"""""""""""""""""""""""""""""""""
the subH(Tibin~ wit.noHHoH to tho foro~()in~ inHtrumllnt of writin~ purllllltin~ t.o Ill' t.ho IIIHt Will and
TeHt.ament. of ""'" ,\! ~r:~:~" ,~, :."~,~!~,~',,,,,,,,,, ,,,,.,,,,,,,,, "'" """",,"",',' ", ","" ''',' Illltod ,P,~.~~~;(,l~~:,(!,I,~, ,i,(~,'", ,I..'!??""
1 f BOl'ough of Ml'l'I11l1l11.'sbul'g C' I 'J d (' I' I' I
aU! 0 ...."......,....";,..,...".....,......,,,,,,.......,...-,.....,,.,.,,...,......".""",...,.....",.,... llln let an ,Ollnty' H'I ((!teUH(!(
who boing duly ""~~,~,I;'.~.,,""""",,.,,'"'''''''' Iweording t.o law, dppoHo and Hay, t.hat. ""tl,l~:~,,~.\.,!:\:.,,"""'"''''
present., and Haw and heard t.ho t.eRta,\,f,'.Lli"""""""""""", "."""""".!!.C;lX"[,',!"J..,,'~,!J.l,~,,,,.,,"""""""""""""
sign, seal, publiHh, pronounce and declare t.he Haid inst.rument. of writing HH and for h,\',!:"""",,, 'I'eHtalllont.
and LaHt. Will, and at the time of RO doing ".""'''''"!'!!)~:."'''''".,,'''''''',,,,,.,,was of sound and diHposin!( mind
momOl'y and undorst.anding, to (,h~ best. of """"""t),Wii.):.",,,,,,,,,,,,,,,,,,,,,knowl('d~e, ohHl'rvation and belief.
.,...."",.,',,.~'"''''''
,,,,,cJ.~,!r;,lo.l-.l.:,, i(,),:.,~~~'.':;tF;" ,.""" ...."" ",.
J?,~.m~'! M. ~!}I'l")() d
""":-:~~L' :~,a,r~i':"''''''''''(i,.t;,'t.,!~""""""",
J,arlOra L. wOl'uen
".",,,,..,,,,,?I<!~,~,I~,,,.,,,,.,,,,,...,,,, and subscribed before
Richard E, Anderson, Register
""..,....,...."..".,..""".",..".,...,.."........,..",...,.;""".."..
AFFIDA VIT OF DEATH
COMMON,WEALTH O,F PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
"'"""..,...",..."....",.."."..,.".,.,..,,... ~.~~,~.?I,~, .~..,.. .~,~,~,~.,""',.......,""'"..""',.,..".".,.....,,...... "..,.,.",.,.."." being duly
......"........~~.?,:,~..........."..".... says that as nearly as can be ascertained the said decedent """,,,,,,....,,.,,.,,,,
.,.,."...",.. ,,,...,,,,......,,,,,,.,.,,..,,,,,, .. '1,';l,~:~ ~., .~.~., ,~. ;i.,p'~." j. ,.""".",.,..,..,,,,,,,,,,,.,.....,,,,......,..,,.,,,..,,.,..,,,,,.,,,...,, ,died on
...."....t:1~,(1~~~,,,..,,......,,,,......... the ........"j,tl,l..."""..""day of .."""."f.~~,~.~,?,~~......"...."."..""" A,D" 19..?9"
. ,
at or about "...............(,!.,:...~~L,,,,,,,.... o'clock,I.~:.M,
".""""",...~~~,~,r,l.........."......",,,,,,llnd subscribed thiH
...."."..,",,,...,,,,9,~h.....,,,,,",,... dllY of .J',\',~,!~\H!!:J!"",
19, "~.?,,,, before
;1
/,u/ v / / ,
"",.." ""';"1-0' ~,....&:t1.j "rf., ,>4.-i.,(5(J,1;",....",."..""
WI son L. S, ,po '('..
"'''''''''''''''''''''''''.''""..
Riehm' E, AnrlerHon, f{PgiHtl'I'
OATH OF PERSONAL REPRESENTATIVE
COMMONWJ;;AL'l'H ()J;' PENNSYLVANIA} .,
COUN'I'Y OF CUMBI';RLANIl SS:
BlllclJ'e nw, t.he HegiHlf'I' fill' t.ho I'l'Ohllt.e of' Wills IInd I{l'Unting of Letters of Administration in and for
the County of Curnhodlllld, flOI'HOlllllly "limo "",~,1,~:~!~,1,1",!:~", ~!;/~,~",~""\~"!:,~,~q",!j,',,.~h~,{f.~f:,..,, g.".." ,,;....,
. ,
h L.. d I >l\Vel/'ll d' J. d" Ih' tlIP Execll'tot.s
w 0, ,I{JInI{ U Y ,..,..,....,................, 0......,.., (Uposo un SHY, II" liS,.................,... ................,........,...............
of tho lllst. WiIlllnd TlJstllnwnt of' ....,......I.I,~I,~,~:L,I,..,..,~,!:(!~:,",......,",..",.."..,.."...........,......"...",....",....decoased
....,..t!),~'x........., will wollllnd tl'uly udministol' tho goods and chattols, rights and credits ef said deceased
according to law, And also will diligontJ.y comply with tho provisions of the law relating to Transfer
Inheritances. ...",..liw!?J:n"""... and subscribed
before me,
"....'...4.~r.;;~~t~::<(i..{..~;4:e.:{............"..,
c.. ",' rvj, son", e {'..'
'.....,......,\~irfrt.'H'~~lie ii" ":t:.rr..."..,...............
.,191,9........
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DeCREE
Be it remembered that on the ........~}~~...... day of .....,.."..,......r.,~~~,~~r,~,......,'" A, D" 19 .7.~.." there
I W' T I' Hazel I SiDe
was probated and recorded the ast III and estument 0 ...."....,..~..,......:..,....,~................,..,.......,..............,'
I te I' BOJ:'ou"h of MechllnicsbuJ:'IT C' Ide t PI' D, 'd I tte
a (I .......",.... ,...., fi',....",..,,,....,,,................,"'................, .um,ler an oun y, ennsy vama, ecease" Je. rs
.".,.".,~~~~.~~.~,~~~~r.,..,',.," ,..,.,,,,, were gl'llnted to .",~i,~~~~r!" ,L,:."~.!:f!~,, ,~,I~,~" ?~~~!~".I,i,:" ,~I~!,:.f. 'f?,~:I",~~"" ""
Witness my hand and official seal the day und year aforesaid,
"""",J"",,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,~
Richlll'd E, Ande),H()n,it;;~i'~~;;::
1,'_ ' .17 1'1'1>111
COMMONWEAL.TH OF PfNNSYl.VAI-.JIA
DEPARTMENT Or REVENU"
llUREAU Of COUNTY COLLECTIONS
APPLICATION FUll At,11l UmSn11
'101 RANSIFI~ SECUrm 11'5
REGIS1TRUl II~ IHr NAMF
OF A RESIDENT DECE[)Et~1
,~
~r,~1t.
"t" ~~
,/r:,_ _ ~'_
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYL VANIA DEPART MENT OF REVENUE:
Application is hereby mode 101 C albent 10 the Ilnnsfcr 01 the followin(1 securities of 0 Pennsylvania
Corporetion or 0 Notional Bonking Association locuted in Pellnsylvunia:
DATE Aft!u :,I,B?9
(0)____;1112 (b) GulfUil Cur'POt'utioll (c) , ,Capital
(NOTE: In describing securities enter in (0), ob 010, oither Ihe numbel' of shares 01 stock or the faca amount of
registered bonds, in (b), the nome of the jssuin~ company and in (c) tha eloss of stock 01 tho stated interest rate
and maturity date of registered bands.)
ISSUED ON ~YIll;'iOll!l,!lat!.!1l
(Dotal
as of the date of death of the decedent, __,_" On
,and having 0 TOTAL MARKET VMUE OF $.l1,69.6.50
1I00_zel J'ulli.Qe
(Nome of Oncodont)
, on ,FtbrLlJlr~~.._,19ZlL_
(Dahl of dCl1th)
who was Iota oL"_~~u_E",8! Kellp/." Street
(Slteet oncl Numhor)
Mechanicsburg
(PO~I OHirco)
CUfllQ\1rl<lnd " PennaylYanilL
(C()unly) (Statn)
The securities ore registered as follows: Carl E. Sipeand Mrs. Hazel L Sipe. a8 VE--
(NI1n1o {JI IHHn.I'I in whlc;h <.!'lllli.-tllt,'1 tip' fl'9ish'Hld)
ilJnI1:tN~)
EXECUTORS )
Wilson L. Sipe
l',!uJ.Ji.Shfi/:ffer, ll,
(Nome)
627 West Main Street. liechanicsburg. PA
~33 Allen Street. Carlisle. PA l7013
(^dd'fl~'i-)
17055
NAME OF APPLlCAIH Wilson L. Sipe - Paul H. She:ff.e.r.. II
COUNTY FILE NUMBER?J.,..19-1U ADDRESS OF APPLICANT Same as above -2
BUREAU FILE NUMBER_"mu SIGNATURE OF APrLlCM~TI2"'l*tU..JA,ij c"(~..(.~..:<<,{"-~(
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APf'LlCATldN, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETIO~1.
COMMONWEALTH OF PENNSYL VANIA - DEPARTMENT OF REVENUE
~QNSENT TO TRANSFER SECURITIES C'" h 1/.1'1'
DATE,;~h,,'nt...h f
I hereby consent to the trtlllsler of tho above securities now rogistered in the nOllle of the oh\esaid
Decedent and woive the filing of a certificate certifyin9 to the payment of the transfer inheritance tax to which
the property of said Docodent is made subiect pursuant.to the provisions 01 Ihe Act 01 June 20, 1919, P.L. 521,
os omended and the Act of June 15,1961, P.L. 373, us ullIended. This is also In accordance with the provisions
of the Act af April 9, 1929, P.L. 343.
This Consent to Transfer the herein de,cribed property operatos only in toference to the estate of the
aboye.named Docedent.
~'!.
~i:ft,,~t
'i'""I")A.
'" U,,i' _,'I
"f\,'l;)~r!:),
Signerl for the Secrctury of Revenue
B{A:cf.~~:~~~"L: l~Jalo~~ft' ~jBl1,
,. , ,-, 0_-'01
,
:'Titlr,)
;Y (C"ul1ly)
It U:.:t:I 11l~1.\l
COMMONWI'..\LTII OF I'I'NNSYLVANI:\
DFPAlnMFNT OF IWVFNlll':
Ill!RI'..\l! OF ('()\ iNn' ('OLLliCTlONS
*
/I,i
RESIDE~IT DeceDENT
COUNTY OF
CII~IIIJ:I{IMiII
IMPDRT^NT~
4>.-J,olI'i.d:.1l... .~,_~ft-~,,_ ~,_~ ~~~~._ ,,'~_ _....~__~.__-,~ -~.~--.. ~ __._..u.""
Till" return mUkt ho cumpletodln detllil (Iud (Hedin duplil'Ull', with 1111 nltudwd, Wllh till' I(qp'ilrr nf Will" or thl~
COUllty whero decedent re-Hide,e11 Return if! due within tllllC IlltllllhN nl'HJf dale, llf dl'lllh, ullll~"M 111I ~'Jd(:IJi>llllll III tHllllllltl
hy the ScorNl\ry 01' lte\lellUe, (Sllct!ol1'10:\ of tlw Illherltllllce and Fstnltl Tux ^".I of IYld,)
-, ., ._-",-."."'.._.r,_~.r.tt-~
...- ,
--.
"-'_U"'--"':.:lI~
"R" - ._~._'
IN 'I liE MArTER OF TIlE I\,ITI\TE OF } I\FI'IllAVrr OF
~ I1~~t:I,..}..c.JiJ~__.___..__.,_,..._~._ EXFnl1llRS
(STATI:: FUL.L NAME Of.' DECED(;NTI
CUIlIIlC'I']lIl1cl ~J@()(XX~
Late of _....o...,....__._______~m'~_..~~___~___~".~~__~. County
Stol. ol_I'('!.1.nRy.Jy~llnJ"!_".__, ""_.~__) ."
County of CumlWI'lul1d _,_,_,
,~..___..__w Jl R on Jc!.,_,,~iJ2.9 lmdJ.',~!.!ll..l.L,__J'il1p rr C' 1'. 11 ..
Adrninlstmtor of the utale of the abovo.named decedent b.ln~ ~uly .worn, d,pole C1nd ICY
febl1lHll'Y S I 19 7 9 ~{tufot. ItaYln; <I kill will, Gnp)' of which I, h.,tto' attach.d, )
lMONTH) (DAyl (Y~ARI )(I~Xf)(ot
Nome and addreu of altorney or } _~Jltll!-!.i!!(Pt', ML'~~n.l(}b (\.J~LlC:)<Pll
othor avthorlud fepr\tlentollve to whom
qq Wc'st ~'lnill Strl'c't., _~1_('('JlanJ'::.sbLlrg, I'A
011 cortupondence ,hould b. mallltd, ______ _
Executor s
Dc~'cdcnt died
17DSS
That as SUl'h,J:X.~~~'Llt()r'S depnnont is fllmilillr with the affairs of said estllte ftnd the property constituting
I [XECU TO R- ADMINI sr HA TO m
the assc-ts thereof and their fair market value.
That at thtj tinll' of death there was no safe, deposit box registered in decedent's lndivlduulllamc, or jointly with, or
as agent or dcputy of another, or in dccedcnCs individuul name, with right of access by another as agent or deputy, Wilh the
exception lIf tlH~ following; -
===-~-==-==.
_'._rr==--==-=
NAME AND ADDRESS of" BANK OR D'r~iER INSTITUTION
IN WHICH DECEDENT I~ENTfi.n A S,~rl:: f)E'F'OSIT BOX
ComnlQi;w('al1:11 N";;UonaLJ.lJ!!1JL,_____
MaIn and Mal'k(!..t..J3.j;~liL
Mechnl1i.~.sJ.l~.....E.<_.nnsy] V.UllllL. 17rlf,s
THIS SAf"E OEPOSIT eloX RENTED
IN NAMf:: OR NAMES OF'
Decedent
RIH.ATIONS~IIP OF JOINT
HOLDe:RS TO DE=:CEDr~N"
-.-- -.
ThaI the cunlents of said snfc deposit box or box.es are itemized under Schedules_.ll.-.,of this return,
with the excc!Y~io\l of the following, for the rcasons hereinafter set fonh:
That Schedule A a\tached hereto and mado p.rt hercof sets forth [ully and in detftll .11 the re.1 property
In the Commonwealth of Pellllsylvania of which dccedent died having nn interest therein, It also se~s forth the
mortgage encumbrances upon each 1)l\rCe' llf rell! property at the date of death, giving the amount still duo at
death, !lElmc of mortgagee, dalt.~, rate of intcrl'st, and book and page of record thereof. 't ulso sets forth in the
columns provided therefore the asscsscd valuation of euch of said parcels, the estimated market value thereof
a~ of date of death of deccdent.
Thnt Schedule B nttftcl",d h,,,c:o nnd mndc pllrt horeo[ sets forth fully nnd in detail .11 personal property
wherC~iO\'cr !dtuatcd owned hy the dccedl~nt at thl' time of death: nil muneys left by the decedent at the timo of
deRth, whether in decedent's immediate possession, slllnding 10 decedent's l:l'cuit in banks of deposit, saVings
hanks, trllst companies, or other institutions, whether il\dividuully, or in trust for any other person or persons
giving also separately the accrued illtl'rcst thereon, if any, down tn the Illst interest dny priM to dl:ccdcllI's
death in the casc- of suvings hlInks, and to the date or deccdclIl'S dCl\th in all otlwr cases; i\11 bonds, pustal
s~lVings. treasury l.:crtifil:~tcs or flotl'_S and other cvidence (If indchtl~dnl'ss of the United Stlltn; III Ihe de~
cedent; all ohligations, whether by stntutc ur ngrcerne\lt they arc cte~igllated as tax frlll', of the United Stutes,
lIr nny !-itllte, or political sllhdl\'is ion tlll'renf, or or tiny forl'lgn l'llulltry, which arl' oWlled Ht !Ill' time of delllh:
nil wearing apparel, jewelry, silvcrWllrl', picturl's, hooks, work~ of 1\['\, h{l\lsehold furniture, h(lr~l.'s, currillges,
l\utolllohilcH, houts, Hnd 1I1l)' and illl othel' jlnsonal t'lwttl'ls (If Wh,l!stlc\'('r, kind ill' nature. left hy del'cdelll,
together with the fuirly (~slinlatcd market \'ulut.' ttwreuf: all honds and lll11rtgagn hL'ld by decedent nntl of ull
cluims due nlld owing dccedl'l;t III the tinl(' of death, IInd till promissory notl's nr other instruments in writing
for the payment of money of whh:h decedellt died possl'sscd, of whntsollvl'f Ilatltr(', wilh inICl'i.~!;j tlH'l't'Oll, if
any, giving the fut.'c vl1lm' nlld estimated fair OInrl,a~t value thl'H'Of. lIud if such estimated fair ll1tHkl~t YUlllC he
less thUll the fllel' \'nltH~, it sets forth In;Il'l'ly 11ll' rCI\~innS fur such deprccilltiulI liS to each itcm: ull mOlln'S
puyahle to the c~Hutcfrnll\ lifl' insurnncc policies cilrrll'd by dl.'l'l'l!lnt: illl ,\ll1ll11ity and (\IHlownwllt contrllL:ts
tlH.'- l'll'tlCCl\ds nr which Wl~rc !"Ayahll' IIpon tlH' duath or the dl'l:l'(knt: nIl and the corporate slnds ulld dividt:lHls
due thereon IIl1d 1I11pnid as of tl1l' dnli: of drllth, honds. nnd lIcCl'Ill'd illtL'rl'St thl'lcun \(1 tlll~ dute of (kn~dellt's
dcnth IInd other invcslml\nt Seemll!I''i i1\VIll.d hy the tkcedL'1l1 ill tht' tllllC of dL'utll, wilh the Alluh't vallll.~ tt1i;rl\~
or \l( such tinw,
hi tho CHI!l.U of PHitHtHIJriii fit' i1l0Ht' fit' f'tJ_/lIll~' (\OI'j101'IlLlotlH, tllo vnlllHH "(IJ1ort.orl ItI'U/lU f'nf I\fi
PClHHlhln HuhHtnllt-tlltOlt h)' t'1,1l/lllolll\ 1i1.1I{nlllf\IILr:t of' tilL (1n rptl l'lIU 011',\1 , 4h(Jwll1~ the llANO!,!:; Hlltt IlfddliUnH
tlll'roof' ItR of tlln 1\11 HI oj' ItI1l\tll. 1'ho Iwhndul.'ldH(1 tltlU,; f'lIt'th tlWIIl!.ul'(!AI, Ill' (In(\ndotIL l)t 1-11{' tlllu' 01'
c10nll1 11\ Illl~' t~(l..tlfll'UI{1I'llhltl 01' hlllilll"'H\j IlIili, 111 HII\llIC1I'!. of' 'tlm \'ldllO of' sw~h III ttit'lIfit I-III'I'H I,., 11IHlcD;nd III
~;l\ld Hc'hi'llllli', 1'lllI\lwl/l1 ~1111_1'lllnllli':l i'\h/lwlnj~ tlln I\GH(lt~ i\ivl -lltdllllt.lnH {If' f1lllcl (\o",pllI'IIIOI'H!llp 01' 1!1I!ihH'!"HI.
" ('nJl~. of' Ul" IHl-JlIlI'IIWI'Hldp lIJ;I'tHJlIlt'IIL1 (Iflll'lll, Ii ~!llli!1Iiilllt fioltlng f'ol'l.h tho lInt-IIl'1! of' Ihn ItArt1i111l1!I}O
ill~l'thl't' with Ii ~llltl'lHnllt Rill I l\iJ-{ "nnh tllo n!\ill'iJ-ntnl' i1r UlC; hll'lluilJlH'I. itf! loc~nt111ll, 11l11! Mllnll OUIU,' j'/lOtH
l\(q'llillllll~ u' flin hll!;lllf'~lS H;; mil.\' I'l! pOI'UrlOn! in 1\ 1'nll' II III I Jtll!! f1pprllhlltl flf' UH! IIp()ol!t'Ilt.ls 'tlliPt'ost.
ihi'I'nln 11\1I!'> 1 hll ~llhltlltl,l'd. It tiliOllld illHfl ~wl- f'orth ltlltf'llll:q!d 1'0 l'lll , I-ol-(ntlllll' with Ihl' I'n11' Illlil'knl \'nlllll
11l1'I'pof', 'Hl~' IItliilf' \1t'(IJlOI'I)' nWlliHI 01' \l(lqllll!ll-llI'C\ by tbt, 11nn(1flfllll III I h._I 1"!Ill! l,r do/dll.
'flit! S,hfidl/I.J (' Itttnnltf!cl lwrntll Hllll lundo Illlt't lInt'iJol' sots f'urth Il 1_1'110 IUHlwnr' 1.0 Hhnll Inquiry
I'nnt Illnnd t11f1t'l'ln flllll in Uw nmiO 1If' tl'l\l\af'lq'''Ilf'pt'iJ(I(lrj,~'1 t'!l II I nt' l'orsnTlul t 1'1'1 th1 n two YOl\r!IJ Hf dHOl,clont' ~
di'llll1~ III t'onl-l!mplllllorl 01' dflcI.c1outts rlpl\lll, 01' Illtolll1ni! to Ill!;/! ~)f'1'l!(~1- ill P09f1HRSjOf\ ot' f'fl.l()YIlIiHlt tit 01'
nfL(~t' f\Ollth1 'iIlttl ~chiHlllln fWUI f'ol'll1 t.lli' lllltUt'O 1\1111 "ndllll of' fitloh J1t'1l1Wt'()', I,CI wllom 1.I'IUlH1'I'l'rod, UII'
rfdntlollfihtp of' 1.111] tT'llllsf'IH'{l(1~ to tilt' ItO(!ot!nn(, Illn Pl'(IfH.,rUOl'lllto shllt'i! t'flCi\tVlld b~' oneil Ir'nnHf'i'rtW HUt!
uI1 (,lh/lr f'llj,tN o'/' t\ Jl~t'tttl(lnt Illlt,\tl'O t'II'gf\t'iling !1l1td tr!\t\R1'PI'~. In t:JUl ill\tH1 {If' t.1'IlIlHt'nrs InUlndflil to
tnkt' offect. 111 ptHHH!HHloll 01' eI\J(I~'lllnnt nl Ill' /If't.or rlouth, t.horo hi lllRo llf,l-l\ehfHl to thn Hnllt'flulo Il eOll~'
of' I-lip 11I'pd, tt'\lSl ngr{IOmont or lIUter IIl~U'UIllHllt orelll-lllg t.IlO Lrllst. 'l'hot'l\ Is nlRO !-lilt forth III stllll
i~ch{!tlllll1 Il list of' Illl pr(lJ1{'rt~'1 rOlll II III I (l<,rRClTlllI, wHh its \'llll1l', wldnli p/l~Hi'H 1\1- du,~{1dnlll.'~ dnnl-h hy
vtrtllo of' Ulf~ oxordso b~' rtf!ofldHllt, OIUlf1l' ttldl\'trhlldly, orJnjl\tl~' wlt.h Ill\flthor, or lln~' Ill1wi1r of' 11(11'(\'lnl-
m~mt vostiHl tlldecoriflllt1 eJlIlOl' Indtvtchwlly or Jo1ntlYl hrtlle willi cl0oft1 OJ' (Ithor IIlHtl'llmf'llt of' nnothnr,
with 1\ copy of' thn itl~trt1t11iHlt ONH\thl,L'; HHCh pOI'UH' llu,clched tn tlln ~l(1h('d\ll(1.
Ttwt S(h~rll.lle D I\ttt'lchod h(<t'nto Itnrt mflrtf'1 pl\rL horoof' ~f1t!'i fOl'HI tho 'PUlleR find Ilrl/lrnS5l'H Ill' Ill]
pt!NlOIlA b('nof'lchlly int.urHstild In this Mltnte ut tho tlmB 01' clneoclolll,1 Fi (jollth, thn IHlLUI'U nt' Ulett' ,'es-
IwcUVn 1I\tl~r(i5ts, thell' l'elllt,ifl!lshll'l if' /lilY, UI thp dHl'(1dent, tOI~eth(\r with UI(1 I\I~es nt Ull' Limo of'
nt'N'rloflt's rtef\th of' all minOt'fl1 finnllitnntR Bnd hOl1ofjc1l-ll'tf~s f'or lif\' 1l1Hh~I' dC1C€1rtHlItls Will. It ft1so
contains n statement showill,ll; Which of t.he hOHofietllrlflfl II Ilmo rl 1n t.hn (locfHlollt'~ wlll,tf' lInYi rliod prior
to dOCf_'\hlnt, tho rllltMI of' tht!tr i1nJHh, t.hntr tSS\lO, IUlfl t.he t'pllltionstdp of Blledl ISSHO to tlift hi-'l\of'lotnry.
Tllftt S,~h(,>d/)I(' E ilttnohocl horoto fHHt mftrle 1\ {lnrt !lel'oof 'H1tS forth n11 Jll'opor''l.y~ I'cwl RllfI per-
sonal, nwnorl b~' thl~ decpnflnt Jointly with nnothcr or ntherSl incltlcllng 1ntllngl11101 stHIH'HI\~ III t.Iw nnmo
of' the dec(lrtent flllll others, plus lllf' ctlll,Q nnd p'l flce of J'ecorct of' instrump,nts ef'f'ecUTlI; the \f'f,U turf~ of
reftl tHo tll t,{, nnti tll8 dtd.o Ilf IlCHllds:IUof\ of pHT'SOnltlt)'1 pluR t.hl.! tlllme, Illlilrc\l'HI Clnrl ro'l Il 1,'1 nTlsh Ip, if nny,
of co-owners to ttln doeadont.
TtHlt Sct>edule F ftU,flct!Ofl heretn tlnd mllrt~ fl purt. hereof f'letS fOl'l.h fully and il\ dotull 1\11 (Iell!.s
anti deductions clntmerl for nllfl on IH11wlf' 01' thl:-:. r1ec(!(!ent,'fi ('stnt!)l Including flllH'rnl OXp\:Il~H~S pEtiel:
fAmJl~' exemption, where 1l1)plicohleloOHtfl of nrtministrntion bf' thls flRtllt,f'l1 ~1ll\lIHwl f'oos nnd fildlcinq,l s
commIssions pnld or to he vnld; COHt. uxpondnd for llllT'llll tt'llflt.S, tnlllbst.ollt)S 01' gl'uv('i/lnrkcl's, And reIt...
gloHs '1e'i'vlccs1 ill uonsol{llenOI1 of' tllI~ rl~l/ltll of UlC decodont; rlebts und clllirnH llI'i1rl!~ Hlld IlHJllllrl III t1l1leof
death; taxeS nccrll(!c! ehnr~(\f\hle 1'or' pnl'jod prior to flfCl('(Identts donlh (oxoopt thORO I:lJlol'.'lHl llflrlf"1r SAction
O.r'H of tho Inherttaneo 1\lId EHt.Ilt.n Tnx Act) 1 togethor wil-h Il statomnnt of col1utol'nl pIerlp;{!(I I'OI' ob1 igfl"
lions1 if' nny. It. Is ngrOfHI t.hllt t.1lr> f'iollctllry wUl pro~ont proof of ~1l111 clfdmnd ohI1g;tlt,lolls upon reO'
il1H1St, thnt if' thl'-' nmnllllt. /letuully pnld In Rflttlnnwnt. of lmy fflH1 (~(JmJl\lsstntl or opld_ Is -lOR!'! t.hllll the
osttmilLNl nm1'illnt e1fl'tllllng nnd l\l1ilwor!, Lllnt thn snmH will hn ropnrt.od to I1H' HoglRtor of' Wlllfl, nnd thnt.
tho mllOHn t of In x HSSOS'WrJ (~nll ho I'na!iSf~RSI'd III fie corrlnnco tJwrf!w1 t h.
Thltt tho totnl!'! (If' t.ltfl IlppropT'lllt.p i\ol\lmllS in 8c110011101': "A", "11"1 "e", "E", nnrl "1<'" fl.!'! rIiT'lwt.nrt tllerein1
havo he en ('flrrle(\ f'nrwnrd /l11l1 prnpot'lv t'(>~lsL(lI'nd in t.he SUlIUllllry.
ii. --:( (d .() './ j,/~' ,./, " ,
J
[j27 W. ~1ajl1 St. HechaJ:l['sblll'gL...1.~{I..
Subscribed llnd sworn to before me this ..",........
".."",...:~,2 nO ,day of \,./t.'j{/6 ,',' 19,..,L~J,
~ ";Jj," /) --,/'
,.-~,;~..,..~';:,.,~~(~:",;>(:,_-;r....<_ -( ._,__}-i...~,;1. .,.(-_~:,><--(;"""l.._. t.:. IC,C.t.,
lLu!nrHI (\ liJ'-:'\:ii:l!, Ii ,'iY, jTI,,-iL
MU'HfJ!!! 'l'i,'"
CtIMlilUli\N(1 Ulllt'll),
N01'1';: UX~X~11;~i'~'-I!~11~it:;~n;;AI:~\lf(\vlTi?ml\ki1 '''11'0 1111 bl/lllk ,"lllll~OH ill [,hI" nl'f'l!\uvll Illld SI'IIl'dllll'C; IlIllIl'Xf.'r1 Ilrn
f'1J1HI 111 wlt.h dnt.illll-l or t.110 word "NOllpll, Illlit 1n l:/lHe 1.110 Il'Hiflts 1l\I!llldl' 1'111'" Ilnd Illlll~!l'd RI'('llrltlns1
Sf)CllrJU,es nf' cdosn 01' t'1\lIlll~' elll'lHlt'1l11ollfol Ot' HlIllllpl'O.'i!. In 111\." l'n'~plll'lllfll'sldp ur hll'-i1llflfHi1 tllllt. Illo
dllt-It /tllft st-fltOl1lfJlltH r(1i!uJI'f'il 111lJ\(JI'lhoIHII'il~l'lljil1 nho\'(! rnlllllng 10 SI'llf'dlllJ' rill!! Ilr'fl IIi IIH'lll'd. .\IHfI rll/lk!'
ef.!I'Ull II !.lUll. f~ollirnn 111 In tlip "HIIIIIIII111'Y" hllH hoon pl'olln!''! y pompl/'torl IISIlIJlI\,I'-d 11'1'1"l'd,
333
PA
rH: v"l~t 11l"1~1
COMMONWEAL TH OF PENNSYL VANIA
TRANSFER INH~RITANCE TAX
IlE\ID~NT DECEDENT
SCHEDULE "8"
PERSONAL PROPERTY
*'r
'I 'i
';$I;, ,,,I.
~.-_.~- ~-- __ __.._.___,__'_~"~_...,_..._o,_._...-..,._,.__~_.".___~_~..__,._~_.__.~_.~._____. ._----,---.' "-.-----..--. ".......___._....+ ._____.
INSI H(l('lltINS: llli~ Sdll'dule IIIl1st disl'lo.'it~ nil Inll!/,lbk llnd intllngihlc Ilcnwllul prllpnly oWlwd individuitlly b\ lilt'
~!.t.ITd~.,_I,~!.,ll~.qlt_:_I_~rl.l.t~.1_1L,IL~().l:l~.~!!.!. Prlllll'r1y owncd hy the dt;l~cdcllt jointly with 1I1l1l11H~r ur olllers lIlil~l..fl~,..ij~i~:-~f- --
Illllkr Srlh,'dllll' IIW'. 1lllllnglhll' perHollul prollprty, lilhalln tlw Illl1lW of the dl'l'cdl:nt, hul \lIlYllhlo ut dl'Ulh 10 illlllllH'1
or 1I111l'1''>, IrU'ludJII~ hilt Ilotllmltcd to p,o,n, (I,S. Slld,,~s HlJlldH IIllt! tentalive lrust nl'\'uulIls, IllII.'it hl' IlslI'd, lkspilt,
till' rllt'l Ihul Iht'Y IHI' Iwlllf lIw udlllinishH'('d l'stlltl',
l'illIgihl(' pt~rsCJl11l1 pl'olwrly shuuld hl~ lisll'd l'il'ii: (t~.il, ,Jt'wclry, wenrlng uppllrcl, hnusehold gO(It!ft, llnd
l'urnishillgs, hooks, pnintillg,"i, ulltolllobik.'i, hOlliS, ctr.)
111tall~ihk pnsolllll pWIWfly, such us honds, lrcl\sury n~rliri(;UICs, cosh on hand 1I11l1 in bunk, slot'k~,
1l1lfllgllgl'S, JHlH~S, togother wIth uc(.:rucd interest or divhhnHls, slIlllrics or WUgl~SI jllsurllllcl~ plIYlIhle to the t'stutt' III
fiJul'illry in slIit! L'npnl'lty, purtlllJrship Interl'st.'i, inlcfl'sl in 1111)' llIulisll'ihulcd cslnle of or llll'ollle frolll Il11Y prllpnl\
hl'ld ill Irll~l untler lhl' will Ill' ugrcl'llH'1I1 of 1I111llhn, I:\'CIl though located olltside or the Nlntc, lit tht linh_' of t1~'athl
should he Iisll~d inlhis schedule,
--'----']'--'---
Itl'lll
Nil,
rn':M
I.ist Ilnd describe flllly
lINIT
VALliE
liSTlMATEIl
MARKET
VAl.lIE
IlIil':\1{ I~IENI
V;\I,II:\TIIlN
(1)0 1I1,t wl'itl' ill
this spave)
.1.. Checking Al'eount NO. .1 II 2- 83 2119.1- 3, Commollwcn] h
National Bunk, bull1lll'e on dute 01' death
$3 , (,2.1. 91~,/
2. Sav:ings Al'eollnt No. ]l[-li0072117-8, COllllllOllwcultl
Nntional Bunk, bnlan('c' on dute of dcath
Aecrlll'd Illtl't'l'st
3,788.78
13.08
3. Evergreen 8uvings Account No. .1l[-Oli10207,
Commonwealth National Bank, balancc, on date
of death
Aecruc'd inte'rest
lG,074.23/
87.42
/~..~
't, 000. 00
IG9.lt2
111. 27
.--"
288.00
n,
~-
23.25 4, G96. 50'
4. Certifieate of Deposit No. 14-2973,
Commonwealth National !Jank, balanec on date
of de>ath
Acct'ucd :interest
5. Cash In decedellt's possession
(;. Social Security c,heck for ,January 1979
7. 202 shures, capItal stoek, Gulf on COl'poratl.
registered to Cad E. Sipe (pt'e>dc,eeased
spouse) and Hazell. Sipe> (decedent herein)
8. $25.00 lJnited States Savings Bonds, SerJl's
"E", l'e>giste>J:'ed to Carl E. SIpe (pl'edec!'1'lsed
spouse,) or Hazell. Ripe> (lI!'cedent her(,:l.n):
Serial No.
Q33G22'jIi5r.
Q51i59779'JE
Q(;873 " 51i 81:
Q87:i50S76E
Q.1078li78311E
Q1575Ul8891:
Q1b8587628I:
Q1791i<)238JI:
Q213IJl79731:
Q21t7[,90ItliH
Q'121111ill1i8E
nil 21H'iflfJ3'1E
em,781J218111:
QIi7IH'18337I:
Q5290721U51:
Q5302b7235E
Q577378212E
Issu(' Date
S/l[2
7/l[2
'J/1J2
11/'12
1/1i3
3jlt3
r,/lt3
[,/1[:1
8/113
10/'13
1 2/lt 3
2/IJIJ
'1/1i1J
(,jQ4
8/11'1
9/'14
11/'1 IJ
Date of Death Value
-~7S.28
71;.23
t..__./'
711. 01
7'1.01
75.IJD
72.82
72.82
73.77
70.77
71. b2
72. ,,(,
72.'1(,
70.IIIJ
71.33
71. 33
(;9.25
(;9.25
hl~l'll lhi S 101111 opposite uPersonal Property", Schcduk "Bft In
thl' UA,-; l{t'IHlrlnllt column 1111 the la~t ')H~ll or !his return.
x X
CONTINUED
CONT1NUI:n ON IW:I: 2
nCC-l" (,1:',1, \1'
;'II"'III\'\~1 \I.TII (II.' l'l:'~\'~:Y\'t ,\\'1\
'1I1AN,;n'l: 1\1I1'lun>;n, 1\\
In:S1Il":NT 1l1'11:IlIXI'
~ ,I : I II'; I )l ! f,J', .' I )"
I',
.. "',...
~:' 1'....;1'
11~~" ,:l~~\
j '," ;~,' ' .' J,
'-. - -j.,
1\\o::-:IYlt:I,\IIII';;;
[1)'NI'I'I'IAIIII'" ANI) ^[lllJ1I""I'" -""lu,:i:,,;i'IONSlIll'. I 't:/',\,-,\";',:,-'T
, ',',' L . ',,., .' ,~.,s ',.l . -(If :JH'p.(lhlldl'{'1I (Jr I "',;,. _ ,'?, 1 ll,\'n~
\t'lll!l' 11111 1lI,'I1II'hIlIHI, [[(101,1'1\'111('11 01 1111 wllo il1(l~n,lilnlltl! d,'i1d"lItfl ~~~\!_.,I/I',.N,I, I OJ"
hu\'(' un 1111 (11',"1, \'p/4U'd. C'nnt Ifllll'"l, Ill' Utlllll' ill'l' Il1volv('d, ,ltl't ,.Jt'.fJ', "\ I',S
\I, (/li' ln I'Ntl1ff'; lill'lh thL'I (HeLl nit NO !II H'I'1l
~.__,.__ .,......_. __., .___..,_,,/.__.. '''U'n~_L'''''_~'_~_~_''.'._.'''' _,_...~"...~-o--". '_'n___"o~__ ,~_..~.._.._",",~__._.,.. .,..___~_ " '~__._.~__n_' .
__J.lo.l'is Si[Je (ge)Jt!..u_ '____~___ .f'.tel2.-Aaugh~e!:...~.,_X~8_._I, __ ,,__ ,_ One-fourth (1/'!) of
~)~~~;e~::~~1~,~.~~~e~]316()--=~f~~~=~,~_'=' ~~=:~:_ ~ .t ~ =.~~~_ =!~~_ r:~_ic:~.:Y lJstflte
.WHlJ,,,, ",,;;J;,~-~== ;;","';nd:d~,:;,~ :ti':'~=='~"~'~j_91;e,~t:~~~~h"(1j1n" 01'
~~~~el:!~;;~t~~o~;;t'(~!lh lG(j-'---' -,.-"--,--"'--_,,,,,~ .-. " 1'----.-..' - ,~l..le "I>(lfl)ll~t!rj1 C'fltatl,
Ilet]l ,bl~n~'~j;~'.~.~--.~-'~~~~~:='-_.,'~~. i~~~c;~C;;~~!]t: ':~=;e-:_~_l:'~~=:~~~~..~':.~J~~,-;~l:~~h..nf;/~') _ of_
_ ?~, _ I'm:kI:'L9JL(I,Jlr iVl!___.__. _'~'__"_n'__''''_~ ___....__"+__---_..,_, _the _!'SJ.sJ,@!l..!~_~"<<.t[:l:te_L
~_~C_h~fl:~r.:~:=~=~y~_~~:: ],~~.r].(~=,=__-.~:~::_::_:'~::.=~ -. .=::_=:J=~=:=.~::. ::i~-~~~~:.:_:..:' - ,- ___
~eff.l~f'!x_..C.!lE], S ip'~_.____ Gr>.~:~d - ~I!...__ __yo.~__ul--".-.-_..--,lo-r:e-f.?-u.r~t!:-(~!',2," of
7S Parkwood Drive the residuary estate,
____._a____'_.,_ ____~__.____~.._....___~ _--<_._......~___._..._.. ___'............. .~__....'h.____..~__,~_, ___,_.._ _~__.___,________. _ _.- __....__, ___.
IN'I'l:I:1SI' "I
I iV,N 1'.1-'(1 '1,\1' \'
1:\ I'S'I'ITI
-R9_QlJ~Rt.Q.r...._t!~ YorlLl4:260._ ___.....:._,___.
in..,.:tr.ust___ _....
~._._n. ..__.___.__._...~._,__ ~____.._~. _.~_".,~,__"...>---.._....., ._..,_,......._..,__ ~..___________._..___._ _.________~_,....'.___..
I
-----...-- _....-~-----+._-~-_. .~-_.~- _._------~--,--_._.. ....._"-.. -"..
I ._..__ ,__,,__
===~-=-~_.__,.___f_~-' ~~_ -3--' .::..~-_-----_.- ----~==~=-=-='~-=:--.:
-. - -- ----_..-..---"--,,,. ,+-,------. ---..-f-. -'-.-- .--,---..-,--.------"--..'"-"",,
-.-----~:~,=.--===.-~-~-~.==T.=~~~~.~=--~~=:T=.~=,~=:~'"~==~.=-=--===--=-----_.---'---'
, ,
____. _~_.,__~__._ _.__~._.._.____. ,.+._..__..~--.;...'~.R
___"'_'n.'___.,__"~'_ __. ~~~_,_~~_ ~~__~ ~_~___ _____. ____
=---~--..~'~:'~:-::.::-:==~~-=-_.- .-. -,,::~-:::,=.::--=--- =_:~~-" '--= l.::=:~.-=---t-=.:.:--=--=--:.:,~=-'-'
___, .__.. _ ._______,.____.u___ ,______.. _ , ..., ~. -__ ______ __...=1__,___.___ __,.,__"
_.._--_.__.._..~.- ~....__."-_............_,.~-- '._.~--~"_. ~"..-_..."-_._---_.__. .----. .. _._"'..__...._-'--"..".---.-~--~--~-------------_. ----
IIf'lIlHII!llt (\lI'tl1OI' ~1\YA !JlllL till t.ho IIhnv(>...nllm('d Ilf>lIof'! f'l rn: I t1,<; IH'(1 11v11H~ ut l,hlR Hmo exoopl. holnw:
_.___.._._._.."..._._ __.__~___.~_______........'_.~__'_ _~~.._...........'__._ .._.....c ...~,._.._~...~____.___.,.n...~w"~___~_h.. _____.._
NAM"~
DATI'; OF' 11I';ATII
r- -p-,
R1~Sll.lI';Nl'"
,--_..,.,.._.--'-----~------
~__._'._n.....~~'__..~_._~..... ._.....___....,__~._.-r-~.~_______..____
--...-.......-- .., ,_._'."'~,-_....._------- +--~~--~"-_._-_.
- ~_...._-_._---.......~.~-.----....
'-~~---, -~,----..-~~-~_.
---'"~---------_._--._--_.._---- --
,'--__~__..~..._"_....._u~~_ ~'_ __.____."~....~d~.____._~_ .~,__._~,. .., ,_ _,_...__
. __..~,_..____<_._._____.___.".,_..,__.___~..L~'.'____,_~~__,~._.__-'--.__.._______..
HI'al I'ropUl't\'
l"'l'soflal l'mpuxty
Trull,fol's
SIl~I~tAH\'
(Sello "A")
(Soh, "B")
(Soh. "C")
I-
p ~
IV .. ~
~, ~.
11.: d
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S-~'E
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... 8,
l~ e :C1
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j.( E Ii,
~~ ~
\,
(:ro" Tllxnhk. Estill"
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\
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... )
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',;
;.< !.Q ~
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-
~ .1.1; ,i!I Ilil
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~ 0 >
~ ~ '" ~ .,...
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d r:; :I1 0 &
;r: ...
~ ~ ~
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S IX: - 0
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'S .r, "6 .t:', g
-
8] ,,-, = '"
,~ g ~
~;;: .11 u u
(11 --.
(As n"p"r!,'<J)
$
$
$
$
$
$
--"~T}).-~--
(." IH,',"dlll'd)
'~
$
$
$
$
$
i!
I/{:t .Vi (n-rll
C'",nty, Nu",b", und Nu",,, 21 - CLl~lIH;HIIlNj)
Filu Nu",bor, 21-7'J-ll'i
Dote, of Dooth. l'l>Jlt'UlIl'Y", l'l7')
E.tote Noma n SIPI:UAi',J:J.,.,
(I ^', \ II A/,1j I ( I' II<': 1 ~j /\1.11 I
SUMMARY
, _.1.__,
(It-.lI-IIAL)
COMMONWEAL TH OF PENNSYlVANIA
TIlANSrER INHERITANCE TAX
IlrSIDENT DECEDENT
..____.__._________,. i.-_~___..._.~.____._._H_._...___._~_..._.__.....
REPORT OF INHF.RIT ANCE TAX APPRAISER
I I. d I d I T ' d f I. C f Cumberland
, t (J undll'fllgno du y appolnto nhorltanco ax Apprclsor In an Dr t 0 ountr 0 _________.__ ,
Pann.ylvanla, do ra.poctfully ropart 11.011 hove opprol.ad 11.0 roal and pOrlanol praporty 01 roportod In 11.0 forogolng rotu,n 01
tho valu(J!l s.ot forth oppas-lte each Itom In tho last column to tho right In Schoduloi HAil, liB", Ile", und llE".
I '
Dated: ._.ml!:'.!x. 16. 1979
1I~t"t.fHTAHl.li TAX APPI."':;I'f(
:--=::::.-..::.;::_"::':;-~.::'~;.=':.~:~r;::.:."~.=:.:::=_~==
REPORT OF THE REGISTER OF WILLS
I, tho undorslgned duly alectad Regl.tor of Will. In and far. County, Ponnlylvonla, do ro.pocl.
fully ropart thut I have ullowod doductlon. In Iha arnounto claimed by depononl, oxcept 0' 10 tho^o Itomo where u grool.r or
lessor amClunt is 50t forth In tho lust column to the right In Schodule "F", which grootor or lessor an,ounf ropre!1onts the !ium
allowed as 0 deduction.
Dated: --
fH GISTI.H or: WIl_L.r.
--._--~-~ .---
_._--_.~--_. ~._--
INVENTORV
VAL UE AS APpnAISED
ADJUSTMENTS
ODE tHARRISIJURO USE ONLY)
REMAINDER APPI1AISEMENl CODE
HaBI PrOplJrty (Schodulo Al
Porsonal Propmty ISchodulo Bl
Joint.Hold Proporty (Schcdulo El
Trltnsfurs (Sr.!wclulo Cl
TOTAL GROSS ASSETS
Luss Dohts Ilnel Doductiotls
ISCHEDULl F)
Cl.EAn VALUE 01 ESTATE
~_~2!...
-2U
40.
93,
Vr;lluCl~lon of life ostatos or
PRINCIPLE
I"A.QI.QB
VALUE
t~OD~
----. --.--
. _.- ._--
nnnultlns.................... .
,
~
E=
EIlATE TAX ASSESSMENTS
-,-.
Loss tOK pTt'lvlotJsly pnld
BALANCE
LElliS 5~~ of Inx If paId within
J 1TI0nlhs afhlr dooth
~
2M $
," --
6% $
15% $
$
$
-.----
$
$ J=
$
$
COMPUTATION OF TAX
FOR U~_f";:GISTER ONLY
Tnx on $ __.___....u__..
T(J~ on f ___._._
Tn~ on $ ____,
T (J ~ on $
Tax on $
E~empllons
Tolol Estalo ____,~.
TOTAL TAX
(.) As ovldnncod hy Chor1!uhlfl
ElCernptlon Cl;llllflcof(J!o IUI,t1d
by the Sl'u:rf:llory of RuyerHlI'.
BALANCE OF INHERITANCE TAX DUE
Add Int(1f(1!i1 ot rnln of 6% from
~_.+___ 10.
AMOUNT OF ESTATE TAX ASSESSED
E'lIClIO 1{lIl" fHlld
$
$
-l=
$ I,
$
$ J
$
$
$
BALANCE DUE
Add inlfltesl ot rolc of 6% from
10
TOT AL TAX BAI.ANCE
PAID
S"pplomontol Coda.: (FOR LISE IN HARRISBURG ONL Y)
4B,-Adluotmonl
4911.djuitmanl
56-Annuity
6O-Llfe Eolol.
92, Romoind.r App,oliol
(J3-Romaindof Doduction
93C-Chorlty
94-Romolnder R..:due
96-Su..o..1 vo
Llf. eiloto
FOR USF. OF REGISTER ONLY
ADJUSTMENT5
NOTE: WhOTff !iUb!to,\uflnt adjustments aln mode to the above computation of tox by the RegIster of Wills, for propCH reason,
sorno .hould lO notod below, with !thort oxplonation.
~ 00 ~
ffi 1l ~
~ . ~ l!l
" ::E . <I:
" 8 lJ
.... I;J . 1 ~
:2 Q Q.
Q.
ft " <I:
~ r.:I ~ 'a Q
Q. e:i "
OJ < ~ 0 ..:. ;z
i: ~ <Il .... ] ,., <I:
..u 0 '" ~
. r: :.: . c
0 7- '" H , 'i:l c ~
z: ~ 0 ~ " 0
~ ~ QJ Q. Q.
0 1
0 ~ '5 w
~ ~
c.:: I'l U ..c
,~ ..u ~
~ !: iiJ
IS "
.... i'
'^ ;! 0
.... ~
'8 0 >,
-
:::'5 " c
;0 " ~
'~'tl 0
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..
...
~
~1
'....
~
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ai . . Hi .
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. , . . . .
c: ~. . , "': '" . I . I
. .
::l W . . , I . . .
. 0\, .... . .
0 ~ ~ . ! . I
u . r--.l . I
.
. ......: ,
1'(\, VI . Q . 0\: UJ . .
0&. .-I, '" . , I
;;: .-I: :':) . ! . .
~i 0: . . .
...... a: 0: 00 ......: Z , ,
. .-II ..... .
.. .0: LI'lj . . .
...... ILl , .
. . .
.. ~, . . .
\ 'tI: ~j ~ . I . .
<( . . . .
]1 .
r>:I' , .
c;- ~! g 0 , . . ..t
II: . ~. .
'-< ~l ei z; . \'l
.-I: 0 . a1
"6 ,-.I u.. . "0'
~ J.l: w '" till (J: .0: ~ " 0 ~ .1 . ~
<Il: U ~ ::Ii ~: c' .
I t ~ " lEi I- ~
Z .' ." ~ VI ~ 1
Hi ~ ,
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U: sl! 0; "" W , , q, ~ ,
g .'" ::l , , ~
it , :1; , , ~
fd liJ "0 '" . ij
IU ~I Q 00: ~ I- "tl <<:
:l: '5' ~ a::
ill ~ M: '" fij .. 8 "tl
i!! ~ 'l? ~ , ::l .
~ N, ... , fij
~i ffi 0 a.. 11 .B . '!::l
t! . ~ ., UJ "!j '" ! 11
0 '" ,8 .,
w '- '0 ,!:j l':; '" '"
0 , 0 . ill , ::l ,~ G 0 lll. "
'. tJ.\ "tl () Q, ~ .,
en 'u ~
'" <1, tr, q, ~ ~ ~ . ~
w 8 ~ ~
a: . &: ,
6,372 os
6, l62 10
ll5 [f8
39 Olf
9 76
TOTAL. PERSONALTY $'15 ~?9 07
Inv0nlory of Ih. r.al and p.rsonal ..101. of
1I11~('1 'I. H ipl',
doc.a..d,
...._.-._.~-,.._~~...
.-- --......~,.,..,,~..,-~-_..,"
ESTA 1'1:
ALL that N!l't/l'in lot of f-Il"olll1ll situate on tho nr.ll'thweHt cornm' of Eust Kel.llll'
!lnd Bouch Arch 8tl'ects, in the Seco11l1 Wurd of tho 1I00'Ouf-Ih of Meuhun fcsbur'f-I,
Clunlll'r l.1l1H1 CCJlmty, I'ennsylvun In, hav inf-l cl'ectcll tlwl'eon a dwe 11 II1f-1 hnUHo
kl1011/11 lllHl IlWnherl,r] us 39 Eust Kellel' StrN1t, 1I101'C pnrt:lculHrly dllHct':!,hed In
Cwnherlund County Deed Book "X", VOl.wnI1 I.l, Pagll 1.35.
Sa l(1 I'd ce
TQ'L'AL REAl, eSTATE
,PERSONA LTy'
1. Check:ing ACCOW1t No. 1112-832091-3, Commonwealth National Bank, bulanCl1 on
dato of deutll
SllV:lrlf-lH Accolmt No. llf-0007207-8. COll1l1lonwelllth Nnt:i,onlll Bank, balunco on
c1ato of dout:h
ACCl'U1Hl intcrest
3. Evergreen Savings Account No, llf-ClO1.D207, Commonwealth National lIunk,
hu111nCl' on date of denth
Accl'ued interest
Certificate of Deposit No. 111-2973, COll1l1lonwealth National Bank, halanoe
on date of death
Accrued interest
5. Cush in decedent's possession
Soc'l;11 Security check for ,January 1979
7. 202 shaI'eB, capital stock, Gulf on CorporaUon, registered to Carl E.
Sipe (pl'edl'ceased spouse) and Hazel r. Sipe (decedent her(11n) 01 unU
value of $23,25
115 $25.00 Onited States Suvings Bonds, Series "E", registered to Carl E.
S:ipe (predeceased spollse) 01' Hazel], Sipe (decedent: herein), Date of
death valuc
9. Net pl'o(!lleds from pubUc sale of household contents
Ind hll1 heud penn ies, appra ised va lue
Med j eu rl' payment
Blue Shield GS Spocial payment
RECA PITUfAT ION
TOTAL VALUE RElIL ESTATE
TO'l'AL VALUE PERSONALTY
TOTAL APPRl\ISED VALUE
$25,ClOO.OO
$lfS,lf79.Cl7
$7C1.lf79,07
$25 ,()() . [JO
$25,D(J1 ,[J~-
s :', (;21 <)11
,
3,7RR 7R
13 OR
l.G ,D7" 2 :,
87 112
lJ,nOCl DO
169 "2
l11 27
288 OD
If,69G 50
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss:
Wl.1HIl1\ )" Hipp ntH! i'nulll, f:lhlJ!'f(~l'.,IL"".__,..".""
bolng duly SWnr'l1 _ aocordlng to law, doposo; and s.y; th.t thuy .JlI'.\1.."J:l1Q,,,
J;xe(~utnrIH of tho e.tato of ' "..Jluz.i1,Ll-_Slpe..___._ .,____+.u.____....
lat. of the BOI'ough u1' ~leehull.iesblll"g, Cumborl.nd County, P'" d.c....d .nd that the
within is .n Inv.ntory modo by Wi .L60n L. S.i.pu UIHl I'ilul II .Slwffur" thiIuld ___,J:KO.r~\ltOJ's, _
of tho ontiro ost.to of said doood.nt, consisting of all the personal property .nd r..1 .state, ..o.pt ro.1 ostate outsld.
tho Commonwealth of Ponnsylvant., .nd that the flguros opposliiLlleln of the Inve;ory ro s.nt it's f.lr v.lu.
as of the d.to of dooodont's doath. ,~f!~:E.:!.L.,,-L,' ", '
fiwol"l1 .."'-,-,,-, end subscrib.d bofor. mo, f~-~1LJ2i .q!~~~jC
___~__d(.LJLLL-_no..d~__,__19 .?SL_
(~:::7, /7 ,<....L"'., ,627 W,M!1I11_St~r_l!('J:L M.e.gll,!l1:ieslJHrg~ 1'1\
___:':,:,~~.k,Lf' /~_E<f ( --x:.-. _. r' /,-('.-l.
IIOHllil:l II IO.(.lIiH,IIO!Mn l'IIULlG
MI UIMilC',III)fHi II{)fliHJl;H
('I !~i'H! f:lf,IIlJ Li)1 ifll '( ".
MY f'1,tl'<1J"~ "1,'1 f 1!'lllf\ ;\1'1/. 11, IIlQ?
333 1\ Hen .!"'treet ,_CJltU~!:'Je, I'fL_"
Add""
D.te of Do.th
5th
,--- -- ..-
D.y
",," _. "TgPJ'lli\l'Y,
Month
_ ",l91.!L"
Vur
INSTRUCTIONS
I. An inventory must be filed within three months .lter appointment of p.rson.1 representative.
2. A suppl.m.nt inv.ntory must be filed within thirty days of dlscov.ry of .ddltlonal '"eh.
3. Additlon.1 sh.ets m.y b. .ttached .s to personalty or r.alty
4. So. Artlcl. IV, Flduciarlos Act of 1949.
"
~ ~.
<:J ClI
''" ~
r.: l!;! @ -g ''"
.<:: " .....
~ <:J II! ..... r...1
~ ffi 0( ClI "
m Cl ~ H :;:: ~ .. KI
.-I ~ w rn Q , '" t'
..... j!: a:: 'H .1)' " ,Q
I ... ..J u. , 0 ,.; ... ClI E
O'l 0 HI ..... 0
'" U. ..J ~ .<:: ... ~ c:'l~
I LIJ 0 0( >-11 {
..... > Z a:: r...1 ::l <:J
N I z 0 Q ~ 0 " ::;::
VI Z ~ tl \
0 ffi 0 ,
Z 0( p:j (' .... ~
I ... "'0 ClI
~ '@
... "t:
0 " ;:)
.., 1 ...
~ E 0 ClI
" d it .:l J::
..J rn
0"'-- ~-
11/21/79
q/2l179
'1/2117'J
11/2(,/79
\Ul>lHwd Whltuolllb: 1l1b(})~ nt Hnln
RobOi't IJoug1al,,: lulHH' nt 8ull'
,'JoBoph MUl'phy: luhol'ut HU.!.('
R:i,'h(wd 1:. AnduI'HClll, Rl'l-\lstl'1' DF WIl.!.s: pUYlllunt
on IH'"ullllt 0:1:' 1'''1 \IlHylV l,lI'II n 'l'r'lm~fUl' lnhl,p:ltanue
'fnx (Notl': paYIlH'nt of this HUIII at ("I ply clutt' .
nntJ,t:l ("I I:X('('Ul'lll'H to (I "1'"dll Ul' d:18l'unl1t of
$22(,. '-)2)
l'l~l1na. '}lnwrn\ wId LJ~ilt CDlIIpnllY: lIC~L~Olllrt,
1((!l.l.y Company: I'll"] 01 I
Ml'"hnnlc'Hbul'~~ \~at"r' CUlllprmy: fll1ul bIll
l'OUIHl. \'UWl'l' ul1d \,1 ght CUIIIPUUY: l':i 11 ill b n 1
I'. C;ul'ald Lal'l,,'Y: ('(JIn lIpP1'H'lsnl
Rj"hm'd I:. Alldl.'I'HOU, Rng:lfitl'lo of \vLlIH: FLUng [t!()B'
Ril'lHH'd I:. Ancll'I'fiOU, Rl.'gi~t"I' of \vUI~: bu] un,," of
IJpnllsy'I.VHI1J,u Tf'UnHf{ll\ ll-111L'l'ltnnc'p ll\ax
211.011
:-)S. (III
~'l. (10
Ll,~(lO.OD
:LLlH
7(,.liQ
21.3')
2.] H
lD.OlJ
'J.OU
'v 9/7 ')
tV 9/7lJ
(,/11/7 q
11/11/7 ()
1>111/7'1
(I/H/7 tj
7/12/7'1
3Hli.Lll
Tho A","uuntantB 1'l!8t'I'Vl' th,' Fullowinl-\ HlImA tD IJl' paid
HlliJ8l!ljlH'nt tD till' fU 1111-\ Ill'I'l'uf:
li('2.00
150.00
1511.0(l
l,7SII.OD
1,7SD.D(J
1.
2.
3.
q.
S.
Rubf'l't ,J. Wolf: b1'Ony,Cc' ilia l'1((' 10
.Judith 1<' ~lUP[lhy: sr;pvl"l!s fo1:' 6ull' pr','pnration
Mllrthu A. SIll'f:I'(>'j,': sl'I'vlc'l's :f:'up 8ul(' pPl!pal'lltio.n
lVi.lson L' 8ipc: ('O-EXl'l'lItOI" S ('ummission
J'nul It. Shuf:l.'c'l', II: ('O_EXCloUtOJo'S commission
(comprised uf <'IlAb of ,)1, 71JII. 52 WId Indian lIead
pennies, :i n kind, (1'1"111 10 0[' .lnvnntOl'Y)
having ap[H'ldslod vaIlit' Df $115.118)
Snelbakm:, P'1<'l~ah,IJ (~ E1:1,'k('1': Att()],'n(~ys fell
Rnservd for fi.ling aC(~()llnt, pcd.C8SeEl" nott\t'Y
fees and ll1isc[!llaI\PouSfl C'DstH
~ro1'A]' PERSONAI,'fY, PRINCIPAL ACCOIJNT, CREDITS:
101l.flO
$l5,878.()5
~, ",DO,OIJ
(-)..
7.
PERSlJNALTY - 1NCOHE ACCOIINT
----DEI\I'1'8
The ACCDIHltants C'hUl'I-\" thl'ITIHC'lvefi Ivi tb 1'l!('(>1P:l. of the
'following i.-le'lllA of :11)(lUIl1(' ft'om p('l'sunrJlty:
Sllvinl-\s Account W0~1I1172lJ7-H, CDnmlo~lth
NatIonal Bunk
-'- l'J7'JInh'I't,st
s
"
53.51.
Eve' r'gp"(,I~~SU~lJ.1.~.AL','uI1.'2!.-No. 11l-1I111.U207, COl11mol1\>loHltb
National \lank
---1979 ] nt['I'('Bt
35f,. 'J7
~JJ':I.('ntr' of (JI'PUS it ,No. ]11- ~'J7 'h....9.omIllOI1\>ll!lll'l:h
Na t lonal Bank
- 1'179 Intl'1:'0A'I:
1.2(,.13
Gulf 011 COl"po]'(ltloD.LJ,(]~
\l:lv:l.d''l1tlR l'("'''l.v{)d on 2n~ shareR fpom
V'l/79 to [,/B/7')
199.liB
..IPS), ~)2S. un \1n.i toll S~R 8avlnM Bonds , SOl':lcs "J?1l
1979 .ln1:<'I'N;[:
98.9U
LAW o"I"IC,18
SNEI..BAKER.
McCM..ItB 81 'Et..ICI'ER
-2-
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