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PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
1"LOIU.NC I'; V. GRJ'.~:N
, deceased,
To Richard E. Anderson, Re(Jister of Wills for the County of Cumberland,
in the Commonweolth of Pennsylvania.
IS J
Petitioner(s))t)M{the execut r'ux named in the Last Will and
Testament of. [rlOPllnOO V Oroon__... datedl'l~!,)-,..197~_.
Decedent was a citizen of the United States and a resident of
....W.'".rml~~s~)~~g_.~_._.... ., = Cumberland County, Commonwealth
of Pennsylvania" \ \
, :~~liIvt'lvl '(
Decedent died on ..,.XU."MQada]'__ the ..._::r2:::~~ day of...Ee.br.WU'y~__,
A. D. 19..7..'L..., in the County of....CWll1ulrlflrui.......,....,___........___, State of
.i~1ID.~yllJan!1!._._.._...,______....._ at the age of _~~ years,
MlIXX Ixu her
Decedent has not been married and has not had children born to MctK
since the execution of the above described Will.
Decedent was possessed of personal property to the value of Z s': "'~ ,""",
.---,-...--- and of i'eal estate to the value of 2. ~." ..V'<'J . (.T)
.--------....-,...---,-,-- as near as con be ascertained; said real
estate situated as follows ------,L~L_~~"'~L_S~_[ .____.__.
f.t~ A , '_7.--~..c..-c..- '.,
apply
Therefore, your petitioner(s) respec ully oppl ies for the probate
of th, 'oid Lo" Will ond ?m,,,, ond fo, L'tt,,, T,,'om,nto"l thoe,on.
Dated _ "";2 (~, f2! /..' , ,:!( , " I.
Nome a d address __J11rma Bailats
of Petitioner(s)
,~,~
I;:"o/g
COMMONWEALTH OF PENNSYLVANIA f
ss
COUNTY OF CUMBERLAND
Erma Bailets
-_....._-~-__..._._..........-..~r~_.~_~____.~__..___
named in above application, being duly $....~""Qccording to law
say(s) that the statements set forth in this petition ore true to the
best of..c..!1..~.c_____ knowledge and belief,
.J i'~~;/a'nd subscribed before__~~_-...:.....
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Richard E. Anderson, Re
,
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Filed:
February 20, 1979
Attorney:
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LASUILL OF FLORj';NCli; V, GRj,;To;N
I, FI.ORF:NCI'.V. GRPEN, of' the Bol"t'ugh of Wormleyaburg,
, County of Cumberland and State of Pennsylvania, bein~ In good
bodily health and of Bound and disposing mind and memory and not
ac bing undel" dul"oss, Ultm!lC)(', fraud, and or undue Influence of
i! any pel'llon WhOUlIlOfJVfll' , cnlling to mind the frallty o.r human
life, and being desirous of dlspoeing of' my worldly goods while
I have the sbl"ength and capactby se to do, I do make, publish
and declare this my laat Will and Testament.
I'rEM }.:. I dl,\"(.ct that my executors hereinafter named
pay and discharge all of my just debt!! Rnd f\lnel'al and testll.ment-
al'y expenses.
ITEM 2. I give, devise and bequeath my houaehold contents,
to include jewelry, and perllonRl effects, and other tangible
pllrsone.llty of like nature, unto my niece, I1rs, Anna Clark.
ITFM J. I give, devise and bequeath \lnto each of the
following individuals, cash, in the amount set forth b~lowl
a. Orace L, BOB telo rf' *' 2000.00
b. Oharles M. Bos tdol"f 1000.00
I c . Anna Clark 1000.00
,
II d. I,oleda Reece 1000,00
1000.00
il e. Alma Campbell
f. ~t. Paul's Methodist Church,
WOf'm1.eysbul'g, Pennsylvania 1000.00
g. Carroll G. Rhoac1(~B ,500.00
.I/ii:::)~~~~',,;y,
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1!!2i.1c. I hereby nominote and appoint Erma H. !lallets,
Executrlx of thill my last Will. f',hould the Executrix herein
named fail to qualtry or Cflfl1l6 te> IH.t all fxeoutrix, then I
appoint Charlell M. Bostdorf, Executor, in her Iltaad.
l!.!:!L;L. All the rest, I"esidue, and l'ema1nder of my
entire Elltate, whel"esoever situate, and whatsoever it may conaist
of, together with any insurance policies thereon, I give, devise
and bequeath, unto Ermo, R. Ballets, NFV1'RTHJoLJcRS, IN TRUS'l', for
Dale L. Bootdorf, until Auch time 08 he reaches the age of
twenty-one (21) years. In the event that Dnle L. Boatdorf dies
on or before his twenty-first (21st) birthday, soid t~lst ehall
terminate, and 'rruatee shall dietrubute tbe principal and any
interellt thereon, unto Vicki Bostdorf Wisner.
ITEM 6. My 1":;>;eol";rl", and 'I'rusteea shall have the
following powers In additlon to those vested in them by Jaw and
by other provisions of my Will, applicable to all property,
whether principal or income, including property held for mlnore,
exercisable wi tbout court; approval nnd Elffeetive until actual
d18tr\lbllltlon of all propel'ty:
A. To retain any or all of the assets of my
estate, real 01' personal, irlcludlng atock of my
cor~orate fiduciary, without regard to any principle
of diversification or risk.
B. To invest In all forms of property, including
8 tack, common tl"11fJ t; funds and mOI.t;gage Invel! tment funds
whether operated by my corporate fidllciary or others,
without restriction to investments authorized for
Pennsylvania fiduciaries, 8S they deem pl"oper, Mithout
regard to any principle of diver~ificatlcn or risk.
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, :f;~,~~,:iit~111~E~tit~~;1i~1~'" .
~~Kl.g.&;,fi; ut..~/Jl)y ,,! ..-.
"JO;;LO.r.nee v:- ~~eJl ~
}~~U-l..'I':~"1' ..\;',' :f'f-
C. To sell at public o~ private sale, to exchange
Dr to leale for ony period of time any real Dr personal
property and to give options for sales. exchanges or
leases for such priccs and upon Bunh terms or conditions
&e they deem prope~.
D. To allorate roceipts and expenses to principal
Dr Income Dr partly to each ae they from time to time
think propel'.
E. To borrow frDm or to 8011 to my Trustees even
though Bueh Trusteos may be my EXllcuto1',
ITEM 7!. 'rhe interest of any of the bene.fici o1'ies
hereunder shall not be Ilubj/lct to anticipat.lon or voluntary or
Involuntary alienation.
ITEM 8, I direct that my personal repreaentatives. as
well SB their 8ucceasors, shall not bel"equired to give bond
fOl' the faithful performClnoe of their duties in any jurlsdictl,on.
IN WITNESS WHFREOl<'. I have hereunto set my hand this
3rd day of May, 1918.
~M~ Ifr{ ~.,
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orence . reen
~he preceding instrument consisting of this and two (2)
other typewl"i Lten pagell, each Iden ti.fied by the signa ture of
the Testatrix was on the date thereof signed, published and
declared by Florenoe V. Green, the Testatrix therein named. as
and for her last Will and Teatament. in our presence. who. at
her rsquellt. in her presence and 111 the presence of each other,
have hereunto subscribed our names as wi tnenes.
Ac~.",
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OATH OF SUBSCRIBING WITNESS
COM. MONWI';^. 1.:1'11 OF PI';NNHYLVANIA I "Sf
COUNTY 01" CUMIII~I{L^NI> \
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Iwfol'o nw I{idllll'd I';, Andl'l'Hon, 1l<'liiHtl'l' for thl' Pl'Obute of' WillH Hnd grunting letters of Administration
in uull fhl' suld County of' CUInIJl!l'innd, in thp COll1l1lonwoHlth of Ponl1Hylvunin, pPl'sonally cunw ..............
l /). _:"f __.'~J .__-' ~_..
C:;::~::::~~:~,:';,~:;:Z' ;:,:,~:::::'::' '::;lI;;';;;~:~::;';:';:, ";::'1:.:' ~;I~':;<;
'restument~f,.... /~~(~.Z.-f.,t;,-;:rtf....,......t....,,,.... "~f..i.z<<:..:-,,,.{.,..,... ...,.,.... Duted ,.......3,.. '''~7 .".'f,,7'i5
Int;:, of ..." .r.t:tt]4~'~~:'~"""~t:""""'''''''''''''' '"'''''''''''''''''''''' Cumhorland County Pn .~oconsed
who boing duly ......=,..,fOC;'~::f=,r:;:J. [Il'cording to law, depose and say, that ....U,,,......./..d.":l::l..:;"J
,
preslHlt, nnd saw IInd houl'd thl, test~~.........,.......,.... .................................................................,...........
Hign, soul, publish, pronounce und declare the suid instrument of writing us find for h,J,~ Testumont
und Last Will, and ut the timo of HO doilig ......,..,........,...........~aL,~-;':-;'was of' Hound and diHposing mind
memory and undet'Atanding, to thfJ bost of .........................."..L......knoWledge, observntion and belief,
,................."......,s.'~.;..c.;r.~ld HU 8cl'ibod before
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AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND r
",..,"',..,....,.,',..,"""',......"..,""',..'.,""'"".,.,."""""""M,."<lJ.1.;,:.r~r~_,,,~;&.. ,,:,~,~eing duly
''',.."''''''',,..;~;:;.,;-;;.,.'''''''.. says that as nearly as can be f\scertalOed the saId deceden ,.;;.."",,,..,,,,,,,....,
. /
....,.... ".""",,,,,...... '.""",;,;"""..", t""".,.,., ,.,,,, ~"'" ,.""""", ~" ',""""""""""""""""""" ""''''''''''~ ,'".,.,...".,.., to ,d ied on
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..""'''...:::.,,~~,1'':.f..'''d''''''.... the """""...."r,:',/",,,,,,,,..dUy of ...."",d';;e:d:.<~,,,,,,,,,,,,,,,,,,..,..,, A,D,,19,,~
at or about ".,."....",.,':',~-;-,'::.:,::;~~;;-;',~7",,,, o'clock, ",.M, '
,..".,.,'''''''''''''''',..,''''',.~:U~!f::1kd subscribed this
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,.."."""""..""".""",.,.t:...""..,. day of ",;:'.,(.,,-, .....,."",
19, ,,7.f., befom
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Richllrd g, AnderRon, I{of.(ist.er
OATH OF PERSONAL REPRESENTATIVE
COM. MONWI';ALTII OF PENNSYLVANIA} ss:
COUN'['Y 01<' ClJMIII>:HLANIl
Bofol'o nU', till' Ho/.(ist.(!I' fhl' t.ho PI'OllHt.O of Wills IIlld /.(l'ulltin/.( of Let.t.ers of Administration in LInd for
;:-- , j..,L.
t.ho Count.y of Cumbol'illlld, P(JI'Hollully {'limo ...,...S.,.'c:-::11;1c;~h.0.:,.P.:~~:"....."""....",..."",.,,,,.,,'
who, boin/.( duly ........,;::?::~;~~~,~-do ..tt.:d{'poso nnd sny t.hut. ns..,f~:;;,~?~;(V'"''''''''''''''''''''''
;' _: L?>/ ,F~,,/ e
of t.he lust. Willnnd Testument. of ..."/~:.,;r;'.1C!,-::?;,>:,.7:?:k.,:;.,,*,;'..,...,,,,..,./;::~~..,,..,,,,...:,~;1..K.;,?,.-:'~ceased
......"..~S;:jk7will well and truly administ.er t.he /.(oods and chattels, right.s and credits of said deceased
according to law, And also will diligfmt.ly comply with the provisions of t.ho law I'{dat.ing to Transf{,r
~,
Inheritances, ",.....s;",f.k'1?::~.;'l~and subscribod
before me,
>' -("~:'!)" .. 'i\~\'I(&"4!~"
I'\.......r.,.-",...."..-fi-d....,.""",....",.,."....,..........""........".
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",,,,..,,,,,, ".., '" ....".."..7i.::r.:... ,D" 19,..2?~
.................. . .
Richard E, Anderson, Register
....,..";".....;.,.......,."""",.",,,....,.....,;,........i.""".......",
Be it remembered that on the ""..,,?~,~,~"",.. dny of ,,,....,"',,......I!:~~.t~,~,t1.,....,,..,,' A, D" 19 ~9...., thero
was probated and recorded the Inst. Will find Testament. of ...}:;J;,<?,~~~~~".Y.~...q:l:',~,!'!~"..,,,.,,.,,,,....,,,....,,..,,'
late of""".."..~,<?,~,~,!'!}.',~,~~,'::!li..........."',....,,..............., Cumb{,rland Count.y, Pennsylvnnia, Deceased, Letters
...."......,........,:t:~,~,~,~,l)'!~~,l,~~,~l.... were granted t.o ....,.........,.,...~~~~P.~~.~.l.~.t,S....,.......,........ "'" ..............,..
Witness my hand and offici!!1 Bonl t.ho day and yonI' nfOl'osnid.
Hil'illll'd I';' }\I1<1('1'80n, H('!(is({'r.
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1'1.
Inventory of the real and perianal ..tote of
__..._nQl'enceV. Groen
_ decea..d.
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____ __'_'~___"_'_~_'_.~" ~ ..<__ _~_.... a."' .... .~__.___.. ..... ..
_. ..~m..'"""'..,_..__~u,_~__.u,... __. ~"_"'~_'''~__''_~_'___.'''~''
1. Ouh 28,8'12 46
2. . Real l!Js ta te (ll~.N . Looust Screat, Wormleysburg, PA Q(soo 00
3. Oontents of Home 500 00
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C',IMBERLAND
I':
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,',' , , L. .ccordlng to I.w, dopo... .nd I.Y' th.t "h. ...,.4.),."./6.L"_,,,
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, . , ' _ 1 ,'1"')'1 <1.(..( ....k of tho e.t.to of _,:"'LJ...:-.~.n/./:,u_fi' ..1.';,_""+_,,
I.t. of 1/1 t' L ''i"C'':J'\I.l., r. :." I. (. . -, Cumb.rl.nd County, P'" d,c;~I.d .nd VI.t th.
within i. .n Inventory m.d. ~y, . : ) i. LL ,._, tho uld.__L..uJi>:U'-'-CL.~'"
of tho entlro ..t.to of ..id d.codent, con.l.tlng of .11 tho p.llon.1 prop'.lIy .nd r..1 ut.t., ..cept r..1 .IIet. ouhid.
the Commonwe.lth of P.nnlylv.nl., and th.t the figure. oppo.1t. o.oh Item of tho Inventory repr...nt it'. f.lr v.lue
II of tho d.to of decedont'. de.th,
/.,~~
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bolng duly
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f ! .n ~~ .nd .ub.crlbod bofor. me.
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D.t. of D..th _..,.__... _ ___._L.,
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INSTRUCTIONS
I, An inventory mu.t be filed within three month. after appointment of pOllon.1 reprBl.nhtlv..
2, A .upplement inventory mUlt be filed within thilty d.y. of dllcovory of additional 1I.0h.
3, Addltional.heets m.y b. .ttaohed a. to pellonally or really
4, Se. Articl. IV, Fiduclarl.. Act of 1949,
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Of!TICt. Of! nH;
'ual"UR 0'" WIL.l.e
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STATEMENT OF DEBTS
AND DEDUCTIONS
OF.DlJCTION:i All.OWl (l IN
form He (' 10
HiE SUM Of'
,1/ ';i( (il
E9T"TE OF __ }I'] 01'@1:)"1I)
C~L , ,I' (1-)'1'7
11 ,,-UX'G.OU--.__ CAn or_--C.1l.l!J.J2oroland. County
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O"rr. Af'J'IWV[D
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A,ghler of WillI, 040.111
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or __---C.um.b~nct__.. COUNTV
^NO A,Gf<~n 0'" ntl CO"'4MONWUl.TH
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('IA'rE Or" FILING "P"JIliAlIIMINT -L-,-- /; ____.__OAlI 0' DE...TH ~ lJ1A-h'f"Il1 Ai..,.Y 11, 1 ll7 g
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OA,.f: NO, 01" N....MI 0,. "AVII REMARK. A~OUNT
I!OUCHIIII - ---
-
"irma R. He ile ts )"xo" nomtn 2.6'11 62
Jamos M. Bacb, Esq. A ttornoy F'eo 3,232 32
MA""olmun Funer!ll I"une rul 2, 3 6~_ 22-
-
Onl-n1Ar NAWR T.Al1~l AdR ;>~ (LiL,
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Cvmberland Lall Journal Legal Ads IS 00
--
Borough of Wormleysburp: Reul Fs tfl te 'rax 33 89
~-_. -'---
,TAl-""RAn AReoc Medical 16 ';0
Wal tz & Hixler Medi cal r.onRul tat1nn 2~ Q2
ti'nm~ R J.f!1lets Re-Imb .ltt; 00
Lenkerbrook Dairv Milk Bill U 16
'" () W1111 ~ fi'"" 1 n11 R? I .7
---
Sammons T.V. Cable 6 34
-- ~, -
LP. & L Electric 87 I~o
1'... ,.,,.,,, t Rea 1 tv Real Estate Comm. 1 99C; 00.
'1'ransfsr 0!N ~
- -~-.- I'Amm "r PA Tax ,.8 00
Boroup;h of Wormleysburg Sewer 69 00
Rice Memorial Engraving 7t; 00
",,,11 'l'A1A"h"nA PhonA hR nfL..
U G I Gas 18 00
.. ,
._ Riverton Water Water ',c:: 00
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COMMONWE"l. TH OF I PENLtj8Y~7t'ANI" ( }"'.
COUNTY OF _.___ ('.{' ,.; .' I. /' i: I,
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MV KNOWl.tOQE: AND 81:L,llil', THI! FOREGOING JIll A JUIT A.ND TRll I ITATIMI:NT
ADMINllnkATION SUBMITTED TO THI UTA,TI. OF _ ;' I " ~ 1
,
INI~URITANCf, T,\X PUAPo....
HI.RIBV CIRTIFY, THAT, TO THI!' E1E.T or
Of' Olin, l"'UNIRAL, EXP'lNUI ANO [XPf.N!lf;fJ 0,.
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.' OICIA..C,...1 DEDUCTION' fOR
tWORN ^-NO .U..CRIIUD InFOR[ ,.(1 THII ~~~OAY Of'
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COMMONWl:AL 1'/1 OJ.; PENNSYLVAIJJA
OEPARTMEN1' OF f~EYt:NUE
BUREAU OF COUNTY COLLECTIUNS
APPLlCA TION FOH C;lARIT ABL r EX EMP TION
FROM f>ENNSYI,VANIA TRANSFER INHERITANCE TAX
(At! of M(ly 28, 19~6, P.L. 1757, (HId Act of Jun& 15, 1961.
P.L 373, (iii (lfllenr.ftld)
Application I. horeby fll.d for tho approval
of an exemption from PennsylvanIa Transfer
Inhorltnnco Tax on the tran5for of the prOplHty
d..crlbod bolow:
::.( I ")11 . 1-2.2....
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4. Name of Decedtont J._J_.L~""::'----L-""__., ~'..,.,,~'~'--.L_--L_L..i.c..~~_~______
5. Th. Com,nonw.alth', opprol..d voluo of tho pro::~:hICh on oxompllon I. claimed I. $~'.l'-.''.':'---~...JI''d. \
(Nate: Wh.re the prop.rty I. other thon 0 .poclfied amount of ro.h, the ex.mptlan connal be opprov.d unlll the value of
the property ho. b..n ..tobll,hed by opp,al,ol by the Commonwealth, excupt In tho.. 00'.. wh.r. Ih. amounl of th. gift
or bequeat represents a stated fractional or percentago portion of the ontire estate or the entlte residue. In those r.allfS
enter such fractional or percentage amount above),
1. Bureau Fllo II
2, Doto of Deoth
3, 00'0 of Approvo I
6. Ch.ck ,h. ,"onner In which tho tron.f.r wo. .ff.ctod ond .ubmlt 0 copy of the docum.nt oUlhorlzlng Ih. Iron.f.r, onl...
.uch mot.rlol ho. b..n prevloo.ly liI.d.
WILL !Ii;
DEED 0;
TRUST INDENTURE !7;
SURVIVORSHIP 0;
OTHER 0;
(If olh.r, exploln)_,______....______,_...,_.....,..__..,_____,._,____.
7, Corr.ct Bo.ln... Nom. and Add,... of Charltobl. Organization r.c.lvlng prop.rty:
(l,c, {"J l.f~_t1.:Jl..l"t el.,e c ,.(
NAME {' "( C '.k
--I-~__La....u
ADDRESS,_b,), ..l} Co< '-"D..Ji'i'( _
o See listing on revers~ side for oddi'llonol charltoble orgonizations covered,
8. I c.rtlfy Ihot the Information contained h.r.'n i., to the b..1 of my knowl.dge and b.llef, Iru. and carrecl,
Slgnalure of APPIICanl..---:%""""".
,,/;:_;:.-1 ,
/1
i~"''<; -<
(:'
)-
.--
1 C' ./:.)
1::""'-<1 ,...':::.(' , (. ILi'r,~
I
;"1
! 'r:?
/ (-,o{f :~ <;
Addr... of Appllcanl
/~' (,
(' ,)
'----z:..L-{}---\..1.
Official Tltl._of:?,;,;. l: /1 t'.(ii Dat._V,// R./ 7C;-
! / 77 '/
This form mUlt be completed In triplicate and all three c;oplu dellverod tn the Reglller of Will. for the. Couflly In which the decedent
rulded, or In which lotter. were IlIued for a non.ruldonl decedentl, estate. If the decedenl we! 0 non.resldellt of Pennaylvonltl and
I.Ue" were not 'Slued by CI Pennsylvania Register of Will., deliver 011 three copies to the Director, Bureau of County Collection.,
Penna, Department C'lf Revenu8, 26 S. 4th Sttflet, Harrisburg/ Po,
Do no! writ. b.low thl. line, For Official U.. Onl
APPROVED: Far tho S.cr.lory of R.veno. REFERRED to Bureau H.odquort.rs
Approved 0
Far S.cr.tory .f R.v.no.
i~~<tta\.f t t:\1~~?~'"
(Slgnotor. of R.gl.l.r 01 WJII.~
IY l" . :;~'i
Ui ",',
i (CO~~iY\'l
kh"~ IG')~'
'----'("0;,-,. of AP;rov~~:""""..L: ~ r
D.nl.d' !7
(Initial, of R.gl.t" of Will.)
(Authorlz.d Slgnotur.)
(Counly)
(Till.)
(Dot. of Ref.rro/)
(Dol. of Action)
.. See reverse lide for reasons
MUST BE FILED IN TRIPuqn
RCC..J:l i4-nl
.. .
,I I, 1'\ I'll: ,:( I ~ll
{'()MMON\\)O:,\I ,TlI 01: I'I~N'NSYI,\'."'NII
IJFI',IRnll:N'1 Ill- RIVFNlll.:
!llIRI:,'ll 01. ('OIINT\' ('01.1.1 (TIONS
1*
RESIDENT DECEDENT
COUNTY OF ClIMlmnAND
~=~"'l'''I''!f='~~. .,.'_
IMPORT ANT,
..,..,.........,.--.------,.,....,.,.--,----.....-. ~' .
TIlIH I{'turn lJ1tull Ill' l-nlllpltQt,t1 ill Ih'lIdl !lilt! flied III t1l1phi'IIH', \\-llh 1l1l1111l1l'llt'd, ""11 tilt' 1{t'~I"Il,lr of Wills of lilt'
('ollllly WhNt' dC(~I~d\'IH I't"ildt'd, I(t'lllrll i.. dill' w1I1I11I111I1I' llullltllo,; ull!'r du\(' ot ill'Htll, Illllt'Sk Ill) t~li.Wm;jtlll if> ~"llllt'cI
hy tilt' St't'l'('lUfY ull{{'\Il'I\l\!', IStTlion7lU (lltl\(' Ildl('i1tHllt't' 1IIull:!lIHlt' Tux Allor ItlhI,)
.'
-.-
-
IN Till': MATTER 01' '11I1' I',S I "TE Ill'
} II lillAI'll 01.
I.nl'l I I'll II (}'.xflcutrix)
,IIlIIINISIII" lOll
F 1i>J'~l'!Cf).Y ..gJ"f;l.~I}__
(!iT^rl.: !'In.!. NMtlF or nf:lll1FHf,
La'. of ,. . "C.umb.erllilnd
Stal. of _.P,ennsYl v,an 11\
Coun'y of .Cumbe.l'lan.d
CDunly
} ..,
Executrix
,..,__._.~.__..._._~__._Ji:-"''''-
and .gy
AdminiHlrnllll
Erma R . Baile ts
01,11. utll'll of ,hn uhovllondlllf1d decedent being dulV 'Wain, dfJpo'e
n<'<',delll died J.!;lb.r.ua..r.,y_..~.,_ 11
'1,\(11,;11-11
Name and oddtu 5 of nllurnoy 01 }
othflr aulhorhed np,..ell!atlvtI 10 whom
011 couupondencll ,hould ho IM.ihl(l,
. F;rma R.
ThaI liS hllch___Bailets__.,. ._._____dl'prIJll'llt
It.>:l ( \.II Ufl-Allf,1IHI';lllA TUfll
!11^l'l
.' 11'~I9...__{'Il't('lto '~~~~t:opy of which I, hereto ~tlClch.d, )
IYFARi '"hutnt"
m ,Jamos...M..._..Ba ch.._,KaqJ.Ur.e....~.__,___.._..___._______n'
_l8-B....Eno1Ji.D.rLve........Eno~#- P A ] 7.025
is fall1i1inr with the affairs of sllid ('stllte IInd the property constituting
lht~ IlSsl'Is lhnt~of lInd Ihl'll' fllir nHlrkl'l \'allle,
That nt till: timl' (II dl~ath 111l_'I'l~ WII'" Iln SlIfl: dt~p(lsll htlli. I'l.'gisturl:d in di.~cud~nl's Indlviduul !lallie, 01' jj)intly with, or
us agcnt or dr:plllY!lf Hnother, m ill dl'n~dl:JlI':\ inlii\'ld(lallHlll\l~, with right of Hl~Cl:N!'i by llllnlhcl' ItS agenl or deputy, with lite
t:xccl1tlU!l of Ihe following: .-
~c.. .,.. :;~~,,~~~o~'~'~c~~~;~~~I~;':~'I~~::':;~~': :."I~I:,:7:::1,:~:,':E,~N ..~.. "f"'" .,~;;,;:~~:~,i,~:);;:;?~~:~~'~~.~=..;;--=~-~; ~ ~~I ~;; ~1~1~,;:~~0.'~T
:". 'c:r.N~~=-=--:=-'=:: -~~:.:=::::_~==.=:tF1Q;c:e:::.V_..__GUlln.._ ~ -1ill~~___=.
.. ...., )l'd...&.-RUlllllle.LS-treJ:lt.s._ .----- .E.'-...-..--.------ ----.--.-..,-
____.__....Le..~e......PA -17.04.1-... _.. . __ ._.." ... _.._..____..
----- ------------ -- ~ --- ---- ---- . -- -~_._-------
. _ - _ =.==b.r_ ----:r=--....::=-. =:="'---- =""=':w'
That the contt~lItH HI' suit! safl~ deJlllsit holt or hnxl;s ure itemized under Schcdules__of this return,
wi Ih lhe exccplioll of Ihe follo\\'ill~, 1'111' Ihe rellsolls 11I:rcinnfler sel forth: *See Dep t. of Rev. (Inven tory)
That Schedule A alll1dted hcrl'!lI lmd made part hml'of :iets forlh fully !lud ill d~tail 1\11 the real properly
in the CnmlllOnwolllth of Pennsylvania or which dCl,:cuenl dieJ huving tlll lnlr.:rcsl tlwrcin. It al!'io sets forth Ilw
mortgngc cnt,;lImhrl\l1l:e~ upon cach part:cl of H'lIl propl'rty nt the dUlt~ of deuth, giving lhe amuunt slill duo III
dcltth, name of lllortgU!\CCI dalc, mli.' !If itllt:fcsl, IInd hook and puge of record thereuf. It ulso sets forth in lhe
column!'i pruvided 1I1l~rcforc lhl' u<.;scsscd \'ulualitlll of t~Hl'h of said l11lfCi.',I~:, lhe c!'ilimutcd murkct value thereof
as of dflte (If dcath of dl'ct'llt:nl.
That Schedule B tllludwtl herl'lll llud Illude pnO Ill'rl~of ~L'ls forlh fully lInd In dcluil all pcrsonul property
WlllHt.,'SOVcr sitlll\lcd owned hy lhe d~'t'L'dl'nl at the li!lw of dellth; ulllllOlICYS left by the dcccdcntllt the time of
th:nth, whelher in deccuclll's Imml'lllllll' pllss~'~,si(l11, slanding 10 dtt:L'(knt'.s Ct'lldil in hilllks or deposit. savings
hunks, tm!'il companies, or tllhn inslilllllllns, Wh~'lht'r individulllly, 01' in trust for any olhn person or pl'rSOIlS
giving Illso scrarntcly the IIci;rucd illlcn~:-;t IhcfCllll, if lillY, down 10 lhe IUl'it interl'st day lHior to dccedt:nl's
denlh in lhe case of sn\'il1l:l" hllnk..., Ilnd 10 Ihe dlltL' III' dl'L'l~dt:nt'... dellth ill all (ItlH~1' Cilst'S; all bonds, pOSlitl
slIvin~s, treilsury ccrtlfiL.:lltl'S or Iwh~s lIud (lIIH'f c\'idt'IWt~ Ill' indehtedncss 'of thl' tJniled Stllh~~ to till' de-
cedent; nil nbliglllilllls, wlll'lhcl' hy ~tIllut'_' or agrl'l'men! Ihey <1ft' d\~sigf1alcd us tux free, of the llnited Stlltt'~:,
or un}' SIUlt', lII' political subdivisiull Ihl'rc~lJr, or (tf 1I11Y lurl'ip.1l coulltry, which ilre owned al Illl' lime of dealh;
nil \,'curing nppllrd, i'~\\'l'1ty, siI\'t'rwlIH1, pktul"l's, hoob, works of Ill'll household furniture, horses, l'llrringl~s,
ilutumllhilcs, houts, alld l\1\~ lInd nil tllla'r 1H'l'st1tlal chal!l'ls uf whahCJl'vcr, kind or nature, IeI'I hy t1tlCl~dcnt,
together with !Iw faidy cslilllHh'd l\llll'KeI VHIIlt: tJ\l~IT(Jf' 1111 htllHl~ HIllI rnurtgll!.tl'S hdd hV decedenl ilnd of nil
dllims dUl' and owill~ ,h'l'l'dl'lll al tIlt' lillH' (If ill'Hth, und 1111 prnmhslIry null'S or olhcr in!'ilrlllTlCnts in writiug
for the pnYllwnl III' money of which dnl'dclll dicd 1'1IsSl'!o.scd, of whllL'im:vcr f1utUrI:, with interest thereonl if
llny, ~dvit1g tilt' fut.:l' \"lIlm' lint! t'slimalcd lair 11llHht't \'111110 tllt'fl'Hf. llnd if slIch cstimnll'd fair market value hi.!
less thull the flll'c vlIIlIe, il ~t~ts forth hriefly 11ll' rcnsuns for slH:h dl'JlH~l'iallon liS to elteh item; all moneys
puynhle to the t~stllli.' frllm lifl~ inSllrnf1l'l' J1ulit'ics t:nrrit'd hy decl,:dcnl; 1111 annuity nod endowment contracts
the prm:ecds of whil'h wcrt' pnyuhll' upon lhe dellth of tht~ dt't:l't1l'lll: 1111 and till: corporate stocks and dividends
due thereon Dud unpnld liS of the dUll' of' dCllth, hUllds IInd lIlTrtll'd Intercst tlll'fcoll 10 the date of dcccdclll's
dClIlh lltlll olhel il1\'l'slmclll s('('uritit.'~ t1wl1l'd hy till' tln't'denl al lhe limc of dealh, with the RllHket value Ihcn~~
ill' at surh til\1t',
III tlll'I'UtI(; nl' HHI'\lI'lt InN 01' nltl"if' OI'I'HlIlll.\' PIlI'POI'lIllnIIS, Ilil' \'lllllH~ "Hpnl'l,fllllll'" /HI 1'111' /IN
1'1'~l~lhl~' S\lIINllIlIllllll'll Il~' flll/IIIl'I!!! Hllltl'llllllltH 01' till' f'1I1'Pfll'IILlrIIlH, Hho\\'llIl~ Illll lilol!i,-'IH 111111 IllIhllili{'~1
tlll'I'POI' IIN 01' tll/' rllltX'! ,,'I' chlltt,h. 'flw Hl!htlllul., IIIHU Hol,~; l'OI'Ul tllfl IIII,HI'I'Hl. {]I' d(londl'lll. Ill. thl' tlul" 01'
Itp/ltll III IltlY I~U"'fl'Il'I,llllruhll' 01' hlll'iJIlI'Hflt Hull III SIII'II/II'1, flf' llln VlIllIf' of' !i1l('11 11Itlll'nHt tllPI'l! 1M 11I1I11'10'd III
~ltlll ~elll'dll\t'i 1'llIlIlwllll slntl1nlflllts HhllWIIH',llll'llIIHI11H Ill1d IllIhlllllf'H of' !tllld l'IJ-P'lI'llll,rslllp fit' 11l1'jllII'S~.
-0\ copy II" lllf' l'n..p/lI'tlltll'Hlllp Ilgl'PHrtll'llt, (If' 01'111, /\ foIllLlfllllflld Hl'lllllg f'ol'!1l Ull' llllt,III'lI nf' till' IH~I'nl'hlfllll)
tn~jllh(1I' willI II HIIll,Il!IlllIl1 /<\HlllllJ.1, f'OI'th lhtl elllll.tll~tf'I' Ill' 111,' hl/"!I I1llH!'i, tl.H 10('1111011, !llId HlWIl olhHI' rlll'ls
lwl'llilnlul( to Ill" \Iw~llli'''H UH t1I1lY hp 11fll'lllllllll tn II 1'1111' Il'llI ,1lHil Itpprltl~HI ld' till' dl'l1f1dlllll'H IIlII'!'I'>;1
r!lI"'llltllllq." ht'Hllhmltl,flli. It '11111tlltll\l'1u Hflt r'ol'lll In It.l'flll/nd I'fll'm, IUW'llllll' wltll U,l' filii' 111111'1(('1 \'Hllll'
tlll'r1'ol', llllY olIH'l' proJ1111'ly nWllod 01' hoqlll'lllhl'd II.\' tllp dlH1f'df\llt lit 111P limp fit' dOHfll.
1'11,' _"r/!f'dulf' ( /lltHI'IlIIl! 111'1'1'10 1I1lt! I1Illdl' pllt'l 1\l'I'PCJI' !'Jill"! f'orlll it 11'111' HIlfoiWI'I' 1.0 ("teh InqllJl',\'
1'llllt1tlnl'd I,lll'rll'lfl Hlllllll IIU! ('It/illOI' 11'IlIlHf'IlI'H fll'proJll~I't.y, I'nlll 01' !1"I'SOHI11, wllhln t.wo Yll/lrFl {Ir lllH1fHltlllt' H
111-'11111. tll f'ollt.nmpllltloll 01' dllnollllllll!i 1\01\1.11, 01' Illt-l'l1dfld I,ll I'lkl' HITi'I'1 III IHI~HflHHlol1 or tlll.1oYIllf!nI Itl or
after dUlllh, Hltld F11'l1l'lllllp ~;UU; 1'1l1'11l Uw II/lUll'" !I111t \'ldUl' of' slIl'h pl'oJlI'rl.'\'i 10 whom Irlllll-if'I'rl"lHl, Ilu'
rnlt\t,loTl"lhip of' tilt' t,'llI\Hfnrt'll~ to 11,1' rlflC'lllll'lI!, Ill" propol't.ionul,lI Hlllll'\l I'lwnlvnll b,\' o/lf',h tf'/UIHf'l'I'f'1' /Hill
Itll otll/'I' ('IlPiH of' II purl.hlllllt II/ltt1I'{! I'nglll'dlllv, ~Hld f,I'II11Sf'IlI'H. III Itlf' (HtHf' of' 1,I'/llIsf'/lrs tll1_fll\clnd If!
I.llk(' nff'''l'! In IlflHNPHSloll Ill' 011.1 IIYIIlI'T1 I It I fir /ll'tl'r dl'ltl.h, thH"f' iH nisI) IIt.tlll'ltl'ti II) till' Hl!lwtlllll' I! f'OJl~'
oj' thl' dllf!t1, It'lIst. 1~~rt'PI1If>nt Ilr oUIl'I' in~j,rllm{lllt OI"I'IlUn,~ Illl' trllHt. ThOl'tl Is IIIHil !oint. f'orth In "Hill
s('h('dlllp II lIst of' III I )l"OIH!l't.y, 1'1'111 /lurl IWI'SOlllll, Wll.ll Its V/llllt', wlLll'll JlIll>_!WH III ,dllom!t'ntlli 111l/IUI h~'
vtl'UW of' 11](' l'Xf'I'clsl' hy 1I(,('4'III'lIf'l 4'1111111' Indlvlrlwdl,\', OI',lOlld,iy wllh IlI1ldlll'I', 01' /lilY PUWnl' of' 11111"11111--
mUllt VIlf>ll'd JI1IIf'I'IHlnllt.. ojt!l(ll' IIHlI\'IIiLlltll~' or ,101Iltl,\', tJyt.lll' willi dpf'd. 01' "Utili' Il1strlll1lf'1l1 of' 111101111'1',
wlfh II t'flPy of f,hn hIHI,rllll1l'ht ('I'f'Ht.-lng sltclL pownl" Ittt./I('IlI'd In t.ho ~l'hl'dtlln,
Thnt, SChf'dulf' () lItt.n('\u'lI hflrnto Hwl IlHUII' Illlrl. IH!I'flfd' ~(1ls 1'01'/11 IIII' 11I\UWH Hilt! (lIlc1rr'stWS of' 1111
l'orsOlls hf'l\l'f'1111/111y 1ntorm;lyf! tll this !'slllty III. Ull' ttmp oj' dl!f'l'dIlIlL's 1111/11,11, till' II/ll.IlI'n 01' tlll'ir I'I'S-
ll(lI~U\'t' l"t,PI'flStH, tl11l11' t'ullltll1llslllp, If' lillY, to t.llo dflf'l'dl1l1i, tllj~pCI1f'r wlUI tho 1I,~n'" fit \.Ill' limp 01'
rtcef>(hHIt.IS {lrwl.h of' nll nrlnors, 11l1l1ltllJlflt,s IIncl hflllf'f'Ip.IIlI'If's 1'01' Ilf'e 1111111'1' (jpr'(lfhmt.'", Will. It IIlso
cOTl1.lllmi It Ht.flt.f'tn(ml F1howtn~ whlpll of' I,II" hflllnrttdllrlHH Illlllll!d III IIII' dflN,doll11s will, it'lIny, l\troll prinl'
to df'l'pdl'llt. Ulll dut,(lR of' lhlllr dpnLh. Il1pll' ISHIII', ItlHI t.hl' I'olnllorlslllp Ill' Slll~1l ISSlln t.o l.hn hfll1r>f'I('lllr,v,
'I'll II f t'cl'rdJIf' r fttt./Icht1rt Iwrr'l,(J unci mild I' II fllll'l 1!l'pPld' ~Il.'l S fnl'lll Illl JlI'OIH'I'ty, I'Plll /Inti 111'1'-
FiOllfll. OWIlf'{' hy till' t!(O(1(l{lrlfll .Ioillt,l~' willI ILnot.hnl' Ill' ottlnrA. IIlr.llIdll1'~ Illif1Hl-!;lIdp, sl-/lndlng 111 t.hp II/I/tlp
of Ill\' lltwodflllt f\llll llt.lwrH, pluH tll!"' dlLl,(J Hl\cl plllen IIf' I'f'f~{lrd nf' IIISlrllmf\HtH flf'f'{lPt.inj!, U10 \flsUt,llrl' flf'
ronl !H,t-al-p (11lll till' dnti! of 1l11111liRJtloll of' IH'r~OIlHlf.\', pll1R thl' II II I1l 1', nddrOhR flnd rnlllt1oIlRldp, if' lillY,
of ('()-oWIlPl'S t.n till' rlnr:(!<lf'llt..
Thnt. SChf'rfulp F Ittt.llchNt Iwrnt,{l Imll rn!lltn II pili'" hfll"flot' Hnts ('01'1-11 I'll'll,\' /llllt 111 dntuJI nil linhts
fill(t df'dllettolls clllillln(1 1"01' /llId Of1 lJ(lhlllt' of' UI1R dl'OIHIt1llt'~ I'Rt,IIII'. 1lll'llldln/J; I'lllll'I'1l1 I'xponsos pnlct:
l'/1mll~' nXt'l1lpttoll, whi'rfl Ilppllr.llhln: rostH of' Ildl1llnlNll'nLllI1l of' tlllH pstfllnl 1'llllllSnl fIH'H Hnrl f~lcttc1Ilq" H
oomndsR1011H pllill or I,n 11(' pltll'; COHt. flXptllUlotl f'nr bUl'lnl l.I'IISt"" tnmhsl,ollPS fit' '~t'IlVf~mllrkflNI, /lllll rl'll-
II; I fillS Sf'rvtcos, 1 n COtlSO'lII('IH'(' {I f' till' dfllll II !II' till' t!1'0t1dmli.: ftphtK HIlll (' 11l1ms oW Ing /llld I IIlJl 11 I d 111 t i I]1f' 11 f'
c1pat.h: t.fJXf'~ IlCet'\lfHt Ch/ll'/f,cllhl(' for porinll pl'lor l.u doeodf!lltl H It(,/llh (oXPf\j1I, IhllfHl 1I1lowfll! llfl(\or ~nptltlll
Il!\ t (( f' t hn Inti" ri \.Illl(~fl /lud EH"II t,fl 1'nx AI'l.l: Log!' I !If'l' wi 1.11 fI HIli tl'lI\i1!l I. fJ f' co 11 II !.tq'/L 1 \II I'd~~f1(t for ohl I gn-
tiollR, If' 1I11Y. It. is n)l;l"llptl '-hnt. lht' I'Irlll0llll'Y will PI'f'Hf.,.t proof' of' suld 1'111111l1'd ohlll~ltti(Jns IIp011 rf'-
qU"HI, lhnl if' thfl Hmount IlPfllllll,\' pllld In H(,tt.lomnnt of /IllY ('iHO; l~llmlU'ls~;lon fir dl~hl '1101 11'SS thnn tho
P!'-iUmllt,l'd /lrulllll\l.. /'ltt1lllinl~ lI11rl /\11owfld, I!lId tho !-II11ll0 will IH> r01H1I't.Or! 1,(1 thl' HI!~tHt.nr of' \\,-111"" llllll thltt
t.ltf' IltHOtlllt, or 1,,1'>; IlSHflS~lld {~Illl I1f' l'I'I1SS0H.'il'd III 1l1'f'UI'II/II1{'o t.Il('I'I'Wllli.
Thnt t.ht> Int.1I1c; nf' tllf' IIllpt'oprlnl-1' eollml11R ill Hf'lIo(!lllps II^II, "B", "e". "11:11, /LIHI "]0'" IIR dll'fHlt.etl thnl'nlll.
I1ft\'!> !loPIl Pllrrlf'll l'nl"w'll"d IInll pl'nl'tlrl~' I'Pgl'ltf'lI'tHl tll thn SlIl11l11/tI',\"
Subscribed and sworn to hcforc me this
"1 ~ If /.1eo:t./..J
, ErmaR.,Ba.ilets..,.,.....,.
(Exncutor.Adminl.otrator )
Red Hi llR9lic)
(Street Number)
Dauphin" fA. ],70lfJ"
(City or Town and State)
NOTI<: Un"llri.' HI~TlIt1g 1lf'I'irlllvll milk/! HUI'n /lll hlllllk HPIIt'f'H III tl'i' Ill'l'll\(I\'li /111I1 H('hf'l\lIlns IlIlIH'Xlltl IIrl'
fllli'd III willI tll'(1111s or UIP word'tiNollf,lI, /Llld III 1'lltH! lito IIHHflts Innllldl' I'HI't' fllld t1nlIHtNI Al!r.\lrltll's,
HnpuI'llll's nf' 1!lnstl /II' !'umtl,\' OIlI'\Hlr11llol11'l Ill' 1111 11\Inr{J~11 III IIll,," I'O-plll'IIII'I'~dllp fll' 1l1l'l111flSH, tllnt l1H'
(tnlll tllld RI,/IH'W'lI!." rfJflIl11'fH\ HIllin!' t.hn \l1l1'1l'~I'lIph nllfl\'fl t'f'llltllll~ III St'I!!'dull' "11" 111'1' Illlllf'h,lIl. .\lslI m(lkl'
{'prllli" Ihllt {'olllnm tIt III tllfl "SIIIIUll/tl',\,l1 !lItH 11(1(111 fll'fl]lPI'ly ('lllIlpll'lI'<<1 IlK '11111\,l'-1111'1'l'1f'r!,
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SUMMAIIY
(Sch, "A") $
(Sch. "8") $
(Seh, "C") $
$
$
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110111 Property
PorsClnul Proporty
Trunsfors
Gross Tllxablc Estate ..
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Ill\Sllll'NT IlI'n:IlI':NT
S('IIEIIlILE "I':"
.IOINTI.Y OWNED I'ltIIl'l'.IU'Y
*
('OI,I\tONWI',^I.TII OF I'FNNSYI.V/INI^
Ill,INS\'HlINIIFIUT^Nn TAX
lNSTlHI('lllJN~~ TIIIH HC:Ill'IIIlII' mllHt dl!-tI'lu!w IlII 1"'lIpllrt.~', rl~ul Ilwl Illll'f1fJlIul, ..!!.'!!~~J~J.'.!.'..n'~:~~~~.!.!!..!..!.t
"I III IlII1ltlll'!._~lT (It.Iil!I'~, 11lC'llHllllg tllllllll',lblnH, "'tl\llfllll,~ III lhu Illlm" uf' till' lll'('I'dnlll /111'1 IIlIH'I"i, Lt~1
rl',li I'Sllttl' t'lr~dl liS t'lltlt'pt.I""', or .lolHt t.nllllll!H, ~lv11l~~ 11I'ltd' dl\!oll\llpt.lllll, 11f! Illdl(~llll'll IIl1tll!!' !-li'lllldllll'
",\", pili!'; lIlt' lIntfl Ulld pi 1\(11' of' rll(!ut'd of IIlHf,rllr1lflfll fll'fllf!tIIlR ","sf,lflll'I', hut. do not 1111'1\1,11' HIll-lrl'ttuH
Ilr tlllt 01' Iilat" rllll! "..tilt." vHlull 111 UHt.utf! Vlt)ullt.lon C~II)III1lIl, 11(!I"'\lJ1l111 prllpl"'f.,\' ~hlltlld hn "HUH! lito. It!
Hl'lli'lhlll' "II", plllH 1111t.1' 01' Ill'qutHl 1.1011, IIml till! 11Il11ll1, IllldrOHl'ol /Inri rnlal IflllHhlp (II' /IllY) 01' 110~nWI\llrH to
till' Ih'/'llch'III,.
- - - ,- -
ill'S!' I' till Inn nl' ProJlflrt~', Uul.l} 01' M~f(ulHl 1.1011, NlutllJ tIntt JlortH'1l tn~f! Io;Ht,nt.n \l~:NIlTMENT VAI,ITi\l'l(IN
l\dlh'oSH /lnd Hol/lt,lfllllihlp of' tn..OwIlUI'R, Iilltt PI/LO(J V/llun f-ll1nl'l\ Vn)un t. tnll <: AI/'rION-\lo not W,'I t.l'
of' Il.'eur" of IIlHtrHnlllllt.1 whorl' Iloll} El'lt,nto. In Thl" Nn/u'c'.
~% 'X?: $6 :-.c, >> 0)- '~ '/ ~"', -
~ z: Vnluo of VnluB 1If'
;& <X 00 :x oX x./ ~ g; ~, 66- :x
~ 25 Ent Iro l}ocwdt!1I t.' R
% >> y<,. 'A PI'UI'O r t~' Int H"f!st
NONE
hllif~rt till. total O]lllOH1to II,Jotnt.l ~' Owned prdJlo r flY" , SCIIUdulf' "I':" I'<i t'. "
III tho "AR n01HJ rt.ntl" column on t.ho IIlHt pUJI;fl of' thtH rflt.urn.
,,'V.I'. ",1111 jCOMMOI\lVlfII"1 fHOlflINNSYIV' ';;/\
IIlJ~r~'1J\(W~WL8'o:!rXX~N!N'; Rt-SIDI N r INIt! Hit ANCE r AX
1',0, IlO~ 70/0 AI'I'\{AISI MfNl
t1AlII1ISflLJIH1, 1'1 NN/\, 1110h
,.._._._~__._______~_~__ ~~__.~,__.~~ ~c .co.,~ ....__.-.,n_____._
I.
.IUll<>:>5 1979
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___J;.Yl!\I.\V.l'J...uruI,____
;~ 1.-79-0122
CnLJN1V
f"l!.(rl'.l
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Whol''';W, Florence V. Greon 101[" "I .._,~.O!.';~lgh...:'.r...~~ll\j~;'y~b~~,,:____
in tlu' COIlnty or __Cpmtwrlnnd __<__..____ CtltlllllCillWf'dllh (d Pf1tlthvlv;mid, 11,IVi[ll1 rli,',1 ]11
tho ._ 11th.-. _ <IdV ()f -X~brllary _ 19 ..?2_! c;i~i/,od Hlld PO~l~;I'~;~il!d [lJ <Ill 1':;[.,1,'
r.llbjuC( tu InhoritdllCl.l Tax \IndoI' tho JaVlt; of the COrfllll\J/lWedlth of Jlf"ln~jylvCll1iil;
'l'hal'cforc,l, Lao Fuloiniti _ ,illl <11'1'1"li",,1' duly "ppolnt"d i""""dilllJ [.. 1.11'1.
h<1ving boon dcslgnatml to milkc il fal,. ilnd consclonilblo appl'aj,;unlunt or tho ""id oBlillO, ,1IId to iI~;C,," ilnd f", lh" ':;I'.h
villuo or all annuitlos and Iifo ostatcf; C[f'owlng out of ,;aid OfitiltO, hOf'oby fllo tho followinrJ ilPPf'aff;Omcnt:
In Ihll llvont IIlilt <lily futlHO hl\t!rH~t In till'. 11\!1111J I~ ll<i!.\ffllflHI ill I" .Ht!Hloll 1>1 tllll"Yllll:llll 1'-' ':',llil\(JI<ll tinll) n/ltl(llloUHI'''\\ "fllll Illl' 1'<1'11,1\1""
,\1 ;lll'{ nst,'\11 lor Ilff] tJt fOI yonl~, till! COll1l1101Iwll,11l1lIin"'IIV 1)Io'IJlt'S',ly 11l~nl\'Il', lho !Iqilt III ;IPPJ,ll~(I IIIlII il~~n\~ IUHI\!m IllI\llfiLI11Ui l,l)\li\ ,1\ tlH! 1,IWIld (!.II,lI"I,\1
r,lll' nil .ll'\ Hfrtl fll\lIrl' lr1tMn\!,
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fJ!:~I(;flll'lION Of I\:i',! I '\lll"_1'-,,"";":
\'1\1 1)1:', 1,\,ld" , 11'1"."."..
1.1. I' ,-,
-
Real Property , 18,500 0
.
Personal ProJlcrty 29,372 6
.- Transfers , -- __......J[Qn~. -.-
Joint-Held Propertv ......J!,':'.!:!2. --
- ..
.. .---. --
TOTAL ASSETS 47,872 6
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!lavo been duly sworn ilc(:ol'dinq to law, I do hOI'>'ilY ccrti~y thilt the i,bc,vo ilppl'<1lsemOl\l is nu1do in (:[)nfOljuitv
with tho law on this 25th _ dCtY 01' ' _ . -. . .luna __ 19 ..!.:1-.
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