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"C:: ~ :\:::,',: ":," " '~ t:.", .:',:':~~ ",i '. g :,':.~..,.:"'){:t\ ,.(,:: > (', .,' ,'.'<,/~;;.,.;;,P ::;;;:i ., , &-1':' :':< :;.... ,n ,. '. : '7;;',>;J > ::~~,.:'" r--.,I " , ,,0 '.. ',:.<,~~ .,',', ~:~~: :c ..:. ';'" ' ,; ',::'" ,,;" ',;, ".; ".' :',.. " .~t., .... .-: JY ,;' ..,.', ::;;' ",r.: ""', ' :~,.. '.'...: ,a ':,',;;":::';"':" co'.. O .... ":,, '};"',.."..',: ',' '.' ./:',' ", ,':', '.,;,' ;': ' - ' ,',' ,..,,'....::.,..':',"" "', ..: ,: . ;: ,,>,:,t Z dl · " . ~ < :' .' >'7.";:;;~;~ ',;".,." ,',,' .;, :.lC' , y... ~. '." COMMONWEALTH OF PENNSYL VANIA DEPARTMENT OF REVENUE . BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION INHERITANCE TAX RETURN FOR INSOLVENT ESTATES ONLY OF RESIDENT DECEDENTS ..1/.2/'/1 *' -\ Rc:.--ID3 U..'SI COUNTY OF Lv...1l1 bo,( ,"'- nil Thl. ,.Iurn muat b. comple.ed In d.tall and flied In duplicate, with the Roglll.' of Will, In tho County wh.,. th. decedent ,..Id.d within nln. month. aft., dot. of doath, unl... an ...h,nllon I. granted by th. Sec,.ta,y a. Rnonuo, -WIll f) , ,'.' '- ., I').' !'I y ''''''''n.No. 19_ I. "'/::'.(~/):~I.:' ~b<'1/'J{/~/ of1.',(..:: DN q~8?,tiUa) '1.../ _, ",. \NAMEI IAOORESSI --'. ., \Mi.~ . I ( ;> ..t.- liCTilg duly swum accordinG In ha"" depuses Dnd soys lha6hc is ahe ,,(./';? / I t?/'~~...)..-('J - I / /7./ ,)r.:.t;CdL:6.~E" TC,I / of the e.lal. of ~..l.~-7:'iLLG?~->>::'<'-:/~"(!-: laic of 5t.~'S'- L - / - V(;!~1.f.':::!.fLu':)1.L",,1,-~M .... ICITy, tlOROUGU, OR T iU..SHIP' 16- deeenoed, and Ihallhe whole of the e.lale of .aid decedellt. IIho died Oil _(L.(.~~,-~/1Ji'_____ t/ 10ATEI cOI1!Cislcd of ahe assets listed below om) thnl allfJwable dehls anddeducliul1s e~ceededlhe roir nuarkel vulue ur Ihe assets dnd nn Pennsylvania Tronsrcr InheritAnce Tu, is due, 1~ ~'7..., ''';' ~,K(t/- __ ~NATUREI -: ""'.:"5 CU~,- ,~,,_!&.L__,__ t T~LLL Swo,n and subscribed b.'o,. me ,~-.~ I' T':~'o!A~'''' ,-;,." R.art'.,M.-;O.P.,r'"..:..oly I P,opllr!y. Joln,l)' H.ld Prop. or Tron.f.r. -.-..".....40...1' _i"'U' ASSETS (Attoch oddUlono~ If n.cnur)') D..crlpllon of A...' E.'''no,.d Men'" Yolu. O.partm.n, Yo luollon CAUTION (Do no' .,it. In ,hi.. ee) /1 ! '//' -~:J Ctt~tJJV ZCVI - '//r.'tf7~/,-, ./1V ra,~<2.& ~J~ ..:fk"-""-/!./ ,A.-c:.'t17JV .a.f.u2;zrn~'<nt: Clu.A;nrJ a t0ct - tLn'~d/o</~~,L/ 6. ~tlL"1 &~ '? \1,,;\' (.,~ TOTALS (j / jj-.~I '\OS~, <11 REPORT OF INIIERITANCE TAX APPRAISER I, the undersigned duly uppoinl.d Inh.rhanee Ta. Apprai.er ill ii'nd fur thc,aliove Counly do re.peetfully reporlthatl huve oppraisedlhe real and personal prnperly os repurted in Ihe rnregUwii"M:l1'cJule -at the \'al-"lIs set rnrlh opposite each ilem in th. la.t column to the right. Doted: !INHERITANCE TAX APPRAISERI Nom. of Po)'.. DEBTS AND DEDUCTIONS Nolur. of Clolm AmO\lnl Clalm.d Amount A pplov.d b)' R.;I.t.r ;1, ..1 /) ,.J-./ r1, ("-' i .." "(, ..nJ!/t,,,t 7.'fJ''':U2M?t(J.~'' , -dJ,t..NU-;:"a.['/ C/'jY-IAJ'..L-I. :):'-'110 '::!J "./" j,,/, .dL.Cd ,;,{.5 S. c ' ~~.....~<.,./-'" / .5 7 ~ If: /578. 'It ~u6Lktp&~Cd!~,~ .,,')'. . b-k~fv' 'I~/:.G-c.'..Jt.CJ;:tt.L' .~V-,A;~-<-~'"" ; '1 t '-l~k/)r.c;l.t't~ihMtCIO; ~k'" i?>r-ai!~ ~h~,v-:..CJU r/ ?'k/.J. ~-'" /}j .;;:, J:,~;, 'L ---2/ ,I I v1.1 !-hJ'-r-- //~rru.c' ,N(<1 ,/ :/I'~WcU:'Y-c't-a~/G r.3 9. (i () .ss. Lf'8 /6:1,35 TOTALS If" 35:71 'R3~.'" REPORT OF TilE REGlSTEll OF WILLS I, Ihe undcrsigllctJ duly elected I{egister ur Wills in Dml fur the nhn\'c Cnunty. tin rcspcetrully repmt Ihall have allowed dctluctiul1s in the omllulIls set rnrlh in Ihe abuve sche..lulc ns claimed, C\ccpt "here I IIII\'C set rorth a greater or lesser amount in Ihe losl clllumn tn he righi, \\hich grc~lIcr nr lesser IImtlllnt represents ~n 1I11u\\ocd liS a dcduc}U\n, .", ,,' ."""",, ,.., (}y ,J..\~ € t.A.,J....~ IO-;(~A-J \~ I .. E-< 6 .. ~ 15 "' .. c c:i .. u .. en !l - ~ .J -< D.. tw .. '" .; D.. 0 'j:; < .. ..: .. .. ~ Z :c l.&.l .. D. :c l.&.l >. .. f- ~ D. ~ ~ .. '" .c e 0 e Q' !3 u ,..-.... tw C. Z 0 ... .c e 0 I- 0: .2 l.&.l -5 ~ ;; !:: ;; 0 t: u D. .. ... ~ w 'j:; ..: 0 e Ill: ... :e 0 ... ~ 'il u c Ii '0 ;; " E ...: 0 8 .J U . . .. J