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Mark one of ..............................................................,................................................................................................................. the subscribing witnesses to the forel:oinl: instrument of writing purporting to be the last Will and Testnmen t of .............. f?"!!~!!.. r.:...~ !:~.I,l.~!.~....................................................... Dated . ~p. !:~~. .!.~.!.. .!.~~~............. lateof.................!l!?X!?!!8h..!!f.../J.f!!'fR.YX8........................................................ Cumberland County Po.. deceased who being duly .............'!:-!.9.m..................... according to low. depose nnd say. that ....h~..~\I.'!......................... present. and saw and heard the testatrix......................... ....9.!:!I.~.~..J:.:..~.,,~!!~~!!.......................................... sign. seal. publish. pronounce and declare the said instrument of writing as and for lK\i::............ Testament and Last Will. and at the time of so doing ..........................~.".~..................was of sound and disposing mind memory and understanding. to the best of ..........h~.\I...............................knowledge. observation and belief. ................Il~f!r.n..J;!!............... and s scribed before .........'2iau.It.tLI...b.(lf.~t.'--...................... .................................................................................. ................ .... .................................................................................. AFFIDAVIT OF DEATH COMMONWEALTH OF PENNSYLVANIA Iss: COUNTY OF CUMBERLAND ..................................~~!:~..~:..~.:~!!~~~................................................................................................being duly .......................~~.'!.~................ says that as nearly as can be ascertained the said decedent .......................... ...............................~.:~~~..~:...~~.~.~.!.~......................................................................................................died on ................................................ the ................................day of .....!:'.~.:.c;!!...................................... A.D.. 19..?~... at or about .......................................... o'c1ock. ....M. ..................!!~.Q.r.~.......................and subscribed this .............................5.~.~........... day of .........119.r.!!~... 197~....... before ........../~ ...................... Richard E. Anderson. Rel:ister ~,.. 5#4 .il -'. J1 fe. ... "c:.:'l.~"<':/. .v...,. .-::\:~~...S:........................... :?9.J OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH m' PENNSYLVANIA} ,. COUNTY 01-' CUMBEHLAND SS: Bcfore mc. thc Hcltistcr for thc Prohatc of Wills and Itrantinlt of Lcttcrs of Administration in nnd for thc County of Cumhcrland, personally camc ..................Car~.A....Br1ndla...................................................... who, being duly .....Bwom.............. do .aa..... dCJlosc and say that as..J!:.~.c.I,I.tl?X............................................... of the last Will and Testamcnt of .........<lr.~~.~..J.'.,..II".;f,na"l\.................................................................dcccascd ..............))~....... will wcll and truly ndminister the goods and chattels, rights nnd crcdits of said deccascd nccording to law. And also will diligcntly comply with the provisions of the law relating to Transfcr Inheritances. ....~~!!~..~.C?,........ and subscribed before me. ..~~.kf .;,'(::::;:t..'-::.f:Q.~~;.......................... " .................................................................................. :..; 0': 1 ~ . 1'-' :8 C7l LL. I~ do fji co: 0 Sl ~ N ..... H: ~ 1r: .....J ll:, g \-1 .....J mi j:%l , .: - o. ~i - "': ~ r.<: .dl ~ rill rilj 0: o-.i 0: .5 C\I: ~: <: 'tl aI: .......: ll:: 0.; ::co :i 01 '" "i I : 'E -: ~ Nj 0 .s u . ~ :i s 'tl ~ ] III C ~ .~ ril 01 r.. DECREE Be it remembered that on the ........~~!?:......... day of ..................~!!!~.<:.~.................., A. D.. 191':1..... there was probated and recorded the last Will and Testament of .....gr..~~~...f..:...~.~t!?-.~~!!................................... late of..........~.~.~!?~~B.................................................., Cumberland County. Pennsylvania. Deceased. Letters .....................?;~.l!.~~!!!~~~!'!.~...... were granted to ....................~.~.~~...~.:...~~.~.~~.~.~..................................... Witness my hand and officinl scal the day and ycar aforesaid. Itister. . . . . " ' "'''''K AND W'KIO&.K Attorney. at La. ." .,-..ShIPPln~~U"f ". " .' . I: , " . ,.' ,'. .-' " ; >; -. .~ ; . CR. Your Accountant credits himself as follows: RegIster of WUls, Cumberland County - Letters Testamentary $ 36.00 18.00 10.00 40.00 1,087.70 11. 33 31.45 100.00 12.63 56.61 5.71 222.00 24.11 Cumberland Law Journal - Advertising Letters News-Chronicle - Advertising Letters Daniel lIershey - Appraisement of personal property ~lervin Fogelsanger Funeral lIome - Funeral Expense United Telephone - Telephone Bill Penelec - Electric Bill Newburg Methodist Church - Funeral Meal - Pearl Seekers Class United Telephone Co. - Telephone BUl Bsker and Russell - Oil Bill Culps - Stationery Carl Brindle - Travel Costs to Funeral Penelec - Electric Bill Rev. ~Iichael Gardy - Minister 25.00 Carl Brindle - Stationery expense 4.50 Labor for Preparation of Sale - 165-1/2 hours 496.50 Register of Wills, Cumberland County - Filing inventory, appraisement Statement of Debts and Deductions 9.00 Carl Brindle, Executor's Fee 2,712.04 tmrk and Weigle, Attorney's Fee 2,419.92 Register of Wills, Cumberland County - Filing family agreement Shirley A. Marburger - Notary Fee 15.00 10.00 Auctioneer- Daniel lIershey - Fee 329.00 Clerk for Sale - Labor 210.00 148.50 Wes t Shore Shopper - Advertising for Sale News-Chronicle - Advertising for Sale 105.00 Public Opinion - Advertising for Sale 115.34 Linda lIibsman - Outstnnding check 5.00 -2- bJ~~ 10G 1".~L '/32 '" :~~ . '. i. , .- ,;,,. i....:r MAt'" "NnW'lel.... All""", It lol" .."",..-.", ". .' I~. II '. . . . . .:". . . " . , ',<~ - " IN RE: ESTATE OF GRACI! P. UlnNUI.I! i' ;' it I' j ~ , . i! \i 1'1l01'0SI!lJ SCIIIlUUI.I! OF UISTltlUUTlON Your AccuunLnnt I'rol'OHOH Lhnt dlatribution be made pursuant to the Last l: , " Will and TOlltnmont of Grnco I'. llrJ.ndle, Into of the Uorough of Newburg, j: 11 , H " 1: d Cumborlnnd County, 1"'llIIHyl vnnln, a copy of said Will being attached hereto and mndo a 11/IrL horoof. " I; [' i! I' ,j " J; I; .1 " 'I I Ii II I I I UAI.ANClt 1'Oll IllSTltlllU1'ION $44.468.30 It IH HUllllOHLod Lhnt Groco I'. 8rindle left to survive her, two children, to wlL: Cnrl A. Urlndle nnd lIelen 8. Sterrett. Your Accuuntnnt thoreforo suggosts that distribution be made as follows: TO: CARl. A. URINUI.E, son of deceased Ono-lIalf (1/2) Share: In Klnd - I'orsonal Property $1,754.00 In Cnah 20,480.15 TO: IIELEN II. STERIlETT, daughter of deceased Ono-lIalf (1/2) Share: In Klnd - Peraonal Property $ 1,836.00 In Caah 20,398.15 $22,234.15 $22,234.15 TOTAl. $44,468.30 TillS EXJlAUSTS Till! FUND. 6:_.{ iOG i'/.I~ ';34 . , " , f" i I , I I I I " , . '. ,..J~' ...."d.:, \ ': . .;:.,.,:. ",",,_re--. ~"'./:, -..;rJ.~.A WILLIAM ... MARK .UO."'" A' LAW '""~'H'.U".. ..,.. -, . . \ . . .'C.. ..~. . . . " WI L L I, GRACE p, BRINDLE, of 251 East Garfield Street, Shippensburg, cumberllllld County, Pennsylvania, being of sound mind, memory and wuteutandlng, do make, publish lllld declare this my Last Willlllld Teltamont, horoby revoking and making null and void all W1lls by me at any timo horetofore made. FIRST. I direct my hereinafter named Executor to pay all my just debts as loon as conveniently may be done after my decease. SECOND, I give, devise and bequeath all my property, real, personal and mixed, whatsoever and wheresoever situate to my beloved husband, W. FLOYD BRINDLE, absolutely, THIRD, In the event that my sold husband predeceases me, I then direct my hereinafter named Executor to sell at either public or private sales all ~,:qfmY,.a1d eltate lllld, after the payment of all debts to cl1vide the net ::f~'~~:_'~' '. proceeds in equal shares, between my children, CARL A. BRINDLE and HELEN 8, STERRETT. FOURTH, I nominate, constitute and appoint CARL A. BRINDLE, my Ion, to be ~e"EXecutor of this my Last W1ll and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal d. to this my Last Wlll and Testament this /I' day of ((I ..,: (, 1960. .~J ., ......,., l~., :1 ....,II~..-J (S~ Signed, sealed, published and declared by GRACE P. BRINDLE, the Testatrix, as and for her Last Wlll and Testament!n the presenoe of us who have at her request slqned our names as wltne88es hereto In the presence of the said Testatrix and of each other, ::>(~~ tOl",: ,;, II/.' "'."/{Arl/ . CAA-//~d -1; IJ;'i~tl( ,__________ ___I ' .- ,- " .<\.... "',.-- ,- ft \ .. "::! - - 'j; ~ . -), ~'- ~ . ~ -f~ ~~l " .' ~ ',. :~ ~ . ~;; ...... 1 1><" 1>>, \ . I ~lli '" :z:m :z:ffi ~ ~m ~ .. ~~, "~ f ~I>< I>< '1\ U i. ft ' 0 Q. o ft U OS ~0 U ~ ~:>t ~ oil, j ~ o 0 ~ ~ !~ 0 ' ... 8 ~ ~ 8 ~,g8 '. ~ ~t., i I E-< .. ,~ ~ <nod"tl ~(:: II. oS 8 Iol ... ~ "tl '" !!: ,,",M" ,~ 1 a .. o ~ gj "~ tl "1" .. ... u i!i, i!i ~ .. MU"tl -,: ",,'.- ....;-.. '.. . " .' .. , ," . ': COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I. J II: _m'__"_"'_ 0'_'_" _.____._.___ __,., .'~4_."_'_""'__ -------.-~-----.-.-..----.----...'"-~- Carl A. Brindle beIng duly __.__~,llE1_.... ._.__ occordlng 10 low, dopo'e' ond sayl Ihol he __J.B_the______~. .--.. ._- _ ~~:~:o~___._ _____ ____.._._. ______ or Ihe E,Iole or _Gt!1.ccU'.,-Jl.dnd1e 1010 or BorouRh of NewburR , Cumberlond Counly, Po., d.c.u.d ond thot tho withIn I, on In.entory modo by .._ _,__ .-him-,..-.------ .,__ _ .__._-_, tho ,old Exo.jlutor_.__ or the ontlro OIlole or ,old decedenl, con,lsllng or oil the p.".nol prop.rly .nd r..1 0,101., .xc.pl r.ol 01101. ouhld. Iho Commonwoolth or Ponn'yl.onio, ond thot Ihe figur.s oppo,ito .och It.m or tho In.ontory ropresonl It', lolr .olu. .. or tho dote or docodenl's de.lh. 19 19 -~ezf~~d"'f.~ Carl A. Brindle _.2JJJ_O_Phila.ddI!hi.lLAVillll\e h,M'A...... Z; ~:dJ~rtzL,'f'" SIidey A. MadIwter. .1l01My ""'" r b. ....... fa '""'""""' c...., ,., c ...... 0......., ~7. 1911 ond subscribod borore mo, J Chamhersburg, Pa. 17201 Add,... Ooto 01 Ooolh ___ 2 D.y March Month 1979 Vea, INSTRUCTIONS - I. An In.onlory must be filed within throe monlhs o/ter oppolnlmont 01 personol r.prOlentotl... 2. A supplement In.enlory musl be Wed within thirly doy' 01 discovery 01 odditionol o"eh. 3. Additlonol sheeh moy be ottoched os to personolty or reolty 4. See Article IV, Flduclories Act 011949. J -ci ~ w ~ co , M " ~ '" S .. w ClJ co , 0. .... u ~~ 0 0 VI "Cl .. co ,,-' W W ~ ~ C Il7I . - ,>0 :I: '" IV \~ CD I- 0. -' U. .,; a.. ,~. c Z .... )' (; -' ~ 0 I'll 0. w U. <( g \\.~ 0 .1 :i- > z '" 1><1 ~ z 0 c c .~"". I l " r - VI z ~I 0 0 '" <( ~ U '. Z w ~. .... , 0. '" " U c \" ~".('": .. -<~ , ... ;: ,-' , 0 ., .. , .<I .. E '" .... - .!! 0 .. " 0 ... U LL CD Inventory of Ihe real and personal eslale of Grace P. Brindle deceased. Public Sale of Household Items Goods taken in kind - See Lists attached - Appraised by Daniel Hershey, Auctioneer Cash in house The Peoples National Bank - Checking Account 0 14-403-7 nle PQoples National Bank - Savings Account 0014-403-7 20 News-Chronicle - Refund Commonwealth of Pennsylvania- Motor Vehicle Dept, - Refund Mechanics Building & Lonn- Chambersburg - Certificates of Deposits, 011996 @ 7 1/2 % 012796 @ 7 1/2 % 014242 @ 7 1/2 % First National Bank of Newport- Certificate of Deposit, 01049 The Peoples Nationsl Bank- Certificate of Deposit, 04780 J. Paul Foglelsanger Ins, Co, - Refund Penelec- Refund TOTAL 6246 80 3590 00 135 39 220 51 19,935 43 8 00 10 00 ,'} 1,000 00 1,000 00 1,000 00 18,560 00 2,500 00 14 00 10 70 54,230 83 RCC.OoC 18.]11 ,COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX ASSESSMENT . . ,', I /; " ,. TO_ r (,~, - I , ~ ; L I I I I~' ,.. ; . , J , , , , / .' t I /r- ,~;. J' " For County Irllohnauon purpOSU5 on IV COUNTY FILE NO: .I,. _._- ----------------------------- -- - - ---- - - -- --- - - ---- - ---- - - -.. -...- - - -- Apprlllsed Value of Estate: Roal Estate Personal Property Jointly Held Proporly/Transfors $ I '. Total Gross E~talD $ I " Total Approved Deductions , , Clear Value 01 Estato $ :/ ~~ / less: Approvod Chorilnble Eltcmptions Clear Valuo or Estato Subjoct to Tar; $ /' Arnounl Tuablo @ 6% Ralo $ '/' I ' ' tn due $ ." / ' I) Arnounl Taxablo @ 15% Ralo tax duo TOTAL PENNSYLVANIA INHERITANCE TAX DUE $ " , . loss Crodils: DATE OF PAYMENT AMOUNT PAID DISCOUNT INTEREST TAX CREDIT $ = $ . ~! = = $ :; I I , '.' ,/'1 "/ /., 'I I ( $./ !,_ "il " t 6.' :j + + BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE fnterest will Decrue 01 the ralo of six Inheritance tax from 16) percenl per 3nnum on tho unpaid balance of 10 Iho dalo of paymont, , J' Assessed byi I , Ag8n' fOf Ihe Cnmmonw..llh ;. ,,' SEE R[V[RS( SIDE rOR INSTRUCTIONS REGISTER OF WILL'S COpy NEV'-litIS (1-711 D~DUCTIONI ALLOWED IN I " q :.~ THE SU" Of S ;..,) --:.S/ -' (LL~( '-'1. /f1'I!L... DATI App;t;v~if'~~D_ ." -" I I '('j I \ II I r '1:1fu,l ( 1\,n. Il_~")." ./ \ RIOIUE't 0' "'ILLS, A~~' T )~ OFF ICE OF THE , R~GIITE R OF WILLI STATEMENT or DEBTS AND DEDUCTIONS " OF 'd' " ,'I,.' J COUNTY AND AG~NT OF THE COMMOHWEAL TH " EITA TE OF Grace P. Rrindlp /j) DATE OF FILING APPRAISEMENT' Nr"~ {t, LATE OF Oorou~h of Npwhllrg .', , . - DATE NO. OF NAME OF PA YEE REMARK I AMOUNT VOUCHER ReRister of Wills Cumh, r.n, , TpR .nm"n h.-v ~~ nn Cumberland Law Journal Advertisin" Letters lA nn News-Chronicle Adve , ,n nn Daniel lIershev A----' nF n..np--." I.n nn Me.-vi n F D..____' IInm_ - ,no? ?n United Telephone Co. Telephone Bill 11 ~~ Penelec Electric Bill ~1 I.. NewburR Methodi... - 1;'''n_...l "'__, 100 00- Pearl Seekers Class ,,~ fin < ~_.1 '1',,1 ,,- . D" , 12 Baker & Russell - Oil hill ." ~, CUlDS ,~, . ?1 "...1 n..<n.ll. .n ~. ",' --- no-- Penelec Electric Dill 24 11 Rev. Michael Gardv Minis te r 25 00 Carl Brindle StationerY expense 4 50 Labor for preparation of sale 165 1/2 hours 496 50 ReRister of Wills FCumb. Co. Filinl( Inv. Appraisement. Stat. 9 00 of Debts & Ded. 1""..1 n.."n.ll_ la ,,__ 2 712 04 1",_.." ~ tJ_<_l, ,_ ,,-- 2 419 92 I DftgfQt-or nf tJillc:1,.-Cllmh r.n .. 15 00- Shirlev A. Marburocr Notarv Fee 10 00 Auctioneer- Daniel IIcrshev Fcc ~29 00 _ r.1nrk-for-sale - = ~Q" ~'n ' Inn - ---- , . " DATE OF DEATH March 2 lq7q , . "t.. ; . REV..." U-7I1 DEDUCTIONS ALLOWED IN , OFF ICE OF TNE REGISTER OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS 0:>' ,- OF CUMBERLAND COUNTY AHD AGEHT OF THE COMMONWEALTH ESTATE OF Grace P. Brindle LATE OF Borou~h of NewburR DATE OF FILIHG APPRAISEMEH~~/T ...,/./ f;Y~ATE OF OEATH Mnr~h '. lQ7Q NO. OF " OATE VOUCNER NAME OF PA YEE REMARKS AMOUNT W....~ c. c. '_p__ 8401'-&a1 UA ...5lL News- Chronirl.. Advertisin~ for Anl.. ln~ nn Public ODinion AdvertisinR for s81e ,,~ 'It. "n. - .1 ~. .~~<n<"n ~or..s .,- '"7 "70 "n~ n'. _~ nU O~<"H"n nl.nnt-n 7 /;A A-I Rent-All Rn"~ f'^~ n.ln 11 1'1 Daniel Hershev uctioneer for sale 20 on Tnm.Jln..lnl r.l",." n~ nnln ,n nn TOTAL S8.331 93 COMMONWEALTH OP PENNSYLVANIA I cou NTY OF CUMBERLAND SS. I, Carl A. Brindle HEREBY CERTIFY, THAT TO THE BEST OF MY KNOWLEDGE ANO DELIEF, THE FOREGOING IS A JUST AND TRUE STATEMENT OF OEDTS, FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATlOIl SUDMITTED TO THE ESTATE OF Grace P. Brindle DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX rURPOSES~) / ~),; I /J /J ~L'(.c:u::-/it t, ~~ v / SWORN AND SUDSCRIDEO DEFORE ME THIS '/ d DAY OF 19.zf... ~~(' / (L.S.) -~.~~ A". {i ~du'J"-" Shirle, ~ ""''''''0.'' Nol.ry Public Sh.........,. PA c"""'....... c_ M, c-illIoo b,ns o.c..c n, IPIl ACC":U ~"..UI COMMONWEALTII OF I'E:"iNSYL \' ANI" DEPARTMENT or IlE\'ENUE nURE,\U or COUNTY COLLECTIONS ,;2/ 7;/- IJ2 '* 7/11/11 RESIDENT DECEDENT COUNTY OF CUMIIERLAND .-- --.-.- ..-*- --- IMPDRT ANT, - - Thl- ret",n nlUlt he cUIIII,leh',1 in dCluil und Ult-II in lh111Iu.'Uh', "ith 1l1lUlIllchl',I, \IIuh thl' Ih'~jlillt'r Hf Will.. IIf Ihe Cuunl)' \\hert decedelll (nltlt'd, Ih'llIm h tlue "ilhill (1Il1l' munth" uUl'r dllle uf tI"luh, tllll,'",,,, 1111 ulcn",illl1 I" IUIUl1etl hy the Secreuu)' IIf Itnrnllc, IS,'culln 7n.llll IIH' InlwntllllcC 111"1 E"'lIl1C Tn.. I\CI ul' IIJM,I -.-..---- Grace P. Rrindlp _ UTATE "ULL NAMe OF UEcrnunl } AI'I'IIlA\'1T III' EX El'IlT1I11 AII\IINISTIIATlIIl IN TilE MATTER III' TilE ESTATE III' Lat. of Borough of Newburg County State of P"nna.y~vnn.fD. } .., County of Cmnhp1"1 An" f Carl-A.-Brindlp ADkl:aC.rnlnr 01 the el'ate 01 the oLou-nClmed decedent belnv dul, IWOIn, deponS and la, S Ueccdcnt died March 2 . JlJ--1.L{taltat. lea.1no a lalt will. cop, of which II h.'eta attach.d. } tMONTHI tDAYI IY EARl In'..tat. Name and add,... of attorn.y or} Mark & WeiRle. William R. Mark oth., outhorlud repr.untatlve to wham all.a....pa,d"," ,hauld ba mall,d, 115 East Kina StreeJ:o-Shippenshw:g....J!a 17?~7 EIU:culur That us such Executor dcpfll1cnl is fumiliur wilh the uffnirs (If sOlid eslute IInll the property cnnstittllil1l; I EXECUTO~AOMINISTRATORI the ossets thereof and their foir l11urket \'ulue. Thot otthe time nf dealh there was no sufe depusit box rel!-istered in decedent's indi\'iduallHlIl1e, ur jointl)' with, ur as agent or deputy ur another, nr in decedent's individlHllllllme, with right of uccess hy unnther us IIGCllt or dcput)', with the cxccptiun of the fllllowing: - NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A 5.4FE DEPOSIT 80X THIS SAFE DEPOSIT 00)1: RENTED 11'4 I'4AME OR UAM[S OF REL.ATIONSHIP OF JOINT HOL.DERS TO DECEDENT None That the contents of said safe depnsit hox or hoxes arc itemized under Schedules with Ihe exeeplion-of the following. for the reasons hereinafter sel forth: of this return, Thai Scherlule A allaehed hereto and made pari herenf sets forth fully and in detail all Ihe real properly in the Commonwealth of Pennsylvania of which decedent died ha,'ing an interest therein. It also sets forth lhe mortgage encumbrances upon each parcel of renl propert)' at the date nf death. giving the amount still due at death, name of mortgogec, dotc, rote of interesl, and bonk and page of record thcreof. It also sets forth in thc columns provided thercrore the assessed valuation of elleh of said parcels, the estimated morket value thcreof as of date of dealh of decedent. That Seherlu'e B allaehed here III and made part herenf sets fnrlh full)' and in delail all personal properly wheresover situated nwned hy Ihe decedent lit Ihe time uf death: 1Il1l11l1no)'s left by the decedent atlhe time of death, whether in decedent's imnlcdil.1lc possession. stnnding tn decedent'!,! creuit in hanks of dcposit,;sDvings honks, trust companies, or other institutions, whether indi\'idually, or in trust fur UI1)' other person or persuns gi\'ing also separately the accrued interest thereon, if any, down In the Insl interest dll)' print tu dccedent's dcath in the cose of sovings banks, and to Ihe dale of decedent's deuth in all nther cases; nil bonds, postal savings, trensury certificates or notes nnd other evidence of imlchtcdness flf the United Slates to the de- cedent: 011 obligalions, whether by stnlule or Ilgreemcl1l thc)' Ilre dc:oignalcd liS lax frec, of the United States, or Rny stotc, or political subdivision Ihereof, or of Iln)' [nreign counlry, which life uwned Rllhe time of death: 011 wearing apporel, jewelr)', silverwnre, Ilicturcs, hunks, works fir IHI, houschnhl furniture, horses, 'carrliige~t automobiles, bOOls, nnd on)' nnd 011 other pcrsul1l1l chattels of w!mtsoc\'er. kind or nOtllrC, Idt by d~ccdenl," togelher with the fairl)' estimated n",rkol value Ihereuf; all bunds and mllrlgllges held b)' decedent and of all claims due nnd owing decedent nt the time Clf deulh, "IIlI all Jlrnmissnl)' "ntcs or other instrumenls in writing fur the p3)'ment of mone)' of which decedent died possessed, flf wh:l1!o1nc\'cr nature, with intereSI thereon, if nn)', gi\'ing the face \'llIue and C!\tinmh..,j fllir market \'nlue lhereuf, mHI if ~uch eSlimnled fair market yalue he less Ihnn Ihe fnce \'nlue, it ~l'I' ff.rth bridly fh,' rCIISnl1S fur such del,recinlilln O!\ tn Cllch hem; 011 moneys poyable tn Ihe eslale frlllll Iifc in:<iUfillll,,'l' l'nlicic~ clurie,j hy tlccc,lcnt: nil :InI1Uil)' nnt! emlnwmcnt contracts the proceeds of which were l'a)"ilhtl' '11'''11 rhe denlll fit" Ihe dccedcnt: all nnd Ihe curpllrnlc stocks Dnd diyidends duc therelln nnd t1npllid ,IS or 1"- .i.'ll Ilf Ile.l1h, hnnt!s ant! ,H.-crued interest Ihcreon 10 the dale of decedent's denlh nnd OIlier in\.cstmn>l ,., '.. ," d.,l I,y IIll' ,lccl'llenl ilt Ihe time lIf deuth, wilh the markc1 value Ihere- of at such time. 111 till' ('''Ht. ul' ''it'(~llrlt.I''H ul' clmU' nr t'lImlly 1'C1I'llIlrlll.lllllH, 1111' vIII 11"" rl!J1urtlHl nrt! It.. t'Uf IIH I'ns~l"ll' "'UhKI""ltnt,',1 h)' 1'I11"1I1~lnl ..tlll.l'mtm1" ut' 1.1111 (~l)rll(Jrlll.IIUI!'rt. sllfl"llIJ( tlit! n!UwI.K 1111I1 Ilnhllltif1N Ilwl"'ut' ilK nf' till' I'nt" uf' ,h~nth. Tim KI~llI'llull' niHil SHIH furtl. III" 11I1"r"N" ul' IIf'e"'llt'lIl. lit till' 1,111I" ul' Ih'lIlh tll l\1I~" ('u-I",rtlll'fRIII)! III' tlll..ln"HN, 111111 III slIllflflr' HI' 1.11" \'111..., fll' SUi'll IlIh'r"Nt t.hl'rn IN 1I11111'lI,'cl III snlll "'1'111'11111", t'hHuu'hl "ht,'m,'nt!'l Mhu"lnJ.tlhl'IIH'U'I!'I IlIl'lllnldllth'!'Iuf' !itllll c'lI"llIIrlllHrKhlll nr hll..III'I~"h ,\ l'tlp~. III' thl' C'1I-pllrl,"'rHhlp llJtrl','m,'ul., (If urlll, II HI 11.,1""'111 1'll'lthlJ.t furlll 11m lI11t,lIr', ut' IIII' IlI.trl'I',ljI'lIt) 1tl~"ltlt'I...llh t\ slnl"mI11)t ..,.tIIIlJt fflrth tllf' .~I'lIrlwl"r nf' Ihll hll"lI III'N", IIN IUl.'tllflfl, 11I111 NIWh utlll!r I''''~IN Pt'rt olinl Ill' III 1I1l' hIlHII1I'"'' "" "IIIr Ill' Jlllrlllll'lIl III II I'ftlr 1111I1 .Il1Nt. 1I1)llrul"'d tit' till' ,hfl!filh'lltIK 11111'1"'''1. tlu'rt'l" 1'111..11",,,,,"1,"1111"11. II. ~hlllllll III!'!f1 ''41'' "flflh In It,'mI11'11 t'urm, IfI'~t'fh'lr wllh Ihn fnlr "lfIrkn' \'IIII"~ thl'r'.'lft It"~" fllh,'r Ilrul"'rl)" CI"lu'll III' IH"IIIl,,,t"I'tl II)' Ihl' Ih'I~I',I"1I1 III 111" I I hili flt' dl'IIth. 1111' S'/'''''ul,. C lIt.tll.'h"llh"rnln II III I "lIull' 11111'1. h"r'~nl' hl'tN "urlh " trill' IIII!,!"I'r to mlch 111111111')' 1~lInlnllll'll 111"1'1'111 '11111 Inti.., '~IlKHfll'lr""'4f"r"fll'pl'fll"lrt.)', rllnt flr l'tlrsII'"l1, within t.1I )'f'tarN nf Ihml'tlnlll'" e1,'nth, III "Ilul"mplollutl n" thw"lh'nt.'~ ,I"olh, fir 1111.....11'.1 lu tllklt """"l!t III 11C1~..miNlntl or m1.lu)"m"nl III. ur 111'1,"1' Ih'Ulh. Ntd,1 Rcllfltllll,1 N'H"" f'urth tllt" nn'"rll IIt1ll Wllfll' fl" HIIph prlllll'rt)', In .hunt I.rltll~I"'rrl,.I. UU~ rolnl.l'lI1shlp nr t.ho t.rnnRl'nr,'uN 1.11 till' IlfI.~I~lh'nt., 11m Ilrllllurt.Junlll.,' Nhurn 1'''1'.'1\''',1 II)' HIIC" trnll~I'''r'w Rwl nIl ntllf'r I'nct~ 01' R J'flrlhllmt. nil till'" r'"S!."rdlll~ slthl 'r'tll"lt""rN. III Ihn t~"Sf' nf' I.rllll""l'l!r!i Inl.mlClf1.1 tn 1.0k" ,'I'fllel III PUNRHsslon or "II.1U)lTIenl. lit. ur 1If1.I'r 111'nlh, thorn Is nl""lI IIl.tllI'hl'll tu thl! sch,',IIII'~ " cUllY 0" lilt.' d"f'tl, trust "~rl'em'"nt nr nth"r In~trllm'"lIt '~r'"nllllA Ihn trll~l. TIII'r.' Is nlslI H,lt ('nrlh In Kulll l'i1~1l...,llIl.. II list nf 1111 prClIH,rt.)', 1'''111 nnd IlnrHlIlIlIl, wlt.h Its \'11111". whll!h l"If..St.s lit. IfHCf.t!I'lIt'N ,It!lllh h)' \'lrhu' nf tll,1 '~xerchm h)' dOCI!cll'lIt, nlt.hpr Ifllllvlflllllll)', IIr.lullll.l)' w'thllnnt.h"'r, nr "")'I)(lwt~r nt' IIl'l1nlnl- IIU'lIt \'t....IIHI Indrocullent., oltlU!r hullvllllllllly or jnlllt.1~', II)' 1.111' will, ,ll1ml, fir ntlll'r Irl"truml-'llt nl' I1l1othur, wlt.h II t'ul')' nl' tho lnHtrllpu'nl" cr,~utlll~ Much JI"wf,r IIU.llcht>tl tn 'ht' "du'lfult>. Thnt Sth,.dulp 0 "t.tltch",1 hprl~t.o nrHI mUll I' l"lrt hnrfm" ""'ts "orth Ihl" f1'lml~N 1111'1 nlhlr'~""Rf1H nt. nil ""rsulls 1lt'1.....lcJIII1). lut.er,-st,'1l In thlK I'""tntf! lit. UII' 1.11'1" nl' .1t-CI'e1t'IIt.' S Ill"l1th, 1hl~ Illltnro nl' I.hplr r,'s.. III'cll\'I' Illtl'rests, tllIJlr relnttomthlJl, It' IIny, to t.I1H fh'I~I'llt!lll., tHA,'t hnr wi t.h t.hn "A"S lit thl! tlltl" "I' d'!CI'tll'III.IH ,hllll.h of 1111 mlnorM, Rnnult.RntH 11.111 hlmf'I'II~I"rlps 1'01' Ill'f' IUlller t1lm,ulent'R Will. It IIlslI euntlllllS " Htlttentent Rhowtng which of till! heflerlcl'.rl,IH Iltunl'tI III llll! flt'e"llf'nl"H will, Il'lIny, IIII'll prlur to c1f1~~'"11t1nt, tile clllteR or their fll!nth, I.IIf!tr IRRIII', lUlll 'h" rHlnl.lollHhlp nt' tillch ISSII" to lh... h(,llf~rlcl'lr~', Tllnl. S.:ht'dulp E IIltncllOlI h..rot.n lUlfl mlllln II )InrI. IIl~rl'nl' twt,R furth 1111 prupert)', I'm" ulltl )Ior- S1II1"l, n..-nflft h~' till! decfld,mt .Iolntly with flllnt.llf~r fir f1UIf~rN, IlIclllllln~ Int.IUlJ-tlhlfl, ""t.onllln~ 111 Uw IInml~ or 1ho df~collt'nt HlltI othl!rM, 1,lus tl1f~ Illtto nnd 1IIltcn n" rpcorcl nl' IlIstrllllll'IIt.S ,"t'I'"ctlllJ; t.Ilf! \"!olt.ltur.. ul' rORI .~stllt.fI lUul tho llnt.n nf' IIC'lulsf tlnn or IH'r"onnl I"~', plus t.hn nllmfl. nlt.tr"'ss 'Ilul r.~lutlollshIJl, I t' tUl~', of c't-OWnl!rR to t111~ tlecolh~l1t. Thill. Sc,.,.dul,. F Ott.IIChl1f1 hnrnto RIUI mndo " I'nrt herf'"t' so's furlh 1'1111)' 1111I1 111 fllll.ull 1111 1",lIl.s ftllrlllo,llIctlnnR clnlmetl fOur 111111 on hohnll' 01' this lIoCI!lI.H1I.'K """l.ltIH, 111I~111l111l~ 1'11I101',,1 nXI'f!llsf!S 1"1111; fllmt1~' oXt'mJ1t1on, whero "1'I'IIcUhl"; CURts or lulmllllftlrllt.lulI 01' thlt' 1I!oIlnl."; ':U1lf1st.'l I','n"" utili l'U1l1cinr),1 s conunlsslons l"lld or t.o he I,old; cost nXllUlHlpl1 f'ur Illlrlnl I.ru""l.s, tnmlJ""t.om"K nr ~ru\"'mllrkor"". 11I111 rf!ll- ~Iotls s'!rvJcoR, In COIISP.flllflIlCf! nl' t.hl! dmlth 01' tI..~ e1or.",It!nt.; tlt'ht.1i ","I clnlm"" owlll~ ,ulIl IInpnl,1 lit. tlm'~ nl' denLhi tilleR Rccrllod chnr~ollhl.! I'or IIl!r 1011 I'rlor 1.0 "I!r."I"!11 I' fii lh"11 th ("lICIII'I. t.llmu' Illlowoll lUuh'r SllCt lun mu or Uw Inherltunco 1I11c1 EHtntl' Tnx ,\r.t); IUAnlhnr wlt.1I II slnt,f!JTltmt. u" ctlllnll~rtll ..','cIAI111 I'ur nhllAll- tlom~, If IIn)'. It 1s lI~r"f!f1 thnt lhl! 1'IIIur.lnr)' will ..r,'sl'nt prnol' HI' sulll clulJTlI'11 nhll:~Ilt.llIn"" upon rt~- flllf'st, t.hut II' tllP. llmoUIlt. nct,tllllt). IHII'I In !oll'ttlnmlmt. ut' tllIY 1"'11, l~lIn.mlN!ollflll or lll'ht Is 1,!t1!t thnn t11l~ estlmlltr.cl nmCIIlllt clfllmln~ unci nllnwe'l, t.hnt tlll~ NtllnfI will hn rl'purtoll In tll" n.'~INtllr nl' \\'11 Is, 111111 tl1/I1. tho nmuunt nt' 111'( IISSI'!'Ii51~11 ClU1 he rt>ltSHf?Stil'll III nC(~flrtllllll~f' tllI'rl'wl tho Thllt tlll" tnllllN of t,lIo R)'llrnl.rllll.... cnltlmllH In Sc'hn,tlll"H 11,\", "B", IIC", "E", 1111I1 "1,'11 us ,tlrtH~U'fl Ihl'rf'll1, hn\'f~ lI(1ell ellrr"'"" forwnrfl lUllI I'rnl'flrly rflJ.thHl!r'~fl III t.1lt> SlImntnryo Subscribed Bnd sworn to before me this ......_...._._...i'LL .. day of ~.... .d'4()m,t<,~ .. Shirley.{. M.lrbur9tf. Notlry Mr.c $II........ PA eu..bt~w County Mr Coram_ bPtI D..... 17, 19It ..19.~9.: .......~~~il~..._._- 20.70...1'hilade.l.phia..Avenue._....._....___ ( Strcet Number) Chamberaburg... ,1'40., ,17201. ,..""".."...", (Citll or Town and S14t<!) SOYE: Itf'I'f}rl~ s ILtfl I Il~ IlI"'I tlu\'I' milk" sur,l "II )llllllk Sl'lIl!'"S III Illtl II ('I'ItIIl\'1 I 1111,1 SCh"lllll'~s lInt1'~xtJIl IIrl! flll"ll In ,,1111 .It.tlllls fir Ltll~ .'nrll IISflIWIl. 111111 In CIINI' th,' Ils!'ol'ls 11IC~II1lIt' rnrfl fUl,lunllsh!tl lil'cllrlt1I~!'Ii, ..".'urllll's fit' rlns" nr r'''mll~" curpnrnt.lnlls ur 111I hll"rl'sl III IIII~' "lI"l'ltrltl.'rshlp nr huslll"Stl, OUt" tht! fllllll IIllfl 'i1'1'I'm"IIIS rl'llulr'"lll1lult!r Ih,' l'"ruJ.trlll'h nllu\'" r"lnllllJ:. In SI'h.',h.II' "H" nrl' 111.1.11011.,,1. ,\ISII lTI"kl~ f!l'rl 'II n thlt I ..lflllmn ~ t III tlll1 "Su","ur)"" hIlS llf'I'1I prIlJl.'rl y ,'ompl,'II'11 us IIIHI\".'..,II r"f~ II,tl. ., , REV-n3 e.-nl * COr.r.tONWEAI.TII OF l'ENNSYI.VANlA TRANSFER INIII!RITANCE TAX RESIDENT IlECEDI!NT SCIIEI>ULE "n" BENEFICIARIES ESTATE OF GRACE P. BRINDLE IIENI!I;ICIARIES ANI) AIIIlRI~SI'$ REI.ATIONSIIII' (SIBIC rullnamu and UthJrclUC8 or all whu (U Itep-d1ihJron or SURVIVEII IIATE INTEIlEST OF have on 'ntcreM, vt"litcod. COf11lltllcnl or other- illeg,itinuate chihlren IlECEIII!NT OF IIENEI'IClAIIY ",In, in ellolc) arc Invulved, Bel ST,\TE YES IIIRTII IN ESTATE forth dli,. rnct.) OR NO Carl A. Brindle Son Yes 9/6/20 Residuarv Legatee 2070 Philadelnhia AVl!. ChAmhP"Rhll"g~ Po 17~n' Uft'ft' 11. .~~ n, ygh-t&r- Vft. , II. /u To .~ R. D. 05 Shipp 1>. ''7?~'7 , Deponent further says that all tho above.nam.d b.nellclarl.s or. living at this tlm. .xc.pt b.low: NAME DATE OF DEATH RESIDENCE !!III"" N< - 1>: .. .. C .- U G c- .- U ~~8 1 ~ . ~ u . 09_1 ".. - u " ~ U e 8- .. u !:!! co: Real Properly "ersonal !'roperly Transfers Gross Taxable Us late SUMMARY (Seh. "A") $ (Seh. "II") $ (Seh. "C") $ $ $ $ "'" '" .. Z U III W .. U :>- ::;: II w u '" U ... ..J :;;:: Q :l -< ~ '" Cl:: U. GJ .!! <( C- M C- o '" :z: '" c co: ..: J![:!: ~ fil ~ a.. u .... a.. .c W ... 0 M >. -< ci "'" ""'< IQ ... .. ::c c c z .5 "'" '-"'" i GJ c ~ 0", , 1 u u. w p., :l c.. 0 GJ 0 '- t- o: ... tJ " .S u 0 co: - Cl:: III IQ oS 0 l! w ... -;; a.. "'" t:> W - "'" '- U co: .. " ~ 'c :S '- c _os " >. ~ "'" c U ::00 ;:; " ~ :=< ..J 8 u (t) (As Repnrled) 54.240.88 54.240.88 . .> (2) (As Determined) $ $ $ $ $ $ ," RCC.J8 . Cml\IONWEALTII 01' I'ENNSYLV,\NI,\ TRANSI'EIlINIWIUTANCE T,\X IUiSIUENT UECEIJENT SCIIEIlUI.E "E" JOINTLY O\\'NEIlI'IWI'J:IIT\' I:'IiSTRUCT1UNS: Tilt.. Helll'lhtt" nlllst dlHclnsu "11 prol'orl)', N'lll 011,1 11I!1'~11ll1l11 11-'11"11 lt~ till' ,1"I'I'fll'lll julntly "Itll lmulht'r tit IlUl~r"" InclwllllJ.; Il1tlln~lblnH. HIIIIIlIIIIl; III th" IIftllll' nf' till' dl'l"'fl,tllt IlfI.1 f1lh,.t'.... t,l~l rl'II) ,'sl,Uu ('lrNt, ItS ('lIllr..tIHH, ur Joint hHHUltH, Ah'II1~ hrt,." Ih!piI'rI11I.1flfl, IIn hull I'" 1",1 lllllh'r Sf~II(!lllll,~ ".\", 1'1uh tlw 11"lt~ 111111 (,tlleu ..I' rl!L'ul'll f,I' IIINlrlunpul. ,11'1'.'I!I,tIlH ,','stllun', 1JIII .h. fln!. 1111'111I11.' "IIt.lr,.ttllH ur nut of !it:,t.' runl "stnll' vllluu In I!Ntutl. vnJulIlIllfI C!Ullllllllt P.'rslllllll I'rfllwrt.)' "'ItIU'" hi- Ilstl.t! IIN In Sr.h('llulo .U", pIllS dllt.. tll' Ill'qulNltlnll, n'hl llll! 1111,.11', lulllrl's~ IHl.1 r"lnt.luu..lllp (It' nil)') 01' ru-nWllt'rs 1.11 tht' tll'elllll'nl. O,'scrlpl.lon Ilf' Propert)', Untl' II" ,\cqIlIHltlulI, SUmH rlllt. PI,rcl-'lIl.uJ;It Et'lit.lltn In~'AIlT1IENT \i,\l.ll,\TION AtldreKfi Rll11 nolnl.lomlhlJl uf Cu-O.norH, "11I1 Itlnr.n V,.I'It' Shnrn Vlllwll.llln (~.WTl()N-n() flul "jrlto 01' Ih'..nrll nt' tn"lrIlITIl'lIl, 'Iillll'rl' nl'nl E!i tll l(~. In ThlH SUltCl" :>0 'S6 ~~ J'/X", 0 ~ WX;:/? ";:;-b; ~ /"'~ &:" wm \'n)uo or VI.IUI' ot' % X X :x &" '$M ~ ;Z ~ .)ll.lr., IIl'r.I'lh~flt' 8 (')( N >> ?9?'... :>oo<><x 1'l'llllOrt.)' lut.uru"l NONE " Inliert lhlH tulul ollllOslll! ",'oIIlLl)' O"w'll Pruport)''', Scho.Jule ".:" N~ In the .,\8 n"l'nrtl'd" Co111r11 OU tho lnHt l'~l! of this r(!tllru. ,.... I !-o ..J Z '" ..: u '" ~ LlJ M - .. :;; ft ..: .. u ;.- LlJ u 0: '" u C. - Q C. ..: ~ a: .. ..: Ll. ';: Q c. .. 0 > Z ~ tll ..: tll - ..: :: i5 LlJ ... .... LlJ !-o '" !-o c c:i i!i :t: u. ..: c 0: ~ Z !-o 0 !-o .. 0 Ll. ~ C. c. t.... 0 .... LlJ ~ 0 0: '" 0: .c .2 LlJ .:: - 1= .. \ .. .. ~ .... ~ - ..: 0 '" :;; .... c '6 0 >, ~ ~ :::'e ~ :; e .~'O " 0 0 ~..: ...l U U ," REV""7 (lI.U) . DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS P,O. BOX 2970 HARRISBURG. PENNA. 17105 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT OATE COUNTY FILE NO. August 29, 1979 Cumberland 21-79-0152 Whereas, Grace P. Brindle lale of Hewburg in the County of Cumberlsnd Commonwealth of Pennsylvania, having ,'i"tl on the 2nd day of March 19.1!L. seized and possessed of ,," ",t",,, subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, Sandra L. Stone , an appraiser duly appointed according l;:, !al/. having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the C,d, value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that <lIlV luhAnl InteleU In thh "'tatc h Il,unfeued In vn\\Cuiof1 or l'Ilt1f'o'll1'1l1t In (ulIOllor.lIIHlln (Jlllul doc.dlllll .1111" 11,1: "."".)II.,n 01 Iny eltate tor llle or tor VeIn, the Comrnollwl1alth '1ctreby cMp,,,,,IV ,0\01Ilel the ,lq'" to .1pPI,ll$" .Uld .uscn I,,,nsrol Inhorltance '"xel II tIll' I,'wl,,! '. ,,11,~1"1.,1 rile on Inv luch 'utu,e Interolt. DESCRIPTION Of" ASSeT UNI1 /lilP',1!\fl1H'111 VALues MJdt' "ll lnl, !l1t.111[P. 1 ,l~ I'.up 'i.~\ Real Property . None Personal Property 54,313 06 Transfers None Joint-Held Property None TOTAL ASSETS 54,313 06 , i , I T I I Have been duly sworn according to law, I do hereby certify tha the above appraisement is made in conformity with the law on this 29th day of 19 1.!l-. ,- -~ ~ . ApPlaht!'t INumbU "nd !\,trlll"lIU lIarr1sDurg (po'IOffICIII . Ponm. ", . . 'J:'...,. .~ , ~ '" , . . ... 1i ""'j . , <: Z " w ~ '" 8 ::iE H ... , ~ , w \I) ......: , , .. Q , w , r{ < "': en: N: ::l . a: .....: Z , a. ....: 0 \I) ~I . ~ a. lol "': .... W ct ,.:l ...., > . ---: x ~ oi ~ , W I 't:ll ~ .... 001 a: ... 0 N: - G-' ~, .... ~i -: u. lii lii w ~ Itl 0 ..c:, g Q; 'ti ....: <J 3 ~ .0' u: tJ f$}: 0 ~ ~ ~ C' ~: Z . ~! ~: - ~' I- 0): ~ l:'.l 114 J ~! III 0 z 2 '~ ,~ 1 \ l' "! .>.: Ill' g; ~ -- : ~ 8 , ,'" " w 6. g; a: N: ... 'tl :iE <l; w Q III I- .0. <l; ii :I: ..: -' N: - ~ a: 'tl <l; :;: t.'l NI '" <: ~ lii 's, <l: - e 'tl III .... '" " 0 ij ... ~ 0 Q. 11 0 Z 0: w 'ti .Q ~ - ~ w .... ,!!l <: <: 0 III <: '" ... 0 0 '- :- '- '" ~ " '- ~ III ;!;. Cij III .,; 11 0 ~ 0 ~ w - C. '" ~ ~ c. lfi d ~ te III a: ~ 0: q: .____U4____~ ..__ ~~__~____._____.__ __ ____ ___ _ _ ______ ..-...-.... r.. __ ..'" __ """ __. ___ ... ___ ... ~=.... ~ RCC4111n,SI COMMONWEALTH OF PENNSYLVANIA - ~NO .003204 DEPARTMENT OF REVENUE W 'U OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX II ; RECEIVED --------------'l'WENTY-SIX II e From, ~ Adrlre.. . " II S F; '10. 21-7Q-152 II I Dr of Poyment -....------ .~ William R. Mark. E8~L. (Carl A. Brindle) 11' !:loll L Kl..~ 9'treet--- 8hippen.burg.Pa, :l.m7 HUNDRED TWEllTY &: 78/loo-----------------dollo" repre,cnling Penns.ylvanla Inheritance or E,tole To. duo from the following 8,tate: 2'''' TOlan 5 s 6~ Tall on 5 s Dote of oeoth...3-2-197L 15IA To.. on 5 s .Tune 4,1979 fA:: TOll on S E,tole To., Act 01 May 7, 1927 s ; Nome of Decedent OQlC'2 PI 'RRTWnT.'R [j'OO~I?[L~@&[j'~ 5 E A l TOTAL AMOUNT PAID s s ~ I 75A, 7' s 131-93 s s 7A Counly Cllmh....'lIn" PAm ON ACCOUlfl'. TOTAL TAX CREon Less flvo percenlum of 10111 if paid wllhln throe months ofler dole of death Plus Interes' 01 'he rate of _\!Ofrom 10 Remarks: t ..OTE: Thl, Ttlpllclte Receipt to t-. r...lned fo, .udtl pu,po.... , . i II Received by NOTE; In OCe-pting the tro",l.r Inh.rltonu 10. on '1III1r. ..to lea, prlo' to 'h. d.oth 01 Itl' M. I.nonl 0' I.nonl for .,..ora, oa ....ld.nud by thia r.uipt. il I' IInd.,aload thot th. Comrnon.....ollh ,holl not b. pr.dllded Of pr'lIlnl.d from h.r.oll., aU'Ulng odd,tiollol Inh.rllollCl 10' olth. dlalh of ,h. II" I.nont Of I.non' fa, .,.ora _h.n..., It app.ora thol luch add,tional to. mo.,. b. l.golI.,. due and collectibl. for anY' teolen _hollO.....r. -- -- -- -- -- - - ._-. - -- - -- - --- - - - -- - -- ..- -~-- -- --- - --- - -- -- - -------.